Totals
- Total revenue
- $39,018,971
- Total expenses
- $38,781,045
- Contributions and grants received
- $10,188,579
- Grants paid
- $0
- Program services expenses (Part IX)
- $26,537,127
- Management and general expenses
- $11,786,601
- Fundraising expenses
- $457,317
- Program service expenses (Part III)
- $26,537,127
Program services were 68.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
ANTHONY REHIL-CREST
CMO
- Total calculated
- $351,211
- From this org
- $320,385
- From related orgs
- $0
- Other
- $30,826
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $307,946
- Bonus
- $12,439
- Other
- $0
- Deferred
- $5,761
- Nontaxable benefits
- $25,065
- Filer's total
- $351,211
-
MICHAEL BAKER
CEO
- Total calculated
- $330,879
- From this org
- $301,574
- From related orgs
- $0
- Other
- $29,305
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $283,916
- Bonus
- $17,658
- Other
- $0
- Deferred
- $5,577
- Nontaxable benefits
- $23,728
- Filer's total
- $330,879
-
HOLLI HANSEN
CLINIC MEDICAL DIRECTOR
- Total calculated
- $302,480
- From this org
- $297,258
- From related orgs
- $0
- Other
- $5,222
- Hours/week
- 32
Schedule J breakdown matched by us
- Base
- $253,080
- Bonus
- $44,178
- Other
- $0
- Deferred
- $5,222
- Nontaxable benefits
- $0
- Filer's total
- $302,480
-
DANIEL HENBEST
CLINIC MEDICAL DIRECTOR
- Total calculated
- $292,594
- From this org
- $266,390
- From related orgs
- $0
- Other
- $26,204
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $252,674
- Bonus
- $13,716
- Other
- $0
- Deferred
- $5,522
- Nontaxable benefits
- $20,682
- Filer's total
- $292,594
-
GRAHAM RACHAL
CLINIC MEDICAL DIRECTOR
- Total calculated
- $283,248
- From this org
- $257,131
- From related orgs
- $0
- Other
- $26,117
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $249,946
- Bonus
- $7,185
- Other
- $0
- Deferred
- $3,669
- Nontaxable benefits
- $22,448
- Filer's total
- $283,248
-
TIFFANY KUGLER
NURSE PRACTITIONER
- Total calculated
- $271,584
- From this org
- $267,796
- From related orgs
- $0
- Other
- $3,788
- Hours/week
- 32
Schedule J breakdown matched by us
- Base
- $227,950
- Bonus
- $39,846
- Other
- $0
- Deferred
- $3,788
- Nontaxable benefits
- $0
- Filer's total
- $271,584
-
MARK SMYLY
PHYSICIAN ASSISTANT
- Total calculated
- $248,055
- From this org
- $237,330
- From related orgs
- $0
- Other
- $10,725
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $232,448
- Bonus
- $4,882
- Other
- $0
- Deferred
- $2,777
- Nontaxable benefits
- $7,948
- Filer's total
- $248,055
-
MARK HAMPE
CFO
- Total calculated
- $245,313
- From this org
- $218,685
- From related orgs
- $0
- Other
- $26,628
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $216,027
- Bonus
- $2,658
- Other
- $0
- Deferred
- $4,482
- Nontaxable benefits
- $22,146
- Filer's total
- $245,313
-
DAVID ATKINS
CBHO
- Total calculated
- $241,876
- From this org
- $221,449
- From related orgs
- $0
- Other
- $20,427
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $212,389
- Bonus
- $9,060
- Other
- $0
- Deferred
- $4,289
- Nontaxable benefits
- $16,138
- Filer's total
- $241,876
-
EDWARD LARSEN
COO & CIO
- Total calculated
- $221,560
- From this org
- $193,811
- From related orgs
- $0
- Other
- $27,749
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $191,737
- Bonus
- $2,074
- Other
- $0
- Deferred
- $4,021
- Nontaxable benefits
- $23,728
- Filer's total
- $221,560
-
JADE EAST
CAO
- Total calculated
- $112,124
- From this org
- $100,173
- From related orgs
- $0
- Other
- $11,951
- Hours/week
- 40
-
PAM THOMPSON
PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
CHRISTOPHER WAY
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
ELIZABETH MONTGOMERY
SECRETARY
- Total calculated
- $0
- Hours/week
- 2
-
GEORGE ROHLINGER
TREASURER
- Total calculated
- $0
- Hours/week
- 2
-
PAUL AMADOR
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
DONNA AUSTIN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
RON BEECHER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
ANN DARE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
DR JANA HULL
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
LINDA JOHANN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
CARL MCMINIMY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
MICHAEL SCHMIDT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
CHERI ZAO
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
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
- 1a · Health or social club dues or initiation fees
- 1b · Written policy on the line-1a expenses
- 2 · Substantiation required before reimbursing expenses
- 3 · Compensation committee
- 3 · Written employment contract
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 5a · Pay contingent on this organization's revenues
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 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 1A
- THE ORGANIZATION PROVIDES ALL EMPLOYEES WITH A DISCOUNT AT TWO LOCAL HEALTH CLUBS. DURING 2022, A PORTION OF MIKE BAKER'S PAID TIME OFF (PTO) WAS CASHED IN TO PAY FOR HIS GOLF CLUB MEMBERSHIP. THIS WAS INCLUDED IN HIS TAXABLE COMPENSATION.
- PART I, LINE 5
- SOME PHYSICIANS ARE COMPENSATED BASED ON INDIVIDUALS SERVED AND AMOUNTS COLLECTED.
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.
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 31 October 2023
- IRS schema version
- 2022v5.0
- Source object
- 202333079349301548
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
The source document this was parsed from is served over the API, which is where bulk and document access live.