LAKESHORE AREA RADIATION ONCOLOGY CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LAKESHORE AREA RADIATION ONCOLOGY CENTER (EIN 38-3067954)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-08
IRS object ID
201231299349301373
Schema version
2010v3.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-08T14:00:15-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ANDREWS HOOPER PAVLIK PLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13333 DEPOSIT DR NE SUITE 310AddressLine1
CityGRAND RAPIDSCity
StateMIState
ZIP Code49546ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN383067954EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LAKESHORE AREA RADIATION ONCOLOGY CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLAKENameControl
Phone6167747322Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line112642 Riley StreetAddressLine1
CityHollandCity
StateMIState
ZIP Code49424ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRENDA WINNName
TitleTREASURERTitle
Date Signed2012-04-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6169426440Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1MR HENRY A VEENSTRABusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line112642 Riley StreetAddressLine1
CityHollandCity
StateMIState
ZIP Code49424ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3557831GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LAROC-HOLLAND.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionTHE 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2977779ProgramServiceRevenuePriorYear
Program Service Revenue CY3517076ProgramServiceRevenueCY
Investment Income Prior Year36528InvestmentIncomePriorYear
Investment Income Current Year22265InvestmentIncomeCurrentYear
Other Revenue Prior Year20777OtherRevenuePriorYear
Other Revenue Current Year18490OtherRevenueCurrentYear
Total Revenue Prior Year3035084TotalRevenuePriorYear
Total Revenue Current Year3557831TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1079003SalariesEtcPriorYear
Salaries Etc Current Year1124649SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1599046OtherExpensePriorYear
Other Expenses Current Year1783303OtherExpensesCurrentYear
Total Expenses Prior Year2678049TotalExpensesPriorYear
Total Expenses Current Year2907952TotalExpensesCurrentYear
Revenues Less Expenses Prior Year357035RevenuesLessExpensesPriorYear
Revenues Less Expenses CY649879RevenuesLessExpensesCY
Total Assets BOY12129018TotalAssetsBOY
Total Assets EOY9545299TotalAssetsEOY
Total Liabilities BOY4875373TotalLiabilitiesBOY
Total Liabilities EOY3461775TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7253645NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6083524NetAssetsOrFundBalancesEOY
Mission DescriptionLAKESHORE AREA RADIATION ONCOLOGY CENTER WAS ESTABLISHED TO DELIVER OUTPATIENT RADIATION SERVICES, A HEALTH CARE SERVICE FOR THE GENERAL PUBLIC.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2406779Expense
Revenue3535566Revenue
DescriptionLAROC PROVIDED CONVENIENT AND TECHONOLOGICALLY ADVANCED RADIATION ONCOLOGY SERVICES AND EDUCATIONAL RESOURCES TO AREA RESIDENTS. LAROC PROVIDED 6,172 TOTAL RADIATION ONCOLOGY TREATMENTS ON AN OUTPATIENT BASIS TO 254 PATIENTS. IN THE NEXT YEAR LAROC EXPECTS TO PERFORM 6,375 TOTAL TREATMENTS.Description
Total Program Service Expense2406779TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Joseph J FiferBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6166439160TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 Michigan Ave NEAddressLine1
CityGrand RapidsCity
StateMIState
ZIP Code49503ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
HENRY VEENSTRA
PRESIDENT2XX000
RICHARD FUNNELL
VICE PRESIDENT2XX000
BRENDA WINN
TREASURER2XX000
JONATHAN BERENDS
SECRETARY2XX000
DAVE NEWTON
PART YEAR DIRECTOR2X000
MARK PAWLAK
DIRECTOR2X000
DONALD LONGPRE
DIRECTOR2X000
DARRYL BOLIN
MEDICAL DOSIMETRIST45102319021696X
GEORGE SMART
PART YEAR DIRECTOR2X000
DAVID DEBOODE
PART YEAR DIRECTOR2X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org102319TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation21696TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SPECTRUM HEALTH
100 MICHIGAN ST NEGRAND RAPIDSMI49503CONTRACT WAGES1120555
VARIAN MEDICAL SYSTEMS
660 N MCCARTHY BLVDMILPITASCA95035SOFTWARE SUPPORT444085
SPECTRUM HEALTH
100 MICHIGAN ST NEGRAND RAPIDSMI49503BILLING164102
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRADIATION ONCOLOGY SERVICESDescription
Business Code621498BusinessCode
Total Revenue Column3517076TotalRevenueColumn
Related Or Exempt Function Income3517076RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue3517076TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column22265TotalRevenueColumn
Exclusion$22,265ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real18490Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real18490Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column18490TotalRevenueColumn
Related Or Exempt Function Income18490RelatedOrExemptFunctionIncome

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3557831TotalRevenueColumn
Related Or Exempt Function Income3535566RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$22,265ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total860056Total
Program Services688375ProgramServices
Management And General171681ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total264593Total
Program Services211774ProgramServices
Management And General52819ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total204942Total
Program Services18662ProgramServices
Management And General186280ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total24681Total
Management And General24681ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total68745Total
Program Services49437ProgramServices
Management And General19308ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total120456Total
Program Services120456ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total437981Total
Program Services429064ProgramServices
Management And General8917ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total3919Total
Management And General3919ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total33049Total
Program Services33049ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total816071Total
Program Services777816ProgramServices
Management And General38255ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total26344Total
Program Services26344ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
REPAIR & MAINTENANCE15218124792739
MISCELLANEOUS3189739323-7426

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2907952Total
Program Services2406779ProgramServices
Management And General501173ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY100BOY
EOY200EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5366664BOY
EOY3721581EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY438617BOY
EOY177778EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY58105BOY
EOY156909EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11919654LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6430823LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6265532BOY
EOY5488831EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12129018BOY
EOY9545299EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY128425BOY
EOY122408EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3562833BOY
EOY2992204EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1184115BOY
EOY347163EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4875373BOY
EOY3461775EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7253645BOY
EOY6083524EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7253645BOY
EOY6083524EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12129018BOY
EOY9545299EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses649879ReconcilationRevenueExpenses
Reconcilation Other Changes-1820000ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis302634OtherCostOrOtherBasis
Book Value302634BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4410954OtherCostOrOtherBasis
Depreciation2118165Depreciation
Book Value2292789BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis7083348OtherCostOrOtherBasis
Depreciation4288313Depreciation
Book Value2795035BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis122718OtherCostOrOtherBasis
Depreciation24345Depreciation
Book Value98373BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5488831TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$347,163Amount
FieldValueIRS element (for citing)
Total Of Amounts347163TotalOfAmounts

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MICHIGAN STATE HOSPITAL FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN382889417IssuerEIN
CUSIP Number59465HKS4CUSIPNumber
Date Issued2009-02-18DateIssued
Issue Price9000000IssuePrice
Description Of PurposeCONSTRUCTION & RENOVATION ONCOLOGYDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingtruePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired686413AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds4252837TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds50562IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures4202275CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2009YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.0000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.0000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.0000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NUMBER OF EMPLOYEESFORM 990, PART I, LINE 5 AND FORM 990, PART V, LINE 2ATAXPAYER HAS INDIRECT EMPLOYEES WHO ARE LEASED TO THE ORGANIZATION BY ONE OF THE MEMBER ORGANIZATIONS. AMOUNTS PAID FOR INDIRECT EMPLOYEES IS PURSUANT TO A MANAGEMENT SERVICES CONTRACT AND IS INCLUDED ON LINES 5-10 OF PART IX.
NUMBER REPORTED IN BOX 3 OF FORM 1096FORM 990, PART V, LINE 1PURSUANT TO A MANAGEMENT SERVICES CONTRACT WITH A MEMBER ORGANIZATION, TAXPAYER'S VENDORS ARE PROCESSED AND PAID. AMOUNTS PAID TO THE MEMBER ORGANIZATION BY THE TAXPAYER ARE INCLUDED ON LINES 11 - 24 OF PART IX.
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6THE TAXPAYER 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 bodyForm 990, Part VI, Section A, Line 7aTHE MEMBER(S) (SEE FORM 990, PART VI, LINE 6) OF THE TAXPAYER 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 PERCENTAGES STATED AS FOLLOWS: SPECTRUM HEALTH HOSPITALS - 35% HOLLAND COMMUNITY HOSPITAL - 35% NORTH OTTAWA COMMUNITY HOSPITAL - 15% ZEELAND COMMUNITY HOSPITAL - 15% THE BUSINESS AND AFFAIRS OF THE TAXPAYER 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 stockholdersForm 990, Part VI, Section A, Line 7bTHE MEMBERS (SEE FORM 990, PART VI, LINE 6) OF THE TAXPAYER 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 TAXPAYER; -RATIFICATION OF THE MISSION, ROLE, AND GOALS OF THE TAXPAYER; -ADOPTION, APPROVAL, REVOCATION, OR ABANDONMENT OF ANY PLAN OF DISSOLUTION OF THE TAXPAYER; 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 TAXPAYER.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11aA 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 policyForm 990, Part VI, Section B, Line 12cMANY STAFF MEMBERS OF LAROC ARE LEASED FROM A MEMBER ORGANIZATION. THE MEMBER ORGANIZATION MONITORS, ENFORCES AND ESTABLISHES THE POLICIES DISCUSSED IN THESE QUESTIONS OF THIS TAX RETURN.
Public DisclosureForm 990, Part VI, Section C, Line 19THE 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.
POLICIESFORM 990, PART VI, SECTION B, LINES 13-15BMANY STAFF MEMBERS OF LAROC ARE LEASED FROM A MEMBER ORGANIZATION. THE MEMBER ORGANIZATION MONITORS, ENFORCES AND ESTABLISHES THE POLICIES DISCUSSED IN THESE QUESTIONS OF THIS TAX RETURN.
Average hours worked per week for related organizationForm 990, Part VII, Section A, Column BHENRY VEENSTRA - 0 RICHARD FUNNELL - 0 BRENDA WINN - 0 JONATHAN BERENDS - 0 DAVE NEWTON - 0 MARK PAWLAK - 0 DONALD LONGPRE - 0 DARRYL BOLIN - 0 GEORGE SMART - 0 DAVID DEBOODE - 0
COMPENSATIONFORM 990, PART VII, LINE 1ACOMPENSATION AND BENEFITS ARE REPORTED USING THE MOST RECENT CALENDAR YEAR COMPENSATION DATA. THE COMPENSATION FIGURES REPORTED IN THESE SECTIONS ARE FOR THE YEAR ENDED DECEMBER 31, 2010.
Other changes in net assets or fund balancesForm 990, Part XI, Line 5MEMBER DISTRIBUTIONS - -1820000;

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