2024-05-07T12:12:15-05:00 2023-06-30 882730877 CHERRY BEKAERT ADVISORY LLC 101 SOUTH 5TH STREET STE 2100 LOUISVILLE KY 40202 990 2022-07-01 610574577 KENTUCKY HOSPITAL ASSOCIATION KENT 5024266220 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 APRIL SMITH CFO 5024266220 2024-05-02 1 APRIL SMITH 999009999 0 ANNAMARIE REILLY CPA P00431897 8885871719 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z NANCY GALVAGNI 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 23120201 0 X WWW.KYHA.COM X 1954 KY REPRESENT AND PROVIDE SERVICES TO KY HOSPITALS THAT ARE ACCOUNTABLE AND ORIENTED TO THE COMMUNITY. 26 25 37 28 0 0 0 0 16345850 18724322 394952 632729 2177350 2524711 18918152 21881762 3000000 3400000 0 0 5003097 5845367 0 0 0 2890549 4378643 10893646 13624010 8024506 8257752 39246700 45175360 5682964 2813627 33563736 42361733 X THE MISSION OF THE ASSOCIATION SHALL BE TO SERVE AS AN ASSOCIATION THAT REPRESENTS AND SERVES HOSPITALS, RELATED HEALTH CARE ORGANIZATIONS AND INTEGRATED HEALTH CARE SYSTEMS THAT ARE ACCOUNTABLE TO THE COMMUNITY AND ORIENTED TOWARD COMMUNITY HEALTH IMPROVEMENT. WHERE APPROPRIATE, THE ASSOCIATION WILL SEEK TO INVOLVE OTHER HEALTH CARE FACILITIES, PHYSICIAN GROUPS AND OTHER MEDICAL PROFESSIONAL CORPORATIONS, HEALTH PLANS AND OTHER INTEGRATORS. 0 0 ON THE FEDERAL LEVEL, CONTINUED TO MONITOR AND ANALYZE LEGISLATION AND REGULATIONS AFFECTING HOSPITALS AND PROVIDED COMMENTS ON HOSPITAL-RELATED REGULATIONS AND INFORMED THE MEMBERSHIP. MONITORED AND PROVIDED COMMENTS ON CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) OUTPATIENT AND INPATIENT PROSPECTIVE PAYMENT SYSTEM RULES AND WAGE INDEX CHANGES.ON AN ON-GOING BASIS, KHA WORKS WITH THE KENTUCKY CABINET FOR HEALTH AND FAMILY SERVICES ON ISSUES RELATED TO THE KENTUCKY MEDICAID PROGRAM AND THE MEDICAID MANAGED CARE ORGANIZATIONS ("MCO") RELEVANT TO A MEDICAID 1115 WAIVER PROPOSAL, EMERGENCY ROOM TRIAGE FEES, MENTAL HEALTH PARITY AND VARIOUS ADMINISTRATIVE PROCEDURES. MONTHLY MEETINGS BETWEEN MEMBERS AND MEDICAID MCOS CONTINUE TO ADDRESS PROBLEMS HOSPITALS EXPERIENCE WITH MANAGED CARE. EFFORTS CONTINUE WITH THE DEPARTMENT FOR MEDICAID SERVICES TO MODEL A NEW DISPROPORTIONATE SHARE SYSTEM FOR HOSPITAL PAYMENTS.KHA MAINTAINED THE STATE DATA CONTRACT FOR COLLECTION OF BOTH INPATIENT AND OUTPATIENT DATA AND CONTINUED THE KENTUCKY BIRTH SURVEILLANCE CONTRACT. REPORTS ARE PRODUCED UTILIZING THE DATA INCLUDING REPORTS TO ASSIST HOSPITALS IN ADDRESSING HOSPITAL READMISSIONS AND DASHBOARD REPORTS DESIGNED TO PROVIDE A HOSPITAL-SPECIFIC SUMMARY FOR EACH MEMBER.THE ECONOMIC IMPACT STUDY FOR EACH KENTUCKY HOSPITAL, WHICH DEMONSTRATES THE VALUE OF THE HOSPITAL TO ITS COMMUNITY, WAS UPDATED. PROVIDED EDUCATIONAL, INFORMATIONAL AND NETWORKING FORUMS FOR MEMBERS TO DISCUSS CURRENT ISSUES OF INTEREST TO MEMBERS. PREPARED ANDDISTRIBUTED INFORMATION TO MEMBERS ON CURRENT HEALTH CARE TOPICS.KY CFS MAKES VALUE BASED MANAGED CARE PAYMENTS TO HOSPITALS. KHA ADMINISTERS THOSE PAYMENTS TO THE HOSPITALS.PROVIDE OVERSIGHT AND SUPPORT STAFF SERVICES FOR THE ACTIVITIES OF THE KENTUCKY HOSPITAL RESEARCH AND EDUCATION FOUNDATION ("KHREF") AND KENTUCKY INSTITUTE FOR PATIENT SAFETY AND QUALITY ("KIPSQ").MONITOR AND PROVIDE COMMENTS AND RECOMMENDATIONS ON KENTUCKY LAWS AND REGULATIONS THAT HAVE AN IMPACT ON HOSPITALS AND HEALTH CARE. KEEP MEMBERS INFORMED REGARDING COMPLIANCE WITH KENTUCKY HEALTH STATUTES. 0 0 0 1 0 0 0 0 0 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 15 0 1 37 1 0 0 0 0 0 0 0 0 X 26 25 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X APRIL SMITH VICE PRESIDENTFINANCE 5024266220 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 NANCY GALVAGNI PRESIDENT 32.40 7.60 X X 784476 0 41917 JAMES MUSSER SVP/POLICY AND GOVERNMENT RELATIONS 40.00 X 314525 0 30310 BRIAN BREZOSKY SVP/COO 20.00 X 303455 0 22002 HAROLD CLARK VP/ECONOMICS AND POLICY 40.00 X 239098 0 39140 HAROLD WARMAN VP/MEMBER SERVICES AND ENGAGEMENT 20.40 X 240418 0 26036 APRIL SMITH CHIEF FINANCIAL OFFICER 28.00 12.00 X 171846 0 30767 JONATHAN COPLEY SVP/STRATEGY AND OPERATIONS 20.00 4.00 X 175546 0 19411 CLINT KAHO TRUSTEE 0.30 X 600 300 0 MIKE SHERROD BOARD CHAIR 1.00 0.60 X X 600 300 0 HOLLIE HARRIS PHILLIPS TRUSTEE 0.30 X 600 100 0 ASHLEY HERRINGTON TRUSTEE 0.30 X 600 100 0 GARREN COLVIN TRUSTEE 0.30 0.60 X 600 0 0 DONALD LLOYD TRUSTEE 0.30 0.60 X 600 0 0 MARK NEWMAN TREASURER, TERM ENDED 02/23 1.00 0.60 X X 500 100 0 KATHY STUMBO IMMEDIATE PAST CHAIR 1.00 1.00 X X 500 100 0 CHERIE SIBLEY TRUSTEE, TERM ENDED 02/23 0.30 X 500 0 0 ERIC LEE TRUSTEE, TERM ENDED 02/23 0.30 X 500 0 0 ANTHONY HOUSTON TRUSTEE 0.30 X 500 0 0 DAN GOULSON TRUSTEE 0.30 X 500 0 0 DAN MCKAY TRUSTEE 0.30 X 500 0 0 DONOVAN BLACKBURN TRUSTEE 0.30 0.60 X 500 0 0 DOUG WINKELHAKE TRUSTEE 0.30 X 500 0 0 GERARD COLMAN TRUSTEE 0.30 0.60 X 500 0 0 KEN MARSHALL TRUSTEE 0.30 X 500 0 0 MATT OURS TRUSTEE 0.30 X 500 0 0 MATTHEW AYERS TRUSTEE 0.30 X 500 0 0 MATTHEW RUTTER TRUSTEE 0.30 X 500 0 0 MICHAEL YUNGMANN TRUSTEE 0.30 X 500 0 0 NINA EISNER TRUSTEE 0.30 X 500 0 0 ROBERT DESOTELLE TRUSTEE 0.30 X 500 0 0 STEPHEN TOADVINE TRUSTEE 0.30 X 500 0 0 TOM MILLER TRUSTEE 0.30 X 500 0 0 MARK BIRDWHISTELL TREASURER, TERM BEGAN 02/23 1.00 0.60 X X 500 0 0 STEVEN HESTER TRUSTEE 0.30 X 0 0 0 WILLIAM HAUGH TRUSTEE 0.30 X 0 0 0 2242964 1000 209583 14 0 1 0 HEALTHCARE STRAGEGY GROUP LLC 9900 CORPORATE CAMPUS DR SUITE 20 LOUISVILLE KY 40223 CONSULTING SERVICES 371549 BARNETT BENVENUTI & BUTLER 489 EAST MAIN STREET SUITE 300 LEXINGTON KY 40507 LEGAL SERVICES 209339 POLSINELLI PC PO BOX 878681 KANSAS CITY MO 64187 LEGAL SERVICES 182063 CAPITOL SOLUTIONS LLC 8913 DOLLS EYES ST PROSPECT KY 40059 LOBBYING SERVICES 146204 IOWA HOSPITAL ASSOCIATION 100 E GRAND AVE SUITE 100 DES MOINES IA 50309 DATA SERVICES 118000 7 ADMINISTRATOR FEES 900099 13862514 13862514 MEMBERSHIP DUES 900099 4567933 4567933 DATA SERVICES 900099 284000 284000 AHA FEES 900099 9875 9875 18724322 637712 637712 1233456 1238439 -4983 -4983 -4983 PROFESSIONAL SERVICES 900099 2273950 2273950 SUBSIDIARY INCOME 900099 246261 246261 MISCELLANEOUS REVENUE 900099 4500 4500 2524711 21881762 21249033 0 632729 X 3400000 1031106 4067588 229958 222001 294714 297093 35104 88144 44333 2029857 39868 53402 141413 151197 142555 14280 100599 DATA SERVICE EXPENSE 753895 MISCELLANEOUS 382337 MEMBER/EMPLOYEE/PUBLIC 70987 ASSOCIATION & STAFF DUE 33579 13624010 500 500 9173314 13509880 32244 81277 87815 102260 656892 643817 27355 13075 18603939 19262684 5433474 5679735 5888059 6525949 39246700 45175360 1122159 1326955 1058204 1058204 3502601 428468 5682964 2813627 X 33563736 42361733 33563736 42361733 39246700 45175360 8257752 540245 0 X X 0 1 X 1 0 0 0 1 4567933 455155 455155 543678 -88523 656892 643817 13075 13075 INVESTMENT IN AFFILIATES 5679735 C 5679735 DEFERRED COMP. PLAN ASSETS 424128 CAPITAL RESERVE FUND 5377475 ACCRUED INTEREST RECEIVABLE 63010 AFFILIATES RECEIVABLE 661336 6525949 CUSTODIAL FUNDS 3460 DEFERRED COMP. PLAN LIABILITIES 424128 AFFILIATES PAYABLE 880 428468 X PART X, LINE 2: KENTUCKY HOSPITAL ASSOCIATION (KHA) 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. THE ASSOCIATION 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. 1 KENTUCKY HOSPITAL RESEARCH AND EDUCATION FOUNDATION INC 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 616052378 501(C)(3) 3400000 0 PROGRAM SUPPORT 1 0 PART I, LINE 2: THE ORGANIZATION MAINTAINS RECORDS OF THE AMOUNT OF GRANTS THEY AWARD. THIS GRANT IS DISTRIBUTED TO KHREF TO HELP FUND THE QUALITY INITIATIVE. X X 1 1 X X X X 0 0 0 NANCY GALVAGNI PRESIDENT 577005 0 186558 0 20913 0 19825 0 22092 0 826393 0 0 0 JAMES MUSSER SVP/POLICY AND GOVERNMENT RELATIONS 282511 0 30208 0 1806 0 19825 0 10485 0 344835 0 0 0 BRIAN BREZOSKY SVP/COO 162492 0 33000 0 107963 0 16970 0 5032 0 325457 0 0 0 HAROLD CLARK VP/ECONOMICS AND POLICY 222082 0 15210 0 1806 0 8724 0 30416 0 278238 0 0 0 HAROLD WARMAN VP/MEMBER SERVICES AND ENGAGEMENT 213969 0 20810 0 5639 0 15551 0 10485 0 266454 0 0 0 APRIL SMITH CHIEF FINANCIAL OFFICER 151261 0 20208 0 377 0 12922 0 17845 0 202613 0 0 0 JONATHAN COPLEY SVP/STRATEGY AND OPERATIONS 174972 0 206 0 368 0 5930 0 13481 0 194957 0 0 0 PART I, LINE 1A 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. FORM 990, PART VI, SECTION A, LINE 1A THE KHA EXECUTIVE COMMITTEE HAS AUTHORITY TO ACT IN BETWEEN REGULARLY SCHEDULED BOARD MEETINGS. MINUTES AND ACTIONS OF THE EXECUTIVE COMMITTEE ARE SUBSEQUENTLY APPROVED BY THE BOARD. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS ARE HOSPITALS THAT PAY DUES TO BELONG TO THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THROUGH THEIR DISTRICTS, MEMBERS NOMINATE BOARD MEMBERS TO SERVE ON THE KHA BOARD WHO ARE THEN SUBSEQUENTLY APPROVED BY THE FULL MEMBERSHIP THROUGH MAILED BALLOT. FORM 990, PART VI, SECTION A, LINE 7B SPECIAL DUES ASSESSMENTS AND AMENDMENTS TO THE BYLAWS ARE SUBJECT TO THE REVIEW AND APPROVAL OF THE MEMBERS. 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 DRAFT IS PRESENTED TO THE FINANCE AND BUDGET COMMITTEE FOR REVIEW. AFTER THE REVIEW AND APPROVAL BY THE COMMITTEE, 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 EACH BOARD MEETING 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 AN INDEPENDENT CONSULTANT REVIEWS ANNUAL SALARY SURVEY AND INFORMATION PROVIDED FOR LIKE POSITIONS IN ASSOCIATIONS OF SIMILAR SIZE AND CONTIGUOUS TO KENTUCKY EVERY TWO YEARS AND ISSUES A LETTER SUBSTANTIATING THE REASONABLENESS OF COMPENSATION AND BENEFITS. 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, PART IX, LINE 11G PURCHASED SERVICES 2,029,857. FORM 990, PAGE 13, PART XII LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. KHA CONTINUES TO BE AUDITED AS PART OF THE KENTUCKY HOSPITAL ASSOCIATION CONSOLIDATED GROUP. KHA CONTINUES TO BE INCLUDED IN THE KENTUCKY HOSPITAL ASSOCIATION AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION STILL 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 1 KENTUCKY INSTITUTE FOR PATIENT SAFETY AND QUALITY INC 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 264657040 EDUCATING ORGANIZATIONS ON PATIENT SAFETY KY 501(C)(3) LINE 10 KENTUCKY HOSPITAL ASSOCIATION 1 KENTUCKY HOSPITAL SERVICE COMPANY OF KY LLC 2501 NELSON MILLER PARKWAY LOUISVILLE KY 40223 611004776 PROVIDE INSURANCE/RISK MANAGEMENT SERVICES KY KENTUCKY HOSPITAL ASSOCIATION C 313671 4164067 1.00000 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 KENTUCKY HOSPITAL SERVICE COMPANY OF KY LLC K 140000 ALLOCATION OF SPACE & EQUIP USE KENTUCKY HOSPITAL SERVICE COMPANY OF KY LLC O 101617 ALLOCATED TIME SHARED EMPLOYEES KENTUCKY HOSPITAL SERVICE COMPANY OF KY LLC O 1200550 ALLOCATED TIME SHARED EMPLOYEES KENTUCKY HOSPITAL SERVICE COMPANY OF KY LLC P 103418 ALLOCATED EXPENSE REIMBURSEMENT KENTUCKY HOSPITAL SERVICE COMPANY OF KY LLC Q 268896 ALLOCATED EXPENSE REIMBURSEMENT KY HOSPITAL RESEARCH AND EDUCATION FOUNDATION O 1033616 ALLOCATED TIME SHARED EMPLOYEES KY HOSPITAL RESEARCH AND EDUCATION FOUNDATION B 3400000 GRANT KY INSTITUTE FOR PATIENT SAFETY AND QUALITY O 109551 ALLOCATED TIME SHARED EMPLOYEES SCHEDULE R, PAGE 3, PART V KENTUCKY HOSPITAL ASSOCIATION (KHA), KENTUCKY HOSPITAL SERVICE COMPANY OF KENTUCKY, LLC (KHSC), KENTUCKY HOSPITAL RESEARCH AND EDUCATION FOUNDATION (KHREF) AND KENTUCKY INSTITUTE FOR PATIENT SAFETY AND QUALITY (KIPSQ) SHARE EXPENSES FOR EMPLOYEES. THE COMPANIES ALSO SHARE EXPENSES FOR OFFICE SUPPLIES, INSURANCE, AND OTHER OFFICE EXPENSES. THESE EXPENSES ARE PAID BY ONE ORGANIZATION AND THEN THE OTHER ORGANIZATIONS WILL REIMBURSE FOR THESE EXPENSES BASED ON THE REIMBURSEMENT PERCENTAGES DETERMINED AT THE BEGINNING OF EACH YEAR. THE REIMBURSEMENT PERCENTAGE IS BASED ON THE TOTAL NUMBER OF EMPLOYEES.