Form 990 for tax year 2023
Filed by HOLLAND COMMUNITY HEALTH CENTER.
Totals
- Total revenue
- $2,568,178
- Total expenses
- $2,568,178
- Contributions and grants received
- $1,011,439
- Grants paid
- $0
- Program service revenue
- $1,556,739
- Investment income
- $0
- Other revenue
- $0
- Total assets, end of year
- $502,665
- Total liabilities, end of year
- $502,665
- Net assets or fund balances, end of year
- $0
- Program services expenses (Part IX)
- $2,511,541
- Management and general expenses
- $56,637
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $2,511,541
Program services were 97.8% 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
$1,011,439
-
2a · Program service revenue: PATIENT FEES
total $1,280,433 · related or exempt $1,280,433
-
2b · Program service revenue: QUALITY INCENTIVES
total $276,306 · related or exempt $276,306
Functional expenses
Part IX, the statement of functional expenses.
-
11g · Fees: other
total $1,876,530 · program services $1,849,607 · management and general $26,923
-
13 · Office expenses
total $29,714 · management and general $29,714
-
16 · Occupancy
total $350,050 · program services $350,050
-
19 · Conferences, conventions and meetings
total $3,482 · program services $3,482
-
22 · Depreciation, depletion and amortization
total $9,510 · program services $9,510
-
23 · Insurance
total $10,513 · program services $10,513
-
24a · Other expenses: MEDICAL SUPPLIES AND DR
total $288,018 · program services $288,018
-
24b · Other expenses: BAD DEBT EXPENSE
total $361 · program services $361
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $68,967 · end of year $325,617
-
4 · Accounts receivable
beginning of year $185,629 · end of year $150,620
-
10a · Land, buildings and equipment: cost or other basis
$55,864
-
10b · Land, buildings and equipment: accumulated depreciation
$29,436
-
10c · Land, buildings and equipment, net
beginning of year $35,937 · end of year $26,428
-
17 · Accounts payable and accrued expenses
beginning of year $90,802 · end of year $92,965
-
25 · Other liabilities
beginning of year $199,731 · end of year $409,700
-
27 · Net assets without donor restrictions
beginning of year $0 · end of year $0
Mission and programs · 2023
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 10,612 PATIENTS
Expenses $2,511,541 · Revenue $1,556,739
As filed on the 2023 return.
Listed in Part VII
-
Dale M SowdersDALE M SOWDERS
PRESIDENT-CEO
- Total calculated
- $1,034,977
- From this org
- $0
- From related orgs
- $1,011,405
- Other
- $23,572
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $799,260 related
- Bonus
- $0
- Other
- $0 + $212,145 related
- Deferred
- $0 + $9,900 related
- Nontaxable benefits
- $0 + $13,672 related
- Filer's total
- $0 + $1,034,977 related
-
Shelly MaciejewskiSHELLY MACIEJEWSKI
CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Greg ChristieGREG CHRISTIE
SECRETARY
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Gwen AuwerdaGWEN AUWERDA
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Mike NovakoskiMIKE NOVAKOSKI
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Leslie BrownLESLIE BROWN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Beth PeterBETH PETER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Barbara Depree MDBARBARA DEPREE MD
TRUSTEE
- Total calculated
- $214,351
- From this org
- $0
- From related orgs
- $196,106
- Other
- $18,245
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $159,541 related
- Bonus
- $0
- Other
- $0 + $36,565 related
- Deferred
- $0 + $4,816 related
- Nontaxable benefits
- $0 + $13,429 related
- Filer's total
- $0 + $214,351 related
-
Ken FilippiniKEN FILIPPINI
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Michael HillMICHAEL HILL
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Doug HoeyDOUG HOEY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Haans MulderHAANS MULDER
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
-
Patti VandortPATTI VANDORT
SVP, CNO, REHAB SERV, MARK
- Total calculated
- $690,574
- From this org
- $0
- From related orgs
- $673,883
- Other
- $16,691
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $529,410 related
- Bonus
- $0 + $89,578 related
- Other
- $0 + $54,895 related
- Deferred
- $0 + $9,900 related
- Nontaxable benefits
- $0 + $6,791 related
- Filer's total
- $0 + $690,574 related
-
Jodi OwczarskiJODI OWCZARSKI
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Cara WilkinsonCARA WILKINSON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Alex RoehlingALEX ROEHLING
VP, FINANCE & CFO
- Total calculated
- $505,437
- From this org
- $0
- From related orgs
- $495,807
- Other
- $9,630
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $307,693 related
- Bonus
- $0 + $126,059 related
- Other
- $0 + $62,055 related
- Deferred
- $0 + $9,173 related
- Nontaxable benefits
- $0 + $457 related
- Filer's total
- $0 + $505,437 related
-
Mark L PawlakMARK L PAWLAK
SVP, QUALITY, IS & HOSP OP
- Total calculated
- $669,980
- From this org
- $0
- From related orgs
- $651,493
- Other
- $18,487
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $443,036 related
- Bonus
- $0 + $71,663 related
- Other
- $0 + $136,794 related
- Deferred
- $0 + $9,900 related
- Nontaxable benefits
- $0 + $8,587 related
- Filer's total
- $0 + $669,980 related
-
Joseph D BonelloJOSEPH D BONELLO
VICE PRESIDENT, NURSING-CN
- Total calculated
- $358,919
- From this org
- $0
- From related orgs
- $333,904
- Other
- $25,015
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $245,913 related
- Bonus
- $0 + $45,896 related
- Other
- $0 + $42,095 related
- Deferred
- $0 + $7,377 related
- Nontaxable benefits
- $0 + $17,638 related
- Filer's total
- $0 + $358,919 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
- 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 4B
- DALE SOWDERS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH A RELATED PARTY. THE SERP IS DESIGNED TO PROVIDE THE PARTICIPANT WITH A TARGET BENEFIT FOR LIFE BEGINNING AT THE PARTICIPANTS ATTAINMENT OF AGE 65 EQUAL TO 60 PERCENT OF THE PARTICIPANTS FINAL AVERAGE COMPENSATION, OFFSET BY THE PARTICIPANTS SOCIAL SECURITY BENEFIT AND 401(K) SAVINGS PLAN EMPLOYER CONTRIBUTION EQUIVALENT. CONTRIBUTIONS MADE TO THE SERP ARE INCLUDED IN PART II, COLUMN (C). NO PAYMENTS WERE MADE IN 2023.
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
- 2023
- Filed
- 17 February 2025
- IRS schema version
- 2023v6.0
- Source object
- 202520499349301737
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