2025-02-18T15:18:13-06:00 2024-03-31 331498605 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2023-04-01 382800065 HOLLAND COMMUNITY HOSPITAL HOLL 6163925141 602 MICHIGAN AVENUE HOLLAND MI 49423 ALEX ROEHLING VICE PRESIDENT & CFO 6163925141 2025-02-17 1 1 DAVID LOWENTHAL P00378651 3122071040 2025-02-17 2023 2025-03-06 01:10:19Z HOLLAND HOSPITAL ALEXANDER ROEHLING 602 MICHIGAN AVENUE HOLLAND MI 49423 452556666 0 X WWW.HOLLANDHOSPITAL.ORG X 1985 MI TO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY. 15 12 2628 207 1461029 0 3182715 1107899 290349612 303731738 7327104 52681664 1363944 1299774 302223375 358821075 740782 1011439 0 0 172564367 183847418 0 0 0 123522985 128962639 296828134 313821496 5395241 44999579 538455157 585847011 121850969 121686072 416604188 464160939 X TO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY. 0 0 286151382 1011439 302679639 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. 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 286151382 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 1 1 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 167 0 1 2628 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 15 12 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 1 1 X ALEXANDER ROEHLING 6163943456 602 MICHIGAN AVE HOLLAND MI 49423 DALE M SOWDERS TRUSTEE, CEO 40.00 1.00 X X 1011405 0 23572 PATTI VANDORT CEO 40.00 1.00 X X 673883 0 16691 SHELLY MACIEJEWSKI CHAIR 1.00 1.00 X X 0 0 0 GREG CHRISTIE SECRETARY 1.00 1.00 X X 0 0 0 GWEN AUWERDA TRUSTEE 1.00 1.00 X 0 0 0 LESLIE BROWN TRUSTEE 1.00 1.00 X 0 0 0 BARBARA DEPREE MD TRUSTEE, PHYSICIAN 40.00 1.00 X 196106 0 18245 KEN FILIPPINI TRUSTEE 1.00 1.00 X 0 0 0 MICHAEL HILL TRUSTEE 1.00 1.00 X 0 0 0 DOUG HOEY TRUSTEE 1.00 1.00 X 0 0 0 HAANS MULDER TRUSTEE 1.00 1.00 X 0 0 0 MIKE NOVAKOSKI TRUSTEE 1.00 1.00 X 0 0 0 JODI OWCZARSKI TRUSTEE 1.00 1.00 X 0 0 0 BETH PETER TRUSTEE 1.00 1.00 X 0 0 0 BILL VANDER VLIET MD TRUSTEE 1.00 1.00 X 0 0 0 CARA WILKINSON TRUSTEE 1.00 1.00 X 0 0 0 MARK LPAWLAK EXECUTIVE VICE PRESIDENT 40.00 1.00 X 651493 0 18487 ALEX ROEHLING VP, FINANCE & CFO 40.00 1.00 X 495807 0 9630 JOSEPH D BONELLO VICE PRESIDENT, NURSING-CN 40.00 1.00 X 333904 0 25015 DERICK M JOHNSON PHYSICIAN 40.00 1.00 X 1394106 0 21484 MICHAEL A TRAVER PHYSICIAN 40.00 1.00 X 651298 0 27342 TOBY F LEES PHYSICIAN 40.00 1.00 X 649518 0 25932 JOSEPH B VANDERMEER PHYSICIAN 40.00 1.00 X 629736 0 24455 TIMOTHY J MCDONALD PHYSICIAN 40.00 1.00 X 601515 0 10357 7288771 0 221210 202 0 1 0 T2 CONSTRUCTION 611 136TH AVE 60 HOLLAND MI 49424 CONSTRUCTION 6778788 TRIMEDX 5451 LAKEVIEW PKWY S DR INDIANAPOLIS IN 46268 HOUSEKEEPING 4063014 ARAMARK CORPORATION 12483 COLLECTIONS CENTER DR CHICAGO IL 60693 HOUSEKEEPING 2539304 WEST MICHIGAN DEVELOPMENT B LLC 8251 WESTPARK WAY ZEELAND MI 49464 CONSTRUCTION 2508831 ORACLE AMERICA INC 2300 ORACLE WAY AUSTIN TX 78741 PURCHASED MAINTENANCE/OUTSIDE SERVICES 2094649 58 182409 600000 325490 1107899 NET PATIENT SERVICE REVENUE 621500 277153154 277153154 PHARMACY SALES UNDER SEC. 340B 456110 13663480 13663480 OTHER RELATED REVENUE 900099 6993200 6993200 QUALITY INCENTIVE PAYMENTS 621500 4460875 4460875 LAB ACTIVITY 621500 1461029 1461029 303731738 4753178 4753178 660963 252033 408930 408930 408930 141349938 20939 93432847 9544 47917091 11395 47928486 47928486 12317 182409 12317 0 27175 28850 -1675 -1675 CAFETERIA REVENUE 900099 892519 892519 892519 358821075 302679639 1461029 53572508 1011439 1011439 3477584 1253647 2223937 145839058 131060712 14778346 24894059 20053079 4840980 9636717 8739923 896794 89687 81059 8628 18768 18768 725616 725616 22018036 21344274 673762 798912 738002 60910 1385916 1299125 86791 9179336 8489074 690262 8788717 8245317 543400 496009 420944 75065 2320187 2105478 214709 17246183 16391286 854897 1685980 1555888 130092 MEDICAL SUPPLIES & DRUG 52032258 51762303 269955 PROVISION FOR BAD DEBTS 10120608 10120608 ADMINISTRATIVE 1497337 1063294 434043 VOLUNTEER SERVICES 168664 168664 390425 247266 143159 313821496 286151382 27670114 0 12520993 2937718 12020465 22588231 27403646 31639421 8290310 8917739 4530697 6242290 344075044 208562286 135402519 135512758 238120379 265295320 85438372 93322159 14727776 19391375 538455157 585847011 17819969 20291235 974786 818955 82751599 80024482 20304615 20551400 121850969 121686072 X 415229081 462539584 1375107 1621355 416604188 464160939 538455157 585847011 X 44999579 1935732 621440 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 18768 18768 0 PART II-B, LINE 1: LOBBYING ACTIVITIES: THE HOSPITAL PAYS DUES TO THE MICHIGAN HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION, A PORTION OF WHICH GOES TOWARDS LOBBYING ACTIVITIES 585000 89381 89381 585000 585000 14745 14745 585000 585000 11187 11187 585000 585000 12996 12996 585000 585000 12665 12665 585000 0.00000 1.00000 0.00000 0 0 12959020 12959020 162024055 87477628 74546427 5814383 4606685 1207698 151021222 116477973 34543249 12256364 12256364 135512758 INVESTMENTS IN AFFILIATED ENTITIES 7799313 F INVESTMENT IN OTHER VENTURE 85522846 F 93322159 PROFESSIONAL LIABILITY INSURANCE 5221033 COST REPORT SETTLEMENT PAYABLE -386678 LEASE LIABILITY 15717045 20551400 349416234 1935732 902323 2838055 346578179 725616 11517280 12242896 358821075 301859483 280883 280883 301578600 725616 11517280 12242896 313821496 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. CULINARY CABARET 194726 182409 12317 12317 194726 182409 12317 12317 12317 0 27175 1000 21725 6125 1 0.95000 27175 1000 21725 6125 28850 -1675 MI 1 0 1 0 0.00000 1.00000 COLLEEN PERDOK 602 MICHIGAN AVE HOLLAND MI 49423 0 COLLEEN PERDOK 0 FUND DEVELOPMENT COORDINATOR X 0 SCHEDULE G, PART III, LINE 16: INCLUDED IN COLLEEN PERDOK'S RESPONSIBILITIES IS THE ROLE OF GAMING MANAGER; HOWEVER, THE AMOUNT OF COMPENSATION ALLOCATED TO THIS ROLE IS MINIMAL. 1 1 X 1 X 225.000000000000 1 X 1 1 0 1 1 1661778 1661778 0.00550 35688842 27756040 7932802 0.02610 37350620 27756040 9594580 0.03160 2877573 34134 2843439 0.00940 460404 460404 0.00150 816501 816501 0.00270 4154478 34134 4120344 0.01360 41505098 27790174 13714924 0.04520 850846 850846 0.00280 850846 850846 0.00280 0 10120608 0 25395009 32969445 -7574436 X 1 1 1 HOLLAND PHO COORD. RESOURCES FOR ITS MEMBERS FOR THE DELIVERY OF QUALITY HEALTH CARE. 0.50000 0.00000 0.50000 1 1 HOLLAND COMMUNITY HOSPITAL 602 MICHIGAN AVE HOLLAND MI 49423 WWW.HOLLANDHOSPITAL.ORG 1060000036 X X X HOLLAND COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X X 24 1 1 1 1 X HTTPS://TINYURL.COM/YAG4VGPR X HTTPS://TINYURL.COM/YDUJWJR4 X X 1 24 1 HTTPS://HEALTHYOTTAWA.ORG/ 0 1 X 225.000000000000 300.000000000000 X X 1 1 X X X X 1 X TINYURL.COM/Y78LJRTZ X TINYURL.COM/Y78LJRTZ X TINYURL.COM/Y78LJRTZ X X X X X X X 1 X 0 X X X X X 1 X 0 0 HOLLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 3J: THE NEEDS ASSESSMENT DESCRIBED THE COMMUNITY'S STRENGTHS AND OPPORTUNITIES REGARDING QUALITY OF LIFE, OVERALL HEALTH, HEALTH BEHAVIORS, AND HEALTH CARE. THE 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. 5 1 - LAKESHORE AREA RADIATION ONCOLOGY CENTER 12642 RILEY STREET HOLLAND MI 49424 COMPREHENSIVE OUTPATIENT RADIATION TREATMENT CENTER 2 - HOLLAND HOSPITAL MEDICAL GROUP 602 MICHIGAN AVE HOLLAND MI 49423 PHYSICIAN OFFICE 3 - WEST MICHIGAN UROLOGICAL ASSOCIATES 602 MICHIGAN AVE HOLLAND MI 49423 PHYSICIAN OFFICE 4 - HHMG - INTERNAL FAMILY MEDICINE 602 MICHIGAN AVE HOLLAND MI 49423 PHYSICIAN OFFICE 5 - THE BONE AND JOINT CENTER OF HOLLAND 602 MICHIGAN AVE HOLLAND MI 49423 PHYSICIAN OFFICE PART I, LINE 3C: FAMILY INCOME 225 TO 300 PERCENT OF THE FEDERAL POVERTY GUIDELINES QUALIFY FOR DISCOUNTED CARE ON A RATED SCALE. PART I, LINE 7: A COST-TO-CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THE SCHEDULE.THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS (LINE 7E), HEALTH PROFESSIONS EDUCATION (LINE 7F), AND CASH AND IN-KIND CONTRIBUTIONS (LINE 7I). PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 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 1 HOLLAND COMMUNITY HEALTH CENTER 336 S RIVER AVE HOLLAND MI 49423 200602574 501(C)(3) 1011439 0 N/A N/A FINANCIAL SUBSIDY TO FUND OPERATIONS 1 0 PART I, LINE 2: THE HOSPITAL RECEIVES THEIR MONTHLY INTERNAL FINANCIALS AND A COPY OF THE AUDITED STATEMENTS ANNUALLY. HOLLAND HOSPITAL IS FUNDING, IN PART, THE OPERATIONS OF THE ABOVE MENTIONED CLINIC, WHICH IS A SIGNIFICANT COMMUNITY BENEFIT. X X X 0 1 0 0 0 0 0 1 0 DERICK M JOHNSON PHYSICIAN 1162957 0 0 0 231149 0 4026 0 17458 0 1415590 0 0 0 DALE M SOWDERS TRUSTEE, CEO 799260 0 0 0 212145 0 9900 0 13672 0 1034977 0 0 0 PATTI VANDORT CEO 529410 0 89578 0 54895 0 9900 0 6791 0 690574 0 0 0 MICHAEL A TRAVER PHYSICIAN 490501 0 145661 0 15136 0 9900 0 17442 0 678640 0 0 0 TOBY F LEES PHYSICIAN 490501 0 145661 0 13356 0 8461 0 17471 0 675450 0 0 0 MARK LPAWLAK EXECUTIVE VICE PRESIDENT 443036 0 71663 0 136794 0 9900 0 8587 0 669980 0 0 0 JOSEPH B VANDERMEER PHYSICIAN 364039 0 212832 0 52865 0 6851 0 17604 0 654191 0 0 0 TIMOTHY J MCDONALD PHYSICIAN 445477 0 123872 0 32166 0 9900 0 457 0 611872 0 0 0 ALEX ROEHLING VP, FINANCE & CFO 307693 0 126059 0 62055 0 9173 0 457 0 505437 0 0 0 JOSEPH D BONELLO VICE PRESIDENT, NURSING-CN 245913 0 45896 0 42095 0 7377 0 17638 0 358919 0 0 0 BARBARA DEPREE MD TRUSTEE, PHYSICIAN 159541 0 0 0 36565 0 4816 0 13429 0 214351 0 0 0 PART I, LINE 4B DALE SOWDERS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE SERP IS DESIGNED TO PROVIDE THE PARTICIPANT WITH A TARGET BENEFIT FOR LIFE BEGINNING AT THE PARTICIPANTS ATTAINMENT OF AGE 65 EQUAL TO 60 PERCENT OF THE PARTICIPANTS FINAL AVERAGE COMPENSATION, OFFSET BY THE PARTICIPANTS SOCIAL SECURITY BENEFIT AND 401(K) SAVINGS PLAN EMPLOYER CONTRIBUTION EQUIVALENT. CONTRIBUTIONS MADE TO THE SERP ARE INCLUDED IN PART II, COLUMN (C). NO PAYMENTS WERE MADE IN 2023. PART I, LINE 7 MANAGEMENT BONUSES ARE DISCRETIONARY AND DETERMINED BY THE BOARD. A MICHIGAN FINANCE AUTHORITY 800596186 59447TNK5 2016-10-06 44193387 CONSTRUCTION OF NEW BUILDING AND DEFESANCE OF 2004B BONDS AND 2013 HELP LOAN 0 0 0 B MICHIGAN FINANCE AUTHORITY 800596186 NONEAVAIL 2022-04-28 9240000 REFUNDING OF 2020 BONDS 0 0 0 C MICHIGAN FINANCE AUTHORITY 800596186 NONEAVAIL 2022-10-06 36090000 REFUNDING OF 2013 BONDS 0 0 0 A 4190000 44193387 573771 21796000 21823616 2016 1 0 1 1 B 2685000 9240000 90144 9149856 2022 1 0 1 1 C 1015000 36090000 326003 35763997 2022 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 0 0 0 0 0 B 0 0 1 0 0 0 0 0 0 C 0 0 1 0 0 0 0 0 0 A 0 B 0 C 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/21/2021 SCHEDULE K, PART I, ISSUER NAME: THE MICHIGAN FINANCE AUTHORITY IS THE SUCCESSOR IN INTEREST TO THE MICHIGAN STATE HOSPITAL FINANCE AUTHORITY (EIN: 38-2889417), PURSUANT TO MICHIGAN EXECUTIVE ORDER 2010-2. EFFECTIVE MAY 30, 2010, ALL THE POWERS, RIGHTS, RESPONSIBILITIES AND DUTIES OF THE MICHIGAN STATE HOSPITAL FINANCE AUTHORITY WERE TRANSFERRED TO THE MICHIGAN FINANCE AUTHORITY PURSUANT TO MICHIGAN EXECUTIVE ORDER 2010-2. FORM 990, PART 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. HOLLAND HOSPITAL PHYSICIAN CLINIC 602 MICHIGAN AVENUE HOLLAND MI 49423 263479537 NOT ACTIVE MI 0 0 HOLLAND COMMUNITY HOSPITAL HOLLAND COMMUNITY HOSPITAL AUTHORITY SELF-INSURANCE TRUST FUND 602 MICHIGAN AVENUE HOLLAND MI 49423 386389385 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I HOLLAND COMMUNITY HOSPITAL 1 HOLLAND COMMUNITY HEALTH CENTER 336 S RIVER AVENUE HOLLAND MI 49423 200602574 HEALTH CENTER MI 501(C)(3) LINE 3 HOLLAND COMMUNITY HOSPITAL 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 HOLLAND COMMUNITY HEALTH CENTER B 1011439 COST