California Childrens Hospital Association

Nonprofit profile at a glance

EIN
954306671
IRS 990 coverage
2010–2025
Forms available
Form 990 2025
Location
Sacramento, CA, USA
Phone
9165527111
Rating
74
Verdict
SUPPORTED
Rating confidence
Moderate

Official website

Reported finances

Revenue
$2,032,521
Expenses
$2,036,708
Assets
$804,739
Liabilities
$365,110

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

10 people listed

Executive titles in this filing

  • Ann-Louise Kuhns (President & CEO)

Highest reported compensation

  • Ann-Louise Kuhns (President & CEO): $516,013 total reported compensation
  • Belinda Ponder (Dir. of Finance): $227,092 total reported compensation
  • Mira Morton (Government Affairs): $210,846 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Our mission is to advance the well-being of children, promote access to high quality pediatric health care, and ensure the long-term viability of childrens hospitals.

What it reported doing in 2025

Analysis and advocacy related to state and federal legislation affecting the delivery of pediatric health care services. CCHA actively analyzes proposed bills and policy changes to ensure the effect will not be detrimental to pediatric providers and advocates based on established policy positions. CCHA focuses on preserving access to quality care for all children as well as appropriate financing for patients and providers.

Operating model

Revenue model
Earned-program. 90% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 85% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Some filing-based governance responses are negative or unanswered and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 76
  • Transparency & Controls: 73
  • Accountability: 80
  • Sustainability: 18
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 85.5%; rating input score 85
  • Program expense ratio: 86.4%; rating input score 86
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: 1 of 6 controls in place; rating input score 17
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 100%; rating input score 100; 75th percentile among comparable filings
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 88.9%; rating input score 89; 21st percentile among comparable filings
  • Governance controls: 6 of 9 controls in place; rating input score 67
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Fail
    • Document-retention policy: Fail
    • CEO compensation review process: Pass
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -0.2%; rating input score 25; 25th percentile among comparable filings
  • Total-asset coverage ratio: 0.4; rating input score 12; 12th percentile among comparable filings
  • Liabilities to assets ratio: 0.45; rating input score 18; 18th percentile among comparable filings
  • Officer compensation ratio: 46.8%; rating input score 2; 2nd percentile among comparable filings

Growth

  • Program expense growth: 10.9% per year; rating input score 100; 64th percentile among comparable filings
  • Revenue growth: 6.4% per year; rating input score 100; 47th percentile among comparable filings
  • Asset growth: 9.4% per year; rating input score 100; 55th percentile among comparable filings

Details

  • Where the money goes: 85.5% of revenue deployed · 86.4% of spending went to programs
  • Governance: 8 of 9 board members independent · 6 of 9 filing controls reported
  • Programs: 3 filed program accomplishments
  • Leadership: top reported pay $516K · 10 people listed · 1 of 6 pay-setting controls reported
  • Highest-paid contractors: 1 contractor listed · $184K reported
  • Consistency: 32 of 32 current checks pass
  • Schedules: 6 filed schedules · includes grants and executive pay
  • Filing history: 16 filing years from 2010 to 2025
  • Contacts: How to reach this organization
  • Money network: 4 filed money-flow records
  • Related organizations: 1 filed related-organization link
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Accountability: Governance controls: 3 of 9 not reported.
  • High — Sustainability: Operating margin scored 25/100.
  • High — Sustainability: Total-asset coverage ratio scored 12/100.
  • High — Sustainability: Officer compensation ratio scored 2/100.
  • High — Sustainability: Liabilities to assets ratio scored 18/100.