2017-02-15T10:26:00-06:00 2016-03-31 381357951 PLANTE & MORAN PLLC 600 E Front St Ste 300 Traverse City MI 49686 990 2015-04-01 382800065 HOLLAND COMMUNITY HOSPITAL HOLL 6163925141 602 MICHIGAN AVENUE HOLLAND MI 49423 DALE SOWDERS PRESIDENT & CEO 6163925141 2017-02-13 1 OLIVER JURKOVIC P00433694 2319477800 2017-02-13 2015 2021-01-29 14:40:06Z Holland Hospital DALE SOWDERS 602 MICHIGAN AVENUE HOLLAND MI 49423 253810285 0 X WWW.HOLLANDHOSPITAL.ORG X 1985 MI TO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, RESPECT, COMPASSION AND DIGNITY. 13 11 2216 393 1194170 31432 914695 617866 216763943 226864141 11020629 5260609 1525485 1080884 230224752 233823500 668160 666778 0 0 113004807 116990404 0 0 814025 99369823 102256149 213042790 219913331 17181962 13910169 443584093 431505023 113604399 104441433 329979694 327063590 X TO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, RESPECT, COMPASSION AND DIGNITY. 0 0 176984925 666778 230645264 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 176984925 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 1 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 124 0 1 2216 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 X 13 11 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 1 1 X TERRY STEELE 6163925141 602 MICHIGAN AVE HOLLAND MI 49423 PHIL KONING TREASURER 1.00 1.00 X X 0 0 0 JANE CLARK SECRETARY 1.00 1.00 X X 0 0 0 JAMES STROOP CHAIR 1.00 1.00 X X 0 0 0 DALE M SOWDERS PRESIDENT & CEO 40.00 1.30 X X 644631 0 73009 KRIS DEPREE MD TRUSTEE 1.00 1.00 X 0 0 0 ROGER GAMACHE TRUSTEE 1.00 1.00 X 0 0 0 MARK STID MD TRUSTEE, PHYSICIAN 5.00 41.00 X 53173 180282 19931 MABEL CASEY TRUSTEE 1.00 1.00 X 0 0 0 TONY YASICK MD TRUSTEE, MEDICAL DIRECTOR 1.00 1.00 X 0 0 0 DOUG HOEY MD TRUSTEE, CHIEF OF STAFF 1.00 1.00 X 0 0 0 DAWN GARCIA WARD TRUSTEE 1.00 1.00 X 0 0 0 DAVE MASON TRUSTEE 1.00 1.00 X 0 0 0 JUANITA BOCANEGRA TRUSTEE 1.00 1.00 X 0 0 0 TERRY L STEELE VP, FINANCE & CFO 40.00 1.30 X 319298 0 41008 PATTI VANDORT SVP, CNO, REHAB SERV, MARKETING & HOPS 40.00 0.00 X 302455 0 51234 MICHAEL W MATTHEWS VP, MEDICAL GROUPS & HR 40.00 0.30 X 244780 0 51152 MARK L PAWLAK SVP, QUALITY, IS & HOSP OPS 40.00 0.00 X 313326 0 46690 WILLIAM VANDERLIET VP, MEDICAL AFFAIRS 24.00 0.00 X 212814 0 22883 JOSEPH K POSTMA PHYSICIAN 40.00 0.00 X 672001 0 24302 MICHAEL TRAVER PHYSICIAN 40.00 0.00 X 428531 0 24290 DERICK M JOHNSON DO PHYSICIAN 40.00 0.00 X 630069 0 21791 STEPHEN MAUGER DO PHYSICIAN 40.00 0.00 X 709623 0 22042 AARON D TOLAN PHYSICIAN 40.00 0.00 X 442216 0 25040 4972917 180282 423372 69 0 1 0 ARAMARK CORPORATION 12483 COLLECTIONS CENTER DR CHICAGO IL 60693 HOUSEKEEPING 5513835 LAKEWOOD ELZINGA A JOINT VENTURE 86 E 6TH ST HOLLAND MI 49423 CONSTRUCTION 3038420 CERNER PO BOX 412702 KANSAS CITY MO 64141 SOFTWARE - PURCHASED MAINTENANCE 2548603 TRANE WEST MICHIGAN 5005 CORPORATE EXCHANGE BOULEVARD SE GRAND RAPIDS MI 49512 OUTSIDE SERVICES 1039910 SENTRY DATA SYSTEMS INC 800 FAIRWAY DRIVE SUITE 400 DEERFIELD BEACH FL 33441 OUTSIDE SERVICES 784261 55 127237 98140 392489 617866 NET PATIENT SERVICE REVENUE 622110 212458674 212458674 PHARMACY SALES UNDER SEC. 340B 446110 9229822 9229822 OTHER RELATED REVENUE 900099 2403369 2403369 EHR MEANINGFUL USE REVENUE 622110 1578106 1578106 LAB ACTIVITY 621500 1194170 1194170 226864141 412742 412742 354953 227527 127426 127426 127426 24571123 19603236 120020 4967887 -120020 4847867 4847867 9519 127237 9519 0 22650 26483 -3833 -3833 CAFETERIA AND HOME MEALS 722210 957291 957291 957291 233823500 230645264 1194170 1366200 666778 666778 1996220 1996220 91558698 74692014 16259125 607559 1812171 1458892 353279 15318957 12585409 2557356 176192 6304358 5101045 1203313 305247 305247 114470 19020 95450 14837091 9973507 4859825 3759 976218 51621 924597 935702 117351 818351 5215631 1667 5213964 4595889 4591992 3897 304072 279087 19619 5366 265281 191255 71689 2337 2281517 2281517 16498424 12459201 4038772 451 694235 88093 606142 MEDICAL SUPPLIES & DRUG 40503662 40054496 449166 PROVISION FOR BAD DEBTS 9494121 9494121 FOOD 1362164 1226408 135756 DUES, LICENSE & SUBS 694381 386019 308362 3178044 1265432 1898148 14464 219913331 176984925 42114381 814025 24609432 49882219 555849 783538 44684414 26174266 4307890 6023862 4106580 4140333 264959093 117082652 151811428 147876441 188048409 172017267 19914997 21488948 5545094 3118149 443584093 431505023 14041681 20556666 220890 220890 80218738 77710042 19123090 5953835 113604399 104441433 X 329053775 326039249 340919 439341 585000 585000 329979694 327063590 443584093 431505023 X 13910169 -14969156 -1857117 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 23471 23471 0 Part II-B, Line 1: THE HOSPITAL PAYS DUES TO THE MICHIGAN HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION, A PORTION OF WHICH GOES TOWARDS LOBBYING ACTIVITIES. 737968 298475 242374 794069 585000 309986 157018 737968 742098 185000 342098 585000 692632 503956 454490 742098 695991 438922 442281 692632 0.00000 1.00000 0.00000 0 0 8167047 8167047 126389665 43285017 83104648 3725622 1495423 2230199 121194874 72302212 48892662 5481885 5481885 147876441 PROFESSIONAL LIABILITY INSURANCE 1784249 OTHER LONG-TERM LIABILITIES 568419 INTEREST PAYABLE 527036 COST REPORT SETTLEMENT PAYABLE 3074131 5953835 X 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. CULINARY CABARET 136756 127237 9519 9519 136756 127237 9519 9519 9519 0 22650 19733 6750 1 0.95000 22650 19733 6750 26483 -3833 MI 1 0 1 0 1.00000 COLLEEN PERDOK 602 MICHIGAN AVE HOLLAND MI 49423 0 COLLEEN PERDOK 57 FUND DEVELOPMENT COORDINATOR X 0 SCHEDULE G, PART III, LINE 16: INCLUDED IN COLLEEN PERDOK'S RESPONSIBILITIES IS THE ROLE OF GAMING MANAGER; HOWEVER, THE AMOUNT OF COMPENSATION ALLOCATED TO THIS ROLE IS MINIMAL. 1 1 X 1 X 1 X 1 1 0 1 1 740961 740961 0.00350 34039483 21090679 12948804 0.06190 34780444 21090679 13689765 0.06540 1653418 521411 1132007 0.00540 483138 483138 0.00230 684898 684898 0.00330 2821454 521411 2300043 0.01100 37601898 21612090 15989808 0.07640 3 8321 8321 0.00000 6 5263 5263 0.00000 1 309222 309222 0.00150 10 322806 322806 0.00150 0 9479971 2295493 33296043 38814310 -5518267 X 1 1 1 HOLLAND PHO COORD. RESOURCES FOR ITS MEMBERS FOR THE DELIVERY OF QUALITY HEALTH CARE. 0.50000 0.00000 0.50000 1 1 HOLLAND COMMUNITY HOSPITAL 602 MICHIGAN AVE HOLLAND MI 49423 WWW.HOLLANDHOSPITAL.ORG 1060000036 X X X HOLLAND COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X 15 1 1 1 1 X FULL WEBSITE LISTED IN PART V SECTION C X FULL WEBSITES LISTED IN PART V SECTION C X X 1 15 1 FULL WEBSITE LISTED IN PART V SECTION C 0 0 1 X 200.000000000000 300.000000000000 X X X X 1 1 X X X X 1 X http://www.hollandhospital.org/patients-visitors/financial-assistance.aspx X http://www.hollandhospital.org/patients-visitors/financial-assistance.aspx X http://www.hollandhospital.org/patients-visitors/financial-assistance.aspx X X X X X X 1 X 0 X X X X 1 X 0 0 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 4 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 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 1 COMMUNITY HEALTH CENTER 602 MICHIGAN AVENUE HOLLAND MI 49423 200602574 501(c)(3) 666778 N/A N/A OPERATIONAL CASH FLOW TO BREAK-EVEN 1 0 Part I, Line 2: 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 X X 0 1 0 0 0 0 0 0 0 DALE M SOWDERS PRESIDENT & CEO 520126 0 83458 0 41047 0 57133 0 15876 0 717640 0 0 0 MARK STID MD TRUSTEE, PHYSICIAN 53173 140005 0 33818 0 6459 975 3198 0 15758 54148 199238 0 0 TERRY L STEELE VP, FINANCE & CFO 266218 0 31642 0 21438 0 28177 0 12831 0 360306 0 0 0 PATTI VANDORT SVP, CNO, REHAB SERV, MARKETING & HO 235382 0 26575 0 40498 0 38982 0 12252 0 353689 0 0 0 MICHAEL W MATTHEWS VP, MEDICAL GROUPS & HR 206778 0 22202 0 15800 0 36286 0 14866 0 295932 0 0 0 MARK L PAWLAK SVP, QUALITY, IS & HOSP OPS 232606 0 25709 0 55011 0 39483 0 7207 0 360016 0 0 0 WILLIAM VANDERLIET VP, MEDICAL AFFAIRS 167543 0 0 0 45271 0 22779 0 104 0 235697 0 0 0 JOSEPH K POSTMA PHYSICIAN 255689 0 384622 0 31690 0 6445 0 17857 0 696303 0 0 0 MICHAEL TRAVER PHYSICIAN 353586 0 64937 0 10008 0 6543 0 17747 0 452821 0 0 0 DERICK M JOHNSON DO PHYSICIAN 620011 0 0 0 10058 0 3923 0 17868 0 651860 0 0 0 STEPHEN MAUGER DO PHYSICIAN 297153 0 402325 0 10145 0 4003 0 18039 0 731665 0 0 0 AARON D TOLAN PHYSICIAN 241586 0 168954 0 31676 0 7604 0 17436 0 467256 0 0 0 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). PAYMENTS OF $100,289 WERE MADE TO DALE SOWDERS IN 2015. A MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 800596186 59465E7A5 2004-08-01 22000000 CONSTRUCTION OF NEW BUILDING 0 0 0 B MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 800596186 NONEAVAIL 2010-08-11 23500000 CONSTRUCTION OF NEW BUILDING 0 0 0 C MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 800596186 59447PTK7 2013-02-20 39641117 CONSTRUCTION OF NEW BUILDING AND DEFEASANCE OF 2004A BONDS 0 0 0 A 22000000 225000 22000000 2008 0 0 1 1 B 23500000 9376581 14123419 2011 1 0 1 1 C 39641117 512903 20471662 18656552 2015 0 1 1 1 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 A 1 1 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 0 B 0 C 0 SCHEDULE K, PART I, ISSUER NAME: 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. 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. HH SERVICES ORT LLC 602 MICHIGAN AVENUE HOLLAND MI 49423 264606759 ORTHOPEDIC PHYSICIAN OFFICE MI -1030051 109970 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 -1069081 1781437 HOLLAND COMMUNITY HOSPITAL LAKESHORE HEALTH PARTNERS - FM LLC 602 MICHIGAN AVENUE HOLLAND MI 49423 272647439 FAMILY MEDICINE PHYSICIAN OFFICE MI -585265 108661 HOLLAND COMMUNITY HOSPITAL 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 1 HOLLAND COMMUNITY HOSPITAL AUXILIARY 602 MICHIGAN AVENUE HOLLAND MI 49423 382139025 SUPPORTING ORGANIZATION MI 501(C)(3) Line 11c, III-FI N/A 0 LAKESHORE HEALTH PARTNERS 602 MICHIGAN AVENUE HOLLAND MI 49423 263518481 ENDOSCOPY SERVICES MI 501(C)(3) Line 11a, I HOLLAND COMMUNITY HOSPITAL 1 HEALTH POINTE 602 MICHIGAN AVENUE HOLLAND MI 49423 474398187 HEALTH CARE MI 501(C)(3) Line 3 HOLLAND COMMUNITY HOSPITAL 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 LAKESHORE HEALTH PARTNERS M 953698 CONTRACTS AND TIME TRACKING