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Nonprofiteer
← MIDWEST MEDICAL EQUIPMENT AND SUPPLIES INC

Form 990 for tax year 2023

Filed by MIDWEST MEDICAL EQUIPMENT AND SUPPLIES INC.

Totals

Total revenue
$1,801,148
Total expenses
$2,252,774
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$1,691,069
Investment income
$5,673
Other revenue
$104,406
Total assets, end of year
$1,241,708
Total liabilities, end of year
$13,584,280
Net assets or fund balances, end of year
-$12,342,572
Program services expenses (Part IX)
$2,027,878
Management and general expenses
$224,896
Fundraising expenses
$0
Program service expenses (Part III)
$2,027,878

Program services were 90.0% 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: SALES

    total $1,691,069 · related or exempt $1,691,069

  • 3 · Investment income

    total $6,636 · unrelated business $6,636

  • 6a · Gross rents

    real property $104,406

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $104,406

  • 6d · Net rental income or loss

    total $104,406 · excluded $104,406

  • 7b · Less cost or other basis and sales expenses

    other assets $963

  • 7c · Gain or loss

    other assets -$963

  • 7d · Net gain or loss

    total -$963 · excluded -$963

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $639,671 · program services $613,441 · management and general $26,230

  • 8 · Pension plan contributions

    total $21,353 · program services $21,186 · management and general $167

  • 9 · Other employee benefits

    total $122,980 · program services $141,596 · management and general -$18,616

  • 10 · Payroll taxes

    total $44,040 · program services $45,145 · management and general -$1,105

  • 11g · Fees: other

    total $71,439 · program services $8,160 · management and general $63,279

  • 13 · Office expenses

    total $177,429 · program services $175,469 · management and general $1,960

  • 14 · Information technology

    total $3,000 · program services $2,877 · management and general $123

  • 16 · Occupancy

    total $159,619 · program services $153,074 · management and general $6,545

  • 17 · Travel

    total $4,361 · program services $5,057 · management and general -$696

  • 20 · Interest

    total $9,312 · program services $9,312

  • 22 · Depreciation, depletion and amortization

    total $91,679 · program services $87,920 · management and general $3,759

  • 23 · Insurance

    total $107,784 · program services $103,652 · management and general $4,132

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $684,740 · program services $684,740

  • 24b · Other expenses: AFFILIATE SUPPORT FEE

    total $277,065 · program services $137,757 · management and general $139,308

  • 24c · Other expenses: LICENSES

    total $2,483 · program services $2,483

  • 24d · Other expenses: DUES

    total -$190 · management and general -$190

  • 24e · All other expenses

    total -$163,991 · program services -$163,991

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,087,107 · end of year $147,653

  • 4 · Accounts receivable

    beginning of year $1,092,269 · end of year $372,049

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

    $653,628

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

    $227,885

  • 10c · Land, buildings and equipment, net

    beginning of year $594,608 · end of year $425,743

  • 15 · Other assets

    beginning of year $401,327 · end of year $296,263

  • 17 · Accounts payable and accrued expenses

    beginning of year $122,765 · end of year $70,238

  • 23 · Secured mortgages and notes payable

    beginning of year $186,265 · end of year $138,829

  • 25 · Other liabilities

    beginning of year $15,757,227 · end of year $13,375,213

  • 27 · Net assets without donor restrictions

    beginning of year -$11,890,946 · end of year -$12,342,572

Mission and programs · 2023

Mission

THROUGHOUT ESSENTIA HEALTH, WE ARE CALLED TO MAKE A HEALTHY DIFFERENCE IN PEOPLE'S LIVES. AS A MEMBER OF THE ESSENTIA HEALTH FAMILY, MIDWEST MEDICAL EQUIPMENT AND SUPPLIES, INC.'S MISSION AS A CATHOLIC, BENEDICTINE SPONSORED FACILITY IS TO PROMOTE CHRIST'S MINISTRY OF HOLISTIC HEALING FOR ALL HUMAN LIFE WITH SPECIAL CONCERN FOR THE POOR AND POWERLESS.

  • MIDWEST MEDICAL EQUIPMENT AND SUPPLIES, INC., DBA ESSENTIA HEALTH MEDICAL EQUIPMENT & SUPPLIES, IS CREATED AND ORGANIZED EXCLUSIVELY FOR CHARITABLE, RELIGIOUS, EDUCATIONAL, AND SCIENTIFIC PURPOSES. MORE SPECIFICALLY, ESSENTIA HEALTH MEDICAL EQUIPMENT & SUPPLIES PROVIDES ORTHOTICS AND PROSTHETICS SERVICES TO PATIENTS OF ESSENTIA HEALTH AND THE SURROUNDING COMMUNITIES, INCLUDING CHARITABLE CARE TO PERSONS UNABLE TO PAY.ESSENTIA HEALTH MEDICAL EQUIPMENT & SUPPLIES EMPLOYS APPROXIMATELY 10 FULL TIME EQUIVALENTS AND HAD 1,000 ENCOUNTERS DURING THE FISCAL YEAR ENDED JUNE 30, 2024.DURING THE FISCAL YEAR ENDED JUNE 30, 2024, ESSENTIA HEALTH MEDICAL EQUIPMENT & SUPPLIES PROVIDED THE FOLLOWING COMMUNITY BENEFITS: $1,000 IN CHARITY CARE AND $116,000 COSTS IN EXCESS OF MEDICAID PAYMENTS.ESSENTIA HEALTH IS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTH SYSTEM THAT INCLUDES THIS ORGANIZATION AND ALL ENTITIES THAT ARE OWNED OR CONTROLLED, DIRECTLY OR INDIRECTLY, BY ESSENTIA HEALTH (COLLECTIVELY, THE "SYSTEM OR "ESSENTIA HEALTH").

    Expenses $2,027,878 · Revenue $1,691,069

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Daniel Nikcevich MD

    BOARD DIRECTOR/RELATED ORG PHYSICIAN

    Total calculated
    $899,178
    From this org
    $0
    From related orgs
    $838,948
    Other
    $60,230
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $782,526 related
    Bonus
    $0
    Other
    $0 + $56,422 related
    Deferred
    $0 + $22,699 related
    Nontaxable benefits
    $0 + $37,531 related
    Filer's total
    $0 + $899,178 related

  • Al Hurley

    PRESIDENT

    Total calculated
    $852,271
    From this org
    $0
    From related orgs
    $741,059
    Other
    $111,212
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $437,036 related
    Bonus
    $0 + $98,285 related
    Other
    $0 + $205,738 related
    Deferred
    $0 + $85,036 related
    Nontaxable benefits
    $0 + $26,176 related
    Filer's total
    $0 + $852,271 related

  • Kevin Boren

    VICE PRESIDENT, FINANCE

    Total calculated
    $587,978
    From this org
    $0
    From related orgs
    $482,367
    Other
    $105,611
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $407,946 related
    Bonus
    $0 + $46,603 related
    Other
    $0 + $27,818 related
    Deferred
    $0 + $64,653 related
    Nontaxable benefits
    $0 + $40,958 related
    Filer's total
    $0 + $587,978 related

  • Kelly Clark

    ORTHOTIST

    Total calculated
    $148,004
    From this org
    $109,248
    From related orgs
    $0
    Other
    $38,756
    Hours/week
    60

  • Joseph Vanderbosch

    ORTHOTICS/PROSTHETICS OPS MANAGER

    Total calculated
    $134,698
    From this org
    $119,663
    From related orgs
    $0
    Other
    $15,035
    Hours/week
    60

  • Kimberly Thomas-Westerman

    ORTHOTIST

    Total calculated
    $121,286
    From this org
    $102,240
    From related orgs
    $0
    Other
    $19,046
    Hours/week
    60

  • Joseph Mihalek

    BOARD CHAIR

    Total calculated
    $12,700
    From this org
    $0
    From related orgs
    $12,700
    Other
    $0
    Hours/week
    2 + 24 related

  • Renee Wachter

    BOARD VICE CHAIR THRU 12/23

    Total calculated
    $8,700
    From this org
    $0
    From related orgs
    $8,700
    Other
    $0
    Hours/week
    2 + 24 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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 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 3
ESTABLISHING CEO'S COMPENSATION: ESSENTIA HEALTH, AS A RELATED ORGANIZATION, USED THE FOLLOWING METHODS TO ESTABLISH ESSENTIA HEALTH MEDICAL EQUIPMENT & SUPPLIES' PRESIDENT'S COMPENSATION: A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4B
SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: ESSENTIA HEALTH'S NONQUALIFIED RETIREMENT PLAN IS OFFERED TO DESIGNATED ESSENTIA HEALTH EXECUTIVES. THERE IS A MINIMUM FOUR YEAR VESTING DATE, OR VESTING IS AUTOMATIC UPON REACHING RETIREMENT AGE, DEATH, DISABILITY OR INVOLUNTARY TERMINATION WITHOUT CAUSE. BENEFITS ARE SUBJECT TO INCOME TAXES UPON VESTING AND PAYABLE FROM ESSENTIA HEALTH'S GENERAL ASSETS. REPORTED AS OTHER REPORTABLE COMPENSATION IN SCHEDULE J, PART II, COLUMN B (III), THE FOLLOWING INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A RECEIVED PAYMENT OF THE VESTED BENEFIT FROM THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR: DANIEL NIKCEVICH, MD $50,786 AL HURLEY $195,546 KEVIN BOREN $25,627 REPORTED AS RETIREMENT AND OTHER DEFERRED COMPENSATION IN SCHEDULE J, PART II, COLUMN C, ESSENTIA HEALTH MADE CONTRIBUTIONS, SUBJECT TO THE VESTING TERMS, DURING THE YEAR INTO THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ON BEHALF OF THE FOLLOWING INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A: AL HURLEY $59,141 KEVIN BOREN $38,253

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.

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.

  • ESSENTIA HEALTH INSURANCE SERVICES SPC LTD

    C · SELF INSURANCE · CJ · controlled entity

  • MID DAKOTA CLINIC INC

    C · CLINIC OPERATIONS CEASED 9/30/22 · ND · controlled entity

Provenance

Return type
form_990
Tax year
2023
Filed
6 May 2025
IRS schema version
2023v6.0
Source object
202501269349302870

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