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KANSAS HOSPITAL ASSOCIATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
KANSAS HOSPITAL ASSOCIATION INC (EIN 48-0543786)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-03-26
IRS object ID
201220869349300602
Schema version
2011v1.2
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)
Timestamp2012-03-26T07:33:34-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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 Signed2012-03-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDarrell D LoydName
PTINP00204003PTIN
Phone7852334226Phone
Date Prepared2012-03-08DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts6178243GrossReceipts
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 Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees40TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI5690TotalGrossUBI
Net Unrelated Business Txbl Income12618NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3724275ProgramServiceRevenuePriorYear
Program Service Revenue CY3938633ProgramServiceRevenueCY
Investment Income Prior Year119911InvestmentIncomePriorYear
Investment Income Current Year345913InvestmentIncomeCurrentYear
Other Revenue Prior Year65394OtherRevenuePriorYear
Other Revenue Current Year107802OtherRevenueCurrentYear
Total Revenue Prior Year3909580TotalRevenuePriorYear
Total Revenue Current Year4392348TotalRevenueCurrentYear
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 Year1771331SalariesEtcPriorYear
Salaries Etc Current Year1858525SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1771345OtherExpensePriorYear
Other Expenses Current Year1816555OtherExpensesCurrentYear
Total Expenses Prior Year3542676TotalExpensesPriorYear
Total Expenses Current Year3675080TotalExpensesCurrentYear
Revenues Less Expenses Prior Year366904RevenuesLessExpensesPriorYear
Revenues Less Expenses CY717268RevenuesLessExpensesCY
Total Assets BOY9201034TotalAssetsBOY
Total Assets EOY9963817TotalAssetsEOY
Total Liabilities BOY2144116TotalLiabilitiesBOY
Total Liabilities EOY2370234TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7056918NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7593583NetAssetsOrFundBalancesEOY
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 With109626NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees40NumberOfEmployees
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 Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
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 (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Thomas L Bell
President29.20XX4018670101441
Lynn Doeden
Director0.00X000
Gayle Arnett
Director0.00X000
Dennis Hachenberg
Director0.00X000
Steve G Kelly
Director0.00X000
Brenda S McCants
Director0.00X000
Terry Deschaine
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
Steve Poage
Vice President/CFO15.20X167681021211
Leonard R Hernandez
Chairperson0.00X000
James H Reagan
Past Chairperson0.00X000
Victoria J Hahn
Treasurer0.00X000
Melissa Hungerford
Executive Vice President29.20221682031143X
Fred Lucky
Senior Vice President39.60164407018368X
Kathy Branyon
Senior Vice President40.00104857014301X
Deborah Stern
VP, Clinical Services/Lega34.40113114010948X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1173608TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation197412TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
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 As90009927271762727176
Convention900099372866372866
Data Services900099362266362266
Education-Leadership900099276164276164
Representation900099103606103606

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column96555TotalRevenueColumn
Related Or Exempt Function Income96555RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue3938633TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column141801TotalRevenueColumn
Exclusion$141,801ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real59862Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real48574Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real11288Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column11288TotalRevenueColumn
Unrelated Business Revenue5690UnrelatedBusinessRevenue
Exclusion$5,598ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1940298Securities
Other1135Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1734470Securities
Other2851Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities205828Securities
Other-1716Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column204112TotalRevenueColumn
Related Or Exempt Function Income-1716RelatedOrExemptFunctionIncome
Exclusion$205,828ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionIncome from K-1'sDescription
Business Code900099BusinessCode
Total Revenue Column96514TotalRevenueColumn
Related Or Exempt Function Income96514RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue96514TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4392348TotalRevenueColumn
Related Or Exempt Function Income4033431RelatedOrExemptFunctionIncome
Unrelated Business Revenue5690UnrelatedBusinessRevenue
Exclusion$353,227ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total849656Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total645696Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total129147Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total173077Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total60949Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total14123Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total59815Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total60913Total

Travel Travel

FieldValueIRS element (for citing)
Total226413Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total11353Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total48708Total

Insurance Insurance

FieldValueIRS element (for citing)
Total12580Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotal
Taxes7125
Data Services503279
Seminar Expenses214604
Consultants159285

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total498357Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3675080Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY200BOY
EOY200EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1282951BOY
EOY1490402EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY52123BOY
EOY169199EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY12198BOY
EOY5257EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1236320LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec734500LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY534381BOY
EOY501820EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3755932BOY
EOY3784063EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3563249BOY
EOY4012876EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9201034BOY
EOY9963817EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY757630BOY
EOY845371EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1270915BOY
EOY1410374EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY115571BOY
EOY114489EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2144116BOY
EOY2370234EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7056918BOY
EOY7593583EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7056918BOY
EOY7593583EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9201034BOY
EOY9963817EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses717268ReconcilationRevenueExpenses
Reconcilation Other Changes-180603ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Assessments2727176DuesAssessments
Non Ded Lobby Political Current267839NonDedLobbyPoliticalCurrent
Non Ded Lobby Political Total267839NonDedLobbyPoliticalTotal
Aggr Amt Reported In Dues Notices409076AggrAmtReportedInDuesNotices
Taxable-$141,237TaxableAmount

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
Depreciation377904Depreciation
Book Value367522BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis385005OtherCostOrOtherBasis
Depreciation317734Depreciation
Book Value67271BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis94484OtherCostOrOtherBasis
Depreciation38862Depreciation
Book Value55622BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings501820TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Investment in Subsidiary2249092C
Accrued Interest Receivable24356C
Certificates of Deposit1624939F
Deferred Compensation Contract114489F
FieldValueIRS element (for citing)
Total Of Book Value Securities4012876TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDeferred Compensation PayableDescription
Amount$114,489Amount
FieldValueIRS element (for citing)
Total Of Amounts114489TotalOfAmounts
Total Revenue4392348TotalRevenue
Total Expenses3675080TotalExpenses
Excess Or Deficit For Year717268ExcessOrDeficitForYear
Net Unrealized GL On Investments-307280NetUnrealizedGLOnInvestments
Other$126,677OtherAmount
Total Adjustments-180603TotalAdjustments
Excess Or Deficit Per FS536665ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4262036TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-307280NetUnrealizedGainsInvestments
Other Revenues126677OtherRevenues
Revenue Not Rptd F990-180603RevenueNotRptdF990
Revenue Subtotal4442639RevenueSubtotal
Other Revenues Not Included-50291OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-50291RevenueNotRptdOnFinStmt
Total Revenue Per Form9904392348TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3723655TotExpensesEtcAuditedFinclStmt
Other Expenses Included48575OtherExpensesIncluded
Expenses Not Rptd F99048575ExpensesNotRptdF990
Expenses Subtotal3675080ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9903675080TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
Part XI, Line 8 - Other Adjustments:Gain on investment in subsidiaries 126,677.
Part XI, Line 8 - Other Adjustments: Equity in net income of subsidiaries 126,677 Part XII, Line 2d - Other Adjustments: Equity in net income of subsidiaries 126,677 Part XII, Line 4b - Other Adjustments: Rental and sublease expenses (48,575) Loss on disposal of equipment ( 1,716) Part XIII, Line 2d - Other Adjustments: Rental and sublease expenses 48,575

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 (4 entries)

Base 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
326000042400033467099441020000503308000
Steve Poage
14488301600006798018611026000188892000
Melissa Hungerford
172633010000039049026143050000252825000
Fred Lucky
13268109000022726017068013000182775000

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 X, line 24fSpeakers: Total expenses 121,240. Contractual Services: Total expenses 75,492. Printing & Publications: Total expenses 51,484. Supplies: Total expenses 43,405. Telephone: Total expenses 39,915. Gifts: Total expenses 37,095. Subscriptions and Dues: Total expenses 25,616. Equipment Rental & Maintenance: Total expenses 23,831. Postage & Shipping: Total expenses 20,084. Marketing: Total expenses 18,617. Auto: Total expenses 16,419. Taxes: Total expenses 14,080. Miscellaneous: Total expenses 13,224. Promotional: Total expenses 2,337. Allied Programs: Total expenses -4,482.All Other Functional Expenses
Form 990, Part XI, line 5:Net unrealized losses on investments: -307,280. Gain on investment in subsidiaries 126,677. Total to Form 990, Part XI, Line 5: -180,603.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 Income129814ShareOfTotalIncome
Share Of EOY Assets1021202ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
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
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
M29600Lease agreement
Kansas Health Services Corporation
N509000Acutal costs