SUSAN B ALLEN MEMORIAL HOSPITAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: SUSAN B ALLEN MEMORIAL HOSPITAL (EIN 48-0581968)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-13
IRS object ID: 201533179349304273
Schema version: 2014v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-13T11:43:40-06:00	ReturnTs
Tax Period End	2014-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1201 Walnut Suite 1700	AddressLine1Txt
City	Kansas City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	641062246	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	480581968	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SUSAN B ALLEN MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% ROBIN CRAWFORD	InCareOfNm
Business Name Control	SUSA	BusinessNameControlTxt
Phone	3163213300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	720 WEST CENTRAL	AddressLine1Txt
City	EL DORADO	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	67042	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	patrick auman	PersonNm
Person Title	Interim PRESIDENT/CEO	PersonTitleTxt
Phone	3163213300	PhoneNum
Signature	2015-11-16	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kevin Ensminger CPA	PreparerPersonNm
PTIN	P01310558	PTIN
Phone	8162216300	PhoneNum
Preparation	2015-11-16	PreparationDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-04-25 22:37:26Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	PATRICK AUMAN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	720 WEST CENTRAL	AddressLine1Txt
City	EL DORADO	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	67042	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$63,897,137	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SBAMH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1930	FormationYr
Legal Domicile State	KS	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF SUSAN B. ALLEN MEMORIAL HOSPITAL IS TO PROVIDE COMPASSIONATE, PROFESSSIONAL HEALTH CARE TO THE PEOPLE WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	508	TotalEmployeeCnt
Total Volunteers	116	TotalVolunteersCnt
Total Gross UBI	-$7,298	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$7,298	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$214,313	PYContributionsGrantsAmt
CY Contributions Grants	$793,112	CYContributionsGrantsAmt
PY Program Service Revenue	$50,554,380	PYProgramServiceRevenueAmt
CY Program Service Revenue	$55,468,770	CYProgramServiceRevenueAmt
PY Investment Income	$1,159,354	PYInvestmentIncomeAmt
CY Investment Income	$1,136,569	CYInvestmentIncomeAmt
PY Other Revenue	$209,683	PYOtherRevenueAmt
CY Other Revenue	$9,916	CYOtherRevenueAmt
PY Total Revenue	$52,137,730	PYTotalRevenueAmt
CY Total Revenue	$57,408,367	CYTotalRevenueAmt
PY Grants And Similar Paid	$46,493	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$41,786	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$27,610,507	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$27,095,512	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$25,261,280	PYOtherExpensesAmt
CY Other Expenses	$28,513,706	CYOtherExpensesAmt
PY Total Expenses	$52,918,280	PYTotalExpensesAmt
CY Total Expenses	$55,651,004	CYTotalExpensesAmt
PY Revenues Less Expenses	-$780,550	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,757,363	CYRevenuesLessExpensesAmt
Total Assets BOY	$79,674,990	TotalAssetsBOYAmt
Total Assets EOY	$82,532,498	TotalAssetsEOYAmt
Total Liabilities BOY	$17,206,729	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$18,062,183	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$62,468,261	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$64,470,315	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE COMPASSIONATE, PROFESSIONAL HEALTH CARE TO THE PEOPLE WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$45,392,812	ExpenseAmt
Grant	$41,786	GrantAmt
Revenue	$55,461,472	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$45,392,812	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	57	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	508	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ROBIN CRAWFORD	PersonNm
Phone	3163224559	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	720 WEST CENTRAL	AddressLine1Txt
City	EL DORADO	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	67042	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
VINCE E HAINES
TRUSTEE/CHAIRPERSON	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
EDWIN A GARD
TRUSTEE/VICE CHAIRPERSON	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
CATHY N COOPER MD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
MATTHEW J CROSS
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
MARK D UTECH
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JOSEPH N SUNDGREN
TRUSTEE/TREASURER/SECRETARY	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JACQUELINE A VIETTI
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
MICHAEL K WHEELER
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
KENNETH ZIEGLER
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
CAMI R BAKER
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
MICHAEL CLIFTON
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
AMY SEEBER
TRUSTEE	1.0	0.0	Yes (X)		$6,180	$0	$0
GAYLE ARNETT
PRESIDENT & CEO	40.0	1.0		Yes (X)	$255,688	$0	$40,915
CECILIA GOEBEL
VICE PRESIDENT & CNO	40.0	0.0		Yes (X)	$137,578	$0	$31,001
DAVID SHAW
VICE PRESIDENT & COO	40.0	0.0		Yes (X)	$136,707	$0	$24,672
ROBIN CRAWFORD
VICE PRESIDENT & CFO	40.0	1.0		Yes (X)	$175,430	$0	$27,659
GERARD M LIBRODO MD
PHYSICIAN OF ORTHOPEDICS	40.0	0.0			$617,918	$0	$12,278	Yes (X)
lawrence shank
orthopedic surgeon	40.0	0.0			$506,215	$0	$3,357	Yes (X)
EVE SHANK
ENT PHYSICIAN	40.0	0.0			$386,720	$0	$20,295	Yes (X)
RUBEN GARCIA
HOSPITALIST PHYSICIAN	40.0	0.0			$238,810	$0	$18,211	Yes (X)
JASON BRUNTON
HOSPITALIST	40.0	0.0			$238,458	$0	$10,759	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,699,704	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$189,147	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	18	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

ServicesServicesDesc	CompensationCompensationAmt
FRESENIUS MEDICAL CARE
KIDNEY DIALYSIS	$847,445
AFFILIATED MED SERVICES LAB INC
LAB SERVICES	$187,550
LYTLE CONSTRUCTION INC
CONSTRUCTION	$229,584
EMERGENCY MANAGEMENT MIDWEST
PHYSICIAN SERVICES	$571,207
HUTTON CONSTRUCTION
CONSTRUCTION SVCS	$224,068

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	13	CntrctRcvdGreaterThan100KCnt
Related Organizations	$784,901	RelatedOrganizationsAmt
All Other Contributions	$8,211	AllOtherContributionsAmt
Total Contributions	$793,112	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue	621110	$54,457,550	$54,457,550
Meals on Wheels	624200	$89,384	$89,384
Screening Program	623990	$5,865	$5,865
ARRA Meaningful Use	621110	$915,971	$915,971

Field	Value	IRS element (for citing)
Total Program Service Revenue	$55,468,770	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$582,902	TotalRevenueColumnAmt
Exclusion	$582,902	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1	TotalRevenueColumnAmt
Exclusion	$1	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$724	TotalRevenueColumnAmt
Exclusion	$724	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$588,364	RealAmt
Personal	$72,280	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$743,213	RealAmt
Personal	$131,372	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$154,849	RealAmt
Personal	-$59,092	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$213,941	TotalRevenueColumnAmt
Exclusion	-$213,941	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$6,167,447	SecuritiesAmt
Other	$404	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,604,506	SecuritiesAmt
Other	$9,679	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$562,941	SecuritiesAmt
Other	-$9,275	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$553,666	TotalRevenueColumnAmt
Exclusion	$553,666	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Cafeteria	722210	$209,266	$209,266
PARTNERSHIP INCOME	900099	-$7,298		-$7,298
MISCELLANEOUS	900099	$21,165	$21,165

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,165	TotalRevenueColumnAmt
Exclusion	$21,165	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$223,133	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$57,408,367	TotalRevenueColumnAmt
Related Or Exempt Func Income	$55,468,770	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$7,298	UnrelatedBusinessRevenueAmt
Exclusion	$1,153,783	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,000	TotalAmt
Program Services	$3,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$38,786	TotalAmt
Program Services	$38,786	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$835,830	TotalAmt
Management And General	$835,830	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$35,134	TotalAmt
Program Services	$35,134	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$20,026,617	TotalAmt
Program Services	$15,015,814	ProgramServicesAmt
Management And General	$5,010,803	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$886,431	TotalAmt
Program Services	$664,823	ProgramServicesAmt
Management And General	$221,608	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,875,531	TotalAmt
Program Services	$2,906,648	ProgramServicesAmt
Management And General	$968,883	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,435,969	TotalAmt
Program Services	$1,076,977	ProgramServicesAmt
Management And General	$358,992	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,037,552	TotalAmt
Program Services	$3,778,164	ProgramServicesAmt
Management And General	$1,259,388	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$188,243	TotalAmt
Program Services	$141,182	ProgramServicesAmt
Management And General	$47,061	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$694,199	TotalAmt
Program Services	$520,649	ProgramServicesAmt
Management And General	$173,550	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$720,205	TotalAmt
Program Services	$540,154	ProgramServicesAmt
Management And General	$180,051	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$293,308	TotalAmt
Program Services	$219,981	ProgramServicesAmt
Management And General	$73,327	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$404,211	TotalAmt
Program Services	$328,300	ProgramServicesAmt
Management And General	$75,911	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,613,513	TotalAmt
Program Services	$2,710,135	ProgramServicesAmt
Management And General	$903,378	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$301,884	TotalAmt
Program Services	$226,413	ProgramServicesAmt
Management And General	$75,471	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Bad Debt	$7,197,138	$7,197,138
Medical Supplies	$9,541,127	$9,541,127
Repairs & Maint.	$188,735	$141,551	$47,184
Recruiting & Retention	$107,019	$80,264	$26,755

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$226,572	TotalAmt
Program Services	$226,572	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$55,651,004	TotalAmt
Program Services	$45,392,812	ProgramServicesAmt
Management And General	$10,258,192	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$42,162	BOYAmt
EOY	$192	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,748,906	BOYAmt
EOY	$10,466,258	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,518,113	BOYAmt
EOY	$1,476,140	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,015,516	BOYAmt
EOY	$1,805,378	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$85,051,745	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$41,909,449	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$43,520,209	BOYAmt
EOY	$43,142,296	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$21,791,687	BOYAmt
EOY	$23,126,090	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,663,599	BOYAmt
EOY	$2,154,070	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$148,740	BOYAmt
EOY	$50,719	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$226,058	BOYAmt
EOY	$311,355	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$79,674,990	BOYAmt
EOY	$82,532,498	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,692,372	BOYAmt
EOY	$4,834,890	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,514,357	BOYAmt
EOY	$13,227,293	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,206,729	BOYAmt
EOY	$18,062,183	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$57,302,295	BOYAmt
EOY	$59,665,473	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,483,326	BOYAmt
EOY	$1,305,818	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,682,640	BOYAmt
EOY	$3,499,024	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$62,468,261	BOYAmt
EOY	$64,470,315	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$79,674,990	BOYAmt
EOY	$82,532,498	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,757,363	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$54,913	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$299,604	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$9,722	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$9,722	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1F	FormAndLineReferenceDesc
Explanation	A PORTION OF THE KANSAS HOSPITAL ASSOCIATION AND AMERICAN HEALTH ASSOCIATION DUES ARE ATTRIBUTED TO LOBBYING EXPENSES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,479,284	BeginningYearBalanceAmt
Contributions	$46,819	ContributionsAmt
Investment Earnings Or Losses	$108,550	InvestmentEarningsOrLossesAmt
Other Expenditures	$56,867	OtherExpendituresAmt
Administrative Expenses	$7,229	AdministrativeExpensesAmt
End Year Balance	$1,570,557	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,291,319	BeginningYearBalanceAmt
Contributions	$144,789	ContributionsAmt
Investment Earnings Or Losses	$113,425	InvestmentEarningsOrLossesAmt
Other Expenditures	$63,912	OtherExpendituresAmt
Administrative Expenses	$6,337	AdministrativeExpensesAmt
End Year Balance	$1,479,284	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,170,060	BeginningYearBalanceAmt
Contributions	$92,514	ContributionsAmt
Investment Earnings Or Losses	$82,010	InvestmentEarningsOrLossesAmt
Other Expenditures	$47,398	OtherExpendituresAmt
Administrative Expenses	$5,867	AdministrativeExpensesAmt
End Year Balance	$1,291,319	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,165,992	BeginningYearBalanceAmt
Contributions	$43,432	ContributionsAmt
Investment Earnings Or Losses	$13,396	InvestmentEarningsOrLossesAmt
Other Expenditures	$47,095	OtherExpendituresAmt
Administrative Expenses	$5,665	AdministrativeExpensesAmt
End Year Balance	$1,170,060	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,138,533	BeginningYearBalanceAmt
Contributions	$38,000	ContributionsAmt
Investment Earnings Or Losses	$112,893	InvestmentEarningsOrLossesAmt
Other Expenditures	$118,334	OtherExpendituresAmt
Administrative Expenses	$5,100	AdministrativeExpensesAmt
End Year Balance	$1,165,992	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.85030	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.12350	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.02620	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,189,689	OtherCostOrOtherBasisAmt
Book Value	$4,189,689	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$44,169,713	OtherCostOrOtherBasisAmt
Depreciation	$17,999,699	DepreciationAmt
Book Value	$26,170,014	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$35,362,268	OtherCostOrOtherBasisAmt
Depreciation	$22,963,602	DepreciationAmt
Book Value	$12,398,666	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,330,075	OtherCostOrOtherBasisAmt
Depreciation	$946,148	DepreciationAmt
Book Value	$383,927	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$43,142,296	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$51,572,649	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$54,913	NetUnrealizedGainsInvstAmt
Other Revenue	$1,416,333	OtherRevenueAmt
Revenue Not Reported	$1,361,420	RevenueNotReportedAmt
Revenue Subtotal	$50,211,229	RevenueSubtotalAmt
Other Revenues Not Included	$7,197,138	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$7,197,138	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$57,408,367	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$49,372,429	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$918,563	OtherExpensesIncludedAmt
Expenses Not Reported	$918,563	ExpensesNotReportedAmt
Expenses Subtotal	$48,453,866	ExpensesSubtotalAmt
Other Expenses Not Included	$7,197,138	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$7,197,138	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$55,651,004	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	THE ENDOWNMENT FUNDS ARE HELD BY SUSAN B. ALLEN MEMORIAL HOSPITAL FOUNDATION, A RELATED TAX EXEMPT ORGANIZATION. THE EARNINGS FROM THE ENDWOMENT FUNDS ARE USED TO FUND THE PURCHASE OF EQUIPMENT AND PROGRAM SUPPORT FOR SUSAN B. ALLEN MEMORIAL HOSPITAL.
SCHEDULE D, PART X, LINE 2	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 2D	RELATED ORGANIZATION REVENUE $ 1,319,351 ELIMINATIONS $ (784,901) RECLASS OF RENTAL EXPENSES $ 874,585 PARTNERSHIP INCOME $ 7,298 ---------- $ 1,416,333
SCHEDULE D, PART XI, LINE 4b	BAD DEBT EXPENSE $7,197,138
SCHEDULE D, PART XII, LINE 2D	RELATED ORGANIZATION EXPENSE $ 43,978 RECLASS OF RENTAL EXPENSES $ 874,585 ---------- $ 918,563
SCHEDULE D, PART XII, LINE 4B	BAD DEBT EXPENSE $7,197,138

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$1,141,592	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$1,141,592	SubtotalSpentAmt
Total Spent	$1,141,592	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$897,838	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$530,909	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$366,929	NetCommunityBenefitExpnsAmt
Total Expense	0.00760	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,113,618	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,717,291	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,396,326	NetCommunityBenefitExpnsAmt
Total Expense	0.04950	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,011,456	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,248,200	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,763,255	NetCommunityBenefitExpnsAmt
Total Expense	0.05710	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,867	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,865	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,002	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,867	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,865	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,002	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,036,323	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,254,065	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,782,257	NetCommunityBenefitExpnsAmt
Total Expense	0.05750	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$7,197,138	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,108,553	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$12,459,362	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$18,494,927	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,035,565	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SUSAN B ALLEN MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	720 WEST CENTRAL	AddressLine1Txt
City	EL DORADO	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	67042	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.sbamh.org	WebsiteAddressTxt
State License	H-008-002	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SUSAN B ALLEN MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Includes Publicity Measures	false	IncludesPublicityMeasuresInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	Yes (true)	CollectionActivitiesInd
Reporting To Credit Agency	Yes (X)	ReportingToCreditAgencyInd
Engaged Legal Judicial Process	Yes (X)	EngagedLegalJudicialProcessInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5	IN THE TOWN HALL MEETINGS, SBAMH TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED AND WHO HAD SPECIAL KNOWLEDGE IN PUBLIC HEALTH. THIS INCLUDED LEADERS IN HEALTH CARE ORGANIZATIONS; EDUCATION OFFICIALS AND STAFF; COMMUNITY LEADERS; PRESS; FOUNDATIONS; PHYSICIANS; HOUSING ADMINISTRATORS; REPRESENTATIVES FROM BUSINESS; THE HOSPITAL ORGANIZATION'S BOARD MEMBERS; PUBLIC SAFETY OFFICIALS; DIRECTORS OR STAFF OF HEALTH AND HUMAN SERVICE ORGANIZATIONS; STAFF FROM STATE AND AREA AGENCIES ON AGING; POLITICAL, APPOINTED AND ELECTED OFFICIALS; CIVIC OR SERVICE CLUBS; CHAMBER OF COMMERCE; AND CONSUMER ADVOCATES.
PART V, SECTION B, LINE 6B	THE BUTLER COUNTY HEALTH DEPARTMENT SOUTH CENTRAL MENTAL HEALTH CENTER
PART V, SECTION B, LINE 7A	HTTP://WWW.SBAMH.ORG/ABOUT_US/COMMUNITY_HEALTH_NEEDS_ASSESSMENT
PART V, SECTION B, LINE 11	HIGH PRIORITY ITEMS: 1. DECREASE CANCER RATES - THIS WAS NOT ADDRESSED BECAUSE SBAMH DOES NOT HAVE ENOUGH RESOURCES TO DEVELOP. 2. IMPROVE/ENCOURAGE FITNESS - ALL THREE TACTICS THAT WERE ADDRESSED IN 2013 WERE CONTINUED TO BE DONE IN 2014. 3. OFFER MORE HEALTH FOOD CHOICES - Tactic 1 was addressed in 2103 and continued to be done in 2014. Tactic 2 was explored in 2014 and it was determined that it was not feasible because the grocery stores were not willing to make the financial commitment needed to accomplish the implementation of the Nuval system. Tactic 3 was explored and it was determined that the Hospital alone would not be able to accomplish this. It would take the corporation of the City, County and the community as a whole to do this. 4. FIGHT SUBSTANCE ABUSE - Tactic 1 was addressed in 2014 with a presentation to the Hospital medical staff about KTRACS. Tactic 2 was not addressed do to not enough resources to develop. 5. PROVIDE LOW INCOME ACCESS TO HEALTH COVERAGE - All 3 tactics that were addressed in 2013 were continued to be done in 2014. 6. IMPROVE IMMUNIZATIONS IN BABIES UNDER 24 MONTHS OF AGE - Was addressed in 2013 and continued to done in 2014. LOW PRIORITY ITEMS None of the low priority items have been addressed. Some were not addressed because SBAMH did not have the resources and others were not within the SBAMHs scope of service.

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SBA MEMORIAL HOSPITAL HOME HEALTH
720 W CENTRAL	EL DORADO	KS	67042	home health agency
SUSAN B ALLEN MEMORIAL HOSPITAL DME
720 W CENTRAL	EL DORADO	KS	67042	DURABLE MEDICAL EQUIPMENT PROVIDER
SBA MEMORIAL HOSPITAL DIALYSIS
720 W CENTRAL	EL DORADO	KS	67042	HEMODIALYSIS
SBA MEMORIAL HOSPITAL MEDICAL CLINIC
720 W CENTRAL	EL DORADO	KS	67042	MEDICAL OFFICE BUILDING

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7, COLUMN F	THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM TOTAL EXPENSES FOR CALCULATING THE NET COMMUNITY BENEFIT EXPENSE PERCENTAGE WAS $7,197,138.
SCHEDULE H, PART I, LINE 7	THE HOSPITAL USES THE COST-TO-CHARGE RATIO. THIS METHOD WAS USED TO CALCULATE THE FIGURES IN THE TABLE AND WAS DETERMINED BY COMPARING PATIENT CARE COST TO PATIENT CARE CHARGES.
SCHEDULE H, PART III, SECTION A, LINE 2	AN ACCOUNTS RECEIVABLE AGING ANALYSIS IS PERFORMED AND UNCOLLECTIBLE PERCENTAGES ARE ASSIGNED TO THE AGING CATEGORIES BASED UPON THE ESTIMATED COLLECTABILITY OF EACH GROUP.
SCHEDULE H, PART III, SECTION A, LINE 3	ESTIMATED BASED ON US CENSUS BUREAU INDIVIDUALS BELOW POVERTY LEVEL OF 15.4%.
SCHEDULE H, PART III, SECTION A, LINE 4	A COST TO CHARGE RATIO IS USED TO DETERMINE THE AMOUNT ON LINE 2. THE HOSPITAL DOES NOT HAVE A FOOTNOTE ON THE AUDITED FINANCIALS THAT DESCRIBES BAD DEBT. THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.
SCHEDULE H, PART III, SECTION B, LINE 8	SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
SCHEDULE H, PART III, SECTION B, LINE 9B	THE HOSPITAL SENDS A 30 DAY LETTER TO NOTIFY THE PATIENT OF THE NEED FOR COLLECTION. DURING THIS TIME, A COLLECTION STAFF REVIEWS/SCREENS THE ACCOUNT FOR POSSIBLE FINANCIAL ASSISTANCE. IF THERE IS ANY INDICATION THAT THE PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE, THE COLLECTION STAFF SPEAKS WITH THE PATIENT ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM AND MAILS AN APPLICATION WITH INFORMATION DOCUMENTS.
SCHEDULE H, PART VI, LINE 2	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT WAS COMPLETED IN 2013 AS REQUIRED BY 501(R) THE ORGANIZATION HAS A STRATEGIC PLANNING COMMITTEE OF THE BOARD WHO THROUGH A CONSULTANT CONDUCTS A NEEDS SURVEY OF OUR SERVICE AREA.
SCHEDULE H, PART VI, LINE 3	ON ADMISSION, PATIENTS ARE GIVEN A BROCHURE DESCRIBING INFORMATION ABOUT THE KANSAS HEALTHWAVE PROGRAM. IT ALSO INCLUDES INFORMATION ABOUT COVENTRY ONE HEALTH INSURANCE AND VALUE BLUE, BOTH ARE LOW COST OR NOCOST INSURANCE PLANS. THE BROCHURE GIVES INFORMATION ABOUT OUR CHARITY CARE PROGRAM. OUR CHARITY ARE PROGRAM INFORMATION IS GIVEN TO OUR MEDICAL STAFF PHYSICIANS FOR DISTRIBUTION TO PATIENTS IN THEIR OFFICES. THE CHARITY CARE GUIDELINES (THE GUIDELINES) ARE MAILED ALONG WITH THE FIRST STATEMENT SENT TO SELFPAY PATIENTS. THE GUIDELINES ARE INCLUDED WITH THE SECOND STATEMENT AFTER A REVIEW OF THE ACCOUNT INDICATES A NEED FOR FINANCIAL ASSISTANCE. INHOUSE COLLECTORS REVIEW OUR CHARITY CARE PROGRAM WITH PATIENTS WHEN MAKING CALLS. THE GUIDELINES ARE TAKEN TO THE PATIENT'S ROOM AND REVIEWED WITH THEM WHILE THEY ARE INHOUSE. WE ALSO REFER PATIENTS TO THE MIDLAND GROUP TO DETERMINE ELIGIBILITY FOR MEDICAID, OTHER ASSISTANCE PROGRAMS AND OUR CHARITY CARE PROGRAM. THE MIDLAND GROUP ASSISTS PATIENTS IN THE APPLICATION PROCESS TO SEE IF THEY ARE ELIGIBLE FOR STATE ASSISTANCE PROGRAMS. KANSAS MEDICAL ASSISTANCE PROGRAM (KMAP) HEALTHWAVE BROCHURES AND APPLICATIONS ARE PROVIDED TO PATIENTS WHO MAY MEET THE FINANCIAL GUIDELINES OF THE KMAP.
SCHEDULE H, PART VI, LINE 4	THE HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF 6 COMMUNITIES WITHIN BUTLER COUNTY WHICH LIE WITHIN A 15 MILE RADIUS OF THE HOSPITAL. THE POPULATION OF THESE COMMUNITIES IS APPROXIMATELY 37,500 OF WHICH 26% ARE AGE 55 OR OLDER. THE HOSPITAL'S SECONDARY SERVICE AREA CONSISTS OF 13 SMALLER COMMUNITIES LOCATED IN BUTLER, GREENWOOD, ELK, MARION AND COWLEY COUNTIES WITH A COMBINED POPULATION OF JUST OVER 15,000 RESIDENTS OF WHICH 32% ARE AGE 55 OR OLDER. WHILE PART OF THE SERVICE AREA IS IN THE WICHITA METROPOLITAN STATISTICAL AREA, MUCH OF THE SERVICE AREA IS RURAL.
SCHEDULE H, PART VI, LINE 5	WE PARTICIPATE IN THE BUTLER COUNTY SENIOR FAIR PROVIDING HEALTH INFORMATION ON VARIOUS HEALTH ISSUES. WE PARTICIPATE IN THE FRONTIER REFINING EMPLOYEE HEALTH FAIR PROVIDING INFORMATION ABOUT VARIOUS HEALTH ISSUES AND OFFER HEALTH TESTING AND SCREENINGS. WE PARTICIPATE IN THE BUTLER COMMUNITY COLLEGE WOMEN'S FAIR PROVIDING INFORMATION ABOUT VARIOUSD IN THE BUTLER COMMUNITY COLLEGE-ANDOVER/SHERWIN WILLIAMS WELLNESS FAIR PROVIDING INFORMATION ABOUT VARIOUS HEALTH ISSUES AND OFFER HEALTH TESTING AND SCREENINGS. WE ARE A SPONSOR OF THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE IN EL DORADO, KANSAS AND IN EUREKA, KANSAS. WE PROVIDED A PHARMACIST FOR POISON PREVENTION AND SAFETY TO EL DORADO KINDERGARTEN AND 1ST GRADERS. WE PROVIDED MEETING SPACE FOR SEVERAL COMMUNITY HEALTH GROUPS INCLUDING BUTLLER COUNTY DIABETES SUPPORT GROUP, THE AMERICAN CANCER SOCIETY, AND THE BUTLER COUNTY MULTIPLE SCLEROSIS SUPPORT GROUP. WE PROVIDE LOW COST SCREENING PROGRAMS FOR CARDIAC HEALTH, OSTEOPOROSIS, HYPERTENSION AND DIABETES. WE PROVIDE FREE INFLUENZA VACCINATIONS TO MEMBERS OF THE COMMUNITY. WE HAVE A VOLUNTEER BOARD OF 12 MEMBERS THAT COME FROM THROUGHOUT OUR SERVICE AREA.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
ADULT DIABETES EDUCATION PROGRAM	12	$6,385	BOOK	EDUCATION
PUBLIC INFLUENZA VACCINATIONS	2077	$32,401	BOOK	VACCINATIONS

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	THE PUBLIC INFLUENZA VACCINATIONS ARE GIVEN TO ALL WHO SHOW UP AT THE TWO CLINICs. THE ADULT DIABETES EDUCATION PROGRAM GRANTS ARE GIVEN TO THOSE WHO APPLY AND MEET THE FINANCIAL NEED CRITERIA.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GAYLE ARNETT
PRESIDENT & CEO	$250,908	$0	$0	$0	$4,780	$0	$19,770	$0	$21,145	$0	$296,603	$0	$0	$0
CECILIA GOEBEL
VICE PRESIDENT & CNO	$136,297	$0	$0	$0	$1,281	$0	$10,649	$0	$20,352	$0	$168,579	$0	$0	$0
DAVID SHAW
VICE PRESIDENT & COO	$135,631	$0	$0	$0	$1,076	$0	$10,420	$0	$14,252	$0	$161,379	$0	$0	$0
ROBIN CRAWFORD
VICE PRESIDENT & CFO	$174,332	$0	$0	$0	$1,098	$0	$9,090	$0	$18,569	$0	$203,089	$0	$0	$0
GERARD M LIBRODO MD
PHYSICIAN OF ORTHOPEDICS	$617,040	$0	$0	$0	$878	$0	$3,279	$0	$8,999	$0	$630,196	$0	$0	$0
lawrence shank
orthopedic surgeon	$505,495	$0	$0	$0	$720	$0	$2,600	$0	$757	$0	$509,572	$0	$0	$0
EVE SHANK
ENT PHYSICIAN	$385,696	$0	$0	$0	$1,024	$0	$2,084	$0	$18,211	$0	$407,015	$0	$0	$0
RUBEN GARCIA
HOSPITALIST PHYSICIAN	$236,270	$0	$0	$0	$2,540	$0	$0	$0	$18,211	$0	$257,021	$0	$0	$0
JASON BRUNTON
HOSPITALIST	$237,881	$0	$0	$0	$577	$0	$1,783	$0	$8,976	$0	$249,217	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, LINE 1A	FormAndLineReferenceDesc
Explanation	EVE SHANK, MD, JASON BRUNTON, MD, RUBEN GARCIA, MD, ROBIN CRAWFORD, CECILIA GOEBEL, DAVID SHAW, AND GAYLE ARNETT RECEIVED PAYMENT OF HEALTH OR SOCIAL CLUB OR INITIATION FEES THAT WERE REPORTED IN THEIR W-2.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
BUTLER COUNTY KANSAS
A	486035405	12343PAA3	2012-04-30	$14,500,000	SEE PART VI	false	false	false
BUTLER COUNTY KANSAS
B	486035405		2014-12-16	$6,500,000	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$3,793,472	$0	$14,500,655	$0	$24	$0	$0	$0	$0	$3,607,315	$10,893,316	$0	2013	Yes (true)	Yes (true)	Yes (true)	Yes (true)
B	$0	$0	$6,500,000	$0	$0	$0	$110,354	$0	$0	$1,608,477	$0	$4,781,169		false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0.00000	0.00000	0.00000	false	false	0.00000	false	Yes (true)
B	false	false	false	false	0			false	false		false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd
0
A	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false		false	false	false	0	false	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line A, Column (f)	Improve and equip hospital facilities; Refund Series 1998Z Bonds (issued 12/22/1998); Refund Series 2002Q Bonds (issued 12/17/2002).
PART I, LINE B, COLUMN (F)	RENOVATIONS TO AND EQUIPMENT FOR HOSPITAL FACILITIES.
Part II, Line 3, Column A	Amount does not equal issue price due to investment earnings earned in the project fund during the project period.
Part II, Line 3, Column B	The total proceeds to be received from the sale of the Bonds will be $6,500,000. The bonds were issued as a "draw-down loan" within the meaning of U.S. Treas. Regs 1.150(1)(c)(4)(i). As of the fiscal year end, only $2,500,000 of Bond proceeds had been drawn. However, all remaining proceeds will be drawn as of December 15, 2015.
Part II, Line 11, Column A	This amount was expended to redeem the refunded bonds on May 1, 2012 and December 15, 2012.
Part II, Line 12, Column B	Amount represents $781,169 of Bond proceeds in the Project Fund as of the fiscal year end plus $4,000,000 of remaining Bond proceeds to be drawn by December 15, 2015.
Part II, Line 15, Column A	The bond issue constitutes an "advance refunding issue" under U.S. Treas. Regs 1.150-1(d), but no bond that is part of the bond issue is an "advance refunding bond" under I.R.C. 149(d). The bonds were issued as a "draw-down loan" within the meaning of U.S. Treas. Regs 1.150(1)(c)(4)(i). The first draw/advance on the bonds was made April 30, 2012 (i.e., the issue date of the bond issue), in part, to refund and redeem a prior series of 1998Z bonds on May 1, 2013; the second draw/advance on the Bonds was made December 14, 2012, in part, to refund and redeem a prior series of 2002Q bonds on December 15, 2012. Therefore, there was no advance refunding, because no bond proceeds were used to pay debt service on a prior series of bonds more than 90 days after the issue date of that bond.
Part III, Column A	The bonds were issued for three separate purposes: (1) to currently refund a prior series of 1998Z bonds (issued December 22, 1998), (2) to currently refund a period series of 2002Q bonds (issued December 17, 2002) and (3) to finance new-money projects. In accordance with the Instructions for Schedule K (Form 990), the organization is completing this Part III (Private Business Use) only with respect to the portion of the bonds financing the new-money projects, because both prior series of refunded bonds were issued prior to the January 1, 2003. refunded bonds were issued prior to the January 1, 2003.
Part III, Column B	As of the fiscal year end, the project was not complete and a final allocation has not been made. As a result, the measurement period for the project has not started and the Institution has marked "no" to all questions in Part III.
Part III, Line 9, Part IV, Line 7, and Part V	It was determined that the Institution adopted post issuance tax-exempt compliance procedures as of March 30, 2012.
Part IV, Line 2c, Column A	Arbitrage Computation completed as of 1/1/2014.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

SEE SCHEDULE L PART V
SEE SCHEDULE L PART V

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	(A) EL DORADO CLINIC, PA (EDC) (B) CATHY N COOPER, MD, IS AN OFFICER OF EDC AND A DIRECTOR OF SUSAN B. ALLEN MEMORIAL HOSPITAL. (C) $140,411 (D) RENT (E) NO (A) SBAMH EMPLOYEE GROUP BENEFIT TRUST (B) GAYLE ARNETT, DAVID SHAW AND ROBIN CRAWFORD ARE OFFICERS OF SBAMH AND TRUSTEES OF SBAMH EMPLOYEE GROUP BENEFIT TRUST. (C) $3,360,639 (D) CONTRIBUTIONS TO BENEFIT PLAN (E) NO (A) MARGARET GARD (B) WIFE OF EDWIN GARD, TRUSTEE/VICE CHAIRPERSON OF SUSAN B. ALLEN MEMORIAL HOSPITAL. (C) $17,162 (D) MARGARET GARD IS AN EMPLOYEE AT SUSAN B. ALLEN MEMORIAL HOSPITAL. (E) NO (A) KACEY CARLSON (B) DAUGHTER OF EDWIN GARD, TRUSTEE/VICE CHAIRPERSON OF SUSAN B. ALLEN MEMORIAL HOSPITAL. (C) $17,972 (D) KACEY CARLSON IS AN EMPLOYEE AT SUSAN B. ALLEN MEMORIAL HOSPITAL. (E) NO	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	Community Services - Susan B. Allen Memorial Hospital offers a number of programs and services in our community at minimal or no cost in order to promote health and wellness. Actual costs for these services are not separately identifiable, and are included as part of the patient services cost. 1. Participated in the Butler County Senior Fair, held in El Dorado, displaying and providing information regarding our Diabetes Education Program (including blood glucose screenings), Home Health Services (including balance screening, blood pressure testing, 02 saturations), Home Medical Equipment Services, Osteoporosis information (including screening), and Early Heart Attack and Stroke Care information at no charge. 2. Participated in the Frontier Refining Employee Health Fair providing information on diabetic foot care, cardiac health, dietary education, orthopaedic issues, physical therapy issues, hearing screenings, bone density testing and blood work (including lipid, PSA and Hemoglobin A1c testing). 3. Participated in the Augusta School District Wellness Fair by providing lab services, free osteoporosis screenings, and provided free educational sessions aimed at early heart attack care and stroke prevention, concussion protocol, and diabetes information. 4. Participated in the El Dorado School District KidzFest event where parents and children of the school district were invited to learn of services available to children. Staff from the Emergency Department/Chest Pain Center attended and spoke with children and their parents about the positive effects of exercise and good nutrition on heart health. 5. Provided a Registered Pharmacist to the El Dorado School District for Poison Prevention and Safety talks for all kindergarten and first grade students at the elementary schools in town (approximately 300 students). 6. Provided a number of Directors and staff to speak at local school district career fair events including physical rehabilitation, diagnostic imaging, athletic training, and orthopedic surgery. 7. Provided Clinical Dietitians to speak on nutrition and diet, and Emergency Department / Chest Pain Center staff to speak on cardiac and stroke issues, to Intrust Bank employees during their quarterly wellness activity events. 8. Administrative personnel (4) are supporting the El Dorado Vision 2020 program, providing mentoring at a local school one hour per week. 9. Purchased and donated the Anatomy in Clay education program to the Augusta School District for use in the anatomy and physiology classes at the Augusta High School. The system was provided in an effort to improve the health care curriculum program. 10. Sponsored the American Cancer Society's Relay For Life in El Dorado with a $1,000 sponsorship. The Hospital also supported the Greenwood County (Eureka, Kansas) Relay For Life with a $500 sponsorship. 11. Made available a "Speakers Bureau" to our community. Hospital personnel spoke to various civic groups and organizations on numerous occasions. 12. Hospital employees donated over $24,200 in support of the El Dorado United Way program. 13. Hosted an educational session regarding the Economic Impact of Healthcare in the State of Kansas for local business and government leaders. Kansas Hospital Association President, Tom Bell, presented the program. 14. Provided meeting room space for other organizations serving the community, such as the Butler County Diabetes Support Group, the American Cancer Society, the ARC of Butler (special needs and disabilities), Butler County Alzheimer's Support Group, and the Butler County Multiple Sclerosis Support Group. 15. Provided facilities and meals for a Butler/Greenwood County Medical Society meeting. 16. Staff members from the Emergency Department (Chest Pain Center), Respiratory Care Department, and Physical Rehabilitation department attended the Butler Community College "Camp Med" program for youth from throughout Butler County. 17. Provide personnel and facilities for Local Emergency Planning Committee meetings. 18. Provide once-a-month free childbirth education classes for new moms and significant others, regardless of where they will be delivering. Obstetrics staff provide education and information about labor and delivery, comfort measures, pain management, newborn care, recovery and discharge. 19. Provided a low-cost screening program for cardiac health, osteoporosis, hypertension, and diabetes two times during the year in for the community here at Susan B. Allen. 20. Provided free osteoporosis screenings in the Physical Rehabilitation department one-half day each month. 21. Provide free hearing screenings in the El Dorado Ear, Nose and Throat offices one-half day each week. 22. Provided low-cost screening programs for cardiac health, hypertension and diabetes four times during the year, a low-cost thyroid screening test two times, free bone-density testing three times, and free community education on living wills, advanced directives, and durable medical power of attorney at the YMCA. 23. Provided a free influenza vaccination program for members of our community. Large clinics were held for the general public - 1 in El Dorado and 1 in Augusta - as well as smaller clinics located here at the Hospital. In total, 1,500 doses were given to community members at no cost. 24. Administrative and management staff serve on a variety of boards and committees, including the El Dorado YMCA, Chamber of Commerce, El Dorado Inc., Kansas Hospital Association Board of Directors Executive Committee, Clinical Laboratory Managers Association - Wheatland Chapter, Quality Care Services, Association of Professional Infection Control and Epidemiology, Central Plains Expo, Kansas Sports Concussion Partnership Committee, American Cancer Society Relay for Life, Bluestem Community Credit Union, EMPAC, Butler Community College Nursing Advisory Board, Association of Fundraising Professionals Board, Wichita State University Institutional Review Board, El Dorado Ministerial Alliance, El Dorado ARC of Butler Board, the Kansas Diabetes Advisory Council, South Central Kansas Regional Hospital Emergency Planning Group, and the Local Emergency Planning Committee. 25. Sponsored the El Dorado YMCA Strong Kids Campaign with a $1,000 donation. 26. Act as a clinical site for training of healthcare professionals including medical students, nursing students, radiology, lab, medical technologists, respiratory therapists, dietitians, physical, occupational and speech therapists, athletic training students, CRNA students, physician assistant students, APRN students, and pharmacy students. 27. Sponsored the Butler County 4-H program with a $500 donation during the annual livestock auction. 28. Made available scholarship money for patients to go through the SBA Adult Diabetes Education program. In addition to the actual class costs, additional lab work was also written off for these patients. In total, $6,385.00 was provided for twelve patients who attended the class.
FORM 990, PART VI, SECTION A, LINE 2	JOSEPH N SUNDGREN AND MICHAEL K WHEELER HAVE A BUSINESS RELATIONSHIP. CATHY N COOPER MD AND MICHAEL K WHEELER HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11B	AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE HOSPITAL'S OFFICERS AND THE ACCOUNTING STAFF. ANY QUESTIONS OR CONCERNS THE HOSPITAL'S OFFICERS OR ACCOUNTING STAFF HAVE ARE ADDRESSED AND ANY CLARIFICATION OR CORRECTIONS THAT NEED TO BE MADE ARE MADE. THE 990 IS THEN PRESENTED TO THE BOARD OF TRUSTEES FOR THEIR REVIEW AND COMMENT. ANY QUESTIONS OR CONCERNS THE BOARD OF TRUSTEES HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT ARE NEEDED ARE MADE. THE FINAL 990 WITH ALL REQUIRED SCHEDULES ARE APPROVED BY THE BOARD OF TRUSTEES AND FILED. IF THE 990 IS FILED PRIOR TO BOARD APPROVAL AND CHANGES ARE NEEDED AN AMENDED RETURN IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	AT THE TIME OF HIRE OR ELECTION IN THE CASE OF BOARD MEMBERS, AND ANNUALLY THEREAFTER, THE PRESIDENT AND CEO OR THEIR DESIGNEE SHALL PROVIDE TO THE BOARD, EXECUTIVE OFFICERS AND DEPARTMENT DIRECTORS, A COPY OF THE CONFLICT OF INTEREST POLICY AND THE CONFLICT OF INTEREST DISCLOSURE STATEMENT WHICH WILL BE COMPLETED TO IDENTIFY ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES WITH RESPECT IT IS BELIEVED A CONFLICT MAY ARISE. THE ANNUAL REVIEW AND MONITORING IS A PART OF THE HOSPITAL'S CORPORATE COMPLIANCE PLAN. A REPORT SHALL BE MADE TO THE BOARD OF TRUSTEES OF ITEMS DISCLOSED. EACH MEMBER OF THE BOARD OF TRUSTEES OR MANAGEMENT SHALL DISCLOSE FULLY AND FRANKLY ANY AND ALL POTENTIAL CONFLICTS OF INTEREST WHICH MAY EXIST OR APPEAR TO EXIST.
FORM 990, PART VI, SECTION B, LINE 15A & 15B	THE HOSPITAL PARTICIPATES IN AN EXTERNAL SALARY SURVEY FOR ALL EXECUTIVE POSITIONS. THE PRESIDENT & CEO REVIEWS THE SURVEY RESULTS, AND PRESENTS THEM TO THE COMPENSATION COMMITTEE OF THE BOARD WITH RECOMMENDATIONS FOR THE VICE PRESIDENTS. THE COMPENSATION COMMITTEE OF THE BOARD MAKES RECOMMENDATIONS TO THE FULL BOARD FOR APPROVAL. IN ADDITION, THE COMPENSATION COMMITTEE MAKES A RECOMMENDATION FOR THE PRESIDENT & CEO SALARY TO THE FULL BOARD FOR APPROVAL. THE REVIEW IS DONE ANNUALLY BY THE COMPENSATION COMMITTEE AND THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART VII	AMY SEEBER IS COMPENSATED BY THE HOSPITAL FOR HER SERVICES PROVIDING A PHYSICIAN INTERPRETATION OF ELECTROCARDIOGRAMS.
FORM 990, PART XI, LINE 9	CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS $ (198,166) CHANGE IN INTEREST IN THE NET ASSETS OF SBAMHF $ 490,472 Partnership Income $ 7,298 ---------- $ 299,604

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SUSAN B ALLEN MEMORIAL HOSPITAL FDN
720 WEST CENTRAL	EL DORADO	KS	67042	480862732	SUPPORT ORG	KS	501(C)(3)	11A	SBA HOSPITAL	Yes (true)
SBAMH EMPLOYEE GROUP BENEFIT TRUST
720 WEST CENTRAL	EL DORADO	KS	67042	481105047	VEBA	KS	501(C)(9)		SBA HOSPITAL	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	FS ALLEN	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	720 WEST CENTRAL	AddressLine1Txt
City	EL DORADO	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	67042	ZIPCd

Field	Value	IRS element (for citing)
EIN	486103710	EIN
Primary Activities	GRANTOR TRUST	PrimaryActivitiesTxt
Legal Domicile State	KS	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	TRUST	EntityTypeTxt
Share Of Total Income	-$197,183	ShareOfTotalIncomeAmt
Share Of EOY Assets	$3,219,020	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	SBAMH EMPLOYEE GROUP BENEFIT TRUST	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	r	TransactionTypeTxt
Involved	$3,360,639	InvolvedAmt
Method Of Amount Determination	cash	MethodOfAmountDeterminationTxt