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HOLLAND COMMUNITY HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
HOLLAND COMMUNITY HOSPITAL (EIN 38-2800065)
Tax period
2013-04-01 to 2014-03-31
Filed
2015-01-14
IRS object ID
201520149349300532
Schema version
2013v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-01-14T09:55:48-06:00ReturnTs
Tax Period End2014-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1600 E FRONT ST SUITE 300AddressLine1
CityTRAVERSE CITYCity
StateMIState
ZIP Code49686ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN382800065EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOLLAND COMMUNITY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlHOLLBusinessNameControlTxt
Phone6163925141PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1602 MICHIGAN AVENUEAddressLine1
CityHOLLANDCity
StateMIState
ZIP Code49423ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDALE SOWDERSPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone6163925141PhoneNum
Signature2014-12-18SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonOLIVER JURKOVICPreparerPersonNm
PTINP00433694PTIN
Phone2319477800PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1HOLLAND HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerDALE SOWDERSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1602 MICHIGAN AVENUEAddressLine1
CityHOLLANDCity
StateMIState
ZIP Code49423ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$253,063,015GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HOLLANDHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, RESPECT, COMPASSION AND DIGNITY.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee2431TotalEmployeeCnt
Total Volunteers400TotalVolunteersCnt
Total Gross UBI$1,178,395TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$152,585NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$947,167PYContributionsGrantsAmt
CY Contributions Grants$1,264,629CYContributionsGrantsAmt
PY Program Service Revenue$197,954,717PYProgramServiceRevenueAmt
CY Program Service Revenue$213,061,896CYProgramServiceRevenueAmt
PY Investment Income$4,474,152PYInvestmentIncomeAmt
CY Investment Income$4,848,427CYInvestmentIncomeAmt
PY Other Revenue$4,358,372PYOtherRevenueAmt
CY Other Revenue$1,056,378CYOtherRevenueAmt
PY Total Revenue$207,734,408PYTotalRevenueAmt
CY Total Revenue$220,231,330CYTotalRevenueAmt
PY Grants And Similar Paid$743,560PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$668,510CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$104,787,162PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$113,415,052CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$809,857CYTotalFundraisingExpenseAmt
PY Other Expenses$87,403,738PYOtherExpensesAmt
CY Other Expenses$93,229,693CYOtherExpensesAmt
PY Total Expenses$192,934,460PYTotalExpensesAmt
CY Total Expenses$207,313,255CYTotalExpensesAmt
PY Revenues Less Expenses$14,799,948PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$12,918,075CYRevenuesLessExpensesAmt
Total Assets BOY$404,640,320TotalAssetsBOYAmt
Total Assets EOY$435,874,826TotalAssetsEOYAmt
Total Liabilities BOY$110,485,817TotalLiabilitiesBOYAmt
Total Liabilities EOY$117,860,654TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$294,154,503NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$318,014,172NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, RESPECT, COMPASSION AND DIGNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$172,528,423ExpenseAmt
Grant$668,510GrantAmt
Revenue$211,909,187RevenueAmt
DescHOLLAND COMMUNITY HOSPITAL OPENED ITS DOORS TO THE FIRST PATIENT IN 1917. TODAY, THANKS TO THE VISION AND HARD WORK OF STAFF, COMMUNITY MEMBERS AND MEDICAL PROFESSIONALS, WE HAVE GROWN TO BECOME THE LEADING PROVIDER OF HEALTH CARE SERVICES IN THE WEST MICHIGAN LAKESHORE REGION. OUR MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. THIS UNWAVERING COMMITMENT TO PROVIDE EXCELLENT, COMPASSIONATE AND INCREASINGLY ADVANCED HEALTH CARE REGARDLESS OF PATIENTS ABILITY TO PAY CONTINUES UNABATED.FIRST-RATE QUALITY:HOLLAND HOSPITAL'S ONGOING COMMITMENT TO EXCELLENCE IS DEMONSTRATED IN PHYSICIAN EXPERTISE, THE HIGHEST STANDARDS OF PATIENT CENTERED CARE AND DNV ISO CERTIFICATION. WE ARE ONE OF THE FEW HOSPITALS IN THE COUNTRY TO ACHIEVE THE INTERNATIONAL STANDARD FOR QUALITY: ISO 9001-2008 CERTIFICATION. THIS UNIVERSAL BENCHMARK DEMONSTRATES OUR COMMITMENT TO ORGANIZATIONAL EXCELLENCE AND SYSTEMATIC QUALITY IMPROVEMENT RESULTING IN IMPROVED OUTCOMES AND HIGHER PATIENT SATISFACTION.'TOP 100 HOSPITALS' NINE YEARS AND COUNTING:FOR NINE YEARS IN A ROW, HOLLAND HOSPITAL HAS BEEN SELECTED AS ONE OF THE NATION'S 100 TOP HOSPITALS. TRUVEN HEALTH ANALYTICS (FORMERLY THOMSON REUTERS) ANNUALLY CONDUCTS AN INDEPENDENT REVIEW OF APPROXIMATELY 3,000 HOSPITALS AND RECOGNIZES THOSE DEMONSTRATING SUPERIOR PERFORMANCE. THE VALUATION IS BASED ON PATIENT CARE FACTORS SUCH AS SAFETY AND SATISFACTION AND FINANCIAL INDICATORS SUCH AS EXPENSES AND PROFITABILITY. ADDITIONALLY, HEALTHGRADES SELECTED HOLLAND HOSPITAL AS ONE OF AMERICA'S 100 BEST HOSPITALS FOR A SECOND CONSECUTIVE YEAR IN 2014.TOP 3 PERCENT FOR 'BEST PRACTICES':HOLLAND HOSPITAL'S 'CORE MEASURES' -THE PROCESSES WE USE TO MEASURE OUR QUALITY OF CARE ARE PROVEN BEST-PRACTICE STANDARDS FOR TREATING PATIENTS WITH CERTAIN MEDICAL CONDITIONS. HOW WELL EACH HOSPITAL APPLIES THESE LIFE-SAVING MEASURES IS TRACKED BY THE U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES AND CAN BE VIEWED AT WWW.HOSPITALCOMPARE.HHS.GOV.RECENT DATA PLACED HOLLAND HOSPITAL AT THE 97TH PERCENTILE - MEANING WE'RE IN THE TOP 3PERCENT OF HOSPITALS NATIONWIDE IN MEETING PROCESS OF CORE MEASURES. WE ALSO RANKED AMONG THE LEADING HOSPITALS IN PATIENT SAFETY AS DETERMINED BY THE MICHIGAN HEALTH & HOSPITAL ASSOCIATION KEYSTONE CENTER FOR PATIENT SAFETY & QUALITY. LEADERS IN INNOVATIVE PRACTICES:THE HOSPITAL CONTINUES TO MEET THE GROWING HEALTH CARE NEEDS OF THE COMMUNITY BY PROVIDING EXPERIENCED SPECIALISTS, LEADING-EDGE TECHNOLOGY AND EXCEPTIONAL PATIENT CARE. ALTHOUGH THE HEALTH CARE LANDSCAPE CONTINUES TO CHANGE, HOLLAND HOSPITAL REMAINS AHEAD OF THE CURVE WITH FISCAL DISCIPLINE, EFFICIENT USE OF RESOURCES, AND WISE INVESTMENT IN NEW TECHNOLOGIES. PATIENTS WITHIN OUR SERVICE AREA AND BEYOND ARE BENEFITING FROM OUR RECENT FACILITY IMPROVEMENTS INCLUDING OUR NEWLY OPENED ORTHOPEDIC AND SPINE UNIT. DURING FISCAL YEAR 2014, HOLLAND HOSPITAL'S 330-MEMBER MEDICAL STAFF, 2,000 EMPLOYEES AND 400 VOLUNTEERS SERVED THE COMMUNITY BY PROVIDING:PATIENT DAYS 29,900DISCHARGES 8,200BIRTHS 1,700SURGERIES 16,100OUTPATIENT VISITS 422,100EMERGENCY ROOM VISITS 41,400URGENT CARE VISITS 28,900HOME HEALTH VISITS 41,100LAB TESTS 646,300RADIOLOGY PROCEDURES 100,900BEDS 189INNOVATIVE OUTREACH PROGRAMS:IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE MEANS TAKING OUR SERVICES INTO THE COMMUNITY TO OFFER RESIDENTS CONVENIENT ACCESS TO HEALTH PROGRAMS AND EDUCATION. WE ARE REACHING BEYOND THE TRADITIONAL HOSPITAL WALLS INTO THE COMMUNITY, WHETHER AT SCHOOLS, NEIGHBORHOODS OR BUSINESSES, WITH PROGRAMS AND SERVICES THAT ARE FOCUSED ON DISEASE PREVENTION AND WELLNESS. RESIDENTS AND EMPLOYEES ALIKE CAN TAKE ADVANTAGE OF NUMEROUS PREVENTION AND WELLNESS OFFERINGS.HEALTH EDUCATION AND SERVICES:RECOGNIZING THAT MEN AND WOMEN HAVE UNIQUE HEALTH NEEDS, HOLLAND HOSPITAL HAS RESPONDED TO THE COMMUNITY'S REQUEST FOR PROGRAMS THAT ADDRESS GENDER-RELATED HEALTH CONCERNS. OUR WOMEN'S MIDLIFE SERVICES IS DEVOTED ENTIRELY TO ADDRESSING THE PHYSICAL AND EMOTIONAL ISSUES OF MATURE WOMEN. CREATED BY WOMEN FOR WOMEN AND DIRECTED BY A CERTIFIED MENOPAUSE PRACTITIONER, WOMEN'S MIDLIFE SERVICES OFFERS THE LATEST INFORMATION ON MENOPAUSE AND RELATED ISSUES.INTERPRETATION SERVICES:OUR ON-SITE INTERPRETERS, SPECIALLY TRAINED IN MEDICAL CONDITIONS IN ACCORDANCE WITH THE NATIONAL COUNCIL ON INTERPRETING IN HEALTH CARE, ARE AVAILABLE 24 HOURS A DAY TO FACILITATE COMMUNICATION BETWEEN PATIENTS AND PROVIDERS. IN THE PAST YEAR, STAFF HANDLED 29,911 INTERPRETATION REQUESTS. VIDEO CONFERENCING SYSTEMS AT THE OFF-SITE URGENT CARE CENTER, BREAST AND BONE HEALTH CENTER AND HOLLAND HOSPITAL MEDICAL BUILDING CONNECT PATIENTS FACE-TO-FACE WITH HOSPITAL INTERPRETERS IN MINUTES ELIMINATING DELAYS DUE TO TRAVEL TIME.DIABETES EDUCATION:DIABETES IS A MAJOR HEALTH EPIDEMIC THAT WE CONTINUE TO ADDRESS THROUGH OUR DIABETES SELF-MANAGEMENT EDUCATION PROGRAM. WE ASSIST THOSE WITH DIABETES BY OFFERING INDIVIDUAL CONSULTATIONS AS WELL AS GROUP CLASSES. PARTICIPANTS LEARN ABOUT DIET AND NUTRITION, HOW TO TEST THEIR BLOOD SUGAR, AND MANAGING THE DISEASE WITH MEDICATION.COMMUNITY OUTREACH PROGRAMS:THE CENTER FOR GOOD HEALTH OFFERS A VARIETY OF EDUCATIONAL CLASSES AND PRESENTATIONS FOR CHILDREN, ADULTS AND SENIORS. IN FY 2014, THE CENTER OFFERED 576 CLASSES AND EVENTS WITH 10,274 PARTICIPANTS. IN RESPONSE TO TODAY'S EMPHASIS ON IMPROVING WORKER HEALTH TO BOOST EFFECTIVENESS AND REDUCE HEALTH CARE COSTS, CFGH WORKS WITH MANY AREA BUSINESSES TO PROVIDE WORKSITE WELLNESS PROGRAMS DIRECTLY TO EMPLOYEES.FUNDING ACCESS TO HEALTH CARE SERVICES FOR OUR COMMUNITY:THE FUND DEVELOPMENT OFFICE AT HOLLAND HOSPITAL FOCUSES ON RAISING FINANCIAL SUPPORT FOR THREE VITAL PROGRAMS: THE HOLLAND COMMUNITY HEALTH CENTER, THE SCHOOL NURSING PROGRAM AND THE FAITH COMMUNITY NURSE. FUND DEVELOPMENT IS THE SOLE SOURCE OF FUNDING FOR THE SCHOOL NURSING PROGRAM, INVESTING $500,000 PER YEAR TO SERVE OVER 11,000 AREA STUDENTS. FUND DEVELOPMENT CONTRIBUTED $750,000- $850,000 TO THE OPERATION OF THE HOLLAND COMMUNITY HEALTH CENTER WHICH PROVIDES PRIMARY HEALTH CARE TO OVER 4,900 COMMUNITY MEMBERS WHO ARE EITHER UNINSURED OR UNDER-INSURED. FUND DEVELOPMENT COVERS THE ENTIRE $35,000 COST OF THE FAITH COMMUNITY NURSE AT THE HOLLAND RESCUE MISSION'S FAMILY HOPE CENTER TO ENSURE THAT OVER 500 RESIDENTS ARE GIVEN ACCESS TO A MEDICAL PROFESSIONAL WHILE STAYING AT THE MISSION.HOLLAND COMMUNITY HEALTH CENTER:THE HOLLAND COMMUNITY HEALTH CENTER (HCHC) PROVIDES PRIMARY HEALTH CARE SERVICES FOR PEOPLE WHO ARE UNDER INSURED AND UNINSURED. OVER 4,900 NEW PATIENTS RECEIVED THEIR PRIMARY MEDICAL CARE AT THE HCHC. THE MAJORITY OF VISITS FOCUSED ON WOMEN'S AND CHILDREN'S HEALTH CARE NEEDS, CHRONIC DISEASE MANAGEMENT AND ELDER CARE. EACH YEAR THE HCHC ACQUIRES OVER $500,000 WORTH OF FREE MEDICATIONS FOR PATIENTS WHO CANNOT AFFORD THEM.THE SCHOOL NURSING PROGRAM:SCHOOL NURSES PROVIDE SERVICES TO HOLLAND PUBLIC, HOLLAND CHRISTIAN, WEST OTTAWA PUBLIC, FENNVILLE PUBLIC AND HAMILTON COMMUNITY SCHOOLS. SCHOOL YEAR 2013-2014 THEY SERVICED ALMOST 12,000 STUDENTS WITH 41,701 HEALTH ROOM VISITS, ADMINISTERED 17,072 DURING THE SCHOOL DAY AND REFERRED 332 STUDENTS FOR ADDITIONAL MEDICAL, DENTAL, VISION, OR SOCIAL CONCERN.UNCOMPENSATED MEDICAL COSTS:OUR COMMITMENT TO CARING FOR MEMBERS OF OUR COMMUNITY WHO ARE UNINSURED OR UNDER-INSURED CONTINUES TO BE ONE OF THE BIGGEST FINANCIAL CHALLENGES FOR THE HOSPITAL. IN FY 2014, HOLLAND HOSPITAL PROVIDED UN-REIMBURSED CARE TO OUR PATIENTS AT A COST OF $41.8 MILLION, A 10.6 PERCENT INCREASE OVER THE PREVIOUS YEAR.THE RISE IN UN-REIMBURSED CARE CAN BE ATTRIBUTED TO A VARIETY OF FACTORS AT BOTH THE NATIONAL AND STATE LEVELS. WHILE EMPLOYMENT IN THE STATE OF MICHIGAN HAS IMPROVED (AUGUST 2013: 9.0% UNEMPLOYED; AUGUST 2014: 7.4% UNEMPLOYED), THE GENERAL HEALTH OF MICHIGAN RESIDENTS HAS DECLINED. OBESITY, A LEADING CAUSE OF CHRONIC DISEASE, HAS INCREASED AMONG HIGH SCHOOL STUDENTS AND ADULTS - 31.1% (2012) TO 31.5% (2013) AND 12.1% (2011) TO 13.0% (2013) RESPECTIVELY, LEADING TO PATIENTS WHO REQUIRE A HIGHER LEVEL OF INTERVENTION AND RANGE OF CARE.MEDICAID EXPANSION MADE COVERAGE AVAILABLE TO 320,000 MICHIGANDERS IN THE 1ST YEAR.2014 COMMUNITY BENEFIT SUMMARY-$41.8 MILLION TOTAL COMMUNITY BENEFITUNPAID COST OF MEDICAID $ 9,900,000UNPAID COST OF MEDICARE $13,700,000CHARITY CARE $ 2,200,000 BAD DEBT $12,000,000OTHER COMMUNITY BENEFITS $ 4,000,000OTHER COMMUNITY BENEFITS INCLUDE: COMMUNITY EDUCATION & OUTREACH; CASH,IN-KIND DONATIONS & CONTRIBUTIONS; STUDENT NURSING; HOLLAND COMMUNITY HEALTH CENTER; HEALTH PROFESSIONAL EDUCATION & RESEARCH.FINANCE COMMENT: CHARITY IS NOW BEING REPORTED AT COST, IN THE PAST IT WAS REPORTED AT WHAT GROSS CHARGES WOULD HAVE BEEN.Desc
Total Program Service Expenses$172,528,423TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming ActivitiesYes (1)GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document154IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2431EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Excess Business Holdings0ExcessBusinessHoldingsInd
Taxable Distributions0TaxableDistributionsInd
Distribution To Donor0DistributionToDonorInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TERRY STEELEBusinessNameLine1
FieldValueIRS element (for citing)
Phone6163925141PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1602 MICHIGAN AVEAddressLine1
CityHOLLANDCity
StateMIState
ZIP Code49423ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DALE M SOWDERS
PRESIDENT & CEO40.001.00Yes (X)Yes (X)$649,211$0$148,829
LESLIE BROWN
CHAIR1.001.00Yes (X)Yes (X)$0$0$0
GREG MAYBURY
TREASURER1.001.00Yes (X)Yes (X)$0$0$0
JANE CLARK
SECRETARY1.001.00Yes (X)Yes (X)$0$0$0
KRIS DEPREE MD
TRUSTEE1.001.00Yes (X)$0$0$0
BECCA DERNBERGER
TRUSTEE1.001.00Yes (X)$0$0$0
TONY YASICK MD
TRUSTEE, MEDICAL DIRECTOR1.001.00Yes (X)$0$0$0
ROGER GAMACHE
TRUSTEE1.001.00Yes (X)$0$0$0
CLINT GRIFFIN MD
TRUSTEE, CHIEF OF STAFF1.001.00Yes (X)$27,682$0$0
DAWN GARCIA WARD
TRUSTEE1.001.00Yes (X)$0$0$0
JAMES STROOP
TRUSTEE1.001.00Yes (X)$0$0$0
MARK STID MD
TRUSTEE, PHYSICIAN5.0036.00Yes (X)$0$169,635$14,248
PHIL KONING
TRUSTEE1.001.00Yes (X)$0$0$0
ELIZABETH ROLINSKI
TRUSTEE1.001.00Yes (X)$0$0$0
PATTI VANDORT
VP, NURSING & CNO40.000.00Yes (X)$275,286$0$44,472
MARK L PAWLAK
VP, ANCILLARY SERVICES & QUALITY40.000.00Yes (X)$266,068$0$36,531
TERRY L STEELE
VP, FINANCE & CFO40.001.00Yes (X)$326,832$0$32,141
CHARLES D KOHLRUSS
VP, HR & OPERATIONS SUPPORT40.000.00Yes (X)$277,159$0$18,342
MICHAEL W MATTHEWS
VP, PHYSICIAN ADMINISTRATION40.000.00Yes (X)$216,880$0$13,396
CARL H WIERKS MD
PHYSICIAN40.000.00$598,300$0$14,265Yes (X)
DERICK M JOHNSON DO
PHYSICIAN40.000.00$598,300$0$14,040Yes (X)
STEPHEN MAUGER DO
PHYSICIAN40.000.00$515,129$0$15,556Yes (X)
MATTHEW FLETCHER MD
PHYSICIAN40.000.00$514,916$0$5,874Yes (X)
BARTHOLOMEW D SAK MD
PHYSICIAN40.000.00$453,736$0$12,433Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,719,499TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$169,635TotReportableCompRltdOrgAmt
Total Other Compensation$370,127TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K79IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
LAKEWOOD ELZINGA A JOINT VENTURE
86 E 6TH STHOLLANDMI49423CONSTRUCTION$11,345,723
ARAMARK CORPORATION
12483 COLLECTIONS CENTER DRCHICAGOIL60693HOUSEKEEPING$4,578,910
JOHNSON CONTROLS INC
PO BOX 93107CHICAGOIL606733107CONSTRUCTION$1,185,555
QUADRAMED
PO BOX 347188PITTSBURGHPA152514188SOFTWARE - PURCHASED MAINTENANCE$1,132,437
HOLLAND MOB LLC
181 WEST MADISON SUITE 4700CHICAGOIL60602RENT/SERVICES$947,215
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K57CntrctRcvdGreaterThan100KCnt
Fundraising$123,639FundraisingAmt
Related Organizations$33,784RelatedOrganizationsAmt
All Other Contributions$1,107,206AllOtherContributionsAmt
Total Contributions$1,264,629TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE622110$206,030,656$206,030,656
OTHER RELATED REVENUE900099$2,194,079$2,194,079
PHARMACY SALES UNDER SEC. 340B446110$1,941,568$1,941,568
EHR MEANINGFUL USE REVENUE622110$1,717,198$1,717,198
LAB ACTIVITY621500$1,178,395$1,178,395
FieldValueIRS element (for citing)
Total Program Service Revenue$213,061,896TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,151,485TotalRevenueColumnAmt
Exclusion$2,151,485ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$328,604RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$226,268RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$102,336RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$102,336TotalRevenueColumnAmt
Related Or Exempt Func Income$25,686RelatedOrExemptFuncIncomeAmt
Exclusion$76,650ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$35,221,064SecuritiesAmt
Other$47,498OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$31,885,272SecuritiesAmt
Other$686,348OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,335,792SecuritiesAmt
Other-$638,850OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,696,942TotalRevenueColumnAmt
Exclusion$2,696,942ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$9,576FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$123,639ContriRptFundraisingEventAmt
Fundraising Direct Expenses$9,576FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$22,020GamingGrossIncomeAmt
Gaming Direct Expenses$24,221GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,201TotalRevenueColumnAmt
Exclusion-$2,201ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCAFETERIA AND HOME MEALSDesc
Business722210BusinessCd
Total Revenue Column$956,243TotalRevenueColumnAmt
Exclusion$956,243ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$956,243OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$220,231,330TotalRevenueColumnAmt
Related Or Exempt Func Income$211,909,187RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,178,395UnrelatedBusinessRevenueAmt
Exclusion$5,879,119ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$668,510TotalAmt
Program Services$668,510ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,102,412TotalAmt
Management And General$2,102,412ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$87,669,207TotalAmt
Program Services$73,885,896ProgramServicesAmt
Management And General$13,216,540ManagementAndGeneralAmt
Fundraising$566,771FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,641,438TotalAmt
Program Services$1,530,915ProgramServicesAmt
Management And General$110,523ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$15,775,343TotalAmt
Program Services$13,148,641ProgramServicesAmt
Management And General$2,462,122ManagementAndGeneralAmt
Fundraising$164,580FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,226,652TotalAmt
Program Services$5,141,507ProgramServicesAmt
Management And General$1,085,145ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$464,649TotalAmt
Management And General$464,649ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$93,453TotalAmt
Program Services$16,253ProgramServicesAmt
Management And General$77,200ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$449,257TotalAmt
Management And General$449,257ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,650,463TotalAmt
Program Services$10,307,571ProgramServicesAmt
Management And General$4,328,469ManagementAndGeneralAmt
Fundraising$14,423FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,250,012TotalAmt
Program Services$70,731ProgramServicesAmt
Management And General$1,179,281ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,035,944TotalAmt
Program Services$632,701ProgramServicesAmt
Management And General$403,243ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,145,619TotalAmt
Program Services$4,075ProgramServicesAmt
Management And General$3,141,544ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,017,273TotalAmt
Program Services$4,519,652ProgramServicesAmt
Management And General$494,661ManagementAndGeneralAmt
Fundraising$2,960FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$341,493TotalAmt
Program Services$305,458ProgramServicesAmt
Management And General$30,817ManagementAndGeneralAmt
Fundraising$5,218FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$363,559TotalAmt
Program Services$217,517ProgramServicesAmt
Management And General$144,702ManagementAndGeneralAmt
Fundraising$1,340FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,688,291TotalAmt
Program Services$1,688,291ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,629,837TotalAmt
Program Services$10,978,936ProgramServicesAmt
Management And General$1,646,528ManagementAndGeneralAmt
Fundraising$4,373FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$308,036TotalAmt
Program Services$92,372ProgramServicesAmt
Management And General$215,664ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES & DRUG$33,927,592$33,741,842$183,067$2,683
PROVISION FOR BAD DEBTS$12,408,480$12,408,480
FOOD$1,364,398$1,221,017$142,229$1,152
DUES, LICENSE & SUBS$674,538$399,905$272,518$2,115

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,416,799TotalAmt
Program Services$1,548,153ProgramServicesAmt
Management And General$1,824,404ManagementAndGeneralAmt
Fundraising$44,242FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$207,313,255TotalAmt
Program Services$172,528,423ProgramServicesAmt
Management And General$33,974,975ManagementAndGeneralAmt
Fundraising$809,857FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$14,322,804BOYAmt
EOY$18,080,957EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$604,225BOYAmt
EOY$423,130EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$38,064,742BOYAmt
EOY$42,652,916EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,794,569BOYAmt
EOY$4,160,838EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,705,225BOYAmt
EOY$2,854,933EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$246,085,365LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$95,848,138LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$125,180,637BOYAmt
EOY$150,237,227EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$193,637,244BOYAmt
EOY$192,033,075EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$19,703,439BOYAmt
EOY$20,033,843EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,627,435BOYAmt
EOY$5,397,907EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$404,640,320BOYAmt
EOY$435,874,826EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$15,805,587BOYAmt
EOY$18,317,771EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$205,000BOYAmt
EOY$220,890EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$79,834,864BOYAmt
EOY$82,217,911EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,640,366BOYAmt
EOY$17,104,082EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$110,485,817BOYAmt
EOY$117,860,654EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$293,412,406BOYAmt
EOY$317,145,367EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$342,097BOYAmt
EOY$283,805EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$400,000BOYAmt
EOY$585,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$294,154,503BOYAmt
EOY$318,014,172EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$404,640,320BOYAmt
EOY$435,874,826EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$12,918,075ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$12,976,790NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,035,196OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$20,433OtherActivitiesAmt
Total Lobbying Expenditures$20,433TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE HOSPITAL PAYS DUES TO THE MICHIGAN HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION, A PORTION OF WHICH GOES TOWARDS LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$742,098BeginningYearBalanceAmt
Contributions$185,000ContributionsAmt
Grants Or Scholarships$342,098GrantsOrScholarshipsAmt
End Year Balance$585,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$692,632BeginningYearBalanceAmt
Contributions$503,956ContributionsAmt
Grants Or Scholarships$454,490GrantsOrScholarshipsAmt
End Year Balance$742,098EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$695,991BeginningYearBalanceAmt
Contributions$438,922ContributionsAmt
Grants Or Scholarships$442,281GrantsOrScholarshipsAmt
End Year Balance$692,632EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$696,468BeginningYearBalanceAmt
Contributions$640,725ContributionsAmt
Grants Or Scholarships$641,202GrantsOrScholarshipsAmt
End Year Balance$695,991EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$681,023BeginningYearBalanceAmt
Contributions$519,647ContributionsAmt
Grants Or Scholarships$504,202GrantsOrScholarshipsAmt
End Year Balance$696,468EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,930,062OtherCostOrOtherBasisAmt
Book Value$7,930,062BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$103,832,319OtherCostOrOtherBasisAmt
Depreciation$33,470,362DepreciationAmt
Book Value$70,361,957BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,429,696OtherCostOrOtherBasisAmt
Depreciation$854,156DepreciationAmt
Book Value$2,575,540BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$96,698,033OtherCostOrOtherBasisAmt
Depreciation$61,523,620DepreciationAmt
Book Value$35,174,413BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,195,255OtherCostOrOtherBasisAmt
Book Value$34,195,255BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$150,237,227TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
PROFESSIONAL LIABILITY INSURANCE$2,362,929
COST REPORT SETTLEMENT PAYABLE$453,480
OTHER LONG-TERM LIABILITIES$1,363,218
INTEREST PAYABLE$543,438
LOSSES IN EXCESS OF INVESTMENT IN AFFILIATES$12,381,017
FieldValueIRS element (for citing)
Total Liability$17,104,082TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:EARNINGS FROM THE PERMENANT ENDOWMENTS ARE INTENDED FOR GENERAL PURPOSES OF THE HOSPITAL.
PART X, LINE 2:THE HOSPITAL HAS ADOPTED ACCOUNTING STANDARDS RELATED TO UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, REVIEWED ALL TAX POSITIONS. THE EVALUATED POTENTIAL EXPOSURE RELATED TO UNCERTAIN TAX POSITIONS WAS FOUND TO BE IMMATERIAL.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1CULINARY CABARETNameOfEvent1Amt
Gross Receipts Event1$133,215GrossReceiptsEvent1Amt
Charitable Contri Event1$123,639CharitableContriEvent1Amt
Gross Revenue Event1$9,576GrossRevenueEvent1Amt
Other Direct Expenses Event1$9,576OtherDirectExpensesEvent1Amt
Gross Receipts Total$133,215GrossReceiptsTotalAmt
Charitable Contributions Tot$123,639CharitableContributionsTotAmt
Gross Revenue Total Events$9,576GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$9,576OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$9,576DirectExpenseSummaryEventsAmt
Net Income Summary$0NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$22,020GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming$17,471NonCashPrizesOtherGamingAmt
Rent Fclty Costs Other Gaming$6,750RentFcltyCostsOtherGamingAmt
Volunteer Labor Other GamingYes (1)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming0.95000VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$22,020GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming$17,471NonCashPrizesTotalGamingAmt
Rent Fclty Costs Total Gaming$6,750RentFcltyCostsTotalGamingAmt
Direct Expense Summary Gaming$24,221DirectExpenseSummaryGamingAmt
Net Gaming Income Summary-$2,201NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedMIStatesWhereGamingConductedCd
LicensedYes (1)LicensedInd
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With NonmembersYes (1)GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Gaming Other Facility1.00000GamingOtherFacilityPct
Individual With BooksCOLLEEN PERDOKIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line1602 MICHIGAN AVEAddressLine1
CityHOLLANDCity
StateMIState
ZIP Code49423ZIPCode
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game Rev0CntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonCOLLEEN PERDOKGamingManagerPersonNm
Gaming Manager Compensation$0GamingManagerCompensationAmt
Gaming Manager Services ProvFUND DEVELOPMENT COORDINATORGamingManagerServicesProvTxt
Gaming Manager Is EmployeeYes (X)GamingManagerIsEmployeeInd
Charitable Distribution Rqr0CharitableDistributionRqrInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,348,275TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,348,275NetCommunityBenefitExpnsAmt
Total Expense0.01200TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,446,028TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,061,908DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,384,120NetCommunityBenefitExpnsAmt
Total Expense0.03790TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,794,303TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,061,908DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,732,395NetCommunityBenefitExpnsAmt
Total Expense0.04990TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,580,273TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$584,310DirectOffsettingRevenueAmt
Net Community Benefit Expns$995,963NetCommunityBenefitExpnsAmt
Total Expense0.00510TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$348,696TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$348,696NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$720,351TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$720,351NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,649,320TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$584,310DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,065,010NetCommunityBenefitExpnsAmt
Total Expense0.01060TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,443,623TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,646,218DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,797,405NetCommunityBenefitExpnsAmt
Total Expense0.06050TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$5,134TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,134NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,165TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,165NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$172,179TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$172,179NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Total Community Benefit Expns$178,478TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$178,478NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$12,408,480BadDebtExpenseAmt
Bad Debt Expense Attributable$4,148,709BadDebtExpenseAttributableAmt
Reimbursed By Medicare$30,508,885ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$36,694,750CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$6,185,865MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 HOLLAND PHOBusinessNameLine1
FieldValueIRS element (for citing)
Primary ActivitiesCOORD. RESOURCES FOR ITS MEMBERS FOR THE DELIVERY OF QUALITY HEALTH CARE.PrimaryActivitiesTxt
Org Profit Or Ownership0.50000OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.50000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOLLAND COMMUNITY HOSPITALBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1602 MICHIGAN AVEAddressLine1
CityHOLLANDCity
StateMIState
ZIP Code49423ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.HOLLANDHOSPITAL.ORGWebsiteAddressTxt
State License1060000036StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HOLLAND COMMUNITY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
OtherYes (X)OtherInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP://WWW.HOLLANDHOSPITAL.ORG/UPLOADS/PUOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedYes (1)AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Uninsured DiscountYes (X)UninsuredDiscountInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
HOLLAND COMMUNITY HOSPITALPART V, SECTION B, LINE 1J: THE NEEDS ASSESSMENT DESCRIBED THE COMMUNITIES STRENGTHS AND OPPORTUNITIES REGARDING QUAILITY OF LIFE, OVERALL HEALTH, HEALTH BEHAVIORS, AND HEALTH CARE. THE TWO BROAD THEMES WHICH EMERGED FROM THE REPORT WERE THE DIRECT RELATIONSHIP BETWEEN HEALTH OUTCOMES AND INCOME/EDUCATION, AND THE EXISTANCE OF CHALLENGED SUBGROUPS WITHIN THE POPULATION. IDENTIFIED AREAS FOR OPPORTUNITIES INCLUDED ACCESS TO HEALTHCARE FOR THOSE WITH PUBLIC HEALTH INSURANCE AND IMPROVED CARE FOR THOSE WITH CHRONIC DISEASE, ESPECIALLY DIABETES.
HOLLAND COMMUNITY HOSPITALPART V, SECTION B, LINE 3: EXISTING DATA WAS REVIEWED, INCLUDING THE NUMBER OF VISITS TO HEALTH CARE PROGRAMS AND FACILITIES, THE TYPES OF VISITS, POTENTIAL CAUSES, AND OTHER RELATED INFORMATION. IN ADDITION, MORE THAN 1,200 COMMUNITY MEMBERS WERE SURVEYED TO GATHER INFORMATION ABOUT THEIR PERSONAL HEALTH AND WELL-BEING, HEALTH-RELATED BEHAVIORS AND RISKS FOR DISEASES. COMMUNITY FOCUS GROUPS WERE ALSO HELD TO DISCUSS THE PERCEPTION OF NEEDS. THEY ALSO INTERVIEWED AND/OR SURVEYED 45 HEALTH CARE PROVIDERS OR KEY INFORMANTS TO PROVIDE INPUT IN REGARDS TO COMMUNITY HEALTH NEEDS.
HOLLAND COMMUNITY HOSPITALPART V, SECTION B, LINE 4: NORTH OTTAWA COMMUNITY HEALTH SYSTEM & SPECTRUM HEALTH ZEELAND COMMUNITY HOSPITAL
HOLLAND COMMUNITY HOSPITALPART V, SECTION B, LINE 5D: HTTP://WWW.HOLLANDHOSPITAL.ORG/UPLOADS/PUBLIC/DOCUMENTS/PATIENT_VISITORS_GUIDE/OTTAWACOUNTYCNHASUMMARY2012.PDF
HOLLAND COMMUNITY HOSPITALPART V, SECTION B, LINE 14G: THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL'S WEBSITE ALONG WITH A FINANCIAL ASSISTANCE APPLICATION (ENGLISH AND SPANISH). INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED IN THE FACILITY'S WAITING ROOMS, AS WELL AS OUTLINED ON A BUSINESS CARD GIVEN TO ALL PATIENTS AT REGISTRATION.
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
LAKESHORE HEALTH PARTNERS
602 MICHIGAN AVEHOLLANDMI49423PHYSICIAN OFFICE
HH SERVICES - BATES ET AL LLC
602 MICHIGAN AVEHOLLANDMI49423PHYSICIAN OFFICE
HH SERVICES - ORT LLC
602 MICHIGAN AVEHOLLANDMI49423PHYSICIAN OFFICE
LAKESHORE HEALTH PARTNERS FM LLC
602 MICHIGAN AVEHOLLANDMI49423PHYSICIAN OFFICE
HOLLAND COMMUNITY HEALTH CENTER
602 MICHIGAN AVEHOLLANDMI49423PHYSICIAN OFFICE
LAKESHORE AREA RADIATION & ONCOLOGY CENT
602 MICHIGAN AVEHOLLANDMI49423PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:FAMILY INCOME 200 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).A DIRECT COST AND STEP-DOWN APPROACH WAS USED TO COMPLETE THE SUBSIDIZED HEALTH SERVICES PROGRAMS (LINE 7G).
PART I, LN 7 COL(F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24B - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $12,408,480.
PART II, COMMUNITY BUILDING ACTIVITIES:HOLLAND HOSPITAL SERVES COMMUNITIES THAT ARE DIVERSE IN SIZE, DEMOGRAPHIC MAKEUP AND SOCIO-ECONOMIC LEVELS. FOR AT-RISK INDIVIDUALS AND FAMILIES, THE HOSPITAL OFFERS PRIMARY HEALTH CARE SERVICES THROUGH THE HOLLAND COMMUNITY HEALTH CENTER, HOLLAND RESCUE MISSION AND WITHIN FIVE AREA SCHOOL DISTRICTS WITH LARGE STUDENT POPULATIONS WHO QUALIFY FOR FREE OR REDUCED LUNCHES. MONTHLY EDUCATIONAL PROGRAMS PROVIDE HEALTH INFORMATION AND ADVICE TO TARGETED AUDIENCES INCLUDING WOMEN AND SENIORS. THROUGH ITS WEBSITE AND SOCIAL MEDIA TOOLS, THE HOSPITAL COMMUNICATES KEY HEALTH INFORMATION THROUGHOUT ITS ENTIRE SERVICE AREA AND BEYOND. ONGOING COMMUNITY WELLNESS CLASSES AND FREE SCREENINGS PROVIDE EASY ACCESS TO HEALTHY LIFESTYLE ADVICE AND SUPPORT. THE HOSPITAL'S PARTNERSHIPS WITH OTHER SERVICES PROVIDERS, LOCAL BUSINESSES, MUNICIPALITIES, CHURCHES AND SOCIAL AGENCIES BUILDS UPON THE HOSPITAL'S DAY-TO-DAY EFFORTS TO IMPROVE THE HEALTH THE COMMUNITIES IT SERVES.
PART III, LINE 2:THIS IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX.
PART III, LINE 3:THE HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. THERE IS A POTENTIAL THAT SOME ACCOUNTS WRITTEN OFF AS BAD DEBTS COULD HAVE BEEN ELIGIBLE UNDER THE ORGANIZATIONS CHARITY CARE POLICY, HOWEVER, DUE TO INADEQUATE APPLICATIONS FILED OR NEVER RETURNED THEY GET WRITTEN OFF TO BAD DEBTS INSTEAD. THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS APPROXIMATELY $4,148,709. THIS WAS DERIVED BY REVIEWING NOTES ON FILES FOR POTENTIAL CHARITY CARE CASES FOR THE LAST QUARTER OF THE YEAR AND APPLYING THAT AVERAGE TO THE TOTAL POPULATION.
PART III, LINE 4:ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE:ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA RELATED TO THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALULATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. 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 A SIGNIFICANT PROVISION FOR BAD DEBTS 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. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE.
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 2 STATEMENTS. AT DAY 60 AN EARLY OUT AGENCY WORKS THE ACCOUNT FOR HOLLAND HOSPITAL FOR A MINIMUM OF 90 DAYS. THE ACCOUNT WILL BE HELD ON HOLLAND HOSPITAL'S "BOOKS" UNTIL IT HAS AGED TO A MINIMUM OF 180 DAYS FROM DISCHARGE. AT THIS TIME THE ACCOUNT IS ELIGIBLE AND WILL BE REVIEWED TO BE SENT TO A COLLECTION AGENCY.
SCHEDULE H, PART III, LINES 5 AND 6:AS PER THE INSTRUCTIONS, SCHEDULE H, PART III, LINES 5 AND 6 ARE DERIVED DIRECTLY FROM THE MEDICARE COST REPORT. THOSE MEDICARE COSTS NOT INCLUDED IN THE MEDICARE COST REPORT (MEDICARE ADVANTAGE AND FEE FOR SERVICE PHYSICIANS) ARE SUMMARIZED AS FOLLOWS:TOTAL COST: $2,236,734TOTAL REIMBURSEMENT: $1,525,669COST IN EXCESS OF REIMBURSEMENT: $ 711,065
PART VI, LINE 2:IN COLLABORATION WITH THE OTTAWA COUNTY HEALTH DEPARTMENT AND THE UNITED WAY, A COMMUNITY ASSESSMENT IS PERFORMED. THE UNITED WAY PUBLISHES THEIR ASSESSMENT EVERY 5 YEARS (LAST ONE IN 2012) AND THE OTTAWA COUNTY HEALTH DEPARTMENT PUBLISHES THEIR YOUTH ASSESSMENT EVERY 2 YEARS (LAST ONE IN 2012) AND EVERY 3 YEARS FOR ADULTS (LAST ONE IN 2012). THE CHNA COLLABORATIVE CONSISTED OF NORTH OTTAWA, SPECTRUM ZEELAND HOSPITALS AND THE OTTAWA COUNTY HEALTH DEPARTMENT.
PART VI, LINE 3:OUR FINANCIAL ASSISTANCE POLICY IS LOCATED ON OUR WEBSITE. AT THE POINT OF REGISTRATION, A PATIENT IS OFFERED A BUSINESS CARD WITH INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM. ALSO, OUR COLLECTORS, CUSTOMER SERVICE EMPLOYEES, OR ANY OTHER HOLLAND HOSPITAL EMPLOYEE WITH WHOM THE PATIENT MIGHT HAVE CONTACT, OUR MEDICAID ELIGIBILITY VENDOR, AND THE EARLY OUT AGENCIES INFORM PATIENTS OF THE FINANCIAL ASSISTANCE POLICY. ALL OF THE ABOVE MENTIONED SOURCES MAIL FINANCIAL ASSISTANCE APPLICATIONS TO THE PATIENTS FOR CONVENIENCE UPON REQUEST. INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED IN THE FACILITY'S WAITING ROOMS.
PART VI, LINE 4:HOLLAND HOSPITAL'S PRIMARY SERVICE AREA (PSA) CONSISTS OF EIGHT ZIP CODES THAT FALL WITHIN ALLEGAN AND OTTAWA COUNTIES OF WEST MICHIGAN (POPULATION: 150,675). OUR EXTENDED SERVICE AREA (ESA) OR SECONDARY SERVICE AREA CONSISTS OF FOUR MORE ZIPS TO THE NORTH, EAST AND SOUTH OF THE HOSPITAL (POPULATION: 94,449). IN OTTAWA COUNTY, THE RACIAL DEMOGRAPHIC BREAK DOWN IS 85.2 % (WHITE), 9.0% (HISPANIC), 2.8 % (ASIAN), 1.7% (AFRICAN AMERICAN ), 0.6% (NATIVE AMERICAN), AND < 0.1% (PACIFIC ISLANDER). IN THE CITY OF HOLLAND WHERE HOLLAND HOSPITAL IS LOCATED, THERE IS A SIGNIFICANTLY HIGHER PERCENTAGE OF HISPANIC INDIVIDUALS WITH THE RACIAL DEMOGRAPHIC BREAK DOWN INCLUDING 68.9 % (WHITE), 22.7% (HISPANIC), 3.0 % (ASIAN), 3.6% (AFRICAN AMERICAN ), 0.6% (NATIVE AMERICAN), AND < 0.1% (PACIFIC ISLANDER). ACCORDING TO 2010 CENSUS DATA, THE POPULATION OF OTTAWA COUNTY WAS SPREAD OUT WITH 28.70% UNDER THE AGE OF 18, 11.90% FROM 18 TO 24, 29.30% FROM 25 TO 44, 20.00% FROM 45 TO 64, AND 10.10% WHO WERE 65 YEARS OF AGE OR OLDER. THE MEDIAN AGE WAS 32 YEARS. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS $52,347, AND THE MEDIAN INCOME FOR A FAMILY WAS $59,896. MALES HAD A MEDIAN INCOME OF $42,180 VERSUS $27,706 FOR FEMALES. THE PER CAPITA INCOME FOR THE COUNTY WAS $21,676. ABOUT 3.10% OF FAMILIES AND 5.50% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 4.70% OF THOSE UNDER AGE 18 AND 4.90% OF THOSE AT AGE 65 OR OVER.
PART VI, LINE 5:HOLLAND HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF REPRESENTATIVES FROM DIFFERENT GEOGRAPHIC SECTORS OF THE HOSPITAL'S PRIMARY SERVICE AREA (PSA), AS WELL AS REPRESENTATIVES FROM BUSINESS AND INDUSTRY, MEDICAL STAFF, AND AT-LARGE MEMBERS. THE HOSPITAL BOARD AND MEDICAL STAFF LEADERSHIP, USING AN ONBOARDING PROCESS, CONSIDERS ALL REQUESTS FROM NEW AND ACTIVE PHYSICIANS SEEKING PRIVILEGES TO PRACTICE AT HOLLAND HOSPITAL. THE HOSPITAL'S INVESTMENT TO IMPROVE PATIENT CARE TAKES SEVERAL FORMS. IN 2014, HOLLAND HOSPITAL INVESTED MILLIONS OF DOLLARS IN UPGRADES TO ITS ELECTRONIC HEALTH RECORDS SYSTEM TO IMPROVE PATIENT SAFETY AND ENHANCE THE EFFICIENCY OF RECORDING/ACCESSING OF PATIENT MEDICAL INFORMATION. ADDITIONAL, THE HOSPITAL CONSTRUCTED A MEDICAL OFFICE BUILDING TO HELP ASSURE THE ACCESSIBILITY TO CARDIOLOGISTS AND CARDIOVASCULAR CARE FOR RESIDENTS IN THE GREATER HOLLAND AREA. THE HOSPITAL CONTINUES TO CONTRIBUTE IN EXCESS OF $1 MILLION PER YEAR IN COMMUNITY OUTREACH INITIATIVES THAT BRING PRIMARY CARE SERVICES TO THE MOST AT-RISK POPULATIONS. FREE COMMUNITY EDUCATIONAL OPPORTUNITIES ARE PROVIDED ON A CONTINUAL BASIS THROUGH PHYSICIAN PRESENTATIONS, RADIO/TELEVISION/PRINT/WEB APPEARANCES, AND IN PARTNERSHIP WITH OTHER HEALTH CARE PROVIDERS.
PART VI, LINE 6:NOT AFFILIATED.
PART VI, LINE 7, REPORTS FILED WITH STATESMI

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CENTERBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1602 MICHIGAN AVENUEAddressLine1
CityHOLLANDCity
StateMIState
ZIP Code49423ZIPCode
FieldValueIRS element (for citing)
Recipient EIN200602574RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$663,660CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc
Purpose Of GrantOPERATIONAL CASH FLOW TO BREAK-EVENPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DALE M SOWDERS
PRESIDENT & CEO$503,023$0$125,877$0$20,311$0$124,461$0$24,368$0$798,040$0$14,380$0
MARK STID MD
TRUSTEE, PHYSICIAN$0$150,872$0$0$0$18,763$0$0$0$14,248$0$183,883$0$0
PATTI VANDORT
VP, NURSING & CNO$216,085$0$41,282$0$17,919$0$30,327$0$14,145$0$319,758$0$10,483$0
MARK L PAWLAK
VP, ANCILLARY SERVICES & QUALITY$209,040$0$39,936$0$17,092$0$27,215$0$9,316$0$302,599$0$0$0
TERRY L STEELE
VP, FINANCE & CFO$257,286$0$49,153$0$20,393$0$21,962$0$10,179$0$358,973$0$0$0
CHARLES D KOHLRUSS
VP, HR & OPERATIONS SUPPORT$203,019$0$38,786$0$35,354$0$0$0$18,342$0$295,501$0$35,248$0
MICHAEL W MATTHEWS
VP, PHYSICIAN ADMINISTRATION$175,115$0$41,765$0$0$0$0$0$13,396$0$230,276$0$0$0
CARL H WIERKS MD
PHYSICIAN$577,597$0$0$0$20,703$0$0$0$14,265$0$612,565$0$0$0
DERICK M JOHNSON DO
PHYSICIAN$577,597$0$0$0$20,703$0$0$0$14,040$0$612,340$0$0$0
STEPHEN MAUGER DO
PHYSICIAN$242,928$0$0$0$272,201$0$0$0$15,556$0$530,685$0$0$0
MATTHEW FLETCHER MD
PHYSICIAN$243,256$0$0$0$271,660$0$0$0$5,874$0$520,790$0$0$0
BARTHOLOMEW D SAK MD
PHYSICIAN$243,417$0$0$0$210,319$0$0$0$12,433$0$466,169$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationDALE 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 2013.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MICHIGAN STATE HOSPITAL FINANCE AUTHORITY
A38288941759465E7A52004-08-01$22,000,000CONSTRUCTION OF NEW BUILDING000
MICHIGAN STATE HOSPITAL FINANCE AUTHORITY
B800596186NONEAVAIL2010-08-11$23,500,000CONSTRUCTION OF NEW BUILDING000
MICHIGAN STATE HOSPITAL FINANCE AUTHORITY
C38288941759447PTG62013-02-20$37,010,000CONSTRUCTION OF NEW BUILDING AND DEFEASANCE OF 2004A BONDS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRefunding EscrowRefundingEscrowAmtIn Reserve FundInReserveFundAmt
A$22,000,000$225,000$22,000,000200800Yes (1)Yes (1)
B$23,500,000$139,505$9,376,5812011Yes (1)0Yes (1)Yes (1)$14,123,419
C$39,641,117$243,926$20,471,6622015Yes (1)00Yes (1)$18,656,552$3,056,775

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.00000000
B00000.000000.000000.00000000
C00000.000000.000000.00000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueInd
AYes (1)Yes (1)0000
B000000Yes (1)00
C0Yes (1)0000Yes (1)00

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
LAKEWOOD ELZINGA A JOINT VENTURE
BOARD MEMBER JAMES STROOP IS AN INDIRECT OWNER OF LAKEWOOD ELZINGA JV.$11,345,723LAKEWOOD ELZINGA A JOINT VENTURE WAS SELECTED AS GENERAL CONTRACTOR FOR SEVERAL HOSPITAL PROJECTS. THE PAYMENTS TO LAKEWOOD ELZINGA A JOINT VENTURE RELATE TO CONSTRUCTION SERVICES, INCLUDING PAYMENTS TO SUBCONTRACTORS AS WELL AS THE GENERAL CONTRACTOR FEE.0
MACATAWA ANESTHESIA PC
BOARD MEMBER ANTHONY YASICK IS A SHAREHOLDER OF MACATAWA ANESTHESIA PC.$52,078THE PAYMENTS TO MACATAWA ANESTHESICA PC RELATE TO MEDICAL DIRECTOR PAYMENTS.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11HOLLAND COMMUNITY HOSPITAL'S CEO AND CFO REVIEW THE FORM 990 PRIOR TO FILING. THE CEO THEN SIGNS AND FILES THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS, ADMINISTRATION, DIRECTORS AND MANAGERS FILL OUT A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY. THESE FORMS ARE COLLECTED BY THE COMPLIANCE OFFICE, INVESTIGATED AND THEN MAINTAINED BY HUMAN RESOURCES. THE BYLAWS SPECIFICALLY STATE THAT A BOARD MEMBER WHO HAS A CONFLICT OF INTEREST AS TO A MATTER BEFORE THE BOARD SHOULD NOT VOTE OR USE PERSONAL INFLUENCE WITH OTHER BOARD MEMBERS. THE MINUTES OF THE BOARD MEETING SHALL DISCLOSE THE MEMBER'S ABSTINENCE FROM VOTING ON THE MATTER.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION USES CONSULTANTS TO REVIEW THE EXECUTIVE COMPENSATION PROGRAM ANNUALLY AND RECOMMEND UPDATES/INCREASES AS DICTATED BY THE MARKET. COMPENSATION IS SET FOR THE PRESIDENT AND CEO, AND EACH VICE PRESIDENT 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. THE MOST RECENT YEAR THIS PROCESS HAS BEEN UNDERTAKEN IS AUGUST 2014.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:UNREALIZED LOSS IN AFFILIATES -2,035,196.
FORM 990, PART XII, LINE 2C:THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HH SERVICES ORT LLC
602 MICHIGAN AVENUEHOLLANDMI49423264606759ORTHOPEDIC PHYSICIAN OFFICEMI-$1,181,430$225,563HOLLAND COMMUNITY HOSPITAL
HOLLAND HOSPITAL PHYSICIAN CLINIC
602 MICHIGAN AVENUEHOLLANDMI49423263479537NOT ACTIVEMI$0$0HOLLAND COMMUNITY HOSPITAL
HOLLAND SC LLC DBA SURGERY CENTER OF WEST MICHIGAN
602 MICHIGAN AVENUEHOLLANDMI49423203200415NOT ACTIVEMI$0$0HOLLAND COMMUNITY HOSPITAL
HH SERVICES - BATES ET AL LLC
602 MICHIGAN AVENUEHOLLANDMI49423260396104UROLOGY PHYSICIAN OFFICEMI-$763,331$443,511HOLLAND COMMUNITY HOSPITAL
LAKESHORE HEALTH PARTNERS - FM LLC
602 MICHIGAN AVENUEHOLLANDMI49423272647439FAMILY MEDICINE PHYSICIAN OFFICEMI-$292,315$180,920HOLLAND COMMUNITY HOSPITAL

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
HOLLAND COMMUNITY HOSPITAL AUTHORITY SELF-INSURANCE TRUST FUND
602 MICHIGAN AVENUEHOLLANDMI49423386389385SUPPORTING ORGANIZATIONMI501(C)(3)LINE 11A, IHOLLAND COMMUNITY HOSPITALYes (1)
HOLLAND COMMUNITY HOSPITAL AUXILIARY
602 MICHIGAN AVENUEHOLLANDMI49423382139025SUPPORTING ORGANIZATIONMI501(C)(3)LINE 11C, III-FI0N/A
LAKESHORE HEALTH PARTNERS
602 MICHIGAN AVENUEHOLLANDMI49423263518481ENDOSCOPY SERVICESMI501(C)(3)LINE 11A, IHOLLAND COMMUNITY HOSPITALYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1LAKESHORE HEALTH PARTNERSBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeMTransactionTypeTxt
Involved$622,030InvolvedAmt
Method Of Amount DeterminationCONTRACTS AND TIME TRACKINGMethodOfAmountDeterminationTxt