2024-05-06T15:53:15-05:00 2023-06-30 882730877 CHERRY BEKAERT ADVISORY LLC 101 SOUTH 5TH STREET STE 2100 LOUISVILLE KY 40202 990 2022-07-01 264657040 KENTUCKY INSTITUTE FOR PATIENT SAFETY AND QUALITY INC KENT 5024266220 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 APRIL SMITH CFO 5024266220 2024-05-01 1 APRIL SMITH 999009999 0 ANNAMARIE REILLY CPA P00431897 8885871719 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z LISA HYMAN 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 494164 0 X HTTP://WWW.KIPSQ.ORG/ X 2008 KY TO PROMOTE THE IMPROVEMENT OF HEALTH CARE QUALITY AND PATIENT SAFETY, COLLECTION OF PATIENT SAFETY WORK PRODUCT AND RELATED INFORMATION AND USE OF THIS COLLECTED DATA AND INFORMATION IS THE BASIS FOR EDUCATING HEALTHCARE ENTITIES, AND HEALTHCARE PROFESSIONALS TO MAKE ADVANCES IN THE AREAS OF PATIENT SAFETY, ERROR PREVENTION, AND IMPROVEMENT IN THE QUALITY OF HEALTH CARE DELIVERED TO THE PUBLIC. 9 9 0 9 0 0 50000 0 485284 490587 190 3577 0 0 535474 494164 0 0 0 0 0 0 0 0 0 489683 480779 489683 480779 45791 13385 810353 904051 184391 264704 625962 639347 X TO PROMOTE THE IMPROVEMENT OF HEALTH CARE QUALITY AND PATIENT SAFETY, COLLECTION OF PATIENT SAFETY WORK PRODUCT AND RELATED INFORMATION AND USE OF THIS COLLECTED DATA AND INFORMATION IS THE BASIS FOR EDUCATING HEALTHCARE ENTITIES AND HEALTHCARE PROFESSIONALS TO MAKE ADVANCES IN THE AREAS OF PATIENT SAFETY, ERROR PREVENTION, AND IMPROVEMENT IN THE QUALITY OF HEALTH CARE DELIVERED TO THE PUBLIC. 0 0 408225 490587 THE ORGANIZATION MAINTAINS A REPORTING SYSTEM FOR THE RECEIPT OF PATIENT SAFETY WORK PRODUCT BY MEMBER PROVIDERS AND PROVIDED TRAINING ON ITS USE AS NEEDED. ADDITIONALLY, EDUCATION WAS PROVIDED TO MEMBER ORGANIZATIONS ON VARIOUS TOPICS TO IMPROVE PATIENT SAFETY AND QUALITY THROUGH SEMINARS, WEBINARS, CONFERENCE CALLS, AND PERIODIC NEWSLETTERS. THE ORGANIZATION CONTINUES TO MONITOR ALL AREAS OF PATIENT SAFETY SPECIALLY RELATED TO, BUT NOT LIMITED TO, THE ARHQ COMMON FORMAT WHICH INCLUDES, BLOOD OR BLOOD PRODUCTS, MEDICAL/SURGICAL SUPPLY, FALLS, MEDICATION, PRESSURE ULCER, PERINATAL, VENOUS THROMBOEMBOLISM AND SURGERY/ANESTHESIA THROUGH THE COLLECTION AND ANALYSIS OF DATA FROM MEMBER ORGANIZATIONS. 408225 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 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 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 KY X APRIL SMITH VICE PRESIDENTFINANCE 5024266220 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 NANCY GALVAGNI PRESIDENT 3.00 37.00 X 0 784477 41917 APRIL SMITH CHIEF FINANCIAL OFFICER 0.80 39.20 X 0 171846 30767 LISA HYMAN EXECUTIVE DIRECTOR 14.00 X 0 142708 32020 CLARK WHEELER DIRECTOR 0.20 X 0 0 0 HEIDI MURLEY DIRECTOR 0.20 X 0 0 0 JAMES M FRAZIER MD DIRECTOR 0.20 X 0 0 0 JASON DEAN DIRECTOR 0.20 X 0 0 0 RUTH M CARRICO PHD DIRECTOR 0.20 X 0 0 0 RUTH WILLARD DIRECTOR 0.20 X 0 0 0 SHEILA SCHUSTER PHD DIRECTOR 0.20 X 0 0 0 WARD BEGLEY SECRETARY/TREASURER 0.20 X X 0 0 0 JANET NORTON BOARD CHAIR 0.50 X X 0 0 0 0 1099031 104704 0 0 1 0 ECRI INSTITUTE LB 1472 PO BOX 95000 PHILADELPHIA PA 191950001 PSO SERVICES 296569 1 PATIENT SAFETY ORG 900099 490587 490587 490587 3577 3577 494164 490587 0 3577 143710 102034 41676 3579 3579 6664 6664 1128 801 327 2267 1610 657 3600 2556 1044 8 8 22186 22186 ECRI INSTITUTE FEES 296569 296569 MISCELLANEOUS 1068 1068 480779 408225 72554 0 803450 902662 6903 1389 810353 904051 17607 6538 161542 256211 5242 1955 184391 264704 X 625962 639347 625962 639347 810353 904051 13385 0 X X 0 1 X 1 0 X 50000 50000 760740 746860 451360 485284 490587 2934831 760740 746860 451360 535284 490587 2984831 0 0 0 2984831 5964 2467 346 190 3577 12544 5964 2467 346 190 3577 12544 766704 749327 451706 535474 494164 2997375 0.99580 0.99700 0.00420 0.00300 X 0 AFFILIATE PAYABLE 1955 1955 X PART X, LINE 2: KENTUCKY INSTITUTE FOR PATIENT SAFETY AND QUALITY, INC. (KIPSQ) IS A NONPROFIT CORPORATION AS DEFINED BY THE INTERNAL REVENUE SERVICE AND, THEREFORE, IS NOT SUBJECT TO INCOME TAX, OTHER THAN FOR ANY UNRELATED BUSINESS INCOME. KIPSQ RECOGNIZES UNCERTAIN INCOME TAX POSITIONS USING THE "MORE-LIKELY-THAN-NOT" APPROACH AS DEFINED IN THE ASC. NO LIABILITY FOR UNCERTAIN TAX POSITIONS HAS BEEN RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. 0 0 0 0 0 0 0 0 0 NANCY GALVAGNI PRESIDENT 0 577006 0 186558 0 20913 0 19825 0 22092 0 826394 0 0 APRIL SMITH CHIEF FINANCIAL OFFICER 0 151261 0 20208 0 377 0 12922 0 17845 0 202613 0 0 LISA HYMAN EXECUTIVE DIRECTOR 0 133478 0 7250 0 1980 0 9534 0 22486 0 174728 0 0 PART I, LINE 1A THE RELATED ORGANIZATION, KENTUCKY HOSPITAL ASSOCIATION, PROVIDES THE FOLLOWING FOR ITS OFFICERS: THE PRESIDENT'S CONTRACT INCLUDES TRAVEL WITH SPOUSE TO VARIOUS MEETINGS. VALUE OF THIS TRAVEL IS INCLUDED ON THE PRESIDENT'S W-2. THE ASSOCIATION MAINTAINS MEMBERSHIP IN SOCIAL CLUBS TO USE MEETING SPACE AND ENTERTAIN MEMBERS/GUESTS. ANY PERSONAL EXPENSES INCURRED BY THE PRESIDENT ARE REIMBURSED TO THE ASSOCIATION. PART I, LINE 3 THE RELATED ORGANIZATION, KENTUCKY HOSPITAL ASSOCIATION, USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION OF THEIR ORGANIZATION'S PRESIDENT. - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 3 CONTROL OVER MANAGEMENT DUTIES WERE DELEGATED TO KENTUCKY HOSPITAL ASSOCIATION. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES; THEREFORE, THERE ARE NO COMMITTEE MEETINGS TO DOCUMENT. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE RETURN IS REVIEWED FIRST BY INTERNAL MANAGEMENT. AFTER INTERNAL MANAGEMENT HAS REVIEWED THE RETURN AND ANY CHANGES ARE MADE, A COPY IS MADE AVAILABLE TO THE BOARD FOR REVIEW AND APPROVAL OF FORM 990 PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C STATEMENTS ARE REVIEWED BY THE COMPLIANCE OFFICER AND A STATEMENT IS INCLUDED ON THE AGENDA FOR BOARD MEETINGS REMINDING MEMBERS OF THE CONFLICT OF INTEREST POLICY AND THE NEED TO DISCLOSE CONFLICTS AT THE TIME CONFLICTS ARISE. IF THE DISCLOSURE FORM REVEALS A SIGNIFICANT FINANCIAL INTEREST, IT WILL BE REVIEWED PROMPTLY BY THE INSTITUTIONAL OFFICIAL OR DESIGNEE FOR A DETERMINATION OF WHETHER IT CONSTITUTES A FINANCIAL CONFLICT OF INTEREST. IF A FINANCIAL CONFLICT OF INTEREST EXISTS, THE INSTITUTIONAL OFFICIAL WILL TAKE ACTION TO MANAGE THE FINANCIAL CONFLICT OF INTEREST INCLUDING THE REDUCTION OR ELIMINATION OF THE CONFLICT, AS APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15 KIPSQ DOES NOT HAVE EMPLOYEES. TIME OF KHA EMPLOYEES IS ALLOCATED AS NEEDED TO KIPSQ. KHA DOES HAVE A DEFINED PROCESS FOR REVIEW AND APPROVAL OF COMPENSATION. 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. FORM 990, PAGE 12, PART, XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. KIPSQ IS AUDITED AS PART OF KHA CONSOLIDATED GROUP AND IS INCLUDED IN THE KHA AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION HAS AN AUDIT/FINANCE COMMITTEE THAT OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT AUDITOR. KENTUCKY HOSPITAL RESEARCH & EDUCATION FOUNDATION INC 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 616052378 HEALTHCARE, CHARITABLE, RESEARCH AND EDUCATIONAL ACTIVITIES IN KENTUCKY KY 501(C)(3) LINE 7 KENTUCKY HOSPITAL ASSOCIATION INC 0 KENTUCKY HOSPITAL ASSOCIATION 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 610574577 REPRESENTING ITS MEMBER HOSPITALS KY 501(C)(6) N/A N/A 0 KENTUCKY HOSPITAL SERVICE COMPANY OF KENTUCKY LLC 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 611004776 PROVIDE INSURANCE/RISK MANAGEMENT SERVICES KY N/A C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 KENTUCKY HOSPITAL SERVICE COMPANY OF KENTUCKY LLC K 3600 RENT KENTUCKY HOSPITAL SERVICE COMPANY OF KENTUCKY LLC O 109551 ALLOCATED TIME SHARED EMPLOYEES