Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 2a · Program service revenue: CONVENTIONS & EDUCATION

  total $618,970 · related or exempt $618,970

• 2b · Program service revenue: CONTRACTUAL SERVICES

  total $4,673,116 · related or exempt $3,720,588 · unrelated business $952,528

• 2c · Program service revenue: SPECIAL PROJECTS

  total $4,710,217 · related or exempt $4,710,217

• 2d · Program service revenue: PROGRAM RENTAL REVENUE

  total $437,240 · related or exempt $311,672 · excluded $125,568

• 2e · Program service revenue: MEMBERSHIP DUES

  total $5,663,366 · related or exempt $5,663,366

• 3 · Investment income

  total $1,261,748 · excluded $1,261,748

• 4 · Income from investment of tax-exempt bond proceeds

  total $0

• 5 · Royalties

  total $0

• 6c · Rental income or loss

  real property $0 · personal property $0

• 6d · Net rental income or loss

  total $0

• 7a · Gross sales of assets other than inventory

  securities $22,004,320 · other assets $18,260

• 7b · Less cost or other basis and sales expenses

  securities $21,790,945 · other assets $2,652

• 7c · Gain or loss

  securities $213,375 · other assets $15,608

• 7d · Net gain or loss

  total $228,983 · excluded $228,983

• 8a · Fundraising events: gross income

  $0

• 8b · Fundraising events: direct expenses

  $0

• 8c · Net income from fundraising events

  total $0

• 9a · Gaming: gross income

  $0

• 9b · Gaming: direct expenses

  $0

• 9c · Net income from gaming

  total $0

• 10a · Gross sales of inventory

  $0

• 10b · Cost of goods sold

  $0

• 10c · Net income from sales of inventory

  total $0

• 11a · Other revenue: INCOME FROM HEALTH ALLIANCE

  total $68,916 · related or exempt $68,916

• 11e · Other revenue, total

  $68,916

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $5,410

• 2 · Grants to domestic individuals

  total $0

• 3 · Grants to foreign organizations and individuals

  total $0

• 4 · Benefits paid to or for members

  total $0

• 5 · Compensation of officers, directors and key employees

  total $3,195,495

• 6 · Compensation of disqualified persons

  total $0

• 7 · Other salaries and wages

  total $6,004,337

• 8 · Pension plan contributions

  total $437,142

• 9 · Other employee benefits

  total $1,178,956

• 10 · Payroll taxes

  total $514,223

• 11a · Fees: management

  total $446,080

• 11b · Fees: legal

  total $62,500

• 11c · Fees: accounting

  total $128,019

• 11d · Fees: lobbying

  total $176,308

• 11e · Fees: professional fundraising services

  total $0

• 11f · Fees: investment management

  total $56,950

• 11g · Fees: other

  total $760,192

• 12 · Advertising and promotion

  total $1,500

• 13 · Office expenses

  total $104,113

• 14 · Information technology

  total $850,117

• 15 · Royalties

  total $0

• 16 · Occupancy

  total $253,523

• 17 · Travel

  total $175,271

• 18 · Travel or entertainment for public officials

  total $0

• 19 · Conferences, conventions and meetings

  total $816,679

• 20 · Interest

  total $19,820

• 21 · Payments to affiliates

  total $0

• 22 · Depreciation, depletion and amortization

  total $481,791

• 23 · Insurance

  total $56,452

• 24a · Other expenses: STAFF RETENTION & RECRUITMENT

  total $32,126

• 24b · Other expenses: MISCELLANEOUS

  total $155,677

• 24c · Other expenses: DUES & SUBSCRIPTIONS

  total $43,076

• 24d · Other expenses: UBTI TAXES

  total $1,500

• 24e · All other expenses

  total $68,028

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $342,019 · end of year $840,883

• 2 · Savings and temporary cash investments

  beginning of year $0 · end of year $625,000

• 3 · Pledges and grants receivable

  beginning of year $0 · end of year $0

• 4 · Accounts receivable

  beginning of year $745,105 · end of year $537,029

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 7 · Other notes and loans receivable

  beginning of year $0 · end of year $0

• 8 · Inventories for sale or use

  beginning of year $0 · end of year $0

• 9 · Prepaid expenses and deferred charges

  beginning of year $386,585 · end of year $592,610

• 10a · Land, buildings and equipment: cost or other basis

  $8,637,712

• 10b · Land, buildings and equipment: accumulated depreciation

  $6,404,386

• 10c · Land, buildings and equipment, net

  beginning of year $2,398,946 · end of year $2,233,326

• 11 · Investments: publicly traded securities

  beginning of year $25,615,668 · end of year $27,757,864

• 12 · Investments: other securities

  beginning of year $0 · end of year $0

• 13 · Investments: program-related

  beginning of year $0 · end of year $0

• 14 · Intangible assets

  beginning of year $0 · end of year $0

• 15 · Other assets

  beginning of year $25,290,895 · end of year $28,039,560

• 17 · Accounts payable and accrued expenses

  beginning of year $2,668,651 · end of year $2,812,452

• 18 · Grants payable

  beginning of year $0 · end of year $0

• 19 · Deferred revenue

  beginning of year $0 · end of year $0

• 20 · Tax-exempt bond liabilities

  beginning of year $0 · end of year $0

• 21 · Escrow or custodial account liability

  beginning of year $0 · end of year $0

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 23 · Secured mortgages and notes payable

  beginning of year $675,903 · end of year $629,823

• 24 · Unsecured notes and loans payable

  beginning of year $0 · end of year $0

• 25 · Other liabilities

  beginning of year $1,350,603 · end of year $1,571,331

• 27 · Net assets without donor restrictions

  beginning of year $50,084,061 · end of year $55,612,666

• 28 · Net assets with donor restrictions

  beginning of year $0 · end of year $0

The filer's explanations (Part III)

Part I, Line 1A:

First-class or charter travel: If the drive time is more than three hours one way for a one-day meeting or if the drive time is more than five hours one way for a multi-day meeting, members of the Board of Trustees may use charter air transportation and be reimbursed the actual cost of such travel. Others traveling on behalf of the Association who choose air charter service will be reimbursed the lower of the actual cost of the charter transportation or two times the amount allowed for automobile mileage to and from the meeting or function. On occasion senior staff use charter travel for meetings within the state where the drive time is significant for a meeting that is an hour or two. Travel for companions: The employment contract with the current CEO allows $2,500 for spouse travel. This is taxable to the CEO. Tax indemnification and gross-up payments: MHA has a service award program that recognizes employees for the length of service at 5 year intervals. When the award exceeds the $400 average and is taxable to the employee, the employee receives a tax gross-up payment to cover the tax attributed to the award. Health or social club dues or initiation fees: The employment contract with the CEO provides that the initiation fee and annual membership fees for a country club membership be paid for the CEO. Health club memberships (up to $150 per year) are provided to employees as a wellness benefit as provided in our healthy lifestyles policy.

Part I, Line 4B:

The following individuals participate in a 457(b) plan. Each individual contributed $22,500 to the plan in 2023. - Jon D. Doolittle - President and CEO - Kathleen C. Poff - Sr. VP of Administration and CFO - Jane C. Drummond - Sr. VP of Governmental Relations and General Counsel - Mary Becker - Sr. VP of Strategic Partnerships and Communications - Jaclyn Gatz - Sr. VP of Strategic Quality Initiatives

Incentive Compensation - Paid to CEO by Missouri Hospital Association:

Incentive compensation is intended to reward the chief executive officer for the achievement of those priority organization objectives established by the Compensation Committee. The award of any portion of incentive compensation is at the sole discretion of the committee operating within the board-approved Missouri Hospital Association Executive Compensation Philosophy and at no time is guaranteed. Incentive compensation will only be considered when the following criteria are met. -The chief executive officer receives a favorable annual performance appraisal. -The association achieves positive net income from its consolidated operations (unless, at the sole discretion of the Compensation Committee, specific circumstances warrant an exception). The evaluation of net income will be based on the association's consolidated financial statements and year-end projection. Any material changes in the association's financial position reflected in the subsequent annual audit may, at the sole discretion of the Compensation Committee operating within the board-approved Missouri Hospital Association Executive Compensation Philosophy, cause the amount of current or future incentive compensation to be changed. In no event will incentive compensation be based on net income.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• THE HEALTH ALLIANCE OF MID AMERICA LLC

  Related · See Pt VII · KS · 50% owned · share of income $69,127 · share of assets $6,617,582 · general or managing partner

  Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• MHA MANAGEMENT SERVICES CORPORATION

  C Corp · See Pt VII · MO · 100% owned · share of income $2,967,709 · share of assets $20,525,382 · controlled entity

  Directly controlled by See Pt VII