HOLLAND COMMUNITY HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: HOLLAND COMMUNITY HOSPITAL (EIN 38-2800065)
Tax period: 2023-04-01 to 2024-03-31
Filed: 2025-02-18
IRS object ID: 202530499349301533
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-02-18T15:18:13-06:00	ReturnTs
Tax Period End	2024-03-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	331498605	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	10 S RIVERSIDE PLAZA 9TH FLOOR	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60606	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-04-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	382800065	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOLLAND COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HOLL	BusinessNameControlTxt
Phone	6163925141	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	602 MICHIGAN AVENUE	AddressLine1Txt
City	HOLLAND	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49423	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ALEX ROEHLING	PersonNm
Person Title	VICE PRESIDENT & CFO	PersonTitleTxt
Phone	6163925141	PhoneNum
Signature	2025-02-17	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DAVID LOWENTHAL	PreparerPersonNm
PTIN	P00378651	PTIN
Phone	3122071040	PhoneNum
Preparation	2025-02-17	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	HOLLAND HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	ALEXANDER ROEHLING	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	602 MICHIGAN AVENUE	AddressLine1Txt
City	HOLLAND	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49423	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$452,556,666	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HOLLANDHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1985	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	TO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2628	TotalEmployeeCnt
Total Volunteers	207	TotalVolunteersCnt
Total Gross UBI	$1,461,029	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,182,715	PYContributionsGrantsAmt
CY Contributions Grants	$1,107,899	CYContributionsGrantsAmt
PY Program Service Revenue	$290,349,612	PYProgramServiceRevenueAmt
CY Program Service Revenue	$303,731,738	CYProgramServiceRevenueAmt
PY Investment Income	$7,327,104	PYInvestmentIncomeAmt
CY Investment Income	$52,681,664	CYInvestmentIncomeAmt
PY Other Revenue	$1,363,944	PYOtherRevenueAmt
CY Other Revenue	$1,299,774	CYOtherRevenueAmt
PY Total Revenue	$302,223,375	PYTotalRevenueAmt
CY Total Revenue	$358,821,075	CYTotalRevenueAmt
PY Grants And Similar Paid	$740,782	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,011,439	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$172,564,367	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$183,847,418	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$123,522,985	PYOtherExpensesAmt
CY Other Expenses	$128,962,639	CYOtherExpensesAmt
PY Total Expenses	$296,828,134	PYTotalExpensesAmt
CY Total Expenses	$313,821,496	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,395,241	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$44,999,579	CYRevenuesLessExpensesAmt
Total Assets BOY	$538,455,157	TotalAssetsBOYAmt
Total Assets EOY	$585,847,011	TotalAssetsEOYAmt
Total Liabilities BOY	$121,850,969	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$121,686,072	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$416,604,188	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$464,160,939	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$286,151,382	ExpenseAmt
Grant	$1,011,439	GrantAmt
Revenue	$302,679,639	RevenueAmt
Desc	HOLLAND HOSPITAL, LOCATED IN HOLLAND, MI, IS A NATIONALLY RECOGNIZED LEADER IN EXCEPTIONAL QUALITY, VALUE AND PATIENT EXPERIENCE. IT IS ONE OF THE FEW HOSPITALS ACROSS THE COUNTRY THAT HAS CONSISTENTLY EARNED THE TOP 5-STAR RATING FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES SINCE THE STAR RATINGS WERE INTRODUCED. THE HOSPITAL OFFERS A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES, MULTIPLE CONVENIENT LOCATIONS AND READY ACCESS TO A VARIETY OF EXPERT PRIMARY CARE PROVIDERS AND EXPERIENCED SPECIALISTS.FOR OVER A CENTURY, HOLLAND HOSPITAL'S MISSION HAS BEEN TO CONTINUALLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY. WE MEASURE OUR ACHIEVEMENTS ON FIVE STRATEGIC ESSENTIALS: GROWTH, QUALITY, SUPERIOR SERVICE, SUPERIOR WORKFORCE AND FINANCIAL STRENGTH.QUALITY, VALUE AND PATIENT EXPERIENCETHE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) USES THE OVERALL HOSPITAL QUALITY STAR RATINGS SYSTEM TO EVALUATE AND COMPARE HOSPITALS NATIONWIDE. THE SYSTEM SUMMARIZES NUMEROUS QUALITY MEASURES INTO A UNIFIED RATING OF ONE TO FIVE STARS. HOLLAND HOSPITAL IS AMONG JUST 14% OF HOSPITALS IN THE NATION TO EARN THE TOP RATING AND ONE OF A SELECT FEW THAT HAVE CONSISTENTLY EARNED A FIVE-STAR RATING SINCE THE CMS PROGRAM WAS LAUNCHED.HOSPITAL IS ALSO AMONG THE REGION'S LOWEST COST PROVIDERS, DELIVERING SUPERIOR VALUE FOR EVERY HEALTH CARE DOLLAR. IN 2024, CMS RATED HOLLAND HOSPITAL THE BEST VALUE IN MICHIGAN BASED ON COST OF CARE, PATIENT SATISFACTION AND CLINICAL OUTCOMES. THE HOSPITAL ALSO RANKS IN THE TOP 1% OF HOSPITALS NATIONWIDE FOR VALUE ACCORDING TO CMS.IN 2024, HOLLAND HOSPITAL CONTINUED TO EARN TOP AWARDS FROM HEALTHGRADES, THE LEADING SOURCE OF CONSUMER INFORMATION ON HOSPITAL PERFORMANCE. HEALTHGRADES EVALUATES ALL THE NATION'S ACUTE CARE HOSPITALS (OVER 4,500) BASED ON CLINICAL OUTCOMES DATA. THIS YEAR HOLLAND HOSPITAL EARNED THE FOLLOWING HEALTHGRADES AWARDS:- AMERICA'S 50 BEST HOSPITALS FOR SURGICAL CARE (3 YEARS IN A ROW) AND #1 IN MICHIGAN - AMERICA'S 100 BEST HOSPITALS AND #1 IN MICHIGAN FOR ORTHOPEDIC SURGERY (2 YEARS IN A ROW)- AMERICA'S 100 BEST HOSPITALS FOR JOINT REPLACEMENT (4 YEARS IN A ROW)- OUTSTANDING PATIENT EXPERIENCE AWARD (16 YEARS IN A ROW)- PATIENT SAFETY EXCELLENCE AWARDTHE ORGANIZATION IS ONE OF A SELECT GROUP OF HOSPITALS TO ACHIEVE AND MAINTAIN THE INTERNATIONAL STANDARD FOR QUALITY - ISO 9001:2008 CERTIFICATION. THIS UNIVERSAL BENCHMARK DEMONSTRATES THE HOSPITAL'S ONGOING COMMITMENT TO ORGANIZATIONAL EXCELLENCE. OUR DEDICATION TO SYSTEMATICALLY IMPROVE QUALITY IS THE FOUNDATION OF SUPERIOR OUTCOMES AND HIGHER PATIENT SATISFACTION. PROGRAMS / SERVICESHIGHLIGHTS OF PROGRAMS AND SERVICES INCLUDE:BOVEN BIRTH CENTERHOLLAND HOSPITAL'S PREMIER BIRTH CENTER FEATURES THE MOST RECENT ADVANCEMENTS IN TECHNOLOGY AND PATIENT CARE INCLUDING PRIVATE BIRTHING SUITES, LABOR-DELIVERY ROOMS, A WELL-BABY NURSERY, STATE-OF-THE-ART OPERATING ROOM, AND MORE. AN EIGHT-BED SPECIAL CARE NURSERY PROVIDES PRE-TERM AND TERM BABIES WHO NEED SPECIALIZED ATTENTION WITH EXTRA MONITORING AND CARE BEFORE GOING HOME. THIS YEAR, HOLLAND HOSPITAL LAUNCHED A NEW OB MODEL OF CARE WHICH INCLUDES OB HOSPITALISTS WHO ARE ON-DUTY 24/7 IN THE HOSPITAL TO PROVIDE IMMEDIATE ON-SITE RESPONSE WHEN NEEDED; A NEW OB-ED WITH DEDICATED SPECIALISTS FOR EMERGENCY CARE; AND THE LAUNCH ON MIDWIFE SERVICES TO PROVIDE EVEN GREATER OPTIONS FOR EXPECTANT MOMS IN WEST MICHIGAN.BARIATRIC SERVICESBARIATRIC SERVICES ARE OFFERED AT HOLLAND HOSPITAL TO MEET THE GROWING NEED FOR THIS LIFE-CHANGING WEIGHT LOSS SURGERY IN OUR COMMUNITY. IN PARTNERSHIP WITH GRAND HEALTH PARTNERS, AN EXPERIENCED SURGICAL TEAM IN WEST MICHIGAN, HOLLAND HOSPITAL PROVIDES A MULTIDISCIPLINARY, TAILORED APPROACH TO WEIGHT LOSS, INCLUDING SURGICAL AND NONSURGICAL INTERVENTIONS.BEHAVIORAL HEALTHHOLLAND HOSPITAL OFFERS INPATIENT AND OUTPATIENT MENTAL HEALTH SERVICES TO ADDRESS SPECIFIC NEEDS. TREATING THE WHOLE PERSONMIND, BODY AND SPIRITIN A CONFIDENTIAL SETTING, OUR BEHAVIORAL HEALTH SPECIALISTS ARE DEDICATED TO DELIVERING PERSONALIZED CARE AND ATTENTION. IN ADDITION TO BOTH INPATIENT AND OUTPATIENT CARE, WE OFFER A PARTIAL HOSPITALIZATION PROGRAM FOR ADULTS WHO REQUIRE MORE SUPPORT THAN TRADITIONAL OUTPATIENT TREATMENT. BREAST CAREHOLLAND HOSPITAL IS NATIONALLY RECOGNIZED AS A BREAST IMAGING CENTER OF EXCELLENCE, AS WELL AS ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY. OUR BREAST CARE PROGRAM PROVIDES EXPERT, COORDINATED CARE DELIVERED BY AN EXPERIENCED MULTIDISCIPLINARY TEAM. OUR MAMMOGRAPHY AND BREAST IMAGING SERVICES MEET THE HIGHEST STANDARDS FOR IMAGE QUALITY AND PATIENT SAFETY. THE HOSPITAL'S BREAST CARE INCLUDES A HIGH-RISK BREAST CLINIC AND BREAST CANCER TREATMENT WHICH IS PROVIDED BY A TEAM OF RADIOLOGISTS, PATHOLOGISTS, SURGEONS, MEDICAL ONCOLOGISTS, RADIATION ONCOLOGISTS, PHYSICAL AND OCCUPATIONAL THERAPISTS, AND A NURSE NAVIGATOR WHO SERVES AS THE PATIENT'S GUIDE AND ADVOCATE.CARDIOLOGYHOLLAND HOSPITAL'S CATH LAB DEPARTMENT HAS STATE-OF-THE-ART PROCEDURE ROOMS WITH THE LATEST TECHNOLOGY, IMAGING EQUIPMENT WITH THE HIGHEST RESOLUTION AND LOWEST RADIATION AVAILABLE FOR CARDIAC INTERVENTIONS AND A SPECIAL PROCEDURES ROOM FOR PERIPHERAL VASCULAR CARE AND PACEMAKER IMPLANTS. AS A PARTICIPATING HOSPITAL IN THE STATE-WIDE BMC2 CARDIOVASCULAR CONSORTIUM, HOLLAND HOSPITAL CONTINUOUSLY WORKS TO IMPROVE THE QUALITY OF CARDIOVASCULAR PROCEDURES AND PATIENT OUTCOMES. IN 2024, HOLLAND HOSPITAL CONTINUED TO EARN NATIONAL RECOGNITION FROM THE NATIONAL CARDIAC DATA REGISTRY: CHEST PAIN-MI REGISTRY FOR SUPERIOR TREATMENT OF HEART ATTACK PATIENTS. THIS YEAR, WE ARE AMONG JUST A FEW HOSPITALS IN MICHIGAN TO RECEIVE THE CHEST PAIN-MI REGISTRY PLATINUM PERFORMANCE ACHIEVEMENT AWARD - THE HIGHEST AWARD - FOR CONSISTENTLY IMPLEMENTING GUIDELINES RECOMMENDED BY THE AMERICAN COLLEGE OF CARDIOLOGY AND THE AMERICAN HEART ASSOCIATION. GASTROENTEROLOGYHOLLAND HOSPITAL SPECIALISTS HAVE EXTENSIVE EXPERIENCE TREATING HEARTBURN AND GERD WITH THE LATEST CARE OPTIONS. THE HOLLAND HOSPITAL ENDOSCOPY CENTER PERFORMS ADVANCED DIAGNOSTIC PROCEDURES AND TREATMENTS IN A COMFORTABLE SETTING WHILE OUR REFLUX CENTER PROVIDES CLOSE-TO-HOME ACCESS TO PROCEDURES SUCH AS LAPAROSCOPIC NISSEN FUNDOPLICATION (LNF) AND THE LINX REFLUX PROCEDURE. THIS YEAR ALSO SAW SIGNIFICANT GROWTH OF OUR GASTROENTEROLOGY MEDICAL PRACTICE WHICH SERVES AREA PATIENTS IN NEED OF DIGESTIVE HEALTH EXPERTISE.ORTHOPEDICS / JOINT REPLACEMENTHOLLAND HOSPITAL UTILIZES ADVANCED TECHNOLOGY INCLUDING MAKO ROBOTIC-ASSISTED SURGERY FOR KNEE REPLACEMENT AND ANTERIOR HIP REPLACEMENT FOR FAST RECOVERY AND EXCEPTIONAL OUTCOMES. OUR SPINE & ORTHOPEDICS UNIT FEATURES SUPERIOR DESIGN AND FUNCTION FOR AN EXCELLENT PATIENT EXPERIENCE. EXPERT CARE LEADS TO FAST RECOVERY AND SHORTER HOSPITAL STAYS, SO MOST OF THE HOSPITAL'S JOINT REPLACEMENTS ARE CLASSIFIED AS OUTPATIENT. IN 2024, HOLLAND HOSPITAL PARTNERED WITH SHORELINE ORTHOPAEDICS (THE LEADING LOCAL ORTHOPEDIC SURGERY PRACTICE) IN A JOINT VENTURE TO BUILD A NEW ORTHOPEDIC CENTER WHICH OPENS IN OCTOBER OF THIS YEAR. THIS STATE-OF-THE-ART FACILITY REPRESENTS A MAJOR STEP FORWARD IN PROVIDING ACCESSIBLE, HIGH-QUALITY ORTHOPEDIC CARE TO LAKESHORE RESIDENTS ALL IN ONE CONVENIENT LOCATION. THE NEW CENTER IS EXPECTED TO OPEN IN 2025 AND WILL INCLUDE THE FOLLOWING FEATURES:- SURGERY CENTER AT WESTPARK WITH TWO OPERATING ROOMS, EXPANDABLE TO FOUR IN THE FUTURE, FEATURING MAKO SMARTROBOTICS FOR PERSONALIZED JOINT REPLACEMENT, RESULTING IN BETTER PATIENT OUTCOMES AND FASTER RECOVERY. THE CENTER ALSO INCLUDES TWO PROCEDURE ROOMS AND 16 POST-ANESTHESIA AND RECOVERY STATIONS.- ORTHOPEDIC CLINIC, MAKING THIS FACILITY THE THIRD SHORELINE ORTHOPAEDICS LOCATION IN THE REGION.- OUTPATIENT PHYSICAL THERAPY AND RETURN-TO-SPORT OR WORK REHABILITATION SERVICE THAT INCLUDES AN INDOOR TRAINING AREA WITH AN INDOOR TURF, SPORTS COURT AREA, AND A MOTION ANALYSIS LAB.STROKE CARE HOLLAND HOSPITAL ACTIVELY WORKS TO COMMUNICATE STROKE SIGNS AND SYMPTOMS WITHIN OUR SERVICE AREA AND ENCOURAGE RESIDENTS WHO MAY BE HAVING A STROKE TO CALL 911 IMMEDIATELY FOR TRANSPORT TO THE ER, WHERE OUR EXPERIENCED STROKE TEAM IS READY TO DELIVER APPROPRIATE CARE. SURGICAL SERVICESHOLLAND HOSPITAL IS RANKED #1 IN MICHIGAN BY HEALTHGRADES AND AMONG AMERICA'S 50 BEST HOSPITALS FOR SURGICAL CARE. OUR TECHNOLOGY INCLUDES THE DA VINCI XI SURGICAL SYSTEM WHICH ENABLES SURGEONS TO PERFORM CERTAIN SURGERIES THROUGH TINY INCISIONS FOR FASTER RECOVERY AND LESS PAIN. THE HOSPITAL ALSO OFFERS THE MAZOR X SYSTEM FOR MINIMALLY INVASIVE SURGERY WHICH PROVIDES SAFER, MORE EFFICIENT SPINAL FUSION SURGERIES. IN ADDITION, HOLLAND HOSPITAL IS THE FIRST AREA HOSPITAL TO OFFER THE OLYMPUS SOLTIVE, A NEW LASER TECHNOLOGY THAT ENABLES QUICKER AND MORE EFFECTIVE KIDNEY STONE REMOVAL.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Desc	CONTINUATION OF LINE 4A:WOMEN'S SPECIALTY CAREOUR WOMEN'S SPECIALTY CARE OFFERS A RANGE OF SERVICES FOR WOMEN'S HEALTH NEEDS AT EVERY LIFE STAGE. THE PRACTICE PROVIDES ACCESS TO PERSONALIZED CARE, SPECIALIZED SUPPORT AND ADVANCED TECHNOLOGY IN A COMFORTABLE SETTING. PROVIDERS ARE CERTIFIED IN MENOPAUSAL CARE AND TREAT A BROAD SCOPE OF HEALTH NEEDS FOR WOMEN THROUGHOUT OUR SERVICE AREA AND BEYOND. IN 2024, A NEW MARKETING CAMPAIGN WAS LAUNCHED TO INCREASE AWARENESS OF OUR MANY WOMEN'S SERVICES AND EXPERT CARE.VIRTUAL VISITS AND TELEHEALTHFOR CONVENIENT ACCESS TO CARE, ALL HOLLAND HOSPITAL MEDICAL PRACTICES OFFER VIRTUAL VISITS (ONLINE PROVIDER APPOINTMENTS) WHICH CONTINUE TO EXPAND. WE ALSO OFFER TELEHEALTH MONITORING TO ENSURE EXCELLENT OUTCOMES AND REDUCE RE-HOSPITALIZATIONS. THE TELEHEALTH CAPABILITIES OFFER A SIMPLE-TO-USE IN-HOME ELECTRONIC DEVICE THAT COLLECTS VITAL SIGNS AND TRANSMITS DATA TO MONITOR PATIENT CONDITIONS AND GUIDE APPROPRIATE ACTION.CONVENIENT PRIMARY AND SPECIALTY CARETO BEST SERVE THE LAKESHORE AREA, HOLLAND HOSPITAL OFFERS A COMPREHENSIVE HEALTH CARE NETWORK FEATURING A MEDICAL GROUP THAT INCLUDES FAMILY MEDICINE, INTERNAL MEDICINE, INTERNAL MEDICINE & PEDIATRICS, AND A BROAD RANGE OF SPECIALTY CARE PRACTICES. IN RECENT YEARS, WE HAVE ADDED MANY NEW PRIMARY CARE PROVIDERS AND SPECIALISTS TO EXPAND ACCESS TO CARE AND PREPARE TO MEET THE GROWING NEED FOR HEALTH CARE WITHIN THE COMMUNITY. IMMEDIATE CARE OPTIONS INCLUDE OUR WALK-IN CARE AND URGENT CARE. FOR LIFE-THREATENING CONCERNS, EMERGENCY SERVICES ARE OPEN 24/7.OVER THE PAST TWO YEARS, WE EXPANDED OUR PRIMARY CARE FACILITIES IN GRAND HAVEN, MI TO BEST SERVE THE GROWING POPULATION TO THE NORTH AND EXPANDED SPECIALTY CARE THERE AS WELL. IN 2024, WE COMPLETED CONSTRUCTION AND OPENED OUR NEW MEDICAL OFFICE BUILDING IN SAUGATUCK, MI TO EXPAND SERVICES TO THE SOUTH. WORK IS NOW UNDERWAY TO COMPLETE OUR NEW PRIMARY CARE OFFICE IN HUDSONVILLE, MI WHICH WILL INCLUDE LAB AND RADIOLOGY SERVICES AND OPEN IN EARLY JANUARY 2025.WORKPLACE EXCELLENCE THIS YEAR, HOLLAND HOSPITAL HAS AGAIN BEEN SELECTED AS A WINNER IN WEST MICHIGAN'S BEST AND BRIGHTEST COMPANIES TO WORK FOR COMPETITION - MAKING IT THE ONLY HEALTH CARE ORGANIZATION TO EARN THIS RECOGNITION FOR OVER 20 YEARS. THE MUCH SOUGHT-AFTER AWARD IDENTIFIES ORGANIZATIONS THAT ARE COMMITTED TO EXCELLENCE IN THEIR HUMAN RESOURCE PRACTICES AND EMPLOYEE ENRICHMENT. EACH ORGANIZATION IS ASSESSED BY ITS OWN EMPLOYEES IN THE AREAS OF COMMUNICATION, WORK-LIFE BALANCE, EMPLOYEE EDUCATION, DIVERSITY, RECOGNITION, RETENTION AND MORE. COMMUNITY OUTREACH PROGRAMS - HOLLAND HOSPITAL SERVES THE GREATER COMMUNITY IN MANY WAYS BEYOND OUR INPATIENT AND OUTPATIENT CARE SERVICES. IN ADDITION TO THE CONTRIBUTIONS RECEIVED FROM THROUGHOUT THE COMMUNITY, THIS YEAR MARKS THE 25TH EMPLOYEE CAMPAIGN. THANKS TO THE STEADFAST COMMITMENT AND GENEROSITY OF MANY EMPLOYEES AND VOLUNTEERS, OUR STAFF HAS RAISED WELL OVER $1 MILLION AND COUNTING IN SUPPORT OF OUR OUTREACH PROGRAMS SINCE 1999. OUR COMMUNITY OUTREACH PROGRAMS INCLUDE:HOLLAND COMMUNITY HEALTH CENTER (CHC) THE CHC IS SERVICE OF HOLLAND HOSPITAL WHICH PROVIDES AFFORDABLE, PRIMARY CARE SERVICES IN A DOCTOR'S OFFICE SETTING. THE MAJORITY OF PATIENTS LACK ADEQUATE HEALTH INSURANCE. NEARLY HALF OF THE PATIENTS ARE CHILDREN. CHC ALSO ACQUIRES AND DISTRIBUTES FREE MEDICATIONS FOR THOSE WHO CANNOT AFFORD THEM. THIS ESSENTIAL CARE MAKES A SIGNIFICANT DIFFERENCE IN THE HEALTH OF OUR COMMUNITY. IN 2024, THE CHC WEBSITE WAS EXPANDED AND ENHANCED TO POSITIVE REVIEWS.SCHOOL NURSING PROGRAM - HOLLAND HOSPITAL'S SCHOOL NURSES ADDRESS THE HEALTH NEEDS OF OVER 12,000 STUDENTS IN 28 SCHOOLS IN SIX LOCAL SCHOOL DISTRICTS. MANY OF THE STUDENTS LIVE AT OR BELOW THE POVERTY LEVEL AND DO NOT RECEIVE REGULAR MEDICAL CARE OUTSIDE OF SCHOOL. BREAST CARE FUND - THE BREAST CARE FUND COVERS THE COST OF SCREENING AND DIAGNOSTIC MAMMOGRAMS, ULTRASOUNDS AND BIOPSIES FOR HUNDREDS OF WOMEN IN OUR COMMUNITY WHO DO NOT HAVE INSURANCE COVERAGE FOR THESE LIFESAVING TESTS. THIS YEAR, A NEW CAMPAIGN WAS INTRODUCED TO INCREASE AWARENESS OF OUR FREE MAMMOGRAM SERVICE FOR THOSE IN NEED AND HELP ENSURE WE SERVE AS MANY WOMEN AS POSSIBLE.COMMUNITY HEALTH AND WELLNESS - OUR HEALTHY LIFE PROGRAMS OFFERS CLASSES AND INDIVIDUAL EDUCATION TO SERVE THE COMMUNITY. THE HEALTHY LIFE PROGRAMS OFFICE ALSO WORKS WITH AREA BUSINESSES TO PROVIDE CHRONIC DISEASE MANAGEMENT AND BEHAVIOR CHANGE PROGRAMS FOR EMPLOYEES.COMMUNITY HEALTH NEEDS ASSESSMENTHOLLAND HOSPITAL PARTICIPATES IN THE OTTAWA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT TO ASSESS THE GENERAL HEALTH OF AREA RESIDENTS AND IDENTIFY NEEDS AND OPPORTUNITIES FOR IMPROVEMENT. AS A SPONSOR AND PARTICIPANT, HOLLAND HOSPITAL USES THE FINDINGS TO HELP GUIDE PRIORITIES AND PROGRAM DEVELOPMENT.SUMMARY THE FOLLOWING NUMBERS PROVIDE A SNAPSHOT OF OUR APPROXIMATE ANNUAL HEALTH CARE VOLUMES:PATIENTS CARED FOR ANNUALLY = 250,000ADMISSIONS (EXCLUDING NEWBORNS) = 6,000BIRTHS = 1,200EMERGENCY ROOM VISITS = 40,000URGENT CARE VISITS = 35,000OUTPATIENT VISITS = 500,000VIRTUAL VISITS = 12,000HOME HEALTH VISITS = 29,000PRIMARY CARE VISITS ANNUALLY = 110,000SPECIALTY CARE VISITS ANNUALLY = 85,000SURGERIES/ENDOSCOPIES = 20,000RADIOLOGY PROCEDURES = 145,000LAB TESTS = 775,000BEHAVIORAL HEALTH OUTPATIENT VISITS = 33,000UNCOMPENSATED MEDICAL COSTS HOLLAND HOSPITAL REMAINS COMMITTED TO CARING FOR MEMBERS OF OUR COMMUNITY WHO ARE UNINSURED OR UNDER-INSURED. EACH YEAR, HOLLAND HOSPITAL PROVIDES UN-REIMBURSED CARE TO OUR PATIENTS IN THE FORM OF CHARITY OR BAD DEBT. OTHER COMMUNITY BENEFITS INCLUDE:COMMUNITY EDUCATION & OUTREACH PROGRAMSCASH, IN-KIND DONATIONS & CONTRIBUTIONSHOLLAND COMMUNITY HEALTH CENTERSTUDENT NURSING PROGRAMHEALTH PROFESSIONAL EDUCATION & RESEARCHHOLLAND HOSPITAL SUBSIDIZED SERVICES	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$286,151,382	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	Yes (1)	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	167	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2628	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ALEXANDER ROEHLING	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6163943456	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	602 MICHIGAN AVE	AddressLine1Txt
City	HOLLAND	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49423	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DALE M SOWDERS
TRUSTEE, CEO	40.00	1.00	Yes (X)	Yes (X)	$1,011,405	$0	$23,572
PATTI VANDORT
CEO	40.00	1.00	Yes (X)	Yes (X)	$673,883	$0	$16,691
SHELLY MACIEJEWSKI
CHAIR	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
GREG CHRISTIE
SECRETARY	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
GWEN AUWERDA
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
LESLIE BROWN
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
BARBARA DEPREE MD
TRUSTEE, PHYSICIAN	40.00	1.00	Yes (X)		$196,106	$0	$18,245
KEN FILIPPINI
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
MICHAEL HILL
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
DOUG HOEY
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
HAANS MULDER
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
MIKE NOVAKOSKI
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
JODI OWCZARSKI
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
BETH PETER
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
BILL VANDER VLIET MD
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
CARA WILKINSON
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
MARK LPAWLAK
EXECUTIVE VICE PRESIDENT	40.00	1.00		Yes (X)	$651,493	$0	$18,487
ALEX ROEHLING
VP, FINANCE & CFO	40.00	1.00		Yes (X)	$495,807	$0	$9,630
JOSEPH D BONELLO
VICE PRESIDENT, NURSING-CN	40.00	1.00		Yes (X)	$333,904	$0	$25,015
DERICK M JOHNSON
PHYSICIAN	40.00	1.00			$1,394,106	$0	$21,484	Yes (X)
MICHAEL A TRAVER
PHYSICIAN	40.00	1.00			$651,298	$0	$27,342	Yes (X)
TOBY F LEES
PHYSICIAN	40.00	1.00			$649,518	$0	$25,932	Yes (X)
JOSEPH B VANDERMEER
PHYSICIAN	40.00	1.00			$629,736	$0	$24,455	Yes (X)
TIMOTHY J MCDONALD
PHYSICIAN	40.00	1.00			$601,515	$0	$10,357	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,288,771	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$221,210	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	202	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
T2 CONSTRUCTION
611 136TH AVE 60	HOLLAND	MI	49424	CONSTRUCTION	$6,778,788
TRIMEDX
5451 LAKEVIEW PKWY S DR	INDIANAPOLIS	IN	46268	HOUSEKEEPING	$4,063,014
ARAMARK CORPORATION
12483 COLLECTIONS CENTER DR	CHICAGO	IL	60693	HOUSEKEEPING	$2,539,304
WEST MICHIGAN DEVELOPMENT B LLC
8251 WESTPARK WAY	ZEELAND	MI	49464	CONSTRUCTION	$2,508,831
ORACLE AMERICA INC
2300 ORACLE WAY	AUSTIN	TX	78741	PURCHASED MAINTENANCE/OUTSIDE SERVICES	$2,094,649

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	58	CntrctRcvdGreaterThan100KCnt
Fundraising	$182,409	FundraisingAmt
Government Grants	$600,000	GovernmentGrantsAmt
All Other Contributions	$325,490	AllOtherContributionsAmt
Total Contributions	$1,107,899	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621500	$277,153,154	$277,153,154
PHARMACY SALES UNDER SEC. 340B	456110	$13,663,480	$13,663,480
OTHER RELATED REVENUE	900099	$6,993,200	$6,993,200
QUALITY INCENTIVE PAYMENTS	621500	$4,460,875	$4,460,875
LAB ACTIVITY	621500	$1,461,029		$1,461,029

Field	Value	IRS element (for citing)
Total Program Service Revenue	$303,731,738	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,753,178	TotalRevenueColumnAmt
Exclusion	$4,753,178	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$660,963	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$252,033	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$408,930	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$408,930	TotalRevenueColumnAmt
Related Or Exempt Func Income	$408,930	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$141,349,938	SecuritiesAmt
Other	$20,939	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$93,432,847	SecuritiesAmt
Other	$9,544	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$47,917,091	SecuritiesAmt
Other	$11,395	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$47,928,486	TotalRevenueColumnAmt
Exclusion	$47,928,486	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$12,317	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$182,409	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$12,317	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$27,175	GamingGrossIncomeAmt
Gaming Direct Expenses	$28,850	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,675	TotalRevenueColumnAmt
Exclusion	-$1,675	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$892,519	TotalRevenueColumnAmt
Exclusion	$892,519	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$892,519	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$358,821,075	TotalRevenueColumnAmt
Related Or Exempt Func Income	$302,679,639	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,461,029	UnrelatedBusinessRevenueAmt
Exclusion	$53,572,508	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,011,439	TotalAmt
Program Services	$1,011,439	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,477,584	TotalAmt
Program Services	$1,253,647	ProgramServicesAmt
Management And General	$2,223,937	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$145,839,058	TotalAmt
Program Services	$131,060,712	ProgramServicesAmt
Management And General	$14,778,346	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$24,894,059	TotalAmt
Program Services	$20,053,079	ProgramServicesAmt
Management And General	$4,840,980	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,636,717	TotalAmt
Program Services	$8,739,923	ProgramServicesAmt
Management And General	$896,794	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$89,687	TotalAmt
Program Services	$81,059	ProgramServicesAmt
Management And General	$8,628	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$18,768	TotalAmt
Management And General	$18,768	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$725,616	TotalAmt
Management And General	$725,616	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$22,018,036	TotalAmt
Program Services	$21,344,274	ProgramServicesAmt
Management And General	$673,762	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$798,912	TotalAmt
Program Services	$738,002	ProgramServicesAmt
Management And General	$60,910	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,385,916	TotalAmt
Program Services	$1,299,125	ProgramServicesAmt
Management And General	$86,791	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,179,336	TotalAmt
Program Services	$8,489,074	ProgramServicesAmt
Management And General	$690,262	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,788,717	TotalAmt
Program Services	$8,245,317	ProgramServicesAmt
Management And General	$543,400	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$496,009	TotalAmt
Program Services	$420,944	ProgramServicesAmt
Management And General	$75,065	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,320,187	TotalAmt
Program Services	$2,105,478	ProgramServicesAmt
Management And General	$214,709	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$17,246,183	TotalAmt
Program Services	$16,391,286	ProgramServicesAmt
Management And General	$854,897	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,685,980	TotalAmt
Program Services	$1,555,888	ProgramServicesAmt
Management And General	$130,092	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUG	$52,032,258	$51,762,303	$269,955
PROVISION FOR BAD DEBTS	$10,120,608	$10,120,608
ADMINISTRATIVE	$1,497,337	$1,063,294	$434,043
VOLUNTEER SERVICES	$168,664	$168,664

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$390,425	TotalAmt
Program Services	$247,266	ProgramServicesAmt
Management And General	$143,159	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$313,821,496	TotalAmt
Program Services	$286,151,382	ProgramServicesAmt
Management And General	$27,670,114	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$12,520,993	BOYAmt
EOY	$2,937,718	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$12,020,465	BOYAmt
EOY	$22,588,231	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$27,403,646	BOYAmt
EOY	$31,639,421	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,290,310	BOYAmt
EOY	$8,917,739	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,530,697	BOYAmt
EOY	$6,242,290	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$344,075,044	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$208,562,286	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$135,402,519	BOYAmt
EOY	$135,512,758	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$238,120,379	BOYAmt
EOY	$265,295,320	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$85,438,372	BOYAmt
EOY	$93,322,159	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$14,727,776	BOYAmt
EOY	$19,391,375	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$538,455,157	BOYAmt
EOY	$585,847,011	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,819,969	BOYAmt
EOY	$20,291,235	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$974,786	BOYAmt
EOY	$818,955	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$82,751,599	BOYAmt
EOY	$80,024,482	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$20,304,615	BOYAmt
EOY	$20,551,400	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$121,850,969	BOYAmt
EOY	$121,686,072	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$415,229,081	BOYAmt
EOY	$462,539,584	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,375,107	BOYAmt
EOY	$1,621,355	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$416,604,188	BOYAmt
EOY	$464,160,939	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$538,455,157	BOYAmt
EOY	$585,847,011	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$44,999,579	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,935,732	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$621,440	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$18,768	OtherActivitiesAmt
Total Lobbying Expenditures	$18,768	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	LOBBYING ACTIVITIES: THE HOSPITAL PAYS DUES TO THE MICHIGAN HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION, A PORTION OF WHICH GOES TOWARDS LOBBYING ACTIVITIES	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$585,000	BeginningYearBalanceAmt
Investment Earnings Or Losses	$89,381	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$89,381	GrantsOrScholarshipsAmt
End Year Balance	$585,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$585,000	BeginningYearBalanceAmt
Investment Earnings Or Losses	$14,745	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$14,745	GrantsOrScholarshipsAmt
End Year Balance	$585,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$585,000	BeginningYearBalanceAmt
Investment Earnings Or Losses	$11,187	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$11,187	GrantsOrScholarshipsAmt
End Year Balance	$585,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$585,000	BeginningYearBalanceAmt
Investment Earnings Or Losses	$12,996	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$12,996	GrantsOrScholarshipsAmt
End Year Balance	$585,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$585,000	BeginningYearBalanceAmt
Investment Earnings Or Losses	$12,665	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$12,665	GrantsOrScholarshipsAmt
End Year Balance	$585,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,959,020	OtherCostOrOtherBasisAmt
Book Value	$12,959,020	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$162,024,055	OtherCostOrOtherBasisAmt
Depreciation	$87,477,628	DepreciationAmt
Book Value	$74,546,427	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,814,383	OtherCostOrOtherBasisAmt
Depreciation	$4,606,685	DepreciationAmt
Book Value	$1,207,698	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$151,021,222	OtherCostOrOtherBasisAmt
Depreciation	$116,477,973	DepreciationAmt
Book Value	$34,543,249	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,256,364	OtherCostOrOtherBasisAmt
Book Value	$12,256,364	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$135,512,758	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENTS IN AFFILIATED ENTITIES	$7,799,313	F
INVESTMENT IN OTHER VENTURE	$85,522,846	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$93,322,159	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
PROFESSIONAL LIABILITY INSURANCE	$5,221,033
COST REPORT SETTLEMENT PAYABLE	-$386,678
LEASE LIABILITY	$15,717,045

Field	Value	IRS element (for citing)
Total Liability	$20,551,400	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$349,416,234	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$1,935,732	NetUnrealizedGainsInvstAmt
Other Revenue	$902,323	OtherRevenueAmt
Revenue Not Reported	$2,838,055	RevenueNotReportedAmt
Revenue Subtotal	$346,578,179	RevenueSubtotalAmt
Investment Expenses Not Incld	$725,616	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$11,517,280	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$12,242,896	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$358,821,075	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$301,859,483	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$280,883	OtherExpensesIncludedAmt
Expenses Not Reported	$280,883	ExpensesNotReportedAmt
Expenses Subtotal	$301,578,600	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$725,616	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$11,517,280	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$12,242,896	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$313,821,496	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	EARNINGS FROM THE PERMANENT ENDOWMENTS ARE INTENDED BY THE DONORS TO SUPPORT SCHOOL NURSING PROGRAMS AND TO HELP LOCAL INDIVIDUALS WHO ARE LACKING IN HEALTH INSURANCE/ FINANCIAL CAPACITY TO ACCESS HEALTH CARE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSE 252,033. GAMING EXPENSES 28,850. GAIN ON EQUITY INVESTMENTS 621,440.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 10,122,866. EXPENSES RECORDED AGAINST INCOME 1,383,019. GAIN/LOSS ON SALE OF ASSETS 11,395.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSE 252,033. GAMING EXPENSES 28,850.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 10,122,866. EXPENSES RECORDED AGAINST INCOME 1,383,019. LOSS ON SALE OF ASSETS 11,395.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	CULINARY CABARET	Event1Nm
Gross Receipts Event1	$194,726	GrossReceiptsEvent1Amt
Charitable Contri Event1	$182,409	CharitableContriEvent1Amt
Gross Revenue Event1	$12,317	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$12,317	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$194,726	GrossReceiptsTotalAmt
Charitable Contributions Tot	$182,409	CharitableContributionsTotAmt
Gross Revenue Total Events	$12,317	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$12,317	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$12,317	DirectExpenseSummaryEventsAmt
Net Income Summary	$0	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$27,175	GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming	$1,000	CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming	$21,725	NonCashPrizesOtherGamingAmt
Rent Fclty Costs Other Gaming	$6,125	RentFcltyCostsOtherGamingAmt
Volunteer Labor Other Gaming	Yes (1)	VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming	0.95000	VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming	$27,175	GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming	$1,000	CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming	$21,725	NonCashPrizesTotalGamingAmt
Rent Fclty Costs Total Gaming	$6,125	RentFcltyCostsTotalGamingAmt
Direct Expense Summary Gaming	$28,850	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	-$1,675	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	MI	StatesWhereGamingConductedCd
Licensed	Yes (1)	LicensedInd
License Suspended Etc	0	LicenseSuspendedEtcInd
Gaming With Nonmembers	Yes (1)	GamingWithNonmembersInd
Member Of Other Entity	0	MemberOfOtherEntityInd
Gaming Own Facility	0.00000	GamingOwnFacilityPct
Gaming Other Facility	1.00000	GamingOtherFacilityPct
Individual With Books	COLLEEN PERDOK	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	602 MICHIGAN AVE	AddressLine1Txt
City	HOLLAND	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49423	ZIPCd

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	0	CntrctWith3rdPrtyForGameRevInd
Gaming Manager Person	COLLEEN PERDOK	GamingManagerPersonNm
Gaming Manager Compensation	$0	GamingManagerCompensationAmt
Gaming Manager Services Prov	FUND DEVELOPMENT COORDINATOR	GamingManagerServicesProvTxt
Gaming Manager Is Employee	Yes (X)	GamingManagerIsEmployeeInd
Charitable Distribution Rqr	0	CharitableDistributionRqrInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE G, PART III, LINE 16:	FormAndLineReferenceDesc
Explanation	INCLUDED 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

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	225.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,661,778	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,661,778	NetCommunityBenefitExpnsAmt
Total Expense	0.00550	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,688,842	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,756,040	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,932,802	NetCommunityBenefitExpnsAmt
Total Expense	0.02610	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,350,620	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,756,040	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,594,580	NetCommunityBenefitExpnsAmt
Total Expense	0.03160	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,877,573	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,134	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,843,439	NetCommunityBenefitExpnsAmt
Total Expense	0.00940	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$460,404	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$460,404	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$816,501	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$816,501	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,154,478	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,134	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,120,344	NetCommunityBenefitExpnsAmt
Total Expense	0.01360	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,505,098	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,790,174	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,714,924	NetCommunityBenefitExpnsAmt
Total Expense	0.04520	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$850,846	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$850,846	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$850,846	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$850,846	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$10,120,608	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$25,395,009	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$32,969,445	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,574,436	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 HOLLAND PHO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	COORD. RESOURCES FOR ITS MEMBERS FOR THE DELIVERY OF QUALITY HEALTH CARE.	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.50000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOLLAND COMMUNITY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	602 MICHIGAN AVE	AddressLine1Txt
City	HOLLAND	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49423	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.HOLLANDHOSPITAL.ORG	WebsiteAddressTxt
State License	1060000036	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HOLLAND COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://TINYURL.COM/YAG4VGPR	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HTTPS://TINYURL.COM/YDUJWJR4	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://HEALTHYOTTAWA.ORG/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	TINYURL.COM/Y78LJRTZ	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	TINYURL.COM/Y78LJRTZ	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	TINYURL.COM/Y78LJRTZ	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
HOLLAND COMMUNITY HOSPITAL	PART V, SECTION B, LINE 3J: THE NEEDS ASSESSMENT DESCRIBED THE COMMUNITY'S STRENGTHS AND OPPORTUNITIES REGARDING QUALITY OF LIFE, OVERALL HEALTH, HEALTH BEHAVIORS, AND HEALTH CARE. THE POSITIVE THEMES THAT WERE IDENTIFIED INCLUDE: REDUCED NUMBER OF ADULTS WITHOUT HEALTH INSURANCE, DECLINING OBESITY RATES, MORE 40+ WOMEN RECEIVING MAMMOGRAMS, MORE PHYSICALLY ACTIVE ADULTS IN LEISURE TIME. THE COMMUNITY NEEDS/ISSUES THAT WERE IDENTIFIED INCLUDE: MENTAL HEALTH NEEDS AND ACCESS TO MENTAL HEALTH RESOURCES, INCREASED CHRONIC DISEASE RATES, HOUSING AND CHILDCARE AFFORDABILITY, AND INCREASING MARIJUANA USE, VAPING, AND BINGE DRINKING.
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: COREWELL HEALTH ZEELAND AND TRINITY HEALTH GRAND HAVEN
HOLLAND COMMUNITY HOSPITAL	PART V, SECTION B, LINE 6B: OTTAWA COUNTY HEALTH DEPARTMENT, THE UNITED WAY, COMMUNITY MENTAL HEALTH OF OTTAWA COUNTY, AND THE LAKESHORE NONPROFIT ALLIANCE/COMMUNITY SPOKE
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: THE MOST RECENT OTTAWA COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WAS PUBLISHED IN 2021 AND INITIATED BY THE PARTNERS OF THE CHNA AND COMMUNITY MEMBERS. THE 2021 CHIP IDENTIFIES 3 HEALTH PRIORITY AREAS INCLUDING; ACCESS TO HEALTH CARE, MENTAL HEALTH, AND HEALTHY BEHAVIORS. THE NEXT CHIP WILL BE PUBLISHED IN 2024 BASED ON THE FINDINGS IN THE 2023 CHNA. 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 PRIMARILY TO PATIENTS VIA OUR PATIENT FINANCIAL SERVICE CUSTOMER SERVICE REPRESENTATIVES, PATIENT ADVOCATES, IN-HOUSE MEDICAID VENDOR AND COLLECTION AGENCIES. OTHER EFFORTS CAN STEM FROM REGISTRATION/SCHEDULING STAFF AND EVEN CARE MANAGERS IF PROMPTED BY PATIENTS WHEN THERE MAY BE A CONCERN ABOUT A PAYMENT.
PART V, SECTION B, LINE 22D:	HOLLAND HOSPITAL LIMITS THE AMOUNT OWED BY INDIVIDUALS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY WITH THE EXCEPTION OF COSMETIC AND ELECTIVE PROCEDURES TO AN AMOUNT GENERALLY BILLED (AGB) TO PATIENTS COVERED BY MEDICARE AND PRIVATE INSURERS. WE LIMIT THE ELIGIBLE PATIENT'S FINANCIAL RESPONSIBILITY TO LESS THAN TOTAL CHARGES. THE AGB IS BASED ON ALL SERVICES PROVIDED TO MEDICARE AND PRIVATE INSURED PATIENTS FULLY ADJUDICATED AS OF THE END OF A RECENT 12 MONTH LOOK BACK PERIOD ENDING NO MORE THAN 120 DAYS PRIOR TO THE EFFECTIVE DATE OF THE POLICY. THE CALCULATION OF THE CURRENT AGB IS AS FOLLOWS: TOTAL MEDICARE AND PRIVATE INSURED ALLOWED REIMBURSEMENT/ TOTAL MEDICARE AND PRIVATE INSURED GROSS CHARGES = AGB PERCENTAGE.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - LAKESHORE AREA RADIATION ONCOLOGY CENTER
12642 RILEY STREET	HOLLAND	MI	49424	COMPREHENSIVE OUTPATIENT RADIATION TREATMENT CENTER
2 - HOLLAND HOSPITAL MEDICAL GROUP
602 MICHIGAN AVE	HOLLAND	MI	49423	PHYSICIAN OFFICE
3 - WEST MICHIGAN UROLOGICAL ASSOCIATES
602 MICHIGAN AVE	HOLLAND	MI	49423	PHYSICIAN OFFICE
4 - HHMG - INTERNAL FAMILY MEDICINE
602 MICHIGAN AVE	HOLLAND	MI	49423	PHYSICIAN OFFICE
5 - THE BONE AND JOINT CENTER OF HOLLAND
602 MICHIGAN AVE	HOLLAND	MI	49423	PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	FAMILY INCOME 225 TO 300 PERCENT OF THE FEDERAL POVERTY GUIDELINES QUALIFY FOR DISCOUNTED CARE ON A RATED SCALE.
PART I, LINE 7:	A COST-TO-CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THE SCHEDULE.THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS (LINE 7E), HEALTH PROFESSIONS EDUCATION (LINE 7F), AND CASH AND IN-KIND CONTRIBUTIONS (LINE 7I).
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 10,120,608.
PART II, COMMUNITY BUILDING ACTIVITIES:	HOLLAND HOSPITAL PROVIDES A BROAD RANGE OF HEALTH CARE SERVICES FOR RESIDENTS OF OTTAWA COUNTY AND ALLEGAN COUNTY, AS WELL AS OTHER AREAS OF MICHIGAN AND BEYOND. THESE SERVICES REACH PATIENT POPULATIONS THAT ARE DEMOGRAPHICALLY AND SOCIO-ECONOMICALLY DIVERSE. THE HOSPITAL OFFERS COMPREHENSIVE MEDICAL AND SURGICAL CARE INCLUDING ORTHOPEDICS, JOINT REPLACEMENT, CARDIOLOGY AND VASCULAR CARE, GENERAL SURGERY, BARIATRIC SURGERY, NEUROSURGERY, A PREMIER BIRTHING CENTER WITH SPECIAL CARE NURSERY AND MUCH MORE. OUR MEDICAL GROUP OFFERS A FULL RANGE OF PRIMARY CARE AND SPECIALTY CARE SERVICES TO ENSURE CONVENIENT LOCAL ACCESS FOR OUR GROWING COMMUNITIES. IN ADDITION, THE HOSPITAL PROVIDES PHYSICAL THERAPY AND REHABILITATION, MENTAL HEALTH SERVICES, HOME HEALTH CARE, DIAGNOSTIC TESTING, SCREENINGS, COMMUNITY OUTREACH, EDUCATION AND SUPPORT PROGRAMS. AMONG MANY INITIATIVES, THE HOSPITAL HAS TAKEN ADDED STEPS TO ADDRESS THE GROWING NEED FOR MENTAL HEALTH CARE IN THE AREA - A CONCERN THAT WAS HIGHLIGHTED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THESE STEPS INCLUDED EXPANDING BEHAVIORAL HEALTH SERVICES WITH ADDITIONAL OUTPATIENT THERAPY ROOMS AND OFFICE SPACE TO SERVE PATIENTS WITH MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT. WE ALSO EXPANDED OUR PARTIAL HOSPITALIZATION PROGRAM (PHP) WHICH IS A SHORT-TERM PROGRAM DESIGNED TO BRIDGE THE GAP BETWEEN INPATIENT AND OUTPATIENT CARE. ANOTHER EXAMPLE OF OUR RESPONSE TO COMMUNITY NEEDS IS THE EXPANSION OF OUR BEHAVIOR HEALTH FACILITIES IN RECOGNITION OF THE AREA'S MENTAL HEALTH NEEDS. THIS YEAR, WE COMPLETED OUR EXPANSION OF OUR CAPACITY FOR INPATIENT PSYCHIATRIC PATIENTS FROM 16 TO 18 PATIENTS, MADE POSSIBLE IN PART THROUGH A GRANT FROM THE STATE OF MICHIGAN. TO ADDRESS MULTIPLE POINTS OF CARE, WE HAVE SPECIAL EMERGENCY DEPARTMENT ROOMS THAT ARE DEDICATED TO MENTAL HEALTH TREATMENT AS WELL. HOLLAND HOSPITAL'S COMMUNITY OUTREACH PROGRAMS HELP PROVIDE SECURITY AND STABILITY THOSE IN NEED. OUTREACH EFFORTS FOCUS ON FOUR KEY AREAS:(1) HOLLAND COMMUNITY HEALTH CENTER: THE HOLLAND COMMUNITY HEALTH CENTER (HCHC) IS AN OUTREACH SERVICE OF HOLLAND HOSPITAL, PROVIDING HEALTH CARE SERVICES FOR ALL REGARDLESS OF AGE, LANGUAGE, CULTURAL BARRIERS, HEALTH INSURANCE OR ABILITY TO PAY. THE HCHC PROVIDES PRIMARY CARE SERVICES, REFERRALS AND OTHER HEALTH CARE SUPPORT FOR ADULTS AND CHILDREN IN AN OFFICE SETTING IN ITS HOLLAND FACILITY. THE MAJORITY OF HCHC PATIENTS LACK ADEQUATE HEALTH INSURANCE. THE HCHC ALSO ACQUIRES AND DISTRIBUTES FREE MEDICATIONS FOR PATIENTS WHO CANNOT AFFORD THEM, FILLING A VITAL NEED IN THE COMMUNITY.(2) SCHOOL NURSE PROGRAM: BETTER HEALTH MEANS BETTER LEARNING AND A HEALTHIER OUTLOOK FOR OUR CHILDREN AND COMMUNITY. HOLLAND HOSPITAL'S SCHOOL NURSE PROGRAM PROVIDES ONSITE DIRECT MEDICAL SUPPORT, PREVENTION, CHRONIC DISEASE MANAGEMENT AND REFERRALS FOR MORE THAN 12,000 STUDENTS IN 26 SCHOOLS WITHIN THE DISTRICTS OF HOLLAND PUBLIC, WEST OTTAWA, HAMILTON, HOLLAND CHRISTIAN, AND FENNVILLE. MANY OF THE STUDENTS LIVE AT OR BELOW THE POVERTY LEVEL AND DO NOT RECEIVE REGULAR MEDICAL CARE OUTSIDE OF SCHOOL.3) SCHOOL MENTAL HEALTH PROGRAM: THIS PROGRAM IS DESIGNED TO ADDRESS AND IDEALLY RESOLVE THE MENTAL HEALTH ISSUES OUR CHILDREN FACE SO THEY CAN GROW INTO HEALTHY, STABLE AND PRODUCTIVE ADULTS. THE PROGRAM COORDINATES AND MANAGES CARE BETWEEN THE SCHOOL, FAMILY, CAREGIVERS, PHYSICIANS AND/OR HOSPITAL TO HELP ENSURE MORE SUCCESSFUL OUTCOMES FOR OUR MOST AT-RISK STUDENTS.4) BREAST CARE FUND: EARLY DETECTION PROVIDES THE BEST OPPORTUNITY TO TREAT BREAST CANCER AND REDUCE THE RISK OF RECURRENCE. THE BREAST CARE FUND PROVIDES FINANCIAL SUPPORT FOR MAMMOGRAMS AND OTHER BREAST HEALTH SERVICES FOR WOMEN AT RISK IN OUR COMMUNITY. THE BREAST CARE FUND COVERS THE COST OF SCREENING AND DIAGNOSTIC MAMMOGRAMS, ULTRASOUNDS AND BIOPSIES FOR HUNDREDS OF WOMEN IN OUR COMMUNITY. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS A PERIODIC STUDY (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 COLLECT AND ORGANIZE DATA FOR THE CHNA. THIS INFORMATION IS USED TO HELP GUIDE OUR PLANS AND PROGRAMS THAT CAN CONTINUE TO IMPROVE THE HEALTH OF OUR COMMUNITY. DETAILS OF THE 2023 CHNA ARE PROVIDED IN SECTIONS BELOW.
PART III, LINE 2:	THIS IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX.
PART III, LINE 3:	THE CURRENT TRACKING OF FINANCIAL ASSISTANCE APPLICATIONS DOES NOT AFFORD US THE ABILITY TO QUANTIFY THOSE APPLICATIONS THAT WERE NOT GRANTED CHARITY ASSISTANCE. IF A PATIENT APPLIES FOR ASSISTANCE AND IS ACCEPTED, WE WRITE OFF THE ALLOWABLE AMOUNT AGAINST THE CHARITY CARE WRITE OFF CODE AND TRACK THAT SEPARATELY FROM BAD DEBT. HOWEVER, IF THE PATIENT DOES NOT COMPLETE THE APPLICATION BY NOT SUPPLYING ALL OF THE NECESSARY DOCUMENTATION, NO CHARITY CARE IS PROVIDED TO THEM AND THE STANDARD BILLING AND COLLECTION PROCESS IS FOLLOWED. HISTORICALLY WE WERE ABLE TO TRACK APPLICATIONS THAT WERE PARTIALLY SUBMITTED AND COULD THEN CALCULATE AN ESTIMATED AMOUNT THAT COULD POTENTIALLY QUALIFY FOR CHARITY CARE. BECAUSE WE CAN NO LONGER TRACK THOSE DETAILS WE OPTED TO RECORD $0 ON LINE 3 OF PART III AND NOT RECLASS ANY DOLLARS OUT OF BAD DEBT TO CHARITY CARE.
PART III, LINE 4:	ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.
PART III, LINE 8:	COSTING METHODOLOGY IS A COST TO CHARGE RATIO AS DEFINED BY THE IRS 990 INSTRUCTIONS. THE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT DUE TO ITS REPRESENTATION OF COST OF A PORTION OF SERVICES PROVIDED TO THE COMMUNITY WITHOUT PAYMENT.
PART III, LINE 9B:	ANY BALANCE DEEMED PATIENT RESPONSIBILITY (AFTER INSURANCE PAYMENT/DETERMINATION AND AFTER ANY APPLICABLE DISCOUNT OR CHARITY), IF NOT PAID, WILL RECEIVE A MINIMUM OF FOUR STATEMENTS. THE ACCOUNT WILL BE HELD ON HOLLAND HOSPITAL'S "BOOKS" UNTIL IT HAS AGED TO A MINIMUM OF 120 DAYS FROM THE DATE OF THE FIRST STATEMENT. AT THIS TIME THE ACCOUNT IS ELIGIBLE TO BE SENT TO A COLLECTION AGENCY.
PART VI, LINE 2:	A COMMUNITY NEEDS ASSESSMENT IS PERFORMED THROUGH THE HEALTHY OTTAWA ADVISORY COUNCIL, WHICH IS A COLLABORATION OF HOLLAND HOSPITAL,THE OTTAWA COUNTY HEALTH DEPARTMENT, THE UNITED WAY, TRINITY HEALTH OF GRAND HAVEN, COREWELL HEALTH ZEELAND, COMMUNITY MENTAL HEALTH OF OTTAWA COUNTY, AND THE LAKESHORE NONPROFIT ALLIANCE/COMMUNITY SPOKE.THE MOST RECENT CHNA WAS PUBLISHED IN 2023, AND IS TYPICALLY COMPLETED EVERY 3 YEARS.
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. BASED ON MOST RECENT ESTIMATES IN 2024, THE TOTAL POPULATION OF THE PSA IS ESTIMATED AT 172,290 WITH RAPID GROWTH THAT HAS OUTPACED OTHER AREAS IN THE STATE OF MICHIGAN. CONTINUED GROWTH IS FORECAST FOR OUR PSA AND THE ADDITIONAL FOUR ZIPS THAT COMPRISE OUR EXTENDED SERVICE AREA (ESA). RECENT ESTIMATES FROM THE US CENSUS BUREAU SHOW THE TOTAL POPULATION FOR OTTAWA COUNTY IS 303,372 AND THE TOTAL POPULATION OF ALLEGAN COUNTY IS 121,939. OTTAWA COUNTY AND ALLEGAN COUNTY HAVE CONSISTENTLY RANKED AMONG THE FASTEST GROWING COUNTIES IN MICHIGAN. DATA FROM THE US CENSUS BUREAU AND THE AMERICAN COMMUNITY SURVEY PROVIDE THE FOLLOWING POPULATION DEMOGRAPHICS FOR THESE COUNTIES: OTTAWA COUNTY: RACE/ETHNICITY: BLACK OR AFRICAN AMERICAN (2.1%), AMERICAN INDIAN AND ALASKA NATIVE (0.6%), ASIAN (2.9%), NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER (0.1%), HISPANIC OR LATINO (10.4%), WHITE, ALONE, NOT HISPANIC OR LATINO (82.9%); INCOME & POVERTY: MEDIAN HOUSEHOLD INCOME = $83,932. ESTIMATED POVERTY RATE = 8.2%.ALLEGAN COUNTY: RACE/ETHNICITY: BLACK OR AFRICAN AMERICAN (1.6%), AMERICAN INDIAN AND ALASKA NATIVE (0.8%), ASIAN (1.0%), NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER (0.1%), HISPANIC OR LATINO (8.4%), WHITE, ALONE (87.1%); INCOME & POVERTY: MEDIAN HOUSEHOLD INCOME = $75,543. ESTIMATED POVERTY RATE = 9.8%.THE MOST RECENT IN-DEPTH EXAMINATION OF OUR AREA'S HEALTH CAN BE FOUND IN THE 2023 OTTAWA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA IS A COLLECTION OF RESEARCH STUDIES DONE ONCE EVERY THREE YEARS, MOST RECENTLY IN 2023, WHICH EXAMINES THE HEALTH STATUS INDICATORS FOR OTTAWA COUNTY. INFORMATION IN THE CHNA IS GATHERED THROUGH INTERVIEWS WITH MORE THAN 1,500 ADULTS INCLUDING COMMUNITY MEMBERS, HEALTHCARE PROFESSIONALS, AND COMMUNITY LEADERS, TO PROVIDE A COMPREHENSIVE PICTURE OF OTTAWA COUNTY'S HEALTH AND WELL-BEING.OTTAWA COUNTY IS PLACED AMONG THE BEST COUNTIES IN THE NATION FOR LENGTH AND QUALITY OF LIFE. FACTORS SUCH AS QUALITY HEALTHCARE, GOOD EDUCATION SYSTEMS, LOW UNEMPLOYMENT, SAFE COMMUNITIES, HIGH COLLABORATION, A PHILANTHROPIC SPIRIT, AND A CLEAN ENVIRONMENT MAKE OTTAWA COUNTY A HEALTHY PLACE TO LIVE. THE CHNA RESULTS IDENTIFIED SEVERAL POSITIVE THEMES AS WELL AS KEY ISSUES, SOME OF WHICH ARE DETAILED BELOW. KEY ISSUES AND NEEDS IDENTIFIED IN THE 2023 CHNA: IN 2023, MENTAL HEALTH REMAINED A TOP HEALTH ISSUE. OTTAWA-AREA ADULTS REPORTED SOME OF THE HIGHEST LEVELS OF PSYCHOLOGICAL DISTRESS, ANXIETY, AND DEPRESSION SINCE THE FIRST CHNA IN 2011. ACCESSING HEALTH CARE, INCLUDING MENTAL HEALTH CARE, CONTINUES TO BE A PROBLEM, PARTICULARLY FOR PEOPLE WHO ARE UNINSURED OR UNDERINSURED. PHYSICAL HEALTH METRICS AND CHRONIC DISEASE RATES HAVE GOTTEN WORSE SINCE 2020, AND MORE AREA ADULTS RATE THEIR HEALTH AS FAIR OR POOR THAN AT ANY OTHER TIME SINCE 2011. HOUSING AND CHILDCARE AFFORDABILITY AND ACCESSIBILITY ARE CONCERNS FOR MORE PEOPLE. THE PERCENT OF OTTAWA-AREA ADULTS REPORTING MARIJUANA USE, BINGE DRINKING, OR VAPING REACHED SOME OF THE HIGHEST LEVELS SINCE 2011. OTTAWA COUNTY HAS A HISTORY OF ADDRESSING COMMUNITY NEEDS THROUGH ROBUST COLLABORATION BECAUSE HEALTH ISSUES ARE TOO GREAT FOR ONE ORGANIZATION TO SOLVE ON ITS OWN. THROUGH CONTINUED PARTNERSHIPS, THE COMMUNITY WILL ADDRESS THE HEALTH PRIORITY AREAS IDENTIFIED IN THE 2024 HEALTHY OTTAWA PLAN BY CONTINUING TO WORK TOGETHER TO CREATE CREATIVE AND ATTAINABLE SOLUTIONS TO OUR COMMUNITY'S UNIQUE AND PRESSING HEALTH NEEDS.
PART VI, LINE 5:	HOLLAND HOSPITAL IS RECOGNIZED FOR ITS COMMUNITY HEALTH PROMOTION REFLECTING OUR ORGANIZATIONAL COMMITMENT TO THE HEALTH, QUALITY OF LIFE AND LONGEVITY OF THE COMMUNITIES WE SERVE.OVERALL, OUR PROMOTION OF COMMUNITY HEALTH IS EVIDENCED BY PRESENTATIONS AND SPONSORSHIP SUPPORT OF COMMUNITY-WIDE EVENTS, EDUCATIONAL LECTURES, AND EXTENSIVE HEALTH INFORMATION PROVIDED THROUGH BOTH DIGITAL AND TRADITIONAL MEDIA. THE HOSPITAL WEBSITE IS A RICH RESOURCE OF INFORMATION ON HEALTH CONCERNS AND CONSUMER GUIDANCE FOR HEALTH CARE DECISIONS AND ACCESS TO SERVICES. ON A REGULAR BASIS, HOSPITAL PHYSICIANS AND CLINICIANS SHARE ADVICE WITH THE PUBLIC THROUGH WEBSITE ARTICLES, VIDEOS, HEALTH BLOGS, TV/RADIO AND PRINT INTERVIEWS. WE ALSO ENGAGE OUR STAFF EXPERTS TO PROMOTE HEALTHY BEHAVIORS WITH MAJOR EDUCATIONAL EVENTS PRESENTED IN-PERSON AND ON THE WEB. THESE EVENTS HAVE ATTRACTED EXTENSIVE VIEWS ON OUR WEBSITE AND SOCIAL MEDIA. ON AN ONGOING BASIS, MEMBERS OF THE HOSPITAL'S STAFF ALSO SERVE ON COMMUNITY EVENT STEERING COMMITTEES. THE HOSPITAL WELCOMES INTERNS AND OFFERS TOURS FOR STUDENTS PURSUING HEALTHCARE DEGREES. OUR INFLUENCE ON HEALTHY BEHAVIORS IS ALSO EVIDENCED BY OUR COMMUNITY OUTREACH PROGRAMS (DESCRIBED ABOVE) THAT INCLUDE THE HOLLAND COMMUNITY HEALTH CENTER, WHICH PROVIDES CARE FOR THOSE WHO LACK HEALTH INSURANCE; THE SCHOOL NURSE PROGRAM WHICH ADDRESSES THE HEALTH NEEDS OF STUDENTS AND SUPPORT FOR THEIR FAMILIES; AND THE BREAST CARE FUND THAT COVERS THE COST OF SCREENING AND DIAGNOSTIC MAMMOGRAMS AND OTHER BREAST CARE DIAGNOSTICS FOR HUNDREDS OF AREA WOMEN EACH YEAR. THESE PROGRAMS ARE SUPPORTED BY FUNDS THAT INCLUDE FROM A WIDE RANGE OF DONERS AND FUNDRAISING EVENTS SUCH AS OUR NURSE FUN RUN, CULINARY CABARET, BIG RED CLASSIC BREAST FUND SPONSORSHIP AND MORE.FOR 25 YEARS, HOLLAND HOSPITAL TEAM MEMBERS HAVE SHOWN THEIR COMMUNITY SUPPORT BY PARTICIPATING IN THE EMPLOYEE CAMPAIGN, THE ANNUAL GIVING EVENT TO FUND IMPORTANT OUTREACH EFFORTS. BECAUSE OF OUR STAFF'S COLLECTIVE CONTRIBUTIONS, WE CONTINUE TO IMPROVE THE HEALTH OF OUR MOST VULNERABLE AND AT-RISK COMMUNITY MEMBERS. FROM PROVIDING NURSING CARE TO KIDS DURING THE SCHOOL YEAR TO FUNDING IMPORTANT BREAST HEALTH SERVICES TO ENSURING ACCESS TO HIGH-QUALITY PRIMARY CARE, GIFTS TO THE ANNUAL EMPLOYEE CAMPAIGN CONTINUE TO MAKE A REAL DIFFERENCE IN OUR COMMUNITY THROUGHOUT THE YEAR.
PART VI, LINE 6:	NOT AFFILIATED.
PART VI, LINE 7, REPORTS FILED WITH STATES	MI

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOLLAND COMMUNITY HEALTH CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	336 S RIVER AVE	AddressLine1Txt
City	HOLLAND	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49423	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	200602574	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$1,011,439	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Valuation Method Used	N/A	ValuationMethodUsedDesc
Non Cash Assistance	N/A	NonCashAssistanceDesc
Purpose Of Grant	FINANCIAL SUBSIDY TO FUND OPERATIONS	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE HOSPITAL RECEIVES THEIR MONTHLY INTERNAL FINANCIALS AND A COPY OF THE AUDITED STATEMENTS ANNUALLY. HOLLAND HOSPITAL IS FUNDING, IN PART, THE OPERATIONS OF THE ABOVE MENTIONED CLINIC, WHICH IS A SIGNIFICANT COMMUNITY BENEFIT.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DERICK M JOHNSON
PHYSICIAN	$1,162,957	$0	$0	$0	$231,149	$0	$4,026	$0	$17,458	$0	$1,415,590	$0	$0	$0
DALE M SOWDERS
TRUSTEE, CEO	$799,260	$0	$0	$0	$212,145	$0	$9,900	$0	$13,672	$0	$1,034,977	$0	$0	$0
PATTI VANDORT
CEO	$529,410	$0	$89,578	$0	$54,895	$0	$9,900	$0	$6,791	$0	$690,574	$0	$0	$0
MICHAEL A TRAVER
PHYSICIAN	$490,501	$0	$145,661	$0	$15,136	$0	$9,900	$0	$17,442	$0	$678,640	$0	$0	$0
TOBY F LEES
PHYSICIAN	$490,501	$0	$145,661	$0	$13,356	$0	$8,461	$0	$17,471	$0	$675,450	$0	$0	$0
MARK LPAWLAK
EXECUTIVE VICE PRESIDENT	$443,036	$0	$71,663	$0	$136,794	$0	$9,900	$0	$8,587	$0	$669,980	$0	$0	$0
JOSEPH B VANDERMEER
PHYSICIAN	$364,039	$0	$212,832	$0	$52,865	$0	$6,851	$0	$17,604	$0	$654,191	$0	$0	$0
TIMOTHY J MCDONALD
PHYSICIAN	$445,477	$0	$123,872	$0	$32,166	$0	$9,900	$0	$457	$0	$611,872	$0	$0	$0
ALEX ROEHLING
VP, FINANCE & CFO	$307,693	$0	$126,059	$0	$62,055	$0	$9,173	$0	$457	$0	$505,437	$0	$0	$0
JOSEPH D BONELLO
VICE PRESIDENT, NURSING-CN	$245,913	$0	$45,896	$0	$42,095	$0	$7,377	$0	$17,638	$0	$358,919	$0	$0	$0
BARBARA DEPREE MD
TRUSTEE, PHYSICIAN	$159,541	$0	$0	$0	$36,565	$0	$4,816	$0	$13,429	$0	$214,351	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4B

DALE SOWDERS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE SERP IS DESIGNED TO PROVIDE THE PARTICIPANT WITH A TARGET BENEFIT FOR LIFE BEGINNING AT THE PARTICIPANTS ATTAINMENT OF AGE 65 EQUAL TO 60 PERCENT OF THE PARTICIPANTS FINAL AVERAGE COMPENSATION, OFFSET BY THE PARTICIPANTS SOCIAL SECURITY BENEFIT AND 401(K) SAVINGS PLAN EMPLOYER CONTRIBUTION EQUIVALENT. CONTRIBUTIONS MADE TO THE SERP ARE INCLUDED IN PART II, COLUMN (C). NO PAYMENTS WERE MADE IN 2023.

PART I, LINE 7

MANAGEMENT BONUSES ARE DISCRETIONARY AND DETERMINED BY THE BOARD.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MICHIGAN FINANCE AUTHORITY
A	800596186	59447TNK5	2016-10-06	$44,193,387	CONSTRUCTION OF NEW BUILDING AND DEFESANCE OF 2004B BONDS AND 2013 HELP LOAN	0	0	0
MICHIGAN FINANCE AUTHORITY
B	800596186	NONEAVAIL	2022-04-28	$9,240,000	REFUNDING OF 2020 BONDS	0	0	0
MICHIGAN FINANCE AUTHORITY
C	800596186	NONEAVAIL	2022-10-06	$36,090,000	REFUNDING OF 2013 BONDS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$4,190,000	$44,193,387	$573,771	$21,796,000	$21,823,616	2016	Yes (1)	Yes (1)	Yes (1)
B	$2,685,000	$9,240,000	$90,144		$9,149,856	2022	Yes (1)	Yes (1)	Yes (1)
C	$1,015,000	$36,090,000	$326,003		$35,763,997	2022	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	0
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	0
C	0	0	0	0	0.00000	0.00000	0.00000	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
A	0	Yes (1)
B	Yes (1)	0
C	Yes (1)	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0
C	0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/21/2021
SCHEDULE K, PART I, ISSUER NAME:	THE MICHIGAN FINANCE AUTHORITY IS THE SUCCESSOR IN INTEREST TO THE MICHIGAN STATE HOSPITAL FINANCE AUTHORITY (EIN: 38-2889417), PURSUANT TO MICHIGAN EXECUTIVE ORDER 2010-2. EFFECTIVE MAY 30, 2010, ALL THE POWERS, RIGHTS, RESPONSIBILITIES AND DUTIES OF THE MICHIGAN STATE HOSPITAL FINANCE AUTHORITY WERE TRANSFERRED TO THE MICHIGAN FINANCE AUTHORITY PURSUANT TO MICHIGAN EXECUTIVE ORDER 2010-2.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	HOLLAND COMMUNITY HOSPITAL'S CFO REVIEWS THE FORM 990 PRIOR TO FILING. THE CFO 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 2024.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	REALIZED AND UNREALIZED LOSS IN AFFILIATES 621,440.
FORM 990, PART XII, LINE 2C:	THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HOLLAND HOSPITAL PHYSICIAN CLINIC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	602 MICHIGAN AVENUE	AddressLine1Txt
City	HOLLAND	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49423	ZIPCd

Field	Value	IRS element (for citing)
EIN	263479537	EIN
Primary Activities	NOT ACTIVE	PrimaryActivitiesTxt
Legal Domicile State	MI	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HOLLAND COMMUNITY HOSPITAL	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
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	Yes (1)
HOLLAND COMMUNITY HEALTH CENTER
336 S RIVER AVENUE	HOLLAND	MI	49423	200602574	HEALTH CENTER	MI	501(C)(3)	LINE 3	HOLLAND COMMUNITY HOSPITAL	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HOLLAND COMMUNITY HEALTH CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	B	TransactionTypeTxt
Involved	$1,011,439	InvolvedAmt
Method Of Amount Determination	COST	MethodOfAmountDeterminationTxt