2025-05-07T11:46:55-05:00 2024-06-30 882730877 CHERRY BEKAERT ADVISORY LLC 101 SOUTH 5TH STREET STE 2100 LOUISVILLE KY 40202 990 2023-07-01 610574577 KENTUCKY HOSPITAL ASSOCIATION KENT 5024266220 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 APRIL SMITH CFO 5024266220 2025-05-06 1 1 MELANIE MCPEAK P01346034 8885871719 2023 2025-03-06 01:10:19Z NANCY GALVAGNI 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 37217495 0 X WWW.KYHA.COM X 1954 KY REPRESENT AND PROVIDE SERVICES TO KY HOSPITALS THAT ARE ACCOUNTABLE AND ORIENTED TO THE COMMUNITY. 28 27 38 27 0 0 0 0 18724322 31299303 632729 1102603 2524711 3269800 21881762 35671706 3400000 6400000 0 0 5845367 6580041 0 0 0 4378643 5714937 13624010 18694978 8257752 16976728 45175360 63893234 2813627 3086418 42361733 60806816 X THE MISSION OF THE ASSOCIATION SHALL BE TO SERVE AS AN ASSOCIATION THAT REPRESENTS AND SERVES HOSPITALS, RELATED HEALTH CARE ORGANIZATIONS AND INTEGRATED HEALTH CARE SYSTEMS THAT ARE ACCOUNTABLE TO THE COMMUNITY AND ORIENTED TOWARD COMMUNITY HEALTH IMPROVEMENT. WHERE APPROPRIATE, THE ASSOCIATION WILL SEEK TO INVOLVE OTHER HEALTH CARE FACILITIES, PHYSICIAN GROUPS AND OTHER MEDICAL PROFESSIONAL CORPORATIONS, HEALTH PLANS AND OTHER INTEGRATORS. 0 0 ON THE FEDERAL LEVEL, CONTINUED TO MONITOR AND ANALYZE LEGISLATION AND REGULATIONS AFFECTING HOSPITALS AND PROVIDED COMMENTS ON HOSPITAL-RELATED REGULATIONS AND INFORMED THE MEMBERSHIP. MONITORED AND PROVIDED COMMENTS ON CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) OUTPATIENT AND INPATIENT PROSPECTIVE PAYMENT SYSTEM RULES AND WAGE INDEX CHANGES.ON AN ON-GOING BASIS, KHA WORKS WITH THE KENTUCKY CABINET FOR HEALTH AND FAMILY SERVICES ON ISSUES RELATED TO THE KENTUCKY MEDICAID PROGRAM AND THE MEDICAID MANAGED CARE ORGANIZATIONS ("MCO"), EMERGENCY ROOM TRIAGE FEES, MENTAL HEALTH PARITY AND VARIOUS ADMINISTRATIVE PROCEDURES. MONTHLY MEETINGS BETWEEN MEMBERS AND MEDICAID MCOS CONTINUE TO ADDRESS PROBLEMS HOSPITALS EXPERIENCE WITH MANAGED CARE. EFFORTS CONTINUE WITH THE DEPARTMENT FOR MEDICAID SERVICES TO MODEL A NEW DISPROPORTIONATE SHARE SYSTEM FOR HOSPITAL PAYMENTS.KHA MAINTAINED THE STATE DATA CONTRACT FOR COLLECTION OF BOTH INPATIENT AND OUTPATIENT DATA AND CONTINUED THE KENTUCKY BIRTH SURVEILLANCE CONTRACT. REPORTS ARE PRODUCED UTILIZING THE DATA INCLUDING REPORTS TO ASSIST HOSPITALS IN ADDRESSING HOSPITAL READMISSIONS AND DASHBOARD REPORTS DESIGNED TO PROVIDE A HOSPITAL-SPECIFIC SUMMARY FOR EACH MEMBER.THE ECONOMIC IMPACT STUDY FOR EACH KENTUCKY HOSPITAL, WHICH DEMONSTRATES THE VALUE OF THE HOSPITAL TO ITS COMMUNITY, WAS UPDATED. PROVIDED EDUCATIONAL, INFORMATIONAL AND NETWORKING FORUMS FOR MEMBERS TO DISCUSS CURRENT ISSUES OF INTEREST TO MEMBERS. PREPARED ANDDISTRIBUTED INFORMATION TO MEMBERS ON CURRENT HEALTH CARE TOPICS.KY CFS MAKES VALUE BASED MANAGED CARE PAYMENTS TO HOSPITALS. KHA ADMINISTERS THOSE PAYMENTS TO THE HOSPITALS.PROVIDE OVERSIGHT AND SUPPORT STAFF SERVICES FOR THE ACTIVITIES OF THE KENTUCKY HOSPITAL RESEARCH AND EDUCATION FOUNDATION ("KHREF") AND KENTUCKY INSTITUTE FOR PATIENT SAFETY AND QUALITY ("KIPSQ").MONITOR AND PROVIDE COMMENTS AND RECOMMENDATIONS ON KENTUCKY LAWS AND REGULATIONS THAT HAVE AN IMPACT ON HOSPITALS AND HEALTH CARE. KEEP MEMBERS INFORMED REGARDING COMPLIANCE WITH KENTUCKY HEALTH STATUTES. 0 0 0 1 0 0 0 0 0 1 0 1 1 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 22 0 1 38 1 0 0 0 0 0 0 0 0 X 28 27 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X APRIL SMITH CFO 5024266220 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 NANCY GALVAGNI PRESIDENT 32.40 7.60 X X 903674 0 43086 MIKE SHERROD CHAIR 1.00 0.60 X X 500 100 0 GERARD COLMAN CHAIR-ELECT 1.00 0.60 X X 500 0 0 MARK BIRDWHISTELL TREASURER 1.00 0.60 X X 500 0 0 ANDREA MCLERRAN DIRECTOR 0.30 0.00 X 500 0 0 ANTHONY HOUSTON DIRECTOR 0.30 0.00 X 500 0 0 ASHLEY HERRINGTON DIRECTOR 0.30 0.00 X 500 400 0 CLINT KAHO DIRECTOR 0.30 0.00 X 500 200 0 DAN GOULSON DIRECTOR 0.30 0.00 X 500 0 0 DAN MCKAY DIRECTOR 0.30 0.00 X 500 0 0 DONALD LLOYD DIRECTOR 0.30 0.60 X 500 200 0 DONOVAN BLACKBURN DIRECTOR 0.30 0.60 X 500 100 0 GARREN COLVIN DIRECTOR 0.30 0.60 X 500 0 0 HOLLIE HARRIS PHILLIPS DIRECTOR 0.30 0.00 X 500 200 0 KATHY STUMBO DIRECTOR 0.30 0.60 X 500 300 0 KEN MARSHALL DIRECTOR 0.30 0.00 X 500 0 0 MATT OURS DIRECTOR 0.30 0.00 X 500 0 0 MATTEW RUTTER DIRECTOR 0.30 0.00 X 500 0 0 MATTHEW AYERS DIRECTOR 0.30 0.00 X 500 0 0 MIKE YUNGMANN DIRECTOR 0.30 0.00 X 500 0 0 NINA EISNER DIRECTOR 0.30 0.00 X 500 0 0 ROBERT DESOTELLE DIRECTOR 0.30 0.00 X 500 0 0 ROBERT PARKER DIRECTOR 0.30 0.00 X 500 0 0 SARA MARKS DIRECTOR (2/21/24 - 6/30/24) 0.30 0.00 X 0 0 0 STEPHEN TOADVINE DIRECTOR 0.30 0.00 X 500 0 0 STEVEN HESTER DIRECTOR 0.30 0.00 X 500 0 0 TOM MILLER DIRECTOR 0.30 0.00 X 500 0 0 WILLIAM HAUGH DIRECTOR 0.30 0.00 X 500 0 0 APRIL SMITH CHIEF FINANCIAL OFFICER 28.00 12.00 X 209154 0 33263 JAMES MUSSER SVP POLICY/GOVERNMENT RELATIONS 40.00 0.00 X 343273 0 30812 HAL CLARK VP ECON. & POLICY (THRU 3/21/23) 40.00 0.00 X 247165 0 7200 HAROLD WARMAN VP BUSINESS DEVELP./MEMBER RELATIONS 30.00 10.00 X 244799 0 25171 JONATHAN COPLEY SVP STRATEGY & OPS (THRU 07/28/23) 20.00 20.00 X 237328 0 14669 MELANIE LANDRUM SVP DATA/OPERATIONS/INNOVATION 26.00 14.00 X 211578 0 33877 2409971 1500 188078 16 0 1 0 KENTUCKY CHAMBER FOUNDATION 464 CHENAULT ROAD FRANKFORT KY 40601 TALENT PIPELINE MANAGEMENT 625000 HEALTHCARE STRATEGY GROUP 9850 VON ALLMEN COURT SUITE 201 LOUISVILLE KY 40241 CONSULTING SERVICES 365774 BARNETT BENVENUTI & BUTLER 489 EAST MAIN STREET SUITE 300 LEXINGTON KY 40507 LEGAL SERVICES 209085 POLSINELLI PC PO BOX 878681 KANSAS CITY MO 64187 LEGAL SERVICES 195032 HYVE HEALTH PO BOX 306569 NASHVILLE TN 37230 DATA SERVICES 166667 8 ADMINISTRATOR FEES 900099 26280682 26280682 MEMBERSHIP DUES 900099 4740121 4740121 DATA SERVICES 900099 271000 271000 AHA FEES 900099 7500 7500 31299303 1301674 1301674 1346718 1545789 -199071 -199071 -199071 PROFESSIONAL SERVICES 900099 2935027 2935027 SUBSIDIARY INCOME 900099 334773 334773 3269800 35671706 34569103 0 1102603 X 6400000 1340380 4419633 250837 243277 325914 384769 42211 154901 45518 3034119 78356 54268 65898 154645 322521 10458 118968 DATA SERVICE EXPENSE 1217244 STAFF DEVELOPMENT MEMBE 25061 AUXILIARY/VOLUNTEER 6000 18694978 500 500 13509880 29213729 81277 219572 102260 174914 656892 654275 13075 2617 19262684 20538247 5679735 6014508 6525949 7729147 45175360 63893234 1326955 1611076 1058204 943204 428468 532138 2813627 3086418 X 42361733 60806816 42361733 60806816 45175360 63893234 16976728 1468355 0 X X 0 1 X 1 0 0 0 1 4740121 676753 -88523 588230 530894 57336 656892 654275 2617 2617 INVESTMENT IN AFFILIATES 6014508 C 6014508 DEFERRED COMP. PLAN ASSETS 504350 CAPITAL RESERVE FUND 5923568 ACCRUED INTEREST RECEIVABLE 91586 AFFILIATES RECEIVABLE 1209643 7729147 CUSTODIAL FUNDS 6308 DEFERRED COMP. PLAN LIABILITIES 504350 AFFILIATES PAYABLE 21480 532138 X PART X, LINE 2: KENTUCKY HOSPITAL ASSOCIATION (KHA) IS A NONPROFIT CORPORATION AS DEFINED BY THE INTERNAL REVENUE SERVICE AND, THEREFORE, IS NOT SUBJECT TO INCOME TAX, OTHER THAN FOR ANY UNRELATED BUSINESS INCOME. THE ASSOCIATION RECOGNIZES UNCERTAIN INCOME TAX POSITIONS USING THE "MORE-LIKELY-THAN-NOT" APPROACH AS DEFINED IN THE ASC. NO LIABILITY FOR UNCERTAIN TAX POSITIONS HAS BEEN RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. 1 KENTUCKY HOSPITAL RESEARCH AND EDUCATION FOUNDATION INC 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 616052378 501(C)(3) 6400000 0 PROGRAM ASSISTANCE 1 0 PART I, LINE 2: THE ORGANIZATION MAINTAINS RECORDS OF THE AMOUNT OF GRANTS THEY AWARD. THIS GRANT IS DISTRIBUTED TO KHREF TO HELP FUND THE QUALITY INITIATIVE. X X 1 1 X X X X 1 0 0 NANCY GALVAGNI PRESIDENT 673523 0 210808 0 19343 0 21450 0 21636 0 946760 0 0 0 JAMES MUSSER SVP POLICY/GOVERNMENT RELATIONS 295645 0 43208 0 4420 0 21450 0 9362 0 374085 0 0 0 HAROLD WARMAN VP BUSINESS DEVELP./MEMBER RELATIONS 229020 0 11459 0 4320 0 15809 0 9362 0 269970 0 0 0 HAL CLARK VP ECON. & POLICY (THRU 3/21/23) 50357 0 0 0 196808 0 2291 0 4909 0 254365 0 0 0 JONATHAN COPLEY SVP STRATEGY & OPS (THRU 07/28/23) 180548 0 43000 0 13780 0 14451 0 218 0 251997 0 0 0 MELANIE LANDRUM SVP DATA/OPERATIONS/INNOVATION 187534 0 20224 0 3820 0 14241 0 19636 0 245455 0 0 0 APRIL SMITH CHIEF FINANCIAL OFFICER 178567 0 30208 0 379 0 14065 0 19198 0 242417 0 0 0 PART I, LINE 1A THE PRESIDENT'S CONTRACT INCLUDES TRAVEL WITH SPOUSE TO VARIOUS MEETINGS. VALUE OF THIS TRAVEL IS INCLUDED ON THE PRESIDENT'S W-2. THE ASSOCIATION MAINTAINS MEMBERSHIP IN SOCIAL CLUBS TO USE MEETING SPACE AND ENTERTAIN MEMBERS/GUESTS. ANY PERSONAL EXPENSES INCURRED BY THE PRESIDENT ARE REIMBURSED TO THE ASSOCIATION. PART I, LINE 4A HAL CLARK RECEIVED $183,115 OF SEVERANCE DURING 2023. FORM 990, PART VI, SECTION A, LINE 1A THE KHA EXECUTIVE COMMITTEE HAS AUTHORITY TO ACT IN BETWEEN REGULARLY SCHEDULED BOARD MEETINGS. MINUTES AND ACTIONS OF THE EXECUTIVE COMMITTEE ARE SUBSEQUENTLY APPROVED BY THE BOARD. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS ARE HOSPITALS THAT PAY DUES TO BELONG TO THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THROUGH THEIR DISTRICTS, MEMBERS NOMINATE BOARD MEMBERS TO SERVE ON THE KHA BOARD WHO ARE THEN SUBSEQUENTLY APPROVED BY THE FULL MEMBERSHIP THROUGH MAILED BALLOT. FORM 990, PART VI, SECTION A, LINE 7B SPECIAL DUES ASSESSMENTS AND AMENDMENTS TO THE BYLAWS ARE SUBJECT TO THE REVIEW AND APPROVAL OF THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE RETURN IS REVIEWED FIRST BY INTERNAL MANAGEMENT. AFTER INTERNAL MANAGEMENT HAS REVIEWED THE RETURN AND ANY CHANGES ARE MADE, A DRAFT IS PRESENTED TO THE FINANCE AND BUDGET COMMITTEE FOR REVIEW. AFTER THE REVIEW AND APPROVAL BY THE COMMITTEE, A COPY IS MADE AVAILABLE TO THE BOARD FOR REVIEW AND APPROVAL OF FORM 990 PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C STATEMENTS ARE REVIEWED BY THE COMPLIANCE OFFICER AND A STATEMENT IS INCLUDED ON THE AGENDA FOR EACH BOARD MEETING REMINDING MEMBERS OF THE CONFLICT OF INTEREST POLICY AND THE NEED TO DISCLOSE CONFLICTS AT THE TIME CONFLICTS ARISE. IF THE DISCLOSURE FORM REVEALS A SIGNIFICANT FINANCIAL INTEREST, IT WILL BE REVIEWED PROMPTLY BY THE INSTITUTIONAL OFFICIAL OR DESIGNEE FOR A DETERMINATION OF WHETHER IT CONSTITUTES A FINANCIAL CONFLICT OF INTEREST. IF A FINANCIAL CONFLICT OF INTEREST EXISTS, THE INSTITUTIONAL OFFICIAL WILL TAKE ACTION TO MANAGE THE FINANCIAL CONFLICT OF INTEREST INCLUDING THE REDUCTION OR ELIMINATION OF THE CONFLICT, AS APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15 AN INDEPENDENT CONSULTANT REVIEWS ANNUAL SALARY SURVEY AND INFORMATION PROVIDED FOR LIKE POSITIONS IN ASSOCIATIONS OF SIMILAR SIZE AND CONTIGUOUS TO KENTUCKY EVERY TWO YEARS AND ISSUES A LETTER SUBSTANTIATING THE REASONABLENESS OF COMPENSATION AND BENEFITS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PURCHASED SERVICES 1,383,977. CREDENTIALING 1,586,059. HRIP EXPENSES 64,083. FORM 990, PAGE 13, PART XII LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. KHA CONTINUES TO BE AUDITED AS PART OF THE KENTUCKY HOSPITAL ASSOCIATION CONSOLIDATED GROUP. KHA CONTINUES TO BE INCLUDED IN THE KENTUCKY HOSPITAL ASSOCIATION AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION STILL HAS AN AUDIT/FINANCE COMMITTEE THAT OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT AUDITOR. KENTUCKY HOSPITAL RESEARCH & EDUCATION FOUNDATION INC 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 616052378 HEALTHCARE, CHARITABLE, RESEARCH AND EDUCATIONAL ACTIVITIES IN KENTUCKY KY 501(C)(3) LINE 7 KENTUCKY HOSPITAL ASSOCIATION 1 KENTUCKY INSTITUTE FOR PATIENT SAFETY AND QUALITY INC 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 264657040 EDUCATING ORGANIZATIONS ON PATIENT SAFETY KY 501(C)(3) LINE 10 KENTUCKY HOSPITAL ASSOCIATION 1 KENTUCKY HOSPITAL SERVICE COMPANY OF KY LLC 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 611004776 PROVIDE INSURANCE/RISK MANAGEMENT SERVICES KY KENTUCKY HOSPITAL ASSOCIATION C 276114 4813111 1.00000 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 KENTUCKY HOSPITAL SERVICE COMPANY OF KY LLC K 140000 ALLOCATION OF SPACE & EQUIP USE KENTUCKY HOSPITAL SERVICE COMPANY OF KY LLC O 132003 ALLOCATED TIME SHARED EMPLOYEES KENTUCKY HOSPITAL SERVICE COMPANY OF KY LLC O 1427266 ALLOCATED TIME SHARED EMPLOYEES KENTUCKY HOSPITAL SERVICE COMPANY OF KY LLC P 126229 ALLOCATED EXPENSE REIMBURSEMENT KENTUCKY HOSPITAL SERVICE COMPANY OF KY LLC Q 315287 ALLOCATED EXPENSE REIMBURSEMENT KY HOSPITAL RESEARCH AND EDUCATION FOUNDATION O 1474049 ALLOCATED TIME SHARED EMPLOYEES KY HOSPITAL RESEARCH AND EDUCATION FOUNDATION B 6400000 GRANT SCHEDULE R, PAGE 3, PART V KENTUCKY HOSPITAL ASSOCIATION (KHA), KENTUCKY HOSPITAL SERVICE COMPANY OF KENTUCKY, LLC (KHSC), KENTUCKY HOSPITAL RESEARCH AND EDUCATION FOUNDATION (KHREF) AND KENTUCKY INSTITUTE FOR PATIENT SAFETY AND QUALITY (KIPSQ) SHARE EXPENSES FOR EMPLOYEES. THE COMPANIES ALSO SHARE EXPENSES FOR OFFICE SUPPLIES, INSURANCE, AND OTHER OFFICE EXPENSES. THESE EXPENSES ARE PAID BY ONE ORGANIZATION AND THEN THE OTHER ORGANIZATIONS WILL REIMBURSE FOR THESE EXPENSES BASED ON THE REIMBURSEMENT PERCENTAGES DETERMINED AT THE BEGINNING OF EACH YEAR. THE REIMBURSEMENT PERCENTAGE IS BASED ON THE TOTAL NUMBER OF EMPLOYEES.