2012-11-15T10:18:50-06:00 2011-12-31 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2011-01-01 480862732 Susan B Allen Memorial Hospital Foundation % ROBIN CRAWFORD SUSA 3163213300 720 West Central El Dorado KS 67042 GAYLE ARNETT 3163213300 2012-11-15 true 8162216300 2011 2016-02-24 21:20:13Z GAYLE ARNETT 720 WEST CENTRAL EL DORADO KS 67042 191338 false X WWW.SBAMH.COM/DEVELOPMENT.CFM X 1977 KS TO MAINTAIN AND IMPROVE THE SERVICES OF SUSAN B. ALLEN MEMORIAL HOSPITAL. 11 11 0 11 0 0 211231 112214 0 0 45738 40944 0 26524 256969 179682 163990 99164 0 0 0 0 0 0 0 6273 6060 170263 105224 86706 74458 1328881 1381566 0 0 1328881 1381566 TO MAINTAIN AND IMPROVE THE SERVICES OF SUSAN B. ALLEN MEMORIAL HOSPITAL. false false 99164 99164 0 EQUIPMENT AND PROGRAM SUPPORT FOR SUSAN B. ALLEN MEMORIAL HOSPITAL. 99164 true true false false false false false false false true false false false false false true true false 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 false true 0 0 0 false false false false false false false false false false X 11 11 false false false false true false true true true false false true true true true true true false false false KS X ROBIN CRAWFORD 3163224559 720 WEST CENTRAL EL DORADO KS 67042 X PAULA GILLILAND 1.0 X 0 0 0 BARBARA DANKERT 1.0 X 0 0 0 DAN DAVIS 1.0 X 0 0 0 MIKE MCGUIRE 1.0 X 0 0 0 TOM MCKIBBAN 1.0 X 0 0 0 RYAN MURRY 1.0 X 0 0 0 JUSTIN PARSONS 1.0 X 0 0 0 JEREMY SUNDGREN 1.0 X 0 0 0 BILL KLOEBLEN 1.0 X 0 0 0 ALISON ROBBINS 1.0 X 0 0 0 LADONNA SNOOK 1.0 X 0 0 0 ROBIN CRAWFORD 1.0 X 0 162300 26393 GAYLE ARNETT 1.0 X 0 241624 39422 MARY LUEBBERT 1.0 X 0 57330 11566 0 461254 77381 0 false true false 0 112214 112214 0 40944 40944 0 0 0 38180 11656 26524 26524 0 0 0 179682 67468 99164 99164 0 0 0 0 0 0 0 0 0 0 0 350 350 0 0 5663 5663 0 0 47 47 0 0 0 0 0 0 0 0 0 0 105224 99164 6060 0 68145 64903 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1260736 1316663 0 0 0 0 0 0 0 0 1328881 1381566 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 1045346 1054337 130600 161294 152935 165935 1328881 1381566 1328881 1381566 X 74458 -21773 X false true true X false X X X false false false SUSAN B ALLEN MEMORIAL HOSPITAL 480581968 03 true true true 99164 1 99164 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1165992 43432 13396 47095 5665 1170060 1138533 38000 112893 118334 5100 1165992 1029973 40000 113597 45037 1138533 1138441 58722 -130655 36535 1029973 0.84570 0.14180 0.01250 false false 0 0 179682 105224 74458 -21773 -21773 52685 169565 -21773 11656 -10117 179682 179682 116880 11656 11656 105224 105224 INTENDED USE OF ENDOWMENT FUNDS 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. UNCERTAIN TAX POSITIONS DISCLOSURE 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. RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS SCHEDULE D, PART XII, LINE 2D FUNDRAISING EVENT EXPENSES $ 11,656 RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS SCHEDULE D, PART XIII, LINE 2D FUNDRAISING EVENT EXPENSES $ 11,656 MASQUERADE BALL 38180 38180 7628 1200 5566 0 0 0 0 0 0 0 0 0 0 38180 0 38180 0 0 0 7628 1200 5566 14394 23786 true SUSAN B ALLEN MEMORIAL HOSPITAL 720 WEST CENTRAL EL DORADO KS 67042 480581968 501(C)(3) 99164 FINANCIAL SUPPORT 1 0 PROCEDURES FOR MONITORING OF GRANTS 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. false false false false false false false false false ROBIN CRAWFORD 0 161202 0 0 0 1098 0 6457 0 19936 0 188693 0 0 GAYLE ARNETT 0 237817 0 0 0 3807 0 17780 0 21642 0 281046 0 0 COMPENSATION FROM RELATED ORGANIZATION FORM 990, PART VII; SCHEDULE J, PART I, LINE 3 & PART II THE COMPENSATION BEING REPORTED FOR GAYLE ARNETT, ROBIN CRAWFORD AND MARY LUEBBERT 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 MS. ARNETT, MR. CRAWFORD, AND MS. LUBEBBERT'S COMPENSATION. MEMBERS FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS TWO CLASSES OF MEMBERSHIP: THE HOSPITAL MEMBER, THE SUSAN B. ALLEN MEMORIAL HOSPITAL, A RELATED 501(C)(3) TAX EXEMPT ORGANIZATION, AND THE VOTING MEMBERS, CONSIST OF THOSE NATURAL PERSONS WHO HAVE BEEN ELECTED TO, ARE QUALIFIED AND ARE SERVING AS DIRECTORS OF THE CORPORATION. DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL OF 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. FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE FOUNDATION'S OFFICERS AND THE ACCOUNTING STAFF. ANY QUESTIONS OR CONCERNS THE FOUNDATION'S OFFICERS OR ACCOUNTING STAFF HAVE 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. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C AT THE TIME OF HIRE OR ELECTION IN THE CASE OF BOARD MEMBERS, AND ANNUALLY THEREAFTER, DIRECTOR OF FUND DEVELOPMENT 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. AVAILABILITY OF DOCUMENTS 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. RECONCILIATION OF NET ASSETS FORM 990, PART XI, LINE 5 UNREALIZED GAINS/(LOSSES) $ 74,415 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBIN CRAWFORD TITLE:VICE PRESIDENT & CFO HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GAYLE ARNETT TITLE:PRESIDENT & CEO HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARY LUEBBERT TITLE:DIRECTOR OF FUND DEVELOPMENT HOURS:40 SUSAN B ALLEN MEMORIAL HOSPITAL 720 WEST CENTRAL EL DORADO KS 67042 480581968 HOSPITAL KS 501(C)(3) 3 NA false false true false false false false false false false false true false true true false false false false