2017-11-14T19:42:05-06:00 2016-12-31 910189318 Moss Adams LLP 3121 W March Ln Ste 200 Stockton CA 952192367 990 2016-01-01 680343712 California Hospital Association CALI 9165527629 1215 K Street No 800 Sacramento CA 95814 Jennifer Newman SVP/ CFO 9165527629 2017-11-13 1 Tracy S Paglia P00366884 2099556100 2017-11-13 12.129.7.100 2017-11-13 17:44:24 PS P 76D4B3FCF07BDA3995A0020FFED00C66F7CB08D7 78118257E82E30657AF761EA54FADB8CA1DED754 2016 2021-01-29 14:40:06Z Duane Dauner 1215 K Street No 800 Sacramento CA 95814 65513420 0 X www.calhospital.org X 1993 CA Provide the membership with legislative and regulatory representation and advocacy. 52 51 0 0 0 0 0 0 27165405 65461632 25518 51788 0 0 27190923 65513420 0 0 0 0 13329763 14233422 0 0 0 13620012 46788200 26949775 61021622 241148 4491798 28162632 10519239 25581545 3445453 2581087 7073786 Provide the members with legislative and regulatory representation and advocacy. 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 AND OTHER CONTACTS. 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 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 2 0 1 0 0 0 0 0 0 0 X 52 51 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 CA X Jennifer Newman 9165527629 1215 K Street Suite 800 Sacramento CA 95814 James R Holmes Chair 1.00 X X 0 0 0 Ann Madden Rice Chair-Elect 1.00 X X 0 0 0 Gregory A Adams Past Chair 1.00 X X 0 0 0 Richard Afable Secretary/ Treasurer 1.00 X X 0 0 0 C Duane Dauner President 37.20 2.80 X X 0 1390487 46197 Calvin Knight Trustee 1.00 X 0 0 0 Tomi Ryba Trustee 1.00 X 0 0 0 Craig Wagoner Trustee 1.00 X 0 0 0 Steven R Barron Trustee 1.00 X 0 0 0 James R West Trustee 1.00 X 0 0 0 Gary K Wilde Trustee 1.00 X 0 0 0 Natalie Germuska Trustee 1.00 X 0 0 0 Robert A Hemker Trustee 1.00 X 0 0 0 Daniel L Gross Trustee 1.00 X 0 0 0 John McCormick Trustee 1.00 X 0 0 0 Rene G Santiago Trustee 1.00 X 0 0 0 Joel M Bergenfeld Trustee 1.00 X 0 0 0 Craig Leach Trustee 1.00 X 0 0 0 Michael A Rembis Trustee 1.00 X 0 0 0 Barry S Arbuckle Trustee 1.00 X 0 0 0 William B Caswell Trustee 1.00 X 0 0 0 Anthony Chavis Trustee 1.00 X 0 0 0 Pamela S Chevreaux Trustee 1.00 X 0 0 0 Deborah Webber Trustee 1.00 X 0 0 0 Philip A Cohen Trustee 1.00 X 0 0 0 Adam Darvish Trustee 1.00 X 0 0 0 Christopher Dawes Trustee 1.00 X 0 0 0 Delvecchio S Finley Trustee 1.00 X 0 0 0 Michael Fitzgerald Trustee 1.00 X 0 0 0 Charles P Francis Trustee 1.00 X 0 0 0 Tom Hanenburg Trustee 1.00 X 0 0 0 Kerry Heinrich Trustee 1.00 X 0 0 0 CR Bob Hudson Trustee 1.00 X 0 0 0 Thomas E Jackiewicz Trustee 1.00 X 0 0 0 Kevin A Klockenga Trustee 1.00 X 0 0 0 Sarah Krevans Trustee 1.00 X 0 0 0 Andrew B Leeka Trustee 1.00 X 0 0 0 Lindsay K Mann Trustee 1.00 X 0 0 0 Steven J Packer MD Trustee 1.00 X 0 0 0 Julie Petrini Trustee 1.00 X 0 0 0 Thomas M Priselac Trustee 1.00 X 0 0 0 Beverly Quaye Trustee 1.00 X 0 0 0 Scott Reiner Trustee 1.00 X 0 0 0 Bryan R Rogers Trustee 1.00 X 0 0 0 Michael Sarian Trustee 1.00 X 0 0 0 Angela Scioscia Trustee 1.00 X 0 0 0 Sharon A Spurgeon Trustee 1.00 X 0 0 0 Gustavo Valdespino Trustee 1.00 X 0 0 0 Chris D Van Gorder Trustee 1.00 X 0 0 0 Vicki Veal Trustee 1.00 X 0 0 0 Ronald Werft Trustee 1.00 X 0 0 0 Joe Wilkins Trustee 1.00 X 0 0 0 Jennifer M Newman SVP and Chief Financial Officer 37.20 2.80 X 0 315376 63221 Julie A Reppas SVP, Operations and HR 37.20 2.80 X 0 306583 61973 Anne McLeod SVP/Health Policy 37.20 2.80 X 0 402345 64030 Anne N O'Rourke SVP/Federal Relations 37.20 2.80 X 0 382146 68249 David H Perrot SVP and Chief Medical Officer 37.20 2.80 X 0 393009 47127 William Emmerson SVP/State Relations & Advocacy 37.20 2.80 X 0 384838 51645 Dietmar A Grellmann SVP/External Affairs 37.20 2.80 X 0 340345 65296 Terry R Sherb Chief Information Officer 37.20 2.80 X 0 229986 37798 Constance M Delgado Chief Legislative Advocate 37.20 2.80 X 0 334734 28464 Jacquelyn Garman VP/Legal Counsel 37.20 2.80 X 0 257781 37271 Alyssa Keefe VP/Federal Reg Affairs 37.20 2.80 X 0 261059 40779 Deborah Rogers VP/Clinical Performance & Transformation 37.20 2.80 X 0 251984 22784 Gail M Blanchard-Saiger VP/Counsel Labor & Employment 37.20 2.80 X 0 263706 20222 0 5514379 655056 0 0 1 0 0 Supplemental Dues 900099 36854423 36854423 Membership Dues 900099 28607209 28607209 65461632 51788 51788 65513420 65461632 0 51788 4311402 7611913 643253 1043271 623583 1799869 1412115 2517845 1802431 1260062 1900664 718046 Advocacy support 33125644 Events and Speakers 520957 Committees 443372 UHA dues 233000 1054195 61021622 23008910 7757344 4171916 2271726 981806 490169 28162632 10519239 1638668 1581362 23942877 1864091 25581545 3445453 X 2581087 7073786 2581087 7073786 28162632 10519239 4491798 901 0 X 0 1 X 1 0 1 0 0 243904 5447 249351 256362 4542 17000 243904 252350 4012 256362 263351 5999 17000 252350 257317 6034 263351 0.00000 0.90230 0.09770 0 1 1 0 X Part V, Line 4: THE ENDOWMENT FUNDS ARE USED FOR THE WALKER/SULLIVAN ENDOWMENT WHICH FUNDS GRANTS TO STUDY HEALTHCARE OPERATIONS. THE ENDOWMENT FUNDS REPORTED IN PART V ARE HELD BY CALIFORNIA HEALTH FOUNDATION AND TRUST FOR THE BENEFIT OF CALIFORNIA HOSPITAL ASSOCIATION. Part X, Line 2: CHA is a California nonprofit mutual benefit corporation and is exempt from income taxes under Internal Revenue Code Section 501(c)(6). CHA is exempt from income taxes under California Revenue and Tax Code Section 23701e. CHA and CHFT are, however, subject to income taxes from activities unrelated to their tax-exempt purpose. Management does not believe there is any unrelated business income as of December 31, 2016 and 2015. In the event the Association had a tax provision that was uncertain of being sustained, the Association 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, 2016 and 2015. 0 1 0 C Duane Dauner President 0 959347 0 378257 0 52883 0 18550 0 27647 0 1436684 0 0 Jennifer M Newman SVP and Chief Financial Officer 0 264134 0 50000 0 1242 0 36550 0 26671 0 378597 0 0 Julie A Reppas SVP, Operations and HR 0 255773 0 50000 0 810 0 36550 0 25423 0 368556 0 0 Anne McLeod SVP/Health Policy 0 341103 0 60000 0 1242 0 36550 0 27480 0 466375 0 0 Anne N O'Rourke SVP/Federal Relations 0 330364 0 50000 0 1782 0 36550 0 31699 0 450395 0 0 David H Perrot SVP and Chief Medical Officer 0 339445 0 50000 0 3564 0 36550 0 10577 0 440136 0 0 William Emmerson SVP/State Relations & Advocacy 0 333880 0 40000 0 10958 0 36550 0 15095 0 436483 0 0 Dietmar A Grellmann SVP/External Affairs 0 294103 0 45000 0 1242 0 36550 0 28746 0 405641 0 0 Terry R Sherb Chief Information Officer 0 214925 0 12000 0 3061 0 16316 0 21482 0 267784 0 0 Constance M Delgado Chief Legislative Advocate 0 283492 0 50000 0 1242 0 18550 0 9914 0 363198 0 0 Jacquelyn Garman VP/Legal Counsel 0 246721 0 7500 0 3560 0 18187 0 19084 0 295052 0 0 Alyssa Keefe VP/Federal Reg Affairs 0 235545 0 25000 0 514 0 18550 0 22229 0 301838 0 0 Deborah Rogers VP/Clinical Performance & Transforma 0 243721 0 6000 0 2263 0 17659 0 5125 0 274768 0 0 Gail M Blanchard-Saiger VP/Counsel Labor & Employment 0 232984 0 30000 0 722 0 18474 0 1748 0 283928 0 0 Part I, Line 3 CHA RELIES ON 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 IN SCHEDULE J 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. ANNE MCLEOD, David H Perrot, William Emmerson, Ann N. O'Rourke, Dietmar A Grellmann, Jennifer Newman and Julie A Reppas PARTICIPATED IN THE PLAN AND RECEIVED A BENEFIT OF $18,000 each FOR THE YEAR. Form 990, Part VI, Section A, line 6 THE ORGANIZATION HAS THREE CORPORATE MEMBERS AND EACH MEMBER SHALL CONSTITUTE A REGIONAL ASSOCIATION. EACH VOTING AND NONVOTING MEMBER OF EACH REGIONAL ASSOCIATION SHALL BE A NONVOTING CONSTITUENT MEMBER OF CALIFORNIA HOSPITAL ASSOCIATION. Form 990, Part VI, Section A, line 7a CORPORATE MEMBERS ELECT CERTAIN MEMBERS OF THE GOVERNING BODY; CERTAIN GOVERNING BODY MEMBERS ARE EX OFFICIO PER THE BYLAWS. Form 990, Part VI, Section A, line 7b THE BYLAWS CONTAIN CERTAIN RESERVE POWERS THAT MUST BE APPROVED BY THE GOVERNING BODY OF AT LEAST TWO OF THE THREE CORPORATE MEMBERS. Form 990, Part VI, Section B, line 11b EACH MEMBER OF THE CALIFORNIA HOSPITAL ASSOCIATION executive committee WAS SENT A COPY OF THE DRAFT 990 BEFORE IT WAS 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 C, line 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS 1215 K Street Suite 800 Sacramento CA 95814 941205908 REPRESENT HOSPITAL INTERESTS BEFORE LEGISLATORS AND REGULATORS CA 501(c)(6) CHA 1 CALIFORNIA HEALTH FOUNDATION AND TRUST 1215 K Street Suite 800 Sacramento CA 95814 941498697 RESEARCH/EDUCATION IN HEALTHCARE DELIVERY, FINANCING & PATIENT CARE CA 501(c)(3) Line 7 CHA 1 california hospitals committee on issues 1127 11th street suite 300 sacramento CA 95814 680148902 ballot initiatives CA 501(c)(6) N/A 1 HEALTH PROPERTY ASSOCIATES 1215 K STREET Suite 800 Sacramento CA 95814 680177130 GROUND LEASE CA N/A CALIFORNIA HOSPITAL INVESTMENTS & PUBLICATIONS INC 1215 K STREET Suite 800 Sacramento CA 95814 680114819 Inactive CA N/A C 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 California Association of Hospitals and Health Systems M 27402357 Actual California Hospitals Committee on Issues B 32125644 Actual