KANSAS HEALTHCARE COLLABORATIVE INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
KANSAS HEALTHCARE COLLABORATIVE INC (EIN 94-3483497)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-07-21
IRS object ID
201512029349300121
Schema version
2014v5.0
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)
Return2015-07-21T08:57:49-07:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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 Begin2014-01-01TaxPeriodBeginDt

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)
PersonKAREN SHUMATEPersonNm
Person TitleCHAIRPersonTitleTxt
Signature2015-07-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonYvonne G BrownellPreparerPersonNm
PTINP00129973PTIN
Phone7852330536PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKAREN SHUMATEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1325 MAINE STAddressLine1Txt
CityLAWRENCECityNm
State AbbreviationKSStateAbbreviationCd
ZIP660441389ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,411,700GrossReceiptsAmt
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 Body18VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee5TotalEmployeeCnt
Total Volunteers18TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,723,949PYContributionsGrantsAmt
CY Contributions Grants$1,392,329CYContributionsGrantsAmt
PY Program Service Revenue$24,274PYProgramServiceRevenueAmt
CY Program Service Revenue$19,124CYProgramServiceRevenueAmt
PY Investment Income$264PYInvestmentIncomeAmt
CY Investment Income$247CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,748,487PYTotalRevenueAmt
CY Total Revenue$1,411,700CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$481,239PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$479,357CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$636,985PYOtherExpensesAmt
CY Other Expenses$484,929CYOtherExpensesAmt
PY Total Expenses$1,118,224PYTotalExpensesAmt
CY Total Expenses$964,286CYTotalExpensesAmt
PY Revenues Less Expenses$630,263PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$447,414CYRevenuesLessExpensesAmt
Total Assets BOY$1,004,609TotalAssetsBOYAmt
Total Assets EOY$1,466,146TotalAssetsEOYAmt
Total Liabilities BOY$47,575TotalLiabilitiesBOYAmt
Total Liabilities EOY$61,698TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$957,034NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,404,448NetAssetsOrFundBalancesEOYAmt
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 ChangefalseSignificantChangeInd
Expense$706,850ExpenseAmt
DescKANSAS HOSPITAL ENGAGEMENT NETWORK (HEN) - 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$129,965ExpenseAmt
Revenue$236RevenueAmt
DescKANSAS HEALTHCARE COLLABORATIVE, INC. (KHC) CONTINUED A VARIETY OF CLINICAL INITIATIVES DURING 2014, INCLUDING:KANSAS ON THE CUSP (COMPREHENSIVE UNIT-BASED SAFETY PROGRAM) - STOP BSI PROJECT (CENTRAL LINE ASSOCIATED BLOD STREAM INFECTIONS)KANSAS ON THE CUSP - STOP CAUTI PROJECT (CATHETER ASSOCIATED URNINARY TRACT INFECTIONS)IMMUNIZATION OF HEALTH CARE WORKERSDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$38,617ExpenseAmt
Revenue$18,888RevenueAmt
DescSUMMIT 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.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$875,432TotalProgramServiceExpensesAmt
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 LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
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
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredfalseScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee5EmployeeCnt
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 Members18GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
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 PolicyfalseDocumentRetentionPolicyInd
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 (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
LORA KEY
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
TYLER HUGHES MD
Director0.000.00Yes (X)$0$0$0
TOM BELL
Director0.000.00Yes (X)$0$0$0
JENNIFER SCOTT KOONTZ MD
VICE CHAIR0.000.00Yes (X)$0$0$0Yes (X)
JOHN BROBERG
SEC'Y/TREASURER0.000.00Yes (X)$0$0$0Yes (X)
ROGER MASSE
Director0.000.00Yes (X)$0$0$0
CRAIG CONCANNON MD
Director0.000.00Yes (X)$0$0$0
JOE DAVISON MD
Director0.000.00Yes (X)$0$0$0
ROBERT MOSER MD
Director0.000.00Yes (X)$0$0$0
TAMMY PETERMAN
Director0.000.00Yes (X)$0$0$0
JAMES H REAGAN PHD
Director0.000.00Yes (X)$0$0$0
MARY REDMON DO
Director0.000.00Yes (X)$0$0$0
KAREN SHUMATE
CHAIR0.000.00Yes (X)$0$0$0Yes (X)
JERRY SLAUGHTER
Director0.000.00Yes (X)$0$0$0
LAMBERT WU MD
Director0.000.00Yes (X)$0$0$0
GEORGE STOVER
Director0.000.00Yes (X)$0$0$0
KENDRA TINSLEY
Executive Dir.40.000.00$110,954$0$17,534Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$110,954TotalReportableCompFromOrgAmt
Total Other Compensation$17,534TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$900GovernmentGrantsAmt
All Other Contributions$1,391,429AllOtherContributionsAmt
Total Contributions$1,392,329TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER PROGRAM COST REIMB.$236$236
SUMMIT ON QUALITY$18,888$18,888
FieldValueIRS element (for citing)
Total Program Service Revenue$19,124TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$247TotalRevenueColumnAmt
Exclusion$247ExclusionAmt

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$1,411,700TotalRevenueColumnAmt
Related Or Exempt Func Income$19,124RelatedOrExemptFuncIncomeAmt
Exclusion$247ExclusionAmt
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$128,488TotalAmt
Program Services$119,777ProgramServicesAmt
Management And General$8,711ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$257,109TotalAmt
Program Services$239,656ProgramServicesAmt
Management And General$17,453ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$22,537TotalAmt
Program Services$21,010ProgramServicesAmt
Management And General$1,527ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$40,549TotalAmt
Program Services$38,038ProgramServicesAmt
Management And General$2,511ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$30,674TotalAmt
Program Services$28,636ProgramServicesAmt
Management And General$2,038ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,887TotalAmt
Management And General$1,887ManagementAndGeneralAmt

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$267,466TotalAmt
Program Services$266,246ProgramServicesAmt
Management And General$1,220ManagementAndGeneralAmt

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$7,783TotalAmt
Program Services$6,543ProgramServicesAmt
Management And General$1,240ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,500TotalAmt
Program Services$12,500ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$50,918TotalAmt
Program Services$24,745ProgramServicesAmt
Management And General$26,173ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$50,334TotalAmt
Program Services$39,248ProgramServicesAmt
Management And General$11,086ManagementAndGeneralAmt

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$4,162TotalAmt
Management And General$4,162ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
EDUCATION & CONVENTIONS$38,632$32,120$6,512
TELEPHONE & WEBINAR$29,063$28,165$898
Printing and Publications$5,648$5,412$236
DUES & SUBSCRIPTIONS$5,116$4,419$697

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$11,420TotalAmt
Program Services$8,917ProgramServicesAmt
Management And General$2,503ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$964,286TotalAmt
Program Services$875,432ProgramServicesAmt
Management And General$88,854ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$808,125BOYAmt
EOY$1,342,305EOYAmt

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$196,136BOYAmt
EOY$123,593EOYAmt

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$348BOYAmt
EOY$248EOYAmt

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$1,004,609BOYAmt
EOY$1,466,146EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$47,391BOYAmt
EOY$61,642EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$184BOYAmt
EOY$56EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$47,575BOYAmt
EOY$61,698EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$957,034BOYAmt
EOY$1,404,448EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$957,034BOYAmt
EOY$1,404,448EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,004,609BOYAmt
EOY$1,466,146EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$447,414ReconcilationRevenueExpnssAmt
Donated Services And Use Fclts$67,500DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets-$67,500OtherChangesInNetAssetsAmt
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 CommitteefalseAuditCommitteeInd
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 TypeOrganizationTypeDescGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
KANSAS MEDICAL SOCIETY
480289660501(C)(6)Yes (true)$437,716$0
KANSAS HOSPITAL ASSOCIATION INC
480543786501(C)(6)Yes (true)$437,716$0
FieldValueIRS element (for citing)
Supported Organizations Total2SupportedOrganizationsTotalCnt
Support Sum$875,432SupportSumAmt

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

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescEMPLOYEE BENEFIT DEPOSITDesc
Amt$56Amt
FieldValueIRS element (for citing)
Total Liability$56TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,478,300TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$67,500DonatedServicesAndUseFcltsAmt
Revenue Not Reported$67,500RevenueNotReportedAmt
Revenue Subtotal$1,410,800RevenueSubtotalAmt
Other Revenues Not Included$900OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$900RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,411,700TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,031,786TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$67,500DonatedServicesUseFcltsAmt
Expenses Not Reported$67,500ExpensesNotReportedAmt
Expenses Subtotal$964,286ExpensesSubtotalAmt
Total Expenses Per Form990$964,286TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart XI, Line 4b: Other revenue amounts included on 990 but not included in F/SFormAndLineReferenceDesc
ExplanationGRANTS UNRECOGNIZED IN PRIOR YEAR $900ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 = -$67500

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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