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Nonprofiteer
← NORTHWEST MICHIGAN HEALTH SERVICES INC

Form 990 for tax year 2022

Filed by NORTHWEST MICHIGAN HEALTH SERVICES INC.

Totals

Total revenue
$11,182,590
Total expenses
$9,704,254
Contributions and grants received
$6,912,737
Grants paid
$0
Program service revenue
$4,108,696
Investment income
$14,705
Other revenue
$146,452
Total assets, end of year
$8,918,294
Total liabilities, end of year
$2,196,009
Net assets or fund balances, end of year
$6,722,285
Program services expenses (Part IX)
$7,005,946
Management and general expenses
$2,698,308
Fundraising expenses
$0
Program service expenses (Part III)
$7,005,946

Program services were 72.2% 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.

  • 1e · Government grants (contributions)

    $6,454,247

  • 1f · All other contributions, gifts and grants

    $458,490

  • 2a · Program service revenue: PATIENT FEES

    total $3,831,283 · related or exempt $3,831,283

  • 2b · Program service revenue: THIRD PARTY INCENTIVE PAYMENT

    total $154,046 · related or exempt $154,046

  • 2c · Program service revenue: OTHER PROGRAM REVENUES

    total $97,795 · related or exempt $97,795

  • 2d · Program service revenue: SPACE IN CLINIC

    total $25,572 · related or exempt $25,572

  • 3 · Investment income

    total $4,527 · related or exempt $4,527

  • 7a · Gross sales of assets other than inventory

    securities $10,178

  • 7c · Gain or loss

    securities $10,178

  • 7d · Net gain or loss

    total $10,178 · related or exempt $10,178

  • 11a · Other revenue: MICHIGAN COMMUNITY HEALTH NET

    total $146,452 · related or exempt $146,452

  • 11e · Other revenue, total

    $146,452

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $192,803 · management and general $192,803

  • 7 · Other salaries and wages

    total $5,224,655 · program services $3,793,543 · management and general $1,431,112

  • 9 · Other employee benefits

    total $898,695 · program services $560,064 · management and general $338,631

  • 11g · Fees: other

    total $1,039,670 · program services $1,009,611 · management and general $30,059

  • 12 · Advertising and promotion

    total $136,922 · program services $118,044 · management and general $18,878

  • 13 · Office expenses

    total $74,916 · program services $130 · management and general $74,786

  • 14 · Information technology

    total $417,177 · program services $416,134 · management and general $1,043

  • 16 · Occupancy

    total $314,059 · program services $314,059

  • 17 · Travel

    total $159,037 · program services $8,835 · management and general $150,202

  • 19 · Conferences, conventions and meetings

    total $118,223 · program services $24,378 · management and general $93,845

  • 22 · Depreciation, depletion and amortization

    total $283,361 · program services $206,399 · management and general $76,962

  • 23 · Insurance

    total $35,884 · management and general $35,884

  • 24a · Other expenses: CLINIC SUPPLIES

    total $295,507 · program services $295,507

  • 24b · Other expenses: MINOR EQUIPMENT

    total $159,507 · program services $36,259 · management and general $123,248

  • 24c · Other expenses: PHARMACY

    total $129,130 · program services $120,672 · management and general $8,458

  • 24d · Other expenses: RECRUITMENT

    total $53,548 · program services $48,983 · management and general $4,565

  • 24e · All other expenses

    total $171,160 · program services $53,328 · management and general $117,832

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $746,819 · end of year $2,205,663

  • 2 · Savings and temporary cash investments

    beginning of year $459,605 · end of year $666,334

  • 3 · Pledges and grants receivable

    beginning of year $2,459 · end of year $52,628

  • 4 · Accounts receivable

    beginning of year $1,969,243 · end of year $1,201,703

  • 9 · Prepaid expenses and deferred charges

    beginning of year $24,997 · end of year $2,775

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

    $5,837,513

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

    $2,013,901

  • 10c · Land, buildings and equipment, net

    beginning of year $3,637,933 · end of year $3,823,612

  • 14 · Intangible assets

    end of year $965,579

  • 17 · Accounts payable and accrued expenses

    beginning of year $404,529 · end of year $332,886

  • 19 · Deferred revenue

    beginning of year $258,127

  • 23 · Secured mortgages and notes payable

    beginning of year $783,439 · end of year $750,707

  • 25 · Other liabilities

    end of year $1,112,416

  • 27 · Net assets without donor restrictions

    beginning of year $5,391,347 · end of year $6,718,670

  • 28 · Net assets with donor restrictions

    beginning of year $3,614 · end of year $3,615

Mission and programs · 2022

Mission

TO PROVIDE QUALITY MEDICAL AND DENTAL PRIMARY CARE SERVICES TO PERSONS OF ALL AGES IN NORTHWEST MICHIGAN REGARDLESS OF ABILITY TO PAY.

  • MEDICAL SERVICES - TO PROMOTE AND PROVIDE GOOD CLINICAL SERVICES THAT MEET THE NEEDS OF THE PATIENTS AND ARE PROVIDED IN ACCORDANCE WITH ETHICAL AND PROFESSIONAL PRACTICES AND LEGAL REQUIREMENTS. THESE SERVICES ARE PROVIDED AND COORDINATED WITHIN THE WELLNESS HOME MODEL AND ARE PATIENT-CENTERED, PHYSICIAN-DIRECTED, COMPREHENSIVE, ACCESSIBLE, CONTINUOUS, AND ORGANIZED TO MEET THE NEEDS OF THE INDIVIDUAL PATIENT SERVED.

    Expenses $3,145,211 · Revenue $1,853,493

  • DENTAL SERVICES - TO PROMOTE AND PROVIDE GOOD DENTAL SERVICES THAT MEET THE NEEDS OF THE PATIENTS AND ARE PROVIDED IN ACCORDANCE WITH ETHICAL AND PROFESSIONAL PRACTICES AND LEGAL REQUIREMENTS. THESE SERVICES ARE PROVIDED AND COORDINATED WITHIN THE WELLNESS HOME MODEL AND ARE PATIENT-CENTERED, DENTIST-DIRECTED, COMPREHENSIVE, ACCESSIBLE, CONTINUOUS, AND ORGANIZED TO MEET THE NEEDS OF THE INDIVIDUAL PATIENT SERVED.

    Expenses $3,005,069 · Revenue $1,771,116

  • BEHAVIORAL HEALTH - TO PROMOTE AND MAINTAIN GOOD MENTAL AND BEHAVIORAL HEALTH OF OUR PATIENTS BY INCREASING HEALTH KNOWLEDGE, PROVIDING AN IMMEDIATE ACCESS POINT, AND COORDINATING CARE WITHIN THE WELLNESS HOME MODEL.

    Expenses $855,666 · Revenue $484,087

As filed on the 2022 return.

Listed in Part VII

  • Jhandi Ramandeep

    DENTIST

    Total calculated
    $196,108
    From this org
    $177,129
    From related orgs
    $0
    Other
    $18,979
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $177,129
    Bonus
    not reported
    Other
    not reported
    Deferred
    $18,979
    Nontaxable benefits
    not reported
    Filer's total
    $196,108

  • Heidi Britton

    EXECUTIVE DI

    Total calculated
    $192,803
    From this org
    $173,659
    From related orgs
    $0
    Other
    $19,144
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $173,659
    Bonus
    not reported
    Other
    not reported
    Deferred
    $19,144
    Nontaxable benefits
    not reported
    Filer's total
    $192,803

  • Kathryn Wynkoop Ikuma

    DENTIST

    Total calculated
    $170,828
    From this org
    $161,507
    From related orgs
    $0
    Other
    $9,321
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $161,507
    Bonus
    not reported
    Other
    not reported
    Deferred
    $9,321
    Nontaxable benefits
    not reported
    Filer's total
    $170,828

  • David Velek

    DENTIST

    Total calculated
    $149,607
    From this org
    $131,296
    From related orgs
    $0
    Other
    $18,311
    Hours/week
    40

  • Diana Moran

    FAMILY NP

    Total calculated
    $134,468
    From this org
    $118,819
    From related orgs
    $0
    Other
    $15,649
    Hours/week
    40

  • Lisa Allen

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Dalia Estrada

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Karen Goodman

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Kirk Meyers

    PRESIDENT

    Total calculated
    $0
    Hours/week
    2

  • Fernando Meza

    VICE PRESIDE

    Total calculated
    $0
    Hours/week
    2

  • J Edson Pontes

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Rochelle Radlinski

    SECRTARY

    Total calculated
    $0
    Hours/week
    2

  • Cathy Rybicki

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Larry Van Sickle

    TREASURER

    Total calculated
    $0
    Hours/week
    2

  • David Wild

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

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 · Form 990 of other organizations
  • 3 · Written employment contract
  • 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.

Provenance

Return type
form_990
Tax year
2022
Filed
29 September 2023
IRS schema version
2022v5.0
Source object
202322769349301062

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