HOLLAND COMMUNITY HOSPITAL: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- HOLLAND COMMUNITY HOSPITAL (EIN 38-2800065)
- Tax period
- 2020-04-01 to 2021-03-31
- Filed
- 2022-02-03
- IRS object ID
- 202230349349300618
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-02-03T09:58:27-06:00 | ReturnTs |
| Tax Period End | 2021-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 E FRONT ST STE 300 | AddressLine1Txt |
| City | TRAVERSE CITY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49686 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382800065 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLLAND COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOLL | BusinessNameControlTxt |
| Phone | 6163925141 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 602 MICHIGAN AVENUE | AddressLine1Txt |
| City | HOLLAND | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49423 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DALE SOWDERS | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 6163925141 | PhoneNum |
| Signature | 2022-01-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DALE | PersonFirstNm |
| Person Last | SOWDERS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | OLIVER JURKOVIC | PreparerPersonNm |
| PTIN | P00433694 | PTIN |
| Phone | 2319477800 | PhoneNum |
| Preparation | 2022-01-23 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLLAND HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DALE SOWDERS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 602 MICHIGAN AVENUE | AddressLine1Txt |
| City | HOLLAND | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49423 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $308,514,128 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HOLLANDHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | TO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 2470 | TotalEmployeeCnt |
| Total Volunteers | 240 | TotalVolunteersCnt |
| Total Gross UBI | $1,145,816 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,126,650 | PYContributionsGrantsAmt |
| CY Contributions Grants | $18,483,557 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $267,540,422 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $258,449,896 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,750,493 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,879,252 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,187,826 | PYOtherRevenueAmt |
| CY Other Revenue | $726,328 | CYOtherRevenueAmt |
| PY Total Revenue | $275,605,391 | PYTotalRevenueAmt |
| CY Total Revenue | $286,539,033 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $919,988 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $909,988 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $149,762,113 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $148,867,082 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $111,125 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $119,160,582 | PYOtherExpensesAmt |
| CY Other Expenses | $122,854,366 | CYOtherExpensesAmt |
| PY Total Expenses | $269,842,683 | PYTotalExpensesAmt |
| CY Total Expenses | $272,631,436 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,762,708 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $13,907,597 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $498,901,210 | TotalAssetsBOYAmt |
| Total Assets EOY | $577,046,550 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $144,123,866 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $161,273,242 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $354,777,344 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $415,773,308 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $248,621,058 | ExpenseAmt |
| Grant | $909,988 | GrantAmt |
| Revenue | $258,030,408 | RevenueAmt |
| Desc | HOLLAND HOSPITAL, LOCATED IN HOLLAND, MI, IS A NATIONALLY RECOGNIZED LEADER IN QUALITY AND VALUE, WITH ADVANCED TECHNOLOGY AND HIGH PATIENT SATISFACTION. THE HOSPITAL OFFERS A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES, MULTIPLE CONVENIENT LOCATIONS AND READY ACCESS TO A VARIETY OF PRIMARY CARE PROVIDERS AND EXPERIENCED SPECIALISTS.FOR OVER A CENTURY, OUR 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: FINANCIAL STRENGTH, GROWTH, QUALITY, SUPERIOR SERVICE AND SUPERIOR WORKFORCE.NATIONALLY RECOGNIZED QUALITY AND VALUETHE 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 CMS 5-STAR RATING THIS YEAR AND ONE OF THE FEW TO CONSISTENTLY ACHIEVE THE 5-STAR RATING SINCE IT WAS INTRODUCED. HOLLAND HOSPITAL IS ALSO AMONG THE REGION'S LOWEST COST PROVIDERS, DELIVERING EXCEPTIONAL VALUE AND AN OUTSTANDING PATIENT EXPERIENCE.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 OUR COMMITMENT TO ORGANIZATIONAL EXCELLENCE. OUR DEDICATION TO SYSTEMATICALLY IMPROVE QUALITY IS THE FOUNDATION OF SUPERIOR OUTCOMES AND HIGHER PATIENT SATISFACTION. THIS HAS EARNED NATIONAL RECOGNITION OVER MULTIPLE YEARS FROM THE LEADING RATING AGENCIES FOR THE TOTAL HOSPITAL AND IN ORTHOPEDICS, JOINT REPLACEMENT, CARDIOLOGY, SURGERY AND MANY OTHER AREAS.PROGRAMS / SERVICESHIGHLIGHTS OF PROGRAMS AND SERVICES THAT PROVIDE ACCESS TO QUALITY CARE INCLUDE: BOVEN BIRTH CENTERHOLLAND HOSPITAL RECENTLY OPENED A NEWLY RENOVATED AND EXPANDED BIRTH CENTER FEATURING THE LATEST TECHNOLOGY AND ENHANCEMENTS, INCLUDING 21 PRIVATE BIRTHING SUITES WITH HOME-LIKE AMENITIES, EIGHT LABOR-DELIVERY ROOMS, WELL-BABY NURSERY, STATE-OF-THE-ART OPERATING ROOMS, AND MORE. AN EIGHT-BED SPECIAL CARE NURSERY PROVIDES PRE-TERM AND TERM BABIES WHO NEED SPECIALIZED ATTENTION, EXTRA MONITORING AND CARE BEFORE GOING HOME. OUR BIRTH CENTER TEAM RECENTLY RECEIVED THE PLATINUM DESIGNATION FOR MATERNAL CARE FROM THE MICHIGAN ALLIANCE FOR INNOVATION ON MATERNAL HEALTH (MI AIM). THIS IS OUR THIRD CONSECUTIVE YEAR EARNING THE HIGHEST LEVEL AWARDED BY THE ORGANIZATION. 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. STROKE CARE / NEUROTHROMBECTOMY THIS YEAR, NEUROTHROMBECTOMY PROCEDURES WERE ADDED TO OUR ADVANCED CARE FOR STROKE PATIENTS. THIS PROCEDURE INVOLVES SURGICAL REMOVAL OR A BLOOD CLOT IN THE BRAIN AND PROVIDES RAPID, LOCAL ACCESS TO LIFESAVING CARE FOR STROKE PATIENTS IN CERTAIN SITUATIONS. THE NEW PROGRAM WAS DEVELOPED AND IMPLEMENTED IN COOPERATION WITH EXPERTS FROM METRO HEALTH UNIVERSITY OF MICHIGAN HEALTH AND IS ANOTHER EXAMPLE OF OUR COLLABORATIVE APPROACH TO INITIATIVES THAT CAN BEST SERVE OUR COMMUNITY. ORTHOPEDICS / JOINT REPLACEMENTOUR HOSPITAL UTILIZES THE MOST RECENT ADVANCEMENTS IN JOINT REPLACEMENT INCLUDING MAKO ROBOTIC-ASSISTED TECHNOLOGY 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. FOR FOUR YEARS IN ROW, WE HAVE BEEN RECOGNIZED BY US NEWS & WORLD REPORT AS ONE OF THE NATION'S HIGH PERFORMING HOSPITALS FOR HIP REPLACEMENT, AS WELL AS A HIGH PERFORMING HOSPITAL FOR SPINAL FUSION IN 2021. SURGICAL SERVICESHOLLAND HOSPITAL IS ONE OF AN EXCLUSIVE NUMBER OF HOSPITALS IN MICHIGAN USING THE NEW DA VINCI XI SURGICAL SYSTEM WHICH ENABLES SURGEONS TO PERFORM CERTAIN SURGERIES THROUGH TINY, ONE TO TWO CENTIMETER INCISIONS, OR IN SOME CASES, A SINGLE INCISION 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. BARIATRIC SERVICESDURING THE PAST YEAR, WE ADDED BARIATRIC SERVICES 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 BARIATRIC SERVICES PROVIDES A MULTIDISCIPLINARY, TAILORED APPROACH TO WEIGHT LOSS, INCLUDING SURGICAL AND NONSURGICAL INTERVENTIONS. DIGESTIVE HEALTHHOLLAND HOSPITAL SPECIALISTS HAVE EXTENSIVE EXPERIENCE TREATING HEARTBURN AND GERD WITH THE LATEST CARE OPTIONS. 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. BREAST CAREHOLLAND HOSPITAL BREAST CARE IS A COORDINATED EFFORT DELIVERED BY A MULTIDISCIPLINARY TEAM. OUR MAMMOGRAPHY AND BREAST IMAGING SERVICES HAVE BEEN RECOGNIZED FOR MEETING THE HIGHEST LEVEL OF IMAGE QUALITY AND PATIENT SAFETY. WE OFFER THE NEW SMARTCURVE BREAST STABILIZATION SYSTEM WHICH IMPROVES COMFORT WHILE MAINTAINING EXCEPTIONAL IMAGE QUALITY. OUR BREAST CARE INCLUDES A HIGH-RISK BREAST CLINIC AND BREAST CANCER TREATMENT 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. 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 CONCERNS. 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 PARTIAL HOSPITALIZATION AND INTENSIVE OUTPATIENT PROGRAMS WHICH ARE SHORT-TERM, INNOVATIVE TREATMENT OPTIONS FOR ADULTS WHO REQUIRE MORE SUPPORT THAN TRADITIONAL OUTPATIENT TREATMENT. VIRTUAL VISITS AND TELEHEALTHFOR CONVENIENT ACCESS TO CARE, WE HAVE INITIATED VIRTUAL VISITS (ONLINE PROVIDER APPOINTMENTS). 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 HELP GUIDE APPROPRIATE ACTION. CONVENIENT PRIMARY AND SPECIALTY CARETO BEST SERVE THE LAKESHORE AREA, HOLLAND HOSPITAL OFFERS A COMPREHENSIVE HEALTH CARE NETWORK FEATURING AN EXPANSIVE MEDICAL GROUP THAT INCLUDE 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 SPECIALIST TO EXPAND ACCESS TO CARE AND PREPARE TO MEET THE GROWING NEED FOR HEALTH CARE WITHIN THE COMMUNITY. ALL HOLLAND HOSPITAL MEDICAL PRACTICES ALSO OFFER VIRTUAL VISITS - ONLINE APPOINTMENTS FROM THE COMFORT OF HOME. IMMEDIATE CARE OPTIONS INCLUDE OUR WALK-IN CARE AND URGENT CARE. FOR LIFE-THREATENING CONCERNS, EMERGENCY SERVICES ARE OPEN 24/7. WORKPLACE EXCELLENCEHOLLAND HOSPITAL HAS BEEN SELECTED AS A WINNER IN THE BEST AND BRIGHTEST COMPANIES TO WORK FOR COMPETITION FOR 19 CONSECUTIVE YEARS. 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. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CONTINUATION OF LINE 4A:COMMUNITY OUTREACH PROGRAMSHOLLAND HOSPITAL'S SERVES THE GREATER COMMUNITY IN MANY WAYS BEYOND OUR INPATIENT AND OUTPATIENT CARE SERVICES. THESE INCLUDE COMMUNITY OUTREACH PROGRAMS:HOLLAND COMMUNITY HEALTH CENTER (CHC)THE CHC IS AN OUTREACH SERVICE OF HOLLAND HOSPITAL IN PARTNERSHIP WITH SPECTRUM HEALTH MEDICAL GROUP AND AFFILIATED PHYSICIANS. THE CHC 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. SCHOOL NURSING PROGRAMHOLLAND HOSPITAL'S SCHOOL NURSES ADDRESS THE HEALTH NEEDS FOR ABOUT 13,000 CHILDREN 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. SCHOOL MENTAL HEALTH PROGRAM THIS NEW PROGRAM HAS PROVEN EFFECTIVE IN IMPROVING THE MENTAL HEALTH AND WELLNESS OF STUDENTS THROUGH EARLY INTERVENTION WHEN STUDENT MENTAL HEALTH CONCERNS ARE IDENTIFIED, AND BY COORDINATING CARE BETWEEN THE SCHOOL, FAMILY, CAREGIVERS, PHYSICIANS AND/OR HOSPITAL FOR THE MOST AT-RISK STUDENTS. COMMUNITY HEALTH WORKERTHIS PROGRAM PROVIDES ESSENTIAL CARE COORDINATION AND SUPPORT TO MANY AREA RESIDENTS WHO SUFFER FROM HEALTH PROBLEMS, BUT LACK RESOURCES, TOOLS AND ASSISTANCE TO SUCCESSFULLY NAVIGATE THE SYSTEM AND FIND SOLUTIONS ON THEIR OWN. FAITH COMMUNITY NURSEADULTS AND CHILDREN LIVING AT THE HOLLAND RESCUE MISSION RECEIVE CARE FOR MIND, BODY AND SPIRIT FROM HOLLAND HOSPITAL'S FAITH COMMUNITY NURSE. LAST YEAR, OUR NURSE RECORDED NEARLY 500 CLIENT CONTACTS AND MADE 270 INTERVENTIONS FOR CARE. BREAST CARE FUNDTHE 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 DIRECTLY TO 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 IN THE PROCESS, HOLLAND HOSPITAL USES THE FINDINGS AS INPUT TO HELP GUIDE PRIORITIES AND PROGRAM DEVELOPMENT.SUMMARY DURING FISCAL YEAR 2021, HOLLAND HOSPITAL PROVIDED: PATIENT DAYS 27,300DISCHARGES 7,000BIRTHS 1,300SURGERIES 14,300OUTPATIENT VISITS 464,100EMERGENCY ROOM VISITS 30,200URGENT CARE VISITS 21,100HOME HEALTH VISITS 33,900LAB TESTS 652,600RADIOLOGY PROCEDURES 112,100BEDS 189UNCOMPENSATED MEDICAL COSTS HOLLAND HOSPITAL REMAINS COMMITTED TO CARING FOR MEMBERS OF OUR COMMUNITY WHO ARE UNINSURED OR UNDER-INSURED. IN FY 2021, HOLLAND HOSPITAL PROVIDED UN-REIMBURSED CARE TO OUR PATIENTS AT A COST OF $54 MILLION, DURING ANOTHER PARTICULARLY DIFFICULT YEAR.2021 COMMUNITY BENEFIT SUMMARY $54 MILLION TOTAL COMMUNITY BENEFITUNPAID COST OF MEDICAID $13,235,000UNPAID COST OF MEDICARE $20,890,000CHARITY CARE $1,362,400 BAD DEBT $10,024,200OTHER COMMUNITY BENEFITS (NOTE A) $8,283,400FINANCE COMMENT: CHARITY IS NOW BEING REPORTED AT COST, IN THE PAST IT HAD BEEN REPORTED AT WHAT GROSS CHARGES WOULD HAVE BEEN. 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 | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $248,621,058 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 162 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2470 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| DAF Excess Business Holdings | 0 | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | 0 | TaxableDistributionsInd |
| Distribution To Donor | 0 | DistributionToDonorInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TERRY STEELE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6163925141 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 602 MICHIGAN AVE | AddressLine1Txt |
| City | HOLLAND | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49423 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DALE M SOWDERS | ||||||||
| PRESIDENT & CEO | 40.00 | 1.00 | Yes (X) | Yes (X) | $962,064 | $0 | $20,844 | |
| MARK STID MD | ||||||||
| TRUSTEE, MEDICAL DIRECTOR | 40.00 | 1.00 | Yes (X) | $282,440 | $0 | $20,271 | ||
| SUSAN ERVINE MD | ||||||||
| TRUSTEE, CHIEF OF STAFF | 1.00 | 0.00 | Yes (X) | $31,775 | $0 | $0 | ||
| TONY YASICK MD | ||||||||
| TRUSTEE, MEDICAL DIRECTOR | 1.00 | 1.00 | Yes (X) | $16,500 | $0 | $0 | ||
| PHIL KONING | ||||||||
| CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JAMES STROOP | ||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KRIS DEPREE MD | ||||||||
| TREASURER | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MICHAEL HILL | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM VANDERVLIET MD | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVE MASON | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JUANITA BOCANEGRA | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GWEN AUWERDA | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LESLIE BROWN | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SHELLY MACIEJEWSKI | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK L PAWLAK | ||||||||
| SVP, QUALITY, IS & HOSP OP | 40.00 | 0.00 | Yes (X) | $599,763 | $0 | $12,644 | ||
| TERRY L STEELE | ||||||||
| VP, FINANCE & CFO | 40.00 | 1.00 | Yes (X) | $480,797 | $0 | $21,703 | ||
| PATTI VANDORT | ||||||||
| SVP, CNO, REHAB SERV, MARK | 40.00 | 0.00 | Yes (X) | $551,751 | $0 | $16,898 | ||
| DERICK M JOHNSON | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $804,371 | $0 | $26,803 | Yes (X) | ||
| STEPHEN J MAUGER | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $869,754 | $0 | $23,503 | Yes (X) | ||
| JOSEPH K POSTMA | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $600,225 | $0 | $26,699 | Yes (X) | ||
| MICHAEL A TRAVER | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $669,325 | $0 | $26,596 | Yes (X) | ||
| JOHN K LUDLOW | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $668,340 | $0 | $17,653 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,537,105 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $213,614 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 122 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CERNER | |||||
| PO BOX 165750 | KANSAS CITY | MO | 64116 | SOFTWARE - PURCHASED MAINTENANCE | $4,242,138 |
| TRIMEDX | |||||
| 5451 LAKEVIEW PKWY S DR | INDIANAPOLIS | IN | 46268 | HOUSEKEEPING | $2,552,395 |
| LAKEWOOD CONSTRUCTION | |||||
| 11253 JAMES ST | HOLLAND | MI | 49424 | CONSTRUCTION | $1,993,649 |
| ELZINGA AND VOLKERS INC | |||||
| 86 E 6TH ST | HOLLAND | MI | 49423 | CONSTRUCTION | $1,984,295 |
| ARAMARK CORPORATION | |||||
| 12483 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | HOUSEKEEPING | $1,916,753 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 60 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $16,437,841 | GovernmentGrantsAmt |
| All Other Contributions | $2,045,716 | AllOtherContributionsAmt |
| Total Contributions | $18,483,557 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622110 | $233,290,947 | $232,145,131 | $1,145,816 |
| OTHER RELATED REVENUE | 900099 | $11,152,801 | $11,152,801 | |
| PHARMACY SALES UNDER SEC. 340B | 446110 | $8,970,937 | $8,970,937 | |
| QUALITY INCENTIVE PAYMENTS | 622110 | $5,035,211 | $5,035,211 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $258,449,896 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,109,746 | TotalRevenueColumnAmt |
| Exclusion | $3,109,746 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $885,245 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $158,917 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $726,328 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $726,328 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $726,328 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $27,488,684 | SecuritiesAmt |
| Other | $97,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $20,808,507 | SecuritiesAmt |
| Other | $1,007,671 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,680,177 | SecuritiesAmt |
| Other | -$910,671 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,769,506 | TotalRevenueColumnAmt |
| Exclusion | $5,769,506 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $286,539,033 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $258,030,408 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,145,816 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,879,252 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $909,988 | TotalAmt |
| Program Services | $909,988 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,005,453 | TotalAmt |
| Program Services | $2,712,255 | ProgramServicesAmt |
| Management And General | $291,451 | ManagementAndGeneralAmt |
| Fundraising | $1,747 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,684,273 | TotalAmt |
| Program Services | $108,412,953 | ProgramServicesAmt |
| Management And General | $11,202,246 | ManagementAndGeneralAmt |
| Fundraising | $69,074 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,243,192 | TotalAmt |
| Program Services | $1,233,260 | ProgramServicesAmt |
| Management And General | $1,009,932 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,525,583 | TotalAmt |
| Program Services | $15,169,620 | ProgramServicesAmt |
| Management And General | $1,338,340 | ManagementAndGeneralAmt |
| Fundraising | $17,623 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,408,581 | TotalAmt |
| Program Services | $6,803,658 | ProgramServicesAmt |
| Management And General | $604,923 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $356,191 | TotalAmt |
| Management And General | $356,191 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,976 | TotalAmt |
| Management And General | $155,976 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,477,498 | TotalAmt |
| Program Services | $19,743,429 | ProgramServicesAmt |
| Management And General | $2,733,934 | ManagementAndGeneralAmt |
| Fundraising | $135 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $981,031 | TotalAmt |
| Program Services | $896,351 | ProgramServicesAmt |
| Management And General | $84,680 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,323,590 | TotalAmt |
| Program Services | $2,163,630 | ProgramServicesAmt |
| Management And General | $159,960 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,736,576 | TotalAmt |
| Program Services | $7,004,355 | ProgramServicesAmt |
| Management And General | $724,439 | ManagementAndGeneralAmt |
| Fundraising | $7,782 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,061,244 | TotalAmt |
| Program Services | $4,832,507 | ProgramServicesAmt |
| Management And General | $228,737 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,190 | TotalAmt |
| Program Services | $176,832 | ProgramServicesAmt |
| Management And General | $1,358 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,268 | TotalAmt |
| Program Services | $135,478 | ProgramServicesAmt |
| Management And General | $23,790 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,370,253 | TotalAmt |
| Program Services | $1,025,939 | ProgramServicesAmt |
| Management And General | $2,344,314 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,858,828 | TotalAmt |
| Program Services | $16,756,367 | ProgramServicesAmt |
| Management And General | $1,102,461 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,133,614 | TotalAmt |
| Program Services | $2,917,649 | ProgramServicesAmt |
| Management And General | $1,215,965 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUG | $45,156,051 | $45,156,051 | |
| PROVISION FOR BAD DEBTS | $10,024,228 | $10,024,228 | |
| REPAIRS & MAINTENANCE | $1,695,285 | $1,640,154 | $55,131 |
| DUES AND SUBSCRIPTIONS | $694,377 | $521,124 | $173,253 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $492,166 | TotalAmt |
| Program Services | $385,230 | ProgramServicesAmt |
| Management And General | $92,172 | ManagementAndGeneralAmt |
| Fundraising | $14,764 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $272,631,436 | TotalAmt |
| Program Services | $248,621,058 | ProgramServicesAmt |
| Management And General | $23,899,253 | ManagementAndGeneralAmt |
| Fundraising | $111,125 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,927,877 | BOYAmt |
| EOY | $84,843,565 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,573,788 | BOYAmt |
| EOY | $28,253,908 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,336,404 | BOYAmt |
| EOY | $7,335,683 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,664,872 | BOYAmt |
| EOY | $5,599,549 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $327,029,646 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $180,967,801 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,201,703 | BOYAmt |
| EOY | $146,061,845 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,444,417 | BOYAmt |
| EOY | $221,156,186 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,459,963 | BOYAmt |
| EOY | $64,355,124 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,292,186 | BOYAmt |
| EOY | $19,440,690 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $498,901,210 | BOYAmt |
| EOY | $577,046,550 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,799,504 | BOYAmt |
| EOY | $21,807,114 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,322,682 | BOYAmt |
| EOY | $1,304,046 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,964,662 | BOYAmt |
| EOY | $88,469,570 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,037,018 | BOYAmt |
| EOY | $49,692,512 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,123,866 | BOYAmt |
| EOY | $161,273,242 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $353,671,678 | BOYAmt |
| EOY | $414,470,176 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,105,666 | BOYAmt |
| EOY | $1,303,132 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $354,777,344 | BOYAmt |
| EOY | $415,773,308 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $498,901,210 | BOYAmt |
| EOY | $577,046,550 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $13,907,597 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $71,741,028 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$24,652,661 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $17,533 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $17,533 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $585,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $12,996 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $12,996 | GrantsOrScholarshipsAmt |
| End Year Balance | $585,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $585,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $12,665 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $12,665 | GrantsOrScholarshipsAmt |
| End Year Balance | $585,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $585,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $14,900 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $14,900 | GrantsOrScholarshipsAmt |
| End Year Balance | $585,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $585,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $20,286 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $20,286 | GrantsOrScholarshipsAmt |
| End Year Balance | $585,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $585,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $19,874 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $19,874 | GrantsOrScholarshipsAmt |
| End Year Balance | $585,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,493,046 | OtherCostOrOtherBasisAmt |
| Book Value | $9,493,046 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $161,408,456 | OtherCostOrOtherBasisAmt |
| Depreciation | $72,709,792 | DepreciationAmt |
| Book Value | $88,698,664 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,988,191 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,802,742 | DepreciationAmt |
| Book Value | $1,185,449 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $147,242,081 | OtherCostOrOtherBasisAmt |
| Depreciation | $104,455,267 | DepreciationAmt |
| Book Value | $42,786,814 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,897,872 | OtherCostOrOtherBasisAmt |
| Book Value | $3,897,872 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $146,061,845 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENTS IN AFFILIATED ENTITIES | $1,957,625 | F |
| INVESTMENT IN OTHER VENTURE | $62,397,499 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $64,355,124 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| PROFESSIONAL LIABILITY INSURANCE | $7,094,428 |
| OTHER LONG-TERM LIABILITIES | $8,989,718 |
| INTEREST PAYABLE | $810,054 |
| COST REPORT SETTLEMENT PAYABLE | $10,593,251 |
| LEASE LIABILITY | $16,111,283 |
| CONSTRUCTION PAYABLE | $6,093,778 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $49,692,512 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $337,908,411 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $71,741,028 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $1,069,588 | OtherRevenueAmt |
| Revenue Not Reported | $72,810,616 | RevenueNotReportedAmt |
| Revenue Subtotal | $265,097,795 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $847,738 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $20,593,500 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $21,441,238 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $286,539,033 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $261,095,846 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,069,588 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,069,588 | ExpensesNotReportedAmt |
| Expenses Subtotal | $260,026,258 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $847,738 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $11,757,440 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $12,605,178 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $272,631,436 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 158,917. GAIN/LOSS ON SALE OF ASSETS 910,671. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 10,024,224. EXPENSES RECORDED AGAINST INCOME 1,733,216. LOSS ON EQUITY INVESTMENTS 7,714,469. GRANTS 1,121,591. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON SALE OF ASSETS 910,671. RENTAL EXPENSE 158,917. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 10,024,224. EXPENSES RECORDED AGAINST INCOME 1,733,216. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 225.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,479,561 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,479,561 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00560 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,149,792 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,125,050 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,024,742 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04200 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,629,353 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,125,050 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,504,303 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04760 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,125,497 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,780 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,118,717 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01950 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $163,536 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $163,536 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $861,869 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $861,869 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,150,902 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,780 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,144,122 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02340 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,780,255 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,131,830 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,648,425 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07100 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $774,527 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $774,527 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $774,527 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $774,527 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $10,024,228 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $28,750,043 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $35,644,244 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,894,201 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 HOLLAND PHO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | COORD. RESOURCES FOR ITS MEMBERS FOR THE DELIVERY OF QUALITY HEALTH CARE. | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.50000 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00000 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.50000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLLAND COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 602 MICHIGAN AVE | AddressLine1Txt |
| City | HOLLAND | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49423 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.HOLLANDHOSPITAL.ORG | WebsiteAddressTxt |
| State License | 1060000036 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLLAND COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 20 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://TINYURL.COM/YAG4VGPR | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | HTTPS://TINYURL.COM/YDUJWJR4 | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://TINYURL.COM/YAG4VGPR | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 225.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | TINYURL.COM/Y78LJRTZ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | TINYURL.COM/Y78LJRTZ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | TINYURL.COM/Y78LJRTZ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 EXISTANCE OF CHALLENGED SUBGOUPS 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - HEALTH POINTE | ||||
| 15100 WHITTAKER WAY | GRAND HAVEN | MI | 49417 | FULL-SERVICE AND FULLY INTEGRATED OUTPATIENT FACILITY |
| 2 - LAKESHORE AREA RADIATION ONCOLOGY CENTER | ||||
| 12642 RILEY STREET | HOLLAND | MI | 49424 | COMPREHENSIVE OUTPATIENT RADIATION TREATMENT CENTER |
| 3 - HOLLAND HOSPITAL MEDICAL GROUP | ||||
| 602 MICHIGAN AVE | HOLLAND | MI | 49423 | PHYSICIAN OFFICE |
| 4 - WEST MICHIGAN UROLOGICAL ASSOCIATES | ||||
| 602 MICHIGAN AVE | HOLLAND | MI | 49423 | PHYSICIAN OFFICE |
| 5 - HHMG - INTERNAL FAMILY MEDICINE | ||||
| 602 MICHIGAN AVE | HOLLAND | MI | 49423 | PHYSICIAN OFFICE |
| 6 - THE BONE AND JOINT CENTER OF HOLLAND | ||||
| 602 MICHIGAN AVE | HOLLAND | MI | 49423 | PHYSICIAN OFFICE |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $ 10,024,228. |
| 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. IN ADDITION TO MEDICAL AND SURGICAL CARE, HOLLAND HOSPITAL OFFERS REHABILITATION AND PHYSICAL THERAPY, MENTAL HEALTH SERVICES, DIAGNOSTIC TESTING, SCREENINGS, COMMUNITY EDUCATION AND SUPPORT PROGRAMS. IN FY 2021, THE HOSPITAL WAS ALSO HIGHLY ENGAGED IN WORKING WITH AREA HEALTH AGENCIES, COMMUNITY ORGANIZATIONS, LOCAL BUSINESSES AND OTHER HEALTH CARE PROVIDERS TO QUICKLY AND ACCURATELY INFORM AND EDUCATE OUR COMMUNITY ABOUT THE COVID-19 VIRUS AS WELL AS TO COORDINATE COVID-19 TESTING SERVICES AND TREAT MANY COVID-19 POSITIVE PATIENTS.HOLLAND HOSPITAL'S COMMUNITY OUTREACH PROGRAMS HELP PROVIDE SECURITY AND STABILITY THOSE IN NEED. OUTREACH EFFORTS FOCUS ON FOUR KEY AREAS: (1) HOLLAND COMMUNITY HEALTH CENTER (CHC): THE CHC IS AN OUTREACH SERVICE OF HOLLAND HOSPITAL IN PARTNERSHIP WITH SPECTRUM HEALTH MEDICAL GROUP AND AFFILIATED PHYSICIANS. THE CHC 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. THE CHC ALSO ACQUIRES AND DISTRIBUTES FREE MEDICATIONS FOR PATIENTS WHO CANNOT AFFORD THEM; (2) SCHOOL NURSE PROGRAM: HOLLAND HOSPITAL'S SCHOOL NURSES ADDRESS THE HEALTH NEEDS OF APPROXIMATELY 13,000 CHILDREN 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. (2) SCHOOL MENTAL HEALTH PROGRAM: THIS NEW PROGRAM HAS PROVEN EFFECTIVE IN IMPROVING THE MENTAL HEALTH AND WELLNESS OF STUDENTS THROUGH EARLY INTERVENTION WHEN STUDENT MENTAL HEALTH CONCERNS ARE IDENTIFIED, AND BY COORDINATING CARE BETWEEN THE SCHOOL, FAMILY, CAREGIVERS, PHYSICIANS AND/OR HOSPITAL FOR THE MOST AT-RISK STUDENTS. (3) COMMUNITY HEALTH CARE WORKER: THIS PROGRAM PROVIDES ESSENTIAL CARE COORDINATION AND SUPPORT TO MANY AREA RESIDENTS WHO SUFFER FROM HEALTH PROBLEMS, BUT LACK RESOURCES, TOOLS AND ASSISTANCE TO SUCCESSFULLY NAVIGATE THE SYSTEM AND FIND SOLUTIONS ON THEIR OWN. (4) FAITH COMMUNITY NURSE: ADULTS AND CHILDREN LIVING AT THE HOLLAND RESCUE MISSION RECEIVE CARE FOR MIND, BODY AND SPIRIT FROM HOLLAND HOSPITAL'S FAITH COMMUNITY NURSE. LAST YEAR, OUR NURSE RECORDED NEARLY 500 CLIENT CONTACTS AND MADE 270 INTERVENTIONS FOR CARE. IN ADDITION TO THE ABOVE, HOLLAND HOSPITAL ALSO MAINTAINS ITS BREAST CARE FUND WHICH FOCUSES ON EARLY DETECTION AS THE BEST OPPORTUNITY TO TREAT BREAST CANCER AND REDUCE THE RISK OF RECURRENCE. 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. 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 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 3: | PATIENT ACCOUNTS ARE REVIEWED FOR % OF BAD DEBTS SENT TO COLLECTIONS THAT WERE POSSIBLY CHARITY CARE ACCOUNTING TO THE FINANCIAL ASSISTANCE POLICY. THIS PERCENTAGE IS THEN APPLIED TO BAD DEBTS AT GROSS CHARGES. GROSS PATIENT CHARGES ARE THEN COMPARED TO OPERATING EXPENSES, NON-PATIENT CARE ACTIVITIES EXPENSES, AND MEDICAID PROVIDE TAXES TO DETERMINE A COST PERTCENTAGE AND THIS PERCENTAGE IS THEN APPLIED TO THE PREVIOUSLY MENTIONED CALCAULATION. THE RESULT IS AN ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSITANCE POLICY. |
| PART III, LINE 4: | ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE: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 OUR 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 AND WILL BE REVIEWED 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 5 YEARS (LAST ONE IN 2017) AND THE OTTAWA COUNTY HEALTH DEPARTMENT PUBLISHES THEIR YOUTH ASSESSMENT (LAST ONE IN 2019) AND ADULT ASSESSMENT (LAST ONE IN 2020). 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 161,654 WITH RAPID GROWTH OVER THE PAST 10 YEARS (+9.3%) THAT HAS OUTPACED THE STATE OF MICHIGAN. CONTINUED GROWTH IS FORECAST FOR THE PSA OVER THE NEXT FIVE YEARS (+3.3%). THE US CENSUS BUREAU ESTIMATES FOR 2020 SHOW THE TOTAL POPULATION FOR OTTAWA COUNTY IS 296,200 AND THE TOTAL POPULATION OF ALLEGAN COUNTY IS 120,502. OTTAWA COUNTY IS THE FASTEST GROWING COUNTY IN MICHIGAN AND ALLEGAN COUNTY RANKS AS THE FOURTH FASTEST GROWING COUNTY. THE MOST RECENT CATEGORIZATION OF DATA FROM THE CENSUS BUREAU COMES FROM THE AMERICAN COMMUNITY SURVEY WHICH SHOWS THE FOLLOWING POPULATION DEMOGRAPHICS FOR OTTAWA AND ALLEGAN COUNTIES: OTTAWA COUNTY RACE/ETHNICITY: BLACK OR AFRICAN AMERICAN (1.9%), AMERICAN INDIAN AND ALASKA NATIVE (0.6%), ASIAN (3.0%), NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER (0.1%), HISPANIC OR LATINO (10.2%), WHITE, NOT HISPANIC OR LATINO (83.4%), TWO OR MORE RACES (2.0%); INCOME & POVERTY: MEDIAN HOUSEHOLD INCOME = $69,314, PERSONS IN POVERTY (7.8%).ALLEGAN COUNTY RACE/ETHNICITY: BLACK OR AFRICAN AMERICAN (1.6%), AMERICAN INDIAN AND ALASKA NATIVE (0.7%), ASIAN (0.9%), NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER (0.0%), HISPANIC OR LATINO (7.5%), WHITE, NOT HISPANIC OR LATINO (88.1%), TWO OR MORE RACES (1.9%); INCOME & POVERTY: MEDIAN HOUSEHOLD INCOME = $62,965, PERSONS IN POVERTY (10.8%).ACCORDING TO THE 2020 OTTAWA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA):IN 2020, THE SOCIAL, ECONOMIC, AND POLITICAL IMPACT OF THE CORONAVIRUS (COVID-19) PANDEMIC HAS BEEN SYSTEMIC WORLDWIDE. INDIVIDUALLY THERE WAS, AND CONTINUES TO BE, AN IMPACT ON PHYSICAL AND MENTAL HEALTH. BECAUSE THIS WAS SUCH A UNIQUE YEAR, THE APPROACH TO PRESENTING RESEARCH FINDINGS IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT (2020) REPORT IS SLIGHTLY DIFFERENT THAN IN PREVIOUS REPORTS. THAT SAID, 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 18-64 HAVE NO HEALTH INSURANCE AND 11.9% HAVE NO PERSONAL HEALTH CARE PROVIDER. AREAS OF HEALTH CONCERNS 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: | IN 2021, HOLLAND HOSPITAL RECEIVED FOUR MAJOR AWARDS FOR COMMUNITY HEALTH PROMOTION RELATED TO BOTH INTERNAL AND EXTERNAL COVID EDUCATION AND CRISIS COMMUNICATIONS. THESE AWARDS REFLECT OUR HOSPITAL-WIDE DEDICATION AND COMMITMENT TO PROMOTION OF COMMUNITY HEALTH UNDER EXTREME CIRCUMSTANCES DURING THE PANDEMIC. 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. MEMBERS OF THE HOSPITAL'S STAFF SERVE ON MAJOR COMMUNITY EVENT STEERING COMMITTEES. THE HOSPITAL ALSO 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 PROVIDE AFFORDABLE CARE FOR THOSE WHO LACK HEALTH INSURANCE; THE SCHOOL NURSE PROGRAM AND SCHOOL MENTAL HEALTH PROGRAM WHICH ADDRESS THE HEALTH NEEDS OF STUDENTS AND SUPPORT FOR THEIR FAMILIES; THE COMMUNITY HEALTH CARE WORKER PROGRAM WHICH HELPS COORDINATE CARE FOR THOSE IN NEED; THE FAITH COMMUNITY NURSE WHO CARES FOR ADULTS AND CHILDREN AT THE HOLLAND RESCUE MISSION; 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 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HEALTH CENTER | |||||||||
| 602 MICHIGAN AVENUE | HOLLAND | MI | 49423 | 200602574 | 501(C)(3) | $899,988 | N/A | N/A | OPERATIONAL CASH FLOW TO BREAK-EVEN |
| THE COMMUNITY FOUNDATION OF THE HOLLAND ZEELAND AREA | |||||||||
| 85 E 8TH ST STE 100 | HOLLAND | MI | 49423 | 386095283 | 501(C)(3) | $10,000 | N/A | N/A | TO SUPPORT THE 'NOW FOR THE NEXT' PROGRAM |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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 | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DALE M SOWDERS | ||||||||||||||
| PRESIDENT & CEO | $572,630 | $0 | $375,000 | $0 | $14,434 | $0 | $7,877 | $0 | $12,967 | $0 | $982,908 | $0 | $0 | $0 |
| STEPHEN J MAUGER | ||||||||||||||
| PHYSICIAN | $285,002 | $0 | $554,678 | $0 | $30,074 | $0 | $5,340 | $0 | $18,163 | $0 | $893,257 | $0 | $0 | $0 |
| DERICK M JOHNSON | ||||||||||||||
| PHYSICIAN | $794,000 | $0 | $0 | $0 | $10,371 | $0 | $8,550 | $0 | $18,253 | $0 | $831,174 | $0 | $0 | $0 |
| MICHAEL A TRAVER | ||||||||||||||
| PHYSICIAN | $448,643 | $0 | $208,829 | $0 | $11,853 | $0 | $8,550 | $0 | $18,046 | $0 | $695,921 | $0 | $0 | $0 |
| JOHN K LUDLOW | ||||||||||||||
| PHYSICIAN | $448,643 | $0 | $208,829 | $0 | $10,868 | $0 | $4,569 | $0 | $13,084 | $0 | $685,993 | $0 | $0 | $0 |
| JOSEPH K POSTMA | ||||||||||||||
| PHYSICIAN | $275,018 | $0 | $292,590 | $0 | $32,617 | $0 | $8,550 | $0 | $18,149 | $0 | $626,924 | $0 | $0 | $0 |
| MARK L PAWLAK | ||||||||||||||
| SVP, QUALITY, IS & HOSP OP | $289,598 | $0 | $132,000 | $0 | $178,165 | $0 | $6,066 | $0 | $6,578 | $0 | $612,407 | $0 | $0 | $0 |
| PATTI VANDORT | ||||||||||||||
| SVP, CNO, REHAB SERV, MARK | $289,598 | $0 | $213,500 | $0 | $48,653 | $0 | $6,015 | $0 | $10,883 | $0 | $568,649 | $0 | $0 | $0 |
| TERRY L STEELE | ||||||||||||||
| VP, FINANCE & CFO | $317,678 | $0 | $152,130 | $0 | $10,989 | $0 | $8,550 | $0 | $13,153 | $0 | $502,500 | $0 | $0 | $0 |
| MARK STID MD | ||||||||||||||
| TRUSTEE, MEDICAL DIRECTOR | $174,678 | $0 | $50,001 | $0 | $57,761 | $0 | $2,097 | $0 | $18,174 | $0 | $302,711 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 2020. |
| PART I, LINE 7 | MANAGEMENT BONUSES ARE DISCRETIONARY AND DETERMINED BY THE BOARD. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| MICHIGAN STATE HOSPITAL FINANCE AUTHORITY | ||||||||
| A | 800596186 | 59447TNK5 | 2016-10-06 | $41,320,000 | CONSTRUCTION OF NEW BUILDING AND DEFEASANCE OF 2004B BONDS | 0 | 0 | 0 |
| MICHIGAN STATE HOSPITAL FINANCE AUTHORITY | ||||||||
| B | 800596186 | NONEAVAIL | 2020-08-03 | $10,445,481 | CONSTRUCTION OF NEW BUILDING | 0 | 0 | 0 |
| MICHIGAN STATE HOSPITAL FINANCE AUTHORITY | ||||||||
| C | 800596186 | 59447PTK7 | 2013-02-20 | $39,641,117 | CONSTRUCTION OF NEW BUILDING AND DEFEASANCE OF 2004A BONDS | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $2,245,000 | $44,193,387 | $573,771 | $21,796,000 | $21,823,616 | 2016 | 0 | Yes (1) | Yes (1) | Yes (1) |
| B | $10,445,481 | 2020 | Yes (1) | 0 | Yes (1) | Yes (1) | ||||
| C | $1,285,000 | $39,641,117 | $512,903 | $20,471,662 | $18,656,552 | 2015 | 0 | Yes (1) | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART I, ISSUER NAME: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, ITEM C | DBA: LAKESHORE HEALTH PARTNERS 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 CEO AND CFO 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 -7,714,469. IMPAIRMENT OF GOODWILL AND OTHER INTANGIBLE ASSET -16,938,192. |
| FORM 990, PART XII, LINE 2C: | THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLLAND HOSPITAL PHYSICIAN CLINIC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 602 MICHIGAN AVENUE | AddressLine1Txt |
| City | HOLLAND | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49423 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 263479537 | EIN |
| Primary Activities | NOT ACTIVE | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLLAND COMMUNITY HOSPITAL | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLLAND COMMUNITY HOSPITAL AUTHORITY SELF-INSURANCE TRUST FUND | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 602 MICHIGAN AVENUE | AddressLine1Txt |
| City | HOLLAND | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49423 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 386389385 | EIN |
| Primary Activities | SUPPORTING ORGANIZATION | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLLAND COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |