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Nonprofiteer
← SUSAN B ALLEN MEMORIAL HOSPITAL

Form 990 for tax year 2023

Filed by SUSAN B ALLEN MEMORIAL HOSPITAL.

Totals

Total revenue
$40,519,406
Total expenses
$42,323,532
Contributions and grants received
$3,677,667
Grants paid
$0
Program service revenue
$35,585,669
Investment income
$343,765
Other revenue
$912,305
Total assets, end of year
$44,457,215
Total liabilities, end of year
$5,165,855
Net assets or fund balances, end of year
$39,291,360
Program services expenses (Part IX)
$34,323,422
Management and general expenses
$8,000,110
Fundraising expenses
$0
Program service expenses (Part III)
$34,323,422

Program services were 81.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $256,340

  • 1e · Government grants (contributions)

    $3,402,422

  • 1f · All other contributions, gifts and grants

    $18,905

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $35,494,005 · related or exempt $35,494,005

  • 2b · Program service revenue: MEALS ON WHEELS

    total $91,664 · related or exempt $91,664

  • 3 · Investment income

    total $358,299 · excluded $358,299

  • 5 · Royalties

    total $524 · excluded $524

  • 6a · Gross rents

    real property $686,433

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $686,433

  • 6d · Net rental income or loss

    total $686,433 · related or exempt $686,433

  • 7b · Less cost or other basis and sales expenses

    other assets $14,534

  • 7c · Gain or loss

    other assets -$14,534

  • 7d · Net gain or loss

    total -$14,534 · excluded -$14,534

  • 11a · Other revenue: CAFETERIA SALES

    total $154,021 · excluded $154,021

  • 11b · Other revenue: MISCELLANEOUS

    total $71,842 · related or exempt $71,842

  • 11c · Other revenue: PARTNERSHIP INCOME

    total -$515 · unrelated business -$515

  • 11e · Other revenue, total

    $225,348

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $704,937 · management and general $704,937

  • 7 · Other salaries and wages

    total $16,115,592 · program services $12,553,952 · management and general $3,561,640

  • 9 · Other employee benefits

    total $1,454,830 · program services $1,192,961 · management and general $261,869

  • 10 · Payroll taxes

    total $1,047,929 · program services $859,302 · management and general $188,627

  • 11b · Fees: legal

    total $8,569 · management and general $8,569

  • 11c · Fees: accounting

    total $133,470 · management and general $133,470

  • 11f · Fees: investment management

    total $73,463 · management and general $73,463

  • 11g · Fees: other

    total $7,160,862 · program services $5,578,270 · management and general $1,582,592

  • 12 · Advertising and promotion

    total $14,864 · program services $11,579 · management and general $3,285

  • 16 · Occupancy

    total $914,022 · program services $712,018 · management and general $202,004

  • 17 · Travel

    total $142,048 · program services $110,655 · management and general $31,393

  • 20 · Interest

    total $48,175 · program services $36,131 · management and general $12,044

  • 22 · Depreciation, depletion and amortization

    total $1,871,144 · program services $1,365,935 · management and general $505,209

  • 23 · Insurance

    total $644,455 · program services $502,027 · management and general $142,428

  • 24a · Other expenses: SUPPLIES - MEDICAL

    total $4,659,491 · program services $4,659,491

  • 24b · Other expenses: BAD DEBT

    total $4,067,803 · program services $4,067,803

  • 24c · Other expenses: REPAIRS AND MAINTENANCE

    total $1,798,823 · program services $1,401,273 · management and general $397,550

  • 24d · Other expenses: PROVIDER ASSESSMENT

    total $598,687 · program services $598,687

  • 24e · All other expenses

    total $864,368 · program services $673,338 · management and general $191,030

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $783,115 · end of year $944,867

  • 4 · Accounts receivable

    beginning of year $8,411,188 · end of year $6,171,120

  • 8 · Inventories for sale or use

    beginning of year $716,662 · end of year $963,166

  • 9 · Prepaid expenses and deferred charges

    beginning of year $717,840 · end of year $535,615

  • 10a · Land, buildings and equipment: cost or other basis

    $85,838,054

  • 10b · Land, buildings and equipment: accumulated depreciation

    $61,057,579

  • 10c · Land, buildings and equipment, net

    beginning of year $25,779,265 · end of year $24,780,475

  • 11 · Investments: publicly traded securities

    beginning of year $7,410,409 · end of year $7,069,047

  • 12 · Investments: other securities

    beginning of year $3,542,517 · end of year $3,669,121

  • 13 · Investments: program-related

    beginning of year $11,004

  • 15 · Other assets

    beginning of year $760,777 · end of year $323,804

  • 17 · Accounts payable and accrued expenses

    beginning of year $5,974,612 · end of year $4,142,865

  • 20 · Tax-exempt bond liabilities

    beginning of year $2,017,576 · end of year $1,022,990

  • 27 · Net assets without donor restrictions

    beginning of year $36,221,316 · end of year $34,504,585

  • 28 · Net assets with donor restrictions

    beginning of year $3,919,273 · end of year $4,786,775

Mission and programs · 2023

Mission

TO PROVIDE COMPASSIONATE, PROFESSIONAL HEALTH CARE TO THE PEOPLE WE SERVE.

Activities or mission (Part I)

THE MISSION OF SUSAN B. ALLEN MEMORIAL HOSPITAL IS TO PROVIDE COMPASSIONATE, PROFESSIONAL HEALTH CARE TO THE PEOPLE WE SERVE.

  • SEE SCHEDULE O

    Expenses $34,323,422 · Revenue $36,343,944

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Suzie Locke

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Greg Joyce Od

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Brandi Lane

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Cami Baker

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Mike Bellesine

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Glenn Buchholz

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Vince Haines

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Marshal Hull

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Richard Kuhns MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Michael Rausch MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Ryan Murray

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Jeremy Sundgren

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Leonard Hernandez

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $187,900
    From this org
    $185,805
    From related orgs
    $0
    Other
    $2,095
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $62,218
    Bonus
    $0
    Other
    $123,587
    Deferred
    $0
    Nontaxable benefits
    $2,095
    Filer's total
    $187,900

  • Melissa Hall

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $194,543
    From this org
    $194,459
    From related orgs
    $0
    Other
    $84
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $178,714
    Bonus
    $0
    Other
    $15,745
    Deferred
    $0
    Nontaxable benefits
    $84
    Filer's total
    $194,543

  • Cindi Strack

    CHIEF FINANCIAL OFFICER

    Total calculated
    $169,913
    From this org
    $160,908
    From related orgs
    $0
    Other
    $9,005
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $160,908
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $9,005
    Filer's total
    $169,913

  • Cecilia Goebel

    CHIEF NURSING OFFICER

    Total calculated
    $152,582
    From this org
    $143,679
    From related orgs
    $0
    Other
    $8,903
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $143,679
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $8,903
    Filer's total
    $152,582

  • Edward Deyoung

    SURGERY COORDINATOR

    Total calculated
    $164,448
    From this org
    $155,443
    From related orgs
    $0
    Other
    $9,005
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $131,093
    Bonus
    $24,350
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $9,005
    Filer's total
    $164,448

  • Shane Fejfar

    PHYSICIAN

    Total calculated
    $669,182
    From this org
    $656,614
    From related orgs
    $0
    Other
    $12,568
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $656,614
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $12,568
    Filer's total
    $669,182

  • Nicholas Posge

    PHYSICIAN

    Total calculated
    $191,347
    From this org
    $181,921
    From related orgs
    $0
    Other
    $9,426
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $181,921
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $9,426
    Filer's total
    $191,347

  • Iram Sirajuddin

    PHYSICIAN

    Total calculated
    $226,727
    From this org
    $218,793
    From related orgs
    $0
    Other
    $7,934
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $218,793
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $7,934
    Filer's total
    $226,727

  • Charles Stafford

    PHYSICIST

    Total calculated
    $192,818
    From this org
    $192,734
    From related orgs
    $0
    Other
    $84
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $192,734
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $84
    Filer's total
    $192,818

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 6a · Pay contingent on this organization's net earnings

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • FS ALLEN

    T · GRANTOR TRUST · KS · 100% owned · share of income $509,848 · share of assets $2,873,919 · controlled entity

Provenance

Return type
form_990
Tax year
2023
Filed
15 November 2024
IRS schema version
2023v5.1
Source object
202413209349313311

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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