2022-11-14T17:36:35-06:00 2021-12-31 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2021-01-01 941498697 CALIFORNIA HEALTH FOUNDATION AND TRUST CALI 9165527629 1215 K STREET 700 SACRAMENTO CA 95814 JENNIFER M NEWMAN CFO 9165527629 2022-11-11 1 JENNIFER NEWMAN 999009999 TRACY S PAGLIA P00366884 2099556100 2022-11-11 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z CARMELA COYLE 1215 K STREET 700 SACRAMENTO CA 95814 36749563 0 X N/A X 1956 CA SUPPORT ACCESS, RESEARCH, AND EDUCATION IN THE HEALTHCARE FIELD 14 13 0 0 0 0 63850891 36575395 0 0 249181 117618 74580 56550 64174652 36749563 35269077 35229010 0 0 69294 70565 0 0 0 3949367 1005681 39287738 36305256 24886914 444307 105277236 115138512 2667827 1731759 102609409 113406753 X SUPPORT ACCESS, RESEARCH, AND EDUCATION IN THE FIELD OF HEALTHCARE DELIVERY, FINANCING, AND PATIENT CARE. 0 0 34036733 33228624 0 2017-2019 HOSPITAL GRANT PROGRAM:STATEWIDE EFFORT TO ASSIST HOSPITALS AND HOSPITAL HEALTH SYSTEMS IN CALIFORNIA TO CONTINUE TO PROVIDE ACCESS TO CARE FOR UNINSURED AND UNDERINSURED PEOPLE, PRESERVE PHYSICAL ACCESS TO CARE, AND PROVIDE COMMUNITY SERVICES SUCH AS MENTAL HEALTH ACCESS, WELLNESS, AND PREVENTION PROGRAMS. THE PROGRAM RECOVERS $3 BILLION OF THE $7 BILLION SHORT FALL ANNUALLY IN MEDI-CAL PAYMENTS. 1589948 1589948 0 2019-2021 HOSPITAL GRANT PROGRAM:STATEWIDE EFFORT TO ASSIST HOSPITALS AND HOSPITAL HEALTH SYSTEMS IN CALIFORNIA TO CONTINUE TO PROVIDE ACCESS TO CARE FOR UNINSURED AND UNDERINSURED PEOPLE, PRESERVE PHYSICAL ACCESS TO CARE, AND PROVIDE COMMUNITY SERVICES SUCH AS MENTAL HEALTH ACCESS, WELLNESS, AND PREVENTION PROGRAMS. THE PROGRAM RECOVERS $3.6 BILLION OF THE $7.6 BILLION SHORT FALL ANNUALLY IN MEDI-CAL PAYMENTS. 387984 210438 0 TO PROVIDE MEALS TO HOSPITAL WORKERS DURING THE STATE OF THE PANDEMIC. 200000 200000 0 WALMART GRANT 200000 200000 0 36214665 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 5 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X JENNIFER M NEWMAN CFO 9165527629 1215 K STREET SUITE 700 SACRAMENTO CA 95814 CARMELA COYLE PRESIDENT 1.00 42.00 X X 0 1390915 21900 JENNIFER M NEWMAN CFO 2.80 40.00 X 0 415246 55962 SCOTT REINER CHAIR 1.00 4.00 X X 0 0 0 SARAH KREVANS CHAIR-ELECT 1.00 4.00 X X 0 0 0 GARY K WILDE PAST CHAIR 1.00 4.00 X X 0 0 0 TODD A SUNTRAPAK SECRETARY/TREASURER 1.00 4.00 X X 0 0 0 KAY ANDALIS TRUSTEE 1.00 1.00 X 0 0 0 ELAINE BATCHLOR MD TRUSTEE 1.00 2.00 X 0 0 0 JUDY COFFEY TRUSTEE 1.00 X 0 0 0 ADAM DARVISH TRUSTEE 1.00 2.00 X 0 0 0 PETE DELGADO TRUSTEE 1.00 1.00 X 0 0 0 KERRY L HEINRICH TRUSTEE 1.00 2.00 X 0 0 0 MICHAEL J MADDEN TRUSTEE 1.00 X 0 0 0 BRETT MCCLAIN TRUSTEE 1.00 1.00 X 0 0 0 LOUIS PELTIER TRUSTEE 1.00 1.00 X 0 0 0 0 1806161 77862 0 0 1 0 CA ASSN OF HOSPITALS AND HEALTH SYSTEMS 1215 K STREET 700 SACRAMENTO CA 95814 PROFESSIONAL SERVICES 514872 1 387983 36187412 36575395 117618 117618 GROUP PURCHASING 900099 56550 56550 56550 36749563 0 0 174168 35229010 35229010 59340 59340 4160 4160 7065 7065 843069 808109 34960 31378 31378 111481 106981 4500 549 549 440 440 18764 18764 36305256 36214665 90591 0 85895235 109104119 19126399 5718420 26439 51196 13636 15384 215527 249393 105277236 115138512 458005 141811 2209822 1589948 2667827 1731759 X 1821435 1893541 100787974 111513212 102609409 113406753 105277236 115138512 X 444307 -5763 10358800 X 0 1 X 1 0 X 67125934 50280857 45469222 63850891 36575395 263302299 67125934 50280857 45469222 63850891 36575395 263302299 107539308 155762991 97145 181835 240210 249181 117618 885989 176669 103574 69183 74580 56550 480556 264668844 0.58850 0.58810 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2017 AMOUNT: $ 62,148. 2018 AMOUNT: $ 61,489. 2019 AMOUNT: $ 49,537. 2020 AMOUNT: $ 58,927. CRQAR REVENUE - 2017 AMOUNT: $ 29,160. 2018 AMOUNT: $ 8,074. GROUP PURCHASING - 2017 AMOUNT: $ 85,361. 2018 AMOUNT: $ 34,011. 2019 AMOUNT: $ 19,646. 2020 AMOUNT: $ 15,653. 2021 AMOUNT: $ 56,550. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 253191 5707 258898 247897 5294 253191 243058 4839 247897 237477 5581 243058 249351 5126 17000 237477 0.00000 0.86910 0.13090 0 0 0 X 36566029 -5763 -5763 36571792 177771 177771 36749563 25768685 0 25768685 10536571 10536571 36305256 PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED FOR THE WALKER/SULLIVAN ENDOWMENT WHICH FUNDS GRANTS TO STUDY HEALTHCARE OPERATIONS. PART X, LINE 2: CHFT IS A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION AND IS EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAX CODE SECTION 23701D. ACCORDINGLY, THE FINANCIAL STATEMENTS DO NOT REFLECT ANY PROVISION FOR INCOME TAXES. IN THE EVENT CHFT HAD A TAX PROVISION THAT WAS UNCERTAIN OF BEING SUSTAINED, CHFT 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, 2021 AND 2020. PART XI, LINE 4B - OTHER ADJUSTMENTS: REVERSAL OF CONTRIBUTION REVENUE 177,771. PART XII, LINE 4B - OTHER ADJUSTMENTS: NET ASSETS RETURNED FROM GRANTEE 11,773,363. REFUND OF PRIOR YEAR CONTRIBUTIONS -1,236,792. 1 ADVENTIST HEALTH BAKERSFIELD PO BOX 619001 ROSEVILLE CA 956619002 953484589 501(C)(3) 14000 0 WALMART FOUNDATION GRANT ADVENTIST HEALTH HANFORD PO BOX 619001 ROSEVILLE CA 956619002 953484589 501(C)(3) 9000 0 WALMART FOUNDATION GRANT ADVENTIST HEALTH TEHACHAPI VALLEY PO BOX 619001 ROSEVILLE CA 956619002 953484589 501(C)(3) 14500 0 WALMART FOUNDATION GRANT ADVENTIST HEALTH TULARE PO BOX 619001 ROSEVILLE CA 956619002 953484589 501(C)(3) 6000 0 WALMART FOUNDATION GRANT BAKERSFIELD MEMORIAL HOSPITAL FOUNDATION 3000 SILLECT AVENUE BAKERSFIELD CA 933086337 561984080 501(C)(3) 13000 0 WALMART FOUNDATION GRANT CEDARS-SINAI MEDICAL CENTER 399 N ROXBURY DRIVE BEVERLY HILLS CA 90210 951644600 501(C)(3) 32969640 0 HF GRANT CHINESE HOSPITAL 845 JACKSON STREET SAN FRANCISCO CA 94133 940382780 501(C)(3) 258984 0 HF GRANT CLOVIS COMMUNITY MEDICAL CENTER 2755 HERNDON AVENUE CLOVIS CA 93611 770191730 501(C)(3) 10000 0 WALMART FOUNDATION GRANT COMMUNITY REGIONAL MEDICAL CENTER 1530 EAST SHAW SUITE 106 FRESNO CA 93710 770191730 501(C)(3) 32000 0 WALMART FOUNDATION GRANT FRANK R HOWARD MEMORIAL HOSPITAL 1 MARCELA DRIVE WILLITS CA 95490 680108919 501(C)(3) 5213 0 FLEX GRANT FUNDS GEORGE MEE MEMORIAL HOSPITAL 300 CANAL STREET KING CITY CA 93930 941502014 501(C)(3) 14271 0 FLEX GRANT FUNDS HAZEL HAWKINS HOSPITALS FOUNDATION 910 SUNSET DRIVE HOLLISTER CA 95023 942497062 501(C)(3) 13016 0 FLEX GRANT FUNDS HAZEL HAWKINS MEMORIAL HOSPITAL 910 SUNSET DRIVE HOLLISTER CA 95023 942497062 501(C)(3) 17000 0 FLEX GRANT FUNDS JEROLD PHELPS COMMUNITY HOSPITAL 733 CEDAR STREET GARBERVILLE CA 95542 942664285 501(C)(3) 17000 0 FLEX GRANT FUNDS KAWEAH DELTA HOSPITAL FOUNDATION 399 WEST MINERAL KING AVENUE VISALIA CA 93291 941534475 501(C)(3) 16500 0 WALMART FOUNDATION GRANT KERN MEDICAL CENTER 1700 MOUNT VERNON AVENUE BAKERSFIELD CA 93306 475618278 501(C)(3) 10000 0 WALMART FOUNDATION GRANT MAMMOTH HOSPITAL PO BOX 100 PMB 487 MAMMOTH LAKES CA 93546 953154530 501(C)(3) 10000 0 FLEX GRANT FUNDS MARK TWAIN MEDICAL CENTER 768 MOUNTAIN RANCH ROAD SAN ANDREAS CA 95249 680127677 501(C)(3) 13750 0 FLEX GRANT FUNDS MAYERS MEMORIAL HOSPITAL DISTRICT 43563 HIGHWAY 299 EAST FALL RIVER MILLS CA 960280459 941634940 501(C)(3) 17000 0 FLEX GRANT FUNDS MERCY HOSPITALS 511 SHANLEY COURT BAKERSFIELD CA 93311 770201321 501(C)(3) 8250 0 WALMART FOUNDATION GRANT MERCY MEDICAL CENTER MERCED FOUNDATION 2740 M STREET MERCED CA 95340 941196203 501(C)(3) 8250 0 WALMART FOUNDATION GRANT MODOC MEDICAL CENTER 1111 NORTH NAGLE STREET ALTURAS CA 96101 680095320 501(C)(3) 13000 0 FLEX GRANT FUNDS ORCHARD HOSPITAL 240 SPRUCE STREET GRIDLEY CA 95948 941049467 501(C)(3) 12000 0 FLEX GRANT FUNDS RIDGECREST REGIONAL HOSPITAL 1080 NORTH CHINA LAKE BOULEVARD RIDGECREST CA 935553130 952082686 501(C)(3) 6500 0 WALMART FOUNDATION GRANT SAN BERNARDINO MOUNTAINS COMMUNITY 29101 HOSPITAL ROAD LAKE ARROWHEAD CA 92352 262201665 501(C)(3) 17000 0 FLEX GRANT FUNDS ST AGNES MEDICAL CENTER 1302 EAST HERNDON AVENUE FRESNO CA 937203397 941437713 501(C)(3) 14250 0 WALMART FOUNDATION GRANT SURPRISE VALLEY HEALTH CARE DISTRICT 741 NORTH MAIN STREET CEDARVILLE CA 961049995 680008034 501(C)(3) 17000 0 FLEX GRANT FUNDS TRINITY HOSPITAL 60 EASTER AVENUE WEAVERVILLE CA 96093 208236808 501(C)(3) 17000 0 FLEX GRANT FUNDS VALLEY CHILDREN'S HEALTHCARE M/S PC16 MADERA CA 936368761 941294954 501(C)(3) 16750 0 WALMART FOUNDATION GRANT 29 0 PART I, LINE 2: GRANTEES ARE REQUIRED TO SIGN RECIPIENT AGREEMENTS WHICH DETERMINE THE ALLOWABLE USE OF GRANT FUNDS AND REPORTING REQUIREMENTS. 0 1 0 0 0 0 0 0 0 CARMELA COYLE PRESIDENT 0 1085902 0 301211 0 3802 0 20300 0 1600 0 1412815 0 0 JENNIFER M NEWMAN CFO 0 337769 0 75000 0 2477 0 39800 0 16162 0 471208 0 0 PART I, LINE 3 CALIFORNIA HEALTH FOUNDATION AND TRUST (CHFT) 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 FOR THE OFFICERS OF CHFT IS PAID BY CAHHS AND IS FOR SERVICES PROVIDED TO CAHHS AND CALIFORNIA HOSPITAL ASSOCIATION. 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 US TREASURY DEPARTMENT. JENNIFER M. NEWMAN PARTICIPATED IN THE PLAN AND RECEIVED A BENEFIT OF $19,500 FOR THE YEAR. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE MEMBER IS CALIFORNIA HOSPITAL ASSOCIATION, A CALIFORNIA NONPROFIT MUTUAL BENEFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A CERTAIN ACTS MUST BE APPROVED BY THE SOLE MEMBER, CALIFORNIA HOSPITAL ASSOCIATION: A. MATERIALLY CHANGING THE PHILOSOPHY, OBJECTIVES AND PURPOSES OF THE CORPORATION; B. ENGAGING IN ANY MERGER, CONSOLIDATION, AFFILIATION, OR DISSOLUTION OF THE CORPORATION; C. ENGAGING IN ANY SALE, LEASE, DISPOSITION OR HYPOTHECATION OF SUBSTANTIALLY ALL OF THE ASSETS OWNED BY THE CORPORATION; D. ADMISSION OF ANY OTHER MEMBERS; E. RELINQUISHING OR ALTERING THE TAX-EXEMPT STATUS OF THE CORPORATION; F. MATERIALLY CHANGING THE CORPORATE STRUCTURE OF THE CORPORATION OR ANY OF ITS COMPONENT PARTS; AND G. AMENDING, RESTATING, OR RESCINDING THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER, CALIFORNIA HOSPITAL ASSOCIATION ELECTS THE BOARD OF DIRECTORS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT COMMITTEE REVIEWED THE FORM 990 BEFORE IT WAS FINALIZED OR FILED. EACH MEMBER OF THE CALIFORNIA HEALTH FOUNDATION AND TRUST 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 ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: REFUND OF PRIOR YEAR CONTRIBUTIONS -1,236,792. REVERSAL OF CONTRIBUTION REVENUE -177,771. NET ASSETS RETURNED FROM GRANTEE 11,773,363. CALIFORNIA HOSPITAL ASSOCIATION 1215 K STREET SUITE 700 SACRAMENTO CA 95814 680343712 REPRESENT HOSPITAL INTEREST BEFORE LEGISLATORS AND REGULATORS CA 501(C)(6) N/A 0 CALIFORNIA ASSOCIATION OF HOSPITALS HEALTH SYSTEMS 1215 K STREET SUITE 700 SACRAMENTO CA 95814 941205908 REPRESENT HOSPITAL INTEREST BEFORE LEGISLATORS AND REGULATORS CA 501(C)(6) CALIFORNIA HOSPITAL ASSOCIATION 0 CALIFORNIA HOSPITALS COMMITTEE ON ISSUES 1127 11TH STREET SUITE 300 SACRAMENTO CA 95814 680148902 BALLOT INITIATIVES CA 501(C)(6) CAHHS 0 CALIFORNIA HOSPITAL ASSOCIATION POLITICAL ACTION COMMITTEE 1215 K STREET SUITE 700 SACRAMENTO CA 95814 942723946 POLITICAL ACTION COMMITTEE CA 527 N/A 0 HEALTH PROPERTY ASSOCIATES 1215 K STREET SUITE 700 SACRAMENTO CA 95814 680177130 GROUND LEASE CA N/A 0 0 CALIFORNIA HOSPITALS INVESTMENTS & PUBLICATIONS INC 1215 K STREET SUITE 700 SACRAMENTO CA 95814 680114819 INACTIVE CA N/A C 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 0 CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS M 627179 FMV