California Health Care Foundation

Legal name: California Healthcare Foundation

Nonprofit profile at a glance

EIN
954523231
IRS 990 coverage
2011–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Oakland, CA, USA
Phone
5102381040
Rating
83
Verdict
STRONG
Rating confidence
Moderate

Official website

Reported finances

Revenue
$137,311,491
Expenses
$69,615,318
Assets
$765,394,225
Liabilities
$7,468,607

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

20 people listed

Executive titles in this filing

  • HERNANDEZ SANDRA (PRESIDENT & C.E.O)

Highest reported compensation

  • HERNANDEZ SANDRA (PRESIDENT & C.E.O): $885,076 total reported compensation
  • CARTER KARA (SR VP PROGRAMS & SECRETARY): $595,228 total reported compensation
  • KIM TIE END 12-2024 (VP OF FIN ADMIN & INVESTS/TREAS): $540,625 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

The California Health Care Foundation helps Californians with low incomes get the health care they need. Learning is integral to the team’s work and is done in deep collaboration with CHCF’s grantmaking staff. Our organizational structure reflects this philosophy: L&I team members report to the senior vice president of programs and strategy, and also maintain their own grantmaking portfolios. Reflection and learning are integral to having impact CHCF is committed to organizational learning, to sharing successes and failures, both internally and externally, and to engaging in and contributing to field-wide learning. The L&I team supports and creates space for reflection and learning to happen at CHCF.

What it reported doing in 2024

Advancing people-centered care: chcf aims to ensure people receive responsive, comprehensive, and coordinated services that support their health and well-being. This work includes projects in the following areas: 1) improving mental health and substance use treatment so that care is effective, appropriate, and accessible. 2) helping medi-cal enrollees with challenging health or social circumstances get high-quality medical care and supportive services. 3) improving care quality and outcomes for black californians by reducing documented disparities through data, partnerships, and quality improvement.

Operating model

Revenue model
Investment-supported. 61% of the money available for current operations came from recurring investment income.
Distribution model
Grant intermediary. The nonprofit sent 73% of its reported program spending out as grants.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing reports few safeguards for money sent abroad and some related-organization disclosures are missing.

Rating breakdown

  • Financial Efficiency: 83
  • Transparency & Controls: 71
  • Accountability: 95
  • Sustainability: 84
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 82.6%; rating input score 83
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: 99.3%; rating input score 99; 40th percentile among comparable filings
  • Major donor itemization: Limited
  • Related-party transparency: Scored; rating input score 0

Accountability

  • Independent voting board: 90.9%; rating input score 91; 39th percentile among comparable filings
  • Governance controls: 9 of 9 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: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 49.3%; rating input score 96; 96th percentile among comparable filings
  • Total-asset coverage ratio: 10.99; rating input score 92; 92nd percentile among comparable filings
  • Liabilities to assets ratio: 0.01; rating input score 95; 95th percentile among comparable filings
  • Officer compensation ratio: 6.8%; rating input score 8; 8th percentile among comparable filings

Growth

  • Program expense growth: 5.2% per year; rating input score 100; 42nd percentile among comparable filings
  • Revenue growth: 6.3% per year; rating input score 100; 55th percentile among comparable filings
  • Asset growth: 1.2% per year; rating input score 100; 11th percentile among comparable filings

Details

  • What they do: 7 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 100% of revenue deployed · 82.6% of spending went to programs
  • Governance: 10 of 11 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $57.5M in reported program spending
  • Leadership: top reported pay $885K · 20 people listed · 5 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $4.5M reported
  • Consistency: 32 of 33 current checks pass · 1 finding to review
  • Schedules: 6 filed schedules · includes foreign activity, grants, executive pay, and related organizations
  • Filing history: 13 filing years from 2011 to 2024
  • Contacts: How to reach this organization
  • Money network: 340 filed money-flow records
  • Related organizations: 323 filed related-organization links
  • 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 — Transparency & Controls: Foreign activity oversight scored 0/100.
  • High — Transparency & Controls: Related-party transparency scored 0/100.
  • High — Sustainability: Officer compensation ratio scored 8/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.