2023-11-07T10:13:11-06:00 2022-12-31 621517792 PYA P C 2220 SUTHERLAND AVE KNOXVILLE TN 37919 990 2022-01-01 480862732 SUSAN B ALLEN MEMORIAL HOSPITAL FOUNDATION SUSA 3163213300 720 WEST CENTRAL EL DORADO KS 67042 LEONARD HERNANDEZ PRESIDENT & CEO 3163213300 2023-10-20 1 LEONARD HERNANDEZ 999009999 0 ABIGAIL L CAMPBELL P01296738 8656730844 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MELISSA HALL 720 WEST CENTRAL EL DORADO KS 67042 322258 0 X SBAMHFOUNDATION.COM 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. 9 9 0 22 0 0 335502 212856 0 0 157136 70742 12372 -24853 505010 258745 115459 35201 0 0 0 0 0 0 0 24205 33626 139664 68827 365346 189918 4000651 3545290 10524 2773 3990127 3542517 X SEE SCHEDULE O 0 0 35201 35201 0 IN 2022, 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. 35201 1 1 0 0 0 1 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 KS X CINDI STRACK 3163224544 720 WEST CENTRAL EL DORADO KS 67042 LEONARD HERNANDEZ CHIEF EXECUTIVE OFFICER 1.00 40.00 X 0 241745 12568 CINDI STRACK CHIEF FINANCIAL OFFICER 1.00 40.00 X 0 146056 12568 HOLLY LANDON EXECUTIVE DIRECTOR, SBAMH 40.00 X 0 92704 8723 JUSTIN PARSONS DVM PRESIDENT 1.00 X X 0 0 0 MICHAEL SCHWANKE VICE PRESIDENT 1.00 X X 0 0 0 JOYCE DEMO SECRETARY/TREASURER 1.00 X X 0 0 0 DAN DAVIS PAST PRESIDENT 1.00 X 0 0 0 EMILY CONNELL DIRECTOR 1.00 X 0 0 0 STEVE FUNK DIRECTOR 1.00 X 0 0 0 RYAN LIESS DIRECTOR 1.00 X 0 0 0 ASHLYN LINDSKOG DIRECTOR 1.00 X 0 0 0 SUSAN WORRELL DIRECTOR 1.00 X 0 0 0 0 480505 33859 1 0 1 0 0 145290 67566 35560 212856 64954 64954 5788 0 5788 5788 5788 38660 145290 63513 -24853 -24853 258745 0 0 45889 35201 35201 5724 5724 12923 12923 BANK FEES 8497 8497 BUSINESS EXPENSE 6482 6482 68827 35201 33626 0 366699 226555 19955 1438 0 3632514 3298780 4000651 3545290 10524 2773 10524 2773 X 2671336 2338588 1318791 1203929 3990127 3542517 4000651 3545290 189918 -638158 630 0 X 0 1 X 1 0 X X X 1 SUSAN B ALLEN MEMORIAL HOSPITAL 480581968 3 1 35201 0 1 35201 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 0 3428 77661 1 1 3402966 256312 -554159 12923 3092196 3050761 365206 13001 3402966 2531526 263800 267194 11759 3050761 1963579 5300 573174 10527 2531526 2141962 9966 -178045 10304 1963579 0.80700 0.14800 0.04500 0 0 0 X -337320 -638158 63513 -574645 237325 21420 21420 258745 110290 63513 63513 46777 21420 630 22050 68827 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. PART X, LINE 2: THE HOSPITAL AND FOUNDATION ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND A SIMILAR PROVISION OF STATE LAW. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL AND FOUNDATION HAVE NO UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2022. AT DECEMBER 31, 2022, TAX RETURNS FOR YEARS 2018 THROUGH 2021 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 63,513. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 63,513. PART XII, LINE 4B - OTHER ADJUSTMENTS: OTHER ADJUSTMENT 630. GALA 183950 145290 38660 2200 23952 669 36692 183950 145290 38660 2200 23952 669 36692 63513 -24853 1 SUSAN B ALLEN MEMORIAL HOSPITAL 720 WEST CENTRAL EL DORADO KS 67042 480581968 501(C)(3) 35201 0 FINANCIAL SUPPORT 1 0 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. 0 0 0 0 0 0 0 0 0 LEONARD HERNANDEZ CHIEF EXECUTIVE OFFICER 0 210018 0 21002 0 10725 0 0 0 12568 0 254313 0 0 CINDI STRACK CHIEF FINANCIAL OFFICER 0 141965 0 2765 0 1326 0 0 0 12568 0 158624 0 0 X AUCTION ITEMS 59 35560 FAIR MARKET VALUE 0 0 0 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 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: - ESTABLISHING A COMMUNITY SUMMIT FOR YOUTH HEALTH & WELLNESS. - ESTABLISHING THE DAVID J. CALLAWAY FUND TO SUPPORT EFFORTS IN THE CANCER CENTER. - NATIONAL HOSPITAL WEEK EMPLOYEE SUPPORT: EACH EMPLOYEE RECEIVED A SLING BACKPACK AND FOOD TRUCK LUNCH. - SBA EMPLOYEE END OF YEAR GIFT FOR EACH EMPLOYEE: EACH EMPLOYEE RECEIVED A $25 GIFT CARD TO WALMART OR DILLON'S. - 1688 ADVANCED IMAGING MODALITIES (AIM) 4K PLATFORM, LAPAROSCOPIC AND ORTHOPEDIC EQUIPMENT TOWER FOR THE SBA SURGICAL SERVICES DEPARTMENT. THE TOTAL COST FOR THIS ACTIVITY WAS $178,403. - 32 PEOPLE ATTENDED OUR SBA CHILDBIRTH EDUCATION CLASSES. - 280 YOUTH WERE INVOLVED IN OUR EL DORADO WORKING ON WELLNESS PROGRAM SUPPORTED BY THE MARY K CONNELL FUND FOR WELLNESS INITIATIVE. ACTIVITIES INCLUDE WALKING/RIDING YOUR BIKE TO SCHOOL, MIDDLE SCHOOL AFTER SCHOOL PROGRAM, ENHANCED THE POWERUP PROGRAM, AND FIFTH GRADE WELLNESS CLASSES. - 35,005 FLU SHOTS WERE GIVEN TO SBA EMPLOYEES AND VOLUNTEERS AT A COST OF $9,519. - 310 CANCER CENTER PATIENTS RECEIVED MEALS FROM OUR MATT CROSS FUND FOR CARE DURING TREATMENTS. THE COST OF THIS ACTIVITY INCLUDED SNACKS IN THE AMOUNT OF $3,438, TRAYS IN THE AMOUNT OF $1,365, AND VOUCHERS IN THE AMOUNT OF $13. 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 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 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 MADE AS NEEDED. FORM 990, PART VI, SECTION B, LINE 12C EACH 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 19 THE GOVERNING 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) LINE 3 N/A 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 1 1 0 1 0