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Nonprofiteer
← LIBERTY COUNTY HOSPITAL AND NURSING HOME INC

Form 990 for tax year 2023

Filed by LIBERTY COUNTY HOSPITAL AND NURSING HOME INC.

Totals

Total revenue
$9,151,674
Total expenses
$8,760,063
Contributions and grants received
$24,210
Grants paid
$0
Program services expenses (Part IX)
$7,621,306
Management and general expenses
$1,138,757
Fundraising expenses
$0
Program service expenses (Part III)
$7,621,306

Program services were 87.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • LARRY HENDRICKSON

    CHARIMAN

    Total calculated
    $0
    Hours/week
    11

  • KIRK SKARI

    VICE-CHAIRMAN

    Total calculated
    $0
    Hours/week
    2

  • TIM BRONK

    TRUSTEE

    Total calculated
    $0
    Hours/week
    5

  • RUDY CICON

    TRUSTEE

    Total calculated
    $0
    Hours/week
    7

  • KARLA KUPLAS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    7

  • BRITNEY TEMPEL

    TRUSTEE

    Total calculated
    $0
    Hours/week
    5

  • CRAIG LAMBRECHT MD

    SYSTEM CEO

    Total calculated
    $1,548,282
    From this org
    $0
    From related orgs
    $1,510,765
    Other
    $37,517
    Hours/week
    0.25 + 49.75 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,113,473 related
    Bonus
    $0 + $397,292 related
    Other
    $0
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $17,717 related
    Filer's total
    $0 + $1,548,282 related

  • COLE TURNER

    SYSTEM CFO

    Total calculated
    $1,236,235
    From this org
    $0
    From related orgs
    $1,206,979
    Other
    $29,256
    Hours/week
    0.25 + 49.75 related

    Schedule J breakdown matched by us

    Base
    $0 + $741,349 related
    Bonus
    $0 + $153,130 related
    Other
    $0 + $312,500 related
    Deferred
    $0 + $11,539 related
    Nontaxable benefits
    $0 + $17,717 related
    Filer's total
    $0 + $1,236,235 related

  • CHERIE TAYLOR

    PRESIDENT, LOGAN HEALTH-CUT BANK

    Total calculated
    $256,949
    From this org
    $0
    From related orgs
    $228,079
    Other
    $28,870
    Hours/week
    0.25 + 49.75 related

    Schedule J breakdown matched by us

    Base
    $0 + $199,402 related
    Bonus
    $0 + $28,677 related
    Other
    $0
    Deferred
    $0 + $12,763 related
    Nontaxable benefits
    $0 + $16,107 related
    Filer's total
    $0 + $256,949 related

  • SHARI DOLAN

    PRESIDENT/CFO

    Total calculated
    $235,702
    From this org
    $219,131
    From related orgs
    $0
    Other
    $16,571
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $131,489
    Bonus
    $28,392
    Other
    $59,250
    Deferred
    $11,258
    Nontaxable benefits
    $5,313
    Filer's total
    $235,702

  • NANCY KLEINSASSER

    DIRECTOR OF NURSING

    Total calculated
    $190,895
    From this org
    $169,837
    From related orgs
    $0
    Other
    $21,058
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $163,860
    Bonus
    $5,977
    Other
    $0
    Deferred
    $9,800
    Nontaxable benefits
    $11,258
    Filer's total
    $190,895

  • DARREN YOUNG

    PHYSICIAN ASSISTANT

    Total calculated
    $164,394
    From this org
    $140,363
    From related orgs
    $0
    Other
    $24,031
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $132,863
    Bonus
    $5,000
    Other
    $2,500
    Deferred
    $8,672
    Nontaxable benefits
    $15,359
    Filer's total
    $164,394

  • TIMOTHY BLAIR

    NURSE PRACTITIONER

    Total calculated
    $153,494
    From this org
    $131,238
    From related orgs
    $0
    Other
    $22,256
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $131,238
    Bonus
    $0
    Other
    $0
    Deferred
    $6,897
    Nontaxable benefits
    $15,359
    Filer's total
    $153,494

  • DARIN SIPES

    DIRECTOR OF NURSING

    Total calculated
    $143,375
    From this org
    $126,695
    From related orgs
    $0
    Other
    $16,680
    Hours/week
    40

  • PATRICK ARMSTRONG

    PHYSICIAN ASSISTANT

    Total calculated
    $141,112
    From this org
    $117,041
    From related orgs
    $0
    Other
    $24,071
    Hours/week
    40

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 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 8 · Paid under the initial-contract exception

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
  • 9 · Followed the rebuttable-presumption procedure

The filer's explanations (Part III)

PART I, LINE 4B
CRAIG LAMBRECHT, COLE TURNER, AND CHERIE TAYLOR PARTICIPATED IN A SECTION 457(F) DEFERRED COMPENSATION PLAN BUT RECEIVED NO PAYMENT FROM THE PLAN. A COMMITTEE APPOINTED BY THE BOARD OF TRUSTEES SELECTS THE PLAN'S PARTICIPANTS FROM A SELECT GROUP OF MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES. THE EMPLOYER WILL CONTRIBUTE TO THE PLAN BASED ON THE TERMS OF THE PARTICIPANT'S INCENTIVE COMPENSATION PLAN. THE FUNDS IN THE PARTICIPANT'S NON-RETIREMENT ACCOUNT ARE DISTRIBUTABLE IN THE THIRD YEAR AFTER THE PARTICIPANT PERFORMS THE SERVICES ATTRIBUTABLE TO THE DEFERRED COMPENSATION. THE PARTICIPANT CAN DEFER DISTRIBUTION. THE FUNDS IN THE PARTICIPANT'S RETIREMENT ACCOUNT ARE DISTRIBUTABLE WHEN THE PARTICIPANT SEPARATES FROM SERVICE. A PARTICIPANT'S NON-RETIREMENT ACCOUNT VESTS AT THE EARLIER OF THE PARTICIPANT'S DEATH, DISABILITY, OR ELECTED DISTRIBUTION DATE. A PARTICIPANT'S RETIREMENT ACCOUNT VESTS UPON THE COMPLETION OF FIVE YEARS OF SERVICE AS A SENIOR EXECUTIVE OR, IF EARLIER, THE PARTICIPANT'S DEATH OR DISABILITY. ANY AMOUNT CREDITED TO THE PARTICIPANT'S ACCOUNT IS TAXABLE ON THE VESTING DATE, REGARDLESS OF WHETHER THE AMOUNT DISTRIBUTABLE AT THAT TIME.

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
2023
Filed
14 November 2024
IRS schema version
2023v5.1
Source object
202423209349321872

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