California · Nonprofit
SIERRA HEALTH FOUNDATION CENTER FOR HEALTH PROGRAM MANAGEMENT
SIERRA HEALTH FOUNDATION CENTER FOR HEALTH PROGRAM MANAGEMENT (California) receives grants from 83 organizations whose IRS filings report $89,177,877 to it, the largest being THE CALIFORNIA ENDOWMENT ($39,216,530). 40 of them have funded it in more than one year.
- Revenue FY2024
- $197M
- Funders on record
- 83
- Grants received
- $89M
- Net assets
- $32M
What Sierra Health Foundation Center for Health Program Management does
Mission
To provide leadership, funding and operational support for projects that improve individual and community health status and well being in underserved communities.
As stated on its FY2024 Form 990.
Programs
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.
$58,852,299 spent30% of program spendingMedications 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.
$35,748,995 spent18% of program spendingBehavioral 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.
$28,647,942 spent15% of program spendingCalifornia 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…
$71,907,511 spentof which $6,369,319 as grants37% of program spending
The 4 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $195,156,747.
The organization over time
Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.
Balance sheet
Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2019 to 2020, from $45M to $148M (+226%).
How it's funded, over time
Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.
Government-grant reliance: 2017 98% · 2018 24% · 2019 80% · 2020 73% · 2021 91% · 2022 84% · 2023 93% · 2024 92%. Grants only. Government contracts and fees sit inside program revenue.
97% of SIERRA HEALTH FOUNDATION CENTER FOR HEALTH PROGRAM MANAGEMENT’s revenue is contributions — more reliant on donations than three-quarters of its peers (1% for the typical peer).
Surplus & reserves
Operating surplus or deficit each year, and months of liquidity in hand. 4 of the last 8 reported years ran a deficit.
reserve
Leadership and staff
The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.
Chief executive
Chet P Hewitt
President & CEO
Board chair
Nancy P Lee
Chair
As listed on its FY2024 Form 990.
Who funds it, year by year
2017 → 2023: the base broadened from 12 funders to 26 funders, grant income rose $5.1M → $8.1M.
23 of 83 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 24% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.
Left out of every figure on this page: $2.5M from one payer (the payer shares this organization's board, largest Sierra Health Foundation). These are real filings, and they are not money SIERRA HEALTH FOUNDATION CENTER FOR HEALTH PROGRAM MANAGEMENT raised.
From the IRS filings of SIERRA HEALTH FOUNDATION CENTER FOR HEALTH PROGRAM MANAGEMENT’s funders (the co-funder graph). Top 30 of 83 funders by total. Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How concentrated its funding is
SIERRA HEALTH FOUNDATION CENTER FOR HEALTH PROGRAM MANAGEMENT leans on a few funders — its largest provides 44% of grant income and the top three 61%; half comes from just 2 funders.
the vertical line marks half of all grant income — 2 funders to its left
29% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund SIERRA HEALTH FOUNDATION CENTER FOR HEALTH PROGRAM MANAGEMENT.
Largest funder’s share by year: 2017 65% · 2018 49% · 2019 62% · 2020 35% · 2021 72% · 2022 23% · 2023 65% — broadly stable.
“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
How long its funders stay
24% of SIERRA HEALTH FOUNDATION CENTER FOR HEALTH PROGRAM MANAGEMENT's funders are still giving 3 years after their first grant; 48% give in more than one year at all.
Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.
Where its funders are
95% of SIERRA HEALTH FOUNDATION CENTER FOR HEALTH PROGRAM MANAGEMENT's grant income comes from California funders.
In-state vs out-of-state, by year
Funder states come from each funder’s own filing. $22M arriving through sponsors registered in 10 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.
Against its field
SIERRA HEALTH FOUNDATION CENTER FOR HEALTH PROGRAM MANAGEMENT holds deeper cash reserves than three-quarters of the 2,076 health nonprofits its size.
this organization peer median middle 50% of peers· 2,076 health nonprofits over $100M, FY2024
Government funding SIERRA HEALTH FOUNDATION CENTER FOR HEALTH PROGRAM MANAGEMENT receives
Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $500k on record.
- Department of Housing and Urban Development$500k
Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.
Organizations like SIERRA HEALTH FOUNDATION CENTER FOR HEALTH PROGRAM MANAGEMENT
Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.
In California
Nationally
Read directly from this organization’s own Form 990, as neutral context.
Where the money goes
96% of spending goes to programs.
Governance
Public support
98%
Share of support from the public (Schedule A) — the basis for its public-charity status.
Footprint & structure
Files a return copy in 1 state
Part of a family of 3 related entities
- San Joaquin Valley Impact Investment Fund LLC · disregarded
- Sierra Health Foundation · exempt
- Shf Properties Inc · exempt
Screen this organization
A dated, signed PDF of the compliance screen for SIERRA HEALTH FOUNDATION CENTER FOR HEALTH PROGRAM MANAGEMENT: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.
Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf
Questions and answers
- Who funds SIERRA HEALTH FOUNDATION CENTER FOR HEALTH PROGRAM MANAGEMENT?
- SIERRA HEALTH FOUNDATION CENTER FOR HEALTH PROGRAM MANAGEMENT (California) receives grants from 83 organizations whose IRS filings report $89,177,877 to it, the largest being THE CALIFORNIA ENDOWMENT ($39,216,530). 40 of them have funded it in more than one year.
- How many funders does SIERRA HEALTH FOUNDATION CENTER FOR HEALTH PROGRAM MANAGEMENT have?
- IRS filings report 83 organizations giving $89,177,877 in grants to SIERRA HEALTH FOUNDATION CENTER FOR HEALTH PROGRAM MANAGEMENT, 40 of which have funded it in more than one year.
- Who is the largest funder of SIERRA HEALTH FOUNDATION CENTER FOR HEALTH PROGRAM MANAGEMENT?
- THE CALIFORNIA ENDOWMENT is the largest funder on record, with $39,216,530 in grants. The full list of funders is on this page.
- How can an organization like SIERRA HEALTH FOUNDATION CENTER FOR HEALTH PROGRAM MANAGEMENT find more funders?
- Start with the funders already giving here, then look at the foundations that back similar organizations in California. The funding by cause and by state pages list the largest funders for a given area and how to approach them.
These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2024 (financials across 2017–2024), and the filings of 83 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 22, 2026. What this page cannot tell you · view filing