2018-11-15T08:32:18-06:00 2017-12-31 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2017-01-01 480862732 SUSAN B ALLEN MEMORIAL HOSPITAL FOUNDATION % EMILY DOYON SUSA 3163213300 720 WEST CENTRAL EL DORADO KS 67042 JONATHAN IMMORDINO INTERIM CFO 2018-11-15 true Michael J Engle P00482834 8162216300 167.68.126.162 43372220183195000000 2018-11-15 P 93D6BCA2088F39FB1F732088889462DF184CBBA1 B63AEF58A3948584CFC9994E7E12F4E53EEB27F2 2017 2018-06-14 16:35:46Z JAMES KIRKBRIDE 720 WEST CENTRAL EL DORADO KS 67042 1178512 false X WWW.SBAMH.ORG/ABOUT_US/FOUNDATION/OVERVIEW X 1977 KS PHILANTHROPIC PRIORITIES AT THE SUSAN B. ALLEN MEMORIAL HOSPITAL FOUNDATION REFLECT A FOCUS ON FULFILLING THE NEEDS OF SUSAN B. ALLEN MEMORIAL HOSPITAL. 11 11 0 11 0 0 551300 156059 0 0 29818 117295 2683 22448 583801 295802 357220 175286 0 0 0 0 0 0 0 55077 70895 412297 246181 171504 49621 2404112 2538334 279496 174537 2124616 2363797 X SEE SCHEDULE O false false 175286 175286 0 IN 2017, DONOR SUPPORT OF NURSE NAVIGATION 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. 175286 true true false false false true false false false true false false false false false false true true false false false false false false true false false true false true false false false false false false false false false false false false false true false false false true 2 0 true 0 false false false false false true true false false false false X 11 11 true false false false true true true true true false false true true true true true true false false false KS X EMILY DOYON 3163224559 720 WEST CENTRAL EL DORADO KS 67042 EMILY CONNELL SECRETARY/TREASUER 1.0 0.0 X X 0 0 0 BARBARA DANKERT VICE PRESIDENT 1.0 0.0 X X 0 0 0 KATIE BANKS-TODD DIRECTOR 1.0 0.0 X 0 0 0 JOY KISTLER DIRECTOR 1.0 0.0 X 0 0 0 TOM MCKIBBAN PRESIDENT 1.0 0.0 X X 0 0 0 RYAN MURRY PAST PRESIDENT 1.0 0.0 X X 0 0 0 JUSTIN PARSONS DIRECTOR 1.0 0.0 X 0 0 0 JEREMY SUNDGREN DIRECTOR 1.0 0.0 X 0 0 0 GLENN BUCHHOLZ DIRECTOR 1.0 0.0 X 0 0 0 DAN DAVIS DIRECTOR 1.0 0.0 X 0 0 0 ANITA MILLS DIRECTOR 1.0 0.0 X 0 0 0 STEVE FUNK DIRECTOR 1.0 0.0 X 0 0 0 EUGENE KABERLINE CFO 1.0 40.0 X 0 204287 10126 JIM KIRKBRIDE CEO 1.0 40.0 X 0 277109 30270 KERI MYERS DIRECTOR OF FUND DEVELOPMENT 40.0 0.0 X 0 40719 11769 CHASE LOCKE EXECUTIVE DIRECTOR FOUNDATION 40.0 0.0 X 0 54935 7817 0 577050 59982 0 false true false 0 90716 65343 156059 0 42349 42349 0 0 0 0 0 924884 849938 74946 74946 74946 55220 90716 32772 22448 22448 0 0 0 0 0 0 0 295802 139743 175286 175286 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9092 9092 0 0 32974 32974 0 0 0 0 0 0 0 0 0 0 DONOR APPRECIATION EXPENSE 6555 6555 WELLNESS PROGRAM 22274 22274 246181 175286 70895 0 496071 235629 0 0 65862 23522 0 5500 0 0 0 0 0 0 0 0 0 0 0 0 1842179 2273683 0 0 0 0 0 0 0 0 2404112 2538334 279496 174537 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 279496 174537 X 1374193 1556827 347420 403967 403003 403003 2124616 2363797 2404112 2538334 49621 189560 X false true X true false X X X 1 SUSAN B ALLEN MEMORIAL HOSPITAL 480581968 3 true 175286 0 1 175286 true false false false false false false false false false false false false false false true false 1 350 175350 true true 1887242 20087 243725 9092 2141962 1568899 220239 105714 7610 1887242 1570557 94805 -15692 73371 7400 1568899 1479284 46819 108550 56867 7229 1570557 1291319 144789 113425 63912 6337 1479284 0.75990 0.18820 0.05190 false false 670995 189560 152861 32772 375193 295802 295802 431814 152861 32772 185633 246181 246181 SCHEDULE D, PART V, LINE 4 EARNINGS FROM THE ENDOWMENT FUNDS ARE USED TO FUND THE PURCHASE OF EQUIPMENT AND PROGRAM SUPPORT FOR SUSAN B. ALLEN MEMORIAL HOSPITAL. SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D FUNDRAISING EVENT EXPENSES $ 32,772 SCHEDULE D, PART XII, LINE 2D FUNDRAISING EVENT EXPENSES $ 32,772 GALA 145936 90716 55220 4443 160 20170 1135 6864 0 145936 90716 55220 4443 160 20170 1135 6864 32772 22448 true SUSAN B ALLEN MEMORIAL HOSPITAL 720 WEST CENTRAL EL DORADO KS 67042 480581968 501(C)(3) 175286 FINANCIAL SUPPORT 1 SCHEDULE I, PART I, LINE 2 ALL 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. true false false false false false false false false EUGENE KABERLINE CFO 0 171665 0 13201 0 19421 0 7281 0 2845 0 214413 0 0 JIM KIRKBRIDE CEO 0 254772 0 19201 0 3136 0 10800 0 19470 0 307379 0 0 SCHEDULE J, PART I, LINE 4A THE FOLLOWING PERSONS RECEIVED SEVERANCE PAYMENTS: EUGENE KABERLINE $19,421 SCHEDULE J, PART VII, SCHEDULE J, PART I, LINE 3 & PART II THE COMPENSATION BEING REPORTED FOR EUGENE KABERLINE, JIM KIRKBRIDE, KERI MYERS, AND CHASE LOCKE BY A RELATED ORGANIZATION IS FROM SUSAN B. ALLEN MEMORIAL HOSPITAL. SUSAN B. ALLEN MEMORIAL HOSPITAL USES A COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH MR. KABERLINE, MR. KIRKBRIDE, MS. MYERS, AND MR. LOCKE'S COMPENSATION. FORM 990, PART III, LINE 1 THE 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 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. FORM 990, PART VI, SECTION A, LINE 2 Eugene Kaberline, Jim Kirkbride, Keri Myers and Chase Locke have a business relationship. FORM 990, PART VI, SECTION A, LINE 6 SUSAN B. ALLEN MEMORIAL HOSPITAL IS THE SOLE MEMBER OF THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, SUSAN B. ALLEN MEMORIAL HOSPITAL, HAS THE RIGHT TO ELECT BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE HOSPITAL MEMBER HAS THE RIGHT TO APPROVE: AMENDMENT OF 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 11B AN 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 THAT NEED TO BE MADE ARE MADE. THE 990 IS THEN PRESENTED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND COMMENT. ANY QUESTIONS OR CONCERNS THE BOARD OF DIRECTORS HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT ARE NEEDED ARE MADE. THE FINAL 990 WITH ALL REQUIRED SCHEDULES ARE APPROVED BY THE BOARD OF DIRECTORS AND FILED. IF THE 990 IS FILED PRIOR TO BOARD APPROVAL AND CHANGES ARE NEEDED AN AMENDED RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C AT THE TIME OF HIRE OR ELECTION IN THE CASE OF BOARD MEMBERS, AND ANNUALLY THEREAFTER, EXECUTIVE DIRECTOR OF THE FOUNDATION, OR THEIR DESIGNEE SHALL PROVIDE TO THE BOARD AND EXECUTIVE OFFICERS, A COPY OF THE CONFLICT OF INTEREST POLICY AND THE CONFLICT OF INTEREST DISCLOSURE STATEMENT WHICH WILL BE COMPLETED TO IDENTIFY ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES WITH RESPECT IT IS BELIEVED A CONFLICT MAY ARISE. THE ANNUAL REVIEW AND MONITORING IS A PART OF THE FOUNDATION'S CORPORATE COMPLIANCE PLAN. A REPORT SHALL BE MADE TO THE BOARD OF DIRECTORS OF ITEMS DISCLOSED. EACH MEMBER OF THE BOARD OF DIRECTORS OR MANAGEMENT SHALL DISCLOSE FULLY AND FRANKLY ANY AND ALL POTENTIAL CONFLICTS OF INTEREST WHICH MAY EXIST OR APPEAR TO EXIST. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. SUSAN B ALLEN MEMORIAL HOSPITAL 720 WEST CENTRAL EL DORADO KS 67042 480581968 HOSPITAL KS 501(C)(3) 3 NA false SBAMH EMPLOYEE GROUP BENEFIT TRUST 720 WEST CENTRAL EL DORADO KS 67024 481105047 VEBA KS 501(C)(9) SBA HOSPITAL true false true false false false false false false false false false true false true true false true true false