Form 990 for tax year 2022
Filed by HOLLAND COMMUNITY HEALTH CENTER.
Totals
- Total revenue
- $2,664,993
- Total expenses
- $2,664,993
- Contributions and grants received
- $1,040,148
- Grants paid
- $0
- Program service revenue
- $1,624,845
- Investment income
- $0
- Other revenue
- $0
- Total assets, end of year
- $290,533
- Total liabilities, end of year
- $290,533
- Net assets or fund balances, end of year
- $0
- Program services expenses (Part IX)
- $2,569,351
- Management and general expenses
- $95,642
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $2,569,351
Program services were 96.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1d · Related organizations
$740,782
-
1f · All other contributions, gifts and grants
$299,366
-
2a · Program service revenue: PATIENT FEES
total $1,355,928 · related or exempt $1,355,928
-
2b · Program service revenue: PHYSICIAN INCENTIVES
total $268,917 · related or exempt $268,917
Functional expenses
Part IX, the statement of functional expenses.
-
11g · Fees: other
total $2,053,034 · program services $2,011,577 · management and general $41,457
-
13 · Office expenses
total $54,185 · management and general $54,185
-
16 · Occupancy
total $328,401 · program services $328,401
-
19 · Conferences, conventions and meetings
total $5,499 · program services $5,499
-
22 · Depreciation, depletion and amortization
total $8,212 · program services $8,212
-
24a · Other expenses: MEDICAL SUPPLIES AND DR
total $164,003 · program services $164,003
-
24b · Other expenses: BAD DEBT EXPENSE
total $51,659 · program services $51,659
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $558,216 · end of year $68,967
-
4 · Accounts receivable
beginning of year $88,854 · end of year $185,629
-
10a · Land, buildings and equipment: cost or other basis
$55,864
-
10b · Land, buildings and equipment: accumulated depreciation
$19,927
-
10c · Land, buildings and equipment, net
beginning of year $8,085 · end of year $35,937
-
17 · Accounts payable and accrued expenses
beginning of year $619,638 · end of year $90,802
-
19 · Deferred revenue
beginning of year $35,517
-
25 · Other liabilities
beginning of year $0 · end of year $199,731
-
27 · Net assets without donor restrictions
beginning of year $0 · end of year $0
Mission and programs · 2022
Mission
TO IMPROVE THE HEALTH OF THE PATIENTS IN THE HOLLAND COMMUNITY BY PROVIDING QUALITY HEALTH CARE REGARDLESS OF LANGUAGE, FINANCIAL OR CULTURAL BARRIERS; THEREBY ASSURING THAT PRIMARY HEALTH CARE IS ACCESSIBLE TO ALL RESIDENCE TO OF THE AREA.
Activities or mission (Part I)
TO PROVIDE ACCESS TO QUALITY PRIMARY HEALTH CARE FOR ALL MEMBERS OF THE COMMUNITY WITH BOTH RESPECT AND COMPASSION.
-
PROVIDED PATIENT HEALTH CARE VISITS TO APPROXIMATELY 4,684 PATIENTS
Expenses $2,569,351 · Revenue $1,624,845
As filed on the 2022 return.
Listed in Part VII
-
Dale M SowdersDALE M SOWDERS
PRESIDENT-CEO
- Total calculated
- $808,896
- From this org
- $0
- From related orgs
- $786,416
- Other
- $22,480
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $766,445 related
- Bonus
- $0
- Other
- $0 + $19,971 related
- Deferred
- $0 + $9,150 related
- Nontaxable benefits
- $0 + $13,330 related
- Filer's total
- $0 + $808,896 related
-
Dave MasonDAVE MASON
CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Shelly MaciejewskiSHELLY MACIEJEWSKI
SECRETARY
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Juanita BocanegraJUANITA BOCANEGRA
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Michael HillMICHAEL HILL
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Bill Vander Vliet MDBILL VANDER VLIET MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Gwen AuwerdaGWEN AUWERDA
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Leslie BrownLESLIE BROWN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Ken FilippiniKEN FILIPPINI
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Greg ChristieGREG CHRISTIE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Doug HoeyDOUG HOEY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Barbara Depree MDBARBARA DEPREE MD
TRUSTEE
- Total calculated
- $187,026
- From this org
- $0
- From related orgs
- $169,716
- Other
- $17,310
- Hours/week
- 1 + 1 related
Schedule J breakdown matched by us
- Base
- $0 + $123,271 related
- Bonus
- $0 + $25,300 related
- Other
- $0 + $21,145 related
- Deferred
- $0 + $4,158 related
- Nontaxable benefits
- $0 + $13,152 related
- Filer's total
- $0 + $187,026 related
-
Haans MulderHAANS MULDER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Stephen MaugerSTEPHEN MAUGER
TRUSTEE - PART YEAR
- Total calculated
- $581,195
- From this org
- $0
- From related orgs
- $554,481
- Other
- $26,714
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $285,002 related
- Bonus
- $0 + $192,670 related
- Other
- $0 + $76,809 related
- Deferred
- $0 + $9,150 related
- Nontaxable benefits
- $0 + $17,564 related
- Filer's total
- $0 + $581,195 related
-
Alex RoehlingALEX ROEHLING
VP, FINANCE & CFO
- Total calculated
- $309,392
- From this org
- $0
- From related orgs
- $301,623
- Other
- $7,769
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $242,895 related
- Bonus
- $0 + $50,797 related
- Other
- $0 + $7,931 related
- Deferred
- $0 + $7,417 related
- Nontaxable benefits
- $0 + $352 related
- Filer's total
- $0 + $309,392 related
-
Mark L PawlakMARK L PAWLAK
SVP, QUALITY, IS & HOSP OP
- Total calculated
- $598,188
- From this org
- $0
- From related orgs
- $580,861
- Other
- $17,327
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $422,611 related
- Bonus
- $0 + $45,090 related
- Other
- $0 + $113,160 related
- Deferred
- $0 + $9,130 related
- Nontaxable benefits
- $0 + $8,197 related
- Filer's total
- $0 + $598,188 related
-
Patti VandortPATTI VANDORT
SVP, CNO, REHAB SERV, MARK
- Total calculated
- $571,110
- From this org
- $0
- From related orgs
- $555,272
- Other
- $15,838
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $444,822 related
- Bonus
- $0 + $91,679 related
- Other
- $0 + $18,771 related
- Deferred
- $0 + $9,130 related
- Nontaxable benefits
- $0 + $6,708 related
- Filer's total
- $0 + $571,110 related
-
Joseph D BonelloJOSEPH D BONELLO
VICE PRESIDENT, NURSING-CNO
- Total calculated
- $294,551
- From this org
- $0
- From related orgs
- $269,814
- Other
- $24,737
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $236,713 related
- Bonus
- $0 + $28,110 related
- Other
- $0 + $4,991 related
- Deferred
- $0 + $7,101 related
- Nontaxable benefits
- $0 + $17,636 related
- Filer's total
- $0 + $294,551 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, and on a Form 990-PF Part VIII's — 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
None.
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.
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.
-
501(C)(3) · HOSPITAL CARE · MI
-
HOLLAND COMMUNITY HOSPITAL AUTHORITY SELF-INSURANCE TRUST FUND
501(C)(3) · SUPPORTING ORGANIZATION · MI · controlled entity
Directly controlled by HOLLAND COMMUNITY HOSPITAL
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 14 February 2024
- IRS schema version
- 2022v5.0
- Source object
- 202440469349302114
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