Civic Intelligence

Amberwell Atchison Support Organization Inc.

990 • Fiscal year 2023 • EIN 93-2800795

Aug 01, 2023 to Dec 31, 2023 • Filed on Nov 05, 2024

Organization ProfileAMBERWELLHEALTH.ORG
800 Raven Hill DrAtchison, KS 66002

(202) 585-8442

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

8th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2023 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2023

Liabilities / Revenue

8th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2023 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2023

Net Margin

90th percentile

50%

Higher net margin than 90% of similar nonprofits.

2023 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2023

Top Officer Pay

94th percentile

$450,526

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 2249.7% of source-year revenue.

2023 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2023

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2023

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2023

Balance Sheet
Liabilities / Assets8th percentile

Assets

$8,398,482

No earlier filing loaded for comparison.

Net Assets

$8,398,482

No earlier filing loaded for comparison.

Liabilities

$0

No earlier filing loaded for comparison.

Revenue And Expenses
Liabilities / Revenue8th percentileNet Margin90th percentile

Revenue

$20,026

No earlier filing loaded for comparison.

Expenses

$10,000

No earlier filing loaded for comparison.

Net Income

$10,026

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset GrowthScore unavailable

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$10M$5.0M$0Assets 2023: $8,398,482Liabilities 2023: $0Net Assets 2023: $8,398,4822023Assets 2024: $8,363,796Liabilities 2024: $0Net Assets 2024: $8,363,7962024

Highlighted filing

2023

Assets$8,398,482
Liabilities$0
Net Assets$8,398,482
Open 2023 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$80K$60K$40K$20K$0Revenue 2023: $20,026Expenses 2023: $10,000Net Income 2023: $10,0262023Revenue 2024: $68,337Expenses 2024: $0Net Income 2024: $68,3372024

Highlighted filing

2023

Revenue$20,026
Expenses$10,000
Net Income$10,026
Open 2023 Filing
Jump To
Filing Snapshot
Filing Period
Aug 1, 2023 to Dec 31, 2023
Signed
Nov 5, 2024
Return Version
2023v5.1
Gross Receipts
$20,026
Mission and Program Overview

Mission

NONE

Support and benefit amberwell atchison association.

Balance Sheet Detail
LineBeginningEndChange
Assets
Other Notes and Loans Receivable, Net$0$7,836,300▲ $7,836,300
Cash and Non-Interest-Bearing Accounts$0$562,182▲ $562,182
Total Assets$0$8,398,482▲ $8,398,482
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$0$8,398,482▲ $8,398,482
Total Net Assets Fund Balance$0$8,398,482▲ $8,398,482
Total Liabilities and Net Assets / Fund Balance$0$8,398,482▲ $8,398,482
Compensation and Service Providers
Top Officer Pay94th percentile

Board Members and Trustees

NameTitle
Larry MearsChair
Jerry HenryVice Chair
Reed BergerDirector
Susan MyersDirector
Jeffrey PerryCEO
Chase DudzinskiCFO
Lorin AffieldSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$20,026
Other Revenue
$0
Change in Net Assets
$10,026

Audited Revenue Reconciliation

Revenue per Audited Statements
$20,026
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$20,026
Total Revenue per Form 990
$20,026
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$10,000
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses$10,000--$10,000
Total Functional Expenses$10,000$0$0$10,000

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$10,000
Total Expenses per Audited Statements$10,000
Total Expenses per Form 990$10,000
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 7A

“Three of the directors of the corporation shall be directors, officers, or employees of amberwell atchison association. Annually, amberwell atchison association's board of directors shall elect the amberwell designated directors by vote.”

Form 990, Part VI, Section A, Line 8B

“There is no committee with authority to act on behalf of the board of directors.”

Form 990, Part VI, Section B, Line 11B

“The form 990 is provided electronically to the board of directors to review prior to filing the return with the irs.”

Form 990, Part VI, Section B, Line 12C

“At the time of the election or hire and annually thereafter, the governing board members, officers, and key employees shall provide the applicable conflict of interest disclosures which shall be completed to identify any relationships, positions, or circumstances in which it is believed a conflict may arise. If a conflict arises, the board member abstains from the vote of the conflicted position.”

Form 990, Part VI, Section B, Line 15

“The compensation for the ceo and cfo is determined by amberwell atchison association, a related organization.”

Form 990, Part VI, Section C, Line 19

“The organization did not make any of the above forms available.”

Filing and Contact Details

Filer

Filer Name
Amberwell Atchison Support
EIN
93-2800795
Phone
2025858442
Address
800 RAVEN HILL DR, ATCHISON, KS 66002

Signing Officer

Name
Chase Dudzinski
Title
CFO
Phone
2025858442
Signed
2024-11-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Larry Mears
Formed
2023
Legal Domicile
Ks
Voting Board Members
5
Independent Board Members
5
Employees
0
Volunteers
5

Preparer

Firm
Eide Bailly Llp
Address
18081 BURT ST STE 200, OMAHA, NE 68022-4722
Preparer
Wendy R Cooley CPA
Phone
4023302660
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Equity transfer 8,388,456.”

FORM 990, PART XII, LINE 2C:

“The board of directors assumes responsibility for the audit and the selection of the independent accountant.”

Financial Statement Notes

PART X, LINE 2:

“The support organization accounts for uncertainties in accounting for income tax assets and liabilities using guidance included in fasb asc 740, income taxes. The support organization recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. At december 31, 2023, the support organization had no uncertain tax positions accrued.”

Raw XML AppendixShowing 400 of 415 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0COMPENSATION FOR JEFFREY PERRY, 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.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THREE OF THE DIRECTORS OF THE CORPORATION SHALL BE DIRECTORS, OFFICERS, OR EMPLOYEES OF AMBERWELL ATCHISON ASSOCIATION. ANNUALLY, AMBERWELL ATCHISON ASSOCIATION'S BOARD OF DIRECTORS SHALL ELECT THE AMBERWELL DESIGNATED DIRECTORS BY VOTE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THERE IS NO COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE FORM 990 IS PROVIDED ELECTRONICALLY TO THE BOARD OF DIRECTORS TO REVIEW PRIOR TO FILING THE RETURN WITH THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3AT THE TIME OF THE ELECTION OR HIRE AND ANNUALLY THEREAFTER, THE GOVERNING BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES SHALL PROVIDE THE APPLICABLE CONFLICT OF INTEREST DISCLOSURES WHICH SHALL BE COMPLETED TO IDENTIFY ANY RELATIONSHIPS, POSITIONS, OR CIRCUMSTANCES IN WHICH IT IS BELIEVED A CONFLICT MAY ARISE. IF A CONFLICT ARISES, THE BOARD MEMBER ABSTAINS FROM THE VOTE OF THE CONFLICTED POSITION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE COMPENSATION FOR THE CEO AND CFO IS DETERMINED BY AMBERWELL ATCHISON ASSOCIATION, A RELATED ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE ORGANIZATION DID NOT MAKE ANY OF THE ABOVE FORMS AVAILABLE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6EQUITY TRANSFER 8,388,456.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XI, LINE 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART XII, LINE 2C:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd10
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1AMBERWELL HEALTH FOUNDATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0480561974
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1480955489
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt1501(C)(3)
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1KS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1SUPPORT AMBERWELL ATCHISON ASSOCIATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt1LINE 12B, II
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0800 RAVEN HILL DRIVE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt1800 RAVEN HILL DRIVE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0ATCHISON
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm1ATCHISON
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0KS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd1KS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd066002
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd166002
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd01
IRS990ScheduleR/PaidEmployeesSharingInd01
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd01
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd01
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsEOYAmt08398482
IRS990/TotalAssetsGrp/BOYAmt00
IRS990/TotalAssetsGrp/EOYAmt08398482
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt010000
IRS990/TotalFunctionalExpensesGrp/TotalAmt010000
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt08398482
IRS990/TotalOtherCompensationAmt045817
IRS990/TotalProgramServiceExpensesAmt010000
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt020026
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt020026
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt05
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt08398482
IRS990/TotReportableCompRltdOrgAmt0685174
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0800 RAVEN HILL DR
IRS990/USAddress/CityNm0ATCHISON
IRS990/USAddress/StateAbbreviationCd0KS
IRS990/USAddress/ZIPCd066002
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt05
IRS990/WebsiteAddressTxt0AMBERWELLHEALTH.ORG
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02024-10-15 13:58:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0CHASE DUDZINSKI
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CFO
ReturnHeader/BusinessOfficerGrp/PhoneNum02025858442
ReturnHeader/BusinessOfficerGrp/SignatureDt02024-11-05
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0AMBERWELL ATCHISON SUPPORT
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0ORGANIZATION INC
ReturnHeader/Filer/BusinessNameControlTxt0AMBE
ReturnHeader/Filer/EIN0932800795
ReturnHeader/Filer/PhoneNum02025858442
ReturnHeader/Filer/USAddress/AddressLine1Txt0800 RAVEN HILL DR
ReturnHeader/Filer/USAddress/CityNm0ATCHISON
ReturnHeader/Filer/USAddress/StateAbbreviationCd0KS
ReturnHeader/Filer/USAddress/ZIPCd066002

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2023 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$8,398,482
Liabilities
$0
Net assets
$8,398,482
Revenue
$20,026
Expenses
$10,000
Net income
$10,026
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$8.36$0.00$8.36$0.07$0.00$0.07
2023Detailed filing. Detailed filing data is available for this year.$8.40$0.00$8.40$0.02$0.01$0.01