HOLLAND COMMUNITY HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: HOLLAND COMMUNITY HOSPITAL (EIN 38-2800065)
Tax period: 2012-04-01 to 2013-03-31
Filed: 2014-02-14
IRS object ID: 201400459349300445
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-02-14T09:49:50-06:00	Timestamp
Tax Period End Date	2013-03-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	381357951	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	600 E FRONT ST SUITE 300	AddressLine1
City	TRAVERSE CITY	City
State	MI	State
ZIP Code	49686	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-04-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	382800065	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	HOLLAND COMMUNITY HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	HOLL	NameControl
Phone	6163925141	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	602 MICHIGAN AVENUE	AddressLine1
City	HOLLAND	City
State	MI	State
ZIP Code	49423	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DALE SOWDERS	Name
Title	PRESIDENT & CEO	Title
Phone	6163925141	Phone
Date Signed	2014-02-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	SUSAN MIENCIER	Name
PTIN	P00842339	PTIN
Phone	2319477800	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

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

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DALE SOWDERS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	602 MICHIGAN AVENUE	AddressLine1
City	HOLLAND	City
State	MI	State
ZIP Code	49423	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	328969739	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.HOLLANDHOSPITAL.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1985	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	TO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, RESPECT, COMPASSION AND DIGNITY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	2335	TotalNbrEmployees
Total Nbr Volunteers	400	TotalNbrVolunteers
Total Gross UBI	1458291	TotalGrossUBI
Net Unrelated Business Txbl Income	249797	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	884900	ContributionsGrantsPriorYear
Contributions Grants Current Year	947167	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	181622226	ProgramServiceRevenuePriorYear
Program Service Revenue CY	197954717	ProgramServiceRevenueCY
Investment Income Prior Year	8486656	InvestmentIncomePriorYear
Investment Income Current Year	4474152	InvestmentIncomeCurrentYear
Other Revenue Prior Year	10308678	OtherRevenuePriorYear
Other Revenue Current Year	4358372	OtherRevenueCurrentYear
Total Revenue Prior Year	201302460	TotalRevenuePriorYear
Total Revenue Current Year	207734408	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	783048	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	743560	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	98382164	SalariesEtcPriorYear
Salaries Etc Current Year	104787162	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	689527	TotalFundrsngExpCurrentYear
Other Expense Prior Year	85272690	OtherExpensePriorYear
Other Expenses Current Year	87403738	OtherExpensesCurrentYear
Total Expenses Prior Year	184437902	TotalExpensesPriorYear
Total Expenses Current Year	192934460	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	16864558	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	14799948	RevenuesLessExpensesCY
Total Assets BOY	363026744	TotalAssetsBOY
Total Assets EOY	404640320	TotalAssetsEOY
Total Liabilities BOY	88435689	TotalLiabilitiesBOY
Total Liabilities EOY	110485817	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	274591055	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	294154503	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, RESPECT, COMPASSION AND DIGNITY.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	156661262	Expense
Grants	743560	Grants
Revenue	199814792	Revenue
Description	HOLLAND COMMUNITY HOSPITAL OPENED ITS DOORS TO THE FIRST PATIENT IN 1917. TODAY, THANKS TO THE VISION AND HARD WORK OF STAFF, COMMUNITY MEMBERS AND MEDICAL PROFESSIONALS, WE HAVE GROWN TO BECOME THE LEADING PROVIDER OF HEALTH CARE SERVICES IN THE WEST MICHIGAN LAKESHORE REGION. OUR MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. THIS UNWAVERING COMMITMENT TO PROVIDE EXCELLENT, COMPASSIONATE AND INCREASINGLY ADVANCED HEALTH CARE REGARDLESS OF PATIENTS' ABILITY TO PAY CONTINUES UNABATED.FIRST-RATE QUALITY HOLLAND HOSPITAL'S ONGOING COMMITMENT TO EXCELLENCE IS DEMONSTRATED IN PHYSICIAN EXPERTISE, THE HIGHEST STANDARDS OF PATIENT CENTERED CARE AND DNV ISO CERTIFICATION. WE ARE ONE OF THE FEW HOSPITALS IN THE COUNTRY TO ACHIEVE THE INTERNATIONAL STANDARD FOR QUALITY: ISO 9001-2008 CERTIFICATION. THIS UNIVERSAL BENCHMARK DEMONSTRATES OUR COMMITMENT TO ORGANIZATIONAL EXCELLENCE AND SYSTEMATIC QUALITY IMPROVEMENT RESULTING IN IMPROVED OUTCOMES AND HIGHER PATIENT SATISFACTION.'TOP 100 HOSPITALS' EIGHT YEARS AND COUNTINGFOR EIGHT YEARS IN A ROW, HOLLAND HOSPITAL HAS BEEN SELECTED AS ONE OF THE NATION'S 100 TOP HOSPITALS. TRUVEN HEALTH ANALYTICS (FORMERLY THOMSON REUTERS) ANNUALLY CONDUCTS AN INDEPENDENT REVIEW OF APPROXIMATELY 3,000 HOSPITALS AND RECOGNIZES THOSE DEMONSTRATING SUPERIOR PERFORMANCE. THE VALUATION IS BASED ON PATIENT CARE FACTORS SUCH AS SAFETY AND SATISFACTION AND FINANCIAL INDICATORS SUCH AS EXPENSES AND PROFITABILITY. HOLLAND HOSPITAL IS THE ONLY MEDIUM-SIZED HOSPITAL IN MICHIGAN TO MAKE THE LIST 2006 THROUGH 2013.TOP 3 PERCENT FOR 'BEST PRACTICES'HOLLAND HOSPITAL'S 'CORE MEASURES' THE PROCESSES WE USE TO MEASURE OUR QUALITY OF CARE - ARE PROVEN BEST-PRACTICE STANDARDS FOR TREATING PATIENTS WITH CERTAIN MEDICAL CONDITIONS. HOW WELL EACH HOSPITAL APPLIES THESE LIFE-SAVING MEASURES IS TRACKED BY THE U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES AND CAN BE VIEWED AT WWW.HOSPITALCOMPARE.HHS.GOV.RECENT DATA PLACED HOLLAND HOSPITAL AT THE 97TH PERCENTILE MEANING WE'RE IN THE TOP 3PERCENT OF HOSPITALS NATIONWIDE IN MEETING PROCESS OF CORE MEASURES. WE ALSO RANKED AMONG THE LEADING HOSPITALS IN PATIENT SAFETY AS DETERMINED BY THE MICHIGAN HEALTH & HOSPITAL ASSOCIATION KEYSTONE CENTER FOR PATIENT SAFETY & QUALITY. LEADERS IN INNOVATIVE PRACTICESTHE HOSPITAL CONTINUES TO MEET THE GROWING HEALTH CARE NEEDS OF THE COMMUNITY BY PROVIDING EXPERIENCED SPECIALISTS, LEADING-EDGE TECHNOLOGY AND EXCEPTIONAL PATIENT CARE. ALTHOUGH THE HEALTH CARE LANDSCAPE CONTINUES TO CHANGE, HOLLAND HOSPITAL REMAINS AHEAD OF THE CURVE WITH FISCAL DISCIPLINE, EFFICIENT USE OF RESOURCES, AND WISE INVESTMENT IN NEW TECHNOLOGIES. PATIENTS WITHIN OUR SERVICE AREA AND BEYOND ARE BENEFITING FROM OUR RECENT FACILITY IMPROVEMENTS INCLUDING OUR NEWLY OPENED ORTHOPEDIC AND SPINE UNIT. DURING FISCAL YEAR 2013, HOLLAND HOSPITAL'S 330-MEMBER MEDICAL STAFF, 2,000 EMPLOYEES AND 400 VOLUNTEERS SERVED THE COMMUNITY BY PROVIDING:PATIENT DAYS 29,900DISCHARGES 8,100BIRTHS 1,700SURGERIES 15,800OUTPATIENT VISITS 440,200EMERGENCY ROOM VISITS 44,100URGENT CARE VISITS 32,600HOME HEALTH VISITS 39,000LAB TESTS 656,000RADIOLOGY PROCEDURES 102,000BEDS 189INNOVATIVE OUTREACH PROGRAMSIMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE MEANS TAKING OUR SERVICES INTO THE COMMUNITY TO OFFER RESIDENTS CONVENIENT ACCESS TO HEALTH PROGRAMS AND EDUCATION. MORE PROGRAMS AND SERVICES ARE REACHING BEYOND HOSPITAL WALLS INTO THE COMMUNITY, WHETHER AT SCHOOLS, NEIGHBORHOODS OR BUSINESSES. RESIDENTS AND EMPLOYEES ALIKE CAN TAKE ADVANTAGE OF NUMEROUS PREVENTION AND WELLNESS OFFERINGS.HEALTH EDUCATION AND SERVICESRECOGNIZING THAT MEN AND WOMEN HAVE UNIQUE HEALTH NEEDS, HOLLAND HOSPITAL HAS RESPONDED TO THE COMMUNITY'S REQUEST FOR PROGRAMS THAT ADDRESS GENDER-RELATED HEALTH CONCERNS. OUR WOMEN'S MIDLIFE SERVICES IS DEVOTED ENTIRELY TO ADDRESSING THE PHYSICAL AND EMOTIONAL ISSUES OF MATURE WOMEN. CREATED BY WOMEN FOR WOMEN AND DIRECTED BY A CERTIFIED MENOPAUSE PRACTITIONER, WOMEN'S MIDLIFE SERVICES OFFERS THE LATEST INFORMATION ON MENOPAUSE AND RELATED ISSUES. INTERPRETATION SERVICESOUR ON-SITE INTERPRETERS, SPECIALLY TRAINED IN MEDICAL CONDITIONS IN ACCORDANCE WITH THE NATIONAL COUNCIL ON INTERPRETING IN HEALTH CARE, ARE AVAILABLE 24 HOURS A DAY TO FACILITATE COMMUNICATION BETWEEN PATIENTS AND PROVIDERS. IN THE PAST YEAR, STAFF HANDLED MORE THAN 28,000 INTERPRETATION REQUESTS. VIDEO CONFERENCING SYSTEMS AT THE OFF-SITE URGENT CARE CENTER, BREAST AND BONE HEALTH CENTER AND HOLLAND HOSPITAL MEDICAL BUILDING CONNECT PATIENTS FACE-TO-FACE WITH HOSPITAL INTERPRETERS IN MINUTES ELIMINATING DELAYS DUE TO TRAVEL TIME.DIABETES EDUCATION DIABETES IS A MAJOR HEALTH EPIDEMIC THAT WE CONTINUE TO ADDRESS THROUGH OUR DIABETES SELF-MANAGEMENT EDUCATION PROGRAM. WE ASSIST THOSE WITH DIABETES BY OFFERING INDIVIDUAL CONSULTATIONS AS WELL AS GROUP CLASSES. PARTICIPANTS LEARN ABOUT DIET AND NUTRITION, HOW TO TEST THEIR BLOOD SUGAR, AND MANAGING THE DISEASE WITH MEDICATION. COMMUNITY OUTREACH PROGRAMS THE CENTER FOR GOOD HEALTH (CFGH) OFFERS A VARIETY OF EDUCATIONAL CLASSES AND PRESENTATIONS FOR CHILDREN, ADULTS AND SENIORS. IN FY 2013, THE CENTER OFFERED 656 CLASSES AND EVENTS WITH APPROXIMATELY 10,258 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 COMMUNITYTHE FUND DEVELOPMENT OFFICE AT HOLLAND HOSPITAL FOCUSES ON RAISING FINANCIAL SUPPORT FOR THREE VITAL PROGRAMS: THE HOLLAND COMMUNITY HEALTH CENTER, THE SCHOOL NURSING PROGRAM AND THE FAITH COMMUNITY NURSE. FUND DEVELOPMENT IS THE SOLE SOURCE OF FUNDING FOR THE SCHOOL NURSING PROGRAM, INVESTING $500,000 PER YEAR TO SERVE OVER 9,600 AREA STUDENTS. FUND DEVELOPMENT CONTRIBUTED $750,000- $850,000 TO THE OPERATION OF THE HOLLAND COMMUNITY HEALTH CENTER WHICH PROVIDES PRIMARY HEALTH CARE TO OVER 4,900 COMMUNITY MEMBERS WHO ARE EITHER UNINSURED OR UNDER-INSURED. FUND DEVELOPMENT COVERS THE ENTIRE $35,000 COST OF THE FAITH COMMUNITY NURSE AT THE HOLLAND RESCUE MISSION TO ENSURE THAT OVER 1,700 RESIDENTS ARE GIVEN ACCESS TO A MEDICAL PROFESSIONAL WHILE STAYING AT THE MISSION.HOLLAND COMMUNITY HEALTH CENTERDEMAND IS RISING DRAMATICALLY FOR SERVICES OF THE HOLLAND COMMUNITY HEALTH CENTER (HCHC), WHICH PROVIDES HEALTH CARE FOR PEOPLE WHO ARE UNDER INSURED AND UNINSURED. IN 2012, 617 NEW PATIENTS WERE SERVED AT THE HCHC. MOST OF THESE VISITS FOCUSED ON WOMEN'S AND CHILDREN'S HEALTH CARE NEEDS, DIABETES 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 PROGRAMSCHOOL NURSING PROVIDES SERVICES TO HOLLAND, WEST OTTAWA AND HAMILTON PUBLIC SCHOOLS. SCHOOL YEAR 2012-2013 THEY SERVICED 9,674 STUDENTS, 34,086 HEALTH OFFICE VISITS, ADMINISTERED 10,748 MEDICATIONS AND REFERRED 400 STUDENTS FOR ADDITIONAL MEDICAL, DENTAL, VISION, OR SOCIAL CONCERNS. 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 2013, HOLLAND HOSPITAL PROVIDED UN-REIMBURSED CARE TO OUR PATIENTS AT A COST OF $37.8 MILLION, A 7 PERCENT INCREASE OVER THE PREVIOUS YEAR. OUR LEVEL OF BAD DEBT IS A DIRECT REFLECTION OF THE STATE OF OUR LOCAL ECONOMY. BAD DEBT ROSE 50 PERCENT IN 2009 AND CLIMBED ANOTHER 30 PERCENT IN 2010 AS THE AVERAGE UNEMPLOYMENT LEVELS IN OTTAWA COUNTY REACHED 12.3% AND 11% IN RESPECTIVELY. IN 2011 AND 2012, OUR BAD DEBT STAYED CONSISTENT AS UNEMPLOYMENT LEVELS DROPPED TO 8.3% IN 2011 AND 6.4% IN 2012. HOWEVER, BAD DEBT ROSE OVER 9% IN 2013 AS UNEMPLOYMENT INCHED BACK UP TO 6.7% AND THE LOCAL ECONOMIC RECOVERY CONTINUED TO STRUGGLE. (UNEMPLOYMENT FIGURES: MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT, AND BUDGET.)2012 COMMUNITY BENEFIT SUMMARY $37.8 MILLION TOTAL COMMUNITY BENEFITUNPAID COST OF MEDICAID $9,400,000UNPAID COST OF MEDICARE $11,700,000CHARITY CARE $2,100,000 BAD DEBT $11,200,000OTHER COMMUNITY BENEFITS (NOTE A) $3,400,000FINANCE COMMENT: CHARITY IS NOW BEING REPORTED AT COST, IN THE PAST IT HAD BEEN REPORTED AT WHAT GROSS CHARGES WOULD HAVE BEEN. NOTE A OTHER COMMUNITY BENEFITS INCLUDE:-COMMUNITY EDUCATION & OUTREACH PROGRAMS-CASH, IN-KIND DONATIONS & CONTRIBUTIONS-HOLLAND COMMUNITY HEALTH CENTER-HEALTH PROFESSIONAL EDUCATION & RESEARCH	Description
Total Program Service Expense	156661262	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	1	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	140	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2335	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Excess Business Holdings	0	ExcessBusinessHoldings
Taxable Distributions	0	TaxableDistributions
Distribution To Donor	0	DistributionToDonor
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	6163925141	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	602 MICHIGAN AVE	AddressLine1
City	HOLLAND	City
State	MI	State
ZIP Code	49423	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
DALE M SOWDERS
PRESIDENT & CEO	40.00	1.00	X	X	624126	0	124160
LESLIE BROWN
CHAIR	1.00	1.00	X	X	0	0	0
BARBARA DEPREE MD
TRUSTEE, PHYSICIAN	30.00	1.00	X		159830	0	17392
BECCA DERNBERGER
TRUSTEE	1.00	1.00	X		0	0	0
WILLIAM FRAUENHEIM MD
SECRETARY	1.00	1.00	X	X	29750	0	0
ROGER GAMACHE
TRUSTEE	1.00	1.00	X		0	0	0
DON KOMEJAN
TREASURER	1.00	1.00	X	X	0	0	0
GREG MAYBURY
TRUSTEE	1.00	1.00	X		0	0	0
DAWN GARCIA WARD
TRUSTEE	1.00	1.00	X		0	0	0
JANE CLARK
TRUSTEE	1.00	1.00	X		0	0	0
JAMES STROOP
TRUSTEE	1.00	1.00	X		0	0	0
MARK STID
TRUSTEE, CHIEF OF STAFF	5.00	36.00	X		188305	0	17702
PHIL KONING
TRUSTEE	1.00	1.00	X		0	0	0
ELIZABETH ROLINSKI
TRUSTEE	1.00	1.00	X		0	0	0
KRIS MANOS
TRUSTEE - 1ST PART YEAR	1.00	1.00	X		0	0	0
PATTI VANDORT
VP, NURSING & CNO	40.00	0.00		X	257191	0	43352
MARK L PAWLAK
VP, ANCILLARY SERVICES & Q	40.00	0.00		X	241810	0	38745
WILLIAM L VANDERVLIET MD
VP, MEDICAL AFFAIRS	20.00	0.00		X	0	0	0
TERRY L STEELE
VP, FINANCE & CFO	40.00	1.00		X	339397	0	38659
CHARLES D KOHLRUSS
VP, HR & OPERATIONS SUPPORT	40.00	0.00		X	282731	0	23862
MICHAEL W MATTHEWS
VP, PHYSICIAN ADMINISTRATION	40.00	0.00		X	74546	0	2243
ROBERT J BATES MD
PHYSICIAN	40.00	0.00			578914	0	20017	X
MICHAEL A TRAVER MD
PHYSICIAN	40.00	0.00			413866	0	22257	X
CARL H WIERKS MD
PHYSICIAN	40.00	0.00			550093	0	21711	X
JOHN K LUDLOW MD
PHYSICIAN	40.00	0.00			444004	0	22257	X
DERICK M JOHNSON DO
PHYSICIAN	40.00	0.00			550093	0	17880	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4734656	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	410237	TotalOtherCompensation
Number Individuals GT100 K	57	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
LAKEWOOD ELZINGA A JOINT VENTURE
86 E 6TH ST	HOLLAND	MI	49423	CONSTRUCTION	4461206
ARAMARK CORPORATION
12483 COLLECTIONS CENTER DR	CHICAGO	IL	60693	HOUSEKEEPING	3632321
ELZINGA AND VOLKERS INC
86 E 6TH ST	HOLLAND	MI	49423	CONSTRUCTION	1104446
CSMC 2006-C4
PO BOX 3125	ANN ARBOR	MI	481063125	RENT/SERVICES	1065397
MATTHEI AND COLIN ASSOCIATES
332 S MICHIGAN AVE SUITE 614	CHICAGO	IL	60604	ARCHITECT	972814

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	54	NumberOfContractorsGT100K
Fundraising Events	137681	FundraisingEvents
Related Organizations	88985	RelatedOrganizations
All Other Contributions	720501	AllOtherContributions
Total Contributions	947167	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE	622110	195507120	195507120
EHR MEANINGFUL USE REVENUE	622110	2447597	2447597

Field	Value	IRS element (for citing)
Total Program Service Revenue	197954717	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2947858	TotalRevenueColumn
Exclusion	$2,947,858	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	331421	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	187473	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	143948	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	143948	TotalRevenueColumn
Related Or Exempt Function Income	63100	RelatedOrExemptFunctionIncome
Exclusion	$80,848	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	122537470	Securities
Other	5500	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	120116826	Securities
Other	899850	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2420644	Securities
Other	-894350	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1526294	TotalRevenueColumn
Exclusion	$1,526,294	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	9168	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	137681	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	9168	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Gross Income Gaming	19560	GrossIncomeGaming
Gaming Direct Expenses	22014	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	-2454	TotalRevenueColumn
Exclusion	-$2,454	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
OTHER RELATED REVENUE	900099	1796975	1796975
PHO/LAB ACTIVITY	621500	1458291		1458291
CAFETERIA AND HOME MEALS	722210	961612			$961,612

Field	Value	IRS element (for citing)
Total Other Revenue	4216878	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	207734408	TotalRevenueColumn
Related Or Exempt Function Income	199814792	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1458291	UnrelatedBusinessRevenue
Exclusion	$5,514,158	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	743560	Total
Program Services	743560	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2579330	Total
Program Services	412979	ProgramServices
Management And General	2166351	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	79542913	Total
Program Services	66791828	ProgramServices
Management And General	12285945	ManagementAndGeneral
Fundraising	465140	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1452723	Total
Program Services	1356455	ProgramServices
Management And General	96268	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	15478148	Total
Program Services	11362832	ProgramServices
Management And General	3980425	ManagementAndGeneral
Fundraising	134891	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5734048	Total
Program Services	4760428	ProgramServices
Management And General	973620	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	272730	Total
Management And General	272730	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	112421	Total
Program Services	14671	ProgramServices
Management And General	97750	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	517796	Total
Management And General	517796	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	15184780	Total
Program Services	9311005	ProgramServices
Management And General	5836228	ManagementAndGeneral
Fundraising	37547	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	982102	Total
Program Services	81174	ProgramServices
Management And General	900928	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1021266	Total
Program Services	660959	ProgramServices
Management And General	360307	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3160386	Total
Management And General	3160386	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4780947	Total
Program Services	4407407	ProgramServices
Management And General	373540	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	324712	Total
Program Services	297781	ProgramServices
Management And General	23964	ManagementAndGeneral
Fundraising	2967	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	173972	Total
Program Services	99696	ProgramServices
Management And General	73330	ManagementAndGeneral
Fundraising	946	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	1763447	Total
Program Services	1763447	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	11433929	Total
Program Services	9856452	ProgramServices
Management And General	1572889	ManagementAndGeneral
Fundraising	4588	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	306482	Total
Program Services	85599	ProgramServices
Management And General	220883	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
SUPPLIES	30965047	30794722	169581	744
PROVISION FOR BAD DEBTS	11352828	11352828
FOOD	1240929	1151994	88822	113
DUES, LICENSE & SUBCRIP	520225	285589	233546	1090

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3289739	Total
Program Services	1069856	ProgramServices
Management And General	2178382	ManagementAndGeneral
Fundraising	41501	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	192934460	Total
Program Services	156661262	ProgramServices
Management And General	35583671	ManagementAndGeneral
Fundraising	689527	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	14399755	BOY
EOY	14322804	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	5691754	BOY
EOY	604225	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	33314016	BOY
EOY	38064742	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3489031	BOY
EOY	3794569	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1661053	BOY
EOY	2705225	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	213388416	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	88207779	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	114392066	BOY
EOY	125180637	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	165974730	BOY
EOY	193637244	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	19786344	BOY
EOY	19703439	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	4317995	BOY
EOY	6627435	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	363026744	BOY
EOY	404640320	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	11766598	BOY
EOY	15805587	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	205000	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	64199089	BOY
EOY	79834864	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	12470002	BOY
EOY	14640366	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	88435689	BOY
EOY	110485817	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	273898423	BOY
EOY	293412406	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	292632	BOY
EOY	342097	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	400000	BOY
EOY	400000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	274591055	BOY
EOY	294154503	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	363026744	BOY
EOY	404640320	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	14799948	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	9394935	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-4631435	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Both	X	FinancialStatementBoth

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$19,896	OtherActivitiesAmount
Total Lobbying Expenditures IIB	19896	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	THE HOSPITAL PAYS DUES TO THE MICHIGAN HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION, A PORTION OF WHICH GOES TOWARDS LOBBYING ACTIVITIES.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	692632	BeginningOfYearBalance
Contributions	503956	Contributions
Grants Or Scholarships	454490	GrantsOrScholarships
End Of Year Balance	742098	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	695991	BeginningOfYearBalance
Contributions	438922	Contributions
Grants Or Scholarships	442281	GrantsOrScholarships
End Of Year Balance	692632	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	696468	BeginningOfYearBalance
Contributions	640725	Contributions
Grants Or Scholarships	641202	GrantsOrScholarships
End Of Year Balance	695991	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	681023	BeginningOfYearBalance
Contributions	519647	Contributions
Grants Or Scholarships	504202	GrantsOrScholarships
End Of Year Balance	696468	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	759350	BeginningOfYearBalance
Contributions	617613	Contributions
Grants Or Scholarships	695940	GrantsOrScholarships
End Of Year Balance	681023	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.54000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.46000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7556948	OtherCostOrOtherBasis
Book Value	7556948	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	93490772	OtherCostOrOtherBasis
Depreciation	28980751	Depreciation
Book Value	64510021	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2738885	OtherCostOrOtherBasis
Depreciation	763186	Depreciation
Book Value	1975699	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	94338412	OtherCostOrOtherBasis
Depreciation	58463842	Depreciation
Book Value	35874570	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15263399	OtherCostOrOtherBasis
Book Value	15263399	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	125180637	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
PROFESSIONAL LIABILITY INSURANCE	$2,767,976
COST REPORT SETTLEMENT PAYABLE	$70,538
OTHER LONG-TERM LIABILITIES	$1,648,599
INTEREST PAYABLE	$317,744
LOSSES IN EXCESS OF INVESTMENT IN AFFILIATES	$9,835,509

Field	Value	IRS element (for citing)
Total Of Amounts	14640366	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	210809994	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	9394935	NetUnrealizedGainsInvestments
Other Revenues	39041	OtherRevenues
Revenue Not Rptd F990	9433976	RevenueNotRptdF990
Revenue Subtotal	201376018	RevenueSubtotal
Investment Expenses Not Included	517796	InvestmentExpensesNotIncluded
Other Revenues Not Included	5840594	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	6358390	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	207734408	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	191246546	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	8354352	OtherExpensesIncluded
Expenses Not Rptd F990	8354352	ExpensesNotRptdF990
Expenses Subtotal	182892194	ExpensesSubtotal
Investment Expenses Not Included2	517796	InvestmentExpensesNotIncluded2
Other Expenses Not Included	9524470	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	10042266	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	192934460	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	EARNINGS FROM THE PERMENANT ENDOWMENTS ARE INTENDED FOR GENERAL PURPOSES OF THE HOSPITAL.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	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.
PART XI, LINE 2D - OTHER ADJUSTMENTS:		OTHER INCOME 39,041.
PART XI, LINE 4B - OTHER ADJUSTMENTS:		RENTAL EXPENSES -187,473. INCOME FROM DISREGARDED ENTITY - HH SERVICES-BATES 2,861,988. INCOME FROM DISREGARDED ENTITY - LHP-FM 1,765,993. INCOME FROM DISREGARDED ENTITY - HH SERVICES-ORTHO 2,294,436. LOSS ON SALE OF FIXED ASSETS -894,350.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		OTHER INCOME 56,448. RENTAL EXPENSES 187,473. CAPITAL CONTRIBUTION TO AFFILIATE 901,943. LOSS ON DEFEASANCE OF DEBT 1,451,934. LOSS ON SALE OF FIXED ASSETS 894,350. EARNINGS OF EQUITY INVESTMENTS 4,862,204.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		EXPENSES FROM DISREGARDED ENTITY - HH SERVICES-BATES 3,745,858. EXPENSES FROM DISREGARDED ENTITY - LHP-FM 2,275,738. EXPENSES FROM DISREGARDED ENTITY - HH SERVICES-ORTHO 3,502,874.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	CULINARY CABARET	NameOfEvent1
Gross Receipts Event1	146849	GrossReceiptsEvent1
Charitable Contributions Event1	137681	CharitableContributionsEvent1
Gross Revenue Event1	9168	GrossRevenueEvent1
Other Direct Expenses Event1	9168	OtherDirectExpensesEvent1
Gross Receipts Total	146849	GrossReceiptsTotal
Charitable Contributions Total	137681	CharitableContributionsTotal
Gross Revenue Total Events	9168	GrossRevenueTotalEvents
Other Direct Expenses Total Events	9168	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	9168	DirectExpenseSummaryEvents
Net Income Summary	0	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	19560	GrossRevenueOtherGaming
Non Cash Prizes Other Gaming	15294	NonCashPrizesOtherGaming
Rent Facility Costs Other Gaming	6720	RentFacilityCostsOtherGaming
Volunteer Labor Other Gaming	1	VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming	0.95000	VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming	19560	GrossRevenueTotalGaming
Non Cash Prizes Total Gaming	15294	NonCashPrizesTotalGaming
Rent Facility Costs Total Gaming	6720	RentFacilityCostsTotalGaming
Direct Expense Summary Gaming	22014	DirectExpenseSummaryGaming
Net Gaming Income Summary	-2454	NetGamingIncomeSummary

Field	Value	IRS element (for citing)
States Where Gaming Conducted	MI	StatesWhereGamingConducted
Licensed	1	Licensed
License Suspended Etc	0	LicenseSuspendedEtc
Gaming With Nonmembers	1	GamingWithNonmembers
Member Of Other Entity	0	MemberOfOtherEntity
Percentage Of Gaming Othr Facility	1.00000	PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper Person	COLLEEN PERDOK	NameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

Field	Value	IRS element (for citing)
Address Line1	602 MICHIGAN AVE	AddressLine1
City	HOLLAND	City
State	MI	State
ZIP Code	49423	ZIPCode

Field	Value	IRS element (for citing)
Contract With3rd Party For Gam Rev	0	ContractWith3rdPartyForGamRev
Gaming Manager Name Person	COLLEEN PERDOK	GamingManagerNamePerson
Gaming Manager Compensation	0	GamingManagerCompensation
Gaming Manager Services Provided	FUND DEVELOPMENT COORDINATOR	GamingManagerServicesProvided
Gaming Manager Is Employee	X	GamingManagerIsEmployee
Charitable Distrib Required	0	CharitableDistribRequired

Form990 Schedule G Part IV Form990ScheduleGPartIV

Field	Value	IRS element (for citing)
Return Reference	SCHEDULE G, PART III, LINE 16:	ReturnReference
Explanation	INCLUDED IN COLLEEN PERDOK'S RESPONSIBILITIES IS THE ROLE OF GAMING MANAGER, HOWEVER THE AMOUNT OF COMPENSATION ALLOCATED TO THIS ROLE IS MINIMAL.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2145297	TotalCommunityBenefitExpense
Net Community Benefit Expense	2145297	NetCommunityBenefitExpense
Percent Of Total Expense	0.01180	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23745260	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16573242	DirectOffsettingRevenue
Net Community Benefit Expense	7172018	NetCommunityBenefitExpense
Percent Of Total Expense	0.03950	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	25890557	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16573242	DirectOffsettingRevenue
Net Community Benefit Expense	9317315	NetCommunityBenefitExpense
Percent Of Total Expense	0.05130	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	256178	TotalCommunityBenefitExpense
Direct Offsetting Revenue	24863	DirectOffsettingRevenue
Net Community Benefit Expense	231315	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	321886	TotalCommunityBenefitExpense
Net Community Benefit Expense	321886	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	273008	TotalCommunityBenefitExpense
Direct Offsetting Revenue	240186	DirectOffsettingRevenue
Net Community Benefit Expense	32822	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1707684	TotalCommunityBenefitExpense
Net Community Benefit Expense	1707684	NetCommunityBenefitExpense
Percent Of Total Expense	0.00940	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2558756	TotalCommunityBenefitExpense
Direct Offsetting Revenue	265049	DirectOffsettingRevenue
Net Community Benefit Expense	2293707	NetCommunityBenefitExpense
Percent Of Total Expense	0.01270	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	28449313	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16838291	DirectOffsettingRevenue
Net Community Benefit Expense	11611022	NetCommunityBenefitExpense
Percent Of Total Expense	0.06400	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Total Community Building Expense	5593	TotalCommunityBuildingExpense
Net Community Building Expense	5593	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	723660	TotalCommunityBuildingExpense
Direct Offsetting Revenue	254355	DirectOffsettingRevenue
Net Community Building Expense	469305	NetCommunityBuildingExpense
Percent Of Total Expense	0.00260	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Total Community Building Expense	108855	TotalCommunityBuildingExpense
Net Community Building Expense	108855	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Total Community Building Expense	838108	TotalCommunityBuildingExpense
Direct Offsetting Revenue	254355	DirectOffsettingRevenue
Net Community Building Expense	583753	NetCommunityBuildingExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$11,352,828	BadDebtExpenseAmount
Amount Attributable To	2214204	AmountAttributableTo
Amount Reimbursed By Medicare	32102314	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	34999867	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-2897553	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 HOLLAND PHO	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	COORD. RESOURCES FOR ITS MEMBERS FOR THE DELIVERY OF QUALITY HEALTH CARE.	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.50000	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.50000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	HOLLAND COMMUNITY HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	602 MICHIGAN AVE	AddressLine1
City	HOLLAND	City
State	MI	State
ZIP Code	49423	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HOLLAND COMMUNITY HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Other	X	Other
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	1	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Other Method	X	OtherMethod
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	1	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	300.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Uninsured Discount	X	UninsuredDiscount
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	7	NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
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 - SOUTH WASHINGTON
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 COMMUNITY HEALTH CENTER
602 MICHIGAN AVE	HOLLAND	MI	49423	PHYSICIAN OFFICE
LAKESHORE AREA RADIATION & ONCOLOGY CENT
602 MICHIGAN AVE	HOLLAND	MI	49423	PHYSICIAN OFFICE

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

ExplanationExplanation	Return ReferenceReturnReference	IdentifierIdentifier
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 7G: INCLUDED IN SUBSIDIZED HEALTH SERVICES ARE: MIDLIFE, SCHOOL NURSING, PARISH NURSING, AND CONGESTIVE HEART.
PART I, L7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24B - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $11,352,828.
PART II: HOLLAND HOSPITAL TAKES PRIDE IN ITS LEVEL OF COMMUNITY INVOLVEMENT. KEY MEMBERS OF THE HOSPITAL ADMINISTRATION PARTICIPATE ON PLANNING AND IMPLEMENTATION BOARDS INCLUDING THE CHAMBER OF COMMERCE AND THE HOLLAND COMMUNITY HEALTH CENTER. THE HOSPITAL ENGAGES IN FORMAL AND INFORMAL COMMUNITY INITIATIVES, PARTNERING WITH LOCAL NON-PROFIT ORGANIZATIONS, PUBLIC HEALTH ORGANIZATIONS, LOCAL MUNICIPALITIES, LONG TERM CARE FACILITIES, LAW ENFORCEMENT, CHURCHES AND SCHOOL DISTRICTS. THE HOSPITAL PLANS AND CONDUCTS EMERGENCY PREPAREDNESS DRILLS LOCALLY AND REGIONALLY. OUR COMMUNITY OUTREACH EFFORTS INCLUDE HEALTH EDUCATION AND ADVOCACY WITHIN AREA SCHOOL DISTRICTS, THE HOLLAND CITY RESCUE MISSION, AND THROUGH THE PROVISION OF PRIMARY HEALTH CARE FOR PATIENTS OF THE HOLLAND COMMUNITY HEALTH CENTER. HOLLAND HOSPITAL IS A SIGNIFICANT SUPPORTER OF PROGRAMMING FOR AT-RISK POPULATIONS. THE HOSPITAL PROVIDES BOTH FINANCIAL AND IN-KIND SUPPORT OF AGE 0-5 CHILD SCHOOL READINESS PROGRAMS, FREE SCREENING FOR MENTAL HEALTH/SUBSTANCE ABUSE PROBLEMS, AND MONTHLY EDUCATIONAL PROGRAMMING FOR AREA SENIORS.
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 EVALULATING 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. 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 ORGANIZATIONS CHARITY CARE POLICY, HOWEVER, DUE TO INADEQUATE APPLICATIONS FILED OR NEVER RETURNED THEY GET WRITTEN OFF TO BAD DEBTS INSTEAD. THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS APPROXIMATELY $2,214,204. 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.THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX.
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.
AS PER THE INSTRUCTIONS, SCHEDULE H, PART III, LINES 5 AND 6 ARE DERIVED DIRECTLY FROM THE MEDICARE COST REPORT. THOSE MEDICARE SERVICES NOT INCLUDED IN THE MEDICARE COST REPORT (MEDICARE ADVANTAGE AND FEE FOR SERVICE PHYSICIANS) HAVE A COST IN EXCESS OF REIMBURSEMENT OF $744,020.	FORM 990, PART III, SECTION B:
PART V, SECTION B, LINE 1J: 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 3: 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 4: NORTH OTTAWA COMMUNITY HEALTH SYSTEM & SPECTRUM HEALTH ZEELAND COMMUNITY HOSPITAL		HOLLAND COMMUNITY HOSPITAL
PART V, SECTION B, LINE 5C: SURVEYS OF THE COMMUNITY WERE HELD TO DISCUSS THE NEEDS ASSESSMENT.		HOLLAND COMMUNITY HOSPITAL
PART V, SECTION B, LINE 14G: THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL'S WEBSITE ALONG WITH A FINANCE 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.		HOLLAND COMMUNITY HOSPITAL
PART VI, LINE 2: IN COLLABORATION WITH THE OTTAWA COUNTY HEALTH DEPARTMENT AND THE UNITED WAY, A COMMUNITY ASSESSMENT IS PERFORMED. THE UNITED WAY PUBLISHES THEIR ASSESSMENT EVERY 5 YEARS (LAST ONE IN 2012) AND THE OTTAWA COUNTY HEALTH DEPARTMENT PUBLISHES THEIR YOUTH ASSESSMENT EVERY 2 YEARS (LAST ONE IN 2012) AND EVERY 3 YEARS FOR ADULTS (LAST ONE IN 2012).
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 MICHIGAN. THIS AREA REPRESENTED JUST OVER 150,000 RESIDENTS IN 2012. OVERALL, THE PSA POPULATION IS EXPECTED TO GROW BY NEARLY 2% OVER THE NEXT FIVE YEARS, INCREASING BY APPROXIMATELY 3,000 RESIDENTS FOR A TOTAL OF ALMOST 153,000 RESIDENTS BY 2017. THIS POPULATION COMPRISES ALL AGE GROUPS, SKEWING OLDER IN THE CITY OF HOLLAND AND YOUNGER IN THE GROWING AREAS OUTSIDE THE CITY. WE ALSO SERVE RESIDENTS IN OUR EXTENDED SERVICE AREA (ESA) WHICH TOGETHER WITH THE PSA COMPRISES A TOTAL POPULATION OF NEARLY 250,000. THE MOST RECENT RACIAL DEMOGRAPHIC BREAKOUT FOR OTTAWA COUNTY SHOWS WHITE 93.3%, BLACK OR AFRICAN AMERICAN 1.7%, AMERICAN INDIAN OR ALASKA NATIVE 0.6%, ASIAN 2.8%, NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER 0.0%, TWO OR MORE RACES 1.7%, HISPANIC OR LATINO 9.0% AND WHITE (NOT HISPANIC OR LATINO) 85.2% AGE DEMOGRAPHICS FOR OTTAWA COUNTY SHOW YOUNGER THAN FIVE YEARS 6.4%, YOUNGER THAN EIGHTEEN YEARS 25.4%, AGE 65 OR OLDER 12.5% WITH THE REMAINING POPULATION BETWEEN THE AGES OF 18 AND 65 FROM A TOTAL POPULATION OF 269,099.
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 MEDICAL STAFF, AREA EMPLOYERS AND AT-LARGE MEMBERS. THE HOSPITAL ACTIVELY RECRUITS PRIMARY AND SPECIALTY CARE PHYSICIANS AND CLINICAL SUPPORT STAFF BASED ON THE HEALTH NEEDS WITHIN THE PSA. HOLLAND HOSPITAL IS ACCESSIBLE 24/7 FOR ALL PERSONS IN NEED OF MEDICAL CARE REGARDLESS OF THEIR ABILITY TO PAY. THE AMOUNT OF CHARITABLE CARE AND BAD DEBT IS IN THE TENS OF MILLIONS OF DOLLARS AND INCREASING ANNUALLY. WORKING UPSTREAM, HOLLAND HOSPITAL PROVIDES APPROXIMATELY $800,000 IN ANNUAL SUPPORT OF THE HOLLAND COMMUNITY HEALTH CENTER WHICH PROVIDES PRIMARY HEALTH CARE SERVICES, WELLNESS CHECKS AND FAMILY CARE FOR THE UNINSURED AND UNDER-INSURED. WITHOUT THIS SERVICE, THESE INDIVIDUALS WOULD UTILIZE THE HOSPITAL'S EMERGENCY DEPARTMENT FOR BASIC CARE. FREE SCREENING PROGRAMS, ONGOING FREE COMMUNITY EDUCATION, AND ONLINE HEALTH INFORMATION ARE ALSO A PART OF HOLLAND HOSPITAL'S CONTRIBUTION TO THE HEALTH OF THE COMMUNITIES IT SERVES.
PART VI, LINE 6: NOT AFFILIATED.
MI	PART VI, LINE 7	REPORTS FILED WITH STATES

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	Purpose Of GrantPurposeOfGrant
COMMUNITY HEALTH CENTER
602 MICHIGAN AVENUE	HOLLAND	MI	49423	200602574	501(C)(3)	720861	0	N/A	N/A	OPERATIONAL CASH FLOW TO BREAK-EVEN
LAKESHORE ADVANTAGE CORP
201 W WASHINGTON	ZEELAND	MI	49464	061708014	501(C)(3)	12000	0	N/A	N/A	FINANCIAL CONTRIBUTIONS 2013
COMMUNITY FOUNDHOLLAND ZEELAND
70 W 8TH STREET SUITE 100	HOLLAND	MI	49423	386095283	501(C)(3)	1500	0	N/A	N/A	FINANCIAL CONTRIBUTIONS 2013
HOLLAND AREA CHAMBER OF COMMERCE
272 E 8TH STREET	HOLLAND	MI	49423	380655230	501(C)(6)	5400	0	N/A	N/A	FINANCIAL CONTRIBUTIONS 2013
CITY OF ZEELAND
21 S ELM ST	ZEELAND	MI	49464	386004744	N/A	1000	0	N/A	N/A	ZEELAND FIRE-RESCUE COMMUNITY EDUCATION PROGRAMS

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	2	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: THE HOSPITAL RECEIVES THEIR MONTHLY INTERNAL FINANCIALS AND A COPY OF THE AUDITED STATEMENTS ANNUALLY.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DALE M SOWDERS
PRESIDENT & CEO	424989	0	133114	0	66023	0	102638	0	21522	0	748286	0	0	0
BARBARA DEPREE MD
TRUSTEE, PHYSICIAN	159830	0	0	0	0	0	0	0	17392	0	177222	0	0	0
MARK STID
TRUSTEE, CHIEF OF STAFF	188305	0	0	0	0	0	0	0	17702	0	206007	0	0	0
PATTI VANDORT
VP, NURSING & CNO	187547	0	46967	0	22677	0	26376	0	16976	0	300543	0	0	0
MARK L PAWLAK
VP, ANCILLARY SERVICES & Q	185372	0	46656	0	9782	0	23841	0	14904	0	280555	0	0	0
TERRY L STEELE
VP, FINANCE & CFO	239702	0	61000	0	38695	0	22012	0	16647	0	378056	0	0	0
CHARLES D KOHLRUSS
VP, HR & OPERATIONS SUPPORT	190332	0	48502	0	43897	0	5518	0	18344	0	306593	0	0	0
ROBERT J BATES MD
PHYSICIAN	578914	0	0	0	0	0	0	0	20017	0	598931	0	0	0
MICHAEL A TRAVER MD
PHYSICIAN	413866	0	0	0	0	0	0	0	22257	0	436123	0	0	0
CARL H WIERKS MD
PHYSICIAN	550093	0	0	0	0	0	0	0	21711	0	571804	0	0	0
JOHN K LUDLOW MD
PHYSICIAN	444004	0	0	0	0	0	0	0	22257	0	466261	0	0	0
DERICK M JOHNSON DO
PHYSICIAN	550093	0	0	0	0	0	0	0	17880	0	567973	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINE 4B	ReturnReference
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 2012.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
MICHIGAN STATE HOSPITAL FINANCE AUTHORTIY
A	382889417	59465E7A5	2004-08-01	21744478	CONSTRUCTION OF NEW BUILDING	1	0	0
MICHIGAN STATE HOSPITAL FINANCE AUTHORTIY
B	382889417	59465E7A5	2004-08-01	22000000	CONSTRUCTION OF NEW BUILDING	0	0	0
MICHIGAN STATE HOSPITAL FINANCE AUTHORITY
C	800596186	NONEAVAIL	2010-08-11	23500000	CONSTRUCTION OF NEW BUILDING	0	0	0
MICHIGAN STATE HOSPITAL FINANCE AUTHORITY
D	382889417	59447PTG6	2013-02-20	37010000	CONSTRUCTION OF NEW BUILDING AND DEFEASANCE OF 2004A BONDS	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Refunding EscrowRefundingEscrow
A	22000000	1722767	250000	22000000	2008	0	1	1
B	22000000		225000	22000000	2008	0	1	1
C	23500000		139505	9376581	2011	1	1	1	14123419
D	39641117	3056775	243926	20471662	2015	1	0	1	18656552

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
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
D	0	0	0	0	0.00000	0.00000	0.00000	0	0	0

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue
A	1	0
B	1	1
C	0	0	1	0	0
D	0	1	1	0	0

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	0
B	0
C	0
D	0

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
LAKEWOOD CONSTRUCTION
BOARD MEMBER JAMES STROOP IS AN OWNER OF LAKEWOOD CONSTRUCTION.	139662	LAKEWOOD CONSTRUCTION WAS SELECTED AS GENERAL CONTRACTOR FOR A HOSPITAL PROJECT AND THE PAYMENTS TO LAKEWOOD CONSTRUCTION RELATE TO CONSTRUCTION SERVICES, INCLUDING PAYMENTS TO SUBCONTRACTORS AS WELL AS THE GENERAL CONTRACTOR FEE.	0
LAKEWOOD ELZINGA A JOINT VENTURE
BOARD MEMBER JAMES STROOP IS AN INDIRECT OWNER OF LAKEWOOD ELZINGA JV.	5679758	LAKEWOOD ELZINGA A JOINT VENTURE WAS SELECTED AS GENERAL CONTRACTOR FOR SEVERAL HOSPITAL PROJECTS. THE PAYMENTS TO LAKEWOOD ELZINGA A JOINT VENTURE RELATE TO CONSTRUCTION SERVICES, INCLUDING PAYMENTS TO SUBCONTRACTORS AS WELL AS THE GENERAL CONTRACTOR FEE.	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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 2013.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, COLUMN D:	WILLIAM FRAUENHEIM, BOARD MEMBER, ALSO SERVED AS MEDICAL DIRECTOR FOR THE CARDIAC SERVICE LINE. A THIRD PARTY, WEST MICHIGAN HEART, WAS COMPENSATED $29,750 FOR THESE MEDICAL DIRECTOR SERVICES. THE $29,750 HAS BEEN REPORTED ON FORM 990, PART VII, COLUMN D.
FORM 990, PART XI, LINE 9:	UNREALIZED LOSS IN AFFILIATES -2,277,558. HH SERVICES-SOUTH WASHINGTON CAPITAL CONTRIBUTION -901,943. LOSS ON EXTINGUISHMENT OF DEBT -1,451,934.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:	THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
HH SERVICES ORT LLC
602 MICHIGAN AVENUE	HOLLAND	MI	49423	264606759	ORTHOPEDIC PHYSICIAN OFFICE	MI	-1208438	234205	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	-866463	1120402	HOLLAND COMMUNITY HOSPITAL
LAKESHORE HEALTH PARTNERS - FM LLC
602 MICHIGAN AVENUE	HOLLAND	MI	49423	272647439	FAMILY MEDICINE PHYSICIAN OFFICE	MI	-509745	173398	HOLLAND COMMUNITY HOSPITAL

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
HOLLAND COMMUNITY HOSPITAL AUTHORITY SELF-INSURANCE TRUST FUND
602 MICHIGAN AVENUE	HOLLAND	MI	49423	386389385	SUPPORTING ORGANIZATION	MI	501(C)(3)	LINE 11A, I	HOLLAND COMMUNITY HOSPITAL	1
HOLLAND COMMUNITY HOSPITAL AUXILIARY
602 MICHIGAN AVENUE	HOLLAND	MI	49423	382139025	SUPPORTING ORGANIZATION	MI	501(C)(3)	LINE 11C, III-FI		0	N/A
LAKESHORE HEALTH PARTNERS
602 MICHIGAN AVENUE	HOLLAND	MI	49423	263518481	ENDOSCOPY SERVICES	MI	501(C)(3)	LINE 3	HOLLAND COMMUNITY HOSPITAL	1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	HH SERVICES - SOUTH WASHINGTON	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	602 MICHIGAN AVENUE	AddressLine1
City	HOLLAND	City
State	MI	State
ZIP Code	49423	ZIPCode

Field	Value	IRS element (for citing)
EIN	270795175	EIN
Primary Activity	MEDICAL CLINIC	PrimaryActivity
Legal Domicile State	MI	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HOLLAND COMMUNITY HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity
Share Of Total Income	892356	ShareOfTotalIncome
Percentage Ownership	1.00000	PercentageOwnership
Controlled Org	1	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
LAKESHORE HEALTH PARTNERS
M	1553386	CONTRACTS AND TIME TRACKING
HOLLAND COMMUNITY HOSPITAL AUXILIARY
C	78485	ACTUAL AMOUNTS PAID
HH SERVICES - SOUTH WASHINGTON
B	901943	ACTUAL AMOUNTS PAID