2024-02-15T13:09:18-06:00 2023-03-31 381357951 PLANTE & MORAN PLLC 600 E FRONT ST STE 300 TRAVERSE CITY MI 49686 990 2022-04-01 382800065 HOLLAND COMMUNITY HOSPITAL HOLL 6163925141 602 MICHIGAN AVENUE HOLLAND MI 49423 ALEX ROEHLING VICE PRESIDENT & CFO 6163925141 2024-02-14 1 ALEX ROEHLING 999009999 1 DAVID LOWENTHAL P00378651 2319477800 2024-02-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z HOLLAND HOSPITAL DALE SOWDERS 602 MICHIGAN AVENUE HOLLAND MI 49423 317069169 0 X WWW.HOLLANDHOSPITAL.ORG X 1985 MI TO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY. 13 11 2662 220 1281137 0 4351677 3182715 296613281 290349612 23346030 7327104 344425 1363944 324655413 302223375 749990 740782 0 0 165255541 172564367 0 0 0 132584667 123522985 298590198 296828134 26065215 5395241 587178099 538455157 152813279 121850969 434364820 416604188 X TO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY. 0 0 271884925 740782 289643938 HOLLAND HOSPITAL, LOCATED IN HOLLAND, MI, IS A NATIONALLY RECOGNIZED LEADER IN EXCEPTIONAL QUALITY, VALUE AND PATIENT EXPERIENCE. IT IS ONE OF THE FEW HOSPITALS ACROSS THE COUNTRY THAT HAS CONSISTENTLY EARNED THE TOP 5-STAR RATING FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES SINCE THE STAR RATINGS WERE INTRODUCED. THE HOSPITAL OFFERS A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES, MULTIPLE CONVENIENT LOCATIONS AND READY ACCESS TO A VARIETY OF EXPERT PRIMARY CARE PROVIDERS AND EXPERIENCED SPECIALISTS.FOR 105 YEARS, HOLLAND HOSPITAL'S MISSION HAS BEEN TO CONTINUALLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY. WE MEASURE OUR ACHIEVEMENTS ON FIVE STRATEGIC ESSENTIALS: GROWTH, QUALITY, SUPERIOR SERVICE, SUPERIOR WORKFORCE AND FINANCIAL STRENGTH.QUALITY, VALUE AND PATIENT EXPERIENCETHE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) USES THE OVERALL HOSPITAL QUALITY STAR RATINGS SYSTEM TO EVALUATE AND COMPARE HOSPITALS NATIONWIDE. THE SYSTEM SUMMARIZES NUMEROUS QUALITY MEASURES INTO A UNIFIED RATING OF ONE TO FIVE STARS. HOLLAND HOSPITAL IS AMONG JUST 14% OF HOSPITALS IN THE NATION TO EARN THE TOP RATING. HOLLAND HOSPITAL IS ALSO AMONG THE REGION'S LOWEST COST PROVIDERS, DELIVERING SUPERIOR VALUE FOR EVERY HEALTH CARE DOLLAR.IN 2023, HOLLAND HOSPITAL CONTINUED TO EARN TOP AWARDS FROM HEALTHGRADES, THE LEADING SOURCE OF CONSUMER INFORMATION ON HOSPITAL PERFORMANCE. HEALTHGRADES EVALUATES ALL THE NATION'S ACUTE CARE HOSPITALS (OVER 4,500) BASED ON CLINICAL OUTCOMES DATA. THIS YEAR HOLLAND HOSPITAL IS AGAIN RATED AS ONE OF AMERICA'S 50 BEST HOSPITALS FOR SURGICAL CARE (3 YEARS IN A ROW) AND IS THE ONLY HOSPITAL IN MICHIGAN TO EARN THAT RECOGNITION. IT IS ALSO RANKED ONE OF AMERICA'S 100 BEST HOSPITALS AND #1 IN MICHIGAN FOR BOTH ORTHOPEDIC SURGERY AND JOINT REPLACEMENT, AMONG MANY OTHER AWARDS. IN ADDITION, HOLLAND HOSPITAL HAS EARNED THE OUTSTANDING PATIENT EXPERIENCE AWARD FROM HEALTHGRADES FOR 15 YEARS IN A ROW.THE ORGANIZATION IS ONE OF A SELECT GROUP OF HOSPITALS TO ACHIEVE AND MAINTAIN THE INTERNATIONAL STANDARD FOR QUALITY - ISO 9001:2008 CERTIFICATION. THIS UNIVERSAL BENCHMARK DEMONSTRATES THE HOSPITAL'S ONGOING COMMITMENT TO ORGANIZATIONAL EXCELLENCE. OUR DEDICATION TO SYSTEMATICALLY IMPROVE QUALITY IS THE FOUNDATION OF SUPERIOR OUTCOMES AND HIGHER PATIENT SATISFACTION. PROGRAMS / SERVICESHIGHLIGHTS OF PROGRAMS AND SERVICES INCLUDE:BOVEN BIRTH CENTERHOLLAND HOSPITAL'S PREMIER BIRTH CENTER FEATURES THE MOST RECENT ADVANCEMENTS IN TECHNOLOGY AND PATIENT CARE INCLUDING 21 PRIVATE BIRTHING SUITES, EIGHT LABOR-DELIVERY ROOMS, A WELL-BABY NURSERY, STATE-OF-THE-ART OPERATING ROOM, AND MORE. AN EIGHT-BED SPECIAL CARE NURSERY PROVIDES PRE-TERM AND TERM BABIES WHO NEED SPECIALIZED ATTENTION WITH EXTRA MONITORING AND CARE BEFORE GOING HOME. BARIATRIC SERVICESBARIATRIC SERVICES ARE OFFERED AT HOLLAND HOSPITAL TO MEET THE GROWING NEED FOR THIS LIFE-CHANGING WEIGHT LOSS SURGERY IN OUR COMMUNITY. IN PARTNERSHIP WITH GRAND HEALTH PARTNERS, AN EXPERIENCED SURGICAL TEAM IN WEST MICHIGAN, HOLLAND HOSPITAL PROVIDES A MULTIDISCIPLINARY, TAILORED APPROACH TO WEIGHT LOSS, INCLUDING SURGICAL AND NONSURGICAL INTERVENTIONS.BEHAVIORAL HEALTHHOLLAND HOSPITAL OFFERS INPATIENT AND OUTPATIENT MENTAL HEALTH SERVICES TO ADDRESS SPECIFIC NEEDS. TREATING THE WHOLE PERSONMIND, BODY AND SPIRITIN A CONFIDENTIAL SETTING, OUR BEHAVIORAL HEALTH SPECIALISTS ARE DEDICATED TO DELIVERING PERSONALIZED CARE AND ATTENTION. IN ADDITION TO BOTH INPATIENT AND OUTPATIENT CARE, WE OFFER A PARTIAL HOSPITALIZATION PROGRAM FOR ADULTS WHO REQUIRE MORE SUPPORT THAN TRADITIONAL OUTPATIENT TREATMENT. BREAST CAREHOLLAND HOSPITAL IS NATIONALLY RECOGNIZED AS A BREAST IMAGING CENTER OF EXCELLENCE, AS WELL AS ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY. OUR BREAST CARE PROGRAM PROVIDES EXPERT, COORDINATED CARE DELIVERED BY AN EXPERIENCED MULTIDISCIPLINARY TEAM. OUR MAMMOGRAPHY AND BREAST IMAGING SERVICES MEET THE HIGHEST STANDARDS FOR IMAGE QUALITY AND PATIENT SAFETY. THE HOSPITAL'S BREAST CARE INCLUDES A HIGH-RISK BREAST CLINIC AND BREAST CANCER TREATMENT WHICH IS PROVIDED BY A TEAM OF RADIOLOGISTS, PATHOLOGISTS, SURGEONS, MEDICAL ONCOLOGISTS, RADIATION ONCOLOGISTS, PHYSICAL AND OCCUPATIONAL THERAPISTS, AND A NURSE NAVIGATOR WHO SERVES AS THE PATIENT'S GUIDE AND ADVOCATE.CARDIAC CATHETERIZATION LABHOLLAND HOSPITAL'S CATH LAB DEPARTMENT HAS STATE-OF-THE-ART PROCEDURE ROOMS WITH THE LATEST TECHNOLOGY, IMAGING EQUIPMENT WITH THE HIGHEST RESOLUTION AND LOWEST RADIATION AVAILABLE FOR CARDIAC INTERVENTIONS AND A SPECIAL PROCEDURES ROOM FOR PERIPHERAL VASCULAR CARE AND PACEMAKER IMPLANTS. AS A PARTICIPATING HOSPITAL IN THE STATE-WIDE BMC2 CARDIOVASCULAR CONSORTIUM, HOLLAND HOSPITAL CONTINUOUSLY WORKS TO IMPROVE THE QUALITY OF CARDIOVASCULAR PROCEDURES AND PATIENT OUTCOMES. ENDOCRINOLOGYIN 2023, HOLLAND HOSPITAL INTRODUCED ENDOCRINOLOGY SERVICES WHICH OFFERS COMPREHENSIVE DIAGNOSIS, TREATMENT AND MANAGEMENT OF ALL ENDOCRINE CONDITIONS. OUR EXPERTS PROVIDE CARE FOR OBESITY AND WEIGHT-RELATED DISORDERS, METABOLIC SYNDROME, TYPE 2 DIABETES, FATTY LIVER, POLYCYSTIC OVARY SYNDROME, PITUITARY, THYROID AND ADRENAL DISORDERS, HORMONE THERAPY, BONE AND CALCIUM DISORDERS AND MORE.GASTROENTEROLOGYHOLLAND HOSPITAL SPECIALISTS HAVE EXTENSIVE EXPERIENCE TREATING HEARTBURN AND GERD WITH THE LATEST CARE OPTIONS. THIS YEAR, THE HOLLAND HOSPITAL MEDICAL GROUP ADDED A NEW GASTROENTEROLOGY MEDICAL OFFICE TO BEST SERVE AREA PATIENTS IN NEED OF DIGESTIVE HEALTH EXPERTISE. THE HOLLAND HOSPITAL ENDOSCOPY CENTER PERFORMS ADVANCED DIAGNOSTIC PROCEDURES AND TREATMENTS IN A COMFORTABLE SETTING WHILE OUR REFLUX CENTER PROVIDES CLOSE-TO-HOME ACCESS TO PROCEDURES SUCH AS LAPAROSCOPIC NISSEN FUNDOPLICATION (LNF) AND THE LINX REFLUX PROCEDURE. ORTHOPEDICS / JOINT REPLACEMENTHOLLAND HOSPITAL UTILIZES ADVANCED TECHNOLOGY INCLUDING MAKO ROBOTIC-ASSISTED SURGERY FOR KNEE REPLACEMENT AND ANTERIOR HIP REPLACEMENT FOR FAST RECOVERY AND EXCEPTIONAL OUTCOMES. OUR SPINE & ORTHOPEDICS UNIT FEATURES SUPERIOR DESIGN AND FUNCTION FOR AN EXCELLENT PATIENT EXPERIENCE. EXPERT CARE LEADS TO FAST RECOVERY AND SHORTER HOSPITAL STAYS, SO MOST OF THE HOSPITAL'S JOINT REPLACEMENTS ARE CLASSIFIED AS OUTPATIENT. IN LINE WITH THIS TREND, HOLLAND HOSPITAL HAS PARTNERED WITH SHORELINE ORTHOPAEDICS (THE LEADING LOCAL ORTHOPEDIC SURGERY PRACTICE) IN A JOINT VENTURE TO BUILD A NEW ORTHOPEDIC CENTER WHICH WILL DELIVER A FULL RANGE OF ORTHOPEDIC CARE AND OUTPATIENT SURGERY, BEGINNING IN EARLY 2025.STROKE CARE HOLLAND HOSPITAL ACTIVELY WORKS TO COMMUNICATE STROKE SIGNS AND SYMPTOMS WITHIN OUR SERVICE AREA AND ENCOURAGE RESIDENTS WHO MAY BE HAVING A STROKE TO CALL 911 IMMEDIATELY FOR TRANSPORT TO THE ER, WHERE OUR EXPERIENCED STROKE TEAM IS READY TO DELIVER APPROPRIATE CARE. SURGICAL SERVICESHOLLAND HOSPITAL IS RANKED #1 IN MICHIGAN BY HEALTHGRADES AND AMONG AMERICA'S 50 BEST HOSPITALS FOR SURGICAL CARE. OUR TECHNOLOGY INCLUDES THE DA VINCI XI SURGICAL SYSTEM WHICH ENABLES SURGEONS TO PERFORM CERTAIN SURGERIES THROUGH TINY INCISIONS FOR FASTER RECOVERY AND LESS PAIN. THE HOSPITAL ALSO OFFERS THE MAZOR X SYSTEM FOR MINIMALLY INVASIVE SURGERY WHICH PROVIDES SAFER, MORE EFFICIENT SPINAL FUSION SURGERIES. IN ADDITION, HOLLAND HOSPITAL IS THE FIRST AREA HOSPITAL TO OFFER THE OLYMPUS SOLTIVE, A NEW LASER TECHNOLOGY THAT ENABLES QUICKER AND MORE EFFECTIVE KIDNEY STONE REMOVAL.WOMEN'S SPECIALTY CAREOUR WOMEN'S SPECIALTY CARE OFFERS A RANGE OF SERVICES FOR WOMEN'S HEALTH NEEDS AT EVERY LIFE STAGE. THE PRACTICE PROVIDES ACCESS TO PERSONALIZED CARE, SPECIALIZED SUPPORT AND ADVANCED TECHNOLOGY IN A COMFORTABLE SETTING. PROVIDERS ARE CERTIFIED IN MENOPAUSAL CARE AND TREAT A BROAD SCOPE OF HEALTH NEEDS FOR WOMEN THROUGHOUT OUR SERVICE AREA AND BEYOND.VIRTUAL VISITS AND TELEHEALTHFOR CONVENIENT ACCESS TO CARE, ALL HOLLAND HOSPITAL MEDICAL PRACTICES OFFER VIRTUAL VISITS (ONLINE PROVIDER APPOINTMENTS) WHICH CONTINUE TO EXPAND. WE ALSO OFFER TELEHEALTH MONITORING TO ENSURE EXCELLENT OUTCOMES AND REDUCE RE-HOSPITALIZATIONS. THE TELEHEALTH CAPABILITIES OFFER A SIMPLE-TO-USE IN-HOME ELECTRONIC DEVICE THAT COLLECTS VITAL SIGNS AND TRANSMITS DATA TO MONITOR PATIENT CONDITIONS AND GUIDE APPROPRIATE ACTION. CONTINUATION OF LINE 4A:CONVENIENT PRIMARY AND SPECIALTY CARETO BEST SERVE THE LAKESHORE AREA, HOLLAND HOSPITAL OFFERS A COMPREHENSIVE HEALTH CARE NETWORK FEATURING A MEDICAL GROUP THAT INCLUDES FAMILY MEDICINE, INTERNAL MEDICINE, INTERNAL MEDICINE & PEDIATRICS, AND A BROAD RANGE OF SPECIALTY CARE PRACTICES. IN RECENT YEARS, WE HAVE ADDED MANY NEW PRIMARY CARE PROVIDERS AND SPECIALISTS TO EXPAND ACCESS TO CARE AND PREPARE TO MEET THE GROWING NEED FOR HEALTH CARE WITHIN THE COMMUNITY. IN 2023, WE EXPANDED OUR PRIMARY CARE FACILITIES IN GRAND HAVEN, MI TO BEST SERVE OUR GROWING PATIENT POPULATION TO THE NORTH AND EXPANDED SPECIALTY CARE THERE AS WELL. IN ADDITION, WE BEGAN CONSTRUCTION ON A NEW MEDICAL OFFICE BUILDING IN SAUGATUCK, MI TO EXPAND SERVICES TO THE SOUTH. IMMEDIATE CARE OPTIONS INCLUDE OUR WALK-IN CARE AND URGENT CARE. FOR LIFE-THREATENING CONCERNS, EMERGENCY SERVICES ARE OPEN 24/7.WORKPLACE EXCELLENCE - FOR THE 21ST YEAR IN A ROW, HOLLAND HOSPITAL HAS BEEN SELECTED AS A WINNER IN WEST MICHIGAN'S BEST AND BRIGHTEST COMPANIES TO WORK FOR COMPETITION - MAKING IT THE ONLY HEALTH CARE ORGANIZATION TO ACHIEVE THIS MILESTONE. THE MUCH SOUGHT-AFTER RECOGNITION IDENTIFIES ORGANIZATIONS THAT ARE COMMITTED TO EXCELLENCE IN THEIR HUMAN RESOURCE PRACTICES AND EMPLOYEE ENRICHMENT. EACH ORGANIZATION IS ASSESSED BY ITS OWN EMPLOYEES IN THE AREAS OF COMMUNICATION, WORK-LIFE BALANCE, EMPLOYEE EDUCATION, DIVERSITY, RECOGNITION, RETENTION AND MORE. COMMUNITY OUTREACH PROGRAMS - HOLLAND HOSPITAL SERVES THE GREATER COMMUNITY IN MANY WAYS BEYOND OUR INPATIENT AND OUTPATIENT CARE SERVICES. IN ADDITION TO THE CONTRIBUTIONS RECEIVED FROM THROUGHOUT THE COMMUNITY, THIS YEAR MARKS THE 24TH EMPLOYEE CAMPAIGN. THANKS TO THE STEADFAST COMMITMENT AND GENEROSITY OF MANY EMPLOYEES AND VOLUNTEERS, OUR STAFF HAS RAISED OVER $1 MILLION IN SUPPORT OF OUR OUTREACH PROGRAMS SINCE 1999. OUR COMMUNITY OUTREACH PROGRAMS INCLUDE:HOLLAND COMMUNITY HEALTH CENTER (CHC) - THE CHC IS SERVICE OF HOLLAND HOSPITAL WHICH PROVIDES AFFORDABLE, PRIMARY CARE SERVICES IN A DOCTOR'S OFFICE SETTING. THE MAJORITY OF PATIENTS LACK ADEQUATE HEALTH INSURANCE. NEARLY HALF OF THE PATIENTS ARE CHILDREN. CHC ALSO ACQUIRES AND DISTRIBUTES FREE MEDICATIONS FOR THOSE WHO CANNOT AFFORD THEM. THIS ESSENTIAL CARE MAKES A SIGNIFICANT DIFFERENCE IN THE HEALTH OF OUR COMMUNITY.SCHOOL NURSING PROGRAM - HOLLAND HOSPITAL'S SCHOOL NURSES ADDRESS THE HEALTH NEEDS OF OVER 12,000 CHILDREN IN 26 SCHOOLS IN FIVE LOCAL SCHOOL DISTRICTS. MANY OF THE STUDENTS LIVE AT OR BELOW THE POVERTY LEVEL AND DO NOT RECEIVE REGULAR MEDICAL CARE OUTSIDE OF SCHOOL. BREAST CARE FUND - THE BREAST CARE FUND COVERS THE COST OF SCREENING AND DIAGNOSTIC MAMMOGRAMS, ULTRASOUNDS AND BIOPSIES FOR HUNDREDS OF WOMEN IN OUR COMMUNITY WHO DO NOT HAVE INSURANCE COVERAGE FOR THESE LIFESAVING TESTS.COMMUNITY HEALTH AND WELLNESS - OUR HEALTHY LIFE PROGRAMS OFFER A VARIETY OF CLASSES AND INDIVIDUAL EDUCATION OPPORTUNITIES TO SERVE THE COMMUNITY. THE HEALTHY LIFE PROGRAMS OFFICE ALSO WORKS WITH AREA BUSINESSES TO PROVIDE CHRONIC DISEASE MANAGEMENT AND BEHAVIOR CHANGE PROGRAMS FOR EMPLOYEES.COMMUNITY HEALTH NEEDS ASSESSMENTHOLLAND HOSPITAL PARTICIPATES IN THE OTTAWA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT TO ASSESS THE GENERAL HEALTH OF AREA RESIDENTS AND IDENTIFY NEEDS AND OPPORTUNITIES FOR IMPROVEMENT. AS A SPONSOR AND PARTICIPANT, HOLLAND HOSPITAL USES THE FINDINGS TO HELP GUIDE PRIORITIES AND PROGRAM DEVELOPMENT.SUMMARY THE FOLLOWING STATISTICS PROVIDE A SNAPSHOT OF OUR APPROXIMATE ANNUAL HEALTH CARE VOLUMES:ADMISSIONS = 6,100PATIENT DAYS / OVERNIGHT STAYS = 25,600BIRTHS = 1,180SURGERIES/ENDOSCOPIES = 16,400EMERGENCY ROOM VISITS = 37,600URGENT CARE VISITS = 33,500OUTPATIENT VISITS = 532,100HOME HEALTH VISITS = 26,600LAB TESTS = 746,900RADIOLOGY PROCEDURES = 135,000UNCOMPENSATED MEDICAL COSTS HOLLAND HOSPITAL REMAINS COMMITTED TO CARING FOR MEMBERS OF OUR COMMUNITY WHO ARE UNINSURED OR UNDER-INSURED. IN FY 2023, HOLLAND HOSPITAL PROVIDED UN-REIMBURSED CARE TO OUR PATIENTS AT A COST OF $51 MILLION, DURING ANOTHER PARTICULARLY DIFFICULT YEAR.2023 COMMUNITY BENEFIT SUMMARY $51 MILLION TOTAL COMMUNITY BENEFITUNPAID COST OF MEDICAID $12,955,000UNPAID COST OF MEDICARE $22,075,000CHARITY CARE $1,556,000 BAD DEBT $8,924,000OTHER COMMUNITY BENEFITS (NOTE A) $5,697,000FINANCE COMMENT: CHARITY IS REPORTED AT COST NOTE A OTHER COMMUNITY BENEFITS INCLUDE: COMMUNITY EDUCATION & OUTREACH PROGRAMS CASH, IN-KIND DONATIONS & CONTRIBUTIONS HOLLAND COMMUNITY HEALTH CENTER STUDENT NURSING PROGRAM HEALTH PROFESSIONAL EDUCATION & RESEARCH HOLLAND HOSPITAL SUBSIDIZED SERVICES 271884925 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 0 1 0 0 0 0 0 0 0 1 1 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 161 0 1 2662 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 1 1 X ALEXANDER ROEHLING 6163943456 602 MICHIGAN AVE HOLLAND MI 49423 DALE M SOWDERS PRESIDENT-CEO 40.00 1.00 X X 786416 0 22480 DAVE MASON CHAIR 1.00 1.00 X X 0 0 0 SHELLY MACIEJEWSKI SECRETARY 1.00 1.00 X X 0 0 0 JUANITA BOCANEGRA TRUSTEE 1.00 1.00 X 0 0 0 MICHAEL HILL TRUSTEE 1.00 1.00 X 0 0 0 BILL VANDER VLIET MD TRUSTEE 1.00 1.00 X 0 0 0 GWEN AUWERDA TRUSTEE 1.00 1.00 X 0 0 0 LESLIE BROWN TRUSTEE 1.00 1.00 X 0 0 0 KEN FILIPPINI TRUSTEE 1.00 1.00 X 0 0 0 GREG CHRISTIE TRUSTEE 1.00 1.00 X 0 0 0 DOUG HOEY TRUSTEE 1.00 1.00 X 0 0 0 BARBARA DEPREE MD TRUSTEE 40.00 1.00 X 169716 0 17310 HAANS MULDER TRUSTEE 1.00 1.00 X 0 0 0 STEPHEN MAUGER TRUSTEE - PART YEAR 40.00 1.00 X 554481 0 26714 MARK L PAWLAK SVP, QUALITY, IS & HOSP OP 40.00 1.00 X 580861 0 17327 PATTI VANDORT SVP, CNO, REHAB SERV, MARK 40.00 1.00 X 555272 0 15858 ALEX ROEHLING VP, FINANCE & CFO 40.00 1.00 X 301623 0 7769 JOSEPH D BONELLO VICE PRESIDENT, NURSING-CNO 40.00 1.00 X 269814 0 24737 DERICK M JOHNSON PHYSICIAN 40.00 0.00 X 1479678 0 26446 JOSEPH B VANDERMEER PHYSICIAN 40.00 0.00 X 635846 0 26750 MICHAEL A TRAVER PHYSICIAN 40.00 0.00 X 672014 0 26604 PETER K HOEKMAN PHYSICIAN 40.00 0.00 X 586289 0 16224 TOBY F LEES PHYSICIAN 40.00 0.00 X 664347 0 26714 7256357 0 254933 181 0 1 0 CERNER PO BOX 165750 KANSAS CITY MO 64116 SOFTWARE - PURCHASED MAINTENANCE 4257570 TRIMEDX 5451 LAKEVIEW PKWY S DR INDIANAPOLIS IN 46268 HOUSEKEEPING 4002173 ARAMARK CORPORATION 12483 COLLECTIONS CENTER DR CHICAGO IL 60693 HOUSEKEEPING 2463854 SHORELINE ORTHOPAEDICS 370 120TH AVE 20 HOLLAND MI 49424 PHYSICIAN SERVICES 1083571 ALLIANCE HNI LLC 525 S GOULD ST OWOSSO MI 48867 OUTSIDE SERVICES 1079427 56 145184 964587 2072944 3182715 NET PATIENT SERVICE REVENUE 621500 261564311 261564311 PHARMACY SALES UNDER SEC. 340B 456110 18724243 18724243 QUALITY INCENTIVE PAYMENTS 621500 6474625 6474625 OTHER RELATED REVENUE 900099 2305296 2305296 LAB ACTIVITY 621500 1281137 1281137 290349612 4590658 4590658 1127046 551583 575463 575463 575463 15577315 1415219 14158339 97749 1418976 1317470 2736446 2736446 8383 145184 8383 0 27365 29740 -2375 -2375 CAFETERIA REVENUE 900099 790856 790856 790856 302223375 289643938 1281137 8115585 740782 740782 2317448 591918 1725530 131684371 119185171 12499200 28803008 23390643 5412365 9759540 8559234 1200306 91661 91661 800069 800069 21938814 21630586 308228 876572 809300 67272 1338212 1259402 78810 8666718 8002605 664113 7567083 7328312 238771 425046 353356 71690 3058805 2781655 277150 17178751 16267097 911654 768415 716475 51940 MEDICAL SUPPLIES & DRUG 50764131 50575177 188954 PROVISION FOR BAD DEBTS 8816476 8816476 SUPPLY CHAIN 445175 445175 VOLUNTEER SERVICES 113505 113505 673552 318056 355496 296828134 271884925 24943209 0 43083801 12520993 12020465 30604315 27403646 8283459 8290310 5495938 4530697 328233703 192831184 139638226 135402519 247798640 238120379 90162583 85438372 22111137 14727776 587178099 538455157 24919319 17819969 1531739 974786 86060924 82751599 40301297 20304615 152813279 121850969 X 432997125 415229081 1367695 1375107 434364820 416604188 587178099 538455157 X 5395241 -24516073 1360200 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 18350 18350 0 PART II-B, LINE 1: THE HOSPITAL PAYS DUES TO THE MICHIGAN HOSPITAL ASSOCIATION, AMERICAN HEALTH ASSOCIATION, AND AMERICAN MEDICAL GROUP ASSOCIATION, A PORTION OF WHICH GOES TOWARDS LOBBYING ACTIVITIES. 585000 14745 14745 585000 585000 11187 11187 585000 585000 12996 12996 585000 585000 12665 12665 585000 585000 14900 14900 585000 0.00000 1.00000 0.00000 0 0 12959020 12959020 160669282 80192379 80476903 4916915 4215091 701824 144410875 108423714 35987161 5277611 5277611 135402519 INVESTMENTS IN AFFILIATED ENTITIES 5023688 F INVESTMENT IN OTHER VENTURE 80414684 F 85438372 PROFESSIONAL LIABILITY INSURANCE 5552458 COST REPORT SETTLEMENT PAYABLE 2769888 LEASE LIABILITY 11982269 20304615 269094918 -24516073 1979920 -22536153 291631071 800069 9792235 10592304 302223375 286855550 619720 619720 286235830 800069 9792235 10592304 296828134 PART V, LINE 4: EARNINGS FROM THE PERMANENT ENDOWMENTS ARE INTENDED BY THE DONORS TO SUPPORT SCHOOL NURSING PROGRAMS AND TO HELP LOCAL INDIVIDUALS WHO ARE LACKING IN HEALTH INSURANCE/ FINANCIAL CAPACITY TO ACCESS HEALTH CARE. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 551,583. GAMING EXPENSES 29,740. GAIN/LOSS ON SALE OF ASSETS 38,397. GAIN ON EQUITY INVESTMENTS 1,360,200. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 8,816,476. EXPENSES RECORDED AGAINST INCOME 975,759. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SALE OF ASSETS 38,397. RENTAL EXPENSE 551,583. GAMING EXPENSES 29,740. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 8,816,476. EXPENSES RECORDED AGAINST INCOME 975,759. CULINARY CABARET 153567 145184 8383 8383 153567 145184 8383 8383 8383 0 27365 1000 23215 5525 1 0.95000 27365 1000 23215 5525 29740 -2375 MI 1 0 1 0 0.00000 1.00000 COLLEEN PERDOK 602 MICHIGAN AVE HOLLAND MI 49423 0 COLLEEN PERDOK 0 FUND DEVELOPMENT COORDINATOR X 0 SCHEDULE G, PART III, LINE 16: INCLUDED IN COLLEEN PERDOK'S RESPONSIBILITIES IS THE ROLE OF GAMING MANAGER; HOWEVER, THE AMOUNT OF COMPENSATION ALLOCATED TO THIS ROLE IS MINIMAL. 1 1 X 1 X 225.000000000000 1 X 1 1 0 1 1 1574891 1574891 0.00550 33961520 27402209 6559311 0.02280 35536411 27402209 8134202 0.02830 1647452 36477 1610975 0.00560 230033 230033 0.00080 892073 892073 0.00310 2769558 36477 2733081 0.00950 38305969 27438686 10867283 0.03780 666770 666770 0.00230 666770 666770 0.00230 0 8816476 0 26937846 32806520 -5868674 X 1 1 1 HOLLAND PHO COORD. RESOURCES FOR ITS MEMBERS FOR THE DELIVERY OF QUALITY HEALTH CARE. 0.50000 0.00000 0.50000 1 1 HOLLAND COMMUNITY HOSPITAL 602 MICHIGAN AVE HOLLAND MI 49423 WWW.HOLLANDHOSPITAL.ORG 1060000036 X X X HOLLAND COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X X 20 1 1 1 1 X HTTPS://TINYURL.COM/YAG4VGPR X HTTPS://TINYURL.COM/YDUJWJR4 X X 1 20 1 HTTPS://TINYURL.COM/YAG4VGPR 0 1 X 225.000000000000 300.000000000000 X X 1 1 X X X X 1 X TINYURL.COM/Y78LJRTZ X TINYURL.COM/Y78LJRTZ X TINYURL.COM/Y78LJRTZ X X X X X X X 1 X 0 X X X X X 1 X 0 0 HOLLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 3J: THE NEEDS ASSESSMENT DESCRIBED THE COMMUNITY'S STRENGTHS AND OPPORTUNITIES REGARDING QUALITY OF LIFE, OVERALL HEALTH, HEALTH BEHAVIORS, AND HEALTH CARE. THE TWO BROAD THEMES WHICH EMERGED FROM THE REPORT WERE THE DIRECT RELATIONSHIP BETWEEN HEALTH OUTCOMES AND INCOME/EDUCATION, AND THE EXISTENCE OF CHALLENGED SUBGROUPS WITHIN THE POPULATION. IDENTIFIED AREAS FOR OPPORTUNITIES INCLUDED ACCESS TO HEALTHCARE FOR THOSE WITH PUBLIC HEALTH INSURANCE AND IMPROVED CARE FOR THOSE WITH CHRONIC DISEASE ESPECIALLY DIABETES. HOLLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: DATA WAS OBTAINED FROM MULTIPLE SOURCES INCLUDING; KEY STAKEHOLDERS (EXECUTIVE DIRECTORS OF HOSPITALS, CLINICS AND PUBLIC HEALTH) VIA TELEPHONE INTERVIEWS, KEY INFORMANTS (PHYSICIANS, NURSES, DENTISTS, PHARMACISTS AND SOCIAL WORKERS) VIA ONLINE SURVEY, COMMUNITY RESIDENTS- ADULTS VIA A TELEPHONE SURVEY, AND VULNERABLE AND UNDERSERVED COMMUNITY RESIDENTS VIA A PAPER SURVEY. HOLLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A: NORTH OTTAWA COMMUNITY HEALTH SYSTEM & SPECTRUM HEALTH ZEELAND COMMUNITY HOSPITAL HOLLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 6B: GREATER OTTAWA COUNTY UNITED WAY, OTTAWA COUNTY DEPARTMENT OF PUBLIC HEALTH AND OTTAWA COUNTY COMMUNITY MENTAL HEALTH HOLLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 7D: AVAILABLE UPON REQUEST FROM THE HOSPITAL FACILITY. PRINT COPIES WERE MADE AVAILABLE TO VARIOUS LOCATIONS AND INDIVIDUALS INCLUDING THE COMMUNITY OUTREACH COMMITTEE OF THE HOLLAND HOSPITAL BOARD. THE REPORT WAS ALSO POSTED ON THE HOSPITAL WEBSITE. HOLLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: OTTAWA COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN WAS INITIATED BY THE PARTNERS OF THE CHNA AND COMMUNITY MEMBERS. THE CHIP IDENTIFIES 3 HEALTH PRIORITY AREAS INCLUDING; ACCESS TO HEALTH CARE, MENTAL HEALTH, AND HEALTHY BEHAVIORS. HOLLAND HOSPITAL IS AN ACTIVE PARTNER SERVING ON THE COMMUNITY HEALTH IMPROVEMENT STEERING COMMITTEE. THE HOSPITAL DID NOT ADDRESS ALL NEEDS IDENTIFIED IN THE CHNA DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE THREE PRIORITY NEEDS IDENTIFIED ABOVE. HOLLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY IS POSTED ON THE HOSPITAL'S WEBSITE (ENGLISH AND SPANISH). PATIENTS MAY ALSO OBTAIN A FINANCIAL ASSISTANCE APPLICATION BY CALLING THE CUSTOMER SERVICE LINE. INFORMATION ON HOW TO OBTAIN AN APPLICATION IS ALSO AVAILABLE ON OUR BILLING STATEMENTS, POSTED IN THE FACILITY'S WAITING ROOMS, AS WELL AS OUTLINED ON A BUSINESS CARD AND PLAIN LANGUAGE SUMMARY WHICH IS OFFERED TO ALL PATIENTS AT REGISTRATION, ADMISSION AND AVAILABLE AT DISCHARGE. HOLLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 20E: FINANCIAL ASSISTANCE IS DISCUSSED AND OFFERED TO PATIENTS VIA OUR PATIENT FINANCIAL SERVICE CUSTOMER SERVICE REPRESENTATIVES, PATIENT ADVOCATES, IN-HOUSE MEDICAID VENDOR, PRE-COLLECT AND COLLECTION AGENCIES. 5 1 - LAKESHORE AREA RADIATION ONCOLOGY CENTER 12642 RILEY STREET HOLLAND MI 49424 COMPREHENSIVE OUTPATIENT RADIATION TREATMENT CENTER 2 - HOLLAND HOSPITAL MEDICAL GROUP 602 MICHIGAN AVE HOLLAND MI 49423 PHYSICIAN OFFICE 3 - WEST MICHIGAN UROLOGICAL ASSOCIATES 602 MICHIGAN AVE HOLLAND MI 49423 PHYSICIAN OFFICE 4 - HHMG - INTERNAL FAMILY MEDICINE 602 MICHIGAN AVE HOLLAND MI 49423 PHYSICIAN OFFICE 5 - THE BONE AND JOINT CENTER OF HOLLAND 602 MICHIGAN AVE HOLLAND MI 49423 PHYSICIAN OFFICE PART I, LINE 3C: FAMILY INCOME 225 TO 300 PERCENT OF THE FEDERAL POVERTY GUIDELINES QUALIFY FOR DISCOUNTED CARE ON A RATED SCALE. PART I, LINE 7: A COST-TO-CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THE SCHEDULE.THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS (LINE 7E), HEALTH PROFESSIONS EDUCATION (LINE 7F), AND CASH AND IN-KIND CONTRIBUTIONS (LINE 7I). PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 8,816,476. PART II, COMMUNITY BUILDING ACTIVITIES: HOLLAND HOSPITAL PROVIDES A BROAD RANGE OF HEALTH CARE SERVICES FOR RESIDENTS OF OTTAWA COUNTY AND ALLEGAN COUNTY, AS WELL AS OTHER AREAS OF MICHIGAN AND BEYOND. THESE SERVICES REACH PATIENT POPULATIONS THAT ARE DEMOGRAPHICALLY AND SOCIO-ECONOMICALLY DIVERSE. THE HOSPITAL OFFERS COMPREHENSIVE MEDICAL AND SURGICAL CARE INCLUDING ORTHOPEDICS, JOINT REPLACEMENT, CARDIOLOGY AND VASCULAR CARE, GENERAL SURGERY, BARIATRIC SURGERY, NEUROSURGERY, A PREMIER BIRTHING CENTER WITH SPECIAL CARE NURSERY AND MUCH MORE. OUR MEDICAL GROUP OFFERS A FULL RANGE OF PRIMARY CARE AND SPECIALTY CARE SERVICES TO ENSURE CONVENIENT LOCAL ACCESS FOR OUR GROWING COMMUNITIES. IN ADDITION, THE HOSPITAL PROVIDES PHYSICAL THERAPY AND REHABILITATION, MENTAL HEALTH SERVICES, HOME HEALTH CARE, DIAGNOSTIC TESTING, SCREENINGS, COMMUNITY OUTREACH, EDUCATION AND SUPPORT PROGRAMS. AMONG MANY INITIATIVES, THE HOSPITAL HAS TAKEN ADDED STEPS TO ADDRESS THE GROWING NEED FOR MENTAL HEALTH CARE IN THE AREA - A CONCERN THAT WAS HIGHLIGHTED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THESE STEPS INCLUDED EXPANDING BEHAVIORAL HEALTH SERVICES WITH ADDITIONAL OUTPATIENT THERAPY ROOMS AND OFFICE SPACE TO SERVE PATIENTS WITH MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT. WE ALSO EXPANDED OUR PARTIAL HOSPITALIZATION PROGRAM (PHP) WHICH IS A SHORT-TERM PROGRAM DESIGNED TO BRIDGE THE GAP BETWEEN INPATIENT AND OUTPATIENT CARE. TO ADDRESS MULTIPLE POINTS OF CARE, WE HAVE SPECIAL EMERGENCY DEPARTMENT ROOMS THAT ARE DEDICATED TO MENTAL HEALTH TREATMENT AS WELL. HOLLAND HOSPITAL'S COMMUNITY OUTREACH PROGRAMS HELP PROVIDE SECURITY AND STABILITY THOSE IN NEED. OUTREACH EFFORTS FOCUS ON THREE KEY AREAS:(1) HOLLAND COMMUNITY HEALTH CENTER: THE HOLLAND COMMUNITY HEALTH CENTER (HCHC) IS AN OUTREACH SERVICE OF HOLLAND HOSPITAL, PROVIDING HEALTH CARE SERVICES FOR ALL REGARDLESS OF AGE, LANGUAGE, CULTURAL BARRIERS, HEALTH INSURANCE OR ABILITY TO PAY. THE HCHC PROVIDES PRIMARY CARE SERVICES, REFERRALS AND OTHER HEALTH CARE SUPPORT FOR ADULTS AND CHILDREN IN AN OFFICE SETTING IN ITS HOLLAND FACILITY. THE MAJORITY OF HCHC PATIENTS LACK ADEQUATE HEALTH INSURANCE. THE HCHC ALSO ACQUIRES AND DISTRIBUTES FREE MEDICATIONS FOR PATIENTS WHO CANNOT AFFORD THEM, FILLING A VITAL NEED IN THE COMMUNITY.(2) SCHOOL NURSE PROGRAM: BETTER HEALTH MEANS BETTER LEARNING AND A HEALTHIER OUTLOOK FOR OUR CHILDREN AND COMMUNITY. HOLLAND HOSPITAL'S SCHOOL NURSE PROGRAM PROVIDES ONSITE DIRECT MEDICAL SUPPORT, PREVENTION, CHRONIC DISEASE MANAGEMENT AND REFERRALS FOR MORE THAN 12,000 STUDENTS IN 26 SCHOOLS WITHIN THE DISTRICTS OF HOLLAND PUBLIC, WEST OTTAWA, HAMILTON, HOLLAND CHRISTIAN, AND FENNVILLE. MANY OF THE STUDENTS LIVE AT OR BELOW THE POVERTY LEVEL AND DO NOT RECEIVE REGULAR MEDICAL CARE OUTSIDE OF SCHOOL.3) BREAST CARE FUND: EARLY DETECTION PROVIDES THE BEST OPPORTUNITY TO TREAT BREAST CANCER AND REDUCE THE RISK OF RECURRENCE. THE BREAST CARE FUND PROVIDES FINANCIAL SUPPORT FOR MAMMOGRAMS AND OTHER BREAST HEALTH SERVICES FOR WOMEN AT RISK IN OUR COMMUNITY. THE BREAST CARE FUND COVERS THE COST OF SCREENING AND DIAGNOSTIC MAMMOGRAMS, ULTRASOUNDS AND BIOPSIES FOR HUNDREDS OF WOMEN IN OUR COMMUNITY. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS A PERIODIC STUDY (APPROXIMATELY EVERY 3 YEARS) THAT LOOKS AT THE HEALTH OF PEOPLE IN OTTAWA COUNTY AND SERVES AS A TOOL TO HELP ADDRESS HEALTH NEEDS THROUGH COMMUNITY ENGAGEMENT AND COLLABORATION. HOLLAND HOSPITAL IS PART OF THE ADVISORY COUNCIL OF OTTAWA COUNTY AREA PUBLIC HEALTH PARTNERS, INCLUDING HEALTH AGENCIES AND OTHER HOSPITALS, WHICH COLLECTS AND ORGANIZES DATA FOR THE CHNA. THIS INFORMATION IS USED TO HELP GUIDE OUR PLANS AND PROGRAMS THAT CAN CONTINUE TO IMPROVE THE HEALTH OF OUR COMMUNITY. DETAILS OF THE 2020 CHNA ARE PROVIDED IN SECTIONS BELOW. PART III, LINE 2: THIS IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX. PART III, LINE 4: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. PART III, LINE 8: COSTING METHODOLOGY IS A COST TO CHARGE RATIO AS DEFINED BY THE IRS 990 INSTRUCTIONS. THE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT DUE TO ITS REPRESENTATION OF COST OF A PORTION OF SERVICES PROVIDED TO THE COMMUNITY WITHOUT PAYMENT. PART III, LINE 9B: ANY BALANCE DEEMED PATIENT RESPONSIBILITY (AFTER INSURANCE PAYMENT/DETERMINATION AND AFTER ANY APPLICABLE DISCOUNT OR CHARITY), IF NOT PAID, WILL RECEIVE A MINIMUM OF FOUR STATEMENTS. THE ACCOUNT WILL BE HELD ON HOLLAND HOSPITAL'S "BOOKS" UNTIL IT HAS AGED TO A MINIMUM OF 120 DAYS FROM THE DATE OF THE FIRST STATEMENT. AT THIS TIME THE ACCOUNT IS ELIGIBLE TO BE SENT TO A COLLECTION AGENCY. PART VI, LINE 2: IN COLLABORATION WITH THE OTTAWA COUNTY HEALTH DEPARTMENT, THE UNITED WAY, AND SEVERAL OTHER LOCAL ENTITIES A COMMUNITY ASSESSMENT IS PERFORMED. THE UNITED WAY PUBLISHES THEIR ASSESSMENT EVERY 3 YEARS (LAST ONE IN 2021) AND THE OTTAWA COUNTY HEALTH DEPARTMENT PUBLISHES THEIR YOUTH ASSESSMENT (LAST ONE IN 2023) AND ADULT ASSESSMENT (LAST ONE IN 2021). THE CHNA COLLABORATIVE CONSISTED OF HOLLAND HOSPITAL, NORTH OTTAWA, SPECTRUM ZEELAND HOSPITALS AND THE OTTAWA COUNTY HEALTH DEPARTMENT. PART VI, LINE 3: OUR FINANCIAL ASSISTANCE POLICY IS POSTED ON OUR WEBSITE. REFERENCED ON OUR BILLING STATEMENTS, POSTED IN OUR EMERGENCY WAITING ROOM AND ADMISSION OFFICES. THIS INCLUDES INSTRUCTION OF HOW TO REQUEST A COPY OF THE POLICY. IT IS ALSO AVAILABLE AT THE TIME OF REGISTRATION AND/OR WHEN THERE IS A PATIENT REQUEST. FINANCIAL ASSISTANCE IS ALSO REFERENCED IN BROCHURES AND OTHER COMMUNICATIONS WITH OUR PATIENTS. PART VI, LINE 4: HOLLAND HOSPITAL'S PRIMARY SERVICE AREA (PSA) CONSISTS OF NINE ZIP CODES THAT FALL WITHIN ALLEGAN AND OTTAWA COUNTIES OF WEST MICHIGAN. TOTAL POPULATION OF THE PSA IS ESTIMATED AT 165,000 WITH RAPID GROWTH OVER THE PAST 10 YEARS THAT CONTINUES TO OUTPACE OTHER AREAS IN THE STATE OF MICHIGAN. WHILE MICHIGAN'S TOTAL POPULATION HAS BEGUN TRENDING DOWNWARD, CONTINUED GROWTH IS FORECAST FOR OUR PSA THROUGH 2030 (+10.0% PROJECTED). CURRENT ESTIMATES SHOW THE TOTAL POPULATION FOR OTTAWA COUNTY IS 300,873 AND THE TOTAL POPULATION OF ALLEGAN COUNTY IS 121,110. OTTAWA COUNTY AND ALLEGAN COUNTY HAVE CONSISTENTLY RANKED AMONG THE FASTEST GROWING COUNTIES IN MICHIGAN. DATA FROM THE US CENSUS BUREAU AND THE AMERICAN COMMUNITY SURVEY PROVIDE THE FOLLOWING POPULATION DEMOGRAPHICS FOR THESE COUNTIES: OTTAWA COUNTY: RACE/ETHNICITY: BLACK OR AFRICAN AMERICAN (1.9%), AMERICAN INDIAN AND ALASKA NATIVE (0.3%), ASIAN (2.9%), NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER (0.0%), HISPANIC OR LATINO (10.5%), WHITE, ALONE (82.0%), TWO OR MORE RACES (6.6%); INCOME & POVERTY: MEDIAN HOUSEHOLD INCOME = $79,116. ESTIMATED POVERTY RATE = 8.7%.ALLEGAN COUNTY: RACE/ETHNICITY: BLACK OR AFRICAN AMERICAN (0.9%), AMERICAN INDIAN AND ALASKA NATIVE (0.3%), ASIAN (0.6%), NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER (0.1%), HISPANIC OR LATINO (8.0%), WHITE, ALONE (85.2%), TWO OR MORE RACES (4.7%); INCOME & POVERTY: MEDIAN HOUSEHOLD INCOME = $70,269. ESTIMATED POVERTY RATE = 8.9%.THE MOST RECENT IN-DEPTH EXAMINATION OF OUR AREA'S HEALTH CAN BE FOUND IN THE 2020 OTTAWA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). ON MANY LEVELS THE FINDINGS FROM THE 2020 CHNA INDICATE THAT OTTAWA COUNTY IS ONE OF THE HEALTHIEST COUNTIES IN MICHIGAN, ACCORDING TO THE COUNTY HEALTH RANKINGS. OTTAWA COUNTY RESIDENTS ALSO REPORT GOOD OR BETTER HEALTH AND RELATIVELY LOW LEVELS OF PSYCHOLOGICAL DISTRESS. THEY ENJOY LONGER LIFE EXPECTANCY AND LOWER ADULT AND INFANT MORTALITY RATES THAN RESIDENTS ACROSS MICHIGAN OR THE U.S. THE PREVALENCE OF CHRONIC CONDITIONS TENDS TO BE LOW RELATIVE TO THE STATE AND THE NATION; HOWEVER, THE PREVALENCE OF SOME CHRONIC CONDITIONS, INCLUDING DIABETES, IS UP NOTABLY FROM PREVIOUS CHNA ITERATIONS. THIS COULD BE DIRECTLY, OR INDIRECTLY, RELATED TO THE COVID-19 PANDEMIC. OTTAWA COUNTY PERFORMS WELL WHEN IT COMES TO CLINICAL PREVENTIVE PRACTICES. A SIZEABLE MAJORITY OF ADULTS AGE 65 OR OLDER HAVE RECEIVED FLU VACCINES. THE VAST MAJORITY OF CHILDREN AGE 19-35 MONTHS ARE FULLY IMMUNIZED AND ALMOST ALL CHILDREN 0-17 HAVE HAD A ROUTINE PHYSICAL EXAM IN THE PAST YEAR. THE VAST MAJORITY OF PREGNANT WOMEN BEGIN PRENATAL CARE IN THE FIRST TRIMESTER. THE PREVALENCE OF RISK BEHAVIORS IS ALSO, TYPICALLY, RELATIVELY LOW COMPARED TO THE STATE OR NATION. THE PREVALENCE OF CIGARETTE SMOKING IS DOWN IN 2020, WHILE HEAVY DRINKING AND BINGE DRINKING ARE HIGHER THIS YEAR THAN IN THE PREVIOUS CHNA (2017). THIS COULD ALSO BE CONNECTED TO THE COVID-19 PANDEMIC. WHILE OTTAWA COUNTY POSSESSES THE SOCIAL AND COMMUNITY CHARACTERISTICS THAT TEND TO DISTINGUISH A COMMUNITY AS HEALTHY, DISPARITIES IN HEALTH CARE DISTRIBUTION AND ACCESS CONTINUE TO EXIST WITH POCKETS OF POVERTY IN THE AREA; 8.2% OF ALL ADULTS AGE 1864 HAVE NO HEALTH INSURANCE AND 11.9% HAVE NO PERSONAL HEALTH CARE PROVIDER. AREAS OF HEALTH CONCERN CONTINUE TO INCLUDE MENTAL HEALTH, SUBSTANCE ABUSE, OBESITY AND CHRONIC DISEASES, AS WELL AS CERTAIN SOCIAL DETERMINANTS OF HEALTH SUCH AS AVAILABILITY OF AFFORDABLE HOUSING. PART VI, LINE 5: HOLLAND HOSPITAL IS RECOGNIZED FOR ITS COMMUNITY HEALTH PROMOTION REFLECTING OUR ORGANIZATIONAL COMMITMENT TO THE HEALTH, QUALITY OF LIFE AND LONGEVITY OF THE COMMUNITIES WE SERVE.OVERALL, OUR PROMOTION OF COMMUNITY HEALTH IS EVIDENCED BY PRESENTATIONS AND SPONSORSHIP SUPPORT OF COMMUNITY-WIDE EVENTS, EDUCATIONAL LECTURES, AND EXTENSIVE HEALTH INFORMATION PROVIDED THROUGH BOTH DIGITAL AND TRADITIONAL MEDIA. THE HOSPITAL WEBSITE IS A RICH RESOURCE OF INFORMATION ON HEALTH CONCERNS AND CONSUMER GUIDANCE FOR HEALTH CARE DECISIONS AND ACCESS TO SERVICES. ON A REGULAR BASIS, HOSPITAL PHYSICIANS AND CLINICIANS SHARE ADVICE WITH THE GENERAL PUBLIC THROUGH WEBSITE ARTICLES, VIDEOS, HEALTH BLOGS, TV/RADIO AND PRINT INTERVIEWS. WE ALSO ENGAGE OUR STAFF EXPERTS TO PROMOTE HEALTHY BEHAVIORS WITH MAJOR EDUCATIONAL EVENTS PRESENTED IN-PERSON AND VIRTUALLY ON THE WEB. THESE EVENTS HAVE RECEIVED TOP AWARDS IN MICHIGAN AND ATTRACTED EXTENSIVE VIEWS ON OUR WEBSITE AND SOCIAL MEDIA. ON AN ONGOING BASIS, MEMBERS OF THE HOSPITAL'S STAFF ALSO SERVE ON COMMUNITY EVENT STEERING COMMITTEES. THE HOSPITAL WELCOMES INTERNS AND OFFERS TOURS FOR HIGH SCHOOL AND COLLEGE STUDENTS INTERESTED IN PURSUING HEALTHCARE DEGREES. OUR INFLUENCE ON HEALTHY BEHAVIORS IS ALSO EVIDENCED BY OUR COMMUNITY OUTREACH PROGRAMS (DESCRIBED ABOVE) THAT INCLUDE THE HOLLAND COMMUNITY HEALTH CENTER, WHICH PROVIDES CARE FOR THOSE WHO LACK HEALTH INSURANCE; THE SCHOOL NURSE PROGRAM WHICH ADDRESSES THE HEALTH NEEDS OF STUDENTS AND SUPPORT FOR THEIR FAMILIES; AND THE BREAST CARE FUND THAT COVERS THE COST OF SCREENING AND DIAGNOSTIC MAMMOGRAMS AND OTHER BREAST CARE DIAGNOSTICS FOR HUNDREDS OF AREA WOMEN EACH YEAR. PART VI, LINE 6: NOT AFFILIATED. PART VI, LINE 7, REPORTS FILED WITH STATES MI 1 HOLLAND COMMUNITY HEALTH CENTER 336 S RIVER AVE HOLLAND MI 49423 200602574 501(C)(3) 740782 0 N/A N/A FINANCIAL SUBSIDY TO FUND OPERATIONS 1 0 PART I, LINE 2: THE HOSPITAL RECEIVES THEIR MONTHLY INTERNAL FINANCIALS AND A COPY OF THE AUDITED STATEMENTS ANNUALLY. HOLLAND HOSPITAL IS FUNDING, IN PART, THE OPERATIONS OF THE ABOVE MENTIONED CLINIC, WHICH IS A SIGNIFICANT COMMUNITY BENEFIT. X X X 0 1 0 0 0 0 0 1 0 DERICK M JOHNSON PHYSICIAN 1156054 0 310000 0 13624 0 8783 0 17663 0 1506124 0 0 0 DALE M SOWDERS PRESIDENT-CEO 766445 0 0 0 19971 0 9150 0 13330 0 808896 0 0 0 MICHAEL A TRAVER PHYSICIAN 489558 0 164215 0 18241 0 9150 0 17454 0 698618 0 0 0 TOBY F LEES PHYSICIAN 489558 0 164295 0 10494 0 9150 0 17564 0 691061 0 0 0 JOSEPH B VANDERMEER PHYSICIAN 410072 0 219781 0 5993 0 9150 0 17600 0 662596 0 0 0 PETER K HOEKMAN PHYSICIAN 434179 0 146453 0 5657 0 9512 0 6712 0 602513 0 0 0 MARK L PAWLAK SVP, QUALITY, IS & HOSP OP 422611 0 45090 0 113160 0 9130 0 8197 0 598188 0 0 0 STEPHEN MAUGER TRUSTEE - PART YEAR 285002 0 192670 0 76809 0 9150 0 17564 0 581195 0 0 0 PATTI VANDORT SVP, CNO, REHAB SERV, MARK 444822 0 91679 0 18771 0 9150 0 6708 0 571130 0 0 0 ALEX ROEHLING VP, FINANCE & CFO 242895 0 50797 0 7931 0 7417 0 352 0 309392 0 0 0 JOSEPH D BONELLO VICE PRESIDENT, NURSING-CNO 236713 0 28110 0 4991 0 7101 0 17636 0 294551 0 0 0 BARBARA DEPREE MD TRUSTEE 123271 0 25300 0 21145 0 4158 0 13152 0 187026 0 0 0 PART I, LINE 4B DALE SOWDERS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. 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 2022. PART I, LINE 7 MANAGEMENT BONUSES ARE DISCRETIONARY AND DETERMINED BY THE BOARD. A MICHIGAN FINANCE AUTHORITY 800596186 59447TNK5 2016-10-06 44193387 CONSTRUCTION OF NEW BUILDING AND REFUNDING OF 2004B BONDS AND 2013 HELP LOAN 0 0 0 B MICHIGAN FINANCE AUTHORITY 800596186 NONEAVAIL 2022-04-28 9240000 REFUNDING OF 2020 BONDS 0 0 0 C MICHIGAN FINANCE AUTHORITY 800596186 NONEAVAIL 2022-10-06 3609000 REFUNDING OF 2013 BONDS 0 0 0 A 3495000 44193387 573771 21796000 21823616 2016 1 0 1 1 B 1355000 9240000 90144 9149856 2022 1 0 1 1 C 320000 36090000 326003 35763997 2022 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 0 0 0 0 0 B 0 0 1 0 0 0 0 0 0 C 0 0 1 0 0 0 0 0 0 A 0 B 0 C 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/21/2021 SCHEDULE K, PART I, ISSUER NAME: THE MICHIGAN FINANCE AUTHORITY IS THE SUCCESSOR IN INTEREST TO THE MICHIGAN STATE HOSPITAL FINANCE AUTHORITY (EIN: 38-2889417), PURSUANT TO MICHIGAN EXECUTIVE ORDER 2010-2. EFFECTIVE MAY 30, 2010, ALL THE POWERS, RIGHTS, RESPONSIBILITIES AND DUTIES OF THE MICHIGAN STATE HOSPITAL FINANCE AUTHORITY WERE TRANSFERRED TO THE MICHIGAN FINANCE AUTHORITY PURSUANT TO MICHIGAN EXECUTIVE ORDER 2010-2. FORM 990, PART I, ITEM C DBA: WESTERN MICHIGAN UROLOGICAL ASSOCIATES DBA: THE BONE AND JOINT CENTER OF HOLLAND DBA: SURGERY CENTER OF WESTERN MICHIGAN DBA: HOLLAND HOSPITAL HOME HEALTH SERVICES DBA: HOLLAND HOSPITAL MEDICAL GROUP FORM 990, PART VI, SECTION B, LINE 11B HOLLAND COMMUNITY HOSPITAL'S CFO, PRESIDENT AND CEO REVIEW THE FORM 990 PRIOR TO FILING. THE CEO THEN SIGNS AND FILES THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS, ADMINISTRATION, DIRECTORS AND MANAGERS FILL OUT A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY. THESE FORMS ARE COLLECTED BY THE COMPLIANCE OFFICE, INVESTIGATED AND THEN MAINTAINED BY HUMAN RESOURCES. THE BYLAWS SPECIFICALLY STATE THAT A BOARD MEMBER WHO HAS A CONFLICT OF INTEREST AS TO A MATTER BEFORE THE BOARD SHOULD NOT VOTE OR USE PERSONAL INFLUENCE WITH OTHER BOARD MEMBERS. THE MINUTES OF THE BOARD MEETING SHALL DISCLOSE THE MEMBER'S ABSTINENCE FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USES CONSULTANTS TO REVIEW THE EXECUTIVE COMPENSATION PROGRAM AND RECOMMEND UPDATES/INCREASES AS DICTATED BY THE MARKET. THIS PROCESS OCCURS EVERY THREE YEARS OR AS DIRECTED BY THE BOARD. COMPENSATION IS SET FOR EACH POSITION WITH ESTABLISHED TARGETS USING NATIONAL AND REGIONAL DATA FOR SIMILAR HOSPITALS. THIS POLICY IS BOARD APPROVED AND HAS AN ONGOING REVIEW PROCESS WHICH IS COMPARATIVE AND DATA-DRIVEN. THIS PROCESS OCCURRED MOST RECENTLY IN 2021. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: REALIZED AND UNREALIZED LOSS IN AFFILIATES 1,360,200. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR. HOLLAND HOSPITAL PHYSICIAN CLINIC 602 MICHIGAN AVENUE HOLLAND MI 49423 263479537 NOT ACTIVE MI 0 0 HOLLAND COMMUNITY HOSPITAL HOLLAND COMMUNITY HOSPITAL AUTHORITY SELF-INSURANCE TRUST FUND 602 MICHIGAN AVENUE HOLLAND MI 49423 386389385 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I HOLLAND COMMUNITY HOSPITAL 1 HOLLAND COMMUNITY HEALTH CENTER 336 S RIVER AVENUE HOLLAND MI 49423 200602574 HEALTH CENTER MI 501(C)(3) LINE 3 HOLLAND COMMUNITY HOSPITAL 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 HOLLAND COMMUNITY HEALTH CENTER B 740782 COST