2017-11-15T09:20:56-06:00 2016-12-31 910189318 Moss Adams LLP 3121 W March Ln Ste 200 Stockton CA 952192367 990 2016-01-01 941205908 California Association of Hospitals and Health Systems 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 18:19:30 PS P 76D4B3FCF07BDA3995A0020FFED00C66F7CB08D7 7E192482BA8B1F9A40CBB995427A5F977CCF8FB9 2016 2021-01-29 14:40:06Z C Duane Dauner 1215 K Street No 800 Sacramento CA 95814 34077248 0 X N/A X 1935 CA EDUCATION AND REPRESENTATION BEFORE LEGISLATIVE AND REGULATORY BODIES FOR MEMBER HOSPITALS. 12 11 223 0 45790 25107 0 0 31188095 31921947 428788 529651 1649244 1624681 33266127 34076279 1598733 275000 0 0 15278991 15934822 0 0 0 14678807 16044108 31556531 32253930 1709596 1822349 60252539 60618126 12351875 11082824 47900664 49535302 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 0 0 0 0 0 0 1 0 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 1 109 0 1 223 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 9165527629 1215 K Street Suite 800 Sacramento CA 95814 James R Holmes Chair 1.00 2.00 X X 0 0 0 Ann M Rice Chair-Elect 1.00 2.00 X X 0 0 0 Gregory A Adams Past Chair 1.00 2.00 X X 0 0 0 Richard Afable Secretary/ Treasurer 1.00 2.00 X X 0 0 0 C Duane Dauner President 37.20 2.80 X X 1390487 0 46197 Elaine Batchlor Trustee 1.00 1.00 X 0 0 0 Lawrence E Lewis Trustee 1.00 1.00 X 0 0 0 Gary J Passama Trustee 1.00 1.00 X 0 0 0 Richard E Yochum Trustee 1.00 1.00 X 0 0 0 Vicki Veal Trustee 1.00 1.00 X 0 0 0 Linda Van Fulpen Trustee 1.00 1.00 X 0 0 0 Jon Van Boening Trustee 1.00 1.00 X 0 0 0 Jennifer M Newman SVP and Chief Financial Officer 37.20 2.80 X 315376 0 63221 Julie A Reppas SVP, Operations and HR 37.20 2.80 X 306583 0 61973 Anne McLeod SVP/Health Policy 37.20 2.80 X 402345 0 64030 Anne N O'Rourke SVP/Federal Relations 37.20 2.80 X 382146 0 68249 David H Perrot SVP and Chief Medical Officer 37.20 2.80 X 393009 0 47127 William Emmerson SVP/State Relations & Advocacy 37.20 2.80 X 384838 0 51645 Dietmar A Grellmann SVP/External Affairs 37.20 2.80 X 340345 0 65296 Terry R Sherb Chief Information Officer 37.20 2.80 X 229986 0 37798 Constance M Delgado Chief Legislative Advocate 37.20 2.80 X 334734 0 28464 Jacquelyn Garman VP/Legal Counsel 37.20 2.80 X 257781 0 37271 Alyssa Keefe VP/Federal Reg Affairs 37.20 2.80 X 261059 0 40779 Deborah Rogers VP/Clinical Performance & Transformation 37.20 2.80 X 251984 0 22784 Gail M Blanchard-Saiger VP/Counsel Labor & Employment 37.20 2.80 X 263706 0 20222 5514379 0 655056 37 0 1 0 Blue State Digital 62187 Collections Center Drive Chicago IL 606930621 Consulting and marketing/advertising 2090381 Jones Day 555 California St 26th Floor San Francisco CA 94104 Legal 1117006 Randle Communications 500 Capitol Mall Suite 1950 Sacramento CA 95814 consulting 838846 Capitol Partners LLC 1215 K Street Ste 1500 Sacramento CA 95814 Representation and advocacy 275000 UCLA Anderson School of Management 110 Westwood Plaza A101D Los Angeles CA 90095 education services 242851 13 Administrative Revenue 561000 28057991 28057991 Education Program 611600 2032214 2032214 UI Revenue for Services 900099 1244275 1244275 Publications 900099 269627 269627 Conventions Events 900099 218070 218070 99770 99770 31921947 527466 527466 1147836 0 1147836 1147836 1147836 2654 500 0 969 2654 -469 2185 2185 Equity in HPA 900099 380801 380801 Advertising Revenue 541800 45790 45790 50254 50254 476845 34076279 31921947 45790 2108542 X 275000 4650652 8440243 747220 1359394 737313 1436068 185223 3771804 1802431 1113289 665535 1201401 868713 1503889 518614 191345 Sponsorships & Contribu 1344751 Committee Expenses 446079 994966 32253930 68895 51128 16616308 9366319 4301354 3995556 100000 10000000 2190203 1361122 13426348 6092406 7029465 7333942 29946163 28508957 151 1102 60252539 60618126 7149839 6620283 492140 624110 4709896 3838431 12351875 11082824 X 47900664 49535302 47900664 49535302 60252539 60618126 1822349 -187711 0 X 0 1 X 1 0 5880000 5880000 1916519 1508156 408363 988440 866705 121735 4641389 3717545 923844 7333942 Funds held for projects 319803 Claims Payable 3518628 3838431 X Part X, Line 2: 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. 1 HOSPITAL ASSOCIATION OF SAN DIEGO & IMPERIAL COUNTIES 5575 RUFFIN ROAD SUITE 225 SAN DIEGO CA 92123 952243358 501(C)(6) 50000 GENERAL SUPPORT HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA 1215 K STREET SUITE 800 SACRAMENTO CA 95814 951533644 501(C)(6) 100000 GENERAL SUPPORT HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA 515 SOUTH FIGUEROA STREET NO 1300 LOS ANGELES CA 90071 951519378 501(C)(6) 100000 GENERAL SUPPORT HEALTH IMPACT PO BOX 70007 AKLAND CA 94612 820570413 501(C)(3) 25000 GENERAL SUPPORT 1 3 X X X X X 1 1 X X X X 0 1 0 C Duane Dauner President 959347 0 378257 0 52883 0 18550 0 27647 0 1436684 0 0 0 Jennifer M Newman SVP and Chief Financial Officer 264134 0 50000 0 1242 0 36550 0 26671 0 378597 0 0 0 Julie A Reppas SVP, Operations and HR 255773 0 50000 0 810 0 36550 0 25423 0 368556 0 0 0 Anne McLeod SVP/Health Policy 341103 0 60000 0 1242 0 36550 0 27480 0 466375 0 0 0 Anne N O'Rourke SVP/Federal Relations 330364 0 50000 0 1782 0 36550 0 31699 0 450395 0 0 0 David H Perrot SVP and Chief Medical Officer 339445 0 50000 0 3564 0 36550 0 10577 0 440136 0 0 0 William Emmerson SVP/State Relations & Advocacy 333880 0 40000 0 10958 0 36550 0 15095 0 436483 0 0 0 Dietmar A Grellmann SVP/External Affairs 294103 0 45000 0 1242 0 36550 0 28746 0 405641 0 0 0 Terry R Sherb Chief Information Officer 214925 0 12000 0 3061 0 16316 0 21482 0 267784 0 0 0 Constance M Delgado Chief Legislative Advocate 283492 0 50000 0 1242 0 18550 0 9914 0 363198 0 0 0 Jacquelyn Garman VP/Legal Counsel 246721 0 7500 0 3560 0 18187 0 19084 0 295052 0 0 0 Alyssa Keefe VP/Federal Reg Affairs 235545 0 25000 0 514 0 18550 0 22229 0 301838 0 0 0 Deborah Rogers VP/Clinical Performance & Transforma 243721 0 6000 0 2263 0 17659 0 5125 0 274768 0 0 0 Gail M Blanchard-Saiger VP/Counsel Labor & Employment 232984 0 30000 0 722 0 18474 0 1748 0 283928 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 US TREASURY DEPARTMENT. ANNE MCLEOD, DAVID H PERROT, wILLIAM EMMERSON, ANNE 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. 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 11b 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. Form 990, Part IX, line 11g Other 1,676,262. Consultants 2,095,542. CALIFORNIA HEALTH FOUNDATION AND TRUST 1215 K STREET SUITE 800 SACRAMENTO CA 95814 941498697 SUPPORT RESEARCH EDUCATION AND ACCESS IN FIELD OF HEALTHCARE CA 501(C)(3) Line 7 CALIFORNIA HOSPITAL ASSOCIATION 1 CALIFORNIA HOSPITAL ASSOCIATION 1215 K STREET SUITE 800 SACRAMENTO CA 95814 680343712 LEGISLATIVE AND REGULATORY REPRESENTATION AND ADVOCACY CA 501(C)(6) N/A 0 CALIFORNIA HOSPITALS COMMITTEE ON ISSUES 1127 11TH STREET SUITE 300 SACRAMENTO CA 95814 680148902 BALLOT INITIATIVES CA 501(C)(6) CAHHS 1 CALIFORNIA HOSPITAL ASSOCIATION POLITICAL ACTION COMMITTEE 1215 K STREET SUITE 800 SACRAMENTO CA 95814 942723946 POLITICAL ACTION COMMITIEE CA 527 N/A 0 HEALTH PROPERTY ASSOCIATES 1215 K STREET SUITE 800 SACRAMENTO CA 95814 680177130 GROUND LEASE CA N/A EXCLUDED 381568 1526147 0 1 0.50000 CALIFORNIA HOSPITAL INVESTMENTS & PUBLICATIONS INC 1215 K STREET SUITE 800 SACRAMENTO CA 95814 680114819 INACTIVE CA CAHHS C 6312 14892 1.00000 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 1 HEALTH PROPERTY ASSOCIATES S 359500 ACTUAL CALIFORNIA HOSPITALS COMMITTEE ON ISSUES B 999996 ACTUAL