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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
KANSAS HEALTH INFORMATION NETWORK INC
 
Employer identification number

27-4437508
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 2 KHIN BOARD MEMBERS JERRY SLAUGHTER, THOMAS BELL, AND JOE DAVIDSON ARE ALSO BOARD MEMBERS OF KANSAS MEDICAL MUTUAL INSURANCE COMPANY.
FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 SHALL BE PROVIDED TO ALL OF THE MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS AND AVAILABLE FOR COMMENT BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15 THE KHIN COMPENSATION COMMITTEE REVIEWS COMPENSATION FROM OTHER HEALTH INFORMATION EXCHANGES ACROSS THE NATION. THE INFORMATION IS PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC BY CONTACTING THE OFFICE OF KHIN.
FORM 990, PART XII, LINE 2C: KHIN DOES NOT HAVE A SEPARATE AUDIT COMMITTEE. THE ENTIRE GOVERNING BOARD ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT.
FORM 990, PART I, LINE 6: VOLUNTEERS CONSIST OF NON-COMPENSATED BOARD MEMBERS
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2018


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