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PeerBasis
Compensation Comparability Determination

San Joaquin Valley Free Medical Clinic And Needle Exchange

Executive Director / CEO

EIN 850876546
CA · NTEE E21
FY ending 2023-12-31
June 9, 2026

This analysis benchmarks the total compensation of Dr Marc Lasher, Executive Director / CEO ($42,226) against every comparable organization that fit the selection criteria — 21 in total — drawn systematically from IRS Form 990 filings, not a hand-picked subset.

Compensation sits at approximately the 29th percentile of comparable organizationswithin the typical range

Benchmarked executive: Dr Marc Lasher — reported title “President”, a direct title match to the Executive Director / CEO role.

How comparable organizations were selected

21 organizations qualified on sector, size, and geography 21 within the band form the benchmarked peer set.

Distribution of comparable compensation

$7,701 total compensation of comparable organizations → $2,829,737 $42,226
$28,63810th
$37,76025th
$96,249Median
$155,62475th
$329,10690th
$42,226This org · 29th
p10$28,638
p25$37,760
p50$96,249
p75$155,624
p90$329,106
$42,226

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 CA 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
Visiting Nurse Associations Of New MA$438,049 President/ceo $166,491 $168,290 2024
Utmb Health Plans Inc TX$436,037 Former President And Ceo $6,844 $7,701 2024
Public Health Fund PA$433,474 Member $175,125 $202,247 2023
Dartmouth-hitchcock Medical Center NH$460,431 Trustee / Ex-officio Ceo $47,441 $50,730 2023
Fair Share Hospitals Collaborative NY$420,000 Exec. Dir. As Of 04/01/24 $116,688 $118,607 2024
Capital Region Health Care Corporation NH$474,580 President & Ceo, Member Ex-officio $316,861 $329,106 2024
Hospital Executive Council Inc NY$393,588 Executive Director $125,492 $131,323 2023
Mercy Health Fort Smith Communities AR$507,609 President - Clinic $27,870 $36,279 2023
Affinity Health Alliance Inc DE$379,184 Director, President- Thru 1/23 $84,880 $96,249 2023
Dominican Health Services CA$517,789 Executive Vice President $133,930 $133,930 2023
Joyful Journey Inc IN$373,739 Executive Director $74,923 $91,500 2023
Friends Of Lamprey Health Care Inc NH$530,279 Co-ceo $44,546 $46,268 2024
Westcoast Access To Children's FL$538,508 Officer $114,875 $124,975 2023
Community Healthcare Resources IA$540,288 Financial Director $10,440 $13,238 2023
Marimed Foundation For Island HI$325,410 President/ce $150,096 $155,624 2023
Mercy Healthcare Foundation - Clinton IA$320,461 Exec Dir; Mercyone Clinton Mktg Dir $22,585 $28,638 2023
Fairview Hospital Inc ME$596,860 Secretary, N $31,110 $34,138 2025
Dayspring Holdings Inc KY$623,117 President $50,214 $59,119 2025
Vantage Health Group PA$648,915 Assistant Secretary/treasu $32,696 $37,760 2023
Saint Francis Health System Inc OK$667,281 President/ceo/director $2,219,057 $2,829,737 2023
Southwestern Health Resources Hospitals Joc TX$668,535 Trustee/co-chair $1,016,271 $1,143,509 2024

Comp (reported) is the figure on each organization's Form 990 (columns D + F); Comp (adjusted) normalizes it to CA cost of living and 2023 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 CA 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 default29th
Total compensation (D + F), as reported (no adjustments)29th
Reportable pay only (column D), adjusted67th
All sources (D + E + F), adjusted5th

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 (Dr Marc Lasher) 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 21 similarly situated organizations (Same NTEE sector (E21), nationwide + budget 0.67–1.5× revenue).
  3. The authorized body determined that total compensation of $42,226 is reasonable (approximately the 29th 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.