Coalition for Compassionate Care of California

aka CCCC   |   Sacramento, CA   |
GuideStar Charity Check

Coalition for Compassionate Care of California

EIN: 27-0419836


Our mission is to make conversations about serious illness a part of everyday life and palliative care a part of everyday healthcare wherever people receive care.

Ruling year info


Chief Executive Officer

Ms. Jennifer Moore Ballentine MA

Main address

2530 River Plaza Drive, Suite 110

Sacramento, CA 95833 USA

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Formerly known as

Children's Hospice & Palliative Care Coalition



Subject area info

Medical education

Social work education

Nursing education

Continuing education

Health care quality

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Population served info

Children and youth


NTEE code info

Alliance/Advocacy Organizations (E01)

IRS subsection

501(c)(3) Public Charity

IRS filing requirement

This organization is required to file an IRS Form 990 or 990-EZ.

Tax forms



Programs and results

What we aim to solve

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Our programs

SOURCE: Self-reported by organization

What are the organization's current programs, how do they measure success, and who do the programs serve?

Advance Care Planning

CCCC leads efforts to train healthcare professionals on advance care planning and help providers develop the skills they need to talk with seriously ill patients and families discerning goals of care and treatment decisions that may impact length or quality of life.

We work with healthcare organizations across the state to identify healthcare planning needs and to design programs to meet those needs. We provide resources and training for healthcare professionals and organizations.

CCCC also works with local coalitions throughout the state to engage like-minded organizations and the public in advance care planning. We provide resources for the public regarding planning for end of life care.

Population(s) Served

As the voice of palliative care in California, we incubate and disseminate models and ideas to improve access to quality care for all people. We bring together people and organizations with a passion and common interest in increasing access to community-based palliative care. We host conference calls, webinars, and in-person learning to spur growth and expansion of palliative care across the continuum of care. We convene plans and payers, providers, policy makers, and the public to improve quality of care, equity, and access.

Population(s) Served
Children and youth

We partner with state and community leaders to raise awareness around the important day-to-day needs of seriously ill children and their families. We create opportunities for doctors, nurses, families and community leaders to talk together about the issues that matter most, and work together to identify collaborative networks to ensure that when children go home from the hospital they and their families have access to the care they need to be safe and comfortable at home. We advocate for policies and services that not only benefit children, but also the families who love and care for them.

Population(s) Served
Children and youth
Young adults

We are proud to be the home of California's Physicians Orders for Life Sustaining Treatment (POLST). POLST is a medical order signed by both a patient and physician, nurse practitioner, or physician assistant that specifies the types of medical treatment a patient wishes to receive toward the end of life. POLST is a tool that encourages conversation between providers and patients about their end-of-life treatment options, and helps patients make more informed decisions and communicate their wishes clearly. As a result, POLST can prevent unwanted or medically ineffective treatment, reduce patient and family suffering, and help ensure that patient wishes are followed.

CCCC provides community outreach programs, trainings, and resources to educate healthcare providers and the public about the POLST form. We are actively engaged with the State of California in development and implementation of an electronic, easily accessible POLST Registry.

Population(s) Served

Where we work

Our results

SOURCE: Self-reported by organization

How does this organization measure their results? It's a hard question but an important one.

Number of conference attendees

This metric is no longer tracked.
Totals By Year
Type of Metric

Output - describing our activities and reach

Direction of Success


Context Notes

Attendees include medical professionals, social workers, chaplains, administrators, long-term supports & services providers, healthcare leaders, funders, health officials, patients policymakers & more

Number of clients participating in educational programs

This metric is no longer tracked.
Totals By Year
Type of Metric

Output - describing our activities and reach

Direction of Success


Context Notes

participants in CCCC's educational programs, including in-person workshops and webinars

Goals & Strategy

SOURCE: Self-reported by organization

Learn about the organization's key goals, strategies, capabilities, and progress.

Charting impact

Four powerful questions that require reflection about what really matters - results.

Our vision is to transform care during serious illness and towards the end of life in California so that medical care is aligned with an individual's preferences -- people get the care they need and no less, and the care they want and no more. We envision that, in ten years, advance care planning discussions will happen seamlessly and continually over the course of a person's life span, appropriately triggered by life events and changes in medical condition.

The demand for high-quality palliative care will be widespread: conversations about values and goals regarding healthcare will be a normal part of communities. From the time of diagnosis through advanced stages of illness, patients and their families will receive the information they need to make fully informed decisions, have the opportunity to document their treatment wishes, and receive care consistent with these wishes.

The supply of providers and systems capable of supporting patients and families though advanced illness and end-of-life care will be robust. Healthcare professionals will be trained in conversations about goals of care, will feel comfortable talking with patients about treatment preferences, and will skillfully guide patients and families to receive appropriate care. Healthcare organizations will establish systems to make conversations about treatment goals and options a reliable, consistent part of care and will ensure information about patient preferences is easily accessible when needed. Public policy and provider reimbursement will support these conversations and the ability to share documentation of preferences across the care continuum.

We are working to increase demand for patient-centered care during serious illness through public education and engagement and patient empowerment.

We are increasing supply of healthcare providers and organizations prepared to support individuals and families throughout the course of their lives by 1) improving clinicians' approaches to communicating with patients and families by changing attitudes, increasing knowledge, and building skills; and 2) improving organizations' workflows and systems for eliciting, documenting, and honoring patient preferences.

We are increasing the capacity of the California network to improve end-of-life care.

CCCC has a proven track record of leading large-scale, multi-organizational initiatives. A fundamental part of our approach to improving end-of-life care is building and sustaining robust partnerships with the full spectrum of organizations that touch or impact people with serious illnesses and their families. We continue to build on this history of partnership to achieve our goals.

California has always been an innovator in end-of-life care, and CCCC is building the foundation to make real change happen in many ways:

•We provide our expertise, tools and resources to families, patients, policy makers and healthcare providers to help ensure that all Californians receive high-quality palliative and end-of-life care.

•We lead efforts to train healthcare professionals about Physician Orders for Life-Sustaining Treatment (POLST), as well as cultural diversity and end-of-life care in California. We help them develop the skills they need to talk with seriously-ill patients and families facing decisions about goals of care.

•We work with and support local coalitions throughout the state that provide support and education to healthcare providers and those facing treatment and care decisions.

•We bring together people with a passion for increasing access to palliative care to spark growth of community-based palliative care throughout California.

Recent accomplishments include the following:
o Educated more than 40 individuals on how to train others to present on advance care planning or facilitate advance care planning conversations.

o Worked with local initiatives in Santa Cruz and Sonoma Counties to increase awareness of advance care planning among their local Latino population.

o Supported the West Los Angeles coalition in efforts to engage the homeless population in advance care planning.

o Sponsored two POLST-related pieces of legislation: AB 637, which would allow nurse practitioners and physician assistants, under the supervision of a physician and within their scope of practice, to sign POLST forms; and SB 19, which would establish an electronic POLST registry operated by the CA Department of Health & Human Services.

o Trained 73 healthcare professionals how to teach others to have compassionate, quality conversations with patients about goals of care and POLST.

o Produced a white paper that examines the conservatorship process for people with developmental disabilities related to healthcare decision making and includes policy recommendations.

o Hosted monthly webinars to provide education on a variety of palliative care topics. Past webinars have focused on topics as diverse as prognosis, community-based palliative care, telemedicine, billing, Alzheimer's and dementia, and the roles of specialists in the palliative care setting.

o Convened CCCC's 7th annual Palliative Care Summit in Sacramento that was attended by more than 300 healthcare professionals who want to spur growth and expansion palliative care across the continuum of care in California.

o Partnered with the CSU Institute for Palliative Medicine to develop an in-person and online palliative care curriculum for insurance company case managers.

o Actively participated in stakeholder workgroups and provided written recommendations to the DHCS to assist the Department in enacting the provisions of SB 1004, which requires Medi-Cal to establish standards and provide technical assistance for Medi-Cal managed care plans to ensure delivery of palliative care services.

o Hosted two seminars for healthcare professionals to help them explore their cultural biases and gain insight on the effect of culture and ethnicity on end-of-life care.

o Co-authored the California HealthCare Foundation report Gather Round: Understanding How Culture Frames End-of-Life Choices for Patients and Families, based on qualitative interviews with 24 sets of patients and their families who have experienced serious illness.

o Published an online “toolkit" to assist local coalitions in outreach to faith leaders and hosted introductory seminars in their communities about advance care planning and palliative care.


Coalition for Compassionate Care of California
Fiscal year: Jan 01 - Dec 31
Financial documents
done  Yes, financials were audited by an independent accountant. info

Revenue vs. expenses:  breakdown

SOURCE: IRS Form 990 info
Note: When component data are not available, the graph displays the total Revenue and/or Expense values.

Liquidity in 2021 info

SOURCE: IRS Form 990


Average of 1.32 over 10 years

Months of cash in 2021 info

SOURCE: IRS Form 990


Average of 3.1 over 10 years

Fringe rate in 2021 info

SOURCE: IRS Form 990


Average of 22% over 10 years

Funding sources info

Source: IRS Form 990

Assets & liabilities info

Source: IRS Form 990

Financial data

SOURCE: IRS Form 990

Coalition for Compassionate Care of California

Revenue & expenses

Fiscal Year: Jan 01 - Dec 31

SOURCE: IRS Form 990 info

Fiscal year ending: cloud_download Download Data

Coalition for Compassionate Care of California

Balance sheet

Fiscal Year: Jan 01 - Dec 31

SOURCE: IRS Form 990 info

The balance sheet gives a snapshot of the financial health of an organization at a particular point in time. An organization's total assets should generally exceed its total liabilities, or it cannot survive long, but the types of assets and liabilities must also be considered. For instance, an organization's current assets (cash, receivables, securities, etc.) should be sufficient to cover its current liabilities (payables, deferred revenue, current year loan, and note payments). Otherwise, the organization may face solvency problems. On the other hand, an organization whose cash and equivalents greatly exceed its current liabilities might not be putting its money to best use.

Fiscal year ending: cloud_download Download Data

Coalition for Compassionate Care of California

Financial trends analysis Glossary & formula definitions

Fiscal Year: Jan 01 - Dec 31

SOURCE: IRS Form 990 info

This snapshot of Coalition for Compassionate Care of California’s financial trends applies Nonprofit Finance Fund® analysis to data hosted by GuideStar. While it highlights the data that matter most, remember that context is key – numbers only tell part of any story.

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Business model indicators

Profitability info 2017 2018 2019 2020 2021
Unrestricted surplus (deficit) before depreciation $14,703 $79,678 -$157,221 $161,816 -$87,809
As % of expenses 1.1% 6.0% -11.6% 15.9% -8.7%
Unrestricted surplus (deficit) after depreciation $14,703 $79,678 -$158,249 $160,788 -$88,837
As % of expenses 1.1% 6.0% -11.6% 15.8% -8.8%
Revenue composition info
Total revenue (unrestricted & restricted) $1,286,474 $1,364,338 $1,201,281 $1,178,854 $918,963
Total revenue, % change over prior year -13.2% 6.1% -12.0% -1.9% -22.0%
Program services revenue 21.5% 29.9% 36.0% 23.8% 21.3%
Membership dues 2.9% 2.0% 3.6% 4.4% 5.2%
Investment income 0.0% 0.0% 0.1% 0.1% 0.0%
Government grants 0.0% 0.0% 0.0% 7.5% 10.6%
All other grants and contributions 75.2% 68.0% 60.4% 64.2% 62.9%
Other revenue 0.4% 0.0% 0.0% 0.0% 0.0%
Expense composition info
Total expenses before depreciation $1,316,771 $1,334,316 $1,358,569 $1,017,080 $1,006,772
Total expenses, % change over prior year -7.6% 1.3% 1.8% -25.1% -1.0%
Personnel 62.0% 64.1% 58.3% 58.9% 64.6%
Professional fees 0.0% 0.0% 0.0% 3.1% 3.4%
Occupancy 5.0% 5.2% 5.4% 7.9% 8.4%
Interest 0.0% 0.0% 0.0% 0.0% 0.0%
Pass-through 0.0% 0.0% 0.0% 0.0% 0.0%
All other expenses 33.0% 30.7% 36.3% 30.2% 23.5%
Full cost components (estimated) info 2017 2018 2019 2020 2021
Total expenses (after depreciation) $1,316,771 $1,334,316 $1,359,597 $1,018,108 $1,007,800
One month of savings $109,731 $111,193 $113,214 $84,757 $83,898
Debt principal payment $0 $0 $50,000 $0 $0
Fixed asset additions $0 $0 $3,084 $0 $0
Total full costs (estimated) $1,426,502 $1,445,509 $1,525,895 $1,102,865 $1,091,698

Capital structure indicators

Liquidity info 2017 2018 2019 2020 2021
Months of cash 4.6 2.5 1.2 2.7 2.9
Months of cash and investments 4.6 2.5 1.2 2.7 2.9
Months of estimated liquid unrestricted net assets 0.4 1.1 -0.3 1.4 0.4
Balance sheet composition info 2017 2018 2019 2020 2021
Cash $506,560 $272,812 $136,994 $230,023 $246,552
Investments $0 $0 $0 $0 $0
Receivables $139,057 $126,677 $38,451 $26,502 $42,643
Gross land, buildings, equipment (LBE) $0 $0 $19,036 $13,480 $11,685
Accumulated depreciation (as a % of LBE) 0.0% 0.0% 89.2% 92.4% 100.0%
Liabilities (as a % of assets) 87.9% 71.5% 118.2% 56.5% 88.9%
Unrestricted net assets $41,346 $121,024 -$37,225 $123,563 $34,726
Temporarily restricted net assets $40,816 $0 N/A N/A N/A
Permanently restricted net assets $0 $0 N/A N/A N/A
Total restricted net assets $40,816 $0 $0 $0 $0
Total net assets $82,162 $121,024 -$37,225 $123,563 $34,726

Key data checks

Key data checks info 2017 2018 2019 2020 2021
Material data errors No No No No No


The people, governance practices, and partners that make the organization tick.

Form 1023/1024 is not available for this organization

Chief Executive Officer

Ms. Jennifer Moore Ballentine MA

Jennifer Moore Ballentine, MA, has more than 20 years’ experience in palliative care education and policy, program design and evaluation, and nonprofit leadership. She currently serves as CEO of the Coalition for Compassionate Care of California. Jennifer’s previous positions include executive director of the Cal State University Shiley Haynes Institute for Palliative Care; Vice President, Hospice Analytics; Executive Director, Life Quality Institute; and Director of Professional Programs, Colorado Center for Hospice and Palliative Care. She participates in national initiatives to improve the quality and delivery of palliative care and has served as a member of numerous roundtables and workgroups. She earned an MA in End-of-Life Studies, with graduate honors, from Regis University, Denver; a Professional Advancement Certificate in Gerontology from University of Colorado–Colorado Springs; and a BA from Oberlin College, Phi Beta Kappa.

Number of employees

Source: IRS Form 990

Coalition for Compassionate Care of California

Officers, directors, trustees, and key employees

SOURCE: IRS Form 990

Show data for fiscal year
Compensation data
Download up to 5 most recent years of officer and director compensation data for this organization

There are no highest paid employees recorded for this organization.

Coalition for Compassionate Care of California

Board of directors
as of 07/06/2023
SOURCE: Self-reported by organization
Board of directors data
Download the most recent year of board of directors data for this organization
Board chair

Dr. Kim Bower

Blue Shield of California

Robert (Bob) Moore

Partnership HealthPlan of California

Susan Elizabeth Wang

Kaiser Permanente - SCPMG

Tao Le

Health Net of California

Jim Mittelberger

Center for Elder Independence

Elizabeth Mahler


Karl Steinberg

Stone Mountain Medical Associates

Board leadership practices

SOURCE: Self-reported by organization

GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.

  • Board orientation and education
    Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? No
  • CEO oversight
    Has the board conducted a formal, written assessment of the chief executive within the past year ? Yes
  • Ethics and transparency
    Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes
  • Board composition
    Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes
  • Board performance
    Has the board conducted a formal, written self-assessment of its performance within the past three years? Yes

Organizational demographics

SOURCE: Self-reported; last updated 7/6/2023

Who works and leads organizations that serve our diverse communities? Candid partnered with CHANGE Philanthropy on this demographic section.


The organization's leader identifies as:

Race & ethnicity
Gender identity
Female, Not transgender (cisgender)
Sexual orientation
Heterosexual or straight
Disability status
Person with a disability

Race & ethnicity

Gender identity


Sexual orientation