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Nonprofiteer
← LAKE SUPERIOR COMMUNITY HEALTH CENTER

Form 990 for tax year 2024

Filed by LAKE SUPERIOR COMMUNITY HEALTH CENTER.

Totals

Total revenue
$14,999,830
Total expenses
$14,615,376
Contributions and grants received
$2,935,737
Grants paid
$0
Program services expenses (Part IX)
$11,100,384
Management and general expenses
$3,509,292
Fundraising expenses
$5,700
Program service expenses (Part III)
$11,100,384

Program services were 76.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • BOB LYMAN

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    2

  • JEDEDIAH JANSON

    BOARD VICE CHAIR

    Total calculated
    $0
    Hours/week
    2

  • KYLE DICKINSON

    BOARD TREASURER

    Total calculated
    $280
    From this org
    $280
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • COURTNEY KOSTREBA

    BOARD SECRETRARY

    Total calculated
    $0
    Hours/week
    2

  • KIM TERHAAR

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • SONYA ALSTONE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • DIANE HOLLIDAY-WELSH

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • DYANI BRADDICK

    BOARD MEMBER

    Total calculated
    $245
    From this org
    $245
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • CINDY CAPIN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • HOLLY COMPO

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • ASHLEY LUNA

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • JESSIE CHRISTOPHERSON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • NANCY TARIO

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • BARBARA HEMENWAY

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • LEE HOMAN

    CEO

    Total calculated
    $165,695
    From this org
    $124,937
    From related orgs
    $0
    Other
    $40,758
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $124,937
    Bonus
    $0
    Other
    $0
    Deferred
    $3,177
    Nontaxable benefits
    $37,581
    Filer's total
    $165,695

  • CRYSTAL MEYER

    CHRO

    Total calculated
    $139,143
    From this org
    $106,395
    From related orgs
    $0
    Other
    $32,748
    Hours/week
    40

  • LAURIE HALL

    COO

    Total calculated
    $97,754
    From this org
    $75,028
    From related orgs
    $0
    Other
    $22,726
    Hours/week
    40

  • JAKE KUSCHKE

    CFO

    Total calculated
    $112,133
    From this org
    $88,723
    From related orgs
    $0
    Other
    $23,410
    Hours/week
    40

  • EMILY ANDERSON

    PHYSICIAN / MEDICAL DIRECTOR

    Total calculated
    $302,349
    From this org
    $247,133
    From related orgs
    $0
    Other
    $55,216
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $247,133
    Bonus
    $0
    Other
    $0
    Deferred
    $11,500
    Nontaxable benefits
    $43,716
    Filer's total
    $302,349

  • JACOB OESTREICH

    PHYSICIAN

    Total calculated
    $246,602
    From this org
    $182,223
    From related orgs
    $0
    Other
    $64,379
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $182,223
    Bonus
    $0
    Other
    $0
    Deferred
    $9,916
    Nontaxable benefits
    $54,463
    Filer's total
    $246,602

  • RICHARD DEVORAK

    DDS

    Total calculated
    $203,974
    From this org
    $190,359
    From related orgs
    $0
    Other
    $13,615
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $190,359
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $13,615
    Filer's total
    $203,974

  • WENDY PETERSON

    DDS

    Total calculated
    $183,638
    From this org
    $178,910
    From related orgs
    $0
    Other
    $4,728
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $178,910
    Bonus
    $0
    Other
    $0
    Deferred
    $4,728
    Nontaxable benefits
    $0
    Filer's total
    $183,638

  • YIN CAO

    DDS/DENTAL DIRECTOR

    Total calculated
    $252,086
    From this org
    $217,615
    From related orgs
    $0
    Other
    $34,471
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $217,615
    Bonus
    $0
    Other
    $0
    Deferred
    $6,952
    Nontaxable benefits
    $27,519
    Filer's total
    $252,086

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

  • 3 · Compensation committee
  • 3 · Form 990 of other organizations
  • 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
2024
Filed
20 October 2025
IRS schema version
2024v5.2
Source object
202512969349300636

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