2021-02-15T16:14:04-06:00 2020-03-31 381357951 PLANTE & MORAN PLLC 600 E FRONT ST STE 300 TRAVERSE CITY MI 49686 990 2019-04-01 382800065 HOLLAND COMMUNITY HOSPITAL HOLL 6163925141 602 MICHIGAN AVENUE HOLLAND MI 49423 DALE SOWDERS PRESIDENT & CEO 6163925141 2021-02-09 1 OLIVER JURKOVIC P00433694 2319477800 2021-02-09 2019 2022-09-23 18:48:47Z HOLLAND HOSPITAL DALE SOWDERS 602 MICHIGAN AVENUE HOLLAND MI 49423 305426715 0 X WWW.HOLLANDHOSPITAL.ORG X 1985 MI TO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY. 14 9 2516 310 932932 0 1044667 1126650 268101761 267540422 6581933 5750493 1222699 1187826 276951060 275605391 865972 919988 0 0 145595886 149762113 0 0 129041 117430516 119160582 263892374 269842683 13058686 5762708 506083017 498901210 128542791 144123866 377540226 354777344 X TO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY. 0 0 247628255 919988 267797157 THE 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. CONTINUATION 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 SERVICES 247628255 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 0 1 0 0 0 0 0 0 0 1 1 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 160 0 1 2516 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 14 9 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 1 1 X TERRY STEELE 6163925141 602 MICHIGAN AVE HOLLAND MI 49423 DERICK M JOHNSON PHYSICIAN 40.00 0.00 X 965911 0 26445 STEPHEN J MAUGER PHYSICIAN 40.00 0.00 X 940779 0 24419 DALE M SOWDERS PRESIDENT & CEO 40.00 1.00 X X 781856 0 22008 JOSEPH K POSTMA PHYSICIAN 40.00 0.00 X 637594 0 26322 BRADLEY L WILLOUGHBY PHYSICIAN 40.00 0.00 X 609882 0 21088 JOHN K LUDLOW PHYSICIAN 40.00 0.00 X 609882 0 17673 MARK L PAWLAK SVP, QUALITY, IS & HOSP OP 40.00 0.00 X 422816 0 14645 TERRY L STEELE VP, FINANCE & CFO 40.00 1.00 X 398993 0 20927 PATTI VANDORT SVP, CNO, REHAB SERV, MARK 40.00 0.00 X 383311 0 18764 MARK STID MD TRUSTEE, MEDICAL DIRECTOR 40.00 1.00 X 235497 0 19890 SUSAN ERVINE MD TRUSTEE, CHIEF OF STAFF 1.00 0.00 X 31775 0 0 TONY YASICK MD TRUSTEE, MEDICAL DIRECTOR 1.00 1.00 X 16500 0 0 PHIL KONING CHAIR 1.00 1.00 X X 0 0 0 JAMES STROOP SECRETARY 1.00 1.00 X X 0 0 0 KRIS DEPREE MD TREASURER 1.00 1.00 X X 0 0 0 MICHAEL HILL TRUSTEE 1.00 1.00 X 0 0 0 WILLIAM VANDERVLIET MD TRUSTEE 1.00 1.00 X 0 0 0 DAVE MASON TRUSTEE 1.00 1.00 X 0 0 0 JUANITA BOCANEGRA TRUSTEE 1.00 1.00 X 0 0 0 GWEN AUWERDA TRUSTEE 1.00 0.00 X 0 0 0 LESLIE BROWN TRUSTEE 1.00 0.00 X 0 0 0 SHELLY MACIEJEWSKI TRUSTEE 1.00 0.00 X 0 0 0 6034796 0 212181 128 0 1 0 CERNER PO BOX 165750 KANSAS CITY MO 64116 SOFTWARE - PURCHASED MAINTENANCE 6160740 ELZINGA AND VOLKERS INC 86 E 6TH ST HOLLAND MI 49423 CONSTRUCTION 4736266 ARAMARK CORPORATION 12483 COLLECTIONS CENTER DR CHICAGO IL 60693 HOUSEKEEPING 2365115 TRIMEDX 5451 LAKEVIEW PKWY S DR INDIANAPOLIS IN 46268 HOUSEKEEPING 2111234 LAKEWOOD CONSTRUCTION 11253 JAMES ST HOLLAND MI 49424 CONSTRUCTION 1102182 46 173574 953076 1126650 NET PATIENT SERVICE REVENUE 622110 244983047 244050115 932932 OTHER RELATED REVENUE 900099 11339971 11339971 PHARMACY SALES UNDER SEC. 340B 446110 9180641 9180641 QUALITY INCENTIVE PAYMENTS 622110 2036763 2036763 267540422 3414137 3414137 1407111 217444 1189667 1189667 1189667 31904891 2000 29548246 22289 2356645 -20289 2336356 2336356 8654 173574 8654 0 22850 24691 -1841 -1841 275605391 267797157 932932 5748652 919988 919988 2370359 2143119 225960 1280 118992757 107970561 10958620 63576 3231579 2413268 818311 17091738 15078014 1995001 18723 8075680 7495687 579993 490380 490380 124156 124156 22205004 19233154 2971564 286 1141139 1054377 86762 2697520 2470189 227331 7468087 6857066 609075 1946 5349341 5087992 261349 243489 229612 13719 158 432793 391394 40109 1290 3600715 3293973 306742 17675663 16630122 1045541 1067794 218317 849477 MEDICAL SUPPLIES & DRUG 41846014 41832530 13484 PROVISION FOR BAD DEBTS 11753846 11753846 REPAIRS & MAINTENANCE 972969 962905 10064 DUES AND SUBSCRIPTIONS 786865 502537 284328 1304807 1089604 173421 41782 269842683 247628255 22085387 129041 43422249 45927877 24050583 22573788 7096078 7336404 4886896 4664872 323746209 168544506 153459426 155201703 227462591 203444417 43375349 40459963 2329845 19292186 506083017 498901210 19720182 21799504 1457051 1322682 93237831 90964662 14127727 30037018 128542791 144123866 X 376471443 353671678 1068783 1105666 377540226 354777344 506083017 498901210 X 5762708 -25461039 -3064551 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 17994 17994 0 PART II-B, LINE 1: THE HOSPITAL PAYS DUES TO THE MICHIGAN HOSPITAL ASSOCIATION, AMERICAN HEALTH ASSOCIATION, AND AMERICAN MEDICAL GROUP ASSOCIATION, A PORTION OF WHICH GOES TOWARDS LOBBYING ACTIVITIES. 683308 12665 695973 668408 14900 683308 648122 20286 668408 628248 19874 648122 599573 28675 628248 0.00000 1.00000 0.00000 0 0 9493046 9493046 152579924 66760310 85819614 4990345 3348032 1642313 147543318 98436164 49107154 9139576 9139576 155201703 INVESTMENTS IN AFFILIATED ENTITIES 23521771 F INVESTMENT IN OTHER VENTURE 16938192 F 40459963 PROFESSIONAL LIABILITY INSURANCE 2712893 OTHER LONG-TERM LIABILITIES 1393649 INTEREST PAYABLE 896828 COST REPORT SETTLEMENT PAYABLE 7352067 LEASE LIABILITY 17681581 30037018 233186401 -25461039 237733 -25223306 258409707 17195684 17195684 275605391 256535675 237733 237733 256297942 13544741 13544741 269842683 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. CULINARY CABARET 182228 173574 8654 8654 182228 173574 8654 8654 8654 0 22850 17941 6750 1 0.95000 22850 17941 6750 24691 -1841 MI 1 0 1 0 1.00000 COLLEEN PERDOK 602 MICHIGAN AVE HOLLAND MI 49423 0 COLLEEN PERDOK 0 FUND DEVELOPMENT COORDINATOR X 0 SCHEDULE G, PART III, LINE 16: INCLUDED IN COLLEEN PERDOK'S RESPONSIBILITIES IS THE ROLE OF GAMING MANAGER; HOWEVER, THE AMOUNT OF COMPENSATION ALLOCATED TO THIS ROLE IS MINIMAL. 1 1 X 1 X 225.000000000000 1 X 1 1 0 1 1 2402207 2402207 0.00930 35096950 20471303 14625647 0.05670 37499157 20471303 17027854 0.06600 1829716 66174 1763542 0.00680 274523 274523 0.00110 955720 955720 0.00370 3059959 66174 2993785 0.01160 40559116 20537477 20021639 0.07760 1 660309 660309 0.00260 1 660309 660309 0.00260 0 11753846 2865654 33231492 38989862 -5758370 X 1 1 1 HOLLAND PHO COORD. RESOURCES FOR ITS MEMBERS FOR THE DELIVERY OF QUALITY HEALTH CARE. 0.50000 0.00000 0.50000 1 1 HOLLAND COMMUNITY HOSPITAL 602 MICHIGAN AVE HOLLAND MI 49423 WWW.HOLLANDHOSPITAL.ORG 1060000036 X X X HOLLAND COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X X 17 1 1 1 1 X HTTPS://TINYURL.COM/YAG4VGPR X HTTPS://TINYURL.COM/YD5AQSTZ X X 1 17 1 HTTPS://TINYURL.COM/YAG4VGPR 0 1 X 225.000000000000 300.000000000000 X X 1 1 X X X X 1 X TINYURL.COM/Y78LJRTZ X TINYURL.COM/Y78LJRTZ X TINYURL.COM/Y78LJRTZ X X X X X X X 1 X 0 X X X X 1 X 0 0 HOLLAND COMMUNITY HOSPITAL PART 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 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. 6 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 - LAKESHORE HEALTH PARTNERS 602 MICHIGAN AVE HOLLAND MI 49423 PHYSICIAN OFFICE 4 - HH SERVICES-BATES ET AL LLC 602 MICHIGAN AVE HOLLAND MI 49423 PHYSICIAN OFFICE 5 - LAKESHORE HEALTH PARTNERS FM LLC 602 MICHIGAN AVE HOLLAND MI 49423 PHYSICIAN OFFICE 6 - HH SERVICES - ORT LLC 602 MICHIGAN AVE HOLLAND MI 49423 PHYSICIAN OFFICE PART I, LINE 3C: FAMILY INCOME 225 TO 300 PERCENT OF THE FEDERAL POVERTY GUIDELINES QUALIFY FOR DISCOUNTED CARE ON A RATED SCALE. PART I, LINE 7: A COST-TO-CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THE SCHEDULE.THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS (LINE 7E), HEALTH PROFESSIONS EDUCATION (LINE 7F), AND CASH AND IN-KIND CONTRIBUTIONS (LINE 7I). PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 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 STATES MI 1 COMMUNITY HEALTH CENTER 602 MICHIGAN AVENUE HOLLAND MI 49423 200602574 501(C)(3) 899988 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) 20000 N/A N/A TO SUPPORT THE 'NOW FOR THE NEXT' PROGRAM 2 0 PART I, LINE 2: THE HOSPITAL RECEIVES THEIR MONTHLY INTERNAL FINANCIALS AND A COPY OF THE AUDITED STATEMENTS ANNUALLY. HOLLAND HOSPITAL IS FUNDING, IN PART, THE OPERATIONS OF THE ABOVE MENTIONED CLINIC, WHICH IS A SIGNIFICANT COMMUNITY BENEFIT X X X 0 1 0 0 0 1 0 0 0 DERICK M JOHNSON PHYSICIAN 760000 0 0 0 205911 0 8400 0 18045 0 992356 0 0 0 STEPHEN J MAUGER PHYSICIAN 285002 0 607127 0 48650 0 6744 0 17675 0 965198 0 0 0 DALE M SOWDERS PRESIDENT & CEO 605336 0 162800 0 13720 0 8400 0 13608 0 803864 0 0 0 JOSEPH K POSTMA PHYSICIAN 275018 0 327068 0 35508 0 8400 0 17922 0 663916 0 0 0 BRADLEY L WILLOUGHBY PHYSICIAN 450855 0 147373 0 11654 0 8400 0 12688 0 630970 0 0 0 JOHN K LUDLOW PHYSICIAN 450855 0 147373 0 11654 0 4979 0 12694 0 627555 0 0 0 MARK L PAWLAK SVP, QUALITY, IS & HOSP OP 282453 0 56000 0 84363 0 8400 0 6245 0 437461 0 0 0 TERRY L STEELE VP, FINANCE & CFO 313512 0 61600 0 23881 0 8400 0 12527 0 419920 0 0 0 PATTI VANDORT SVP, CNO, REHAB SERV, MARK 282453 0 56000 0 44858 0 8400 0 10364 0 402075 0 0 0 MARK STID MD TRUSTEE, MEDICAL DIRECTOR 156675 0 3052 0 75770 0 2457 0 17433 0 255387 0 0 0 PART I, LINE 4B DALE SOWDERS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE SERP IS DESIGNED TO PROVIDE THE PARTICIPANT WITH A TARGET BENEFIT FOR LIFE BEGINNING AT THE PARTICIPANTS ATTAINMENT OF AGE 65 EQUAL TO 60 PERCENT OF THE PARTICIPANTS FINAL AVERAGE COMPENSATION, OFFSET BY THE PARTICIPANTS SOCIAL SECURITY BENEFIT AND 401(K) SAVINGS PLAN EMPLOYER CONTRIBUTION EQUIVALENT. CONTRIBUTIONS MADE TO THE SERP ARE INCLUDED IN PART II, COLUMN (C). NO PAYMENTS WERE MADE IN 2019. PART I, LINE 6 MANAGEMENT BONUSES ARE BASED 20% ON WHETHER OPERATING MARGIN TARGETS ARE REACHED AND 80% ON WHETHER QUALITY PATIENT SATISFACTION AND ACHIEVEMENT OBJECTIVES ARE MET. A MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 800596186 59447PTK7 2016-10-06 41320000 CONSTRUCTION OF NEW BUILDING AND DEFEASANCE OF 2004B BONDS 0 0 0 B MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 800596186 NONEAVAIL 2010-08-11 23500000 CONSTRUCTION OF NEW BUILDING 0 0 0 C MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 800596186 59447PTK7 2013-02-20 39641117 CONSTRUCTION OF NEW BUILDING AND DEFEASANCE OF 2004A BONDS 0 0 0 A 1650000 44193387 573771 21796000 21823616 2016 0 1 0 1 B 11750000 23500000 9376581 14123419 2011 1 0 1 1 C 1684549 39641117 512903 20471662 18656552 2015 0 1 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 0 0 0 0 B 0 0 1 0 0 0 0 0 0 C 0 1 0 0 0 0 0 0 0 A 0 B 0 C 0 SCHEDULE K, PART I, ISSUER NAME: THE MICHIGAN FINANCE AUTHORITY IS THE SUCCESSOR IN INTEREST TO THE MICHIGAN STATE HOSPITAL FINANCE AUTHORITY (EIN: 38-2889417), PURSUANT TO MICHIGAN EXECUTIVE ORDER 2010-2. EFFECTIVE MAY 30, 2010, ALL THE POWERS, RIGHTS, RESPONSIBILITIES AND DUTIES OF THE MICHIGAN STATE HOSPITAL FINANCE AUTHORITY WERE TRANSFERRED TO THE MICHIGAN FINANCE AUTHORITY PURSUANT TO MICHIGAN EXECUTIVE ORDER 2010-2. FORM 990, PART I, ITEM C DBA: 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 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 2017. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS 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. HOLLAND HOSPITAL PHYSICIAN CLINIC 602 MICHIGAN AVENUE HOLLAND MI 49423 263479537 NOT ACTIVE MI 0 0 HOLLAND COMMUNITY HOSPITAL HOLLAND COMMUNITY HOSPITAL AUTHORITY SELF-INSURANCE TRUST FUND 602 MICHIGAN AVENUE HOLLAND MI 49423 386389385 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I HOLLAND COMMUNITY HOSPITAL 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0