Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 478,415 | 573,876 | 610,226 | 655,303 | 677,727 | 2,995,547 |
| 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...... | 1,897,979 | 1,893,897 | 2,370,492 | 2,848,312 | 2,768,045 | 11,778,725 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513... | 0 | |||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | |||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 6 | Total. Add lines 1 through 5. | 2,376,394 | 2,467,773 | 2,980,718 | 3,503,615 | 3,445,772 | 14,774,272 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | |||||
| 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. | 1,131,154 | 996,242 | 1,284,439 | 1,858,911 | 1,808,316 | 7,079,062 |
| c | Add lines 7a and 7b.. | 1,131,154 | 996,242 | 1,284,439 | 1,858,911 | 1,808,316 | 7,079,062 |
| 8 | Public support. (Subtract line 7c from line 6.) | 7,695,210 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 2,376,394 | 2,467,773 | 2,980,718 | 3,503,615 | 3,445,772 | 14,774,272 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 71,541 | 70,850 | 60,401 | 66,458 | 63,428 | 332,678 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 71,541 | 70,850 | 60,401 | 66,458 | 63,428 | 332,678 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 13,292 | 4,835 | 18,127 | |||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 1,789 | 2,720 | 1,969 | 1,152 | 7,630 | |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 2,449,724 | 2,541,343 | 3,041,119 | 3,585,334 | 3,515,187 | 15,132,707 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| Form 990, Part I, Line 1: | Description of Organization's Mission: To gather data for private and public hospitals; to provide data analysis and assemble various reports in order to assist facilities in conducting efficient operations; and to conduct special research projects for health care facilities. |
| Form 990, Part VI, Section A, Line 4: | The Bylaws of the Organization were amended to add two additional standing committees (Audit and Investment) to reflect current practice. The members of the Finance & Budget, Audit, and Investment Committees shall be the same as those serving on each respective committee of the Missouri Hospital Association. The provisions relating to the Data Committee have been revised to reflect that the committee does not oversee day-to-day operations. |
| Form 990, Part VI, Section A, Line 6: | Missouri Hospital Association is the sole member of the Hospital Industry Data Institute. |
| 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 Organization's CEO: The Missouri Hospital Association president serves as the president and CEO of Hospital Industry Data Institute 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 (who also are the chair officers and treasurer of the HIDI 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/Hospital Industry Data Institute Board of Trustees/Directors. 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 that conducts a survey of state associations. This firm conducts a survey of state associations and analyzes the data and the market. In addition, human resources staff contact hospitals, health systems, and 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 Missouri Hospital Association board and the treasurer of the Missouri Hospital Association board (who also are the chair officers and treasurer of the HIDI 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 Missouri Hospital Association/Hospital Industry Data Institute Board of Trustees/Directors. |
| 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. |
| Form 990, Part XII, Line 2C: | The Organization has a committee that assumes responsibility for oversight of the audit and selection of an independent accountant. The process has not changed from the prior year. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACTUAL & CONSULTING FEES TOTAL FEES:213440 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MAINTENANCE/LICENSE AGREEMENTS TOTAL FEES:125460 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED DATA TOTAL FEES:33584 |
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