2011-02-15T16:14:44-06:00 2010-03-31 Plante & Moran PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2009-04-01 382800065 HOLLAND COMMUNITY HOSPITAL HOLL 6163925141 602 MICHIGAN AVENUE HOLLAND MI 49423 dale sowders 6163925141 2011-02-15 1 Carol LaLonde CPA 2695674500 2009 2016-02-24 21:20:13Z Holland Hospital dale sowders 602 MICHIGAN AVENUE HOLLAND MI 49423 227981350 0 X www.hollandhospital.org X 1985 MI To continuously improve the health of the communities we serve in the spirit of hope, respect, compassion and dignity. 14 10 1986 620 2036601 391468 1837955 546534 159270751 162715545 5280164 902669 7054292 5935919 173443162 170100667 797024 538055 0 89140154 86869555 0 0 74837108 72140438 164774286 159548048 8668876 10552619 267958623 315558594 72884336 73001654 195074287 242556940 To continuously improve the health of the communities we serve in the spirit of hope, respect, compassion and dignity. 0 0 135478696 538055 162715545 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 135478696 1 1 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 178 0 1986 1 1 1 0 0 0 0 1 1 0 0 1 0 0 0 14 10 1 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 MI X Terry Steele 6163925141 602 MICHIGAN AVE HOLLAND MI 49423 Dale M Sowders 40.00 X X 494102 0 161842 Leslie Brown 1.00 X 0 0 0 Barbara DePree MD 30.00 X 158956 0 22987 Chuck DePree 1.00 X 0 0 0 Becca Dernberger 1.00 X 0 0 0 William Frauenheim MD 5.00 X X 19250 0 0 Roger Gamache 1.00 X 0 0 0 Eric Gustafson MD 5.00 X 32375 0 0 Leroy Hernandez 1.00 X 0 0 0 Don Komejan 1.00 X X 0 0 0 Kris Manos 1.00 X 0 0 0 Greg Maybury 1.00 X X 0 0 0 Dan Rink 1.00 X 0 0 0 Dawn Garcia Ward 1.00 X 0 0 0 Terry L Steele 40.00 X 293017 0 66196 Charles D Kohlruss 40.00 X 244503 0 51705 Patti VanDort 40.00 X 224130 0 47301 Mark L Pawlak 40.00 X 203337 0 46962 William L VanderVliet 20.00 X 134833 0 32815 Robert J Bates MD 40.00 X 565742 0 43580 Bradley L Willoughby M 40.00 X 501965 0 26237 John K Ludlow MD 40.00 X 503356 0 24846 Diane Bigham MD 40.00 X 508183 0 19576 Joseph VanderMeer MD 40.00 X 391924 0 18817 4275673 0 562864 60 0 1 0 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 40 89551 456983 546534 NET PATIENT REVENUE 621110 162715545 162715545 162715545 2913507 2913507 289266 289266 289266 289266 55815031 8694 56585084 1249479 -770053 -1240785 -2010838 -2010838 117474 89551 39400 78074 78074 17500 6720 10780 10780 Other Revenue 900099 2733215 2733215 PHO/LAB ACTIVITY 621500 2036601 2036601 cafeteria and home mea 722210 787983 787983 5557799 170100667 162715545 2036601 4801987 538055 538055 2182358 181879 2000479 65126156 56203699 8922457 1057880 1057880 18503161 17065424 1437737 402150 4955 397195 123890 4990 118900 194954 194954 327057 7985 319072 851547 498521 353026 2058810 2058810 2580554 2541953 38601 354936 339290 15646 206698 132806 73892 2135576 2135576 10723789 9012497 1711292 987506 34485 953021 Supplies 23323139 23219534 103605 Contract Labor 14304267 10591292 3712975 Provision for Bad Debts 10492712 10492712 Utilities 2230937 1898014 332923 Other 841916 575029 266887 159548048 135478696 24069352 0 13694876 14558816 144981 9111669 21536627 19551882 3116848 3210356 4029315 2590516 193513628 85324949 108139295 108188679 90710480 125388579 24913508 31098572 1672693 1859525 267958623 315558594 10085557 10558229 59641081 59163091 19000 8200 3138698 3272134 72884336 73001654 X 194393264 241860472 281023 296468 400000 400000 195074287 242556940 267958623 315558594 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 37 519647 504202 298334 1 1 6431186 6431186 90852537 30101154 60751383 8521183 539649 7981534 87708722 54684146 33024576 108188679 Investments in affiliated entities 2700145 F Other Investments 28398427 F 31098572 Professional Liability Insurance 2211741 Cost report settlement payable 677593 other long-term liabilities 382800 3272134 170100667 159548048 10552619 38328857 -1398823 36930034 47482653 208363344 38328857 666829 38995686 169367658 194954 538055 733009 170100667 160880691 2065652 2065652 158815039 194954 538055 733009 159548048 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. Culinary Cabaret 120580 89551 31029 6720 7041 Gala 86445 60761 25684 1600 24039 207025 150312 56713 8320 31080 39400 17313 17500 17268 6720 1 0.95000 17500 17268 6720 23988 -6488 MI 1 license is pending approval. 0 1 1 0.00000 1.00000 Tracey Dowker 602 Michigan Ave Holland MI 49423 0 Sue Ann Culp 0 Executive Director X 0 1 1 1 X 1 X 1 1 1 0 1 1 2530852 2530852 0.01590 22263019 15388139 6874880 0.04310 24793871 15388139 9405732 0.05900 455185 200012 255173 0.00160 745080 745080 0.00470 329508 281481 48027 0.00030 464 464 0.00000 2270814 2270814 0.01420 3801051 481493 3319558 0.02080 28594922 15869632 12725290 0.07980 3 1559 1559 0.00000 1 538055 237467 300588 0.00190 10000 10000 0.00010 5 1095293 1095293 0.00690 9 1644907 237467 1407440 0.00890 4041068 52534 21500283 25385303 -3885020 X 1 0 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 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. Part III, Line 8: Costing methodology is a cost to charge ratio as defined by the IRS 990 instructions. The shortfall should be considered a community benefit due to its representation of cost of a portion of services provided to the community without payment. Part III, Line 9b: Any balance deemed patient responsibility (after insurance payment/determination and after any applicable discount or charity) if not paid will receive a minimum of 2 statements. At day 60 an early out agency works the account for Holland Hospital a minimum of 90 days. The account will be held on Holland Hospital's "books" until it has aged to a minimum of 180 days from discharge. At this time the account is eligible and will be reviewed to be sent to a collection agency. 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. 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) 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. Part VI, Line 4: Holland Hospital's Primary Service Area (PSA) consists of eight zip codes that fall within Allegan and Ottawa Counties of Michigan. We also serve residents in our Extended Service Area (ESA) which together with the PSA comprises a total population of nearly 250,000. Our PSA population comprises all age groups, skewing older in the City of Holland and younger in the growing areas outside the city. The area also encompasses a wide range of racial and ethnic backgrounds. The City of Holland differs substantially from the surrounding counties in racial/ethnic composition. Over 22% of Holland City residents are Hispanic/Latino, contrasted with about 6-8% in Ottawa and Allegan Counties. Holland also shows a greater percentage of Asian residents (3.6%) than other areas of the state and proportionally more Black/African Americans (2.5%) live in Holland than in adjacent counties. Part VI, Line 5: The health of our community is simply a reflection of the health of each individual within our community. To achieve the highest level of personal health, individuals must have access to the appropriate tools, best health information and local medical expertise. Our outreach to the community provides access to these vital components. From health screenings and community presentations to charitable care for the uninsured/underinsured, our goal is to help each individual reach his/her maximum personal health potential and, in the process, create an overall healthier community. Part 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. MI 0 community health center 336 river avenue Holland MI 49423 501(c)(3) 538055 Program Support 1 X 1 1 X X X 0 0 0 0 0 0 0 0 0 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 Part I, Line 1a The CEO, Dale Sowders, receives a country club membership which has an annual cost of $3,000. 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 22000000 1722767 250000 22000000 2008 0 0 1 1 22000000 225000 22000000 2008 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 1 1 0 0 0 0 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. 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 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 lakeside services llc 602 michigan avenue Holland MI 49423 382435080 Medical Clinic MI Holland Community Hospital Health Care -515149 0 0 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 Holland Community Hospital C -1431786 6527564 1.00000 HH Services South Washington 602 MICHIGAN AVENUE Holland MI 49423 270795175 MEDICAL CLINIC MI Holland Community Hospital C -193612 238334 1.00000 LAKESHORE HEALTH PARTNERS FAMILY MEDICINE 602 MICHIGAN AVENUE Holland MI 49423 271304003 MEDICAL CLINIC MI Holland Community Hospital C -205558 11246 1.00000 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 0 Lakeshore Health Partners L 875000 Lakeside Services G 150854 Holland Community Health Center I 64744