2024-08-05T11:49:17-05:00 2023-12-31 465577902 RICHARDSON & COMPANY LLP 550 HOWE AVENUE SUITE 210 SACRAMENTO CA 95825 990 2023-01-01 463613312 CALIFORNIA ASSOCIATION OF HEALTH INFORMATION EXCHANGES CALI 9162870360 808 R STREET 102 SACRAMENTO CA 95811 MIMI HALL CHAIR 9162870360 2024-08-01 1 0 CURT JENSON P01208626 9165648727 2024-08-01 2023 2024-08-08 14:25:15Z MIMI HALL 808 R STREET 102 SACRAMENTO CA 95811 1128139 0 X CAHIE.ORG X 2013 CA THE MISSION IS TO ESTABLISH A STATEWIDE NETWORK FOR TRUSTED EXCHANGE OF HEALTH DATA AMONG CALIFORNIA'S HEALTH INFORMATION. CAHIE HAS DEVELOPED A WORKING CALIFORNIA VERSION OF THE DATA USE AND RECIPROCAL SUPPORT AGREEMENT (CALDURSA) BASED ON THE NATIONAL DURSA AND ADHERING TO NATIONAL STANDARDS. CAHIE WILL USE THE EHEALTH EXCHANGE POLICY FRAMEWORK TO GUIDE CAHIE'S POLICIES AND PROCEDURES FOR ACHIEVING TRUSTED EXCHANGE. 6 5 0 20 0 0 0 0 297600 1127965 128 174 0 0 297728 1128139 0 0 0 0 0 0 0 0 7898 391119 938358 391119 938358 -93391 189781 435874 579560 247470 201375 188404 378185 X THE MISSION IS TO ESTABLISH A STATEWIDE NETWORK FOR TRUSTED EXCHANGE OF HEALTH DATA AMONG CALIFORNIA'S HEALTH INFORMATION. CAHIE HAS DEVELOPED A WORKING CALIFORNIA VERSION OF THE DATA USE AND RECIPROCAL SUPPORT AGREEMENT (CALDURSA) BASED ON THE NATIONAL DURSA AND ADHERING TO NATIONAL STANDARDS. CAHIE WILL USE THE EHEALTH EXCHANGE POLICY FRAMEWORK TO GUIDE CAHIE'S POLICIES AND PROCEDURES FOR ACHIEVING TRUSTED EXCHANGE. 0 0 895485 1127965 PM SUPPORT - ASSIGNED PROJECT LEAD AS SINGLE POINT OF CONTACT; PARTICIPATED IN KICK-OFF MEETING TO GO OVER GOALS, OBJECTIVES, STATEMENT OF WORK TASKS, EXPECTATIONS, AND OTHER INFORMATION WITH THE CDII/CDII TEAM; DEVELOPED PROJECT MANAGEMENT PLAN TO ENSURE REGULAR REPORTING, ENGAGEMENT, AND INFORMATION SHARING WITH CDII LEADERSHIP; SET UP REGULAR MEETINGS AND DEVELOPED REPORTING AND COMMUNICATION MATERIALS RELATED TO REGULAR STATUS UPDATES AND EVALUATION PROGRESS REVIEWS; DEVELOPED MONTHLY STATUS REPORT AND MET WITH CDII TEAM TO DISCUSS; PROVIDED A PROJECT PLAN DEVELOPED IN COLLABORATION WITH CDII AND OTHER CDII CONSULTANTS TO THE STATE. 895485 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 5 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 CA X THE ORGANIZATION 9162870360 808 R STREET 102 SACRAMENTO CA 95811 X DAN CHAVEZ BOARD MEMBER 2.00 X 0 0 0 LAURA YOUNG BOARD MEMBER 2.00 X 0 0 0 JOHN HELVEY VICE CHAIR 2.00 X X 0 0 0 MIMI HALL CHAIR 2.00 X X 0 0 0 MARK ELSON SECRETARY 2.00 X X 0 0 0 LORI HACK INTERIM EXECUTIVE DIRECTOR 2.00 X X 0 0 0 0 0 0 0 0 0 0 MAZARS USA LLP 60 CROSSWAYS PARK DR WOODBURY NY 11787 MANAGEMENT, CONSULTING, GRANT WRITING 953417 1 CONTRACT SERVICES 900099 1031488 1031488 MEMBERSHIP REVENUE 900099 55648 55648 STIPEND FOR CDII DATA 900099 30000 30000 EHEALTH PARTICIPANT FE 900099 4701 4701 CTEN ONBOARDING FEES 900099 4000 4000 2128 2128 1127965 174 174 1128139 1127965 0 174 X 38474 30779 7695 780152 753751 26401 12062 12062 SOFTWARE LICENSE FEE 91000 91000 OTHER EXPENSES 8386 488 7898 EHEALTH FEES 7893 7893 BANK FEES 211 211 180 180 938358 895485 34975 7898 165517 67252 79665 300651 137500 181358 50000 22000 3192 8299 435874 579560 247470 193076 8299 247470 201375 X 188404 378185 188404 378185 435874 579560 189781 0 X 1 X 0 0 0 X 39228 297600 1127965 1464793 39228 297600 1127965 1464793 0 0 0 1464793 180 128 174 482 180 128 174 482 39408 297728 1128139 1465275 0.99970 0.99910 0.00030 0.00040 X MAZARS USA LLP MAZARS PROVIDES MANAGEMENT SERVICES TO THE ORGANIZATION. 132000 LORI HACK IS AN EMPLOYEE OF MAZARS USA LLP, A MANAGEMENT COMPANY, AND IS AN INTERIM EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION. LORI WAS COMPENSATED BY MAZARS FOR HER ROLE AS AN INTERIM EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION. MAZARS PROVIDES SERVICES TO SUPPORT THE ADMINISTRATIVE DUTIES OF THE FILING ORGANIZATION AND PROVIDE STRATEGIC SUPPORT AT AN AMOUNT NOT TO EXCEED $11,000 PER MONTH. 0 FORM 990, PART VI, SECTION A, LINE 3 THE FILING ORGANIZATION HAS ENTERED INTO A MASTER CONSULTING SERVICES AGREEMENT WITH MAZARS USA LLP (MAZARS) TO OBTAIN SERVICES TO SUPPORT THE ADMINISTRATIVE DUTIES OF THE FILING ORGANIZATION AND PROVIDE STRATEGIC SUPPORT TO THE COMMITTEES AND THE BOARD. LORI HACK IS THE INTERIM EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION AND IS COMPENSATED BY MAZARS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE INTERIM EXECUTIVE DIRECTOR AND THE BOARD MEMBERS BEFORE THEY ARE FILED. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS MUST ANNUALLY COMPLETE THE CONFLICT OF INTEREST FORM AT THE FIRST BOARD MEETING OF THE CALENDAR YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 753,751. MANAGEMENT AND GENERAL EXPENSES 26,401. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 780,152.