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Nonprofiteer
← FREMONT HEALTH CLINIC

Form 990 for tax year 2022

Filed by FREMONT HEALTH CLINIC.

Totals

Total revenue
$0
Total expenses
$282,555
Contributions and grants received
$0
Grants paid
$32,917
Program services expenses (Part IX)
$282,555
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$282,555

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • TODD GRAGES

    VICE CHAIRPERSON

    Total calculated
    $770,358
    From this org
    $0
    From related orgs
    $655,045
    Other
    $115,313
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $420,416 related
    Bonus
    $0 + $28,309 related
    Other
    $0 + $206,320 related
    Deferred
    $0 + $91,249 related
    Nontaxable benefits
    $0 + $24,686 related
    Filer's total
    $0 + $770,980 related

  • BRETT RICHMOND

    TREASURER & SECRETARY

    Total calculated
    $536,372
    From this org
    $0
    From related orgs
    $444,289
    Other
    $92,083
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $354,367 related
    Bonus
    $0 + $29,209 related
    Other
    $0 + $60,713 related
    Deferred
    $0 + $63,305 related
    Nontaxable benefits
    $0 + $29,400 related
    Filer's total
    $0 + $536,994 related

  • JODY HORNER

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1

  • JEFFREY FRANCIS

    CFO

    Total calculated
    $762,390
    From this org
    $0
    From related orgs
    $631,955
    Other
    $130,435
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $520,672 related
    Bonus
    $0 + $14,154 related
    Other
    $0 + $97,129 related
    Deferred
    $0 + $99,231 related
    Nontaxable benefits
    $0 + $31,826 related
    Filer's total
    $0 + $763,012 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

  • 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 3
FREMONT HEALTH CLINIC IS AN AFFILIATED MEMBER OF THE NEBRASKA METHODIST HEALTH SYSTEM. POLICIES ARE CENTRALIZED AT NEBRASKA METHODIST HEALTH SYSTEM INC. NEBRASKA METHODIST HEALTH SYSTEM, WITH WHICH FREMONT HEALTH CLINIC IS AFFILIATED, RETAINS AN INDEPENDENT CONSULTANT TO REVIEW ALL OFFICER COMPENSATION FOR EACH AFFILIATE. UNDER THIS PROCESS, MARKET DATA ON COMPENSATION IS GATHERED AND ANALYZED AND COMPENSATION RANGES ARE SET. THE INFORMATION IS THEN PROVIDED TO THE COMPENSATION COMMITTEE OF THE BOARD OF NEBRASKA METHODIST HEALTH SYSTEM INC., A NEBRASKA NON-PROFIT CORPORATION AND THE CORPORATE PARENT OF THE ENTIRE HEALTH SYSTEM, OF WHICH FREMONT HEALTH CLINIC IS A MEMBER. ALL OFFICER COMPENSATION IS REVIEWED, EVALUATED AND APPROVED BY THIS COMMITTEE.
PART I, LINE 4B
THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED PLAN DURING 2022 AND RECEIVED CONTRIBUTIONS, PLAN ACCRUALS OR PLAN DISTRIBUTIONS IN THE FOLLOWING AMOUNTS: JEFFREY FRANCIS $77,881 ACCRUAL, $93,756 PLAN DISTRIBUTION TODD GRAGES $63,799 ACCRUAL, $170,396 PLAN DISTRIBUTION BRETT RICHMOND $38,905 ACCRUAL; $38,304 PLAN DISTRIBUTION

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
2022
Filed
13 November 2023
IRS schema version
2022v5.0
Source object
202333179349310488

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