2019-11-15T10:24:54-06:00 2018-12-31 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2018-01-01 680343712 CALIFORNIA HOSPITAL ASSOCIATION CALI 9165527629 1215 K STREET NO 800 SACRAMENTO CA 95814 JENNIFER NEWMAN SVP/CFO 9165527629 2019-11-08 1 TRACY S PAGLIA P00366884 2099556100 2019-11-08 107.77.231.236 2019-11-08 18:55:08 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 B20A33B77085F9A28768A14513D7F3142981CE0C 2018 2020-04-17 16:48:07Z CARMELA COYLE 1215 K STREET NO 800 SACRAMENTO CA 95814 58565383 0 X WWW.CALHOSPITAL.ORG X 1993 CA PROVIDE THE MEMBERSHIP WITH LEGISLATIVE AND REGULATORY REPRESENTATION AND ADVOCACY. 53 52 0 0 0 0 0 0 30552579 58476415 72118 88968 0 0 30624697 58565383 0 0 0 0 16109979 16850761 0 0 0 13955910 34561686 30065889 51412447 558808 7152936 42441836 24558110 34813141 9780953 7628695 14777157 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 0 0 0 0 X 53 52 0 0 0 0 1 1 1 1 1 0 0 0 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 1289805 20742 RICHARD AFABLE MD CHAIR 1.00 1.50 X X 0 0 0 ANN MADDEN RICE CHAIR (THRU 10/18) 1.00 1.50 X X 0 0 0 CALVIN CAL KNIGHT CHAIR ELECT 1.00 1.50 X X 0 0 0 GARY K WILDE SECRETARY/TREASURER 1.00 1.00 X X 0 0 0 GREGORY A ADAMS TRUSTEE 1.00 0.00 X 0 0 0 BARRY S ARBUCKLE PHD TRUSTEE 1.00 0.00 X 0 0 0 LINDA BRADLEY RN JD TRUSTEE 1.00 1.00 X 0 0 0 JUDY COFFEY RN TRUSTEE 1.00 0.00 X 0 0 0 PHILIP A COHEN TRUSTEE 1.00 0.00 X 0 0 0 BRIAN COOK TRUSTEE (AS OF 05/18) 1.00 0.00 X 0 0 0 KARI CORNICELLI 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 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 CHARLES P FRANCIS TRUSTEE 1.00 0.00 X 0 0 0 TOM A GAMMIERE TRUSTEE 1.00 0.00 X 0 0 0 DANIEL GROSS DNSC TRUSTEE 1.00 0.00 X 0 0 0 TOM HANENBURG TRUSTEE 1.00 0.00 X 0 0 0 KERRY HEINRICH TRUSTEE 1.00 0.00 X 0 0 0 PHILLIP C HILL TRUSTEE 1.00 0.00 X 0 0 0 GARY HONTS TRUSTEE (AS OF 3/18) 1.00 0.00 X 0 0 0 THOMAS E JACKIEWICZ TRUSTEE 1.00 0.00 X 0 0 0 ANDREW JAHN TRUSTEE (THRU 02/18) 1.00 0.00 X 0 0 0 DONALD KEARNS MD TRUSTEE 1.00 0.00 X 0 0 0 KEVIN A KLOCKENGA TRUSTEE 1.00 0.00 X 0 0 0 DENNIS KNEEPPEL RN TRUSTEE 1.00 0.00 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 JOHN MCCORMICK TRUSTEE (AS OF 07/18) 1.00 0.00 X 0 0 0 JULIE K MILLER-PHIPPS TRUSTEE 1.00 0.00 X 0 0 0 MARCIA NELSON MD TRUSTEE 1.00 0.00 X 0 0 0 MARGARET R PETERSON PHD TRUSTEE 1.00 0.00 X 0 0 0 JULIE PETRINI TRUSTEE 1.00 0.00 X 0 0 0 ANNE PLATT TRUSTEE 1.00 0.00 X 0 0 0 THOMAS M PRISELAC TRUSTEE 1.00 0.00 X 0 0 0 JAMES J RAGGIO TRUSTEE (THRU 06/18) 1.00 0.00 X 0 0 0 SCOTT REINER TRUSTEE 1.00 0.00 X 0 0 0 BRYAN R ROGERS TRUSTEE (THRU 04/18) 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 TORY STARR RN TRUSTEE 1.00 0.00 X 0 0 0 TODD A SUNTRAPAK TRUSTEE 1.00 0.00 X 0 0 0 SUSAN TAYLOR JD TRUSTEE 1.00 0.00 X 0 0 0 GUSTAVO VALDESPINO TRUSTEE 1.00 0.00 X 0 0 0 VICKI J VEAL TRUSTEE 1.00 2.00 X 0 0 0 CRAIG WAGONER TRUSTEE 1.00 0.00 X 0 0 0 ROBERT WALTERS TRUSTEE 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 JAMES R WEST 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 JENNIFER M NEWMAN SVP/CHIEF FINANCIAL OFFICER 2.80 37.20 X 0 347784 58320 WILLIAM EMMERSON DDS SVP/STATE RELATIONS (THRU 11/18) 2.80 37.20 X 0 522064 53453 DIETMAR GRELLMANN SVP/EXTERNAL AFFAIRS 2.80 37.20 X 0 381435 61869 ANNE MCLEOD SVP/HEALTH POLICY 2.80 37.20 X 0 428611 62296 ANNE N O'ROURKE SVP/FEDERAL RELATIONS 2.80 37.20 X 0 425721 77377 DAVID PERROTT MD DDS SVP/MEDICAL OFFICER 2.80 37.20 X 0 432963 46384 JULIE A REPPAS SVP/OPERATIONS & HUMAN RESOURCES 2.80 37.20 X 0 350401 55840 TERRY R SHERB CHIEF INFORMATION OFFICER 2.80 37.20 X 0 246685 35320 CONSTANCE M DELGADO CHIEF LEGISLATIVE ADVOCATE 2.80 37.20 X 0 360445 29851 JACQUELYN GARMAN VP/LEGAL COUNSEL 2.80 37.20 X 0 278475 32914 ALYSSA KEEFE VP/FEDERAL REG AFFAIRS 2.80 37.20 X 0 283853 40859 LOIS RICHARDSON VP/COUNSEL PRIVACY & LEGAL PUBS/EDU 2.80 37.20 X 0 269536 29286 DEBORAH ROGERS VP/CLINICAL PERFORMANCE & TRANFORMATION 2.80 37.20 X 0 267863 18770 C DUANE DAUNER FORMER PRESIDENT/SPECIAL ADVISOR 2.80 37.20 X 0 1405083 35022 0 7290724 658303 0 1 1 0 CALIFORNIA HOSPITALS COMMITTEE ON ISSUES 1127 11TH ST 300 SACRAMENTO CA 95814 LOBBYING SERVICES 21036719 CALIFORNIA ASSOCIATION OF HOSPITALS AND 1215 K ST 800 SACRAMENTO CA 95814 ADMINISTRATIVE SERVICES 4938913 UNIVERSITY OF SOUTHERN CALIFORNIA 3500 S FIGUEROA ST 102 LOS ANGELES CA 90007 CONSULTING 250000 3 MEMBERSHIP DUES 900099 31848865 31848865 SUPPLEMENTAL DUES 900099 26377537 26377537 GRANT REIMBURSEMENT 900099 250013 250013 58476415 88968 88968 58565383 58476415 0 88968 14292357 713262 1189440 655702 953848 22386707 3854463 1914592 1466927 1959828 455947 COMMITTEES 405931 EVENTS AND SPEAKERS 306211 UHA DUES 247500 609732 51412447 38867396 21364868 0 104374 3078073 2597879 496367 490989 42441836 24558110 4318160 6023720 30494981 3757233 34813141 9780953 X 7628695 14777157 7628695 14777157 42441836 24558110 7152936 -4474 0 X 0 1 X 1 0 0 0 0 58226402 25458317 25458317 31228119 -5769802 237477 5581 243058 249351 5126 17000 237477 243904 5447 249351 256362 4542 17000 243904 252350 4012 256362 0.00000 0.92570 0.07430 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, 2018 AND 2017. 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, 2018 AND 2017. 0 1 0 CARMELA COYLE PRESIDENT/CHIEF EXECUTIVE OFFICER 0 843089 0 418500 0 28216 0 19250 0 1492 0 1310547 0 0 JENNIFER M NEWMAN SVP/CHIEF FINANCIAL OFFICER 0 280367 0 65000 0 2417 0 37750 0 20570 0 406104 0 0 WILLIAM EMMERSON DDS SVP/STATE RELATIONS (THRU 11/18) 0 359146 0 65000 0 97918 0 37750 0 15703 0 575517 0 0 DIETMAR GRELLMANN SVP/EXTERNAL AFFAIRS 0 314018 0 65000 0 2417 0 37750 0 24119 0 443304 0 0 ANNE MCLEOD SVP/HEALTH POLICY 0 362318 0 65000 0 1293 0 37750 0 24546 0 490907 0 0 ANNE N O'ROURKE SVP/FEDERAL RELATIONS 0 357824 0 65000 0 2897 0 37750 0 39627 0 503098 0 0 DAVID PERROTT MD DDS SVP/MEDICAL OFFICER 0 361085 0 65000 0 6878 0 37750 0 8634 0 479347 0 0 JULIE A REPPAS SVP/OPERATIONS & HUMAN RESOURCES 0 284558 0 65000 0 843 0 37750 0 18090 0 406241 0 0 TERRY R SHERB CHIEF INFORMATION OFFICER 0 233410 0 10000 0 3275 0 17452 0 17868 0 282005 0 0 CONSTANCE M DELGADO CHIEF LEGISLATIVE ADVOCATE 0 309152 0 50000 0 1293 0 19250 0 10601 0 390296 0 0 JACQUELYN GARMAN VP/LEGAL COUNSEL 0 263835 0 7500 0 7140 0 19250 0 13664 0 311389 0 0 ALYSSA KEEFE VP/FEDERAL REG AFFAIRS 0 257814 0 25000 0 1039 0 19250 0 21609 0 324712 0 0 LOIS RICHARDSON VP/COUNSEL PRIVACY & LEGAL PUBS/EDU 0 252336 0 15000 0 2200 0 18762 0 10524 0 298822 0 0 DEBORAH ROGERS VP/CLINICAL PERFORMANCE & TRANFORMAT 0 258484 0 7000 0 2379 0 18770 0 0 0 286633 0 0 C DUANE DAUNER FORMER PRESIDENT/SPECIAL ADVISOR 0 904007 0 461746 0 39330 0 19250 0 15772 0 1440105 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. WILLIAM EMMERSON, DIETMAR A. GRELLMANN, ANNE MCLEOD, JENNIFER NEWMAN, ANN N. O'ROURKE, DAVID H. PERROT, AND JULIE A. REPPAS PARTICIPATED IN THE PLAN AND RECEIVED A BENEFIT OF $18,500 EACH 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 OFLNCORPORATION, 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 EXECUTIVE COMMITTEE 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 OPERATING OFFICER, AND 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. 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 1 0 CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS M 29858826 ACTUAL CALIFORNIA HOSPITALS COMMITTEE ON ISSUES R 21036719 ACTUAL