Form 990 for tax year 2022
Filed by SUSAN B ALLEN MEMORIAL HOSPITAL.
Totals
- Total revenue
- $39,432,888
- Total expenses
- $42,880,876
- Contributions and grants received
- $1,845,007
- Grants paid
- $0
- Program service revenue
- $37,010,909
- Investment income
- -$350,876
- Other revenue
- $927,848
- Total assets, end of year
- $48,132,777
- Total liabilities, end of year
- $7,992,188
- Net assets or fund balances, end of year
- $40,140,589
- Program services expenses (Part IX)
- $34,831,171
- Management and general expenses
- $8,049,705
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $34,831,171
Program services were 81.2% 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
$35,201
-
1e · Government grants (contributions)
$1,783,569
-
1f · All other contributions, gifts and grants
$26,237
-
2a · Program service revenue: PATIENT SERVICE REVENUE
total $36,913,157 · related or exempt $36,913,157
-
2b · Program service revenue: MEALS ON WHEELS
total $97,752 · related or exempt $97,752
-
3 · Investment income
total -$264,674 · excluded -$264,674
-
5 · Royalties
total $576 · excluded $576
-
6a · Gross rents
real property $716,670
-
6b · Less rental expenses
real property $0
-
6c · Rental income or loss
real property $716,670
-
6d · Net rental income or loss
total $716,670 · related or exempt $716,670
-
7b · Less cost or other basis and sales expenses
other assets $86,202
-
7c · Gain or loss
other assets -$86,202
-
7d · Net gain or loss
total -$86,202 · excluded -$86,202
-
11a · Other revenue: CAFETERIA SALES
total $137,762 · excluded $137,762
-
11b · Other revenue: MISCELLANEOUS
total $73,972 · related or exempt $73,972
-
11c · Other revenue: PARTNERSHIP INCOME
total -$1,132 · unrelated business -$1,132
-
11e · Other revenue, total
$210,602
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $709,672 · management and general $709,672
-
7 · Other salaries and wages
total $17,521,071 · program services $13,648,812 · management and general $3,872,259
-
8 · Pension plan contributions
total $778 · program services $638 · management and general $140
-
9 · Other employee benefits
total $1,182,593 · program services $969,726 · management and general $212,867
-
10 · Payroll taxes
total $1,096,529 · program services $899,154 · management and general $197,375
-
11b · Fees: legal
total $5,821 · management and general $5,821
-
11c · Fees: accounting
total $143,528 · management and general $143,528
-
11f · Fees: investment management
total $75,240 · management and general $75,240
-
11g · Fees: other
total $5,856,129 · program services $4,561,890 · management and general $1,294,239
-
12 · Advertising and promotion
total $14,434 · program services $11,244 · management and general $3,190
-
16 · Occupancy
total $961,331 · program services $748,871 · management and general $212,460
-
17 · Travel
total $161,276 · program services $125,634 · management and general $35,642
-
20 · Interest
total $69,209 · program services $51,907 · management and general $17,302
-
22 · Depreciation, depletion and amortization
total $2,337,348 · program services $1,706,264 · management and general $631,084
-
23 · Insurance
total $623,149 · program services $485,429 · management and general $137,720
-
24a · Other expenses: SUPPLIES - MEDICAL
total $5,035,108 · program services $5,035,108
-
24b · Other expenses: BAD DEBT
total $4,266,428 · program services $4,266,428
-
24c · Other expenses: REPAIRS AND MAINTENANCE
total $1,409,198 · program services $1,097,757 · management and general $311,441
-
24d · Other expenses: PROVIDER ASSESSMENT
total $553,571 · program services $553,571
-
24e · All other expenses
total $858,463 · program services $668,738 · management and general $189,725
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $4,645,092 · end of year $783,115
-
4 · Accounts receivable
beginning of year $7,421,525 · end of year $8,411,188
-
8 · Inventories for sale or use
beginning of year $749,089 · end of year $716,662
-
9 · Prepaid expenses and deferred charges
beginning of year $743,765 · end of year $717,840
-
10a · Land, buildings and equipment: cost or other basis
$87,273,716
-
10b · Land, buildings and equipment: accumulated depreciation
$61,494,451
-
10c · Land, buildings and equipment, net
beginning of year $27,920,249 · end of year $25,779,265
-
11 · Investments: publicly traded securities
beginning of year $9,344,924 · end of year $7,410,409
-
12 · Investments: other securities
beginning of year $3,990,126 · end of year $3,542,517
-
13 · Investments: program-related
beginning of year $29,120 · end of year $11,004
-
15 · Other assets
beginning of year $661,975 · end of year $760,777
-
17 · Accounts payable and accrued expenses
beginning of year $7,389,134 · end of year $5,974,612
-
20 · Tax-exempt bond liabilities
beginning of year $2,731,469 · end of year $2,017,576
-
27 · Net assets without donor restrictions
beginning of year $40,656,557 · end of year $36,221,316
-
28 · Net assets with donor restrictions
beginning of year $4,728,705 · end of year $3,919,273
Mission and programs · 2022
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 $34,831,171 · Revenue $37,801,551
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Suzie LockeSUZIE LOCKE
CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Greg Joyce OdGREG JOYCE OD
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Brandi LaneBRANDI LANE
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Cami BakerCAMI BAKER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Mike BellesineMIKE BELLESINE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Glenn BucholzGLENN BUCHOLZ
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Michael CliftonMICHAEL CLIFTON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Vince HainesVINCE HAINES
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Richard Kuhns MDRICHARD KUHNS MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Michael Rausch MDMICHAEL RAUSCH MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Ryan MurrayRYAN MURRAY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Jeremy SundgrenJEREMY SUNDGREN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Leonard HernandezLEONARD HERNANDEZ
CHIEF EXECUTIVE OFFICER
- Total calculated
- $254,313
- From this org
- $241,745
- From related orgs
- $0
- Other
- $12,568
- Hours/week
- 40 + 1 related
Schedule J breakdown matched by us
- Base
- $210,018
- Bonus
- $21,002
- Other
- $10,725
- Deferred
- $0
- Nontaxable benefits
- $12,568
- Filer's total
- $254,313
-
Cindi StrackCINDI STRACK
CHIEF FINANCIAL OFFICER
- Total calculated
- $158,624
- From this org
- $146,056
- From related orgs
- $0
- Other
- $12,568
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $141,965
- Bonus
- $2,765
- Other
- $1,326
- Deferred
- $0
- Nontaxable benefits
- $12,568
- Filer's total
- $158,624
-
Melissa HallMELISSA HALL
CHIEF OPERATING OFFICER
- Total calculated
- $141,325
- From this org
- $141,241
- From related orgs
- $0
- Other
- $84
- Hours/week
- 40
-
Cecilia GoebelCECILIA GOEBEL
CHIEF NURSING OFFICER
- Total calculated
- $155,411
- From this org
- $146,508
- From related orgs
- $0
- Other
- $8,903
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $141,315
- Bonus
- $2,829
- Other
- $2,364
- Deferred
- $0
- Nontaxable benefits
- $8,903
- Filer's total
- $155,411
-
Shane FejfarSHANE FEJFAR
PHYSICIAN
- Total calculated
- $597,941
- From this org
- $587,467
- From related orgs
- $0
- Other
- $10,474
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $572,500
- Bonus
- $0
- Other
- $14,967
- Deferred
- $0
- Nontaxable benefits
- $10,474
- Filer's total
- $597,941
-
Nicholas PosgeNICHOLAS POSGE
PODIATRIST
- Total calculated
- $256,040
- From this org
- $243,472
- From related orgs
- $0
- Other
- $12,568
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $243,225
- Bonus
- $0
- Other
- $247
- Deferred
- $0
- Nontaxable benefits
- $12,568
- Filer's total
- $256,040
-
Iram SirajuddinIRAM SIRAJUDDIN
PHYSICIAN
- Total calculated
- $248,674
- From this org
- $240,018
- From related orgs
- $0
- Other
- $8,656
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $239,993
- Bonus
- $0
- Other
- $25
- Deferred
- $0
- Nontaxable benefits
- $8,656
- Filer's total
- $248,674
-
Charles StaffordCHARLES STAFFORD
PHYSICIAN
- Total calculated
- $195,964
- From this org
- $195,880
- From related orgs
- $0
- Other
- $84
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $191,711
- Bonus
- $3,493
- Other
- $676
- Deferred
- $0
- Nontaxable benefits
- $84
- Filer's total
- $195,964
-
Hannah CaveHANNAH CAVE
NURSE PRACTITIONER
- Total calculated
- $153,930
- From this org
- $148,644
- From related orgs
- $0
- Other
- $5,286
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $128,738
- Bonus
- $19,762
- Other
- $144
- Deferred
- $0
- Nontaxable benefits
- $5,286
- Filer's total
- $153,930
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
The filer's explanations (Part III)
- SCHEDULE J, PART I, LINE 6A
- MANAGEMENT INCENTIVE PLAN BASED ON CRITERIA OF CONTRIBUTION MARGIN PERCENTAGE AFTER MEETING ACCREDITATION STANDARDS AND QUALITY STANDARDS.
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.
-
SUSAN B ALLEN MEMORIAL HOSPITAL FOUNDATION
501(C)(3) · SUPPORT ORG · KS · controlled entity
Directly controlled by SBA HOSPITAL
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.
-
T · GRANTOR TRUST · KS · 100% owned · share of income $702,178 · share of assets $2,573,634 · controlled entity
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 20 October 2023
- IRS schema version
- 2022v5.0
- Source object
- 202313119349301971
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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