2021-11-05T17:23:01-05:00 2020-12-31 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2020-01-01 680343712 CALIFORNIA HOSPITAL ASSOCIATION CALI 9165527629 1215 K STREET NO 700 SACRAMENTO CA 95814 JENNIFER M NEWMAN SVP/CFO 9165527629 2021-10-18 1 JENNIFER NEWMAN 999009999 TRACY S PAGLIA P00366884 2099556100 2021-10-18 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X CARMELA COYLE 1215 K STREET NO 700 SACRAMENTO CA 95814 34442866 0 X WWW.CALHOSPITAL.ORG X 1993 CA PROVIDE THE MEMBERSHIP WITH LEGISLATIVE AND REGULATORY REPRESENTATION AND ADVOCACY. 33 32 0 0 0 0 0 0 34576874 34358989 72355 79728 0 4149 34649229 34442866 0 0 0 0 16597486 16588510 0 0 0 13877726 11858587 30475212 28447097 4174017 5995769 29765071 31825856 10805629 6863173 18959442 24962683 X THROUGH EFFECTIVE LEADERSHIP AND MEMBER PARTICIPATION, CALIFORNIA HOSPITAL ASSOCIATION (CHA) SEEKS TO DEVELOP CONSENSUS, ESTABLISH PUBLIC POLICY PRIORITIES, AND REPRESENT AND SERVE HOSPITALS AND HEALTH SYSTEMS. IN CONCERT WITH ITS MEMBER ORGANIZATIONS, CHA IS COMMITTED TO ESTABLISHING AND MAINTAINING A FINANCIAL AND REGULATORY ENVIRONMENT WITHIN WHICH HOSPITALS CAN CONTINUE TO PROVIDE HIGH-QUALITY PATIENT CARE. 0 0 DEVELOP AND IMPLEMENT PUBLIC POLICY IN THE LEGISLATIVE AND REGULATORY ARENA FOR HOSPITALS AND HEALTH SYSTEMS. EDUCATE HOSPITALS AND HEALTH SYSTEMS ON REGULATORY AND LEGISLATIVE ACTIONS THROUGH PUBLICATIONS, SEMINARS AND OTHER CONTACTS. REIMBURSEMENT GRANT FROM CDPH FOR HOSPITAL EMERGENCY PREPAREDNESS. 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 1 0 0 0 0 0 1 1 0 0 0 X 33 32 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X JENNIFER NEWMAN 9165527629 1215 K STREET SUITE 700 SACRAMENTO CA 95814 CARMELA COYLE PRESIDENT/CHIEF EXECUTIVE OFFICER 2.80 38.20 X X 0 1352201 21442 ANNE N O'ROURKE SVP/FEDERAL RELATIONS 2.80 37.20 X 0 469073 67594 DIETMAR A GRELLMANN SVP/POLICY 0.00 40.00 X 0 443092 71993 KATHRYN AUSTIN SCOTT SVP/STATE RELATIONS & ADVOCACY 2.80 37.20 X 0 448048 40942 JENNIFER M NEWMAN SVP/CHIEF FINANICAL OFFICER 2.80 40.00 X 0 420916 54300 JULIE A REPPAS SVP/OPERATIONS AND HR 2.80 37.20 X 0 393472 59104 DAVID SIMON SVP/COMMUNICATIONS 2.80 37.20 X 0 347165 61896 AMBER OTT SVP/DATA ANALYTICS 2.80 37.20 X 0 323232 52301 LOIS J RICHARDSON VP/LEGAL COUNSEL 2.80 37.20 X 0 319044 32987 DAVE PERROTT MD DDS SVP/CMO (THRU 03/20) 2.80 37.20 X 0 333091 15307 JACQUELYN GARMAN VP/LEGAL COUNSEL 2.80 37.20 X 0 298829 29042 MAURIZIO SMITH THRU 1220 EXECUTIVE DIRECTOR UI DIVISION 2.80 37.20 X 0 295417 27956 TERRY SHERB CHIEF INFORMATION OFFICER 2.80 37.20 X 0 256654 63117 GAIL BLANCHARD-SAIGER VP/LABOR AND EMPLOYMENT 2.80 37.20 X 0 296536 21273 GARY K WILDE CHAIR 1.00 1.50 X X 0 0 0 SCOTT REINER CHAIR-ELECT 1.00 1.50 X X 0 0 0 CALVIN CAL KNIGHT PAST CHAIR 1.00 1.50 X X 0 0 0 SARAH KREVANS SECRETARY/TREASURER 1.00 2.00 X X 0 0 0 GREGORY A ADAMS TRUSTEE (THRU 02/20) 1.00 0.00 X 0 0 0 BRIAN ALEXANDER TRUSTEE 1.00 1.50 X 0 0 0 EDMUNDO CASTENADA TRUSTEE 1.00 0.00 X 0 0 0 PHILIP A COHEN TRUSTEE 1.00 0.00 X 0 0 0 BRIAN T COOK TRUSTEE 1.00 0.00 X 0 0 0 ROBERT H CURRY TRUSTEE 1.00 0.00 X 0 0 0 ADAM DARVISH TRUSTEE 1.00 2.00 X 0 0 0 STEVE L DIETLIN TRUSTEE 1.00 0.00 X 0 0 0 JEFF ELLER TRUSTEE (THRU 05/20) 1.00 0.00 X 0 0 0 SHIRAZ M FAGAN TRUSTEE (THRU 02/20) 1.00 0.00 X 0 0 0 MICHAEL FENCEL TRUSTEE (THRU 03/20) 1.00 0.00 X 0 0 0 DELVECCHIO FINLEY TRUSTEE (THRU 02/20) 1.00 0.00 X 0 0 0 KEVIN FLANIGAN MD TRUSTEE (THRU 04/20) 1.00 0.00 X 0 0 0 MICHELLE J GASKILL-HAMES RN TRUSTEE (THRU 12/20) 1.00 0.00 X 0 0 0 DANIEL L GROSS DNSC RN TRUSTEE (THRU 06/20) 1.00 0.00 X 0 0 0 DIANE HANSEN CPA TRUSTEE 1.00 0.00 X 0 0 0 KERRY L HEINRICH TRUSTEE 1.00 0.00 X 0 0 0 GARY HONTS TRUSTEE 1.00 0.00 X 0 0 0 THOMAS E JACKIEWICZ TRUSTEE (THRU 06/20) 1.00 0.00 X 0 0 0 BERNARD KLEIN MD TRUSTEE 1.00 0.00 X 0 0 0 KEVIN KLOCKENGA TRUSTEE 1.00 0.00 X 0 0 0 LAWRENCE E LEWIS TRUSTEE 1.00 2.00 X 0 0 0 PATTY MAYSENT MPH MBA TRUSTEE 1.00 0.00 X 0 0 0 JULIE K MILLER-PHIPPS TRUSTEE 1.00 0.00 X 0 0 0 LORI MORGAN MD TRUSTEE 1.00 0.00 X 0 0 0 SHELLY NECKE RN TRUSTEE 1.00 0.00 X 0 0 0 MARGARET R PETERSON PHD TRUSTEE 1.00 0.00 X 0 0 0 THOMAS M PRISELAC TRUSTEE 1.00 0.00 X 0 0 0 RENE G SANTIAGO TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL SARIAN TRUSTEE 1.00 0.00 X 0 0 0 TODD A SUNTRAPAK TRUSTEE 1.00 2.00 X 0 0 0 SUSAN L TAYLOR TRUSTEE 1.00 0.00 X 0 0 0 GUSTAVO VALDESPINO TRUSTEE 1.00 0.00 X 0 0 0 JON VAN BOENING TRUSTEE 1.00 0.00 X 0 0 0 ROBERT J WENTZ TRUSTEE 1.00 0.00 X 0 0 0 ERIK G WEXLER TRUSTEE 1.00 0.00 X 0 0 0 MIKE WILTERMOOD TRUSTEE 1.00 0.00 X 0 0 0 0 5996770 619254 0 0 1 0 CALIFORNIA ASSOCIATION OF HOSPITALS AND 1215 K ST 700 SACRAMENTO CA 95814 ADMINISTRATIVE SERVICES 4755214 HOOPER LUNDY & BOOKMAN 1875 CENTURY PARK EAST SUITE 1600 LOS ANGELES CA 96007 LEGAL 520993 2 MEMBERSHIP DUES 900099 34110856 34110856 GRANT REIMBURSEMENT 900099 248133 248133 34358989 79728 79728 MISCELLANEOUS INCOME 900099 4149 4149 4149 34442866 34358989 0 83877 X 13774112 768913 1289273 756212 894968 880367 3874847 817324 1964491 2499396 76982 UHA DUES 241000 EVENTS AND SPEAKERS 133266 COMMITTEES 85471 390475 28447097 24143060 29434831 130479 41408 4966178 1964545 525354 385072 29765071 31825856 125746 76439 4285585 1290994 6394298 5495740 10805629 6863173 X 18959442 24962683 18959442 24962683 29765071 31825856 5995769 7472 0 X 0 1 X 1 0 0 0 0 34110856 4729949 4729949 5349058 -619109 247897 5294 253191 243058 4839 247897 237477 5581 243058 249351 5126 17000 237477 243904 5447 249351 0.00000 0.88870 0.11130 0 1 1 0 DUE TO CAHHS 5495740 5495740 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED FOR THE WALKER/SULLIVAN ENDOWMENT WHICH FUNDS GRANTS TO STUDY HEALTHCARE OPERATIONS. THE ENDOWMENT FUNDS REPORTED IN PART V ARE HELD BY CALIFORNIA HEALTH FOUNDATION AND TRUST FOR THE BENEFIT OF CALIFORNIA HOSPITAL ASSOCIATION. PART X, LINE 2: CHA IS A CALIFORNIA NONPROFIT MUTUAL BENEFIT CORPORATION AND IS EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(6). CHFT IS A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION AND IS EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). CHA IS EXEMPT FROM INCOME TAXES UNDER CALIFORNIA REVENUE AND TAX CODE SECTION 23701E. CHFT IS EXEMPT FROM INCOME TAXES UNDER CALIFORNIA REVENUE AND TAX CODE SECTION 23701D. CHA AND CHFT ARE, HOWEVER, SUBJECT TO INCOME TAXES FROM ACTIVITIES UNRELATED TO THEIR TAX-EXEMPT PURPOSE. MANAGEMENT DOES NOT BELIEVE THERE IS ANY UNRELATED BUSINESS INCOME AS OF DECEMBER 31, 2020 AND 2019. IN THE EVENT THE ASSOCIATION HAD A TAX PROVISION THAT WAS UNCERTAIN OF BEING SUSTAINED, THE ASSOCIATION WOULD APPLY THE MINIMUM PROBABILITY THRESHOLD TO DETERMINE WHETHER A FINANCIAL STATEMENT LIABILITY OR BENEFIT SHOULD BE RECOGNIZED. THERE WERE NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2020 AND 2019. 0 1 0 CARMELA COYLE PRESIDENT/CHIEF EXECUTIVE OFFICER 0 1059702 0 281351 0 11148 0 19950 0 1492 0 1373643 0 0 ANNE N O'ROURKE SVP/FEDERAL RELATIONS 0 393391 0 72750 0 2932 0 39450 0 28144 0 536667 0 0 DIETMAR A GRELLMANN SVP/POLICY 0 367770 0 72750 0 2572 0 39450 0 32543 0 515085 0 0 KATHRYN AUSTIN SCOTT SVP/STATE RELATIONS & ADVOCACY 0 374672 0 72000 0 1376 0 39450 0 1492 0 488990 0 0 JENNIFER M NEWMAN SVP/CHIEF FINANICAL OFFICER 0 346344 0 72000 0 2572 0 39450 0 14850 0 475216 0 0 JULIE A REPPAS SVP/OPERATIONS AND HR 0 319346 0 72750 0 1376 0 39450 0 19654 0 452576 0 0 DAVID SIMON SVP/COMMUNICATIONS 0 273828 0 72750 0 587 0 29700 0 32196 0 409061 0 0 AMBER OTT SVP/DATA ANALYTICS 0 249903 0 72750 0 579 0 19950 0 32351 0 375533 0 0 LOIS J RICHARDSON VP/LEGAL COUNSEL 0 292557 0 22539 0 3948 0 19950 0 13037 0 352031 0 0 DAVE PERROTT MD DDS SVP/CMO (THRU 03/20) 0 184862 0 0 0 148229 0 12996 0 2311 0 348398 0 146259 JACQUELYN GARMAN VP/LEGAL COUNSEL 0 291232 0 0 0 7597 0 19950 0 9092 0 327871 0 0 MAURIZIO SMITH THRU 1220 EXECUTIVE DIRECTOR UI DIVISION 0 287837 0 0 0 7580 0 13692 0 14264 0 323373 0 0 TERRY SHERB CHIEF INFORMATION OFFICER 0 253023 0 0 0 3631 0 17862 0 45255 0 319771 0 0 GAIL BLANCHARD-SAIGER VP/LABOR AND EMPLOYMENT 0 285964 0 8000 0 2572 0 19950 0 1323 0 317809 0 0 PART I, LINE 3 THE ASSOCIATION RELIES ON CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (CAHHS), A RELATED ORGANIZATION, TO ESTABLISH COMPENSATION FOR THE PRESIDENT USING ONE OR MORE OF THE METHODS DESCRIBED ON SCHEDULE J, PART I, LINE 3. THE COMPENSATION REPORTED IN SCHEDULE J IS PAID BY CAHHS AND IS FOR SERVICES PROVIDED TO BOTH CAHHS AND THE ASSOCIATION. PART I, LINE 4B THE ASSOCIATION MAINTAINS A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. THIS PLAN IS MAINTAINED BY CAHHS. THIS PLAN IS INTENDED TO QUALIFY AS AN UNFUNDED PLAN OF DEFERRED COMPENSATION THAT IS MAINTAINED BY AN EMPLOYER PRIMARILY FOR THE PURPOSE OF PROVIDING DEFERRED COMPENSATION FOR THE SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES AS THOSE TERMS ARE DEFINED UNDER THE PROVISIONS OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED (ERISA). FUNDING FOR THIS PLAN IS THROUGH ANNUAL EMPLOYER CONTRIBUTIONS AND IS LIMITED TO THE ANNUAL AMOUNT SET FORTH BY THE US TREASURY DEPARTMENT. DIETMAR A. GRELLMANN, JENNIFER M. NEWMAN, ANNE N. O'ROURKE, JULIE A. REPPAS, AND KATHRYN AUSTIN SCOTT PARTICIPATED IN THE PLAN AND RECEIVED A BENEFIT OF $19,500 EACH FOR THE YEAR. DAVID SIMON PARTICIPATED IN THE PLAN AND RECEIVED A BENEFIT OF $9,750. DAVE PERROT PARTICIPATED IN THE PLAN AND RECEIVED A DISTRIBUTION OF $146,259 FOR THE YEAR. FORM 990, PART VI, SECTION A, LINE 1 THE ASSOCIATION'S EXECUTIVE COMMITTEE IS COMPOSED OF THE FOLLOWING: THE CHA CHAIR, THE CHA CHAIR-ELECT, THE CHA IMMEDIATE PAST CHAIR, THE CHA PRESIDENT, THE CHA SECRETARY/TREASURER, THE CHAIR OF EACH REGIONAL ASSOCIATION, AND SEVEN OR MORE ADDITIONAL TRUSTEES REPRESENTING CERTAIN GROUPS WITHIN THE ASSOCIATION. THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE THE AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE AFFAIRS AND ACTIVITIES OF THE ASSOCIATION, SUBJECT TO SUCH LIMITATIONS OR RESTRICTIONS AS MAY BE IMPOSED BY THE ARTICLES OF INCORPORATION, THE BYLAWS, APPLICABLE LAW, OR THE BOARD, AND IS SUBJECT TO REVIEW OF SUCH ACTS BY THE BOARD AT ITS NEXT MEETING. FORM 990, PART VI, SECTION A, LINE 6 THE ASSOCIATION HAS THREE CORPORATE MEMBERS AND EACH MEMBER SHALL CONSTITUTE A REGIONAL ASSOCIATION. EACH VOTING AND NONVOTING MEMBER OF EACH REGIONAL ASSOCIATION SHALL BE A NONVOTING CONSTITUENT MEMBER OF CALIFORNIA HOSPITAL ASSOCIATION. FORM 990, PART VI, SECTION A, LINE 7A CORPORATE MEMBERS ELECT CERTAIN MEMBERS OF THE ASSOCIATION'S GOVERNING BODY; CERTAIN GOVERNING BODY MEMBERS ARE EX-OFFICIO PER THE BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B THE ASSOCIATION'S BYLAWS CONTAIN CERTAIN RESERVE POWERS THAT MUST BE APPROVED BY THE GOVERNING BODY OF AT LEAST TWO OF THE THREE CORPORATE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B EACH MEMBER OF THE CALIFORNIA HOSPITAL ASSOCIATION'S BOARD OF DIRECTORS WAS SENT A COPY OF THE DRAFT FORM 990 BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS EACH MEMBER OF THE BOARD OF DIRECTORS; THE PRESIDENT/CHIEF EXECUTIVE OFFICER; CHIEF FINANCIAL OFFICER; KEY EMPLOYEES; ANY PERSON WHO HAS HELD ONE OF THOSE POSITIONS DURING THE PRECEDING FIVE YEARS; FAMILY MEMBERS; AND CERTAIN CONTROLLED ORGANIZATIONS (INTERESTED PERSONS). ALL INTERESTED PERSONS ANNUALLY SIGN A STATEMENT THAT AFFIRMS RECEIPT AND AGREEMENT TO COMPLY WITH THE POLICY AND TO DISCLOSE ANY FINANCIAL INTERESTS OR FAMILY RELATIONSHIPS THAT COULD GIVE RISE TO A CONFLICT OF INTEREST. EACH INTERESTED PERSON IS REQUIRED TO DISCLOSE TO THE BOARD (OR COMMITTEE THEREOF), ALL MATERIAL FACTS REGARDING THE FINANCIAL INTEREST OR RELATIONSHIP IN THE TRANSACTION. WITH REGARD TO AN INTERESTED PERSON, THE BOARD OR COMMITTEE DETERMINES IF A CONFLICT OF INTEREST EXISTS. THE INSIDER(S) INVOLVED WITH THE TRANSACTION WILL NOT BE PRESENT DURING THE BOARD OR COMMITTEE'S DISCUSSION OR DETERMINATION OF WHETHER A CONFLICT OF INTEREST EXISTS, AND MAY NOT VOTE ON THE TRANSACTION OR COUNTED IN DETERMINATION OF A QUORUM. ALL PROCEEDINGS ARE DOCUMENTED IN MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ASSOCIATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G ADMINISTRATION SERVICES 3,874,847. CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS 1215 K STREET SUITE 700 SACRAMENTO CA 95814 941205908 REPRESENT HOSPITAL INTERESTS BEFORE LEGISLATORS AND REGULATORS CA 501(C)(6) CHA 1 CALIFORNIA HEALTH FOUNDATION AND TRUST 1215 K STREET SUITE 700 SACRAMENTO CA 95814 941498697 RESEARCH/EDUCATION IN HEALTHCARE DELIVERY, FINANCING & PATIENT CAREA CA 501(C)(3) LINE 7 CHA 1 CALIFORNIA HOSPITALS COMMITTEE ON ISSUES 1127 11TH STREET SUITE 300 SACRAMENTO CA 95814 680148902 BALLOT INITIATIVES CA 501(C)(6) CAHHS 1 CALIFORNIA HOSPITAL ASSOCIATION POLITICAL ACTION COMMITTEE 1215 K STREET SUITE 700 SACRAMENTO CA 95814 942723946 POLITICAL ACTION COMMITTEE CA 527 N/A 0 HEALTH PROPERTY ASSOCIATES 1215 K STREET SUITE 700 SACRAMENTO CA 95814 680177130 GROUND LEASE CA N/A 0 0 CALIFORNIA HOSPITAL INVESTMENTS & PUBLICATIONS INC 1215 K STREET SUITE 700 SACRAMENTO CA 95814 680114819 INACTIVE CA N/A C 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS M 28643771 ACTUAL