Form 990 for tax year 2023
Filed by RENAISSANCE HEALTH SERVICE CORPORATION.
Totals
- Total revenue
- $996,509
- Total expenses
- $780,304
- Contributions and grants received
- $488,912
- Grants paid
- $0
- Program services expenses (Part IX)
- $488,912
- Management and general expenses
- $291,392
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $488,912
Program services were 62.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
CHRISTOPHER TODD FISHER
DIRECTOR
- Total calculated
- $167,004
- From this org
- $24,996
- From related orgs
- $142,008
- Other
- $0
- Hours/week
- 5 + 10 related
Schedule J breakdown matched by us
- Base
- $24,996 + $142,008 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $24,996 + $142,008 related
-
SARA DOLAN
CHAIR
- Total calculated
- $142,008
- From this org
- $30,000
- From related orgs
- $112,008
- Other
- $0
- Hours/week
- 5 + 5 related
-
MELISSA STOLICKER
VICE CHAIR
- Total calculated
- $148,512
- From this org
- $27,504
- From related orgs
- $121,008
- Other
- $0
- Hours/week
- 5 + 5 related
-
WAYNE CALLAHAN
DIRECTOR - PART YEAR
- Total calculated
- $62,708
- From this org
- $10,415
- From related orgs
- $52,293
- Other
- $0
- Hours/week
- 5
-
STEPHEN A EKLUND DDH MHSA DRPH
DIRECTOR
- Total calculated
- $86,996
- From this org
- $24,996
- From related orgs
- $62,000
- Other
- $0
- Hours/week
- 5 + 6 related
-
JAMES STAHL DDS
DIRECTOR - PART YEAR
- Total calculated
- $31,250
- From this org
- $10,415
- From related orgs
- $20,835
- Other
- $0
- Hours/week
- 5 + 5 related
-
KELLY J SCHEIDERER RHIA MHA
DIRECTOR
- Total calculated
- $86,996
- From this org
- $24,996
- From related orgs
- $62,000
- Other
- $0
- Hours/week
- 5 + 6 related
-
SARAH CLARK
DIRECTOR
- Total calculated
- $79,989
- From this org
- $24,996
- From related orgs
- $54,993
- Other
- $0
- Hours/week
- 5
-
FRANK BUZAKI JR
DIRECTOR
- Total calculated
- $73,330
- From this org
- $24,996
- From related orgs
- $25,834
- Other
- $22,500
- Hours/week
- 5 + 5 related
-
CAROLE SIMONETTI WATKINS
DIRECTOR
- Total calculated
- $71,327
- From this org
- $24,996
- From related orgs
- $46,331
- Other
- $0
- Hours/week
- 5 + 6 related
-
JAMES D TRUJILLO
DIRECTOR - PART YEAR
- Total calculated
- $18,748
- From this org
- $10,415
- From related orgs
- $8,333
- Other
- $0
- Hours/week
- 5 + 5 related
-
J DAVID SMITH JR
DIRECTOR
- Total calculated
- $46,696
- From this org
- $24,996
- From related orgs
- $21,700
- Other
- $0
- Hours/week
- 5 + 4 related
-
JAMES R ROSE JR
DIRECTOR
- Total calculated
- $61,996
- From this org
- $24,996
- From related orgs
- $37,000
- Other
- $0
- Hours/week
- 5 + 2 related
-
MARTIN D ROBINSON
DIRECTOR
- Total calculated
- $50,248
- From this org
- $24,996
- From related orgs
- $25,252
- Other
- $0
- Hours/week
- 5 + 1 related
-
PHILLIP W COX CPA
DIRECTOR
- Total calculated
- $58,884
- From this org
- $16,664
- From related orgs
- $42,220
- Other
- $0
- Hours/week
- 5
-
CHRISTINE NATHE RHD MS
DIRECTOR
- Total calculated
- $35,414
- From this org
- $16,664
- From related orgs
- $18,750
- Other
- $0
- Hours/week
- 5 + 5 related
-
GORAN M JURKOVIC CPA
PRESIDENT & CEO
- Total calculated
- $11,833,525
- From this org
- $0
- From related orgs
- $9,219,805
- Other
- $2,613,720
- Hours/week
- 2 + 48 related
Schedule J breakdown matched by us
- Base
- $0 + $1,474,566 related
- Bonus
- $0 + $3,570,478 related
- Other
- $0 + $4,174,761 related
- Deferred
- $0 + $2,588,461 related
- Nontaxable benefits
- $0 + $25,259 related
- Filer's total
- $0 + $11,833,525 related
-
AMY L BASEL CPA
CHIEF FINANCIAL OFFICER & TREASURER
- Total calculated
- $3,025,568
- From this org
- $0
- From related orgs
- $2,381,009
- Other
- $644,559
- Hours/week
- 2 + 48 related
Schedule J breakdown matched by us
- Base
- $0 + $528,195 related
- Bonus
- $0 + $886,909 related
- Other
- $0 + $965,905 related
- Deferred
- $0 + $619,300 related
- Nontaxable benefits
- $0 + $25,259 related
- Filer's total
- $0 + $3,025,568 related
-
SUE ELLEN JENKINS
CHIEF LEGAL OFFICER & SECRETARY
- Total calculated
- $2,058,864
- From this org
- $0
- From related orgs
- $1,632,671
- Other
- $426,193
- Hours/week
- 5 + 45 related
Schedule J breakdown matched by us
- Base
- $0 + $542,025 related
- Bonus
- $0 + $949,448 related
- Other
- $0 + $141,198 related
- Deferred
- $0 + $419,012 related
- Nontaxable benefits
- $0 + $7,181 related
- Filer's total
- $0 + $2,058,864 related
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
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 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
The filer's explanations (Part III)
- PART I, LINE 3
- THE CEO IS A W-2 EMPLOYEE OF A RELATED ORGANIZATION, DELTA DENTAL PLAN OF MICHIGAN, INC. COMPENSATION IS DETERMINED BY THAT ENTITY. THE DELTA DENTAL PLAN OF MICHIGAN, INC. COMPENSATION COMMITTEE REVIEWS PERFORMANCE AND SETS TOTAL COMPENSATION. EVERY TWO YEARS, A STUDY IS PERFORMED BY TOWERS WATSON AND THE DATA IS USED IN COMPENSATION DECISIONS. THE INDEPENDENT CONSULTANT PROVIDES AN OPINION AS TO THE REASONABLENESS AND APPROPRIATENESS OF THE TOTAL COMPENSATION, INCLUDING BASE PAY, INCENTIVE, BENEFITS AND RETIREMENT BENEFITS.
- PART I, LINE 4B
- THE RELATED ORGANIZATION, DELTA DENTAL PLAN OF MICHIGAN, HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). IN ORDER TO BE ELIGIBLE FOR THE SERP, AN EMPLOYEE MUST BE A SENIOR EXECUTIVE AND ADDED TO THE PLAN BY THE BOARD OF DIRECTORS. THE SERP BENEFITS ARE REVIEWED AS PART OF THE TOTAL COMPENSATION BY AN INDEPENDENT CONSULTANT; TOWERS WATSON. IN 2023, GORAN JURKOVIC, AMY BASEL, AND SUE ELLEN JENKINS ACCRUED BENEFITS AS PARTICIPANTS IN THE SERP PLAN. GORAN JURKOVIC, AMY BASEL, AND SUE ELLEN JENKINS BECAME VESTED IN A PORTION OF THEIR ACCRUED BENEFITS AND, AS REQUIRED BY THE IRS, THE VESTED PORTION WAS TREATED AS TAXABLE WAGES DURING 2023. THESE WAGES WERE ALSO REPORTED ON SCHEDULE J AS COMPENSATION THAT HAS BEEN REPORTED AS DEFERRED ON PRIOR FORM 990S.
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.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
DELTA DENTAL PLAN OF MICHIGAN INC
501(C)(4) · PROVIDE DENTAL SERVICE PLANS · MI · controlled entity
Directly controlled by RENAISSANCE HEALTH SERVICE CORPORATION
-
501(C)(4) · PROVIDE DENTAL SERVICE PLANS · OH · controlled entity
Directly controlled by DELTA DENTAL PLAN OF MICHIGAN INC
-
DELTA DENTAL PLAN OF INDIANA INC
501(C)(4) · PROVIDE DENTAL SERVICE PLANS · IN · controlled entity
Directly controlled by DELTA DENTAL PLAN OF MICHIGAN INC
-
501(C)(4) · PROVIDE DENTAL SERVICE PLANS · TN · controlled entity
Directly controlled by RENAISSANCE HEALTH SERVICE CORPORATION
-
501(C)(3) · SUPPORT DENTAL EDUCATION AND RESEARCH PROGRAMS · MI · controlled entity
Directly controlled by DELTA DENTAL PLAN OF MICHIGAN INC
-
DELTA DENTAL PLAN OF NEW MEXICO INC
501(C)(4) · PROVIDE DENTAL SERVICE PLANS · NM · controlled entity
Directly controlled by RENAISSANCE HEALTH SERVICE CORPORATION
-
501(C)(4) · PROVIDE DENTAL SERVICE PLANS · KY · controlled entity
Directly controlled by RENAISSANCE HEALTH SERVICE CORPORATION
-
DELTA DENTAL OF NORTH CAROLINA
501(C)(4) · PROVIDE DENTAL SERVICE PLANS · NC · controlled entity
Directly controlled by RENAISSANCE HEALTH SERVICE CORPORATION
-
DELTA DENTAL PLAN OF ARKANSAS INC
501(C)(4) · PROVIDE DENTAL SERVICE PLANS · AR · controlled entity
Directly controlled by RENAISSANCE HEALTH SERVICE CORPORATION
-
DELTA DENTAL OF ARKANSAS FOUNDATION INC
501(C)(3) · PROVIDE DENTAL SERVICE PLANS · AR · controlled entity
Directly controlled by RENAISSANCE HEALTH SERVICE CORPORATION
-
RENAISSANCE FAMILY FOUNDATION INC
501(C)(3) · EMPHASIZE DENTAL HEALTH IN COMMUNITIES · IN · controlled entity
Directly controlled by RENAISSANCE HOLDING COMPANY
-
501(C)(3) · EMPHASIZE DENTAL HEALTH IN COMMUNITIES · TN · controlled entity
Directly controlled by DELTA DENTAL OF TENNESSEE INC
-
DELTA DENTAL OF KENTUCKY FOUNDATION INC
501(C)(3) · EMPHASIZE DENTAL HEALTH IN COMMUNITIES · KY · controlled entity
Directly controlled by DELTA DENTAL OF KENTUCKY
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 11 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202413189349308906
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