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Nonprofiteer
← OSMOND GENERAL HOSPITAL INC

Form 990 for tax year 2024

Filed by OSMOND GENERAL HOSPITAL INC.

Totals

Total revenue
$10,262,385
Total expenses
$9,897,419
Contributions and grants received
$46,452
Grants paid
$2,750
Program services expenses (Part IX)
$8,367,790
Management and general expenses
$1,529,629
Fundraising expenses
$0
Program service expenses (Part III)
$8,367,790

Program services were 84.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • LON M KNIEVEL

    MEMBER/CEO

    Total calculated
    $218,065
    From this org
    $178,904
    From related orgs
    $0
    Other
    $39,161
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $175,904
    Bonus
    $3,000
    Other
    $0
    Deferred
    $7,486
    Nontaxable benefits
    $31,675
    Filer's total
    $218,065

  • TIM KINT

    PRESIDENT

    Total calculated
    $0
    Hours/week
    4

  • DOUG KETELSEN

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    4

  • THERESA STAPELMAN

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    2

  • DOUG KOEHLER

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • STEPHANIE ANDERSON

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • KEVIN LAUCK PA

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • WILLIAM HEFNER

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • WALTER ASCHOFF

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • JODI ASCHOFF

    CFO

    Total calculated
    $111,779
    From this org
    $100,022
    From related orgs
    $0
    Other
    $11,757
    Hours/week
    40

  • ALICIA VANDERWALLE

    NURSE PRACTITIONER

    Total calculated
    $185,085
    From this org
    $156,984
    From related orgs
    $0
    Other
    $28,101
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $153,984
    Bonus
    $3,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $33,567
    Filer's total
    $190,551

  • SAMANTHA KIZZIRE

    CLINIC/HOSPITAL APRN

    Total calculated
    $160,262
    From this org
    $132,161
    From related orgs
    $0
    Other
    $28,101
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $130,161
    Bonus
    $2,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $33,248
    Filer's total
    $165,409

  • BOBBIE JO MILLER

    NURSE PRACTITIONER

    Total calculated
    $154,609
    From this org
    $152,611
    From related orgs
    $0
    Other
    $1,998
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $149,611
    Bonus
    $3,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $9,115
    Filer's total
    $161,726

  • DR KELLY BULLOCK

    DOCTOR

    Total calculated
    $151,327
    From this org
    $123,226
    From related orgs
    $0
    Other
    $28,101
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $121,426
    Bonus
    $1,800
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $31,004
    Filer's total
    $154,230

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 · Form 990 of other organizations
  • 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

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2024
Filed
24 October 2025
IRS schema version
2024v5.2
Source object
202513009349302016

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