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Nonprofiteer
← HACKLEY COMMUNITY CARE CENTER INC

Form 990 for tax year 2022

Filed by HACKLEY COMMUNITY CARE CENTER INC.

Totals

Total revenue
$34,879,177
Total expenses
$31,321,024
Contributions and grants received
$6,221,451
Grants paid
$0
Program service revenue
$28,549,317
Investment income
$43,274
Other revenue
$65,135
Total assets, end of year
$24,065,321
Total liabilities, end of year
$8,046,119
Net assets or fund balances, end of year
$16,019,202
Program services expenses (Part IX)
$24,429,021
Management and general expenses
$6,892,003
Fundraising expenses
$0
Program service expenses (Part III)
$24,429,021

Program services were 78.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • BYRON VARNADO

    PHYSICIAN

    Total calculated
    $250,166
    From this org
    $227,914
    From related orgs
    $0
    Other
    $22,252
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $227,289
    Bonus
    $625
    Other
    not reported
    Deferred
    $4,320
    Nontaxable benefits
    $17,932
    Filer's total
    $250,166

  • LINDA GARZELLONI

    FORMER CEO

    Total calculated
    $247,641
    From this org
    $239,738
    From related orgs
    $0
    Other
    $7,903
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $239,498
    Bonus
    $240
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    $7,903
    Filer's total
    $247,641

  • JENNIFER HULTMAN

    PHYSICIAN

    Total calculated
    $239,692
    From this org
    $218,669
    From related orgs
    $0
    Other
    $21,023
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $216,744
    Bonus
    $1,925
    Other
    not reported
    Deferred
    $3,120
    Nontaxable benefits
    $17,903
    Filer's total
    $239,692

  • JOSHUA JOSHUA

    DENTAL QUALI

    Total calculated
    $227,976
    From this org
    $216,866
    From related orgs
    $0
    Other
    $11,110
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $216,563
    Bonus
    $303
    Other
    not reported
    Deferred
    $1,248
    Nontaxable benefits
    $9,862
    Filer's total
    $227,976

  • NIDIA MIEDEMA

    PHYSICIAN

    Total calculated
    $225,454
    From this org
    $202,040
    From related orgs
    $0
    Other
    $23,414
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $201,035
    Bonus
    $1,005
    Other
    not reported
    Deferred
    $4,320
    Nontaxable benefits
    $19,094
    Filer's total
    $225,454

  • VALERIE BLONDIN

    CFO

    Total calculated
    $214,163
    From this org
    $192,157
    From related orgs
    $0
    Other
    $22,006
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $190,617
    Bonus
    $1,540
    Other
    not reported
    Deferred
    $3,744
    Nontaxable benefits
    $18,262
    Filer's total
    $214,163

  • TYSON LAHTI

    PHYSICIAN

    Total calculated
    $206,745
    From this org
    $185,598
    From related orgs
    $0
    Other
    $21,147
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $183,873
    Bonus
    $1,725
    Other
    not reported
    Deferred
    $2,957
    Nontaxable benefits
    $18,190
    Filer's total
    $206,745

  • LESLIE KINGSLEY

    CMO

    Total calculated
    $206,373
    From this org
    $202,123
    From related orgs
    $0
    Other
    $4,250
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $200,606
    Bonus
    $1,517
    Other
    not reported
    Deferred
    $3,120
    Nontaxable benefits
    $1,130
    Filer's total
    $206,373

  • MARCO TATANGELO

    PHYSICIAN

    Total calculated
    $204,516
    From this org
    $181,728
    From related orgs
    $0
    Other
    $22,788
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $180,843
    Bonus
    $885
    Other
    not reported
    Deferred
    $3,280
    Nontaxable benefits
    $19,508
    Filer's total
    $204,516

  • TAWNA VALLANCE

    CMOO

    Total calculated
    $193,233
    From this org
    $187,595
    From related orgs
    $0
    Other
    $5,638
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $185,939
    Bonus
    $1,656
    Other
    not reported
    Deferred
    $3,280
    Nontaxable benefits
    $2,358
    Filer's total
    $193,233

  • ASHLEY DOWDELL

    CSCO

    Total calculated
    $153,234
    From this org
    $136,795
    From related orgs
    $0
    Other
    $16,439
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $135,495
    Bonus
    $1,300
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    $16,439
    Filer's total
    $153,234

  • KAREN HAYSLIP

    CHRO

    Total calculated
    $142,992
    From this org
    $133,517
    From related orgs
    $0
    Other
    $9,475
    Hours/week
    40

  • MICHAEL WEESSIES PARTIAL YEAR

    CEO

    Total calculated
    $141,868
    From this org
    $130,027
    From related orgs
    $0
    Other
    $11,841
    Hours/week
    40

  • MARYANNE KOWALSKI

    CBHO

    Total calculated
    $140,868
    From this org
    $115,227
    From related orgs
    $0
    Other
    $25,641
    Hours/week
    40

  • MICHAEL BRECHT

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • STEPHANIE CATHEY

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • GARY LUKKARI DDS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SHAUNA HUNTER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JAVIER MARTINEZ

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DARIUS MITCHELL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • CHERYL NEBEDUM

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1

  • EVA PENA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SARAH RINSEMA-SYBENGA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • CHRISTOPHER SANDFORD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • HAROLD SANTO

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • KIM SIMS

    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 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 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

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.

Provenance

Return type
form_990
Tax year
2022
Filed
21 September 2023
IRS schema version
2022v5.0
Source object
202302699349300620

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