2019-05-10T13:39:15-05:00 2018-12-31 481026809 Wendling Noe Nelson & Johnson LLC 534 S Kansas Ave Suite 1500 Topeka KS 666033491 990 2018-01-01 480543786 Kansas Hospital Association KANS 7852337436 215 SE 8th Street Topeka KS 66603 Thomas L Bell President 7852337436 2019-04-29 1 Heather R Eichem P01515553 7852334226 2019-04-29 98.172.114.81 2019-04-29 15:39:57 CD P 2D460667FA649F67156F295DFD6F92C916239987 5DC9D2119BE879C421F8A663069DB443DA841B04 2018 2019-02-21 02:37:17Z Thomas L Bell 215 SE 8th Street Topeka KS 66603 16262295 0 X WWW.KHA-NET.ORG X 1949 KS To be the leading advocate and resource for members. 20 19 36 0 125 12182 0 0 4219965 4408303 211857 541165 712051 -6494 5143873 4942974 0 0 0 0 2545672 2719962 0 0 0 2062068 2014350 4607740 4734312 536133 208662 14895567 14163736 3780826 3484918 11114741 10678818 The vision of the Association is optimal health for Kansans. 0 0 To promote the health and welfare of the people through the development of hospitals and the improvement in the operation of hospitals. 0 0 0 1 0 0 0 0 0 1 1 0 0 1 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 1 1 1 29 0 1 36 1 1 1 0 0 0 0 0 0 0 X 20 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Steve Poage 7852337436 215 SE 8th Street Topeka KS 66603 Thomas L Bell President 30.40 9.60 X X 478587 0 172305 Sherri L Vaughn Director 0.00 X 0 0 0 Bob Page Chairperson 0.00 X X 0 0 0 Dennis Franks Chairperson-Elect 0.00 X X 0 0 0 Reta Baker Treasurer 0.00 X X 0 0 0 Melissa Atkins Director 0.00 X 0 0 0 Randall R Cason Director 0.00 X 0 0 0 Curt Colson Director 0.00 X 0 0 0 William Ermann Director 0.00 X 0 0 0 Randall L Peterson Director 0.00 X 0 0 0 Lynn Fisher MD Director 0.00 X 0 0 0 Kim Moore Director 0.00 X 0 0 0 Michael L Mullins Director 0.00 X 0 0 0 Bobby Olm-Shipman Director 0.00 X 0 0 0 Thomas Owings Director 0.00 X 0 0 0 Lori Penner Director 0.00 X 0 0 0 Carrie Saia Director 0.00 X 0 0 0 George M Stover Director 0.00 X 0 0 0 Scott J Taylor Director 0.00 X 0 0 0 Larry Van Der Wege Director 0.00 X 0 0 0 Ken Bacon Director through 03/28/2018 0.00 X 0 0 0 Steve Poage Vice President/CFO 16.40 23.60 X 227633 0 54236 Dennis George CEO - APS 40.00 X 233907 0 46594 Chad Austin Sr VP, Government Relation 40.00 X 174642 0 40515 Deborah Stern VP, Clinical Services/Lega 38.00 2.00 X 178715 0 39771 Kathy Branyon Senior Vice President 40.00 X 171002 0 18174 Lisa Love Senior Director 40.00 X 130451 0 12500 Karen Braman SR VP, Healthcare Strategy & Policy 40.00 X 257067 0 31512 1852004 0 415607 15 0 1 0 Landon Fulmer 8924 Victoria Rd Springfield VA 22151 Lobbying 124800 1 Membership Dues and Assessments 900099 3371846 3371846 Convention 900099 376990 376990 Education-Leadership 900099 320045 320045 Data Services 900099 157287 157287 Representation 900099 95216 95216 86919 86919 4408303 102139 102139 38416 44910 -6494 -6494 125 -6619 11699227 14210 11260714 13697 438513 513 439026 513 438513 4942974 4408816 125 534033 611517 1582371 121619 282503 121952 8368 238255 15894 331321 37475 117057 71901 261107 353739 77539 10339 Income Taxes 4069 Data Services 318278 Gifts 60333 Equipment Rental & Main 55062 53613 4734312 200 703266 2512141 7322728 33164 11692 19594 25681 1369302 993035 419786 376267 4192418 1405361 7676894 4298436 41370 20305 14895567 14163736 971317 1115364 1856398 1451193 953111 918361 3780826 3484918 X 11114741 10678818 11114741 10678818 14895567 14163736 208662 -644585 0 X X 0 1 X 1 0 0 0 0 3371846 351560 351560 492290 -140730 11405 11405 777433 608589 168844 449745 341407 108338 130719 43039 87680 376267 Investment in Subsidiary 4298436 F 4298436 Deferred Compensation Payable 587944 Due to Kansas Health Service Corporation 2785 Due to Kansas Hospital Education & Research Foundation 70632 Due to American Hospital Association 257000 918361 X 4327405 -644585 -15894 -660479 4987884 -44910 -44910 4942974 4763328 44910 44910 4718418 15894 15894 4734312 Part X, Line 2: Management is not aware of any uncertain tax positions. Part XI, Line 2d - Other Adjustments: Investment Expenses -15,894. Part XI, Line 4b - Other Adjustments: Rental and Sublease Expenses -44,910. Part XII, Line 2d - Other Adjustments: Rental and Sublease Expenses 44,910. X X 0 1 0 Thomas L Bell President 381869 0 85535 0 11183 0 149424 0 22881 0 650892 0 0 0 Steve Poage Vice President/CFO 196232 0 26541 0 4860 0 25200 0 29036 0 281869 0 0 0 Dennis George CEO - APS 190032 0 41553 0 2322 0 26765 0 19829 0 280501 0 0 0 Chad Austin Sr VP, Government Relation 155447 0 13625 0 5570 0 18483 0 22032 0 215157 0 0 0 Deborah Stern VP, Clinical Services/Lega 158158 0 13730 0 6827 0 18411 0 21360 0 218486 0 0 0 Kathy Branyon Senior Vice President 145801 0 24001 0 1200 0 17233 0 941 0 189176 0 0 0 Karen Braman SR VP, Healthcare Strategy & Policy 234920 0 20700 0 1447 0 6547 0 24965 0 288579 0 0 0 Part I, Line 4b The Association has established a deferred compensation plan (a 457 Plan subject to Code section 457(f)). The name of the Plan as adopted by the Association is the Kansas Hospital Association Deferred Compensation Plan. During the calendar year end 12/31/2018, the Association contributed $115,899 to the Plan on behalf of Thomas L. Bell, President of the Association. These funds have been segregated into a separate account and the fair market value of the account at December 31, 2018 was $586,949. Form 990, Part VI, Section B, line 11b Reviewed by the Board of Directors. Form 990, Part VI, Section B, line 12c The Organization has a compliance officer and has approved an internal audit process. Form 990, Part VI, Section B, line 15 Outside firm and survey data used by the Executive Committee of the board. Data is comprised of similar positions from across the country. Form 990, Part VI, Section C, line 19 The Organization provides its governing documents, conflict of interest policy, and financial statements to the public if asked. 990 Page 11 Part XI 2c Audit commitee assumes the reponsibility and meets with the auditor annually. The Kansas Hospital Educational and Research Foundation 215 SE 8th Street Topeka KS 66603 237058598 Provide education to KS hospitals & their employees; and scholarships. KS 501(c)(3) Line 9 Kansas Hospital Association 1 Kansas Health Services Corporation 215 SE 8th Street Topeka KS 666033906 480991210 Facilitate Discount Services KS Kansas Hospital Association C -48943 1478838 1.00000 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 Kansas Health Services Corporation A 20890 Cash paid Kansas Health Services Corporation O 378723 Management fees paid Kansas Health Services Corporation C 120000 Cash paid Kansas Hospital Education and Research Foundation A 13925 Cash paid Kansas Hospital Education and Research Foundation O 358622 Management fees paid Kansas Hospital Education and Research Foundation B 55000 Cash paid The Health Alliance of Mid-America LLC 7015 College Blvd Suite 150 Overland Park KS 66211 431843809 Provide programs, products, & services to members and members constituancies DE Related 0 92361 3017816 0 1 0.50000