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HOLLAND COMMUNITY HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
HOLLAND COMMUNITY HOSPITAL (EIN 38-2800065)
Tax period
2019-04-01 to 2020-03-31
Filed
2021-02-15
IRS object ID
202110469349302206
Schema version
2019v5.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-02-15T16:14:04-06:00ReturnTs
Tax Period End2020-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1600 E FRONT ST STE 300AddressLine1Txt
CityTRAVERSE CITYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49686ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN382800065EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOLLAND COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOLLBusinessNameControlTxt
Phone6163925141PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1602 MICHIGAN AVENUEAddressLine1Txt
CityHOLLANDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49423ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDALE SOWDERSPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone6163925141PhoneNum
Signature2021-02-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonOLIVER JURKOVICPreparerPersonNm
PTINP00433694PTIN
Phone2319477800PhoneNum
Preparation2021-02-09PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1HOLLAND HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDALE SOWDERSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1602 MICHIGAN AVENUEAddressLine1Txt
CityHOLLANDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49423ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$305,426,715GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HOLLANDHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee2516TotalEmployeeCnt
Total Volunteers310TotalVolunteersCnt
Total Gross UBI$932,932TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,044,667PYContributionsGrantsAmt
CY Contributions Grants$1,126,650CYContributionsGrantsAmt
PY Program Service Revenue$268,101,761PYProgramServiceRevenueAmt
CY Program Service Revenue$267,540,422CYProgramServiceRevenueAmt
PY Investment Income$6,581,933PYInvestmentIncomeAmt
CY Investment Income$5,750,493CYInvestmentIncomeAmt
PY Other Revenue$1,222,699PYOtherRevenueAmt
CY Other Revenue$1,187,826CYOtherRevenueAmt
PY Total Revenue$276,951,060PYTotalRevenueAmt
CY Total Revenue$275,605,391CYTotalRevenueAmt
PY Grants And Similar Paid$865,972PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$919,988CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$145,595,886PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$149,762,113CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$129,041CYTotalFundraisingExpenseAmt
PY Other Expenses$117,430,516PYOtherExpensesAmt
CY Other Expenses$119,160,582CYOtherExpensesAmt
PY Total Expenses$263,892,374PYTotalExpensesAmt
CY Total Expenses$269,842,683CYTotalExpensesAmt
PY Revenues Less Expenses$13,058,686PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,762,708CYRevenuesLessExpensesAmt
Total Assets BOY$506,083,017TotalAssetsBOYAmt
Total Assets EOY$498,901,210TotalAssetsEOYAmt
Total Liabilities BOY$128,542,791TotalLiabilitiesBOYAmt
Total Liabilities EOY$144,123,866TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$377,540,226NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$354,777,344NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$247,628,255ExpenseAmt
Grant$919,988GrantAmt
Revenue$267,797,157RevenueAmt
DescTHE EMPLOYEES, MEDICAL STAFF AND VOLUNTEERS OF HOLLAND HOSPITAL REMAIN COMMITTED TO THE HOSPITAL'S MISSION: TO CONTINUALLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY. OUR VISION IS TO BE THE PREEMINENT STAND-ALONE HOSPITAL IN WEST MICHIGAN AS MEASURED BY BENCHMARK CUSTOMER SERVICE, BUSINESS GROWTH, FINANCIAL PERFORMANCE AND CLINICAL EXCELLENCE. WE MEASURE OUR ACHIEVEMENTS AGAINST FIVE ORGANIZATIONAL STRATEGIC ESSENTIALS: FINANCIAL STRENGTH, GROWTH, QUALITY, SUPERIOR SERVICE AND SUPERIOR WORKFORCE.NATIONALLY RECOGNIZED QUALITY AND VALUEWE ARE ONE OF THE FEW 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.THE 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 THE FEW MICHIGAN HOSPITALS TO CONSISTENTLY RECEIVE THE TOP 5-STAR QUALITY RATING FROM CMS. WHAT'S MORE, WE HAVE BEEN RECOGNIZED AS THE REGION'S LOW COST PROVIDER AND AMONG THE NATION'S TOP HOSPITALS FOR HEALTH CARE VALUE.HOLLAND HOSPITAL'S COMMITMENT TO QUALITY HAS ALSO EARNED NATIONAL RECOGNITION OVER MULTIPLE YEARS FROM THE INDUSTRY'S LEADING RATING AGENCIES INCLUDING HEALTHGRADES, TRUVEN HEALTH ANALYTICS, US NEWS, AND OTHERS IN AREAS SUCH AS ORTHOPEDICS, JOINT REPLACEMENT, CARDIOLOGY, AND SURGERY.CONVENIENT ACCESS TO ADVANCED TECHNOLOGYHOLLAND HOSPITAL OFFERS CONVENIENT LOCAL ACCESS TO ADVANCED TECHNOLOGY FOR EXCEPTIONAL PATIENT CARE. EXAMPLES INCLUDE:CARDIAC CATHETERIZATION LABHOLLAND HOSPITAL'S ADVANCED CATH LAB DEPARTMENT HAS STATE-OF-THE-ART PROCEDURE ROOMS WITH THE LATEST TECHNOLOGY, IMAGING EQUIPMENT WITH THE HIGHEST RESOLUTION AND LOWEST RADIATION AVAILABLE AND A SPECIAL PROCEDURES ROOM FOR PERIPHERAL VASCULAR CARE AND PACEMAKER IMPLANTS.ORTHOPEDICS / JOINT REPLACEMENTWE UTILIZE 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.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 STEALTH EDITION ROBOTIC GUIDANCE PLATFORM THE LATEST ADVANCED TECHNOLOGY FOR MINIMALLY INVASIVE SPINE SURGERY WHICH PROVIDES SAFER, MORE EFFICIENT SPINAL FUSION SURGERIES. IN ADDITION, WE OFFER THE STRYKER 4K FLUORESCENT IMAGING PLATFORM, THE FIRST HOSPITAL IN WEST MICHIGAN TO HAVE THIS FULLY INTEGRATED IMAGING TECHNOLOGYDIGESTIVE HEALTHHOLLAND HOSPITAL SPECIALISTS HAVE EXTENSIVE EXPERIENCE TREATING HEARTBURN AND GERD WITH THE LATEST 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.BOVEN BIRTH CENTERHOLLAND HOSPITAL RECENTLY OPENED A NEWLY RENOVATED AND EXPANDED BIRTH CENTER FEATURING THE LATEST TECHNOLOGY AND COMFORT 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. OUR EXPERT AND COMPASSIONATE BIRTHING TEAM INCLUDES OB/GYNS, PEDIATRIC HOSPITALISTS, SURGEONS, NEONATAL NURSES AND NURSES SPECIALIZING IN OBSTETRICS, LACTATION CONSULTANTS, PARENT ADVOCATES, AND OTHERS. AN EIGHT-BED SPECIAL CARE NURSERY PROVIDES PRE-TERM AND TERM BABIES WHO NEED SPECIALIZED ATTENTION EXTRA MONITORING AND CARE BEFORE GOING HOMEBREAST 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 NOW 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 MOVED TO A NEW LOCATION IN A TOTALLY RENOVATED BUILDING WITH A WIDE RANGE OF SERVICES SPECIFICALLY FOR WOMEN'S HEALTH NEEDS AT EVERY LIFE STAGE. THE PRACTICE PROVIDES ACCESS TO PERSONALIZED CARE, SPECIALIZED SUPPORT AND ADVANCED TECHNOLOGY IN THE NEW COMFORTABLE SETTING. PROVIDERS ARE CERTIFIED IN MENOPAUSAL CARE AND TREAT A BROAD SCOPE OF HEALTH CONCERNS.BEHAVIORAL HEALTHHOLLAND HOSPITAL OFFERS A WIDE RANGE OF 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 BEHAVIORAL HEALTH CARE, WE OFFER OUR NEW PARTIAL HOSPITALIZATION AND INTENSIVE OUTPATIENT PROGRAMS WHICH ARE SHORT-TERM, INNOVATIVE TREATMENT OPTIONS FOR ADULTS WHO REQUIRE MORE SUPPORT THAN TRADITIONAL OUTPATIENT TREATMENT. PATIENTS WILL RECEIVE EVIDENCE-BASED TREATMENT TO ACHIEVE GOALS OF REDUCING SYMPTOMS AND IMPROVING QUALITY OF LIFE.TELEHEALTH TECHNOLOGYTO HELP ENSURE EXCELLENT OUTCOMES AND REDUCE AVOIDABLE RE-HOSPITALIZATIONS, WE OFFER TELEHEALTH CAPABILITIES WHICH OFFER A SIMPLE-TO-USE IN-HOME ELECTRONIC DEVICE THAT COLLECTS VITAL SIGNS AND TRANSMITS DATA TO BEST MONITOR PATIENT CONDITIONS AND HELP GUIDE APPROPRIATE ACTION AND AVOID READMISSION.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. OVER THE PAST YEAR, WE HAVE ADDED MANY NEW PRIMARY CARE PROVIDERS TO EXPAND ACCESS TO CARE AND PREPARE FOR CONTINUED GROWTH IN DEMAND FOR HEALTH CARE WITHIN THE COMMUNITY.IN ADDITION TO THE ADDED PHYSICIANS IN FAMILY MEDICINE, INTERNAL MEDICINE AND PEDIATRICS, WE HAVE ADDED NEW INTERNAL MEDICINE OFFICE THIS YEAR IN ZEELAND AT THE HOLLAND HOSPITAL MEDICAL BUILDING. ALL HOLLAND HOSPITAL MEDICAL PRACTICES ALSO OFFER VIRTUAL VISITS - ONLINE APPOINTMENTS FROM THE COMFORT OF HOME. IMMEDIATE CARE OPTIONS INCLUDE OUR NEW AT WALK-IN CARE AND URGENT CARE. FOR LIFE-THREATENING CONCERNS, EMERGENCY SERVICES ARE OPEN 24/7.WORKPLACE EXCELLENCEFOR THE PAST NINE YEARS, HOLLAND HOSPITAL HAS BEEN NAMED ONE OF THE NATION'S "101 BEST AND BRIGHTEST COMPANIES TO WORK FOR." WE'RE ALSO HONORED TO BE NAMED ONE OF WEST MICHIGAN'S "101 BEST AND BRIGHTEST COMPANIES TO WORK FOR" FOR 18 YEARS IN A ROW BY THE MICHIGAN BUSINESS AND PROFESSIONAL ASSOCIATION (MBPA). ACCORDING TO MBPA, WINNING COMPANIES PRACTICE INNOVATIVE STRATEGIES AND REPRESENT BEST PRACTICES IN HUMAN RESOURCES. ACCESS TO HEALTH CARE: COMMUNITY OUTREACH THE FUND DEVELOPMENT OFFICE AT HOLLAND HOSPITAL RAISES FINANCIAL SUPPORT FOR FOUR IMPORTANT COMMUNITY OUTREACH EFFORTS: THE HOLLAND COMMUNITY HEALTH CENTER, THE SCHOOL NURSING PROGRAM, THE FAITH COMMUNITY NURSE AND THE BREAST CARE FUND.HOLLAND COMMUNITY HEALTH CENTERTHE 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.SCHOOL NURSING PROGRAMHOLLAND HOSPITAL'S SCHOOL NURSES ADDRESS THE HEALTH NEEDS FOR OVER 11,000 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 FROM SCHOOL. THIS INCLUDES A SCHOOL MENTAL HEALTH PROGRAM WITH THE GOALS TO IMPROVE THE MENTAL HEALTH AND WELLNESS OF STUDENTS BY COORDINATING AND MANAGING CARE BETWEEN THE SCHOOL, FAMILY, CAREGIVERS, PHYSICIANS AND/OR HOSPITAL FOR OUR MOST AT-RISK STUDENTS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescCONTINUATION OF LINE 4A: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. EACH YEAR, OUR NURSE RECORDS APPROXIMATELY 900 VISITS AND 800 MEDICAL REFERRALS.BREAST CARE FUNDEARLY DETECTION IS 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.COMMUNITY HEALTH AND WELLNESS OUR HEALTH 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 ASSESSMENTTHE OTTAWA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT HELPS 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 GROGRAM DEVELOPMENT.THE MOST PROMINENT FINDING IN THE RECENT ASSESSMENT INDICATES THAT KEY STAKEHOLDERS BELIEVE ISSUES SURROUNDING MENTAL HEALTH ARE THE MOST CONCERNING HEALTH ISSUES IN OUR AREA. WE HAVE BEEN WORKING TOGETHER WITH AREA PROVIDERS AND RESOURCES TO HELP IDENTIFY SOLUTIONS TO THESE CONCERNS AND WILL CONTINUE TO SEEK INNOVATIVE, EFFECTIVE PROGRAMS TO ADDRESS CURRENT AND EMERGING NEEDS IN OUR AREA.DURING FISCAL YEAR 2020, HOLLAND HOSPITAL PROVIDED: PATIENT DAYS 30,200DISCHARGES 8,500BIRTHS 1,400SURGERIES 15,900OUTPATIENT VISITS 498,000EMERGENCY ROOM VISITS 39,100URGENT CARE VISITS 42,200HOME HEALTH VISITS 40,300LAB TESTS 668,800RADIOLOGY PROCEDURES 118,800BEDS 189UNCOMPENSATED MEDICAL COSTS HOLLAND HOSPITAL REMAINS COMMITTED TO CARING FOR MEMBERS OF OUR COMMUNITY WHO ARE UNINSURED OR UNDER-INSURED. IN FY 2020, HOLLAND HOSPITAL PROVIDED UN-REIMBURSED CARE TO OUR PATIENTS AT A COST OF $45 MILLION, DURING A PARTICULAR DIFFICULT YEAR.2020 COMMUNITY BENEFIT SUMMARY $45 MILLION TOTAL COMMUNITY BENEFITUNPAID COST OF MEDICAID $11,615,000UNPAID COST OF MEDICARE $14,850,000CHARITY CARE $2,197,000 BAD DEBT $11,754,000OTHER COMMUNITY BENEFITS (NOTE A) $4,555,000FINANCE 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 PROGRAMSCASH, IN-KIND DONATIONS & CONTRIBUTIONSHOLLAND COMMUNITY HEALTH CENTERSTUDENT NURSING PROGRAMHEALTH PROFESSIONAL EDUCATION & RESEARCHHOLLAND HOSPITAL SUBSIDIZED SERVICESDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$247,628,255TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming ActivitiesYes (1)GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document160IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2516EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings0DAFExcessBusinessHoldingsInd
Taxable Distributions0TaxableDistributionsInd
Distribution To Donor0DistributionToDonorInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TERRY STEELEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6163925141PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1602 MICHIGAN AVEAddressLine1Txt
CityHOLLANDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49423ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
DERICK M JOHNSON
PHYSICIAN40.000.00Yes (X)$965,911$0$26,445
STEPHEN J MAUGER
PHYSICIAN40.000.00Yes (X)$940,779$0$24,419
DALE M SOWDERS
PRESIDENT & CEO40.001.00$781,856$0$22,008Yes (X)Yes (X)
JOSEPH K POSTMA
PHYSICIAN40.000.00Yes (X)$637,594$0$26,322
BRADLEY L WILLOUGHBY
PHYSICIAN40.000.00Yes (X)$609,882$0$21,088
JOHN K LUDLOW
PHYSICIAN40.000.00Yes (X)$609,882$0$17,673
MARK L PAWLAK
SVP, QUALITY, IS & HOSP OP40.000.00$422,816$0$14,645Yes (X)
TERRY L STEELE
VP, FINANCE & CFO40.001.00$398,993$0$20,927Yes (X)
PATTI VANDORT
SVP, CNO, REHAB SERV, MARK40.000.00$383,311$0$18,764Yes (X)
MARK STID MD
TRUSTEE, MEDICAL DIRECTOR40.001.00$235,497$0$19,890Yes (X)
SUSAN ERVINE MD
TRUSTEE, CHIEF OF STAFF1.000.00$31,775$0$0Yes (X)
TONY YASICK MD
TRUSTEE, MEDICAL DIRECTOR1.001.00$16,500$0$0Yes (X)
PHIL KONING
CHAIR1.001.00$0$0$0Yes (X)Yes (X)
JAMES STROOP
SECRETARY1.001.00$0$0$0Yes (X)Yes (X)
KRIS DEPREE MD
TREASURER1.001.00$0$0$0Yes (X)Yes (X)
MICHAEL HILL
TRUSTEE1.001.00$0$0$0Yes (X)
WILLIAM VANDERVLIET MD
TRUSTEE1.001.00$0$0$0Yes (X)
DAVE MASON
TRUSTEE1.001.00$0$0$0Yes (X)
JUANITA BOCANEGRA
TRUSTEE1.001.00$0$0$0Yes (X)
GWEN AUWERDA
TRUSTEE1.000.00$0$0$0Yes (X)
LESLIE BROWN
TRUSTEE1.000.00$0$0$0Yes (X)
SHELLY MACIEJEWSKI
TRUSTEE1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,034,796TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$212,181TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K128IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CERNER
PO BOX 165750KANSAS CITYMO64116SOFTWARE - PURCHASED MAINTENANCE$6,160,740
ELZINGA AND VOLKERS INC
86 E 6TH STHOLLANDMI49423CONSTRUCTION$4,736,266
ARAMARK CORPORATION
12483 COLLECTIONS CENTER DRCHICAGOIL60693HOUSEKEEPING$2,365,115
TRIMEDX
5451 LAKEVIEW PKWY S DRINDIANAPOLISIN46268HOUSEKEEPING$2,111,234
LAKEWOOD CONSTRUCTION
11253 JAMES STHOLLANDMI49424CONSTRUCTION$1,102,182
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K46CntrctRcvdGreaterThan100KCnt
Fundraising$173,574FundraisingAmt
All Other Contributions$953,076AllOtherContributionsAmt
Total Contributions$1,126,650TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE622110$244,983,047$244,050,115$932,932
OTHER RELATED REVENUE900099$11,339,971$11,339,971
PHARMACY SALES UNDER SEC. 340B446110$9,180,641$9,180,641
QUALITY INCENTIVE PAYMENTS622110$2,036,763$2,036,763
FieldValueIRS element (for citing)
Total Program Service Revenue$267,540,422TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,414,137TotalRevenueColumnAmt
Exclusion$3,414,137ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,407,111RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$217,444RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,189,667RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,189,667TotalRevenueColumnAmt
Related Or Exempt Func Income$1,189,667RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$31,904,891SecuritiesAmt
Other$2,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$29,548,246SecuritiesAmt
Other$22,289OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,356,645SecuritiesAmt
Other-$20,289OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,336,356TotalRevenueColumnAmt
Exclusion$2,336,356ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$8,654FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$173,574ContriRptFundraisingEventAmt
Fundraising Direct Expenses$8,654FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$22,850GamingGrossIncomeAmt
Gaming Direct Expenses$24,691GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,841TotalRevenueColumnAmt
Exclusion-$1,841ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$275,605,391TotalRevenueColumnAmt
Related Or Exempt Func Income$267,797,157RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$932,932UnrelatedBusinessRevenueAmt
Exclusion$5,748,652ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$919,988TotalAmt
Program Services$919,988ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,370,359TotalAmt
Program Services$2,143,119ProgramServicesAmt
Management And General$225,960ManagementAndGeneralAmt
Fundraising$1,280FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$118,992,757TotalAmt
Program Services$107,970,561ProgramServicesAmt
Management And General$10,958,620ManagementAndGeneralAmt
Fundraising$63,576FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,231,579TotalAmt
Program Services$2,413,268ProgramServicesAmt
Management And General$818,311ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$17,091,738TotalAmt
Program Services$15,078,014ProgramServicesAmt
Management And General$1,995,001ManagementAndGeneralAmt
Fundraising$18,723FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,075,680TotalAmt
Program Services$7,495,687ProgramServicesAmt
Management And General$579,993ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$490,380TotalAmt
Management And General$490,380ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$124,156TotalAmt
Management And General$124,156ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$22,205,004TotalAmt
Program Services$19,233,154ProgramServicesAmt
Management And General$2,971,564ManagementAndGeneralAmt
Fundraising$286FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,141,139TotalAmt
Program Services$1,054,377ProgramServicesAmt
Management And General$86,762ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,697,520TotalAmt
Program Services$2,470,189ProgramServicesAmt
Management And General$227,331ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,468,087TotalAmt
Program Services$6,857,066ProgramServicesAmt
Management And General$609,075ManagementAndGeneralAmt
Fundraising$1,946FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,349,341TotalAmt
Program Services$5,087,992ProgramServicesAmt
Management And General$261,349ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$243,489TotalAmt
Program Services$229,612ProgramServicesAmt
Management And General$13,719ManagementAndGeneralAmt
Fundraising$158FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$432,793TotalAmt
Program Services$391,394ProgramServicesAmt
Management And General$40,109ManagementAndGeneralAmt
Fundraising$1,290FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,600,715TotalAmt
Program Services$3,293,973ProgramServicesAmt
Management And General$306,742ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$17,675,663TotalAmt
Program Services$16,630,122ProgramServicesAmt
Management And General$1,045,541ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,067,794TotalAmt
Program Services$218,317ProgramServicesAmt
Management And General$849,477ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUG$41,846,014$41,832,530$13,484
PROVISION FOR BAD DEBTS$11,753,846$11,753,846
REPAIRS & MAINTENANCE$972,969$962,905$10,064
DUES AND SUBSCRIPTIONS$786,865$502,537$284,328

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,304,807TotalAmt
Program Services$1,089,604ProgramServicesAmt
Management And General$173,421ManagementAndGeneralAmt
Fundraising$41,782FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$269,842,683TotalAmt
Program Services$247,628,255ProgramServicesAmt
Management And General$22,085,387ManagementAndGeneralAmt
Fundraising$129,041FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$43,422,249BOYAmt
EOY$45,927,877EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$24,050,583BOYAmt
EOY$22,573,788EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,096,078BOYAmt
EOY$7,336,404EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,886,896BOYAmt
EOY$4,664,872EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$323,746,209LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$168,544,506LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$153,459,426BOYAmt
EOY$155,201,703EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$227,462,591BOYAmt
EOY$203,444,417EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$43,375,349BOYAmt
EOY$40,459,963EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,329,845BOYAmt
EOY$19,292,186EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$506,083,017BOYAmt
EOY$498,901,210EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$19,720,182BOYAmt
EOY$21,799,504EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,457,051BOYAmt
EOY$1,322,682EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$93,237,831BOYAmt
EOY$90,964,662EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,127,727BOYAmt
EOY$30,037,018EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$128,542,791BOYAmt
EOY$144,123,866EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$376,471,443BOYAmt
EOY$353,671,678EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,068,783BOYAmt
EOY$1,105,666EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$377,540,226BOYAmt
EOY$354,777,344EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$506,083,017BOYAmt
EOY$498,901,210EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,762,708ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$25,461,039NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$3,064,551OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$17,994OtherActivitiesAmt
Total Lobbying Expenditures$17,994TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE 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

FieldValueIRS element (for citing)
Beginning Year Balance$683,308BeginningYearBalanceAmt
Investment Earnings Or Losses$12,665InvestmentEarningsOrLossesAmt
End Year Balance$695,973EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$668,408BeginningYearBalanceAmt
Investment Earnings Or Losses$14,900InvestmentEarningsOrLossesAmt
End Year Balance$683,308EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$648,122BeginningYearBalanceAmt
Investment Earnings Or Losses$20,286InvestmentEarningsOrLossesAmt
End Year Balance$668,408EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$628,248BeginningYearBalanceAmt
Investment Earnings Or Losses$19,874InvestmentEarningsOrLossesAmt
End Year Balance$648,122EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$599,573BeginningYearBalanceAmt
Investment Earnings Or Losses$28,675InvestmentEarningsOrLossesAmt
End Year Balance$628,248EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,493,046OtherCostOrOtherBasisAmt
Book Value$9,493,046BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$152,579,924OtherCostOrOtherBasisAmt
Depreciation$66,760,310DepreciationAmt
Book Value$85,819,614BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,990,345OtherCostOrOtherBasisAmt
Depreciation$3,348,032DepreciationAmt
Book Value$1,642,313BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$147,543,318OtherCostOrOtherBasisAmt
Depreciation$98,436,164DepreciationAmt
Book Value$49,107,154BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,139,576OtherCostOrOtherBasisAmt
Book Value$9,139,576BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$155,201,703TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENTS IN AFFILIATED ENTITIES$23,521,771F
INVESTMENT IN OTHER VENTURE$16,938,192F
FieldValueIRS element (for citing)
Total Book Value Securities$40,459,963TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
PROFESSIONAL LIABILITY INSURANCE$2,712,893
OTHER LONG-TERM LIABILITIES$1,393,649
INTEREST PAYABLE$896,828
COST REPORT SETTLEMENT PAYABLE$7,352,067
LEASE LIABILITY$17,681,581
FieldValueIRS element (for citing)
Total Liability$30,037,018TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$233,186,401TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$25,461,039NetUnrealizedGainsInvstAmt
Other Revenue$237,733OtherRevenueAmt
Revenue Not Reported-$25,223,306RevenueNotReportedAmt
Revenue Subtotal$258,409,707RevenueSubtotalAmt
Other Revenues Not Included$17,195,684OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$17,195,684RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$275,605,391TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$256,535,675TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$237,733OtherExpensesIncludedAmt
Expenses Not Reported$237,733ExpensesNotReportedAmt
Expenses Subtotal$256,297,942ExpensesSubtotalAmt
Other Expenses Not Included$13,544,741OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$13,544,741ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$269,842,683TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 217,444. GAIN/LOSS OS SALE OF ASSETS 20,289.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 11,753,846. EXPENSES RECORDED AGAINST INCOME 1,790,895. LOSS ON EQUITY INVESTMENTS 3,064,551. GRANTS 586,392.
PART XII, LINE 2D - OTHER ADJUSTMENTS:LOSS ON SALE OF ASSETS 20,289. RENTAL EXPENSE 217,444.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 11,753,846. EXPENSES RECORDED AGAINST INCOME 1,790,895.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1CULINARY CABARETEvent1Nm
Gross Receipts Event1$182,228GrossReceiptsEvent1Amt
Charitable Contri Event1$173,574CharitableContriEvent1Amt
Gross Revenue Event1$8,654GrossRevenueEvent1Amt
Other Direct Expenses Event1$8,654OtherDirectExpensesEvent1Amt
Gross Receipts Total$182,228GrossReceiptsTotalAmt
Charitable Contributions Tot$173,574CharitableContributionsTotAmt
Gross Revenue Total Events$8,654GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$8,654OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$8,654DirectExpenseSummaryEventsAmt
Net Income Summary$0NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$22,850GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming$17,941NonCashPrizesOtherGamingAmt
Rent Fclty Costs Other Gaming$6,750RentFcltyCostsOtherGamingAmt
Volunteer Labor Other GamingYes (1)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming0.95000VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$22,850GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming$17,941NonCashPrizesTotalGamingAmt
Rent Fclty Costs Total Gaming$6,750RentFcltyCostsTotalGamingAmt
Direct Expense Summary Gaming$24,691DirectExpenseSummaryGamingAmt
Net Gaming Income Summary-$1,841NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedMIStatesWhereGamingConductedCd
LicensedYes (1)LicensedInd
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With NonmembersYes (1)GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Gaming Other Facility1.00000GamingOtherFacilityPct
Individual With BooksCOLLEEN PERDOKIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line1602 MICHIGAN AVEAddressLine1Txt
CityHOLLANDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49423ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game Rev0CntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonCOLLEEN PERDOKGamingManagerPersonNm
Gaming Manager Compensation$0GamingManagerCompensationAmt
Gaming Manager Services ProvFUND DEVELOPMENT COORDINATORGamingManagerServicesProvTxt
Gaming Manager Is EmployeeYes (X)GamingManagerIsEmployeeInd
Charitable Distribution Rqr0CharitableDistributionRqrInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE G, PART III, LINE 16:FormAndLineReferenceDesc
ExplanationINCLUDED IN COLLEEN PERDOK'S RESPONSIBILITIES IS THE ROLE OF GAMING MANAGER; HOWEVER, THE AMOUNT OF COMPENSATION ALLOCATED TO THIS ROLE IS MINIMAL.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other225.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,402,207TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,402,207NetCommunityBenefitExpnsAmt
Total Expense0.00930TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,096,950TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,471,303DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,625,647NetCommunityBenefitExpnsAmt
Total Expense0.05670TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,499,157TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,471,303DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,027,854NetCommunityBenefitExpnsAmt
Total Expense0.06600TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,829,716TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$66,174DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,763,542NetCommunityBenefitExpnsAmt
Total Expense0.00680TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$274,523TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$274,523NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$955,720TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$955,720NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,059,959TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$66,174DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,993,785NetCommunityBenefitExpnsAmt
Total Expense0.01160TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,559,116TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,537,477DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,021,639NetCommunityBenefitExpnsAmt
Total Expense0.07760TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$660,309TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$660,309NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$660,309TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$660,309NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$11,753,846BadDebtExpenseAmt
Bad Debt Expense Attributable$2,865,654BadDebtExpenseAttributableAmt
Reimbursed By Medicare$33,231,492ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$38,989,862CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$5,758,370MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 HOLLAND PHOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesCOORD. RESOURCES FOR ITS MEMBERS FOR THE DELIVERY OF QUALITY HEALTH CARE.PrimaryActivitiesTxt
Org Profit Or Ownership0.50000OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.50000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOLLAND COMMUNITY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1602 MICHIGAN AVEAddressLine1Txt
CityHOLLANDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49423ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.HOLLANDHOSPITAL.ORGWebsiteAddressTxt
State License1060000036StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HOLLAND COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted17CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://TINYURL.COM/YAG4VGPROwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLHTTPS://TINYURL.COM/YD5AQSTZOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt17ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://TINYURL.COM/YAG4VGPRStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care225.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLTINYURL.COM/Y78LJRTZFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLTINYURL.COM/Y78LJRTZFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLTINYURL.COM/Y78LJRTZFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
HOLLAND COMMUNITY HOSPITALPART V, SECTION B, LINE 3J: THE NEEDS ASSESSMENT DESCRIBED THE COMMUNITY'S STRENGTHS AND OPPORTUNITIES REGARDING QUAILITY 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 HOSPITALPART 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 HOSPITALPART V, SECTION B, LINE 6A: NORTH OTTAWA COMMUNITY HEALTH SYSTEM & SPECTRUM HEALTH ZEELAND COMMUNITY HOSPITAL
HOLLAND COMMUNITY HOSPITALPART V, SECTION B, LINE 6B: GREATER OTTAWA COUNTY UNITED WAY, OTTAWA COUNTY DEPARTMENT OF PUBLIC HEALTH AND OTTAWA COUNTY COMMUNITY MENTAL HEALTH
HOLLAND COMMUNITY HOSPITALPART 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 HOSPITALPART 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 HOSPITALPART 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 HOSPITALPART 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.
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - HEALTH POINTE
15100 WHITTAKER WAYGRAND HAVENMI49417FULL-SERVICE AND FULLY INTEGRATED OUTPATIENT FACILITY
2 - LAKESHORE AREA RADIATION ONCOLOGY CENTER
12642 RILEY STREETHOLLANDMI49424COMPREHENSIVE OUTPATIENT RADIATION TREATMENT CENTER
3 - LAKESHORE HEALTH PARTNERS
602 MICHIGAN AVEHOLLANDMI49423PHYSICIAN OFFICE
4 - HH SERVICES-BATES ET AL LLC
602 MICHIGAN AVEHOLLANDMI49423PHYSICIAN OFFICE
5 - LAKESHORE HEALTH PARTNERS FM LLC
602 MICHIGAN AVEHOLLANDMI49423PHYSICIAN OFFICE
6 - HH SERVICES - ORT LLC
602 MICHIGAN AVEHOLLANDMI49423PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $ 11,753,846.
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 SCREENINGS, COMMUNITY EDUCATION AND SUPPORT PROGRAMS.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 FOR OVER 11,000 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 FROM SCHOOL. THIS INCLUDES A SCHOOL MENTAL HEALTH PROGRAM WITH THE GOAL TO IMPROVE THE MENTAL HEALTH AND WELLNESS OF STUDENTS BY COORDINATING AND MANAGING CARE BETWEEN THE SCHOOL, FAMILY, CAREGIVERS, PHYSICIANS AND/OR HOSPITAL FOR OUR MOST AT-RISK STUDENTS. (3) 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 900 VISITS AND MADE 800 MEDICAL REFERRALS. (4) BREAST CARE FUND: EARLY DETECTION IS 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 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 COMMUNITY HEALTH NEEDS ASSESSMENT. THIS INFORMATION IS USED TO HELP GUIDE PLANS AND PROGRAMS THAT WILL CONTINUE TO IMPROVE THE HEALTH OF OUR COMMUNITY.
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 EVERY 2 YEARS (LAST ONE IN 2019) AND EVERY 3 YEARS FOR ADULTS (LAST ONE IN 2018). THE CHNA COLLABORATIVE CONSISTED OF 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. THE US CENSUS BUREAU ESTIMATES FOR 2019 SHOW THE TOTAL POPULATION FOR OTTAWA COUNTY IS 290,494 AND THE TOTAL POPULATION OF ALLEGAN COUNTY IS 117,327. 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%), HISPANIC OR LATINO (10.0%), WHITE, NOT HISPANIC OR LATINO (83.6%); INCOME & POVERTY: MEDIAN HOUSEHOLD INCOME = $67,468, PERSONS IN POVERTY (6.8%). ALLEGAN COUNTY RACE/ETHNICITY: BLACK OR AFRICAN AMERICAN (1.5%), AMERICAN INDIAN AND ALASKA NATIVE (0.7%), ASIAN (0.9%), HISPANIC OR LATINO (7.4%), WHITE, NOT HISPANIC OR LATINO (88.2%); INCOME & POVERTY: MEDIAN HOUSEHOLD INCOME = $59,883, PERSONS IN POVERTY (10.7%).ACCORDING TO THE MOST RECENTLY COMPLETED OTTAWA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (2017): OTTAWA COUNTY POSSESSES THE SOCIAL AND COMMUNITY CHARACTERISTICS THAT TEND TO DISTINGUISH A COMMUNITY AS HEALTHY; MOST AREA RESIDENTS HAVE HEALTH INSURANCE AND MOST HAVE A PERSONAL HEALTH CARE PROVIDER; HOWEVER, THE DISPARITY IN HEALTH CARE DISTRIBUTION AND ACCESS CONTINUES TO EXIST WITH POCKETS OF POVERTY IN THE AREA; 9.2%OF ALL ADULTS AGE 18-64 HAVE NO HEALTH INSURANCE AND THIS PROPORTION RISES TO 17.1% FOR UNDERSERVED ADULTS; AMONG THE REPORT'S KEY FINDINGS, THE AREA OF MENTAL HEALTH CONTINUES TO BE A SIGNIFICANT CONCERN WITH 16.2 OF OTTAWA COUNTY ADULTS CONSIDERED TO HAVE MILD TO SEVERE PSYCHOLOGICAL DISTRESS; OTHER ISSUES IN OUR AREA THAT THE REPORT RATES AS HIGHLY IMPORTANT INCLUDE SUBSTANCE ABUSE, OBESITY, LACK OF EXERCISE AND UNHEALTHY EATING.
PART VI, LINE 5:OUR PROMOTION OF COMMUNITY HEALTH IS EVIDENCED BY PRESENTATION 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.
PART VI, LINE 6:NOT AFFILIATED.
PART VI, LINE 7, REPORTS FILED WITH STATESMI

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
COMMUNITY HEALTH CENTER
602 MICHIGAN AVENUEHOLLANDMI49423200602574501(C)(3)$899,988N/AN/AOPERATIONAL CASH FLOW TO BREAK-EVEN
THE COMMUNITY FOUNDATION OF THE HOLLAND ZEELAND AREA
85 E 8TH ST STE 100HOLLANDMI49423386095283501(C)(3)$20,000N/AN/ATO SUPPORT THE 'NOW FOR THE NEXT' PROGRAM
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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 BENEFITExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DERICK M JOHNSON
PHYSICIAN$760,000$0$0$0$205,911$0$8,400$0$18,045$0$992,356$0$0$0
STEPHEN J MAUGER
PHYSICIAN$285,002$0$607,127$0$48,650$0$6,744$0$17,675$0$965,198$0$0$0
DALE M SOWDERS
PRESIDENT & CEO$605,336$0$162,800$0$13,720$0$8,400$0$13,608$0$803,864$0$0$0
JOSEPH K POSTMA
PHYSICIAN$275,018$0$327,068$0$35,508$0$8,400$0$17,922$0$663,916$0$0$0
BRADLEY L WILLOUGHBY
PHYSICIAN$450,855$0$147,373$0$11,654$0$8,400$0$12,688$0$630,970$0$0$0
JOHN K LUDLOW
PHYSICIAN$450,855$0$147,373$0$11,654$0$4,979$0$12,694$0$627,555$0$0$0
MARK L PAWLAK
SVP, QUALITY, IS & HOSP OP$282,453$0$56,000$0$84,363$0$8,400$0$6,245$0$437,461$0$0$0
TERRY L STEELE
VP, FINANCE & CFO$313,512$0$61,600$0$23,881$0$8,400$0$12,527$0$419,920$0$0$0
PATTI VANDORT
SVP, CNO, REHAB SERV, MARK$282,453$0$56,000$0$44,858$0$8,400$0$10,364$0$402,075$0$0$0
MARK STID MD
TRUSTEE, MEDICAL DIRECTOR$156,675$0$3,052$0$75,770$0$2,457$0$17,433$0$255,387$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BDALE 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 2019.
PART I, LINE 6MANAGEMENT BONUSES ARE BASED 20% ON WHETHER OPERATING MARGIN TARGETS ARE REACHED AND 80% ON WHETHER QUALITY PATIENT SATISFACTION AND ACHIEVEMENT OBJECTIVES ARE MET.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MICHIGAN STATE HOSPITAL FINANCE AUTHORITY
A80059618659447PTK72016-10-06$41,320,000CONSTRUCTION OF NEW BUILDING AND DEFEASANCE OF 2004B BONDS000
MICHIGAN STATE HOSPITAL FINANCE AUTHORITY
B800596186NONEAVAIL2010-08-11$23,500,000CONSTRUCTION OF NEW BUILDING000
MICHIGAN STATE HOSPITAL FINANCE AUTHORITY
C80059618659447PTK72013-02-20$39,641,117CONSTRUCTION OF NEW BUILDING AND DEFEASANCE OF 2004A BONDS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$1,650,000$44,193,387$573,771$21,796,000$21,823,61620160Yes (1)0Yes (1)
B$11,750,000$23,500,000$9,376,581$14,123,4192011Yes (1)0Yes (1)Yes (1)
C$1,684,549$39,641,117$512,903$20,471,662$18,656,55220150Yes (1)Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePct
A0000000
B0000000
C00000000.000000.000000.00000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)0000000
B00Yes (1)000000
C0Yes (1)0000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART I, ISSUER NAME:FormAndLineReferenceDesc
ExplanationTHE 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, ITEM CDBA: HOLLAND HOSPITAL PHYSICIAN SERVICES DBA: H.H. PHYSICIAN SERVICES DBA: LAKESHORE HEALTH PARTNERS DBA: WESTERN MICHIGAN UROLOGICAL ASSOCIATES DBA: THE BONE AND JOINT CENTER OF HOLLAND DBA: SURGERY CENTER OF WESTERN MICHIGAN
FORM 990, PART VI, SECTION B, LINE 11BHOLLAND 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 12CTHE 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 15THE 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 2017.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:UNREALIZED LOSS IN AFFILIATES -3,064,551.
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

FieldValueIRS element (for citing)
Business Name Line1HOLLAND HOSPITAL PHYSICIAN CLINICBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1602 MICHIGAN AVENUEAddressLine1Txt
CityHOLLANDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49423ZIPCd
FieldValueIRS element (for citing)
EIN263479537EIN
Primary ActivitiesNOT ACTIVEPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HOLLAND COMMUNITY HOSPITALBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HOLLAND COMMUNITY HOSPITAL AUTHORITY SELF-INSURANCE TRUST FUNDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1602 MICHIGAN AVENUEAddressLine1Txt
CityHOLLANDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49423ZIPCd
FieldValueIRS element (for citing)
EIN386389385EIN
Primary ActivitiesSUPPORTING ORGANIZATIONPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 12A, IPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HOLLAND COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd