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Nonprofiteer
← PLATTE VALLEY MEDICAL CENTER FOUNDATION

Form 990 for tax year 2024

Filed by PLATTE VALLEY MEDICAL CENTER FOUNDATION.

Totals

Total revenue
$810,874
Total expenses
$1,054,509
Contributions and grants received
$543,711
Grants paid
$874,414
Program services expenses (Part IX)
$875,585
Management and general expenses
$97,283
Fundraising expenses
$81,641
Program service expenses (Part III)
$875,585

Program services were 83.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JAIME CAMPBELL

    TRUSTEE

    Total calculated
    $700,641
    From this org
    $0
    From related orgs
    $519,816
    Other
    $180,825
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $389,842 related
    Bonus
    $0 + $125,610 related
    Other
    $0 + $4,364 related
    Deferred
    $0 + $170,192 related
    Nontaxable benefits
    $0 + $10,633 related
    Filer's total
    $0 + $700,641 related

  • KURT GENSERT

    TRUSTEE

    Total calculated
    $565,560
    From this org
    $0
    From related orgs
    $411,570
    Other
    $153,990
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $308,648 related
    Bonus
    $0 + $70,116 related
    Other
    $0 + $32,806 related
    Deferred
    $0 + $122,584 related
    Nontaxable benefits
    $0 + $31,406 related
    Filer's total
    $0 + $565,560 related

  • MAGGIE MUNOZ

    FNDN. EXEC DIR/SECRETARY (PARTIAL)

    Total calculated
    $172,041
    From this org
    $0
    From related orgs
    $115,108
    Other
    $56,933
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $101,934 related
    Bonus
    $0 + $12,766 related
    Other
    $0 + $408 related
    Deferred
    $0 + $18,547 related
    Nontaxable benefits
    $0 + $38,386 related
    Filer's total
    $0 + $172,041 related

  • CANDACE HARROD MD

    TRUSTEE

    Total calculated
    $35,640
    From this org
    $0
    From related orgs
    $35,640
    Other
    $0
    Hours/week
    1 + 50 related

  • RYAN KLEMT MD

    TRUSTEE

    Total calculated
    $6,601
    From this org
    $0
    From related orgs
    $6,601
    Other
    $0
    Hours/week
    1 + 50 related

  • MAUREEN ALLEN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • LUZMARIA BANUELOS-SHEARER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • ALAN COLON

    TRUSTEE (PARTIAL)

    Total calculated
    $0
    Hours/week
    1

  • MICHAEL DOLAN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • BRIAN ENGLE

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • KARRI FAIR

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • TOM JANNSEN

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • SIMONE JONES

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • JAN OLSON

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • ANTELIA SALAZAR-BALL

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • HEIDI STORZ

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • SUSAN WIANT

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

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

  • 4b · Supplemental nonqualified retirement plan

Answered no

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

The filer's explanations (Part III)

PART I, LINE 3
COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR THE FILING ORGANIZATION IS AN AFFILIATE OF INTERMOUNTAIN HEALTH, AN INTEGRATED HEALTH SYSTEM THAT IS NATIONALLY RECOGNIZED FOR PROVIDING QUALITY MEDICAL CARE THAT RANKS AMONG THE HIGHEST IN THE NATION WITH CHARGES THAT ARE AMONG THE LOWEST IN THE NATION. INTERMOUNTAIN HEALTH'S POLICY IS TO COMPENSATE ITS EMPLOYEES, INCLUDING SENIOR MANAGEMENT, AT MARKET COMPETITIVE RATES. THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, BRIGHTON COMMUNITY HOSPITAL ASSOCIATION. COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SISTERS OF CHARITY OF LEAVENWORTH HEALTHY SYSYTEM, INC. AND ALL OF ITS AFFILIATES. THE COMPENSATION COMMITTEE OF THE BOARD OF INTERMOUNTAIN HEALTH CARE, INC. (PARENT ORGANIZATION) RETAINS OUTSIDE CONSULTANTS TO PROVIDE OBJECTIVE DATA ON COMPENSATION LEVELS AND PRACTICES. THE COMMITTEE ANNUALLY ANALYZES THIS DATA AND MAKES COMPENSATION DECISIONS, WHICH ARE REVIEWED BY THE FULL BOARD OF TRUSTEES. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE TO DRIVE SUPERIOR ORGANIZATIONAL PERFORMANCE TO BECOME A TOP-TIER INTEGRATED HEALTHCARE DELIVERY SYSTEM. COMPENSATION LEVELS FOLLOW IRS GUIDELINES AND ARE SUBJECT TO IRS OVERSIGHT. A PORTION OF THE COMPENSATION REPORTED ON THIS FORM REFLECTS DEFERRED AMOUNTS THAT ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. THE REPORTABLE COMPENSATION ON SCHEDULE J INCLUDES CERTAIN AMOUNTS THAT HAVE BEEN OR WILL BE REPORTED TWICE, BOTH IN THE YEAR ACCRUED AND AGAIN IN THE YEAR PAID, AS REQUIRED IN THE REPORTING SCHEDULE INSTRUCTIONS.
PART I, LINE 4B
PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES A NONQUALIFIED DEFERRED COMPENSATION PLAN (NQDC) KNOWN AS THE SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NONPROFIT HEALTH SYSTEMS. THIS PLAN ENABLES THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR OF PARTICIPATION. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COSTS AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLAN STARTING IN 2014 STARTING IN 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS A ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2024. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE PARTICIPANTS' W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2024 WERE: KURT GENSERT - $30,792.
ADDITIONAL OFFICER AND BOARD DISCLOSURES
THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES.

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

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
2024
Filed
4 November 2025
IRS schema version
2024v5.2
Source object
202533089349300623

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