2013-05-05T20:00:08-05:00 2012-06-30 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2011-07-01 383067954 LAKESHORE AREA RADIATION ONCOLOGY CENTER LAKE 6167747322 12642 Riley Street Holland MI 49424 BRENDA WINN 2012-10-25 true Geralyn R Hurd P00933422 3128997000 2011 2016-03-07 17:11:31Z MR HENRY A VEENSTRA 12642 Riley Street Holland MI 49424 4127716 false X N/A X 1992 MI THE LAKESHORE AREA RADIATION ONCOLOGY CENTER IS A COOPERATIVE VENTURE BY HOLLAND COMMUNITY, NORTH OTTAWA COMMUNITY, SPECTRUM AND ZEELAND COMMUNITY HOSPITALS DESIGNED TO SERVE LAKESHORE AREA RESIDENTS AND IMPROVE THE HEALTH OF THE AREA. OUR MISSION IS TO PROVIDE CONVENIENT, TECHNOLOGICALLY ADVANCED AND COST EFFECTIVE RADIATION ONCOLOGY SERVICES IN A COMFORTABLE AND COMPASSIONATE ENVIRONMENT THAT REACHES BEYOND THE TRADITIONAL HOSPITAL WALLS. OUR COMMITMENT IS TO TREAT THOSE WHOM WE SERVE WITH DIGNITY AND RESPECT. WE INTEND TO PROVIDE INDIVIDUALIZED CARE, EDUCATIONAL RESOURCES AND SUPPORT TO OUR PATIENTS AND THEIR FAMILIES, SHARING IN THEIR SENSE OF HOPE FOR THE FUTURE. 7 7 0 0 0 0 0 0 3517076 4102129 22265 12024 18490 13563 3557831 4127716 0 0 0 0 1124649 0 0 0 0 1783303 2883047 2907952 2883047 649879 1244669 9545299 9360071 3461775 2933878 6083524 6426193 LAKESHORE AREA RADIATION ONCOLOGY CENTER WAS ESTABLISHED TO DELIVER OUTPATIENT RADIATION SERVICES, A HEALTH CARE SERVICE FOR THE GENERAL PUBLIC. false false 2390013 4115692 LAROC PROVIDES CONVENIENT AND TECHNOLOGICALLY ADVANCED RADIATION ONCOLOGY SERVICES AND EDUCATIONAL RESOURCES TO AREA RESIDENTS. DURING THE YEAR LAROC PROVIDED 7,271 RADIATION ONCOLOGY TREATMENTS ON AN OUTPATIENT BASIS TO 346 PATIENTS. IN THE NEXT YEAR LAROC EXPECTS TO PERFORM 7,297 TREATMENTS. 2390013 true false false false false false false false false true false false false false false false false false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false false false false true X 0 0 0 false false false false false false false false false false X 7 7 false true false false true true true true true false false true true true true true true false false false X Ronald Knaus 6163912796 100 Michigan Ave NE Grand Rapids MI 49503 X BRENDA WINN 0.25 X X 0 0 0 HENRY VEENSTRA 1.00 X X 0 0 0 JONATHAN BERENDS 0.25 X X 0 0 0 RICHARD FUNNELL 0.25 X X 0 0 0 THOMAS KIMBERLY 0.25 X X 0 0 0 DAVE NEWTON 0.25 X 0 0 0 DONALD LONGPRE 0.25 X 0 0 0 MARK PAWLAK 0.25 X 0 0 0 0 0 0 0 false false false SPECTRUM HEALTH 100 MICHIGAN ST NE GRAND RAPIDS MI 49503 MANAGEMENT SERVICES 1022421 VARIAN MEDICAL SYSTEMS 660 N MCCARTHY BLVD MILPITAS CA 95035 MAINTENANCE CONTRACT - RADIATION 658235 2 0 RADIATION ONCOLOGY SERVICES 621498 4102129 4102129 0 0 0 0 4102129 12024 12024 0 0 13563 13563 0 13563 13563 0 0 0 0 0 0 0 0 0 0 0 4127716 4115692 0 12024 0 0 0 0 0 0 0 0 0 0 0 1094 1094 0 0 0 0 1348986 990348 358638 27383 27383 80418 80418 125884 122584 3300 0 408324 393625 14699 6355 5409 946 0 240 240 21351 21351 0 811636 777697 33939 25375 25375 MEDICAL SUPPLIES 23882 23882 EDUCATIONAL MATERIALS 649 649 OTHER OPERATING EXPENSES 1470 1470 0 0 0 0 2883047 2390013 493034 0 0 200 200 3721581 3746721 177778 147012 156909 166772 12284580 7242459 5488831 5042121 0 0 0 0 0 257245 9545299 9360071 469571 512301 2992204 2421577 0 3461775 2933878 X 6083524 6426193 6083524 6426193 9545299 9360071 X 1244669 -902000 X false false false X 302634 302634 4410954 2300143 2110811 7080314 4908012 2172302 490678 34304 456374 0 5042121 0 0 MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 382889417 59465HKS4 2009-02-18 9000000 CONSTRUCTION & RENOVATION ONCOLOGY false false true 1257041 0 4252837 0 0 0 50562 0 0 4202275 0 0 2009 false false true true false false false false 0.0000 0.0000 0.0000 true false true false 0.0 false 0.0 false false X NUMBER REPORTED IN BOX 3 OF FORM 1096 FORM 990, PART V, LINE 1A PURSUANT TO A SHARED SERVICES CONTRACT WITH A MEMBER ORGANIZATION, THE ORGANIZATIONS' VENDORS ARE PROCESSED AND PAID. AMOUNTS PAID TO THE MEMBER ORGANIZATION BY THE ORGANIZATION ARE INCLUDED ON LINES 11 - 24 OF PART IX. Delegation of management duties Form 990, Part VI, Section A, Line 3 THE ORGANIZATION HAS A SHARED SERVICES AGREEMENT WITH SPECTRUM HEALTH HOSPITALS, A MEMBER ORGANIZATION. SPECTRUM HEALTH ANALYZES AND PREPARES THE BUDGET FOR THE ORGANIZATION. SPECTRUM HEALTH ALSO PROVIDES THE ORGANIZATION WITH A MANAGER TO OVERSEE THE FACILITIES OPERATIONS. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 THE ORGANIZATION HAS FOUR MEMBERS/STOCKHOLDERS AS FOLLOWS: -SPECTRUM HEALTH HOSPITALS (EIN 38-1360529), A MICHIGAN NONPROFIT CORPORATION. -HOLLAND COMMUNITY HOSPITAL (EIN 38-2800065), A MICHIGAN NONPROFIT CORPORATION. -NORTH OTTAWA COMMUNITY HOSPITAL (EIN 38-3330803), A MICHIGAN NONPROFIT CORPORATION. -ZEELAND COMMUNITY HOSPITAL (EIN 38-1411184), A MICHIGAN NONPROFIT CORPORATION. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a THE MEMBER(S) (SEE FORM 990, PART VI, LINE 6) OF THE ORGANIZATION APPOINTS ALL MEMBERS OF THE BOARD OF DIRECTORS. NO INDIVIDUAL PERSON SHALL BE ELIGIBLE TO BECOME A MEMBER OF THE CORPORATION, AND NO CORPORATION OR OTHER ENTITY SHALL BE ELIGIBLE TO BECOME A MEMBER IN THE CORPORATION UNLESS SUCH CORPORATION OR ENTITY IS AN ACUTE CARE HOSPITAL LOCATED IN KENT, ALLEGAN, OTTAWA, OR MUSKEGON COUNTIES, MICHIGAN. ADDITIONAL MEMBERS MAY BE ADMITTED TO THE CORPORATION UPON THE APPROVAL OF THE EXISTING MEMBERS HOLDING AT LEAST 80% OF THE WEIGHTED VOTES AS OUTLINED IN THE BYLAWS: SPECTRUM HEALTH HOSPITALS - 35% HOLLAND COMMUNITY HOSPITAL - 35% NORTH OTTAWA COMMUNITY HOSPITAL - 15% ZEELAND COMMUNITY HOSPITAL - 15% THE BUSINESS AND AFFAIRS OF THE ORGANIZATION SHALL BE MANAGED EXCLUSIVELY BY A BOARD OF DIRECTORS. THERE SHALL BE EIGHT DIRECTORS OF THE CORPORATION. EACH OF THE FOUR MEMBERS OF THE CORPORATION SHALL SELECT TWO DIRECTORS. THE WEIGHTED VOTES OF EACH PAIR OF DIRECTORS MAY BE CAST BY ONLY ONE OF THE PAIR IF BOTH ARE NOT PRESENT AT A MEETING OF THE BOARD. IF BOTH ARE PRESENT AT A MEETING OF THE BOARD, THEY SHALL EACH HAVE A VOTE EQUAL TO ONE-HALF OF THE PERCENTAGES SET FORTH ABOVE. EACH DIRECTOR SHALL HOLD OFFICE UNTIL HIS DEATH, RESIGNATION, INCAPACITY TO ACT, OR REMOVAL. IN THE EVENT ANY VACANCY SHALL OCCUR ON THE BOARD OF DIRECTORS, SUCH VACANCY SHALL BE FILLED BY THE MEMBER OF THE CORPORATION WHICH HAD ORIGINALLY APPOINTED THAT DIRECTOR. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b THE MEMBERS (SEE FORM 990, PART VI, LINE 6) OF THE ORGANIZATION HAVE THE RESERVED POWERS SET FORTH BELOW, AND SHALL NOT BE DEEMED AUTHORIZED UNLESS AND UNTIL APPROVED BY AT LEAST 80% OF THE WEIGHTED VOTES (SEE FORM 990, PART VI, LINE 7A) OF THE MEMBERS: -ALL MATTERS REQUIRING MEMBERSHIP ACTION UNDER MICHIGAN LAW; -AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE ORGANIZATION; -RATIFICATION OF THE MISSION, ROLE, AND GOALS OF THE ORGANIZATION; -ADOPTION, APPROVAL, REVOCATION, OR ABANDONMENT OF ANY PLAN OF DISSOLUTION OF THE ORGANIZATION; AND -ADOPTION, APPROVAL, REVOCATION, OR ABANDONMENT OF ANY PLAN OF MERGER, CONSOLIDATION, SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS AND PROPERTY OF THE ORGANIZATION. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. THE REVIEW PROCESS FOR THIS FORM 990 IS AS FOLLOWS: 1. PREPARATION OF THE RETURN IS SUPERVISED AND REVIEWED BY A MEMBER ORGANIZATION'S CORPORATE TAX DEPARTMENT. 2. A SECOND REVIEW IS PERFORMED BY AN EXTERNAL CPA FIRM WITH EXPERTISE IN TAX-EXEMPT RETURN PREPARATION. 3. THE RETURN IS REVIEWED BY THE ORGANIZATION'S TREASURER AND SECRETARY AND SHARED WITH THE MEMBERS OF THE BOARD OF DIRECTORS. Conflict of interest policy Form 990, Part VI, Section B, Line 12c BOARD OF DIRECTORS 1.CONFLICTS OF INTEREST MUST BE DISCLOSED, BOTH VIA AN ANNUAL ELECTRONIC DISCLOSURE PROCESS AS WELL AS VERBALLY AT A BOARD MEETING PRIOR TO DISCUSSION OF ANY AGENDA ITEM WITH REGARD TO WHICH A BOARD MEMBER HAS A CONFLICT. 2.A PERSON HAVING A FINANCIAL INTEREST IN A PROPOSED TRANSACTION OR ARRANGEMENT MAY MAKE A PRESENTATION AT A MEETING OF THE BOARD OF DIRECTORS OR COMMITTEE CONSIDERING THAT TRANSACTION OR ARRANGEMENT, BUT AFTER THAT PRESENTATION HE OR SHE SHALL LEAVE THE MEETING DURING DISCUSSION AND VOTING ON THAT PROPOSED TRANSACTION OR ARRANGEMENT. THE PERSON HAVING THE FINANCIAL INTEREST SHALL NOT BE COUNTED IN DETERMINING WHETHER A QUORUM IS PRESENT. 3.THE CHAIRPERSON OF THE BOARD OF DIRECTORS OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE (INCLUDING OUTSIDE ADVISORS) TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND TO ADVISE WHETHER THE PROPOSED TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST. 4.THE BOARD OF DIRECTORS OR COMMITTEE SHALL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER THE ORGANIZATION CAN, WITH REASONABLE EFFORTS, OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 5.IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OF DIRECTORS OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS AND MEMBERS WHETHER THE PROPOSED TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. 6.THE MINUTES OF THE MEETINGS OF THE BOARD OF DIRECTORS AND ALL OF THE ORGANIZATIONS COMMITTEES SHALL SET FORTH: A)THE NAMES OF THE PERSONS WHO DISCLOSED A FINANCIAL INTEREST IN A PROPOSED TRANSACTION OR ARRANGEMENT INVOLVING THE ORGANIZATION OR ANY OF ITS SUBSIDIARIES AND THE NATURE OF THE FINANCIAL INTEREST; AND B)THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO SUCH TRANSACTION OR ARRANGEMENT, INCLUDING ANY DISCUSSION OF ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION WITH THAT MATTER. THE VOTES OF INDIVIDUAL MEMBERS NEED NOT BE RECORDED UNLESS OTHERWISE DIRECTED BY THE BOARD OF DIRECTORS OR COMMITTEE. MANAGEMENT 1. UPON ACCEPTANCE OF AN EMPLOYMENT OFFER, EACH MEMBER OF MANAGEMENT COMPLETES A CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE. A COPY OF THE MEMBER OF MANAGEMENT'S DISCLOSURE QUESTIONNAIRE IS SENT TO THE ORGANIZATION'S LEGAL DEPARTMENT AND IS ALSO MAINTAINED BY HUMAN RESOURCES IN THAT PERSON'S PERSONNEL FILE. 2. ANNUALLY, EACH MEMBER OF MANAGEMENT COMPLETES AN ANNUAL CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE ELECTRONICALLY. THE DISCLOSURE QUESTIONNAIRE IS REVIEWED BY THE LEGAL AND ORGANIZATIONAL INTEGRITY DEPARTMENTS. 3. THERE IS AN ONGOING REQUIREMENT THAT MEMBERS OF MANAGEMENT COMPLETE ANOTHER DISCLOSURE QUESTIONNAIRE AT ANY POINT DURING HIS/HER EMPLOYMENT WHEN A NEW POTENTIAL CONFLICT OF INTEREST ARISES. IF A MEMBER OF MANAGEMENT COMPLETES A DISCLOSURE QUESTIONNAIRE AS A RESULT OF A NEW POTENTIAL CONFLICT OF INTEREST, THAT DISCLOSURE QUESTIONNAIRE IS SUBMITTED TO THE LEGAL AND ORGANIZATIONAL INTEGRITY DEPARTMENTS FOR REVIEW. 4. THE LEGAL AND ORGANIZATIONAL INTEGRITY DEPARTMENTS, IN CONSULTATION WITH EXECUTIVE MANAGEMENT, DETERMINE HOW ANY REPORTED CONFLICTS SHOULD BE MANAGED. MANAGEMENT OF A CONFLICT MAY TAKE A VARIETY OF DIFFERENT FORMS FROM IMPLEMENTATION OF A MANAGEMENT PLAN TO REQUIRING THAT THE MEMBER OF MANAGEMENT CEASE THE ACTIVITY CREATING THE CONFLICT OR, IN EXTREME CASES, LEAVE ORGANIZATION'S EMPLOYMENT. MANAGEMENT IS DETERMINED ON AN INDIVIDUAL BASIS BASED UPON THE FACTS AND CIRCUMSTANCES SURROUNDING THE DISCLOSURE. THE PURPOSE OF CONFLICT MANAGEMENT IS TO PROVIDE TRANSPARENCY WITHIN THE ORGANIZATION AND TO ENSURE THAT ORGANIZATION'S EMPLOYEES ARE ALWAYS ACTING IN THE BEST INTEREST OF THE ORGANIZATION. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION HAVE BEEN PROVIDED TO THE STATE OF MICHIGAN AND ARE AVAILABLE TO THE PUBLIC ON THE STATE'S WEBSITE. THE ORGANIZATION'S BYLAWS AND INTERNAL POLICIES ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC. AT THE TIME OF THIS FILING, THE FINANCIAL STATEMENTS HAVE NOT BEEN AVAILABLE TO THE PUBLIC BUT ARE REPRESENTED IN PARTS VIII, IX, AND X OF THIS FORM 990. Other changes in net assets or fund balances Form 990, Part XI, Line 5 MEMBER HOSPITAL DISTRIBUTIONS - -902000;