HOLLAND COMMUNITY HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: HOLLAND COMMUNITY HOSPITAL (EIN 38-2800065)
Tax period: 2015-04-01 to 2016-03-31
Filed: 2017-02-15
IRS object ID: 201710469349301241
Schema version: 2015v3.0
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-02-15T10:26:00-06:00	ReturnTs
Tax Period End	2016-03-31	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	2015-04-01	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	2017-02-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	OLIVER JURKOVIC	PreparerPersonNm
PTIN	P00433694	PTIN
Phone	2319477800	PhoneNum
Preparation	2017-02-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	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	$253,810,285	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, RESPECT, COMPASSION AND DIGNITY.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	2216	TotalEmployeeCnt
Total Volunteers	393	TotalVolunteersCnt
Total Gross UBI	$1,194,170	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$31,432	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$914,695	PYContributionsGrantsAmt
CY Contributions Grants	$617,866	CYContributionsGrantsAmt
PY Program Service Revenue	$216,763,943	PYProgramServiceRevenueAmt
CY Program Service Revenue	$226,864,141	CYProgramServiceRevenueAmt
PY Investment Income	$11,020,629	PYInvestmentIncomeAmt
CY Investment Income	$5,260,609	CYInvestmentIncomeAmt
PY Other Revenue	$1,525,485	PYOtherRevenueAmt
CY Other Revenue	$1,080,884	CYOtherRevenueAmt
PY Total Revenue	$230,224,752	PYTotalRevenueAmt
CY Total Revenue	$233,823,500	CYTotalRevenueAmt
PY Grants And Similar Paid	$668,160	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$666,778	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$113,004,807	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$116,990,404	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$814,025	CYTotalFundraisingExpenseAmt
PY Other Expenses	$99,369,823	PYOtherExpensesAmt
CY Other Expenses	$102,256,149	CYOtherExpensesAmt
PY Total Expenses	$213,042,790	PYTotalExpensesAmt
CY Total Expenses	$219,913,331	CYTotalExpensesAmt
PY Revenues Less Expenses	$17,181,962	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$13,910,169	CYRevenuesLessExpensesAmt
Total Assets BOY	$443,584,093	TotalAssetsBOYAmt
Total Assets EOY	$431,505,023	TotalAssetsEOYAmt
Total Liabilities BOY	$113,604,399	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$104,441,433	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$329,979,694	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$327,063,590	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, RESPECT, COMPASSION AND DIGNITY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$176,984,925	ExpenseAmt
Grant	$666,778	GrantAmt
Revenue	$230,645,264	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 Quality:For the second consecutive year, Holland Hospital received the America's 50 Best Hospital Award from Healthgrades. This award recognized Holland Hospital as the highest performing hospital in Michigan and the 7th highest nationwide. In addition to Healthgrade's award, Holland Hospital earned a place on Truven's Top 100 Hospitals list for an 11th consecutive year. The 100 Top Hospitals award is based on performance across more than a dozen measures, including mortality, complications, length of stay, readmissions, financial performance, patient satisfaction and spending per beneficiary.Workplace Excellence:For the 14th consecutive year, Holland Hospital was named a West Michigan's Best and Brightest Companies to Work For by the Michigan Business and Professional Association (MBPA). According to MBPA, winning companies practice innovative strategies and represent best practices in human resources. The Hospital received high scores from employees on compensation, benefits and employee solutions; employee enrichment, engagement and retention; employee education and development; recruitment, selection and orientation; employee achievement and recognition; communication and shared vision; diversity and inclusion; and work-life balance.Superior Services:Holland Hospital's clinic excellence can be found across its service lines.-Orthopedics: America's 100 Best Hospitals for Orthopedic Surgery for 3 years in a row. -Joint Replacement: Top 5% in the Nation for Overall Orthopedic Services in 2016. -Prostate Surgery: Prostate Surgery Excellence Award in 2016 -Heart Care: Five-Star Recipient for Treatment of Heart Attack for 3 years in a row.-Stroke Treatment: Five-Star Recipient for Treatment of Stroke for 10 years in a row. -Gastroenterology : Five-Star Recipient for Treatment of Bowel Obstruction for 4 years in a row.-Critical Care: Five-Star Recipient for Treatment of Sepsis for 11 years in a row (2006-2016) Leading Edge Technology:Holland Hospital and Western Michigan Urological Associates were the first in the region to offer UroNav Fusion Biopsy, an innovative new technology for more precise and accurate detection of prostate cancer. Prostate cancer is the most common cancer in men, affecting 1 in 7, and is the second leading cause of death in men. The UroNav system advances the "active surveillance" approach of suspicious lesions in the prostate, fusing MRI images with ultrasound images during the biopsy to provide real-time visualization of the suspected lesions. This GPS-like tracking identifies suspicious areas that can be targeted during the office-based prostate biopsy, which may improve the accuracy and precision of those biopsies.Summary of Efforts:During fiscal year 2016, Holland Hospital's 430-member medical staff, 2,000 employees and 370 volunteers served the community by providing:Patient Days 30,000Discharges 8,700Births 1,800Surgeries 16,200Outpatient Visits 426,200Emergency Room Visits 40,800Urgent Care Visits 42,200Home Health Visits 41,400Lab Tests 656,200Radiology Procedures 108,000Beds 189Community Outreach Programs:Holland 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 Center:The 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 Program:School Nurses provide preventive and treatment services to Holland Public, Holland Christian, West Ottawa Public, Fennville Public and Hamilton Community Schools. More than 11, 000 students received services last year through 19,643 health room visits. Over 22,000 medication administrations were given last year, the greatest percentage being psychotropic medications. -Faith Community Nurse:The 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 Fund:It 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 mammograms and other breast health services for women in Ottawa County 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 2016, the center offered 458 classes and events with 7,640 participants. In addition to classes and educational programs for the general public, the CFGH also works with many area businesses to provide Worksite Wellness programs directly to employees.Funding Access to Health Care Services for Our Community:The Fund Development office at Holland Hospital 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 2016, the Fund Development office raised $436,590.74 to support these efforts.Uncompensated Medical Costs:Our commitment to caring for members of our community who are uninsured or under-insured continues to be one of the biggest financial challenges for the Holland Hospital. 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 expansion of Michigan's Medicaid program in 2014 has helped relieve some of the hospital's burden of caring for patients who have little or no means to pay. According to a recent study by professors at the University of Michigan, the proportion of those patients who lacked insurance dropped by nearly 4 percentage points, and the proportion covered by Medicaid rose more than 6 points just within three months of the program's expansion. The plan has since enrolled hundreds of thousands of low-income Michiganders between the ages of 18 and 64 in Medicaid coverage.Despite having more covered lives, the most recent Ottawa County Community Needs Assessment (2015) shows:-1 in 10 adults does not have health care insurance-6 in 10 adults are overweight (35.3%) or obese (23.9%)-11.4% of the general population does not have a primary care physician (33% among under-served populations)These persistent issues set the stage for a patient population with significant, untreated chronic illnesses which will require significant medical attention and cost to treat in the future.2016 Community Benefit Summary - $47.5 Million Total Community BenefitUnpaid Cost of Medicaid $13,100,000Unpaid Cost of Medicare $19,900,000Charity Care $743,000 Bad Debt $9,300,000Other Community Benefits $4,500,000Finance Comment: Charity is now being reported at cost, in the past it had been reported at what gross charges would have been. Note A - Other Community Benefits include:-Community Education & Outreach Programs-Cash, In-kind Donations & Contributions-Holland Community Health Center-Student Nursing Program-Health Professional Education & Research	Desc
Total Program Service Expenses	$176,984,925	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	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	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	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	124	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2216	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	11	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
PHIL KONING
TREASURER	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
JANE CLARK
SECRETARY	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
JAMES STROOP
CHAIR	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
DALE M SOWDERS
PRESIDENT & CEO	40.00	1.30	Yes (X)	Yes (X)	$644,631	$0	$73,009
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	5.00	41.00	Yes (X)		$53,173	$180,282	$19,931
MABEL CASEY
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
TONY YASICK MD
TRUSTEE, MEDICAL DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
DOUG HOEY MD
TRUSTEE, CHIEF OF STAFF	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
TERRY L STEELE
VP, FINANCE & CFO	40.00	1.30		Yes (X)	$319,298	$0	$41,008
PATTI VANDORT
SVP, CNO, REHAB SERV, MARKETING & HOPS	40.00	0.00		Yes (X)	$302,455	$0	$51,234
MICHAEL W MATTHEWS
VP, MEDICAL GROUPS & HR	40.00	0.30		Yes (X)	$244,780	$0	$51,152
MARK L PAWLAK
SVP, QUALITY, IS & HOSP OPS	40.00	0.00		Yes (X)	$313,326	$0	$46,690
WILLIAM VANDERLIET
VP, MEDICAL AFFAIRS	24.00	0.00		Yes (X)	$212,814	$0	$22,883
JOSEPH K POSTMA
PHYSICIAN	40.00	0.00			$672,001	$0	$24,302	Yes (X)
MICHAEL TRAVER
PHYSICIAN	40.00	0.00			$428,531	$0	$24,290	Yes (X)
DERICK M JOHNSON DO
PHYSICIAN	40.00	0.00			$630,069	$0	$21,791	Yes (X)
STEPHEN MAUGER DO
PHYSICIAN	40.00	0.00			$709,623	$0	$22,042	Yes (X)
AARON D TOLAN
PHYSICIAN	40.00	0.00			$442,216	$0	$25,040	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,972,917	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$180,282	TotReportableCompRltdOrgAmt
Total Other Compensation	$423,372	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	69	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	$5,513,835
LAKEWOOD ELZINGA A JOINT VENTURE
86 E 6TH ST	HOLLAND	MI	49423	CONSTRUCTION	$3,038,420
CERNER
PO BOX 412702	KANSAS CITY	MO	64141	SOFTWARE - PURCHASED MAINTENANCE	$2,548,603
TRANE WEST MICHIGAN
5005 CORPORATE EXCHANGE BOULEVARD	SE GRAND RAPIDS	MI	49512	OUTSIDE SERVICES	$1,039,910
SENTRY DATA SYSTEMS INC
800 FAIRWAY DRIVE SUITE 400	DEERFIELD BEACH	FL	33441	OUTSIDE SERVICES	$784,261

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	55	CntrctRcvdGreaterThan100KCnt
Fundraising	$127,237	FundraisingAmt
Related Organizations	$98,140	RelatedOrganizationsAmt
All Other Contributions	$392,489	AllOtherContributionsAmt
Total Contributions	$617,866	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	622110	$212,458,674	$212,458,674
PHARMACY SALES UNDER SEC. 340B	446110	$9,229,822	$9,229,822
OTHER RELATED REVENUE	900099	$2,403,369	$2,403,369
EHR MEANINGFUL USE REVENUE	622110	$1,578,106	$1,578,106
LAB ACTIVITY	621500	$1,194,170		$1,194,170

Field	Value	IRS element (for citing)
Total Program Service Revenue	$226,864,141	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$412,742	TotalRevenueColumnAmt
Exclusion	$412,742	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$354,953	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$227,527	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$127,426	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$127,426	TotalRevenueColumnAmt
Related Or Exempt Func Income	$127,426	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$24,571,123	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$19,603,236	SecuritiesAmt
Other	$120,020	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,967,887	SecuritiesAmt
Other	-$120,020	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,847,867	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,847,867	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$9,519	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$127,237	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$9,519	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	$22,650	GamingGrossIncomeAmt
Gaming Direct Expenses	$26,483	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,833	TotalRevenueColumnAmt
Exclusion	-$3,833	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA AND HOME MEALS	Desc
Business	722210	BusinessCd
Total Revenue Column	$957,291	TotalRevenueColumnAmt
Exclusion	$957,291	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$957,291	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$233,823,500	TotalRevenueColumnAmt
Related Or Exempt Func Income	$230,645,264	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,194,170	UnrelatedBusinessRevenueAmt
Exclusion	$1,366,200	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$666,778	TotalAmt
Program Services	$666,778	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,996,220	TotalAmt
Management And General	$1,996,220	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$91,558,698	TotalAmt
Program Services	$74,692,014	ProgramServicesAmt
Management And General	$16,259,125	ManagementAndGeneralAmt
Fundraising	$607,559	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,812,171	TotalAmt
Program Services	$1,458,892	ProgramServicesAmt
Management And General	$353,279	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,318,957	TotalAmt
Program Services	$12,585,409	ProgramServicesAmt
Management And General	$2,557,356	ManagementAndGeneralAmt
Fundraising	$176,192	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,304,358	TotalAmt
Program Services	$5,101,045	ProgramServicesAmt
Management And General	$1,203,313	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$305,247	TotalAmt
Management And General	$305,247	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$114,470	TotalAmt
Program Services	$19,020	ProgramServicesAmt
Management And General	$95,450	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$14,837,091	TotalAmt
Program Services	$9,973,507	ProgramServicesAmt
Management And General	$4,859,825	ManagementAndGeneralAmt
Fundraising	$3,759	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$976,218	TotalAmt
Program Services	$51,621	ProgramServicesAmt
Management And General	$924,597	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$935,702	TotalAmt
Program Services	$117,351	ProgramServicesAmt
Management And General	$818,351	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,215,631	TotalAmt
Program Services	$1,667	ProgramServicesAmt
Management And General	$5,213,964	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,595,889	TotalAmt
Program Services	$4,591,992	ProgramServicesAmt
Fundraising	$3,897	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$304,072	TotalAmt
Program Services	$279,087	ProgramServicesAmt
Management And General	$19,619	ManagementAndGeneralAmt
Fundraising	$5,366	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$265,281	TotalAmt
Program Services	$191,255	ProgramServicesAmt
Management And General	$71,689	ManagementAndGeneralAmt
Fundraising	$2,337	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,281,517	TotalAmt
Program Services	$2,281,517	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,498,424	TotalAmt
Program Services	$12,459,201	ProgramServicesAmt
Management And General	$4,038,772	ManagementAndGeneralAmt
Fundraising	$451	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$694,235	TotalAmt
Program Services	$88,093	ProgramServicesAmt
Management And General	$606,142	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUG	$40,503,662	$40,054,496	$449,166
PROVISION FOR BAD DEBTS	$9,494,121	$9,494,121
FOOD	$1,362,164	$1,226,408	$135,756
DUES, LICENSE & SUBS	$694,381	$386,019	$308,362

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,178,044	TotalAmt
Program Services	$1,265,432	ProgramServicesAmt
Management And General	$1,898,148	ManagementAndGeneralAmt
Fundraising	$14,464	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$219,913,331	TotalAmt
Program Services	$176,984,925	ProgramServicesAmt
Management And General	$42,114,381	ManagementAndGeneralAmt
Fundraising	$814,025	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$24,609,432	BOYAmt
EOY	$49,882,219	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$555,849	BOYAmt
EOY	$783,538	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$44,684,414	BOYAmt
EOY	$26,174,266	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,307,890	BOYAmt
EOY	$6,023,862	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,106,580	BOYAmt
EOY	$4,140,333	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$264,959,093	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$117,082,652	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$151,811,428	BOYAmt
EOY	$147,876,441	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$188,048,409	BOYAmt
EOY	$172,017,267	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$19,914,997	BOYAmt
EOY	$21,488,948	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,545,094	BOYAmt
EOY	$3,118,149	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$443,584,093	BOYAmt
EOY	$431,505,023	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$14,041,681	BOYAmt
EOY	$20,556,666	EOYAmt

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$80,218,738	BOYAmt
EOY	$77,710,042	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,123,090	BOYAmt
EOY	$5,953,835	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$113,604,399	BOYAmt
EOY	$104,441,433	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$329,053,775	BOYAmt
EOY	$326,039,249	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$340,919	BOYAmt
EOY	$439,341	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	$329,979,694	BOYAmt
EOY	$327,063,590	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$443,584,093	BOYAmt
EOY	$431,505,023	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$13,910,169	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$14,969,156	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,857,117	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	$23,471	OtherActivitiesAmt
Total Lobbying Expenditures	$23,471	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 THE AMERICAN HOSPITAL 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	$737,968	BeginningYearBalanceAmt
Contributions	$298,475	ContributionsAmt
Grants Or Scholarships	$242,374	GrantsOrScholarshipsAmt
End Year Balance	$794,069	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$585,000	BeginningYearBalanceAmt
Contributions	$309,986	ContributionsAmt
Grants Or Scholarships	$157,018	GrantsOrScholarshipsAmt
End Year Balance	$737,968	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$695,991	BeginningYearBalanceAmt
Contributions	$438,922	ContributionsAmt
Grants Or Scholarships	$442,281	GrantsOrScholarshipsAmt
End Year Balance	$692,632	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	$8,167,047	OtherCostOrOtherBasisAmt
Book Value	$8,167,047	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$126,389,665	OtherCostOrOtherBasisAmt
Depreciation	$43,285,017	DepreciationAmt
Book Value	$83,104,648	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,725,622	OtherCostOrOtherBasisAmt
Depreciation	$1,495,423	DepreciationAmt
Book Value	$2,230,199	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$121,194,874	OtherCostOrOtherBasisAmt
Depreciation	$72,302,212	DepreciationAmt
Book Value	$48,892,662	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,481,885	OtherCostOrOtherBasisAmt
Book Value	$5,481,885	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$147,876,441	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
PROFESSIONAL LIABILITY INSURANCE	$1,784,249
OTHER LONG-TERM LIABILITIES	$568,419
INTEREST PAYABLE	$527,036
COST REPORT SETTLEMENT PAYABLE	$3,074,131

Field	Value	IRS element (for citing)
Total Liability	$5,953,835	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 4:

EARNINGS FROM THE PERMANENT ENDOWMENTS ARE INTENDED FOR GENERAL PURPOSES OF THE HOSPITAL.

Part X, Line 2:

THE INTERNAL REVENUE SERVICE HAS RULED THAT THE HOSPITAL, LHPFML, AND LHP ARE TAX-EXEMPT ORGANIZATIONS AS DEFINED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN MADE IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE HOSPITAL, LHPFML, OR LHP. ORT AND BATES ARE SINGLE-MEMBER LIMITED LIABILITY COPRORATIONS, IN WHICH THE ACTIVITY FLOWS THROUGH TO THE HOSPITAL FOR FEDERAL INCOME TAX PURPOSES. THE HOSPITAL'S TAX RETURNS ARE NOT SUBJECT TO EXAMINATION BY TAXING AUTHORITIES FOR YEARS BEGINNING PRIOR TO MARCH 31, 2013.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	CULINARY CABARET	Event1Nm
Gross Receipts Event1	$136,756	GrossReceiptsEvent1Amt
Charitable Contri Event1	$127,237	CharitableContriEvent1Amt
Gross Revenue Event1	$9,519	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$9,519	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$136,756	GrossReceiptsTotalAmt
Charitable Contributions Tot	$127,237	CharitableContributionsTotAmt
Gross Revenue Total Events	$9,519	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$9,519	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$9,519	DirectExpenseSummaryEventsAmt
Net Income Summary	$0	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$22,650	GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming	$19,733	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	$22,650	GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming	$19,733	NonCashPrizesTotalGamingAmt
Rent Fclty Costs Total Gaming	$6,750	RentFcltyCostsTotalGamingAmt
Direct Expense Summary Gaming	$26,483	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	-$3,833	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	$57	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	$740,961	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$740,961	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,039,483	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,090,679	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,948,804	NetCommunityBenefitExpnsAmt
Total Expense	0.06190	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,780,444	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,090,679	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,689,765	NetCommunityBenefitExpnsAmt
Total Expense	0.06540	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,653,418	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$521,411	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,132,007	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$483,138	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$483,138	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$684,898	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$684,898	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,821,454	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$521,411	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,300,043	NetCommunityBenefitExpnsAmt
Total Expense	0.01100	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,601,898	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,612,090	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,989,808	NetCommunityBenefitExpnsAmt
Total Expense	0.07640	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$8,321	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,321	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$5,263	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,263	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$309,222	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$309,222	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$322,806	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$322,806	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$9,479,971	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,295,493	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$33,296,043	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$38,814,310	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,518,267	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
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	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	FULL WEBSITE LISTED IN PART V SECTION C	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
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	http://www.hollandhospital.org/patients-visitors/financial-assistance.aspx	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	http://www.hollandhospital.org/patients-visitors/financial-assistance.aspx	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	http://www.hollandhospital.org/patients-visitors/financial-assistance.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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 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: EXISTING DATA WAS REVIEWED, INCLUDING THE NUMBER OF VISITS TO HEALTH CARE PROGRAMS AND FACILITIES, THE TYPES OF VISITS, POTENTIAL CAUSES, AND OTHER RELATED INFORMATION. IN ADDITION, MORE THAN 1,200 COMMUNITY MEMBERS WERE SURVEYED TO GATHER INFORMATION ABOUT THEIR PERSONAL HEALTH AND WELL-BEING, HEALTH-RELATED BEHAVIORS AND RISKS FOR DISEASES. COMMUNITY FOCUS GROUPS WERE ALSO HELD TO DISCUSS THE PERCEPTION OF NEEDS. THEY ALSO INTERVIEWED AND/OR SURVEYED 45 HEALTH CARE PROVIDERS OR KEY INFORMANTS TO PROVIDE INPUT IN REGARDS TO COMMUNITY HEALTH NEEDS.
HOLLAND COMMUNITY 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/2015_2016_OCCHNA_2.pdfhttp://www.miottawa.org/Health/OCHD/pdf/2015_2016_OCCHNA.pdfhttp://www.noch.org/uploadedFiles/2015_2016_CHNA%20Summary_05212016.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 16i: 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.
HOLLAND COMMUNITY HOSPITAL	Part V, Section B, Line 22d: Holland hospital limits the amount owed by individuals eligible under the Financial Assistance Policy with the exception of cosmetic and elective procedures to an Amount Generally Billed (AGB) to patients covered by Medicare and Private Insurers. We limit the eligible patient's financial responsibility to less than total charges. The AGB is based on all services proved to Medicare and Private Insured patients fully adjudicated as of the end of a recent 12 month look back period ending no more than 120 days prior to the effective date of the policy. The calculation of the current AGB is as follows: Total Medicare and Private Insured Allowed Reimbursement/ Total Medicare and Private Insured Gross Charges = AGB Percentage

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 - HH SERVICES - ORT LLC
602 MICHIGAN AVE	HOLLAND	MI	49423	PHYSICIAN OFFICE
4 - LAKESHORE HEALTH PARTNERS FM 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 $ 9,479,971.
Part II, Community Building Activities:	HOLLAND HOSPITAL SERVES COMMUNITIES THAT ARE DIVERSE IN SIZE, DEMOGRAPHIC MAKEUP AND SOCIO-ECONOMIC LEVELS. FOR AT-RISK INDIVIDUALS AND FAMILIES, THE HOSPITAL OFFERS PRIMARY HEALTH CARE SERVICES THROUGH THE HOLLAND COMMUNITY HEALTH CENTER, HOLLAND RESCUE MISSION AND WITHIN FIVE AREA SCHOOL DISTRICTS WITH LARGE STUDENT POPULATIONS WHO QUALIFY FOR FREE OR REDUCED LUNCHES. MONTHLY EDUCATIONAL PROGRAMS PROVIDE HEALTH INFORMATION AND ADVICE TO TARGETED AUDIENCES INCLUDING WOMEN AND SENIORS. THROUGH ITS WEBSITE AND SOCIAL MEDIA TOOLS, THE HOSPITAL COMMUNICATES KEY HEALTH INFORMATION THROUGHOUT ITS ENTIRE SERVICE AREA AND BEYOND. ONGOING COMMUNITY WELLNESS CLASSES AND FREE SCREENINGS PROVIDE EASY ACCESS TO HEALTHY LIFESTYLE ADVICE AND SUPPORT. THE HOSPITAL'S PARTNERSHIPS WITH OTHER SERVICES PROVIDERS, LOCAL BUSINESSES, MUNICIPALITIES, CHURCHES AND SOCIAL AGENCIES BUILDS UPON THE HOSPITAL'S DAY-TO-DAY EFFORTS TO IMPROVE THE HEALTH THE COMMUNITIES IT SERVES.
Part III, Line 2:	THIS IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX.
Part III, Line 3:	THE HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. THERE IS A POTENTIAL THAT SOME ACCOUNTS WRITTEN OFF AS BAD DEBTS COULD HAVE BEEN ELIGIBLE UNDER THE 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 $2,295,493. 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 FOR A MINIMUM OF 90 DAYS. THE ACCOUNT WILL BE HELD ON HOLLAND HOSPITAL'S "BOOKS" UNTIL IT HAS AGED TO A MINIMUM OF 180 DAYS FROM DISCHARGE. AT THIS TIME THE ACCOUNT IS ELIGIBLE AND WILL BE REVIEWED TO BE SENT TO A COLLECTION AGENCY.
SCHEDULE H, PART III, LINES 5 AND 6:	AS PER THE INSTRUCTIONS, SCHEDULE H, PART III, LINES 5 AND 6 ARE DERIVED DIRECTLY FROM THE MEDICARE COST REPORT. THOSE MEDICARE COSTS NOT INCLUDED IN THE MEDICARE COST REPORT (MEDICARE ADVANTAGE AND FEE FOR SERVICE PHYSICIANS) ARE SUMMARIZED AS FOLLOWS:TOTAL COST: $1,964,618TOTAL REIMBURSEMENT: $1,289,577COST IN EXCESS OF REIMBURSEMENT: $ 675,041
Part VI, Line 2:	THE 2015 CHNA WAS CONDUCTED IN COLLABORATION WITH GREATER OTTAWA COUNTY UNITED WAY, HOLLAND HOSPITAL, NORTH OTTAWA COMMUNITY HEALTH SYSTEM, OTTAWA COUNTY DEPARTMENT OF PUBLIC HEALTH, OTTAWA COUNTY COMMUNITY MENTAL HEALTH AND SPECTRUM HEALTH ZEELAND COMMUNITY HOSPITAL. THE METHODOLOGY USED FOR DATA COLLECTION INCLUDED: KEY STAKEHOLDER INTERVIEWS, KEY INFORMANT SURVEY, UNDERSERVED COMMUNITY RESIDENT PAPER SURVEY AND A COMMUNITY RESIDENT TELEPHONIC SURVEY. THE RESULTS OF THE CHNA ARE ON THE HOSPITAL'S WEBSITE, IN PRINT AND PRESENTED VIA A COMMUNITY FORUM.
Part VI, Line 3:	OUR FINANCIAL ASSISTANCE POLICY IS LOCATED ON OUR WEBSITE. AT THE POINT OF REGISTRATION, A PATIENT IS OFFERED A BUSINESS CARD WITH INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM. ALSO, OUR COLLECTORS, CUSTOMER SERVICE EMPLOYEES, OR ANY OTHER HOLLAND HOSPITAL EMPLOYEE WITH WHOM THE PATIENT MIGHT HAVE CONTACT, OUR MEDICAID ELIGIBILITY VENDOR, AND THE EARLY OUT AGENCIES INFORM PATIENTS OF THE FINANCIAL ASSISTANCE POLICY. ALL OF THE ABOVE MENTIONED SOURCES MAIL FINANCIAL ASSISTANCE APPLICATIONS TO THE PATIENTS FOR CONVENIENCE UPON REQUEST. INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED IN THE FACILITY'S WAITING ROOMS.
Part VI, Line 4:	HOLLAND HOSPITAL'S PRIMARY SERVICE AREA (PSA) CONSISTS OF EIGHT ZIP CODES THAT FALL WITHIN ALLEGAN AND OTTAWA COUNTIES OF WEST MICHIGAN (POPULATION: 150,675). OUR EXTENDED SERVICE AREA (ESA) OR SECONDARY SERVICE AREA CONSISTS OF FOUR MORE ZIPS TO THE NORTH, EAST, AND SOUTH OF THE HOSPITAL (POPULATION: 94,449). IN OTTAWA COUNTY, THE RACIAL DEMOGRAPHIC BREAK DOWN IS 85.2% (WHITE), 9.0% (HISPANIC), 2.8% (ASIAN), 1.7% (AFRICAN AMERICAN), 0.6% (NATIVE AMERICAN), AND <0.1% (PACIFIC ISLANDER). IN THE CITY OF HOLLAND WHERE HOLLAND HOSPITAL IS LOCATED, THERE IS A SIGNIFICANTLY HIGHER PERCENTAGE OF HISPANIC INDIVIDUALS WITH THE RACIAL DEMOGRAPHIC BREAK DOWN OF 68.9% (WHITE), 22.7% (HISPANIC), 3.0% (ASIAN), 3.6% (AFRICAN AMERICAN), 0.6% (NATIVE AMERICAN), AND <0.1% (PACIFIC ISLANDER). ACCORDING TO 2010 CENSUS DATA, THE POPULATION OF OTTAWA COUNTY WAS SPREAD OUT WITH 28.70% UNDER THE AGE OF 18, 11.90% FROM 18 TO 24, 29.30% FROM 25 TO 44, 20.00% FROM 45 TO 64, AND 10.10% WHO WERE 65 YEARS OF AGE OR OLDER. THE MEDIAN AGE WAS 32 YEARS. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS $52,347, AND THE MEDIAN INCOME FOR A FAMILY WAS $59,896. MALES HAD A MEDIAN INCOME OF $42,180 VERSUS $27,706 FOR FEMALES. THE PER CAPITA INCOME FOR THE COUNTY WAS $21,676. ABOUT 3.10% OF FAMILIES AND 5.50% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 4.70% OF THOSE UNDER THE AGE 18 AND 4.90% OF THOSE AT AGE 65 OR OVER.
Part VI, Line 5:	HOLLAND HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF REPRESENTATIVES FROM DIFFERENT GEOGRAPHIC SECTORS OF THE HOSPITAL'S PRIMARY SERVICE AREA (PSA), AS WELL AS REPRESENTATIVES FROM BUSINESS AND INDUSTRY, MEDICAL STAFF, AND AT-LARGE MEMBERS. THE HOSPITAL BOARD AND MEDICAL STAFF LEADERSHIP, USING AN ONBOARDING PROCESS, CONSIDERS ALL REQUESTS FROM NEW AND ACTIVE PHYSICIANS SEEKING PRIVILEGES TO PRACTICE AT HOLLAND HOSPITAL. THE HOSPITAL'S INVESTMENT TO IMPROVE PATIENT CARE TAKES SEVERAL FORMS. IN 2014, HOLLAND HOSPITAL INVESTED MILLIONS OF DOLLARS IN UPGRADES TO ITS ELECTRONIC HEALTH RECORDS SYSTEM TO IMPROVE PATIENT SAFETY AND ENHANCE THE EFFICIENCY OF RECORDING/ACCESSING OF PATIENT MEDICAL INFORMATION. ADDITIONAL, THE HOSPITAL CONSTRUCTED A MEDICAL OFFICE BUILDING TO HELP ASSURE THE ACCESSIBILITY TO CARDIOLOGISTS AND CARDIOVASCULAR CARE FOR RESIDENTS IN THE GREATER HOLLAND AREA. THE HOSPITAL CONTINUES TO CONTRIBUTE IN EXCESS OF $1 MILLION PER YEAR IN COMMUNITY OUTREACH INITIATIVES THAT BRING PRIMARY CARE SERVICES TO THE MOST AT-RISK POPULATIONS. FREE COMMUNITY EDUCATIONAL OPPORTUNITIES ARE PROVIDED ON A CONTINUAL BASIS THROUGH PHYSICIAN PRESENTATIONS, RADIO/TELEVISION/PRINT/WEB APPEARANCES, AND IN PARTNERSHIP WITH OTHER HEALTH CARE PROVIDERS.
Part VI, Line 6:	NOT AFFILIATED.
Part VI, Line 7, Reports Filed With 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	$666,778	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)
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	0	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	$520,126	$0	$83,458	$0	$41,047	$0	$57,133	$0	$15,876	$0	$717,640	$0	$0	$0
MARK STID MD
TRUSTEE, PHYSICIAN	$53,173	$140,005	$0	$33,818	$0	$6,459	$975	$3,198	$0	$15,758	$54,148	$199,238	$0	$0
TERRY L STEELE
VP, FINANCE & CFO	$266,218	$0	$31,642	$0	$21,438	$0	$28,177	$0	$12,831	$0	$360,306	$0	$0	$0
PATTI VANDORT
SVP, CNO, REHAB SERV, MARKETING & HO	$235,382	$0	$26,575	$0	$40,498	$0	$38,982	$0	$12,252	$0	$353,689	$0	$0	$0
MICHAEL W MATTHEWS
VP, MEDICAL GROUPS & HR	$206,778	$0	$22,202	$0	$15,800	$0	$36,286	$0	$14,866	$0	$295,932	$0	$0	$0
MARK L PAWLAK
SVP, QUALITY, IS & HOSP OPS	$232,606	$0	$25,709	$0	$55,011	$0	$39,483	$0	$7,207	$0	$360,016	$0	$0	$0
WILLIAM VANDERLIET
VP, MEDICAL AFFAIRS	$167,543	$0	$0	$0	$45,271	$0	$22,779	$0	$104	$0	$235,697	$0	$0	$0
JOSEPH K POSTMA
PHYSICIAN	$255,689	$0	$384,622	$0	$31,690	$0	$6,445	$0	$17,857	$0	$696,303	$0	$0	$0
MICHAEL TRAVER
PHYSICIAN	$353,586	$0	$64,937	$0	$10,008	$0	$6,543	$0	$17,747	$0	$452,821	$0	$0	$0
DERICK M JOHNSON DO
PHYSICIAN	$620,011	$0	$0	$0	$10,058	$0	$3,923	$0	$17,868	$0	$651,860	$0	$0	$0
STEPHEN MAUGER DO
PHYSICIAN	$297,153	$0	$402,325	$0	$10,145	$0	$4,003	$0	$18,039	$0	$731,665	$0	$0	$0
AARON D TOLAN
PHYSICIAN	$241,586	$0	$168,954	$0	$31,676	$0	$7,604	$0	$17,436	$0	$467,256	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 4b	FormAndLineReferenceDesc
Explanation	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). PAYMENTS OF $100,289 WERE MADE TO DALE SOWDERS IN 2015.	ExplanationTxt

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	59465E7A5	2004-08-01	$22,000,000	CONSTRUCTION OF NEW BUILDING	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	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt
A	$22,000,000	$225,000	$22,000,000	2008	0	0	Yes (1)	Yes (1)
B	$23,500,000		$9,376,581	2011	Yes (1)	0	Yes (1)	Yes (1)	$14,123,419
C	$39,641,117	$512,903	$20,471,662	2015	0	Yes (1)	Yes (1)	Yes (1)	$18,656,552

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	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
A	Yes (1)	Yes (1)	Yes (1)
B	0	0	Yes (1)	0	Yes (1)	0
C	0	0	Yes (1)	Yes (1)	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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section B, line 11	HOLLAND COMMUNITY HOSPITAL'S CEO AND CFO REVIEW THE FORM 990 PRIOR TO FILING. THE CEO THEN SIGNS AND FILES THE FORM 990.
Form 990, Part VI, Section B, line 12c	THE BOARD OF DIRECTORS, ADMINISTRATION, DIRECTORS AND MANAGERS FILL OUT A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY. THESE FORMS ARE COLLECTED BY THE COMPLIANCE OFFICE, INVESTIGATED AND THEN MAINTAINED BY HUMAN RESOURCES. THE BYLAWS SPECIFICALLY STATE THAT A BOARD MEMBER WHO HAS A CONFLICT OF INTEREST AS TO A MATTER BEFORE THE BOARD SHOULD NOT VOTE OR USE PERSONAL INFLUENCE WITH OTHER BOARD MEMBERS. THE MINUTES OF THE BOARD MEETING SHALL DISCLOSE THE MEMBER'S ABSTINENCE FROM VOTING ON THE MATTER.
Form 990, Part VI, Section B, line 15	THE ORGANIZATION USES CONSULTANTS TO REVIEW THE EXECUTIVE COMPENSATION PROGRAM ANNUALLY AND RECOMMEND UPDATES/INCREASES AS DICTATED BY THE MARKET. COMPENSATION IS SET FOR THE PRESIDENT AND CEO, AND EACH VICE PRESIDENT POSITION WITH ESTABLISHED TARGETS USING NATIONAL AND REGIONAL DATA FOR SIMILAR HOSPITALS. THIS POLICY IS BOARD APPROVED AND HAS AN ONGOING REVIEW PROCESS WHICH IS COMPARATIVE AND DATA-DRIVEN. THE MOST RECENT YEAR THIS PROCESS HAS BEEN UNDERTAKEN IS AUGUST 2015.
Form 990, Part VI, Section C, line 19	DOCUMENTS ARE AVAILABLE UPON REQUEST.
Form 990, Part XI, line 9:	Unrealized Loss in affiliates 238,618. EQUITY TRANSFER FROM AFFILIATE UPON DISSOLUTION -2,095,735.
FORM 990, PART XII, LINE 2C:	THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
HH SERVICES ORT LLC
602 MICHIGAN AVENUE	HOLLAND	MI	49423	264606759	ORTHOPEDIC PHYSICIAN OFFICE	MI	-$1,030,051	$109,970	HOLLAND COMMUNITY HOSPITAL
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
HH SERVICES - BATES ET AL LLC
602 MICHIGAN AVENUE	HOLLAND	MI	49423	260396104	UROLOGY PHYSICIAN OFFICE	MI	-$1,069,081	$1,781,437	HOLLAND COMMUNITY HOSPITAL
LAKESHORE HEALTH PARTNERS - FM LLC
602 MICHIGAN AVENUE	HOLLAND	MI	49423	272647439	FAMILY MEDICINE PHYSICIAN OFFICE	MI	-$585,265	$108,661	HOLLAND COMMUNITY HOSPITAL

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 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 11a, I	HOLLAND COMMUNITY HOSPITAL	Yes (1)
HOLLAND COMMUNITY HOSPITAL AUXILIARY
602 MICHIGAN AVENUE	HOLLAND	MI	49423	382139025	SUPPORTING ORGANIZATION	MI	501(C)(3)	Line 11c, III-FI		0	N/A
LAKESHORE HEALTH PARTNERS
602 MICHIGAN AVENUE	HOLLAND	MI	49423	263518481	ENDOSCOPY SERVICES	MI	501(C)(3)	Line 11a, I	HOLLAND COMMUNITY HOSPITAL	Yes (1)
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	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	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	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	LAKESHORE HEALTH PARTNERS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	M	TransactionTypeTxt
Involved	$953,698	InvolvedAmt
Method Of Amount Determination	CONTRACTS AND TIME TRACKING	MethodOfAmountDeterminationTxt