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      <Desc>CalMedForce administers annual grants to fund residency positions at graduate medical education (GME) programs throughout California to train physicians and help the state address its growing physician shortage. The University of California is the designated recipient of the funding via tobacco tax revenues, Proposition 56, and has contracted with PHC to administer this GME grant program. In 2023, CalMedForce funding awarded the largest number of residencies and resident positions to date, to sustain, retain and expand GME in primary care and emergency medicine. A total of 138 residency programs were awarded $38.7 million to fund 217 resident positions.</Desc>
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        <Desc>CalHealthCares administers loan repayment for educational debt to California physicians and dentists who provide care to Medi-Cal patients, which represent one-third of Californians and half of the state's children. The Department of Health Care Services has funded the program through the state tobacco tax revenues, Proposition 56, and contracted with PHC to administer the statewide program. Eligible physicians can apply for up to $300,000 in loan repayment in exchange for a five-year service obligation. Eligible dentists can apply for up to $300,000 in exchange for a five-year service obligation or a practice support grant of up to $300,000 in exchange for a ten-year service obligation. In 2023, a total of 263 physicians and 34 dentists were awarded $72.5 million to reduce the educational debt. Physician awardees are providing services to Medi-Cal patients in 40 counties throughout California and dentist awardees are providing services in 7 counties.</Desc>
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        <Desc>The COVID-19 Therapeutics Equity Grant Program, also known as Test to Treat Equity Grant, was established by the California Department of Public Health to connect patients who test positive for COVID-19 with the therapeutic treatment to decrease related morbidity and mortality. CDPH has partnered with the the Physicians for a Healthy California to secure funding to support safety-net providers to operationalize access to clinically appropriate COVID-19 therapeutics in a timely manner with a focus on expedited elements of assessment and treatment. The grant program came to a close in 2023, concluding $70.8 million awarded to 242 safety-net providers and public health systems to improve COVID-19 testing and treatment in underserved communities across 45 counties.</Desc>
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        <Desc>The CAIRVaxGrant program is funded by the California Department of Public Health and administered by the Physicians for a Healthy California (PHC). The program provides health organizations with practice support grants to supplement the operational costs of administering COVID-19 vaccines to pediatric populations in their communities. As of 2023 the program has concluded with funding of $59.4 million provided to 3,434 community vaccine providers.</Desc>
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        <Desc>Funded through Health Net, the Physicians for a Healthy California has partnered with the CMA Physicians Services Inc. to offer application and technical assistance to independent physicians and practice during the first phase of the Department of Health Care Services Equity and Practice Transformation Payments Program, which is intended to advance the wealth equity and reduce COVID-19-drive care disparities by investing in upstream care models and partnerships to address health and wellness and fund practice transformation. PHC assisted 42 applicants comprising 157 practices in 14 counties.</Desc>
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        <Desc>The organization also has smaller programs that focuses on its mission. The Health Equity Leadership Summit is held annually in the Fall to bring together a community of physicians, residents, medical students, administrators, allies and advocates for hands-on training, in-depth conversations and leadership development opportunities. The CDPH Coaching program is to train parents and children the importance of vaccines. The California Health Care Foundation grant conducted surveys and interviews of 36 Chief Health Equity Officers to analyze the emerging role of the position in California's health care landscape. MedStudentsServe cultivates the future generation of physician leaders in California, funded through endowment and restricted funds and administrated by PHC. The Pacific Coast Obstetrical and Gynecological Society is composed of physicians who are dedicated to excellence in the field of obstetrical and gynecological health care.</Desc>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
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      <GovernmentGrantsAmt>0</GovernmentGrantsAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Loan Repayment Program</Desc>
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      <ProgramServiceRevenueGrp>
        <Desc>KidsVaxGrant/CairVaxGrant</Desc>
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      <ProgramServiceRevenueGrp>
        <Desc>Test2Treat</Desc>
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        <ExclusionAmt>0</ExclusionAmt>
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        <ExclusionAmt>183638</ExclusionAmt>
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      <IncmFromInvestBondProceedsGrp>
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      <NetGainOrLossInvestmentsGrp>
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      <NetIncmFromFundraisingEvtGrp>
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        <ExplanationTxt>The 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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        <PurposeOfGrantTxt>The purpose of the grant was to promote cooperative efforts and unity between private practitioners and those in the academic sector, provide continuing medical education for its participating fellows and guests, and support physicians in training so as to encourage careers in Obstetrics and Gynecology.</PurposeOfGrantTxt>
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        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2</FormAndLineReferenceDesc>
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        <PersonNm>Lance R Lewis</PersonNm>
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        <PersonNm>Emily Johnson</PersonNm>
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        <FormAndLineReferenceDesc>Schedule J, Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation for the CEO and CFO of the California Medical Associations 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 committed 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 budget and is adopted annually by the PHC Board of Directors.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 2</FormAndLineReferenceDesc>
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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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      <SupplementalInformationDetail>
        <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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        <DisregardedEntityName>
          <BusinessNameLine1Txt>CALPAC - Independent Expenditures Committee</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1201 K Street</AddressLine1Txt>
          <AddressLine2Txt>8th Floor</AddressLine2Txt>
          <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>Yes on Proposition 1-Expanding Access to Mental Health Services</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1201 K Street</AddressLine1Txt>
          <AddressLine2Txt>Suite 800</AddressLine2Txt>
          <CityNm>Sacramento</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95814</ZIPCd>
        </USAddress>
        <EIN>934804823</EIN>
        <PrimaryActivitiesTxt>Social Welfare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(4)</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>p</TransactionTypeTxt>
        <InvolvedAmt>608027</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Amount of reimbursement paid to the California Medical Association for rent and miscellaneous expenses.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>California Medical Association</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>3261685</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Amount of reimbursement paid to the California Medical Association for salary and other benefit costs.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>California Medical Association</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>1339069</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Reimbursement of staff-time allocated to the Physicians for a Healthy California.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule R, Part V, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
    <ReasonableCauseExplanation documentId="R000009" softwareId="23018249" softwareVersionNum="v1.00">
      <ExplanationTxt>Additional time was necessary to complete an accurate filing.</ExplanationTxt>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>