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Nonprofiteer
← FINLEY TRI-STATES HEALTH GROUP INC

Form 990 for tax year 2022

Filed by FINLEY TRI-STATES HEALTH GROUP INC.

Totals

Total revenue
$0
Total expenses
$0
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$14,037
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$14,037
Program services expenses (Part IX)
$0
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
not reported

Listed in Part VII

  • BILL ARNOLD

    BOARD MEMBER

    Total calculated
    $12,000
    From this org
    $0
    From related orgs
    $12,000
    Other
    $0
    Hours/week
    1 + 1 related

  • KATHY BUHR FR 422

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • ROY BUOL

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MARK DICKSON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • SUSAN FARBER

    BOARD VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • SUE FREEMAN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MIKE JANSEN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • NICOLE JEDLICKA DPM

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • JASON KNOCKEL

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • KEVIN LYNCH

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • KATHLEEN NACOS-BURDS

    BOARD TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • RYAN PETERSON

    BOARD SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • KEISHA SAINCI

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • CHARLIE SKEMP

    BOARD MEMBER

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

  • LORI THIELEN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • NICK THOMPSON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • GREGORY WHITE MD TO 822

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • CHAD WOLBERS

    BOARD MEMBER & PRESIDENT/CEO

    Total calculated
    $552,716
    From this org
    $0
    From related orgs
    $456,758
    Other
    $95,958
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $333,875 related
    Bonus
    $0 + $116,829 related
    Other
    $0 + $6,054 related
    Deferred
    $0 + $66,850 related
    Nontaxable benefits
    $0 + $29,108 related
    Filer's total
    $0 + $552,716 related

  • CAROL CROSS

    VP FINANCE

    Total calculated
    $316,627
    From this org
    $0
    From related orgs
    $276,596
    Other
    $40,031
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $208,681 related
    Bonus
    $0 + $63,088 related
    Other
    $0 + $4,827 related
    Deferred
    $0 + $13,990 related
    Nontaxable benefits
    $0 + $26,041 related
    Filer's total
    $0 + $316,627 related

  • THEODORE TOWNSEND JR TO 119

    BOARD MEMBER & INTERIM PRESIDENT/CEO

    Total calculated
    $462,778
    From this org
    $0
    From related orgs
    $462,778
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $462,778 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $462,778 related

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

  • 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: CHAD WOLBERS $ 54,461. NONQUALIFIED RETIREMENT PLAN DISTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED PLAN: THEODORE TOWNSEND JR $462,778. PAYOUTS ARE MADE WITH VESTED FUNDS, AS ESTABLISHED BY PLAN DOCUMENTS.

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
8 November 2023
IRS schema version
2022v5.0
Source object
202303189349306645

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