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Nonprofiteer
← AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC

Form 990 for tax year 2022

Filed by AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC.

Totals

Total revenue
$16,102,510
Total expenses
$16,070,997
Contributions and grants received
$290,210
Grants paid
$500,000
Program services expenses (Part IX)
$14,184,955
Management and general expenses
$1,816,868
Fundraising expenses
$69,174
Program service expenses (Part III)
$14,184,955

Program services were 88.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • BERNIE CABLE-PROKOP

    CHAIR

    Total calculated
    $0
    Hours/week
    0.25

  • TIMOTHY HOKANSON

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.25

  • KATHY KOPP

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.25

  • MATTHEW KERN

    TREASURER

    Total calculated
    $0
    Hours/week
    0.25

  • EILEEN CARTWRIGHT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25

  • DAVID LOSE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25

  • SARAH VAN WINKLE

    PRESIDENT/CEO

    Total calculated
    $202,250
    From this org
    $180,236
    From related orgs
    $0
    Other
    $22,014
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $179,017
    Bonus
    $0
    Other
    $1,219
    Deferred
    $5,964
    Nontaxable benefits
    $16,050
    Filer's total
    $202,250

  • STACY LYSEN

    DIRECTOR OF NURSING

    Total calculated
    $171,311
    From this org
    $139,136
    From related orgs
    $0
    Other
    $32,175
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $129,136
    Bonus
    $10,000
    Other
    $0
    Deferred
    $5,962
    Nontaxable benefits
    $26,213
    Filer's total
    $171,311

  • JOLENE BAKER

    RN CLINICAL SUPERVISOR

    Total calculated
    $119,935
    From this org
    $108,200
    From related orgs
    $0
    Other
    $11,735
    Hours/week
    40.9

  • SARA NELSON

    RN CLINICAL SUPERVISOR

    Total calculated
    $111,835
    From this org
    $100,758
    From related orgs
    $0
    Other
    $11,077
    Hours/week
    40

  • KATHLEEN SNELL

    RN CLINICAL SUPERVISOR

    Total calculated
    $128,630
    From this org
    $104,414
    From related orgs
    $0
    Other
    $24,216
    Hours/week
    40.2

  • KELSEY TIETJE

    DIRECTOR OF MARKETING

    Total calculated
    $120,438
    From this org
    $105,911
    From related orgs
    $0
    Other
    $14,527
    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 · Independent compensation consultant
  • 3 · Written employment contract
  • 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

Provenance

Return type
form_990
Tax year
2022
Filed
7 November 2023
IRS schema version
2022v5.0
Source object
202313139349301326

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