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Sierra Health Foundation Center for Health Program Management

EIN 45-5282243 · Sacramento, CA

Public records show a registered, tax-exempt organization in good standing.

LegitimacyPassesRegistration and standingFinancial healthWeak44 out of 100GovernanceStrong95 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

TO PROVIDE LEADERSHIP, FUNDING AND OPERATIONAL SUPPORT FOR PROJECTS THAT IMPROVE INDIVIDUAL AND COMMUNITY HEALTH STATUS AND WELL BEING IN UNDERSERVED COMMUNITIES.

Income
$197.5 million
Spending
$202.6 million
Spent on programs
96%
Reserves
0.9 months of spending
Largest source of income
government grants, 92%
Employees
0
Volunteers
0
Highest pay
$612,730, president & ceo

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Weak: 44 out of 100. Higher than 21% of charities in its peer group (health care, over $100m).

  • Reserves

    4 of 35

    Spendable reserves would cover 0.9 months of spending.

  • Debt

    2 of 20

    It owes 84% of what it owns.

  • Living within its means

    8 of 15

    Spending exceeded income by 3% of income.

  • Income trend

    15 of 15

    Income rose 19% on the year before.

  • Spending floor

    15 of 15

    96% of spending went to programs and raising each dollar of donations cost 0 cents.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Strong: 95 out of 100. Higher than 36% of charities in its peer group (health care, over $100m).

  • Independent board

    25 of 25

    7 of 8 voting board members are independent.

  • Conflict of interest policy

    15 of 15

    Has a written conflict of interest policy.

  • Whistleblower policy

    8 of 8

    Has a written whistleblower policy.

  • Record keeping policy

    7 of 7

    Has a written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    10 of 10

    Gave the board a copy of this return before filing it.

  • Pay set independently

    0 of 5

    Reports no independent review process for its chief executive's pay.

  • Independent check of accounts

    15 of 15

    Its accounts were audited by an independent accountant.

  • No reported misuse

    10 of 10

    Reports no diversion of assets, excess benefits or loans to insiders.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Impact evidence

Describes programs. Its tax return describes what it does but we have found no measurable results in it.

Programs described in its return (4)
  1. $58.9 million spent. ELEVATE YOUTH CALIFORNIAELEVATE YOUTH CALIFORNIA IS A STATEWIDE PROGRAM ADDRESSING SUBSTANCE USE DISORDER BY INVESTING IN YOUTH LEADERSHIP AND CIVIC ENGAGEMENT FOR YOUTH AGES 12 TO 26 IN COMMUNITIES DISPROPORTIONATELY IMPACTED BY THE WAR ON DRUGS. THE PROGRAM IS FUNDED BY THE CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES THROUGH THE PROPOSITION 64 CALIFORNIA CANNABIS TAX FUND, ALLOCATION 3, YOUTH EDUCATION, PREVENTION, EARLY INTERVENTION, AND TREATMENT ACCOUNT. FUNDING AND CAPACITY-BUILDING ACTIVITIES SUPPORT COMMUNITY-BASED ORGANIZATIONS TO IMPLEMENT PROGRAMS THAT EMPOWER YOUTH TO BE COMMUNITY LEADERS AND STRENGTHEN A MOVEMENT THAT ELEVATES CALIFORNIA'S YOUTH AND YOUNG ADULTS. IN 2024, THE CENTER SUPPORTED PROJECTS IN 56 CALIFORNIA COUNTIES. FUNDED PARTNERS ENGAGED 31,174 YOUNG PEOPLE, CONVENED 13,350 YOUTH LISTENING SESSIONS, AND HOSTED 47,983 PREVENTION PROGRAM EVENTS. ADDITIONALLY, THE CENTER PROVIDED 6,463 HOURS OF TECHNICAL ASSISTANCE/CAPACITY BUILDING ACTIVITIES TO COMMUNITY PARTNERS ACROSS THE STATE.
  2. $35.7 million spent. MEDICATIONS FOR ADDICTION TREATMENT ACCESS POINTS PROJECT THE MEDICATIONS FOR ADDICTION TREATMENT (MAT) ACCESS POINTS PROJECT IS SUPPORTING ORGANIZATIONS THROUGHOUT CALIFORNIA TO ADDRESS THE OPIOID AND SUBSTANCE USE EPIDEMIC. IN PARTNERSHIP WITH THE DEPARTMENT OF HEALTH CARE SERVICES, FUNDING SUPPORTS COMMUNITY-BASED ORGANIZATIONS, TRIBAL HEALTH PROGRAMS AND ORGANIZATIONS, AND FEDERALLY OR NON-FEDERALLY RECOGNIZED TRIBES TO ADDRESS OPIOID AND SUBSTANCE USE DISORDER THROUGH PREVENTION, EDUCATION, STIGMA REDUCTION, TREATMENT AND RECOVERY SERVICES, AND EXPANDING ACCESS TO MEDICATIONS FOR ADDICTION TREATMENT. IN 2024, THE CENTER SUPPORTED 177 PROJECTS IN 46 CALIFORNIA COUNTIES. FUNDED PARTNERS TRAINED NEARLY 53,000 INDIVIDUALS IN OVERDOSE PREVENTION AND OTHER SUBSTANCE USE DISORDER TOPICS, REFERRED OVER 17,000 INDIVIDUALS TO SUBSTANCE USE DISORDER TREATMENT AND RECOVERY SUPPORT SERVICES, AND SUPPORTED OVER 4,400 NEW PATIENTS' DIRECT ACCESS TO MEDICATIONS FOR ADDICTION TREATMENT.
  3. $28.6 million spent. BEHAVIORAL HEALTH RECOVERY SERVICES PROJECT THE BEHAVIORAL HEALTH RECOVERY SERVICES PROJECT (BHRSP) SUPPORTED 102 CALIFORNIAN NONPROFIT ORGANIZATIONS TO EXPAND ACCESS TO MENTAL HEALTH AND SUBSTANCE USE DISORDER RECOVERY SERVICES THROUGH A HEALTH EQUITY APPROACH DESIGNED TO REMOVE BARRIERS TO CARE FOR COMMUNITIES OF COLOR, TWO-SPIRIT/ LGBTQ+ PEOPLE, PEOPLE WITH DISABILITIES AND OTHERS WHO HAVE FACED DISCRIMINATION AND UNEQUAL ACCESS TO BEHAVIORAL HEALTH CARE SYSTEMS. THE PROGRAM IS FUNDED BY THE CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES. FROM THE PROGRAM'S INCEPTION IN 2024, BHRSP PARTNERS HAVE SERVED MORE THAN 65,000 UNIQUE INDIVIDUALS, OF WHOM 80% WERE MEDI-CAL ELIGIBLE AND 26% UNHOUSED. TWO-THIRDS OF THOSE SERVED BY BHRSP PROJECTS WERE PEOPLE OF COLOR, AND BLACK AND NATIVE AMERICAN PEOPLE WERE SIGNIFICANTLY OVERREPRESENTED COMPARED TO THEIR PROPORTION OF CALIFORNIA'S POPULATION. BHRSP SUPPORTED 2,190 STAFF POSITIONS ACROSS NEARLY 600 FULL TIME EQUIVALENT, INCLUDING 241 PEER STAFF. SERVICES AND HEALTH EDUCATION MATERIALS WERE DELIVERED IN AT LEAST 18 LANGUAGES.
  4. $71.9 million spent. CALIFORNIA STATE OPIOID FUNDING PROGRAMTHE STATE OPIOID FUNDING PROGRAM ADDRESSES THE OPIOID EPIDEMIC BY SUPPORTING THE DEPARTMENT OF HEALTH CARE SERVICES (DHCS) IN IMPLEMENTING VARIOUS PROJECTS OF DHCS' OPIOID RESPONSE PROGRAM, INCLUDING CREATING EXPANDED SUBSTANCE USE DISORDER (SUD) TREATMENT INFRASTRUCTURE, ADDRESSING THE NEEDS OF COMMUNITIES OF COLOR AND VULNERABLE POPULATIONS THAT ARE DISPROPORTIONATELY IMPACTED BY SUD, DIVERSION OF PEOPLE WITH SUD FROM THE JUSTICE SYSTEM INTO TREATMENT, AND INTERVENTIONS TO PREVENT DRUG ADDICTION IN VULNERABLE YOUTH. THESE PROJECTS INCLUDE EXPANDING MAT IN STATE-LICENSED FACILITIES AND/OR CERTIFIED SUD AND MENTAL HEALTH FACILITIES, INCREASING MAT ACCESS POINTS, AND THE INCREASE OF MEDICATION THROUGH MOBILE NARCOTIC TREATMENT PROGRAMS AND MEDICATION UNITS. THROUGH THIS $113,799,996 CONTRACT WITH DHCS, THE STATE OPIOID FUNDING PROGRAM DISPERSED $20,063,213.60 TO 39 ORGANIZATIONS IN 2024.CALIFORNIA OVERDOSE PREVENTION AND HARM REDUCTION INITIATIVETHE CALIFORNIA OVERDOSE PREVENTION AND HARM REDUCTION INITIATIVE (COPHRI) IS A PARTNERSHIP BETWEEN THE CENTER AT SIERRA HEALTH FOUNDATION AND THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH THAT SUPPORTS LOW-BARRIER, NONJUDGMENTAL, PUBLIC HEALTH-FOCUSED HARM REDUCTION SERVICES THROUGH 68 COMMUNITY-BASED NONPROFITS, CLINICS, AND LOCAL HEALTH DEPARTMENTS THROUGHOUT THE STATE. TO DATE, COPHRI HAS AWARDED $36,659,694 TO PROMOTE HEALTH AND SAFETY FOR PEOPLE WHO USE DRUGS, INCLUDING SAFER DRUG INJECTION AND SMOKING SERVICES, OVERDOSE PREVENTION EDUCATION AND NALOXONE ACCESS, HIV AND VIRAL HEPATITIS SERVICES, ACCESS TO MEDICATIONS FOR OPIOID USE DISORDER AND OTHER SUBSTANCE USE DISORDER CARE, AND A WIDE RANGE OF SOCIAL AND HEALTH CARE SERVICES. YOUTH SUICIDE PREVENTION MEDIA AND OUTREACH CAMPAIGN PROGRAM YOUTH SUICIDE PREVENTION MEDIA AND OUTREACH CAMPAIGN PROGRAM IS A STATEWIDE PROGRAM FOCUSED ON YOUTH SUICIDE PREVENTION. WITH FUNDING FROM THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH (CDPH) FROM MAY 2023 TO JUNE 2025, OUR 33 PROGRAM PARTNERS WORKED TO PREVENT SUICIDE AMONG SOME OF CALIFORNIA'S MOST MARGINALIZED YOUTH WHO ARE DISPROPORTIONATELY IMPACTED BY SUICIDE AND SELF-HARM BEHAVIOR. THIS INCLUDES AMERICAN INDIAN AND ALASKAN NATIVE, HISPANIC AND LATINX, AND AFRICAN AMERICAN/BLACK YOUTH, AS WELL AS INTERSECTIONAL POPULATIONS SUCH AS YOUTH WITH MENTAL HEALTH CONDITIONS AND/OR SUBSTANCE USE ISSUES, THOSE IMPACTED BY THE FOSTER CARE SYSTEM, AND TWO-SPIRIT/LGBTQ+ YOUTH. FUNDED PARTNERS HOSTED 5,131 ACTIVITIES AND EVENTS, ACCUMULATED OVER 114,000 PROGRAM INTERACTIONS WITH YOUTH, DELIVERED 5,886 MESSAGES VIA MIXED MEDIA, AND HAD 2.6 MILLION CAMPAIGN-RELATED SOCIAL MEDIA IMPRESSIONS. ADDITIONALLY, THE CENTER HOSTED THREE PARTNER CONVENINGS THAT CUMULATIVELY GATHERED 273 COMMUNITY-BASED ORGANIZATIONS AND YOUTH ATTENDEES. THE CENTER TEAM ALSO FACILITATED 23 TECHNICAL ASSISTANCE WEBINARS AND COMPLETED 15 PARTNER SITE VISITS. BLACK CHILD LEGACY CAMPAIGNTHE BLACK CHILD LEGACY CAMPAIGN IS THE COMMUNITY-DRIVEN MOVEMENT ESTABLISHED BY THE STEERING COMMITTEE ON REDUCTION OF AFRICAN AMERICAN CHILD DEATHS IN 2015. THE CAMPAIGN FOCUSES ON REDUCING AFRICAN AMERICAN CHILD DEATHS ACROSS THE TOP FOUR CAUSES OF PREVENTABLE DEATH: DEATHS RELATED TO CHILD ABUSE AND NEGLECT, THIRD-PARTY HOMICIDES, DEATHS RELATED TO PERINATAL CONDITIONS, AND INFANT SLEEP-RELATED DEATHS. IN 2024, FUNDED PARTNERS PROVIDED INTENSIVE CASE MANAGEMENT TO 1,141 AFRICAN AMERICANS, AND 3,630 YOUTH PARTICIPATED IN BLACK CHILD LEGACY CAMPAIGN ACTIVITIES. THE BLACK CHILD LEGACY CAMPAIGN IS FUNDED BY THE COUNTY OF SACRAMENTO, FIRST 5 SACRAMENTO, AND THE BOARD OF STATE AND COMMUNITY CORRECTIONS AND IS MANAGED BY THE CENTER.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. Is it registered with the IRS? Passed.

    Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  2. Has the IRS revoked its tax-exempt status? Passed.

    Not on the IRS automatic revocation list.

    Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.

  3. Are donations tax-deductible? Passed.

    On the IRS list of organizations eligible to receive tax-deductible contributions.

    Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.

  4. Is it keeping up with its IRS filings? Passed.

    Most recent return on file covers the year ending December 2024.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  5. How long has it been tax-exempt? Passed.

    Recognized by the IRS since December 2012.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.

  6. Is it in good standing with state regulators? Passed.

    Not on California's list of charities barred from soliciting. Other states are not yet checked.

    Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.

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