In this Issue:
President's Message
As we approach the end of the year, I want to thank all of you for the involvement at events and sponsorship support! As this was our first year for the board in their respective positions, there were some growing pains, but I think we all came together to make some great accomplishments. I look forward to an even more amazing 2019.
With agreed upon financial support from the Chapter, I attended the ACHE Annual Leaders Conference in Chicago. There were several Missouri members there and I had the opportunity to meet several of the Chapter Leadership from across the country. It was a true sharing of information. I tried to learn from their successes and take that back to the Missouri Chapter. Some of the topics discussed were chapter websites, annual meetings, programming and social events, sponsorship and administrative support. I truly believe we should all be proud of our Chapter as many of the conversations were explanations about how we supported our Chapter.
At this Leaders Conference, Kristi Baker, KCLPC Chair, presented the findings and results from the mentorship grant the Chapter received. The results were not only impressive, but she did an outstanding job of presenting the information to the audience. Again, congratulations Kristi, and thank you on behalf of the Chapter.

See you in the New Year

physiciansSupporting Physician Executives
Chapters connect key groups to relevant programming
Physician executives represent a key membership group for which ACHE is working to provide education and career development programs. Local ACHE chapters are uniquely positioned to engage this important group with relevant resources and opportunities to help them grow as leaders. One chapter, the Georgia Association of Healthcare Executives, formed a physician executive group in 2016 to address the needs of local physician leaders and provide value for them at the local level.

awardBill Schoenhard, LFACHE, His Story
Author: David J. Baltzer, RN, LFACHE
Wal king through the exhibit hall of the 2018 ACHE Congress on Leadership, I noticed a colleague, Kim M. Garber, MALS, staffing the American Hospital Association's Center for Hospital and Healthcare Administration History booth. Next to the chocolate there was a postcard with the familiar face of our friend, William (Bill) M. Schoenhard, announcing Bill's inclusion into the Oral History Collection. I read Bill's interview word-for-word and found it be a fascinating healthcare history and pertinent refresher of basic leadership principles. If you want to learn more about Bill's contribution, invest time at . Please give a shout out to a great Missourian, Bill Schoenhard. Thank you for your service, sir!

Technical Tax Update for All Nonprofits: Potential New Taxes for Parking Provided to Employees

Author: Jennifer M. Vacha, CPA, CGMA - Partner, Brown Smith Wallace, LLP

The Tax Cuts and Jobs Act of 2017 ("TCJA") has numerous provisions that affect taxation for individuals, businesses, and nonprofits; both directly and indirectly. The 2017 Act indicates tax cuts, however, some provisions may actually increase taxes for nonprofits. One provision, which became effective January 1, 2018, falls under the new Internal Revenue Code Section 512(a)(7). This provision imposes Unrelated Business Income Tax (UBIT) on qualified transportation benefits - a cost, not an income stream. 

Technically, the UBI regulations state an activity may be unrelated business income if it is (1) a trade or business, (2) regularly carried on, and (3) not substantially related to furthering the exempt purpose of the organization. The newly imposed corporate tax rate is 21% for UBI for nonprofit corporations. If an organization expects to owe at least $500 in UBIT they must submit quarterly estimated tax payments. Although many nonprofits are unaware of this new provision and have never previously had to file Form 990-T, if an organization's UBI is $1,000 or more Tax Form 990-T must be prepared. Failing to file Form 990-T comes at a cost - the minimum penalty being the smaller of the tax due or $210.  

Prior to the 2017 Tax Act, employers were able to provide certain tax-free qualified transportation fringe benefits for employees. The Act made certain qualified transportation fringe (QTF) benefit expenses paid after 12/31/17 nondeductible for for-profit organizations. Thus, in the spirit of the "for-profit and nonprofit equal footing" theory, Congress implemented this tax for nonprofits.  
Under the new law, UBIT shall be increased by any amount paid or incurred by the organization for any parking facility used in connection with "parking the organization provides to its employees on or near the organization's premises, including commuter parking".
  • Repairs
  • Maintenance
  • Utility costs
  • Insurance
  • Taxes paid for real estate
  • Interest on debt
  • Snow, ice leaf and trash removal
  • Cleaning
  • Landscape costs
  • Parking lot attendant expenses
  • Security
  • Rent or lease payment or a portion thereof
The Notice identifies that organizations have until March 31, 2019 to modify designated reserved employee parking policies and procedures to adjust the impact of the potential tax. However, like all legislation, this entire component of the TCJA could be repealed or modified. Please consult with your tax advisor to understand how this new provision may impact your organization.
congratsCongratulation Announcements  
Chapter Service Awards
Left-to-Right: Katie Nowak, Jennifer Bjelich-Houpt, Ron Present, Bryant McNally
(not pictured is Jon Vitiello)
  • Jennifer M. Bjelich-Houpt, MHA, FACHE
  • Jon Vitiello
  • Katie Nowak, MSPT, MBA, FACHE
  • Bryant McNally, J.D., MPH, FACHE
Distinguished Service Award
Kate Hatfield, RN, MSN, MA
Regents Awards
Let-to-Right_ Katie Nowak_ David Baltzer_ Jim Brophy_ Nathan Rinner_ Kristi Baker_ Ron Present

Senior Executive
  • David J. Baltzer, RN, LNHA, LFACHE
  • Jim Brophy
STAR Awards
  • Kristi Baker, MSJ 
  • Nathan Riner

Become a Fellow of the American College of Healthcare Executives (FACHE)!

Earning the distinction of board certification in healthcare management as a Fellow of the American College of Healthcare Executives (FACHE) signifies your expertise, experience and commitment to continuing education and professional development. Just as members of the medical staff are board certified, having the FACHE credential by your name indicates a level of achievement in the profession.  The ACHE has new requirements for attaining Fellowship status that can be found at


For additional information, please contact:
Patrick Altenhofen, Vice President Hospital Operations, Cushing Memorial Hospital
Nathan Riner, Consultant, Riner Group
MO ACHE Membership Committee

Jim Brophy Image
Jim Brophy
Sponsorship Chair

Our Board of Directors has approved a Sponsorship Campaign to raise funds for the Missouri Chapter to host leadership development / educational and networking events across the state for our members.
Sponsorship levels are:

These Sponsorship levels are consistent with other ACHE Chapters. Potential sponsors include health systems, hospitals and healthcare companies such as law, accounting, construction, architecture, and insurance firms that serve healthcare provider organizations.    

Platinum Sponsor

Silver Sponsor

Silver Sponsor

Bronze Sponsor

Bronze Sponsor

Should you have questions or potential Sponsors, please contact Jim Brophy or Jim Andrews:

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MO-ACHE 2018 - 2019 Board Members
President Elect -  Bryant McNally
Secretary -  Tom Saggio
Treasurer -  Jon Vitiello
Sponsorship Committee Chair -  Jim Brophy
Membership Committee Chair -  Nathan Riner
Communications Committee Chair -  Joyce Eisel
Nominating Committee Chair -  David Baltzer
Central MO Local Programming Counsel -  Mohammad Agha
Kansas City Local Programming Counsel -  Kristi Baker
Saint Louis Local Programming Counsel -  Tina Garrison
Southeast MO Local Programming Counsel -  Jason Schrumpf
Southwest MO Local Programming Counsel -  Christopher Breite
Missouri Regent -  Katie Nowak
Programming (ad-hoc) Committee Chair -  Sobia Shahab