2014-02-14T12:49:25-06:00 2013-06-30 481066439 BERBERICH TRAHAN & CO PA 3630 SW BURLINGAME ROAD TOPEKA KS 666112050 990 2012-07-01 274437709 KANSAS HEALTH INFORMATION EXCHANGE INC KANS 7852335443 CURTIS STATE OFFICE BUILDING 1000 SW JACKSON NO 540 TOPEKA KS 666121368 AARON DUNKEL 7852335443 2014-02-14 1 REBECCA SHAW P01275425 7852343427 2014-02-14 2012 2015-11-30 17:44:51Z WILLIAM WALLACE CURTIS STATE OFFICE BUILDING 1000 SW JACKSON TOPEKA KS 666121368 558368 0 X WWW.KANHIT.ORG X 2010 KS IMPROVE THE QUALITY AND EFFICIENCY OF HEALTH CARE IN KANSAS BY MANAGING THE DEPLOYMENT OF HEALTH INFORMATION TECHNOLOGY THROUGHOUT THE STATE AND FACILITATING THE EXCHANGE OF HEALTH INFORMATION AMONG HEALTH CARE PROVIDERS PURSUANT TO THE FEDERAL HITECH ACT AND RELATED GRANT FUNDING. 11 11 0 0 0 0 622900 554368 4000 4000 0 0 0 0 626900 558368 0 0 0 0 0 0 0 0 0 571098 583609 571098 583609 55802 -25241 127669 86399 71867 55838 55802 30561 TO ASSURE THE AVAILABILITY OF STATEWIDE HEALTH INFORMATION EXCHANGES IN THE STATE OF KANSAS AND TO CERTIFY AND REGULATE THOSE EXCHANGES. 0 0 290265 4000 THE ORGANIZATION HAS DEVELOPED A CORPORATE AND COMMITTEE STRUCTURE WHICH WILL ENABLE IT TO DEVELOP POLICY AND ENGAGE VENDORS AND CONTRACTORS TO ESTABLISH AN INTER-OPERABLE ELECTRONIC HEALTH INFORMATION EXCHANGE THAT WILL SERVE ALL PROVIDERS OF KANSAS ENABLING THEM TO SHARE HEALTH INFORMATION AND TO RENDER CARE MORE EFFICIENTLY AND EFFECTIVELY. ULTIMATELY, ALL THE RESIDENTS OF KANSAS WILL BE BENEFITTED BY THIS EFFORT. 290265 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 0 1 0 0 X THE ORGANIZATION 7857838984 CURTIS STATE OFFICE BUILDING 1000 TOPEKA KS 666121368 X KAREN S BRAMAN RPH MS 15.00 X X 0 0 0 MICHAEL ATWOOD MD 10.00 X X 0 0 0 JOE DAVISON MD 10.00 X X 0 0 0 JENNIFER BRULL MD 5.00 X 0 0 0 CINDY CHRISMAN-SMITH 5.00 X 0 0 0 HELEN CONNORS RN PHD FAAN 5.00 X 0 0 0 KENNETH MISHLER PHARMD RPH 5.00 X 0 0 0 ROBERT MOSER MD 5.00 X 0 0 0 JACKIE JOHN 5.00 X 0 0 0 JERRY SLAUGHTER 5.00 X 0 0 0 JONALAN SMITH PHARMD 5.00 X 0 0 0 WILLIAM WALLACE 40.00 X 0 0 0 0 0 0 0 0 0 0 KANSAS HEALTH INSTITUTE 212 SW 8TH AVENUE NO 300 TOPEKA KS 66603 LEASED EMPLOYEES 363289 1 554368 554368 APPLICATION FEES 900099 4000 4000 4000 558368 4000 0 0 363289 119885 243404 80310 40155 40155 9785 9785 51573 51573 14031 14031 15979 15979 9270 9270 2309 2309 20209 20209 16814 16814 MISCELLANEOUS 40 40 583609 290265 293344 0 8475 584 59138 50909 8624 1466 62088 28648 51432 33440 127669 86399 71867 55838 71867 55838 X 55802 30561 55802 30561 127669 86399 -25241 0 X X 1 X 0 1 0 X 88732 622900 554368 1266000 88732 622900 554368 1266000 1266000 1266000 8000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 62088 28648 33440 33440 X 558368 0 558368 0 558368 583609 0 583609 0 583609 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS NOT DELEGATED CONTROL TO A MANAGEMENT COMPANY. HOWEVER, THE STAFF OF THE ORGANIZATION ARE EMPLOYEES OF ANOTHER 501(C)(3) ORGANIZATION LOCATED IN THE FORMER OFFICE SPACE. THE TWO ORGANIZATIONS HAVE AN ADMINISTRATIVE AGREEMENT TO PROVIDE PEOPLE AND SERVICES TO ASSIST IN THE OPERATIONS OF THE ORGANIZATION. THE TWO ORGANIZATIONS ARE NOT RELATED. THERE IS NO CONTROL OF ONE OVER THE OTHER. THE BOARD OF DIRECTORS OF THE ORGANIZATIONS ARE ENTIRELY SEPARATE. THE CEO'S ANNUAL SALARY PER CONTRACT IS $157,000, OF WHICH $157,000 WAS EXPENSED DURING THIS FISCAL PERIOD. NO OTHER OFFICERS OR DIRECTORS WAS COMPENSATED BY THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 8B THERE IS NO OTHER COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE RETURN IS PROVIDED TO THE BOARD FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY REQUIRES ALL EMPLOYEES AND MEMBERS OF THE BOARD OF DIRECTORS TO SIGN THE POLICY. THE POLICY REQUIRES THEM TO BE UPDATED EVERY YEAR. FORM 990, PART VI, SECTION B, LINE 15A THE SALARY RANGE FOR THE CEO WAS DETERMINED BY THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT WHEN IT SUBMITTED THE ORIGINAL GRANT PROPOSAL. THE RANGE WAS CONFIRMED BY THE KHIE FINANCE COMMITTEE. THE SALARY OFFER WAS MADE BY THE EXECUTIVE COMMITEE TO THE CEO AND IS INCLUDED IN HIS CONTRACT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. NO CHANGE FROM PRIOR YEAR.