Form990
Click to see attachment
Click to see attachment
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)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 01-01-2021 , and ending 12-31-2021
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 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 $ 242,705,901
F Name and address of principal officer:
CHET P HEWITT
1321 GARDEN HIGHWAY 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 2021 (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, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 161,507,991 242,659,281
9 Program service revenue (Part VIII, line 2g) ......... 0 0
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 25,916 46,620
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) 161,533,907 242,705,901
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 81,391,047 24,287,458
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).... 80,262,909 160,003,045
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 161,653,956 184,290,503
19 Revenue less expenses. Subtract line 18 from line 12....... -120,049 58,415,398
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 147,585,313 212,836,349
21 Total liabilities (Part X, line 26)............. 108,815,911 115,651,549
22 Net assets or fund balances. Subtract line 21 from line 20..... 38,769,402 97,184,800
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
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
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 (2021)
Form 990 (2021)
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 $ 30,284,939 including grants of $ 0 ) (Revenue $   )
COVID-19 COMMUNITY OUTREACH PROJECTTHE CENTER AT SIERRA HEALTH FOUNDATION PARTNERED WITH THE CALIFORNIA DEPARTMENT OF SOCIAL SERVICES, THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH AND THE LABOR AND WORKFORCE DEVELOPMENT AGENCY TO PROVIDE FUNDING FOR COMMUNITY-BASED ORGANIZATIONS THROUGHOUT CALIFORNIA TO SUPPORT OUTREACH TO MITIGATE THE HEALTH CONSEQUENCES OF COVID-19 ON DISPROPORTIONATELY IMPACTED POPULATIONS AND COMMUNITIES. COMMUNITY-BASED ORGANIZATIONS HAVE BEEN PROVIDING CRITICAL SERVICES AND INFORMATION TO CALIFORNIANS DURING THE PANDEMIC AND ARE KEY PARTNERS IN CONTINUING TO PROVIDE EDUCATION AND OUTREACH ACROSS THE STATE.
4b (Code:   ) (Expenses $ 28,548,291 including grants of $   ) (Revenue $   )
MAT ACCESS POINTS PROJECTTHE MEDICATION ASSISTED TREATMENT (MAT) ACCESS POINTS PROJECT IS SUPPORTING ORGANIZATIONS THROUGHOUT CALIFORNIA TO ADDRESS THE OPIOID AND SUBSTANCE USE EPIDEMIC. THE PROJECT CREATES A COMMUNITY OF PRACTICE THAT LIFTS UP AND MAKES AVAILABLE RACIALLY AND CULTURALLY RESPONSIVE POPULATION-BASED AND PLACE-BASED APPROACHES FOR CALIFORNIA'S MOST UNDERSERVED COMMUNITIES. MAT USES MEDICATIONS WITH COUNSELING TO TREAT THE WHOLE PERSON. IT IS CONSIDERED THE GOLD STANDARD OF CARE FOR OPIOID USE DISORDER.
4c (Code:   ) (Expenses $ 73,724,177 including grants of $   ) (Revenue $   )
COVID-19 PUBLIC AWARENESS CAMPAIGNTHE STATE OF CALIFORNIA AND THE CENTER AT SIERRA HEALTH FOUNDATION PARTNERED FOR THE SECOND PHASE OF THE STATE'S PUBLIC AWARENESS CAMPAIGN FOCUSED ON THE NEEDS OF LATINX, BLACK AND OTHER COMMUNITIES EXPERIENCING DISPROPORTIONATE IMPACTS OF COVID-19. THE CAMPAIGN USED CURRENT PUBLIC HEALTH DATA TO PRIORITIZE IMPACTED COMMUNITIES AND BUILD ON THE FIRST PHASE OF THE CAMPAIGN LAUNCHED BY THE STATE. THE CAMPAIGN INCLUDED RAPID DEPLOYMENT OF MESSAGING TO ENCOURAGE CALIFORNIANS TO FOLLOW PUBLIC HEALTH SAFETY MEASURES TO KEEP THEM AND OTHERS SAFE AND PREVENT THE SPREAD OF THE VIRUS, AS WELL AS TO PROMOTE PROGRAMS AND FINANCIAL SUPPORT, SUCH AS DISABILITY, PAID SICK AND FAMILY LEAVE.
(Code:   ) (Expenses $ 46,277,681 including grants of $ 24,287,458 ) (Revenue $   )
VACCINE EQUITY CAMPAIGNTHE VACCINE EQUITY CAMPAIGN FUNDS ORGANIZATIONS TO INCREASE BLACK, INDIGENOUS AND PEOPLE OF COLOR (BIPOC) ACCESS TO APPOINTMENTS AND VACCINES, PROVIDING TRANSPORTATION, INTERPRETER SERVICES, CHILDCARE AND OTHER SUPPORTS. AWARDED ORGANIZATIONS LEAD COMMUNITY ACTIVITIES THAT HELP VULNERABLE COMMUNITIES GET VACCINATED AND USE MULTIPLE OUTREACH METHODS, SUCH AS THE EXPERTISE OF COMMUNITY ORGANIZERS, COMMUNITY HEALTH WORKERS AND PROMOTORAS, WHILE BEING LINKED WITH CLINICIANS WHO CAN ADMINISTER THE VACCINESASTHMA MITIGATION PROJECTFUNDED BY THE CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES, THE ASTHMA MITIGATION PROJECT SUPPORTS LOCAL HEALTH DEPARTMENTS, MEDICAL PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS TO IMPLEMENT ASTHMA HOME VISITING SERVICES, INCLUDING EDUCATION AND ENVIRONMENTAL TRIGGER MITIGATION. THE TARGET POPULATIONS INCLUDE THE BLACK AND LATINX COMMUNITIES, FARMWORKERS, CHILDREN, SENIORS AND OTHERS WHO ARE HIGHLY IMPACTED BY ASTHMAMY BROTHER'S KEEPER (MBK)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. POSITIVE YOUTH JUSTICE INITIATIVETHE POSITIVE YOUTH JUSTICE INITIATIVE SUPPORTS YOUTH AND COMMUNITY ORGANIZING TO TRANSFORM THE YOUTH JUSTICE SYSTEM ACROSS CALIFORNIA AND IMPROVE THE HEALTH AND SOCIAL OUTCOMES OF YOUTH IN THE SYSTEM. MEDI-CAL HEALTH NAVIGATOR PROJECT THE CENTER LED THE MEDI-CAL HEALTH NAVIGATOR PROJECT IN FOUR COUNTIES: AMADOR, CALAVERAS, LASSEN AND SOLANO. FUNDED BY THE DEPARTMENT OF HEALTH CARE SERVICES, THE FOCUS OF THIS PROJECT IS TO CONDUCT OUTREACH AND EDUCATION ACTIVITIES TO INCREASE MEDI-CAL ENROLLMENT AND RETENTION.COMMUNITY ECONOMIC DEVELOPMENTWE LEAD AND ADVOCATE FOR EMERGING ECONOMIC DEVELOPMENT PROJECTS IN CALIFORNIA BY ADDING VALUE TO COMMUNITIES' COMMITMENT TO DEVELOP AND IMPLEMENT INCLUSIVE ECONOMIC GROWTH STRATEGIES IN UNDERINVESTED NEIGHBORHOODS. SOME EXAMPLES INCLUDE:1) THE SACRAMENTO COUNTY COVID-19 COLLABORATIVE - SAC COLLAB - SUPPORTS COVID-19 RESPONSE EFFORTS TO CONTROL THE PANDEMIC. WE HAVE PROVIDED COMMUNITY-RESIDENCE CASE INVESTIGATORS, CONTACT TRACERS, RESOURCE COORDINATORS, BUSINESS NAVIGATORS AND NOW VACCINE AMBASSADORS TO SUPPORT SACRAMENTO COUNTY RESIDENTS, ESPECIALLY THOSE LIVING IN NEIGHBORHOODS EXPERIENCING THE WORST IMPACTS OF COVID-19. 2) 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% IN SACRAMENTO COUNTY.
4d Other program services (Describe in Schedule O.)
(Expenses $ 46,277,681 including grants of $ 24,287,458 ) (Revenue $   )
4e Total program service expensesMediumBullet178,835,088
Form 990 (2021)
Form 990 (2021)
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 Rev. Proc. 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 (2021)
Form 990 (2021)
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 the 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 line 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..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
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 on 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
106
b
Enter the number of Forms W-2G included on 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 (2021)
Form 990 (2021)
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 the 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
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
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 on 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 on 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 on 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 (1024 or 1024-A, if applicable), 990, and 990-T (section 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:
MediumBulletSCOTT SENT CONTROLLER1321 GARDEN HIGHWAY 210   SACRAMENTO,CA95833 (916) 993-7701
Form 990 (2021)
Form 990 (2021)
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 the 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, Form 1099-MISC, and/or box 1 of Form 1099-NEC) 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 the 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/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(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) DAVID W GORDON......................................................................
DIRECTOR
 0.50
.................
0.50 		X           0 14,960 0
(2) DR CLAIRE POMEROY......................................................................
DIRECTOR
 0.50
.................
0.50 		X           0 16,760 0
(3) JOSE HERMOCILLO......................................................................
VICE CHAIR
 0.50
.................
0.50 		X   X       0 20,760 0
(4) NANCY P LEE......................................................................
DIRECTOR
 0.50
.................
0.50 		X           0 18,760 0
(5) DEBRA MCKENZIE......................................................................
CHAIR
 0.50
.................
0.50 		X   X       0 14,960 0
(6) ROBERT PETERSEN......................................................................
DIRECTOR
 0.50
.................
0.50 		X           0 16,160 0
(7) SHAMUS ROLLER......................................................................
DIRECTOR
 0.50
.................
0.50 		X           0 14,960 0
(8) CHET P HEWITT......................................................................
PRESIDENT & CEO
 0.50
.................
40.00 		X   X       0 437,215 52,024
(9) GIL ALVARADO......................................................................
SVP FINANCE & ADMIN
 0.50
.................
40.00 		    X       0 291,211 58,670
















Form 990 (2021)
Form 990 (2021)
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/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(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 0 845,746 110,694
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
RUNYON SALTZMAN INC

2020 L ST SUITE 100
SACRAMENTO,CA95811 		COVID-19 MEDIA CAMPAIGN 18,746,599
GMMB INC

3050 K ST NW
WASHINGTON,DC20007 		COVID-19 MEDIA CAMPAIGN 14,237,239
MOSS ADAMS LLP

PO BOX 101822
PASADENA,CA91189 		ACCOUNTING SERVICES 1,157,500
CA YOUTH CONNECTION

1611 TELEGRAPH AVE 1100
OAKLAND,CA94612 		PROGRAM CONTRACT SERVICES 454,799
MURPHY AUSTIN ADAMS SCHOENFE

555 CAPITOL MALL SUITE 850
SACRAMENTO,CA95814 		LEGAL SERVICES 414,090
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet19
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 1,750,000
e Government grants (contributions)1e 220,059,447
f All other contributions, gifts, grants, and similar amounts not included above1f 20,849,834
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 242,659,281
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 46,620     46,620
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 242,705,901 0 0 46,620
Form 990 (2021)
Form 990 (2021)
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 .... 24,287,458 24,287,458
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 ......... 471,059 261,855 209,204  
c Accounting ........... 938,268 521,570 416,698  
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) 2,621,299 1,457,143 1,164,156  
12 Advertising and promotion ....        
13 Office expenses ....... 698,670 248,340 450,330  
14 Information technology ...... 236,474 84,053 152,421  
15 Royalties ..        
16 Occupancy ........... 387,099 137,592 249,507  
17 Travel ............ 190,583 174,055 16,528  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 52,301 50,434 1,867  
20 Interest ........... 40,000 40,000    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 49,975 21,206 28,769  
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 146,729,709 146,504,424 225,285  
b MANAGEMENT FEES 6,563,283 4,147,728 2,415,555  
c REIMBURSEMENT OF GRANTS 586,414 586,414    
d PRINTING & PUBLICATION 222,259 221,918 341  
e All other expenses 215,652 90,898 124,754  
25 Total functional expenses. Add lines 1 through 24e 184,290,503 178,835,088 5,455,415 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 (2021)
Form 990 (2021)
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 ........ 21,129,549 1 36,797,278
2 Savings and temporary cash investments ......... 57,629,850 2 68,011,029
3 Pledges and grants receivable, net ...... 54,392,875 3 89,600,495
4 Accounts receivable, net ............. 110,984 4 101,940
5 Loans and other receivables from 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 ........... 500,000 7 500,000
8 Inventories for sale or use ............   8  
9 Prepaid expenses and deferred charges ...... 8,715,236 9 12,804,896
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,504,471
b Less: accumulated depreciation 10b 244,943 1,309,503 10c 1,259,528
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 ..... 3,747,294 12 3,757,063
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 50,022 15 4,120
16 Total assets. Add lines 1 through 15 (must equal line 33)... 147,585,313 16 212,836,349
Liabilities 17 Accounts payable and accrued expenses ..... 18,358,765 17 3,535,011
18 Grants payable ... 54,652,844 18 36,219,645
19 Deferred revenue ......... 31,419,041 19 72,239,989
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 4,385,261 25 3,656,904
26 Total liabilities. Add lines 17 through 25.. 108,815,911 26 115,651,549
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 .......... 2,985,102 27 2,511,550
28 Net assets with donor restrictions ........... 35,784,300 28 94,673,250
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 ........... 38,769,402 32 97,184,800
33 Total liabilities and net assets/fund balances ........ 147,585,313 33 212,836,349
Form 990 (2021)
Form 990 (2021)
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
242,705,901
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
184,290,503
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
58,415,398
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
38,769,402
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
97,184,800
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 on
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 (2021)
Form 990 (2021)
Additional Data


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

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
2021
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) 2021

Schedule A (Form 990) 2021
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) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. 11,969,391 11,865,165 56,793,608 161,507,991 242,659,281 484,795,436
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 11,969,391 11,865,165 56,793,608 161,507,991 242,659,281 484,795,436
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) .. 26,642,902
6 Public support. Subtract line 5 from line 4. 458,152,534
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
7 Amounts from line 4.. 11,969,391 11,865,165 56,793,608 161,507,991 242,659,281 484,795,436
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 12,527 27,917 21,003 25,916 46,620 133,983
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 10 484,929,419
12
12
 
13
First 5 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
94.480 %
15
15
87.780 %
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) 2021

Schedule A (Form 990) 2021
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) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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 on 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) 2021

Schedule A (Form 990) 2021
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
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 on 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 on 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) 2021

Schedule A (Form 990) 2021
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 on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2021

Schedule A (Form 990) 2021
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 0.015 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 0.035 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) 2021

Schedule A (Form 990) 2021
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 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2021 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2021 		(iii)
Distributable
Amount for 2021
1 Distributable amount for 2021 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2021:
a From 2016.......  
b From 2017.......  
c From 2018.......  
d From 2019.......  
e From 2020.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2021 distributable amount  
i Carryover from 2016 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2021 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2021 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2021, 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 2021. 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 2022. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2017.....  
b Excess from 2018.....  
c Excess from 2019.....  
d Excess from 2020.....  
e Excess from 2021.....  
Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021
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) 2021


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
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
2021
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) (2021)
Schedule B (Form 990) (2021) 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) (2021)
Schedule B (Form 990) (2021)
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) (2021)
Schedule B (Form 990) (2021)
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) (2021)
Additional Data


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

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
2021
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.
Cat. No. 50084S
Schedule C (Form 990) 2021

Schedule C (Form 990) 2021
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) ...................... 0  
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................ 0  
c Total lobbying expenditures (add lines 1a and 1b) ............................................................ 0  
d Other exempt purpose expenditures ............................................................................... 184,290,503  
e Total exempt purpose expenditures (add lines 1c and 1d) .................................................. 184,290,503  
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) 2018 (b) 2019 (c) 2020 (d) 2021 (e) Total
2a Lobbying nontaxable amount 661,598 1,000,000 1,000,000 1,000,000 3,661,598
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		5,492,397
c Total lobbying expenditures 1,065 5,153     6,218
d Grassroots nontaxable amount 165,400 250,000 250,000 250,000 915,400
e Grassroots ceiling amount
(150% of line 2d, column (e))		 1,373,100
f Grassroots lobbying expenditures 485 905     1,390
Schedule C (Form 990) 2021


Schedule C (Form 990) 2021
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
Schedule C (Form 990) 2021


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
2021
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) 2021

Schedule D (Form 990) 2021
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 ....   1,100,000 154,000 946,000
c Leasehold improvements   6,979 6,979 0
d Equipment ....   94,488 83,964 10,524
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 1,259,528
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
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
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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  
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 3,656,904
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) 2021

Schedule D (Form 990) 2021
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 ....... 1 242,199,487
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 80,000
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e 80,000
3 Subtract line 2e from line 1.................. 3 242,119,487
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 586,414
c Add lines 4a and 4b.................... 4c 586,414
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 242,705,901
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 ........... 1 183,784,089
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a 80,000
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e 80,000
3 Subtract line 2e from line 1................... 3 183,704,089
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 586,414
c Add lines 4a and 4b..................... 4c 586,414
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 184,290,503
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.
PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS REFUNDED
PART XII, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS REFUNDED
Schedule D (Form 990) 2021


Additional Data


Software ID:  
Software Version:  





Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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
2021
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) 21 REASONS SCHOLARSHIP FOUNDATION
3939 45TH ST
SACRAMENTO,CA958202909 		82-1420816 PUBLIC CHARITY 85,000 0     SACRAMENTO YOUTH VACCINATION PROGRAM
(2) 4TH SECOND
839 VALLE VISTA AVE
VALLEJO,CA94590 		84-3202218 PUBLIC CHARITY 300,000 0     YOUTH EMPOWERMENT PROJECT
(3) A HOPEFUL ENCOUNTER INC
1345 E BULLDOG LANE
FRESNO,CA93710 		47-0970077 PUBLIC CHARITY 348,412 0     SOUTHEAST ASIAN AMERICAN YOUTH FOR GREEN SPACE IN FRESNO COUNTY
(4) ALLIANT EDUCATIONAL FOUNDATION
10455 POMERADO ROAD
SAN DIEGO,CA92131 		54-2110067 PUBLIC CHARITY 25,000 0     COVID-19 AND MENTAL HEALTH: AN INVISIBLE PUBLIC HEALTH CRISIS
(5) ALWAYS KNOCKING
4600 - 47TH AVE SUITE 106
SACRAMENTO,CA95824 		26-4635991 PUBLIC CHARITY 111,500 0     SACRAMENTO COVID-19
(6) AMERICAN INDIAN EDUCATION CONSULTANTS INC
PO BOX 1284
COARSEGOLD,CA93614 		86-0392443 PUBLIC CHARITY 278,008 0     NATIVE YOUTH TULARE* RISING
(7) ANTI-RECIDIVISM COALITION
448 S HILL STREET SUITE 908
LOS ANGELES,CA90036 		46-2140915 PUBLIC CHARITY 20,000 0     DONATE4NORCAL
(8) ASIAN BUSINESS INSTITUTE & RESOURCE CENTER (ABIRC)
7035 N FRUIT AVE
FRESNO,CA93711 		26-1988676 PUBLIC CHARITY 50,000 0     ADVOCATING FOR MICRO FARMERS IN THE VALLEY
(9) ASIAN PACIFIC SELF-DEVELOPMENT AND RESIDENTIAL ASSOCIATION
3830 ALVARADO AVE STE C
STOCKTON,CA952042350 		68-0224100 PUBLIC CHARITY 470,000 0     SOUTHEAST ASIAN IMMIGRANT RIGHTS & PROTECTION PROJECT
(10) ASIAN RESOURCES INC
6270 ELDER CREEK RD
SACRAMENTO,CA958244113 		94-2658135 PUBLIC CHARITY 30,000 0     HEALTHY FOOD FOR ALL
(11) AWOKE
10261 KEWEN AVENUE
PACOIMA,CA91331 		82-4885269 PUBLIC CHARITY 299,993 0     THE GR818ERS X UNITE: CULTURE, CREATIVITY & SERVICE
(12) BLACK WELLNESS & PROSPERITY CENTER
1133 S STREET
FRESNO,CA937211408 		84-3848144 PUBLIC CHARITY 12,000 0     VACCINE HESITANCY CAMPAIGN
(13) BLUE MOUNTAIN COALITION FOR YOUTH AND FAMILIES INC
PO BOX 41
WEST POINT,CA95255 		68-0286016 PUBLIC CHARITY 164,376 0     LEADING UP
(14) BOYS & GIRLS CLUBS OF SAN FRANCISCO
380 FULTON STREET
SAN FRANCISCO,CA94102 		94-1156608 PUBLIC CHARITY 997,980 0     CALIFORNIA ALLIANCE OF BOYS & GIRLS CLUBS VACCINE EQUITY PROJECT
(15) BOYS AND GIRLS CLUBS OF GREATER SACRAMENTO
5212 LEMON HILL AVENUE
SACRAMENTO,CA95824 		68-0338324 PUBLIC CHARITY 84,000 0     YOUTH POPUPS
(16) BOYS AND GIRLS CLUBS OF THE NORTH VALLEY
601 WALL STREET
CHICO,CA95928 		68-0294846 PUBLIC CHARITY 20,000 0     PEER INITIATIVE COVID-19 SUICIDE PREVENTION
(17) BROTHER 2 BROTHER MENTORING INC
1244 NORTH AVENUE
SACRAMENTO,CA95838 		84-2651146 PUBLIC CHARITY 103,000 0     SACRAMENTO YOUTH VACCINATION OUTREACH PROGRAM
(18) C R L A FOUNDATION
2210 K STREET SUITE 200
SACRAMENTO,CA958164954 		94-2800442 PUBLIC CHARITY 90,000 0     EMPOWERING SJV IMMIGRANTS IN THE ERA OF PUBLIC CHANGE RULE REFORMS, COVID-19 PANDEMIC AND
(19) CALIFORNIA AFRICAN AMERICAN ACTION FUND
1215 K STREET SUITE 1700
SACRAMENTO,CA95814 		84-2864134 PUBLIC CHARITY 25,000 0     VACCINATE EQUITY CAMPAIGN PROPOSAL
(20) CALIFORNIA ASIAN PACIFIC CHAMBER OF COMMERCE FOUNDATION
2331 ALHAMBRA BLVD SUITE 100
SACRAMENTO,CA95817 		68-0423644 PUBLIC CHARITY 50,000 0     BUSINESS NAVIGATOR TRAINING/CERTIFICATION PROGRAM
(21) CALIFORNIA COALITION FOR RURAL HOUSING PROJECT
717 K ST STE 400
SACRAMENTO,CA958143408 		94-2832634 PUBLIC CHARITY 350,000 0     HEALTHY HOMES PROJECT PHASE VI
(22) CALIFORNIA COALITION FOR YOUTH
1321 HOWE AVE STE 210
SACRAMENTO,CA958253365 		94-2607710 PUBLIC CHARITY 20,000 0     SACRAMENTO YOUTH MENTAL HEALTH AMBASSADORS AND EXPERTS
(23) CALIFORNIA HERITAGE INDIGENOUS RESEARCH PROJECT
PO BOX 2624
NEVADA CITY,CA95959 		47-1477386 PUBLIC CHARITY 40,000 0     NORCAL COVID-19 - NISENAN COVID019 RELIEF
(24) CALIFORNIA HISPANIC CHAMBERS OF COMMERCE FOUNDATION
1510 J STREET SUITE 210
SACRAMENTO,CA95814 		37-1561859 PUBLIC CHARITY 25,000 0     STATEWIDE LATINO BUSINESS OUTREACH
(25) CALIFORNIA HUMAN DEVELOPMENT CORPORATION
3315 AIRWAY DR
SANTA ROSA,CA954032005 		94-1653023 PUBLIC CHARITY 20,000 0     IMMIGRANT RIGHTS & PROTECTION CLUSTER GRANT
(26) CALIFORNIA INDIAN MANPOWER CONSORTIUM INC
738 NORTH MARKET BOULEVARD
SACRAMENTO,CA95834 		94-2472564 PUBLIC CHARITY 90,000 0     CENSUS 2020 REGION 1 OUTREACH - CA COMPLETE COUNT - CENSUS 2020 PROJECT
(27) CALIFORNIA INSTITUTE FOR RURAL STUDIES INC
PO BOX 5327
SANTA CRUZ,CA95066 		94-2446268 PUBLIC CHARITY 400,000 0     COVID-19 SJVHF
(28) CALIFORNIA PAN-ETHNIC HEALTH NETWORK
1221 PRESERVATION PARK WAY
OAKLAND,CA94612 		94-3306223 PUBLIC CHARITY 50,000 0     ADVANCING AN EQUITABLE COVID-19 RESPONSE AND RECOVERY
(29) CALIFORNIA RURAL LEGAL ASSISTANCE INC
1430 FRANKLIN STREET SUITE 103
OAKLAND,CA946123209 		95-2428657 PUBLIC CHARITY 50,000 0     PROTECTING TULARE AND KINGS COUNTY RESIDENTS FROM NOXIOUS INDUSTRIAL POLLUTION
(30) CALIFORNIA STATE ALLIANCE OF YMCAS
1107 9TH STREET SUITE 1007
SACRAMENTO,CA95814 		47-1924794 PUBLIC CHARITY 300,000 0     YMCAS SUPPORTING BIPOC CHILD/FAMILY COVID-19 VACCINATION EFFORT
(31) CALIFORNIANS FOR JUSTICE EDUCATION FUND INC
1961 LAS PLUMAS AVENUE
SAN JOSE,CA95133 		94-3256009 PUBLIC CHARITY 81,262 0     CENTRAL VALLEY UNITED FOR POWER
(32) CATHOLIC CHARITIES OF STOCKTON
1106 NORTH EL DORADO STREET
STOCKTON,CA952021332 		94-1629114 PUBLIC CHARITY 50,000 0     ENVIRONMENTAL JUSTICE PROGRAM
(33) CENTER FOR COMMUNITY HEALTH AND WELL-BEING INC
4625 44TH STREET ROOM 13
SACRAMENTO,CA95820 		68-0248303 PUBLIC CHARITY 139,100 0     HEALING THE HOOD (COMMUNITY VIOLENCE PREVENTION AND INTERVENTION) COVID-19 CRISIS RESPONSE
(34) CENTER ON RACE POVERTY & ENVIRONMENT
1012 JEFFERSON STREET
DELANO,CA93215 		05-0557231 PUBLIC CHARITY 231,262 0     ACBO CENSUS 2020 - FORGOTTEN VOICES: CENSUS 2020 ENGAGEMENT
(35) CENTRAL CALIFORNIA ASTHMA COLLABORATIVE
4991 E MCKINLEY 109
FRESNO,CA937271966 		45-3599201 PUBLIC CHARITY 100,000 0     SJVHF WILDFIRE RESILIENCY
(36) CENTRAL VALLEY IMMIGRANT INTEGRATION COLLABORATIVE
516 VILLA AVE STE 28
CLOVIS,CA936127604 		83-0682400 PUBLIC CHARITY 90,000 0     REGIONAL IMMIGRATION EMPWOERMENT 2021-2022
(37) CENTRAL VALLEY PARTNERSHIP
3482 WEST SHAW AVENUE SUITE 102
FRESNO,CA93711 		81-3125919 PUBLIC CHARITY 50,000 0     GEOGRAPHIC JUSTICE: CENTRAL VALLEY REDISTRICTING ADVOCACY
(38) CENTRO BINACIONAL PARA EL DESARROLLO INDIGENA OAXAQUENO
2911 TULARE STREET
FRESNO,CA937211051 		77-0337939 PUBLIC CHARITY 370,000 0     ACBO CENSUS 2020 - INDIGENOUS COMMUNITIES COUNT IN CENSUS 2020 / LA COMMUNIDAD INDIGENA
(39) CENTRO LA FAMILIA ADVOCACY SERVICES INC
302 FRESNO STREET SUITE 102
FRESNO,CA937063600 		77-0310310 PUBLIC CHARITY 25,000 0     FRESNO LEGAL DEFENSE FUND
(40) CHILDREN NOW
1404 FRANKLIN STREET SUITE 700
OAKLAND,CA94612 		94-3059243 PUBLIC CHARITY 50,000 0     IMPROVING HEALTH AND EDUCATIONAL OUTCOMES FOR SAN JOAQUIN VALLEY YOUTH
(41) CHINESE FOR AFFIRMATIVE ACTION
17 WALTER U LUM PL
SAN FRANCISCO,CA941081801 		94-2161304 PUBLIC CHARITY 166,262 0     ACBO CENSUS 2020 - COUNTING THE SOUTHEAST ASIAN POPULATION IN CENSUS 2020
(42) CHURCH OF THE NAZARENE
5132 ELKHORN BLVD
SACRAMENTO,CA958282617 		23-7370482 PUBLIC CHARITY 104,100 0     KINGS AND QUEENS RISE
(43) COMMUNITIES FOR A NEW CALIFORNIA EDUCATION FUND
4120 DOUGLAS BLVD 306-418
GRANITE BAY,CA957465936 		45-1636468 PUBLIC CHARITY 50,425 0     ACBO CENSUS 2020 - CUENTA CONMIGO: CENSUS 2020 OUTREACH
(44) COMMUNITIES UNITED FOR RESTORATIVE YOUTH JUSTICE
490 LAKE PARK AVENUE 16086
OAKLAND,CA94610 		27-5008441 PUBLIC CHARITY 10,000 0     2021 CAYCJ MINI-GRANT
(45) COMMUNITY ALLIANCE WITH FAMILY FARMERS FOUNDATION
PO BOX 363
DAVIS,CA95617 		94-2914745 PUBLIC CHARITY 50,000 0     AFRICAN AMERICAN FARMERS CULTIVATING EQUITY IN THE CENTRAL VALLEY
(46) COMMUNITY INITIATIVES
1000 BROADWAY ST 480
OAKLAND,CA94607 		94-3255070 PUBLIC CHARITY 112,000 0     VACCINATION OUTREACH EFFORTS
(47) COMMUNITY JUSTICE ALLIANCE INC
1809 S STREET SUITE 101 BOX 291
SACRAMENTO,CA95811 		83-2059750 PUBLIC CHARITY 100,000 0     VACCINE EQUITY CAMPAIGN
(48) COMMUNITY WATER CENTER
900 W OAK AVE
VISALIA,CA932914716 		80-0267674 PUBLIC CHARITY 231,262 0     ACBO CENSUS 2020 - COUNTING TULARE COUNTY'S RURAL AND UNICORPORATED COMMUNITIES IN THE 2020
(49) COUNCIL ON AMERICAN-ISLAMIC RELATIONS CALIFORNIA
717 K STREET SUITE 217
SACRAMENTO,CA95814 		77-0411194 PUBLIC CHARITY 70,000 0     CAIR CAPACITY BUILDING FOR IMMIGRANTS' RIGHTS
(50) CULTIVA LA SALUD
4991 E MCKINLEY AVENUE SUITE 107
FRESNO,CA93703 		84-3696370 PUBLIC CHARITY 50,000 0     HEALTHY MEALS, HEALTHY KIDS - COMIDAS SALUDABLES, NIOS SANOS
(51) CULTURAL BROKERS INC
2115 KERN ST STE 330
FRESNO,CA937212100 		45-5495386 PUBLIC CHARITY 50,000 0     CULTURAL BROKERS, INC. COVID-19 EQUITY & ADVOCACY PROJECT
(52) DAUGHTERS OF ZION ENTERPRYZ
6489 47TH STREET
SACRAMENTO,CA95758 		94-3288179 PUBLIC CHARITY 84,000 0     YOUTH POPUPS
(53) DIVERISTY UPLIFT
6371 HAVEN AVE STE 3 265
RANCHO CUCAMONGA,CA91737 		83-3215066 PUBLIC CHARITY 100,000 0     COMMUNITY DOULA INITIATIVE
(54) DIVINE TRUTH UNITY FELLOWSHIP CHURCH INC DBA RAINBOW PRIDE YOUTH ALLIANCE
3540 SOUTH NORTH SHORE DRIVE
ONTARIO,CA91761 		33-0715010 PUBLIC CHARITY 300,000 0     THE PRIDE YOUTH LEADERSHIP AND RESILIENCY PROJECT
(55) DOLORES C HUERTA FOUNDATION
PO BOX 2087
BAKERSFIELD,CA933032087 		91-2145992 PUBLIC CHARITY 331,262 0     IMPROVING SCHOOL MEALS & INCREASING SCHOOL MEAL OPERATIONS
(56) EAST BAY SANCTUARY COVENANT
2362 BANCROFT WAY
BERKELEY,CA94704 		94-3249753 PUBLIC CHARITY 50,000 0     WRAPAROUND SUPPORT SERVICES FOR LATINX COMMUNITIES
(57) EDUCATION AND LEADERSHIP FOUNDATION
4290 E ASHLAN AVE
FRESNO,CA937262648 		26-0417563 PUBLIC CHARITY 80,000 0     FRESNO LEGAL DEFENSE FUND
(58) FAIRMEAD COMMUNITY AND FRIENDS INC
PO BOX 517
CHOWCHILLA,CA93610 		46-5526735 PUBLIC CHARITY 40,000 0     PROTECTING WATER IN FAIRMEAD
(59) FAITH IN ACTION BAY AREA
1780 BROADWAY ST
REDWOOD CITY,CA94063 		94-2716470 PUBLIC CHARITY 75,000 0     LATINO OUTREACH FOR COVID
(60) FAITH IN ACTION EAST BAY
8400 ENTERPRISE WAY
OAKLAND,CA94621 		94-2494442 PUBLIC CHARITY 100,000 0     VACCINE EQUITY FOR ALL
(61) FAITH IN THE VALLEY
2027 E HARDING WAY
STOCKTON,CA952053711 		77-0635938 PUBLIC CHARITY 221,282 0     CVUP
(62) FATHERS & FAMILIES OF SAN JOAQUIN
20 N SUTTER STREET SUITE 201
STOCKTON,CA95202 		32-0171398 PUBLIC CHARITY 108,211 0     STOCKTONS UNDERSERVED DEMONSTRATING SUCCESS
(63) FILIPINO ADVOCATES FOR JUSTICE
310 8TH STREET SUITE 309
OAKLAND,CA94607 		94-2218907 PUBLIC CHARITY 50,000 0     FILIPINO COMMUNITY COVID-19 VACCINE AWARENESS PROJECT
(64) FOOD BANK OF EL DORADO COUNTY
4550 BUSINESS DRIVE
CAMERON PARK,CA95682 		68-0457594 PUBLIC CHARITY 20,000 0     FOOD BANK OF EL DORADO COUNTY RELIEF FUNDING
(65) FOODLINK FOR TULARE COUNTY INC
PO BOX 391
EXETER,CA932210000 		94-2558802 PUBLIC CHARITY 50,000 0     AGROECOLOGY & LOCAL FOOD SYSTEM RESILIENCY
(66) FRESNO BARRIOS UNIDOS
4415 E TULARE ST
FRESNO,CA937023039 		77-0363955 PUBLIC CHARITY 50,000 0     2021 CAYCJ MINI-GRANT
(67) FRESNO BUILDING HEALTHY COMMUNITIES
367 N FIRST ST
FRESNO,CA93702 		81-3711032 PUBLIC CHARITY 1,550,000 0     FRESNO COUNTY COVID-19 EQUITY PROJECT
(68) FRESNO CENTER FOR NONVIOLENCE
1584 N VAN NESS
FRESNO,CA93728 		77-0312608 PUBLIC CHARITY 25,000 0     SJVHF COVID-19
(69) FRESNO INTERDENOMINATIONAL REFUGEE MINISTRIES
1940 N FRESNO ST
FRESNO,CA937032231 		77-0357297 PUBLIC CHARITY 12,000 0     FRESNO SOUTHEAST ASIAN COALITION FOR ACTION (FSACA)
(70) FRESNO METRO BLACK CHAMBER OF COMMERCE
1444 FULTON STREET 116
FRESNO,CA93271 		77-0527269 PUBLIC CHARITY 40,000 0     FRESNO TABLE FOR CIVIC PARTICIPATION - 2021 FIELD PROGRAM
(71) GENDER HEALTH CENTER
2020 29TH STREET SUITE 201
SACRAMENTO,CA95817 		26-3839452 PUBLIC CHARITY 257,700 0     YOUTH TO POWER PIPELINE
(72) GREATER SACRAMENTO URBAN LEAGUE
3725 MARYSVILLE BLVD
SACRAMENTO,CA958383738 		94-1686314 PUBLIC CHARITY 88,100 0     HEALING THE HOOD CRISIS RESPONSE
(73) GREENACTION FOR HEALTH AND ENVIRONMENTAL JUSTICE
559 ELLIS STREET
SAN FRANCISCO,CA94109 		43-2050242 PUBLIC CHARITY 50,000 0     SAN JOAQUIN VALLEY ENVIRONMENTAL HEALTH AND JUSTICE PROJECT
(74) GREENVILLE RANCHERIA
PO BOX 279
GREENVILLE,CA95947 		68-0052490 GOVERNMENT 40,000 0     NORCAL COVID-19 - GREENVILLE RANCHERIA TRIBAL ENERGY ASSISTANCE FUND
(75) HAVEN WOMEN'S CENTER OF STANISLAUS
618 13TH STREET
MODESTO,CA95354 		94-2499361 PUBLIC CHARITY 50,000 0     HARRT: SCHOOL-BASED, YOUTH-LED ADOLESCENT RELATIONSHIP ABUSE PREVENTION PROGRAM
(76) HEALTH EDUCATION COUNCIL SERVING POPULATIONS AT RISK
3950 INDUSTRIAL BLVD SUITE 600
WEST SACRAMENTO,CA95691 		68-0249296 PUBLIC CHARITY 200,000 0     CENTRAL VALLEY VACCINE EQUITY HUB (CVVE HUB)
(77) HMONG CULTURAL CENTER OF BUTTE COUNTY
PO BOX 2134
OROVILLE,CA95965 		68-0463738 PUBLIC CHARITY 10,000 0     COVID-19 NORCAL
(78) HMONG CULTURE CAMP
4925 WEBBER COURT
MERCED,CA95348 		84-4282968 PUBLIC CHARITY 25,000 0     "A COMMUNITY HEALING FOR ASIAN AMERICANS DURING THE PANDEMIC"
(79) HMONG YOUTH AND PARENTS UNITED
631 ELEANOR AVE
SACRAMENTO,CA958151614 		26-3840730 PUBLIC CHARITY 85,000 0     SACRAMENTO YOUTH VACCINATION PROGRAM
(80) HOOKED ON FISHING NOT ON VIOLENCE FOUNDATION
2245 FLORIN ROAD 2
SACRAMENTO,CA95822 		81-4448442 PUBLIC CHARITY 15,000 0     WE FISH AS ONE PROJECT
(81) HUMAN RESPONSE NETWORK
PO BOX 2370
WEAVERVILLE,CA960932370 		68-0032176 PUBLIC CHARITY 20,000 0     TRINITY COUNTY RELIEF FUND
(82) IMMIGRANT LEGAL RESOURCE CENTER
1458 HOWARD ST
SAN FRANCISCO,CA941032523 		94-2939540 PUBLIC CHARITY 110,000 0     PREPARING FOR THE FUTURE: MAPPING IMMIGRATION LEGAL SERVICES CAPACITY IN THE SAN JOAQUIN VALLEY
(83) IMPROVE YOUR TOMORROW
3780 ROSIN COURT SUITE 240
SACRAMENTO,CA958341644 		46-2981774 PUBLIC CHARITY 751,434 0     IYT COVID-19 FAMILY ASSISTANCE PROGRAM
(84) INSIGHT GARDEN PROGRAM
2081 CENTER STREET
BERKELEY,CA94704 		46-3998218 PUBLIC CHARITY 20,000 0     COVID-19 PRISON & REENTRY RAPID RESPONSE PROJECT
(85) INTERNATIONAL RESCUE COMMITTEE
3446 N GOLDEN STATE BLVD
TURLOCK,CA95382 		13-5660870 PUBLIC CHARITY 400,000 0     AMP'D UP (ASTHMA MITIGATION PROJECT FOR UNDERSERVED POPULATIONS)
(86) INTERSECTION FOR THE ARTS
1446 MARKET STREET
SAN FRANCISCO,CA94102 		94-1593216 PUBLIC CHARITY 25,000 0     THE BEAT WITHIN
(87) IU MIEN COMMUNITY SERVICES
5657 STOCKTON BLVD
SACRAMENTO,CA958241611 		68-0364879 PUBLIC CHARITY 61,000 0     SACRAMENTO YOUTH VACCINATION PROGRAM
(88) JAKARA MOVEMENT
5089 N 1ST ST STE 102
FRESNO,CA93710 		26-3225754 PUBLIC CHARITY 301,507 0     BUILDING IMMIGRANT CIVIC POWER AND INTEGRATION IN THE CENTRAL VALLEY
(89) KARUK TRIBE OF CALIFORNIA
64236 SECOND AVE
HAPPY CAMP,CA96039 		94-2576572 PUBLIC CHARITY 20,000 0     COVID-19 NORCAL - KARUK TRIBE COVID RESPONSE
(90) KIND INC
1201 L ST NW FL 2
WASHINGTON,DC200054019 		26-2763038 PUBLIC CHARITY 20,000 0     A HOLISTIC APPROACH TO LEGAL REPRESENTATION OF UNACCOMPANIED IMMIGRANT CHILDREN IN CALIFORNIA'S
(91) LA FAMILIA COUNSELING CENTER INC
5523 34TH ST
SACRAMENTO,CA958204725 		94-2270786 PUBLIC CHARITY 73,000 0     VULNERABLE YOUTH IN THE CITY OF SACRAMENTO
(92) LASSEN FAMILY SERVICES INC
1306 RIVERSIDE DRIVE
SUSANVILLE,CA96130 		94-2691072 PUBLIC CHARITY 20,000 0     COVID AND WILDFIRE RELIEF FOR THOSE IMPACTED BY DOMESTIC VIOLENCE AND SEXUAL ASSAULT
(93) LATINO COMMUNITY FOUNDATION
235 MONTGOMERY ST STE 1160
SAN FRANCISCO,CA941043004 		81-0564400 PUBLIC CHARITY 1,000,000 0     LATINO VACCINATION CAMPAIGN
(94) LATINO LEADERSHIP COUNCIL
2945 BELL RD
AUBURN,CA956032540 		27-0970476 PUBLIC CHARITY 72,000 0     YOUTH POPUPS
(95) LEADERSHIP COUNSEL FOR JUSTICE AND ACCOUNTABILITY
2210 SAN JOAQUIN ST
FRESNO,CA937211127 		46-1517800 PUBLIC CHARITY 459,122 0     WATER AND COMMUITY ENGAGEMENT IN LABARE, CA
(96) LGBTQ COLLABORATIVE
1202 H STREET SUITE D
MODESTO,CA95354 		85-1911056 PUBLIC CHARITY 25,000 0     NOTHING ABOUT US WITHOUT US
(97) LIBERTY HILL FOUNDATION
6420 WILSHIRE BLVD
LOS ANGELES,CA90048 		51-0181191 PUBLIC CHARITY 100,000 0     CALIFORNIA FUNDERS FOR BOYS AND MEN OF COLOR
(98) LITTLE MANILA FOUNDATION
2154 S SAN JOAQUIN STREET
STOCKTON,CA95206 		20-2661354 PUBLIC CHARITY 120,000 0     IMMIGRATION RIGHTS AND PROTECTIONS
(99) MADERA COALITION FOR COMMUNITY JUSTICE
219 SOUTH D STREET
MADERA,CA93638 		77-0391942 PUBLIC CHARITY 140,000 0     MADERA WATER STEWARDSHIP PROJECT
(100) MCKINLEYVILLE COMMUNITY COLLABORATIVE
PO BOX 2668
MCKINLEYVILLE,CA95519 		68-0445130 PUBLIC CHARITY 300,000 0     HUMBOLDT COUNTY ASTHMA HOME VISITING PROGRAM
(101) MENDING FENCES AT JM RANCH
35919 ROAD 112
VISALIA,CA932919518 		81-5200967 PUBLIC CHARITY 140,000 0     YOUTH DEVELOPMENT PROJECT
(102) MEXICAN AMERICAN LEGAL DEFENSE AND EDUCATIONAL FUND
634 S SPRING STREET 11TH FLOOR
LOS ANGELES,CA900143921 		74-1563270 PUBLIC CHARITY 20,000 0     KERN YOUTH ABOLITIONIST LEADERSHIP DEVELOPMENT IN KERN COUNTY RURAL AREAS
(103) MILPA
339 MELODY LANE
SALINAS,CA93901 		83-2137871 PUBLIC CHARITY 300,000 0     LEVERAGING SOCIAL JUSTICE LEADERSHIP THROUGH HEALING, MENTORSHIP, AND NARRATIVE CHANGE
(104) MOTIVATING ACTION LEADERSHIP OPPORTUNITY (MALO)
936 NORTH LA PALOMA AVENUE
ONTARIO,CA91764 		82-4711809 PUBLIC CHARITY 150,000 0     PREVENTING AND PROTECTING PACIFIC ISLANDERS FROM COVID-19: VACCINE EQUITY
(105) MUTUAL ASSISTANCE NETWORK OF DEL PASO HEIGHTS
811 GRAND AVE STE A-3
SACRAMENTO,CA958383466 		68-0332694 PUBLIC CHARITY 104,100 0     KING AND QUEENS RISE
(106) MY SISTER'S HOUSE
3053 FREEPORT 120
SACRAMENTO,CA95818 		68-0464114 PUBLIC CHARITY 15,000 0     BUILDING, PROTECTING, AND HEALING ASIAN AMERICAN COMMUNITIES
(107) NATIONAL ACADEMIC YOUTH CORPS INC
2251 FLORIN ROAD SUITE 126
SACRAMENTO,CA95822 		80-0064237 PUBLIC CHARITY 42,000 0     SACRAMENTO YOUTH POPUP PROGRAM
(108) NATIVE DIRECTIONS INC DBA THREE RIVERS INDIAN LODGE
13505 SOUTH UNION ROAD
MANTECA,CA95336 		23-7419354 PUBLIC CHARITY 298,516 0     NATIVE DIRECTIONS YOUTH EDUCATION OUTREACH PROJECT (NYDE)
(109) NEXUS YOUTH AND FAMILY SERVICES
601 COURT STREET SUITE 210
JACKSON,CA95642 		81-2309847 PUBLIC CHARITY 350,000 0     MEDI-CAL HEALTH NAVIGATOR PROJECT: AMADOR COUNTY
(110) OCA - ASIAN PACIFIC AMERICAN ADVOCATES
1322 18TH ST NW
WASHINGTON,DC20036 		23-7250499 PUBLIC CHARITY 100,000 0     OCA COVID-19 VACCINATION OUTREACH PROGRAM PROPOSAL
(111) ORGANIZATION FOR THE LEGAL ADVANCEMENT OF RAZA
180 N MAIN STREET
PORTERVILLE,CA932580190 		94-2403683 PUBLIC CHARITY 50,000 0     HOMEGROWN THERAPISTS
(112) ORGANIZATION OF CHINESE AMERICANS INC
PO BOX 221306
SACRAMENTO,CA958228306 		68-0355113 PUBLIC CHARITY 15,000 0     DONATE4SACRAMENTO
(113) PCS FAMILY SERVICES
383 NORTH MAIN STREET
POMONA,CA91768 		82-2283082 PUBLIC CHARITY 263,400 0     EVERY YOUTH MATTERS: EFFECTIVE BLACK PARENTING OF 8TH-12TH GRADE YOUTH
(114) PEACE DEVELOPMENT FUND INC
PO BOX 1280
AMHERST,MA01004 		04-2738794 PUBLIC CHARITY 20,000 0     NORCAL COVID-19 - CA INDIGENOUS PEOPLES SAFETY FUND & NETWORK
(115) PESTICIDE ACTION NETWORK NORTH AMERICA REGIONAL CENTER
2029 UNIVERSITY AVE STE 200
BERKELEY,CA947041015 		94-2949686 PUBLIC CHARITY 100,000 0     BUILDING THE MOVEMENT FOR PESTICIDE REFORM IN THE SJV
(116) PIT RIVER TRIBE
36970 PARK AVENUE
BURNEY,CA96013 		94-2424153 GOVERNMENT 20,000 0     PIT RIVER TRIBE COVID-19 RESPONSE
(117) PLACER PEOPLE OF FAITH TOGETHER
PO BOX 5394
AUBURN,CA956045394 		27-0240478 PUBLIC CHARITY 20,000 0     PLACER HOPE 2021
(118) POWER CALIFORNIA
3636 NORTH 1ST STREET SUITE 132
FRESNO,CA93726 		77-0651682 PUBLIC CHARITY 131,262 0     BUILDING MOVEMENT FOR HOUSING JUSTICE IN THE MIDST OF COVID-19
(119) POWERPAC
456 MONTGOMERY STREET SUITE 1350
SAN FRANCISCO,CA94104 		65-1218474 PUBLIC CHARITY 54,000 0     YOUTH-LED RAPID RESPONSE MEDIA CAMPAIGN - SAN JOAQUIN COMING TOGETHER
(120) PREVENT CHILD ABUSE CALIFORNIA
4700 ROSEVILLE ROAD
NORTH HIGHLANDS,CA95660 		94-2860387 PUBLIC CHARITY 547,625 0     CALIFORNIA FAMILY RESOURCE ASSOCIATION VACCINE EQUITY
(121) PUBLIC HEALTH ADVOCATES
POST OFFICE BOX 2309
DAVIS,CA95617 		95-4723901 PUBLIC CHARITY 50,000 0     FACES OF RESILIENCE LUSD
(122) RADIO BILINGUE INC
5005 E BELMONT AVE
FRESNO,CA937272441 		94-2472322 PUBLIC CHARITY 70,000 0     RADIO BILINGUE IMMIGRANT RIGHTS ON AIR
(123) REESTABLISHING STATFORD
PO BOX 233
STATFORD,CA93266 		47-3935861 PUBLIC CHARITY 26,000 0     HEALTHY COMMUNITIES
(124) REIMAGINE MACK ROAD FOUNDATION
75 QUINTA COURT SUITE D
SACRAMENTO,CA958234302 		46-4193875 PUBLIC CHARITY 92,500 0     SACRAMENTO YOUTH VACCINATION PROGRAM
(125) RESTORE THE DELTA
509 E MAIN STREET
STOCKTON,CA952022900 		27-4179166 PUBLIC CHARITY 54,000 0     STOCKTON YOUTH MEDIA COLLABORATIVE
(126) RINCON INDIAN EDUCATION CENTER
PO BOX 1147
VALLEY CENTER,CA92082 		95-2899778 PUBLIC CHARITY 300,000 0     RINCON INDIAN EDUCATION CENTER
(127) ROBERTS FAMILY DEVELOPMENT CENTER
770 DARINA AVE
SACRAMENTO,CA95815 		68-0470557 PUBLIC CHARITY 575,600 0     SACRAMENTO YOUTH VACCINATION PROGRAM
(128) ROOTS COMMUNITY HEALTH CENTER
7272 MACARTHUR BLVD
OAKLAND,CA94605 		26-2583954 PUBLIC CHARITY 100,000 0     ROOTS' VACCINE EQUITY CAMPAIGN IN OAKLAND, CALIFORNIA
(129) ROSE FAMILY CREATIVE EMPOWERMENT CENTER INC
7000 FRANKLIN BLVD SUITE 1000
SACRAMENTO,CA95823 		80-0968840 PUBLIC CHARITY 99,811 0     KINGS AND QUEENS RISE
(130) ROSE FOUNDATION FOR COMMUNITIES AND THE ENVIRONMENT
201 4TH STREET APT 102
OAKLAND,CA946074369 		94-3179772 PUBLIC CHARITY 63,000 0     COVID OUTREACH AND EDUCATION VIA COMMUNITY LENS
(131) SACRAMENTO AREA CONGREGATIONS TOGETHER
2701 DEL PASO ROAD SUITE 130 PMB
601
SACRAMENTO,CA95835 		94-3146791 PUBLIC CHARITY 30,000 0     COMMUNITY OUTREACH AND ENGAGEMENT
(132) SACRAMENTO BLACK CHAMBER OF COMMERCE FOUNDATION INC
5770 FREEPORT BLVD
SACRAMENTO,CA958223519 		95-4818928 PUBLIC CHARITY 20,000 0     DONATE 4 SACRAMENTO
(133) SACRAMENTO INDEPENDENT LEARNING CENTER CORPORATION
340 MENARD CIRCLE
SACRAMENTO,CA95835 		20-8394742 PUBLIC CHARITY 6,000 0     PARENT EDUCATIONAL WORKSHOP SERIES
(134) SACRAMENTO LGBT COMMUNITY CENTER
1015 20TH ST
SACRAMENTO,CA958114202 		94-2502229 PUBLIC CHARITY 85,000 0     SACRAMENTO YOUTH VACCINATION AND ENGAGEMENT PROGRAM
(135) SACRAMENTO NEIGHBORHOOD HOUSING SERVICES INC
2411 ALHAMBRA BLVD STE 200
SACRAMENTO,CA958171100 		68-0118032 PUBLIC CHARITY 16,000 0     OAK PARK FARMERS MARKET HEALTHY FROM THE START
(136) SANTA CRUZ BARRIOS UNIDOS INC
1817 SOQUEL AVE
SANTA CRUZ,CA95060 		77-0333450 PUBLIC CHARITY 310,498 0     CALIFORNIA ALLIANCE FOR YOUTH AND COMMUNITY JUSTICE
(137) SELF AWARENESS AND RECOVERY
4625 44TH ST
SACRAMENTO,CA958203909 		47-5249669 PUBLIC CHARITY 95,000 0     SACRAMENTO YOUTH ENGAGEMENT PROGRAM
(138) SELF-HELP ENTERPRISES
8445 W ELOWIN COURT
VISALIA,CA93291 		94-1592676 PUBLIC CHARITY 153,000 0     SJVHF WATER CLUSTER FOR THE EQUITABLE IMPLEMENTATION OF SGMA AND SB 200
(139) SEQUOIA RIVERLANDS TRUST
427 SOUTH GARDEN STREET
VISALIA,CA93277 		77-0347417 PUBLIC CHARITY 50,000 0     REDUCING HEALTH DISPARITIES THROUGH LAND USE CHANGE AND EDUCATIONAL EMPOWERMENT
(140) SERVICES & IMMIGRANT RIGHTS & EDUCATION NETWORK
1415 KOLL CIRCLE SUITE 108
SAN JOSE,CA95112 		77-0487468 PUBLIC CHARITY 105,000 0     FRESNO LEGAL DEFENSE FUND
(141) SIGMA BETA XI INC
14340 ELSWORTH ST STE 104
MORENO VALLEY,CA925539020 		30-0779014 PUBLIC CHARITY 30,000 0     PYJI
(142) SILICON VALLEY DE-BUG
701 LENZEN AVE
SAN JOSE,CA951262734 		46-4274158 PUBLIC CHARITY 30,000 0     PYJI
(143) SLAVIC-AMERICAN CHAMBER OF COMMERCE
3104 O ST
SACRAMENTO,CA95816 		27-1304045 PUBLIC CHARITY 12,500 0     COVID RELIEF ASSISTANCE TO SLAVIC OWNED SMALL BUSINESSES
(144) SOCIAL AND ENVIRONMENTAL ENTREPRENEURS INC
23564 CALABASAS ROAD SUITE 201
CALABASAS,CA913021338 		95-4116679 PUBLIC CHARITY 400,000 0     CHAMPIONING EQUITABLE PROTECTIONS FROM PARTICLE POLLUTION
(145) SOCIAL GOOD FUND
MACDONALD AVE
RICHMOND,CA94801 		46-1323531 PUBLIC CHARITY 250,000 0     SAFE RETURN PROJECT VACCINE EQUITY CAMPAIGN
(146) SOJOURNER TRUTH AFRICAN AMERICAN MUSEUM
2251 FLORIN ROAD 126
SACRAMENTO,CA95822 		PUBLIC CHARITY 42,000 0     YOUTH POPUPS
(147) SOMALI FAMILY SERVICE OF SAN DIEGO
5348 UNIVERSITY AVE STE 203
SAN DIEGO,CA921058025 		91-2065038 PUBLIC CHARITY 350,000 0     SHIFA ASTHMA PROGRAM
(148) SOURCE LGBT CENTER INC
PO BOX 188
VISALIA,CA93279 		81-1907707 PUBLIC CHARITY 350,000 0     LGBT+ HEALTH EQUITY AND ADVOCACY
(149) SOUTH SACRAMENTO CHRISTIAN CENTER CHURCH
7710 STOCKTON BLVD
SACRAMENTO,CA958234305 		68-0186235 PUBLIC CHARITY 146,100 0     KINGS AND QUEENS RISE
(150) SOUTHEAST ASIA RESOURCE ACTION CENTER
1225 8TH ST SUITE 590
SACRAMENTO,CA98514 		52-1161473 PUBLIC CHARITY 50,000 0     ENSURING ACCESSIBLE, EQUITABLE COVID-19 SUPPORT FOR REFUGEE AND IMMIGRANT COMMUNITIES
(151) SOUTHERN CALIFORNIA GRANTMAKERS
1000 NORTH ALAMEDA ST SUITE 230
LOS ANGELES,CA90012 		95-2831058 PUBLIC CHARITY 500,000 0     GRASSROOTS GRANTS FOR VACCINE EQUITY
(152) SOW A SEED COMMUNITY FOUNDATION
35 EAST 10TH STREET SUITE D1
TRACY,CA95376 		11-3821058 PUBLIC CHARITY 54,000 0     YOUTH MEDIA RAPID RESPONSE CAMPAIGN
(153) STANFORD SETTLEMENT INC
450 W EL CAMINO AVE
SACRAMENTO,CA95833 		94-1550842 PUBLIC CHARITY 60,000 0     YOUTH POPUPS
(154) STANISLAUS ASIAN AMERICAN COMMUNITY RESOURCE (SAACR)
3032 TAGURA DRIVE
MODESTO,CA95355 		46-2909624 PUBLIC CHARITY 26,000 0     VACCINE EQUITY CAMPAIGN
(155) TAHOE MAGIC INC
PO BOX 13070
S LAKE TAHOE,CA961513070 		94-3199111 PUBLIC CHARITY 20,000 0     EMERGENCY SHELTER RELIEF ASSISTANCE FOR SOUTH LAKE TAHOE
(156) THE FREEDOM BOUND CENTER
2574 21ST ST
SACRAMENTO,CA958182523 		68-0477373 PUBLIC CHARITY 138,040 0     SACRAMENTO YOUTH VACCINATION PROGRAM
(157) THE FRESNO CENTER
4879 E KINGS CANYON RD
FRESNO,CA937273811 		77-0280265 PUBLIC CHARITY 120,000 0     ACBO CENSUS 2020 - SOUTHEAST ASIAN CONNECTOR AND AWARENESS PROGRAM (SACAP)
(158) THE TIDES FOUNDATION
PO BOX 399389
SAN FRANCISCO,CA94139 		51-0198509 PUBLIC CHARITY 50,000 0     WE CAN DO THIS STOCKTON/SAN JOAQUIN
(159) TIDES CENTER
PO BOX 561271
LOS ANGELES,CA90056 		94-3213100 PUBLIC CHARITY 50,000 0     STOCKTON HOUSING JUSTICE COALITION
(160) TIME OF CHANGE
327 COLLEGE STREET SUITE 111
WOODLAND,CA95695 		83-1382006 PUBLIC CHARITY 300,000 0     INCREASED CAPACITY TO EMPOWER YOUTH TO ADVOCATE FOR JUSTICE
(161) TODEC LEGAL CENTER PERRIS
PO BOX 1733
PERRIS,CA92570 		33-0711527 PUBLIC CHARITY 12,000 0     SEMBRANDO PREVENCION
(162) TREES FOUNDATION
439 MELVILLE DR
GARBERVILLE,CA95542 		68-0259810 PUBLIC CHARITY 40,000 0     COVID-19 NORCAL NATIVE YOUTH AND FAMILIES MENTAL HEALTH AND TRADITIONAL FOODS PROJECT
(163) TRUE NORTH ORGANIZING NETWORK
517 3RD ST SUITE 16
EUREKA,CA955015105 		47-2208314 PUBLIC CHARITY 400,000 0     SUPPORT CHARITABLE PURPOSE
(164) TRYBE INC
46-4328520
OAKLAND,CA94602 		46-4328520 PUBLIC CHARITY 100,000 0     VACCINE CHOICE FOR THE PEOPLE
(165) UNDERGROUND GRIT
1914 WEST ORANGEWOOD
ORANGE,CA92868 		84-2132857 PUBLIC CHARITY 20,000 0     2021 CAYCJ MINI-GRANTS
(166) UNITED WAY OF MERCED COUNTY INC
531 W MAIN ST
MERCED,CA953404715 		94-2633265 PUBLIC CHARITY 75,000 0     POLICY AND SYSTEMS CHANGE FOR HMONG HEALTH EQUITY
(167) UNIVERSITY OF CALIFORNIA MERCED FOUNDATION
5200 NORTH LAKE ROAD
MERCED,CA95343 		94-3250114 PUBLIC CHARITY 50,000 0     FRESNO HOUSING AND HEALTH: LOCAL ORGANIZING COMMITTEE
(168) UTILITY REFORM NETWORK
785 MARKET STREET SUITE 1400
SAN FRANCISCO,CA94103 		23-7351081 PUBLIC CHARITY 50,000 0     BROADBAND@HOME: EXPANDING VALLEY ACCESS
(169) VALLEY VOICES
1303 AMELIA AVE
HANFORD,CA932302705 		84-3911625 PUBLIC CHARITY 50,000 0     TO SUPPORT LOCAL KINGS COUNTY REDISTRICTING EFFORTS THROUGH COMMUNITY ENGAGEMENT.
(170) VIETNAMESE AMERICAN ROUNDTABLE
6111 JASON COURT
SAN JOSE,CA95123 		82-1802251 PUBLIC CHARITY 50,000 0     VIVA - VIETNAMESE AMERICAN VACCINE ACTION
(171) VILLAGE ADVOCATES OF SACRAMENTO
PO BOX 246418
SACRAMENTO,CA958246418 		83-1407739 PUBLIC CHARITY 84,000 0     YOUTH POPUPS
(172) VOICE OF YOUTH INC
2251 FLORIN RD STE 35
SACRAMENTO,CA958224498 		46-3441788 PUBLIC CHARITY 99,000 0     YOUTH POPUPS
(173) WITH OUR WORDS INCORPORATED
165 CLEVELAND STREET 3
STOCKTON,CA95204 		20-1545963 PUBLIC CHARITY 53,694 0     WE FLOW RADIO AND YOUTH JOURNALISM PILOT PROJECT
(174) YOUTH EMPOWERMENTS FINEST
4660 EL CAJON BOULEVARD SUITE 205
SAN DIEGO,CA92105 		47-4341536 PUBLIC CHARITY 299,598 0     TRAUMA-INFORMED CARE CODE OF CONDUCT & YOUTH EMPOWERMENT FUNDRAISING DRIVE
(175) YOUTH FORWARD
2411 15TH STREET SUITE A
SACRAMENTO,CA95818 		81-5343876 PUBLIC CHARITY 25,000 0     YOUTH-LED MENTAL WELLNESS PROJECT
(176) YOUTH SPIRIT ARTWORKS INC
1740 ALCATRAZ AVE
BERKELEY,CA947032713 		20-8857392 PUBLIC CHARITY 300,000 0     YOUTH EMPOWERMENT AND CAPACITY BUILDING
(177) YXPLOSION
7909 WALERGA ROAD SUITE 112 274
ANTELOPE,CA95843 		26-4641860 PUBLIC CHARITY 10,000 0     COMMUNITY EDUCATION SERIES
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
178
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) 2021

Schedule I (Form 990) 2021
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) 2021



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
2021
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) 2021

Schedule J (Form 990) 2021
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, 1099-MISC compensation, and/or 1099-NEC (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
-------------
432,915 		0
-------------
0 		0
-------------
4,300 		0
-------------
17,400 		0
-------------
34,624 		0
-------------
489,239 		0
-------------
0
2GIL ALVARADO
SVP FINANCE & ADMIN 		(i)

(ii)		 0
-------------
274,964 		0
-------------
16,097 		0
-------------
150 		0
-------------
17,400 		0
-------------
41,270 		0
-------------
349,881 		0
-------------
0
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
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) 2021

Additional Data


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

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
2021
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 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) 2021


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
2021
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 21,898 3,132,931 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) 2021
Schedule R (Form 990) 2021
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) 2021
Schedule R (Form 990) 2021
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
Yes
 
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) 2021
Schedule R (Form 990) 2021
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) 2021
Schedule R (Form 990) 2021
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) 2021

Additional Data


Software ID:  
Software Version: