2013-11-11T11:57:25-06:00 2012-12-31 861065772 DELOITTE TAX LLP 225 WEST SANTA CLARA STREET SAN JOSE CA 95113 990 2012-01-01 941205908 CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS CALI 9165527629 1215 K STREET NO 800 SACRAMENTO CA 95814 JENNIFER NEWMAN 9165527623 2013-11-05 1 SHARON L ZORBACH P00125475 4087044000 2012 2016-02-24 21:20:13Z C DUANE DAUNER 1215 K STREET NO 800 SACRAMENTO CA 95814 27381285 0 X N/A X 1935 CA MEMBERSHIP ORGANIZATION PROVIDING SERVICES TO MEMBER HOSPITALS INCLUDING EDUCATION AND REPRESENTATION BEFORE LEGISLATIVE AND REGULATORY BODIES. 12 11 247 0 91155 57011 0 0 24381934 24972505 767759 640598 2869760 1768182 28019453 27381285 0 0 0 0 12602191 12942378 0 0 0 10819583 11096444 23421774 24038822 4597679 3342463 52019637 57897033 18891775 16492922 33127862 41404111 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 104 0 1 247 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 9164437401 1215 K STREET SUITE 800 SACRAMENTO CA 95814 STEVEN J PACKER 1.00 X X 0 0 0 ROGER E SEAVER 1.00 X X 0 0 0 RONALD C WERFT 1.00 X X 0 0 0 MARK R LARET 1.00 X X 0 0 0 C DUANE DAUNER 2.80 37.20 X X 1401548 0 38214 LEONARD LABELLA 1.00 X 0 0 0 MICHAEL H COVERT 1.00 X 0 0 0 CORWIN N HARPER 1.00 X 0 0 0 JON VAN BOENING 1.00 X 0 0 0 JAMES WHIPPLE 1.00 X 0 0 0 JANICE ROEDIGER 1.00 X 0 0 0 ROXANNE FOSTER 1.00 X 0 0 0 LOIS M SUDER 2.80 37.20 X 492162 0 51576 JENNIFER M NEWMAN 2.80 37.20 X 175260 0 39407 MARTIN GALLEGOS 2.80 37.20 X 337634 0 48029 DIETMAR GRELLMAN 2.80 37.20 X 271468 0 55746 DAVID PERROTT 2.80 37.20 X 340436 0 37346 ANNE N O'ROURKE 2.80 37.20 X 338155 0 65626 TERRY R SHERB 2.80 37.20 X 195997 0 34884 ANNE MCLEOD 2.80 37.20 X 436454 0 52939 JULIE A REPPAS 2.80 37.20 X 201782 0 39547 MICHAEL STANISH 2.80 37.20 X 181024 0 30552 CONSTANCE M DELGADO 2.80 37.20 X 213859 0 29511 JANA DU BOIS 2.80 37.20 X 180124 0 22171 ALYSSA KEEFE 2.80 37.20 X 202704 0 35405 DORAL HARMS 2.80 37.20 X 140312 0 6081 5108919 0 587034 20 1 1 0 HOOPER LUNDY & BOOKMAN INC 1875 CENTURY PK EAST SUITE 1600 LOS ANGELES CA 90067 LEGAL 839879 DELOITTE CONSULTING PO BOX 7247-6447 PHILADELPHIA PA 19170 CONSULTING 629011 MANATT PHELPS PHILLIPS 11355 W OLYMPIC BOULEVARD LOS ANGELES CA 90064 CONSULTING 458639 CAPITOL PARTNERS 1215 K STREET SUITE 1500 SACRAMENTO CA 95814 REPRESENTATION AND ADVOCACY 300000 THOMAS ADVOCACY INC 925 L STREET SUITE 300 SACRAMENTO CA 95814 REPRESENTATION AND ADVOCACY 171000 5 ADMINISTRATIVE REVENUE 561000 21015922 21015922 EDUCATION PROGRAM 611600 1618800 1618800 FEES FOR SERVICE 900099 1386304 1386304 PUBLICATIONS 900099 362633 362633 CONVENTIONS, EVENTS 900099 315365 315365 273481 273481 24972505 607728 607728 1062907 0 1062907 1062907 1062907 32870 0 32870 32870 32870 EQUITY IN HPA 900099 339003 339003 ADVERTISING REVENUE 541800 91155 91155 EXPENSE REIMBURSEMENT 900099 69388 69388 205729 205729 705275 27381285 24972505 91155 2317625 4501042 5946329 572111 1305463 617433 1040877 128843 2326481 696267 377061 1137239 642716 375352 140970 CONTRIBUTIONS 1550000 OTHER OPERATING EXPENSE 1161377 EVENTS 769714 COMMITTEE EXPENSE 348107 401440 24038822 6496557 7826947 6301536 9085117 765882 955247 11640943 4697775 6918516 6943168 31537146 33086554 52019637 57897033 7464127 6685133 279666 202065 11147982 9605724 18891775 16492922 X 33127862 41404111 33127862 41404111 52019637 57897033 X 3342463 555537 4378249 X 0 1 X 1 0 0 1 0 5880000 5880000 1377042 922180 454862 801104 681503 119601 3582797 3094092 488705 6943168 CLAIMS PAYABLE 7378060 FUNDS HELD FOR PROJECT 761543 SUPPL. CLAIMS PAYABLE RESERVE 1466121 9605724 X X X X X 1 1 X X X X X 0 1 0 C DUANE DAUNER 931854 0 413560 0 56134 0 17150 0 21064 0 1439762 0 0 0 LOIS M SUDER 329840 0 160000 0 2322 0 27150 0 24426 0 543738 0 0 0 JENNIFER M NEWMAN 157256 0 17500 0 504 0 12851 0 26556 0 214667 0 0 0 MARTIN GALLEGOS 295312 0 40000 0 2322 0 27150 0 20879 0 385663 0 0 0 DIETMAR GRELLMAN 235681 0 35000 0 787 0 27150 0 28596 0 327214 0 0 0 DAVID PERROTT 292351 0 45000 0 3085 0 27150 0 10196 0 377782 0 0 0 ANNE N O'ROURKE 286193 0 50000 0 1962 0 27150 0 38476 0 403781 0 0 0 TERRY R SHERB 187345 0 7000 0 1652 0 14020 0 20864 0 230881 0 0 0 ANNE MCLEOD 295644 0 140000 0 810 0 27150 0 25789 0 489393 0 0 0 JULIE A REPPAS 183885 0 17500 0 397 0 14639 0 24908 0 241329 0 0 0 MICHAEL STANISH 175658 0 5000 0 366 0 12856 0 17696 0 211576 0 0 0 CONSTANCE M DELGADO 193332 0 20000 0 527 0 15088 0 14423 0 243370 0 0 0 JANA DU BOIS 176782 0 2500 0 842 0 12661 0 9510 0 202295 0 0 0 ALYSSA KEEFE 182357 0 20000 0 347 0 14454 0 20951 0 238109 0 0 0 DORAL HARMS 78604 0 0 0 61708 0 4742 0 1339 0 146393 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 SUPPLEMENTAL INFORMATION PART III *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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: TRANSFER FROM CHA 4,378,249. CALIFORNIA HOSPITAL ASSOCIATION 1215 K STREET 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 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 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) CAHHS 1 HEALTH PROPERTY ASSOCIATES 1215 K STREET SUITE 800 SACRAMENTO CA 95814 680177130 GROUND LEASE CA N/A EXCLUDED 338716 2855080 0 1 0.50000 CALIFORNIA HOSPITAL INVESTMENTS & PUBLICATIONS INC 1215 K STREET STE 800 SACRAMENTO CA 95814 680114819 INACTIVE CA C 33 12771 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 CALIFORNIA HOSPITAL ASSOCIATION L 18563239 ACTUAL CALIFORNIA HEALTH FOUNDATION AND TRUST L 776505 ACTUAL CALIFORNIA HEALTH FOUNDATION AND TRUST Q 2003490 ACTUAL CALIFORNIA HOSPITAL COMMITTEE ON ISSUES B 1500000 ACTUAL CALIFORNIA HOSPITAL ASSOCIATION Q 234380 ACTUAL CALIFORNIANS FOR PATIENT CARE Q 584870 ACTUAL CALIFORNIANS FOR PATIENT CARE J 73515 ACTUAL CALIFORNIA HOSPITAL POLITICAL ACTION COMMITTEE N 61552 ACTUAL CALIFORNIA HOSPITAL POLITICAL ACTION COMMITTEE O 89150 ACTUAL CALIFORNIA HOSPITAL ASSOCIATION S 4378249 ACTUAL