<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2023v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-07-10T19:03:56-04:00</ReturnTs>
    <TaxPeriodEndDt>2023-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>942452388</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>WILSON MYERS AND DOLD CPAS</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>564 AUBURN RAVINE RD</AddressLine1Txt>
        <CityNm>AUBURN</CityNm>
        <StateAbbreviationCd>CA</StateAbbreviationCd>
        <ZIPCd>95603</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>943333691</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>SIERRA PREGNANCY &amp; HEALTH</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>SIER</BusinessNameControlTxt>
      <PhoneNum>9166248990</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1212 COLOMA WAY SUITE A</AddressLine1Txt>
        <CityNm>ROSEVILLE</CityNm>
        <StateAbbreviationCd>CA</StateAbbreviationCd>
        <ZIPCd>95661</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>CARY WILCOX</PersonNm>
      <PersonTitleTxt>EXECUTIVE DIRECTOR</PersonTitleTxt>
      <PhoneNum>9166248990</PhoneNum>
      <SignatureDt>2024-05-10</SignatureDt>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>CARY</PersonFirstNm>
        <PersonLastNm>WILCOX</PersonLastNm>
      </PersonFullName>
      <SSN>XXX-XX-XXXX</SSN>
    </SigningOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>MICHAEL G WILSON CPA</PreparerPersonNm>
      <PTIN>P00015810</PTIN>
      <PhoneNum>5308856252</PhoneNum>
      <PreparationDt>2024-07-10</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="6">
    <IRS990 documentId="RetDoc3" referenceDocumentId="RetDoc6">
      <PrincipalOfficerNm>CARY WILCOX</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>1212 COLOMA WAY SUITE A</AddressLine1Txt>
        <CityNm>ROSEVILLE</CityNm>
        <StateAbbreviationCd>CA</StateAbbreviationCd>
        <ZIPCd>95661</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>1197603</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.SIERRAPH.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1999</FormationYr>
      <LegalDomicileStateCd>CA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>SIERRA PREGNANCY + HEALTH (SPH) IS A NOT-FOR-PROFIT MEDICAL CLINIC. WE BELIEVE ALL LIFE IS SACRED. WE PROVIDE REPRODUCTIVE HEALTHCARE SERVICES, PRACTICAL ASSISTANCE, EDUCATION, AND RESOURCES TO MEET THE NEEDS OF WOMEN FACING UNPLANNED PREGNANCIES IN THE COMMUNITY.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>7</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>6</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>15</TotalEmployeeCnt>
      <TotalVolunteersCnt>37</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>753046</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>1080817</CYContributionsGrantsAmt>
      <CYProgramServiceRevenueAmt>0</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>4700</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>745</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>126309</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>13716</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>884055</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>1095278</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>324643</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>451315</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>79626</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>307693</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>399697</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>632336</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>851012</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>251719</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>244266</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>456619</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>700410</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>1988</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>1513</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>454631</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>698897</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>SIERRA PREGNANCY &amp; HEALTH (SPH) IS A MEDICAL CLINIC DEDICATED TO PROVIDING LIFE-AFIRMING CARE, PRACTICAL HELP AND RESOURCES.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>639085</ExpenseAmt>
      <Desc>SINCE 1999, SIERRA PREGNANCY AND HEALTH (SPH) HAS BEEN DEDICATED TO PROVIDING PHYSICAL, EMOTIONAL AND SPIRITUAL HEALTH CARE TO WOMEN AND FAMILIES BEFORE, DURING AND AFTER A PREGNANCY IN A TIMELY MANNER WITH GREAT COMPASSION. SPH BELIEVES THAT EVERY PERSON IS CREATED IN THE IMAGE OF GOD AND HAS A PURPOSE. SPH IS A NONPROFIT PREGNANCY HEALTH CLINIC THAT DEVELOPS AND ADMINISTERS PROGRAMS AND SERVICES DESIGNED TO PROMOTE HEALTHY COMMUNITIES AND STRENGTHENED FAMILIES. THE MEDICAL SERVICES SPH OFFERS ARE PREGNANCY TESTING, ULTRASOUNDS, STI TESTING AND TREATMENT. SPH OFFERS EDUCATION AND PRACTICAL HELP AND RESOURCES THROUGH NURSE TAUGHT LABOR AND DELIVERY CLASSES, INFANT DEVELOPMENT CLASSES, DIAPER ASSISTANCE, PARENTING CLASSES AND REPRODUCTIVE GRIEF SUPPORT FOR MISCARRIAGE, INFERTILITY, ABORTION LOSS, AND STILLBIRTH. SPH IS AN EDUATIONAL RESOURCE FOR THE COMMUNITY AND STUDENTS AGED MIDDLE SCHOOL TO COLLEGE.</Desc>
      <TotalProgramServiceExpensesAmt>639085</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc7">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc4">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc4">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc4">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc4">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc4">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc4">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc4">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc4">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc4">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc4">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc4">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc4">false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc4">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc5">false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc5">true</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc5">false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>false</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>false</ScheduleORequiredInd>
      <IRPDocumentCnt>5</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>15</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>7</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>6</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>false</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>false</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>false</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>false</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>CA</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>CHANEY &amp; ASSOCIATES</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>9164585276</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1098 MELODY LANE</AddressLine1Txt>
          <CityNm>ROSEVILLE</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95678</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALEX GEREZ</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SALLY BEAUDRY</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>OKSANA IVAKHOV</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE VANDER DUSSEN</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARY WILCOX</PersonNm>
        <TitleTxt>EXECUTIVE DI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>82375</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATT BOUDREAU</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRIC HILLENBRAND</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>82375</TotalReportableCompFromOrgAmt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <FundraisingAmt>87382</FundraisingAmt>
      <AllOtherContributionsAmt>993435</AllOtherContributionsAmt>
      <TotalContributionsAmt>1080817</TotalContributionsAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>745</TotalRevenueColumnAmt>
        <ExclusionAmt>745</ExclusionAmt>
      </InvestmentIncomeGrp>
      <FundraisingGrossIncomeAmt>102941</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>87382</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>102325</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>616</TotalRevenueColumnAmt>
        <ExclusionAmt>616</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>RENTAL INCOME</Desc>
        <TotalRevenueColumnAmt>13100</TotalRevenueColumnAmt>
        <ExclusionAmt>13100</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>13100</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>1095278</TotalRevenueColumnAmt>
        <ExclusionAmt>14461</ExclusionAmt>
      </TotalRevenueGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>417981</TotalAmt>
        <ProgramServicesAmt>287989</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56427</ManagementAndGeneralAmt>
        <FundraisingAmt>73565</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PayrollTaxesGrp>
        <TotalAmt>33334</TotalAmt>
        <ProgramServicesAmt>22967</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4500</ManagementAndGeneralAmt>
        <FundraisingAmt>5867</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>16723</TotalAmt>
        <ManagementAndGeneralAmt>16723</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>3995</TotalAmt>
        <ManagementAndGeneralAmt>3995</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <AdvertisingGrp>
        <TotalAmt>101989</TotalAmt>
        <ProgramServicesAmt>91790</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10199</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>26891</TotalAmt>
        <ProgramServicesAmt>15123</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11768</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>75785</TotalAmt>
        <ProgramServicesAmt>68206</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7579</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>8127</TotalAmt>
        <ProgramServicesAmt>6502</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1625</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>7327</TotalAmt>
        <ProgramServicesAmt>7327</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>10722</TotalAmt>
        <ProgramServicesAmt>7414</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3114</ManagementAndGeneralAmt>
        <FundraisingAmt>194</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM ACTIVITY</Desc>
        <TotalAmt>22161</TotalAmt>
        <ProgramServicesAmt>22161</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACTED SERVICES</Desc>
        <TotalAmt>20579</TotalAmt>
        <ProgramServicesAmt>20579</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PHONE AND INTERNET</Desc>
        <TotalAmt>15303</TotalAmt>
        <ProgramServicesAmt>13773</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1530</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>APPRECIATION</Desc>
        <TotalAmt>12493</TotalAmt>
        <ProgramServicesAmt>12493</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>77602</TotalAmt>
        <ProgramServicesAmt>62761</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14841</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>851012</TotalAmt>
        <ProgramServicesAmt>639085</ProgramServicesAmt>
        <ManagementAndGeneralAmt>132301</ManagementAndGeneralAmt>
        <FundraisingAmt>79626</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>347574</BOYAmt>
        <EOYAmt>302239</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>92961</BOYAmt>
        <EOYAmt>150751</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1494</BOYAmt>
        <EOYAmt>157</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>293568</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>46305</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>14590</BOYAmt>
        <EOYAmt>247263</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <TotalAssetsGrp>
        <BOYAmt>456619</BOYAmt>
        <EOYAmt>700410</EOYAmt>
      </TotalAssetsGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1988</BOYAmt>
        <EOYAmt>1513</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1988</BOYAmt>
        <EOYAmt>1513</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>454631</BOYAmt>
        <EOYAmt>698897</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>454631</BOYAmt>
        <EOYAmt>698897</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>456619</BOYAmt>
        <EOYAmt>700410</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>244266</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingCashInd>X</MethodOfAccountingCashInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>295654</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>474325</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>563376</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>753046</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1080817</CurrentTaxYearAmt>
        <TotalAmt>3167218</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>295654</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>474325</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>563376</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>753046</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1080817</CurrentTaxYearAmt>
        <TotalAmt>3167218</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>3167218</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>2</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearAmt>745</CurrentTaxYearAmt>
        <TotalAmt>748</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus4YearsAmt>17050</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>31292</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>48342</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus2YearsAmt>154858</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>166544</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>116041</CurrentTaxYearAmt>
        <TotalAmt>437443</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>3653751</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>116643</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.86680</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.86760</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING &amp; RENTAL INCOME 321,402</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc4">
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>293568</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>46305</DepreciationAmt>
        <BookValueAmt>247263</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>247263</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE DEPOSITS</Desc>
        <Amt>1250</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>BILL.COM MONEY OUT CLEARING</Desc>
        <Amt>263</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1513</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc5">
      <FundraisingEventInformationGrp>
        <Event1Nm>DINNER</Event1Nm>
        <GrossReceiptsEvent1Amt>96014</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>12628</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>83386</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>7714</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>1091</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>78385</OtherDirectExpensesEvent1Amt>
        <Event2Nm>GOLF FUNDRAISER</Event2Nm>
        <GrossReceiptsEvent2Amt>74524</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>64115</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>10409</GrossRevenueEvent2Amt>
        <FoodAndBeverageEvent2Amt>112</FoodAndBeverageEvent2Amt>
        <OtherDirectExpensesEvent2Amt>13968</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>19785</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>10639</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>9146</GrossRevenueOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>30</FoodAndBeverageOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>1025</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>190323</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>87382</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>102941</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>7714</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>1233</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>93378</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>102325</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>616</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>SINCE 1999, SIERRA PREGNANCY AND HEALTH (SPH) HAS BEEN DEDICATED TO PROVIDING PHYSICAL, EMOTIONAL AND SPIRITUAL HEALTH CARE TO WOMEN AND FAMILIES BEFORE, DURING AND AFTER A PREGNANCY IN A TIMELY MANNER WITH GREAT COMPASSION. SPH BELIEVES THAT EVERY PERSON IS CREATED IN THE IMAGE OF GOD AND HAS A PURPOSE. SPH IS A NONPROFIT PREGNANCY HEALTH CLINIC THAT DEVELOPS AND ADMINISTERS PROGRAMS AND SERVICES DESIGNED TO PROMOTE HEALTHY COMMUNITIES AND STRENGTHENED FAMILIES. THE MEDICAL SERVICES SPH OFFERS ARE PREGNANCY TESTING, ULTRASOUNDS, STI TESTING AND TREATMENT. SPH OFFERS EDUCATION AND PRACTICAL HELP AND RESOURCES THROUGH NURSE TAUGHT LABOR AND DELIVERY CLASSES, INFANT DEVELOPMENT CLASSES, DIAPER ASSISTANCE, PARENTING CLASSES AND REPRODUCTIVE GRIEF SUPPORT FOR MISCARRIAGE, INFERTILITY, ABORTION LOSS, AND STILLBIRTH. SPH IS AN EDUATIONAL RESOURCE FOR THE COMMUNITY AND STUDENTS AGED MIDDLE SCHOOL TO COLLEGE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT COPY OF FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND TREASURER PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECTORS ARE REQUIRED TO DISCLOSE CONFLICTS ANNUALLY, IF ANY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE DIRECTOR COMPENSATION IS APPROVED BY THE BOARD OF DIRECTORS, USING THIRD PARTY SALARY SURVEY TO DETERMINE COMPENSATION BASED ON A VARIETY OF CRITERIA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS AVAILABLE TO THE PUBLIC</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
