Form 990 for tax year 2023
Filed by VISITING NURSE ASSOCIATION OF SAGINAW.
Totals
- Total revenue
- $17,579,925
- Total expenses
- $19,436,358
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $17,571,824
- Investment income
- $0
- Other revenue
- $8,101
- Total assets, end of year
- $6,110,410
- Total liabilities, end of year
- $5,431,122
- Net assets or fund balances, end of year
- $679,288
- Program services expenses (Part IX)
- $14,876,247
- Management and general expenses
- $4,560,111
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $14,876,247
Program services were 76.5% 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.
-
2a · Program service revenue: PATIENT SERVICE REVENUE
total $17,571,824 · related or exempt $17,571,824
-
6a · Gross rents
real property $3,669
-
6b · Less rental expenses
real property $0
-
6c · Rental income or loss
real property $3,669
-
6d · Net rental income or loss
total $3,669 · excluded $3,669
-
11a · Other revenue: MFB COLLABORATION INCOME
total $3,913 · excluded $3,913
-
11b · Other revenue: MEDICAL RECORD COPY FEES & DISCOU
total $519 · excluded $519
-
11e · Other revenue, total
$4,432
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $150,307 · management and general $150,307
-
7 · Other salaries and wages
total $10,785,875 · program services $8,406,977 · management and general $2,378,898
-
8 · Pension plan contributions
total $301,303 · management and general $301,303
-
9 · Other employee benefits
total $814,192 · management and general $814,192
-
10 · Payroll taxes
total $790,499 · program services $613,606 · management and general $176,893
-
11f · Fees: investment management
total $48,162 · management and general $48,162
-
11g · Fees: other
total $1,472,378 · program services $927,161 · management and general $545,217
-
12 · Advertising and promotion
total $10,008 · program services $8,983 · management and general $1,025
-
13 · Office expenses
total $29,530 · program services $19,210 · management and general $10,320
-
14 · Information technology
total $171,606 · program services $156,086 · management and general $15,520
-
16 · Occupancy
total $146,525 · program services $62,970 · management and general $83,555
-
17 · Travel
total $532,625 · program services $519,789 · management and general $12,836
-
22 · Depreciation, depletion and amortization
total $23,119 · management and general $23,119
-
23 · Insurance
total $250 · program services $250
-
24a · Other expenses: MED SURG/SUPPLIES/DRUGS
total $4,125,762 · program services $4,124,690 · management and general $1,072
-
24b · Other expenses: DUES
total $27,418 · program services $27,418
-
24c · Other expenses: FUEL & VEHICLE MAINTENA
total $6,799 · program services $9,107 · management and general -$2,308
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $419,540 · end of year $613,869
-
4 · Accounts receivable
beginning of year $4,707,515 · end of year $5,119,976
-
8 · Inventories for sale or use
beginning of year $489,125 · end of year $355,444
-
10a · Land, buildings and equipment: cost or other basis
$1,793,623
-
10b · Land, buildings and equipment: accumulated depreciation
$1,772,502
-
10c · Land, buildings and equipment, net
beginning of year $42,176 · end of year $21,121
-
17 · Accounts payable and accrued expenses
beginning of year $1,189,752 · end of year $1,852,487
-
25 · Other liabilities
beginning of year $1,932,883 · end of year $3,578,635
-
27 · Net assets without donor restrictions
beginning of year $2,535,721 · end of year $679,288
Mission and programs · 2023
Mission
TO PROMOTE HEALTH, INDIVIDUAL AND COMMUNITY; TO PREVENT DISEASE; TO PROVIDE HEALTH CARE FOR THE SICK IN THEIR HOMES AND ELSEWHERE, AND TO MAINTAIN A DESIRABLE ORGANIZATION TO PROMOTE THE ABOVE PURPOSES. TO HELP MEET THE PHYSICAL, INTELLECTUAL, EMOTIONAL AND SPIRITUAL NEEDS OF TERMINALLY ILL PERSONS AND THEIR FAMILIES; AND TO EDUCATE PERSONS IN THE ORGANIZATION'S SERVICE AREA ABOUT THE NEEDS OF TERMINALLY ILL PERSONS AND THEIR FAMILIES.
Activities or mission (Part I)
TO PROMOTE HEALTH, INDIVIDUAL AND COMMUNITY; TO PREVENT DISEASE; TO PROVIDE HEALTH CARE FOR THE SICK IN THEIR HOMES AND ELSEWHERE, AND TO MAINTAIN A DESIRABLE ORGANIZATION TO PROMOTE THE ABOVE PURPOSES.
-
HOME CARE - PROVIDED 54,142 VISITSHOSPICE - PROVIDED 14,622 DAYS OF CAREPALLIATIVE CARE - PROVIDED 7,593 VISITS PHARMACY/INFUSION - PROVIDED 9,395 PRESCRIPTIONSDURABLE MEDICAL EQUIPMENT - PROVIDED 22,141 DME UNITS
Expenses $14,876,247 · Revenue $17,571,824
As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Adam TompaADAM TOMPA
CHAIRMAN
- Total calculated
- $290,658
- From this org
- $0
- From related orgs
- $264,535
- Other
- $26,123
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $252,035 related
- Bonus
- $0 + $12,500 related
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0 + $26,123 related
- Filer's total
- $0 + $290,658 related
-
Michael FioreMICHAEL FIORE
VICE CHAIRMAN
- Total calculated
- $469,253
- From this org
- $0
- From related orgs
- $442,762
- Other
- $26,491
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $404,285 related
- Bonus
- $0 + $6,769 related
- Other
- $0 + $31,708 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $26,491 related
- Filer's total
- $0 + $469,253 related
-
Kevin AlbostaKEVIN ALBOSTA
TREASURER
- Total calculated
- $807,720
- From this org
- $0
- From related orgs
- $569,523
- Other
- $238,197
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $543,693 related
- Bonus
- $0 + $25,830 related
- Other
- $0
- Deferred
- $0 + $205,568 related
- Nontaxable benefits
- $0 + $32,629 related
- Filer's total
- $0 + $807,720 related
-
Patrice LanczakPATRICE LANCZAK
SECRETARY
- Total calculated
- $311,797
- From this org
- $0
- From related orgs
- $302,062
- Other
- $9,735
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $287,062 related
- Bonus
- $0 + $15,000 related
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0 + $9,735 related
- Filer's total
- $0 + $311,797 related
-
Matthew DeibelMATTHEW DEIBEL
DIRECTOR
- Total calculated
- $77,113
- From this org
- $0
- From related orgs
- $77,113
- Other
- $0
- Hours/week
- 1 + 50 related
-
Dr Iris MartejaDR IRIS MARTEJA
DIRECTOR - PART YEAR
- Total calculated
- $521,028
- From this org
- $0
- From related orgs
- $502,224
- Other
- $18,804
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $404,376 related
- Bonus
- $0
- Other
- $0 + $97,848 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $18,804 related
- Filer's total
- $0 + $521,028 related
-
Diane GlasgowDIANE GLASGOW
PRESIDENT
- Total calculated
- $154,307
- From this org
- $148,844
- From related orgs
- $0
- Other
- $5,463
- Hours/week
- 50 + 1 related
Schedule J breakdown matched by us
- Base
- $144,502
- Bonus
- $4,342
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $5,463
- Filer's total
- $154,307
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
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 7 · Other non-fixed payments
Answered no
- 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
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINES 4A-B
- PART I LINE 4A: DR. IRIS MARTEJA HAD $97,848 PAID OUT AS SEPARATION PAY FROM OCTOBER-DECEMBER OF 2023 BASED ON THE AGREEMENT SIGNED OCTOBER 2023. THE PAY WAS INCLUDED IN THEIR TOTAL COMPENSATION. PART I LINE 4B: THE ORGANIZATION MAINTAINS A NONQUALIFIED SUPPLEMENTAL EXECUTIVE PLAN (SERP) FOR CERTAIN OF ITS EXECUTIVES. THE SERP HAS BEEN ESTABLISHED FOR THESE EXECUTIVES BY THE ORGANIZATION, FOLLOWING APPROPRIATE BOARD LEVEL REVIEW IN A MANNER INTENDED TO COMPLY WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS PROVISION UNDER IRC SECTION 4958. SOME OF THE INDIVIDUALS LISTED IN PART VII RECEIVED A TAXABLE SERP PAYMENT IN FY24. ALL PAYMENTS WERE INCLUDED AS TAXABLE INCOME.
- PART I, LINE 7
- THE FILING ORGANIZATION RELIED ON COVENANT MEDICAL CENTER'S, A RELATED ORGANIZATION, METHODS FOR ESTABLISHING THE BONUSES OF THE FILING ORGANIZATION'S OFFICERS: THE BONUSES PAID TO ANY OFFICER LISTED IN SCHEDULE J PART II CAN BE DETERMINED BASED ON WHETHER FOUR ORGANIZATION SUCCESS SHARING TARGETS ARE MET; PATIENT SATISFACTION SCORES, QUALITY METRICS, EMPLOYEE ENGAGEMENT SCORES AND FINANCIAL PERFORMACE BASED ON A CUSTOM OPERATING MARGIN.
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.
-
COVENANT HEALTHCARE FOUNDATION
501(C)(3) · SUPPORT · MI · controlled entity
Directly controlled by COVENANT HEALTHCARE SYSTEM
-
501(C)(3) · HEALTHCARE · MI
-
501(C)(3) · HEALTHCARE · MI · controlled entity
Directly controlled by COVENANT HEALTHCARE SYSTEM
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
MACKINAW SURGERY CENTER
RENTAL · MI
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
COVENANT DEVELOPMENT CORPORATION
C · HEALTH SERVICES · MI · controlled entity
-
COVENANT MEDICAL CTR OFFICE CONDO ASSOCIATION
C · CONDOMINIUM · MI · controlled entity
-
COVENANT HEALTH MACKINAW FACILITY CONDO ASSOCIATION
C · CONDOMINIUM · MI · controlled entity
-
COVENANT SERVICES CORP
C · HEALTHCARE · MI · controlled entity
-
COVENANT MEDICAL CTR PROFESSIONAL OFFICE BUILDING CONDOMINIUM
C · HEALTH SERVICES · MI · controlled entity
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 13 May 2025
- IRS schema version
- 2023v6.0
- Source object
- 202541359349306034
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