HOLLAND COMMUNITY HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- HOLLAND COMMUNITY HOSPITAL (EIN 38-2800065)
- Tax period
- 2009-04-01 to 2010-03-31
- Filed
- 2011-02-15
- IRS object ID
- 201120469349301617
- Schema version
- 2009v1.7
- 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 | 2011-02-15T16:14:44-06:00 | Timestamp |
| Tax Period End Date | 2010-03-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2009-04-01 | 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 | 2011-02-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Carol LaLonde CPA | Name |
| Phone | 2695674500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | 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 | 227981350 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| 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 | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1986 | TotalNbrEmployees |
| Total Nbr Volunteers | 620 | TotalNbrVolunteers |
| Total Gross UBI | 2036601 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 391468 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1837955 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 546534 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 159270751 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 162715545 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5280164 | InvestmentIncomePriorYear |
| Investment Income Current Year | 902669 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 7054292 | OtherRevenuePriorYear |
| Other Revenue Current Year | 5935919 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 173443162 | TotalRevenuePriorYear |
| Total Revenue Current Year | 170100667 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 797024 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 538055 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 89140154 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 86869555 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 74837108 | OtherExpensePriorYear |
| Other Expenses Current Year | 72140438 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 164774286 | TotalExpensesPriorYear |
| Total Expenses Current Year | 159548048 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 8668876 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 10552619 | RevenuesLessExpensesCY |
| Total Assets BOY | 267958623 | TotalAssetsBOY |
| Total Assets EOY | 315558594 | TotalAssetsEOY |
| Total Liabilities BOY | 72884336 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 73001654 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 195074287 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 242556940 | NetAssetsOrFundBalancesEOY |
| 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 | 135478696 | Expense |
| Grants | 538055 | Grants |
| Revenue | 162715545 | Revenue |
| Description | Holland Community Hospital's mission is to improve the health of the communities it serves. This unwavering commitment to providing the highest quality medical care has remained steadfast since the hospital began. This 94-year legacy of providing excellent, compassionate and increasingly advanced health care regardless of patients' ability to pay continues unabated.First-Rate Quality Today, Holland Hospital is nationally recognized for quality and excellence and is the proud recipient of 45 state and national quality awards since 2003. In 2007, Holland Hospital received the prestigious Magnet Hospital Designation, a first-in-class distinction awarded by the American Nurses Credentialing Center to hospitals that demonstrate the highest degree of patient-care excellence. For Lakeshore-area residents, our Magnet insignia is assurance that the care patients receive at Holland Hospital is the very best - among the top 3 percent of clinical programs in the nation. 'Top 100 Hospitals' Three Years and CountingThis year was the fifth consecutive year that Holland Hospital was ranked among the nation's "100 Top Hospitals" by Thomson Reuters. This distinction is based on an independent, data-driven review of more than 3,000 hospitals. Hospitals don't apply to be on this list; rather, the study rates them based on a balanced, unbiased comparison. Only those that demonstrate superior performance are considered, and only the best 100 make the list. Our hospital is one of less than 40 hospitals to make the list five times, validating the high quality care Holland Hospital offers - and works daily to achieve.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 2010, Holland Hospital's 320-member medical staff, 1,800 employees and 600 volunteers served the community by providing:Patient Days 28,600Discharges 8,000Births 1,700Surgeries 8,200Outpatient Visits 377,200Emergency Room Visits 41,500Urgent Care Visits 30,400Home Health Visits 44,500Lab Tests 604,500Radiology Procedures 107,600Beds 209Innovative 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 23,500 interpretation requests. A new video conferencing system at the off-site Urgent Care Center connects patients face-to-face with 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 2009, the center offered 1,951 classes and events with 91,946 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 some 30,000 adults and children with no or insufficient health insurance to cover their family's medical expenses. In response, the Holland Hospital Foundation intensified its efforts to "serve the underserved" by focusing financial support on two vital programs: the Holland Community Health Center and the School Nursing Program. The Foundation is the sole source of funding for the School Nursing Program, investing $50,000 per school yearly, and contributes $540,000 to the operation of the Community Health Center. Holland Community Health CenterDemand is rising dramatically (by about 1,000 patients per year) for services of the Holland Community Health Center, which provides health care for people traditionally underserved due to lack of insurance or inability to pay. In 2009, the Community Health Center served nearly 6,000 patients, nearly half of them children. 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 $345,000 worth of free medications for patients who cannot afford them. The School Nursing ProgramOur school nurses provide health care services and education to students in eight Holland and West Ottawa public schools. Many of the children they serve fall below the poverty line. The school nurse is often a child's only access to health care. School nurses handle 15,000 student visits, make 500 physician referrals, administer 10,000 medications, and help youngsters manage chronic illnesses such as asthma and diabetes. 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 2009, Holland Hospital provided unreimbursed care to our patients at a cost of $27.7 million, a 17 percent increase over the previous year. Bad debt alone rose over 30 percent in 2010 and 50% in 2009 - a reflection of the 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.2010 Community Benefit Summary - $32.8 Million Total Community Benefit Unpaid Cost of Medicaid $6,500,000Unpaid Cost of Medicare $4,500,000Charity Care $6,600,000 Bad Debt $10,400,000Other Community Benefits (note A) $4,800,000Note 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 | 135478696 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 1 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | 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 |
| 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 |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 178 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 1986 | 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 | 1 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | 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 | 494102 | 0 | 161842 | |
| Leslie Brown | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Barbara DePree MD | |||||||
| Physician, Women's Midli | 30.00 | X | 158956 | 0 | 22987 | ||
| Chuck DePree | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Becca Dernberger | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| William Frauenheim MD | |||||||
| Secretary / Medical Dire | 5.00 | X | X | 19250 | 0 | 0 | |
| Roger Gamache | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Eric Gustafson MD | |||||||
| Chief of Staff | 5.00 | X | 32375 | 0 | 0 | ||
| Leroy Hernandez | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Don Komejan | |||||||
| Treasurer | 1.00 | X | X | 0 | 0 | 0 | |
| Kris Manos | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Greg Maybury | |||||||
| Chair | 1.00 | X | X | 0 | 0 | 0 | |
| Dan Rink | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Dawn Garcia Ward | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Terry L Steele | |||||||
| VP, Finance & CFO | 40.00 | X | 293017 | 0 | 66196 | ||
| Charles D Kohlruss | |||||||
| VP, HR & Operations Supp | 40.00 | X | 244503 | 0 | 51705 | ||
| Patti VanDort | |||||||
| VP, Nursing & CNO | 40.00 | X | 224130 | 0 | 47301 | ||
| Mark L Pawlak | |||||||
| VP, Ancillary Services & | 40.00 | X | 203337 | 0 | 46962 | ||
| William L VanderVliet | |||||||
| VP, Medical Affairs | 20.00 | X | 134833 | 0 | 32815 | ||
| Robert J Bates MD | |||||||
| Physician, Urology | 40.00 | 565742 | 0 | 43580 | X | ||
| Bradley L Willoughby M | |||||||
| Physician, Urology | 40.00 | 501965 | 0 | 26237 | X | ||
| John K Ludlow MD | |||||||
| Physician, Urology | 40.00 | 503356 | 0 | 24846 | X | ||
| Diane Bigham MD | |||||||
| Physician, Urology | 40.00 | 508183 | 0 | 19576 | X | ||
| Joseph VanderMeer MD | |||||||
| Physician, ENT | 40.00 | 391924 | 0 | 18817 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4275673 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 562864 | TotalOtherCompensation |
| Number Individuals GT100 K | 60 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| LAKEWOOD CONSTRUCTION | |||||
| 11253 JAMES STREET | HOLLAND | MI | 49424 | CONSTRUCTION | 2588114 |
| ELZINGA AND VOLKERS INC | |||||
| 86 E 6TH ST | Holland | MI | 49423 | CONSTRUCTION | 2137419 |
| ARAMARK FACILITY SERVICES | |||||
| PO BOX 33170 | NEWARk | NJ | 071880170 | CONTRACTED SERVICES | 1645392 |
| ARAMARK CORPORATION | |||||
| 12483 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | CONTRACTED SERVICES | 1277263 |
| LAKESIDE ENT | |||||
| 577 MICHIGAN AVE | HOLLAND | MI | 49423 | BILLING SERVICES | 1243913 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 40 | NumberOfContractorsGT100K |
| Fundraising Events | 89551 | FundraisingEvents |
| All Other Contributions | 456983 | AllOtherContributions |
| Total Contributions | 546534 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT REVENUE | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 162715545 | TotalRevenueColumn |
| Related Or Exempt Function Income | 162715545 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 162715545 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2913507 | TotalRevenueColumn |
| Exclusion | $2,913,507 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 289266 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 289266 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 289266 | TotalRevenueColumn |
| Exclusion | $289,266 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 55815031 | Securities |
| Other | 8694 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 56585084 | Securities |
| Other | 1249479 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -770053 | Securities |
| Other | -1240785 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -2010838 | TotalRevenueColumn |
| Exclusion | -$2,010,838 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 117474 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 89551 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 39400 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 78074 | TotalRevenueColumn |
| Exclusion | $78,074 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 17500 | GrossIncomeGaming |
| Gaming Direct Expenses | 6720 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10780 | TotalRevenueColumn |
| Exclusion | $10,780 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Other Revenue | 900099 | 2733215 | $2,733,215 | |
| PHO/LAB ACTIVITY | 621500 | 2036601 | 2036601 | |
| cafeteria and home mea | 722210 | 787983 | $787,983 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 5557799 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 170100667 | TotalRevenueColumn |
| Related Or Exempt Function Income | 162715545 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2036601 | UnrelatedBusinessRevenue |
| Exclusion | $4,801,987 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 538055 | Total |
| Program Services | 538055 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2182358 | Total |
| Program Services | 181879 | ProgramServices |
| Management And General | 2000479 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65126156 | Total |
| Program Services | 56203699 | ProgramServices |
| Management And General | 8922457 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1057880 | Total |
| Management And General | 1057880 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18503161 | Total |
| Program Services | 17065424 | ProgramServices |
| Management And General | 1437737 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 402150 | Total |
| Program Services | 4955 | ProgramServices |
| Management And General | 397195 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123890 | Total |
| Program Services | 4990 | ProgramServices |
| Management And General | 118900 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 194954 | Total |
| Management And General | 194954 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 327057 | Total |
| Program Services | 7985 | ProgramServices |
| Management And General | 319072 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 851547 | Total |
| Program Services | 498521 | ProgramServices |
| Management And General | 353026 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2058810 | Total |
| Management And General | 2058810 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2580554 | Total |
| Program Services | 2541953 | ProgramServices |
| Management And General | 38601 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 354936 | Total |
| Program Services | 339290 | ProgramServices |
| Management And General | 15646 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 206698 | Total |
| Program Services | 132806 | ProgramServices |
| Management And General | 73892 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2135576 | Total |
| Program Services | 2135576 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10723789 | Total |
| Program Services | 9012497 | ProgramServices |
| Management And General | 1711292 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 987506 | Total |
| Program Services | 34485 | ProgramServices |
| Management And General | 953021 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Supplies | 23323139 | 23219534 | 103605 |
| Contract Labor | 14304267 | 10591292 | 3712975 |
| Provision for Bad Debts | 10492712 | 10492712 | |
| Utilities | 2230937 | 1898014 | 332923 |
| Other | 841916 | 575029 | 266887 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 159548048 | Total |
| Program Services | 135478696 | ProgramServices |
| Management And General | 24069352 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13694876 | BOY |
| EOY | 14558816 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 144981 | BOY |
| EOY | 9111669 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21536627 | BOY |
| EOY | 19551882 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3116848 | BOY |
| EOY | 3210356 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4029315 | BOY |
| EOY | 2590516 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 193513628 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 85324949 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 108139295 | BOY |
| EOY | 108188679 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90710480 | BOY |
| EOY | 125388579 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24913508 | BOY |
| EOY | 31098572 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1672693 | BOY |
| EOY | 1859525 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 267958623 | BOY |
| EOY | 315558594 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10085557 | BOY |
| EOY | 10558229 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59641081 | BOY |
| EOY | 59163091 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19000 | BOY |
| EOY | 8200 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3138698 | BOY |
| EOY | 3272134 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72884336 | BOY |
| EOY | 73001654 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 194393264 | BOY |
| EOY | 241860472 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 281023 | BOY |
| EOY | 296468 | 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 | 195074287 | BOY |
| EOY | 242556940 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 267958623 | BOY |
| EOY | 315558594 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 | 37 | NumberDAFsHeld |
| Donor Advised Contributions | 519647 | DonorAdvisedContributions |
| Grants Paid From Donor Funds | 504202 | GrantsPaidFromDonorFunds |
| Aggregate DAF Value | 298334 | 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 | 6431186 | OtherCostOrOtherBasis |
| Book Value | 6431186 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 90852537 | OtherCostOrOtherBasis |
| Depreciation | 30101154 | Depreciation |
| Book Value | 60751383 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8521183 | OtherCostOrOtherBasis |
| Depreciation | 539649 | Depreciation |
| Book Value | 7981534 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 87708722 | OtherCostOrOtherBasis |
| Depreciation | 54684146 | Depreciation |
| Book Value | 33024576 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 108188679 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| Investments in affiliated entities | 2700145 | F |
| Other Investments | 28398427 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 31098572 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Professional Liability Insurance | $2,211,741 |
| Cost report settlement payable | $677,593 |
| other long-term liabilities | $382,800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3272134 | TotalOfAmounts |
| Total Revenue | 170100667 | TotalRevenue |
| Total Expenses | 159548048 | TotalExpenses |
| Excess Or Deficit For Year | 10552619 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 38328857 | NetUnrealizedGLOnInvestments |
| Other | -$1,398,823 | OtherAmount |
| Total Adjustments | 36930034 | TotalAdjustments |
| Excess Or Deficit Per FS | 47482653 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 208363344 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 38328857 | NetUnrealizedGainsInvestments |
| Other Revenues | 666829 | OtherRevenues |
| Revenue Not Rptd F990 | 38995686 | RevenueNotRptdF990 |
| Revenue Subtotal | 169367658 | RevenueSubtotal |
| Investment Expenses Not Included | 194954 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 538055 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 733009 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 170100667 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 160880691 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 2065652 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 2065652 | ExpensesNotRptdF990 |
| Expenses Subtotal | 158815039 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 194954 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 538055 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 733009 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 159548048 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XI, Line 8 - Other Adjustments: | Equity Loss in Unconsolidated Investees: -1770913. Unrealized Loss in Joint Venture: 475000. Distribution to Minority Member: -102910. |
| Part XII, Line 2d - Other Adjustments: | Fundraising and Gaming Expense : 46120. Unrealized Investment in Joint Venture: 475000. Unrealized Loss in Unconsolidated Organizations: -1770913. Reclassify Loss on Disposal of Asset Reported as an Expense: 1249479. Reclassify Loss on Sale of Securities Reported as an Expense: 770053. Distribution to Minority Member: -102910. |
| Part XII, Line 4b - Other Adjustments: | Grant Expense included in Other Revenue: 538055. |
| Part XIII, Line 2d - Other Adjustments: | Fundraising and Gaming Expense: 46120. Reclassify Loss on Disposal of Asset Reported as an Expense: 1249479. Reclassify Loss on Sale of Securities Reported as an Expense: 770053. |
| Part XIII, Line 4b - Other Adjustments: | Grant Expense Included in Other Revenue: 538055. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Culinary Cabaret | NameOfEvent1 |
| Gross Receipts Event1 | 120580 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 89551 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 31029 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 6720 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 7041 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Gala | NameOfEvent2 |
| Gross Receipts Event2 | 86445 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 60761 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 25684 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 1600 | RentFacilityCostsEvent2 |
| Other Direct Expenses Event2 | 24039 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 207025 | GrossReceiptsTotal |
| Charitable Contributions Total | 150312 | CharitableContributionsTotal |
| Gross Revenue Total Events | 56713 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 8320 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 31080 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 39400 | DirectExpenseSummaryEvents |
| Net Income Summary | 17313 | NetIncomeSummary |
Gaming Information GamingInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | 17500 | GrossRevenueOtherGaming |
| Non Cash Prizes Other Gaming | 17268 | 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 | 17500 | GrossRevenueTotalGaming |
| Non Cash Prizes Total Gaming | 17268 | NonCashPrizesTotalGaming |
| Rent Facility Costs Total Gaming | 6720 | RentFacilityCostsTotalGaming |
| Direct Expense Summary Gaming | 23988 | DirectExpenseSummaryGaming |
| Net Gaming Income Summary | -6488 | NetGamingIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | MI | StatesWhereGamingConducted |
| Licensed | 1 | Licensed |
| Explanation If No | license is pending approval. | ExplanationIfNo |
| License Suspended Etc | 0 | LicenseSuspendedEtc |
| Gaming With Nonmembers | 1 | GamingWithNonmembers |
| Member Of Other Entity | 1 | MemberOfOtherEntity |
| Percentage Of Gaming Own Facility | 0.00000 | PercentageOfGamingOwnFacility |
| Percentage Of Gaming Othr Facility | 1.00000 | PercentageOfGamingOthrFacility |
| Name Of Gaming Rec Keeper Person | Tracey Dowker | 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 | Sue Ann Culp | GamingManagerNamePerson |
| Gaming Manager Compensation | 0 | GamingManagerCompensation |
| Gaming Manager Services Provided | Executive Director | GamingManagerServicesProvided |
| Gaming Manager Is Director Officer | X | GamingManagerIsDirectorOfficer |
| Charitable Distrib Required | 0 | CharitableDistribRequired |
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 |
| Pcent200 D | X | Pcent200D |
| 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 | 2530852 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2530852 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01590 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22263019 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15388139 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6874880 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04310 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24793871 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15388139 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9405732 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05900 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 455185 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 200012 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 255173 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 745080 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 745080 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00470 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 329508 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 281481 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 48027 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 464 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 464 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2270814 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2270814 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01420 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3801051 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 481493 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3319558 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02080 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 28594922 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15869632 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12725290 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07980 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 1559 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1559 | 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 | 538055 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 237467 | DirectOffsettingRevenue |
| Net Community Building Expense | 300588 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 10000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 10000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 1095293 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1095293 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00690 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 9 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 1644907 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 237467 | DirectOffsettingRevenue |
| Net Community Building Expense | 1407440 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00890 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense | $4,041,068 | BadDebtExpenseAmount |
| Amount Attributable To | 52534 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 21500283 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 25385303 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3885020 | 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 | 0 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (12 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | OtherOther |
|---|---|---|---|---|---|---|
| Holland Hopsital | ||||||
| 602 Michigan Ave | Holland | MI | 49423 | X | X | |
| HH Services LLC | ||||||
| 602 Michigan Ave | holland | MI | 49423 | Physician Office | ||
| HH Services- Stageman LLC | ||||||
| 602 Michigan Ave | holland | MI | 49423 | physician Office | ||
| HH SErvices - Bates ET AL LLC | ||||||
| 602 Michigan Ave | holland | MI | 49423 | physician Office | ||
| HH Services - Holland Professional Servi | ||||||
| 602 Michigan Ave | holland | MI | 49423 | physician Office | ||
| HH Services - ORT LLC | ||||||
| 602 Michigan Ave | holland | MI | 49423 | physician Office | ||
| Holland Hospital Physician Clinic | ||||||
| 602 Michigan Ave | holland | MI | 49423 | Not Active | ||
| HH Services - South Washington | ||||||
| 602 Michigan Ave | holland | MI | 49423 | physician Office | ||
| Lakeside Services LLC | ||||||
| 602 Michigan Ave | holland | MI | 49423 | physician Office | ||
| HH Services South Washington | ||||||
| 602 Michigan Ave | holland | MI | 49423 | physician Office | ||
| Lakeshore Health Partners- Family Medici | ||||||
| 602 Michigan Ave | holland | MI | 49423 | physician Office | ||
| Lakeshore Health Partners | ||||||
| 602 Michigan Ave | holland | MI | 49423 | physician Office | ||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Footnote | 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 3/31/10 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 $46,000. 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. | BadDebtFootnote |
| Shortfall As Community Benefit | 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. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | 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. | DebtCollectionPolicy |
| General Explanation | Holland Hospital is committed to serving the health care needs of every person in our community. We do so willingly. It is our responsibility to help individuals prevent illness, recovery from injury, and improve their overall health status. We take that responsibility very seriously. The community benefits we provide through direct medical care, outreach and education are an investment in our community's well being. It's an investment toward a better future for those we serve. | GeneralExplanation |
| Needs Assessment | 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 2008) and the Ottawa County Health Department publishes their youth assessment every 2 years (last one in 2008) and every 3 years for adults (last one in 2007) | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: Our Financial Assistance program is located on our website. 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 policy. All of the above mentioned sources can and do mail financial assistance applications to the patients for convenience. | PatientEducationAssistance |
| Community Information | 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. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: 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. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: 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. | OtherInformation |
| Reports Filed With States | MI | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | community health center | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 336 river avenue | AddressLine1 |
| City | Holland | City |
| State | MI | State |
| ZIP Code | 49423 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 538055 | AmountOfCashGrant |
| Purpose Of Grant | Program Support | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
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 (12 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 | |||||||||||||
| 385299 | 0 | 84994 | 0 | 23809 | 0 | 59444 | 0 | 102398 | 0 | 655944 | 0 | 0 | 0 |
| Barbara DePree MD | |||||||||||||
| 158956 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 22987 | 0 | 181943 | 0 | 0 | 0 |
| Terry L Steele | |||||||||||||
| 220730 | 0 | 38953 | 0 | 33334 | 0 | 22866 | 0 | 43330 | 0 | 359213 | 0 | 0 | 0 |
| Charles D Kohlruss | |||||||||||||
| 175490 | 0 | 30970 | 0 | 38043 | 0 | 12617 | 0 | 39088 | 0 | 296208 | 0 | 0 | 0 |
| Patti VanDort | |||||||||||||
| 169936 | 0 | 29989 | 0 | 24205 | 0 | 11620 | 0 | 35681 | 0 | 271431 | 0 | 0 | 0 |
| Mark L Pawlak | |||||||||||||
| 168792 | 0 | 29787 | 0 | 4758 | 0 | 10610 | 0 | 36352 | 0 | 250299 | 0 | 0 | 0 |
| William L VanderVliet MD | |||||||||||||
| 120505 | 0 | 0 | 0 | 14328 | 0 | 4934 | 0 | 27881 | 0 | 167648 | 0 | 0 | 0 |
| Robert J Bates MD | |||||||||||||
| 565742 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 43580 | 0 | 609322 | 0 | 0 | 0 |
| Bradley L Willoughby MD | |||||||||||||
| 501965 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 26237 | 0 | 528202 | 0 | 0 | 0 |
| John K Ludlow MD | |||||||||||||
| 503356 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 24846 | 0 | 528202 | 0 | 0 | 0 |
| Diane Bigham MD | |||||||||||||
| 508183 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 19576 | 0 | 527759 | 0 | 0 | 0 |
| Joseph VanderMeer MD | |||||||||||||
| 391924 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 18817 | 0 | 410741 | 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 which has an annual cost of $3,000. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| Michigan State Hospital Finance Authortiy | ||||||
| 382889417 | 59465E7A5 | 2004-08-01 | 21744478 | Construction of new building | 0 | 0 |
| Michigan State Hospital Finance Authortiy | ||||||
| 382889417 | 59465E7A5 | 2004-08-01 | 22000000 | Construction of new building | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|
| 22000000 | 1722767 | 250000 | 22000000 | 2008 | 0 | 0 | 1 | 1 |
| 22000000 | 225000 | 22000000 | 2008 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 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 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| 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. |
| 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. |
| Form 990, Part VI, Section C, line 19 | Documents are available upon request |
| The process has not changed from the 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 LLC | |||||||||
| 602 michigan avenue | Holland | MI | 49423 | 208441842 | ENT Physician Office | MI | 1649084 | 439913 | Holland Community Hospital |
| HH Services -Stageman LLC | |||||||||
| 602 michigan avenue | Holland | MI | 49423 | 260396174 | ENT Physician Office | MI | 299913 | 84082 | Holland Community Hospital |
| HH Services - Bates et al LLC | |||||||||
| 602 michigan avenue | Holland | MI | 49423 | 260396104 | Uroloogy Physician Office | MI | 3203126 | 625619 | Holland Community Hospital |
| HH Services - Holland Professional Services LLC | |||||||||
| 602 michigan avenue | Holland | MI | 49423 | 262764668 | Womens Midlife Physician Office | MI | 234404 | 12089 | Holland Community Hospital |
| HH Services ORT LLC | |||||||||
| 602 michigan avenue | Holland | MI | 49423 | 264606759 | Orthopedic Physician Office | MI | 199738 | 79270 | Holland Community Hospital |
| Holland Hospital Physisican Clinic | |||||||||
| 602 michigan avenue | Holland | MI | 49423 | 263479537 | Not Active | MI | 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 |
|---|---|---|---|---|---|---|---|---|
| Holland Community Health Center | ||||||||
| 602 michigan avenue | Holland | MI | 49423 | 200602574 | Healthcare | MI | 501(c)(3) | 3 |
| Lakeshore Area Radiation & Oncology Center | ||||||||
| 602 michigan avenue | Holland | MI | 49423 | 353067954 | Healthcare | MI | 501(c)(3) | 3 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | lakeside services llc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 602 michigan avenue | AddressLine1 |
| City | Holland | City |
| State | MI | State |
| ZIP Code | 49423 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382435080 | EIN |
| Primary Activity | Medical Clinic | PrimaryActivity |
| Legal Domicile State | MI | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Holland Community Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Health Care | PredominantIncomeType |
| Share Of Total Income | -515149 | ShareOfTotalIncome |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Holland Community Physician Hospital Organization | |||||||||||
| 602 michigan avenue | Holland | MI | 49423 | 383268394 | Physician Support | MI | C | 38277 | 500443 | 0.50000 | |
| Lakeshore Health Partners | |||||||||||
| 602 michigan avenue | Holland | MI | 49423 | 263518481 | Endoscopy Services | MI | C | -1431786 | 6527564 | 1.00000 | Holland Community Hospital |
| HH Services South Washington | |||||||||||
| 602 MICHIGAN AVENUE | Holland | MI | 49423 | 270795175 | MEDICAL CLINIC | MI | C | -193612 | 238334 | 1.00000 | Holland Community Hospital |
| LAKESHORE HEALTH PARTNERS FAMILY MEDICINE | |||||||||||
| 602 MICHIGAN AVENUE | Holland | MI | 49423 | 271304003 | MEDICAL CLINIC | MI | C | -205558 | 11246 | 1.00000 | Holland Community Hospital |
| 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 | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Lakeshore Health Partners | |
| L | 875000 |
| Lakeside Services | |
| G | 150854 |
| Holland Community Health Center | |
| I | 64744 |