CALIFORNIA ASSOCIATION OF HEALTH INFORMATION EXCHANGES: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: CALIFORNIA ASSOCIATION OF HEALTH INFORMATION EXCHANGES (EIN 46-3613312)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-11
IRS object ID: 201543159349301724
Schema version: 2014v5.0
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
Form 990
Schedule A
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-11T08:31:19-08:00	ReturnTs
Tax Period End	2014-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ISSER ZEILINGOLD CPA PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 E Eckerson Road Suite 230	AddressLine1Txt
City	New City	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10956	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	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 Health Information Exchanges Inc	BusinessNameLine1Txt

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	2015-10-29	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ISSER ZEILINGOLD	PreparerPersonNm
Phone	8454260035	PhoneNum
Preparation	2015-11-11	PreparationDt
Self Employed	Yes (X)	SelfEmployedInd

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-04-25 22:37:26Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	PAVEL BUDILO	PrincipalOfficerNm

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)
Gross Receipts	$436,626	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2014	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	The organizations mission is to establish a statewide network for trusted exchange of health data among Californias 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 .	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
CY Contributions Grants	$286,325	CYContributionsGrantsAmt
CY Program Service Revenue	$150,301	CYProgramServiceRevenueAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
CY Other Revenue	$0	CYOtherRevenueAmt
CY Total Revenue	$436,626	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
CY Other Expenses	$166,377	CYOtherExpensesAmt
CY Total Expenses	$166,377	CYTotalExpensesAmt
CY Revenues Less Expenses	$270,249	CYRevenuesLessExpensesAmt
Total Assets EOY	$267,785	TotalAssetsEOYAmt
Total Liabilities EOY	$36	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances EOY	$267,749	NetAssetsOrFundBalancesEOYAmt
Mission	The organizations mission is to establish	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$10,000	ExpenseAmt
Revenue	$150,301	RevenueAmt
Desc	CAHIE WAS INSTRUMENTAL IN ASSISTING THIRTY MEDICAL PROFESSIONALS WITH ITS STATEWIDE NETWORK FOR TRUSTED EXCHANGE OF HEALTH DATA AMONG CALIFORNIAS HEALTH INFORMATION.	Desc
Total Program Service Expenses	$10,000	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	false	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	false	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	PAVEL BUDIO	PersonNm
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

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DAVID
Minch	20.00	Yes (X)	$0	$0	$0
WILLIAM
Beighe	5.00	Yes (X)	$0	$0	$0
PAVEL
Budilo	10.00	Yes (X)	$0	$0	$0
DR CHRIS
Jaeger, MD	5.00		$0	$0	$0	Yes (X)
RICHARD
Swafford	5.00		$0	$0	$0	Yes (X)
DR JOHN
Mattison MD	5.00		$0	$0	$0	Yes (X)
SEAN
Turner	5.00		$0	$0	$0	Yes (X)
WILLY
Bansi	5.00		$0	$0	$0	Yes (X)
PAMELA
Lane	5.00		$0	$0	$0	Yes (X)
DRJAMES
Killeen MD	5.00		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Membership Dues	$262,500	MembershipDuesAmt
All Other Contributions	$23,825	AllOtherContributionsAmt
Total Contributions	$286,325	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt
Program Service Fees	541519	$53,988
Program Income- Other	541519	$96,313

Field	Value	IRS element (for citing)
Total Program Service Revenue	$150,301	TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$436,626	TotalRevenueColumnAmt
Related Or Exempt Func Income	$150,301	RelatedOrExemptFuncIncomeAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,476	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$3,476	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$334	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$334	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$600	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$600	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$500	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$500	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Insurance	$1,839	$0	$1,839	$0
Postage	$37	$0	$37	$0
Telephone	$50	$0	$50	$0
Web Hosting	$4,337	$0	$4,337	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$155,204	TotalAmt
Program Services	$10,000	ProgramServicesAmt
Management And General	$145,204	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$166,377	TotalAmt
Program Services	$10,000	ProgramServicesAmt
Management And General	$156,377	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
EOY	$128,310	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$139,475	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$267,785	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
EOY	$36	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$36	EOYAmt

Field	Value	IRS element (for citing)
Org Does Not Follow SFAS117	Yes (X)	OrgDoesNotFollowSFAS117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
EOY	$267,749	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$267,749	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$267,785	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$270,249	ReconcilationRevenueExpnssAmt
Prior Period Adjustments	-$2,500	PriorPeriodAdjustmentsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	false	FSAuditedInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind
Public Support Total170	$0	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY170	0	PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year	$282,500	CurrentTaxYearAmt
Total	$282,500	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year	$154,126	CurrentTaxYearAmt
Total	$154,126	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year	$436,626	CurrentTaxYearAmt
Total	$436,626	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$436,626	PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Total	$436,626	TotalAmt

Field	Value	IRS element (for citing)
First5 Years509	Yes (X)	First5Years509Ind
Public Support CY509	0	PublicSupportCY509Pct
Investment Income CY	0	InvestmentIncomeCYPct

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Pt VI, Line 11b	A draft of the return will be forwarded to the Treasurer of the organization for review.He will then review the information with the Board of Directors to make sure it is a complete and accurate return.
Pt VI, Line 12c	All Board members are reminded of their obligation to be transparent when it comes to voting on matters that can be considered a Conflict of Interest.
Form 990, Part IX, Line 24f	BAD DEBT EXPENSE 45000. 0. 45000. 0. FILING FEES & LICENSES 700. 0. 700. 0. MISCELLANEOUS 270. 0. 270. 0. OUTSIDE CONTRACT SERVICES 98544. 0. 98544. 0. PROGRAM SERVICES 10000. 10000. WEBSITE 690. 0. 690. 0.