California Health Collaborative
Nonprofit profile at a glance
- EIN
- 942862660
- IRS 990 coverage
- 2012–2024
- Forms available
- Form 990 2024
- Location
- Fresno, CA, USA
- Phone
- 5592216315
- Rating
- 80
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Health Treatment Facilities, Primarily Outpatient
Reported finances
- Revenue
- $17,569,497
- Expenses
- $17,767,781
- Assets
- $5,738,553
- Liabilities
- $4,054,198
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
17 people listed
Executive titles in this filing
- Stephen Ramirez (Former CEO)
Highest reported compensation
- Stephen Ramirez (Former CEO): $358,876 total reported compensation
- Evi Hernandez (Sr Dir of Programs): $117,989 total reported compensation
- Chris Blalock (Dir of Finance): $108,061 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Improving health and wellness of individuals with limited access to health-care resources and who most often confront barriers related to culture, language, immigration status, income, gender, geography, and/or education.
What it reported doing in 2024
Tobacco Programs - The San Bernardino County Tobacco Control Program works to reduce underage youth access to tobacco products and limit exposure to secondhand and thirdhand smoke in outdoor public areas. With support from community partners and members, the program achieved a major milestone when the TRL/DAO in Victorville passed its second reading at the July City Council meeting and officially went into effect on November 14, 2024. The program also developed new educational materials, completed and consumer-tested key informant interviews (KIIs) for Apple Valley, hosted a community education event in Hesperia, and continued to support an active youth coalition. The program maintained a combined membership of 115 adult and youth participants.The Kings County Tobacco Control Program provides tobacco prevention education and technical assistance to communities in Kings County, specifically to the cities of Lemoore and Avenal. At the start of 2025, the Kings County Tobacco Free Coalition, supported by the program, hosted its first ever Mixer at a local coffee shop in Hanford, CA that welcomed over 15 new and existing partners to network and learn more about the Coalition. In the summer, the program hosted movie nights in both communities that included an educational presentation on secondhand smoke and the risks of youth tobacco use. The program also educated elected officials in the City of Avenal twice on the benefits of adopting a Tobacco Retail License and information on the new state tobacco legislation.During the 2024-2025 fiscal year the GROW program received a renewed three-year grant from the California Tobacco Prevention Program to continue community engagement and policy advocacy in Sutter County. Relationships were established with Board of Supervisors members, the Sheriffs Office, the Department of Public Health, and several important community groups including SAY Love, the Jakra Movement and the Association for Hispanic Advancement. A mini grant was provided to SAY Love for clean-up efforts in the community and a well-attended Tobacco Forum was hosted.During the 2024-2025 fiscal year the Compromiso Adelante program received a renewed three-year grant from the California Tobacco Prevention Program to continue community engagement and policy advocacy in Stanislaus County. After years of effort, education, and community engagement, two tobacco prevention policies were adopted in Stanislaus County in the cities of Modesto and Ceres both targeting tobacco retailers to increase enforcement and compliance with state and local laws. Established relationships with community partners and allies were strengthened including with the Stanislaus Sustainable Communities Coalition, the Riverbank Collaborative, WeRLaRaza Parent Union, and a group of Promotoras.During the 20242025 fiscal year, the Regional Advocates Countering Tobacco (ReACT) project concluded its activities and closed out a five year contract with the California Tobacco Prevention Program. Project staff provided technical assistance and connected city officials with local tobacco prevention projects to support a smooth transition to new initiatives. In addition, ReACT hosted a Central Valley Youth Summit that connected 20 youth and led eight youth focused events, engaging a total of 252 participants.Unidos Por Salud is a tobacco prevention and policy change program focused on serving rural and Latinx populations in the Central Valley. Unidos supported the City of Reedley in updating their Zoning ordinance to incorporate zoning for tobacco retailers. The policy was adopted August 2024 and program staff supported the community with providing retailer education. In the communities of Reedley and Lindsay, staff partnered with eight youth coalition members, four college interns, and two Community Engagement Agreement awardees to provide tobacco-related education and information.The Asian Pacific Islander Partners and Advocates Countering Tobacco (API PACT) Project is
Operating model
- Revenue model
- Grant-funded. 93% of the money available for current operations came from government grants.
- Distribution model
- Direct operator. The filing allocates 99% 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
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.
Rating breakdown
- Financial Efficiency: 80
- Transparency & Controls: 73
- Accountability: 100
- Sustainability: 22
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 90%; rating input score 90
- Program expense ratio: 89%; rating input score 89
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 62nd 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; 72nd percentile among comparable filings
- Major donor itemization: Limited
- Related-party transparency: Limited
Accountability
- Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
- Governance controls: 8 of 8 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: NotApplicable
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -1.1%; rating input score 26; 26th percentile among comparable filings
- Total-asset coverage ratio: 0.32; rating input score 8; 8th percentile among comparable filings
- Liabilities to assets ratio: 0.71; rating input score 17; 17th percentile among comparable filings
- Officer compensation ratio: 5%; rating input score 50; 50th percentile among comparable filings
Growth
- Program expense growth: 9.3% per year; rating input score 100; 68th percentile among comparable filings
- Revenue growth: 8.4% per year; rating input score 100; 67th percentile among comparable filings
- Asset growth: 6.3% per year; rating input score 100; 44th percentile among comparable filings
Details
- Where the money goes: 90% of revenue deployed · 89% of spending went to programs
- Governance: 11 of 11 board members independent · 8 of 8 filing controls reported
- Programs: 6 filed program accomplishments · $15.8M in reported program spending
- Leadership: top reported pay $359K · 17 people listed · 1 of 6 pay-setting controls reported
- Highest-paid contractors: 1 contractor listed · $117K reported
- Consistency: 27 of 27 current checks pass
- Schedules: 5 filed schedules · includes grants and executive pay
- Filing history: 13 filing years from 2012 to 2024
- Contacts: How to reach this organization
- Money network: 7 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.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Sustainability: Operating margin scored 26/100.
- High — Sustainability: Total-asset coverage ratio scored 8/100.
- High — Sustainability: Liabilities to assets ratio scored 17/100.
- Review — Sustainability: Officer compensation ratio scored 50/100.