Form 990 for tax year 2024

Totals

Total revenue

$197,493,248

Total expenses

$202,627,122

Contributions and grants received

$190,648,915

Grants paid

$6,369,319

Program service revenue

$0

Investment income

$6,844,333

Other revenue

$0

Total assets, end of year

$203,213,833

Total liabilities, end of year

$171,153,517

Net assets or fund balances, end of year

$32,060,316

Program services expenses (Part IX)

$195,156,747

Management and general expenses

$7,470,375

Fundraising expenses

$0

Program service expenses (Part III)

$195,156,747

Program services were 96.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Mission and programs · 2024

• 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.

  Expenses $58,852,299

• 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.

  Expenses $35,748,995

• 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.

  Expenses $28,647,942

• 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.

  Expenses $71,907,511 · Grants $6,369,319

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

• SIERRA HEALTH FOUNDATION

  $2,500,000

  GENERAL SUPPORT

• CATALYST CALIFORNIA

  $762,746

  GENERAL SUPPORT

• YOUNG WOMEN'S FREEDOM CENTER

  $240,000

  GENERAL SUPPORT

• LIBERTY HILL FOUNDATION

  $175,000

  GENERAL SUPPORT

• COMMUNITY ALLIANCE WITH FAMILY FARMERS FOUNDATION

  $125,000

  GENERAL SUPPORT

• SISKIYOU COUNTY JOB COUNCIL

  $125,000

  GENERAL SUPPORT

• TWO FEATHERS NATIVE AMERICAN FAMILY SERVICES

  $125,000

  GENERAL SUPPORT

• THE FRESNO CENTER

  $102,000

  GENERAL SUPPORT

• EAST BAY ASIAN LOCAL DEVELPMENT CORPORATION

  $100,000

  GENERAL SUPPORT

• MONTEREY BAY ECONOMIC PARTNERSHIP

  $100,000

  GENERAL SUPPORT

The 10 largest by cash amount. The API serves every itemized grant.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

• SIERRA HEALTH FOUNDATION

  501(C)(3) · PRIVATE FOUNDATION COMMITTED TO HEALTH EDUCATION, STRATEGIC GRANT MAKING,ETC · CA

• SHF PROPERTIES INC

  501(C)(2) · TO HOLD AND/OR LIQUIDATE REAL PROP. OR REAL PROP. INT. TRANS BY SIERRA HEALT · CA

  Directly controlled by SIERRA HEALTH FOUNDATION

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Provenance

Return type

form_990

Tax year

2024

Filed

12 November 2025

IRS schema version

2024v5.2

Source object

202523189349314052

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.