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        <Desc>Other ProgramsThe California Personal Responsibility Education Program (CA PREP) is a teen pregnancy and STI prevention program serving Kings County youth through comprehensive sexual health education. Additionally, CA PREP staff were able to provide reproductive health information to over 30 women who were residents in a drug and alcohol recovery home.The Community Outreach and Prevention Education (COPE) Project is an ongoing initiative that aims to provide community education on topics identified by the State of California as pressing needs. These topics include extreme heat mitigation, water conservation efforts, COVID-19 vaccination and harm reduction, and individual taxpayer identification number (ITIN) application requirements and support. The project is tasked to reach underserved communities with state provided information throughout Riverside and San Bernardino Counties.</Desc>
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        <Desc>Medi-Cal Services (CalAIM and MSSP) - MSSP continued to provide invaluable and essential services and oversight for low-come participants serving the six counties of El Dorado, Placer, Sacramento, Sutter, Yolo, and Yuba. Care Management staff have been transitioning back to completing quarterly home visits after the end of the public health emergency. CHC continues to partner as the fiscal agent for Health Net to provide health fairs for vulnerable communities in Sacramento, Placer, and El Dorado Counties through connections with MSSP and other providers. In the past year, CHC has also added CalAIM services through contracts for Enhanced Care Management and Community Supports with Anthem and the Health Plan of San Joaquin and is working on additional contracts to more comprehensively serve the Greater Sacramento Region as well as the Central Valley. CalAIM services have been largely funded by grant opportunities, have contracted with an innovative Case Management Documentation platform, and continue developing relationships and strategies to ensure program growth and sustainability.</Desc>
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      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
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      <NetIncomeFromGamingGrp>
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        <RelatedOrExemptFuncIncomeAmt>31367</RelatedOrExemptFuncIncomeAmt>
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      <GrantsToDomesticIndividualsGrp>
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      <BenefitsToMembersGrp>
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      <FeesForServicesLegalGrp>
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      <FeesForServicesAccountingGrp>
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      <ConferencesMeetingsGrp>
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      <InterestGrp>
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      <PaymentsToAffiliatesGrp>
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      <InsuranceGrp>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>204092</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25908</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>104554</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>18010</ProgramServicesAmt>
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        <ProgramServicesAmt>13375160</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1690455</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>4775860</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <DonorRestrictionNetAssetsGrp>
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      <ReconcilationRevenueExpnssAmt>-193216</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      </FSAuditedBasisGrp>
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      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus3YearsAmt>9976987</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11560330</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12070596</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearAmt>14442541</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>341</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>83</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>21</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>40</CurrentTaxYearAmt>
        <TotalAmt>1187</TotalAmt>
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        <CurrentTaxYearMinus2YearsAmt>37017</CurrentTaxYearMinus2YearsAmt>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      </OtherLandBuildingsGrp>
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      <OtherAssetsOrgGrp>
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      </OtherAssetsOrgGrp>
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      <OtherLiabilitiesOrgGrp>
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      </OtherLiabilitiesOrgGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>65323</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>65323</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>14872399</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>14872399</TotalRevenuePerForm990Amt>
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      <ExpensesSubtotalAmt>15065615</ExpensesSubtotalAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The Agency has qualified as a non-profit organization and has been granted tax-exempt status pursuant to Internal Revenue Code Section 501(c)(3) and California Revenue and Taxation Code Section 23701(d) and is exempt from Federal and State of California income taxes.Generally accepted accounting principles provides accounting and disclosures guidance about positions taken by an entity in its tax returns that might be uncertain. Management has considered its tax positions and believes that all of the positions taken in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. The Agency's returns are subject to examination by federal and state taxing authorities, generally for three years and four years, respectively, after they are filed.</ExplanationTxt>
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        </RecipientBusinessName>
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          <CityNm>Oroville</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95966</ZIPCd>
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      <RecipientTable>
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        </RecipientBusinessName>
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          <CityNm>Hanford</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93230</ZIPCd>
        </USAddress>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Assist with COVID prevention</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Universiry of Southern CA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
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          <CityNm>Los Angeles</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90089</ZIPCd>
        </USAddress>
        <RecipientEIN>951642394</RecipientEIN>
        <CashGrantAmt>106960</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Assist with Community Activities</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Valley Voices</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>729 W Lacey Blvd Suite 9</AddressLine1Txt>
          <CityNm>Hanford</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93230</ZIPCd>
        </USAddress>
        <RecipientEIN>843911625</RecipientEIN>
        <CashGrantAmt>133688</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Assist with COVID prevention</PurposeOfGrantTxt>
      </RecipientTable>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Grantmaker's Description of How Grants are Used</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAVE PROGRAM OFFICERS MONITOR GRANT PROGRAMS. GRANTEES RESPOND TO A REQUEST FOR PROPOSAL PROCESS TO RECEIVE GRANT FUNDING IF SELECTED TO RECEIVE AWARDS FROM $1,000 TO $25,000. ALL GRANTS ARE EXCLUSIVELY FOR SERVICES IN FRESNO COUNTY.</ExplanationTxt>
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      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>304426</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8110</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>312536</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="22015553" softwareVersionNum="2022v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: Tobacco Programs - The San Bernardino County Tobacco Control Program works to reduce underage youth access to tobacco products and to limit secondhand and thirdhand smoke exposure in outdoor public areas. Data was collected throughout various communities in the county, with an emphasis on the Cities of Loma Linda, Grand Terrace, Victorville and Hesperia, to demonstrate the need for comprehensive tobacco prevention policies. Additionally, continued tobacco education and outreach efforts were effective in maintaining the engagement of community members and partners in all regions of the County which include the Mountain Region, Desert Region, and Valley Region.The Kings County Tobacco Control Program is conducting policy campaigns in the Cities of Avenal and Lemoore to reduce youth access to tobacco products and reduce exposure to secondhand smoke in common outdoor recreational and non-recreational areas. Data was collected in both communities to demonstrate the need for comprehensive tobacco prevention policies. The program continued to collaborate with a broad range of partners throughout the county to further the policy objectives. The FUERTE (Families United to End the Rising Tobacco Epidemic) Project is a recently funded initiative that aims to address tobacco-related health disparities among Hispanic/Latinos in the communities of La Quinta and Palm Desert. The project received funding and began recruiting staff in May 2023, which continued until early June. By June 30th, 2023, the project was fully staffed, and an office was established in the heart of La Quinta. Early partnership opportunities with College of the Desert were identified to begin volunteer recruitment. OTHER PROGRAM SERVICES 5: Medi-Cal Services (CalAIM and MSSP) - MSSP continued to provide invaluable and essential services and oversight for low-come participants serving the six counties of El Dorado, Placer, Sacramento, Sutter, Yolo, and Yuba. Care Management staff have been transitioning back to completing quarterly home visits after the end of the public health emergency. CHC continues to partner as the fiscal agent for Health Net to provide health fairs for vulnerable communities in Sacramento, Placer, and El Dorado Counties through connections with MSSP and other providers. In the past year, CHC has also added CalAIM services through contracts for Enhanced Care Management and Community Supports with Anthem and the Health Plan of San Joaquin and is working on additional contracts to more comprehensively serve the Greater Sacramento Region as well as the Central Valley. CalAIM services have been largely funded by grant opportunities, have contracted with an innovative Case Management Documentation platform, and continue developing relationships and strategies to ensure program growth and sustainability. OTHER PROGRAM SERVICES 6: Other ProgramsThe California Personal Responsibility Education Program (CA PREP) is a teen pregnancy and STI prevention program serving Kings County youth through comprehensive sexual health education. Additionally, CA PREP staff were able to provide reproductive health information to over 30 women who were residents in a drug and alcohol recovery home.The Community Outreach and Prevention Education (COPE) Project is an ongoing initiative that aims to provide community education on topics identified by the State of California as pressing needs. These topics include extreme heat mitigation, water conservation efforts, COVID-19 vaccination and harm reduction, and individual taxpayer identification number (ITIN) application requirements and support. The project is tasked to reach underserved communities with state provided information throughout Riverside and San Bernardino Counties. OTHER PROGRAM SERVICES 7: Health Equity Health Equity program known as HEAL (Healing, Equity, Advocacy, and Leadership) Project increase opportunities for Latinx and African American youth to create social change by elevating youth voices and developing youth leadership, through youth coalitions, an annual youth leadership summit, arts, and healing centered activities. Advocacy goals include, addressing environmental, policy and systems change that focus on inequities, and aim to impact youth with substance use disorders in Tulare County.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIRECTORS JOAN WERBLUN AND MICHAEL A. WERBLUN ARE RELATED. JOAN WERBLUN IS THE MOTHER TO MICHAEL A. WERBLUN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 was reviewed and approved by the Board of Directors before it was filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board reviews conflict of interest issues during Board meetings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation of the Executive Director was reviewed and approved by the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Financial statements and Form 990 of the Organization are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
