HOLLAND COMMUNITY HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: HOLLAND COMMUNITY HOSPITAL (EIN 38-2800065)
Tax period: 2016-04-01 to 2017-03-31
Filed: 2018-02-12
IRS object ID: 201840439349301234
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-02-12T14:45:51-06:00	ReturnTs
Tax Period End	2017-03-31	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	2016-04-01	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	2018-02-06	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	2018-02-05	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	67.59.56.32	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2018-02-06	IPDt
IP Tm	08:02:21	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	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	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	$324,711,394	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	2475	TotalEmployeeCnt
Total Volunteers	388	TotalVolunteersCnt
Total Gross UBI	$1,189,613	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$19,656	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$617,866	PYContributionsGrantsAmt
CY Contributions Grants	$1,089,812	CYContributionsGrantsAmt
PY Program Service Revenue	$226,864,141	PYProgramServiceRevenueAmt
CY Program Service Revenue	$252,694,487	CYProgramServiceRevenueAmt
PY Investment Income	$5,260,609	PYInvestmentIncomeAmt
CY Investment Income	$6,610,216	CYInvestmentIncomeAmt
PY Other Revenue	$1,080,884	PYOtherRevenueAmt
CY Other Revenue	$1,169,230	CYOtherRevenueAmt
PY Total Revenue	$233,823,500	PYTotalRevenueAmt
CY Total Revenue	$261,563,745	CYTotalRevenueAmt
PY Grants And Similar Paid	$666,778	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$713,660	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$116,990,404	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$140,004,391	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$941,369	CYTotalFundraisingExpenseAmt
PY Other Expenses	$102,256,149	PYOtherExpensesAmt
CY Other Expenses	$108,013,666	CYOtherExpensesAmt
PY Total Expenses	$219,913,331	PYTotalExpensesAmt
CY Total Expenses	$248,731,717	CYTotalExpensesAmt
PY Revenues Less Expenses	$13,910,169	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$12,832,028	CYRevenuesLessExpensesAmt
Total Assets BOY	$431,505,023	TotalAssetsBOYAmt
Total Assets EOY	$477,189,556	TotalAssetsEOYAmt
Total Liabilities BOY	$104,441,433	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$129,154,222	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$327,063,590	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$348,035,334	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	$204,654,511	ExpenseAmt
Grant	$713,659	GrantAmt
Revenue	$256,752,647	RevenueAmt
Desc	The employees, medical staff and volunteers of Holland Community 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 QualityHolland Hospital's commitment to quality has earned it numerous national honors. The Hospital has received Truven 100 Top Hospitals recognition for 12 consecutive years. Healthgrades has honored Holland Hospital with its America's 50 Best Hospitals Award three years in a row. In 2016, the Centers for Medicare & Medicaid Services 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 102 hospitals to achieve a 5-star rating of the 3,617 reviewed nationwide.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 15th 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 service lines.Orthopedics-America's 100 Best Hospitals for Joint Replacement for 4 Years in a Row (2014-2017) -Orthopedic Surgery Excellence Award for 4 Years in a Row (2014-2017) -Top 5% in the Nation for Joint Replacement for 4 Years in a Row (2014-2017)-Top 10% in the Nation for Overall Orthopedic Services for 4 Years in a Row (2014-2017)Cardiopulmonary-Five-Star Recipient for Treatment of Stroke for 11 Years in a Row (2007-2017)-Pulmonary Care Excellence Award for 3 Years in a Row (2015-2017)-DNV Primary Stroke Certification-2009-2016 Gold Performance Achievement Award for heart attack careUrology-Prostate Surgery Excellence Award for 2 Years in a Row (2016-2017)Critical Care-2017 Critical Care Excellence Award Gastroenterology-National Certificate of Recognition by the American Society for Gastrointestinal Endoscopy Breast Care-ACR Accreditation for Breast Ultrasound American College of RadiologyLeading Edge TechnologyPercutaneous Coronary Intervention Percutaneous coronary intervention (PCI) is a procedure that restores blood flow through blocked or narrowed heart vessels. Emergency PCI for patients having a heart attack has been performed at Holland Hospital since May of 2005 with exceptional life-saving results. Based on changes in state regulations, Holland Hospital's cardiovascular team can now perform PCI for patients who are at high risk for a future heart event, but are not currently experiencing heart attack so-called elective PCI.3D Gait Analysis Holland Hospital's Sports Medicine specialists now offer 3D gait analysis to scientifically evaluate a patient's personal running form. The analysis can identify the risk of injury based on biometric data. 3D gait analysis uses 3D cameras to precisely measure movement patterns and compares a patient's gait to athletes of all levels from around the globe.Summary of EffortsDuring fiscal year 2017, Holland Hospital's 440-member medical staff, 2,050 employees and 300 volunteers served the community by providing:-Patient Days 31,000-Discharges 8,700-Births 1,800-Surgeries 15,900-Outpatient Visits 509,200-Emergency Room Visits 41,100-Urgent Care Visits 41,000-Home Health Visits 41,500-Lab Tests 672,300-Radiology Procedures 109,200-Beds 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. For individuals and families who are at risk, the Community Outreach Committee of the Hospital Board of Directors placed high priority on four community outreach efforts. Holland Community Health CenterThe Holland Community Health Center (HCHC) provides primary health care services for people who are under-insured and uninsured. Over 5,600 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 12,450 students. 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. Community Health and Wellness The Center for Good Health (CFGH) offers a variety of educational classes and presentations for children, adults and seniors. In FY 2017, the center offered 453 classes and events with 6,672 participants. In addition to classes and educational programs for the general public, the CFGH also works with many area businesses to provide prevention and disease management programs directly to employees.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 $507,908.12 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 2016, Holland Hospital provided un-reimbursed care to our patients at a cost of $47.5 million, a 6.5 percent increase over the previous year.The state of Michigan, including the hospital's service area, has many health challenges to address according to the findings of the United Health Foundation: -Percentage of adults physically inactive: 25.5% -Percentage of adults smoking: 20.7% -Percentage of adults with obesity: 31.2% -Percentage of adults with excessive drinking: 20.0% -Percentage of children in poverty: 21.1% -Percentage of children aged 19 to 35 months immunized: 67.6% -Percentage of population lacking insurance: 7.3%These behavioral issues will continue to put pressure on Holland Hospital and the state's health care system to find more effective and efficient ways to provide medical services and initiate preventive health care programs.2017 Community Benefit Summary $49.6 Million Total Community Benefit-Unpaid Cost of Medicaid $13,927,000-Unpaid Cost of Medicare $18,674,000-Charity Care (at cost) $1,096,000 -Bad Debt $10,582,000-Other Community Benefits (note A) $5,357,000Note 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
Total Program Service Expenses	$204,654,511	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	2475	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 (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DALE M SOWDERS
PRESIDENT & CEO	40.00	1.00	Yes (X)	Yes (X)	$731,670	$0	$25,098
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
ROGER GAMACHE
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
MARK STID MD
TRUSTEE, PHYSICIAN	40.00	1.00	Yes (X)		$218,470	$0	$19,529
MABEL CASEY
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
TONY YASICK MD
TRUSTEE, MEDICAL DIRECTOR	1.00	1.00	Yes (X)		$14,188	$0	$0
DOUG HOEY MD
TRUSTEE, CHIEF OF STAFF-PARTIAL YEAR	1.00	1.00	Yes (X)		$0	$0	$0
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)		$10,000	$0	$0
TERRY L STEELE
VP, FINANCE & CFO	40.00	1.00		Yes (X)	$361,236	$0	$21,809
PATTI VANDORT
SVP, CNO, REHAB SERV, MARKETING	40.00	0.00		Yes (X)	$352,840	$0	$16,696
MICHAEL W MATTHEWS
VP, MEDICAL GROUPS & HR	40.00	0.00		Yes (X)	$302,016	$0	$22,263
MARK L PAWLAK
SVP, QUALITY, IS & HOSP OP	40.00	0.00		Yes (X)	$364,059	$0	$14,757
WILLIAM VANDERLIET
VP, MEDICAL AFFAIRS	24.00	0.00		Yes (X)	$202,441	$0	$4,940
JOSEPH K POSTMA
PHYSICIAN	40.00	0.00			$806,882	$0	$24,925	Yes (X)
Kristen M Murphy
PHYSICIAN	40.00	0.00			$543,601	$0	$14,883	Yes (X)
DERICK M JOHNSON DO
PHYSICIAN	40.00	0.00			$648,648	$0	$24,988	Yes (X)
STEPHEN MAUGER DO
PHYSICIAN	40.00	0.00			$787,260	$0	$19,971	Yes (X)
Sanjeev Mathur
PHYSICIAN	40.00	0.00			$514,455	$0	$20,465	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,857,766	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$230,324	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	116	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
CERNER
PO BOX 412702	KANSAS CITY	MO	64141	SOFTWARE - PURCHASED MAINTENANCE	$5,175,490
ARAMARK CORPORATION
12483 COLLECTIONS CENTER DR	CHICAGO	IL	60693	HOUSEKEEPING	$4,634,786
LAKEWOOD ELZINGA A JOINT VENTURE
86 E 6TH ST	HOLLAND	MI	49423	CONSTRUCTION	$2,026,545
presidio networked solutions
12120 SUNSET HILLS ROAD STE 202	RESTON	VA	20190	software- purchased maintenance	$691,892
holland 1 medical properties
3290 N Welllness Dr	Holland	MI	49424	Rent	$629,180

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	47	CntrctRcvdGreaterThan100KCnt
Fundraising	$135,710	FundraisingAmt
Related Organizations	$64,644	RelatedOrganizationsAmt
All Other Contributions	$889,458	AllOtherContributionsAmt
Total Contributions	$1,089,812	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	$243,554,232	$242,364,632	$1,189,600
OTHER RELATED REVENUE	900099	$4,935,954	$4,935,954
EHR MEANINGFUL USE REVENUE	622110	$2,297,344	$2,297,344
PHARMACY SALES UNDER SEC. 340B	446110	$1,906,957	$1,906,957

Field	Value	IRS element (for citing)
Total Program Service Revenue	$252,694,487	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,203,132	TotalRevenueColumnAmt
Unrelated Business Revenue	$13	UnrelatedBusinessRevenueAmt
Exclusion	$2,203,119	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,064,834	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$224,158	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$840,676	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$840,676	TotalRevenueColumnAmt
Related Or Exempt Func Income	$840,676	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$67,292,639	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$62,706,329	SecuritiesAmt
Other	$179,226	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,586,310	SecuritiesAmt
Other	-$179,226	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,407,084	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,407,084	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$23,155	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$135,710	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$8,996	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,159	TotalRevenueColumnAmt
Exclusion	$14,159	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$23,155	GamingGrossIncomeAmt
Gaming Direct Expenses	$28,940	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$5,785	TotalRevenueColumnAmt
Exclusion	-$5,785	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA AND HOME MEALS	Desc
Business	722210	BusinessCd
Total Revenue Column	$320,180	TotalRevenueColumnAmt
Exclusion	$320,180	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$320,180	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$261,563,745	TotalRevenueColumnAmt
Related Or Exempt Func Income	$256,752,647	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,189,613	UnrelatedBusinessRevenueAmt
Exclusion	$2,531,673	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$713,660	TotalAmt
Program Services	$713,660	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$111,917,808	TotalAmt
Program Services	$91,410,834	ProgramServicesAmt
Management And General	$19,654,468	ManagementAndGeneralAmt
Fundraising	$852,506	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,540,876	TotalAmt
Program Services	$2,011,096	ProgramServicesAmt
Management And General	$529,780	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,257,701	TotalAmt
Program Services	$14,673,489	ProgramServicesAmt
Management And General	$3,565,779	ManagementAndGeneralAmt
Fundraising	$18,433	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,288,006	TotalAmt
Program Services	$5,818,978	ProgramServicesAmt
Management And General	$1,469,028	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$283,883	TotalAmt
Management And General	$283,883	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$111,540	TotalAmt
Program Services	$9,490	ProgramServicesAmt
Management And General	$102,050	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,392,917	TotalAmt
Program Services	$11,414,137	ProgramServicesAmt
Management And General	$3,969,340	ManagementAndGeneralAmt
Fundraising	$9,440	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,128,119	TotalAmt
Program Services	$90,534	ProgramServicesAmt
Management And General	$1,037,585	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,248,292	TotalAmt
Program Services	$661,878	ProgramServicesAmt
Management And General	$586,414	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,982,637	TotalAmt
Management And General	$5,982,637	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,559,536	TotalAmt
Program Services	$5,513,979	ProgramServicesAmt
Management And General	$41,221	ManagementAndGeneralAmt
Fundraising	$4,336	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$296,904	TotalAmt
Program Services	$231,111	ProgramServicesAmt
Management And General	$26,435	ManagementAndGeneralAmt
Fundraising	$39,358	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$455,287	TotalAmt
Program Services	$325,360	ProgramServicesAmt
Management And General	$127,005	ManagementAndGeneralAmt
Fundraising	$2,922	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,259,116	TotalAmt
Program Services	$2,259,116	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$15,244,800	TotalAmt
Program Services	$11,456,039	ProgramServicesAmt
Management And General	$3,788,310	ManagementAndGeneralAmt
Fundraising	$451	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,050,901	TotalAmt
Program Services	$825,859	ProgramServicesAmt
Management And General	$225,042	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES & DRUG	$43,151,493	$42,955,731	$194,281	$1,481
PROVISION FOR BAD DEBTS	$10,660,226	$10,660,226
FOOD	$1,424,374	$1,258,628	$165,716	$30
DUES, LICENSE & SUBS	$798,522	$486,257	$310,394	$1,871

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,965,119	TotalAmt
Program Services	$1,878,109	ProgramServicesAmt
Management And General	$1,076,469	ManagementAndGeneralAmt
Fundraising	$10,541	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$248,731,717	TotalAmt
Program Services	$204,654,511	ProgramServicesAmt
Management And General	$43,135,837	ManagementAndGeneralAmt
Fundraising	$941,369	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$49,882,219	BOYAmt
EOY	$56,976,201	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$783,538	BOYAmt
EOY	$144,702	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$26,174,266	BOYAmt
EOY	$19,098,582	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,023,862	BOYAmt
EOY	$6,435,143	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,140,333	BOYAmt
EOY	$4,270,555	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$275,078,832	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$127,611,713	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$147,876,441	BOYAmt
EOY	$147,467,119	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$172,017,267	BOYAmt
EOY	$208,346,321	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$21,488,948	BOYAmt
EOY	$31,308,900	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,118,149	BOYAmt
EOY	$3,142,033	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$431,505,023	BOYAmt
EOY	$477,189,556	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$20,556,666	BOYAmt
EOY	$21,251,807	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$220,890	BOYAmt
EOY	$474,136	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$77,710,042	BOYAmt
EOY	$97,579,166	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,953,835	BOYAmt
EOY	$9,849,113	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$104,441,433	BOYAmt
EOY	$129,154,222	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$326,039,249	BOYAmt
EOY	$347,036,910	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$439,341	BOYAmt
EOY	$413,424	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	$327,063,590	BOYAmt
EOY	$348,035,334	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$431,505,023	BOYAmt
EOY	$477,189,556	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$12,832,028	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$8,156,922	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$17,206	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$13,029	OtherActivitiesAmt
Total Lobbying Expenditures	$13,029	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 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	$628,248	BeginningYearBalanceAmt
Investment Earnings Or Losses	$19,874	InvestmentEarningsOrLossesAmt
End Year Balance	$648,122	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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	$8,299,427	OtherCostOrOtherBasisAmt
Book Value	$8,299,427	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$126,872,149	OtherCostOrOtherBasisAmt
Depreciation	$48,700,850	DepreciationAmt
Book Value	$78,171,299	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,705,256	OtherCostOrOtherBasisAmt
Depreciation	$1,812,728	DepreciationAmt
Book Value	$1,892,528	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$121,622,165	OtherCostOrOtherBasisAmt
Depreciation	$77,098,135	DepreciationAmt
Book Value	$44,524,030	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,579,835	OtherCostOrOtherBasisAmt
Book Value	$14,579,835	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$147,467,119	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENTS IN AFFILIATED ENTITIES	$14,370,708	F
INVESTMENT IN JOINT VENTURE	$16,938,192	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$31,308,900	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
PROFESSIONAL LIABILITY INSURANCE	$2,054,896
OTHER LONG-TERM LIABILITIES	$3,087,034
INTEREST PAYABLE	$974,783
COST REPORT SETTLEMENT PAYABLE	$3,732,400

Field	Value	IRS element (for citing)
Total Liability	$9,849,113	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 FOR GENERAL PURPOSES OF THE HOSPITAL.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	CULINARY CABARET	Event1Nm
Gross Receipts Event1	$158,865	GrossReceiptsEvent1Amt
Charitable Contri Event1	$135,710	CharitableContriEvent1Amt
Gross Revenue Event1	$23,155	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$8,996	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$158,865	GrossReceiptsTotalAmt
Charitable Contributions Tot	$135,710	CharitableContributionsTotAmt
Gross Revenue Total Events	$23,155	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$8,996	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$8,996	DirectExpenseSummaryEventsAmt
Net Income Summary	$14,159	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$23,155	GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming	$22,190	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	$23,155	GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming	$22,190	NonCashPrizesTotalGamingAmt
Rent Fclty Costs Total Gaming	$6,750	RentFcltyCostsTotalGamingAmt
Direct Expense Summary Gaming	$28,940	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	-$5,785	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
Percent200	Yes (X)	Percent200Ind
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	$1,025,935	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,025,935	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,498,871	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,042,781	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,456,090	NetCommunityBenefitExpnsAmt
Total Expense	0.05640	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,524,806	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,042,781	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,482,025	NetCommunityBenefitExpnsAmt
Total Expense	0.06070	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,825,142	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$573,090	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,252,052	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$389,167	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$389,167	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$883,453	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$883,453	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,097,762	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$573,090	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,524,672	NetCommunityBenefitExpnsAmt
Total Expense	0.01050	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,622,568	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,615,871	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,006,697	NetCommunityBenefitExpnsAmt
Total Expense	0.07120	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$6,459	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,459	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	8	PersonsServedCnt
Total Community Benefit Expns	$9,819	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,819	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$713,668	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$713,668	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	8	PersonsServedCnt
Total Community Benefit Expns	$729,946	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$729,946	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$10,129,031	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,090,024	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$38,234,277	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$41,976,731	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,742,454	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	15	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	FULL WEBSITE LISTED IN PART V SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	FULL WEBSITES LISTED IN PART V SECTION C	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	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	FULL WEBSITE LISTED IN PART V SECTION C	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	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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	https://www.hollandhospital.org/hh/financial-information.aspx	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.hollandhospital.org/hh/financial-information.aspx	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.hollandhospital.org/hh/financial-information.aspx	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
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
HOLLAND COMMUNITY HOSPITAL	Part V, Section B, Line 3j: THE NEEDS ASSESSMENT DESCRIBED THE COMMUNITIES STRENGTHS AND OPPORTUNITIES REGARDING QUAILITY OF LIFE, OVERALL HEALTH, HEALTH BEHAVIORS, AND HEALTH CARE. THE TWO BROAD THEMES WHICH EMERGED FROM THE REPORT WERE THE DIRECT RELATIONSHIP BETWEEN HEALTH OUTCOMES AND INCOME/EDUCATION, AND THE EXISTANCE OF CHALLENGED SUBGROUPS WITHIN THE POPULATION. IDENTIFIED AREAS FOR OPPORTUNITIES INCLUDED ACCESS TO HEALTHCARE FOR THOSE WITH PUBLIC HEALTH INSURANCE AND IMPROVED CARE FOR THOSE WITH CHRONIC DISEASE, ESPECIALLY DIABETES.
HOLLAND COMMUNITY HOSPITAL	Part V, Section B, Line 5: DATA WAS OBTAINED FROM MULTIPLE SOURCES INCLUDING; KEY STAKEHOLDERS (EXECUTIVE DIRECTORS OF HOSPITALS, CLINICS AND PUBLIC HEALTH) VIA TELEPHONE INTERVIEWS, KEY INFORMANTS (PHYSICIANS, NURSES, DENTISTS, PHARMACISTS AND SOCIAL WORKERS) VIA ONLINE SURVEY, COMMUNITY RESIDENTS- 2,008 ADULTS VIA A TELEPHONE SURVEY, AND 285 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: OTTAWA COUNTY DEPARTMENT OF PUBLIC HEALTH, COMMUNITY MENTAL HEALTH OF OTTAWA COUNTY, & GREAT OTTAWA COUNTY UNITED WAY
HOLLAND COMMUNITY HOSPITAL	Part V, Section B, Line 7d: http://www.hollandhospital.org/Uploads/Public /Documents/Community/2016_2017_OCCHNA_2.pdfhttp://www.miottawa.org/Health/OCHD/pdf/2016_2017_OCCHNA.pdfhttp://www.noch.org/uploadedFiles/2014_2016_CHNA%20Summary_05212017.pdfhttp://www.spectrumhealth.org/documents/healthiercomm/SH%20Zeeland%20% 28Ottawa%20County%29%202016%20CHNA.pdfAVAILABLE 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.PART V, SECTION B, LINE 10A:http://www.hollandhospital.org/Uploads/Public/Documents/Community/CHIP.pdf
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.
HOLLAND COMMUNITY HOSPITAL	Part V, Section B, Line 13b: Number in household (including dependents under the age of 18 yrs. old), gross income level and asset level.
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 (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	FAMILY INCOME 200 TO 300 PERCENT OF THE FEDERAL POVERTY GUIDELINES QUALIFY FOR DISCOUNTED CARE ON A RATED SCALE.
Part I, Line 7:	A COST-TO-CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THE SCHEDULE.THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS (LINE 7E), HEALTH PROFESSIONS EDUCATION (LINE 7F), AND CASH AND IN-KIND CONTRIBUTIONS (LINE 7I).A DIRECT COST AND STEP-DOWN APPROACH WAS USED TO COMPLETE THE SUBSIDIZED HEALTH SERVICES PROGRAMS (LINE 7G).
Part I, 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 $ 10,129,062.
Part II, Community Building Activities:	HOLLAND HOSPITAL IS COMMITTED TO SERVING THE RESIDENTS 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 THE HEALTH CARE SERVICES, HOLLAND HOSPITAL OFFERS SCREENINGS, COMMUNITY EDUCATION, AND FOLLOW UP SUPPORT. FOR THOSE MOST AT RISK IN OUR SERVICE AREAS, HOLLAND HOSPITAL'S COMMUNITY OUTREACH PROGRAMS PROVIDE A LEVEL OF SECURITY AND STABILITY. THESE OUTREACH EFFORTS INCLUDE THE HOSPITAL'S SCHOOL NURSING PROGRAM, SUPPORT OF THE HOLLAND COMMUNITY HEALTH CENTER, FAITH COMMUNITY NURSE AT THE HOLLAND RESCUE AT THE HOLLAND RESCUE MISSION AND THE HOSPITAL'S BREAST CARE FUND. COMBINED, THESE PROGRAMS IMPROVE THE LIVES OF MORE THAN 17,000 INDIVIDUALS EACH YEAR. TO ASSURE THAT WE ARE ADDRESSING EXISTING AND EMERGING COMMUNITY NEEDS, THE HOSPITAL PARTICIPATES IN A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS WHICH INCLUDES THE CREATION AND IMPLEMENTATION OF A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THIS ASSESSMENT IS DONE IN PARTNERSHIP WITH TWO OTHER LOCAL HOSPITALS, THE OTTAWA COUNTY PUBLIC HEALTH DEPARTMENT AND OTTAWA COUNTY COMMUNITY MENTAL HEALTH.
Part III, Line 2:	THIS IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX.
Part III, Line 3:	THE HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. THERE IS A POTENTIAL THAT SOME ACCOUNTS WRITTEN OFF AS BAD DEBTS COULD HAVE BEEN ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, HOWEVER, DUE TO INADEQUATE APPLICATIONS FILED OR NEVER RETURNED THEY GET WRITTEN OFF TO BAD DEBTS INSTEAD. THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS APPROXIMATELY $2,090,024. THIS WAS DERIVED BY REVIEWING NOTES ON FILES FOR POTENTIAL CHARITY CARE CASES FOR THE LAST QUARTER OF THE YEAR AND APPLYING THAT AVERAGE TO THE TOTAL POPULATION.
Part III, Line 4:	ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE:ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA RELATED TO THESE MAJOR PAYOR SOURCES OF REVENUE IN 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.
SCHEDULE H, PART III, LINES 5 AND 6:	AS PER THE INSTRUCTIONS, SCHEDULE H, PART III, LINES 5 AND 6 ARE DERIVED DIRECTLY FROM THE MEDICARE COST REPORT. THOSE MEDICARE COSTS NOT INCLUDED IN THE MEDICARE COST REPORT (MEDICARE ADVANTAGE AND FEE FOR SERVICE PHYSICIANS) ARE SUMMARIZED AS FOLLOWS:TOTAL COST: $2,308,755TOTAL REIMBURSEMENT: $2,491,077REIMBURSEMENT IN EXCESS OF COST: $ 182,322
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 2012) AND THE OTTAWA COUNTY HEALTH DEPARTMENT PUBLISHES THEIR YOUTH ASSESSMENT EVERY 2 YEARS (LAST ONE IN 2015) 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 EIGHT ZIP CODES THAT FALL WITHIN ALLEGAN AND OTTAWA COUNTIES OF WEST MICHIGAN. US CENSUS BUREAU ESTIMATES FOR 2016 SHOW THE FOLLOWING POPULATION DEMOGRAPHICS FOR OTTAWA AND ALLEGAN COUNTIES:(OTTAWA COUNTY) POPULATION ESTIMATE:282,250. ETHNIC ORIGIN: BLACK OR AFRICAN AMERICAN (1.8%), AMERICAN INDIAN AND ALASKAN NATIVE (0.6%), ASIAN (2.9%), HISPANIC OR LATINO (9.5%), WHITE, NOT HISPANIC OR LATINO (84.2%). INCOME & POVERTY: MEDIAN HOUSEHOLD INCOME ($58,989), PERSONS IN POVERTY (8.6%). (ALLEGAN COUNTY) POPULATION ESTIMATE: 115,548. ETHNIC ORIGIN: BLACK OR AFRICAN AMERICAN (1.4%), AMERICAN INDIAN AND ALASKAN NATIVE (0.7%), ASIAN (0.8%), HISPANIC OR LATINO (7.3%), WHITE, NOT HISPANIC OR LATINO (88.7%). INCOME & POVERTY: MEDIAN HOUSEHOLD INCOME ($54,264), PERSONS IN POVERTY (11.2%).ACCORDING TO THE MOST RECENTLY COMPLETED OTTAWA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (2014):- 1 IN 10 ADULTS IN OTTAWA COUNTY DO NO HAVE HEALTH CARE- 11.4% OF THE GENERAL POPULATION IN OTTAWA COUNTY DO NOT HAVE A PRIMARY CARE PHYSICIAN- THE LACK OF AFFORDABLE AND ACCESSIBLE PRIMARY CARE IS IDENTIFIED AS ONE OF THE MOST PRESSING ISSUES IN OTTAWA COUNTY. ALTHOUGH OTTAWA COUNTY CONSISTENTLY RANKS AMONG THE HEALTHIEST COUNTIES IN THE STATE OF MICHIGAN, THERE CONTINUES TO BE INDIVIDUALS WHO DO NOT HAVE ACCESS TO BASIC HEALTH SERVICES OR WHO HAVE FINANCIAL BARRIERS PREVENTING THEM FROM RECEIVING THOSE SERVICES.
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 MORE THAN $1.4 MILLION IN FINANCIAL SUPPORT TO ITS COMMUNITY OUTREACH PROGRAMS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. THESE EFFORTS ARE SUPPLEMENTED THROUGH UNDERWRITING AND SPONSORSHIP SUPPORT OF COMMUNITY WIDE EVENTS, HEALTH FAIRS, EDUCATIONAL LECTURES, FREE HEALTH SCREENINGS AND HEALTH PROMOTIONS. ON A WEEKLY BASIS, HOSPITAL PHYSICIANS AND CLINICIANS SHARE ADVICE WITH THE GENERAL PUBLIC THROUGH RADIO AND PRINT INTERVIEWS. MEMBERS OF THE HOSPITAL'S LEADERSHIP TEAM SERVE ON LOCAL AGENCY BOARDS AND COMMUNITY EVENT STEERING COMMITTEES. FREE SCREENING CLINICS FOR MENTAL HEALTH ISSUES ARE OFFERED DAILY WITHOUT AN APPOINTMENT. 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 (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
COMMUNITY HEALTH CENTER
602 MICHIGAN AVENUE	HOLLAND	MI	49423	200602574	501(c)(3)	$663,660	N/A	N/A	OPERATIONAL CASH FLOW TO BREAK-EVEN
MSU BIOECONOMY INSTITUTE
242 HOWARD AVE	HOLLAND	MI	49424	386005984	115	$50,000	N/A	N/A	RESEARCH FUNDS

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 (12 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	$545,085	$0	$138,747	$0	$47,838	$0	$7,950	$0	$17,148	$0	$756,768	$0	$0	$0
MARK STID MD
TRUSTEE, PHYSICIAN	$180,005	$0	$32,315	$0	$6,150	$0	$2,621	$0	$16,908	$0	$237,999	$0	$0	$0
TERRY L STEELE
VP, FINANCE & CFO	$279,000	$0	$52,605	$0	$29,631	$0	$7,950	$0	$13,859	$0	$383,045	$0	$0	$0
PATTI VANDORT
SVP, CNO, REHAB SERV, MARKETING	$250,123	$0	$47,009	$0	$55,708	$0	$5,193	$0	$11,503	$0	$369,536	$0	$0	$0
MICHAEL W MATTHEWS
VP, MEDICAL GROUPS & HR	$229,597	$0	$43,290	$0	$29,129	$0	$5,495	$0	$16,768	$0	$324,279	$0	$0	$0
MARK L PAWLAK
SVP, QUALITY, IS & HOSP OP	$250,123	$0	$47,009	$0	$66,927	$0	$7,789	$0	$6,968	$0	$378,816	$0	$0	$0
WILLIAM VANDERLIET
VP, MEDICAL AFFAIRS	$174,246	$0	$0	$0	$28,195	$0	$4,875	$0	$65	$0	$207,381	$0	$0	$0
JOSEPH K POSTMA
PHYSICIAN	$275,018	$0	$469,756	$0	$62,108	$0	$7,950	$0	$16,975	$0	$831,807	$0	$0	$0
Kristen M Murphy
PHYSICIAN	$200,013	$0	$286,363	$0	$57,225	$0	$7,950	$0	$6,933	$0	$558,484	$0	$0	$0
DERICK M JOHNSON DO
PHYSICIAN	$638,611	$0	$0	$0	$10,037	$0	$7,950	$0	$17,038	$0	$673,636	$0	$0	$0
STEPHEN MAUGER DO
PHYSICIAN	$285,002	$0	$470,676	$0	$31,582	$0	$3,698	$0	$16,273	$0	$807,231	$0	$0	$0
Sanjeev Mathur
PHYSICIAN	$220,002	$0	$284,201	$0	$10,252	$0	$3,948	$0	$16,517	$0	$534,920	$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 2016.

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	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	0	0
B	0	Yes (1)	Yes (1)
C	0	0	Yes (1)

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	$2,026,545	TransactionAmt
Transaction	GENERAL CONTRACTOR FEES AND CONSTRUCTION SERVICES	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section B, line 11b	HOLLAND COMMUNITY HOSPITAL'S 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 2016. 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 140,953. LOSS ON EXTINQUISHMENT OF DEBT -158,159.
FORM 990, PART XII, LINE 2C:	THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
HOLLAND HOSPITAL PHYSICIAN CLINIC
602 MICHIGAN AVENUE	HOLLAND	MI	49423	263479537	NOT ACTIVE	MI	$0	$0	HOLLAND COMMUNITY HOSPITAL
HOLLAND SC LLC DBA SURGERY CENTER OF WEST MICHIGAN
602 MICHIGAN AVENUE	HOLLAND	MI	49423	203200415	NOT ACTIVE	MI	$0	$0	HOLLAND COMMUNITY HOSPITAL

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