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Nonprofiteer
← HOLLAND COMMUNITY HEALTH CENTER

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 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 Maciejewski

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Greg Christie

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Gwen Auwerda

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Mike Novakoski

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Leslie Brown

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Beth Peter

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Barbara 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 Filippini

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Michael Hill

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Doug Hoey

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Haans Mulder

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Bill Vander Vliet MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Patti 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 Owczarski

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Cara Wilkinson

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Alex 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 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 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.

Provenance

Return type
form_990
Tax year
2023
Filed
17 February 2025
IRS schema version
2023v6.0
Source object
202520499349301737

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