Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 01-01-2019 , and ending 12-31-2019
BCheck if applicable:
CName of organization
SIERRA HEALTH FOUNDATION
CENTER FOR HEALTH PROGRAM MANAGEMENT
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1321 GARDEN HIGHWAY NO 210
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SACRAMENTO, CA95833
D Employer identification number

45-5282243
E Telephone number

G Gross receipts $ 56,814,611
F Name and address of principal officer:
CHET P HEWITT
1321 GARDEN HIGHWAY NO 210
SACRAMENTO,CA95833
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.SHFCENTER.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 2012
M State of legal domicile: CA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: THE CENTER BRINGS PEOPLE, IDEAS AND INFRASTRUCTURE TOGETHER TO CREATE A COLLECTIVE IMPACT THAT REDUCES HEALTH DISPARITIES AND IMPROVES COMMUNITY HEALTH FOR THE UNDERSERVED LIVING IN CALIFORNIA.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 8
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 7
5 Total number of individuals employed in calendar year 2019 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 11,786,204 56,793,608
9 Program service revenue (Part VIII, line 2g) ......... 0 0
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 27,917 21,003
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 0 0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 11,814,121 56,814,611
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 3,795,244 10,883,479
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 0 0
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 6,357,745 19,512,901
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 10,152,989 30,396,380
19 Revenue less expenses. Subtract line 18 from line 12....... 1,661,132 26,418,231
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 15,101,977 45,335,615
21 Total liabilities (Part X, line 26)............. 2,630,757 6,446,164
22 Net assets or fund balances. Subtract line 21 from line 20..... 12,471,220 38,889,451
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
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Signature of officer Date
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Type or print name and title
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Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2019)
Form 990 (2019)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: TO PROVIDE LEADERSHIP, FUNDING AND OPERATIONAL SUPPORT FOR PROJECTS THAT IMPROVE INDIVIDUAL AND COMMUNITY HEALTH STATUS AND WELL BEING IN UNDERSERVED COMMUNITIES.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 11,554,338 including grants of $ 0 ) (Revenue $   )
MAT ACCESS POINTS PROJECTIN DECEMBER 2018, THE CENTER WAS AWARDED A $40 MILLION MEDICATION ASSISTED TREATMENT ACCESS POINTS PROJECT CONTRACT BY THE CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES TO EXPAND MEDICATION ASSISTED TREATMENT START-UP AND/OR ENHANCEMENT ACTIVITIES IN AT LEAST 200 INDIVIDUAL ACCESS POINTS ACROSS THE STATE. THE GOAL OF THE MEDICATION ASSISTED TREATMENT ACCESS POINT PROJECT IS TO CREATE A NETWORK OF ORGANIZATIONS THROUGHOUT CALIFORNIA TO ADDRESS THE OPIOID CRISIS BY SUPPORTING PREVENTION, EDUCATION, STIGMA REDUCTION, TREATMENT AND RECOVERY SERVICES FOR PEOPLE WITH OPIOID USE DISORDER AND SUBSTANCE USE DISORDER, AND BY INCREASING ACCESS TO MEDICATION ASSISTED TREATMENT. IN 2019, THE MAT ACCESS POINTS PROJECT HAS BECOME A MORE COMPLEX AND MULTIFACETED PROJECT THAT FOCUSES RESOURCES SPECIFICALLY ON AREAS AND COMMUNITIES DISPROPORTIONATELY IMPACTED BY SUBSTANCE USE DISORDER AND THE CRIMINALIZATION OF SUBSTANCE USE. UNDER THE MAT ACCESS POINT PROJECT, THE CENTER FUNDED THE FOLLOWING PROJECTS IN 2019:1) MAT SERVICES FOR ALL - 118 ORGANIZATIONS REPRESENTING 164 ACCESS POINTS THROUGHOUT THE STATE TO SUPPORT START-UP AND/OR ENHANCEMENT EFFORTS FOR THEIR MAT PROGRAMS.2) GPRA SUPPLEMENT - 4 ORGANIZATIONS TO SUPPORT THEIR GOVERNMENT PERFORMANCE AND RESULTS ACT DATA COLLECTION.3) TRIBAL MAT INFRASTRUCTURE - 10 TRIBAL HEALTH ORGANIZATIONS TO SUPPORT START-UP AND/OR ENHANCEMENT EFFORTS OF THEIR MAT PROGRAMS.4) EQUITABLE PREVENTION AND EDUCATIONA) PREVENTION AND EDUCATION COMMUNITIES OF COLOR - 55 ORGANIZATIONS WITH ESTABLISHED AND TRUSTED COMMUNITY RELATIONSHIPS TO SUPPORT LOCALIZED OUTREACH AND PREVENTION ACTIVITIES WITH THE AIM OF REDUCING STIGMA AND INCREASING COMMUNITY UNDERSTANDING OF OUD AND SUD, AND ACCEPTANCE OF MAT.B) UC DAVIS SCHOOL OF NURSING - SUPPORT THE TRAIN THE TRAINER PRIMARY CARE PAIN MANAGEMENT FELLOWSHIP FOR FRONTLINE CLINICIANS.C) SUN COMMUNITY OUTREACH TRAINING - 6 SACRAMENTO-BASED COMMUNITY ORGANIZATIONS TO SUPPORT THEM IN THEIR CRISIS RESPONSE AND COMMUNITY-LEVEL OUTREACH AND BE A BRIDGE BETWEEN THEIR COMMUNITY AND THE HEALTH SYSTEM.ADDITIONALLY, THE PROJECT SUPPORTED ORGANIZATIONAL CAPACITY BUILDING, COMMUNICATION, AND EVALUATION COMPONENTS THROUGH A LOCALIZED MEDIA CAMPAIGN, TECHNICAL ASSISTANCE WEBINARS, AND INTERNAL PROJECT EVALUATION AND LEARNING.
4b (Code:   ) (Expenses $ 5,789,566 including grants of $ 4,602,400 ) (Revenue $   )
SAN JOAQUIN VALLEY HEALTH FUND IN FURTHERANCE OF A HEALTHIER, MORE EQUITABLE SAN JOAQUIN VALLEY, IN 2019, THE CENTER AT SIERRA HEALTH FOUNDATION CONTINUED TO MANAGE THE SAN JOAQUIN VALLEY HEALTH FUND (SJVHF) ON BEHALF OF THE FUNDER PARTNERS. THE SJVHF EXPANDED TO 23 FUNDER PARTNERS, INCLUDING SIERRA HEALTH FOUNDATION, THE CALIFORNIA ENDOWMENT, ROSENBERG FOUNDATION, THE CALIFORNIA WELLNESS FOUNDATION, W.K. KELLOGG FOUNDATION, BLUE SHIELD OF CALIFORNIA FOUNDATION, WALLACE H. COULTER FOUNDATION, DIGNITY HEALTH, TIDES (BROAD REACH FUND), HELLMAN FOUNDATION, THE JAMES IRVINE FOUNDATION, CONVERGENCE PARTNERSHIP, CAL HEALTH & WELLNESS/HEALTH NET, THE GROVE FOUNDATION, WERNER-KOHNSTAMM FAMILY GIVING FUND, NEW VENTURE FUND, SUNLIGHT GIVING, HEISING-SIMONS FOUNDATION, LIBRA FOUNDATION, THE BEACON FUND, CERES TRUST, CHANN-ZUCKERBERG INITIATIVE AND GRANTMAKERS CONCERNED WITH IMMIGRANTS AND REFUGEES/COLLEGE FUTURES FUND. IN 2019, THE SJVHF WAS AWARDED A TOTAL OF $6,381,085 FROM 16 FUNDERS TO SUPPORT WORK OVER THE NEXT ONE TO THREE YEARS TO ADVANCE THE SJVHF POLICY PLATFORM AND CAPACITY BUILDING, CENSUS OUTREACH, IMMIGRANT RIGHTS AND PROTECTIONS, AND ACCESS TO SAFE DRINKING WATER. IN 2019, THE SJVHF, THROUGH THE CENTER, MADE 37 GRANTS TOTALING $650,000 IN ITS ROUND 5 GRANT MAKING SUPPORTING ORGANIZATIONS ADDRESSING HEALTH DISPARITIES AND ISSUES PRIORITIZED BY THE COMMUNITY: IMMIGRANT RIGHTS, HEALTH, HOUSING, EDUCATION, ENVIRONMENTAL JUSTICE, LAND USE PLANNING AND OTHER DRIVERS OF HEALTH OUTCOMES. ADDITIONALLY, THE CENTER AWARDED 10 NON-LOBBYING CENSUS GRANTS FOR A TOTAL OF $150,000 TO PROMOTE A COMPLETE CENSUS COUNT OF HARD-TO-COUNT SAN JOAQUIN VALLEY COMMUNITIES BY ADDRESSING ADMINISTRATIVE AND PROCEDURAL BARRIERS TO A COMPLETE AND FAIR CENSUS 2020. THE CENTER ALSO AWARDED 48 GRANTS IN THE TOTAL AMOUNT OF $1,310,000 FOR CENSUS OUTREACH TO HARD-TO-COUNT SAN JOAQUIN VALLEY POPULATIONS.
4c (Code:   ) (Expenses $ 2,188,158 including grants of $ 782,845 ) (Revenue $   )
REDUCTION OF AFRICAN AMERICAN CHILD DEATHS IN SACRAMENTO COUNTY, AFRICAN AMERICAN CHILDREN DIE AT TWICE THE RATE OF ANY OTHER ETHNICITY. THE FOUR LEADING CAUSES OF DEATH ARE PERINATAL CONDITIONS, INFANT-SLEEP RELATED DEATHS, CHILD ABUSE AND NEGLECT, AND THIRD-PARTY HOMICIDE. THE BLACK CHILD LEGACY CAMPAIGN IS THE COMMUNITY-DRIVEN MOVEMENT ESTABLISHED BY THE STEERING COMMITTEE ON REDUCTION OF AFRICAN AMERICAN CHILD DEATHS, WHICH IS WORKING TO REDUCE DEATHS OF AFRICAN AMERICAN CHILDREN BY 10% TO 20% BY 2020 IN SACRAMENTO COUNTY. THE CAMPAIGN'S ACCOMPLISHMENTS ARE INTERCONNECTED TO FIVE COMMUNITY-DRIVEN STRATEGIES: PROMOTING ADVOCACY AND POLICY TRANSFORMATION, EQUITABLE INVESTMENT AND SYSTEMATIC IMPACT, COORDINATED SYSTEMS OF SUPPORT, DATA-DRIVEN ACCOUNTABILITY AND COLLECTIVE IMPACT, AND COMMUNICATION AND INFORMATION SYSTEMS. THE CAMPAIGN HAS FUNDED SEVEN COMMUNITY-BASED ORGANIZATIONS IN EACH OF THE TARGETED NEIGHBORHOODS WHERE THIS DISPROPORTIONALITY OCCURS: ARDEN ARCADE, DEL PASO HEIGHTS/NORTH SACRAMENTO, FRUITRIDGE/STOCKTON BLVD., NORTH HIGHLANDS/FOOTHILL FARMS, OAK PARK, MEADOWVIEW, AND VALLEY HI. IN FY 2019, RAACD'S WORK CONTINUED TO EXPAND AND ENHANCE COMMUNITY SAFETY-NET SOCIAL SERVICES IN THE FOLLOWING WAYS: COORDINATED MULTIDISCIPLINARY TEAMS (OUT-STATIONED SACRAMENTO COUNTY SOCIAL SERVICE TEAMS REPRESENTING THE DEPARTMENT OF HUMAN ASSISTANCE, CHILD PROTECTIVE SERVICES, PROBATION, AND SACRAMENTO EMPLOYMENT AND TRAINING AGENCY) IN THE SEVEN TARGET NEIGHBORHOODS OF RAACD; ADVANCED COMMUNITY OUTREACH AWARENESS THROUGH TRADITIONAL AND NON-TRADITIONAL MEDIA PLATFORMS; LED CULTURAL BROKER INITIATIVES IN PARTNERSHIP WITH SACRAMENTO COUNTY CHILD PROTECTIVE SERVICES (TRUSTED MESSENGERS FROM THE COMMUNITY WHO GUIDE FAMILIES THROUGH THE SYSTEM); PARTNERED WITH LOCAL HEALTH SYSTEMS TO DEVELOP THE PRENATAL CARE CULTURAL BROKER FRAMEWORK PILOTED IN ZIP CODE 95823. IN 2018 WE RECEIVED A CALIFORNIA BOARD OF STATE AND COMMUNITY CORRECTIONS CALIFORNIA VIOLENCE INTERVENTION AND PREVENTION GRANT, AND THE FUNDS CONTINUED THROUGH 2019. THAT CONTRACT COMPLEMENTS THE FUNDS REDUCTION OF AFRICAN AMERICAN CHILD DEATH PROGRAM THROUGH THE HEALING THE HOOD INITIATIVE AND HAS HELPED TO ESTABLISH A COUNTY-WIDE CRISIS RESPONSE NETWORK FOR VIOLENCE INTERRUPTION, INTERVENTION, AND PREVENTION. IN 2019, THE PROGRAM ALSO INCLUDED THE KINGS AND QUEENS RISE BASKETBALL PROGRAM. THE LEAGUE'S GOAL IS TO INTERRUPT VIOLENCE BY PROVIDING AN OPPORTUNITY FOR YOUNG PEOPLE TO ENGAGE IN AN INTERCOMMUNITY SPORTS ACTIVITY THAT PROVIDES A CARING, PRODUCTIVE ENVIRONMENT THROUGH COMMUNITY BUILDING, SPORTSMANSHIP AND RESOURCES FOR HEALTH AND SAFETY.
(Code:   ) (Expenses $ 9,623,840 including grants of $ 5,498,234 ) (Revenue $   )
1) POPUP PROGRAM - THE SACRAMENTO YOUTH POPUP PROGRAM WAS DEVELOPED IN JANUARY 2019 AS A RESPONSE TO YOUTH VIOLENCE DURING THE 2018/19 CHRISTMAS AND NEW YEAR HOLIDAY SEASON. AS YOUTH GATHERED AT MALLS AND OTHER OPEN ENVIRONMENTS, RECOGNITION OF LIMITED ACTIVITIES FOR YOUTH LED TO THE DEVELOPMENT OF THE POPUP PROGRAM. IN 2019, THE PROGRAM INCLUDED 23 PARTNERS, PROVIDING 12 YOUTH POP UP EVENTS EVERY-OTHER-WEEK THROUGHOUT THE CITY OF SACRAMENTO. DURING 2019, THE PROVIDERS HAVE HELD OVER 500 POP UP EVENTS AND ATTRACTED 31,000 YOUTH ATTENDEES. IN OCTOBER 2019, THE POP UP PROGRAM INTRODUCED THE ECONOMIC MOBILITY PROGRAM TO SUPPORT EMPLOYMENT OPPORTUNITIES FOR YOUTH. THE PROGRAM PROVIDES SUPPORT FOR TWO IN-SCHOOL OR OUT-OF-SCHOOL YOUTH TO WORK AT EACH POP UP SITE (48 YOUTH IN TOTAL) AND INCLUDES WEEKLY TRAININGS IN THE AREAS OF JOB READINESS, LIFE SKILLS AND YOUTH DEVELOPMENT. THIS IS AN IMPORTANT STEP IN INCREASING THE CAPACITY OF THE YOUTH PROGRAM PROVIDERS TO INCLUDE WORKFORCE READINESS AND POSITION THE YOUTH AS LEADERS READY FOR THE NEXT CHALLENGE IN LIFE.2) POSITIVE YOUTH JUSTICE INITIATIVE - LAUNCHED IN 2012, THE POSITIVE YOUTH JUSTICE INITIATIVE SUPPORTS COMMUNITIES ACROSS CALIFORNIA IN TRANSFORMING JUVENILE JUSTICE PRACTICE AND POLICY INTO A MORE JUST, EFFECTIVE SYSTEM THAT IS ALIGNED WITH THE DEVELOPMENTAL NEEDS OF YOUNG PEOPLE RATHER THAN OUTDATED PUNITIVE APPROACHED. THE CENTER, IN PARTNERSHIP WITH THREE OTHER FOUNDATIONS, ARE INVESTING IN COMMUNITY COLLABORATIVE IN 11 COUNTIES WHO ARE LEADING POLICY AND SYSTEMS CHANGE CAMPAIGNS DESIGNED AROUND THE HEALTHY JUSTICE SYSTEM FRAMEWORK, ONE THAT INVESTS IN YOUTH WELLBEING, REDUCES JUSTICE SYSTEM INVOLVEMENT AND PROMOTES HEALING. A NUMBER OF NEW POLICIES HAVE BEEN ADOPTED THROUGHOUT THE 11 COUNTIES THAT PRIORITIZE YOUTH WELLBEING, INCLUDING SHIFTING EDUCATION SYSTEM INVESTMENTS AWAY FROM SCHOOL BASED LAW ENFORCEMENT AND INTO SOCIAL AND EMOTIONAL SUPPORT FOR STUDENTS OF COLOR, REDUCING THE USE OF YOUTH INCARCERATION AND DETENTION FACILITIES AS WELL AS THE ADOPTION OF COMMUNITY BASED RESTORATIVE JUSTICE PRACTICES. 3) CALIFORNIA FUNDERS FOR BOYS AND MEN OF COLOR - CFBMOC: CALIFORNIA FUNDERS FOR BOYS AND MEN OF COLOR (CFBMOC) IS A NETWORK OF CEOS FROM 16 CALIFORNIA FOUNDATIONS DEDICATED TO ALIGNING THEIR EFFORTS, RESOURCES AND INFLUENCE TO IMPROVE THE LIVES OF BOYS AND MEN OF COLOR IN CALIFORNIA. THE OVERARCHING GOAL IS TO SIGNIFICANTLY INCREASE THE NUMBER OF MALES OF COLOR WITH STABLE, FULL-TIME EMPLOYMENT WITH EARNINGS SUFFICIENT TO SUPPORT A FAMILY (ABOVE 300% FEDERAL POVERTY LEVEL). TO REACH THIS GOAL, CFBMOC UTILIZES THE LIFE COURSE FRAMEWORK TO GUIDE INVESTMENTS IN ALL 3 OF ITS KEY REGIONS, THE OAKLAND/SAN FRANCISCO BAY AREA, SACRAMENTO/SAN JOAQUIN VALLEY AND LOS ANGELES COUNTY. EFFORTS IN 2019 TO ACHIEVE THIS GOAL INCLUDED CONTINUING TO IMPLEMENT PLACE AND POLICY STRATEGIES. IN NORTHER CALIFORNIA, CFBMOC SUPPORTED THE DEVELOPMENT OF A JUVENILE JUSTICE TRANSFORMATION TOOL KIT WITH A $50,000 GRANT. THIS TOOL KIT WILL HELP ADVOCATES NAVIGATE THE LANDSCAPE WHILE PUSHING TO CLOSE JUVENILE DETENTION CENTERS THAT IMPACT ALL YOUNG PEOPLE ESPECIALLY BOYS AND MEN OF COLOR.; IN SOUTHERN CALIFORNIA AN INITIAL INVESTMENT OF $200,000 IN EIGHT COMMUNITY PARTNER GRANTEES TO CREATE A BLUEPRINT TO SHIFT THE YOUTH PROBATION SYSTEM INTO A YOUTH DEVELOPMENT SYSTEM IN LOS ANGELES COUNTY THAT ADDRESSES YOUTH JUSTICE AND INVESTS IN YOUNG PEOPLE - INCLUDING YOUNG MEN OF COLOR - AND ENSURES THEY HAVE AN OPPORTUNITY TO LEAD PRODUCTIVE LIVES. A KEY GOAL IS TO AFFECT POLICY AND SYSTEMS CHANGES THAT RESULT IN INCREASED INVESTMENT IN PROGRAMS AND SERVICES TO REDUCE YOUTH CONTACT WITH THE JUSTICE SYSTEM IN 2019 CFBMOC HAS LEVERAGED THAT $200,000 INTO MORE THAN 4.5 MILLION IN COMMITTED FUNDS FOR OUR COMMUNITY PARTNERS TO CONTINUE THE WORK; CFBMOC CONTINUES TO SUPPORT THE ALLIANCE FOR BOYS AND MEN OF COLOR (ABMOC) IN PROVIDING OPPORTUNITIES FOR COMMUNITY-BASED ORGANIZATIONS WORKING WITH BOYS AND MEN OF COLOR ACROSS THE STATE TO ENGAGE IN LOCAL AND STATE POLICY SHIFTS. CFBMOC IN 2019 SUPPORTED EFFORTS TO WIN KEY POLICIES IN POLICE REFORM, WITH AN $80,000 GRANT TO SUPPORT COMMUNITY PARTNER ENGAGEMENT IN POLICE REFORM AND ACCOUNTABILITY THROUGHOUT THE STATE. IN 2019, CFBMOC HAS ALSO PROVIDED OUR MEMBERS THE OPPORTUNITY TO LEVERAGE THEIR COLLECTIVE AND INDIVIDUAL VOICES TO SUPPORT COMMUNITY PARTNERS PUSHING FOR CLOSING THE DEPARTMENT OF JUVENILE JUSTICE. MEMBERS HAVE DEVELOPED PRINCIPLES STATEMENTS, LETTERS OF RECOMMENDATION, PROVIDED INVITED TESTIMONY AND WRITTEN OP-EDS IN MEDIA OUTLETS ACROSS THE STATE.4) OTHER PROGRAM SERVICES:MBK SACRAMENTO: THE MY BROTHER'S KEEPER (MBK) SACRAMENTO COLLABORATIVE IS COMMITTED TO IMPROVING THE EDUCATIONAL, HEALTH, SOCIAL AND ECONOMIC OUTCOMES FOR LOCAL BOYS AND MEN OF COLOR. MBK SACRAMENTO BRINGS SYSTEM LEADERS, ADVOCATES, COMMUNITY PARTNERS, YOUTH-SERVING ORGANIZATIONS AND YOUNG PEOPLE TOGETHER TO ADDRESS HEALTH, EDUCATION, EMPLOYMENT AND JUSTICE SYSTEM DISPARITIES FOR YOUNG MEN OF COLOR THROUGH POLICY ADVOCACY, SYSTEMS CHANGE AND SUPPORT FOR EFFECTIVE PROGRAMS. IN 2019 CONTINUED OUR ACCOMPLISHMENTS VIA THE OBAMA FOUNDATION MBK COMMUNITY CHALLENGE IMPACT GRANT TO SUPPORT THE MBK SACRAMENTO COLLABORATIVE IN EXPANDING MENTORING AND VIOLENCE INTERVENTION EFFORTS. OUR 2019 EFFORTS TOWARDS THESE GOALS CONSISTED OF HIRING A FULL TIME MBK SACRAMENTO COMMUNITY COORDINATOR TO COORDINATE DAY TO DAY EFFORTS; SELECTED TEN SACRAMENTO YOUTH-SERVING ORGANIZATIONS TO RECEIVE A ONE YEAR $10,000 EACH TOTALING IN A $100,000 INVESTMENT TO PROVIDE SUPPORTIVE ADULT RELATIONSHIPS FOR BOYS AND MEN OF COLOR BY FOSTERING COLLABORATION AND UPLIFTING BEST PRACTICES FOR MENTORSHIP PROGRAMS THROUGHOUT SACRAMENTO; ENHANCING OUR INTEGRATED MULTI-TIERED APPROACH TO IMPROVE THE LONG-TERM HEALTH, EDUCATIONAL AND CAREER PATHWAYS, SAFETY, AND OVERALL WELL-BEING OF BOYS AND YOUNG MEN OF COLOR (BYMOC). IN 2019, WE EXPANDED SERVICES FOR MBK YOUTH FELLOWSHIP PARTICIPANTS BY INCREASING FROM TEN TO EIGHTEEN MALES RANGING FROM AGES 16 TO 20 WITH LIVED EXPERIENCES IN SCHOOL PUSH OUT, POVERTY, HEALTH INJUSTICE OR THE JUSTICE SYSTEM TO YOUTH LEADERSHIP THROUGH MENTORING AND POLICY ADVOCACY; FUNDED HEALING THE HOOD (HTH) PROGRAM TO REDUCE COMMUNITY VIOLENCE SERVING YOUTH AGES 10-15 (PRE-GANG INVOLVEMENT), 14-25 (GANG-INVOLVED), AND 16-20 (JUSTICE SYSTEM INVOLVED WITH WRAP AROUND SUPPORT IN THE SEVEN NEIGHBORHOODS(ARDEN ARCADE, NORTH SACRAMENTO/DEL PASO HEIGHTS, FRUITRIDGE/STOCKTON BOULEVARD, MEADOWVIEW, NORTH HIGHLANDS/FOOTHILL, OAK PARK, AND VALLEY HI). IN 2019, THE CENTER FOR HEALTH PROGRAM MANAGEMENT PROVIDED LEADERSHIP, FUNDING AND OPERATIONAL SUPPORT FOR SEVERAL OTHER PROGRAMS THAT WORKED TOWARD IMPROVING INDIVIDUAL AND COMMUNITY HEALTH STATUS AND WELL-BEING IN UNDERSERVED COMMUNITIES. THIS INCLUDED EIGHT FISCAL-SPONSORED PROGRAMS: BUILDING HEALTHY COMMUNITIES-SACRAMENTO, CENTRAL VALLEY FREEDOM SUMMER FOR HEALTH, CENTRAL VALLEY UNITED FOR POWER, COMMUNITY ALLIANCE FOR YOUTH AND COMMUNITY JUSTICE, CULTIVA LA SALUD, FRESNO LEGAL DEFENSE FUND, SACRAMENTO PLACES INSTITUTE FOR INDIGENOUS PEOPLES, AND WAY UP SACRAMENTO. THE VISION, MISSION AND PROGRAMMATIC FOCUS OF THESE PROGRAMS ALIGN WITH THE CENTER'S MISSION TO BRING PEOPLE, IDEAS AND INFRASTRUCTURE TOGETHER TO CREATE A COLLECTIVE IMPACT THAT REDUCES HEALTH DISPARITIES AND IMPROVES COMMUNITY HEALTH FOR THE UNDERSERVED.
4d Other program services (Describe in Schedule O.)
(Expenses $ 9,623,840 including grants of $ 5,498,234 ) (Revenue $   )
4e Total program service expensesMediumBullet29,155,902
Form 990 (2019)
Form 990 (2019)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment......................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..
1a
121
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
Form 990 (2019)
Form 990 (2019)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
8
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
7
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
CA
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletKIMBERLY YOST CONTROLLER1321 GARDEN HIGHWAY NO 210   SACRAMENTO,CA95833 (916) 993-7701
Form 990 (2019)
Form 990 (2019)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) DEBRA MCKENZIE......................................................................
CHAIR
 0.50
.................
1.10 		X           0 20,760 0
(2) JOSE HERMOCILLO......................................................................
VICE CHAIR
 0.50
.................
1.10 		X           0 18,760 0
(3) CAROL WHITESIDE......................................................................
SECRETARY
 0.50
.................
1.10 		X           0 15,260 0
(4) DR CLAIRE POMEROY......................................................................
DIRECTOR
 0.50
.................
1.10 		X   X       0 16,160 0
(5) DAVID W GORDON......................................................................
DIRECTOR
 0.50
.................
1.10 		X   X       0 14,960 0
(6) NANCY P LEE......................................................................
DIRECTOR
 0.50
.................
1.10 		X           0 16,160 0
(7) ROBERT PETERSEN......................................................................
DIRECTOR
 0.50
.................
1.10 		X           0 16,160 0
(8) CHET P HEWITT......................................................................
PRESIDENT & CEO
 0.50
.................
40.00 		X   X       0 372,877 66,825
(9) GIL ALVARADO......................................................................
SVP FINANCE & ADMIN./CFO
 0.50
.................
40.00 		    X       0 251,187 53,731
















Form 990 (2019)
Form 990 (2019)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 0 742,284 120,556
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet0
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
M&M MEDIA SOLUTIONS

707 COMMONS DRIVE SUITE 201
SACRAMENTO,CA95825 		MEDIA CONSULTING SERVICES 2,462,500
SUMMIT INSTITUTE LLC

3857 BIRCH STREET SUITE 605
NEWPORT BEACH,CA92660 		PROGRAMMATIC SERVICES 430,713
NATIONAL HEALTH FOUNDATION

515 SOUTH FIGUEROA ST SUITE 1300
LOS ANGELES,CA90071 		PROGRAMMATIC SERVICES 325,000
SAN DIEGO HEALTH ALLIANCE

7545 METROPOLITAN DR
SAN DIEGO,CA92108 		PROGRAMMATIC SERVICES 278,837
TEKSYSTEMS GLOBAL SERVICES

PO BOX 402042
ATLANTA,GA30384 		PORTAL AND WEBSITE CONSULTING SERVICES 258,038
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet5
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 787,133
e Government grants (contributions)1e 45,411,303
f All other contributions, gifts, grants, and similar amounts not included above1f 10,595,172
g Noncash contributions included in lines 1a - 1f:$ 1g 545,500
h Total. Add lines 1a-1f.......MediumBullet 56,793,608
Program Service RevenueAmt Business Code
2a
b
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet  
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 21,003     21,003
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss)     6c
d Net rental income or (loss).......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory     7a
b Less: cost or other basis and sales expenses     7b
c Gain or (loss)     7c
d Net gain or (loss).........MediumBullet        
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet  
12 Total revenue. See instructions.....MediumBullet 56,814,611 0 0 21,003
Form 990 (2019)
Form 990 (2019)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 10,883,479 10,883,479
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ...........        
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........        
7 Other salaries and wages........        
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits .......        
10 Payroll taxes ...........        
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 39,819 38,662 1,157  
c Accounting ........... 15,337 2,500 12,837  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 54,358 33,520 20,838  
12 Advertising and promotion ....        
13 Office expenses ....... 95,941 24,973 70,968  
14 Information technology ...... 300,230 300,019 211  
15 Royalties ..        
16 Occupancy ........... 75,043 45,767 29,276  
17 Travel ............ 255,459 250,049 5,410  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 649,734 645,450 4,284  
20 Interest ........... 16,167 16,167    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 51,162   51,162  
23 Insurance ...        
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a PROGRAM CONTRACTS 13,658,569 13,652,895 5,674  
b MANAGEMENT FEES 4,099,927 3,072,898 1,027,029  
c PRINTING & PUBLICATION 95,634 95,471 163  
d PROGRAM SUPPLIES 69,965 69,965    
e All other expenses 35,556 24,087 11,469  
25 Total functional expenses. Add lines 1 through 24e 30,396,380 29,155,902 1,240,478 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2019)
Form 990 (2019)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 8,321,183 1 7,770,914
2 Savings and temporary cash investments .........   2 9,335,406
3 Pledges and grants receivable, net ...... 5,341,596 3 24,287,096
4 Accounts receivable, net ............. 105,008 4 118,073
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............   8  
9 Prepaid expenses and deferred charges ...... 20,612 9 210,270
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,504,471
b Less: accumulated depreciation 10b 137,595 1,313,578 10c 1,366,876
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 .....   12 2,236,980
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 0 15 10,000
16 Total assets. Add lines 1 through 15 (must equal line 33)... 15,101,977 16 45,335,615
Liabilities 17 Accounts payable and accrued expenses ..... 325,186 17 541,831
18 Grants payable ... 2,135,558 18 4,354,719
19 Deferred revenue .........   19  
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 170,013 25 1,549,614
26 Total liabilities. Add lines 17 through 25.. 2,630,757 26 6,446,164
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 2,192,559 27 1,506,246
28 Net assets with donor restrictions ........... 10,278,661 28 37,383,205
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 12,471,220 32 38,889,451
33 Total liabilities and net assets/fund balances ........ 15,101,977 33 45,335,615
Form 990 (2019)
Form 990 (2019)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
56,814,611
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
30,396,380
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
26,418,231
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
12,471,220
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
38,889,451
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2019)
Form 990 (2019)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
SIERRA HEALTH FOUNDATION
CENTER FOR HEALTH PROGRAM MANAGEMENT
Employer identification number

45-5282243
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. 5,956,403 13,310,837 11,969,391 11,865,165 56,793,608 99,895,404
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3 5,956,403 13,310,837 11,969,391 11,865,165 56,793,608 99,895,404
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. 21,552,497
6 Public support. Subtract line 5 from line 4. 78,342,907
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
7 Amounts from line 4.. 5,956,403 13,310,837 11,969,391 11,865,165 56,793,608 99,895,404
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 15,936 4,066 12,527 27,917 21,003 81,449
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10 99,976,853
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
78.360 %
15
15
56.140 %
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity		  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions		  
9 Distributable amount for 2019 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2019 		(iii)
Distributable
Amount for 2019
1 Distributable amount for 2019 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2019:
a From 2014.......  
b From 2015.......  
c From 2016.......  
d From 2017.......  
e From 2018.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2019 distributable amount  
i Carryover from 2014 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2019 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2019 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2019, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.		  
6 Remaining underdistributions for 2019. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.		  
7 Excess distributions carryover to 2020. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a Excess from 2015.....  
b Excess from 2016.....  
c Excess from 2017.....  
d Excess from 2018.....  
e Excess from 2019.....  
Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Name of the organization
SIERRA HEALTH FOUNDATION
CENTER FOR HEALTH PROGRAM MANAGEMENT
Employer identification number

45-5282243
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2
Name of organization
SIERRA HEALTH FOUNDATION
CENTER FOR HEALTH PROGRAM MANAGEMENT 		Employer identification number
45-5282243
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 3
Name of organization
SIERRA HEALTH FOUNDATION
CENTER FOR HEALTH PROGRAM MANAGEMENT 		Employer identification number

45-5282243
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 4
Name of organization
SIERRA HEALTH FOUNDATION
CENTER FOR HEALTH PROGRAM MANAGEMENT 		Employer identification number

45-5282243
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
SIERRA HEALTH FOUNDATION
CENTER FOR HEALTH PROGRAM MANAGEMENT
Employer identification number

45-5282243
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2019

Schedule C (Form 990 or 990-EZ) 2019
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ...................... 905  
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................ 4,248  
c Total lobbying expenditures (add lines 1a and 1b) ............................................................ 5,153  
d Other exempt purpose expenditures ............................................................................... 30,391,227  
e Total exempt purpose expenditures (add lines 1c and 1d) .................................................. 30,396,380  
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		 1,000,000  
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) ................................................. 250,000  
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................ 0  
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................ 0  
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) Total
2a Lobbying nontaxable amount 608,904   661,598 1,000,000 2,270,502
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		3,405,753
c Total lobbying expenditures 1,472   1,065 5,153 7,690
d Grassroots nontaxable amount 152,226   165,400 250,000 567,626
e Grassroots ceiling amount
(150% of line 2d, column (e))		 851,439
f Grassroots lobbying expenditures 648   485 905 2,038
Schedule C (Form 990 or 990-EZ) 2019


Schedule C (Form 990 or 990-EZ) 2019
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes|No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
 
c
Media advertisements? ...................................................................................................
 
 
 
d
Mailings to members, legislators, or the public? .............................................................................
 
 
 
e
Publications, or published or broadcast statements? ...........................................................
 
 
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
 
 
i
Other activities? ...................................................................................................................
 
 
 
j
Total. Add lines 1c through 1i ....................................................................................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-A GRASS ROOTS LOBBYING- PERSONNEL EXPENSES FOR MEASURE U ORGANIZING AND OUTREACH. DIRECT LOBBYING- PERSONNEL EXPENSES FOR VARIOUS PROJECTS: PREPARATION AND ATTENDANCE AT CITY OF COUNCIL BUDGET HEARING AS IT RELATES TO USE OF REVENUES GENERATED FROM MEASURE U, SELECT COMMITTEE ON BOYS AND MEN OF COLOR HEARING, SENATE SELECT COMMITTEE HEARING ON 7/15, CITY HALL SKFC.
Schedule C (Form 990 or 990EZ) 2019


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
SIERRA HEALTH FOUNDATION
CENTER FOR HEALTH PROGRAM MANAGEMENT
Employer identification number

45-5282243
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....      
b Buildings ....   1,100,000 66,000 1,034,000
c Leasehold improvements   6,979 698 6,281
d Equipment ....   94,488 70,897 23,591
e Other .....   303,004   303,004
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 1,366,876
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 3
Part VII
Investments—Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,549,614
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 56,814,611
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e 0
3 Subtract line 2e from line 1.................. 3 56,814,611
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c 0
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 56,814,611
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 30,396,380
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e 0
3 Subtract line 2e from line 1................... 3 30,396,380
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 30,396,380
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART X, LINE 2: THE CENTER APPLIES THE ACCOUNTING PRINCIPLES RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES AND HAS DETERMINED THAT THERE IS NO MATERIAL IMPACT ON THE FINANCIAL STATEMENTS.
Schedule D (Form 990) 2019


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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
SIERRA HEALTH FOUNDATION
CENTER FOR HEALTH PROGRAM MANAGEMENT
Employer identification number
45-5282243
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) DOLORES C HUERTA FOUNDATION
PO BOX 2087
BAKERSFIELD,CA93303 		91-2145992 PUBLIC CHARITY 626,811       SJVHF CENSUS, EQUITY ON THE MALL, CENTRAL VALLEY UNITED FOR POWER, CENSUS 2020 REGION 6 OUTREACH
(2) SOUTH SACRAMENTO CHRISTIAN CENTER CHURCH
7710 STOCKTON BLVD
SACRAMENTO,CA95823 		68-0186235 PUBLIC CHARITY 574,000       REDUCTION OF AFRICAN AMERICAN CHILD DEATHS, POPUP, KINGS AND QUEENS, MY BROTHERS KEEPER, RAACD
(3) LA FAMILIA COUNSELING CENTER INC
5523 34TH STREET
SACRAMENTO,CA958204725 		94-2270786 PUBLIC CHARITY 421,500       COMMUNITY ECONOMIC DEVELOPMENT, POPUP
(4) FAITH IN THE VALLEY
2027 E HARDING WAY STOCKTON
STOCKTON,CA95205 		77-0635938 PUBLIC CHARITY 383,807       NEW VOICES, SJVHF CENSUS, EQUITY ON THE MALL, SJVHF CLUSTER GRANTS, ACBO CENSUS 2020
(5) JAKARA MOVEMENT
6089 N 1ST ST STE 102
FRESNO,CA93710 		26-3225754 PUBLIC CHARITY 341,020       SJVHF CENSUS, SJVHF IHEEL, CENSUS 2020 REGION 1 OUTREACH, ACBO CENSUS 2020
(6) LIBERTY HILL FOUNDATION
6420 WILSHIRE BLVD
LOS ANGELES,CA90048 		51-0181191 PUBLIC CHARITY 325,000       CALIFORNIA FUNDERS FOR BOYS AND MEN OF COLOR
(7) COMMUNITIES FOR A NEW CALIFORNIA EDUCATION FUND
4120 DOUGLAS BLVD 306-418
GRANITE BAY,CA95746 		45-1636468 PUBLIC CHARITY 298,185       2019 SJVHF CLUSTER GRANTS, ACBO CENSUS 2020 - CUENTA CONMIGO: CENSUS 2020 OUTREACH
(8) MUTUAL ASSISTANCE NETWORK OF DEL PASO HEIGHTS
811 GRAND AVENUE SUITE A-3
SACRAMENTO,CA958383466 		68-0332694 PUBLIC CHARITY 282,000       REDUCTION OF AFRICAN AMERICAN CHILD DEATHS, POPUP, KINGS AND QUEENS, MY BROTHERS KEEPER, RAACD
(9) CHINESE FOR AFFIRMATIVE ACTION
17 WALTER U LUM PLACE
SAN FRANCISCO,CA94108 		94-2161304 PUBLIC CHARITY 227,752       CAYCJ MEMBERSHIP AWARD, SJVHF CLUSTER GRANTS, CENTRAL VALLEY UNITED FOR POWER, ACBO CENSUS 2020
(10) GREATER SACRAMENTO URBAN LEAGUE
3725 MARYSVILLE BLVD
SACRAMENTO,CA95838 		94-1686314 PUBLIC CHARITY 224,500       REDUCTION OF AFRICAN AMERICAN CHILD DEATHS, POPUP, MY BROTHERS KEEPPER, RAACD
(11) LEADERSHIP COUNSEL FOR JUSTICE AND ACCOUNTABILITY
764 P STREET SUITE 012
FRESNO,CA93721 		46-1517800 PUBLIC CHARITY 218,385       SJVHF CENSUS, SJVHF IHEEL, SJVHF CLUSTER GRANTS, CENTRAL VALLEY UNITED FOR POWER, ACBO CENSUS 2020
(12) ROBERTS FAMILY DEVELOPMENT CENTER
770 DARINA AVENUE
SACRAMENTO,CA95815 		68-0470557 PUBLIC CHARITY 215,915       REDUCTION OF AFRICAN AMERICAN CHILD DEATHS, POPUP, KINGS AND QUEENS, MY BROTHERS KEEPER, RAACD
(13) ROSE FAMILY CREATIVE EMPOWERMENT CENTER INC
7000 FRANKLIN BLVD SUITE 1000
SACRAMENTO,CA95823 		80-0968840 PUBLIC CHARITY 214,500       REDUCTION OF AFRICAN AMERICAN CHILD DEATHS, POPUP, KINGS AND QUEENS, MY BROTHERS KEEPER, RAACD
(14) CENTER ON RACE POVERTY & ENVIRONMENT
1012 JEFFERSON STREET
DELANO,CA93215 		05-0557231 PUBLIC CHARITY 213,560       IMPROVING CHILDHOOD HEALTH AND RACIAL EQUITY, EQUITY ON THE MALL, SJVHF CENSUS , ACBO CENSUS
(15) CENTRO BINACIONAL PARA EL DESARROLLO INDIGENA
744 ABBY STREET
FRESO,CA93701 		77-0337939 PUBLIC CHARITY 211,431       EQUITY ON THE MALL, SJVHF CENSUS 2020 OUTREACH, ACBO CENSUS 2020
(16) THE CHURCH OF THE NAZARENE INC
5132 ELKHORN BLVD
SACRAMENTO,CA95842 		44-0552034 PUBLIC CHARITY 187,000       KINGS AND QUEENS -BCLC - STRAEGY 5, POPUP, RAACD - STRATEGY 3
(17) FATHERS & FAMILIES OF SAN JOAQUIN
338 E MARKET STREET
STOCKTON,CA95202 		32-0171398 PUBLIC CHARITY 151,400       EQUITY ON THE MALL, CAYCJ GENERAL MEMBERSHIP AWARD, SJVHF CENSUS 2020 OUTREACH, PYJI
(18) YOUTH JUSTICE COALITION
PO BOX 73688
ANGELES,CA90003 		83-0466818 PUBLIC CHARITY 150,000       CAYCJ GENERAL MEMBERSHIP AWARD, PYJI - YOUTH UPRISING COALITION
(19) CALIFORNIA RURAL LEGAL ASSISTANCE
1430 FRANKLIN STREET SUITE 103
OAKLAND,CA94612 		95-2428657 PUBLIC CHARITY 145,000       SJVHF CENSUS, SJVHF IHEEL, SJVHF CENSUS 2020 OUTREACH, ACBO CENSUS 2020
(20) CENTER FOR YOUNG WOMEN'S DEVELOPMENT
832 FOLSOM ST SUITE 700
SAN FRANCISCO,CA94107 		94-3227681 PUBLIC CHARITY 130,000       CAYCJ GENERAL MEMBERSHIP AWARD, PYJI - SF REIMAGINE YOUTH JUSTICE
(21) COMMUNITIES UNITED FOR RESTORATIVE YOUTH JUSTICE
490 LAKE PARK AVENUE 16086
OAKLAND,CA94610 		27-5008441 PUBLIC CHARITY 130,000       CAYCJ GENERAL MEMBERSHIP AWARD, PYJI - CLOSE YOUTH PRISONS, BUILD YOUTH LEADERS
(22) SILICON VALLEY DE-BUG
701 LENZEN AVENUE
SAN JOSE,CA95126 		46-4274158 PUBLIC CHARITY 130,000       CAYCJ GENERAL MEMBERSHIP AWARD, PYJI - PARTICIPATORY DEFENSE SANTA CLARA COUNTY
(23) CENTER FOR COMMUNITY HEALTH AND WELL- BEING INC
4625 44TH STREET ROOM 13
SACRAMENTO,CA95820 		68-0248303 PUBLIC CHARITY 128,430       REDUCTION OF AFRICAN AMERICAN CHILD DEATHS, KINGS AND QUEENS, MY BROTHERS KEEPER, RAACD
(24) RADIO BILINGUE INC
5005 E BELMONT AVENUE FRESNO
FRESNO,CA93727 		94-2472322 PUBLIC CHARITY 121,040       SJVHF IHEEL, ACBO CENSUS 2020
(25) CHARITABLE VENTURES OF ORANGE COUNTY
1505 E 17TH STREET SUITE 101
SANTA ANA,CA92705 		20-8756660 PUBLIC CHARITY 120,000       PYJI - OC PROJECT (FEBRUARY 2019-JULY) 2020
(26) SAN DIEGO ORGANIZING PROJECT
4305 UNIVERSITY AVENUE SUITE 530
SAN DIEGO,CA92105 		95-3284521 PUBLIC CHARITY 120,000       PYJI - THE SAN DIEGO POSITIVE YOUTH JUSTICE INITIATIVE
(27) SIGMA BETA XI INC
14340 ELSWORTH STREET SUITE B
112/113
MORENO VALLEY,CA92553 		30-0779014 PUBLIC CHARITY 120,000       PYJI - HEALTHY JUSTICE SYSTEM INITIATIVE
(28) WESTSIDE FAMILY PRESERVATION SERVICES NETWORK
THE CENTRAL VALLEY LEADERSHIP ROUND
TABLE PO BOX 898 16856 4TH STREET
HURON,CA93234 		91-2027313 PUBLIC CHARITY 117,123       ACBO CENSUS 2020 - RURAL COMMUNITIES CENSUS 2020 COLLABORATIVE
(29) COMMUNITY WATER CENTER
900 WEST OAK AVENUE VISALIA
VISALIA,CA93291 		80-0267674 PUBLIC CHARITY 111,134       ACBO CENSUS 2020, CENTRAL VALLEY UNITED FOR POWER
(30) SACRAMENTO ACT
2409 15TH STREET
SACRAMENTO,CA95818 		94-3146791 PUBLIC CHARITY 107,500       PYJI - IMPACTED YOUTH REFORMING THE JUVENILE JUSTICE SYSTEM, POPUP
(31) RYSE INC
205 41ST STREET
RICHMOND,CA94805 		26-0692904 PUBLIC CHARITY 100,000       PYJI - CONTRA COSTA COUNTY POSITIVE YOUTH JUSTICE INITIATIVE
(32) SOCIAL & ENVIRONMENTAL ENTREPRENEURS INC
23532 CALABASAS ROAD SUITE A
CALABASAS,CA91302 		95-4116679 PUBLIC CHARITY 93,106       SJVHF CENSUS 2020 OUTREACH, SJVHF IHEEL
(33) ACT FOR WOMEN AND GIRLS
1900 N DINUBA BLVD
VISALIA,CA93291 		26-0287450 PUBLIC CHARITY 91,339       LEADERSHIP DEVELOPMENT FOR RACIAL EQUITY, SJVHF IHEEL, CENTRAL VALLEY UNITED FOR POWER
(34) NORTH VALLEY COMMUNITY FOUNDATION
240 MAIN STREET SUITE 260
CHICO,CA95928 		68-0161455 PUBLIC CHARITY 88,200       CENSUS 2020 REGION 1 OUTREACH, PLUMAS AND SIERRA COMPLETE COUNT CAMPAIGN
(35) FRESNO BARRIOS UNIDOS
4415 E TULARE ST
FRESNO,CA93702 		77-0363955 PUBLIC CHARITY 87,800       EQUITY ON THE MALL, PYJI - FRESNO BARRIOS UNIDOS YOUTH VOICE
(36) PESTICIDE ACTION NETWORK NORTH AMERICA REGIONAL CENTER
2029 UNIVERISTY AVENUE
BERKELEY,CA94704 		94-2949686 PUBLIC CHARITY 86,900       EQUITY ON THE MALL, SJVHF IHEEL, SJVHF CENSUS 2020 OUTREACH
(37) VOICE OF THE YOUTH INC
2251 FLORIN ROAD SUITE 35
SACRAMENTO,CA95822 		46-3441788 PUBLIC CHARITY 82,000       MBK MENTORING - MOTIVATING OTHER BROTHERS, POPUP
(38) BOREALIS PHILANTHROPY
3RD ST SUITE 500
MINNEAPOLIS,MN554011653 		46-4598642 PUBLIC CHARITY 80,000       CALIFORNIA FUNDERS FOR BOYS AND MEN OF COLOR
(39) POLICYLINK
1438 WEBSTER STREET SUITE 303
OAKLAND,CA94612 		94-3297479 PUBLIC CHARITY 80,000       CALIFORNIA FUNDERS FOR BOYS AND MEN OF COLOR
(40) THE FRESNO CENTER
4879 E KINGS CANYON RD
FRESNO,CA93727 		77-0280265 PUBLIC CHARITY 80,000       SJVHF IHEEL, ACBO CENSUS 2020
(41) IMPROVE YOUR TOMORROW
1017 L STREET 632
SACRAMENTO,CA95814 		46-2981774 PUBLIC CHARITY 79,000       MBK MENTORING - LITTLE BROTHERS MENTORING INITIATIVE, POPUP
(42) THE FREEDOM BOUND CENTER
2574 - 21ST ST
SACRAMENTO,CA95818 		68-0477373 PUBLIC CHARITY 72,000       LEADERSHIP DEVELOPMENT FOR RACIAL EQUITY, POP UP
(43) ALWAYS KNOCKING
4600 - 47TH AVE SUITE 106
SACRAMENTO,CA95824 		26-4635991 PUBLIC CHARITY 67,930       POPUP
(44) DAUGHTERS OF ZION ENTERPRYZ
6489 47TH STREET
SACRAMENTO,CA95758 		94-3288179 PUBLIC CHARITY 71,500       POPUP
(45) HMONG YOUTH AND PARENTS UNITED
631 ELEANOR AVENUE
SACRAMENTO,CA95815 		26-3840730 PUBLIC CHARITY 71,500       POPUP
(46) VILLAGE ADVOCATES OF SACRAMENTO
5845 69TH STREET
SACRAMENTO,CA95824 		83-1407739 PUBLIC CHARITY 71,500       POPUP
(47) BOYS AND GIRLS CLUBS OF GREATER SACRAMENTO
5212 LEMON HILL AVENUE
SACRAMENTO,CA95824 		68-0338324 PUBLIC CHARITY 67,000       POPUP
(48) BE SMOOTH INC
PO BOX 78012
STOCKTON,CA95267 		82-4976018 PUBLIC CHARITY 65,000       SJVHF IHEEL, LEADERSHIP DEVELOPMENT FOR RACIAL EQUITY, IMPROVE STUDENTS OF COLOR ACADEMICS
(49) POWER CALIFORNIA
1488 BROADWAY AVENUE
ATWATER,CA95301 		77-0651682 PUBLIC CHARITY 64,839       CENTRAL VALLEY UNITED FOR POWER
(50) EDUCATION AND LEADERSHIP FOUNDATION
4290 E ASHLAN AVE
FRESNO,CA93726 		26-0417563 PUBLIC CHARITY 62,500       SJVHF CENSUS, EQUITY ON THE MALL, SJVHF IHEEL, SJVHF CENSUS 2020 OUTREACH
(51) SELF AWARENESS AND RECOVERY
4625 44TH STREET ROOM 22
SACRAMENTO,CA95820 		47-5249669 PUBLIC CHARITY 62,000       POPUP
(52) GLENN COUNTY COMMUNITY ACTION DEPARTMENT
125 E WALKER STREET
ORLAND,CA95963 		94-6000691 PUBLIC CHARITY 60,300       CENSUS 2020 OUTREACH REGION 1 - GLENN AND COLUSA COUNTIES US CENSUS 2020 OUTREACH PROJECT
(53) ASIAN PACIFIC SELF-DEVELOPMENT AND RESIDENTIAL ASSOCIATION
3830 ALVARADO AVE STE C
STOCKTON,CA95204 		68-0224100 PUBLIC CHARITY 60,000       SJVHF IHEEL AND SJVHF CENSUS 2020 OUTREACH
(54) CLINICA SIERRA VISTA
1430 TRUXTUN AVENUE SUITE 400
BAKERSFIELD,CA93301 		95-2707101 PUBLIC CHARITY 60,000       SJVHF CENSUS 2020 OUTREACH - HEALTH PARTNERS
(55) 21 REASONS SCHOLARSHIP FOUNDATION
3939 45TH STREET
SACRAMENTO,CA95820 		82-1420816 PUBLIC CHARITY 59,500       POPUP
(56) CALIFORNIANS FOR JUSTICE EDUCATION FUND INC
1971 LAS PLUMAS AVENUE
SAN JOSE,CA95133 		94-3256009 PUBLIC CHARITY 58,263       CENTRAL VALLEY UNITED FOR POWER
(57) LITTLE MANILA FOUNDATION
2154 S SAN JOAQUIN ST
STOCKTON,CA95206 		20-2661354 PUBLIC CHARITY 57,600       EQUITY ON THE MALL, LEADERSHIP DEVELOPMENT FOR RACIAL EQUITY, SJVHF IHEEL, SJVHF CENSUS
(58) NATIONAL ACADEMIC YOUTH CORPS INC
2251 FLORIN ROAD SUITE 126
SACRAMENTO,CA95822 		80-0064237 PUBLIC CHARITY 57,000       POPUP
(59) SERVICES & IMMIGRANT RIGHTS & EDUCATION NETWORK
1415 KOLL CIRCLE SUITE 108
SAN JOSE,CA95112 		77-0487468 PUBLIC CHARITY 55,000       LEADERSHIP DEVELOPMENT FOR RACIAL EQUITY, FRESNO LEGAL DEFENSE FUND, SJVHF CENSUS 2020
(60) SACRAMENTO LGBT COMMUNITY CENTER
1927 L STREET
SACRAMENTO,CA95811 		94-2502229 PUBLIC CHARITY 52,000       POPUP
(61) THE SOURCE LGBT CENTER
208 W MAIN ST SUITE B
VISALIA,CA93291 		81-1907707 PUBLIC CHARITY 51,900       EQUITY ON THE MALL, SJVHF IHEEL, SJVHF CENSUS 2020 OUTREACH
(62) EAST BAY COMMUNITY FOUNDATION
DE DOMENCIO BUILDING 200 FRANK H
OGAWA PLAZA
OAKLAND,CA94612 		94-6070996 PUBLIC CHARITY 50,000       CALIFORNIA FUNDERS FOR BOYS AND MEN OF COLOR
(63) YOUTH LAW CENTER
832 FOLSOM STREET SUITE 700
SAN FRANCISCO,CA94107 		94-1715280 PUBLIC CHARITY 50,000       CALIFORNIA FUNDERS FOR BOYS AND MEN OF COLOR
(64) CRLA FOUNDATION
2210 K STREET SUITE 201
SACRAMENTO,CA95816 		94-2800442 PUBLIC CHARITY 46,400       EQUITY ON THE MALL, SJVHF IHEEL, SJVHF CENSUS 2020 OUTREACH
(65) IMMIGRANT LEGAL RESOURCE CENTER
1458 HOWARD STREET
SAN FRANCISCO,CA94103 		94-2939540 PUBLIC CHARITY 45,000       SJVHF IHEEL, SJVHF CENSUS 2020 OUTREACH
(66) COMMUNITY ACTION PARTNERSHIP OF KERN
5005 BUSINESS PARK NORTH BAKERSFIEL
BAKERSFIELD,CA93309 		95-2402760 PUBLIC CHARITY 40,000       SJVHF CENSUS 2020 OUTREACH - CAPK & KCCC CENSUS 2020
(67) COUNCIL ON AMERICAN-ISLAMIC RELATIONS CALIFORNIA
1122 DEL PASO BLVD
SACRAMENTO,CA95818 		77-0411194 PUBLIC CHARITY 40,000       SJVHF IHEEL, SJVHF CENSUS 2020 OUTREACH
(68) FRESNO METRO BLACK CHAMBER OF COMMERCE
1444 FULTON STREET 116
FRESNO,CA93721 		27-2369570 PUBLIC CHARITY 40,000       SJVHF CENSUS 2020 OUTREACH
(69) VISION Y COMPROMISO
2536 EDWARDS AVENUE
EL CERRITO,CA94530 		32-0071651 PUBLIC CHARITY 40,000       SJVHF CENSUS 2020 OUTREACH - PROMOTORAS COUNT: CENSUS 2020
(70) CAMPTONVILLE COMMUNITY PARTNERSHIP
PO BOX 218 CAMPTONVILLE
CAMPTONVILLE,CA95922 		68-0450179 PUBLIC CHARITY 39,600       CENSUS 2020 REGION 1 OUTREACH - YUBA COUNTY FOOTHILLS HTC CENSUS 2020
(71) IU-MIEN COMMUNITY SERVICES
PO BOX 245693
SACRAMENTO,CA95824 		68-0364879 PUBLIC CHARITY 38,000       POPUP
(72) CENTRO LA FAMILIA ADVOCACY SERVICES
302 FRESNO STREET SUITE 102
FRESNO,CA93706 		77-0310310 PUBLIC CHARITY 36,900       EQUITY ON THE MALL, FRESNO LEGAL DEFENSE FUND, SJVHF CENSUS 2020 OUTREACH
(73) CENTRAL VALLEY PARTNERSHIP
PO BOX 5014
FRESNO,CA93755 		81-3125919 PUBLIC CHARITY 35,000       SJVHF CENSUS 2020 OUTREACH - WORKING FAMILIES FORWARD
(74) COALITION FOR HUMANE IMMIGRANT RIGHTS (CHIRLA)
2533 W 3RD ST 101
LOS ANGELES,CA90057 		95-4421521 PUBLIC CHARITY 35,000       SJVHF CENSUS 2020 OUTREACH - CONAMOS CONTIGO 2020 CENSUS CAMPAIGN
(75) FRESNO AMERICAN INDIAN HEALTH PROJECT
1551 E SHAW AVENUE SUITE 139
FRESNO,CA93710 		94-1612823 PUBLIC CHARITY 35,000       SJVHF CENSUS 2020 OUTREACH - FRESNO NATIVES COUNT
(76) KINGS COMMUNITY ACTION ORGANIZATION
1130 N 11TH AVENUE HANFORD
HANFORD,CA93230 		94-1604455 PUBLIC CHARITY 35,000       SJVHF CENSUS 2020 OUTREACH - KCAO 2020 CENSUS OUTREACH
(77) MI FAMILIA VOTA EDUCATION FUND
5228 E PINE AVENUE
FRESNO,CA93727 		20-0182824 PUBLIC CHARITY 35,000       SJVHF CENSUS 2020 OUTREACH - CENTRAL VALLEY PRESENTE
(78) MADERA COALITION FOR COMMUNITY JUSTICE
126 N B ST
MADERA,CA93638 		77-0391942 PUBLIC CHARITY 33,700       SJVHF CENSUS , EQUITY ON THE MALL, SJVHF IHEEL
(79) W HAYWOOD BURNS INSTITUTE
475 - 14TH STREET SUITE 800
OAKLAND,CA94612 		81-0594086 PUBLIC CHARITY 32,500       POSITIVE YOUTH JUSTICE INITIATIVE
(80) ACTION COUNCIL OF MONTEREY COUNTY INC
295 MAIN ST SUITE 300
SALINAS,CA93901 		77-0357101 PUBLIC CHARITY 30,000       CAYCJ GENERAL MEMBERSHIP AWARD
(81) AFRICAN-AMERICAN HISTORICAL AND CULTURAL MUSEUM OF THE SAN JOAQUIN VALLEY
1857 FULTON ST
FRESNO,CA93721 		77-0286794 PUBLIC CHARITY 30,000       SJVHF CENSUS 2020 OUTREACH - STATE OF BLACK COMMUNITY REVIEW & MUSIC JUBILEE
(82) CATHOLIC COUNCIL FOR THE SPANISH SPEAKING OF THE DIOCESE OF STOCKTON
445 N SAN JOAQUIN STREET
STOCKTON,CA952022625 		94-1677202 PUBLIC CHARITY 30,000       SJVHF CENSUS 2020 OUTREACH - CENSUS 2020 VANGUARD, SAN JOAQUIN, AND STANISLAUS COUNTIES
(83) CENTRAL VALLEY IMMIGRANT INTEGRATION COLLABORATIVE (CVIIC)
516 VILLA AVE SUITE 28
CLOVIS,CA93612 		83-0682400 PUBLIC CHARITY 30,000       SJVHF CENSUS 2020 OUTREACH - CVIIC SAN JOAQUIN VALLEY 2020 CENSUS OUTREACH PROJECT
(84) EAST BAY ASIAN YOUTH CENTER
2025 EAST 12TH STREET
OAKLAND,CA94606 		94-2925799 PUBLIC CHARITY 30,000       MBK MENTORING - YELLOW BROTHERHOOD, SJVHF IHEEL - KIDS FIRST RENO
(85) FRESNO COUNTY ECONOMIC OPPORTUNITIES COMMISSION
1920 MARIPOSA MALL SUITE 300
FRESNO,CA93721 		94-1606519 PUBLIC CHARITY 30,000       SJVHF CENSUS 2020 OUTREACH - FRESNO EOC 2020 CENSUS OUTREACH
(86) FRESNO INTERDENOMINATIONAL REFUGEE MINISTRIES
1940 N FRESNO STREET
FRESNO,CA93703 		77-0357297 PUBLIC CHARITY 30,000       SJVHF CENSUS 2020 OUTREACH , FRESNO SOUTHEAST ASIA COALITION FOR ACTION
(87) MOVEMENT STRATEGY CENTER
436 - 14TH STREET 5TH FLOOR
OAKLAND,CA94612 		45-2844649 PUBLIC CHARITY 30,000       CAYCJ GENERAL MEMBERSHIP AWARD
(88) READING AND BEYOND
4670 E BUTLER AVENUE
FRESNO,CA93702 		77-0508471 PUBLIC CHARITY 30,000       SJVHF CENSUS 2020 OUTREACH - FRESNO HARD-TO-COUNT OUTREACH
(89) SANTA CRUZ BARRIOS UNIDOS INC
1817 SOQUEL AVE
SANTA CRUZ,CA95060 		77-0333450 PUBLIC CHARITY 30,000       CAYCJ GENERAL MEMBERSHIP AWARD
(90) THE TIDES FOUNDATION
PO BOX 29903
SAN FRANCISCO,CA94129 		51-0198509 PUBLIC CHARITY 30,000       SJVHF CENSUS 2020 OUTREACH - NAACP STOCKTON HARD TO COUNT
(91) PEER RECOVERY ART PROJECT
132 GRANT STREET
MODESTO,CA95354 		26-3920864 PUBLIC CHARITY 25,000       SJVHF CENSUS 2020 OUTREACH - RURAL LGBTQ+ COUNT PROJECT
(92) ORGANIZACION EN CALIFORNIA DE LIDERES CAMPESINAS INC
PO BOX 20033
OXNARD,CA93034 		95-4611282 PUBLIC CHARITY 23,800       EQUITY ON THE MALL, SJVHF IHEEL
(93) PUBLIC HEALTH ADVOCATES
POST OFFICE BOX 2309
DAVIS,CA95617 		95-4723901 PUBLIC CHARITY 22,200       EQUITY ON THE MALL, SJVHF IHEEL - BUILD HEALTH STOCKTON
(94) CULTURAL BROKERS INC
2115 KERN STREET SUITE 330
FRESNO,CA93721 		45-5495386 PUBLIC CHARITY 21,900       EQUITY ON THE MALL, SJVHF IHEEL
(95) CALIFORNIA HUMAN DEVELOPMENT CORPORATION
3315 AIRWAY DRIVE
SANTA ROSA,CA95403 		94-1653023 PUBLIC CHARITY 21,400       EQUITY ON THE MALL, SJVHF CENSUS 2020 OUTREACH
(96) REIMAGINE MACK ROAD FOUNDATION
75 QUINTA COURT SUITE D
SACRAMENTO,CA95823 		46-4193875 PUBLIC CHARITY 21,000       POPUP
(97) ASIAN BUSINESS INSTITUTE & RESOURCE CENTER (ABIRC)
7035 N FRUIT AVE
FRESNO,CA93711 		26-1988676 PUBLIC CHARITY 20,000       TO ADVANCE A COMPLETE COUNT AMONG FRESNO'S LAO, CAMBODIAN AND HMONG IMMIGRANTS/REFUGEES
(98) CALIFORNIA COALITION FOR RURAL HOUSING PROJECT
717 K ST SUITE 400
SACRAMENTO,CA95814 		94-2832634 PUBLIC CHARITY 20,000       SJVHF IHEEL - HEALTHY HOMES PROJECT: PHASE V
(99) CALIFORNIA PAN-ETHNIC HEALTH NETWORK
1221 PRESERVATION PARK WAY
OAKLAND,CA94612 		94-3306223 PUBLIC CHARITY 20,000       SJVHF IHEEL - ADVANCING ACCESS TO ASTHMA PREVENTATIVE SERVICES
(100) CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATION
4910 N CHESTNUT AVENUE
FRESNO,CA937261852 		94-6003272 PUBLIC CHARITY 20,000       SJVHF CENSUS 2020 OUTREACH
(101) CATHOLIC CHARITIES OF STOCKTON
1106 NORTH EL DORADO STREET
STOCKTON,CA952021332 		94-1629114 PUBLIC CHARITY 20,000       SJVHF IHEEL - STANISLAUSE SUSTAINABLE COMMUNITIES COALITION/HEALTHY NEIGHBORHOODS COLLABORATIVE
(102) CHILDREN NOW
1404 FRANKLIN STREET SUITE 700
OAKLAND,CA94612 		94-3059243 PUBLIC CHARITY 20,000       SJVHF IHEEL - ENGAGING STAKEHOLDERS TO IMPROVE CENTRAL VALLEY CHILDRENS HEALTH/EDUCATION
(103) COMMUNITY ACTION PARTNERSHIP OF MADERA COUNTY INC
1225 GILL AVENUE MADERA
MADERA,CA93637 		94-1612823 PUBLIC CHARITY 20,000       SJVHF CENSUS 2020 OUTREACH - MADERA COUNTY CENSUS PROJECT
(104) COMMUNITY INITIATIVES
354 PINE STREET SUITE 700
SAN FRANCISCO,CA941043229 		94-3255070 PUBLIC CHARITY 20,000       SJVHF CENSUS 2020 OUTREACH - AN ACCURATE 2020 CENSUS FOR KERN
(105) GREENACTION FOR HEALTH AND ENVIRONMENTAL JUSTICE
559 ELLIS STREET
SAN FRANCISCO,CA94109 		43-2050242 PUBLIC CHARITY 20,000       SJVHF IHEEL - SAN JOAQUIN VALLEY ENVIRONMENTAL HEALTH AND JUSTICE PROJECT
(106) GREENLINING INSTITUTE
360 - 14TH STREET 2ND FLOOR
OAKLAND,CA94612 		94-3173571 PUBLIC CHARITY 20,000       SJVHF IHEEL - MAXIMIZING THE IMPACT OF NONPROFIT HOSPITAL COMMUNITY BENEFITS
(107) INTERNATIONAL RESCUE COMMITTEE
2020 HURLEY WAY SUITE 420
SACRAMENTO,CA95825 		13-5660870 PUBLIC CHARITY 20,000       SJVHF CENSUS 2020 OUTREACH - CENSUS 2020: REFUGEES AND HARD TO REACH COMMUNITIES
(108) MEXICAN AMERICAN LEGAL DEFENSE AND EDUCATIONAL FUND
634 S SPRING STREET 11TH FLOOR
LOS ANGELES,CA90014 		74-1563270 PUBLIC CHARITY 20,000       SJVHF IHEEL - CALIFORNIA IMMIGRANT YOUTH JUSTICE ALLIANCE
(109) NATIONAL CENTER FOR YOUTH LAW
405 14TH STREET 15TH FLOOR
OAKLAND,CA94612 		94-2506933 PUBLIC CHARITY 20,000       POSITIVE YOUTH JUSTICE INITIATIVE
(110) PLANNED PARENTHOOD MAR MONTE INC
1691 THE ALAMEDA
SAN JOSE,CA95126 		94-1583439 PUBLIC CHARITY 20,000       SJVHF IHEEL - PLANNED PARENTHOOD PEER EDUCATION PROGRAM
(111) RESOURCES FOR INDEPENDENCE CENTRAL VALLEY
3636 NORTH FIRST STREET
FRESNO,CA93726 		94-2328156 PUBLIC CHARITY 20,000       SJVHF CENSUS 2020 OUTREACH - #DISABILITYCOUNTS2020
(112) SELF-HELP ENTERPRISES
PO BOX 6520
VISALIA,CA93290 		94-1592676 PUBLIC CHARITY 20,000       SJVHF IHEEL - EFFECTIVE WATER FUNDING AND PLANNING PROGRAMS FOR DISADVANTAGED COMMUNITIES
(113) SEQUOIA RIVERLANDS TRUST
427 SOUTH GARDEN STREET
VISALIA,CA93277 		77-0347417 PUBLIC CHARITY 20,000       SJVHF IHEEL - SUPPORTING HEALTHIER COMMUNITIES THROUGH LAND USE AND TRANSPORTATION POLICY
(114) STANISLAUS MULTI-CULTURAL HEALTH COALITION WEST MODESTOKING
601 S MARTIN LUTHER KING BLVD
MODESTO,CA95351 		31-1751288 PUBLIC CHARITY 20,000       SJVHF CENSUS 2020 OUTREACH
(115) SYMPLE EQUAZION
1040 CANAL STREET
MERCED,CA95341 		45-2736191 PUBLIC CHARITY 20,000       SJVHF CENSUS 2020 OUTREACH
(116) UNITED WAY OF KERN COUNTY INC
5405 STOCKDALE HWY SUITE 200
BAKERSFIELD,CA93309 		95-2274560 PUBLIC CHARITY 20,000       SJVHF CENSUS 2020 OUTREACH
(117) URBANISTS COLLECTIVE
1548 N LEILA STREET
VISALIA,CA93292 		82-2598749 PUBLIC CHARITY 20,000       SJVHF CENSUS 2020 OUTREACH - PAINT YOUR PRESENCE
(118) INYO MONO ADVOCATES FOR COMMUNITY ACTION INC
137 E SOUTH STREET
BISHOP,CA93514 		95-3508750 PUBLIC CHARITY 19,020       ACBO CENSUS 2020 - INYO COUNTS 2020 - IMACA CENSUS OUTREACH PROJECT
(119) REBRANDING YOU INC
1239 HARRIS AVENUE
SACRAMENTO,CA95838 		46-5168567 PUBLIC CHARITY 19,000       POPUP
(120) NEIGHBORHOOD WELLNESS FOUNDATION
3805 CLAY STREET
SACRAMENTO,CA95838 		47-4874487 PUBLIC CHARITY 17,500       POPUP
(121) INDEPENDENT LIVING CENTER OF KERN COUNTY
5251 OFFICE PARK DRIVE SUITE 200
BAKERSFIELD,CA93309 		77-0384453 PUBLIC CHARITY 15,000       SJVHF CENSUS 2020 OUTREACH - ILCKC 2020 CENSUS OUTREACH
(122) SACRAMENTO NATIVE AMERICAN HEALTH CENTER INC
2020 J STREET
SACRAMENTO,CA95811 		20-4287737 PUBLIC CHARITY 15,000       HEALTH CARE PARTNERSHIPS
(123) MILPA
339 MELODY LANE
SALINAS,CA93901 		83-2137871 PUBLIC CHARITY 12,589       POSITIVE YOUTH JUSTICE INITIATIVE
(124) FOOD LITERACY CENTER
2973 THIRD AVENUE
SACRAMENTO,CA95817 		45-3973268 PUBLIC CHARITY 12,500       REDUCTION OF AFRICAN AMERICAN CHILD DEATHS
(125) STANFORD SETTLEMENT INC
450 WEST EL CAMINO AVENUE
SACRAMENTO,CA95833 		94-1550842 PUBLIC CHARITY 12,000       POPUP
(126) AFRICAN AMERICAN FAMILY & CULTURAL CENTER
3300 SPENCER AVENUE
OROVILLE,CA95966 		46-2002821 PUBLIC CHARITY 10,000       LEADERSHIP DEVELOPMENT FOR RACIAL EQUITY - OROVILLE ACADEMIC JUSTICE PROGRAM
(127) ALLIANCE FOR EDUCATION SOLUTIONS
1111 H STREET SUITE 205
SACRAMENTO,CA95814 		68-0232078 PUBLIC CHARITY 10,000       MBK MENTORING - MY BROTHER'S KEEPER SACRAMENTO - BOYS AND YOUNG MEN OF COLOR EMPOWERMENT INITIATIVE
(128) ALLIANT EDUCATION FOUNDATION
10455 POMERADO ROAD
SAN DIEGO,CA92131 		54-2110067 PUBLIC CHARITY 10,000       SJVHF IHEEL - ADDRESSING MENTAL HEALTH DISPARITIES IN THE SAN JOAQUIN VALLEY
(129) ANTI-RECIDIVISM COALITION
448 S HILL STREET SUITE 908
LOS ANGELES,CA90036 		46-2140915 PUBLIC CHARITY 10,000       MBK MENTORING - SACRAMENTO YOUTH MENTORING
(130) ASIAN AMERICANS ADVANCING JUSTICE - ASIAN LAW CAUCUS
55 COLUMBUS AVE
SAN FRANCISCO,CA94111 		94-2176139 PUBLIC CHARITY 10,000       SJVHF IHEEL - DEFENDING OUR IMMIGRANT COMMUNITIES AND IMPLEMENTING THE CA VALUES ACT
(131) CALIFORNIA HERITAGE INDIGENOUS RESEARCH PROJECT
PO BOX 2624
NEVADA CITY,CA95959 		47-1477386 PUBLIC CHARITY 10,000       LEADERSHIP DEVELOPMENT FOR RACIAL EQUITY
(132) CAMPUS LIFE CONNECTION
1541 MERKLEY AVENUE
WEST SACRAMENTO,CA95691 		68-0279554 PUBLIC CHARITY 10,000       MBK MENTORING - CROSSOVER BASKETBALL AND LIFE-SKILLS PROGRAM
(133) CENTER FOR FATHERS AND FAMILIES
920 DEL PASO BLVD
SACRAMENTO,CA95815 		68-0310997 PUBLIC CHARITY 10,000       MBK MENTORING - HANDS ON MENTORS
(134) GATEWAY COMMUNITY CHARTERS
5112 ARNOLD AVE SUITE A
MCCLELLAN,CA95652 		20-0231006 PUBLIC CHARITY 10,000       MBK MENTORING - MEN BUILDING MEN
(135) HOOKED ON FISHING NOT ON VIOLENCE FOUNDATION
2245 FLORIN ROAD 2
SACRAMENTO,CA95822 		82-3602293 PUBLIC CHARITY 10,000       MBK MENTORING - HOOKED ON FISHING NOT ON VIOLENCE/HEALING CIRCLE
(136) PROTEUS INC
1830 N DINUBA BLVD
VISALIA,CA93291 		94-2184330 PUBLIC CHARITY 10,000       SJVHF CENSUS 2020 OUTREACH - WEST FRESNO COUNTY CENSUS OUTREACH PROJECT
(137) SAC CONNECT
225 30TH STREET SUITE 306
SACRAMENTO,CA95816 		83-2513051 PUBLIC CHARITY 10,000       LEADERSHIP DEVELOPMENT FOR RACIAL EQUITY - SAC CONNECT COLLABORATIVE CONNECTION
(138) THE GLASS SLIPPER ORGANIZATION INC
7725 MARIPOSA AVENUE
CITRUS HEIGHTS,CA95610 		20-8599121 PUBLIC CHARITY 10,000       LEADERSHIP DEVELOPMENT FOR RACIAL EQUITY - READY BY 21 ACADEMY
(139) TIDES CENTER
PO BOX 29907
SAN FRANCISCO,CA94129 		94-3213100 PUBLIC CHARITY 10,000       SJVHF IHEEL - INCREASING COMMUNITY AND ORGANIZATION CAPACITY FOR ADVOCACY ENGAGEMENT
(140) UNITED WAY OF MERCED COUNTY INC
531 WEST MAIN STREET
MERCED,CA95340 		94-2633265 PUBLIC CHARITY 10,000       SJVHF IHEEL - EARLY CARE AND EDUCATION SYSTEMS CHANGE TO ADDRESS HMONG INEQUITIES
(141) CALIFORNIA INDIAN MANPOWER CONSORTIUM INC
738 NORTH MARKET BOULEVARD
SACRAMENTO,CA95834 		94-2472564 PUBLIC CHARITY 9,000       CENSUS 2020 REGION 1 OUTREACH - CA COMPLETE COUNT - CENSUS 2020 PROJECT
(142) CALIFORNIA URBAN PARTNERSHIP
1331 GARDEN HIGHWAY
SACRAMENTO,CA95814 		45-0842476 PUBLIC CHARITY 7,500       POPUP
(143) GENDER HEALTH CENTER
2020 29TH STREET SUITE 201
SACRAMENTO,CA95817 		26-3839452 PUBLIC CHARITY 7,500       POPUP
(144) HIRE HOPE LEARNING ACADEMY
3525 - 4TH AVENUE
SACRAMENTO,CA95817 		82-3602293 PUBLIC CHARITY 7,500       POPUP
(145) SOJOURNER TRUTH ACADEMY
3820 EMERSON AVENUE
MINNEAPOLIS,CA55412 		41-1890516 PUBLIC CHARITY 7,500       POPUP
(146) THE GARDENS FAMILY CARE COMMUNITY CENTER INC
2251 FLORIN ROAD SUITE 129
SACRAMENTO,CA95822 		68-0463156 PUBLIC CHARITY 7,500       POPUP
(147) CALIFORNIA COMMUNITY FOUNDATION
221 S FIGUEROA STREET SUITE 400
LOS ANGELES,CA90012 		81-4970529 PUBLIC CHARITY 6,000       CALIFORNIA FUNDERS FOR BOYS AND MEN OF COLOR
(148) DEAF AND HARD OF HEARING SERVICE CENTER INC
5340 N FRESNO STREET
FRESNO,CA93710 		77-0003788 PUBLIC CHARITY 5,000       SJVHF CENSUS 2020 OUTREACH - CENSUS OUTREACH FOR THE DEAF AND HARD OF HEARING COMMUNITY
(149) RIGHTS COUNSEL
229 PAJARO STREET SUITE 301
SALINAS,CA93901 		81-4970529 PUBLIC CHARITY 5,000       FRESNO LEGAL DEFENSE FUND
(150) YOUTH POLICY OF IOWA
6200 AURORA AVE SUITE 206E
DES MOINES,IA50322 		42-1509945 PUBLIC CHARITY 5,000       POSITIVE YOUTH JUSTICE INITIATIVE
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
150
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2019

Schedule I (Form 990) 2019
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: EACH GRANTEE MUST COMPLY WITH THE MONITORING REQUIREMENTS SET FORTH IN THE AGREEMENT. THOSE REQUIREMENTS VARY DEPENDING ON THE PURPOSE OF THE GRANT. ALL GRANTEES ARE REQUIRED TO PROVIDE A FINAL NARRATIVE AND FINANCIAL REPORT. OTHER MONITORING REQUIREMENTS INCLUDE PROGRESS REPORTS, BOTH NARRATIVE AND FINANCIAL, AND SITE VISITS.
Schedule I (Form 990) 2019



Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
SIERRA HEALTH FOUNDATION
CENTER FOR HEALTH PROGRAM MANAGEMENT
Employer identification number

45-5282243
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1CHET P HEWITT
PRESIDENT & CEO 		(i)

(ii)		 0
-------------
347,877 		0
-------------
25,000 		0
-------------
0 		0
-------------
34,200 		0
-------------
32,625 		0
-------------
439,702 		0
-------------
0
2GIL ALVARADO
SVP FINANCE & ADMIN./CFO 		(i)

(ii)		 0
-------------
238,687 		0
-------------
12,500 		0
-------------
0 		0
-------------
31,304 		0
-------------
22,427 		0
-------------
304,918 		0
-------------
0
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
FORM 990 PART IV, LINE 23 BOARD MEMBERS AND KEY EMPLOYEE ARE PAID FROM A RELATED ORGANIZATION. THE RELATED ORGANIZATION HAS ESTABLISHED PROCEDURES BY WHICH A WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE ARE REQUIRED.
Schedule J (Form 990) 2019

Additional Data


Software ID:  
Software Version:  
SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
SIERRA HEALTH FOUNDATION
CENTER FOR HEALTH PROGRAM MANAGEMENT
Employer identification number

45-5282243
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( PROGRAM AND ADMINISTRATIVE EXPENSES ) X 1 545,500 FMV
26 Other Right pointing arrow large image ( )
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
 
No
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2019)
Schedule M (Form 990) (2019)
Page 2
Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
PART I, COLUMN (B): SIERRA HEALTH FOUNDATION (RELATED ENTITY) PAID FOR VARIOUS EXPENSES RELATED TO SHF CENTER PROGRAMS.
Schedule M (Form 990) (2019)

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
SIERRA HEALTH FOUNDATION
CENTER FOR HEALTH PROGRAM MANAGEMENT
Employer identification number

45-5282243
Return Reference Explanation
FORM 990, PART III, LINE 2 SIERRA HEALTH FOUNDATION: CENTER FOR HEALTH PROGRAM MANAGEMENT UNDERTOOK A SIGNIFICANT NEW PROGRAM IN 2019, THE MAT ACCESS POINT PROJECT. SEE ADDITIONAL DETAIL ABOUT THIS PROGRAM IN THE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENT #1 ON FORM 990, PART III, LINE 4A.
FORM 990, PART VI, SECTION B, LINE 11B THE CFO WILL PROVIDE THE ENTIRE BOARD WITH A COPY OF THE FORM 990 TO REVIEW BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS BOARD MEMBERS AND REPRESENTATIVE STAFF OF THE CENTER. NO LESS THAN ANNUALLY, A WRITTEN STATEMENT OF CONFIRMATION BY MEMBERS OF THE BOARD AND STAFF ARE RECORDED TO DISCLOSE WHETHER ANY CONFLICTS EXIST.
FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST
FORM 990, PART XII, LINE 2C NEITHER THE PROCESS FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT NOR THE PROCESS FOR SELECTION OF AN INDEPENDENT ACCOUNTANT CHANGED FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
SIERRA HEALTH FOUNDATION
CENTER FOR HEALTH PROGRAM MANAGEMENT
Employer identification number

45-5282243
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) SAN JOAQUIN VALLEY IMPACT INVESTMENT FUND LLC
1321 GARDEN HWY
SACRAMENTO,CA95833
45-5282243 		HEALTH INVESTMENT FUND TO SUPPORT HEALTHCARE ACCESSIBILITY CA 11,765 1,201,729 SIERRA HEALTH FOUNDATION CENTER FOR HEALTH PROGRAM MANAGEMENT
 










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)SIERRA HEALTH FOUNDATION
1321 GARDEN HIGHWAY

SACRAMENTO,CA95833
68-0050036 		PRIVATE FOUNDATION COMMITTED TO HEALTH EDUCATION, STRATEGIC GRANT MAKING,ETC CA 501(C)(3) PF N/A
 
No
(2)SHF PROPERTIES INC
1321 GARDEN HIGHWAY

SACRAMENTO,CA95833
91-1751915 		TO HOLD AND/OR LIQUIDATE REAL PROP. OR REAL PROP. INT. TRANS BY SIERRA HEALT CA 501(C)(2)   SIERRA HEALTH FOUNDATION
 
 
No










For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No












Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
Yes
 
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2019

Additional Data


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