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KANSAS HOSPITAL ASSOCIATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
KANSAS HOSPITAL ASSOCIATION INC (EIN 48-0543786)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-04-03
IRS object ID
201330939349300518
Schema version
2012v2.1
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)
Timestamp2013-04-03T12:18:21-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN481026809EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Wendling Noe Nelson & Johnson LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1534 S Kansas Ave Suite 1500AddressLine1
CityTopekaCity
StateKSState
ZIP Code666033491ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN480543786EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Kansas Hospital AssociationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKANSNameControl
Phone7852337436Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1215 SE 8th StreetAddressLine1
CityTopekaCity
StateKSState
ZIP Code66601ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameThomas L BellName
TitlePresidentTitle
Phone7852337436Phone
Date Signed2013-03-25DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDarrell D LoydName
PTINP00204003PTIN
Phone7852334226Phone
Date Prepared2013-03-25DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonThomas L BellNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1215 SE 8th StreetAddressLine1
CityTopekaCity
StateKSState
ZIP Code66601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5740792GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.KHA-NET.ORGWebSite
Type Of Organization AssociationXTypeOfOrganizationAssociation
Year Formation1949YearFormation
State Legal DomicileKSStateLegalDomicile
Activity Or Mission DescriptionTo promote the health and welfare of the people through the development of hospitals and the improvement in the operation of hospitals.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees46TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI1503TotalGrossUBI
Net Unrelated Business Txbl Income2354NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3938633ProgramServiceRevenuePriorYear
Program Service Revenue CY4271609ProgramServiceRevenueCY
Investment Income Prior Year345913InvestmentIncomePriorYear
Investment Income Current Year231078InvestmentIncomeCurrentYear
Other Revenue Prior Year107802OtherRevenuePriorYear
Other Revenue Current Year96185OtherRevenueCurrentYear
Total Revenue Prior Year4392348TotalRevenuePriorYear
Total Revenue Current Year4598872TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1858525SalariesEtcPriorYear
Salaries Etc Current Year1979967SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1816555OtherExpensePriorYear
Other Expenses Current Year2014516OtherExpensesCurrentYear
Total Expenses Prior Year3675080TotalExpensesPriorYear
Total Expenses Current Year3994483TotalExpensesCurrentYear
Revenues Less Expenses Prior Year717268RevenuesLessExpensesPriorYear
Revenues Less Expenses CY604389RevenuesLessExpensesCY
Total Assets BOY9963817TotalAssetsBOY
Total Assets EOY10860777TotalAssetsEOY
Total Liabilities BOY2370234TotalLiabilitiesBOY
Total Liabilities EOY2280608TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7593583NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8580169NetAssetsOrFundBalancesEOY
Mission DescriptionThe 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTo promote the health and welfare of the people through the development of hospitals and the improvement in the operation of hospitals.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax1SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109639NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees46NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Steve PoageBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7852337436TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1215 SE 8th StreetAddressLine1
CityTopekaCity
StateKSState
ZIP Code66603ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Thomas L Bell
President32.407.60XX430229039462
Lynn Doeden
Director0.00X000
Gayle Arnett
Director0.00X000
Dennis Hachenberg
Director0.00X000
Steve G Kelly
Director0.00X000
Reta Baker
Director0.00X000
John R Broberg
Director0.00X000
JuliAnn Mazachek
Director0.00X000
Bob Page
Director0.00X000
Scott J Taylor
Director0.00X000
Mark A Miller
Director0.00X000
John Jacobson
Director0.00X000
Dennis Franks
Director0.00X000
Susan M Page
Director0.00X000
Craig A Concannon
Director0.00X000
Lori Penner
Director0.00X000
Hugh C Tappan
Director0.00X000
Steven D Wilkinson
Director0.00X000
Steve Poage
Vice President/CFO17.2022.80X192099027510
Leonard R Hernandez
Chairperson0.00X000
James H Reagan
Past Chairperson0.00X000
Victoria J Hahn
Treasurer0.00X000
Melissa Hungerford
Executive Vice President27.2012.80230339032720X
Dennis George
CEO - APS40.0016814501224X
Fred Lucky
Senior Vice President39.600.40167835023031X
Kathy Branyon
Senior Vice President40.00113469017822X
Deborah Stern
VP, Clinical Services/Lega34.405.60119733012361X
Chad Austin
Sr VP, Government Relations32.008.0010764009216X
Cindy Samuelson
VP, Member Services and Public Relations35.204.80100620011888X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1630109TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation175234TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Membership Dues and As90009927892042789204
Data Services900099432953432953
Convention900099392972392972
Education-Leadership900099333364333364
Representation900099237810237810

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column85306TotalRevenueColumn
Related Or Exempt Function Income85306RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4271609TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column189864TotalRevenueColumn
Exclusion$189,864ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real64648Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real63082Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1566Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1566TotalRevenueColumn
Unrelated Business Revenue1503UnrelatedBusinessRevenue
Exclusion$63ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1109687Securities
Other10365Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1068875Securities
Other9963Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities40812Securities
Other402Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column41214TotalRevenueColumn
Related Or Exempt Function Income402RelatedOrExemptFunctionIncome
Exclusion$40,812ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Income from K-1's9000999461794617
Miscellaneous90009922
FieldValueIRS element (for citing)
Total Other Revenue94619TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4598872TotalRevenueColumn
Related Or Exempt Function Income4366630RelatedOrExemptFunctionIncome
Unrelated Business Revenue1503UnrelatedBusinessRevenue
Exclusion$230,739ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1025750Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total551139Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total146725Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total160745Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total95608Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total41851Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total60233Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total86740Total

Travel Travel

FieldValueIRS element (for citing)
Total225259Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8973Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total58496Total

Insurance Insurance

FieldValueIRS element (for citing)
Total14906Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotal
Taxes4387
Data Services608017
Seminar Expenses218242
Consultants192122

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total495290Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3994483Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY200BOY
EOY200EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1490402BOY
EOY1375244EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY169199BOY
EOY33603EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5257BOY
EOY10788EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1302020LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec772201LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY501820BOY
EOY529819EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3784063BOY
EOY4303574EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY4012876BOY
EOY4607549EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9963817BOY
EOY10860777EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY845371BOY
EOY991585EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1410374BOY
EOY1165895EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY114489BOY
EOY123128EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2370234BOY
EOY2280608EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7593583BOY
EOY8580169EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7593583BOY
EOY8580169EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9963817BOY
EOY10860777EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses604389ReconcilationRevenueExpenses
Reconciliation Unrealized Invest249161ReconciliationUnrealizedInvest
Reconcilation Other Changes133036ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Substantially All Dues Nondeduct0SubstantiallyAllDuesNondeduct
Only In House Lobbying0OnlyInHouseLobbying
Agree To Carryover Prior Year0AgreeToCarryoverPriorYear
Dues Assessments2789204DuesAssessments
Non Ded Lobby Political Current246886NonDedLobbyPoliticalCurrent
Non Ded Lobby Political Total246886NonDedLobbyPoliticalTotal
Aggr Amt Reported In Dues Notices415591AggrAmtReportedInDuesNotices
Taxable-$168,705TaxableAmount

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis11405OtherCostOrOtherBasis
Book Value11405BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis745426OtherCostOrOtherBasis
Depreciation409776Depreciation
Book Value335650BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis404937OtherCostOrOtherBasis
Depreciation323800Depreciation
Book Value81137BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis140252OtherCostOrOtherBasis
Depreciation38625Depreciation
Book Value101627BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings529819TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Investment in Subsidiary2534575C
Accrued Interest Receivable28726C
Certificates of Deposit1921120F
Deferred Compensation Contract123128F
FieldValueIRS element (for citing)
Total Of Book Value Securities4607549TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDeferred Compensation PayableDescription
Amount$123,128Amount
FieldValueIRS element (for citing)
Total Of Amounts123128TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt5044151TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments249161NetUnrealizedGainsInvestments
Other Revenues133036OtherRevenues
Revenue Not Rptd F990382197RevenueNotRptdF990
Revenue Subtotal4661954RevenueSubtotal
Other Revenues Not Included-63082OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-63082RevenueNotRptdOnFinStmt
Total Revenue Per Form9904598872TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4057565TotExpensesEtcAuditedFinclStmt
Other Expenses Included63082OtherExpensesIncluded
Expenses Not Rptd F99063082ExpensesNotRptdF990
Expenses Subtotal3994483ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9903994483TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierExplanationExplanation
Part XI, Line 2d - Other Adjustments:Equity in Net Income of Subsidiaries
Part XI, Line 4b - Other Adjustments:Rental and Sublease Expenses
Part XII, Line 2d - Other Adjustments:Rental and Sublease Expenses
Part XI, Line 2d - Other Adjustments: Equity in net income of subsidiaries 133,036 Part XI, Line 4b - Other Adjustments: Rental and sublease expenses (63,082) Part XI I, Line 2d - Other Adjustments: Rental and sublease expenses 63,082

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Thomas L Bell
President333800061600034829035962035000469691000
Steve Poage
Vice President/CFO14887103559707631023610039000219609000
Melissa Hungerford
Executive Vice President165648018363046328027720050000263059000
Dennis George
CEO - APS167000000114501224000169369000
Fred Lucky
Senior Vice President125569013256029010019031040000190866000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 24eSpeakers: Total expenses 141,195. Contractual Services: Total expenses 81,966. Telephone: Total expenses 36,329. Supplies: Total expenses 36,256. Gifts: Total expenses 31,805. Equipment Rental & Maintenance: Total expenses 29,930. Printing & Publications: Total expenses 27,543. Auto: Total expenses 18,014. Allied Programs: Total expenses 17,657. Subscriptions and Dues: Total expenses 16,550. Miscellaneous: Total expenses 16,174. Postage & Shipping: Total expenses 14,923. Taxes: Total expenses 11,624. Marketing: Total expenses 10,724. Promotional: Total expenses 4,600.All Other Functional Expenses
Form 990, Part XI, line 9:Gain on investment in subsidiaries 133,036.Changes in Net Assets or Fund Balances:
990 Page 11 Part XI 2cAudit commitee assumes reponsibility.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1The Kansas Hospital Educational and Research FoundationBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1215 SE 8th StreetAddressLine1
CityTopekaCity
StateKSState
ZIP Code66603ZIPCode
FieldValueIRS element (for citing)
EIN237058598EIN
Primary ActivitiesProvide education to KS hospitals & their employees; and scholarships.PrimaryActivities
Legal Domicile StateKSLegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity StatusLine 9 Public suppPublicCharityStatus
Controlled Org0ControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Kansas Health Services CorporationBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1215 SE 8th StreetAddressLine1
CityTopekaCity
StateKSState
ZIP Code666033906ZIPCode
FieldValueIRS element (for citing)
EIN480991210EIN
Primary ActivityFacilitate Discount ServicesPrimaryActivity
Legal Domicile StateKSLegalDomicileState
Type Of EntityCTypeOfEntity
Share Of Total Income117431ShareOfTotalIncome
Share Of EOY Assets1071233ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Kansas Health Services Corporation
N29600Lease agreement
Kansas Health Services Corporation
O504000Acutal costs