2014-11-12T12:02:38-06:00 2013-12-31 861065772 DELOITTE TAX LLP 225 WEST SANTA CLARA STREET SAN JOSE CA 95113 990 2013-01-01 941205908 CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS CALI 9165527629 1215 K STREET NO 800 SACRAMENTO CA 95814 JENNIFER NEWMAN CFO 9165527623 2014-10-22 1 SHARON L ZORBACH P00125475 4087044000 2013 2015-11-30 17:44:51Z C DUANE DAUNER 1215 K STREET NO 800 SACRAMENTO CA 95814 29953001 0 X N/A X 1935 CA MEMBERSHIP ORGANIZATION PROVIDING SERVICES TO MEMBER HOSPITALS INCLUDING EDUCATION AND REPRESENTATION BEFORE LEGISLATIVE AND REGULATORY BODIES. 12 11 238 0 79064 39942 0 0 24972505 27823527 640598 562177 1768182 1564876 27381285 29950580 0 1285000 0 0 12942378 13313838 0 0 0 11096444 12890211 24038822 27489049 3342463 2461531 57897033 55490490 16492922 11826657 41404111 43663833 MEMBERSHIP ORGANIZATION PROVIDING SERVICES TO MEMBER HOSPITALS INCLUDING EDUCATION AND REPRESENTATION BEFORE LEGISLATIVE AND REGULATORY BODIES. 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, VOLUNTEER PROGRAMS, AND OTHER CONTACTS. ACTING AS AN INTERMEDIARY BETWEEN HOSPITALS AND OTHER HEALTHCARE EMPLOYERS AND THE STATE OF CALIFORNIA, EMPLOYMENT DEVELOPMENT DEPARTMENT, WITH REGARD TO THE ADJUDICATION OF UI CLAIMS & APPEALS AND THE PAYMENT OF UI BENEFITS TO ELIGIBLE CLAIMANTS. 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 123 0 1 238 1 1 1 0 0 0 0 0 X 12 11 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X JENNIFER NEWMAN 9165527629 1215 K STREET SUITE 800 SACRAMENTO CA 95814 ROGER E SEAVER CHAIR 1.00 X X 0 0 0 MARK R LARET CHAIR-ELECT 1.00 X X 0 0 0 STEVE PACKER PAST CHAIR 1.00 X X 0 0 0 MICHAEL H COVERT SECRETARY/TREASURER 1.00 X X 0 0 0 C DUANE DAUNER PRESIDENT 2.80 37.20 X X 1427434 0 37784 CORWIN N HARPER TRUSTEE 1.00 X 0 0 0 LOUIS PELTIER TRUSTEE 1.00 X 0 0 0 JON VAN BOENING TRUSTEE 1.00 X 0 0 0 SUSAN VANDENDRIESSE TRUSTEE 1.00 X 0 0 0 KENNETH K WESTBROOK TRUSTEE 1.00 X 0 0 0 JAMES WHIPPLE TRUSTEE 1.00 X 0 0 0 RICHARD R YOCHUM TRUSTEE 1.00 X 0 0 0 LOIS M SUDER EXEC VP/CHIEF OPERATING OFFICER 2.80 37.20 X 500787 0 52041 JENNIFER M NEWMAN CHIEF FINANCIAL OFFICER 2.80 37.20 X 189223 0 37316 JULIANNE MORATH PRESIDENT / CHIEF EXECUTIVE OF HQI 2.80 37.20 X 333903 0 41878 DIETMAR GRELLMAN SENIOR VP/EXTERNAL AFFAIRS 2.80 37.20 X 283411 0 52827 DAVID PERROTT SENIOR VP & CHIEF MEDICAL OFFICER 2.80 37.20 X 361545 0 37540 ANNE N O'ROURKE SENIOR VP/FEDERAL RELATIONS 2.80 37.20 X 349339 0 62645 TERRY SHERB CHIEF INFORMATION OFFICER 2.80 37.20 X 203301 0 33175 ANNE MCLEOD SENIOR VP/ HEALTH POLICY 2.80 37.20 X 498376 0 48287 MARTIN GALLEGOS FORMER SR VP/CHIEF LEGIS ADVOCATE 2.80 37.20 X 157485 0 44553 JULIE A REPPAS VP/HUMAN RESOURCES & OPERATIONS 2.80 37.20 X 210171 0 38863 AMBER OTT VP FINANCE 2.80 37.20 X 189401 0 41981 CONSTANCE M DELGADO CHIEF LEGISLATIVE ADVOCATE 2.80 37.20 X 247804 0 25755 BETTY JANE BARTLESON VP NURSING & CLINICAL SERVICES 2.80 37.20 X 194596 0 36598 ALYSSA KEEFE VP/FEDERAL REG AFFAIRS 2.80 37.20 X 208991 0 33487 5355767 0 624730 21 1 1 0 BLUE STATE DIGITAL 406 7TH STREET NW WASHINGTON DC 20004 CONSULTING 1712287 RANDLE COMMUNICATIONS 925 L STREET SUITE 1275 SACRAMENTO CA 95814 CONSULTING 597754 HOOPER LUNDY & BOOKMAN INC 1875 CENTURY PARK EAST STE 1600 LOS ANGELES CA 90067 LEGAL 546375 TOWNSEND RAIMUNDO BESLER & USHER 1717 I STREET SACRAMENTO CA 95811 CONSULTING 329153 CAPITOL PARTNERS 1215 K STREET SUITE 1500 SACRAMENTO CA 95814 REPRESENTATION AND ADVOCACY 300000 5 ADMINISTRATIVE REVENUE 561000 23947197 23947197 EDUCATION PROGRAM 611600 1678247 1678247 UI REVENUE FOR SERVICES 900099 1319321 1319321 PUBLICATIONS 900099 348472 348472 CONVENTIONS, EVENTS 900099 285210 285210 245080 245080 27823527 564598 564598 1062906 0 1062906 1062906 1062906 2421 -2421 -2421 -2421 EQUITY IN HPA 900099 368126 368126 ADVERTISING REVENUE 541800 79064 79064 OTHER INCOME 900099 54780 54780 501970 29950580 27823527 79064 2047989 1285000 4147319 6497647 634737 1378320 655815 2190440 858753 163069 2001410 668544 401219 1111213 752929 1045250 389333 149675 OTHER OPERATING EXPENSE 1305021 CONTRIBUTIONS 1215500 COMMITTEE EXPENSE 362162 OTHER EXPENSE 275693 27489049 7826947 9964580 9085117 5153827 955247 2507894 11636806 4723394 6943168 6913412 33086554 30920236 0 30541 57897033 55490490 6685133 6451496 202065 184745 9605724 5190416 16492922 11826657 X 41404111 43663833 41404111 43663833 57897033 55490490 2461531 -201809 0 X 0 1 X 1 0 0 1 0 5880000 5880000 1462484 1024265 438219 852158 727767 124391 3442164 2971362 470802 6913412 CLAIMS PAYABLE 4855943 FUNDS HELD FOR PROJECT 334473 5190416 1 STJOHN'S SHELTER FOR WOMEN AND CHILDREN 2443 FAIR OAKS BOULEVARD 369 SACRAMENTO CA 95825 680132934 501 (C) (3) 5000 GENERAL SUPPORT ENROLL AMERICA 1201 NEW YORK AVENUE NW SUITE 1100 WASHINGTON DC 20005 271661221 501 (C) (3) 50000 GENERAL SUPPORT COALITION FOR HEALTHCARE 1215 K STREET SUITE 800 SACRAMENTO CA 95814 453729542 501 (C) (6) 30000 GENERAL SUPPORT CALIFORNIA INSTITUTE FOR NURSING & HEALTH CARE 663 13TH STREET SUITE 300 OAKLAND CA 94612 820570413 501 (C) (3) 25000 GENERAL SUPPORT CALIFORNIANS FOR PATIENT CARE 1215 K STREET SUITE 1917 SACRAMENTO CA 95814 432063152 501 (C) (4) 675000 GENERAL SUPPORT HOSPITAL ASSOCIATION OF SAN DIEGO & IMPERIAL COUNTIES 5575 RUFFIN ROAD SUITE 225 SAN DIEGO CA 92123 952243358 501 (C) (6) 100000 GENERAL SUPPORT HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA 1215 K STREET SUITE 800 SACRAMENTO CA 95814 951533644 501 (C) (6) 200000 GENERAL SUPPORT HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA 515 SOUTH FIGUEROA STREET 1300 LOS ANGELES CA 90071 951519378 501 (C) (6) 200000 GENERAL SUPPORT 3 5 PART I, LINE 2: GRANTEES ARE REQUIRED TO SIGN RECIPIENT AGREEMENTS WHICH DETERMINE THE ALLOWABLE USE OF GRANT FUNDS AND REPORTING REQUIREMENTS. X X X X X 1 1 X X X X X 0 1 0 C DUANE DAUNER PRESIDENT 1126095 0 245207 0 56132 0 17850 0 19934 0 1465218 0 0 0 LOIS M SUDER EXEC VP/CHIEF OPERATING OFFICER 338465 0 160000 0 2322 0 27850 0 24191 0 552828 0 0 0 JENNIFER M NEWMAN CHIEF FINANCIAL OFFICER 168395 0 20000 0 828 0 13712 0 23604 0 226539 0 0 0 JULIANNE MORATH PRESIDENT / CHIEF EXECUTIVE OF HQI 230662 0 85000 0 18241 0 26183 0 15695 0 375781 0 0 0 DIETMAR GRELLMAN SENIOR VP/EXTERNAL AFFAIRS 244569 0 37600 0 1242 0 27850 0 24977 0 336238 0 0 0 DAVID PERROTT SENIOR VP & CHIEF MEDICAL OFFICER 309223 0 50000 0 2322 0 27850 0 9690 0 399085 0 0 0 ANNE N O'ROURKE SENIOR VP/FEDERAL RELATIONS 297437 0 50000 0 1902 0 27850 0 34795 0 411984 0 0 0 TERRY SHERB CHIEF INFORMATION OFFICER 193593 0 8000 0 1708 0 14482 0 18693 0 236476 0 0 0 ANNE MCLEOD SENIOR VP/ HEALTH POLICY 304866 0 192700 0 810 0 27850 0 20437 0 546663 0 0 0 MARTIN GALLEGOS FORMER SR VP/CHIEF LEGIS ADVOCATE 130163 0 25000 0 2322 0 24517 0 20036 0 202038 0 0 0 JULIE A REPPAS VP/HUMAN RESOURCES & OPERATIONS 189759 0 20000 0 412 0 15202 0 23661 0 249034 0 0 0 AMBER OTT VP FINANCE 169105 0 20000 0 296 0 13991 0 27990 0 231382 0 0 0 CONSTANCE M DELGADO CHIEF LEGISLATIVE ADVOCATE 197185 0 50000 0 619 0 17346 0 8409 0 273559 0 0 0 BETTY JANE BARTLESON VP NURSING & CLINICAL SERVICES 187847 0 5000 0 1749 0 13877 0 22721 0 231194 0 0 0 ALYSSA KEEFE VP/FEDERAL REG AFFAIRS 188632 0 20000 0 359 0 14831 0 18656 0 242478 0 0 0 PART I, LINE 4B THE ORGANIZATION MAINTAINS A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. 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 U.S. TREASURY DEPARTMENT *APPROXIMATELY 93% OF THE COMPENSATION OF THESE OFFICERS, KEY EMPLOYEES AND FIVE HIGHEST PAID EMPLOYEES WAS FOR SERVICES TO A RELATED ORGANIZATION AND WAS REIMBURSED BY THAT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 VOTING MEMBERS OF THE CORPORATION SHALL BE THOSE HOSPITALS AND HEALTH SYSTEMS SERVING AS DUES PAYING MEMBERS OF THE CALIFORNIA HOSPITAL ASSOCIATION. FORM 990, PART VI, SECTION A, LINE 7A ALL TRUSTEES OF THE CORPORATION, EXCEPT THE CHAIR, IMMEDIATE PAST CHAIR, AND THE PRESIDENT SHALL BE ELECTED BY THE MEMBERSHIP. FORM 990, PART VI, SECTION B, LINE 11 EACH MEMBER OF THE CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS BOARD OF DIRECTORS WAS SENT A COPY OF THE DRAFT 990 BEFORE IT WAS FILED. IN ADDITION, THE AUDIT COMMITTEE REVIEWED AND APPROVED THE FORM BEFORE IT WAS FINALIZED OR FILED. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL DISCLOSURE MUST BE SIGNED BY OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES AND REPORTED TO THE BOARD IF A CONFLICT EXISTS. FORM 990, PART VI, SECTION B, LINE 15 AN OUTSIDE COMPENSATION CONSULTING FIRM PROVIDED AN OPINION ON CEO COMPENSATION AND INDEPENDENT SALARY SURVEYS ARE USED TO BENCHMARK SALARIES OF CEO'S AND KEY EXECUTIVES. THIS INFORMATION IS REVIEWED BY THE COMPENSATION COMMITTEE, AND THEN APPROVED BY THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. CALIFORNIA HOSPITAL ASSOCIATION 1215 K STREET SUITE 800 SACRAMENTO CA 95814 680343712 LEGISLATIVE AND REGULATORY REPRESENTATION AND ADVOCACY CA 501(C)(6) N/A 0 CALIFORNIA HEALTH FOUNDATION AND TRUST 1215 K STREET SUITE 800 SACRAMENTO CA 95814 941498697 SUPPORT RESEARCH EDUCATION AND ACCESS IN FIELD OF HEALTHCARE CA 501(C)(3) 7 CALIF HOSPITAL ASSOCIATION 0 CALIFORNIA HOSPITALS COMMITTEE ON ISSUES 1127 11TH STREET SUITE 300 SACRAMENTO CA 95814 680148902 BALLOT INITIATIVES CA 501(C)(6) CALIF ASSN OF HOSPITALS AND HEALTH SYSTEMS 1 CALIFORNIA HOSPITALS POLITICAL ACTION COMMITTEE 1215 K STREET STE 800 SACRAMENTO CA 95814 942723946 POLITICAL ACTION COMMITTEE CA 527 N/A 0 CALIFORNIANS FOR PATIENT CARE 1215 K STREET SACRAMENTO CA 95814 432063152 EDUCATE AND INFORM ON HEALTH CARE FOR PATIENTS IN CALIFORNIA CA 501(C)(6) CALIF ASSN OF HOSPITALS AND HEALTH SYSTEMS 1 HEALTH PROPERTY ASSOCIATES 1215 K STREET SUITE 800 SACRAMENTO CA 95814 680177130 GROUND LEASE CA N/A EXCLUDED 367403 1483614 0 1 0.50000 CALIFORNIA HOSPITAL INVESTMENTS & PUBLICATIONS INC 1215 K STREET STE 800 SACRAMENTO CA 95814 680114819 INACTIVE CA C 977 11873 1.00000 0 0 1 0 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 1 HEALTH PROPERTY ASSOCIATES S 339000 ACTUAL CALIFORNIANS FOR PATIENT CARE Q 581351 ACTUAL CALIFORNIANS FOR PATIENT CARE B 675000 ACTUAL CALIFORNIA HEALTHCARE COMMITTEE ON ISSUES B 1800000 ACTUAL CALIFORNIA HOSPITAL ASSOCIATION L 18289104 ACTUAL CALIFORNIA HOSPITAL ASSOCIATION POLITICAL ACTIONS COMMITTEE O 73561 ACTUAL