KENTUCKY HOSPITAL ASSOCIATION: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- KENTUCKY HOSPITAL ASSOCIATION (EIN 61-0574577)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-05-11
- IRS object ID
- 202011329349300221
- Schema version
- 2018v3.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-05-11T09:58:58-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271235638 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCM CPAS & ADVISORS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 462 S FOURTH ST SUITE 2600 | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 402023445 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 610574577 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KENTUCKY HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KENT | BusinessNameControlTxt |
| Phone | 5024266220 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2501 NELSON MILLER PARKWAY | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40223 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NANCY GALVAGNI | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 5024266220 | PhoneNum |
| Signature | 2020-03-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ELEANOR A LIVINGSTON CPA MST | PreparerPersonNm |
| PTIN | P00226461 | PTIN |
| Phone | 5027491900 | PhoneNum |
| Preparation | 2020-03-25 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 69.135.99.226 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-03-25 | IPDt |
| IP Tm | 07:28:47 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 15395EE8A161B212B967FE21EE139055B7290B59 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 556A34B20EBD71BDE80FA4AD9917708082DBAC75 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | NANCY GALVAGNI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2501 NELSON MILLER PARKWAY | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40223 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,839,293 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.KYHA.COM | WebsiteAddressTxt |
| Type Of Organization Assoc | Yes (X) | TypeOfOrganizationAssocInd |
| Formation | 1954 | FormationYr |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Activity Or Mission | REPRESENT AND PROVIDE SERVICES TO KY HOSPITALS THAT ARE ACCOUNTABLE AND ORIENTED TO THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 24 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 23 | VotingMembersIndependentCnt |
| Total Employee | 26 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,041,785 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,990,641 | CYProgramServiceRevenueAmt |
| PY Investment Income | $273,434 | PYInvestmentIncomeAmt |
| CY Investment Income | $234,476 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,493,741 | PYOtherRevenueAmt |
| CY Other Revenue | $1,169,950 | CYOtherRevenueAmt |
| PY Total Revenue | $7,808,960 | PYTotalRevenueAmt |
| CY Total Revenue | $7,395,067 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $190,514 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $13,200 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,418,020 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,698,944 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,500,878 | PYOtherExpensesAmt |
| CY Other Expenses | $2,464,105 | CYOtherExpensesAmt |
| PY Total Expenses | $7,109,412 | PYTotalExpensesAmt |
| CY Total Expenses | $7,176,249 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $699,548 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $218,818 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $19,607,273 | TotalAssetsBOYAmt |
| Total Assets EOY | $20,222,825 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,947,599 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,086,712 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,659,674 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,136,113 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF THE ASSOCIATION SHALL BE TO SERVE AS AN ASSOCIATION THAT REPRESENTS AND SERVES HOSPITALS, RELATED HEALTH CARE ORGANIZATIONS AND INTEGRATED HEALTH CARE SYSTEMS THAT ARE ACCOUNTABLE TO THE COMMUNITY AND ORIENTED TOWARD COMMUNITY HEALTH IMPROVEMENT. WHERE APPROPRIATE, THE ASSOCIATION WILL SEEK TO INVOLVE OTHER HEALTH CARE FACILITIES, PHYSICIAN GROUPS AND OTHER MEDICAL PROFESSIONAL CORPORATIONS, HEALTH PLANS AND OTHER INTEGRATORS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Desc | ON THE FEDERAL LEVEL, CONTINUED TO MONITOR AND ANALYZE LEGISLATION AND REGULATIONS AFFECTING HOSPITALS AND PROVIDED COMMENTS ON HOSPITAL-RELATED REGULATIONS AND INFORMED THE MEMBERSHIP. MONITORED AND PROVIDED COMMENTS ON CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) OUTPATIENT AND INPATIENT PROSPECTIVE PAYMENT SYSTEM RULES AND WAGE INDEX CHANGES. ON AN ON-GOING BASIS, KHA WORKS WITH THE KENTUCKY CABINET FOR HEALTH AND FAMILY SERVICES ON ISSUES RELATED TO THE KENTUCKY MEDICAID PROGRAM AND THE MEDICAID MANAGED CARE ORGANIZATIONS ("MCO") RELEVANT TO A MEDICAID 1115 WAIVER PROPOSAL, EMERGENCY ROOM TRIAGE FEES, MENTAL HEALTH PARITY AND VARIOUS ADMINISTRATIVE PROCEDURES. MONTHLY MEETINGS BETWEEN MEMBERS AND MEDICAID MCOS CONTINUE TO ADDRESS PROBLEMS HOSPITALS EXPERIENCE WITH MANAGED CARE. EFFORTS CONTINUE WITH THE DEPARTMENT FOR MEDICAID SERVICES TO MODEL A NEW DISPROPORTIONATE SHARE SYSTEM FOR HOSPITAL PAYMENTS.KHA MAINTAINED THE STATE DATA CONTRACT FOR COLLECTION OF BOTH INPATIENT AND OUTPATIENT DATA AND CONTINUED THE KENTUCKY BIRTH SURVEILLANCE CONTRACT. REPORTS ARE PRODUCED UTILIZING THE DATA INCLUDING REPORTS TO ASSIST HOSPITALS IN ADDRESSING HOSPITAL READMISSIONS AND DASHBOARD REPORTS DESIGNED TO PROVIDE A HOSPITAL-SPECIFIC SUMMARY FOR EACH MEMBER. THE ECONOMIC IMPACT STUDY FOR EACH KENTUCKY HOSPITAL, WHICH DEMONSTRATES THE VALUE OF THE HOSPITAL TO ITS COMMUNITY, WAS UPDATED. PROVIDED EDUCATIONAL, INFORMATIONAL AND NETWORKING FORUMS FOR MEMBERS TO DISCUSS CURRENT ISSUES OF INTEREST TO MEMBERS. PREPARED AND DISTRIBUTED INFORMATION TO MEMBERS ON CURRENT HEALTH CARE TOPICS.THROUGH THE KENTUCKY HOSPITAL ENGAGEMENT NETWORK AND KENTUCKY HOSPITAL IMPROVEMENT INNOVATION NETWORK, KHA STAFF IS WORKING WITH KENTUCKY HOSPITALS TO REDUCE HARM AND IMPROVE PATIENT SAFETY AND QUALITY IN 90 PARTICIPATING KENTUCKY HOSPITALS. THESE HOSPITALS ARE VOLUNTARILY PARTICIPATING IN COLLABORATIVES TO REDUCE FALLS, PRESSURE ULCERS, CENTRAL LINE ASSOCIATED BLOOD STREAM INFECTIONS, CATHETER-ASSOCIATED URINARY TRACT INFECTIONS, READMISSIONS AND OTHER CLINICAL AND CULTURAL IMPROVEMENT AREAS. REGULAR COACHING/TRAINING WEBINARS ARE HELD TO ASSIST HOSPITALS IN THIS ENDEAVOR. PARTICIPATING KENTUCKY HOSPITALS HAVE REACHED NATIONAL IMPROVEMENT GOALS IN FIVE AREAS AND CONTINUE TO WORK TO REACH PROJECT GOALS IN OTHER AREAS BY THE END OF THE PROJECT.PROVIDE OVERSIGHT AND SUPPORT STAFF SERVICES FOR THE ACTIVITIES OF THE KENTUCKY HOSPITAL RESEARCH AND EDUCATION FOUNDATION ("KHREF") AND KENTUCKY INSTITUTE FOR PATIENT SAFETY AND QUALITY ("KIPSQ").MONITOR AND PROVIDE COMMENTS AND RECOMMENDATIONS ON KENTUCKY LAWS AND REGULATIONS THAT HAVE AN IMPACT ON HOSPITALS AND HEALTH CARE. KEEP MEMBERS INFORMED REGARDING COMPLIANCE WITH KENTUCKY HEALTH STATUTES. | Desc |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | Yes (1) | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 27 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 26 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 24 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 23 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | APRIL SMITH VICE PRESIDENTFINANCE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5024266220 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2501 NELSON MILLER PARKWAY | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40223 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| MICHAEL T RUST | |||||||||
| PRESIDENT | 31.00 | 9.00 | Yes (X) | Yes (X) | $1,009,771 | $0 | $65,465 | ||
| JANE WHEATLEY | |||||||||
| BOARD CHAIR | 1.00 | 0.60 | Yes (X) | Yes (X) | $500 | $300 | $0 | ||
| JEROME PENNER | |||||||||
| IMMEDIATE PAST CHAIR | 2.00 | 0.60 | Yes (X) | Yes (X) | $500 | $300 | $0 | ||
| WILLIAM HAUGH | |||||||||
| TREASURER | 1.00 | 0.60 | Yes (X) | Yes (X) | $500 | $0 | $0 | ||
| GARREN COLVIN | |||||||||
| BOARD CHAIR-ELECT | 0.30 | 0.60 | Yes (X) | Yes (X) | $500 | $100 | $0 | ||
| SUSAN STARLING | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL SLUSHER | |||||||||
| TRUSTEE | 0.30 | Yes (X) | $500 | $0 | $0 | ||||
| DAVID ANDERSON | |||||||||
| TRUSTEE | 0.20 | Yes (X) | $500 | $0 | $0 | ||||
| MICHAEL SHERROD | |||||||||
| TRUSTEE | 0.30 | Yes (X) | $500 | $0 | $0 | ||||
| PHILLIP CHANG MD | |||||||||
| TRUSTEE | 0.20 | Yes (X) | $500 | $0 | $0 | ||||
| WAYNE MERIWETHER | |||||||||
| TRUSTEE | 0.30 | 0.20 | Yes (X) | $500 | $0 | $0 | |||
| HARRY BERRY | |||||||||
| TRUSTEE | 0.30 | Yes (X) | $500 | $0 | $0 | ||||
| MICHAEL YUNGMANN | |||||||||
| TRUSTEE | 0.30 | Yes (X) | $500 | $0 | $0 | ||||
| LORI JARBOE | |||||||||
| TRUSTEE | 0.30 | Yes (X) | $500 | $0 | $0 | ||||
| JOHN HOLLINSWORTH | |||||||||
| TRUSTEE THRU 7/18 | 0.50 | Yes (X) | $500 | $0 | $0 | ||||
| DOUGLAS WINKELHAKE | |||||||||
| TRUSTEE | 0.20 | Yes (X) | $500 | $0 | $0 | ||||
| NINA EISNER | |||||||||
| TRUSTEE | 0.30 | Yes (X) | $500 | $0 | $0 | ||||
| KATHY STUMBO | |||||||||
| TRUSTEE | 0.30 | Yes (X) | $500 | $0 | $0 | ||||
| HAROLD WARMAN | |||||||||
| TRUSTEE | 0.30 | 0.20 | Yes (X) | $500 | $300 | $0 | |||
| LARRY PEAL | |||||||||
| TRUSTEE THRU 7/18 | 0.30 | Yes (X) | $500 | $0 | $0 | ||||
| BRUCE TASSIN | |||||||||
| TRUSTEE | 0.30 | Yes (X) | $500 | $0 | $0 | ||||
| ERIKA SKULA | |||||||||
| TRUSTEE THRU 9/18 | 0.30 | Yes (X) | $0 | $0 | $0 | ||||
| MARK NEWMAN | |||||||||
| TRUSTEE | 0.30 | Yes (X) | $500 | $0 | $0 | ||||
| KEN MARSHALL | |||||||||
| TRUSTEE | 0.30 | Yes (X) | $500 | $0 | $0 | ||||
| DENNIS JOHNSON | |||||||||
| ALTERNATE | 0.20 | Yes (X) | $500 | $0 | $0 | ||||
| NANCY GALVAGNI | |||||||||
| SR. VICE PRESIDENT | 36.00 | 4.00 | $300,381 | $0 | $55,691 | Yes (X) | |||
| SARAH S NICHOLSON | |||||||||
| VP/GOVERNMENT RELATIONS | 40.00 | $283,990 | $0 | $28,969 | Yes (X) | ||||
| CHARLES WARNICK | |||||||||
| VP/DATA ANALYSIS & PLANNIN | 40.00 | $192,264 | $0 | $26,369 | Yes (X) | ||||
| ELIZABETH COBB | |||||||||
| VP/HEALTH POLICY THRU 6/19 | 30.00 | 10.00 | $219,359 | $0 | $25,557 | Yes (X) | |||
| DONNA MEADOR | |||||||||
| DIR/QUALITY & HEALTH PROFE | 34.00 | 6.00 | $125,542 | $0 | $21,632 | Yes (X) | |||
| APRIL SMITH | |||||||||
| VP/FINANCE | 18.00 | 22.00 | $130,865 | $0 | $20,871 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,273,172 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,000 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $244,554 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WITTKIEFFER INC | |||||
| 2015 SPRING ROAD | OAK BROOK | IL | 60523 | EXECUTIVE SEARCH FIRM | $171,493 |
| BARNETT BENVENUTI & BUTLER | |||||
| 489 EAST MAIN STREET SUITE 300 | LEXINGTON | KY | 40507 | LEGAL SERVICES | $136,806 |
| HEALTH MANAGEMENT ASSOCIATES | |||||
| 120 N WASHINGTON SQUARE | LANSING | MI | 48933 | CONSULTING | $102,305 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEMBERSHIP DUES | 999999 | $4,486,080 | $4,486,080 |
| KHIIN REVENUE | 999999 | $1,243,173 | $1,243,173 |
| DATA SERVICES | 999999 | $248,543 | $248,543 |
| AHA FEES | 999999 | $12,845 | $12,845 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,990,641 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $235,157 | TotalRevenueColumnAmt |
| Exclusion | $235,157 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $441,145 | SecuritiesAmt |
| Other | $2,400 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $444,226 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$3,081 | SecuritiesAmt |
| Other | $2,400 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$681 | TotalRevenueColumnAmt |
| Exclusion | -$681 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PROFESSIONAL SERVICES | 999999 | $1,032,772 | $1,032,772 |
| SUBSIDIARY INCOME | 999999 | $137,178 | $137,178 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,169,950 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,395,067 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,160,591 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $234,476 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,200 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,442,308 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,485,427 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $342,698 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $236,948 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,563 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,156 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,881 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,000 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,344 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $430,755 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,152 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,690 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,266 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $224,471 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,227 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,896 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,388 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt |
|---|---|
| K-HIIN INITIATIVE | $662,419 |
| DATA SERVICE EXPENSE | $310,053 |
| MEMBER/EMPLOYEE/PUBLIC | $51,723 |
| ASSOCIATION & STAFF DUE | $27,684 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,176,249 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500 | BOYAmt |
| EOY | $500 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $604,880 | BOYAmt |
| EOY | $485,981 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $257,003 | BOYAmt |
| EOY | $230,597 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,828 | BOYAmt |
| EOY | $12,711 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $714,676 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $654,947 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,075 | BOYAmt |
| EOY | $59,729 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,998,175 | BOYAmt |
| EOY | $6,276,373 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,792,834 | BOYAmt |
| EOY | $6,930,019 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,930,978 | BOYAmt |
| EOY | $6,226,915 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,607,273 | BOYAmt |
| EOY | $20,222,825 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $817,537 | BOYAmt |
| EOY | $1,038,256 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,643,277 | BOYAmt |
| EOY | $1,649,460 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,486,785 | BOYAmt |
| EOY | $1,398,996 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,947,599 | BOYAmt |
| EOY | $4,086,712 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,659,674 | BOYAmt |
| EOY | $16,136,113 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,659,674 | BOYAmt |
| EOY | $16,136,113 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,607,273 | BOYAmt |
| EOY | $20,222,825 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $218,818 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $257,621 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantially All Dues Nonded | 0 | SubstantiallyAllDuesNondedInd |
| Only In House Lobbying | 0 | OnlyInHouseLobbyingInd |
| Agree Carryover Prior Year | Yes (1) | AgreeCarryoverPriorYearInd |
| Dues Assessments | $4,486,080 | DuesAssessmentsAmt |
| Non Deductible Lbbyng Pltcl CY | $678,891 | NonDeductibleLbbyngPltclCYAmt |
| Non Deductible Lbbyng Pltcl Tot | $678,891 | NonDeductibleLbbyngPltclTotAmt |
| Aggregate Reported Dues Ntc | $677,398 | AggregateReportedDuesNtcAmt |
| Carried Over | $1,493 | CarriedOverAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $650,176 | OtherCostOrOtherBasisAmt |
| Depreciation | $590,447 | DepreciationAmt |
| Book Value | $59,729 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $64,500 | OtherCostOrOtherBasisAmt |
| Depreciation | $64,500 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $59,729 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN AFFILIATE | Desc |
| Book Value | $6,930,019 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $6,930,019 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEFERRED COMP. PLAN ASSETS | $1,391,322 |
| CAPITAL RESERVE FUND | $4,590,697 |
| ACCRUED INTEREST RECEIVABLE | $17,506 |
| AFFILIATES RECEIVABLE | $227,390 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $6,226,915 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| CUSTODIAL FUNDS | $4,601 |
| DEFERRED COMP. PLAN LIABILITIES | $1,391,322 |
| AFFILIATES PAYABLE | $3,073 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,398,996 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | KENTUCKY HOSPITAL ASSOCIATION (KHA) IS A NONPROFIT CORPORATION AS DEFINED BY THE INTERNAL REVENUE SERVICE AND, THEREFORE, IS NOT SUBJECT TO INCOME TAX, OTHER THAN FOR ANY UNRELATED BUSINESS INCOME. THE ASSOCIATION RECOGNIZES UNCERTAIN INCOME TAX POSITIONS USING THE "MORE-LIKELY-THAN-NOT" APPROACH AS DEFINED IN THE ACCOUNTING STANDARDS CODIFICATION. NO LIABILITY FOR UNCERTAIN TAX POSITIONS HAS BEEN RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | KHIIN MILESTONE PROGRAM | GrantTypeTxt |
| Recipient | 60 | RecipientCnt |
| Cash Grant | $13,200 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION MAINTAINS RECORDS OF THE AMOUNT OF GRANTS THEY AWARD TO KENTUCKY HOSPITALS THROUGH THE K-HIIN PROGRAM. THE K-HIIN IS A QUALITY IMPROVEMENT PROGRAM FOR KENTUCKY HOSPITALS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL T RUST | ||||||||||||||
| PRESIDENT | $601,956 | $0 | $202,257 | $0 | $205,558 | $0 | $37,125 | $0 | $28,340 | $0 | $1,075,236 | $0 | $0 | $0 |
| NANCY GALVAGNI | ||||||||||||||
| SR. VICE PRESIDENT | $251,452 | $0 | $40,182 | $0 | $8,747 | $0 | $36,989 | $0 | $18,702 | $0 | $356,072 | $0 | $0 | $0 |
| SARAH S NICHOLSON | ||||||||||||||
| VP/GOVERNMENT RELATIONS | $228,631 | $0 | $30,000 | $0 | $25,359 | $0 | $27,270 | $0 | $1,699 | $0 | $312,959 | $0 | $0 | $0 |
| CHARLES WARNICK | ||||||||||||||
| VP/DATA ANALYSIS & PLANNIN | $173,520 | $0 | $17,182 | $0 | $1,562 | $0 | $13,133 | $0 | $13,236 | $0 | $218,633 | $0 | $0 | $0 |
| ELIZABETH COBB | ||||||||||||||
| VP/HEALTH POLICY THRU 6/19 | $188,757 | $0 | $30,182 | $0 | $420 | $0 | $12,480 | $0 | $13,077 | $0 | $244,916 | $0 | $0 | $0 |
| APRIL SMITH | ||||||||||||||
| VP/FINANCE | $110,465 | $0 | $20,194 | $0 | $206 | $0 | $9,008 | $0 | $11,863 | $0 | $151,736 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE COMPANY CHARTERS FLIGHTS AS NEEDED FOR VARIOUS EMPLOYEES WHEN THE NATURE OF THE TRAVEL TO RURAL PARTS OF KENTUCKY AND TIME CONSTRAINTS REQUIRES QUICKER TRAVEL THAN AVAILABLE BY CAR. THE PRESIDENT'S CONTRACT INCLUDES TRAVEL BY HIS SPOUSE TO VARIOUS MEETINGS. VALUE OF THIS TRAVEL IS INCLUDED ON THE PRESIDENT'S W-2. THE ASSOCIATION MAINTAINS MEMBERSHIP IN SOCIAL CLUBS TO USE MEETING SPACE AND ENTERTAIN MEMBERS/GUESTS. ANY PERSONAL EXPENSES INCURRED BY THE PRESIDENT ARE REIMBURSED TO THE ASSOCIATION. |
| PART I, LINES 4A-B | MICHAEL T. RUST CONTRIBUTED $55,484 TO A 457(B) RETIREMENT PLAN. SARAH NICHOLSON WAS TERMINATED ON 9/30/18 AND RECEIVED $108,948 IN SEVERANCE PAYMENT. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE KHA EXECUTIVE COMMITTEE HAS AUTHORITY TO ACT IN BETWEEN REGULARLY SCHEDULED BOARD MEETINGS. MINUTES AND ACTIONS OF THE EXECUTIVE COMMITTEE ARE SUBSEQUENTLY APPROVED BY THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS ARE HOSPITALS THAT PAY DUES TO BELONG TO THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THROUGH THEIR DISTRICTS, MEMBERS NOMINATE BOARD MEMBERS TO SERVE ON THE KHA BOARD WHO ARE THEN SUBSEQUENTLY APPROVED BY THE FULL MEMBERSHIP THROUGH MAILED BALLOT. |
| FORM 990, PART VI, SECTION A, LINE 7B | SPECIAL DUES ASSESSMENTS AND AMENDMENTS TO THE BYLAWS ARE SUBJECT TO THE REVIEW AND APPROVAL OF THE MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 11B | A DRAFT OF THE RETURN IS REVIEWED FIRST BY INTERNAL MANAGEMENT. AFTER INTERNAL MANAGEMENT HAS REVIEWED THE RETURN AND ANY CHANGES ARE MADE, A DRAFT IS PRESENTED TO THE FINANCE AND BUDGET COMMITTEE FOR REVIEW. AFTER THE REVIEW AND APPROVAL BY THE COMMITTEE, A COPY IS MADE AVAILABLE TO THE BOARD FOR REVIEW AND APPROVAL OF FORM 990 PRIOR TO ITS FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | STATEMENTS ARE REVIEWED BY THE COMPLIANCE OFFICER AND A STATEMENT IS INCLUDED ON THE AGENDA FOR EACH BOARD MEETING REMINDING MEMBERS OF THE CONFLICT OF INTEREST POLICY AND THE NEED TO DISCLOSE CONFLICTS AT THE TIME CONFLICTS ARISE. IF THE DISCLOSURE FORM REVEALS A SIGNIFICANT FINANCIAL INTEREST, IT WILL BE REVIEWED PROMPTLY BY THE INSTITUTIONAL OFFICIAL OR DESIGNEE FOR A DETERMINATION OF WHETHER IT CONSTITUTES A FINANCIAL CONFLICT OF INTEREST. IF A FINANCIAL CONFLICT OF INTEREST EXISTS, THE INSTITUTIONAL OFFICIAL WILL TAKE ACTION TO MANAGE THE FINANCIAL CONFLICT OF INTEREST INCLUDING THE REDUCTION OR ELIMINATION OF THE CONFLICT, AS APPROPRIATE. |
| FORM 990, PART VI, SECTION B, LINE 15 | AN INDEPENDENT CPA FIRM REVIEWS ANNUAL SALARY SURVEY AND INFORMATION PROVIDED FOR LIKE POSITIONS IN ASSOCIATIONS OF SIMILAR SIZE AND CONTIGUOUS TO KENTUCKY EVERY TWO YEARS AND ISSUES A LETTER SUBSTANTIATING THE REASONABLENESS OF COMPENSATION AND BENEFITS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PAGE 13, PART XII LINE 2C: | THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. KHA CONTINUES TO BE AUDITED AS PART OF THE KENTUCKY HOSPITAL ASSOCIATION CONSOLIDATED GROUP. KHA CONTINUES TO BE INCLUDED IN THE KENTUCKY HOSPITAL ASSOCIATION AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION STILL HAS AN AUDIT/FINANCE COMMITTEE THAT OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT AUDITOR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| KENTUCKY HOSPITAL RESEARCH & EDUCATION FOUNDATION INC | ||||||||||
| 2501 NELSON MILLER PARKWAY | LOUISVILLE | KY | 40223 | 616052378 | HEALTHCARE, CHARITABLE, RESEARCH AND EDUCATIONAL ACTIVITIES IN KENTUCKY | KY | 501(C)(3) | LINE 7 | KENTUCKY HOSPITAL ASSOCIATION | Yes (1) |
| KENTUCKY INSTITUTE FOR PATIENT SAFETY AND QUALITY INC | ||||||||||
| 2501 NELSON MILLER PARKWAY | LOUISVILLE | KY | 40223 | 264657040 | EDUCATING ORGANIZATIONS ON PATIENT SAFETY | KY | 501(C)(3) | LINE 10 | KENTUCKY HOSPITAL ASSOCIATION | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KENTUCKY HOSPITAL SERVICE COMPANY OF KENTUCKY LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2501 NELSON MILLER PARKWAY | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40223 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 611004776 | EIN |
| Primary Activities | PROVIDE INSURANCE/RISK MANAGEMENT SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | KY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KENTUCKY HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $2,743,337 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $5,402,230 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| KENTUCKY HOSPITAL SERVICE CO | ||
| K | $176,000 | ALLOCATION OF SPACE & EQUIP USE |
| KENTUCKY HOSPITAL SERVICE CO | ||
| O | $497,778 | ALLOCATED TIME OF SHARED EES |
| KY HOSPITAL RESEARCH AND EDUCATION FOUNDATION | ||
| O | $348,217 | ALLOCATED TIME OF SHARED EES |
| KENTUCKY HOSPITAL SERVICE CO | ||
| Q | $521,988 | ALLOCATED EXPENSE REIMBURSEMENT |
| KENTUCKY HOSPITAL SERVICE CO | ||
| O | $87,500 | ALLOCATED TIME OF SHARED EES |
| KY INSTITUTE FOR PATIENT SAFETY AND QUALITY | ||
| O | $186,777 | ALLOCATED TIME OF SHARED EES |
| KY INSTITUTE FOR PATIENT SAFETY AND QUALITY | ||
| P | $262,500 | ALLOCATED DATA REPORT FEE |
| KENTUCKY HOSPITAL SERVICE CO | ||
| P | ALLOCATED EXPENSE REIMBURSEMENT | |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R,PAGE 3, PART V | FormAndLineReferenceDesc |
| Explanation | KENTUCKY HOSPITAL ASSOCIATION (KHA), KENTUCKY HOSPITAL SERVICE COMPANY OF KENTUCKY, LLC (KHSC), KENTUCKY HOSPITAL RESEARCH AND EDUCATION FOUNDATION (KHREF) AND KENTUCKY INSTITUTE FOR PATIENT SAFETY AND QUALITY (KIPSQ) SHARE EXPENSES FOR EMPLOYEES. THE COMPANIES ALSO SHARE EXPENSES FOR OFFICE SUPPLIES, INSURANCE, AND OTHER OFFICE EXPENSES. THESE EXPENSES ARE PAID BY ONE ORGANIZATION AND THEN THE OTHER ORGANIZATIONS WILL REIMBURSE FOR THESE EXPENSES BASED ON THE REIMBURSEMENT PERCENTAGES DETERMINED AT THE BEGINNING OF EACH YEAR. THE REIMBURSEMENT PERCENTAGE IS BASED ON THE TOTAL NUMBER OF EMPLOYEES. | ExplanationTxt |
Comments