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KANSAS HOSPITAL ASSOCIATION INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
KANSAS HOSPITAL ASSOCIATION INC (EIN 48-0543786)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-05-09
IRS object ID
201631309349302008
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-09T14:10:59-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN481026809PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Wendling Noe Nelson & Johnson LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1534 S Kansas Ave Suite 1500AddressLine1Txt
CityTopekaCityNm
State AbbreviationKSStateAbbreviationCd
ZIP666033491ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN480543786EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Kansas Hospital AssociationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKANSBusinessNameControlTxt
Phone7852337436PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1215 SE 8th StreetAddressLine1Txt
CityTopekaCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonThomas L BellPersonNm
Person TitlePresidentPersonTitleTxt
Phone7852337436PhoneNum
Signature2016-04-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEric L OttingPreparerPersonNm
PTINP00298454PTIN
Phone7852334226PhoneNum
Preparation2016-04-22PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerThomas L BellPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1215 SE 8th StreetAddressLine1Txt
CityTopekaCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,618,584GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.KHA-NET.ORGWebsiteAddressTxt
Type Of Organization AssocYes (X)TypeOfOrganizationAssocInd
Formation1949FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionTo promote the health and welfare of the people through the development of hospitals and the improvement in the operation of hospitals.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent21VotingMembersIndependentCnt
Total Employee36TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI-$1,618TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$5,509NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$3,838,777PYProgramServiceRevenueAmt
CY Program Service Revenue$3,928,741CYProgramServiceRevenueAmt
PY Investment Income$330,602PYInvestmentIncomeAmt
CY Investment Income$536,091CYInvestmentIncomeAmt
PY Other Revenue$176,079PYOtherRevenueAmt
CY Other Revenue$277,928CYOtherRevenueAmt
PY Total Revenue$4,345,458PYTotalRevenueAmt
CY Total Revenue$4,742,760CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,153,399PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,374,525CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,144,490PYOtherExpensesAmt
CY Other Expenses$1,848,139CYOtherExpensesAmt
PY Total Expenses$4,297,889PYTotalExpensesAmt
CY Total Expenses$4,222,664CYTotalExpensesAmt
PY Revenues Less Expenses$47,569PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$520,096CYRevenuesLessExpensesAmt
Total Assets BOY$13,007,657TotalAssetsBOYAmt
Total Assets EOY$13,191,694TotalAssetsEOYAmt
Total Liabilities BOY$3,146,740TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,344,697TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,860,917NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,846,997NetAssetsOrFundBalancesEOYAmt
MissionThe vision of the Association is to be an organization of hospitals working together to improve access, quality and the affordability of health care for all Kansans.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescTo promote the health and welfare of the people through the development of hospitals and the improvement in the operation of hospitals.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy TaxYes (1)SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document28IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee36EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member21IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Steve PoageBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7852337436PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1215 SE 8th StreetAddressLine1Txt
CityTopekaCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66603ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Thomas L Bell
President33.606.40Yes (X)Yes (X)$469,785$0$34,060
Steven G Kelly
Chairperson0.00Yes (X)Yes (X)$0$0$0
Mark A Miller
Chairperson-Elect0.00Yes (X)Yes (X)$0$0$0
Scott J Taylor
Treasurer0.00Yes (X)Yes (X)$0$0$0
Melissa Atkins
Director0.00Yes (X)Yes (X)$0$0$0
Gayle Arnett
Director0.00Yes (X)$0$0$0
Dennis Hachenberg
Director0.00Yes (X)$0$0$0
Reta Baker
Director0.00Yes (X)$0$0$0
John R Broberg
Director0.00Yes (X)$0$0$0
Craig A Concannon MD
Director0.00Yes (X)$0$0$0
Leslie Lacy
Director0.00Yes (X)$0$0$0
John Moore
Director0.00Yes (X)$0$0$0
JuliAnn Mazachek
Director0.00Yes (X)$0$0$0
Bob Page
Director0.00Yes (X)$0$0$0
Jani Johnson
Director0.00Yes (X)$0$0$0
Lori Penner
Director0.00Yes (X)$0$0$0
Randall L Peterson
Director0.00Yes (X)$0$0$0
Roger A Masse
Director0.00Yes (X)$0$0$0
John Jacobson
Director0.00Yes (X)$0$0$0
Dennis Franks
Director0.00Yes (X)$0$0$0
Sherri L Vaughn
Director0.00Yes (X)$0$0$0
Steve Poage
Vice President/CFO17.2022.80Yes (X)$206,770$0$26,122
Melissa Hungerford
Executive Vice President27.2012.80$231,242$0$28,546Yes (X)
Dennis George
CEO - APS40.00$213,026$0$24,173Yes (X)
Chad Austin
Sr VP, Government Relation40.00$157,591$0$19,272Yes (X)
Deborah Stern
VP, Clinical Services/Lega35.604.40$162,987$0$17,334Yes (X)
Kathy Branyon
Senior Vice President40.00$156,990$0$16,399Yes (X)
Lisa Love
Senior Director40.00$121,439$0$11,110Yes (X)
Jan O'Brien
VP, Workforce Solutions40.00$112,341$0$16,338Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,832,171TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$193,354TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Membership Dues and Assessments900099$3,047,938$3,047,938
Convention900099$381,521$381,521
Education-Leadership900099$213,679$213,679
Data Services900099$127,171$127,171
Representation900099$86,441$86,441

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$71,991TotalRevenueColumnAmt
Related Or Exempt Func Income$71,991RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,928,741TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$172,697TotalRevenueColumnAmt
Exclusion$172,697ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$41,373RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$48,404RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$7,031RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$7,031TotalRevenueColumnAmt
Unrelated Business Revenue-$1,618UnrelatedBusinessRevenueAmt
Exclusion-$5,413ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,160,404SecuritiesAmt
Other$30,410OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,787,071SecuritiesAmt
Other$40,349OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$373,333SecuritiesAmt
Other-$9,939OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$363,394TotalRevenueColumnAmt
Related Or Exempt Func Income-$9,939RelatedOrExemptFuncIncomeAmt
Exclusion$373,333ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Income from K-1's900099$284,209$284,209
Miscellaneous900099$750$750
FieldValueIRS element (for citing)
Other Revenue Total$284,959OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,742,760TotalRevenueColumnAmt
Related Or Exempt Func Income$4,203,761RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$1,618UnrelatedBusinessRevenueAmt
Exclusion$540,617ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,132,454TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$771,755TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$150,743TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$206,577TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$112,996TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$47,902TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$55,625TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$29,289TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$229,520TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$13,014TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$79,176TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,451TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
Income Taxes$294
Data Services$278,691
Consultants$257,551
Contractual Services$202,039

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$641,587TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,222,664TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$200BOYAmt
EOY$200EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,269,261BOYAmt
EOY$1,910,433EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$25,071BOYAmt
EOY$9,269EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$13,908BOYAmt
EOY$12,265EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,358,885LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$886,094LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$451,617BOYAmt
EOY$472,791EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,614,131BOYAmt
EOY$4,241,236EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$5,626,891BOYAmt
EOY$6,541,814EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,578BOYAmt
EOY$3,686EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,007,657BOYAmt
EOY$13,191,694EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$964,961BOYAmt
EOY$984,461EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,546,189BOYAmt
EOY$1,656,689EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$635,590BOYAmt
EOY$703,547EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,146,740BOYAmt
EOY$3,344,697EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,860,917BOYAmt
EOY$9,846,997EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,860,917BOYAmt
EOY$9,846,997EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,007,657BOYAmt
EOY$13,191,694EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$520,096ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$590,133NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$56,117OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Substantially All Dues Nonded0SubstantiallyAllDuesNondedInd
Only In House Lobbying0OnlyInHouseLobbyingInd
Agree Carryover Prior Year0AgreeCarryoverPriorYearInd
Dues Assessments$3,047,938DuesAssessmentsAmt
Non Deductible Lbbyng Pltcl CY$500,204NonDeductibleLbbyngPltclCYAmt
Non Deductible Lbbyng Pltcl Tot$500,204NonDeductibleLbbyngPltclTotAmt
Aggregate Reported Dues Ntc$637,019AggregateReportedDuesNtcAmt
Taxable-$136,815TaxableAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,405OtherCostOrOtherBasisAmt
Book Value$11,405BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$770,731OtherCostOrOtherBasisAmt
Depreciation$507,610DepreciationAmt
Book Value$263,121BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$434,347OtherCostOrOtherBasisAmt
Depreciation$333,491DepreciationAmt
Book Value$100,856BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$142,402OtherCostOrOtherBasisAmt
Depreciation$44,993DepreciationAmt
Book Value$97,409BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$472,791TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Investment in Subsidiary$3,153,721C
Accrued Interest Receivable$30,574C
Certificates of Deposit$3,092,353F
Deferred Compensation Contract$265,166F
FieldValueIRS element (for citing)
Total Book Value Securities$6,541,814TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Deferred Compensation Payable$265,166
Due to Kansas Health Service Corporation$22,305
Due to Kansas Hospital Education & Research Foundation$63,180
Due to American Hospital Association$352,896
FieldValueIRS element (for citing)
Total Liability$703,547TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$4,257,148TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$590,133NetUnrealizedGainsInvstAmt
Other Revenue$56,117OtherRevenueAmt
Revenue Not Reported-$534,016RevenueNotReportedAmt
Revenue Subtotal$4,791,164RevenueSubtotalAmt
Other Revenues Not Included-$48,404OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$48,404RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,742,760TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,271,068TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$48,404OtherExpensesIncludedAmt
Expenses Not Reported$48,404ExpensesNotReportedAmt
Expenses Subtotal$4,222,664ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$4,222,664TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X, Line 2:Management is not aware of any uncertain tax positions.
Part XI, Line 2d - Other Adjustments:Equity in Net Income of Subsidiaries 56,117.
Part XI, Line 4b - Other Adjustments:Rental and Sublease Expenses -48,404.
Part XII, Line 2d - Other Adjustments:Rental and Sublease Expenses 48,404.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Thomas L Bell
President$381,662$0$76,510$0$11,613$0$31,840$0$2,220$0$503,845$0$0$0
Steve Poage
Vice President/CFO$179,904$0$22,300$0$4,566$0$23,636$0$2,486$0$232,892$0$0$0
Melissa Hungerford
Executive Vice President$202,076$0$19,920$0$9,246$0$25,996$0$2,550$0$259,788$0$0$0
Dennis George
CEO - APS$170,134$0$41,650$0$1,242$0$24,173$0$0$0$237,199$0$0$0
Chad Austin
Sr VP, Government Relation$141,039$0$12,085$0$4,467$0$16,594$0$2,678$0$176,863$0$0$0
Deborah Stern
VP, Clinical Services/Lega$146,630$0$12,985$0$3,372$0$17,114$0$220$0$180,321$0$0$0
Kathy Branyon
Senior Vice President$135,310$0$20,975$0$705$0$16,297$0$102$0$173,389$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11Reviewed by the Board of Directors.
Form 990, Part VI, Section B, line 12cThe Organization has a compliance officer and has approved an internal audit process.
Form 990, Part VI, Section B, line 15Outside 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 19The Organization provides its governing documents, conflict of interest policy, and financial statements to the public if asked.
Form 990, Part IX, line 24eSeminar Expenses 185,286. Speakers 151,835. Gifts 74,797. Equipment Rental & Maintenance 45,107. Supplies 38,020. Telephone 30,047. Printing & Publications 20,507. Auto 17,704. Postage & Shipping 16,299. Subscriptions and Dues 15,572. Taxes 14,820. Marketing 10,281. Miscellaneous 9,034. Allied Programs 8,752. Promotional 3,526.
Form 990, Part XI, line 9:Gain on investment in subsidiaries 56,117.
990 Page 11 Part XI 2cAudit commitee assumes the reponsibility and meets with the auditor annually.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1The Kansas Hospital Educational and Research FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1215 SE 8th StreetAddressLine1Txt
CityTopekaCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66603ZIPCd
FieldValueIRS element (for citing)
EIN237058598EIN
Primary ActivitiesProvide education to KS hospitals & their employees; and scholarships.PrimaryActivitiesTxt
Legal Domicile StateKSLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLine 9 Public suppPublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Kansas Health Services CorporationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1215 SE 8th StreetAddressLine1Txt
CityTopekaCityNm
State AbbreviationKSStateAbbreviationCd
ZIP666033906ZIPCd
FieldValueIRS element (for citing)
EIN480991210EIN
Primary ActivitiesFacilitate Discount ServicesPrimaryActivitiesTxt
Legal Domicile StateKSLegalDomicileStateCd
Entity TypeCEntityTypeTxt
Share Of Total Income$77,378ShareOfTotalIncomeAmt
Share Of EOY Assets$1,292,095ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Kansas Health Services Corporation
N$20,000Lease agreement
Kansas Health Services Corporation
O$331,000Management fees