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Nonprofiteer
← WESTERN SIERRA MEDICAL CLINIC INC

Form 990 for tax year 2023

Filed by WESTERN SIERRA MEDICAL CLINIC INC.

Totals

Total revenue
$18,974,653
Total expenses
$18,947,856
Contributions and grants received
$3,854,056
Grants paid
$0
Program service revenue
$14,481,786
Investment income
$72,861
Other revenue
$565,950
Total assets, end of year
$17,928,076
Total liabilities, end of year
$7,838,414
Net assets or fund balances, end of year
$10,089,662
Program services expenses (Part IX)
$14,909,774
Management and general expenses
$4,038,082
Fundraising expenses
$0
Program service expenses (Part III)
$14,909,774

Program services were 78.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • LUPE PETERSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DOUG MCDONALD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JON PEEK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • ROBERT OLDHAM MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SCOTT BROWNE

    VICE-CHAIR

    Total calculated
    $0
    Hours/week
    1

  • LISA WILSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • BRANDON PAGMAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • LINDA GREENLEE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • LARRY ALLEN

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • ANITA DANIELS

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • DEREK WILLIAMS

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • DON RUSSELL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MATTHEW MORRIS

    CHIEF MEDICAL OFFICER

    Total calculated
    $111,176
    From this org
    $111,176
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • MICHAEL SCHAUB

    CHIEF OPERATING OFFICER

    Total calculated
    $66,427
    From this org
    $62,132
    From related orgs
    $0
    Other
    $4,295
    Hours/week
    40

  • DAN HAPPS

    CHIEF INFORMATION OFFICER

    Total calculated
    $166,496
    From this org
    $159,502
    From related orgs
    $0
    Other
    $6,994
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $159,502
    Bonus
    $0
    Other
    $0
    Deferred
    $4,800
    Nontaxable benefits
    $2,194
    Filer's total
    $166,496

  • JENNIFER MALONE

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $290,128
    From this org
    $275,510
    From related orgs
    $0
    Other
    $14,618
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $275,510
    Bonus
    $0
    Other
    $0
    Deferred
    $8,265
    Nontaxable benefits
    $6,353
    Filer's total
    $290,128

  • JOSEPH BRITTON

    CHIEF MEDICAL OFFICER

    Total calculated
    $286,344
    From this org
    $278,004
    From related orgs
    $0
    Other
    $8,340
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $278,004
    Bonus
    $0
    Other
    $0
    Deferred
    $8,340
    Nontaxable benefits
    $0
    Filer's total
    $286,344

  • KATHLEEN MARHSALL

    CHIEF OPERATIONS OFFICER

    Total calculated
    $195,503
    From this org
    $182,255
    From related orgs
    $0
    Other
    $13,248
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $182,255
    Bonus
    $0
    Other
    $0
    Deferred
    $5,468
    Nontaxable benefits
    $7,780
    Filer's total
    $195,503

  • SHARON MCINTYRE

    PHYSICIAN

    Total calculated
    $213,332
    From this org
    $205,966
    From related orgs
    $0
    Other
    $7,366
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $205,966
    Bonus
    $0
    Other
    $0
    Deferred
    $6,179
    Nontaxable benefits
    $1,187
    Filer's total
    $213,332

  • JUAN A CHAVEZ

    DENTAL DIRECTOR

    Total calculated
    $268,921
    From this org
    $251,310
    From related orgs
    $0
    Other
    $17,611
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $251,310
    Bonus
    $0
    Other
    $0
    Deferred
    $7,598
    Nontaxable benefits
    $10,013
    Filer's total
    $268,921

  • LYNNE SCANNELL

    PEDIATRICIAN

    Total calculated
    $218,870
    From this org
    $205,292
    From related orgs
    $0
    Other
    $13,578
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $205,292
    Bonus
    $0
    Other
    $0
    Deferred
    $2,563
    Nontaxable benefits
    $11,015
    Filer's total
    $218,870

  • SUSAN E SHAPIRO

    PHYSICIAN

    Total calculated
    $271,895
    From this org
    $262,725
    From related orgs
    $0
    Other
    $9,170
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $262,725
    Bonus
    $0
    Other
    $0
    Deferred
    $7,882
    Nontaxable benefits
    $1,288
    Filer's total
    $271,895

  • ANDREA GEKAS

    LICENSED MIDWIFE

    Total calculated
    $184,808
    From this org
    $169,315
    From related orgs
    $0
    Other
    $15,493
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $169,315
    Bonus
    $0
    Other
    $0
    Deferred
    $5,079
    Nontaxable benefits
    $10,414
    Filer's total
    $184,808

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 · 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

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2023
Filed
1 October 2024
IRS schema version
2023v5.1
Source object
202402919349300505

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