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Nonprofiteer
← FIRST CARE MEDICAL SERVICES

Form 990 for tax year 2023

Filed by FIRST CARE MEDICAL SERVICES.

Totals

Total revenue
$34,611,368
Total expenses
$31,418,779
Contributions and grants received
$472,908
Grants paid
$18,765
Program service revenue
$33,501,209
Investment income
$606,172
Other revenue
$31,079
Total assets, end of year
$41,569,681
Total liabilities, end of year
$10,553,842
Net assets or fund balances, end of year
$31,015,839
Program services expenses (Part IX)
$26,102,094
Management and general expenses
$5,316,685
Fundraising expenses
$0
Program service expenses (Part III)
$26,102,094

Program services were 83.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • CHERYL WHITE MD

    PHYSICIAN & SECTION CHAIR

    Total calculated
    $629,619
    From this org
    $0
    From related orgs
    $602,175
    Other
    $27,444
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $601,667 related
    Bonus
    $0
    Other
    $0 + $508 related
    Deferred
    $0 + $26,400 related
    Nontaxable benefits
    $0 + $1,044 related
    Filer's total
    $0 + $629,619 related

  • TANNER GOODRICH

    INTERIM ADMINISTRATOR

    Total calculated
    $488,215
    From this org
    $0
    From related orgs
    $391,911
    Other
    $96,304
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $318,475 related
    Bonus
    $0 + $72,194 related
    Other
    $0 + $1,242 related
    Deferred
    $0 + $66,256 related
    Nontaxable benefits
    $0 + $30,048 related
    Filer's total
    $0 + $488,215 related

  • MAIJA DUPPONG

    NURSE PRACTITIONER

    Total calculated
    $370,943
    From this org
    $351,063
    From related orgs
    $0
    Other
    $19,880
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $350,916
    Bonus
    $0
    Other
    $147
    Deferred
    $15,950
    Nontaxable benefits
    $3,930
    Filer's total
    $370,943

  • NICOLE KIESOW

    PHYSICIAN ASSISTANT

    Total calculated
    $356,537
    From this org
    $303,500
    From related orgs
    $0
    Other
    $53,037
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $303,353
    Bonus
    $0
    Other
    $147
    Deferred
    $15,756
    Nontaxable benefits
    $37,281
    Filer's total
    $356,537

  • KARI HITCHEN

    CRNA

    Total calculated
    $307,199
    From this org
    $257,422
    From related orgs
    $0
    Other
    $49,777
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $257,064
    Bonus
    $0
    Other
    $358
    Deferred
    $12,524
    Nontaxable benefits
    $37,253
    Filer's total
    $307,199

  • NINA BRADFIELD

    PHYSICIAN ASSISTANT

    Total calculated
    $303,938
    From this org
    $290,122
    From related orgs
    $0
    Other
    $13,816
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $290,073
    Bonus
    $0
    Other
    $49
    Deferred
    $12,944
    Nontaxable benefits
    $872
    Filer's total
    $303,938

  • CHRISTINA WALKER

    NURSE PRACTITIONER

    Total calculated
    $293,710
    From this org
    $249,036
    From related orgs
    $0
    Other
    $44,674
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $234,782
    Bonus
    $0
    Other
    $14,254
    Deferred
    $11,409
    Nontaxable benefits
    $33,265
    Filer's total
    $293,710

  • KIMBERLY BODENSTEINER

    FINANCE DIRECTOR

    Total calculated
    $230,755
    From this org
    $204,452
    From related orgs
    $0
    Other
    $26,303
    Hours/week
    56 + 4 related

    Schedule J breakdown matched by us

    Base
    $203,664
    Bonus
    $0
    Other
    $788
    Deferred
    $10,411
    Nontaxable benefits
    $15,892
    Filer's total
    $230,755

  • CALLEN WEISPFENNIG

    ADMINISTRATOR THRU 2/24

    Total calculated
    $220,129
    From this org
    $180,932
    From related orgs
    $0
    Other
    $39,197
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $180,782
    Bonus
    $0
    Other
    $150
    Deferred
    $6,238
    Nontaxable benefits
    $32,959
    Filer's total
    $220,129

  • STEPHANIE MCKNIGHT

    NURSING DIRECTOR

    Total calculated
    $187,636
    From this org
    $151,340
    From related orgs
    $0
    Other
    $36,296
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $121,627
    Bonus
    $20,000
    Other
    $9,713
    Deferred
    $0
    Nontaxable benefits
    $36,296
    Filer's total
    $187,636

  • CASSIE HEIDE

    BOARD DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DEAN ANDERSON

    BOARD SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    2

  • ROBERT OVERMOE

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    2

  • ROY DUFAULT

    BOARD DIRECTOR THRU 7/23

    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 · Compensation committee
  • 3 · Independent compensation consultant
  • 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

The filer's explanations (Part III)

PART I, LINE 3
ESTABLISHING CEO'S COMPENSATION: ESSENTIA HEALTH, AS A RELATED ORGANIZATION, USED THE FOLLOWING METHODS TO ESTABLISH ESSENTIA HEALTH FOSSTON'S INTERIM ADMINISTRATOR'S COMPENSATION: A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.

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

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 corporations and trusts

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

  • ESSENTIA HEALTH INSURANCE SERVICES SPC LTD

    C · SELF INSURANCE · CJ · controlled entity

  • MID DAKOTA CLINIC INC

    C · CLINIC OPERATIONS CEASED 9/30/22 · ND · controlled entity

Provenance

Return type
form_990
Tax year
2023
Filed
12 May 2025
IRS schema version
2023v6.0
Source object
202531329349304678

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