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← LUTHERAN COMMUNITY HOSPITAL ASSOCIATION OF NORFOLK NEBRASKA

Form 990 for tax year 2024

Filed by LUTHERAN COMMUNITY HOSPITAL ASSOCIATION OF NORFOLK NEBRASKA.

Totals

Total revenue
$790
Total expenses
$4,915
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$0
Management and general expenses
$4,915
Fundraising expenses
$0
Program service expenses (Part III)
not reported

Program services were 0.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • PRESTON SUNDERMAN

    PRESIDENT

    Total calculated
    $0
    Hours/week
    2.5 + 1 related

  • JOHN ROBERTSON

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    2.5 + 1.5 related

  • KAREN PETERSEN

    SECRETARY

    Total calculated
    $0
    Hours/week
    2.5

  • BRETT JACKSON

    TREASURER

    Total calculated
    $0
    Hours/week
    2.5 + 1.5 related

  • DR DAN BLOMENBERG

    MEMBER

    Total calculated
    $0
    Hours/week
    2.5

  • JENNIFER CARLISLE

    MEMBER

    Total calculated
    $0
    Hours/week
    2.5

  • JASON DOELE

    MEMBER

    Total calculated
    $0
    Hours/week
    2.5

  • MICHAEL SULLIVAN

    MEMBER

    Total calculated
    $0
    Hours/week
    2.5

  • REGINA BUSBOOM

    MEMBER

    Total calculated
    $0
    Hours/week
    2.5 + 1 related

  • LEON ROSENTHAL

    MEMBER

    Total calculated
    $0
    Hours/week
    2.5 + 1 related

  • CRAIG BOCHE

    MEMBER

    Total calculated
    $0
    Hours/week
    2.5

  • JOHN DINKEL

    MEMBER

    Total calculated
    $0
    Hours/week
    2.5

  • JERRELL DOLESH

    MEMBER

    Total calculated
    $0
    Hours/week
    2.5

  • KELLY DRISCOLL

    CEO

    Total calculated
    $831,982
    From this org
    $0
    From related orgs
    $791,760
    Other
    $40,222
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $707,070 related
    Bonus
    $0 + $73,640 related
    Other
    $0 + $11,050 related
    Deferred
    $0 + $17,250 related
    Nontaxable benefits
    $0 + $25,172 related
    Filer's total
    $0 + $834,182 related

  • JANNA CLINE

    VP FINANCE THRU 04/24

    Total calculated
    $172,667
    From this org
    $0
    From related orgs
    $159,578
    Other
    $13,089
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $145,736 related
    Bonus
    $0 + $13,842 related
    Other
    $0
    Deferred
    $0 + $5,675 related
    Nontaxable benefits
    $0 + $7,892 related
    Filer's total
    $0 + $173,145 related

  • BRENDA BAKER

    VP OF FINANCE

    Total calculated
    $121,059
    From this org
    $0
    From related orgs
    $117,628
    Other
    $3,431
    Hours/week
    1 + 41 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 — 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

None.

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
KELLY DRISCOLL, CEO OF FAITH REGIONAL HEALTH SERVICES (FRHS), IS COMPENSATED BY FRHS, A RELATED ORGANIZATION. FRHS USES ONE OR MORE OF THE METHODS ON LINE 3 TO DETERMINE THE CEO'S COMPENSATION.

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
2024
Filed
15 December 2025
IRS schema version
2024v5.2
Source object
202523569349301507

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