HOLLAND COMMUNITY HOSPITAL: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- HOLLAND COMMUNITY HOSPITAL (EIN 38-2800065)
- Tax period
- 2017-04-01 to 2018-03-31
- Filed
- 2019-02-15
- IRS object ID
- 201930469349301243
- Schema version
- 2017v2.3
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-02-15T14:03:29-06:00 | ReturnTs |
| Tax Period End | 2018-03-31 | 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 | 2017-04-01 | 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 | 2019-02-14 | 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 | 2019-02-14 | 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 | 2019-02-14 | IPDt |
| IP Tm | 17:33:26 | 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 | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | 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 | $315,514,674 | 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 | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 2416 | TotalEmployeeCnt |
| Total Volunteers | 300 | TotalVolunteersCnt |
| Total Gross UBI | $1,224,324 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$163,452 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,089,812 | PYContributionsGrantsAmt |
| CY Contributions Grants | $905,216 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $252,694,487 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $263,477,350 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,610,216 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,694,903 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,169,230 | PYOtherRevenueAmt |
| CY Other Revenue | $1,265,909 | CYOtherRevenueAmt |
| PY Total Revenue | $261,563,745 | PYTotalRevenueAmt |
| CY Total Revenue | $273,343,378 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $713,660 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $791,868 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $140,004,391 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $146,176,161 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,168,037 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $108,013,666 | PYOtherExpensesAmt |
| CY Other Expenses | $113,110,620 | CYOtherExpensesAmt |
| PY Total Expenses | $248,731,717 | PYTotalExpensesAmt |
| CY Total Expenses | $260,078,649 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $12,832,028 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $13,264,729 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $477,189,556 | TotalAssetsBOYAmt |
| Total Assets EOY | $499,818,611 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $129,154,222 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $128,754,151 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $348,035,334 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $371,064,460 | 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 | $218,098,036 | ExpenseAmt |
| Grant | $791,868 | GrantAmt |
| Revenue | $263,335,426 | 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 QUALITYWE 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.HOLLAND HOSPITAL'S COMMITMENT TO QUALITY HAS EARNED NATIONAL RECOGNITION. FOR FOUR CONSECUTIVE YEARS, (2015-2018), THE HOSPITAL HAS BEEN RECOGNIZED AS ONE OF AMERICA'S 50 BEST HOSPITALS BY HEALTHGRADES, ONE OF THE MOST RESPECTED SOURCES OF UNBIASED QUALITY RATINGS. THIS PLACES HOLLAND HOSPITAL AMONG THE TOP 1% OF HOSPITALS IN THE NATION FOR CONSISTENT CLINICAL EXCELLENCE BASED ON AN ANALYSIS OF RISK-ADJUSTED MORTALITY AND COMPLICATION RATES FOR COMMON PROCEDURES AND CONDITIONS. IN ADDITION, THE HOSPITAL HAS EARNED THE DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE FOR 9 YEARS IN A ROW (2010-2018).THE CENTERS FOR MEDICARE & MEDICAID SERVICES RECENTLY UNVEILED AN OVERALL HOSPITAL QUALITY STAR RATINGS SYSTEM THAT SUMMARIZES 64 QUALITY MEASURES INTO A UNIFIED RATING OF ONE TO FIVE STARS. HOLLAND HOSPITAL IS ONE OF ONLY 213 HOSPITALS TO ACHIEVE THE TOP 5-STAR RATING AMONG 3,466 REVIEWED NATIONWIDE; AND ONE OF ONLY THREE IN WEST MICHIGAN.WORKPLACE EXCELLENCEHOLLAND HOSPITAL WAS NAMED A WEST MICHIGAN'S BEST AND BRIGHTEST COMPANIES TO WORK FOR BY THE MICHIGAN BUSINESS AND PROFESSIONAL ASSOCIATION (MBPA) FOR A 16TH CONSECUTIVE YEAR. 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.SUPERIOR SERVICESHOLLAND HOSPITAL'S CLINICAL EXCELLENCE CAN BE FOUND ACROSS ITS MANY SERVICE LINES. EXAMPLES INCLUDE: HEALTHGRADES AMERICA'S 100 BEST HOSPITALS FOR ORTHOPEDIC SURGERY (2018) HEALTHGRADES AMERICA'S 100 BEST HOSPITALS FOR JOINT REPLACEMENT (2014-2018) U.S. NEWS & WORLD REPORT HIGH PERFORMING HOSPITAL FOR HIP REPLACEMENT (2018) ACTION REGISTRY GOLD PERFORMANCE ACHIEVEMENT AWARD FOR HEART ATTACK CARE (2009-2018) HEALTHGRADES PULMONARY CARE EXCELLENCE AWARD (2015-2018) HEALTHGRADES AMERICA'S 100 BEST HOSPITALS FOR PROSTATE SURGERY (2016-2018) DNV PRIMARY STROKE CENTER CERTIFICATION NATIONAL CERTIFICATE OF RECOGNITION BY THE AMERICAN SOCIETY FOR GASTROINTESTINAL ENDOSCOPY NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC) ACCREDITATION FOR BREAST ULTRASOUND - AMERICAN COLLEGE OF RADIOLOGYLEADING 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 TECHNOLOGY FOR KNEE REPLACEMENT AND OFFER ANTERIOR HIP REPLACEMENT FOR 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 DAVINCI SI ROBOTIC-ASSISTED SURGICAL SYSTEM. THIS SYSTEM ENABLES OUR SPECIALLY TRAINED SURGEONS TO PERFORM CERTAIN SURGERIES THROUGH TINY, ONE-TO-TWO CENTIMETER INCISIONS, OR IN SOME CASES, A SINGLE INCISION THROUGH THE NAVEL OFTEN RESULTING IN LESS PAIN, FEWER COMPLICATIONS AND QUICKER RECOVERY WHEN COMPARED TO TRADITIONAL PROCEDURES.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 TECHNOLOGYFOR PATIENTS WHO NEED HOME HEALTH CARE, WE OFFER TELEHEALTH SERVICES WHICH PROVIDES A SIMPLE-TO-USE DEVICE WHICH COLLECTS VITAL SIGNS AND TRANSMITS DATA TO BEST MONITOR PATIENT CONDITIONS AND HELP GUIDE APPROPRIATE ACTION IF NEEDED, ENSURING SUPERIOR CARE AND REDUCING RE-HOSPITALIZATIONS.SUMMARY OF EFFORTSDURING FISCAL YEAR 2018, HOLLAND HOSPITAL'S 445-MEMBER MEDICAL STAFF, 2,050 EMPLOYEES AND 300 VOLUNTEERS SERVED THE COMMUNITY BY PROVIDING:PATIENT DAYS 32,000DISCHARGES 8,900BIRTHS 1,800SURGERIES 16,200OUTPATIENT VISITS 432,000EMERGENCY ROOM VISITS 40,000URGENT CARE VISITS 38,100HOME HEALTH VISITS 42,100LAB TESTS 699,800RADIOLOGY PROCEDURES 111,600BEDS 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. 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. COMMUNITY HEALTH AND WELLNESS THE CENTER FOR GOOD HEALTH (CFGH) OFFERS A VARIETY OF MEDICALLY-BASED EDUCATION AND TRAINING SERVICES. IN FY 2018, THE CENTER OFFERED 281 CLASSES AND INDIVIDUAL EDUCATION OPPORTUNITIES SERVING 4,036 COMMUNITY MEMBERS. IN ADDITION TO CLASSES AND EDUCATIONAL PROGRAMS FOR THE GENERAL PUBLIC, THE CFGH ALSO WORKS WITH AREA BUSINESSES TO PROVIDE CHRONIC DISEASE MANAGEMENT AND BEHAVIOR CHANGE PROGRAMS DIRECTLY TO EMPLOYEES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | 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. IN FISCAL YEAR 2017, THE FUND DEVELOPMENT OFFICE RAISED $435,397 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 2018, HOLLAND HOSPITAL PROVIDED UN-REIMBURSED CARE TO OUR PATIENTS AT A COST OF $42.1 MILLION, A 15.2 PERCENT DECREASE 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) INDICATES THAT KEY STAKEHOLDERS BELIEVE ISSUES SURROUNDING MENTAL HEALTH ARE THE MOST CONCERNING HEALTH ISSUES IN OUR AREA. WE HAVE BEEN WORKING TOGETHER WITH AREA PROVIDERS AND RESOURCES TO HELP IDENTIFY SOLUTIONS TO THESE CONCERNS AND WILL CONTINUE TO SEEK INNOVATIVE, EFFECTIVE PROGRAMS TO ADDRESS CURRENT AND EMERGING NEEDS IN OUR AREA.2018 COMMUNITY BENEFIT SUMMARY $42.1 MILLION TOTAL COMMUNITY BENEFITUNPAID COST OF MEDICAID $10,192,000UNPAID COST OF MEDICARE $12,860,000CHARITY CARE $2,180,000 BAD DEBT $10,192,000OTHER COMMUNITY BENEFITS (NOTE A) $6,060,000NOTE 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 | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $218,098,036 | 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 | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | Yes (1) | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | 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 | 145 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2416 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 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 (23 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) | $811,195 | $0 | $24,612 | |
| JAMES STROOP | ||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JANE CLARK | ||||||||
| CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PHIL KONING | ||||||||
| TREASURER | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KRIS DEPREE MD | ||||||||
| 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, PHYSICIAN | 40.00 | 1.00 | Yes (X) | $239,999 | $0 | $18,995 | ||
| MABEL CASEY | ||||||||
| TRUSTEE (PARTIAL YEAR) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TONY YASICK MD | ||||||||
| TRUSTEE, MEDICAL DIRECTOR | 1.00 | 1.00 | Yes (X) | $17,313 | $0 | $0 | ||
| WILLIAM VANDERVLIET MD | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $35,518 | $0 | $100 | ||
| DAWN GARCIA WARD | ||||||||
| 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 | 1.00 | 1.00 | Yes (X) | $12,375 | $0 | $0 | ||
| TERRY L STEELE | ||||||||
| VP, FINANCE & CFO | 40.00 | 1.00 | Yes (X) | $394,049 | $0 | $21,102 | ||
| PATTI VANDORT | ||||||||
| SVP, CNO, REHAB SERV, MARKETING | 40.00 | 0.00 | Yes (X) | $396,625 | $0 | $17,159 | ||
| MARK L PAWLAK | ||||||||
| SVP, QUALITY, IS & HOSP OP | 40.00 | 0.00 | Yes (X) | $419,970 | $0 | $14,553 | ||
| MICHAEL W MATTHEWS | ||||||||
| VP, MEDICAL GROUPS & HR-PART YEAR | 40.00 | 0.00 | Yes (X) | $249,054 | $0 | $6,391 | ||
| JOSEPH K POSTMA | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $798,114 | $0 | $25,460 | Yes (X) | ||
| KRISTEN M MURPHY | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $642,702 | $0 | $14,530 | Yes (X) | ||
| DERICK M JOHNSON DO | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $721,487 | $0 | $25,619 | Yes (X) | ||
| STEPHEN MAUGER DO | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,010,198 | $0 | $20,623 | Yes (X) | ||
| RYAN M LANGLEY | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $654,728 | $0 | $12,743 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,403,327 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $201,887 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 123 | 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 |
|---|---|---|---|---|---|
| ARAMARK CORPORATION | |||||
| 12483 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | HOUSEKEEPING | $4,526,725 |
| LAKEWOOD ELZINGA A JOINT VENTURE | |||||
| 86 E 6TH ST | HOLLAND | MI | 49423 | CONSTRUCTION | $3,963,060 |
| CERNER | |||||
| PO BOX 412702 | KANSAS CITY | MO | 64141 | SOFTWARE - PURCHASED MAINTENANCE | $3,305,018 |
| HOLLAND SC HOLDING LLC | |||||
| 516 HOWARD AVENUE | HOLLAND | MI | 49424 | RENT | $1,555,095 |
| HOLLAND 1 MEDICAL PROPERTIES | |||||
| 3290 N WELLLNESS DR | HOLLAND | MI | 49424 | RENT | $1,270,042 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 52 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $127,001 | FundraisingAmt |
| Related Organizations | $45,054 | RelatedOrganizationsAmt |
| All Other Contributions | $733,161 | AllOtherContributionsAmt |
| Total Contributions | $905,216 | 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 | $243,456,583 | $242,232,261 | $1,224,322 |
| OTHER RELATED REVENUE | 900099 | $10,584,940 | $10,584,940 | |
| PHARMACY SALES UNDER SEC. 340B | 446110 | $7,519,611 | $7,519,611 | |
| QUALITY INCENTIVE PAYMENTS | 622110 | $1,916,216 | $1,916,216 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $263,477,350 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,689,502 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $2 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,689,500 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,291,183 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $208,785 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,082,398 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,082,398 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,082,398 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $46,925,978 | SecuritiesAmt |
| Other | $6,080 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $41,405,930 | SecuritiesAmt |
| Other | $520,727 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,520,048 | SecuritiesAmt |
| Other | -$514,647 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,005,401 | TotalRevenueColumnAmt |
| Exclusion | $5,005,401 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $10,930 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $127,001 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $10,930 | 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 | $22,040 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $24,924 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,884 | TotalRevenueColumnAmt |
| Exclusion | -$2,884 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA AND HOME MEALS | Desc |
| Business | 722210 | BusinessCd |
| Total Revenue Column | $186,395 | TotalRevenueColumnAmt |
| Exclusion | $186,395 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $186,395 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $273,343,378 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $263,335,426 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,224,324 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,878,412 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $791,868 | TotalAmt |
| Program Services | $791,868 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,356,889 | TotalAmt |
| Program Services | $1,941,309 | ProgramServicesAmt |
| Management And General | $400,807 | ManagementAndGeneralAmt |
| Fundraising | $14,773 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,998,256 | TotalAmt |
| Program Services | $95,004,993 | ProgramServicesAmt |
| Management And General | $19,304,791 | ManagementAndGeneralAmt |
| Fundraising | $688,472 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,586,007 | TotalAmt |
| Program Services | $1,703,641 | ProgramServicesAmt |
| Management And General | $866,999 | ManagementAndGeneralAmt |
| Fundraising | $15,367 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,427,255 | TotalAmt |
| Program Services | $15,244,260 | ProgramServicesAmt |
| Management And General | $2,870,126 | ManagementAndGeneralAmt |
| Fundraising | $312,869 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,807,754 | TotalAmt |
| Program Services | $6,375,748 | ProgramServicesAmt |
| Management And General | $1,380,841 | ManagementAndGeneralAmt |
| Fundraising | $51,165 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $351,862 | TotalAmt |
| Management And General | $351,862 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,310 | TotalAmt |
| Program Services | $1,860 | ProgramServicesAmt |
| Management And General | $98,450 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,656,840 | TotalAmt |
| Program Services | $14,440,430 | ProgramServicesAmt |
| Management And General | $4,202,474 | ManagementAndGeneralAmt |
| Fundraising | $13,936 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,288,704 | TotalAmt |
| Program Services | $1,280,044 | ProgramServicesAmt |
| Fundraising | $8,660 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,688,701 | TotalAmt |
| Program Services | $1,809,169 | ProgramServicesAmt |
| Management And General | $871,419 | ManagementAndGeneralAmt |
| Fundraising | $8,113 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,376,837 | TotalAmt |
| Program Services | $770,146 | ProgramServicesAmt |
| Management And General | $5,606,691 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,756,181 | TotalAmt |
| Program Services | $5,520,150 | ProgramServicesAmt |
| Management And General | $230,864 | ManagementAndGeneralAmt |
| Fundraising | $5,167 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,840 | TotalAmt |
| Program Services | $251,090 | ProgramServicesAmt |
| Management And General | $24,730 | ManagementAndGeneralAmt |
| Fundraising | $5,020 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $490,441 | TotalAmt |
| Program Services | $354,802 | ProgramServicesAmt |
| Management And General | $133,900 | ManagementAndGeneralAmt |
| Fundraising | $1,739 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,769,586 | TotalAmt |
| Program Services | $2,769,586 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,223,234 | TotalAmt |
| Program Services | $12,928,467 | ProgramServicesAmt |
| Management And General | $3,294,316 | ManagementAndGeneralAmt |
| Fundraising | $451 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,517,639 | TotalAmt |
| Program Services | $1,292,165 | ProgramServicesAmt |
| Management And General | $225,474 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES & DRUG | $43,636,550 | $43,479,844 | $155,931 | $775 |
| PROVISION FOR BAD DEBTS | $10,315,796 | $10,315,796 | ||
| REPAIRS & MAINTENANCE | $912,084 | $830,524 | $81,560 | |
| DUES AND SUBSCRIPTIONS | $801,890 | $486,099 | $315,791 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $943,125 | TotalAmt |
| Program Services | $506,045 | ProgramServicesAmt |
| Management And General | $395,550 | ManagementAndGeneralAmt |
| Fundraising | $41,530 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,078,649 | TotalAmt |
| Program Services | $218,098,036 | ProgramServicesAmt |
| Management And General | $40,812,576 | ManagementAndGeneralAmt |
| Fundraising | $1,168,037 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,976,201 | BOYAmt |
| EOY | $46,734,302 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,702 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,098,582 | BOYAmt |
| EOY | $22,868,247 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,435,143 | BOYAmt |
| EOY | $6,872,054 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,270,555 | BOYAmt |
| EOY | $4,521,834 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $292,016,839 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $137,616,303 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,467,119 | BOYAmt |
| EOY | $154,400,536 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $208,346,321 | BOYAmt |
| EOY | $222,272,698 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,308,900 | BOYAmt |
| EOY | $40,896,717 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,142,033 | BOYAmt |
| EOY | $1,252,223 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $477,189,556 | BOYAmt |
| EOY | $499,818,611 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,251,807 | BOYAmt |
| EOY | $20,779,695 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $474,136 | BOYAmt |
| EOY | $1,402,746 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,579,166 | BOYAmt |
| EOY | $95,444,287 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,849,113 | BOYAmt |
| EOY | $11,127,423 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,154,222 | BOYAmt |
| EOY | $128,754,151 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $347,036,910 | BOYAmt |
| EOY | $370,069,723 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $413,424 | BOYAmt |
| EOY | $409,737 | 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 | $348,035,334 | BOYAmt |
| EOY | $371,064,460 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $477,189,556 | BOYAmt |
| EOY | $499,818,611 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $13,264,729 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $11,161,576 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,397,179 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
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 | $19,754 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $19,754 | 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 | $648,122 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $20,286 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $668,408 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $585,000 | ContributionsAmt |
| End Year Balance | $585,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,090,652 | OtherCostOrOtherBasisAmt |
| Book Value | $9,090,652 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $139,207,824 | OtherCostOrOtherBasisAmt |
| Depreciation | $54,178,159 | DepreciationAmt |
| Book Value | $85,029,665 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,776,488 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,373,984 | DepreciationAmt |
| Book Value | $2,402,504 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $131,679,165 | OtherCostOrOtherBasisAmt |
| Depreciation | $81,064,160 | DepreciationAmt |
| Book Value | $50,615,005 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,262,710 | OtherCostOrOtherBasisAmt |
| Book Value | $7,262,710 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $154,400,536 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENTS IN AFFILIATED ENTITIES | $23,958,525 | F |
| INVESTMENT IN JOINT VENTURE | $16,938,192 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $40,896,717 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| PROFESSIONAL LIABILITY INSURANCE | $2,750,000 |
| OTHER LONG-TERM LIABILITIES | $3,219,942 |
| INTEREST PAYABLE | $918,304 |
| COST REPORT SETTLEMENT PAYABLE | $4,239,177 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,127,423 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CULINARY CABARET | Event1Nm |
| Gross Receipts Event1 | $137,931 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $127,001 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $10,930 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $10,930 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $137,931 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $127,001 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $10,930 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $10,930 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $10,930 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $0 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $22,040 | GrossRevenueOtherGamingAmt |
| Non Cash Prizes Other Gaming | $18,174 | 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 | $22,040 | GrossRevenueTotalGamingAmt |
| Non Cash Prizes Total Gaming | $18,174 | NonCashPrizesTotalGamingAmt |
| Rent Fclty Costs Total Gaming | $6,750 | RentFcltyCostsTotalGamingAmt |
| Direct Expense Summary Gaming | $24,924 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | -$2,884 | 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 | $1,922,048 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,922,048 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00770 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,413,856 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,796,516 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,617,340 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04650 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,335,904 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,796,516 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,539,388 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05420 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,051,217 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $536,015 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,515,202 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00610 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $206,099 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $206,099 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $868,113 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $868,113 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,125,429 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $536,015 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,589,414 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01040 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,461,333 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,332,531 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,128,802 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06460 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $867,341 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $867,341 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $867,341 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $867,341 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $10,315,796 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $5,850,596 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $35,123,715 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $41,061,119 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,937,404 | 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, RECOGNITION AND TREATMENT OF MENTAL HEALTH CONDITIONS AND DECREASING BARRIERS TO HEALTHY LIVING. |
| 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. |
| 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 | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - LAKESHORE HEALTH PARTNERS | ||||
| 602 MICHIGAN AVE | HOLLAND | MI | 49423 | PHYSICIAN OFFICE |
| 2 - HH SERVICES-BATES ET AL LLC | ||||
| 602 MICHIGAN AVE | HOLLAND | MI | 49423 | PHYSICIAN OFFICE |
| 3 - LAKESHORE HEALTH PARTNERS FM LLC | ||||
| 602 MICHIGAN AVE | HOLLAND | MI | 49423 | PHYSICIAN OFFICE |
| 4 - 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 $ 10,315,799. |
| 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 SCREENINGS, 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 4,900 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; (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. COMBINED, THESE PROGRAMS IMPROVE THE LIVES OF MORE THAN 17,000 INDIVIDUALS 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-PAITENT 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. 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 EVALUATING 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 A MINIMUM OF 90 DAYS. THE ACCOUNT WILL BE HELD ON HOLLAND HOSPITAL'S "BOOKS" UNTIL IT HAS AGED TO A MINIMUM OF 150 DAYS FROM DISCHARGE. 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 2017 FOR SHOW THE TOTAL POPULATION FOR OTTAWA COUNTY IS 286,383 AND THE TOTAL POPULATION OF ALLEGAN COUNTY IS 116,447. THE MOST RECENT CATEGORIZATION OF DATA FROM THE CENSUS BUREAU COMES FROM THE AMERICAN COMMUNITY SURVEY (2016) WHICH SHOWS THE FOLLOWING POPULATION DEMOGRAPHICS FOR OTTAWA AND ALLEGAN COUNTIES: OTTAWA COUNTY MEDIAN AGE: 34.7 YEARS; RACE/ETHNICITY: BLACK OR AFRICAN AMERICAN (1.4%), AMERICAN INDIAN AND ALASKA NATIVE (0.5%), ASIAN (2.7%), HISPANIC OR LATINO (9.3%), WHITE, NOT HISPANIC OR LATINO (84.6%); INCOME & POVERTY: MEDIAN HOUSEHOLD INCOME = $61,367, PERSONS IN POVERTY (9.9%).ALLEGAN COUNTY MEDIAN AGE: 40.0 YEARS; RACE/ETHNICITY: BLACK OR AFRICAN AMERICAN (1.4%), AMERICAN INDIAN AND ALASKA NATIVE (0.5%), ASIAN (0.7%), HISPANIC OR LATINO (7.1%), WHITE, NOT HISPANIC OR LATINO (88.9%); INCOME & POVERTY: MEDIAN HOUSEHOLD INCOME = $55,630, PERSONS IN POVERTY (11.7%)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: | 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. HOLLAND HOSPITAL CONTRIBUTES APPROXIMATELY $8.2 MILLION IN FINANCIAL SUPPORT TO ITS COMMUNITY OUTREACH PROGRAMS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE, ALONG WITH ANOTHER $2.2 MILLION IN CHARITY CARE. THESE EFFORTS ARE SUPPLEMENTED THROUGH UNDERWRITING AND SPONSORSHIP SUPPORT OF COMMUNITY WIDE EVENTS, HEALTH FAIRS, EDUCATIONAL LECTURES, FREE HEALTH AND MENTAL HEALTH SCREENINGS AND HEALTH PROMOTIONS. OUR HOSPITAL WEBSITE IS A RICH RESOURCE OF INFORMATION ON HEALTH CONCERNS AND GUIDANCE FOR OUR HEALTH CARE SERVICES. ON A REGULAR BASIS, HOSPITAL PHYSICIANS AND CLINICIANS SHARE ADVICE WITH THE GENERAL PUBLIC THROUGH WEBSITE ARTICLES, HEALTH BLOGS, TV/RADIO AND PRINT INTERVIEWS. MEMBERS OF THE HOSPITAL'S LEADERSHIP TEAM SERVE ON LOCAL AGENCY BOARDS AND COMMUNITY EVENT STEERING COMMITTEES. THE HOSPITAL ALSO WELCOMES TOURS BY 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
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CENTER | 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) |
|---|---|---|
| Recipient EIN | 200602574 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $791,868 | CashGrantAmt |
| Valuation Method Used | N/A | ValuationMethodUsedDesc |
| Non Cash Assistance | N/A | NonCashAssistanceDesc |
| Purpose Of Grant | OPERATIONAL CASH FLOW TO BREAK-EVEN | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL RECEIVES THEIR MONTHLY INTERNAL FINANCIALS AND A COPY OF THE AUDITED STATEMENTS ANNUALLY. HOLLAND HOSPITAL IS FUNDING, IN PART, THE OPERATIONS OF THE ABOVE MENTIONED CLINIC, WHICH IS A SIGNIFICANT COMMUNITY BENEFIT | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 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 (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DALE M SOWDERS | ||||||||||||||
| PRESIDENT & CEO | $570,586 | $0 | $159,030 | $0 | $81,579 | $0 | $8,100 | $0 | $16,512 | $0 | $835,807 | $0 | $0 | $0 |
| MARK STID MD | ||||||||||||||
| TRUSTEE, PHYSICIAN | $180,005 | $0 | $52,748 | $0 | $7,246 | $0 | $2,626 | $0 | $16,369 | $0 | $258,994 | $0 | $0 | $0 |
| TERRY L STEELE | ||||||||||||||
| VP, FINANCE & CFO | $292,062 | $0 | $78,144 | $0 | $23,843 | $0 | $8,100 | $0 | $13,002 | $0 | $415,151 | $0 | $0 | $0 |
| PATTI VANDORT | ||||||||||||||
| SVP, CNO, REHAB SERV, MARKETING | $266,235 | $0 | $73,002 | $0 | $57,388 | $0 | $7,478 | $0 | $9,681 | $0 | $413,784 | $0 | $0 | $0 |
| MARK L PAWLAK | ||||||||||||||
| SVP, QUALITY, IS & HOSP OP | $266,235 | $0 | $73,002 | $0 | $80,733 | $0 | $8,087 | $0 | $6,466 | $0 | $434,523 | $0 | $0 | $0 |
| MICHAEL W MATTHEWS | ||||||||||||||
| VP, MEDICAL GROUPS & HR-PART YEAR | $196,580 | $0 | $47,848 | $0 | $4,626 | $0 | $0 | $0 | $6,391 | $0 | $255,445 | $0 | $0 | $0 |
| JOSEPH K POSTMA | ||||||||||||||
| PHYSICIAN | $275,018 | $0 | $473,613 | $0 | $49,483 | $0 | $8,100 | $0 | $17,360 | $0 | $823,574 | $0 | $0 | $0 |
| KRISTEN M MURPHY | ||||||||||||||
| PHYSICIAN | $236,351 | $0 | $360,820 | $0 | $45,531 | $0 | $8,100 | $0 | $6,430 | $0 | $657,232 | $0 | $0 | $0 |
| DERICK M JOHNSON DO | ||||||||||||||
| PHYSICIAN | $710,400 | $0 | $0 | $0 | $11,087 | $0 | $8,100 | $0 | $17,519 | $0 | $747,106 | $0 | $0 | $0 |
| STEPHEN MAUGER DO | ||||||||||||||
| PHYSICIAN | $285,002 | $0 | $699,914 | $0 | $25,282 | $0 | $4,616 | $0 | $16,007 | $0 | $1,030,821 | $0 | $0 | $0 |
| RYAN M LANGLEY | ||||||||||||||
| PHYSICIAN | $200,013 | $0 | $421,451 | $0 | $33,264 | $0 | $8,100 | $0 | $4,643 | $0 | $667,471 | $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 2017. |
| 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 | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|
| A | $44,193,387 | $573,771 | $21,796,000 | $21,823,616 | 2016 | 0 | Yes (1) | 0 | Yes (1) |
| B | $23,500,000 | $9,376,581 | $14,123,419 | 2011 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| C | $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 | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 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 L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKEWOOD ELZINGA A JOINT VENTURE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | BOARD MEMBER JAMES STROOP OWNS GREATER THAN 35% OF THE ORGANIZATION | RelationshipDescriptionTxt |
| Transaction | $3,963,060 | TransactionAmt |
| Transaction | GENERAL CONTRACTOR FEES AND CONSTRUCTION SERVICES | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
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 EXECTUTIVE COMPENSATION PROGRAM ANNUALLY AND RECOMMEND UPDATES/INCREASES AS DICTATED BY THE MARKET. COMPENSATION IS SET FOR EACH POSITION WITH ESTABLISHED TARGETS USING NATIONAL AND REGIONAL DATA FOR SIMILIAR 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 IN OCTOBER 2017. THE BOARD DOCUMENTS ITS CONCLUSION IN WRITING. NONE OF THE INTERESTED PARTIES ARE PRESENT FOR THIS DISCUSSION. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | UNREALIZED LOSS IN AFFILIATES -1,397,179. |
| 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 (3 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 | |
| HEALTH POINTE | |||||||||||
| 602 MICHIGAN AVENUE | HOLLAND | MI | 49423 | 474398187 | HEALTH CARE | MI | 501(C)(3) | LINE 3 | HOLLAND COMMUNITY HOSPITAL | Yes (1) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 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 |