SUSAN B ALLEN MEMORIAL HOSPITAL FOUNDATION: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
SUSAN B ALLEN MEMORIAL HOSPITAL FOUNDATION (EIN 48-0862732)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-14
IRS object ID
202503189349314140
Schema version
2024v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-14T16:33:42-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN621517792PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PYA P CBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16016 BROOKVALE LANEAddressLine1Txt
CityKNOXVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37919ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN480862732EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUSAN B ALLEN MEMORIAL HOSPITALBusinessNameLine1Txt
Business Name Line2FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSUSABusinessNameControlTxt
Phone3163213300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 WEST CENTRALAddressLine1Txt
CityEL DORADOCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67042ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMELISSA HALLPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone3163213300PhoneNum
Signature2025-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDEBORAH O ERNSBERGERPreparerPersonNm
PTINP00364912PTIN
Phone8656730844PhoneNum
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMELISSA HALLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 WEST CENTRALAddressLine1Txt
CityEL DORADOCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67042ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$349,806GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressSBAMHFOUNDATION.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1977FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionPHILANTHROPIC PRIORITIES AT THE SUSAN B. ALLEN MEMORIAL HOSPITAL FOUNDATION REFLECT A FOCUS ON FULFILLING THE NEEDS OF SUSAN B. ALLEN MEMORIAL HOSPITAL.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$185,882PYContributionsGrantsAmt
CY Contributions Grants$287,107CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$11,927PYInvestmentIncomeAmt
CY Investment Income$59,324CYInvestmentIncomeAmt
PY Other Revenue$17,311PYOtherRevenueAmt
CY Other Revenue-$65,876CYOtherRevenueAmt
PY Total Revenue$215,120PYTotalRevenueAmt
CY Total Revenue$280,555CYTotalRevenueAmt
PY Grants And Similar Paid$256,340PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$394,680CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$31,278PYOtherExpensesAmt
CY Other Expenses$37,019CYOtherExpensesAmt
PY Total Expenses$287,618PYTotalExpensesAmt
CY Total Expenses$431,699CYTotalExpensesAmt
PY Revenues Less Expenses-$72,498PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$151,144CYRevenuesLessExpensesAmt
Total Assets BOY$3,984,129TotalAssetsBOYAmt
Total Assets EOY$4,232,353TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$21,519TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,984,129NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,210,834NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$394,680ExpenseAmt
Grant$394,680GrantAmt
DescIN 2024, DONOR SUPPORT OF NUMEROUS PROJECTS PROVIDED VALUABLE FUNDING TO ADVANCE OUR MISSION OF TAKING CARE OF THE COMMUNITY. SUSAN B. ALLEN IS PROUD TO CONTINUE TO OFFER NEW INITIATIVES TO CONTINUE TO PROVIDE EXCELLENT PATIENT CARE TO OUR COMMUNITY MEMBERS.Desc
Total Program Service Expenses$394,680TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised FundYes (1)DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldKSStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL MASSEYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3163218716PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 WEST CENTRALAddressLine1Txt
CityEL DORADOCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67042ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
JOYCE DEMO
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
MICHAEL SCHWANKE
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
ASHLYN LINDSKOG
SECRETARY/TREASURER1.00Yes (X)Yes (X)$0$0$0
JUSTIN PARSONS
PAST PRESIDENT1.00Yes (X)$0$0$0
JENNIFER CLAUSING
DIRECTOR1.00Yes (X)$0$0$0
EMILY CONNELL
DIRECTOR1.00Yes (X)$0$0$0
STEVE FUNK
DIRECTOR1.00Yes (X)$0$0$0
RANDI KAY GRAHAM
DIRECTOR1.00Yes (X)$0$0$0
PHILLIP SOLORIO
DIRECTOR1.00Yes (X)$0$0$0
TED TREVINO
DIRECTOR1.00Yes (X)$0$0$0
DR GREG JOYCE
GOVERNING BODY - BOARD OF TRUSTEES1.00Yes (X)$0$0$0
MELISSA HALL
CHIEF EXECUTIVE OFFICER1.00Yes (X)$0$220,868$20,46740.00
MICHAEL MASSEY
CHIEF FINANCIAL OFFICER1.00Yes (X)$0$115,012$18,75840.00
HOLLY LANDON
EXECUTIVE DIRECTOR, SBAMH40.00Yes (X)$0$90,815$7,956
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$426,695TotReportableCompRltdOrgAmt
Total Other Compensation$47,181TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$230,865FundraisingAmt
All Other Contributions$56,242AllOtherContributionsAmt
Noncash Contributions$126,106NoncashContributionsAmt
Total Contributions$287,107TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$56,787TotalRevenueColumnAmt
Exclusion$56,787ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,537SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,537SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,537TotalRevenueColumnAmt
Exclusion$2,537ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$3,375FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$230,865ContriRptFundraisingEventAmt
Fundraising Direct Expenses$69,251FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$65,876TotalRevenueColumnAmt
Exclusion-$65,876ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$280,555TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$6,552ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$394,680TotalAmt
Program Services$394,680ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,259TotalAmt
Management And General$4,259ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$14,950TotalAmt
Management And General$14,950ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
BANK FEES$12,301$12,301
BUSINESS EXPENSE$1,715$1,715
WELLNESS PROGRAM$759$759

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,035TotalAmt
Management And General$3,035ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$431,699TotalAmt
Program Services$394,680ProgramServicesAmt
Management And General$37,019ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$186,710BOYAmt
EOY$4,546EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$25,380BOYAmt
EOY$9,250EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,772,039BOYAmt
EOY$4,218,557EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,984,129BOYAmt
EOY$4,232,353EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$21,519EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$21,519EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,780,200BOYAmt
EOY$3,020,033EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,203,929BOYAmt
EOY$1,190,801EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,984,129BOYAmt
EOY$4,210,834EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,984,129BOYAmt
EOY$4,232,353EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$151,144ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$402,144NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$24,295PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SUSAN B ALLEN MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN480581968EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$394,680SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$394,680SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Org Leg CtrlYes (1)DisclosedOrgLegCtrlInd
Disclosed For Charitable PrpsYes (1)DisclosedForCharitablePrpsInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,092,196BeginningYearBalanceAmt
End Year Balance$3,092,196EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,092,196BeginningYearBalanceAmt
End Year Balance$3,092,196EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,402,966BeginningYearBalanceAmt
Contributions$256,312ContributionsAmt
Investment Earnings Or Losses-$554,159InvestmentEarningsOrLossesAmt
Administrative Expenses$12,923AdministrativeExpensesAmt
End Year Balance$3,092,196EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,050,761BeginningYearBalanceAmt
Investment Earnings Or Losses$365,206InvestmentEarningsOrLossesAmt
Administrative Expenses$13,001AdministrativeExpensesAmt
End Year Balance$3,402,966EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,531,526BeginningYearBalanceAmt
Contributions$263,800ContributionsAmt
Investment Earnings Or Losses$267,194InvestmentEarningsOrLossesAmt
Administrative Expenses$11,759AdministrativeExpensesAmt
End Year Balance$3,050,761EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationEARNINGS FROM THE ENDOWMENT FUNDS ARE USED TO FUND THE PURCHASE OF EQUIPMENT AND PROGRAM SUPPORT FOR SUSAN B. ALLEN MEMORIAL HOSPITAL.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$228,681GrossReceiptsEvent1Amt
Charitable Contri Event1$225,306CharitableContriEvent1Amt
Gross Revenue Event1$3,375GrossRevenueEvent1Amt
Rent Facility Costs Event1$200RentFacilityCostsEvent1Amt
Food And Beverage Event1$30,320FoodAndBeverageEvent1Amt
Entertainment Event1$206EntertainmentEvent1Amt
Other Direct Expenses Event1$33,452OtherDirectExpensesEvent1Amt
Event2SUNSET SOIREE/PIE IN THE FACEEvent2Nm
Gross Receipts Event2$5,559GrossReceiptsEvent2Amt
Charitable Contri Event2$5,559CharitableContriEvent2Amt
Food And Beverage Event2$2,709FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$2,364OtherDirectExpensesEvent2Amt
Gross Receipts Total$234,240GrossReceiptsTotalAmt
Charitable Contributions Tot$230,865CharitableContributionsTotAmt
Gross Revenue Total Events$3,375GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$200RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$33,029FoodAndBeverageTotalEventsAmt
Entertainment Total Events$206EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$35,816OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$69,251DirectExpenseSummaryEventsAmt
Net Income Summary-$65,876NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1SUSAN B ALLEN MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 WEST CENTRALAddressLine1Txt
CityEL DORADOCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67042ZIPCd
FieldValueIRS element (for citing)
Recipient EIN480581968RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$394,680CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantFINANCIAL SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationALL GRANT REQUESTS ARE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. ALL GRANTS ARE MADE TO SUSAN B. ALLEN MEMORIAL HOSPITAL, A RELATED 501(C)(3) ORGANIZATION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonMELISSA HALLPersonNm
TitleCHIEF EXECUTIVE OFFICERTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$213,810CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$7,058OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$20,467NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$241,335TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescAUCTION ITEMSDesc
Contribution73ContributionCnt
Noncash Contributions Rpt F990$126,106NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1THE SUSAN B. ALLEN MEMORIAL HOSPITAL FOUNDATION IS DEDICATED TO HELPING THE HOSPITAL FULFILL ITS MISSION OF PROVIDING COMPASSIONATE, PROFESSIONAL HEALTHCARE TO THE COMMUNITIES WE SERVE. ACTING AS THE FUNDRAISING ARM OF SUSAN B. ALLEN MEMORIAL HOSPITAL (SBAMH), THE FOUNDATION ACCEPTS CHARITABLE GIFTS TO BE USED FOR MAINTAINING AND IMPROVING THE PROGRAMS AND SERVICES AT THE HOSPITAL THAT WILL HAVE A POSITIVE IMPACT ON THE HEALTH OF OUR COMMUNITIES. THE FOUNDATION HAS PROVIDED SUPPORT BY: FUNDS - CANCER CENTER ASSISTANCE PROGRAMS - 20 GAS CARDS GIVEN - MATT CROSS FUND: 248 MEALS WERE GIVEN TO CANCER CENTER PATIENTS IN TREATMENT TOTALING $1,736, AND $3,095 WAS UTILIZED TO SUPPLY SNACKS FOR CANCER CENTER PATIENTS. - BREAST CANCER AWARENESS MONTH - OCTOBER - GIVEAWAYS - EL DORADO WORKING ON WELLNESS PROGRAM - MARY K. CONNELL FUND: - 99 TOTAL KIDS PARTICIPATED IN THE RIDE & WALKING TO SCHOOL PROGRAM IN THE SPRING AND FALL. THE PROGRAM IS FIVE DAYS OF RIDING OR WALKING, OR A TOTAL OF 740 WALKING/RIDING DAYS. - 120 TOTAL KIDS PARTICIPATED IN THE 5TH GRADE WELLNESS PROGRAM 2 TIMES A YEAR. STUDENTS ARE GIVEN WATER BOTTLES, AND WELLNESS EDUCATION/TRACKING BOOKLETS WERE PROVIDED. FOR EACH OF THESE SCHOOLS WE DO A SIX WEEK PROGRAM WITH PRESENTATIONS ABOUT NUTRITION, PORTION SIZE, DAILY MOVEMENT, AND STRESS REDUCTION. WE ASK THE STUDENTS TO KEEP TRACK OF THEIR MOVEMENT AND FOOD INTAKE BY TYPE. THE Y PUTS ON TWO CLASSES OF YOGA, ZUMBA, OR DANCE, WHICH ARE TYPES OF EXERCISE THE STUDENTS WOULD NOT ORDINARILY SEE IN PE CLASS. SBA DOES TWO CLASSES ON BALANCE, STRETCHING, SCREEN TIME, HOW TO WEAR YOUR BACKPACK, AND REHAB. WE DO THESE PROGRAMS OVER THE COURSE OF A SCHOOL YEAR. SOME WERE DONE IN SPRING OF 2024 AND SOME IN FALL OF 2024. AFTER THE SIX WEEK SESSION WE HAVE A TRIP TO THE Y FOR TEACHERS AND STUDENTS WHERE WE ROTATE THROUGH GAMES AND ACTIVITIES WITH A LUNCH OF "WALKING TACOS." PRESCRIPTION ASSISTANCE PROGRAM - 10 TOTAL PATIENTS RECEIVED PRESCRIPTION ASSISTANCE - 20 TOTAL PRESCRIPTIONS DIAGNOSTIC IMAGING - BREAST CANCER AWARENESS MONTH - MAMMOGRAMS - GIVEAWAYS OBSTETRICS - 30 MOMS/PARTNERS UTILIZED OUR CHILDBIRTH EDUCATION CLASSES. MED/SURG - $229,575 WAS SPENT ON THE NURSING CALL SYSTEM. DIAGNOSTIC IMAGING - $136,378 WAS SPENT ON ULTRASOUND EQUIPMENT. CANCER CENTER - $7,437 WAS SPENT ON FIRE DOORS. OB -$5,830 WAS SPENT ON ROOM BLINDS. EMPLOYEES RELATIONS - FLU VACCINATIONS FOR 231 STAFF/VOLUNTEERS, TOTALING $7552 - 30 EMPLOYEE APPRECIATION PROJECTS - NATIONAL HEALTHCARE HOSPITAL WEEK, TOTALING $3,844 - CONTINUED DEVELOPMENT OF EDUCATION FOR SBA STAFF - GIFT CARDS FOR STAFF, TOTALING $6,000 - 19 COMMUNITY AND INTERNAL SUPPORT OF PROGRAMS AND EVENTS AUXILIARY - EMPLOYEE GIVING CAMPAIGN COMMUNITY - ESTABLISHED WOMEN'S HEALTH PROGRAM WITH SOROPTOMIST - IN CONJUNCTION WITH THE SBA AUXILIARY - BUTLER COMMUNITY COLLEGE AUCTION - TRICK OR TREAT DOWN MAIN STREET ON 10/31/2024 - CHRISTMAS PARADE - SUNSET SOIREE - GALA 14 - YMCA AUCTION - RISE (HOMELESS INITIATIVE AUCTION)
FORM 990, PART VI, SECTION A, LINE 6SUSAN B. ALLEN MEMORIAL HOSPITAL IS THE SOLE MEMBER OF THE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE MEMBER, SUSAN B. ALLEN MEMORIAL HOSPITAL, HAS THE RIGHT TO ELECT BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BTHE HOSPITAL MEMBER HAS THE RIGHT TO APPROVE: AMENDMENT TO THE ARTICLES OF INCORPORATION OF THE CORPORATION; AMENDMENT OF THE BYLAWS OF THE CORPORATION; ANY MERGER, SALE OF SUBSTANTIALLY ALL OF THE ASSETS OR DISSOLUTION OF THE CORPORATION; INCURRING ANY DEBT BY THE CORPORATION; AND THE RIGHT TO ELECT OR REMOVE BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11BAN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY SUSAN B. ALLEN MEMORIAL HOSPITAL (SOLE MEMBER) ACCOUNTING/FOUNDATION STAFF, CFO AND CEO. ANY QUESTIONS OR CONCERNS HAD ARE ADDRESSED AND ANY CLARIFICATION OR CORRECTIONS MADE AS NEEDED.
FORM 990, PART VI, SECTION B, LINE 12CEACH MEMBER OF THE BOARD OF DIRECTORS IS REQUIRED AT THE TIME OF HIRE OR ELECTION, AND ANNUALLY THEREAFTER, TO REVIEW THE CONFLICT OF INTEREST POLICY AND DISCLOSE ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES OF WHICH A CONFLICT OF INTEREST MAY ARISE. THE ANNUAL REVIEW AND MONITORING OF THE CONFLICT OF INTEREST POLICY IS A PART OF THE FOUNDATION'S CORPORATE COMPLIANCE PLAN. ANY POTENTIAL CONFLICTS DISCLOSED ON THE INTEREST DISCLOSURE STATEMENTS ARE REPORTED TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SUSAN B ALLEN MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 WEST CENTRALAddressLine1Txt
CityEL DORADOCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67042ZIPCd
FieldValueIRS element (for citing)
EIN480581968EIN
Primary ActivitiesHOSPITALPrimaryActivitiesTxt
Legal Domicile StateKSLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 3PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (1)AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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