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Nonprofiteer
← PRAIRIE LAKES HEALTH CARE SYSTEM INC

Form 990 for tax year 2022

Filed by PRAIRIE LAKES HEALTH CARE SYSTEM INC.

Totals

Total revenue
$143,812,571
Total expenses
$137,642,732
Contributions and grants received
$3,442,618
Grants paid
$3,182,921
Program service revenue
$123,860,971
Investment income
$14,834,473
Other revenue
$1,674,509
Total assets, end of year
$404,656,079
Total liabilities, end of year
$48,253,764
Net assets or fund balances, end of year
$356,402,315
Program services expenses (Part IX)
$117,420,704
Management and general expenses
$20,222,028
Fundraising expenses
$0
Program service expenses (Part III)
$117,420,704

Program services were 85.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • RICHARD HOWARD MD

    PHYSICIAN

    Total calculated
    $1,170,474
    From this org
    $1,142,455
    From related orgs
    $0
    Other
    $28,019
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,142,455
    Bonus
    $0
    Other
    $0
    Deferred
    $9,150
    Nontaxable benefits
    $18,869
    Filer's total
    $1,170,474

  • GREG GERRISH MD

    PHYSICIAN

    Total calculated
    $1,090,018
    From this org
    $1,056,309
    From related orgs
    $0
    Other
    $33,709
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $604,362
    Bonus
    $451,947
    Other
    $0
    Deferred
    $9,150
    Nontaxable benefits
    $24,559
    Filer's total
    $1,090,018

  • JACOB SCHAEFFER MD

    PHYSICIAN/DIRECTOR

    Total calculated
    $1,065,186
    From this org
    $1,031,477
    From related orgs
    $0
    Other
    $33,709
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $416,795
    Bonus
    $614,682
    Other
    $0
    Deferred
    $9,150
    Nontaxable benefits
    $24,559
    Filer's total
    $1,065,186

  • JEFFREY SMITH MD

    PHYSICIAN

    Total calculated
    $943,468
    From this org
    $909,759
    From related orgs
    $0
    Other
    $33,709
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $858,484
    Bonus
    $51,275
    Other
    $0
    Deferred
    $9,150
    Nontaxable benefits
    $24,559
    Filer's total
    $943,468

  • SALEM MAALIKI MD

    PHYSICIAN

    Total calculated
    $784,553
    From this org
    $764,874
    From related orgs
    $0
    Other
    $19,679
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $764,874
    Bonus
    $0
    Other
    $0
    Deferred
    $9,150
    Nontaxable benefits
    $10,529
    Filer's total
    $784,553

  • D ADAM POPP

    CFO

    Total calculated
    $323,292
    From this org
    $295,305
    From related orgs
    $0
    Other
    $27,987
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $191,919
    Bonus
    $103,386
    Other
    $0
    Deferred
    $10,060
    Nontaxable benefits
    $17,927
    Filer's total
    $323,292

  • KC DEBOER

    FORMER CEO (THROUGH SEPT 2021)

    Total calculated
    $317,585
    From this org
    $279,961
    From related orgs
    $0
    Other
    $37,624
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $25,000
    Other
    $254,961
    Deferred
    $19,234
    Nontaxable benefits
    $18,390
    Filer's total
    $317,585

  • MICHELE TURBAK

    CNO

    Total calculated
    $300,891
    From this org
    $268,511
    From related orgs
    $0
    Other
    $32,380
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $166,808
    Bonus
    $101,703
    Other
    $0
    Deferred
    $14,453
    Nontaxable benefits
    $17,927
    Filer's total
    $300,891

  • LAURIE FIEBER

    VP OF CLINIC OPERATIONS

    Total calculated
    $182,028
    From this org
    $157,833
    From related orgs
    $0
    Other
    $24,195
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $128,407
    Bonus
    $29,426
    Other
    $0
    Deferred
    $8,902
    Nontaxable benefits
    $15,293
    Filer's total
    $182,028

  • JOHN ALLEN

    PRESIDENT/CEO

    Total calculated
    $0
    Hours/week
    40

  • ROBB PETERSON

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • VINCE FOLEY

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • MIKE LUKEN

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • CHRIS CARTER

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • JIM REDLINGER

    PAST CHAIR

    Total calculated
    $0
    Hours/week
    1

  • ALAN CHRISTENSEN MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SVIEN SENNE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SCOTT MUNGER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MICHAEL ANDERSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MARK ROBY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • TAMMY DAVIS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JONATHAN OVIATT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • KRISTEN HENDERSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DIANE STILES

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JESSE PETERSON

    DIRECTOR

    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, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment

Answered no

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

The filer's explanations (Part III)

PART I, LINE 4A
K.C. DEBOER, FORMER CEO, RECEIVED SEVERANCE PAYMENTS OF $254,961 IN REGULAR COMPENSATION, $25,000 IN BONUS COMPENSATION AND $37,624 IN NON-TAXABLE COMPENSATION IN THE 2022 TAX YEAR.

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

Provenance

Return type
form_990
Tax year
2022
Filed
8 April 2024
IRS schema version
2022v5.0
Source object
202401039349301515

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

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