2017-06-29T16:26:30-05:00 2016-12-31 BDO USA LLP 101 S HANLEY RD STE 800 ST LOUIS MO 63105 990 2016-01-01 440610607 Missouri Hospital Association % THE ORGANIZATION MISS 5738933700 PO Box 60 Jefferson City MO 651020060 HERB B KUHN PRESIDENT & CEO 5738933700 2017-06-27 true Marie N Carlie CPA P00084927 3148891100 162.249.80.1 43992620171805000024 2017-06-29 P ADA78166433CF1E5FE8569B352D15287B63D6E47 5C8A9264EEA6286C8A3AC98A0C71ADF3D5FAB8BE 2016 2021-01-29 14:40:06Z Kathleen Poff PO Box 60 Jefferson City MO 651020060 28363537 false X WWW.MHANET.COM X 1922 MO To promote the health & welfare of Missouri citizens by assisting hospitals and other healthcare-related organizations. 30 29 76 1106 919423 47223 0 0 14322197 15231729 995007 786330 23716 21951 15340920 16040010 1190 2570 0 0 7433489 8008472 0 0 0 6096847 6593396 13531526 14604438 1809394 1435572 36959451 39643474 6414809 6074206 30544642 33569268 TO PROMOTE THE HEALTH & WELFARE OF MISSOURI CITIZENS BY ASSISTING HOSPITALS AND OTHER HEALTHCARE-RELATED ORGANIZATIONS. false false To promote the health and welfare of Missouri citizens by assisting hospitals and other healthcare-related organizations. This assistance includes serving as an advocate and representative of hospitals to create an environment enabling hospitals to coordinate and provide health services in a cost-effective manner in order to improve the health status in their communities. Communicated with and educated members, policy leaders and the public on issues that affect the organization, delivery and financing of health care services. Identified, supported, promoted and provided education for initiatives that assist members in improving health care services for Missourians. Assist members with quality improvement efforts to improve health outcomes for patients and enhance the health status of the population of Missouri while reducing costs and disparities and increasing efficiencies using triple aim principles. false false true true false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false true true true false true 65 0 true 76 true true true false false false true true false false false X 30 29 false false true false true true true true true false false true true true true true true true true false X THE ORGANIZATION 5738933700 4712 COUNTRY CLUB DR JEFFERSON CITY MO 651094541 Donald J Babb Trustee 0.5 0.5 X 0 0 0 Steven C Bjelich FACHE-D Trustee 1.0 0.5 X 0 0 0 Darrel Box FACHE Trustee 0.1 0.5 X 0 0 0 Christine M Candio Trustee 0.7 0.5 X 0 0 0 John M Dawes FACHE Trustee 0.3 0.5 X 0 0 0 Jon D Doolittle Trustee 1.0 0.5 X 0 0 0 Melinda L Estes MD MBA Trustee 0.1 0.5 X 0 0 0 Donald L James DO Trustee 0.7 0.5 X 0 0 0 Kenneth James Trustee 0.1 0.5 X 0 0 0 Jeffrey A Johnston Trustee 0.6 0.5 X 0 0 0 Thomas Keim Trustee 0.8 0.6 X 0 0 0 Mel Lagarde Trustee 0.1 0.5 X 0 0 0 Mark Laney MD Trustee 0.5 0.5 X 0 0 0 John Christopher Lang FACHE Trustee 0.7 0.5 X 0 0 0 Steven H Lipstein Trustee 0.4 0.6 X 0 0 0 William K Mahoney FACHE Trustee 1.2 0.5 X 0 0 0 David Morton MD Trustee 0.3 0.6 X 0 0 0 Sally Nance MBA Trustee 0.2 0.5 X 0 0 0 Randall L O'Donnell PhD Trustee 0.1 0.5 X 0 0 0 Charles Shields Trustee 0.7 0.6 X 0 0 0 Jon D Swope Trustee 0.2 0.5 X 0 0 0 Laureen K Tanner MSN RN FACHE Trustee 0.7 0.5 X 0 0 0 Mitchell L Wasden Trustee 0.3 0.5 X 0 0 0 John R Whitaker Trustee 0.6 0.5 X 0 0 0 Herb B Kuhn President & CEO 27.5 32.5 X X 880778 0 240174 Julie L Quirin FACHE Chair 1.6 1.1 X X 0 0 0 Patrick E Carron Chair Elect 1.0 0.8 X X 0 0 0 Christopher D Howard Past Chair 0.7 0.6 X X 0 0 0 Steven D Edwards CHE Treasurer 0.9 0.8 X X 0 0 0 Paula F Baker Secretary 0.6 0.5 X X 0 0 0 Kathleen C Poff Sr. VP & CFO 30.9 34.0 X 280521 0 121058 Daniel R Landon Sr. VP Gov. Relations 42.2 15.4 X 271296 0 62399 Michael R Dunaway Sr. VP Field Operations 60.0 0.0 X 262033 0 53039 Mary C Becker Sr. VP Strategic Partnerships 50.6 14.2 X 266150 0 61186 Leslie L Porth Sr. VP Strategic Quality Init. 7.0 63.0 X 202517 0 51064 Robert Monsees VP State Legislation 54.0 6.0 X 132792 0 44522 2296087 0 633442 15 false true false EMSystems LLC 6451 N Federal Hwy Ste 1000 FORT LAUDERDALE FL 33308 License Fees 295187 Mitigation Dynamics Inc 200 NE Missouri Rd Suite 200 LEES SUMMIT MO 65086 Training - HPP Grant 235000 Prairie Dog PO Box 410002 KANSAS CITY MO 64141 Grassroots Advocacy 356431 Vizient Inc 75 Remittance Drive CHICAGO IL 60675 Patient Safety Org 471500 EI Wright dba Forward Strategy Solu 5248 Tancreti Lane ALEXANDRIA VA 22304 Grassroots Advocacy 379873 11 0 CONVENTIONS & EDUCATION 900099 604946 604946 CONTRACTUAL SERVICES 541610 6181110 5261687 919423 SPECIAL PROJECTS 900099 2841844 2841794 50 PROGRAM RENTAL REVENUE 531110 379376 237260 142116 MEMBERSHIP DUES 900099 5224453 5224453 15231729 537403 537403 0 0 0 0 0 12539870 32584 12285572 37955 254298 -5371 248927 248927 0 0 0 0 0 0 0 0 0 EQUITY CHANGE IN ALLIANCE 900099 21951 21951 21951 16040010 14192091 919423 928496 2570 0 0 0 1299653 0 4876329 565697 891743 375050 0 103598 65145 1320671 0 39161 2124193 3000 332576 5450 0 204662 294764 0 728234 28825 0 564215 22298 LICENSES & SERVICES 128668 TRAINING & DEVELOPMENT 62512 DUES & SUBSCRIPTIONS 67049 UBTI TAXES 2515 495860 14604438 1584524 97081 0 0 0 0 214946 898807 0 0 0 0 0 0 0 0 178548 201970 7559030 4368488 3197524 3190542 19253032 21327882 0 0 0 0 0 0 12530877 13927192 36959451 39643474 2415316 2703295 0 0 0 0 0 0 0 0 0 0 961943 924768 0 0 3037550 2446143 6414809 6074206 X 30544642 33569268 0 0 0 0 30544642 33569268 36959451 39643474 X 1435572 272857 1316197 X X false true X true true true 0 0 0 false Political Action Committee for Health PO Box 60 Jefferson City MO 651020060 431260901 0 20099 American Hospital Association PAC 325 7th St NW Ste 700 Washington DC 20004 362996517 0 23662 Political Action Committee of the MHA PO Box 60 Jefferson City MO 651020060 431677333 0 7375 false false true 7508324 2165390 -1455060 710330 2702997 -1992667 Part I-A, Line 1 THE MISSOURI HOSPITAL ASSOCIATION DID NOT EXPEND FUNDS FOR CAMPAIGN ACTIVITIES. THE ORGANIZATION ACTS AS A COLLECTING AGENT FOR THE POLITICAL ACTION COMMITTEES LISTED UNDER PART I-C LINE 5. MHA COLLECTS CONTRIBUTIONS FOR THE POLITICAL ACTION COMMITTEES AND IMMEDIATELY REMITS THE FUNDS TO THE POLITICAL ACTION COMMITTEES. 122136 122136 5282148 2997584 2284564 1882320 1267562 614758 272426 103342 169084 3190542 ACCRUED INTEREST RECEIVABLE 35893 INTEREST PURCHASED 1300 CASH VALUE OF LIFE INSURANCE 1166979 INV IN MHA MGMT SERVICES CORP 10282025 INV IN HEALTH ALLIANCE 2339582 INV IN HEALTHCURVE ANALYTICS 101413 13927192 0 DUES COLLECTED IN ADVANCE 2287364 DUE TO RELATED PARTY 158779 2446143 X Part X, Line 2 - FIN 48 (ASC 740) Footnote: The Organization follows FASB ASC 740-10, Accounting for Uncertainty in Income Taxes, which prescribes a comprehensive model for how an organization should measure, recognize, present, and disclose in its financial statements uncertain tax positions that an organization has taken or expects to take on a tax return. Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the financial statements as of December 31, 2016. X X X X true true X X X X X false true false Herb B Kuhn President & CEO 642684 0 138906 0 99188 0 173855 0 66319 0 1120952 0 0 0 Kathleen C Poff Sr. VP & CFO 263959 0 750 0 15812 0 64128 0 56930 0 401579 0 0 0 Daniel R Landon Sr. VP Gov. Relations 266355 0 750 0 4191 0 0 0 62399 0 333695 0 0 0 Michael R Dunaway Sr. VP Field Operations 240346 0 3750 0 17937 0 0 0 53039 0 315072 0 0 0 Mary C Becker Sr. VP Strategic Partnerships 248308 0 4250 0 13592 0 0 0 61186 0 327336 0 0 0 Leslie L Porth Sr. VP Strategic Quality Init. 194167 0 750 0 7600 0 0 0 51064 0 253581 0 0 0 Robert Monsees VP State Legislation 129628 0 2750 0 414 0 0 0 44522 0 177314 0 0 0 Part I, Line 1A: First-class or charter travel: If the drive time is more than three hours one way for a one-day meeting or if the drive time is more than five hours one way for a multi-day meeting, members of the Board of Trustees may use charter air transportation and be reimbursed the actual cost of such travel. Others traveling on behalf of the Association who choose air charter service will be reimbursed the lower of the actual cost of the charter transportation or two times the amount allowed for automobile mileage to and from the meeting or function. On occasion senior staff use charter travel for meetings within the state where the drive time is significant for a meeting that is an hour or two. Travel for companions: The employment contract with the current CEO allows $2,500 for spouse travel. This is taxable to the CEO. Tax indemnification and gross-up payments: MHA has a service award program that recognizes employees for the length of service at 5 year intervals. When the award exceeds the $400 average and is taxable to the employee, the employee receives a tax gross-up payment to cover the tax attributed to the award. Health or social club dues or initiation fees: The employment contract with the CEO provides that the initiation fee and annual membership fees for a country club membership be paid for the CEO. Health club memberships (up to $150 per year) are provided to employees as a wellness benefit as provided in our healthy lifestyles policy. Part I, Line 4B: The President and CEO, Herb Kuhn, participates in a 457(b) and a 457(f) plan. In 2016, Herb Kuhn contributed $18,000 to the 457(b) plan while the Missouri Hospital Association contributed $15,105 to the 457(f) plan from Kuhn's flexible benefit allowance. The Sr. VP of Field Operations, Michael Dunaway, contributed $18,000 to the 457(b) plan in 2016. The Sr. VP of Administration and CFO, Kathleen Poff, contributed $18,000 to the 457(b) plan in 2016. The Sr. VP of Strategic Partnerships and Communications, Mary Becker, contributed $18,000 to the 457(b) plan in 2016. Incentive Compensation - Paid to CEO by Missouri Hospital Association: Incentive compensation is intended to reward the chief executive officer for the achievement of those priority organization objectives established by the Compensation Committee. The award of any portion of incentive compensation is at the sole discretion of the committee operating within the board-approved Missouri Hospital Association Executive Compensation Philosophy and at no time is guaranteed. Incentive compensation will only be considered when the following criteria are met: - The chief executive officer receives a favorable annual performance appraisal. - The association achieves positive net income from its consolidated operations (unless, at the sole discretion of the Compensation Committee, specific circumstances warrant an exception). The evaluation of net income will be based on the association's consolidated financial statements and year-end projection. Any material changes in the association's financial position reflected in the subsequent annual audit may, at the sole discretion of the Compensation Committee operating within the board-approved Missouri Hospital Association Executive Compensation Philosophy, cause the amount of current or future incentive compensation to be changed. In no event will incentive compensation be based on net income. CEO Retention Bonus: In 2012, an agreement for a CEO retention bonus was executed by the Missouri Hospital Association and the CEO. Commencing with the first calendar quarter of 2012, an account ("Account") created by Employer for Executive shall be credited, as of the last day of each calendar quarter while Executive is employed by Employer through December 31, 2019, with an amount equal to 6 percent of Executive's Base Salary then in effect. In calendar year 2020, the Account shall be adjusted as of the last day of each quarter in the uniform amount necessary, if any, to cause the total credits to the Account pursuant to this subsection (i) for all years to be equal, as of the end of 2020, to two times Executive's Base Salary for the year 2020. As of the last day of each calendar year and as of the date a benefit is payable, the Employer shall credit the Investment Return on the Account since the immediately preceding crediting of Investment Return, as determined pursuant to the provisions of this Section and shall reduce the Account by the amount of any distribution made with respect to the Account and by any reduction made pursuant to subsection (i). For purposes hereof, the Investment Return shall be the amount necessary to increase or decrease the Account balance to what it would have been had the Account balance during the calendar year involved actually been invested in the Investment Option(s) selected by the Executive under this section. The Investment Return also shall be adjusted to reflect surrender or other charges that would have been incurred if the Account balance had actually been invested in the Investment Option(s) and withdrawn to pay benefits. If the Executive fails to select an Investment Option, the Investment Return shall be the Investment Option most similar to a money market account. If Executive is employed by Employer on June 30, 2020, an amount equal to 50 percent of the Account balance will be paid to him in July 2020, and if Executive is employed by Employer on December 31, 2020, an amount equal to the remainder of the Account balance will be paid to him in January 2021. In 2016, the accrual for the CEO Retention Bonus was calculated to be $158,750. This is for year five of the accrual period and is reported as deferred compensation. CFO Retention Bonus: In 2015, an agreement for a CFO retention bonus was executed by the Missouri Hospital Association and the CFO. Commencing with the first calendar quarter of 2015, an account ("Account") created by Employer for Executive shall be credited, as of the last day of each calendar quarter while Executive is employed by Employer through December 31, 2017, with an amount equal to 6 percent of Executive's annual base salary then in effect. In the 2017 calendar year, the Account shall be adjusted as of the last day of each quarter in the uniform amount necessary, if any, to cause the total credits to the Account for all years (2015-2017) to be equal, as of the end of the 2017 calendar year, to 75 percent of Executive's annual base salary for the 2017 calendar year. If Executive is continuously employed by Employer through December 31, 2017, then an amount equal to the Account balance, adjusted as provided in this Section 2, as of January 1, 2018, will be paid to her in January 2018. After the payment is made pursuant to Section 2(a), the Account shall be credited, as of the last day of each calendar quarter while Executive is employed by Employer through December 31, 2020, with an amount equal to 6 percent of Executive's annual base salary then in effect. In the 2020 calendar year, the Account shall be adjusted as of the last day of each quarter in the uniform amount necessary, if any, to cause the total credits to the Account for all years (2018-2020) to be equal, as of the end of the 2020 calendar year, to 75 percent of Executive's annual base salary for the 2020 calendar year. If Executive is continuously employed by Employer through December 31, 2020, then an amount equal to the Account balance, adjusted as provided in this Section 2, as of January 1, 2021, will be paid to her in January 2021. In 2016, the accrual for the CFO Retention Bonus was calculated to be $64,128. This is for year two of the accrual period and is reported as deferred compensation. Form 990, Part VI, Section A, Line 4: The Bylaws of the Association were amended as follows: Article III, Section 8 was revised to allow the board of trustees to conduct business and take action at meetings at which there is not a quorum present. All such actions must be submitted to all absent trustees after the meeting and ratified by a majority of trustees to take effect. Article IV, Section 7 was revised to allow committees to conduct business and take action at meetings at which there is not a quorum present. All such actions must be submitted to all absent committee members after the meeting and ratified by a majority of committee members to take effect. Form 990, Part VI, Section A, Line 6: MHA has institutional, associate and individual members. Form 990, Part VI, Section A, Line 7A: The Board of Trustees is made up of permanent members (15), elected members (15) and the CEO (1). Six members are elected by their district. Upon the recommendation of the nominating committee, the membership elects 5 members and 3 chair officers (note: a permanent board member can serve as a chair officer, which would be a dual appointment). The MHA Board of Trustees appoints 4 members to represent MHA at the American Hospital Association (note: these also may be dual seats). The permanent seats are awarded to institutions with expenses in excess of an established amount. Form 990, Part VI, Section A, Line 7B: Bylaw changes require membership approval. These changes typically are recommended by the Board. Form 990, Part VI, Section B, Line 11: A copy of the Form 990 is e-mailed to the Board for their review prior to filing. Form 990, Part VI, Section B, Line 12C: The board members and key employees review the conflict of interest policy annually and are required to sign the conflict of interest statement annually. Form 990, Part VI, Section B, Line 15: The Organization's CEO: The board has an approved executive compensation philosophy and administrative guidelines for implementing the philosophy. Goals are established each year by the compensation committee with input from the Board of Trustees. The salary for the CEO is set by the compensation committee. The committee members are independent -- the three chair officers of the board and the treasurer of the board. Comparative data is provided to the committee by an outside, independent firm. This firm conducts a survey of state associations, analyzes the data and the market, and provides the compensation committee with a recommended range and target for the CEO position in accordance with the executive compensation philosophy. The compensation committee performs a formal evaluation of the CEO's performance and then utilizes the data provided by the independent firm to determine the recommended salary adjustment. The compensation committee also solicits input on the CEO's performance from members of the board of trustees. A formal process is used to set the base compensation, award any incentive bonus and establish the goals for the coming year. The compensation committee shares its actions and details of the CEO's compensation and benefits with the full board. Other officers or key employees: The board has an approved executive compensation philosophy. Comparative data is provided by an outside, independent firm. This firm conducts a survey of state associations and analyzes the data and the market. In addition, human resources staff contact hospitals, health systems, and the State of Missouri Division of Personnel and Private Industry for their projected salary increases for the next year. This data is used to determine the recommended salary adjustment. The Chief Executive Officer conducts the performance evaluations for senior executives and establishes the salary adjustment. The CEO reviews the salary and recommended increases for the senior executives with the compensation committee. The compensation committee members are independent. They are the three chair officers of the Board and the treasurer of the Board. The compensation committee reports to the Board that the salaries for the senior executives were reviewed. The benefits provided to the senior executives are shared with the Board of Trustees. Form 990, Part VI, Section C, Line 19: The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part XI, Line 9, Changes in Net Assets: Book/Tax Adjustments from Partnership K-1: 407,808 Book Income from C-Corporation: 908,389 Total to Form 990, Part XI, Line 9: 1,316,197 Form 990, Part XII, Line 2C: The association has a committee that assumes responsibility for oversight of the audit and selection of an independent accountant. The process has not changed from the prior year. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTUAL & CONSULTING FEE TOTAL FEES:916649 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTUAL - PSO/VIZIENT TOTAL FEES:468000 FORM 990 PART IX LINE 11G DESCRIPTION:SUB-CONTRACTORS/CONSULTANTS TOTAL FEES:739537 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:7 HEALTH CARE ISSUES COMMITTEE OF THE MHA PO BOX 60 JEFFERSON CITY MO 65102 431911634 See Pt VII MO 527 See Pt VII true HOSPITAL INDUSTRY DATA INSTITUTE PO BOX 60 JEFFERSON CITY MO 65102 431371659 See Pt VII MO 501(c)(3) 10 See Pt VII true MHA Health Institute PO BOX 60 JEFFERSON CITY MO 65102 430898947 See Pt VII MO 501(c)(3) 12b See Pt VII true POLITICAL ACTION COMMITTEE FOR HEALTH PO BOX 60 JEFFERSON CITY MO 65102 431260901 See Pt VII MO 527 See Pt VII true POLITICAL ACTION COMMITTEE OF THE MHA PO BOX 60 JEFFERSON CITY MO 65102 431677333 See Pt VII MO 527 See Pt VII true THE HEALTH ALLIANCE OF MID AMERICA LLC 7015 College Blvd Suite 150 OVERLAND PARK KS 66211 431843809 See Pt VII KS NA Related 21951 2339587 false 0 true 0.50000 MHA MANAGEMENT SERVICES CORPORATION PO BOX 6766 JEFFERSON CITY MO 651026766 431471940 See Pt VII MO See Pt VII C Corp 1964390 10913485 1.00000 true HealthCurve Analytics LLC PO Box 60 JEFFERSON CITY MO 651020060 352505932 See Pt VII MO See Pt VII C Corp -48121 101973 1.00000 true true false false false false true false false false false false true true true true true true false false MHA Health Institute A 80820 MHA MANAGEMENT SERVICES CORPORATION A 142116 Hospital Industry Data Institute A 156240 MHA MANAGEMENT SERVICES CORPORATION F 250000 THE HEALTH ALLIANCE OF MID AMERICA L 210035 MHA Health Institute L 97453 MHA Management Services Corporation O 906789 MHA Management Services Corporation O 119772 MHA Health Institute O 1380167 Hospital Industry Data Institute O 369412 Hospital Industry Data Institute O 389376 Part II, Column B - Primary Activity: Health Care Issues Committee of the Missouri Hospital Association: To support or oppose health care ballot issues. Hospital Industry Data Institute: To gather data for private and public hospitals and assemble various reports in order to assist facilities in conducting efficient operations. MHA Health Institute: To assist hospitals and other healthcare-related organizations in the effective management and utilization of human resources, developing education programs designed to meet the educational requirements of hospital personnel, and assistance with quality improvement and population health. Political Action Committee for Health of the MHA: To support Missouri candidates for public office who would serve in the public interest with respect to matters affecting hospitals and the health care industry. Political Action Committee of the MHA: To support Federal candidates for public office who would serve in the public interest with respect to matters affecting hospitals and the health care industry. Part II, Column F - Direct Controlling Entity: Healthcare Issues Committee of the Missouri Hospital Association: Direct controlling entity: Missouri Hospital Association Hospital Industry Data Institute: Direct controlling entity: Missouri Hospital Association MHA Health Institute: Direct controlling entity: Missouri Hospital Association Political Action Committee for Health of the MHA: Direct controlling entity: Missouri Hospital Association Political Action Committee of the MHA: Direct controlling entity: Missouri Hospital Association Part III, Column B - Primary Activity: The Health Alliance of Mid America, LLC: EIN: 43-1843809 To enhance and further the tax-exempt purposes of its members through efficiencies and economics of scale in the operation of programs and provisions of products and services to, or for the benefit of, the members and constituencies of the members, by means of coordinating and consolidating programs, products and services and through the conduct of any lawful business for which a limited liability company may be organized under the act. Part IV, Column B - Primary Activity: MHA Management Services Corporation: To provide products and services to healthcare providers. Healthcurve Analytics LLC: A premier health data company that provides next generation analytics and innovative data solutions to hospitals, health systems, state hospital associations, surgical centers and state data agencies across the country. Part IV, Column D - Direct Controlling Entity: MHA Management Services Corporation: Direct controlling entity: Missouri Hospital Association HealthCurve Analytics LLC: Direct controlling entity: Missouri Hospital Association