KANSAS HEALTHCARE COLLABORATIVE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
KANSAS HEALTHCARE COLLABORATIVE INC (EIN 94-3483497)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-08-13
IRS object ID
201822259349300762
Schema version
2017v2.2
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)
Return2018-08-13T06:49:12-07:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN480882363PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MIZE HOUSER & COMPANY PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1534 S KANSAS AVE 400AddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP666033454ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN943483497EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KANSAS HEALTHCARE COLLABORATIVE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKANSBusinessNameControlTxt
Phone7852350763PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1623 SW 10TH AVENUEAddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP66612ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKENDRA TINSLEYPersonNm
Person TitleExecutive Dir.PersonTitleTxt
Signature2018-08-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonYvonne G BrownellPreparerPersonNm
PTINP00129973PTIN
Phone7852330536PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN BROBERGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1909 WALNUT APT 506AddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64106ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,717,344GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KHCONLINE.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2009FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionTHE KANSAS HEALTHCARE COLLABORATIVE (KHC) EXISTS TO TRANSFORM HEALTH CARE THROUGH PATIENT-CENTERED INITIATIVES THAT IMPROVE QUALITY, SAFETY AND VALUE.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee17TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,331,948PYContributionsGrantsAmt
CY Contributions Grants$2,688,093CYContributionsGrantsAmt
PY Program Service Revenue$39,105PYProgramServiceRevenueAmt
CY Program Service Revenue$29,077CYProgramServiceRevenueAmt
PY Investment Income$4,005PYInvestmentIncomeAmt
CY Investment Income$174CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,375,058PYTotalRevenueAmt
CY Total Revenue$2,717,344CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,223,195PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,409,607CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$506,257PYOtherExpensesAmt
CY Other Expenses$801,650CYOtherExpensesAmt
PY Total Expenses$1,729,452PYTotalExpensesAmt
CY Total Expenses$2,211,257CYTotalExpensesAmt
PY Revenues Less Expenses$645,606PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$506,087CYRevenuesLessExpensesAmt
Total Assets BOY$1,971,854TotalAssetsBOYAmt
Total Assets EOY$2,553,868TotalAssetsEOYAmt
Total Liabilities BOY$152,386TotalLiabilitiesBOYAmt
Total Liabilities EOY$228,313TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,819,468NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,325,555NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMISSION - THE KANSAS HEALTHCARE COLLABORATIVE (KHC) EXISTS TO TRANSFORM HEALTH CARE THROUGH PATIENT-CENTERED INITIATIVES THAT IMPROVE QUALITY, SAFETY AND VALUE.VISION - KHC SEEKS TO ENGAGE AND ALIGN PROVIDERS FROM ACROSS THE STATE TO ESTABLISH KANSAS AS A ROLE MODEL FOR HEALTHCARE QUALITY AND A TOP PERFORMER IN HEALTHCARE OUTCOMES.VALUES - We believe those who deliver health care are responsible for leading quality improvement. We believe collaboration leads to developing, sharing, teaching and learning effective approaches proven to deliver the best possible healthcare. We believe effective utilization of meaningful, patient-oriented analytics and objective reporting promotes excellence in healthcare.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangeYes (true)SignificantChangeInd
Expense$788,900ExpenseAmt
DescHOSPITAL IMPROVEMENT INNOVATION NETWORK (HIIN) - IN PARTNERSHIP WITH THE KANSAS HOSPITAL ASSOCIATION, THE ORGANIZATION WORKS WITH PARTICIPATING HOSPITALS TO OFFER IMPROVEMENT ACTIVITIES SUCH AS WEBINARS AND OTHER EDUCATIONAL SESSIONS, TOPIC-SPECIFIC FELLOWSHIP PROGRAMS, IMPROVEMENT COLLABORATIVES UTILIZING THE PDSA MODEL, AND ONGOING LEARNING NETWORKS WITH SELECTED SITE VISITS ACROSS A VARIETY OF TOPICS, INCLUDING LEADERSHIP DEVELOPMENT, CULTURE OF SAFETY, TEAMWORK, COMMUNICATION, AND SPECIFIC AREAS OF FOCUS FOR PREVENTABLE READMISSIONS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$698,767ExpenseAmt
DescCOMPASS PRACTICE TRANSFORMATION NETWORK (PTN) PROVIDES DIRECT, IN-PERSON ASSISTANCE TO PARTICIPATING PRACTICES. PRACTICES WILL HAVE THE OPPORTUNITY TO COLLABORATE WITH CLINICIAN COLLEAGUES LOCALLY, REGIONALLY AND NATIONALLY TO ACCELERATE INNOVATIVE CARE STRATEGIES. KHC'S QUALITY IMPROVEMENT ADVISORS HELP PRACTICES IMPROVE HEALTH OUTCOMES, CONTROL COSTS, AND PREPARE TO THRIVE IN ALTERNATIVE PAYMENT. THERE IS NO MONETARY COST FOR CLINICIANS AND PRACTICES TO PARTICIPATE IN THIS PROGRAM.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$564,925ExpenseAmt
Revenue$29,077RevenueAmt
DescKANSAS HEALTHCARE COLLABORATIVE, INC. (KHC) CONTINUED A VARIETY OF CLINICAL INITIATIVES DURING 2017, INCLUDING:1) SUMMIT ON QUALITY - SPONSORED IN PARTNERSHIP WITH THE KANSAS HOSPITAL ASSOCIATION (KHA) AND THE KANSAS MEDICAL SOCIETY (KMS), THE SUMMIT ON QUALITY IS THE ORGANIZATIONS'S SIGNATURE EDUCATION EVENT AND FOCUSES ON QUALITY AND PATIENT SAFETY. PARTICIPANTS LEARN FROM NATIONAL EXPERTS ON QUALITY AND ALSO FROM LOCAL KANSAS PROVIDERS WHO IMPLEMENT QUALITY AND PATIENT SAFETY PROGRAMMING IN THEIR OWN FACILITIES.2) KANSAS ON THE CUSP (COMPREHENSIVE UNIT-BASED SAFETY PROGRAM) - STOP BSI PROJECT (CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS)AND STOP CAUTI PROJECT (CATHETER ASSOCIATED URINARY TRACT INFECTIONS)3) IMMUNIZATION OF HEALTH CARE WORKERSDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$2,052,592TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredfalseScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee17EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKENDRA TINSLEYPersonNm
Phone7852350763PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1623 SW 10TH AVENUEAddressLine1Txt
CityTOPEKACityNm
State AbbreviationKSStateAbbreviationCd
ZIP66612ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
ARON FAST MD
Director0.000.00Yes (X)$0$0$0
FRANCIE EKENGREN MD
Director0.000.00Yes (X)$0$0$0
JOSEPH STRATTON
Director0.000.00Yes (X)$0$0$0
LYNN FISHER MD
Director0.000.00Yes (X)$0$0$0
TOM BELL
Director0.000.00Yes (X)$0$0$0
JENNIFER SCOTT KOONTZ MD
PAST CHAIR0.000.00Yes (X)$0$0$0Yes (X)
JOHN BROBERG
CHAIR0.000.00Yes (X)$0$0$0Yes (X)
ROGER MASSE
Director0.000.00Yes (X)$0$0$0
CRAIG CONCANNON MD
Director0.000.00Yes (X)$0$0$0
MARK WOODRING DRPH
SEC./TREASURER0.000.00Yes (X)$0$0$0Yes (X)
JOE DAVISON MD
Director0.000.00Yes (X)$0$0$0
MARGARET GRISMER
Director0.000.00Yes (X)$0$0$0
TAMMY PETERMAN
Director0.000.00Yes (X)$0$0$0
ROBERT KENAGY MD
Director0.000.00Yes (X)$0$0$0
JON ROSELL
Director0.000.00Yes (X)$0$0$0
RUSSELL JOHNSON
Director0.000.00Yes (X)$0$0$0
JERRY SLAUGHTER
Director0.000.00Yes (X)$0$0$0
DEBRA DOUBEK MD
VICE-CHAIR0.000.00Yes (X)$0$0$0Yes (X)
GEORGE STOVER
Director0.000.00Yes (X)$0$0$0
CHARLES CRAIG MD
Director0.000.00Yes (X)$0$0$0
KENDRA TINSLEY
Executive Dir.40.000.00$131,024$0$17,857Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$131,024TotalReportableCompFromOrgAmt
Total Other Compensation$17,857TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$2,688,093AllOtherContributionsAmt
Total Contributions$2,688,093TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER PROGRAM COST REIMB.$440$440
SUMMIT ON QUALITY$28,637$28,637
FieldValueIRS element (for citing)
Total Program Service Revenue$29,077TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$174TotalRevenueColumnAmt
Exclusion$174ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,717,344TotalRevenueColumnAmt
Related Or Exempt Func Income$29,077RelatedOrExemptFuncIncomeAmt
Exclusion$174ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$148,881TotalAmt
Program Services$144,356ProgramServicesAmt
Management And General$4,525ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$960,206TotalAmt
Program Services$933,007ProgramServicesAmt
Management And General$27,199ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$76,248TotalAmt
Program Services$73,343ProgramServicesAmt
Management And General$2,905ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$138,501TotalAmt
Program Services$133,980ProgramServicesAmt
Management And General$4,521ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$85,771TotalAmt
Program Services$83,099ProgramServicesAmt
Management And General$2,672ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$431,516TotalAmt
Program Services$384,337ProgramServicesAmt
Management And General$47,179ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$78,388TotalAmt
Program Services$77,101ProgramServicesAmt
Management And General$1,287ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,705TotalAmt
Program Services$3,176ProgramServicesAmt
Management And General$9,529ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$125,226TotalAmt
Program Services$97,541ProgramServicesAmt
Management And General$27,685ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$19,838TotalAmt
Program Services$19,838ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,369TotalAmt
Management And General$5,369ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
EDUCATION & CONVENTIONS$59,339$45,361$13,978
TELEPHONE & WEBINAR$40,908$38,701$2,207
Printing and Publications$9,378$7,578$1,800
DUES & SUBSCRIPTIONS$5,767$4,451$1,316

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$13,216TotalAmt
Program Services$6,723ProgramServicesAmt
Management And General$6,493ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,211,257TotalAmt
Program Services$2,052,592ProgramServicesAmt
Management And General$158,665ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,562,898BOYAmt
EOY$2,113,085EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$407,386BOYAmt
EOY$390,494EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,570BOYAmt
EOY$50,289EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,971,854BOYAmt
EOY$2,553,868EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$152,386BOYAmt
EOY$228,313EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$152,386BOYAmt
EOY$228,313EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$1,819,468BOYAmt
EOY$2,325,555EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,819,468BOYAmt
EOY$2,325,555EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,971,854BOYAmt
EOY$2,553,868EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$506,087ReconcilationRevenueExpnssAmt
Donated Services And Use Fclts$67,295DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets-$67,295OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations2SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (2 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
KANSAS MEDICAL SOCIETY
4802896609false$1,026,296$0
KANSAS HOSPITAL ASSOCIATION INC
4805437869false$1,026,296$0
FieldValueIRS element (for citing)
Supported Organizations Total2SupportedOrganizationsTotalCnt
Support Sum$2,052,592SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationYes (true)SuprtOrgNoIRSDeterminationInd
Supported Org Section C456Yes (true)SupportedOrgSectionC456Ind
Supported Org QualifiedYes (true)SupportedOrgQualifiedInd
Suprt Exclusively Sec170c2 BYes (true)SuprtExclusivelySec170c2BInd
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (true)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgfalseOperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Section A, Line 2: Description Of How Organization Determined Supported Org.THE SUPPORTED ORGANIZATIONS, KANSAS HOSPITAL ASSOCIATION (KHA) AND KANSAS MEDICAL SOCIETY (KMS), BOTH DERIVE OVER 2/3 OF THEIR REVENUE FROM PROGRAM SERVICE REVENUE AND MEMBERSHIP DUES. LESS THAN 10% OF THE SUPPORTED ORGANIZATIONS' REVENUE IS ATTRIBUTABLE TO INVESTMENT INCOME.
Part IV, Section A, Line 3b: Description Of When and How Organization Made The DeterminationTHE ORGANIZATION HAS A CLOSE RELATIONSHIP WITH THE SUPPORTED ORGANIZATIONS, IN THAT 50% OF ITS DIRECTORS ARE APPOINTED BY THE KANSAS HOSPITAL ASSOCIATION (KHA) AND 50% OF ITS DIRECTORS ARE APPOINTED BY THE KANSAS MEDICAL SOCIETY (KMS). THE PRESIDENT & CEO OF KHA AND THE EXECUTIVE DIRECTOR OF KMS ARE EX OFFICIO VOTING DIRECTORS OF THE FILING ORGANIZATION. THEREFORE, THE FILING ORGANIZATION HAS EXTENSIVE KNOWLEDGE OF THE ACTIVITIES OF THE SUPPORTED ORGANIZATIONS.
Part IV, Section A, Line 3c: Explain What Controls The Organization Put In PlaceTHE FILING ORGANIZATION'S EXPENDITURES ARE MADE TO CONDUCT ACTIVITIES AND PROGRAMS IN CONJUNCTION WITH THE SUPPORTED ORGANIZATIONS. THESE ACTIVITIES AND PROGRAMS ARE SCIENTIFIC OR EDUCATIONAL IN PURPOSE.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Rev Etc Audited Fincl Stmt$2,784,639TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$67,295DonatedServicesAndUseFcltsAmt
Revenue Not Reported$67,295RevenueNotReportedAmt
Revenue Subtotal$2,717,344RevenueSubtotalAmt
Total Revenue Per Form990$2,717,344TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,278,552TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$67,295DonatedServicesUseFcltsAmt
Expenses Not Reported$67,295ExpensesNotReportedAmt
Expenses Subtotal$2,211,257ExpensesSubtotalAmt
Total Expenses Per Form990$2,211,257TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 3: Ceased Conducting or Significant Changes To ServicesTHE CHANGE IN THE NAME FROM HOSPITAL ENGAGEMENT NETWORK TO HOSPITAL IMPROVEMENT INNOVATION NETWORK, WAS A SHIFT FROM THE PROGRAM IN EARLY TESTING PHASE UNDER THE CMS INNOVATION CENTER WITH FUNDING FROM THE AFFORDABLE CARE ACT TO A MORE PERMANENT PROGRAM UNDER THE CMS OFFICE OF CLINICAL STANDARDS AND QUALITY WITH FUNDING FROM THE MEDICARE TRUST FUND. WHILE THE WORK AND PARTNERS AT THE LOCAL AND NATIONAL LEVEL REMAIN THE SAME, THE AGENCY OVERSEEING THE CONTRACT AND FUNDING SOURCE CHANGED.
Form 990, Part VI, Line 11b: Form 990 Review ProcessA DRAFT COPY OF THE FORM 990 WILL BE PROVIDED TO THE BOARD PRIOR TO FILING THE FORM.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsBOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNo documents available to the public.
Other Changes In Net Assets Or Fund Balances - Other DecreasesDONATED SERVICES AND USE OF FACILITIES = -$67295

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
KANSAS MEDICAL SOCIETY
623 WEST 10THTOPEKAKS66612480289660SUPPORTED ORGKS501(C)(6)N/Afalse
KANSAS HOSPITAL ASSOCIATION INC
215 SE 8TH AVETOPEKAKS66603480543786SUPPORTED ORGKS501(c)(6)N/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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