2024-11-15T13:26:32-06:00 2023-12-31 621517792 PYA P C 2220 SUTHERLAND AVE KNOXVILLE TN 37919 990 2023-01-01 480862732 SUSAN B ALLEN MEMORIAL HOSPITAL FOUNDATION SUSA 3163213300 720 WEST CENTRAL EL DORADO KS 67042 MELISSA HALL PRESIDENT & CEO 3163213300 2024-11-15 1 0 DEBORAH O ERNSBERGER P00364912 8656730844 2023 2024-10-15 13:58:12Z MELISSA HALL 720 WEST CENTRAL EL DORADO KS 67042 362023 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 20 0 0 212856 185882 0 0 70742 11927 -24853 17311 258745 215120 35201 256340 0 0 0 0 0 0 0 33626 31278 68827 287618 189918 -72498 3545290 3984129 2773 0 3542517 3984129 X SEE SCHEDULE O 0 0 256340 256340 IN 2023, 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. 256340 1 1 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 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 0 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 MICHAEL MASSEY 3163218716 720 WEST CENTRAL EL DORADO KS 67042 MELISSA HALL CHIEF EXECUTIVE OFFICER 1.00 40.00 X 0 194459 84 LEONARD HERNANDEZ CHIEF EXECUTIVE OFFICER 1.00 40.00 X 0 185805 2095 CINDI STRACK CHIEF FINANCIAL OFFICER 1.00 40.00 X 0 160908 9005 HOLLY LANDON EXECUTIVE DIRECTOR, SBAMH 40.00 X 0 91428 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 ASHLYN LINDSKOG DIRECTOR 1.00 X 0 0 0 TED TREVINO DIRECTOR 1.00 X 0 0 0 SUSAN WORRELL DIRECTOR 1.00 X 0 0 0 0 632600 19907 0 0 1 0 0 131305 54577 79676 185882 93565 93565 81638 -81638 -81638 -81638 82576 131305 65265 17311 17311 215120 0 0 29238 256340 256340 5112 5112 13172 13172 BANK FEES 9475 9475 BUSINESS EXPENSE 1960 1960 WELLNESS PROGRAM 1559 1559 287618 256340 31278 0 226555 186710 19955 25380 3298780 3772039 3545290 3984129 2773 0 2773 0 X 2338588 2780200 1203929 1203929 3542517 3984129 3545290 3984129 -72498 514110 0 X 0 0 0 X X X 1 SUSAN B ALLEN MEMORIAL HOSPITAL 480581968 3 1 256340 0 1 256340 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 1 3092196 3092196 3402966 256312 -554159 12923 3092196 3050761 365206 13001 3402966 2531526 263800 267194 11759 3050761 1963579 5300 573174 10527 2531526 0 0 0 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. GALA 213881 131305 82576 200 28310 1625 35130 213881 131305 82576 200 28310 1625 35130 65265 17311 1 SUSAN B ALLEN MEMORIAL HOSPITAL 720 WEST CENTRAL EL DORADO KS 67042 480581968 501(C)(3) 256340 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 MELISSA HALL CHIEF EXECUTIVE OFFICER 0 178714 0 0 0 15745 0 0 0 84 0 194543 0 0 LEONARD HERNANDEZ CHIEF EXECUTIVE OFFICER 0 62218 0 0 0 123587 0 0 0 2095 0 187900 0 0 CINDI STRACK CHIEF FINANCIAL OFFICER 0 160908 0 0 0 0 0 0 0 9005 0 169913 0 0 X AUCTION ITEMS 64 79676 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: FUNDS - CANCER CENTER ASSISTANCE PROGRAMS - 63 GAS CARDS GIVEN - MATT CROSS FUND: 453 MEALS WERE GIVEN TO CANCER CENTER PATIENTS IN TREATMENT TOTALING $3,171, AND $3,107 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: - 106 TOTAL KIDS PARTICIPATED IN THE RIDE & WALKING TO SCHOOL PROGRAM IN THE SPRING AND FALL (44 FROM GRANDVIEW, 24 FROM SKELLY, AND 38 FROM BLACKMORE). THE PROGRAM IS FIVE DAYS OF RIDING OR WALKING, OR A TOTAL OF 265 DAYS WALKING/RIDING. - 110 TOTAL KIDS PARTICIPATED IN THE 5TH GRADE WELLNESS PROGRAM 2 TIMES A YEAR (42 FROM BLACKMORE, 41 FROM GRANDVIEW, AND 27 FROM SKELLY). $1,559 WAS SPENT ON 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 2023 AND SOME IN FALL OF 2023. 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 - 8 TOTAL PATIENTS RECEIVED PRESCRIPTION ASSISTANCE - 27 TOTAL PRESCRIPTIONS, $976.57 TOTAL FUNDS USED DIAGNOSTIC IMAGING - BREAST CANCER AWARENESS MONTH - MAMMOGRAMS - GIVEAWAYS OBSTETRICS - 40 MOMS/PARTNERS UTILIZED OUR CHILDBIRTH EDUCATION CLASSES. MED/SURG - $31,265 WAS SPENT ON THE NURSING CALL SYSTEM. SURGERY - $178,295 WAS SPENT ON LAPAROSCOPIC EQUIPMENT. CARDIAC REHAB - $21,990 WAS SPENT ON CARDIAC REHAB TELEMETRY SYSTEM. EMPLOYEES RELATIONS - FLU VACCINATIONS FOR 283 STAFF/VOLUNTEERS, TOTALING $7552 - VALENTINE'S DAY COOKIES - ST. PATRICK'S DAY DONUTS - NATIONAL HEALTHCARE HOSPITAL WEEK PICNIC BLANKETS, KONA ICE DRINKS - CONTINUED DEVELOPMENT OF EDUCATION FOR SBA STAFF AUXILIARY - INSPIRATIONS & INDULGENCES FUNDRAISING EVENT COMMUNITY - ESTABLISHED WOMEN'S HEALTH PROGRAM WITH SOROPTOMIST - IN CONJUNCTION WITH THE SBA AUXILIARY - BUTLER COMMUNITY COLLEGE AUCTION - BEN HORYNA WATERMELON DONATION (70 TOTAL) - TRICK OR TREAT DOWN MAIN STREET ON 10/31/2023 - CHRISTMAS PARADE ON 12/2/2023 - SUNSET SOIREE - GALA 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