Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
MHA CENTER FOR EDUCATION
Employer identification number
43-0898947
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
No
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
No
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
No
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
(1)
MISSOURI HOSPITAL ASSOCIATION
440610607
501(C)(6)
Yes
Yes
0
Total
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
MHA CENTER FOR EDUCATION
Employer identification number
43-0898947
Identifier
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 6
THE MISSOURI HOSPITAL ASSOCIATION IS THE SOLE MEMBER OF THE MHA CENTER FOR EDUCATION.
FORM 990, PART VI, SECTION A, LINE 7A
THE MEMBER HAS THE AUTHORITY UNDER THE BYLAWS TO ELECT THE BOARD OF DIRECTORS.
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 MISSOURI HOSPITAL ASSOCIATION PRESIDENT SERVES AS THE PRESIDENT AND CEO OF THE MHA CENTER FOR EDUCATION AND IS PAID BY THE MISSOURI HOSPITAL ASSOCIATION. THE MISSOURI HOSPITAL ASSOCIATION 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 MISSOURI HOSPITAL ASSOCIATION BOARD AND THE TREASURER OF THE MISSOURI HOSPITAL ASSOCIATION 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 MISSOURI HOSPITAL ASSOCIATION 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, ANALYZES THE DATA AND THE MARKET. IN ADDITION, HUMAN RESOURCES STAFF CONTACT HOSPITALS AND HEALTH SYSTEMS, 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.
AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS:
FORM 990, PART VII:
MHA HIDI MSC HEALTHPAC ISSUES PAC MHA DONALD J. BABB 1.5 0.1 0.1 0.1 0.1 0.1 ROBERT H. BEZANSON 1.0 0.1 0.1 0.1 0.1 0.1 STEVEN C. BJELICH 1.1 0.1 0.1 0.1 0.1 0.1 JOHN W. BLUFORD 0.8 0.1 0.1 0.1 0.1 0.1 PATRICK E. CARRON 1.3 0.1 0.1 0.1 0.1 0.1 ROBERT Y. COPELAND JR. 1.3 0.1 0.1 0.1 0.1 0.1 STEPHEN E. CORBEIL 0.9 0.1 0.1 0.1 0.1 0.1 JOSEPH W. CROSSETT 1.5 0.1 0.1 0.1 0.1 0.1 JOHN M. DAWES 0.8 0.1 0.1 0.1 0.1 0.1 KIM DAY 0.8 0.1 0.1 0.1 0.1 0.1 DENNY DENARVAEZ 0.8 0.1 0.1 0.1 0.1 0.1 GARY D. DUNCAN 1.3 0.1 0.1 0.1 0.1 0.1 SHERLYN A. HAILSTONE 0.8 0.1 0.1 0.1 0.1 0.1 G. RICHARD HASTINGS 1.2 0.1 0.1 0.1 0.1 0.1 CRYSTAL HAYNES 0.8 0.1 0.1 0.1 0.1 0.1 MICHAEL E. HENZE 1.6 0.1 0.1 0.1 0.1 0.1 NICHOLAS A. HOLEKAMP 0.8 0.1 0.1 0.1 0.1 0.1 MARK LANEY 0.8 0.1 0.1 0.1 0.1 0.1 STEVEN H. LIPSTEIN 1.3 0.1 0.1 0.1 0.1 0.1 MICHAEL MCCURRY 0.8 0.1 0.1 0.1 0.1 0.1 DAN MCKINNEY 0.9 0.1 0.1 0.1 0.1 0.1 RANDALL L. O'DONNELL 0.8 0.1 0.1 0.1 0.1 0.1 DENNIS P. PRYOR 1.6 0.1 0.1 0.1 0.1 0.1 THOMAS H. ROCKERS 0.9 0.1 0.1 0.1 0.1 0.1 JAMES M. SANGER 1.4 0.1 0.3 0.1 0.1 0.1 JON D. SWOPE 0.8 0.1 0.1 0.1 0.1 0.1 KAREN WEGENER 0.8 0.1 0.1 0.1 0.1 0.1 RANDY S. WERTZ 1.2 0.1 0.1 0.1 0.1 0.1 HERB B. KUHN 37.0 4.0 22.0 0.5 0.3 0.3 JAMES H. ROSS 2.1 0.2 0.4 0.1 0.1 0.1 GARY R. OLSON 1.5 0.1 0.3 0.1 0.1 0.1 DAVID CARPENTER 2.2 0.1 0.4 0.1 0.1 0.1 MYRA L. EVANS 1.0 0.1 0.1 0.1 0.1 0.1 KATHLEEN C. POFF 37.0 8.0 9.0 1.0 0.5 0.5
FORM 990, PART XI, LINE 1:
MODIFIED CASH BASIS
SCHEDULE R, PART II, COLUMN B:
MISSOURI HOSPITAL ASSOCIATION: TO PROMOTE THE HEALTH & WELFARE OF MO CITIZENS BY ASSISTING HOSPITALS & OTHER HEALTHCARE-RELATED ORGANIZATIONS. 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. POLITICAL ACTION COMMITTEE FOR HEALTH OF THE MISSOURI HOSPITAL ASSOCIATION: 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 MISSOURI HOSPITAL ASSOCIATION: 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.
SCHEDULE R, PART III, COLUMN B:
THE HEALTH ALLIANCE OF MID AMERICA, LLC: ENHANCE AND FURTHER THE TAX-EXEMPT PURPOSES OF ITS MEMBERS THROUGH EFFICIENCIES AND ECONOMICS OF SCALE IN THE OPERATION OF PROGRAMS AND PROVISION 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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.