Form 990 for tax year 2024
Filed by AMBERWELL ATCHISON SUPPORT ORGANIZATION INC.
Totals
- Total revenue
- $68,337
- Total expenses
- $0
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $68,337
- Other revenue
- $0
- Total assets, end of year
- $8,363,796
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $8,363,796
- Program services expenses (Part IX)
- $0
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- not reported
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.
-
3 · Investment income
total $68,337 · excluded $68,337
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $562,182 · end of year $527,496
-
7 · Other notes and loans receivable
beginning of year $7,836,300 · end of year $7,836,300
-
27 · Net assets without donor restrictions
beginning of year $8,398,482 · end of year $8,363,796
Mission and programs · 2024
Mission
NONE
Activities or mission (Part I)
SUPPORT AND BENEFIT AMBERWELL ATCHISON ASSOCIATION.
-
AMBERWELL ATCHISON SUPPORT ORGANIZATION WAS FORMED DURING 2023 AS A SUPPORTING ORGANIZATION OF AMBERWELL ATCHISON ASSOCIATION FOR THE NEW MARKET TAX CREDITS FOR THE PURPOSES OF SUPPORTING HOSPITAL OPERATIONS. THIS AGREEMENT ENABLED THE HOSPITAL TO ENTER INTO SEVERAL FEDERAL AND STATE QUALIFIED LOW-INCOME COMMUNITY INVESTMENT (QLICI) FINANCIAL AGREEMENTS IN ORDER TO FINANCE CONSTRUCTION PROJECTS.
As filed on the 2024 return.
Listed in Part VII
-
Larry MearsLARRY MEARS
CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Jerry HenryJERRY HENRY
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Lorin AffieldLORIN AFFIELD
SECRETARY
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Susan MyersSUSAN MYERS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Reed BergerREED BERGER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Jeffrey PerryJEFFREY PERRY
PRESIDENT & CEO THRU 5/24
- Total calculated
- $307,914
- From this org
- $0
- From related orgs
- $293,661
- Other
- $14,253
- Hours/week
- 1 + 41 related
Schedule J breakdown matched by us
- Base
- $0 + $224,046 related
- Bonus
- $0 + $69,615 related
- Other
- $0
- Deferred
- $0 + $5,001 related
- Nontaxable benefits
- $0 + $9,631 related
- Filer's total
- $0 + $308,293 related
-
Chase DudzinskiCHASE DUDZINSKI
CFO
- Total calculated
- $325,494
- From this org
- $0
- From related orgs
- $279,958
- Other
- $45,536
- Hours/week
- 1 + 41 related
Schedule J breakdown matched by us
- Base
- $0 + $270,858 related
- Bonus
- $0 + $9,100 related
- Other
- $0
- Deferred
- $0 + $8,545 related
- Nontaxable benefits
- $0 + $37,747 related
- Filer's total
- $0 + $326,250 related
-
Jared AbelJARED ABEL
PRESIDENT & CEO AS OF 6/24
- Total calculated
- $188,124
- From this org
- $0
- From related orgs
- $176,131
- Other
- $11,993
- Hours/week
- 1 + 41 related
Schedule J breakdown matched by us
- Base
- $0 + $172,305 related
- Bonus
- $0 + $3,826 related
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0 + $12,309 related
- Filer's total
- $0 + $188,440 related
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
None.
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
- 6a · Pay contingent on this organization's net earnings
- 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)
- PART I, LINE 3
- COMPENSATION FOR JEFFREY PERRY AND JARED ABEL, CEO, IS ESTABLISHED BY AMBERWELL ATCHISON ASSOCIATION, A RELATED ENTITY, USING THE FOLLOWING: INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION STUDY, FORM 990 OF OTHER ORGANIZATIONS, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
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.
-
AMBERWELL ATCHISON ASSOCIATION
501(C)(3) · HOSPITAL · KS
-
501(C)(3) · SUPPORT AMBERWELL ATCHISON ASSOCIATION · KS
Directly controlled by AMBERWELL ATCHISON ASSOCIATION
Provenance
- Return type
- form_990
- Tax year
- 2024
- Filed
- 10 November 2025
- IRS schema version
- 2024v5.2
- Source object
- 202533159349300023
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