Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 2a · Program service revenue: MEDICAL SERVICES

  total $918,800 · related or exempt $918,800

Functional expenses

Part IX, the statement of functional expenses.

• 11a · Fees: management

  total $76,020 · management and general $76,020

• 11g · Fees: other

  total $580,603 · program services $522,553 · management and general $58,050

• 13 · Office expenses

  total $30,929 · program services $30,929

• 22 · Depreciation, depletion and amortization

  total $2,022 · program services $2,022

• 23 · Insurance

  total $41,917 · program services $37,725 · management and general $4,192

• 24a · Other expenses: EQUIPMENT RENTAL & MAIN

  total $180,150 · program services $180,150

Balance sheet

Part X, book values.

• 2 · Savings and temporary cash investments

  beginning of year $191,176 · end of year $210,882

• 9 · Prepaid expenses and deferred charges

  beginning of year $117,922 · end of year $110,540

• 10a · Land, buildings and equipment: cost or other basis

  $1,757,489

• 10b · Land, buildings and equipment: accumulated depreciation

  $1,757,152

• 10c · Land, buildings and equipment, net

  beginning of year $2,359 · end of year $337

• 17 · Accounts payable and accrued expenses

  beginning of year $56,747 · end of year $59,890

• 27 · Net assets without donor restrictions

  beginning of year $254,710 · end of year $261,869

The filer's explanations (Part III)

PART I, LINE 4B

CROSS AND ERICKSON ARE PARTICIPANTS IN A 457(F) PLAN. ERICKSON RECEIVED A PAYMENT IN 2023 WHICH IS REFLECTED ON SCHEDULE J, PART II, COLUMN F. THE CURRENT PARTICIPANTS OF THE PLAN ARE THE MEMBERS OF THE SENIOR LEADERSHIP OR EXECUTIVE TEAM. EACH PARTICIPANT'S ANNUAL AWARD IS BASED ON THEIR POSITION LEVEL AND IS A PERCENTAGE OF BASE SALARY ON DECEMBER 31 OF THE PLAN YEAR. THE PLAN PROVIDES ADDITIONAL RETIREMENT INCOME WHICH OTHERWISE WOULD BE PROVIDED UNDER THE PENSION PLAN AND 403(B) PLAN, BUT FOR LIMITATIONS ON SUCH BENEFITS REQUIRED BY FEDERAL LAW. A PARTICIPANT'S ACCOUNT SHALL BE 100% VESTED IF THE PARTICIPANT IS EMPLOYED BY MYMICHIGAN HEALTH ON THE DATE THE FIRST OF THE FOLLOWING VESTING EVENTS OCCUR: DEATH; TERMINATION OF EMPLOYMENT BECAUSE OF TOTAL DISABILITY; TERMINATION OF EMPLOYMENT AFTER AT LEAST THREE CONSECUTIVE YEARS OF SERVICE; OR, A PLAN SPONSOR CHANGE IN CONTROL.

PART II - OTHER ADDITIONAL INFORMATION

COMPENSATION WAS REQUESTED FROM ST. MARY'S OF MICHIGAN FOR HAYWOOD, LEAMAN-CASE, AND NEWMAN, HOWEVER, IT WAS NOT RECEIVED.

PART III - OTHER ADDITIONAL INFORMATION:

ALL INDIVIDUALS WITH REPORTABLE COMPENSATION ARE PAID BY A RELATED ORGANIZATION FOR SERVICES RELATED TO A FULL-TIME POSITION. EACH ORGANIZATION HAS CONTROLS OVER COMPENSATION WHICH RESULT IN ONLY PAYING MARKET VALUE TO ITS EMPLOYEES.