HOLLAND COMMUNITY HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: HOLLAND COMMUNITY HOSPITAL (EIN 38-2800065)
Tax period: 2018-04-01 to 2019-03-31
Filed: 2020-02-17
IRS object ID: 202030489349301068
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-02-17T08:41:00-06:00	ReturnTs
Tax Period End	2019-03-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	381357951	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	600 E FRONT ST STE 300	AddressLine1Txt
City	TRAVERSE CITY	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49686	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-04-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	382800065	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DALE SOWDERS	PersonNm
Person Title	PRESIDENT & CEO	PersonTitleTxt
Phone	6163925141	PhoneNum
Signature	2020-02-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	OLIVER JURKOVIC	PreparerPersonNm
PTIN	P00433694	PTIN
Phone	2319477800	PhoneNum
Preparation	2020-02-13	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	67.59.56.30	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-02-13	IPDt
IP Tm	15:29:53	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	EBB51160BF2136090E0706D858221EDFD566B897	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	DALE SOWDERS	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$286,632,065	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HOLLANDHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1985	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	TO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	2462	TotalEmployeeCnt
Total Volunteers	310	TotalVolunteersCnt
Total Gross UBI	$1,164,909	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$905,216	PYContributionsGrantsAmt
CY Contributions Grants	$1,044,667	CYContributionsGrantsAmt
PY Program Service Revenue	$263,477,350	PYProgramServiceRevenueAmt
CY Program Service Revenue	$268,101,761	CYProgramServiceRevenueAmt
PY Investment Income	$7,694,903	PYInvestmentIncomeAmt
CY Investment Income	$6,581,933	CYInvestmentIncomeAmt
PY Other Revenue	$1,265,909	PYOtherRevenueAmt
CY Other Revenue	$1,222,699	CYOtherRevenueAmt
PY Total Revenue	$273,343,378	PYTotalRevenueAmt
CY Total Revenue	$276,951,060	CYTotalRevenueAmt
PY Grants And Similar Paid	$791,868	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$865,972	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$146,176,161	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$145,595,886	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,005,544	CYTotalFundraisingExpenseAmt
PY Other Expenses	$113,110,620	PYOtherExpensesAmt
CY Other Expenses	$117,430,516	CYOtherExpensesAmt
PY Total Expenses	$260,078,649	PYTotalExpensesAmt
CY Total Expenses	$263,892,374	CYTotalExpensesAmt
PY Revenues Less Expenses	$13,264,729	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$13,058,686	CYRevenuesLessExpensesAmt
Total Assets BOY	$499,818,611	TotalAssetsBOYAmt
Total Assets EOY	$506,083,017	TotalAssetsEOYAmt
Total Liabilities BOY	$128,754,151	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$128,542,791	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$371,064,460	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$377,540,226	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$244,128,333	ExpenseAmt
Grant	$865,972	GrantAmt
Revenue	$268,161,470	RevenueAmt
Desc	THE EMPLOYEES, MEDICAL STAFF AND VOLUNTEERS OF HOLLAND HOSPITAL REMAIN COMMITTED TO THE HOSPITAL'S MISSION: TO CONTINUALLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY. OUR VISION IS TO BE THE PREEMINENT STAND-ALONE HOSPITAL IN WEST MICHIGAN AS MEASURED BY BENCHMARK CUSTOMER SERVICE, BUSINESS GROWTH, FINANCIAL PERFORMANCE AND CLINICAL EXCELLENCE. WE MEASURE OUR ACHIEVEMENTS AGAINST FIVE ORGANIZATIONAL STRATEGIC ESSENTIALS: FINANCIAL STRENGTH, GROWTH, QUALITY, SUPERIOR SERVICE AND SUPERIOR WORKFORCE.NATIONALLY RECOGNIZED QUALITY AND VALUEWE ARE ONE OF THE FEW HOSPITALS TO ACHIEVE THE INTERNATIONAL STANDARD FOR QUALITY: ISO 9001-2008 CERTIFICATION. THIS UNIVERSAL BENCHMARK DEMONSTRATES OUR COMMITMENT TO ORGANIZATIONAL EXCELLENCE. OUR DEDICATION TO SYSTEMATICALLY IMPROVE QUALITY IS THE FOUNDATION OF SUPERIOR OUTCOMES AND HIGHER PATIENT SATISFACTION.THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) USES THE OVERALL HOSPITAL QUALITY STAR RATINGS SYSTEM TO EVALUATE AND COMPARE HOSPITALS NATIONWIDE. THE SYSTEM SUMMARIZES 64 QUALITY MEASURES INTO A UNIFIED RATING OF ONE TO FIVE STARS. HOLLAND HOSPITAL IS AMONG THE FEW MICHIGAN HOSPITALS TO CONSISTENTLY RECEIVE THE TOP 5-STAR QUALITY RATING FROM CMS. WHAT'S MORE, WE HAVE BEEN RECOGNIZED AS THE REGION'S LOW COST PROVIDER AND AMONG THE NATION'S TOP HOSPITALS FOR HEALTH CARE VALUE.HOLLAND HOSPITAL'S COMMITMENT TO QUALITY HAS ALSO EARNED NATIONAL RECOGNITION OVER MULTIPLE YEARS FROM THE INDUSTRY'S LEADING RATING AGENCIES INCLUDING HEALTHGRADES (AMERICA'S 50 BEST HOSPITALS, DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE, ETC.), TRUVEN HEALTH ANALYTICS (100 TOP HOSPITALS), AND NUMEROUS AWARDS IN AREAS SUCH AS ORTHOPEDICS, JOINT REPLACEMENT, CARDIOLOGY, SURGERY AND OTHER SERVICES.LEADING EDGE TECHNOLOGYHOLLAND HOSPITAL OFFERS CONVENIENT LOCAL ACCESS TO ADVANCED TECHNOLOGY FOR EXCEPTIONAL PATIENT CARE. EXAMPLES INCLUDE:CARDIAC CATHETERIZATION LABHOLLAND HOSPITAL'S ADVANCED CATH LAB DEPARTMENT HAS STATE-OF-THE-ART PROCEDURE ROOMS WITH THE LATEST TECHNOLOGY, IMAGING EQUIPMENT WITH THE HIGHEST RESOLUTION AND LOWEST RADIATION AVAILABLE AND A SPECIAL PROCEDURES ROOM FOR PERIPHERAL VASCULAR CARE AND PACEMAKER IMPLANTS.ORTHOPEDICS / JOINT REPLACEMENTWE UTILIZE THE MOST RECENT ADVANCEMENTS IN JOINT REPLACEMENT INCLUDING MAKO ROBOTIC-ASSISTED TECHNOLOGY FOR KNEE REPLACEMENT AND ANTERIOR HIP REPLACEMENT FOR FASTER RECOVERY AND EXCEPTIONAL OUTCOMES. OUR SPINE & ORTHOPEDICS UNIT FEATURES SUPERIOR DESIGN AND FUNCTION FOR AN EXCELLENT PATIENT EXPERIENCE.SURGICAL SERVICESHOLLAND HOSPITAL IS ONE OF AN EXCLUSIVE NUMBER OF HOSPITALS IN MICHIGAN USING THE NEW DA VINCI XI SURGICAL SYSTEM WHICH ENABLES SURGEONS TO PERFORM CERTAIN SURGERIES THROUGH TINY, ONE TO TWO CENTIMETER INCISIONS, OR IN SOME CASES, A SINGLE INCISION FOR FASTER RECOVERY AND LESS PAIN. THE HOSPITAL ALSO OFFERS THE MAZOR X STEALTH EDITION ROBOTIC GUIDANCE PLATFORM THE LATEST ADVANCED TECHNOLOGY FOR MINIMALLY INVASIVE SPINE SURGERY WHICH PROVIDES SAFER, MORE EFFICIENT SPINAL FUSION SURGERIES. IN ADDITION, WE OFFER THE STRYKER 4K FLUORESCENT IMAGING PLATFORM, THE FIRST HOSPITAL IN WEST MICHIGAN TO HAVE THIS FULLY INTEGRATED IMAGING TECHNOLOGY.DIGESTIVE HEALTHOUR SPECIALISTS HAVE EXTENSIVE EXPERIENCE TREATING HEARTBURN AND GERD WITH THE LATEST OPTIONS. THE HOLLAND HOSPITAL ENDOSCOPY CENTER PERFORMS ADVANCED DIAGNOSTIC PROCEDURES AND TREATMENTS IN A COMFORTABLE SETTING WHILE OUR REFLUX CENTER PROVIDES CLOSE-TO-HOME ACCESS TO PROCEDURES SUCH AS LAPAROSCOPIC NISSEN FUNDOPLICATION (LNF) AND THE LINX REFLUX PROCEDURE.COMPREHENSIVE BREAST SERVICESHOLLAND HOSPITAL'S BREAST CARE IS A COORDINATED EFFORT DELIVERED BY A MULTIDISCIPLINARY TEAM. OUR MAMMOGRAPHY AND BREAST IMAGING SERVICES HAVE BEEN RECOGNIZED FOR MEETING THE HIGHEST LEVEL OF IMAGE QUALITY AND PATIENT SAFETY. WE NOW OFFER THE NEW SMARTCURVE BREAST STABILIZATION SYSTEM WHICH IMPROVES COMFORT WHILE MAINTAINING EXCEPTIONAL IMAGE QUALITY. TELEHEALTH TECHNOLOGYTO HELP ENSURE EXCELLENT OUTCOMES AND REDUCE AVOIDABLE RE-HOSPITALIZATIONS, WE OFFER TELEHEALTH SERVICES WHICH OFFERS A SIMPLE-TO-USE IN-HOME ELECTRONIC DEVICE THAT COLLECTS VITAL SIGNS AND TRANSMITS DATA TO BEST MONITOR PATIENT CONDITIONS AND HELP GUIDE APPROPRIATE ACTION AS NEEDED.PRIMARY AND SPECIALTY CARETO BEST SERVE THE LAKESHORE AREA, HOLLAND HOSPITAL OFFERS A COMPREHENSIVE HEALTH CARE NETWORK FEATURING OUR 189-BED MAIN CAMPUS AND CONVENIENT SATELLITE LOCATIONS, ALONG WITH AN EXPANSIVE MEDICAL GROUP INCLUDING LAKESHORE HEALTH PARTNERS, BONE & JOINT CENTER AND WESTERN MICHIGAN UROLOGICAL ASSOCIATES. WE CONTINUALLY ASSESS COMMUNITY HEALTH NEEDS AND KEEP PACE WITH MARKET GROWTH BY ANTICIPATING THE NEED FOR NEW PROVIDERS AND RECRUITING TOP-NOTCH CANDIDATES.WORKPLACE EXCELLENCEFOR THE PAST EIGHT YEARS, HOLLAND HOSPITAL HAS BEEN NAMED ONE OF THE NATION'S "101 BEST AND BRIGHTEST COMPANIES TO WORK FOR." WE'RE ALSO HONORED TO BE NAMED ONE OF WEST MICHIGAN'S "101 BEST AND BRIGHTEST COMPANIES TO WORK FOR" FOR 17 YEARS IN A ROW BY THE MICHIGAN BUSINESS AND PROFESSIONAL ASSOCIATION (MBPA). ACCORDING TO MBPA, WINNING COMPANIES PRACTICE INNOVATIVE STRATEGIES AND REPRESENT BEST PRACTICES IN HUMAN RESOURCES. THE HOSPITAL RECEIVED HIGH SCORES FROM EMPLOYEES ON COMPENSATION, BENEFITS AND EMPLOYEE SOLUTIONS; EMPLOYEE ENRICHMENT, ENGAGEMENT AND RETENTION; EMPLOYEE EDUCATION AND DEVELOPMENT; RECRUITMENT, SELECTION AND ORIENTATION; EMPLOYEE ACHIEVEMENT AND RECOGNITION; COMMUNICATION AND SHARED VISION; DIVERSITY AND INCLUSION; AND WORK-LIFE BALANCE.SUMMARY OF EFFORTSDURING FISCAL YEAR 2019, HOLLAND HOSPITAL'S 450-MEMBER MEDICAL STAFF, 2,060 EMPLOYEES AND 350 VOLUNTEERS SERVED THE COMMUNITY BY PROVIDING:PATIENT DAYS 30,600DISCHARGES 8,800BIRTHS 1,500SURGERIES 16,000OUTPATIENT VISITS 428,400EMERGENCY ROOM VISITS 39,900URGENT CARE VISITS 39,300HOME HEALTH VISITS 41,100LAB TESTS 694,900RADIOLOGY PROCEDURES 115,300BEDS 189COMMUNITY OUTREACH PROGRAMSHOLLAND HOSPITAL HOLDS TO THE CORE BELIEF THAT ALL MEMBERS OF THE COMMUNITY SHOULD HAVE ACCESS TO HIGH QUALITY, AFFORDABLE HEALTH CARE SERVICES. TO HELP ADDRESS COMMUNITY NEEDS, OUR PROGRAMS AND SERVICES INCLUDE:HOLLAND COMMUNITY HEALTH CENTERTHE HOLLAND COMMUNITY HEALTH CENTER (HCHC) PROVIDES PRIMARY HEALTH CARE SERVICES FOR PEOPLE WHO ARE UNDER-INSURED AND UNINSURED. OVER 4,900 PATIENTS RECEIVED THEIR PRIMARY MEDICAL CARE AT THE HCHC. THE MAJORITY OF VISITS FOCUS ON WOMEN'S AND CHILDREN'S HEALTH CARE NEEDS, CHRONIC DISEASE MANAGEMENT AND ELDER CARE. SCHOOL NURSING PROGRAMSCHOOL NURSES PROVIDE PREVENTIVE AND TREATMENT SERVICES TO STUDENTS IN THE HOLLAND PUBLIC, HOLLAND CHRISTIAN, WEST OTTAWA PUBLIC, FENNVILLE PUBLIC AND HAMILTON SCHOOL DISTRICTS. IN THE LAST SCHOOL YEAR, THE SCHOOL NURSES SERVED 11,000 STUDENTS IN MORE THAN 20 SCHOOLS ALONG THE LAKESHORE. THE MAJORITY OF VISITS TO THE NURSE'S OFFICE WERE FOR MEDICATION ADMINISTRATION, WITH THE GREATEST PERCENTAGE BEING PSYCHOTROPIC MEDICATIONS. WE RECENTLY INTRODUCED THE SCHOOL MENTAL HEALTH PROGRAM IN AUGUST OF 2019, WHICH IS DESIGNED TO ADDRESS THE GAPS AND INCONSISTENCIES IN MENTAL HEALTH CARE FOR AREA STUDENTS. THE PROGRAM FOCUSES ON EARLY INTERVENTION AND IDENTIFICATION OF AT-RISK STUDENTS BY PERFORMING A SUICIDE RISK ASSESSMENT, AS WELL AS PARTNERING WITH SCHOOL NURSES, SCHOOL STAFF, PHYSICIANS, AND OUTSIDE AGENCIES.FAITH COMMUNITY NURSETHE FAITH COMMUNITY NURSE AT THE HOLLAND RESCUE MISSION PROVIDED APPROXIMATELY 650 ONE-ON-ONE CLIENT ENGAGEMENTS LAST YEAR, OFFERING BASIC HEALTH INFORMATION, ASSESSMENT OR ONGOING EDUCATION FOR HEALTH ISSUES AS WELL AS REFERRALS FOR MEDICAL, DENTAL, MENTAL, AND OTHER KINDS OF CARE. THE NURSE BRINGS HEALTH CARE SERVICES AND SPIRITUAL COUNSELING TO ONE OF THE COMMUNITY'S MOST VULNERABLE POPULATIONS: HOMELESS WOMEN AND CHILDREN.BREAST CARE FUNDIT IS ESTIMATED THAT 1 IN 8 WOMEN WILL DEVELOP INVASIVE BREAST CANCER IN THEIR LIFETIME. EARLY DETECTION PROVIDES THE BEST OPPORTUNITY TO TREAT BREAST CANCER AND REDUCE THE RISK OF RECURRENCE. THE BREAST CARE FUND PROVIDES FINANCIAL SUPPORT FOR BREAST HEALTH SERVICES FOR WOMEN WHO OTHERWISE WOULD NOT BE ABLE TO AFFORD BASIC BREAST SCREENING AND DIAGNOSTIC SERVICES. SINCE IT WAS CREATED IN 2014, THE BREAST CARE FUND HAS ALLOWED 189 WOMEN TO RECEIVE SCREENING MAMMOGRAMS, 129 WOMEN RECEIVE DIAGNOSTIC MAMMOGRAMS AND IT HAS PROVIDED 175 FOLLOW-UP SERVICES.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Desc	COMMUNITY HEALTH AND WELLNESS HEALTHY LIFE PROGRAMS (HLP) OF HOLLAND HOSPITAL OFFERS A VARIETY OF MEDICALLY-BASED EDUCATION AND TRAINING SERVICES INCLUDING DIABETES PREVENTION, DIABETES SELF-MANAGEMENT EDUCATION, WEIGHT MANAGEMENT, TOBACCO CESSATION, & CPR INSTRUCTION. IN ADDITION, HLP OFFERS LOW COST NUTRITION & MEDICAL EXERCISE SERVICES. THEY ALSO WORK ALONGSIDE THE BOVEN BIRTH CENTER (BBC) FOR CHILDBIRTH EDUCATION AND BREASTFEEDING TRAINING. IN FY 2019, HLP & BBC TOUCHED THE LIVES OF 1,842 COMMUNITY MEMBERS THROUGH INDIVIDUAL COUNSELING AND GROUP EDUCATION.FUNDING ACCESS TO HEALTH CARE SERVICES FOR OUR COMMUNITYTHE FUND DEVELOPMENT OFFICE AT HOLLAND HOSPITAL RAISES FINANCIAL SUPPORT FOR FOUR IMPORTANT COMMUNITY OUTREACH EFFORTS: THE HOLLAND COMMUNITY HEALTH CENTER, THE SCHOOL NURSING PROGRAM, THE FAITH COMMUNITY NURSE AND THE BREAST CARE FUND. OVER THE PAST THREE YEARS, INCLUDING FISCAL YEAR 2019, THE FUND DEVELOPMENT OFFICE HAS RAISED OVER $500,000 EACH YEAR TO SUPPORT THESE EFFORTS.UNCOMPENSATED MEDICAL COSTS HOLLAND HOSPITAL REMAINS COMMITTED TO CARING FOR MEMBERS OF OUR COMMUNITY WHO ARE UNINSURED OR UNDER-INSURED. IN FY 2019, HOLLAND HOSPITAL PROVIDED UN-REIMBURSED CARE TO OUR PATIENTS AT A COST OF $49.4 MILLION, A 17.3 PERCENT INCREASE OVER THE PREVIOUS YEAR.COMMUNITY HEALTH NEEDS ASSESSMENTTHE OTTAWA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT HELPS TO ASSESS THE GENERAL HEALTH OF AREA RESIDENTS AND IDENTIFY NEEDS AND OPPORTUNITIES FOR IMPROVEMENT. AS A SPONSOR AND PARTICIPANT IN THE PROCESS, HOLLAND HOSPITAL USES THE FINDINGS AS INPUT TO HELP GUIDE PRIORITIES AND PROGRAM DEVELOPMENT.BY AND LARGE, THE COMMUNITY HAS MANY SERVICES AND PROGRAMS TO ADDRESS HEALTH AND HEALTH CARE NEEDS, HOWEVER, THERE ARE POCKETS OF RESIDENTS THAT FACE BARRIERS TO ACCESSING THESE HEALTH RESOURCES. THE MOST PROMINENT FINDING IN THE RECENT ASSESSMENT (2017) INDICATED THAT KEY STAKEHOLDERS BELIEVE ISSUES SURROUNDING MENTAL HEALTH ARE THE MOST CONCERNING HEALTH ISSUES IN OUR AREA. WE HAVE SINCE BEEN CONTINUALLY WORKING WITH AREA PROVIDERS AND RESOURCES TO HELP IDENTIFY SOLUTIONS TO THESE CONCERNS AND WILL CONTINUE TO SEEK INNOVATIVE, EFFECTIVE PROGRAMS TO ADDRESS CURRENT AND EMERGING NEEDS IN OUR AREA. AS MENTIONED ABOVE, WE INTRODUCED A SCHOOL MENTAL HEALTH PROGRAM IN AUGUST OF 2019. WE HAVE ALSO EXPANDED OUR INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICE OFFERINGS.2019 COMMUNITY BENEFIT SUMMARY $49.4 MILLION TOTAL COMMUNITY BENEFITUNPAID COST OF MEDICAID $10,945,000UNPAID COST OF MEDICARE $10,665,000CHARITY CARE $1,253,000 BAD DEBT $12,913,000OTHER COMMUNITY BENEFITS (NOTE A) $13,672,000FINANCE COMMENT: CHARITY IS NOW BEING REPORTED AT COST, IN THE PAST IT HAD BEEN REPORTED AT WHAT GROSS CHARGES WOULD HAVE BEEN. NOTE A - OTHER COMMUNITY BENEFITS INCLUDE: COMMUNITY EDUCATION & OUTREACH PROGRAMS CASH, IN-KIND DONATIONS & CONTRIBUTIONS HOLLAND COMMUNITY HEALTH CENTER STUDENT NURSING PROGRAM HEALTH PROFESSIONAL EDUCATION & RESEARCH HOLLAND HOSPITAL SUBSIDIZED SERVICES	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$244,128,333	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	Yes (1)	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	151	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2462	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings	0	DAFExcessBusinessHoldingsInd
Taxable Distributions	0	TaxableDistributionsInd
Distribution To Donor	0	DistributionToDonorInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TERRY STEELE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6163925141	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DALE M SOWDERS
PRESIDENT & CEO	40.00	1.00	Yes (X)	Yes (X)	$847,021	$0	$24,714
JAMES STROOP
SECRETARY	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
PHIL KONING
CHAIR	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
KRIS DEPREE MD
TREASURER	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
JANE CLARK
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
MICHAEL HILL
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
MARK STID MD
TRUSTEE, MEDICAL DIRECTOR	40.00	1.00	Yes (X)		$216,442	$0	$16,246
TONY YASICK MD
TRUSTEE, MEDICAL DIRECTOR	1.00	1.00	Yes (X)		$13,225	$0	$0
WILLIAM VANDERVLIET MD
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
DAVE MASON
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
JUANITA BOCANEGRA
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
CHRIS WEDEVEN
TRUSTEE, CHIEF OF STAFF-PART YEAR	1.00	1.00	Yes (X)		$10,475	$0	$0
SUSAN ERVINE MD
TRUSTEE, CHIEF OF STAFF	1.00	0.00	Yes (X)		$27,430	$0	$0
TERRY L STEELE
VP, FINANCE & CFO	40.00	1.00		Yes (X)	$435,310	$0	$19,932
PATTI VANDORT
SVP, CNO, REHAB SERV, MARKETING, HOPS	40.00	0.00		Yes (X)	$423,577	$0	$17,529
MARK L PAWLAK
SVP, QUALITY, IS & HOSP OPS	40.00	0.00		Yes (X)	$436,800	$0	$14,205
JOSEPH K POSTMA
PHYSICIAN	40.00	0.00			$845,445	$0	$25,703	Yes (X)
KRISTEN M MURPHY
PHYSICIAN	40.00	0.00			$677,441	$0	$13,899	Yes (X)
DERICK M JOHNSON DO
PHYSICIAN	40.00	0.00			$761,087	$0	$25,834	Yes (X)
STEPHEN MAUGER DO
PHYSICIAN	40.00	0.00			$1,142,100	$0	$22,238	Yes (X)
RYAN M LANGLEY
PHYSICIAN	40.00	0.00			$782,426	$0	$14,228	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,618,779	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$194,528	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	119	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ELZINGA AND VOLKERS INC
86 E 6TH ST	HOLLAND	MI	49423	CONSTRUCTION	$6,614,159
CERNER
PO BOX 412702	KANSAS CITY	MO	64141	SOFTWARE - PURCHASED MAINTENANCE	$4,435,484
ARAMARK CORPORATION
12483 COLLECTIONS CENTER DR	CHICAGO	IL	60693	HOUSEKEEPING	$4,285,948
LAKEWOOD CONSTRUCTION
11253 JAMES ST	HOLLAND	MI	49424	CONSTRUCTION	$1,163,133
SMITH HAUGHEY RICE & ROEGGE
100 MONROE CENTER NW	GRAND RAPIDS	MI	49503	LEGAL SERVICED	$689,949

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	50	CntrctRcvdGreaterThan100KCnt
Fundraising	$142,618	FundraisingAmt
Related Organizations	$20,830	RelatedOrganizationsAmt
All Other Contributions	$881,219	AllOtherContributionsAmt
Total Contributions	$1,044,667	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	622110	$246,469,542	$245,304,633	$1,164,909
OTHER RELATED REVENUE	900099	$11,463,564	$11,463,564
PHARMACY SALES UNDER SEC. 340B	446110	$8,611,293	$8,611,293
QUALITY INCENTIVE PAYMENTS	622110	$1,557,362	$1,557,362

Field	Value	IRS element (for citing)
Total Program Service Revenue	$268,101,761	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,198,856	TotalRevenueColumnAmt
Exclusion	$3,198,856	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,434,719	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$210,101	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,224,618	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,224,618	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,224,618	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$12,740,772	SecuritiesAmt
Other	$77,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$9,317,348	SecuritiesAmt
Other	$117,347	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,423,424	SecuritiesAmt
Other	-$40,347	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,383,077	TotalRevenueColumnAmt
Exclusion	$3,383,077	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$9,300	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$142,618	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$9,300	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Field	Value	IRS element (for citing)
Gaming Gross Income	$24,990	GamingGrossIncomeAmt
Gaming Direct Expenses	$26,909	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,919	TotalRevenueColumnAmt
Exclusion	-$1,919	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$276,951,060	TotalRevenueColumnAmt
Related Or Exempt Func Income	$268,161,470	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,164,909	UnrelatedBusinessRevenueAmt
Exclusion	$6,580,014	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$865,972	TotalAmt
Program Services	$865,972	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,197,943	TotalAmt
Program Services	$1,998,225	ProgramServicesAmt
Management And General	$185,892	ManagementAndGeneralAmt
Fundraising	$13,826	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$113,840,489	TotalAmt
Program Services	$103,749,726	ProgramServicesAmt
Management And General	$9,374,771	ManagementAndGeneralAmt
Fundraising	$715,992	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,600,173	TotalAmt
Program Services	$2,042,209	ProgramServicesAmt
Management And General	$557,964	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$19,033,321	TotalAmt
Program Services	$16,990,645	ProgramServicesAmt
Management And General	$1,831,924	ManagementAndGeneralAmt
Fundraising	$210,752	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,923,960	TotalAmt
Program Services	$7,352,125	ProgramServicesAmt
Management And General	$571,835	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$397,577	TotalAmt
Management And General	$397,577	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$88,600	TotalAmt
Management And General	$88,600	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$18,064	TotalAmt
Management And General	$18,064	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$21,249,602	TotalAmt
Program Services	$19,113,802	ProgramServicesAmt
Management And General	$2,128,910	ManagementAndGeneralAmt
Fundraising	$6,890	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,076,756	TotalAmt
Program Services	$989,166	ProgramServicesAmt
Management And General	$87,590	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,738,540	TotalAmt
Program Services	$2,493,612	ProgramServicesAmt
Management And General	$239,510	ManagementAndGeneralAmt
Fundraising	$5,418	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,496,518	TotalAmt
Program Services	$6,023,939	ProgramServicesAmt
Management And General	$465,439	ManagementAndGeneralAmt
Fundraising	$7,140	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,529,351	TotalAmt
Program Services	$5,298,801	ProgramServicesAmt
Management And General	$225,925	ManagementAndGeneralAmt
Fundraising	$4,625	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$238,763	TotalAmt
Program Services	$223,945	ProgramServicesAmt
Management And General	$9,875	ManagementAndGeneralAmt
Fundraising	$4,943	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$454,534	TotalAmt
Program Services	$407,031	ProgramServicesAmt
Management And General	$44,836	ManagementAndGeneralAmt
Fundraising	$2,667	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,448,394	TotalAmt
Program Services	$3,154,628	ProgramServicesAmt
Management And General	$293,766	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,802,009	TotalAmt
Program Services	$15,830,598	ProgramServicesAmt
Management And General	$970,998	ManagementAndGeneralAmt
Fundraising	$413	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,352,744	TotalAmt
Program Services	$2,685,188	ProgramServicesAmt
Management And General	$667,556	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES & DRUG	$40,887,735	$40,834,393	$52,567	$775
PROVISION FOR BAD DEBTS	$11,889,743	$11,889,743
REPAIRS & MAINTENANCE	$972,969	$962,905	$10,064
DUES AND SUBSCRIPTIONS	$786,865	$502,537	$284,328

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,001,752	TotalAmt
Program Services	$719,143	ProgramServicesAmt
Management And General	$250,506	ManagementAndGeneralAmt
Fundraising	$32,103	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$263,892,374	TotalAmt
Program Services	$244,128,333	ProgramServicesAmt
Management And General	$18,758,497	ManagementAndGeneralAmt
Fundraising	$1,005,544	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$46,734,302	BOYAmt
EOY	$43,422,249	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$22,868,247	BOYAmt
EOY	$24,050,583	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,872,054	BOYAmt
EOY	$7,096,078	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,521,834	BOYAmt
EOY	$4,886,896	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$306,259,316	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$152,799,890	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$154,400,536	BOYAmt
EOY	$153,459,426	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$222,272,698	BOYAmt
EOY	$227,462,591	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$40,896,717	BOYAmt
EOY	$43,375,349	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,252,223	BOYAmt
EOY	$2,329,845	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$499,818,611	BOYAmt
EOY	$506,083,017	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$20,779,695	BOYAmt
EOY	$19,720,182	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,402,746	BOYAmt
EOY	$1,457,051	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$95,444,287	BOYAmt
EOY	$93,237,831	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,127,423	BOYAmt
EOY	$14,127,727	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$128,754,151	BOYAmt
EOY	$128,542,791	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$370,069,723	BOYAmt
EOY	$376,471,443	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$409,737	BOYAmt
EOY	$483,783	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$585,000	BOYAmt
EOY	$585,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$371,064,460	BOYAmt
EOY	$377,540,226	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$499,818,611	BOYAmt
EOY	$506,083,017	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$13,058,686	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,446,090	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$5,136,830	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$18,064	OtherActivitiesAmt
Total Lobbying Expenditures	$18,064	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$599,573	BeginningYearBalanceAmt
Investment Earnings Or Losses	$28,675	InvestmentEarningsOrLossesAmt
End Year Balance	$628,248	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$585,000	BeginningYearBalanceAmt
Investment Earnings Or Losses	$14,573	InvestmentEarningsOrLossesAmt
End Year Balance	$599,573	EndYearBalanceAmt

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,257,018	OtherCostOrOtherBasisAmt
Book Value	$9,257,018	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$144,915,670	OtherCostOrOtherBasisAmt
Depreciation	$60,268,363	DepreciationAmt
Book Value	$84,647,307	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,986,562	OtherCostOrOtherBasisAmt
Depreciation	$2,866,894	DepreciationAmt
Book Value	$2,119,668	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$134,769,466	OtherCostOrOtherBasisAmt
Depreciation	$89,664,633	DepreciationAmt
Book Value	$45,104,833	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,330,600	OtherCostOrOtherBasisAmt
Book Value	$12,330,600	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$153,459,426	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENTS IN AFFILIATED ENTITIES	$26,437,157	F
INVESTMENT IN OTHER VENTURE	$16,938,192	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$43,375,349	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
PROFESSIONAL LIABILITY INSURANCE	$5,547,747
OTHER LONG-TERM LIABILITIES	$2,337,249
INTEREST PAYABLE	$904,878
COST REPORT SETTLEMENT PAYABLE	$5,337,853

Field	Value	IRS element (for citing)
Total Liability	$14,127,727	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$256,449,207	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$1,446,090	NetUnrealizedGainsInvstAmt
Other Revenue	$250,448	OtherRevenueAmt
Revenue Not Reported	-$1,195,642	RevenueNotReportedAmt
Revenue Subtotal	$257,644,849	RevenueSubtotalAmt
Other Revenues Not Included	$19,306,211	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$19,306,211	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$276,951,060	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$250,538,888	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$250,448	OtherExpensesIncludedAmt
Expenses Not Reported	$250,448	ExpensesNotReportedAmt
Expenses Subtotal	$250,288,440	ExpensesSubtotalAmt
Other Expenses Not Included	$13,603,934	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$13,603,934	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$263,892,374	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	EARNINGS FROM THE PERMANENT ENDOWMENTS ARE INTENDED BY THE DONORS TO SUPPORT SCHOOL NURSING PROGRAMS AND TO HELP LOCAL INDIVIDUALS WHO ARE LACKING IN HEALTH INSURANCE/ FINANCIAL CAPACITY TO ACCESS HEALTH CARE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSE 210,101. GAIN/LOSS OS SALE OF ASSETS 40,347.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 11,889,740. EXPENSES RECORDED AGAINST INCOME 1,714,194. LOSS ON EQUITY INVESTMENTS 5,136,830. GRANTS 565,447.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	LOSS ON SALE OF ASSETS 40,347. RENTAL EXPENSE 210,101.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 11,889,740. EXPENSES RECORDED AGAINST INCOME 1,714,194.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	CULINARY CABARET	Event1Nm
Gross Receipts Event1	$151,918	GrossReceiptsEvent1Amt
Charitable Contri Event1	$142,618	CharitableContriEvent1Amt
Gross Revenue Event1	$9,300	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$9,300	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$151,918	GrossReceiptsTotalAmt
Charitable Contributions Tot	$142,618	CharitableContributionsTotAmt
Gross Revenue Total Events	$9,300	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$9,300	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$9,300	DirectExpenseSummaryEventsAmt
Net Income Summary	$0	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$24,990	GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming	$20,159	NonCashPrizesOtherGamingAmt
Rent Fclty Costs Other Gaming	$6,750	RentFcltyCostsOtherGamingAmt
Volunteer Labor Other Gaming	Yes (1)	VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming	0.95000	VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming	$24,990	GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming	$20,159	NonCashPrizesTotalGamingAmt
Rent Fclty Costs Total Gaming	$6,750	RentFcltyCostsTotalGamingAmt
Direct Expense Summary Gaming	$26,909	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	-$1,919	NetGamingIncomeSummaryAmt

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

Persons With Books US Address PersonsWithBooksUSAddress

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

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE G, PART III, LINE 16:	FormAndLineReferenceDesc
Explanation	INCLUDED IN COLLEEN PERDOK'S RESPONSIBILITIES IS THE ROLE OF GAMING MANAGER; HOWEVER, THE AMOUNT OF COMPENSATION ALLOCATED TO THIS ROLE IS MINIMAL.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,445,265	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,445,265	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,882,985	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,656,182	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,226,803	NetCommunityBenefitExpnsAmt
Total Expense	0.05250	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,328,250	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,656,182	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,672,068	NetCommunityBenefitExpnsAmt
Total Expense	0.05820	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,580,150	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,580,150	NetCommunityBenefitExpnsAmt
Total Expense	0.00630	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$186,143	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$186,143	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$977,901	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$977,901	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,744,194	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,744,194	NetCommunityBenefitExpnsAmt
Total Expense	0.01090	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,072,444	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,656,182	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,416,262	NetCommunityBenefitExpnsAmt
Total Expense	0.06910	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$633,907	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$633,907	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$633,907	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$633,907	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$11,889,743	BadDebtExpenseAmt
Bad Debt Expense Attributable	$5,078,098	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$35,275,070	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$39,649,876	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,374,806	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

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

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	17	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://TINYURL.COM/YAG4VGPR	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HTTPS://TINYURL.COM/YD5AQSTZ	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://TINYURL.COM/YAG4VGPR	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	TINYURL.COM/Y78LJRTZ	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	TINYURL.COM/Y78LJRTZ	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	TINYURL.COM/Y78LJRTZ	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
HOLLAND COMMUNITY HOSPITAL	PART V, SECTION B, LINE 3J: 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 HOSPITAL	PART V, SECTION B, LINE 5: DATA WAS OBTAINED FROM MULTIPLE SOURCES INCLUDING; KEY STAKEHOLDERS (EXECUTIVE DIRECTORS OF HOSPITALS, CLINICS AND PUBLIC HEALTH) VIA TELEPHONE INTERVIEWS, KEY INFORMANTS (PHYSICIANS, NURSES, DENTISTS, PHARMACISTS AND SOCIAL WORKERS) VIA ONLINE SURVEY, COMMUNITY RESIDENTS- ADULTS VIA A TELEPHONE SURVEY, AND VULNERABLE AND UNDERSERVED COMMUNITY RESIDENTS VIA A PAPER SURVEY.
HOLLAND COMMUNITY HOSPITAL	PART V, SECTION B, LINE 6A: NORTH OTTAWA COMMUNITY HEALTH SYSTEM & SPECTRUM HEALTH ZEELAND COMMUNITY HOSPITAL
HOLLAND COMMUNITY HOSPITAL	PART V, SECTION B, LINE 6B: GREATER OTTAWA COUNTY UNITED WAY, OTTAWA COUNTY DEPARTMENT OF PUBLIC HEALTH AND OTTAWA COUNTY COMMUNITY MENTAL HEALTH
HOLLAND COMMUNITY HOSPITAL	PART V, SECTION B, LINE 7D: AVAILABLE UPON REQUEST FROM THE HOSPITAL FACILITY. PRINT COPIES WERE MADE AVAILABLE TO VARIOUS LOCATIONS AND INDIVIDUALS INCLUDING THE COMMUNITY OUTREACH COMMITTEE OF THE HOLLAND HOSPITAL BOARD. THE REPORT WAS ALSO POSTED ON THE HOSPITAL WEBSITE.
HOLLAND COMMUNITY HOSPITAL	PART V, SECTION B, LINE 11: OTTAWA COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN WAS INITIATED BY THE PARTNERS OF THE CHNA AND COMMUNITY MEMBERS. THE CHIP IDENTIFIES 3 HEALTH PRIORITY AREAS INCLUDING; ACCESS TO HEALTH CARE, MENTAL HEALTH, AND HEALTHY BEHAVIORS. HOLLAND HOSPITAL IS AN ACTIVE PARTNER SERVING ON THE COMMUNITY HEALTH IMPROVEMENT STEERING COMMITTEE. THE HOSPITAL DID NOT ADDRESS ALL NEEDS IDENTIFIED IN THE CHNA DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE THREE PRIORITY NEEDS IDENTIFIED ABOVE.
HOLLAND COMMUNITY HOSPITAL	PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY IS POSTED ON THE HOSPITAL'S WEBSITE (ENGLISH AND SPANISH). PATIENTS MAY ALSO OBTAIN A FINANCIAL ASSISTANCE APPLICATION BY CALLING THE CUSTOMER SERVICE LINE. INFORMATION ON HOW TO OBTAIN AN APPLICATION IS ALSO AVAILABLE ON OUR BILLING STATEMENTS, POSTED IN THE FACILITY'S WAITING ROOMS, AS WELL AS OUTLINED ON A BUSINESS CARD AND PLAIN LANGUAGE SUMMARY WHICH IS OFFERED TO ALL PATIENTS AT REGISTRATION, ADMISSION AND AVAILABLE AT DISCHARGE.
HOLLAND COMMUNITY HOSPITAL	PART V, SECTION B, LINE 20E: FINANCIAL ASSISTANCE IS DISCUSSED AND OFFERED TO PATIENTS VIA OUR PATIENT FINANCIAL SERVICE CUSTOMER SERVICE REPRESENTATIVES, PATIENT ADVOCATES, IN-HOUSE MEDICAID VENDOR , PRE-COLLECT AND COLLECTION AGENCIES.

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - HEALTH POINTE
15100 WHITTAKER WAY	GRAND HAVEN	MI	49417	FULL-SERVICE AND FULLY INTEGRATED OUTPATIENT FACILITY
2 - LAKESHORE AREA RADIATION ONCOLOGY CENTER
12642 RILEY STREET	HOLLAND	MI	49424	COMPREHENSIVE OUTPATIENT RADIATION TREATMENT CENTER
3 - LAKESHORE HEALTH PARTNERS
602 MICHIGAN AVE	HOLLAND	MI	49423	PHYSICIAN OFFICE
4 - HH SERVICES-BATES ET AL LLC
602 MICHIGAN AVE	HOLLAND	MI	49423	PHYSICIAN OFFICE
5 - LAKESHORE HEALTH PARTNERS FM LLC
602 MICHIGAN AVE	HOLLAND	MI	49423	PHYSICIAN OFFICE
6 - HH SERVICES - ORT LLC
602 MICHIGAN AVE	HOLLAND	MI	49423	PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	FAMILY INCOME 225 TO 300 PERCENT OF THE FEDERAL POVERTY GUIDELINES QUALIFY FOR DISCOUNTED CARE ON A RATED SCALE.
PART I, LINE 7:	A COST-TO-CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THE SCHEDULE.THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS (LINE 7E), HEALTH PROFESSIONS EDUCATION (LINE 7F), AND CASH AND IN-KIND CONTRIBUTIONS (LINE 7I).
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 11,889,740.
PART II, COMMUNITY BUILDING ACTIVITIES:	HOLLAND HOSPITAL IS COMMITTED TO SERVING THE RESIDENTS OF OTTAWA COUNTY AND NORTHERN ALLEGAN COUNTY WITH A BROAD RANGE OF ACCESSIBLE, LEADING-EDGE HEALTH CARE SERVICES. THESE SERVICES ARE DESIGNED TO REACH PATIENT POPULATIONS THAT ARE DIVERSE IN SIZE, DEMOGRAPHIC MAKEUP AND SOCIO-ECONOMIC LEVELS. IN ADDITION TO HEALTH CARE SERVICES, HOLLAND HOSPITAL OFFERS COMMUNITY EDUCATION, PROVIDER DEVELOPMENT AND A WIDE RANGE OF PATIENT SUPPORT PROGRAMS.HOLLAND HOSPITAL'S COMMUNITY OUTREACH PROGRAMS PROVIDE A LEVEL OF SECURITY AND STABILITY FOR THOSE MOST AT RISK IN OUR SERVICE AREA. THESE OUTREACH EFFORTS INCLUDE FOUR KEY AREAS: (1) HOLLAND COMMUNITY HEALTH CENTER (CHC): AN OUTREACH SERVICE OF HOLLAND HOSPITAL IN PARTNERSHIP WITH SPECTRUM HEALTH MEDICAL GROUP AND AFFIIATED PHYSICIANS WHICH PROVIDES HEALTH CARE SERVICES FOR OVER 5,900 PATIENTS REGARDLESS OF AGE, LANGUAGE, CULTURAL BARRIERS, HEALTH INSURANCE OR ABILITY TO PAY. THE CHC ALSO ACQUIRES AND DISTRIBUTES FREE MEDICATIONS FOR PATIENTS WHO CANNOT AFFORD THEM; (2) SCHOOL NURSE PROGRAM: BETTER HEALTH MEANS BETTER LEARNING AND A HEALTHIER OUTLOOK FOR OUR CHILDREN AND COMMUNITY. SINCE 1998, HOLLAND HOSPITAL'S SCHOOL NURSES HAVE DEDICATED THEIR TIME, SKILL, AND PASSION TO HELPING ENSURE THE HEALTH AND WELLNESS OF FUTURE GENERATIONS, SERVING OVER 12,000 STUDENTS. THIS INCLUDES A NEW SCHOOL MENTAL HEALTH PROGRAM THAT BEGAN IN AUGUST OF 2019 TO HELP IMPROVE CARE ACCESS FOR STUDENTS AND REDUCE RISK OF SUICIDE; (3) FAITH COMMUNITY NURSE: HOLLAND HOSPITAL STAFFS A FAITH COMMUNITY NURSE AT THE HOLLAND RESCUE MISSION. THIS DEDICATED NURSE ASSISTS MISSION GUESTS WITH THEIR HEALTH NEEDS AND HELPS THEM NAVIGATE THE HEALTH CARE SYSTEM; (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. WITH CONTINUED GROWTH, THE BREAST CARE FUND NOW PROVIDES SCREENING MAMMOGRAMS AND SUPPORT TO OVER 350 WOMEN EACH YEAR.THE COMMUNITY HEALTH NEEDS ASSESSMENT IS A STUDY THAT LOOKS AT THE HEALTH OF PEOPLE IN OTTAWA COUNTY AND SERVES AS A TOOL TO HELP ADDRESS HEALTH NEEDS THROUGH COMMUNITY ENGAGEMENT AND COLLABORATION. HOLLAND HOSPITAL IS PART OF THE ADVISORY COUNCIL OF OTTAWA COUNTY AREA PUBLIC HEALTH PARTNERS, INCLUDING HEALTH AGENCIES AND OTHER HOSPITALS, WHICH COLLECTS AND ORGANIZES DATA FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS INFORMATION IS USED TO HELP GUIDE PLANS AND PROGRAMS THAT WILL CONTINUE TO IMPROVE THE HEALTH OF OUR COMMUNITY.
PART III, LINE 2:	THIS IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX.
PART III, LINE 3:	PATIENT ACCOUNTS ARE REVIEWED FOR % OF BAD DEBTS SENT TO COLLECTIONS THAT WERE POSSIBLY CHARITY CARE ACCOUNTING TO THE FINANCIAL ASSISTANCE POLICY. THIS PERCENTAGE IS THEN APPLIED TO BAD DEBTS AT GROSS CHARGES. GROSS PATIENT CHARGES ARE THEN COMPARED TO OPERATING EXPENSES, NON-PATIENT CARE ACTIVITIES EXPENSES, AND MEDICAID PROVIDE TAXES TO DETERMINE A COST PERTCENTAGE AND THEN THIS PERCENTAGE IS THEN APPLIED TO THE PREVIOUSLY MENTIONED CALCAULATION. THE RESULT IS AN ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSITANCE POLICY.
PART III, LINE 4:	ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE:ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF OUR FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.
PART III, LINE 8:	COSTING METHODOLOGY IS A COST TO CHARGE RATIO AS DEFINED BY THE IRS 990 INSTRUCTIONS. THE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT DUE TO ITS REPRESENTATION OF COST OF A PORTION OF SERVICES PROVIDED TO THE COMMUNITY WITHOUT PAYMENT.
PART III, LINE 9B:	ANY BALANCE DEEMED PATIENT RESPONSIBILITY (AFTER INSURANCE PAYMENT/DETERMINATION AND AFTER ANY APPLICABLE DISCOUNT OR CHARITY), IF NOT PAID, WILL RECEIVE A MINIMUM OF FOUR STATEMENTS. THE ACCOUNT WILL BE HELD ON HOLLAND HOSPITAL'S "BOOKS" UNTIL IT HAS AGED TO A MINIMUM OF 120 DAYS FROM THE DATE OF THE FIRST STATEMENT. AT THIS TIME THE ACCOUNT IS ELIGIBLE AND WILL BE REVIEWED TO BE SENT TO A COLLECTION AGENCY.
PART VI, LINE 2:	IN COLLABORATION WITH THE OTTAWA HEALTH DEPARTMENT, THE UNITED WAY, AND SEVERAL OTHER LOCAL ENTITIES A COMMUNITY ASSESSMENT IS PERFORMED. THE UNITED WAY PUBLISHES THEIR ASSESSMENT EVERY 5 YEARS (LAST ONE IN 2017) AND THE OTTAWA COUNTY HEALTH DEPARTMENT PUBLISHES THEIR YOUTH ASSESSMENT EVERY 2 YEARS (LAST ONE IN 2017) AND EVERY 3 YEARS FOR ADULTS (LAST ONE IN 2015). 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 NINE ZIP CODES THAT FALL WITHIN ALLEGAN AND OTTAWA COUNTIES OF WEST MICHIGAN. THE US CENSUS BUREAU ESTIMATES FOR 2019 SHOW THE TOTAL POPULATION FOR OTTAWA COUNTY IS 290,494 AND THE TOTAL POPULATION OF ALLEGAN COUNTY IS 117,327. THE MOST RECENT CATEGORIZATION OF DATA FROM THE CENSUS BUREAU COMES FROM THE AMERICAN COMMUNITY SURVEY WHICH SHOWS THE FOLLOWING POPULATION DEMOGRAPHICS FOR OTTAWA AND ALLEGAN COUNTIES: OTTAWA COUNTY RACE/ETHNICITY: BLACK OR AFRICAN AMERICAN (1.9%), AMERICAN INDIAN AND ALASKA NATIVE (0.6%), ASIAN (3.0%), HISPANIC OR LATINO (10.0%), WHITE, NOT HISPANIC OR LATINO (83.6%); INCOME & POVERTY: MEDIAN HOUSEHOLD INCOME = $67,468, PERSONS IN POVERTY (6.8%).ALLEGAN COUNTY RACE/ETHNICITY: BLACK OR AFRICAN AMERICAN (1.5%), AMERICAN INDIAN AND ALASKA NATIVE (0.7%), ASIAN (0.9%), HISPANIC OR LATINO (7.4%), WHITE, NOT HISPANIC OR LATINO (88.2%); INCOME & POVERTY: MEDIAN HOUSEHOLD INCOME = $59,883, PERSONS IN POVERTY (10.7%)ACCORDING TO THE MOST RECENTLY COMPLETED OTTAWA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (2017):OTTAWA COUNTY POSSESSES THE SOCIAL AND COMMUNITY CHARACTERISTICS THAT TEND TO DISTINGUISH A COMMUNITY AS HEALTHY; MOST AREA RESIDENTS HAVE HEALTH INSURANCE AND MOST HAVE A PERSONAL HEALTH CARE PROVIDER; HOWEVER, THE DISPARITY IN HEALTH CARE DISTRIBUTION AND ACCESS CONTINUES TO EXIST WITH POCKETS OF POVERTY IN THE AREA; 9.2% OF ALL ADULTS AGE 18-64 HAVE NO HEALTH INSURANCE AND THIS PROPORTION RISES TO 17.1% FOR UNDERSERVED ADULTS; AMONG THE REPORT'S KEY FINDINGS, THE AREA OF MENTAL HEALTH CONTINUES TO BE A SIGNIFICANT CONCERN WITH 16.2% OF OTTAWA COUNTY ADULTS CONSIDERED TO HAVE MILD TO SEVERE PSYCHOLOGICAL DISTRESS; OTHER ISSUES IN OUR AREA THAT THE REPORT RATES AS HIGHLY IMPORTANT INCLUDE SUBSTANCE ABUSE, OBESITY, LACK OF EXERCISE AND UNHEALTHY EATING.
PART VI, LINE 5:	IN THE MOST RECENT ANNUAL REPORT TO THE COMMUNITY (FY 2019), HOLLAND HOSPITAL REPORTED APPROXIMATELY $49.5 MILLION IN TOTAL COMMUNITY BENEFIT INCLUDING COMMUNITY BENEFIT PROGRAMS, CHARITY CARE, MEDICAID, MEDICARE AND BAD DEBT. OUR PROMOTION OF HEALTH IN THE COMMUNITY IS EVIDENCED BY PRESENTATION AND SPONSORSHIP SUPPORT OF COMMUNITY WIDE EVENTS, EDUCATIONAL LECTURES, AND EXTENSIVE HEALTH INFORMATION PROVIDED THROUGH BOTH DIGITAL AND TRADITIONAL MEDIA. THE HOSPITAL WEBSITE IS A RICH RESOURCE OF INFORMATION ON HEALTH CONCERNS AND CONSUMER GUIDANCE FOR HEALTH CARE DECISIONS AND ACCESS TO SERVICES. ON A REGULAR BASIS, HOSPITAL PHYSICIANS AND CLINICIANS SHARE ADVICE WITH THE GENERAL PUBLIC THROUGH WEBSITE ARTICLES, VIDEOS, HEALTH BLOGS, TV/RADIO AND PRINT INTERVIEWS. MEMBERS OF THE HOSPITAL'S STAFF SERVE ON MAJOR COMMUNITY EVENT STEERING COMMITTEES. THE HOSPITAL ALSO WELCOMES INTERNS AND OFFERS TOURS FOR HIGH SCHOOL AND COLLEGE STUDENTS INTERESTED IN PURSUING HEALTHCARE DEGREES.
PART VI, LINE 6:	NOT AFFILIATED.
PART VI, LINE 7, REPORTS FILED WITH STATES	MI

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
COMMUNITY HEALTH CENTER
602 MICHIGAN AVENUE	HOLLAND	MI	49423	200602574	501(C)(3)	$855,972	N/A	N/A	OPERATIONAL CASH FLOW TO BREAK-EVEN
THE COMMUNITY FOUNDATION OF THE HOLLAND ZEELAND AREA
85 E 8TH ST STE 100	HOLLAND	MI	49423	386095283	501(C)(3)	$10,000	N/A	N/A	TO SUPPORT THE 'NOW FOR THE NEXT' PROGRAM

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DALE M SOWDERS
PRESIDENT & CEO	$587,701	$0	$163,800	$0	$95,520	$0	$8,250	$0	$16,464	$0	$871,735	$0	$0	$0
MARK STID MD
TRUSTEE, MEDICAL DIRECTOR	$140,005	$0	$26,474	$0	$49,963	$0	$0	$0	$16,246	$0	$232,688	$0	$0	$0
TERRY L STEELE
VP, FINANCE & CFO	$300,819	$0	$59,887	$0	$74,604	$0	$8,250	$0	$11,682	$0	$455,242	$0	$0	$0
PATTI VANDORT
SVP, CNO, REHAB SERV, MARKETING, HOP	$274,219	$0	$54,592	$0	$94,766	$0	$8,250	$0	$9,279	$0	$441,106	$0	$0	$0
MARK L PAWLAK
SVP, QUALITY, IS & HOSP OPS	$274,219	$0	$54,592	$0	$107,989	$0	$8,217	$0	$5,988	$0	$451,005	$0	$0	$0
JOSEPH K POSTMA
PHYSICIAN	$275,018	$0	$517,119	$0	$53,308	$0	$8,250	$0	$17,453	$0	$871,148	$0	$0	$0
KRISTEN M MURPHY
PHYSICIAN	$245,003	$0	$384,912	$0	$47,526	$0	$8,250	$0	$5,649	$0	$691,340	$0	$0	$0
DERICK M JOHNSON DO
PHYSICIAN	$750,000	$0	$0	$0	$11,087	$0	$8,250	$0	$17,584	$0	$786,921	$0	$0	$0
STEPHEN MAUGER DO
PHYSICIAN	$285,002	$0	$816,454	$0	$40,644	$0	$5,992	$0	$16,246	$0	$1,164,338	$0	$0	$0
RYAN M LANGLEY
PHYSICIAN	$200,013	$0	$545,651	$0	$36,762	$0	$8,250	$0	$5,978	$0	$796,654	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4B

DALE SOWDERS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE SERP IS DESIGNED TO PROVIDE THE PARTICIPANT WITH A TARGET BENEFIT FOR LIFE BEGINNING AT THE PARTICIPANTS ATTAINMENT OF AGE 65 EQUAL TO 60 PERCENT OF THE PARTICIPANTS FINAL AVERAGE COMPENSATION, OFFSET BY THE PARTICIPANTS SOCIAL SECURITY BENEFIT AND 401(K) SAVINGS PLAN EMPLOYER CONTRIBUTION EQUIVALENT. CONTRIBUTIONS MADE TO THE SERP ARE INCLUDED IN PART II, COLUMN (C). NO PAYMENTS WERE MADE IN 2018.

PART I, LINE 6

MANAGEMENT BONUSES ARE BASED 20% ON WHETHER OPERATING MARGIN TARGETS ARE REACHED AND 80% ON WHETHER QUALITY PATIENT SATISFACTION AND ACHIEVEMENT OBJECTIVES ARE MET.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MICHIGAN STATE HOSPITAL FINANCE AUTHORITY
A	800596186	59447PTK7	2016-10-06	$41,320,000	CONSTRUCTION OF NEW BUILDING AND DEFEASANCE OF 2004B BONDS	0	0	0
MICHIGAN STATE HOSPITAL FINANCE AUTHORITY
B	800596186	NONEAVAIL	2010-08-11	$23,500,000	CONSTRUCTION OF NEW BUILDING	0	0	0
MICHIGAN STATE HOSPITAL FINANCE AUTHORITY
C	800596186	59447PTK7	2013-02-20	$39,641,117	CONSTRUCTION OF NEW BUILDING AND DEFEASANCE OF 2004A BONDS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$1,309,126	$44,193,387	$573,771	$21,796,000	$21,823,616	2016	0	Yes (1)	0	Yes (1)
B	$10,443,926	$23,500,000		$9,376,581	$14,123,419	2011	Yes (1)	0	Yes (1)	Yes (1)
C	$1,320,153	$39,641,117	$512,903	$20,471,662	$18,656,552	2015	0	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd
A	Yes (1)	0
B	0	Yes (1)
C	Yes (1)	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0
C	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART I, ISSUER NAME:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, ITEM C	DBA: HOLLAND HOSPITAL PHYSICIAN SERVICES DBA: H.H. PHYSICIAN SERVICES DBA: LAKESHORE HEALTH PARTNERS DBA: WESTERN MICHIGAN UROLOGICAL ASSOCIATES DBA: THE BONE AND JOINT CENTER OF HOLLAND DBA: SURGERY CENTER OF WESTERN MICHIGAN
FORM 990, PART VI, SECTION B, LINE 11B	HOLLAND COMMUNITY HOSPITAL'S CEO AND CFO REVIEW THE FORM 990 PRIOR TO FILING. THE CEO THEN SIGNS AND FILES THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	THE BOARD OF DIRECTORS, ADMINISTRATION, DIRECTORS AND MANAGERS FILL OUT A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY. THESE FORMS ARE COLLECTED BY THE COMPLIANCE OFFICE, INVESTIGATED AND THEN MAINTAINED BY HUMAN RESOURCES. THE BYLAWS SPECIFICALLY STATE THAT A BOARD MEMBER WHO HAS A CONFLICT OF INTEREST AS TO A MATTER BEFORE THE BOARD SHOULD NOT VOTE OR USE PERSONAL INFLUENCE WITH OTHER BOARD MEMBERS. THE MINUTES OF THE BOARD MEETING SHALL DISCLOSE THE MEMBER'S ABSTINENCE FROM VOTING ON THE MATTER.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION USES CONSULTANTS TO REVIEW THE EXECUTIVE COMPENSATION PROGRAM AND RECOMMEND UPDATES/INCREASES AS DICTATED BY THE MARKET. THIS PROCESS OCCURS EVERY THREE YEARS OR AS DIRECTED BY THE BOARD. COMPENSATION IS SET FOR EACH POSITION WITH ESTABLISHED TARGETS USING NATIONAL AND REGIONAL DATA FOR SIMILAR HOSPITALS. THIS POLICY IS BOARD APPROVED AND HAS AN ONGOING REVIEW PROCESS WHICH IS COMPARATIVE AND DATA-DRIVEN. THIS PROCESS OCCURRED MOST RECENTLY IN 2017.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	UNREALIZED LOSS IN AFFILIATES -5,136,830.
FORM 990, PART XII, LINE 2C:	THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
HOLLAND COMMUNITY HOSPITAL AUTHORITY SELF-INSURANCE TRUST FUND
602 MICHIGAN AVENUE	HOLLAND	MI	49423	386389385	SUPPORTING ORGANIZATION	MI	501(C)(3)	LINE 12A, I	HOLLAND COMMUNITY HOSPITAL	Yes (1)
HOLLAND COMMUNITY HOSPITAL AUXILIARY
602 MICHIGAN AVENUE	HOLLAND	MI	49423	382139025	SUPPORTING ORGANIZATION	MI	501(C)(3)	LINE 12C, III-FI		0	N/A

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