Civic Intelligence

St John'S Lutheran Hospital Inc

EIN 81-0241755 • 501(c)3 • Libby, MT

Profile

Committed to quality, compassionate care.

209 Health Park DriveLibby, MT 59923

www.cabinetpeaks.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

56th percentile

0.31x

Higher debt load relative to assets than 56% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Liabilities / Revenue

55th percentile

0.41x

Higher debt load relative to revenue than 55% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Net Margin

51st percentile

4.9%

Higher net margin than 51% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Top Officer Pay

77th percentile

$637,929

Higher top officer pay than 77% of similar nonprofits.

Top officer pay equals 1.1% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Asset Growth

43rd percentile

4.3%

Faster asset growth than 43% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2024 to 2025

Revenue Growth

63rd percentile

15%

Faster revenue growth than 63% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2024 to 2025

Assets

Up

$76,714,144

Up $3,130,075 (+4.3%) from 2024

Liabilities

Up

$23,427,276

Up $484,822 (+2.1%) from 2024

Net Assets

Up

$53,286,868

Up $2,645,253 (+5.2%) from 2024

Revenue

Up

$57,575,676

Up $7,327,899 (+15%) from 2024

Expenses

Up

$54,775,641

Up $6,792,303 (+14%) from 2024

Net Income

Up

$2,800,035

Up $535,596 (+24%) from 2024

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$80M$60M$40M$20M$0Assets 2010: $22,420,947Liabilities 2010: $4,961,929Net Assets 2010: $17,459,0182010Assets 2011: $23,988,097Liabilities 2011: $5,067,169Net Assets 2011: $18,920,9282011Assets 2012: $24,457,269Liabilities 2012: $4,470,720Net Assets 2012: $19,986,5492012Assets 2013: $33,993,775Liabilities 2013: $12,722,982Net Assets 2013: $21,270,7932013Assets 2014: $51,281,741Liabilities 2014: $30,689,484Net Assets 2014: $20,592,2572014Assets 2015: $48,898,801Liabilities 2015: $28,271,946Net Assets 2015: $20,626,8552015Assets 2016: $49,241,777Liabilities 2016: $27,229,819Net Assets 2016: $22,011,9582016Assets 2017: $50,542,897Liabilities 2017: $26,548,447Net Assets 2017: $23,994,4502017Assets 2018: $53,056,086Liabilities 2018: $26,721,596Net Assets 2018: $26,334,4902018Assets 2019: $55,043,954Liabilities 2019: $26,999,658Net Assets 2019: $28,044,2962019Assets 2020: $56,648,733Liabilities 2020: $25,582,875Net Assets 2020: $31,065,8582020Assets 2021: $67,436,722Liabilities 2021: $28,751,557Net Assets 2021: $38,685,1652021Assets 2022: $72,294,140Liabilities 2022: $26,722,903Net Assets 2022: $45,571,2372022Assets 2023: $70,987,532Liabilities 2023: $23,503,324Net Assets 2023: $47,484,2082023Assets 2024: $73,584,069Liabilities 2024: $22,942,454Net Assets 2024: $50,641,6152024Assets 2025: $76,714,144Liabilities 2025: $23,427,276Net Assets 2025: $53,286,8682025

Highlighted filing

2025

Assets$76,714,144
Liabilities$23,427,276
Net Assets$53,286,868

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0-$20MExpenses 2010: $24,301,0152010Expenses 2011: $26,292,0382011Expenses 2012: $28,177,5302012Revenue 2013: $29,623,561Expenses 2013: $27,116,287Net Income 2013: $2,507,2742013Revenue 2014: $28,893,822Expenses 2014: $29,621,038Net Income 2014: -$727,2162014Revenue 2015: $30,188,762Expenses 2015: $30,234,192Net Income 2015: -$45,4302015Revenue 2016: $31,449,803Expenses 2016: $30,040,890Net Income 2016: $1,408,9132016Revenue 2017: $33,943,799Expenses 2017: $31,961,154Net Income 2017: $1,982,6452017Revenue 2018: $37,517,160Expenses 2018: $35,186,661Net Income 2018: $2,330,4992018Revenue 2019: $37,389,920Expenses 2019: $35,778,230Net Income 2019: $1,611,6902019Revenue 2020: $40,718,829Expenses 2020: $36,926,895Net Income 2020: $3,791,9342020Revenue 2021: $41,600,826Expenses 2021: $36,714,750Net Income 2021: $4,886,0762021Revenue 2022: $47,370,085Expenses 2022: $40,677,784Net Income 2022: $6,692,3012022Revenue 2023: $44,645,641Expenses 2023: $42,297,640Net Income 2023: $2,348,0012023Revenue 2024: $50,247,777Expenses 2024: $47,983,338Net Income 2024: $2,264,4392024Revenue 2025: $57,575,676Expenses 2025: $54,775,641Net Income 2025: $2,800,0352025

Highlighted filing

2025

Revenue$57,575,676
Expenses$54,775,641
Net Income$2,800,035

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$76.7$23.4$53.3$57.6$54.8$2.80
2024Detailed filing. Detailed filing data is available for this year.$73.6$22.9$50.6$50.2$48.0$2.26
2023Detailed filing. Detailed filing data is available for this year.$71.0$23.5$47.5$44.6$42.3$2.35
2022Detailed filing. Detailed filing data is available for this year.$72.3$26.7$45.6$47.4$40.7$6.69
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$67.4$28.8$38.7$41.6$36.7$4.89
2020Detailed filing. Detailed filing data is available for this year.$56.6$25.6$31.1$40.7$36.9$3.79
2019Detailed filing. Detailed filing data is available for this year.$55.0$27.0$28.0$37.4$35.8$1.61
2018Detailed filing. Detailed filing data is available for this year.$53.1$26.7$26.3$37.5$35.2$2.33
2017Detailed filing. Detailed filing data is available for this year.$50.5$26.5$24.0$33.9$32.0$1.98
2016Detailed filing. Detailed filing data is available for this year.$49.2$27.2$22.0$31.4$30.0$1.41
2015Detailed filing. Detailed filing data is available for this year.$48.9$28.3$20.6$30.2$30.2$0.05
2014Detailed filing. Detailed filing data is available for this year.$51.3$30.7$20.6$28.9$29.6$0.73
2013Summary only. Only limited summary data is available for this year.$34.0$12.7$21.3$29.6$27.1$2.51
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$24.5$4.47$20.0$28.2
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$24.0$5.07$18.9$26.3
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$22.4$4.96$17.5$24.3
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Apr 1, 2024 to Mar 31, 2025
Signed
Feb 3, 2026
Return Version
2024v5.5
Gross Receipts
$57,794,697
Mission and Program Overview

Mission

Committed to quality, compassionate care.

Healthcare services

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$19,580,496$20,324,228▲ $743,732
Savings and Temporary Cash Investments$19,366,231$19,296,817▼ $69,414
Land, Buildings, and Equipment, Net$18,531,717$18,688,304▲ $156,587
Accounts Receivable$11,100,379$12,536,067▲ $1,435,688
Inventories for Sale or Use$1,348,900$1,703,694▲ $354,794
Prepaid Expenses and Deferred Charges$633,858$979,203▲ $345,345
Total Assets$73,584,069$76,714,144▲ $3,130,075
Other Assets Total$3,022,488$3,185,831▲ $163,343
Liabilities
Mortgage Notes Payable Secured by Investment Property$18,688,661$17,797,651▼ $891,010
Accounts Payable and Accrued Expenses$3,393,615$3,987,269▲ $593,654
Other Liabilities$860,178$1,639,356▲ $779,178
Deferred Revenue-$3,000-
Total Liabilities$22,942,454$23,427,276▲ $484,822
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$49,697,093$52,344,605▲ $2,647,512
Net Assets With Donor Restrictions$944,522$942,263▼ $2,259
Total Net Assets Fund Balance$50,641,615$53,286,868▲ $2,645,253
Total Liabilities and Net Assets / Fund Balance$73,584,069$76,714,144▲ $3,130,075

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$13,131,420$17,545,605$30,677,025
Equipment$3,364,982$14,993,650$18,358,632
Other Land Buildings$1,291,962$2,816,076$4,108,038
Land$899,940-$899,940

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$2,025,325$985▲ $111,219-$2,127,795
2023$1,756,230$-1,572▲ $325,906$45,249$2,025,325
2022$1,868,756$2,526▼ $105,811-$1,756,230
2021$1,789,774$2,347▲ $86,906-$1,868,756
2020$1,296,183$8,255▲ $523,421$29,663$1,789,774
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Julienne LippeOrthopedic SurgeonFT$599,648$38,281$637,929
Darrren Brockie MDTrustee (Apr-Jan)FT$412,426$98,342$510,768
Mark SerraEmergency Medicine PhysicianFT$467,400$17,250$484,650
Aleksander RoblesMdFT$391,484$28,875$420,359
Lance ErcanbrackGeneral SurgeonFT$396,373$20,882$417,255
Kathryn CockerhamEmergency Medicine PhysicianFT$392,534$23,339$415,873
Mark Harding MDTrustee (Feb-Current)FT$356,518$23,339$379,857
Tadd GreenfieldCEOFT$272,925$82,483$355,408
Tonya TeegardinCNOFT$173,349$49,429$222,778
Julie LeonardCFOFT$177,026$20,017$197,043

Board Members and Trustees

NameTitle
Sarah SorensenChair
Kathy NelsonVice Chair
Dan RoseTrustee
Nicole VranizanTrustee
Steve Sorenson ODTrustee
Manuel CastanedaTrustee (Apr-Sept)
George MercerTrustee (Aug-Current)
Karen StickneyTrustee (Dec-Current)
Kerry BeasleySecretary/Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Medical SolutionsContract staffing1010 North 102nd St Ste 300, Omaha, NE 68114$2,206,886
HPM of Minnesota PLLCClinic Management Svcs3780 N Garfield Ave Ste 101, Loveland, CO 80538$1,197,840
Logan HealthSoftware maint and other support310 Sunnyview Lane, Kalispell, MT 59901$1,176,744
Amir EmamiHospitalist Svcs145 E Sunset Rd Ste F-200 127, El Paso, TX 79922$736,935
The Good Life Medstaff LLCContract staffing7914 W Dodge Rd Ste 367, Omaha, NE 68114$598,058
Revenue and Support

Revenue Composition

Contributions and Grants
$279,633
Program Service Revenue
$55,157,602
Investment Income
$2,261,879
Other Revenue
$-123,438
All Other Contributions
$272,702
Change in Net Assets
$2,800,035

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table2$25,990Fair Market Value (FMV)
Other Non Cash Contri Table2$16,560Fair Market Value (FMV)
Drugs and Medical Supplies1$14,052Fair Market Value (FMV)
Total Noncash Contributions5$56,602-

Audited Revenue Reconciliation

Revenue per Audited Statements
$57,784,575
Revenue Not Reported on Financial Statements
$-208,899
Revenue Not Reported on Form 990
$-165,914
Other Revenue Adjustments
$-208,899
Total Revenue per Audited Statements
$57,618,661
Total Revenue per Form 990
$57,575,676
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$27,740,365
Other Expenses$27,031,584
Total Fundraising Expense$144,494
Grants and Similar Amounts Paid$3,692
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$17,410,910$3,168,977$106,900$20,686,787
Fees for Services Other$8,002,828$1,084,159$2,361$9,089,348
Other Employee Benefits$2,511,670$452,748$13,236$2,977,654
Depreciation Depletion$1,841,105--$1,841,105
Current Officers, Directors, Trustees, and Key Employees$1,015,146$660,305-$1,675,451
Payroll Taxes$1,252,618$252,097$6,164$1,510,879
Office Expenses$862,304$355,278$6,806$1,224,388
Interest-$750,512-$750,512
Pension Plan Contributions$567,794$103,975$3,032$674,801
Insurance-$608,725-$608,725
Other Expenses$117,442$591,223$339$591,223
Occupancy$323,977$182,990-$506,967
All Other Expenses$172,114$72,554$3,158$247,826
Comp Disqual Persons$214,793--$214,793
Travel$100,429$71,916-$172,345
Fees for Services Legal-$140,955-$140,955
Fees for Services Accounting-$98,826-$98,826
Advertising$43,391$23,652$445$67,488
Conferences and Meetings$538$11,654$2,053$14,245
Grants to Domestic Individuals$3,692--$3,692
Information Technology-$14-$14
Total Functional Expenses$45,142,268$9,488,879$144,494$54,775,641

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$54,973,408
Total Expenses per Form 990$54,775,641
Expenses per Audited Statements$54,754,387
Expenses Not Reported on Form 990$219,021
Expenses Not Reported on Financial Statements$21,254
Other Expense Adjustments$21,254
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Lane LuscherFamily Member of Board MemberEmploymentNo$120,170
Riley BlackFamily Member of Board MemberEmploymentNo$94,623
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated Third Party Payor$1,259,704
Operating Lease$379,652
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 1A

The Executive Committee has the delegated authority to act on behalf of the Board of Directors. The Executive Committee consists of the Chair, Vice Chair, Secretary/Treasurer, Chief of Staff, Past Chair and one Member at Large. All members of the Executive Committee are also members of the governing body.

Form 990, Part VI, Section A, line 2

Sarah Sorenson and Steve Sorenson have a family relationship George Mercer and Kerry Beasley have a family relationship

Form 990, Part VI, Section B, line 11B

A draft copy of the Form 990 will be reviewed in detail by the CFO. The entire board is then provided a copy for review prior to filing of the Form 990 return.

Form 990, Part VI, Section B, line 12C

The organization reviews the policies for conflict of interest annually for all officers, directors, and key employees along with an annual submission of a conflict of interest form. The board oversees the process and any potential conflicts are discussed by the board. Should a conflict be determined, the conflicted individual abstains from voting on the conflicted issue.

Form 990, Part VI, Section B, line 15

Cabinet Peak Medical Center's (CPMC) Board of Trustees has contracted with Kalispell Regional Medical Center (KRMC) for purposes of employing CPMC's CEO and CFO. KRMC passes on the associated employment expenses to CPMC. While the CEO and CFO are employed by KRMC, the CPMC Board retains control of these positions and of related decisions. The CFO reports to the CEO, and the CEO reports to CPMC's Board. The CEO and CFO are considered common law employees of Cabinet Peaks Medical Center. Administration reviews independent salary surveys and other comparability data to determine fair market compensation amounts and also takes into account local economic factors and specific job responsibilities. This is done on an annual basis as part of the budgeting process, The Board reviews Administration's recommendations for rate adjustments annually during the budget process. The Board also determines compensation for the CEO. The Board determines compensation for the CEO based on independent salary surveys and other comparability data to determine fair market compensation, taking into account local economic factors and specific job responsibilities. In addition to CPMC's Board determining compensation for the CEO, Kalispell Regional Medical Center also has a process in place to review the market reasonableness of the CEO and CFO positions.

Form 990, Part VI, Section C, line 19

Our Mission and Vision statement, conflict of interest policy, and annual financial statements are available to the public upon request. Requests may be in person, by e-mail, in writing, or by telephone.

Filing and Contact Details

Filer

Filer Name
St John's Lutheran Hospital Inc
EIN
81-0241755
Phone
4062837000
Address
209 Health Park Drive, Libby, MT 59923
Doing Business As
Cabinet Peaks Medical Center

Signing Officer

Name
Julie Leonard
Title
CFO
Phone
4062837000
Signed
2026-02-03
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Julie Leonard
Formed
1952
Legal Domicile
Mt
Voting Board Members
9
Independent Board Members
5
Employees
386
Volunteers
33

Preparer

Firm
Eide Bailly LLP
Address
4585 Coleman St Ste 200, Bismarck, ND 58503
Preparer
Lisa Chaffee CPA
Phone
7012551091
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Collection Fees: Program service expenses 0. Management and general expenses 0. Fundraising expenses 2,361. Total expenses 2,361. Contract Labor: Program service expenses 4,379,377. Management and general expenses 44,434. Fundraising expenses 0. Total expenses 4,423,811. Professional Fees: Program service expenses 2,093,526. Management and general expenses 250,667. Fundraising expenses 0. Total expenses 2,344,193. Purchased Services: Program service expenses 1,376,440. Management and general expenses 615,017. Fundraising expenses 0. Total expenses 1,991,457. Recruitment: Program service expenses 153,485. Management and general expenses 174,041. Fundraising expenses 0. Total expenses 327,526.

Form 990, Part XI, line 9:

St. John's Hospital Auxiliary activity 11,132. Changes in Interest in NA of Fdtn 239,565.

Financial Statement Notes

Part IV, Line 1B:

The assets of St. John's Hospital Auxiliary are held by Cabinet Peaks Medical Center. The auxiliary account balances were not included in the balance sheet as they are not recorded for audit purposes.

Part V, Line 4:

The Endowment was created to help with the capital needs of Cabinet Peaks Medical Center as they arise. This can include but is not limited to equipment, building projects, and health related programs. A strict Endowment Income Distribution Policy is in place and adhered to.

Part X, Line 2:

The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.

Part XI, Line 2D - Other Adjustments:

Change in Interest in Net Assets of Foundation 239,565.

Part XI, Line 4B - Other Adjustments:

Auxiliary revenue not included in financial statements 10,122. Rent expenses recorded in expenses on financial statements -219,021.

Part XII, Line 2D - Other Adjustments:

Rent expenses recorded in expenses on financial statements 219,021.

Part XII, Line 4B - Other Adjustments:

Auxiliary expenses not included in financial statements 21,254.

Raw XML AppendixShowing 400 of 1,078 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt4The Good Life Medstaff LLC
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IRS990/Desc0Cabinet Peaks Medical Center operates a 25-bed critical access hospital providing medical services to the residents of Lincoln County. Due to the remote location of Lincoln County, Cabinet Peaks serves a critical role in caring for the medical needs of its community, as the next closest emergency room is over 50 miles away and the nearest regional hospital is 90 miles away. As such Cabinet Peaks makes it a priority to provide an Intensive Care Unit, 24/7 Emergency Services, Birthing Services, and extensive Surgery Services. Cabinet Peaks also offers a complement of outpatient services, including primary care and OB/GYN services, a variety of rehab and therapy services, infusion and chemotherapy, imaging, and lab. (Continued on Schedule O)Patients often do not have the luxury of time or money or the physical strength necessary to make the 90-mile trip to Kalispell to receive these services, which is why Cabinet Peaks recognizes the value of providing these services close to home. In fiscal year 2025, Cabinet Peaks Medical Center provided services to 11,117 unique patients amounting to a total of 24,537 adjusted patient days. 2,084 surgical cases were performed. Additionally, Cabinet Peaks Medical Center delivered 115 babies during fiscal year 2025. As Lincoln County consistently has one of the top unemployment rates in the State and is an economically depressed area, many of Cabinet Peaks' patients are uninsured or underinsured, meaning Cabinet Peaks provides a significant amount of uncompensated care. The Hospital provides health care services to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Since the Hospital does not pursue collection of these amounts, they are not reported as patient service revenue. The amounts of charges forgone, based on established rates, were $899,404 and $827,737 during the years ended March 31, 2025, and 2024, respectively. The estimated cost of providing these services was approximately $495,000 and $456,000 for the years ended March 31, 2025 and 2024, respectively, calculated by multiplying the ratio of cost to gross charges for the Hospital by the gross uncompensated charges associated with providing charity care to its patients.
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IRS990/Form990PartVIISectionAGrp/PersonNm0Sarah Sorensen
IRS990/Form990PartVIISectionAGrp/PersonNm1Kathy Nelson
IRS990/Form990PartVIISectionAGrp/PersonNm2Kerry Beasley
IRS990/Form990PartVIISectionAGrp/PersonNm3Steve Sorenson OD
IRS990/Form990PartVIISectionAGrp/PersonNm4Manuel Castaneda
IRS990/Form990PartVIISectionAGrp/PersonNm5Dan Rose
IRS990/Form990PartVIISectionAGrp/PersonNm6Nicole Vranizan
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IRS990/Form990PartVIISectionAGrp/PersonNm8Karen Stickney
IRS990/Form990PartVIISectionAGrp/PersonNm9Darrren Brockie MD
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IRS990/Form990PartVIISectionAGrp/PersonNm12Tonya Teegardin
IRS990/Form990PartVIISectionAGrp/PersonNm13Julie Leonard
IRS990/Form990PartVIISectionAGrp/PersonNm14Julienne Lippe
IRS990/Form990PartVIISectionAGrp/PersonNm15Mark Serra
IRS990/Form990PartVIISectionAGrp/PersonNm16Aleksander Robles
IRS990/Form990PartVIISectionAGrp/PersonNm17Lance Ercanbrack
IRS990/Form990PartVIISectionAGrp/PersonNm18Kathryn Cockerham
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