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Nonprofiteer
← ASCENSION LIVING PROVIDENCE VILLAGE

Form 990 for tax year 2023

Filed by ASCENSION LIVING PROVIDENCE VILLAGE.

Totals

Total revenue
$21,770,941
Total expenses
$24,566,822
Contributions and grants received
$71,538
Grants paid
$0
Program services expenses (Part IX)
$20,598,730
Management and general expenses
$3,968,092
Fundraising expenses
$0
Program service expenses (Part III)
$20,598,730

Program services were 83.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DENNIS MYERS PHD

    CHAIR (END 12/2023)

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • ERIN SHADBOLT

    VP POST ACUTE & AT-HOME SERVICES & CEO (START 5/2024)/SECRETARY (START 1/2024)

    Total calculated
    $366,297
    From this org
    $0
    From related orgs
    $319,145
    Other
    $47,152
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $279,761 related
    Bonus
    $0 + $38,815 related
    Other
    $0 + $569 related
    Deferred
    $0 + $15,441 related
    Nontaxable benefits
    $0 + $31,711 related
    Filer's total
    $0 + $366,297 related

  • JUDITH MANESS

    TREASURER (END 12/2023)

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • LISA ANN MUSGRAVE MHA BSN RN

    SENIOR VP, POST-ACUTE AND AT-HOME SERVICES/CHAIR (START 1/2024)

    Total calculated
    $1,203,802
    From this org
    $0
    From related orgs
    $1,150,413
    Other
    $53,389
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $560,680 related
    Bonus
    $0 + $487,198 related
    Other
    $0 + $102,535 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $36,889 related
    Filer's total
    $0 + $1,203,802 related

  • ROBIN T BINEK

    AVP OF FINANCE, ASCENSION LIVING/TREASURER (START 9/2023)

    Total calculated
    $281,725
    From this org
    $0
    From related orgs
    $235,530
    Other
    $46,195
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $194,760 related
    Bonus
    $0 + $38,279 related
    Other
    $0 + $2,491 related
    Deferred
    $0 + $15,111 related
    Nontaxable benefits
    $0 + $31,084 related
    Filer's total
    $0 + $281,725 related

  • RYAN BREEDLOVE

    DIRECTOR/VP POST ACUTE CONTINUING CARE & AT HOME SERVICES (START 1/2024)

    Total calculated
    $431,550
    From this org
    $0
    From related orgs
    $381,449
    Other
    $50,101
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $275,266 related
    Bonus
    $0 + $79,518 related
    Other
    $0 + $26,665 related
    Deferred
    $0 + $15,399 related
    Nontaxable benefits
    $0 + $34,702 related
    Filer's total
    $0 + $431,550 related

  • GREGORY J NIECKULA DO MBA

    DIRECTOR (END 12/2023)

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • KENNETH R SMOOT

    DIRECTOR/CHIEF MISSION INTEGRATION OFFICER (START 1/2024)

    Total calculated
    $317,833
    From this org
    $0
    From related orgs
    $289,923
    Other
    $27,910
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $219,299 related
    Bonus
    $0 + $66,188 related
    Other
    $0 + $4,436 related
    Deferred
    $0 + $17,311 related
    Nontaxable benefits
    $0 + $10,599 related
    Filer's total
    $0 + $317,833 related

  • MICHAEL ROBERT GORDON

    CFO, ASCENSION LIVING (END 8/2023)

    Total calculated
    $566,500
    From this org
    $0
    From related orgs
    $531,953
    Other
    $34,547
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $213,812 related
    Bonus
    $0 + $171,329 related
    Other
    $0 + $146,812 related
    Deferred
    $0 + $21,062 related
    Nontaxable benefits
    $0 + $13,485 related
    Filer's total
    $0 + $566,500 related

  • AMANDA LYNN SONNIER

    EXECUTIVE DIRECTOR

    Total calculated
    $161,134
    From this org
    $153,245
    From related orgs
    $0
    Other
    $7,889
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $138,885
    Bonus
    $13,730
    Other
    $630
    Deferred
    $6,105
    Nontaxable benefits
    $1,784
    Filer's total
    $161,134

  • JASON WALLACE MUSIL RN

    RN, DIRECTOR OF NURSING

    Total calculated
    $175,350
    From this org
    $142,736
    From related orgs
    $0
    Other
    $32,614
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $128,118
    Bonus
    $14,023
    Other
    $595
    Deferred
    $5,988
    Nontaxable benefits
    $26,626
    Filer's total
    $175,350

  • RHONDA RICHARDS

    CLINICAL OPERATIONS DIRECTOR

    Total calculated
    $130,683
    From this org
    $100,233
    From related orgs
    $0
    Other
    $30,450
    Hours/week
    50

  • DANIEL STRICKER

    FORMER OFFICER (END 8/2022)

    Total calculated
    $641,193
    From this org
    $0
    From related orgs
    $641,193
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $111,194 related
    Other
    $0 + $529,999 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $641,193 related

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

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY, AND -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED.
Schedule J, Part I, Line 4a Severance or change-of-control payment
THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING THE CALENDAR YEAR 2023: MICHAEL ROBERT GORDON - $126,678 DANIEL STRICKER - $529,999
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS.

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

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

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

Provenance

Return type
form_990
Tax year
2023
Filed
13 May 2025
IRS schema version
2023v6.0
Source object
202501339349308400

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

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