2020-11-16T15:40:45-06:00 2019-12-31 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2019-01-01 941498697 CALIFORNIA HEALTH FOUNDATION AND TRUST CALI 9165527629 1215 K STREET NO 800 SACRAMENTO CA 95814 JENNIFER NEWMAN CFO 9165527629 2020-11-09 1 TRACY S PAGLIA P00366884 2099556100 2020-11-09 172.9.161.112 2020-11-09 18:47:09 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 2CA4604677747A1B8287DC7DD1B2F222DAF5CAE3 2019 2021-01-29 14:40:06Z CARMELA COYLE 1215 K STREET NO 800 SACRAMENTO CA 95814 50277470 0 X N/A X 1956 CA SUPPORT ACCESS, RESEARCH, AND EDUCATION IN THE HEALTHCARE FIELD 13 12 0 0 0 0 57209276 49783077 0 0 181835 240210 103574 69183 57494685 50092470 20672212 268869 0 0 57882 68548 0 0 0 8090580 4447496 28820674 4784913 28674011 45307557 120950494 145664978 11797807 312516 109152687 145352462 X SUPPORT ACCESS, RESEARCH, AND EDUCATION IN THE FIELD OF HEALTHCARE DELIVERY, FINANCING, AND PATIENT CARE. 0 0 3142417 60878 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. 966916 0 0 2014-2016 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. 420133 207991 0 CRITICAL ACCESS HOSPITALS GRANT PROGRAM:TO RETAIN EXPERT SERVICES AND PROVIDE TECHNICAL SUPPORT TO CRITICAL ACCESS HOSPITALS UNDER THE MEDICARE RURAL HOSPITAL FLEXIBILITY PROGRAM. 205793 0 0 OTHER PROGRAM SERVICES IN SUPPORT OF MISSION. 205793 0 0 4735259 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 4 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X JENNIFER NEWMAN CFO 9165527629 1215 K STREET SUITE 800 SACRAMENTO CA 95814 CARMELA COYLE PRESIDENT 1.00 39.00 X X 0 1401053 21092 JENNIFER NEWMAN CFO 2.80 37.20 X 0 360016 77478 CALVIN CAL KNIGHT CHAIR 1.00 2.00 X X 0 0 0 GARY K WILDE CHAIR-ELECT 1.00 2.00 X X 0 0 0 RICHARD F AFABLE MD PAST CHAIR 1.00 2.00 X X 0 0 0 SCOTT REINER SECRETARY/TREASURER 1.00 2.00 X X 0 0 0 ELAINE BATCHLOR TRUSTEE 1.00 1.00 X 0 0 0 ADAM DARVISH TRUSTEE 1.00 1.00 X 0 0 0 PETE DELGADO TRUSTEE 1.00 1.00 X 0 0 0 ROSEANNA GALINDO TRUSTEE 1.00 1.00 X 0 0 0 NATALIE GERMUSKA TRUSTEE 1.00 1.00 X 0 0 0 KAY KOHEN TRUSTEE 1.00 1.00 X 0 0 0 LAWRENCE E LEWIS TRUSTEE 1.00 1.00 X 0 0 0 MICHAEL J MADDEN TRUSTEE 1.00 1.00 X 0 0 0 0 1761069 98570 0 0 1 0 CA ASSN OF HOSPITALS AND HEALTH SYSTEMS 1215 K STREET SUITE 800 SACRAMENTO CA 95814 PROFESSIONAL SERVICES 358948 WESTERN HEALTHCARE ALLIANCE PO BOX 2907 GRAND JUNCTION CO 81502 PROFESSIONAL SERVICES 197483 2 420132 49362945 49783077 240210 240210 185000 185000 0 GROUP PURCHASING 900099 19646 19646 49537 49537 69183 50092470 0 0 309393 268869 268869 57603 57603 10945 10945 4048456 4048456 34848 6849 27999 330620 326120 4500 2100 2100 3595 3595 12822 12822 15055 15055 4784913 4735259 49654 0 100424408 118398311 20201090 27041967 79503 153834 2665 10685 242828 60181 120950494 145664978 2573207 104529 9224600 207987 11797807 312516 X 1536501 1588262 107616186 143764200 109152687 145352462 120950494 145664978 X 45307557 2654 -9110436 X 0 1 X 1 0 X 36381386 23919217 76061234 57209276 49783077 243354190 36381386 23919217 76061234 57209276 49783077 243354190 102338764 141015426 166317 164568 97145 181835 240210 850075 223149 176669 103574 69183 572575 244776840 0.57610 0.55270 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2016 AMOUNT: $ 18,786. 2017 AMOUNT: $ 62,148. 2018 AMOUNT: $ 61,489. 2019 AMOUNT: $ 49,537. CRQAR REVENUE - 2016 AMOUNT: $ 115,075. 2017 AMOUNT: $ 29,160. 2018 AMOUNT: $ 8,074. 2019 AMOUNT: $ 0. GROUP PURCHASING - 2016 AMOUNT: $ 89,288. 2017 AMOUNT: $ 85,361. 2018 AMOUNT: $ 34,011. 2019 AMOUNT: $ 19,646. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 243058 4839 247897 237477 5581 243058 249351 5126 17000 237477 243904 5447 249351 256362 4542 17000 243904 0.00000 0.90760 0.09240 0 0 0 X 50095124 2654 2654 50092470 0 50092470 13895349 0 13895349 -9110436 -9110436 4784913 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, 2019. PART XII, LINE 4B - OTHER ADJUSTMENTS: REFUND OF PRIOR YEAR CONTRIBUTIONS -9,110,436. 1 BEAR VALLEY COMMUNITY HEALTHCARE DISTRICT PO BOX 1649 BIG BEAR LAKE CA 92315 330294751 GOV'T 30000 TO HELP BUILD A CULTURE OF OWNERSHIP AT EVERY LEVEL OF THE ORGANIZATION. HEALDSBURG DISTRICT HOSPITAL 1375 UNIVERSITY AVE HEALDSBURG CA 95448 364483322 GOV'T 28552 TO COMPLETE A RATIONAL PRICING STUDY TO PROVIDE PRICING TRANSPARENCY, RATIONAL PRICING METHODOLOGY, CLAIMS ACCURACY VALIDATION. JOHN C FREMONT HEALTHCARE DISTRICT PO BOX 216 MARIPOSA CA 95338 946003822 GOV'T 12000 TO PROVIDE SIX SIGMA GREEN BELT TRAINING TO MANAGEMENT. MAMMOTH HOSPITAL PO BOX 660 MAMMOTH LAKES CA 93546 202601653 501(C)(3) 12000 TO PROVIDE DIABETES MANAGEMENT EDUCATION FOR SELF MANAGEMENT PRIMARILY IN THE OUTPATIENT CLINIC MENDOCINO COAST DIST HOSPITAL 700 RIVER DR FORT BRAGG CA 95437 952627981 GOV'T 24000 TO IMPROVE OPIOID STEWARDSHIP THROUGH EDUCATION, PRACTICE GUIDELINES, AND COMMUNITY OUTREACH MERCY MEDICAL CENTER MT SHASTA 914 PINE ST MT SHASTA CA 96067 943136799 501(C)(3) 17950 TO HELP EMERGENCY NEUROLOGICAL AND TRAUMA TRAINING NORTHERN INYO HEALTHCARE DISTRICT 150 PIONEER LN BISHOP CA 93514 956005449 GOV'T 30000 TO HELP IMPLEMENT NIHD CARE COORDINATION BY EXPANDING SERVICES WITH MOBILE OUTREACH AND EVALUATE PROVIDER BASED CLINIC OPTIONS FOR MEDICAL OFFICE BUILDING OJAI VALLEY COMMUNITY HOSPITAL 147 BRENT ST VENTURA CA 93003 951683892 501(C)(3) 10700 TO HELP IMPLEMENT A CULTURE OF SAFETY WITH AN UPDATED PATIENT SAFETY PROGRAM. CHINESE HOSPITAL 845 JACKSON STREET SAN FRANCISCO CA 94133 940382780 501(C)(3) 60878 TO PROVIDE CULTURALLY AND LINGUISTICALLY QUALITY CARE AND ACCESS TO THE MONOLINGUAL, LOW INCOME CHINESE POPULATION IN SF COUNTY 9 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 1101900 0 281190 0 17963 0 19600 0 1492 0 1422145 0 0 JENNIFER NEWMAN CFO 0 291010 0 66529 0 2477 0 38600 0 38878 0 437494 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 NEWMAN PARTICIPATED IN THE PLAN AND RECEIVED A BENEFIT OF $19,000 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 -9,110,436. CALIFORNIA HOSPITAL ASSOCIATION 1215 K STREET SUITE 800 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 800 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) CALIFORNIA ASSOCIATION OF HOSPITALS HEALTH SYSTEMS 0 CALIFORNIA HOSPITAL ASSOCIATION POLITICAL ACTION COMMITTEE 1215 K STREET SUITE 800 SACRAMENTO CA 95814 942723946 POLITICAL ACTION COMMITTEE CA 527 N/A 0 HEALTH PROPERTY ASSOCIATES 1215 K STREET SUITE 800 SACRAMENTO CA 95814 680177130 GROUND LEASE CA N/A CALIFORNIA INVESTMENTS & PUBLICATIONS INC 1215 K STREET SUITE 800 SACRAMENTO CA 95814 680114819 INACTIVE CA N/A C 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 0 CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS M 358948 FMV