HOLLAND COMMUNITY HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HOLLAND COMMUNITY HOSPITAL (EIN 38-2800065)
- Tax period
- 2011-04-01 to 2012-03-31
- Filed
- 2013-02-15
- IRS object ID
- 201320469349301972
- Schema version
- 2011v1.2
- 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 D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-02-15T15:09:11-06:00 | Timestamp |
| Tax Period End Date | 2012-03-31 | 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 | 750 TRADE CENTRE WAY STE 300 | AddressLine1 |
| City | PORTAGE | City |
| State | MI | State |
| ZIP Code | 49002 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-04-01 | 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 | 2013-02-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CAROL LALONDE CPA | Name |
| PTIN | P00181637 | PTIN |
| Phone | 2695674500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | 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 | 202197710 | 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 | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2205 | TotalNbrEmployees |
| Total Nbr Volunteers | 500 | TotalNbrVolunteers |
| Total Gross UBI | 1760166 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 336851 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 878365 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 884900 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 175390965 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 181622226 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -1249481 | InvestmentIncomePriorYear |
| Investment Income Current Year | 8486656 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 8221281 | OtherRevenuePriorYear |
| Other Revenue Current Year | 10308678 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 183241130 | TotalRevenuePriorYear |
| Total Revenue Current Year | 201302460 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 770803 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 783048 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 91784339 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 98382164 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 80341780 | OtherExpensePriorYear |
| Other Expenses Current Year | 85272690 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 172896922 | TotalExpensesPriorYear |
| Total Expenses Current Year | 184437902 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 10344208 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 16864558 | RevenuesLessExpensesCY |
| Total Assets BOY | 355240131 | TotalAssetsBOY |
| Total Assets EOY | 363026744 | TotalAssetsEOY |
| Total Liabilities BOY | 90524801 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 88435689 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 264715330 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 274591055 | 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 | 152297005 | Expense |
| Grants | 783048 | Grants |
| Revenue | 181622226 | 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' SEVEN YEARS AND COUNTINGFOR SEVEN YEARS IN A ROW, HOLLAND HOSPITAL HAS BEEN SELECTED AS ONE OF THE NATION'S 100 TOP HOSPITALS. THOMSON REUTERS ANNUALLY CONDUCTS AN INDEPENDENT REVIEW OF NEARLY 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 2012.TOP 4 PERCENT FOR 'BEST PRACTICES'"PROCESS OF CARE MEASURES" (OR "CORE MEASURES") 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 PLACE HOLLAND HOSPITAL AT THE 96TH PERCENTILE - MEANING WE'RE IN THE TOP 4 PERCENT OF HOSPITALS NATIONWIDE IN MEETING PROCESS OF CARE MEASURES. WE ARE ALSO AMONG THE FIRST HOSPITALS TO LEAD THE WAY IN PATIENT SAFETY THROUGH 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. MANY LAKESHORE RESIDENTS ARE BENEFITING FROM OUR RECENT FACILITY IMPROVEMENTS AS WELL AS SUCH CUTTING-EDGE TECHNOLOGIES AS DAVINCI ROBOT-ASSISTED SURGERY, DIGITAL MAMMOGRAPHY AND INTERVENTIONAL RADIOLOGY. DURING FISCAL YEAR 2012, HOLLAND HOSPITAL'S 320-MEMBER MEDICAL STAFF, 1,900 EMPLOYEES AND 500 VOLUNTEERS SERVED THE COMMUNITY BY PROVIDING:PATIENT DAYS 30,100DISCHARGES 7,300BIRTHS 1,700SURGERIES 17,300OUTPATIENT VISITS 395,000EMERGENCY ROOM VISITS 42,000URGENT CARE VISITS 33,200HOME HEALTH VISITS 42,300LAB TESTS 645,000RADIOLOGY PROCEDURES 102,300BEDS 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 25,000 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 OFFERS A WEALTH OF EDUCATIONAL CLASSES AND PRESENTATIONS FOR CHILDREN, ADULTS AND SENIORS. IN FY 2012, THE CENTER OFFERED 700 CLASSES AND EVENTS WITH APPROXIMATELY 13,577 PARTICIPANTS. RECENTLY, IN RESPONSE TO TODAY'S EMPHASIS ON IMPROVING WORKER HEALTH TO BOOST EFFECTIVENESS AND REDUCE HEALTH CARE COSTS, THE CENTER JOINED FORCES WITH MANY AREA BUSINESSES TO TAKE ITS WORKSITE WELLNESS PROGRAM DIRECTLY TO EMPLOYEES.SERVING THE UNDERSERVED WITH THE FACE OF HOLLAND PROJECTIN OTTAWA COUNTY, THE CHALLENGING ECONOMIC TIMES HAVE LEFT OVER 13% OF ADULTS AND CHILDREN WITH NO OR INSUFFICIENT HEALTH INSURANCE TO COVER THEIR FAMILY'S MEDICAL EXPENSES. IN RESPONSE, HOLLAND HOSPITAL FUND DEVELOPMENT INTENSIFIED ITS EFFORTS TO "SERVE THE UNDERSERVED" BY FOCUSING FINANCIAL SUPPORT ON 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 $50,000 PER SCHOOL YEARLY SERVING OVER 8,000 AREA STUDENTS. FUND DEVELOPMENT CONTRIBUTED $790,000 TO THE OPERATION OF THE HOLLAND COMMUNITY HEALTH CENTER PROVIDING PRIMARY HEALTH CARE TO OVER 4,900 COMMUNITY MEMBERS ANNUALLY. 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 (BY ABOUT 800 PATIENTS PER YEAR) FOR SERVICES OF THE HOLLAND COMMUNITY HEALTH CENTER, WHICH PROVIDES HEALTH CARE FOR PEOPLE WHO ARE UNDER INSURED AND UNINSURED. IN 2011, THE COMMUNITY HEALTH CENTER SERVED CLOSE TO 5,000 PATIENTS, NEARLY HALF OF THEM CHILDREN, WITH 10,724 VISITS. MOST OF THESE VISITS FOCUSED ON WOMEN'S AND CHILDREN'S HEALTH CARE NEEDS, DIABETES MANAGEMENT AND ELDER CARE. EACH YEAR THE COMMUNITY HEALTH CENTER 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 2011-2012 THEY SERVICED 8,000 STUDENTS, 36,021 HEALTH OFFICE VISITS, ADMINISTERED 12,402 MEDICATIONS AND REFERRED 391 STUDENTS FOR MEDICAL, DENTAL, VISION, OR SOCIAL CONCERNS. THEY PROVIDED 200 EDUCATIONAL SESSIONS.UNCOMPENSATED MEDICAL COSTS OUR COMMITMENT TO CARING FOR MEMBERS OF OUR COMMUNITY WHO ARE UNINSURED OR UNDERINSURED CONTINUES TO BE ONE OF THE BIGGEST FINANCIAL CHALLENGES FOR THE HOSPITAL. IN FY 2012, HOLLAND HOSPITAL PROVIDED UNREIMBURSED CARE TO OUR PATIENTS AT A COST OF $35.2 MILLION, A 9 PERCENT INCREASE OVER THE PREVIOUS YEAR. BAD DEBT ALONE STAYED CONSISTENT DURING 2012 AND 2011, ROSE OVER 30 PERCENT IN 2010 AND 50 PERCENT IN 2009 - A REFLECTION OF THE CONTINUED ECONOMIC ENVIRONMENT AND GROWTH IN UNEMPLOYMENT.HOLLAND HOSPITAL TAKES ITS FIDUCIARY RESPONSIBILITY SERIOUSLY, AND WORKS VERY HARD TO BALANCE THE CURRENT HEALTH CARE NEEDS OF THE COMMUNITY WITH OUR RESPONSIBILITY TO REMAIN FINANCIALLY VIABLE FOR GENERATIONS TO COME. COMMUNITY OUTREACH IS AN IMPORTANT PART OF OUR MISSION AND IT TAKES GREAT EFFORT TO FREE UP RESOURCES TO BE ABLE TO INVEST IN THESE PROGRAMS AND COVER INCREASING COSTS FROM UNCOMPENSATED CARE.2012 COMMUNITY BENEFIT SUMMARY - $35.2 MILLION TOTAL COMMUNITY BENEFITUNPAID COST OF MEDICAID $9,100,000UNPAID COST OF MEDICARE $8,400,000CHARITY CARE $1,800,000 BAD DEBT $10,200,000OTHER COMMUNITY BENEFITS (NOTE A) $5,700,000NOTE 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 | 152297005 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 1 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | 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 | 0 | 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 | 161 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2205 | 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 | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | 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 | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| 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 |
| States Where Copy Of Return Is Filed | MI | StatesWhereCopyOfReturnIsFiled |
| 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 |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | 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 | X | X | 674822 | 0 | 145058 | |
| LESLIE BROWN | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| BARBARA DEPREE MD | |||||||
| TRUSTEE, PHYSICIAN | 30.00 | X | 0 | 0 | 0 | ||
| CHUCK DEPREE | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| BECCA DERNBERGER | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| WILLIAM FRAUENHEIM MD | |||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| ROGER GAMACHE | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| DON KOMEJAN | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| KRIS MANOS | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| GREG MAYBURY | |||||||
| CHAIR | 1.00 | X | X | 0 | 0 | 0 | |
| DAWN GARCIA WARD | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| JANE CLARK | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| JAMES STROOP | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| MARK STID | |||||||
| CHIEF OF STAFF | 5.00 | X | X | 0 | 0 | 0 | |
| TERRY L STEELE | |||||||
| VP, FINANCE & CFO | 40.00 | X | 333293 | 0 | 62134 | ||
| CHARLES D KOHLRUSS | |||||||
| VP, HR & OPERATIONS SUPPOR | 40.00 | X | 251358 | 0 | 48319 | ||
| PATTI VANDORT | |||||||
| VP, NURSING & CNO | 40.00 | X | 249705 | 0 | 47618 | ||
| MARK L PAWLAK | |||||||
| VP, ANCILLARY SERVICES & Q | 40.00 | X | 234018 | 0 | 45831 | ||
| WILLIAM L VANDERVLIET MD | |||||||
| VP, MEDICAL AFFAIRS | 20.00 | X | 0 | 0 | 0 | ||
| ROBERT J BATES MD | |||||||
| PHYSICIAN, UROLOGY | 40.00 | 586327 | 0 | 29991 | X | ||
| MICHAEL A TRAVER MD | |||||||
| PHYSICIAN, UROLOGY | 40.00 | 498306 | 0 | 29097 | X | ||
| CARL H WIERKS MD | |||||||
| PHYSICIAN | 40.00 | 561314 | 0 | 30844 | X | ||
| JOHN K LUDLOW MD | |||||||
| PHYSICIAN, UROLOGY | 40.00 | 470716 | 0 | 30489 | X | ||
| DERICK JOHNSON | |||||||
| PHYSICIAN | 40.00 | 558344 | 0 | 19671 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4418203 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 489052 | TotalOtherCompensation |
| Number Individuals GT100 K | 82 | 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 |
|---|---|---|---|---|---|
| ARAMARK CORPORATION | |||||
| 12483 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | CONTRACTED SERVICES | 3554032 |
| ELZINGA AND VOLKERS INC | |||||
| 86 E 6TH ST | HOLLAND | MI | 49423 | CONSTRUCTION | 3240744 |
| WARNER NORCROSS AND JUDD | |||||
| 900 FIFTH THIRD CTR 111 LYON ST NW | GRAND RAPIDS | MI | 49503 | LEGAL | 843653 |
| ECG MANAGEMENT CONSULTANTS | |||||
| 1111 3RD AVE STE 2700 | SEATTLE | WA | 98101 | CONSULTING | 842810 |
| LAKESHORE CAMPUS LLC | |||||
| 161 OTTAWA AVENUE NW STE 104 | GRAND RAPIDS | MI | 49503 | LANDLORD - RENT | 833034 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 47 | NumberOfContractorsGT100K |
| Fundraising Events | 125304 | FundraisingEvents |
| All Other Contributions | 759596 | AllOtherContributions |
| Total Contributions | 884900 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT REVENUE | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 181622226 | TotalRevenueColumn |
| Related Or Exempt Function Income | 181622226 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 181622226 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9335736 | TotalRevenueColumn |
| Exclusion | $9,335,736 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 282670 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 282670 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 282670 | TotalRevenueColumn |
| Exclusion | $282,670 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 14750 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 863830 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -849080 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -849080 | TotalRevenueColumn |
| Exclusion | -$849,080 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 9675 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 125304 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 9675 | 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 | 19570 | GrossIncomeGaming |
| Gaming Direct Expenses | 21745 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -2175 | TotalRevenueColumn |
| Exclusion | -$2,175 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| MISCELLANEOUS REVENUE | 900099 | 5439797 | $5,439,797 | |
| FOUNDATION INCOME | 990009 | 1891284 | $1,891,284 | |
| PHO/LAB ACTIVITY | 621500 | 1760166 | 1760166 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 936936 | TotalRevenueColumn |
| Exclusion | $936,936 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 10028183 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 201302460 | TotalRevenueColumn |
| Related Or Exempt Function Income | 181622226 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1760166 | UnrelatedBusinessRevenue |
| Exclusion | $17,035,168 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 783048 | Total |
| Program Services | 783048 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2124368 | Total |
| Management And General | 2124368 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75198764 | Total |
| Program Services | 63948775 | ProgramServices |
| Management And General | 11249989 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1351054 | Total |
| Program Services | 1270390 | ProgramServices |
| Management And General | 80664 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14240465 | Total |
| Program Services | 11591876 | ProgramServices |
| Management And General | 2648589 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5467513 | Total |
| Program Services | 4624023 | ProgramServices |
| Management And General | 843490 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 911102 | Total |
| Management And General | 911102 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 113220 | Total |
| Program Services | 17305 | ProgramServices |
| Management And General | 95915 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 487037 | Total |
| Management And General | 487037 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1114828 | Total |
| Program Services | 1114828 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1414865 | Total |
| Program Services | 61603 | ProgramServices |
| Management And General | 1353262 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1059165 | Total |
| Program Services | 604864 | ProgramServices |
| Management And General | 454301 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2573627 | Total |
| Management And General | 2573627 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2853634 | Total |
| Program Services | 2837316 | ProgramServices |
| Management And General | 16318 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 328591 | Total |
| Program Services | 307197 | ProgramServices |
| Management And General | 21394 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 387246 | Total |
| Program Services | 238088 | ProgramServices |
| Management And General | 149158 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2011534 | Total |
| Program Services | 2011534 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11511567 | Total |
| Program Services | 9818744 | ProgramServices |
| Management And General | 1692823 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 343623 | Total |
| Program Services | 85767 | ProgramServices |
| Management And General | 257856 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 28741394 | 28592479 | 148915 |
| CONTRACT LABOR | 13037041 | 7552282 | 5484759 |
| PROVISION FOR BAD DEBTS | 10273359 | 10273359 | |
| UTILITIES | 2600064 | 2122784 | 477280 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5510793 | Total |
| Program Services | 4440743 | ProgramServices |
| Management And General | 1070050 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 184437902 | Total |
| Program Services | 152297005 | ProgramServices |
| Management And General | 32140897 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16963554 | BOY |
| EOY | 14399755 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7398459 | BOY |
| EOY | 5691754 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27719373 | BOY |
| EOY | 33314016 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3404455 | BOY |
| EOY | 3489031 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1925640 | BOY |
| EOY | 1661053 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 195651619 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 81259553 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 117034740 | BOY |
| EOY | 114392066 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 158892019 | BOY |
| EOY | 165974730 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19938178 | BOY |
| EOY | 19786344 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1963713 | BOY |
| EOY | 4317995 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 355240131 | BOY |
| EOY | 363026744 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14250975 | BOY |
| EOY | 11766598 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66245245 | BOY |
| EOY | 64199089 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10028581 | BOY |
| EOY | 12470002 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90524801 | BOY |
| EOY | 88435689 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 264019339 | BOY |
| EOY | 273898423 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 295991 | BOY |
| EOY | 292632 | 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 | 264715330 | BOY |
| EOY | 274591055 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 355240131 | BOY |
| EOY | 363026744 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 16864558 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -6988833 | 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 |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| 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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number DA Fs Held | 33 | NumberDAFsHeld |
| Donor Advised Contributions | 438922 | DonorAdvisedContributions |
| Grants Paid From Donor Funds | 443802 | GrantsPaidFromDonorFunds |
| Aggregate DAF Value | 292632 | AggregateDAFValue |
| Disclosed Orgs Legal Control | 1 | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | 1 | DisclosedForCharitablePurposes |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6436125 | OtherCostOrOtherBasis |
| Book Value | 6436125 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 92168608 | OtherCostOrOtherBasis |
| Depreciation | 25518231 | Depreciation |
| Book Value | 66650377 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3007685 | OtherCostOrOtherBasis |
| Depreciation | 806576 | Depreciation |
| Book Value | 2201109 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 86601998 | OtherCostOrOtherBasis |
| Depreciation | 54934746 | Depreciation |
| Book Value | 31667252 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7437203 | OtherCostOrOtherBasis |
| Book Value | 7437203 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 114392066 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INVESTMENTS IN AFFILIATED ENTITIES | 2848152 | F |
| INVESTMENT IN JOINT VENTURE | 16938192 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 19786344 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PROFESSIONAL LIABILITY INSURANCE | $2,576,890 |
| COST REPORT SETTLEMENT PAYABLE | $1,467,924 |
| OTHER LONG-TERM LIABILITIES | $684,262 |
| INTEREST PAYABLE | $415,769 |
| LOSSES IN EXCESS OF INVESTMENT IN AFFILIATES | $7,325,157 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 12470002 | TotalOfAmounts |
| Total Revenue | 201302460 | TotalRevenue |
| Total Expenses | 184437902 | TotalExpenses |
| Excess Or Deficit For Year | 16864558 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -4661380 | NetUnrealizedGLOnInvestments |
| Other | -$2,327,453 | OtherAmount |
| Total Adjustments | -6988833 | TotalAdjustments |
| Excess Or Deficit Per FS | 9875725 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 199254462 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -4661380 | NetUnrealizedGainsInvestments |
| Other Revenues | 14819001 | OtherRevenues |
| Revenue Not Rptd F990 | 10157621 | RevenueNotRptdF990 |
| Revenue Subtotal | 189096841 | RevenueSubtotal |
| Investment Expenses Not Included | 487037 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 11718582 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 12205619 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 201302460 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 189378737 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 17146454 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 17146454 | ExpensesNotRptdF990 |
| Expenses Subtotal | 172232283 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 487037 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 11718582 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 12205619 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 184437902 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | 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 8 - OTHER ADJUSTMENTS: | UNREALIZED LOSS IN AFFILIATES -2,327,453. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | ELIMINATE INCOME FROM INVESTMENT IN JOINT VENTURE 14,787,581. FUNDRAISING EXPENSE 31,420. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RECLASSIFY BAD DEBT NETTED AGAINST REVENUE 10,273,359. RECLASSIFY FOUNDATION EXPENSES 1,445,223. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | ELIMINATE EXPENSE FROM INVESTMENT IN JOINT VENTURE 17,115,034. FUNDRAISING EXPENSE 31,420. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | RECLASSIFY FOUNDATION EXPENSES 1,445,223. RECLASSIFY BAD DEBT NETTED AGAINST REVENUE 10,273,359. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | CULINARY CABARET | NameOfEvent1 |
| Gross Receipts Event1 | 134979 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 125304 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 9675 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 9675 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 134979 | GrossReceiptsTotal |
| Charitable Contributions Total | 125304 | CharitableContributionsTotal |
| Gross Revenue Total Events | 9675 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 9675 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 9675 | DirectExpenseSummaryEvents |
| Net Income Summary | 0 | NetIncomeSummary |
Gaming Information GamingInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | 19570 | GrossRevenueOtherGaming |
| Non Cash Prizes Other Gaming | 15025 | 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 | 19570 | GrossRevenueTotalGaming |
| Non Cash Prizes Total Gaming | 15025 | NonCashPrizesTotalGaming |
| Rent Facility Costs Total Gaming | 6720 | RentFacilityCostsTotalGaming |
| Direct Expense Summary Gaming | 21745 | DirectExpenseSummaryGaming |
| Net Gaming Income Summary | -2175 | 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 |
| 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 | 1968490 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1968490 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01130 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23032437 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16870725 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6161712 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03540 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25000927 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16870725 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8130202 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04670 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 241842 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 96256 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 145586 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 185545 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 185545 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 335981 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 426064 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -90083 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3745235 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3745235 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02150 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4508603 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 522320 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3986283 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02340 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 29509530 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17393045 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12116485 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07010 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 8552 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 8552 | 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 | 797028 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 253955 | DirectOffsettingRevenue |
| Net Community Building Expense | 543073 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00310 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 383772 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 383772 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 9 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 1189352 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 253955 | DirectOffsettingRevenue |
| Net Community Building Expense | 935397 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00530 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $10,276,799 | BadDebtExpenseAmount |
| Amount Attributable To | 3881302 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 22243070 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 27132227 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -4889157 | 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 |
| 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 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 |
| Er Other | X | ErOther |
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 | 11 | 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 |
| 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 |
| 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 |
| HH SERVICES - HOLLAND PROFESSIONAL SERVI | ||||
| 602 MICHIGAN AVE | HOLLAND | MI | 49423 | PHYSICIAN OFFICE |
| HOLLAND HOSPITAL PHYSICIAN CLINIC | ||||
| 602 MICHIGAN AVE | HOLLAND | MI | 49423 | NOT ACTIVE |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 10276799. | ||
| PART II: THE HEALTH OF OUR COMMUNITY IS SIMPLY A REFLECTION OF THE HEALTH OF EACH INDIVIDUAL WITHIN OUR COMMUNITY. TO ACHIEVE THE HIGHEST LEVEL OF PERSONAL HEALTH, INDIVIDUALS MUST HAVE ACCESS TO THE APPROPRIATE TOOLS, BEST HEALTH INFORMATION AND LOCAL MEDICAL EXPERTISE. OUR OUTREACH TO THE COMMUNITY PROVIDES ACCESS TO THESE VITAL COMPONENTS. FROM HEALTH SCREENINGS AND COMMUNITY PRESENTATIONS TO CHARITABLE CARE FOR THE UNINSURED/UNDERINSURED, OUR GOAL IS TO HELP EACH INDIVIDUAL REACH HIS/HER MAXIMUM PERSONAL HEALTH POTENTIAL AND, IN THE PROCESS, CREATE AN OVERALL HEALTHIER COMMUNITY. | ||
| PART III, LINE 4: AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. TO DETERMINE BAD DEBTS AT COST, THE COST TO CHARGE RATIOS FROM THE 3/31/11 MEDICARE COST REPORT FOR IP, OP AND PSYCH WERE APPLIED TO EACH OF THE RESPECTABLE BAD DEBT TOTALS FROM WORKSHEET E FROM THE COST REPORT AND AN AVERAGE COST TO CHARGE RATIO DERIVED. THIS RATIO THEN WAS APPLIED TO THE TOTAL BAD DEBT (NOT INCLUDING CHARITY CARE) EXPENSE FROM THE TRIAL BALANCE TO COME UP WITH AN ESTIMATION OF BAD DEBTS AT COST.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. THE HOSPITAL ALSO MAINTAINS RECORDS OF THE COST OF SERVICES PROVIDED TO MEDICARE AND MEDICAID RECIPIENTS NOT COVERED BY GOVERNMENTAL REIMBURSEMENT AS WELL AS THE COST OF OTHER PROGRAMS DESIGNED TO PROMOTE COMMUNITY HEALTH NOT COVERED BY INSURANCE. TRADITIONAL CHARITY CARE COVERS SERVICES PROVIDED TO PEOPLE WHO CANNOT AFFORD TO PAY. CHARITY CARE IS DETERMINED BASED ON ESTABLISHED POLICIES, USING PATIENT INCOME AND ASSETS TO DETERMINE PAYMENT ABILITYTHERE 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 GET WRITTEN OFF TO BAD DEBTS INSTEAD. THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS APPROXIMATELY $727,000. 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 AND THEN APPLYING THE COSTING METHODOLOGY DISCUSSED ABOVE. | ||
| 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 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. | ||
| 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 SUBGOUPS WITHIN THE POPULATION. IDENTIFIED AREAS FOR OPPORTUNITIES INCLUDED ACCESS TO HEALTHCARE FOR THOSE WITH PUBLIC HEALTH INSURANCE AND IMPROVED CARE FOR THOSE WITH CHRONIC DESEASE 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 13G: 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 ASSISSMENT 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. WE ALSO SERVE RESIDENTS IN OUR EXTENDED SERVICE AREA (ESA) WHICH TOGETHER WITH THE PSA COMPRISES A TOTAL POPULATION OF NEARLY 250,000. OUR PSA POPULATION COMPRISES ALL AGE GROUPS, SKEWING OLDER IN THE CITY OF HOLLAND AND YOUNGER IN THE GROWING AREAS OUTSIDE THE CITY. THE AREA ALSO ENCOMPASSES A WIDE RANGE OF RACIAL AND ETHNIC BACKGROUNDS. THE CITY OF HOLLAND DIFFERS SUBSTANTIALLY FROM THE SURROUNDING COUNTIES IN RACIAL/ETHNIC COMPOSITION. OVER 22% OF HOLLAND CITY RESIDENTS ARE HISPANIC/LATINO, CONTRASTED WITH ABOUT 6-8% IN OTTAWA AND ALLEGAN COUNTIES. HOLLAND ALSO SHOWS A GREATER PERCENTAGE OF ASIAN RESIDENTS (3.6%) THAN OTHER AREAS OF THE STATE AND PROPORTIONALLY MORE BLACK/AFRICAN AMERICANS (2.5%) LIVE IN HOLLAND THAN IN ADJACENT COUNTIES. | ||
| PART VI, LINE 5: HOLLAND HOSPITAL, ALONG WITH OTHER MICHIGAN HOSPITALS, PROVIDES DIRECT PATIENT CARE TO THOSE WHO CANNOT AFFORD IT. THOUGH THE AMOUNT OF CHARITABLE CARE AND BAD DEBT HAS RISEN STEEPLY IN THE PAST FEW YEARS DUE PRIMARILY TO A STRUGGLING ECONOMY, HOLLAND HOSPITAL HAS REMAINED TRUE TO ITS MISSION TO CONTINUALLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY. AROUND-THE-CLOCK MEDICAL CARE IS AVAILABLE TO ALL IN NEED. ADDITIONAL URGENT CARE SERVICES HAVE BEEN ADDED AND COMMUNITY HEALTH OUTREACH EFFORTS HAVE BEEN INCREASED. ALL OF THIS HAS BEEN DONE TO ENHANCE THE WELL BEING OF THE COMMUNITY, WITH LITTLE OR NO COST TO THOSE WE SERVE. | ||
| MI | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HEALTH CENTER | |||||||||
| 602 MICHIGAN AVENUE | HOLLAND | MI | 49423 | 200602574 | 501(C)(3) | 754508 | N/A | N/A | OPERATIONAL CASH FLOW TO BREAK-EVEN |
| LAKESHORE ADVANTAGE CORP | |||||||||
| 201 W WASHINGTON | ZEELAND | MI | 49464 | 061708014 | 501(C)(3) | 10000 | N/A | N/A | FINANCIAL CONTRIBUTIONS 2012 |
| MHA HEALTH FOUNDATION | |||||||||
| 6215 WEST ST JOSEPH HWY | LANSING | MI | 48917 | 386091188 | 501(C)(3) | 5790 | N/A | N/A | FINANCIAL CONTRIBUTIONS 2012 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | 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 RECIEVES THEIR MONTHLY INTERNAL FINANCIALS AND A COPY OF THE AUDITED STATEMENTS ANNUALLY. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | 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 (10 entries)
| 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 | |||||||||||||
| 399309 | 0 | 133942 | 0 | 141571 | 0 | 84997 | 0 | 60061 | 0 | 819880 | 0 | 0 | 0 |
| TERRY L STEELE | |||||||||||||
| 228742 | 0 | 61383 | 0 | 43168 | 0 | 22256 | 0 | 39878 | 0 | 395427 | 0 | 0 | 0 |
| CHARLES D KOHLRUSS | |||||||||||||
| 181866 | 0 | 48803 | 0 | 20689 | 0 | 19700 | 0 | 28619 | 0 | 299677 | 0 | 0 | 0 |
| PATTI VANDORT | |||||||||||||
| 176110 | 0 | 47259 | 0 | 26336 | 0 | 22100 | 0 | 25518 | 0 | 297323 | 0 | 0 | 0 |
| MARK L PAWLAK | |||||||||||||
| 174939 | 0 | 46944 | 0 | 12135 | 0 | 21444 | 0 | 24387 | 0 | 279849 | 0 | 0 | 0 |
| ROBERT J BATES MD | |||||||||||||
| 575016 | 0 | 0 | 0 | 11311 | 0 | 0 | 0 | 29991 | 0 | 616318 | 0 | 0 | 0 |
| MICHAEL A TRAVER MD | |||||||||||||
| 462580 | 0 | 0 | 0 | 35726 | 0 | 0 | 0 | 29097 | 0 | 527403 | 0 | 0 | 0 |
| CARL H WIERKS MD | |||||||||||||
| 523899 | 0 | 0 | 0 | 37415 | 0 | 0 | 0 | 30844 | 0 | 592158 | 0 | 0 | 0 |
| JOHN K LUDLOW MD | |||||||||||||
| 388003 | 0 | 0 | 0 | 82713 | 0 | 0 | 0 | 30489 | 0 | 501205 | 0 | 0 | 0 |
| DERICK JOHNSON | |||||||||||||
| 523899 | 0 | 0 | 0 | 34445 | 0 | 0 | 0 | 19671 | 0 | 578015 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 1A | ReturnReference |
| Explanation | THE CEO, DALE SOWDERS, RECEIVES A COUNTRY CLUB MEMBERSHIP. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| MICHIGAN STATE HOSPITAL FINANCE AUTHORTIY | |||||||
| 382889417 | 59465E7A5 | 2004-08-01 | 21744478 | CONSTRUCTION OF NEW BUILDING | 0 | 0 | 0 |
| MICHIGAN STATE HOSPITAL FINANCE AUTHORTIY | |||||||
| 382889417 | 59465E7A5 | 2004-08-01 | 22000000 | CONSTRUCTION OF NEW BUILDING | 0 | 0 | 0 |
| MICHIGAN STATE HOSPITAL FINANCE AUTHORITY | |||||||
| 800596186 | NONEAVAIL | 2010-08-11 | 23500000 | CONSTRUCTION OF NEW BUILDING | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Refunding EscrowRefundingEscrow |
|---|---|---|---|---|---|---|---|---|---|
| 22000000 | 1722767 | 250000 | 22000000 | 2008 | 0 | 0 | 1 | 1 | |
| 22000000 | 225000 | 22000000 | 2008 | 0 | 0 | 1 | 1 | ||
| 23500000 | 139505 | 9376581 | 2011 | 1 | 0 | 1 | 1 | 14123420 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 1 | 0 | 0 | 0 | 0 | 0 |
| 1 | 1 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | BARBARA DEPREE, A BOARD MEMBER AND EMPLOYEE, IS CHUCK DEPREE'S SISTER-IN-LAW. CHUCK DEPREE IS ALSO A BOARD MEMBER. | |
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE 990 IS PROVIDED TO CFO PRIOR TO CEO SIGNING. | |
| 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 ABSITINENCE 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 EACH 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 WAS UNDERTAKEN WAS FISCAL YEAR 2012. | |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -4,661,380. UNREALIZED LOSS IN AFFILIATES -2,327,453. TOTAL TO FORM 990, PART XI, LINE 5: -6,988,833. | 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 (6 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 - BATES ET AL LLC | |||||||||
| 602 MICHIGAN AVENUE | HOLLAND | MI | 49423 | 260396104 | UROLOGY PHYSICIAN OFFICE | MI | -800864 | 2822996 | HOLLAND COMMUNITY HOSPITAL |
| HH SERVICES - HOLLAND PROFESSIONAL SERVICES LLC | |||||||||
| 602 MICHIGAN AVENUE | HOLLAND | MI | 49423 | 262764668 | WOMENS MIDLIFE PHYSICIAN OFFICE | MI | 267456 | HOLLAND COMMUNITY HOSPITAL | |
| HH SERVICES ORT LLC | |||||||||
| 602 MICHIGAN AVENUE | HOLLAND | MI | 49423 | 264606759 | ORTHOPEDIC PHYSICIAN OFFICE | MI | -1295761 | 199450 | HOLLAND COMMUNITY HOSPITAL |
| HOLLAND HOSPITAL PHYSICIAN CLINIC | |||||||||
| 602 MICHIGAN AVENUE | HOLLAND | MI | 49423 | 263479537 | NOT ACTIVE | MI | 0 | 0 | HOLLAND COMMUNITY HOSPITAL |
| LAKESHORE HEALTH PARTNERS - FM LLC | |||||||||
| 602 MICHIGAN AVENUE | HOLLAND | MI | 49423 | 272647439 | FAMILY MEDICINE PHYSICIAN OFFICE | MI | -815211 | 146299 | HOLLAND COMMUNITY HOSPITAL |
| HOLLAND SC LLC DBA SURGERY CENTER OF WEST MICHIGAN | |||||||||
| 602 MICHIGAN AVENUE | HOLLAND | MI | 49423 | 203200415 | OUTPATIENT SURGERY CENTER | MI | 0 | 0 | HOLLAND COMMUNITY HOSPITAL |
Form990 Schedule R Part II Form990ScheduleRPartII (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 11A, I | HOLLAND COMMUNITY HOSPITAL | 1 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LAKESHORE HEALTH PARTNERS | |||||||||||
| 602 MICHIGAN AVENUE | HOLLAND | MI | 49423 | 263518481 | ENDOSCOPY SERVICES | MI | HOLLAND COMMUNITY HOSPITAL | C | -2076500 | 1878458 | 1.00000 |
| HH SERVICES - SOUTH WASHINGTON | |||||||||||
| 602 MICHIGAN AVENUE | HOLLAND | MI | 49423 | 270795175 | MEDICAL CLINIC | MI | HOLLAND COMMUNITY HOSPITAL | C | -250953 | 986386 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 1 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | 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 (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| LAKESHORE HEALTH PARTNERS | ||
| L | 2130400 | CONTRACTS AND TIME TRACKING |
| HOLLAND COMMUNITY HEALTH CENTER | ||
| I | 58680 | RENTAL AGREEMENT |