2019-05-13T12:42:08-05:00 2018-12-31 BDO USA LLP 101 S HANLEY RD STE 800 ST LOUIS MO 63105 990 2018-01-01 431371659 Hospital Industry Data Institute % THE ORGANIZATION HOSP 5738933700 PO Box 60 Jefferson City MO 65102 HERB B KUHN PRESIDENT & CEO 5738933700 2019-05-15 true Mary Jane Pieroni CPA P00538772 3148891100 162.249.80.14 43992620191335000010 2019-05-13 P 8AF2F4F3E403001B6098C2E698CD2AF6D8B0137F 9EB42F3BC7C2CC3FBB991F8E4DE589016E403879 2018 2019-02-21 02:37:17Z HERB B KUHN PO Box 60 Jefferson City MO 65102 13644593 false X www.mhanet.com X 1985 MO See Schedule O. 31 30 29 49 224016 35995 1000000 1375000 4599577 5496190 67350 163789 0 895 5666927 7035874 0 0 0 0 2809793 2921873 0 0 0 2572120 3771354 5381913 6693227 285014 342647 7724130 8280023 1093574 1451761 6630556 6828262 To gather data for private and public hospitals; to provide data analysis and assemble various reports in order to assist facilities in conducting efficient operations; and to conduct special research projects for health care facilities. false false 5571046 0 6648069 Gathers data for private and public hospitals in Missouri, Alaska, Arkansas, Georgia, Illinois, Kansas, Oklahoma, Texas, Tennessee, Virginia, Washington, West Virginia and Wyoming and assembles various reports, which the hospitals utilize in order to conduct efficient operations. Additionally, HIDI provides data analysis and conducts research and special studies for health care facilities in Missouri, Alaska, Arkansas, Georgia, Illinois, Kansas, Oklahoma, Texas, Tennessee, Virginia, Washington, West Virginia, Wyoming, the Missouri Hospital Association, and other state partners. 5571046 true true false false false false false false false false true false false false true true true false false false false false false false false false false false false true false false false false false false false false false false false false false true true true true false true 12 0 true 29 true true true false false false false false false false false false false false X 31 30 false true false false true true false true true false false true true true true true true true true false X THE ORGANIZATION 5738933700 4712 COUNTRY CLUB DRIVE JEFFERSON CITY MO 651094541 X C Todd Ahrens FACHE Trustee 0.1 1.4 X 0 0 0 Donald J Babb Trustee 0.1 0.8 X 0 0 0 Kenneth W Bateman CPA MHA Trustee 0.1 1.0 X 0 0 0 Darrel Box ACHE Trustee 0.1 1.1 X 0 0 0 Jonathan Curtright Trustee 0.1 1.2 X 0 0 0 Jon D Doolittle Trustee 0.1 1.6 X 0 0 0 Melinda L Estes MD MBA Trustee 0.1 0.5 X 0 0 0 Tim Glasscock Trustee 0.1 1.1 X 0 0 0 Alan W Greimann Trustee 0.1 1.0 X 0 0 0 Randall D Haight MD Trustee 0.1 1.1 X 0 0 0 Candace Jennings FACHE Trustee 0.1 0.9 X 0 0 0 Thomas Keim Trustee 0.1 1.6 X 0 0 0 Paul Kempinski FACHE Trustee 0.1 0.5 X 0 0 0 Mel Lagarde Trustee 0.1 0.5 X 0 0 0 Mark Laney MD Trustee 0.1 0.7 X 0 0 0 John Christopher Lang FACHE Trustee 0.1 1.3 X 0 0 0 Richard J Liekweg Trustee 0.1 0.9 X 0 0 0 William K Mahoney FACHE Trustee 0.1 1.0 X 0 0 0 Randall L O'Donnell PhD Trustee 0.1 0.5 X 0 0 0 Julie L Quirin FACHE Trustee 0.1 1.2 X 0 0 0 Maryann L Reese DHA MHA RN Trustee 0.1 0.9 X 0 0 0 Peggy F Schmitt Trustee 0.1 1.0 X 0 0 0 Charles Shields Trustee 0.1 1.1 X 0 0 0 Jon D Swope Trustee 0.1 0.5 X 0 0 0 Laureen K Tanner MSN RN FACHE Trustee 0.1 0.6 X 0 0 0 Jeff A Tindle MHA Trustee 0.1 1.4 X 0 0 0 Herb B Kuhn President and CEO 9.6 50.4 X X 0 967299 244285 Jeffrey A Johnston Chair 0.2 2.3 X X 0 0 0 Steven D Edwards Chair Elect 0.1 1.4 X X 0 0 0 Patrick E Carron Past Chair 0.1 2.0 X X 0 0 0 Christine M Candio CHE Treasurer 0.2 1.6 X X 0 0 0 Paula F Baker Secretary 0.1 0.8 X X 0 0 0 Kathleen C Poff Financial Services Agent 10.4 54.6 X 0 593024 138003 Theresa J Roark Senior Vice President 52.0 8.3 X 300218 0 49210 Mathew Reidhead Vice President 24.0 26.0 X 152140 0 37737 Jon Thruston Vice President 60.0 0.0 X 136768 0 31891 William B McNally Vice President 40.5 9.5 X 108964 0 25418 Marilyn Cerise Seifert Vice President 50.0 5.0 X 148691 0 38210 846781 1560323 564754 5 false true false Change Healthcare LLC 5995 Windward Parkway ALPHARETTA GA 30005 Infrastructure 1044420 1 1375000 1375000 SPECIAL PROJECTS 518210 3642874 3418858 224016 MEMBERSHIP DUES 518210 1853316 1853316 5496190 80619 80619 0 0 0 0 0 6690421 1146 6607985 734 82436 412 83170 83170 0 0 0 0 0 0 0 0 0 MISCELLANEOUS REVENUE 518210 895 895 895 7035874 5273069 224016 163789 X 0 0 0 0 349428 17471 331957 0 1890989 1718974 172015 0 204582 185223 19359 327463 304119 23344 149411 124449 24962 763351 266534 496817 3693 3693 21650 21650 0 0 5336 5336 1144777 1144777 3477 3477 44112 44112 355501 355501 0 170703 164460 6243 67348 67348 0 16386 16386 3073 3073 0 1123232 1111765 11467 12698 12698 STAFF RETENTION & RECRUITMENT 8655 8655 STAFF DEVELOPMENT & TRAINING 9391 9391 DUES, SUBSCRIPTIONS, & PUB. 3403 3403 SOCIAL COMMITTEE EVENTS 4517 4517 10051 10051 6693227 5571046 1122181 0 X 0 0 134845 187960 0 0 497604 386044 0 0 0 0 0 0 0 0 249676 179623 4969639 2445596 2746538 2524043 3896369 4659331 0 0 0 0 0 136681 199098 206341 7724130 8280023 576504 509191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 517070 942570 1093574 1451761 X 6630556 6828262 0 0 0 0 6630556 6828262 7724130 8280023 342647 -144941 X X false true X true false X 655303 677727 705456 2315410 3228316 7582212 2848312 2768045 2958590 3061858 3418858 15055663 0 0 0 3503615 3445772 3664046 5377268 6647174 22637875 1139620 1553669 2693289 1858911 1808316 1828505 1660005 1800031 8955768 1858911 1808316 1828505 2799625 3353700 11649057 10988818 66458 63428 59913 52432 80619 322850 0 0 0 9982 0 9982 66458 63428 59913 62414 80619 332832 13292 4835 0 0 0 18127 1969 1152 6880 0 895 10896 3585334 3515187 3730839 5439682 6728688 22999730 0.47778 0.48631 0.01447 0.01619 X 4893439 2419796 2473643 76200 25800 50400 2524043 0 DUES/FEES COLLECTED IN ADVANCE 942570 942570 X 6884863 -144941 -144941 7029804 5336 734 6070 7035874 6687157 6687157 5336 734 6070 6693227 Form 990, Part IV, Line 11F - FIN 48 (ASC 740) Footnote: HIDI follows FASB ASC 740-10, Accounting for Uncertainty in Income Taxes, which prescribes a comprehensive model for how an organization should measure, recognize, present, and disclose in its financial statements uncertain tax positions that an organization has taken or expects to take on a tax return. Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the financial statements as of December 31, 2018. Form 990, Part XI, Line 4b: Gain on sale of assets: 734 Form 990, Part XII, Line 4b: Gain on sale of assets: 734 X X true true X X X X X false true false false false false false false false Herb B Kuhn President and CEO 0 712669 0 153525 0 101105 0 172500 0 71785 0 1211584 0 0 Kathleen C Poff Financial Services Agent 0 314033 0 8250 0 270741 0 77577 0 60426 0 731027 0 251816 Theresa J Roark Senior Vice President 273702 0 10750 0 15766 0 0 0 49210 0 349428 0 0 0 Mathew Reidhead Vice President 144755 0 7250 0 135 0 0 0 37737 0 189877 0 0 0 Jon Thruston Vice President 130384 0 5250 0 1134 0 0 0 31891 0 168659 0 0 0 Marilyn Cerise Seifert Vice President 144525 0 2250 0 1916 0 0 0 38210 0 186901 0 0 0 Part I, Line 1A: Employees receiving service awards with a taxable impact receive a gross-up payment to cover the tax. Health club memberships (up to $150 per year) are provided to employees as a wellness benefit as provided in the healthy lifestyles policy. Part I, Line 4B: The President and CEO, Herb Kuhn, and the Sr. VP of Administration and CFO, Kathleen Poff, participate in a 457(b) plan. In 2018, they each contributed $18,500 to the 457(b) plan. Part I, Lines 5 & 6: Incentive Compensation -- Paid to CEO by Missouri Hospital Association: Incentive compensation is intended to reward the chief executive officer for the achievement of those priority organization objectives established by the Compensation Committee. The award of any portion of incentive compensation is at the sole discretion of the committee operating within the board-approved Missouri Hospital Association Executive Compensation Philosophy and at no time is guaranteed. Incentive compensation will only be considered when the following criteria are met. -The chief executive officer receives a favorable annual performance appraisal. -The association achieves positive net income from its consolidated operations (unless, at the sole discretion of the Compensation Committee, specific circumstances warrant an exception). The evaluation of net income will be based on the association's consolidated financial statements and year-end projection. Any material changes in the association's financial position reflected in the subsequent annual audit may, at the sole discretion of the Compensation Committee operating within the board-approved Missouri Hospital Association Executive Compensation Philosophy, cause the amount of current or future incentive compensation to be changed. In no event will incentive compensation be based on net income. CEO Retention Bonus: In 2012, an agreement for a CEO retention bonus was executed by the Missouri Hospital Association and the CEO. Commencing with the first calendar quarter of 2012, an account ("Account") created by Employer for Executive shall be credited, as of the last day of each calendar quarter while Executive is employed by Employer through December 31, 2019, with an amount equal to 6 percent of Executives Base Salary then in effect. In calendar year 2020, the Account shall be adjusted as of the last day of each quarter in the uniform amount necessary, if any, to cause the total credits to the Account pursuant to this subsection (i) for all years to be equal, as of the end of 2020, to two times Executives Base Salary for the year 2020. As of the last day of each calendar year and as of the date a benefit is payable, the Employer shall credit the Investment Return on the Account since the immediately preceding crediting of Investment Return, as determined pursuant to the provisions of this Section and shall reduce the Account by the amount of any distribution made with respect to the Account and by any reduction made pursuant to subsection (i). For purposes hereof, the Investment Return shall be the amount necessary to increase or decrease the Account balance to what it would have been had the Account balance during the calendar year involved actually been invested in the Investment Option(s) selected by the Executive under this Section. The Investment Return also shall be adjusted to reflect surrender or other charges that would have been incurred if the Account balance had actually been invested in the Investment Options and withdrawn to pay benefits. If the Executive fails to select an Investment Option, the Investment Return shall be the Investment Option most similar to a money market account. If Executive is employed by Employer on June 30, 2020, an amount equal to 50 percent of the Account balance will be paid to him in July 2020, and if Executive is employed by Employer on December 31, 2020, an amount equal to the remainder of the Account balance will be paid to him in January 2021. In 2018, the accrual for the CEO Retention Bonus was calculated to be $172,500. This is for year seven of the accrual period and is reported as deferred compensation. CFO Retention Bonus: In 2015, an agreement for a CFO retention bonus was executed by the Missouri Hospital Association and the CFO. Commencing with the first calendar quarter of 2015, an account ("Account") created by Employer for Executive shall be credited, as of the last day of each calendar quarter while Executive is employed by Employer through December 31, 2017, with an amount equal to 6 percent of Executives annual base salary then in effect. In the 2017 calendar year, the Account shall be adjusted as of the last day of each quarter in the uniform amount necessary, if any, to cause the total credits to the Account for all years (2015-2017) to be equal, as of the end of the 2017 calendar year, to 75 percent of Executives annual base salary for the 2017 calendar year. If Executive is continuously employed by Employer through December 31, 2017, then an amount equal to the Account balance, adjusted as provided in this Section 2, as of January 1, 2018, will be paid to her in January 2018. After the payment is made pursuant to Section 2(a), the Account shall be credited, as of the last day of each calendar quarter while Executive is employed by Employer through December 31, 2020, with an amount equal to 6 percent of Executives annual base salary then in effect. In the 2020 calendar year, the Account shall be adjusted as of the last day of each quarter in the uniform amount necessary, if any, to cause the total credits to the Account for all years (2018-2020) to be equal, as of the end of the 2020 calendar year, to 75 percent of Executives annual base salary for the 2020 calendar year. If Executive is continuously employed by Employer through December 31, 2020, then an amount equal to the Account balance, adjusted as provided in this Section 2, as of January 1, 2021, will be paid to her in January 2021. In January 2018, the account balance of $251,816 was paid in accordance with the agreement and is being reported as other compensation. During 2018, the accrual for the CFO Retention Bonus was calculated to be $77,577. This is year one of the second accrual period and is reported as deferred compensation. Form 990, Part I, Line 1: To gather data for private and public hospitals; to provide data analysis and assemble various reports in order to assist facilities in conducting efficient operations; and to conduct special research projects for health care facilities. Form 990, Part VI, Section A, Line 3: Management provided by employees of Missouri Hospital Association. Form 990, Part VI, Section A, Line 6: Missouri Hospital Association is the sole member of the Hospital Industry Data Institute. Form 990, Part VI, Section A, Line 7A: The member has the authority under the by-laws to elect the Board of Directors. Form 990, Part VI, Section B, Line 11: A copy of the Form 990 is e-mailed to the Board for their review prior to filing. Form 990, Part VI, Section B, Line 12C: The board members and key employees review the conflict of interest policy annually and are required to sign the conflict of interest statement annually. Form 990, Part VI, Section B, Line 15: The Organization's CEO: The Missouri Hospital Association president serves as the president and CEO of the Hospital Industry Data Institute and is paid by the Missouri Hospital Association. The Missouri Hospital Association board has an approved Executive Compensation Philosophy and Administrative Guidelines for implementing the philosophy. Goals are established each year by the Compensation Committee with input from the Board of Trustees. The salary for the CEO is set by the Compensation Committee. The committee members are independent -- the three chair officers of the Missouri Hospital Association board and the treasurer of the Missouri Hospital Association board (who also are the chair officers and treasurer of the HIDI board). Comparative data is provided to the committee by an outside, independent firm. This firm conducts a survey of state associations, analyzes the data and the market, and provides the Compensation Committee with a recommended range and target for the CEO position in accordance with the Executive Compensation Philosophy. The Compensation Committee performs a formal evaluation of the CEO's performance and then utilizes the data provided by the independent firm to determine the recommended salary adjustment. The Compensation Committee also solicits input on the CEO's performance from members of the Missouri Hospital Association/Hospital Industry Data Institute Board of Trustees/Directors. A formal process is used to set the base compensation, award any incentive bonus and establish the goals for the coming year. The Compensation Committee shares its actions and details of the CEO's compensation and benefits with the full board. Other officers or key employees: The board has an approved Executive Compensation Philosophy. Comparative data is provided by an outside, independent firm that conducts a survey of state associations. This firm conducts a survey of state associations and analyzes the data and the market. In addition, human resources staff contact hospitals, health systems, and the State of Missouri Division of Personnel and private industry for their projected salary increases for the next year. This data is used to determine the recommended salary adjustment. The chief executive officer conducts the performance evaluations for senior executives and establishes the salary adjustment. The CEO reviews the salary and recommended increases for the senior executives with the Compensation Committee. The Compensation Committee members are independent. They are the three chair officers of the Missouri Hospital Association board and the treasurer of the Missouri Hospital Association board (who also are the chair officers and treasurer of the HIDI Board). The Compensation Committee reports to the board that the salaries for the senior executives were reviewed. The benefits provided to the senior executives are shared with the Missouri Hospital Association/Hospital Industry Data Institute Board of Trustees/Directors. Form 990, Part VI, Section C, Line 19: The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part XII, Line 2C: The Organization has a committee that assumes responsibility for oversight of the audit and selection of an independent accountant. The process has not changed from the prior year. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTUAL SERVICES TOTAL FEES:1144777 Missouri Hospital Association PO Box 60 Jefferson City MO 65102 440610607 See Pt VII MO 501(c)(6) NA false HEALTH CARE ISSUES COMMITTEE OF THE MHA PO Box 60 Jefferson City MO 65102 431911634 See Pt VII MO 527 See Pt VII false MHA Health Institute PO Box 60 Jefferson City MO 65102 430898947 See Pt VII MO 501(c)(3) 12b See Pt VII false POLITICAL ACTION COMMITTEE FOR HEALTH PO Box 60 Jefferson City MO 65102 431260901 See Pt VII MO 527 See Pt VII false POLITICAL ACTION COMMITTEE OF THE MHA PO Box 60 Jefferson City MO 65102 431677333 See Pt VII MO 527 See Pt VII false THE HEALTH ALLIANCE OF MID AMERICA LLC 7015 College Blvd Suite 150 OVERLAND PARK KS 66211 431843809 See Pt VII KS NA 0 MHA MANAGEMENT SERVICES CORPORATION PO BOX 6766 JEFFERSON CITY MO 651026766 431471940 See Pt VII MO See Pt VII C Corp 1.00000 true false false true false false false false false false false true false false false true true false false false MHA Health Institute C 1375000 Cash Missouri Hospital Association K 164460 Alloc. FTE's Missouri Hospital Association O 538502 Alloc. FTE's Missouri Hospital Association O 546497 Alloc. FTE's MHA Management Services Corporation O 228115 Alloc. FTE's MHA Management Services Corporation O 224016 Alloc. FTE's MHA Health Institute O 242715 Alloc. FTE's Part II, Column B - Primary Activity: Missouri Hospital Association: To promote the health and welfare of Missouri citizens by assisting hospitals and other healthcare-related organizations. Health Care Issues Committee of the Missouri Hospital Association: To support or oppose health care ballot issues. MHA Health Institute: To assist hospitals and other healthcare-related organizations in the effective management and utilization of human resources, developing education programs designed to meet the educational requirements of hospital personnel, and assistance with quality improvement and population health. Political Action Committee for Health of the MHA: To support Missouri candidates for public office who would serve in the public interest with respect to matters affecting hospitals and the health care industry. Political Action Committee of the MHA: To support federal candidates for public office who would serve in the public interest with respect to matters affecting hospitals and the health care industry. Part II, Column F - Direct Controlling Entity: Healthcare Issues Committee of the Missouri Hospital Association: Direct controlling entity: Missouri Hospital Association MHA Health Institute: Direct controlling entity: Missouri Hospital Association Political Action Committee for Health of the MHA: Direct controlling entity: Missouri Hospital Association Political Action Committee of the MHA: Direct controlling entity: Missouri Hospital Association Part III, Column B - Primary Activity: The Health Alliance of Mid America, LLC: EIN: 43-1843809 To enhance and further the tax-exempt purposes of its members through efficiencies and economics of scale in the operation of programs and provision of products and services to, or for the benefit of, the members and constituencies of the members, by means of coordinating and consolidating programs, products and services and through the conduct of any lawful business for which a limited liability company may be organized under the Act. Part III, Columns E-J: Hospital Industry Data Institute is treated as indirectly owning 50% of the ownership interest in The Health Alliance of Mid America, LLC through the Missouri Hospital Association. The Hospital Industry Data Institute does not directly have any ownership interest in The Health Alliance of Mid America, LLC. Therefore, Hospital Industry Data Institute, the filing organization, does not have a share of the total income or end-of-year assets in The Health Alliance of Mid America, LLC. Part III, Column K: The Hospital Industry Data Institute is a 512(b)(13) controlled entity of the Missouri Hospital Association (MHA). The Missouri Hospital Association also owns 50% of the ownership interest of The Health Alliance of Mid America, LLC. According to the attribution rules in 318(a), the Hospital Industry Data Institute is also treated as indirectly owning 50% of the ownership interest in The Health Alliance of Mid America, LLC through the Missouri Hospital Association. The Health Alliance of Mid America, LLC is therefore related to Hospital Industry Data Institute through the Missouri Hospital Association and is reported as a related entity on Schedule R. However, according to the rules in 512(b)(13), The Health Alliance of Mid America, LLC is not a controlled entity of Hospital Industry Data Institute, the filing organization, and therefore no ownership percentage has been reported. Part IV, Column B - Primary Activity: MHA Management Services Corporation: To provide products and services to healthcare providers. Part IV, Column D - Direct Controlling Entity: MHA Management Services Corporation: Direct controlling entity: Missouri Hospital Association Part IV, Columns F and G: Hospital Industry Data Institute is treated as indirectly owning 100% of the stock interest in MHA Management Services Corporation through the Missouri Hospital Association. The Hospital Industry Data Institute does not directly hold any shares of MHA Management Services Corporation. Therefore, Hospital Industry Data Institute, the filing organization, does not have a share of total income or end-of-year assets in MHA Management Services Corporation, the controlled entity. Part IV, Column I: The Hospital Industry Data Institute is a 512(b)(13) controlled entity of the Missouri Hospital Association (MHA). The Missouri Hospital Association also owns 100% of the stock interest of MHA Management Services Corporation. According to the attribution rules in 318(a), the Hospital Industry Data Institute is also treated as indirectly owning 100% of the stock interest in MHA Management Services Corporation through the Missouri Hospital Association. Therefore, MHA Management Services Corporation is a 512(b)(13) controlled entity of Hospital Industry Data Institute.