Skip to content
Nonprofiteer
← PROCTOR HOSPITAL

Form 990 for tax year 2022

Filed by PROCTOR HOSPITAL.

Totals

Total revenue
$136,757,465
Total expenses
$109,305,310
Contributions and grants received
$2,110,102
Grants paid
$3,085
Program services expenses (Part IX)
$105,029,699
Management and general expenses
$4,275,611
Fundraising expenses
$0
Program service expenses (Part III)
$105,029,699

Program services were 96.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • KEVIN BARBIER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • JERRY BELL PHD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • RONALD CHAMPAGNE MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • JENNA CICCIARELLI-WIESNER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • AMY DARLING

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • RUSTY DUNN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • PETER JOHNSEN PHD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • AARON KILGORE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • KEITH KNEPP MD

    BOARD MEMBER/PRESIDENT & CEO

    Total calculated
    $883,163
    From this org
    $0
    From related orgs
    $739,283
    Other
    $143,880
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $554,435 related
    Bonus
    $0 + $167,497 related
    Other
    $0 + $17,351 related
    Deferred
    $0 + $116,984 related
    Nontaxable benefits
    $0 + $26,896 related
    Filer's total
    $0 + $883,163 related

  • RICH KRIEGSMAN

    BOARD VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • DAVID MUELLER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • DIRK ROECKER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • JAMIE STEVENSON

    BOARD MEMBER

    Total calculated
    $11,000
    From this org
    $0
    From related orgs
    $11,000
    Other
    $0
    Hours/week
    1 + 1 related

  • KAREN STUMPE

    BOARD MEMBER

    Total calculated
    $2,500
    From this org
    $0
    From related orgs
    $2,500
    Other
    $0
    Hours/week
    1 + 1 related

  • DENNIS TRIGGS

    BOARD MEMBER

    Total calculated
    $11,000
    From this org
    $0
    From related orgs
    $11,000
    Other
    $0
    Hours/week
    1 + 1 related

  • JOHN WIELAND

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MELISSA YODER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • JOHN PETERS

    SECRETARY/TREASURER/CFO

    Total calculated
    $482,395
    From this org
    $0
    From related orgs
    $445,945
    Other
    $36,450
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $352,914 related
    Bonus
    $0 + $81,201 related
    Other
    $0 + $11,830 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $21,200 related
    Filer's total
    $0 + $482,395 related

  • JAYALAKSHMI ATTALURI MD

    PHYSICIAN

    Total calculated
    $567,394
    From this org
    $528,439
    From related orgs
    $0
    Other
    $38,955
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $519,643
    Bonus
    $1,500
    Other
    $7,296
    Deferred
    $15,250
    Nontaxable benefits
    $23,705
    Filer's total
    $567,394

  • TATE HOHULIN

    CLINICAL STAFF PHARMACIST

    Total calculated
    $153,872
    From this org
    $146,360
    From related orgs
    $0
    Other
    $7,512
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $144,237
    Bonus
    $2,075
    Other
    $48
    Deferred
    $7,316
    Nontaxable benefits
    $196
    Filer's total
    $153,872

  • DIANA JONES

    NURSING SUPERVISOR

    Total calculated
    $181,162
    From this org
    $162,841
    From related orgs
    $2,850
    Other
    $15,471
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $136,843 + $2,646 related
    Bonus
    $21,991 + $204 related
    Other
    $4,007
    Deferred
    $6,166 + $129 related
    Nontaxable benefits
    $9,011 + $165 related
    Filer's total
    $178,018 + $3,144 related

  • THERESA SKIBBA

    REGISTERED NURSE CARDIAC CARE

    Total calculated
    $216,646
    From this org
    $161,531
    From related orgs
    $23,598
    Other
    $31,517
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $153,374 + $14,032 related
    Bonus
    $6,141
    Other
    $2,016 + $9,566 related
    Deferred
    $4,856 + $728 related
    Nontaxable benefits
    $23,532 + $2,401 related
    Filer's total
    $189,919 + $26,727 related

  • DANIELLE SNODGRASS

    CLINICAL STAFF PHARMACIST

    Total calculated
    $157,041
    From this org
    $144,816
    From related orgs
    $0
    Other
    $12,225
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $143,055
    Bonus
    $1,707
    Other
    $54
    Deferred
    $5,839
    Nontaxable benefits
    $6,386
    Filer's total
    $157,041

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 4B
NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED CONTRIBUTIONS IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: KEITH KNEPP, MD $101,734.

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
2022
Filed
8 November 2023
IRS schema version
2022v5.0
Source object
202313189349307236

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

The source document this was parsed from is served over the API, which is where bulk and document access live.