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PeerBasis
Compensation Comparability Determination

Alternacare

Executive Director / CEO

EIN 311487187
OH · NTEE E40Z
FY ending 2024-12-31
June 9, 2026

This analysis benchmarks the total compensation of John Lepi Md, Executive Director / CEO ($900) against every comparable organization that fit the selection criteria — 138 in total — drawn systematically from IRS Form 990 filings, not a hand-picked subset.

Compensation sits at approximately the 0th percentile of comparable organizationsbelow the typical range for comparable organizations

Benchmarked executive: John Lepi Md — reported title “MEDICAL DIRECTOR”, selected as the organization's highest-paid individual — no exact title match, so confirm this is a comparable role.

How comparable organizations were selected

138 organizations qualified on sector, size, and geography 138 within the band form the benchmarked peer set.

Distribution of comparable compensation

$17,268 total compensation of comparable organizations → $260,820 $900
$39,94010th
$48,55525th
$59,691Median
$72,69675th
$83,61190th
$900This org · 0th
p10$39,940
p25$48,555
p50$59,691
p75$72,696
p90$83,611
$900

Comparable organizations

Each figure is Form 990 Part VII columns D + F (reportable pay plus other compensation and benefits; column F may include amounts from related organizations), normalized to OH cost of living (BEA RPP, 2023) and to its filing year (CPI-U); the reported amount is on each linked 990.

OrganizationStateRevenueMatched titleComp
(reported)
Comp
(adjusted)
FY
Avenues Pregnancy Clinic CA$485,094 Executive Dir. $83,000 $67,668 2024
Birth And Womens Health Center Inc KS$483,895 Key Employee $139,587 $142,379 2024
Options Pregnancy Resource Centers Inc OR$483,376 Chief Executive Officer $83,457 $75,336 2023
Cornerstone Pregnancy Care Services PA$487,402 Exec Directo $67,843 $62,230 2025
The Sparrow Fund PA$481,942 Secretary $80,297 $77,836 2023
Gynuity Health Projects Inc NY$480,993 President $204,898 $179,974 2023
Hope Resource Center Inc IN$479,153 Director $67,200 $68,885 2023
Cabot Crisis Pregnancy Center AR$478,996 Executive Dir. $44,356 $48,464 2023
Augusta Care Pregnancy Center GA$477,640 Executive Di $29,610 $28,110 2024
Pregnancy Help Center Of Rice Lake WI$492,736 Director $63,225 $64,183 2023
Heartline Pregnancy Center Inc IN$494,147 Executive Dir. $16,923 $17,347 2023
Avenues For Women Inc KY$473,989 Ceo/president $54,476 $55,259 2024
Heart Of The Valley Birth&beyond OR$495,843 Executive Director $57,350 $51,769 2023
Hope Services OR$497,394 Executive Di $47,869 $41,971 2024
Nevada Obstetrical Charity Clinics NV$497,484 Secretary $79,878 $75,596 2024
Hope Life Center IL$471,306 Executive Di $67,784 $62,918 2024
New Hope Pregnancy Care Center TN$505,635 Chief Executive Officer $51,325 $50,937 2024
Community Pregnancy Clinic CA$508,476 Executive Director $87,000 $70,929 2024
Global Birthing Home Foundation KS$509,084 Executive Director $60,000 $63,007 2023
Women's Resource Center Of Northeas WY$457,254 Ceo $75,314 $76,143 2024
Compassion Pregnancy Center MI$515,365 Executive Director $75,392 $73,471 2024
Wellmama Inc OR$515,688 Executive Director $86,618 $75,946 2024
Caldwell Pregnancy Care Center Inc NC$516,001 Executive Director $43,819 $42,748 2024
Crisis Pregnancy Center Of IN$516,693 Executive Dir. $59,411 $60,901 2023
Grace Place For Women Inc NM$517,287 Executive Director $61,909 $64,725 2023

Comp (reported) is the figure on each organization's Form 990 (columns D + F); Comp (adjusted) normalizes it to OH cost of living and 2024 dollars. Click any organization to verify the figure on ProPublica.

Methodology

Comparable organizations were drawn from electronically filed IRS Form 990 returns and matched on sector (NTEE code), budget (a size-adaptive revenue band that tightens as the organization grows), and geography (same-state first, broadening only when too few peers qualify); every organization within the band forms the peer set. To compare fairly across regions and years, peer compensation is normalized to OH cost of living (BEA Regional Price Parities, 2023) and to the subject's filing year (CPI-U). The figure benchmarked is Form 990 Part VII, Section A, columns D + F — reportable pay plus other compensation, benefits, and deferred amounts (column F may include amounts from related organizations) — with the chief executive matched by role. Related-organization amounts (column E) and institutional trustees are excluded. Full methodology: peerbasis.org/methodology.

Sample, role match & sensitivity

Sensitivity — the subject's percentile under alternative compensation definitions:

BasisSubject percentile
Total compensation (D + F), cost-of-living + inflation adjusted — the PeerBasis default0th
Total compensation (D + F), as reported (no adjustments)0th
Reportable pay only (column D), adjusted1st
All sources (D + E + F), adjusted0th

If the percentile moves materially across these definitions, the result is sensitive to methodology choices, and the board should weigh which basis best fits its facts.

Rebuttable presumption of reasonableness · 26 CFR 53.4958-6

Compensation paid by a tax-exempt organization is presumed reasonable — shifting the burden to the IRS — when three requirements are met. This report supplies the comparability data for the second. The board should record the following in its minutes concurrently with its decision:

Draft board minutes — executive compensation

  1. The compensation of the Executive Director / CEO (John Lepi Md) was approved in advance by [the Board / Compensation Committee], composed of members with no conflict of interest with respect to the arrangement.
  2. Prior to its determination, the authorized body obtained and relied upon appropriate comparability data, namely the PeerBasis Compensation Comparability Determination dated June 9, 2026, comparing compensation against 138 similarly situated organizations (Same NTEE sector (E40), nationwide + budget 0.67–1.5× revenue).
  3. The authorized body determined that total compensation of $900 is reasonable (approximately the 0th percentile of comparable organizations) and documented the basis for this determination concurrently, on [date], by a vote of [__ for / __ against].

Sources: IRS Form 990 e-file data (apps.irs.gov); IRS Business Master File (NTEE classification). Every figure traces to an original public filing — click any organization above to verify it on ProPublica. PeerBasis is a service of Prismind Analytics; its methodology is published, was commissioned for independent adversarial review, and discloses its own limitations. This report is comparability data to support a board's good-faith determination under IRC 4958; it is not legal or tax advice. Generated by PeerBasis on June 9, 2026.