Form 990 for tax year 2022
Filed by HILLS & DALES GENERAL HOSPITAL INC.
Totals
- Total revenue
- $15,377,375
- Total expenses
- $12,245,026
- Contributions and grants received
- $2,797,996
- Grants paid
- $0
- Program service revenue
- $12,551,882
- Investment income
- $21,990
- Other revenue
- $5,507
- Total assets, end of year
- $32,706,755
- Total liabilities, end of year
- $7,046,113
- Net assets or fund balances, end of year
- $25,660,642
- Program services expenses (Part IX)
- $10,278,786
- Management and general expenses
- $1,966,240
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $10,278,786
Program services were 83.9% 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
$54,954
-
1e · Government grants (contributions)
$2,743,042
-
2a · Program service revenue: Patient Service Revenue
total $11,789,085 · related or exempt $11,789,085
-
2b · Program service revenue: Pharmacy Revenue
total $519,240 · related or exempt $519,240
-
2c · Program service revenue: Management Fees
total $187,925 · related or exempt $187,925
-
2d · Program service revenue: Cafeteria
total $34,053 · related or exempt $34,053
-
2e · Program service revenue: Fitness Center Revenue
total $4,934 · related or exempt $4,934
-
2f · All other program service revenue
total $16,645 · related or exempt $16,645
-
3 · Investment income
total $22,707 · excluded $22,707
-
6a · Gross rents
real property $24,994
-
6b · Less rental expenses
real property $19,487
-
6c · Rental income or loss
real property $5,507
-
6d · Net rental income or loss
total $5,507 · excluded $5,507
-
7b · Less cost or other basis and sales expenses
other assets $717
-
7c · Gain or loss
other assets -$717
-
7d · Net gain or loss
total -$717 · excluded -$717
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $248,228 · management and general $248,228
-
7 · Other salaries and wages
total $5,726,174 · program services $5,650,612 · management and general $75,562
-
8 · Pension plan contributions
total $230,526 · program services $201,926 · management and general $28,600
-
9 · Other employee benefits
total $1,015,976 · program services $943,616 · management and general $72,360
-
10 · Payroll taxes
total $399,583 · program services $376,721 · management and general $22,862
-
11b · Fees: legal
total $29,094 · management and general $29,094
-
11c · Fees: accounting
total $8,896 · management and general $8,896
-
11g · Fees: other
total $1,764,711 · program services $1,019,587 · management and general $745,124
-
12 · Advertising and promotion
total $139,333 · program services $11,258 · management and general $128,075
-
13 · Office expenses
total $258,127 · program services $207,751 · management and general $50,376
-
14 · Information technology
total $135,829 · program services $49,692 · management and general $86,137
-
16 · Occupancy
total $268,830 · program services $182,358 · management and general $86,472
-
17 · Travel
total $19,122 · program services $18,795 · management and general $327
-
19 · Conferences, conventions and meetings
total $17,095 · program services $14,845 · management and general $2,250
-
20 · Interest
total $2,522 · program services $2,522
-
22 · Depreciation, depletion and amortization
total $227,884 · program services $131,456 · management and general $96,428
-
23 · Insurance
total $118,972 · program services $99,611 · management and general $19,361
-
24a · Other expenses: Medical Supplies
total $885,801 · program services $885,801
-
24b · Other expenses: Repairs and Maintenance
total $240,360 · program services $214,845 · management and general $25,515
-
24c · Other expenses: Tax Assessment
total $201,451 · program services $201,451
-
24d · Other expenses: Food
total $53,050 · program services $44,607 · management and general $8,443
-
24e · All other expenses
total $253,462 · program services $21,332 · management and general $232,130
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $15,314,849 · end of year $9,571,406
-
4 · Accounts receivable
beginning of year $5,886,808 · end of year $6,731,975
-
8 · Inventories for sale or use
beginning of year $175,218 · end of year $301,771
-
9 · Prepaid expenses and deferred charges
beginning of year $518,516 · end of year $488,639
-
10a · Land, buildings and equipment: cost or other basis
$18,174,474
-
10b · Land, buildings and equipment: accumulated depreciation
$8,786,245
-
10c · Land, buildings and equipment, net
beginning of year $6,392,591 · end of year $9,388,229
-
11 · Investments: publicly traded securities
end of year $4,297,490
-
13 · Investments: program-related
end of year $1,119,171
-
15 · Other assets
beginning of year $957,617 · end of year $808,074
-
17 · Accounts payable and accrued expenses
beginning of year $3,938,006 · end of year $5,215,668
-
19 · Deferred revenue
beginning of year $2,846,330 · end of year $1,500
-
25 · Other liabilities
beginning of year $2,322,302 · end of year $1,828,945
-
27 · Net assets without donor restrictions
beginning of year $20,138,961 · end of year $25,660,642
Mission and programs · 2022
Mission
To be the provider of choice and the employer of choice in our primary market
Activities or mission (Part I)
To be recognized as the leading healthcare organization in the communities we serve.
-
The organization provided nursing and professional services for acute & swing bed patients, emergency and outpatients. During the short period October 1, 2022 to December 31, 2022, HDGH provided care including 694 inpatient days, 1,943 emergency room visits, over 13,620 physician visits, 11,172 distinct patient visits for over a total of 27,429 registrations. During the year, over 67.3% of the services provided were to governmental programs, which reimburse below the actual costs. In addition, the hospital provided $21,589.96 in charity care and was unable to collect from uninsured and underinsured patients. Community benefits are also provided through free programs such as, health fairs, public service announcements, education on specific disease conditions, lectures, blood pressure screening, TB training. The hospital also provided reduce fee services.
Expenses $10,278,786 · Revenue $12,551,882
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Patrick Curtis
Chair
- Total calculated
- $0
- Hours/week
- 4 + 7 related
-
Danny Haag
Vice Chair
- Total calculated
- $0
- Hours/week
- 4 + 7 related
-
Judy Brown
Secretary/Treasurer
- Total calculated
- $0
- Hours/week
- 4 + 7 related
-
Carol Starling OD
Trustee
- Total calculated
- $0
- Hours/week
- 2 + 5 related
-
Jim Luth
Trustee
- Total calculated
- $0
- Hours/week
- 2 + 5 related
-
Faith Fahrner RN
Trustee
- Total calculated
- $0
- Hours/week
- 2 + 5 related
-
Rachel Estelle
Trustee
- Total calculated
- $0
- Hours/week
- 2 + 5 related
-
Andrew Daniels
President and CEO
- Total calculated
- $397,852
- From this org
- $376,487
- From related orgs
- $0
- Other
- $21,365
- Hours/week
- 40 + 6 related
Schedule J breakdown matched by us
- Base
- $293,987
- Bonus
- $82,500
- Other
- $0
- Deferred
- $11,422
- Nontaxable benefits
- $9,943
- Filer's total
- $397,852
-
Kurt Sargent
VP of Finance/CFO
- Total calculated
- $182,964
- From this org
- $174,340
- From related orgs
- $0
- Other
- $8,624
- Hours/week
- 40 + 6 related
Schedule J breakdown matched by us
- Base
- $134,007
- Bonus
- $40,333
- Other
- $0
- Deferred
- $5,728
- Nontaxable benefits
- $2,895
- Filer's total
- $182,963
-
Dr Eric Shoemaker
Family Physician
- Total calculated
- $455,468
- From this org
- $429,432
- From related orgs
- $0
- Other
- $26,036
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $359,406
- Bonus
- $70,026
- Other
- $0
- Deferred
- $12,200
- Nontaxable benefits
- $13,836
- Filer's total
- $455,468
-
John Bitner
Family Physician
- Total calculated
- $434,441
- From this org
- $396,625
- From related orgs
- $0
- Other
- $37,816
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $387,425
- Bonus
- $9,200
- Other
- $0
- Deferred
- $11,809
- Nontaxable benefits
- $26,007
- Filer's total
- $434,441
-
Richard Moyer
Orthopedic Surgeon
- Total calculated
- $326,493
- From this org
- $298,393
- From related orgs
- $0
- Other
- $28,100
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $298,093
- Bonus
- $300
- Other
- $0
- Deferred
- $5,955
- Nontaxable benefits
- $22,144
- Filer's total
- $326,492
-
David Komasara
Emergency Room Physician
- Total calculated
- $474,358
- From this org
- $447,630
- From related orgs
- $0
- Other
- $26,728
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $437,630
- Bonus
- $10,000
- Other
- $0
- Deferred
- $12,200
- Nontaxable benefits
- $14,528
- Filer's total
- $474,358
-
Craig Mizes
General Surgeon
- Total calculated
- $400,604
- From this org
- $375,670
- From related orgs
- $0
- Other
- $24,934
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $365,670
- Bonus
- $10,000
- Other
- $0
- Deferred
- $12,200
- Nontaxable benefits
- $12,734
- Filer's total
- $400,604
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
- 3 · Compensation committee
- 3 · Form 990 of other organizations
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
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) · Manage excess funds on behalf of subsidiaries · MI
-
501(c)(3) · Care of residents with dementia · MI · controlled entity
Directly controlled by Hills & Dales Healthcare Corp
-
501(c)(3) · Solicit funds on behalf of hospital · MI · controlled entity
Directly controlled by Hills & Dales Healthcare Corp
-
501(c)(3) · Rental of building to hospital · MI · controlled entity
Directly controlled by Hills & Dales General Hospital Inc
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 corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
C · Retail pharmacy · MI
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 8 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202343139349301404
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