2020-11-16T15:42:35-06:00 2019-12-31 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2019-01-01 941533644 HOSPITAL COUNCIL OF N & C CALIFORNIA HOSP 9165527629 1215 K STREET NO 730 SACRAMENTO CA 95814 JENNIFER NEWMAN CFO 9165527629 2020-11-09 1 TRACY S PAGLIA P00366884 2099556100 2020-11-09 172.9.161.112 2020-11-09 19:05:15 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 2CA4604677747A1B8287DC7DD1B2F222DAF5CAE3 2019 2021-04-22 16:20:28Z HOSPITAL COUNCIL - NORTHERN & CENTRAL CALIFORNIA JENNIFER NEWMAN 1215 K STREET NO 730 SACRAMENTO CA 95814 5170643 0 X WWW.HOSPITALCOUNCIL.ORG X 1965 CA TO PROVIDE MEMBERSHIP SERVICES, LOCAL LEVEL ISSUE MANAGEMENT, EDUCATION, SHARED SERVICES, RESEARCH, MEDIA SUPPORT & CONSULTATION TO NORTHERN CALIFORNIA HOSPITALS. 26 25 0 0 0 0 0 0 5105748 4952032 96878 94045 16649 124566 5219275 5170643 0 55777 0 0 3439051 3163316 0 0 0 2258423 1568351 5697474 4787444 -478199 383199 6394202 6440757 2849567 2412727 3544635 4028030 TO PROVIDE MEMBERSHIP SERVICES, LOCAL LEVEL ISSUE MANAGEMENT, EDUCATION, SHARED SERVICES, RESEARCH, MEDIA SUPPORT & CONSULTATION TO NORTHERN CALIFORNIA HOSPITALS. 0 0 PROVIDE A FORUM FOR THE EXCHANGE OF IDEAS BETWEEN MEMBER HOSPITALS. CONDUCT SEMINARS AND WORKSHOPS TO EDUCATE MEMBER HOSPITALS ON THE LATEST TREND, ISSUES AND TECHNIQUES IN THE HEALTH CARE INDUSTRY. 0 0 0 1 0 0 0 0 0 1 1 1 1 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 23 0 1 0 0 0 0 0 1 1 0 0 0 X 26 25 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 CA X JENNIFER NEWMAN 9165527629 1215 K STREET SUITE 800 SACRAMENTO CA 95814 BRYAN J BUCKLEW PRESIDENT/CEO 40.00 0.50 X X 519738 0 46159 JO ANLEE COFFARO REGIONAL VICE PRESIDENT 40.00 0.00 X 240728 0 37572 REBECCA ROZEN REGIONAL VICE PRESIDENT 40.00 0.00 X 229904 0 35714 WILLIAM T ABRAHAM JR REGIONAL VICE PRESIDENT 40.00 0.00 X 217761 0 41197 BRIAN JENSEN REGIONAL VICE PRESIDENT 40.00 0.00 X 208141 0 44105 DAVID SERRANO SEWELL REGIONAL VICE PRESIDENT 40.00 0.50 X 146937 0 31951 TODD A SUNTRAPAK CHAIR 1.00 0.50 X X 0 0 0 GRANT DAVIES CHAIR-ELECT (THRU 10/19) 1.00 0.50 X X 0 0 0 JUDY COFFEY PAST-CHAIR (THRU 3/19) 1.00 0.50 X X 0 0 0 EDMUNDO CASTANEDA SECRETARY/TREASURER 1.00 0.50 X X 0 0 0 JONATHON ANDRUS DIRECTOR 1.00 0.50 X 0 0 0 ERICK BERRY DIRECTOR (THRU 3/19) 1.00 0.50 X 0 0 0 WARREN S BROWNER MD MPH DIRECTOR 1.00 0.50 X 0 0 0 IRENE CHAVEZ DIRECTOR 1.00 0.50 X 0 0 0 CARMELA COYLE DIRECTOR 1.00 0.50 X 0 0 0 PETE DELGADO DIRECTOR 1.00 0.50 X 0 0 0 JEFF ELLER DIRECTOR 1.00 0.50 X 0 0 0 LUIS FONSECA DIRECTOR 1.00 0.50 X 0 0 0 ASH GOKLI MD MMM FACHE DIRECTOR 1.00 0.50 X 0 0 0 BILL GRAHAM DIRECTOR 1.00 0.50 X 0 0 0 CORWIN N HARPER MHA FACHE DIRECTOR 1.00 0.50 X 0 0 0 LAURIE HARTING DIRECTOR 1.00 0.50 X 0 0 0 MARY JO JACOBSON DIRECTOR 1.00 0.50 X 0 0 0 B KONARD JONES DIRECTOR 1.00 0.50 X 0 0 0 MARK LISA DIRECTOR 1.00 0.50 X 0 0 0 KELLY MATHER DIRECTOR 1.00 0.50 X 0 0 0 JOHN MCCORMICK DIRECTOR 1.00 0.50 X 0 0 0 CLINT PURVANCE MD DIRECTOR 1.00 0.50 X 0 0 0 PAUL RAINS RN MSN DIRECTOR 1.00 0.50 X 0 0 0 MATT REES DIRECTOR 1.00 0.50 X 0 0 0 TOMI RYBA DIRECTOR 1.00 0.50 X 0 0 0 MARTHA SAMORA RN CPHQ FACHE BSN DIRECTOR 1.00 0.50 X 0 0 0 BALJEET SANGHA DIRECTOR 1.00 0.50 X 0 0 0 STEVE STARK DIRECTOR 1.00 0.50 X 0 0 0 JENNIFER M NEWMAN SVP & CFO 1.00 0.50 X 0 0 0 1563209 0 236698 7 0 1 1 CALIFORNIA ASSOCIATION OF HOSPITALS AND 1215 K STREET SUITE 800 SACRAMENTO CA 95814 LEASED EMPLOYEES AND ADMIN SERVICES 3994691 YOSEMITE COMMUNITY COLLEGE PO BOX 4065 MODESTO CA 953524065 PROFESSIONAL FEES (PAID FROM FUND) 435000 2 MEMBERSHIP DUES 900099 4380862 4380862 OPERATING REVENUE 900099 358500 358500 SUMMIT AND EDUCATION 541900 212670 212670 4952032 94045 94045 8946 8946 INCOME EQUITY IN SUB 900099 106602 106602 9018 9018 115620 5170643 4952032 0 218611 55777 565897 2017134 154253 283609 142423 113808 11773 179899 266530 114053 96855 163087 182381 298071 52076 21743 MOVING EXPENSE 22460 45615 4787444 1517308 2464468 522609 556041 203525 145160 537833 422503 133832 115330 2291046 1305456 1036951 1143556 688931 710746 6394202 6440757 2027389 1591296 482474 512841 339704 308590 2849567 2412727 X 3544635 4028030 3544635 4028030 6394202 6440757 383199 100196 0 X 0 1 X 1 0 0 1 0 537833 422503 115330 115330 CDS AND CORPORATE BONDS 1305456 F 1305456 EQUITY INVESTMENT IN RELATED PARTY - HEALTHPLUS (EIN # 94-2685988) 1143556 F 1143556 SPLIT DOLLAR LOAN ASSETS 710746 710746 FUNDS HELD FOR PROJECTS 301838 DEFERRED RENT 6752 308590 X PART X, LINE 2: THE COUNCIL IS A CALIFORNIA NONPROFIT MUTUAL BENEFIT CORPORATION AND IS EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(6). THE FOUNDATION AND BEACON ARE NONPROFIT PUBLIC BENEFIT CORPORATIONS AND ARE EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE COUNCIL, THE FOUNDATION, AND BEACON ARE EXEMPT FROM INCOME TAXES UNDER CALIFORNIA REVENUE AND TAX CODE SECTION 23701E. THEY ARE, HOWEVER, SUBJECT TO INCOME TAXES FROM ACTIVITIES UNRELATED TO THEIR TAX-EXEMPT PURPOSE. IN THE EVENT THE COUNCIL HAD A TAX PROVISION THAT WAS UNCERTAIN OF BEING SUSTAINED, THE COUNCIL 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, 2019. HEALTHPLUS IS A TAXABLE CORPORATION. X X 1 1 X X X X 0 0 0 BRYAN J BUCKLEW PRESIDENT/CEO 486470 0 0 0 33268 0 19600 0 26559 0 565897 0 0 0 JO ANLEE COFFARO REGIONAL VICE PRESIDENT 196205 0 44094 0 429 0 19074 0 18498 0 278300 0 0 0 REBECCA ROZEN REGIONAL VICE PRESIDENT 187553 0 40619 0 1732 0 16339 0 19375 0 265618 0 0 0 WILLIAM T ABRAHAM JR REGIONAL VICE PRESIDENT 166240 0 49880 0 1641 0 15838 0 25359 0 258958 0 0 0 BRIAN JENSEN REGIONAL VICE PRESIDENT 168778 0 38825 0 538 0 14932 0 29173 0 252246 0 0 0 DAVID SERRANO SEWELL REGIONAL VICE PRESIDENT 125929 0 20664 0 344 0 10394 0 21557 0 178888 0 0 0 PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: RECEIVED BY ONE OFFICER, INCLUDED IN TAXABLE COMPENSATION HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: RECEIVED BY ONE OFFICER, INCLUDED IN TAXABLE COMPENSATION PART II: THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES WERE PAID WAGE COMPENSATION BY CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (CAHHS) FOR SERVICES PROVIDED TO HOSPITAL COUNCIL - NORTHERN & CENTRAL CALIFORNIA (HCNCC). SEE COMPENSATION AMOUNTS ON SCHEDULE J, PART II. THE COMPENSATION PAID BY CAHHS WAS REIMBURSED BY HCNCC UNDER A LEASED EMPLOYEE ARRANGEMENT. FORM 990, PART VI, SECTION A, LINE 6 THE HOSPITAL COUNCIL HAS TWO CLASSES OF MEMBERSHIP. VOTING MEMBERS INCLUDE ACUTE CARE HOSPITALS AND HEALTH SYSTEMS. NONVOTING MEMBERS INCLUDE ASSOCIATE MEMBERS, HONORARY MEMBERS AND PROVISIONAL MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A VOTING MEMBERS ELECT THE BOARD OF DIRECTORS EXCEPT THE EX-OFFICIO BOARD POSITIONS AS NAMED IN THE BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B BYLAW CHANGES REQUIRE MEMBERSHIP APPROVAL. FORM 990, PART VI, SECTION B, LINE 11B THE HOSPITAL COUNCIL'S GOVERNING BODY IS PROVIDED WITH A COPY OF FORM 990 PRIOR TO FILING. THE AUDIT COMMITTEE REVIEWS THE FORM 990 WITH MANAGEMENT PRIOR TO FILING. 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 B, LINE 15A AN OUTSIDE COMPENSATION CONSULTING FIRM PROVIDED AN OPINION ON PRESIDENT/CEO COMPENSATION IN THE YEAR OF HIRE, AND INDEPENDENT SALARY SURVEYS ARE USED TO BENCHMARK SALARIES OF CEOS AND SELECTED KEY EXECUTIVES ON AN ANNUAL BASIS. THE INFORMATION FOR THE CEO IS REVIEWED BY THE COMPENSATION COMMITTEE AND THEN APPROVED BY THE FULL BOARD OF TRUSTEES ANNUALLY. COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED BY MANAGEMENT, APPROVED BY THE FULL BOARD OF TRUSTEES THROUGH THE ANNUAL BUDGETING PROCESS, AND IS DOCUMENTED IN MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE HOSPITAL COUNCIL DOES NOT MAKE ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. HEALTHCARE FOUNDATION OF NORTHERN & CENTRAL CALIFORNIA 1215 K STREET SUITE 730 SACRAMENTO CA 95814 861174825 SUPPORTS HEALTH CARE ISSUES AND RESEARCH IN CALIFORNIA CA 501(C)(3) LINE 12A, I HCNCC 1 HEALTHPLUS SHARED SERVICES INC 1215 K STREET SUITE 800 SACRAMENTO CA 95814 942685988 PROVIDING BUSINESS SERVICES FOR HOSPITALS CA HCNCC C 477651 1204023 1.00000 1 BEACON PATIENT SAFETY COLLABORATIVE 1215 K STREET SUITE 730 SACRAMENTO CA 95814 INACTIVE CA HCNCC C 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 HEALTHPLUS SHARED SERVICES Q 224583 CASH VALUE