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        <Desc>The Physician Foundation awarded the Physicians for a Healthy California to facilitate and support charitable, scientific, or education programs that improve the quality of health care received by patients in an evolving health care environment.</Desc>
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        <Desc>Network of Ethnic Physician Organizations is an educational event for physicians, public health professionals, advocates and community leaders that offers policy and best practices for reducing health disparities, building diversity in the workface and increasing cultural competency in clinical care.</Desc>
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        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>PHC Endowment Fund is comprised of several different endowment contributions made to the organization. The Audio Digest Foundation (ADF) established the endowment by contributing $200,500 in 1989. The contributions are to remain intact as an endowment and only amounts earned on investments may be expended by PHC. During 2004, the entity encouraged physicians to donate settlement checks to which they were entitled from a lawsuit brought against CIGNA. The solicitation indicated that all funds donated would become part of the Endowment Fund. In 2019, funds that were originally contributed in 1989 were released from restriction. The release provision was made in writing by the last President and CEO of ADF before its dissolution. Those funds were reclassified to net assets without donor restrictions. Medical Student Fund was established by a donor in 1983. Principal contributions of $110,911 are to remain intact as a donor restricted endowment and only the amounts earned as interest income may be expended by PHC for medical student grants. PHC has various smaller funds that are temporarily restricted by their donors for specific purposes that align with the mission of the organization.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>The Association has applied the accounting principles related to accounting for uncertainty in income taxes and has determined that there is no material impact on the consolidated financial statements.</ExplanationTxt>
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        <ExplanationTxt>The Physicians for a Healthy California assigns a cost center for monitoring the use of each grant fund in the United States.</ExplanationTxt>
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        <PersonNm>Lance R Lewis</PersonNm>
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        <ExplanationTxt>The compensation for the CEO and CFO of the California Medical Association was determined using a salary data for similarly qualified persons comparable at other non-profit associations. The CEO's compensation package was approved by the Executive Committee of the Board of Trustees and is reviewed every 3 years. The compensation of the President and CEO of the Physicians for a Healthy California was determined by the CEO of the California Medical Association. The compensation is also included in the annual budgeted and is adopted annually by the PHC Board of Directors.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The Test to Treat Equity Grant program was established by the California Department of Public Health to help increase accessibility to COVID-19 therapeutics for California's safety net systems, which includes community health centers and public health systems. Awardees of the grant received assistance and support through technical assistance, one-on-one coaching, resources and toolkits, and free telehealth services to support patients in a more effective and timely manner.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Dustin E Corcoran, Chief Executive Officer, and Lance R Lewis, Chief Operating Officer, have a family relationship.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has shared members with the California Medical Association.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Nominees for the PHC's Board of Directors are identified by members of the Board (as general directors or designated directors). The Executive Committee of the Board vest nominees and issues recommendations which are then approved or rejected by the Board. If approved, a written recommendation is then made to the CMA Board of Trustees of whom makes a final decision of the nominee.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The IRS Form 990 and required schedules are prepared from the audited financial statements and were reviewed by management before being electronically transmitted to the Board of Directors. All questions and comments are resolved prior to filing with the IRS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The conflict of interest policy is affirmed annually, in writing by each officer, director and key employee. Each person is required to publicly disclose any potential conflicts of interest during consideration of any item of business to the PHC board. Newly elected officers, directors, or key employees are provided additional instructions on conflicts of interest. Employees are required to disclose potential conflicts of interest in accordance with the personnel policies stated in the employee handbook. The annual affirmation is monitored by PHC's President and CEO.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>CMA and PHC Chief Executive Officers' compensation was determined based on performance and salary data for similarly qualified persons in comparable positions at other non-profit organizations. Both compensation are in the annual budget in which the PHC Board approves. Compensation for key employees are also determined using the same comparability data.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents and form 990 are available for review upon request at PHC's headquarter.</ExplanationTxt>
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        <ExplanationTxt>Comprised of other professional services, employee placement fee, and staffing services.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24a - 24d</FormAndLineReferenceDesc>
        <ExplanationTxt>The California Medical Association paid for the salaries and benefit expenses of the staff assigned to the Physicians for a Health California for a total of $2,425,521.</ExplanationTxt>
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          <BusinessNameLine1Txt>CMA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CALPAC - Indeprendent Expenditures Committee</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1201 K Street 8th Floor</AddressLine1Txt>
          <CityNm>Sacramento</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95814</ZIPCd>
        </USAddress>
        <EIN>680464807</EIN>
        <PrimaryActivitiesTxt>Political Campaign</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>527</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CMA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>California Medical Association PAC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1201 K Street 8th Floor</AddressLine1Txt>
          <CityNm>Sacramento</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95814</ZIPCd>
        </USAddress>
        <EIN>946353926</EIN>
        <PrimaryActivitiesTxt>Political Campaign</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>527</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CMA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>California Medical Association</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>1397603</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual amount of CMA staff-time allocated to PHC</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>California Medical Association</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>2425521</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Reimbursement of salary and other benefit costs to CMA.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>California Medical Association</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>441705</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Reimbursement paid to CMA for rent and miscellaneous expenses.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
    <ReasonableCauseExplanation documentId="R000009" softwareId="22015720" softwareVersionNum="v1.00">
      <ExplanationTxt>Additional time was necessary in order to complete an accurate filing.</ExplanationTxt>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>