CALIFORNIA ASSOCIATION OF HEALTH INFORMATION EXCHANGES: Form 990EZ, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- CALIFORNIA ASSOCIATION OF HEALTH INFORMATION EXCHANGES (EIN 46-3613312)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-10-23
- IRS object ID
- 201902969349200110
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-10-23T09:37:33-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 341993540 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JACOB LICHTER | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 HILLCREST CENTER | AddressLine1Txt |
| City | SPRING VALLEY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10977 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 463613312 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CALIFORNIA ASSOCIATION OF | BusinessNameLine1Txt |
| Business Name Line2 | HEALTH INFORMATION EXCHANGES | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CALI | BusinessNameControlTxt |
| Phone | 7149194429 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 CREEKDALE ROAD | AddressLine1Txt |
| City | WALNUT CREEK | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94549 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAVEL BUDILO | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 7149194429 | PhoneNum |
| Signature | 2019-10-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JACOB LICHTER | PreparerPersonNm |
| PTIN | P00547333 | PTIN |
| Phone | 8452909701 | PhoneNum |
| Preparation | 2019-10-23 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 52.38.98.93 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-10-23 | IPDt |
| IP Tm | 09:37:33 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 9D8AF1032707DE1CFA6272CC2513118A6A7C1A0A | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 5197721B0201072BF3113D4D307B296B41F3DD20 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $609 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Investment Income | $609 | InvestmentIncomeAmt |
| Total Revenue | $609 | TotalRevenueAmt |
| Other Expenses Total | $6,482 | OtherExpensesTotalAmt |
| Total Expenses | $6,482 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$5,873 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $208,099 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $202,226 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $301,356 | BOYAmt |
| EOY | $318,232 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,744 | BOYAmt |
| EOY | $129,993 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $454,100 | BOYAmt |
| EOY | $448,225 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,001 | BOYAmt |
| EOY | $245,999 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $208,099 | BOYAmt |
| EOY | $202,226 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | THE ORGANIZATION'S 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 CAHIES POLICIES AND PROCEDURES FOR ACHIEVING TRUSTED EXCHANGE . | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | CAHIE WAS INSTRUMENTAL IN ASSISTING THIRTY MEDICAL PROFESSIONALS WITH ITS STATEWIDE NETWORK FOR TRUSTED EXCHANGE OF HEALTH DATA AMONG CALIFORNIA'S HEALTH INFORMATION. | DescriptionProgramSrvcAccomTxt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (9 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| PAVEL BUDILO | ||
| TREASURER | 5.00 | $0 |
| BILL BEIGHE | ||
| PRESIDENT | 5.00 | $0 |
| DR MARK ELSON PHD | ||
| BOARD MEMBER | 5.00 | $0 |
| DR CHRIS JAEGER MD | ||
| SECRETARY | 5.00 | $0 |
| SEAN TURNER | ||
| BOARD MEMBER | 5.00 | $0 |
| DAVID FORD | ||
| VICE-CHAIRMA | 5.00 | $0 |
| DEBBY ROGERS | ||
| BOARD MEMBER | 5.00 | $0 |
| DR JAMES KILLEEN | ||
| BOARD MEMBER | 5.00 | $0 |
| DR ROBERT COTHREN | ||
| BOARD MEMBER | 5.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAVEL BUDILO | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 CREEKDALE ROAD | AddressLine1Txt |
| City | WALNUT CREEK | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94549 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7149194429 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $609 | CurrentTaxYearAmt |
| Total | $609 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $609 | CurrentTaxYearAmt |
| Total | $609 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $609 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $609 | CurrentTaxYearAmt |
| Total | $609 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES CONTRACT SERVICES 1,400 INSURANCE 1,791 OPERATIONS 3,258 OTHER EXPENSES 33 TOTAL 6,482 |
| FORM 990-EZ, PART II, LINE 24 | ACCOUNTS RECEIVABLE 110,994 90,743 OTHER ASSETS 41,750 0 BAD DEBT 0 35,250 UNDEPOSITED FUNDS 0 4,000 TOTAL 152,744 129,993 |
| FORM 990-EZ, PART II, LINE 26 | ACCOUNTS PAYABLE AND ACCRUED EXPENSES 246,000 245,999 ROUNDING 1 0 |
| FORM 990-EZ, PART III | THE ORGANIZATION'S 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 CAHIES POLICIES AND PROCEDURES FOR ACHIEVING TRUSTED EXCHANGE . |