HOLLAND COMMUNITY HOSPITAL: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- HOLLAND COMMUNITY HOSPITAL (EIN 38-2800065)
- Tax period
- 2014-04-01 to 2015-03-31
- Filed
- 2016-02-04
- IRS object ID
- 201610359349301606
- Schema version
- 2014v6.0
- 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 | 2016-02-04T09:48:06-06:00 | ReturnTs |
| Tax Period End | 2015-03-31 | 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 SUITE 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 | 2014-04-01 | 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 | 2016-02-03 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | 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 | $334,166,862 | 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 | 10 | VotingMembersIndependentCnt |
| Total Employee | 2250 | TotalEmployeeCnt |
| Total Volunteers | 370 | TotalVolunteersCnt |
| Total Gross UBI | $1,143,408 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $43,668 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,264,629 | PYContributionsGrantsAmt |
| CY Contributions Grants | $914,695 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $213,061,896 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $216,763,943 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,848,427 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,020,629 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,056,378 | PYOtherRevenueAmt |
| CY Other Revenue | $1,525,485 | CYOtherRevenueAmt |
| PY Total Revenue | $220,231,330 | PYTotalRevenueAmt |
| CY Total Revenue | $230,224,752 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $668,510 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $668,160 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $113,415,052 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $113,004,807 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $851,597 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $93,229,693 | PYOtherExpensesAmt |
| CY Other Expenses | $99,369,823 | CYOtherExpensesAmt |
| PY Total Expenses | $207,313,255 | PYTotalExpensesAmt |
| CY Total Expenses | $213,042,790 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $12,918,075 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $17,181,962 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $435,874,826 | TotalAssetsBOYAmt |
| Total Assets EOY | $443,584,093 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $117,860,654 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $113,604,399 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $318,014,172 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $329,979,694 | 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 | $175,807,946 | ExpenseAmt |
| Grant | $668,160 | GrantAmt |
| Revenue | $224,960,156 | RevenueAmt |
| Desc | HOLLAND COMMUNITY HOSPITAL'S MISSION - TO CONTINUALLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY - IS PRACTICED EVERY DAY BY THE STAFF OF 2,000 HOSPITAL EMPLOYEES AND 300+ MEMBERS OF ITS MEDICAL STAFF. WE ARE COMMITTED TO BE THE PREEMINENT STAND-ALONE HOSPITAL IN WEST MICHIGAN AS MEASURED BY BENCHMARK CUSTOMER SERVICE, BUSINESS GROWTH, FINANCIAL PERFORMANCE AND CLINICAL EXCELLENCE. WE BASE OUR EFFORTS ON OUR CORE VALUES OF CUSTOMER SERVICE, COMMUNICATION, CREATIVITY, AND COMMITMENT.FIRST-RATE QUALITY:HOLLAND HOSPITAL IS ONE OF ONLY FIVE MICHIGAN HOSPITALS TO EARN HEALTHGRADE'S 50 BEST HOSPITALS DESIGNATION. HEALTHGRADES AMERICA'S 50 BEST HOSPITALS AWARD RECOGNIZES 50 HOSPITALS AS AMONG THE TOP 1% IN THE NATION FOR CONSISTENT CLINICAL EXCELLENCE BASED ON AN ANALYSIS OF RISK-ADJUSTED MORTALITY AND COMPLICATION RATES FOR COMMON PROCEDURES AND CONDITIONS. 'TOP 100 HOSPITALS' TEN YEARS AND COUNTING:FOR A TENTH CONSECUTIVE YEAR, HOLLAND HOSPITAL EARNED A SPOT IN TRUVEN HEALTH ANALYTICS' TOP 100 HOSPITAL NATIONAL RANKINGS. TRUVEN RECOGNIZES THE 100 HIGHEST-SCORING HOSPITALS FROM A TOTAL POOL OF 2,787, INCLUDING NOT-FOR-PROFIT, FOR-PROFIT AND GOVERNMENT INSTITUTIONS. SUPERIOR HEART CARE:FOR A SEVENTH CONSECUTIVE YEAR, HOLLAND HOSPITAL HAS BEEN RECOGNIZED WITH A GOLD PERFORMANCE ACHIEVEMENT AWARD PRESENTED BY THE AMERICAN COLLEGE OF CARDIOLOGY'S NCDR ACTION REGISTRY. HOLLAND HOSPITAL IS ONE OF ONLY 78 HOSPITALS NATIONWIDE TO RECEIVE THE HONOR IN 2015. THE ACTION REGISTRY-GWTG GOLD PERFORMANCE ACHIEVEMENT AWARD RECOGNIZES HOSPITALS THAT HAVE SUSTAINED HIGH PERFORMANCE LEVELS IN THE TREATMENT OF HEART ATTACK PATIENTS FOLLOWING GUIDELINES SET BY THE AMERICAN COLLEGE OF CARDIOLOGY/AMERICAN HEART ASSOCIATION. LEADERS IN TECHNOLOGY INFRASTRUCTURE:AFTER A YEAR OF PREPARATION, HOLLAND HOSPITAL IMPLEMENTED AN ORGANIZATION-WIDE ELECTRONIC MEDICAL RECORD (EMR) SYSTEM USING CERNER SOFTWARE. THIS TRANSITION PROVIDES PATIENTS AND PHYSICIANS WITH QUICK, SECURE ACCESS TO NEEDED HEALTH INFORMATION. SPECIFICALLY WITH THE NEW SYSTEM:- ALL HEALTH RECORDS ARE IN ONE PLACE, GIVING PROVIDERS ACCESS TO THE INFORMATION THEY NEED, WHEN THEY NEED IT.- PROVIDERS CAN VIEW TEST RESULTS AND DOCUMENT VISITS IN REAL-TIME WITHOUT LEAVING THE EXAM ROOM.- PATIENT RECORDS ARE ALWAYS UP-TO-DATE. THERE IS NO NEED TO FILL OUT FORMS AT EACH VISIT.PROVIDERS CAN VERIFY PATIENT ID, MEDICATIONS, AND OTHER VITAL INFORMATION BY SCANNING THE BAR CODE ON THE PATIENT'S WRIST BAND. HEALTH INFORMATION IS SECURE AND PASSWORD-PROTECTED. EMRS ELIMINATE ERRORS THAT CAN RESULT FROM ILLEGIBLE HANDWRITING OR TRANSFERRING PAPER COPIES. SUMMARY OF EFFORTS:DURING FISCAL YEAR 2015, HOLLAND HOSPITAL'S 330-MEMBER MEDICAL STAFF, 2,000 EMPLOYEES AND 370 VOLUNTEERS SERVED THE COMMUNITY BY PROVIDING:PATIENT DAYS 29,000DISCHARGES 8,100BIRTHS 1,800SURGERIES 15,800OUTPATIENT VISITS 421,500EMERGENCY ROOM VISITS 42,400URGENT CARE VISITS 36,400HOME HEALTH VISITS 41,400LAB TESTS 632,200RADIOLOGY PROCEDURES 102,200BEDS 189COMMUNITY OUTREACH PROGRAMS:IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE MEANS TAKING OUR SERVICES INTO THE COMMUNITY TO OFFER RESIDENTS CONVENIENT ACCESS TO HEALTH PROGRAMS AND EDUCATION. AT THE DIRECTION OF THE COMMUNITY OUTREACH COMMITTEE OF THE HOSPITAL BOARD OF DIRECTORS, WE FOCUS OUR OUTREACH EFFORTS ON TARGETED AT RISK POPULATIONS INCLUDING THE UNINSURED/UNDER INSURED, STUDENTS FROM LOW-INCOME FAMILIES, AND TEMPORARILY DISPLACED INDIVIDUALS AND FAMILIES.HOLLAND COMMUNITY HEALTH CENTER:THE HOLLAND COMMUNITY HEALTH CENTER (HCHC) PROVIDES PRIMARY HEALTH CARE SERVICES FOR PEOPLE WHO ARE UNDER INSURED AND UNINSURED. OVER 5,200 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. EACH YEAR THE HCHC ACQUIRES OVER $500,000 WORTH OF FREE MEDICATIONS FOR PATIENTS WHO CANNOT AFFORD THEM. THE SCHOOL NURSING PROGRAM:SCHOOL NURSES PROVIDE SERVICES TO HOLLAND PUBLIC, HOLLAND CHRISTIAN, WEST OTTAWA PUBLIC, FENNVILLE PUBLIC AND HAMILTON COMMUNITY SCHOOLS. IN SCHOOL YEAR 2014-15 OUR NURSES SERVICED MORE THAN 11,600 STUDENTS WITH 21,144 HEALTH ROOM VISITS, GAVE 21,261 MEDICATION ADMINISTRATIONS DURING THE SCHOOL YEAR AND REFERRED 245 STUDENTS FOR ADDITIONAL MEDICAL DENTAL, VISION, OR SOCIAL CONCERN. FAITH COMMUNITY NURSE:THE FAITH COMMUNITY NURSE AT THE HOLLAND RESCUE MISSION PROVIDED APPROXIMATELY 700 ONE-ON-ONE CLIENT ENGAGEMENTS LAST YEAR, OFFERING BASIC HEALTH INFORMATION, ASSESSMENT OR ONGOING EDUCATION FOR HEALTH ISSUES AS WELL AS HELPING INDIVIDUALS ACCESS MEDICAL, DENTAL, MENTAL, AND OTHER KINDS OF CARE. THE AFFORDABLE CARE ACT, ALONG WITH MICHIGAN'S EXPANDED MEDICAID (HEALTHY MICHIGAN PLAN), ALLOWED MOST WOMEN AT THE MISSION TO GAIN ACCESS TO SOME LEVEL OF INSURANCE EVEN IF THEY WERE EMPLOYED SPORADICALLY OR PART TIME. THE FAITH COMMUNITY NURSE HELPED EXPLAIN THESE SERVICES AND HOW THEY WORK. COMMUNITY OUTREACH PROGRAMS:THE CENTER FOR GOOD HEALTH (CFGH) OFFERS A VARIETY OF EDUCATIONAL CLASSES AND PRESENTATIONS FOR CHILDREN, ADULTS, AND SENIORS. IN FY 2015, THE CENTER OFFERED 682 CLASSES AND EVENTS WITH 9,000 PARTICIPANTS. IN RESPONSE TO TODAY'S EMPHASIS ON IMPROVING WORKER HEALTH TO BOOST EFFECTIVENESS AND REDUCE HEALTH CARE COSTS, CFGH 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 PROGRAMS: THE HOLLAND COMMUNITY HEALTH CENTER, THE SCHOOL NURSING PROGRAM, THE FAITH COMMUNITY NURSE, AND THE BREAST CARE FUND. FUND DEVELOPMENT IS THE SOLE SOURCE OF COMMUNITY FUNDRAISING FOR THESE PROGRAMS. IN FISCAL YEAR 2015, THE FUND DEVELOPMENT RAISED $433,706.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 HOSPITAL. IN FY 2015, HOLLAND HOSPITAL PROVIDED UN-REIMBURSED CARE TO OUR PATIENTS AT A COST OF $44.6 MILLION, A 6.7 PERCENT INCREASE OVER THE PREVIOUS YEAR.IN 2014, THE STATE OF MICHIGAN EXPANDED ITS MEDICAID PROGRAM WITH THE GOAL OF REDUCING THE NUMBER OF RESIDENTS WHO WERE UNINSURED. THE EXPANSION WAS ALSO INTENDED TO REDUCE THE LEVEL OF UNCOMPENSATED CARE THAT IMPACTS HOSPITAL BUDGETS.HOWEVER, ACCORDING TO THE MICHIGAN HEALTH AND HOSPITAL ASSOCIATION, IT WILL BE ANOTHER YEAR OR MORE BEFORE HOSPITALS KNOW HOW MUCH THAT COST HAS DECREASED. IT COULD TAKE EVEN LONGER TO ASSESS WHETHER IT'S DROPPED ENOUGH TO MAKE UP FOR THE CUTS IN FEDERAL REIMBURSEMENTS THAT WERE OUTLINED IN THE AFFORDABLE CARE ACT.WITHIN HOLLAND HOSPITAL'S PRIMARY SERVICE AREA,THE 2015 OTTAWA COUNTY COMMUNITY NEEDS ASSESSMENT REVEALED: 4 IN 10 LOW INCOME HOUSEHOLDS ARE NOT CONFIDENT NAVIGATING THE HEALTH CARE SYSTEM, 6 IN 10 ADULTS ARE OVERWEIGHT (35.3%) OR OBESE (23.9%), 1 IN 10 ADULTS DO NOT HAVE HEALTH INSURANCE, 11.4% OF THE GENERAL POPULATION DOES NOT HAVE A PRIMARY CARE PHYSICIAN (33% AMONG UNDER-SERVED POPULATIONS)THESE FACTORS SET THE STAGE FOR A PATIENT POPULATION WITH SIGNIFICANT, UNTREATED CHORNIC ILLNESSES WHICH REQUIRE MEDICAL ATTENTION AT A SIGNIFICANT COST TO HOLLAND HOSPITAL.2015 COMMUNITY BENEFIT SUMMARY-$44.6 MILLION TOTAL COMMUNITY BENEFITUNPAID COST OF MEDICAID $11,700,000UNPAID COST OF MEDICARE $15,900,000CHARITY CARE $ 1,300,000 BAD DEBT $10,800,000OTHER COMMUNITY BENEFITS $ 4,900,000FINANCE COMMENT: CHARITY IS NOW BEING REPORTED AT COST, IN THE PAST IT WAS REPORTED AT WHAT GROSS CHARGES WOULD HAVE BEEN.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 | $175,807,946 | 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 | 143 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2250 | 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 | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TERRY STEELE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6163925141 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 602 MICHIGAN AVE | AddressLine1Txt |
| City | HOLLAND | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49423 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DALE M SOWDERS | ||||||||
| PRESIDENT & CEO | 40.00 | 1.30 | Yes (X) | Yes (X) | $694,094 | $0 | $65,732 | |
| JAMES STROOP | ||||||||
| CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PHIL KONING | ||||||||
| TREASURER | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JANE CLARK | ||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LESLIE BROWN | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KRIS DEPREE MD | ||||||||
| 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 | ||
| ROGER GAMACHE | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CLINT GRIFFIN MD | ||||||||
| TRUSTEE, CHIEF OF STAFF | 1.00 | 1.00 | Yes (X) | $15,785 | $0 | $0 | ||
| DAWN GARCIA WARD | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK STID MD | ||||||||
| TRUSTEE, PHYSICIAN | 5.00 | 1.00 | Yes (X) | $13,051 | $171,361 | $19,915 | ||
| ELIZABETH ROLINSKI | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JUANITA BOCANEGRA | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVE MASON | ||||||||
| TRUSTEE - PARTIAL YEAR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PATTI VANDORT | ||||||||
| VP, NURSING & CNO | 40.00 | 0.00 | Yes (X) | $296,656 | $0 | $43,176 | ||
| MARK L PAWLAK | ||||||||
| VP, ANCILLARY SERVICES & Q | 40.00 | 0.00 | Yes (X) | $292,403 | $0 | $37,309 | ||
| TERRY L STEELE | ||||||||
| VP, FINANCE & CFO | 40.00 | 1.30 | Yes (X) | $340,680 | $0 | $34,639 | ||
| MICHAEL W MATTHEWS | ||||||||
| VP, MEDICAL GROUPS | 40.00 | 0.30 | Yes (X) | $234,786 | $0 | $20,524 | ||
| CARL H WIERKS MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $600,310 | $0 | $22,812 | Yes (X) | ||
| DERICK M JOHNSON DO | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $599,335 | $0 | $24,860 | Yes (X) | ||
| STEPHEN MAUGER DO | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $543,871 | $0 | $24,743 | Yes (X) | ||
| MICHAEL TRAVER | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $419,180 | $0 | $24,743 | Yes (X) | ||
| ROBERT BATES | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $417,059 | $0 | $22,404 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,467,210 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $171,361 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $340,857 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 82 | 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 |
|---|---|---|---|---|---|
| LAKEWOOD ELZINGA A JOINT VENTURE | |||||
| 86 E 6TH ST | HOLLAND | MI | 49423 | CONSTRUCTION | $7,648,154 |
| CERNER | |||||
| PO BOX 412702 | KANSAS CITY | MO | 64141 | SOFTWARE - PURCHASED MAINTENANCE | $6,078,373 |
| ARAMARK CORPORATION | |||||
| 12483 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | HOUSEKEEPING | $5,626,982 |
| JOHNSON CONTROLS INC | |||||
| PO BOX 93107 | CHICAGO | IL | 606733107 | CONSTRUCTION | $2,613,876 |
| QUADRAMED | |||||
| PO BOX 347188 | PITTSBURGH | PA | 152514188 | SOFTWARE - PURCHASED MAINTENANCE | $864,986 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 46 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $128,013 | FundraisingAmt |
| Related Organizations | $46,380 | RelatedOrganizationsAmt |
| All Other Contributions | $740,302 | AllOtherContributionsAmt |
| Total Contributions | $914,695 | 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 | $207,028,179 | $207,028,179 | |
| OTHER RELATED REVENUE | 900099 | $4,824,630 | $4,824,630 | |
| PHARMACY SALES UNDER SEC. 340B | 446110 | $2,495,148 | $2,495,148 | |
| EHR MEANINGFUL USE REVENUE | 622110 | $1,272,578 | $1,272,578 | |
| LAB ACTIVITY | 621500 | $1,143,408 | $1,143,408 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $216,763,943 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,094,093 | TotalRevenueColumnAmt |
| Exclusion | $2,094,093 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $754,548 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $257,403 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $497,145 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $497,145 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $411,800 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $85,345 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $112,538,131 | SecuritiesAmt |
| Other | $30,200 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $103,530,291 | SecuritiesAmt |
| Other | $111,504 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,007,840 | SecuritiesAmt |
| Other | -$81,304 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,926,536 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,926,536 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $13,698 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $128,013 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $13,698 | 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 | $25,780 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $29,214 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,434 | TotalRevenueColumnAmt |
| Exclusion | -$3,434 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA AND HOME MEALS | Desc |
| Business | 722210 | BusinessCd |
| Total Revenue Column | $1,031,774 | TotalRevenueColumnAmt |
| Exclusion | $1,031,774 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,031,774 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $230,224,752 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $224,958,871 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,143,408 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,207,778 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $668,160 | TotalAmt |
| Program Services | $668,160 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,084,329 | TotalAmt |
| Management And General | $2,084,329 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,391,258 | TotalAmt |
| Program Services | $75,260,541 | ProgramServicesAmt |
| Management And General | $13,516,460 | ManagementAndGeneralAmt |
| Fundraising | $614,257 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $838,935 | TotalAmt |
| Program Services | $838,935 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,358,839 | TotalAmt |
| Program Services | $12,028,494 | ProgramServicesAmt |
| Management And General | $2,152,185 | ManagementAndGeneralAmt |
| Fundraising | $178,160 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,331,446 | TotalAmt |
| Program Services | $5,223,990 | ProgramServicesAmt |
| Management And General | $1,107,456 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,237 | TotalAmt |
| Management And General | $259,237 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,411 | TotalAmt |
| Program Services | $14,111 | ProgramServicesAmt |
| Management And General | $107,300 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,788,097 | TotalAmt |
| Program Services | $10,441,483 | ProgramServicesAmt |
| Management And General | $4,342,254 | ManagementAndGeneralAmt |
| Fundraising | $4,360 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $972,853 | TotalAmt |
| Program Services | $58,065 | ProgramServicesAmt |
| Management And General | $914,788 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $814,768 | TotalAmt |
| Program Services | $417,139 | ProgramServicesAmt |
| Management And General | $397,629 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,871,326 | TotalAmt |
| Management And General | $4,871,326 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,075,696 | TotalAmt |
| Program Services | $4,585,702 | ProgramServicesAmt |
| Management And General | $486,634 | ManagementAndGeneralAmt |
| Fundraising | $3,360 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $321,110 | TotalAmt |
| Program Services | $290,883 | ProgramServicesAmt |
| Management And General | $26,521 | ManagementAndGeneralAmt |
| Fundraising | $3,706 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $255,830 | TotalAmt |
| Program Services | $151,030 | ProgramServicesAmt |
| Management And General | $102,769 | ManagementAndGeneralAmt |
| Fundraising | $2,031 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,232,631 | TotalAmt |
| Program Services | $2,232,631 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,244,933 | TotalAmt |
| Program Services | $11,693,785 | ProgramServicesAmt |
| Management And General | $3,549,403 | ManagementAndGeneralAmt |
| Fundraising | $1,745 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $609,623 | TotalAmt |
| Program Services | $63,434 | ProgramServicesAmt |
| Management And General | $546,189 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES & DRUG | $37,788,165 | $37,654,838 | $132,810 | $517 |
| PROVISION FOR BAD DEBTS | $11,096,396 | $11,096,396 | ||
| FOOD | $1,509,089 | $1,359,397 | $148,911 | $781 |
| DUES, LICENSE & SUBS | $659,505 | $407,477 | $249,999 | $2,029 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,749,153 | TotalAmt |
| Program Services | $1,321,455 | ProgramServicesAmt |
| Management And General | $1,387,047 | ManagementAndGeneralAmt |
| Fundraising | $40,651 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,042,790 | TotalAmt |
| Program Services | $175,807,946 | ProgramServicesAmt |
| Management And General | $36,383,247 | ManagementAndGeneralAmt |
| Fundraising | $851,597 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,080,957 | BOYAmt |
| EOY | $24,609,432 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $423,130 | BOYAmt |
| EOY | $555,849 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,652,916 | BOYAmt |
| EOY | $44,684,414 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,160,838 | BOYAmt |
| EOY | $4,307,890 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,854,933 | BOYAmt |
| EOY | $4,106,580 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $255,300,124 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $103,488,696 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,237,227 | BOYAmt |
| EOY | $151,811,428 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $192,033,075 | BOYAmt |
| EOY | $188,048,409 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,033,843 | BOYAmt |
| EOY | $19,914,997 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,397,907 | BOYAmt |
| EOY | $5,545,094 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $435,874,826 | BOYAmt |
| EOY | $443,584,093 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,317,771 | BOYAmt |
| EOY | $14,041,681 | 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 | $82,217,911 | BOYAmt |
| EOY | $80,218,738 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,104,082 | BOYAmt |
| EOY | $19,123,090 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,860,654 | BOYAmt |
| EOY | $113,604,399 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $317,145,367 | BOYAmt |
| EOY | $329,053,775 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $283,805 | BOYAmt |
| EOY | $340,919 | 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 | $318,014,172 | BOYAmt |
| EOY | $329,979,694 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $435,874,826 | BOYAmt |
| EOY | $443,584,093 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $17,181,962 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,594,160 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$2,622,280 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $13,509 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $13,509 | 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, 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 | $585,000 | BeginningYearBalanceAmt |
| Contributions | $309,986 | ContributionsAmt |
| Grants Or Scholarships | $157,018 | GrantsOrScholarshipsAmt |
| End Year Balance | $737,968 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $696,468 | BeginningYearBalanceAmt |
| Contributions | $640,725 | ContributionsAmt |
| Grants Or Scholarships | $641,202 | GrantsOrScholarshipsAmt |
| End Year Balance | $695,991 | 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 | $8,043,721 | OtherCostOrOtherBasisAmt |
| Book Value | $8,043,721 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $113,571,118 | OtherCostOrOtherBasisAmt |
| Depreciation | $37,834,511 | DepreciationAmt |
| Book Value | $75,736,607 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,448,495 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,157,152 | DepreciationAmt |
| Book Value | $2,291,343 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $118,969,824 | OtherCostOrOtherBasisAmt |
| Depreciation | $64,497,033 | DepreciationAmt |
| Book Value | $54,472,791 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,266,966 | OtherCostOrOtherBasisAmt |
| Book Value | $11,266,966 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $151,811,428 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| PROFESSIONAL LIABILITY INSURANCE | $1,905,721 |
| OTHER LONG-TERM LIABILITIES | $1,461,531 |
| INTEREST PAYABLE | $535,237 |
| LOSSES IN EXCESS OF INVESTMENT IN AFFILIATES | $15,220,601 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $19,123,090 | 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 OT EXAMINATION BY TAXING AUTHORITIES FOR YEARS BEGINNING PRIOR TO MARCH 31, 2012. THE HOSPITAL HAS ADOPTED ACCOUNTING STANDARDS RELATED TO UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, REVIEWED ALL TAX POSITIONS. THE EVALUATED POTENTIAL EXPOSURE RELATED TO UNCERTAIN TAX POSITIONS WAS FOUND TO BE IMMATERIAL. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CULINARY CABARET | Event1Nm |
| Gross Receipts Event1 | $141,711 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $128,013 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $13,698 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $13,698 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $141,711 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $128,013 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $13,698 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $13,698 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $13,698 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $0 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $25,780 | GrossRevenueOtherGamingAmt |
| Non Cash Prizes Other Gaming | $23,564 | NonCashPrizesOtherGamingAmt |
| Rent Fclty Costs Other Gaming | $5,650 | RentFcltyCostsOtherGamingAmt |
| Volunteer Labor Other Gaming | Yes (1) | VolunteerLaborOtherGamingInd |
| Volunteer Labor Other Gaming | 0.95000 | VolunteerLaborOtherGamingPct |
| Gross Revenue Total Gaming | $25,780 | GrossRevenueTotalGamingAmt |
| Non Cash Prizes Total Gaming | $23,564 | NonCashPrizesTotalGamingAmt |
| Rent Fclty Costs Total Gaming | $5,650 | RentFcltyCostsTotalGamingAmt |
| Direct Expense Summary Gaming | $29,214 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | -$3,434 | 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 | $1,368,303 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,368,303 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00680 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,052,014 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,415,931 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,636,083 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04280 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,420,317 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,415,931 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,004,386 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04960 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,677,536 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $521,510 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,156,026 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00570 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $449,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $449,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $686,221 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $686,221 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,812,757 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $521,510 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,291,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01130 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,233,074 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,937,441 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,295,633 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06090 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $8,318 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,318 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $2,050 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,050 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $259,213 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $259,213 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $269,581 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $269,581 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $11,096,396 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,501,468 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $31,490,003 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $37,919,103 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,429,100 | 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 | 14 | 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 | 14 | 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 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 |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HOLLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 3J: THE NEEDS ASSESSMENT DESCRIBED THE COMMUNITIES STRENGTHS AND OPPORTUNITIES REGARDING QUAILITY OF LIFE, OVERALL HEALTH, HEALTH BEHAVIORS, AND HEALTH CARE. THE TWO BROAD THEMES WHICH EMERGED FROM THE REPORT WERE THE DIRECT RELATIONSHIP BETWEEN HEALTH OUTCOMES AND INCOME/EDUCATION, AND THE EXISTANCE OF CHALLENGED SUBGROUPS WITHIN THE POPULATION. IDENTIFIED AREAS FOR OPPORTUNITIES INCLUDED ACCESS TO HEALTHCARE FOR THOSE WITH PUBLIC HEALTH INSURANCE AND IMPROVED CARE FOR THOSE WITH CHRONIC DISEASE, ESPECIALLY DIABETES. |
| HOLLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 5: 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 7D: HTTP://WWW.HOLLANDHOSPITAL.ORG/UPLOADS/PUBLIC /DOCUMENTS/COMMUNITY/2014_2015_OCCHNA_2.PDFHTTP://WWW.MIOTTAWA.ORG/HEALTH/OCHD/PDF/2014_2015_OCCHNA.PDFHTTP://WWW.NOCH.ORG/UPLOADEDFILES/2014_2015_CHNA%20SUMMARY_05212015.PDFHTTP://WWW.SPECTRUMHEALTH.ORG/DOCUMENTS/HEALTHIERCOMM/SH%20ZEELAND%20% 28OTTAWA%20COUNTY%29%202015%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: HOLLAND HOSPITAL, IN COLLABORATION WITH THE OTHER HOSPITALS, COUNTY HEALTH DEPARTMENT, COMMUNITY MENTAL HEALTH AND DOZENS OF HEALTH & HUMAN SERVICE AGENCIES, HAS SPENT THE LAST SEVEN MONTHS DEVELOPING A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE CHIP DOCUMENT (POSTED ON HOLLAND HOSPITAL'S WEBSITE) IS OUR STRATEGY/ACTION PLAN TO ADDRESS THE THREE MOST SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA: ACCESS TO HEALTH, BEHAVIORAL HEALTH, AND HEALTHY BEHAVIORS. THE ACTIONS STEPS OUTLINED IN THE CHIP WILL BEGIN IN JANUARY, 2016. PROGRESS WILL BE MEASURED EVERY SIX MONTHS. HTTP://WWW.HOLLANDHOSPITAL.ORG/UPLOADS/PUBLIC/DOCUMENTS/COMMUNITY/CHIP.PDF |
| HOLLAND COMMUNITY HOSPITAL | PART V, SECTION B, LINE 16I: THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL'S WEBSITE ALONG WITH A FINANCIAL ASSISTANCE APPLICATION (ENGLISH AND SPANISH). INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED IN THE FACILITY'S WAITING ROOMS, AS WELL AS OUTLINED ON A BUSINESS CARD GIVEN TO ALL PATIENTS AT REGISTRATION. |
| PART V, SECTION B, LINE 16 | FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY |
| HOLLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 16B WEBSITE: | HTTP://WWW.HOLLANDHOSPITAL.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE.ASPX |
| HOLLAND COMMUNITY HOSPITAL PART V, SECTION B, LINE 16C WEBSITE: | HTTP://WWW.HOLLANDHOSPITAL.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE.ASPX |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| LAKESHORE HEALTH PARTNERS | ||||
| 602 MICHIGAN AVE | HOLLAND | MI | 49423 | PHYSICIAN OFFICE |
| HH SERVICES - BATES ET AL LLC | ||||
| 602 MICHIGAN AVE | HOLLAND | MI | 49423 | PHYSICIAN OFFICE |
| HH SERVICES - ORT LLC | ||||
| 602 MICHIGAN AVE | HOLLAND | MI | 49423 | PHYSICIAN OFFICE |
| LAKESHORE HEALTH PARTNERS FM LLC | ||||
| 602 MICHIGAN AVE | HOLLAND | MI | 49423 | PHYSICIAN OFFICE |
| HOLLAND HOSPITAL PHYSCIAN CLINIC | ||||
| 602 MICHIGAN AVE | HOLLAND | MI | 49423 | PHYSICIAN OFFICE |
| HOLLAND COMMUNITY HEALTH CENTER | ||||
| 602 MICHIGAN AVE | HOLLAND | MI | 49423 | PHYSICIAN OFFICE |
| LAKESHORE AREA RADIATION & ONCOLOGY CENT | ||||
| 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 $ 11,096,396. |
| 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 $1,501,468. 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 | $663,660 | 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 (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DALE M SOWDERS | ||||||||||||||
| PRESIDENT & CEO | $531,696 | $0 | $114,059 | $0 | $48,339 | $0 | $47,210 | $0 | $18,522 | $0 | $759,826 | $0 | $0 | $0 |
| MARK STID MD | ||||||||||||||
| TRUSTEE, PHYSICIAN | $3,176 | $145,390 | $0 | $16,627 | $9,875 | $9,344 | $270 | $3,395 | $0 | $16,250 | $13,321 | $191,006 | $0 | $0 |
| PATTI VANDORT | ||||||||||||||
| VP, NURSING & CNO | $229,975 | $0 | $36,319 | $0 | $30,362 | $0 | $28,300 | $0 | $14,876 | $0 | $339,832 | $0 | $0 | $0 |
| MARK L PAWLAK | ||||||||||||||
| VP, ANCILLARY SERVICES & Q | $222,480 | $0 | $35,135 | $0 | $34,788 | $0 | $28,401 | $0 | $8,908 | $0 | $329,712 | $0 | $0 | $0 |
| TERRY L STEELE | ||||||||||||||
| VP, FINANCE & CFO | $273,823 | $0 | $37,970 | $0 | $28,887 | $0 | $23,599 | $0 | $11,040 | $0 | $375,319 | $0 | $0 | $0 |
| MICHAEL W MATTHEWS | ||||||||||||||
| VP, MEDICAL GROUPS | $190,666 | $0 | $29,561 | $0 | $14,559 | $0 | $4,861 | $0 | $15,663 | $0 | $255,310 | $0 | $0 | $0 |
| CARL H WIERKS MD | ||||||||||||||
| PHYSICIAN | $588,692 | $0 | $0 | $0 | $11,618 | $0 | $6,782 | $0 | $16,030 | $0 | $623,122 | $0 | $0 | $0 |
| DERICK M JOHNSON DO | ||||||||||||||
| PHYSICIAN | $588,692 | $0 | $0 | $0 | $10,643 | $0 | $7,800 | $0 | $17,060 | $0 | $624,195 | $0 | $0 | $0 |
| STEPHEN MAUGER DO | ||||||||||||||
| PHYSICIAN | $270,000 | $0 | $257,338 | $0 | $16,533 | $0 | $7,800 | $0 | $16,943 | $0 | $568,614 | $0 | $0 | $0 |
| MICHAEL TRAVER | ||||||||||||||
| PHYSICIAN | $402,926 | $0 | $956 | $0 | $15,298 | $0 | $7,800 | $0 | $16,943 | $0 | $443,923 | $0 | $0 | $0 |
| ROBERT BATES | ||||||||||||||
| PHYSICIAN | $402,926 | $0 | $0 | $0 | $14,133 | $0 | $7,800 | $0 | $14,604 | $0 | $439,463 | $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). NO PAYMENTS WERE MADE IN 2014. | 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 FINANCE AUTHORITY | ||||||||
| A | 800596186 | 59465E7A5 | 2004-08-01 | $22,000,000 | CONSTRUCTION OF NEW BUILDING | 0 | 0 | 0 |
| MICHIGAN FINANCE AUTHORITY | ||||||||
| B | 800596186 | NONEAVAIL | 2010-08-11 | $23,500,000 | CONSTRUCTION OF NEW BUILDING | 0 | 0 | 0 |
| MICHIGAN 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 | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd |
|---|---|---|---|---|---|---|---|---|---|
| A | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | |||
| B | 0 | 0 | 0 | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 |
| C | 0 | 0 | 0 | 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 -2,622,280. |
| 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 | -$1,131,528 | $136,321 | 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 | -$929,966 | $644,796 | HOLLAND COMMUNITY HOSPITAL |
| LAKESHORE HEALTH PARTNERS - FM LLC | |||||||||
| 602 MICHIGAN AVENUE | HOLLAND | MI | 49423 | 272647439 | FAMILY MEDICINE PHYSICIAN OFFICE | MI | -$509,395 | $146,870 | HOLLAND COMMUNITY HOSPITAL |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HOLLAND COMMUNITY HOSPITAL AUTHORITY SELF-INSURANCE TRUST FUND | |||||||||||
| 602 MICHIGAN AVENUE | HOLLAND | MI | 49423 | 386389385 | SUPPORTING ORGANIZATION | MI | 501(C)(3) | LINE 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) | |
| 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 | $763,377 | InvolvedAmt |
| Method Of Amount Determination | CONTRACTS AND TIME TRACKING | MethodOfAmountDeterminationTxt |