2020-11-16T15:39:29-06:00 2019-12-31 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2019-01-01 680343712 CALIFORNIA HOSPITAL ASSOCIATION CALI 9165527629 1215 K STREET NO 800 SACRAMENTO CA 95814 JENNIFER NEWMAN SVP/CFO 9165527629 2020-11-09 1 TRACY S PAGLIA P00366884 2099556100 2020-11-09 172.9.161.112 2020-11-09 18:39:05 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 2CA4604677747A1B8287DC7DD1B2F222DAF5CAE3 2019 2021-04-22 16:20:28Z CARMELA COYLE 1215 K STREET NO 800 SACRAMENTO CA 95814 34649229 0 X WWW.CALHOSPITAL.ORG X 1993 CA PROVIDE THE MEMBERSHIP WITH LEGISLATIVE AND REGULATORY REPRESENTATION AND ADVOCACY. 45 44 0 0 0 0 0 0 58476415 34576874 88968 72355 0 0 58565383 34649229 0 0 0 0 16850761 16597486 0 0 0 34561686 13877726 51412447 30475212 7152936 4174017 24558110 29765071 9780953 10805629 14777157 18959442 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 0 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 45 44 0 0 1 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 800 SACRAMENTO CA 95814 CARMELA COYLE PRESIDENT/CHIEF EXECUTIVE OFFICER 2.80 37.20 X X 0 1401053 21092 ANNE MCLEOD SVP/HEALTH POLICY (THRU 12/19) 2.80 37.20 X 0 684895 69021 ANNE N O'ROURKE SVP/FEDERAL RELATIONS 2.80 37.20 X 0 431774 63549 KATHRYN AUSTIN SCOTT SVP/STATE RELATIONS & ADVOCACY 2.80 37.20 X 0 421584 21092 DIETMAR GRELLMANN SVP/MANAGED CARE & PROFESSIONAL 2.80 37.20 X 0 392174 68366 JENNIFER M NEWMAN SVP/CHIEF FINANCIAL OFFICER 2.80 37.20 X 0 360016 77478 DAVE PERROTT MD DDS SVP/CMO (THRU 04/19) 2.80 37.20 X 0 375030 47660 JULIE A REPPAS SVP/OPERATIONS AND HR 2.80 37.20 X 0 359824 57725 DAVID SIMON GROUP VP 2.80 37.20 X 0 310588 49118 ALYSSA KEEFE VP/FEDERAL REG AFFAIRS 2.80 37.20 X 0 301291 44406 JACQUELYN GARMAN VP/LEGAL COUNSEL 2.80 37.20 X 0 281149 47143 LOIS RICHARDSON VP/LEGAL COUNSEL 2.80 37.20 X 0 274307 31329 GAIL BLANCHARD-SAIGER VP/COUNSEL LABOR & EMPLOYMENT 2.80 37.20 X 0 270226 20055 TERRY SHERB CHIEF INFORMATION OFFICER 2.80 37.20 X 0 239539 38496 RICHARD AFABLE MD PAST CHAIR 1.00 2.00 X X 0 0 0 CALVIN CAL KNIGHT CHAIR 1.00 2.00 X X 0 0 0 GARY K WILDE CHAIR ELECT 1.00 2.00 X X 0 0 0 SCOTT REINER SECRETARY/TREASURER 1.00 2.00 X X 0 0 0 GREGORY A ADAMS TRUSTEE 1.00 0.00 X 0 0 0 EDMUNDO CASTAEDA TRUSTEE 1.00 0.00 X 0 0 0 JUDY COFFEY TRUSTEE (THRU 03/19) 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 KARI CORNICELLI TRUSTEE (THRU 06/19) 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 1.00 X 0 0 0 GRANT DAVIES TRUSTEE (THRU 10/19) 1.00 0.00 X 0 0 0 SHIRAZ FAGAN TRUSTEE 1.00 0.00 X 0 0 0 MIKE FENCEL TRUSTEE 1.00 0.00 X 0 0 0 DELVECCHIO FINLEY TRUSTEE 1.00 0.00 X 0 0 0 JANE FINLEY TRUSTEE 1.00 0.00 X 0 0 0 KEVIN FLANIGAN MD TRUSTEE 1.00 0.00 X 0 0 0 CHARLES P FRANCIS TRUSTEE (THRU 10/19) 1.00 0.00 X 0 0 0 DANIEL L GROSS DNSC RN TRUSTEE 1.00 0.00 X 0 0 0 KERRY 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 1.00 0.00 X 0 0 0 BERNARD KLEIN TRUSTEE 1.00 0.00 X 0 0 0 KEVIN A KLOCKENGA TRUSTEE 1.00 0.00 X 0 0 0 KAY KOHEN TRUSTEE 1.00 1.00 X 0 0 0 SARAH KREVANS TRUSTEE 1.00 0.00 X 0 0 0 CRAIG LEACH TRUSTEE 1.00 0.00 X 0 0 0 LAWRENCE E LEWIS TRUSTEE 1.00 1.00 X 0 0 0 KIMBERLY LONG DHA TRUSTEE 1.00 0.00 X 0 0 0 PATTY MAYSENT TRUSTEE 1.00 0.00 X 0 0 0 JOHN MCCORMICK TRUSTEE 1.00 0.00 X 0 0 0 JULIE K MILLER-PHIPPS TRUSTEE 1.00 0.00 X 0 0 0 ARBY NAHAPETIAN MD TRUSTEE 1.00 0.00 X 0 0 0 SHELLY NECKE RN TRUSTEE 1.00 0.00 X 0 0 0 MARGARET PETERSON PHD TRUSTEE 1.00 0.00 X 0 0 0 THOMAS M PRISELAC TRUSTEE 1.00 0.00 X 0 0 0 PAUL RAINS RN 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 ADAM SOLOMON MD TRUSTEE 1.00 0.00 X 0 0 0 TODD A SUNTRAPAK 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 WALTERS TRUSTEE (THRU 09/19) 1.00 0.00 X 0 0 0 ROBERT J WENTZ TRUSTEE 1.00 0.00 X 0 0 0 RONALD WERFT 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 6103450 656530 0 0 1 0 CALIFORNIA ASSOCIATION OF HOSPITALS AND 1215 K ST 800 SACRAMENTO CA 95814 ADMINISTRATIVE SERVICES 5601759 HOOPER LUNDY & BOOKMAN 1875 CENTURY PARK EAST SUITE 1600 LOS ANGELES CA 96007 LEGAL 325205 2 MEMBERSHIP DUES 900099 32891004 32891004 SUPPLEMENTAL DUES 900099 1430282 1430282 GRANT REIMBURSEMENT 900099 255588 255588 34576874 72355 72355 34649229 34576874 0 72355 X 13732445 779559 1347628 737854 1188008 5601759 701904 2020052 2103669 400895 EVENTS AND SPEAKERS 723197 COMMITTEES 301235 UHA DUES 242500 594507 30475212 21364868 24143060 104374 130479 2597879 4966178 490989 525354 24558110 29765071 6023720 6520044 3757233 4285585 9780953 10805629 X 14777157 18959442 14777157 18959442 24558110 29765071 4174017 8268 0 X 0 1 X 1 0 0 0 0 34321286 2069465 2069465 7188337 -5118872 243058 4839 247897 237477 5581 243058 249351 5126 17000 237477 243904 5447 249351 256362 4542 17000 243904 0.00000 0.90760 0.09240 0 1 1 0 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: CALIFORNIA HOSPITAL ASSOCIATION (CHA) IS A CALIFORNIA NONPROFIT MUTUAL BENEFIT CORPORATION AND IS EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(6). CALIFORNIA HEALTH FOUNDATION AND TRUST (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, 2019 AND 2018. 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, 2019 AND 2018. 0 1 0 CARMELA COYLE PRESIDENT/CHIEF EXECUTIVE OFFICER 0 1101900 0 281190 0 17963 0 19600 0 1492 0 1422145 0 0 ANNE MCLEOD SVP/HEALTH POLICY (THRU 12/19) 0 454736 0 65000 0 165159 0 38600 0 30421 0 753916 0 162682 ANNE N O'ROURKE SVP/FEDERAL RELATIONS 0 363877 0 65000 0 2897 0 38600 0 24949 0 495323 0 0 KATHRYN AUSTIN SCOTT SVP/STATE RELATIONS & ADVOCACY 0 350720 0 70000 0 864 0 19600 0 1492 0 442676 0 0 DIETMAR GRELLMANN SVP/MANAGED CARE & PROFESSIONAL 0 324697 0 65000 0 2477 0 38600 0 29766 0 460540 0 0 JENNIFER M NEWMAN SVP/CHIEF FINANCIAL OFFICER 0 291010 0 66529 0 2477 0 38600 0 38878 0 437494 0 0 DAVE PERROTT MD DDS SVP/CMO (THRU 04/19) 0 375030 0 0 0 0 0 38600 0 9060 0 422690 0 0 JULIE A REPPAS SVP/OPERATIONS AND HR 0 293499 0 65000 0 1325 0 38600 0 19125 0 417549 0 0 DAVID SIMON GROUP VP 0 252257 0 45000 0 13331 0 19600 0 29518 0 359706 0 0 ALYSSA KEEFE VP/FEDERAL REG AFFAIRS 0 280295 0 20000 0 996 0 19600 0 24806 0 345697 0 0 JACQUELYN GARMAN VP/LEGAL COUNSEL 0 273456 0 377 0 7316 0 19293 0 27850 0 328292 0 0 LOIS RICHARDSON VP/LEGAL COUNSEL 0 271841 0 0 0 2466 0 19174 0 12155 0 305636 0 0 GAIL BLANCHARD-SAIGER VP/COUNSEL LABOR & EMPLOYMENT 0 267856 0 0 0 2370 0 18750 0 1305 0 290281 0 0 TERRY SHERB CHIEF INFORMATION OFFICER 0 236153 0 0 0 3386 0 16782 0 21714 0 278035 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, ANNE MCLEOD, JENNIFER NEWMAN, ANNE N. O'ROURKE, DAVID H. PERROTT, JULIE A. REPPAS, AND KATHRYN AUSTIN SCOTT PARTICIPATED IN THE PLAN AND RECEIVED A BENEFIT OF $19,000 EACH FOR THE YEAR. ANNE MCLEOD RECEIVED A DISTRIBUTION OF $162,682 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 4 THE BYLAWS WERE AMENDED DURING THE YEAR TO UPDATE FOR THE FOLLOWING: 1) REMOVE REQUIREMENTS FOR NOMINATIONS OF CERTAIN TRUSTEES BY EXTERNAL PARTIES 2) REMOVED RESTRICTIONS FOR AFFILIATIONS OF THE BOARD OFFICERS 3) TRUSTEES MAY HOLD A MAXIMUM OF TWO TERMS AND RESTRICTIONS WERE PLACED ON SUBSEQUENT SERVICE AS A TRUSTEE 4) THE MINIMUM NUMBER OF TRUSTEES WAS CHANGED 5) ABILITY OF THE BOARD TO SCALE REGIONAL ASSOCIATION CHAIR OFFICERS THAT ARE SEATED ON THE BOARD 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 ADMINISTRATIVE SERVICES 5,601,759. CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS 1215 K STREET SUITE 800 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 800 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 800 SACRAMENTO CA 95814 942723946 POLITICAL ACTION COMMITTEE CA 527 N/A 0 HEALTH PROPERTY ASSOCIATES 1215 K STREET SUITE 800 SACRAMENTO CA 95814 680177130 GROUND LEASE CA N/A CALIFORNIA HOSPITAL INVESTMENTS & PUBLICATIONS INC 1215 K STREET SUITE 800 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 27155274 ACTUAL