Form990-PF
Click to see attachment

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2020
Open to Public Inspection
For calendar year 2020, or tax year beginning 01-01-2020 , and ending 12-31-2020
Name of foundation
SIERRA HEALTH FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)1321 GARDEN HIGHWAY
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SACRAMENTO, CA95833
A Employer identification number

68-0050036
B Telephone number (see instructions)

(916) 922-4755
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$59,945,722J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 446,561 474,285  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -4,628,129
b Gross sales price for all assets on line 6a 13,631,924
7 Capital gain net income (from Part IV, line 2)... 1,133,608
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 5,029,759 -189,107 5,022,216
12 Total. Add lines 1 through 11........ 848,191 1,418,786 5,022,216
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 768,208 56,495 0 711,713
14 Other employee salaries and wages...... 3,540,041 499 3,489,801 49,741
15 Pension plans, employee benefits....... 946,511 12,929 920,463 63,209
16a Legal fees (attach schedule)......... Click to see attachment 118,945 9,857 3,926 122,890
b Accounting fees (attach schedule)....... Click to see attachment 45,101 0 0 45,101
c Other professional fees (attach schedule).... Click to see attachment 263,833 152,671 92,421 109,903
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 4,960 0 0 4,890
19 Depreciation (attach schedule) and depletion... 602,096 0 71,396
20 Occupancy.............. 325,666 0 280,127 52,021
21 Travel, conferences, and meetings....... 30,131 0 91,530 4,046
22 Printing and publications.......... 30,716 3,000 3,179 25,362
23 Other expenses (attach schedule)....... Click to see attachment 134,006 0 69,373 69,415
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 6,810,214 235,451 5,022,216 1,258,291
25 Contributions, gifts, grants paid....... 3,468,603 2,492,788
26 Total expenses and disbursements. Add lines 24 and 25 10,278,817 235,451 5,022,216 3,751,079
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -9,430,626
b Net investment income (if negative, enter -0-) 1,183,335
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2020)
Form 990-PF (2020)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 339,461 514,592 514,592
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet50,909
Less: allowance for doubtful accounts bullet   142,758 50,909 50,909
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 31,132,781 Click to see attachment35,437,993 35,437,993
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet2,279,164
Less: accumulated depreciation (attach schedule) bullet   229,164 Click to see attachment2,279,164 2,279,164
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 13,476,999 Click to see attachment14,492,100 14,492,100
14 Land, buildings, and equipment: basis bullet15,228,989
Less: accumulated depreciation (attach schedule) bullet9,570,579 18,634,080 Click to see attachment5,658,410 5,658,410
15 Other assets (describe bullet) Click to see attachment652,260 Click to see attachment1,512,554 Click to see attachment1,512,554
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 64,607,503 59,945,722 59,945,722
Liabilities 17 Accounts payable and accrued expenses.......... 1,028,442 544,128
18 Grants payable................. 59,534 1,011,699
19 Deferred revenue................. 675,000  
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)...... 8,201,670 8,894,057
22 Other liabilities (describe bullet) Click to see attachment80,000 Click to see attachment130,022
23 Total liabilities (add lines 17 through 22)......... 10,044,646 10,579,906
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 54,562,857 49,365,816
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 54,562,857 49,365,816
30 Total liabilities and net assets/fund balances (see instructions). 64,607,503 59,945,722
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
54,562,857
2
Enter amount from Part I, line 27a .....................
2
-9,430,626
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
4,680,173
4
Add lines 1, 2, and 3 ..........................
4
49,812,404
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
446,588
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
49,365,816
Form 990-PF (2020)
Form 990-PF (2020)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a CAPITAL GAINS FROM PARTNERSHIPS - BOOK P 1999-01-01 2020-12-31
b CAPITAL GAINS FROM PARTNERSHIPS - TAX P 1999-01-01 2020-12-31
c CAPITAL GAINS FROM ARISTOTLE MANAGEMENT P 1999-01-01 2020-12-31
d CHARLES SCHWAB & US BANK - SEE ATTACHED DETAIL P 1999-01-01 2020-12-31
e SALE OF GRIZZLY CREEK RANCH INVESTMENT PROPERTY - BOOK P 1999-01-01 2020-08-12
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 1,302,286   1,302,286 0
b 909,342     909,342
c 353,457   305,914 47,543
d 6,066,839   5,890,116 176,723
e 5,000,000 6,584,780 11,584,780 0
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a       0
b       909,342
c       47,543
d       176,723
e       0
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 1,133,608
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved 		(b)
Reserved 		(c)
Reserved 		(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 16,448
c All other domestic foundations enter 1.39% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 16,448
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 16,448
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 52,180
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 52,180
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 35,732
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet35,732 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletCA, AK, AR, ID, IL, IN, MD, MS, NY, NC, OR, SC, UT, VA, VT, GA, MN, ND, NM, LA, AZ, OK
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2020 or the taxable year beginning in 2020? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
    Yes
     
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletWWW.SIERRAHEALTH.ORG
    14
    The books are in care ofbulletGILBERT ALVARADO Telephone no.bullet (916) 922-4755

    Located atbullet1321 GARDEN HIGHWAYSACRAMENTOCA ZIP+4bullet95833
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2020, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2020?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2020 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2020.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    HEWITT CHET P PRESIDENT & CEO
    40.00     		394,645 43,932 0
    1321 GARDEN HIGHWAY
    SACRAMENTO,CA95833
    ALVARADO GILBERT SVP FINANCE & ADMINISTRATI
    40.00     		258,343 43,359 0
    1321 GARDEN HIGHWAY
    SACRAMENTO,CA95833
    DAVID W GORDON CHAIR
    0.50     		14,960 0 0
    1321 GARDEN HIGHWAY
    SACRAMENTO,CA95833
    CAROL WHITESIDE DIRECTOR
    0.50     		6,270 0 0
    1321 GARDEN HIGHWAY
    SACRAMENTO,CA95833
    DEBRA MCKENZIE DIRECTOR
    0.50     		21,360 0 0
    1321 GARDEN HIGHWAY
    SACRAMENTO,CA95833
    JOSE R HERMOCILLO DIRECTOR
    0.50     		19,360 0 0
    1321 GARDEN HIGHWAY
    SACRAMENTO,CA95833
    NANCY P LEE DIRECTOR
    0.50     		16,760 0 0
    1321 GARDEN HIGHWAY
    SACRAMENTO,CA95833
    ROBERT A PETERSEN CPA DIRECTOR
    0.50     		16,160 0 0
    1321 GARDEN HIGHWAY
    SACRAMENTO,CA95833
    SHAMUS ROLLER DIRECTOR
    0.50     		3,590 0 0
    1321 GARDEN HIGHWAY
    SACRAMENTO,CA95833
    CLAIRE POMEROY VICE CHAIR
    0.50     		16,760 0 0
    1321 GARDEN HIGHWAY
    SACRAMENTO,CA95833
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    HANG KAYING SR. V.P. OF PROGRAMS
    40.00     		243,162 22,980 0
    1321 GARDEN HWY
    SACRAMENTO,CA95833
    BRAFF-GUAJARDO ELLEN L DIRECTOR OF REGIONAL
    40.00     		138,414 38,567 0
    1321 GARDEN HWY
    SACRAMENTO,CA95833
    CERVANTES MATTHEW DIRECTOR OF HEALTH P
    40.00     		138,369 29,057 0
    1321 GARDEN HWY
    SACRAMENTO,CA95833
    KASSIS JOAN M DIRECTOR OF ACCOUNTI
    40.00     		128,794 18,048 0
    1321 GARDEN HWY
    SACRAMENTO,CA95833
    DANA RICHARD L DIRECTOR OF ECONOMIC
    40.00     		137,609 5,304 0
    1321 GARDEN HWY
    SACRAMENTO,CA95833
    Total number of other employees paid over $50,000...................bullet 30
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    ARMANINO ACCOUNTING & BUSINESS CONSULTING 234,939
    PO BOX 398285
    SAN FRANCISCO,CA94139
    GILBERT & ASSOCIATES AUDIT AND TAX PREPARER 155,967
    2880 GATEWAY OAKS DR STE 100
    SACRAMENTO,CA95833
    MURPHY AUSTIN ADAMS SCHOENFELD LEGAL SERVICES 146,407
    555 CAPITOL MALL SUITE 850
    SACRAMENTO,CA95814
    TEVIS HR HR CONSULTING 127,066
    970 RESERVE DR STE 200
    ROSEVILLE,CA95678
    QUORUM TECHNOLOGIES INC COMPUTER SERVICES 110,591
    PO BOX 163330
    SACRAMENTO,CA95816
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 IMPROVING HEALTH AND QUALITY OF LIFE - THIS BROAD PROGRAM CATEGORY FOCUSES ON IMPROVING HEALTH EQUITY AND REDUCING HEALTH DISPARITIES TO PROMOTE HEALTH AND WELL-BEING FOR ALL. THIS IS ACCOMPLISHED IN A VARIETY OF WAYS, INCLUDING THE DEVELOPMENT OF COLLABORATIVE COMMUNITY COALITIONS, LEARNING INSTITUTES, AND EVALUATION AND DISSEMINATION OF KNOWLEDGE. PROGRAMS ALSO FOCUS ON MENTAL HEALTH AWARENESS AND RESPITE, REDUCING THE DISPROPORTIONATE CAUSES OF DEATH AMONG AFRICAN AMERICAN CHILDREN, SUPPORT FOR COMMUNITY COALITIONS WORKING TO IMPROVE HEALTH AND WORKPLACE WELLNESS. 2,294,189
    2 GRIZZLY CREEK RANCH - THIS IS A RESIDENTIAL CAMP LOCATED IN PORTOLA, CALIFORNIA OWNED BY THE FOUNDATION. SINCE 2009 THE CAMP HAS OPERATED UNDER A LEASE AND OPERATING AGREEMENT WITH SIERRA NEVADA JOURNEYS, A 501(C)(3) NONPROFIT, THAT USES THE UNIQUE NATURAL OUTDOORS OF THE SIERRA NEVADA REGION TO DELIVER INNOVATIVE OUTDOOR, SCIENCE EDUCATION PROGRAMS FOR YOUTH TO BUILD 21ST CENTURY SKILLS. 1,945,949
    3 PUBLIC POLICY AND EDUCATION PROGRAM - THIS PROGRAM CATEGORY PROMOTES BETTER-INFORMED POLICY DISCOURSE WITH A FOCUS ON HEALTH EQUITY, AND CAPTURES AND DISSEMINATES LESSONS LEARNED FROM GRANTEES. STAFF ACHIEVES PROGRAM OBJECTIVES THROUGH PARTNERSHIPS, RESEARCH, PUBLIC EDUCATION AND GRANT MAKING.PROGRAMS WITHIN THIS CATEGORY ALSO FOCUS ON HEALTH AND RACIAL EQUITY, AND WORK TO BUILD MOMENTUM AND PUBLIC AWARENESS TO ADDRESS THE SYSTEMIC BARRIERS THAT LIMIT ACCESS TO OPPORTUNITY FOR UNDERSERVED POPULATIONS. 1,623,348
    4 SAN JOAQUIN VALLEY HEALTH FUND - THE SAN JOAQUIN VALLEY HEALTH FUND STRENGTHENS THE CAPACITY OF COMMUNITIES AND ORGANIZATIONS IN THE SAN JOAQUIN VALLEY TO IMPROVE HEALTH AND WELL-BEING BY ADVANCING PROGRAMS AND POLICY CHANGES THAT PROMOTE COMMUNITY HEALTH AND HEALTH EQUITY FOR ALL. 563,742
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    28,126,917
    b
    Average of monthly cash balances.......................
    1b
    2,841,945
    c
    Fair market value of all other assets (see instructions)................
    1c
    14,806,636
    d
    Total (add lines 1a, b, and c).........................
    1d
    45,775,498
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    45,775,498
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    686,632
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    45,088,866
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    2,254,443
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    2,254,443
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    16,448
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    16,448
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    2,237,995
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    2,237,995
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    2,237,995
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    3,751,079
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    3,751,079
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    3,751,079
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2019     		(c)
    2019     		(d)
    2020
    1 Distributable amount for 2020 from Part XI, line 7 2,237,995
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 4,813,177
    b From 2016...... 4,106,530
    c From 2017...... 3,444,744
    d From 2018...... 5,078,931
    e From 2019...... 3,772,112
    fTotal of lines 3a through e........ 21,215,494
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 3,751,079
    a Applied to 2019, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2020 distributable amount..... 2,237,995
    e Remaining amount distributed out of corpus 1,513,084
    5 Excess distributions carryover applied to 2020. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 22,728,578
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...     		4,813,177
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......     		17,915,401
    10 Analysis of line 9:
    a Excess from 2016.... 4,106,530
    b Excess from 2017.... 3,444,744
    c Excess from 2018.... 5,078,931
    d Excess from 2019.... 3,772,112
    e Excess from 2020.... 1,513,084
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2020, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2020 (b) 2019 (c) 2018 (d) 2017
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    SIERRA HEALTH FOUNDATION
    1321 GARDEN HIGHWAY
    SACRAMENTO,CA95833
    (916) 922-4755
    bThe form in which applications should be submitted and information and materials they should include:
    SEE ONLINE INFORMATION AT WWW.SIERRAHEALTH.ORG
    cAny submission deadlines:
    SEE ONLINE INFORMATION AT WWW.SIERRAHEALTH.ORG
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    SEE ONLINE INFORMATION AT WWW.SIERRAHEALTH.ORG
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    GRANTS AWARDED (SEE ATTACHED)
    1321 GARDEN HIGHWAY
    SACRAMENTO,CA95833     		NONE VARIOUS - SEE ATTACH VARIOUS - SEE ATTACHED DESCRIPTIONS 542,060
    MATCHING GIFTS AND DONATIONS (SEE ATTACHED)
    1321 GARDEN HIGHWAY
    SACRAMENTO,CA95833     		NONE VARIOUS - SEE ATTACH TO PROVIDE GENERAL SUPPORT 450,728
    SIERRA NEVADA JOURNEYS
    190 E LIBERTY STREET
    RENO,NV89501     		NONE 501(C)(3) TO PROVIDE GENERAL SUPPORT 1,500,000
    Total .................................bullet 3a 2,492,788
    bApproved for future payment
    SIERRA HEALTH FOUNDATION CENTER FOR HEALTH PROGRAM MANAGEMENT
    1321 GARDEN HIGHWAY 210
    SACRAMENTO,CA95833     		N/A 501(C)(3) TO PROVIDE GENERAL SUPPORT 732,165
    CALIFORNIA COMMUNITY FOUNDATION
    221 S FIGUEROA STREET SUITE 400
    LOS ANGELES,CA95817     		NONE 501(C)(3) TO PROVIDE GENERAL SUPPORT 10,000
    COMMUNITY PARTNERS
    1000 N ALAMEDA ST SUITE 240
    LOS ANGELES,CA90012     		NONE 501(C)(3) TO PROVIDE GENERAL SUPPORT 100,000
    HENRY J KAISER FAMILY FOUNDATION
    185 BERRY STREET SUITE 2000
    SAN FRANCISCO,CA94107     		NONE 501(C)(3) TO PROVIDE GENERAL SUPPORT 10,000
    PUBLIC HEALTH INSTITUTE
    555 12TH STREET FLOOR 10TH
    OAKLAND,CA94607     		NONE 501(C)(3) TO PROVIDE GENERAL SUPPORT 50,000
    REDF
    101A CLAY STREET 103
    SAN FRANCISCO,CA94111     		NONE 501(C)(3) TO PROVIDE GENERAL SUPPORT 50,000
    SACRAMENTO REGIONAL COALITION TO END HOMELESSNESS
    1331 GARDEN HIGHWAY SUITE 100
    SACRAMENTO,CA95833     		NONE 501(C)(3) TO PROVIDE GENERAL SUPPORT 10,000
    UNITED LATINOS PROMOVIENDO ACCION CIVICA
    PO BOX 22905
    SACRAMENTO,CA95822     		NONE 501(C)(3) TO PROVIDE GENERAL SUPPORT 25,000
    WIND YOUTH SERVICES
    815 S STREET
    SACRAMENTO,CA95811     		NONE 501(C)(3) TO PROVIDE GENERAL SUPPORT 25,000
    Total .................................bullet 3b 1,012,165
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    aCOST REIMBURSEMENT         5,022,216
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities....     14 446,561  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income..... 900000 100,406 14 7,543  
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 -4,728,535  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 100,406 -4,274,431 5,022,216
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    848,191
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    1A INCOME IS REIMBURSEMENT FROM PROVIDING STAFF SUPPORT TO SIERRA HEALTH FOUNDATION: CENTER FOR HEALTH PROGRAM MANAGEMENT (THE CENTER). AS THE CENTER DOES NOT HAVE ITS OWN STAFF, THE FOUNDATION WORKED IN COOPERATION WITH THE CENTER TO START THE INTERMEDIARY PARTNERSHIPS PROGRAM. THIS PROGRAM WORKS TO IMPROVE INDIVIDUAL AND COMMUNITY HEALTH AND THE WELL-BEING OF THOSE IN UNDERSERVED COMMUNITIES.
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
    Yes
     
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    1c 0 SHF PROPERTIES INC SHF PROPERTIES, INC. UTILIZES THE STAFF AND FACILITIES OF SIERRA HEALTH FOUNDATION. SIERRA HEALTH FOUNDATION DOES NOT CHARGE SHF PROPERTIES, INC. BECAUSE SHF PROPERTIES, INC. SERVES SIERRA HEALTH FOUNDATION EXCLUSIVELY, ANY AMOUNTS THAT SIERRA HEALTH FOUNDATION CHARGED SHF PROPERTIES, INC. WOULD BE BILLED RIGHT BACK TO SIERRA HEALTH FOUNDATION.
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    SHF PROPERTIES INC 501(C)(2) SHF PROPERTIES, INC. IS A TAX-EXEMPT HOLDING ORGANIZATION THAT ACQUIRES AND HOLDS TITLE TO LAND FOR THE SIERRA HEALTH FOUNDATION. SHF PROPERTIES, INC SHARES STAFF AND OFFICE SPACE WITH SIERRA HEALTH FOUNDATION.
    Sign Here
    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 taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2020)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    Form 990PF Part XV Line 3 - Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    GRANTS AWARDED (SEE ATTACHED)1321 GARDEN HIGHWAY
    SACRAMENTO,CA95833     		NONE VARIOUS - SEE ATTACH VARIOUS - SEE ATTACHED DESCRIPTIONS 542,060
    MATCHING GIFTS AND DONATIONS (SEE ATTACHED)1321 GARDEN HIGHWAY
    SACRAMENTO,CA95833     		NONE VARIOUS - SEE ATTACH TO PROVIDE GENERAL SUPPORT 450,728
    SIERRA NEVADA JOURNEYS190 E LIBERTY STREET
    RENO,NV89501     		NONE 501(C)(3) TO PROVIDE GENERAL SUPPORT 1,500,000
    Total ...............................bullet 3a 2,492,788
    bApproved for future payment
    SIERRA HEALTH FOUNDATION CENTER FOR HEALTH PROGRAM MANAGEMENT1321 GARDEN HIGHWAY 210
    SACRAMENTO,CA95833     		N/A 501(C)(3) TO PROVIDE GENERAL SUPPORT 732,165
    CALIFORNIA COMMUNITY FOUNDATION221 S FIGUEROA STREET SUITE 400
    LOS ANGELES,CA95817     		NONE 501(C)(3) TO PROVIDE GENERAL SUPPORT 10,000
    COMMUNITY PARTNERS1000 N ALAMEDA ST SUITE 240
    LOS ANGELES,CA90012     		NONE 501(C)(3) TO PROVIDE GENERAL SUPPORT 100,000
    HENRY J KAISER FAMILY FOUNDATION185 BERRY STREET SUITE 2000
    SAN FRANCISCO,CA94107     		NONE 501(C)(3) TO PROVIDE GENERAL SUPPORT 10,000
    PUBLIC HEALTH INSTITUTE555 12TH STREET FLOOR 10TH
    OAKLAND,CA94607     		NONE 501(C)(3) TO PROVIDE GENERAL SUPPORT 50,000
    REDF101A CLAY STREET 103
    SAN FRANCISCO,CA94111     		NONE 501(C)(3) TO PROVIDE GENERAL SUPPORT 50,000
    SACRAMENTO REGIONAL COALITION TO END HOMELESSNESS1331 GARDEN HIGHWAY SUITE 100
    SACRAMENTO,CA95833     		NONE 501(C)(3) TO PROVIDE GENERAL SUPPORT 10,000
    UNITED LATINOS PROMOVIENDO ACCION CIVICAPO BOX 22905
    SACRAMENTO,CA95822     		NONE 501(C)(3) TO PROVIDE GENERAL SUPPORT 25,000
    WIND YOUTH SERVICES815 S STREET
    SACRAMENTO,CA95811     		NONE 501(C)(3) TO PROVIDE GENERAL SUPPORT 25,000
    Total ................................bullet 3b 1,012,165

    TY 2020 AccountingFeesSchedule
    Name:
    SIERRA HEALTH FOUNDATION
    EIN:
    68-0050036
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING 45,101 0 0 45,101

    TY 2020 GeneralExplanationAttachment
    Name:
    SIERRA HEALTH FOUNDATION
    EIN:
    68-0050036
    Identifier Return Reference Explanation
    SCHEDULE OF CONTROLLED ENTITIES PART VII-A, LINE 11 NAME OF CONTROLLED ENTITY: SHF PROPERTIES INC.EMPLOYER ID NO: 91-1751915ADDRESS: 1321 GARDEN HIGHWAY, SACRAMENTO, CA 95833EXCESS BUSINESS HOLDING: NONAME OF CONTROLLED ENTITY: SIERRA HEALTH FOUNDATION: CENTER FOR HEALTH PROGRAM MANAGEMENTEMPLOYER ID NO: 45-5282243ADDRESS: 1321 GARDEN HIGHWAY STE 210, SACRAMENTO, CA 95833EXCESS BUSINESS HOLDING: NO
    REASONABLE CAUSE FOR LATE E-FILING OF FORM 990PF. FORM 990PF PRIVATE FOUNDATION TAX RETURN WE ARE REQUESTING THAT ANY LATE FILING PENALTIES AND INTEREST BE ABATED ON THIS RETURN FILING. THE RETURN WAS TIMELY PAPER FILED FOR THE YEAR ENDING DECEMBER 31, 2020 DUE TO TAX SOFTWARE LIMITATIONS AND ISSUES WITH ELECTRONIC FILING. THE NOTICE REQUESTING THE RETURN BE ELECTRONICALLY FILED WHICH WAS MAILED ON DECEMBER 14, 2021 FROM THE IRS WAS NOT NOTICED WHEN RECEIVED DUE TO EMPLOYEE TURNOVER AND CHANGES IN RESPONSIBLE PERSONS WITHIN THE ORGANIZATION. AS SOON AS THIS NOTICE WAS RECEIVED BY THE APPROPRIATE PERSON, THE CLIENT IMMEDIATELY CONTACTED THE TAX PREPARER TO REMEDY THE SITUATION AND CHANGES TO THE RETURN WITHIN THE SOFTWARE WERE COMPLETED TO MAKE IT ELECTRONIC FILING COMPATIBLE. THANK YOU FOR YOUR ASSISTANCE IN THIS MATTER.

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    SIERRA HEALTH FOUNDATION
    EIN:
    68-0050036
    Name of Stock End of Year Book Value End of Year Fair Market Value
    HELD BY U.S. BANK AS CUSTODIAN 2,855,995 2,855,995
    HELD BY COMMONFUND 32,581,998 32,581,998

    TY 2020 InvestmentsLandSchedule2
    Name:
    SIERRA HEALTH FOUNDATION
    EIN:
    68-0050036
    Category/ Item Cost/Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    CARMICHAEL RANCH - LAND 2,050,000 0 2,050,000 2,050,000
    70 PORTOLA CORNER LOT - LAND 229,164 0 229,164 229,164

    TY 2020 InvestmentsOtherSchedule2
    Name:
    SIERRA HEALTH FOUNDATION
    EIN:
    68-0050036
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    INVESTMENTS IN PARTNERSHIPS FMV 14,492,100 14,492,100

    TY 2020 LandEtcSchedule2
    Name:
    SIERRA HEALTH FOUNDATION
    EIN:
    68-0050036
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    1321 GARDEN HIGHWAY - LAND 1,474,641 0 1,474,641 1,474,641
    1321 GARDEN HIGHWAY - BUILDING 11,182,907 7,253,370 3,929,537 3,929,537
    1321 GARDEN HIGHWAY - FURNITURE, FIXTURES, & EQUIPMENT 2,375,574 2,317,209 58,365 58,365
    1321 GARDEN HIGHWAY - ART WORK 195,867 0 195,867 195,867


    TY 2020 LegalFeesSchedule
    Name:
    SIERRA HEALTH FOUNDATION
    EIN:
    68-0050036
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 118,945 9,857 3,926 122,890


    TY 2020 OtherAssetsSchedule
    Name:
    SIERRA HEALTH FOUNDATION
    EIN:
    68-0050036
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    PREPAID EXPENSE 102,646 119,293 119,293
    DUE FROM CENTER 288,050 1,036,245 1,036,245
    DUE FROM SAN JOAQUIN VALLEY 261,564 357,016 357,016


    TY 2020 OtherDecreasesSchedule
    Name:
    SIERRA HEALTH FOUNDATION
    EIN:
    68-0050036
    Description Amount
    UNREALIZED LOSS ON CHANGE IN FMV VALUATION 446,588


    TY 2020 OtherExpensesSchedule
    Name:
    SIERRA HEALTH FOUNDATION
    EIN:
    68-0050036
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    SUPPLIES 76,374 0 40,889 43,879
    POSTAGE 128 0 200 0
    EQUIPMENT REPAIRS & MAINTENANCE 8,507 0 12,938 567
    INSURANCE 17,159 0 4,643 0
    COMMUNITY RELATIONS 2,835 0 0 2,835
    MISCELLANEOUS 9,900 0 5,625 7,273
    EQUIPMENT RENTAL/LEASE 6,767 0 5,078 2,185
    WEBSITE EXPENSE 12,336 0 0 12,676


    TY 2020 OtherIncomeSchedule2
    Name:
    SIERRA HEALTH FOUNDATION
    EIN:
    68-0050036
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    PARTNERSHIP NET INCOME   -196,650  
    MISCELLANEOUS 7,543 7,543  
    COST REIMBURSEMENT 5,022,216   5,022,216


    TY 2020 OtherIncreasesSchedule
    Name:
    SIERRA HEALTH FOUNDATION
    EIN:
    68-0050036
    Description Amount
    UNREALIZED GAIN ON INVESTMENTS 4,680,173


    TY 2020 OtherLiabilitiesSchedule
    Name:
    SIERRA HEALTH FOUNDATION
    EIN:
    68-0050036
    Description Beginning of Year - Book Value End of Year - Book Value
    DEFERRED EXCISE TAX 80,000 80,000
    DUE TO CENTER 0 50,022


    TY 2020 OtherProfessionalFeesSchedule
    Name:
    SIERRA HEALTH FOUNDATION
    EIN:
    68-0050036
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT 152,671 152,671 0 0
    RECRUITMENT 765 0 0 765
    PROGRAM CONSULTANTS 8,749 0 0 34,835
    OTHER PROFESSIONAL FEES 101,648 0 92,421 74,303


    TY 2020 TaxesSchedule
    Name:
    SIERRA HEALTH FOUNDATION
    EIN:
    68-0050036
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAX 2,579 0 0 0
    PROPERTY TAX 2,381 0 0 4,890