2020-03-13T15:43:53-05:00 2019-04-30 111986323 MARCUM LLP 185 ASYLUM STREET HARTFORD CT 06103 990 2018-05-01 060632049 CONNECTICUT HOSPITAL ASSOCIATION INCORPORATED CONN 2032657611 PO BOX 90 110 BARNES ROAD WALLINGFORD CT 06492 JENNIFER JACKSON PRESIDENT & CEO 2032657611 2020-03-13 1 MARY-EVELYN ANTONETTI P00431862 8607600600 47.19.127.190 2020-03-13 10:11:47 ED P 183E7C488A98A9CD22D5E89AA7E1E9711B99B226 DD44AF68ECC090A8110D92EA04805F7936D9C986 2018 2020-09-23 17:36:50Z JENNIFER JACKSON 110 BARNES ROAD WALLINGFORD CT 06492 9154837 0 X CTHOSP.ORG X 1919 CT ADVOCACY, REPRESENTATION & EDUCATION FOR HOSPITALS AND HEALTHCARE ORGANIZATIONS. 20 19 66 19 -18062 -18062 8750 7910 7720500 8953682 0 74580 314789 -14048 8044039 9022124 0 676022 0 0 6770381 7055365 0 0 0 2148963 877227 8919344 8608614 -875305 413510 8928654 12396745 17429066 22401288 -8500412 -10004543 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 8741327 8957696 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. 8741327 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 X 48 0 1 66 1 1 1 0 0 0 0 0 0 0 X 20 19 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X JOHN J BRADY 2032947201 110 BARNES ROAD WALLINGFORD CT 06492 DAVID A WHITEHEAD CHAIRMAN 1.00 1.00 X X 0 0 0 JOHN M MURPHY VICE CHAIRMAN 1.00 1.00 X X 0 0 0 MARNA P BORGSTROM SECRETARY 1.00 1.00 X X 0 0 0 CHRISTOPHER M O'CONNOR TREASURER 1.00 1.00 X X 0 0 0 PATRICK A CHARMEL CHAIRMAN, DNS BOARD 1.00 1.00 X X 0 0 0 BRUCE D CUMMINGS IMMEDIATE PAST CHAIRMAN 1.00 1.00 X X 0 0 0 JENNIFER D JACKSON PRESIDENT AND CEO 19.00 21.00 X X 887135 0 60671 ELLIOT T JOSEPH COMMITTEE ON HOSPITAL FINANCE CHAIRMAN 1.00 1.00 X 0 0 0 JEFFREY A FLAKS TRUSTEE 1.00 1.00 X 0 0 0 JAMES E SHMERLING TRUSTEE 1.00 1.00 X 0 0 0 JAMES MITCHELL TRUSTEE 1.00 1.00 X 0 0 0 COLLEEN O SMITH RN TRUSTEE 1.00 1.00 X 0 0 0 BIMAL G PATEL TRUSTEE 1.00 1.00 X 0 0 0 JOHN F RODIS MD TRUSTEE 1.00 1.00 X 0 0 0 ROHIT BHALLA MD TRUSTEE 1.00 1.00 X 0 0 0 VINCENT G CAPECE JR TRUSTEE 1.00 1.00 X 0 0 0 JUDITH A CAREY TRUSTEE 1.00 1.00 X 0 0 0 KURT A BARWIS TRUSTEE 1.00 1.00 X 0 0 0 ANNE DIAMOND TRUSTEE 1.00 1.00 X 0 0 0 WILLIAM M JENNINGS TRUSTEE 1.00 1.00 X 0 0 0 JOHN J BRADY CFO/VP, STRATEGIC PLANNING & ORG PERFORMANCE 19.00 21.00 X 322323 0 60128 MARY REICH COOPER SENIOR VP, CLINICAL SERVICES 18.00 22.00 X 600682 0 39945 STEPHEN A FRAYNE SENIOR VP, HEALTH POLICY 40.00 0.00 X 538191 0 63320 JAMES IACOBELLIS SENIOR VP, GOVERNMENT & REGULATORY AFFAIRS 40.00 0.00 X 407533 0 63386 GRACE NAPOLITAN VP, ADMINISTRATION 19.00 21.00 X 281477 0 44794 ANTHONY DIAS VP, DATA SERVICES 3.00 37.00 X 429456 0 39011 KAREN BUCKLEY VP, ADVOCACY 19.00 21.00 X 297677 0 22097 MARY LYON VP, INT HLTH INFORMATION 3.00 37.00 X 238161 0 58715 MICHELLE SHARP VP, MEMBERSHIP AND COMMUNICATIONS 40.00 0.00 X 257164 0 36757 DOUGLAS CAYER SENIOR DIRECTOR 19.00 21.00 X 228340 0 54412 4488139 0 543236 33 0 1 0 EVERSHEDS SUTHERLAND LLP 700 SIXTH STREET NW SUITE 700 WASHINGTON DC 20001 LEGAL 497717 COX & OSOWIECKI LLC 90 STATE HOUSE SQUARE 10TH FLOOR HARTFORD CT 06103 LEGAL 436694 R-C HEALTHCARE MANAGEMENT SERVICES INC 1538 E MARYLAND AVE PHOENIX AZ 85014 CONSULTING 322747 DOBSON DAVANZON & ASSOCIATES LLC 450 MAPLE AVENUE EAST VIENNA VA 22180 LEGAL 250000 WIGGIN AND DANA LLP PO BOX 1832 NEW HAVEN CT 06508 LEGAL 249544 6 7910 7910 MEMBERSHIP DUES 541900 8213497 8213497 SPECIAL ASSESSMENTS 541900 541885 541885 ANNUAL MEETING REVENUE 541900 198300 198300 8953682 74580 74580 114651 132713 -18062 -18062 -18062 RECOVERY OF BAD DEBT 900099 4014 4014 4014 9022124 8957696 -18062 74580 676022 3067150 3144925 340107 224481 278702 409640 593892 1188 112478 774964 429169 56927 241900 28002 184104 SPECIAL ASSESSMENTS 541885 MEALS AND CATERING 51783 LICENSES & MAINTENANCE 40185 DUES AND SUBSCRIPTIONS 24816 -2613706 8608614 225 225 4286271 5886874 3342833 4597550 224802 112518 858258 817115 59905 41143 1014618 1758435 8928654 12396745 2203142 2856768 2088882 5523326 352038 27169 12785004 13994025 17429066 22401288 X -8500412 -10004543 0 0 0 0 -8500412 -10004543 8928654 12396745 X 413510 -1917641 X X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 0 0 729309 688166 41143 128949 128949 0 41143 SPLIT DOLLAR 1075691 F INVESTMENTS IN AFFILIATES 682744 C 1758435 PENSION LIABILITY 13994025 13994025 X PART X, LINE 2: EXCERPT FROM FOOTNOTE 2 FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR THE CONNECTICUT HOSPITAL ASSOCIATION INCORPORATED & AFFILIATES - 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 HAVE ANY UNRECOGNIZED TAX BENEFITS DURING THE YEARS ENDED APRIL 30, 2019 AND 2018. 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. THE ORGANIZATION'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES RELATED TO INCOME TAXES AS A COMPONENT OF THE PROVISION FOR INCOME TAXES. AS OF APRIL 30, 2019 AND 2018, THE ORGANIZATION DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNRECOGNIZED TAX BENEFITS. ALL TAX YEARS OF THE ORGANIZATION FROM 2015 FORWARD ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE, HOWEVER, THERE ARE CURRENTLY NO EXAMINATIONS IN PROGRESS. 1 CONNECTICUT HEALTH RESEARCH & EDUCATION FOUNDATION 110 BARNES ROAD WALLINGFORD CT 06492 060890298 501 (C) (3) 676022 ASISTANCE WITH CHARITABLE MISSION 1 SCHEDULE I, PART I, LINE 2 CHA DOES NOT GIVE GRANTS TO ORGANIZATIONS, THEY ONLY GIVE DONATIONS TO 501(C)(3) ORGANIZATIONS FOR USE IN THEIR EXEMPT PURPOSE. X X X X X 0 1 0 JENNIFER D JACKSON PRESIDENT AND CEO 655511 0 203241 0 28383 0 35063 0 25608 0 947806 0 0 0 JOHN J BRADY CFO/VP, STRATEGIC PLANNING & ORG PER 271128 0 44888 0 6307 0 35063 0 25065 0 382451 0 0 0 MARY REICH COOPER SENIOR VP, CLINICAL SERVICES 503456 0 93266 0 3960 0 11687 0 28258 0 640627 0 0 0 STEPHEN A FRAYNE SENIOR VP, HEALTH POLICY 436131 0 91016 0 11044 0 35062 0 28258 0 601511 0 0 0 JAMES IACOBELLIS SENIOR VP, GOVERNMENT & REGULATORY A 334080 0 65498 0 7955 0 35063 0 28323 0 470919 0 0 0 GRACE NAPOLITAN VP, ADMINISTRATION 230691 0 43988 0 6798 0 35063 0 9731 0 326271 0 0 0 ANTHONY DIAS VP, DATA SERVICES 359110 0 69806 0 540 0 11688 0 27323 0 468467 0 0 0 KAREN BUCKLEY VP, ADVOCACY 248284 0 47813 0 1580 0 11687 0 10410 0 319774 0 0 0 MARY LYON VP, INT HLTH INFORMATION 230130 0 0 0 8031 0 30392 0 28323 0 296876 0 0 0 MICHELLE SHARP VP, MEMBERSHIP AND COMMUNICATIONS 214663 0 41901 0 600 0 11149 0 25608 0 293921 0 0 0 DOUGLAS CAYER SENIOR DIRECTOR 227438 0 0 0 902 0 29679 0 24733 0 282752 0 0 0 PART I, LINE 4B JENNIFER JACKSON SERP CONTRIBUTION IS $19,153. 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 2018, 30 OF THE 66 TOTAL EMPLOYEES WERE DIRECTLY EMPLOYED BY CHA. 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 11B THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER REVIEWS ALL INFORMATION IN THE FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS AND EMPLOYEES ARE COVERED UNDER THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. ANY CONFLICT OF INTEREST IS DISCLOSED TO THE MEMBERS OF THE BOARD AND MADE A MATTER OF RECORD BY (A) AN ANNUAL DISCLOSURE PROCEDURE, (B) AN UPDATE WHEN AN INDIVIDUAL'S CIRCUMSTANCES CHANGE BETWEEN ANNUAL DISCLOSURES, AND (C) A DISCLOSURE WHEN A MATTER COMES BEFORE THE BOARD THAT INVOLVES AN INTEREST COVERED BY THIS POLICY. ANY BOARD MEMBER OR EMPLOYEE HAVING A CONFLICT OF INTEREST, SHALL, AS APPROPRIATE TO THE CIRCUMSTANCES, ABSTAIN FROM VOTING OR USING PERSONAL INFLUENCE ON THAT MATTER. 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 BY THE EXECUTIVE COMMITTEE OF THE BOARD AND DOCUMENTED IN THE APPLICABLE MINUTES. THE LAST COMPENSATION REVIEW WAS IN NOVEMBER OF 2018. 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 -1,915,497. CHANGE IN INTEREST RATE SWAP LIABILITY -2,144. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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 12A, I CONNECTICUT HOSPITAL ASSOCIATION 1 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 12A, I N/A 0 DIVERSIFIED NETWORK SERVICES INC 110 BARNES ROAD PO BOX 90 WALLINGFORD CT 06492 060990946 SERVICES CT N/A C 1 CHA INSURANCE SERVICES INC 110 BARNES ROAD PO BOX 90 WALLINGFORD CT 06492 061310638 MARKETING SERVICES CT DIVERSIFIED NETWORK SERVICES INC C 1 CHIME INC 110 BARNES ROAD PO BOX 90 WALLINGFORD CT 06492 061454560 DEVELOPING INFORMATION SYSTEMS CT DIVERSIFIED NETWORK SERVICES INC C 1 CHIMENET INC 110 BARNES ROAD PO BOX 90 WALLINGFORD CT 06492 061585087 SERVICES CT CHIME INC C 1 0 1 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 0 CONNECTICUT HEALTHCARE RESEARCH AND EDUCATION FOUNDATION INCORPORATED B 676022 CONNECTICUT HEALTHCARE RESEARCH AND EDUCATION FOUNDATION INCORPORATED K 808867 CHIME INC M 108746 CHIMENET INC M 110446 CHIME INC N 2120610 CHIMENET INC N 704306 CONNECTICUT HEALTHCARE RESEARCH AND EDUCATION FOUNDATION INCORPORATED N 597132 DIVERSIFIED NETWORK SERVICES INC N 94450 CONNECTICUT HEALTHCARE RESEARCH AND EDUCATION FOUNDATION INCORPORATED O 548191 CONNECTICUT HEALTHCARE RESEARCH AND EDUCATION FOUNDATION INCORPORATED M 30972 SCHEDULE R, PART V, LINE 1N: CHA SHARES STAFF WITH FOUR 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.)