2016-06-15T15:40:20-05:00 2015-04-30 350921680 CROWE HORWATH LLP 175 POWDER FOREST DRIVE SIMSBURY CT 06089 990 2014-05-01 060632049 CONNECTICUT HOSPITAL ASSOCIATION INCORPORATED CONN 2032657611 PO BOX 90 110 BARNES ROAD WALLINGFORD CT 06492 JENNIFER JACKSON PRESIDENT & CEO 2032657611 2016-06-15 1 BETH THURZ P00346435 8606789200 2014 2016-08-17 19:52:53Z JENNIFER JACKSON 110 BARNES ROAD WALLINGFORD CT 06492 8151582 0 X CTHOSP.ORG X 1919 CT SEE SCHEDULE O. 21 20 63 0 0 0 0 15000 8006834 7618269 1046 0 256559 518313 8264439 8151582 0 0 0 0 6678488 5895268 0 0 0 1416988 1987613 8095476 7882881 168963 268701 10962592 9841670 13161629 18367853 -2199037 -8526183 CHA'S MISSION IS TO ADVANCE THE HEALTH OF INDIVIDUALS AND COMMUNITIES BY LEADING, REPRESENTING, AND SERVING HOSPITALS AND THEIR RELATED HEALTHCARE ORGANIZATIONS. 0 0 THE ORGANIZATION PROVIDES ADVOCACY, REPRESENTATION, EDUCATION AND DISSEMINATION OF INFORMATION TO ITS MEMBERS AND THE PUBLIC. THE ASSOCIATION ORGANIZES AND SUPPORTS OVER 40 MEETING GROUPS FOR 27 HOSPITALS AND OVER 100 OTHER INSTITUTIONAL MEMBERS. 0 1 0 1 0 0 0 0 0 1 1 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 45 0 1 63 1 0 0 0 0 0 0 X 21 20 0 0 0 0 1 1 1 1 1 0 0 0 1 0 1 1 1 1 1 0 X JOHN J BRADY 2032947201 110 BARNES ROAD WALLINGFORD CT 06492 BRUCE D CUMMINGS CHAIRMAN 1.00 X X 0 0 0 DAVID A WHITEHEAD VICE CHAIRMAN 1.00 X X 0 0 0 CHRISTOPHER M O'CONNOR TREASURER 1.00 X X 0 0 0 PETER J KARL SECRETARY 1.00 X X 0 0 0 SUSAN L DAVIS CHAIRMAN THROUGH 6/14 1.00 X X 0 0 0 VINCENT G CAPECE JR TRUSTEE 1.00 X 0 0 0 JOHN M MURPHY TRUSTEE 1.00 X 0 0 0 KURT A BARWIS TRUSTEE 1.00 X 0 0 0 KEVIN A MYATT TRUSTEE 1.00 X 0 0 0 ROHIT BHALLA MD TRUSTEE 1.00 X 0 0 0 CURTIS D ROBINSON TRUSTEE 1.00 X 0 0 0 ROBERT E SMANIK TRUSTEE 1.00 X 0 0 0 ELLIOT T JOSEPH TRUSTEE 1.00 X 0 0 0 CHRISTOPHER M DADLEZ TRUSTEE 1.00 X 0 0 0 CHAD W WABLE TRUSTEE 1.00 X 0 0 0 MARNA P BORGSTROM TRUSTEE 1.00 X 0 0 0 ULYSSES B HAMMOND TRUSTEE 1.00 X 0 0 0 WILLIAM M JENNINGS TRUSTEE 1.00 X 0 0 0 PATRICK A CHARMEL EX OFFICIO 1.00 X 0 0 0 COLLEEN O SMITH RN TRUSTEE 1.00 X 0 0 0 DARLENE STROMSTAD TRUSTEE 1.00 X 0 0 0 JENNIFER JACKSON PRESIDENT & CEO 18.00 22.00 X X 336522 409659 44686 JOHN J BRADY CFO & VP, BUSINESS PLANNIN 18.00 22.00 X 121473 147873 52845 KIMBERLEY K HOSTETLER SR VP & CHIEF ADMIN OFFICE 18.00 22.00 X 158176 192554 37676 MARY LYON VP INTEGRATED HEALTH INFO 6.00 34.00 X 29298 177832 42356 ANTHONY DIAS VP DATA SERVICES 6.00 34.00 X 41387 251218 29469 GRACE E NAPOLITAN VP ADMINISTRATION 18.00 22.00 X 88425 107642 27566 JAMES IACOBELLIS SR VP GOVT & REGULATORY AF 40.00 X 367730 0 45199 STEPHEN A FRAYNE SR VP HEALTH POLICY 40.00 0.00 X 468848 0 55345 MICHELLE SHARP DIR COMMUNICATIONS & PUBLIC AFFAIRS 40.00 0.00 X 172806 0 28691 MATTHEW T HOEY DIRECTOR CLEC OPERATIONS 6.00 34.00 X 24183 146786 15579 ALLAN J PINARD ASST VP FINANCE 40.00 X 208874 0 39541 CARL SCHIESSL DIR REGULATORY ADVOCACY 40.00 X 176959 0 6237 KAREN BUCKLEY-BATES DIR GOVERNMENT RELATIONS 40.00 X 189294 0 8294 2383975 1433564 433484 12 0 1 0 COX & OSOWIECKI LLC 10 COLUMBUS BLVD HARTFORD CT 06106 LEGAL 376137 BKD LLP 1201 WALNUT STREET SUITE 1700 KANSAS CITY MO 64106 CONSULTING 164071 REIMBURSEMENT ALLIANCE GROUP LLC 400 THIRD AVENUE GARWOOD NJ 07027 CONSULTING 147025 3 15000 15000 MEMBERSHIP DUES 541900 7545960 7545960 SPECIAL ASSESSMENTS 541900 67809 67809 EDUCATION PROGRAMS 541900 4500 4500 7618269 108821 0 108821 108821 108821 ANNUAL MEETING REVENUE 541900 164050 164050 AHA INCOME 541900 9105 9105 236337 236337 409492 8151582 8027761 0 108821 2874008 2134309 403530 232644 250777 369866 588550 140364 1064597 457836 54654 147358 103155 26971 109765 CONTRIBUTION TO CHREF 944096 DONATIONS 69275 SPECIAL ASSESSMENTS 67809 LICENSES & MAINTENANCE 56720 -2213403 7882881 225 225 5324373 3256478 2757220 3801592 106551 127667 802835 746442 54512 56393 2719711 2599315 10962592 9841670 10291798 15876089 1348856 1240971 1513525 1242623 7450 8170 13161629 18367853 X -2199037 -8526183 -2199037 -8526183 10962592 9841670 X 268701 -6595847 X X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 0 0 802835 746442 56393 56393 SPLIT DOLLAR 497721 F INVESTMENTS IN AFFILIATES 2101594 C 2599315 INTEREST RATE SWAP LIABILITY 8170 8170 X 8151582 0 8151582 0 8151582 7882881 0 7882881 0 7882881 PART X, LINE 2: THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH PROVISIONS OF FASB ASC 740 THAT PRESCRIBE A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. FASB ASC 740 ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. FASB ASC 740 PERMITS THE RECOGNITION OF TAX POSITIONS THAT MEET A "MORE LIKELY THAN NOT" THRESHOLD, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE ORGANIZATION DID NOT RECORD ANY UNRECOGNIZED TAX BENEFITS DURING THE YEARS ENDED APRIL 30, 2015 AND 2014. THE ORGANIZATION ANTICIPATES THAT IT WILL NOT HAVE A CHANGE IN UNRECOGNIZED TAX BENEFITS DURING THE NEXT TWELVE MONTHS THAT WOULD HAVE A MATERIAL IMPACT ON THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS. X X X X X 0 1 0 JENNIFER JACKSON PRESIDENT & CEO 266603 324544 68609 83520 1310 1595 9967 12133 10186 12400 356675 434192 0 0 JOHN J BRADY CFO & VP, BUSINESS PLANNIN 105564 128506 12224 14881 3685 4486 9967 12133 13866 16879 145306 176885 0 0 KIMBERLEY K HOSTETLER SR VP & CHIEF ADMIN OFFICE 137061 166850 19951 24287 1164 1417 9967 12133 7025 8551 175168 213238 0 0 MARY LYON VP INTEGRATED HEALTH INFO 28472 172817 0 0 826 5015 2381 14453 3610 21912 35289 214197 0 0 ANTHONY DIAS VP DATA SERVICES 35813 217380 5498 33374 76 464 1243 7545 2925 17756 45555 276519 0 0 GRACE E NAPOLITAN VP ADMINISTRATION 78681 95781 5195 6323 4549 5538 7284 8867 5148 6267 100857 122776 0 0 JAMES IACOBELLIS SR VP GOVT & REGULATORY AF 310212 0 54100 0 3418 0 22100 0 23099 0 412929 0 0 0 STEPHEN A FRAYNE SR VP HEALTH POLICY 386458 0 72239 0 10151 0 22100 0 33245 0 524193 0 0 0 MICHELLE SHARP DIR COMMUNICATIONS & PUBLIC AFFAIRS 157033 0 14871 0 902 0 5088 0 23603 0 201497 0 0 0 MATTHEW T HOEY DIRECTOR CLEC OPERATIONS 23921 145193 0 0 262 1593 7885 5887 517 1290 32585 153963 0 0 ALLAN J PINARD ASST VP FINANCE 203654 0 0 0 5220 0 17220 0 22321 0 248415 0 0 0 CARL SCHIESSL DIR REGULATORY ADVOCACY 174543 0 0 0 2416 0 4733 0 1504 0 183196 0 0 0 KAREN BUCKLEY-BATES DIR GOVERNMENT RELATIONS 175776 0 11667 0 1851 0 5303 0 2991 0 197588 0 0 0 PART I, LINE 4B JENNIFER JACKSON $10,038 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS AN ASSOCIATION OF CONNECTICUT HOSPITALS AND HEALTHCARE ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION IS AN ASSOCIATION OF CONNECTICUT HOSPITALS AND HEALTHCARE ORGANIZATIONS WHOSE REPRESENTATIVES COMPRISE THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE ASSEMBLY OF THE ASSOCIATION'S MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF THE ASSOCIATION HAS DELEGATED RESPONSIBILITY FOR COMPLETING AND FILING FORM 990 TO THE ASSOCIATIONS'S CHIEF EXECUTIVE OFFICER, WHO IS A MEMBER OF THE BOARD. THE CEO REVIEWS ALL INFORMATION IN FORM 990. THE COMPLETED FORM 990 WILL BE PROVIDED TO THE COMMITTEE OF THE BOARD WITH RESPONSIBILITY FOR THE ORGANIZATION'S FINANCIAL MANAGEMENT AT ITS NEXT REGULARLY SCHEDULED MEETING. FORM 990, PART VI, SECTION B, LINE 12C ALL TRUSTEES AND EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST IMMEDIATELY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION RECOMMENDATIONS FOR THE ORGANIZATION'S CEO, OTHER OFFICERS AND KEY EMPLOYEES ARE PREPARED BY AN INDEPENDENT COMPENSATION CONSULTANT, UTILIZING DATA FROM COMPARABLE ORGANIZATIONS, AND ARE REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD, AND DOCUMENTED IN THE APPLICABLE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COST -6,595,130. CHANGE IN INTEREST RATE SWAP LIABILITY -717. FORM 990, PART XI, LINE 2C: AUDIT THE AUDIT OVERSIGHT AND AUDIT FIRM SELECTION PROCESS HAVE NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART 1, LINE 1: TO PROVIDE ADVOCACY, REPRESENTATION AND EDUCATION FOR HOSPITALS AND HEALTHCARE ORGANIZATIONS. FORM 990, PART V, LINE 2A: CHA (THE FILING ORGANIZATION) IS THE COMMON PAYMASTER FOR FIVE AFFILIATED ORGANIZATIONS AND, AS SUCH, FILES A FORM W-3 FOR EACH ORGANIZATION USING CHA'S FEDERAL EMPLOYER IDENTIFICATION NUMBER (EIN). IN TAX YEAR 2014, 31 OF THE 63 TOTAL EMPLOYEES WERE DIRECTLY EMPLOYED BY CHA. SCHEDULE R, PART V, LINE 1N: CHA SHARES STAFF WITH FIVE AFFILIATED ORGANIZATIONS FOR ADMINISTRATIVE, HUMAN RESOURCES, ACCOUNTING, OPERATIONS AND INFORMATION SYSTEMS FUNCTIONS AND ALLOCATES THE COST. INCLUDED IN THESE COST ALLOCATIONS ARE STAFF EXPENSES (SALARY AND FRINGE BENEFITS) AND RELATED NON-STAFF EXPENSES (SUPPLIES, EQUIPMENT, PROFESSIONAL FEES, ETC). CT HEALTHCARE RESEARCH AND EDUCATION FOUNDATION INCORPORATED 110 BARNES ROAD PO BOX 90 WALLINGFORD CT 06492 060890298 PROVIDES EDUCATION PROGRAMS TO CT HOSPITALS CT 501 (C) (3) LINE 11 TYPE I N/A 0 CONNECTICUT HOSPITAL ASSOCIATION TRUST 110 BARNES ROAD PO BOX 90 WALLINGFORD CT 06492 066322583 PROVIDES NO-INTEREST LOANS TO CT HOSPITALS CT 501 (C) (3) LINE 11 TYPE I N/A 0 DIVERSIFIED NETWORK SERVICES INC 110 BARNES ROAD PO BOX 90 WALLINGFORD CT 06492 060990946 SERVICES CT C 0 CHA INSURANCE SERVICES INC 110 BARNES ROAD PO BOX 90 WALLINGFORD CT 06492 061310638 MARKETING SERVICES CT DIVERSIFIED NETWORK SERVICES INC C 0 CHIME INC 110 BARNES ROAD PO BOX 90 WALLINGFORD CT 06492 061454560 DEVELOPING INFORMATION SYSTEMS CT DIVERSIFIED NETWORK SERVICES INC C 0 CHIMENET INC 110 BARNES ROAD PO BOX 90 WALLINGFORD CT 06492 061585087 SERVICES CT CHIME INC C 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 CONNECTICUT HEALTHCARE RESEARCH AND EDUCATION FOUNDATION INCORPORATED K 703838 ACTUAL CHIME INC N 114395 ACTUAL CHIMENET INC N 110606 ACTUAL CHIME INC FROM CHA O 1163118 ACTUAL CHIME INC TO CHA O 1064596 ACTUAL CHIMENET INC O 644430 ACTUAL CONNECTICUT HEALTHCARE RESEARCH AND EDUCATION FOUNDATION INCORPORATED O 583780 ACTUAL DIVERSIFIED NETWORK SERVICES INC O 147321 ACTUAL CONNECTICUT HEALTHCARE RESEARCH AND EDUCATION FOUNDATION INCORPORATED B 944096 ACTUAL CHA INSURANCE SERVICES INC O 58889 ACTUAL