2016-07-12T14:52:40-05:00 2015-12-31 BDO USA LLP 101 S HANLEY RD STE 800 ST LOUIS MO 63105 990 2015-01-01 440610607 Missouri Hospital Association % THE ORGANIZATION MISS 5738933700 PO Box 60 Jefferson City MO 651020060 HERB B KUHN PRESIDENT & CEO 5738933700 2016-06-23 true Marie N Carlie CPA P00084927 3148891100 2016-06-23 2015 2016-09-27 15:27:22Z Kathleen Poff PO Box 60 Jefferson City MO 651020060 28854838 false X WWW.MHANET.COM X 1922 MO To promote the health & welfare of Missouri citizens by assisting hospitals and other healthcare-related organizations. 31 30 70 1090 986604 43593 0 0 14779029 14322197 1016894 995007 23596 23716 15819519 15340920 1425 1190 0 0 7145487 7433489 0 0 0 7621437 6096847 14768349 13531526 1051170 1809394 33738429 36959451 4980873 6414809 28757556 30544642 To promote the health & welfare of Missouri citizens by assisting hospitals and other healthcare-related organizations. false false To promote the health and welfare of Missouri citizens by assisting hospitals and other healthcare-related organizations. This assistance includes serving as an advocate and representative of hospitals to create an environment enabling hospitals to coordinate and provide health services in a cost-effective manner in order to improve the health status in their communities. Communicated with and educated members, policy leaders and the public on issues that affect the organization, delivery and financing of health care services. Identified, supported, promoted and provided education for initiatives that assist members in improving health care services for Missourians. Assist members with quality improvement efforts to improve health outcomes for patients and enhance the health status of the population of Missouri while reducing costs and disparities and increasing efficiencies using triple aim principles. false false true true false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false true true true false true 58 0 true 70 true true true false false false true true false false false X 31 30 false false true false true true true true true false false true true true true true true true true false X THE ORGANIZATION 5738933700 4712 COUNTRY CLUB DR JEFFERSON CITY MO 651094541 Donald J Babb Trustee 0.2 0.2 X 0 0 0 Steven C Bjelich FACHE-D Trustee 0.7 0.5 X 0 0 0 Christine M Candio Trustee 0.5 0.2 X 0 0 0 Patrick E Carron MHA FACHE Trustee 0.9 0.5 X 0 0 0 John M Dawes FACHE Trustee 1.0 0.6 X 0 0 0 Jon D Doolittle Trustee 0.7 0.5 X 0 0 0 Melinda L Estes MD MBA Trustee 0.4 0.5 X 0 0 0 Donald L James DO Trustee 0.7 0.6 X 0 0 0 Kenneth James Trustee 0.6 0.5 X 0 0 0 Jeffrey A Johnston Trustee 0.7 0.1 X 0 0 0 Thomas Keim Trustee 0.8 0.2 X 0 0 0 Mel Lagarde Trustee 0.1 0.5 X 0 0 0 Mark Laney MD Trustee 0.5 0.5 X 0 0 0 John Christopher Lang FACHE Trustee 0.6 0.2 X 0 0 0 Steven H Lipstein Trustee 0.6 0.3 X 0 0 0 William K Mahoney FACHE Trustee 1.1 0.5 X 0 0 0 Ronald B McMullen FACHE Trustee 0.5 0.5 X 0 0 0 David Morton MD Trustee 0.5 0.5 X 0 0 0 Sally Nance MBA Trustee 0.5 0.5 X 0 0 0 Randall L O'Donnell PhD Trustee 0.1 0.1 X 0 0 0 Charles Shields Trustee 0.7 0.2 X 0 0 0 Phillip E Sowa Trustee 0.1 0.1 X 0 0 0 Jon D Swope Trustee 0.1 0.5 X 0 0 0 Mitchell Wasden Trustee 0.3 0.5 X 0 0 0 John R Whitaker Trustee 0.6 0.5 X 0 0 0 Herb B Kuhn President & CEO 30.3 29.7 X X 789198 0 211553 Christopher D Howard Chair 1.7 1.1 X X 0 0 0 Julie L Quirin FACHE Chair Elect 1.1 0.8 X X 0 0 0 Randy S Wertz MD Past Chair 1.0 0.7 X X 0 0 0 Paula F Baker Secretary 0.7 0.5 X X 0 0 0 Steven D Edwards CHE Treasurer 1.1 0.5 X X 0 0 0 Kathleen C Poff Sr. VP & CFO 32.0 33.0 X 274193 0 119508 Daniel R Landon Sr. VP Gov. Relations 47.0 17.8 X 257357 0 60994 Michael R Dunaway Sr. VP Field Operations 60.0 0.0 X 246031 0 52053 Mary C Becker Sr. VP Strategic Partnerships 35.0 22.5 X 265677 0 59867 Leslie L Porth Sr. VP Strategic Quality Init. 15.0 55.0 X 191725 0 49052 Robert Monsees VP State Legislation 53.0 7.0 X 128387 0 25487 2152568 0 578514 16 false true false EMSystems LLC 6451 N Federal Hwy Ste 1000 Fort Lauderdale FL 33308 License Fees 291629 E I Wright dba Forward Strategy 5248 Tancreti Lane ALEXANDRIA VA 22304 Grassroots Advocacy 1474840 Orbital Data Net Inc 4451 I-70 Drive NW COLUMBIA MO 65202 Equipment, Services 204585 Wisch Vaughn Construction 5601 Algoa Road Jefferson City MO 65101 Construction/Renovat 263436 5 0 CONVENTIONs & Education 900099 542495 542495 CONTRACTUAL SERVICES 541610 4785535 3798931 986604 SPECIAL PROJECTS 900099 3370932 3370882 50 PROGRAM RENTAL REVENUE 531110 396830 246836 149994 MEMBERSHIP DUES 900099 5226405 5226405 14322197 497632 497632 0 0 0 0 0 14007524 3769 13512605 1313 494919 2456 497375 497375 0 0 0 Equity change in Alliance 900099 23716 23716 23716 15340920 13209265 986604 1145051 1190 0 0 0 1186247 0 4579750 465449 850731 351312 0 82477 65048 2091601 0 38576 1328728 8882 299612 4120 0 227541 192804 0 625583 25445 0 557894 31668 Licenses & Services 153028 Training & Development 116052 DUes & Subscriptions 88033 UBTI TAXES 19719 140036 13531526 599385 1584524 0 0 0 0 360175 214946 0 0 0 0 0 0 0 0 197725 178548 7263053 4065529 3590939 3197524 17597024 19253032 0 0 0 0 0 0 11393181 12530877 33738429 36959451 2250811 2415316 0 0 0 0 0 0 0 0 0 0 1000000 961943 0 0 1730062 3037550 4980873 6414809 X 28301791 30544642 455765 0 0 0 28757556 30544642 33738429 36959451 X 1809394 -595532 573224 X X false true X true true true 0 0 0 0 0 false Political Action Committee for Health PO Box 60 Jefferson City MO 651020060 431260901 0 28312 American Hospital Assoc PAC 325 7th St NW Ste 700 Washington DC 20004 362996517 0 31986 Political Action Committee of the MHA PO Box 60 Jefferson City MO 651020060 431677333 0 6800 false false true 8440334 3545138 486019 4031157 5486217 -1455060 Part I-A, Line 1 THE MISSOURI HOSPITAL ASSOCIATION DID NOT EXPEND FUNDS FOR CAMPAIGN ACTIVITIES. THE ORGANIZATION ACTS AS A COLLECTING AGENT FOR THE POLITICAL ACTION COMMITTEES LISTED UNDER PART I-C LINE 5. MHA COLLECTS CONTRIBUTIONS FOR THE POLITICAL ACTION COMMITTEES AND IMMEDIATELY REMITS THE FUNDS TO THE POLITICAL ACTION COMMITTEES. 122136 122136 5057518 2722287 2335231 1837460 1208502 628958 245939 134740 111199 3197524 ACCRUED INTEREST RECEIVABLE 39959 INTEREST PURCHASED 2195 CASH VALUE OF LIFE INSURANCE 1103850 INV IN MHA MGMT SERVICES CORP 9330976 INV IN HEALTH ALLIANCE 1909824 INV IN HEALTHCURVE ANALYTICS 144073 12530877 0 Dues Collected in Advance 2548351 DUE TO RELATED PARTY 489199 3037550 X Form 990, Part IV, Line 11F - FIN 48 (ASC 740) Footnote: The Organization 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, 2015. X X X X true true X X X X X false true false Herb B Kuhn President & CEO 582153 0 109500 0 97545 0 148226 0 63327 0 1000751 0 0 0 Kathleen C Poff Sr. VP & CFO 254528 0 5000 0 14665 0 62205 0 57303 0 393701 0 0 0 Daniel R Landon Sr. VP Gov. Relations 249654 0 5000 0 2703 0 0 0 60994 0 318351 0 0 0 Michael R Dunaway Sr. VP Field Operations 232179 0 0 0 13852 0 0 0 52053 0 298084 0 0 0 Mary C Becker Sr. VP Strategic Partnerships 248412 0 5000 0 12265 0 0 0 59867 0 325544 0 0 0 Leslie L Porth Sr. VP Strategic Quality Init. 182878 0 5000 0 3847 0 0 0 49052 0 240777 0 0 0 Robert Monsees VP State Legislation 125608 0 2000 0 779 0 0 0 25487 0 153874 0 0 0 Part I, Line 1A: First-class or charter travel: If the drive time is more than three hours one way for a one-day meeting or if the drive time is more than five hours one way for a multi-day meeting, members of the Board of Trustees may use charter air transportation and be reimbursed the actual cost of such travel. Others traveling on behalf of the Association who choose air charter service will be reimbursed the lower of the actual cost of the charter transportation or two times the amount allowed for automobile mileage to and from the meeting or function. On occasion senior staff use charter travel for meetings within the state where the drive time is significant for a meeting that is an hour or two. Travel for companions: The employment contract with the current CEO allows $2,500 for spouse travel. This is taxable to the CEO. Tax indemnification and gross-up payments: MHA has a service award program that recognizes employees for the length of service at 5 year intervals. When the award exceeds the $400 average and is taxable to the employee, the employee receives a tax gross-up payment to cover the tax attributed to the award. Health or social club dues or initiation fees: The employment contract with the CEO provides that the initiation fee and annual membership fees for a country club membership be paid for the CEO. Health club memberships (up to $150 per year) are provided to employees as a wellness benefit as provided in our healthy lifestyles policy. Part I, Line 4B: The President and CEO, Herb Kuhn, participates in a 457(b) and a 457(f) plan. In 2015, Herb Kuhn contributed $18,000 to the 457(b) plan while the Missouri Hospital Association contributed $2,226 to the 457(f) plan from Kuhn's flexible benefit allowance. The Sr. VP of Field Operations, Michael Dunaway, contributed $18,000 to the 457(b) plan in 2015. The Sr. VP of Administration and CFO, Kathleen Poff, contributed $18,000 to the 457(b) plan in 2015. The Sr. VP of Strategic Partnerships and Communications, Mary Becker, contributed $18,000 to the 457(b) plan in 2015. 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, a plan was developed to award the CEO a retention incentive bonus as outlined below. The plan is intended to provide the CEO with two times his 2020 base salary. - the plan would be funded in an account with investment options similar to those offered in the section 457(b) and 457(f) accounts. -- this funding vehicle allows the CEO to self-direct the investments. -- funding will occur at a rate equal to 25% of the CEO's base salary annually; deposits to the account will be made quarterly beginning January 2012 and ending December 2019. -- in 2020, the final funding amount will be adjusted, if necessary, to assure deposits total two times the 2020 base salary. - vesting for the retention plan will be cliff vested with fifty percent of the account balance vesting in June 2020 and the remainder vesting in January 2021. -- the CEO must be employed on those dates to receive the full benefit. -- if prior to the vesting dates the CEO dies, becomes disabled or is terminated involuntarily without cause, the account balance at that time would be paid to the CEO or his beneficiary immediately. In 2015, the accrual for the CEO incentive retention bonus was calculated to be $146,000. This is for year four 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 2015 the accrual for CFO Retention Bonus was calculated to be $62,205. Form 990, Part XII, Line 2C The association 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 VI, Section A, Line 4 The Bylaws of the Association were amended to extend the number of successive terms an At-Large Trustee can serve from two to three. Form 990, Part VI, Section A, Line 6 MHA has institutional, associate and individual members. Form 990, Part VI, Section A, Line 7A The Board of Trustees is made up of permanent members (15), elected members (15) and the CEO (1). Six members are elected by their district. Upon the recommendation of the nominating committee, the membership elects 5 members and 3 chair officers (note: a permanent board member can serve as a chair officer, which would be a dual appointment). The MHA Board of Trustees appoints 4 members to represent MHA at the American Hospital Association (note: these also may be dual seats). The permanent seats are awarded to institutions with expenses in excess of an established amount. Form 990, Part VI, Section A, Line 7B Bylaw changes require membership approval. These changes typically are recommended by the Board. 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 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 board and the treasurer of the 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 board of trustees. 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. 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 Board and the treasurer of the 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 Board of Trustees. 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 XI, Line 9, Changes in Net Assets Book/Tax Adjustments from Partnership K-1: 260,493 Book Income from C-Corporation: 312,731 Total to Form 990, Part XI, Line 9: 573,224 HEALTH CARE ISSUES COMMITTEE OF THE MHA PO BOX 60 JEFFERSON CITY MO 651020060 431911634 See Pt VII MO 527 See Pt VII true HOSPITAL INDUSTRY DATA INSTITUTE PO BOX 60 JEFFERSON CITY MO 651020060 431371659 See Pt VII MO 501(c)(3) 9 See Pt VII true MHA CENTER FOR EDUCATION PO BOX 60 JEFFERSON CITY MO 651020060 430898947 See Pt VII MO 501(c)(3) 11 See Pt VII true POLITICAL ACTION COMMITTEE FOR HEALTH PO BOX 60 JEFFERSON CITY MO 651020060 431260901 See Pt VII MO 527 See Pt VII true POLITICAL ACTION COMMITTEE OF THE MHA PO BOX 60 JEFFERSON CITY MO 651020060 431677333 See Pt VII MO 527 See Pt VII true THE HEALTH ALLIANCE OF MID AMERICA LLC 7015 College Blvd Suite 150 OVERLAND PARK KS 66211 431843809 See Pt VII KS NA Related 23716 1909824 false 0 true 0.50000 MHA MANAGEMENT SERVICES CORPORATION PO BOX 6766 JEFFERSON CITY MO 651026766 431471940 See Pt VII MO See Pt VII C Corp 2040794 9781426 1.00000 true HealthCurve Analytics LLC PO Box 60 JEFFERSON CITY MO 651020060 352505932 See Pt VII MO NA C Corp -358783 148595 0.50000 false true false false false false true false false false false false true true true true true true false false MHA Center for Education A 93444 MHA MANAGEMENT SERVICES CORPORATION A 149994 Hospital Industry Data Institute A 153192 MHA MANAGEMENT SERVICES CORPORATION F 250000 THE HEALTH ALLIANCE OF MID AMERICA L 205089 MHA Center for Education L 85975 MHA Management Services Corporation O 96794 MHA Management Services Corporation O 941244 MHA Center for Education O 1360182 Hospital Industry Data Institute O 308009 Hospital Industry Data Institute O 440851 MHA Center for Education Q 75022 Part II, Column B: Health Care Issues Committee of the Missouri Hospital Association: To support or oppose health care ballot issues. Hospital Industry Data Institute: To gather data for private and public hospitals and assemble various reports in order to assist facilities in conducting efficient operations. MHA Center for Education: To assist hospitals and other healthcare-related organizations in the effective management and utilization of human resources and in developing education programs designed to meet the educational requirements of hospital personnel. Political Action Committee for Health of the MHA: To support 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: Healthcare Issues Committee of the Missouri Hospital Association: Direct controlling entity: Missouri Hospital Association Hospital Industry Data Institute: Direct controlling entity: Missouri Hospital Association MHA Center for Education: 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: 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 provisions 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 IV, Column B: MHA Management Services Corporation: To provide products and services to healthcare providers. Healthcurve Analytics LLC: A premier health data company that provides next generation analytics and innovative data solutions to hospitals, health systems, state hospital associations, surgical centers and state data agencies across the country. Part IV, Column D: MHA Management Services Corporation: Direct controlling entity: Missouri Hospital Association