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North Ottawa Community Hospital

North Ottawa Community Hospital
1309 Sheldon Road
Grand Haven, MI 49417
Bed count81Medicare provider number230174Member of the Council of Teaching HospitalsNOChildren's hospitalNO
EIN: 383330803
Display data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
2.57%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 55,622,654
      Total amount spent on community benefits
      as % of operating expenses
      $ 1,429,055
      2.57 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 25,668
        0.05 %
        Medicaid
        as % of operating expenses
        $ 1,403,387
        2.52 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 0
        0 %
        Subsidized health services
        as % of operating expenses
        $ 0
        0 %
        Research
        as % of operating expenses
        $ 0
        0 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 0
        0 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 0
        0 %
        Community building*
        as % of operating expenses
        $ 0
        0 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?Not available
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 0
          0 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          Economic development
          as % of community building expenses
          $ 0
          Community support
          as % of community building expenses
          $ 0
          Environmental improvements
          as % of community building expenses
          $ 0
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          Coalition building
          as % of community building expenses
          $ 0
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          Workforce development
          as % of community building expenses
          $ 0
          Other
          as % of community building expenses
          $ 0
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 2,498,933
        4.49 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 0
        0 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?YES
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?Not available
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?NO

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
    • 4A (Expenses $ 40050690 including grants of $ 0) (Revenue $ 52209517)
      INPATIENT HEALTHCARE SERVICES WERE PROVIDED FOR 707 INPATIENTS. SERVICE DAYS TOTALED 2,901.EMERGENCY SERVICES WERE PROVIDED TO 15,831 PATIENTS. IN ADDITION, 4,872 SURGERIES WERE PERFORMED.DIAGNOSTIC TESTING, IMAGING, LABORATORY, ELECTRODIAGNOSTICS, AND SLEEP LAB SERVICES WERE PROVIDED TO 70,506 PATIENTS.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      NORTH OTTAWA COMMUNITY HOSPITAL
      PART V, SECTION B, LINE 5: THE JUNE 30, 2022 COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED BEHAVIOR RISK FACTOR SURVEYS AND FOCUS GROUPS. THEY CONDUCTED IN-DEPTH INTERVIEWS WITH HEALTHCARE PROFESSIONALS, AND COMMUNITY LEADERS. THEY ALSO DID ONLINE SURVEYS.
      NORTH OTTAWA COMMUNITY HOSPITAL
      PART V, SECTION B, LINE 6A: HOLLAND HOSPITAL AND SPECTRUM HEALTH-ZEELAND COMMUNITY HOSPITAL
      NORTH OTTAWA COMMUNITY HOSPITAL
      PART V, SECTION B, LINE 6B: OTTAWA DEPARTMENT OF PUBLIC HEALTH AND COMMUNITY MENTAL HEALTH OTTAWA COUNTY
      NORTH OTTAWA COMMUNITY HOSPITAL
      "PART V, SECTION B, LINE 11: THE HEALTH NEEDS IDENTIFIED IN THE MOST RECENT CHNA WERE: ACCESS TO CARE, MENTAL HEALTH, AND HEALTHY BEHAVIORS. SINCE THESE NEEDS WERE IDENTIFIED NOCH TOOK SPECIFIC ACTIONS, WHICH INCLUDED THE FOLLOWING FOR EACH IDENTIFIED NEED. 1. ACCESS TO CARESTRATEGY: INCREASE THE PERCENTAGE OF ADULTS WHO ARE CONFIDENT NAVIGATING THE HEALTHCARE SYSTEM AND HAVE A PRIMARY CARE PROVIDER. ALSO, EXPAND ACCESS TO AND COMMUNICATION OF FINANCIAL RESOURCES FOR ADULTS WITHOUT INSURANCE.- INCREASE REFERRALS TO OTTAWA PATHWAYS TO BETTER HEALTH PROGRAM AND LOVE IN ACTION FREE HEALTH CLINIC FOR ALL AREAS OF THE HEALTH SYSTEM.- INCREASE MEDICAL HOME REFERRALS FROM URGENT CARE AND EMERGENCY ROOM EDUCATE COMMUNITY ON PRIMARY CARE PROVIDERS WHO ARE ACCEPTING NEW PATIENTS.- EDUCATE COMMUNITY ON RESOURCES AVAILABLE (FREE HEALTH CLINIC, CHRISTIAN HEALTH NETWORK).- EXPAND USE OF MEDICAID APPLICATION AND GUIDANCE.2: MENTAL HEALTHSTRATEGY: DECREASE THE PERCENTAGE OF ADULTS IN ""POOR"" MENTAL HEALTH, DECREASE THE PERCENTAGE OF INDIVIDUALS WITH SUICIDE IDEATION, AND INCREASE THE PERCENTAGE OF ADULTS RECEIVING TREATEMENT FOR PSYCHOLOGICAL DISTRESS.- INCREASE PUBLIC AWARENESS OF ISSUES THROUGH TREATMENT AND SERVICES.- PARTICIPATE IN COMMUNITY-WIDE ADOPTION OF ""SANCTUARY INSTITUTE MODEL""- PARTICIPATE IN THE EXPANSION OF THRIVE OTTAWA COUNTY WORKGROUP.- SUPPORT THE WORK OF NORTH OTTAWA WELLNESS FOUNDATION AND THEIR MINDFULNESS EDUCATIONAL OFFERINGS.- INCREASE STAFF AWARENESS AND PROCESSES TO COORDINATE CARE FOR PATIENTS UTILIZING REAL TIME ASSESSMENT THROUGH MOSAIC COUNSELING.- EDUCATE AND ENCOURAGE PRIMARY CARE PROVIDERS TO EXPAND THEIR DISCUSSION ON MENTAL HEALTH WELLNESS WITH PATIENTS.- CONTINUE WORK WITH SCHOOL COUNSELORS AND NURSES BY UTILIZING TECHNOLOGY WHICH CONNECTS SCHOOL WITH URGENT CARE PROVIDERS.- ENCOURAGE MENTAL HEALTH SCREENINGS IN ALL APPROPRIATE SETTINGS (PRIMARY CARE PROVIDER, URGENT CARE, EMERGENCY ROOM)- UTILIZE IMMEDIATE ACCESS TO MENTAL HEALTH PROFESSIONALS WITHIN THE EMERGENCY ROOM.3. HEALTHY BEHAVIORSSTRATEGY: INCREASE THE PERCENTAGE OF ADULTS AT A HEALTHY WEIGHT AND DECREASE BARRIERS TO HEALTHY LIVING- DECREASE BARRIERS TO GOOD NUTRITION, INCREASE PHYSICAL ACTIVITY AND MINDFULNESS TO IMPROVE STRESS MANAGEMENT BUT UTILIZING RESOURCES OF LIVE WELL OTTAWA, NORTH OTTAWA WELLNESS FOUNDATION, AND HEALTH AND WELLNESS PROGRAMS IN NOCH'S BARIATRIC CLINIC.- CONTINUE WORK WITH SUMMER FARMER'S MARKET TO IDENTIFY AND EDUCATE PUBLIC ON NUTRITIONAL VALUE AND FOOD PREPARATION TECHNIQUES THAT PROMOTE WELLNESS.- CONTINUE TO PROMOTE ""PRESCRIPTION FOR GOOD HEALTH"" WITH THE YMCA THROUGH LOCAL PCP OFFICES.- CONTINUE EFFORTS AND SUPPORT OF INITIATIVES FOR NORTH OTTAWA WELLNESS FOUNDATION ON ADDRESSING NUTRITION, HEALTHY LIFESTYLES, AND MINDFULNESS."
      NORTH OTTAWA COMMUNITY HOSPITAL
      "PART V, SECTION B, LINE 13H: A PATIENT WHO IS IDENTIFIED AS ""DECEASED WITH NO ESTATE"" WILL QUALIFY FOR A 100% FINANCIAL ASSISTANCE DISCOUNT."
      NORTH OTTAWA COMMUNITY HOSPITAL
      PART V, SECTION B, LINE 23: THE HOSPITAL MAKES EVERY REASONABLE EFFORT NECESSARY TO IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR CHARITY OR DISCOUNTED CARE BEFORE BILLING THEM. THE PATIENT IS RESPONSIBLE FOR PROVIDING INFORMATION THAT SUPPORTS THEIR ELIGIBILITY FOR OUR FAP. IF THE PATIENT DOES NOT COMPLY WITH PROVIDING THIS INFORMATION IN A REASONABLE TIME FRAME, THE PATIENT WILL BE CHARGED AT GROSS CHARGES UNTIL THEY PROVIDE THE INFORMATION AND IT CAN BE ANALYZED FOR ELIGIBILITY. AT SOME POINT THE ACCOUNT MAY GO TO A THIRD PARTY FOR COLLECTIONS. EVEN AT THIS POINT, THE COLLECTION AGENCY CAN IDENTIFY THE PATIENT AS BEING ELIGIBLE FOR FINANCIAL ASSISTANCE, BUT ONLY IF THE PATIENT IS ABLE TO PROVIDE THE SUPPORTING DOCUMENTATION.
      NORTH OTTAWA COMMUNITY HOSPITAL
      PART V, SECTION B, LINE 24: THE HOSPITAL CALCULATED THE AVERAGE DISCOUNT FROM OUR LOWEST PAYING COMMERCIAL INSURANCE. THIS DISCOUNT WAS THEN APPLIED TO THE PATIENT'S ACCOUNT IF THEY MET FAP ELIGIBILTY CRITIERIA. A FURTHER DISCOUNT OF 25%-75% WAS GIVEN OFF THE ALREADY DISCOUNTED CHARGES BASED ON THEIR INCOME LEVEL. ESSENTIALLY THEN, THE DISCOUNT FOR ALL PATIENTS MEETING THE FAP CRITERIA WAS GREATER THAN THE DISCOUNT FOR THE LOWEST PAYING COMMERCIAL INSURANCE.
      Supplemental Information
      Schedule H (Form 990) Part VI
      PART I, LINE 3C:
      FIRST WE DETERMINE ELIGIBILITY BASED ON INCOME UP TO 250% OF THE FPG. THEN WE CONSIDER ASSETS. THE INCOME LEVEL WRITE-OFF RATE IS ADJUSTED BY THE ASSET LEVEL WRITE-OFF RATE TO DETERMINE THE TOTAL WRITE OFF RATE. FOR EXAMPLE, FOR INCOME 150-200% OF POVERTY LEVEL, WE WRITE OFF 75%. THIS IS THEN ADJUSTED BY THE ASSET RATE. IF THE PATIENT HAS ASSETS >$35,000, THEN THE ADJUSTMENT PERCENT IS 0%. 0% ASSET RATE X 75% INCOME RATE = 0% WRITE-OFF. IF ASSETS ARE BETWEEN $20,000 - 35,000, THEN THE ADJUSTMENT FACTOR IS 75%, FOR EXAMPLE 75% INCOME RATE X 75% ASSET RATE = 56.25% WRITE-OFF. IF THE PATIENTS ASSETS TOTAL LESS THAN $20,000, THEN THE ASSET ADJUSTMENT RATE IS 100%.
      PART I, LINE 7:
      A COST TO CHARGE RATIO WAS USED. THIS RATIO WAS DERIVED FROM INPUTS FROM THE MHA COMMUNITY BENEFIT TRACKER SOFTWARE, WHICH FOLLOWS WORKSHEET 2 OF THE IRS INSTRUCTIONS TO SCHEDULE H.
      PART I, LINE 7, COLUMN (F):
      THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,498,933.
      PART II, COMMUNITY BUILDING ACTIVITIES:
      THE HOSPITAL EMS DEPARTMENT IS PRESENT AT MANY COMMUNITY EVENTS AT NO CHARGE TO THE EVENT ORGANIZERS. THE EMS DEPARTMENT ATTENDS EVENTS SUCH AS LOCAL HIGH SCHOOL FOOTBALL GAMES, RUNNING EVENTS, PARADES, FIRE DEPARTMENT OPEN HOUSES, BEACH EVENTS, AND FESTIVALS. THEIR PRESENCE AT THESE EVENTS PROVIDES EDUCATION TO THE COMMUNITY, BUT MORE IMPORTANTLY AN IMMEDIATE INTERVENTION SHOULD A HEALTHCARE NEED ARISE. THE HOSPITAL ALSO PROVIDES FLU SHOT CLINICS TO AREA NURSING HOMES AND OTHER SUCH FACILITIES.
      PART III, LINE 2:
      THE HOSPITAL DIRECTLY WRITES OFF BAD DEBTS SUCH AS MEDICARE PRIMARY, MEDICAID SECONDARY ACCOUNT IN CASES WE KNOW THAT MEDICAID WILL NOT PAY THE SECONDARY AMOUNT. THE HOSPITAL ALSO CALCULATES A BAD DEBT ALLOWANCE ACCRUAL BASED ON SELF PAY BALANCE WITH THE COLLECTION AGENCIES BASED ON THEIR COLLECTION RATE.
      PART III, LINE 3:
      THE ORGANIZATION HAS NOT IDENTIFIED A METHOD TO REASONABLY CALCULATE THE PORTION OF ITS BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE BUT FAILED TO COMPLETE AN APPLICATION.
      PART III, LINE 4:
      FOR A DESCRIPTION OF THE HOSPITAL'S BAD DEBT EXPENSE, SEE THE 'PATIENT AND RESIDENT ACCOUNTS RECEIVABLE' INFORMATION IN NOTE 1 ON PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
      PART III, LINE 8:
      THE AMOUNTS INCLUDED IN PART III, LINES 5 AND 6 WERE GENERATED USING THE JUNE 30, 2022 FILED MEDICARE COST REPORT. THIS RESULTED IN A SHORTFALL OF APPROXIMATELY $347,266. SINCE OVER 40% OF OUR PAYORS ARE EITHER MEDICARE FFS OR MEDICARE ADVANTAGE PLANS, THIS IS A SIGNIFICANT SHORTFALL FOR A COMMUNITY HOSPITAL OF OUR SIZE, THEREFORE, WE FEEL THIS AMOUNT IS CONSIDERED A COMMUNITY BENEFIT.
      PART III, LINE 9B:
      THE HOSPITAL WORKS VERY DILIGENTLY TO DETERMINE IF A PATIENT QUALIFIES FOR CHARITY OR UNDER-INSURED DISCOUNTS. ULTIMATELY IT IS UP TO THE PATIENT TO PROVIDE THE NECESSARY PAPERWORK TO QUALIFY THEM FOR CHARITY CARE OR UNDERINSURED DISCOUNTS. IN THE EVENT THAT THE PATIENT DOES NOT RESPOND TO REQUESTS FOR INFORMATION, THEY WILL BE SENT TO AN OUTSIDE COLLECTION AGENCY. OFTEN TIMES THE COLLECTION AGENCY HAS SUCCESS IN OBTAINING THE NECESSARY PAPERWORK TO DETERIMINE IF THE PATIENT FALLS WITHIN OUR CHARITY CARE GUIDELINES. IF THE PATIENT IS COMPLIANT IN FILLING OUT THE PAPERWORK AND FOUND TO BE ELIGIBLE FOR CHARITY CARE, WE MOVE THEM FROM BAD DEBT STATUS TO ACCOUNTS RECEIVABLE, AND THEN EVENTUAL ADJUSTMENT OF THEIR BILL TO THE APPROPRIATE ADJUSTMENT CODE.
      PART VI, LINE 2:
      "NORTH OTTAWA COMMUNITY HOSPITAL HAS BEEN AN INTEGRAL PART OF THE OTTAWA COUNTY HEALTH ASSESSMENT COMMITTEE, WHICH IS LED BY THE OTTAWA COUNTY HEALTH DEPARTMENT. THE HOSPITAL MEETS FREQUENTLY WITH MUNICIPALITY REPRESENTATIVES TO EVALUATE HEALTH-RELATED SERVICES THAT CAN BE ENHANCED OR ADDED TO OUR FACILITY. WE CONDUCT SURVEYS, HOLD FOCUS GROUPS AND INVITE BUSINESS AND COMMUNITY GROUPS TO HELP US DETERMINE THE NEEDS OF THE COMMUNITY. WE HAVE RELATIONSHIPS WITH ""SAFETY NET PROVIDERS"" IN OUR LOCAL COMMUNITY THAT FURTHER ENHANCE OUR ABILITY TO PROVIDE CARE AND HEALTH RELATED PROGRAMS TAILORED TO OUR SERVICE AREA. WE ALSO USE COMMUNITY HEALTH STATUS INFORMATION (MORTALITY, MORBIDITY, DISEASE RATES, BIRTH RATES, IMMUNIZATION RATES, ETC) TO HELP US FOCUS ON LOCAL NEEDS. FINALLY, ON A REGIONAL COLLABORATIVE BASIS WE PARTICIPATE IN AH4Q-ALIGNING HEALTHCARE PROVIDERS FOR QUALITY, WHICH ASSESSES, EVALUATES AND PROMOTES BETTER CARE FOR WEST MICHIGAN CITIZENS."
      PART VI, LINE 3:
      AS SOON AS THE HOSPITAL BECOMES AWARE THAT A PATIENT DOES NOT HAVE INSURANCE COVERAGE, OR IS UNDER-INSURED, THAT PERSON IS CONTACTED EITHER BY PHONE, MAIL, OR IN PERSON BY OUR FINANCIAL COUNSELOR. WE HAVE A NUMBER OF PAMPHLETS THAT OUTLINE OUR CHARITY CARE POLICY, AS WELL AS HELP LOANS FOR WHICH THE HOSPITAL UNDERWRITES THE INTEREST PORTION OF THE LOAN.
      PART VI, LINE 4:
      THE HOSPITAL MAINLY SERVES THE CITIZENS OF THE ADJACENT COMMUNITIES OF GRAND HAVEN, GRAND HAVEN TOWNSHIP, FERRYSBURG, VILLAGE OF SPRING LAKE, SPRING LAKE TOWNSHIP, ROBINSON TOWNSHIP, WEST OLIVE TOWNSHIP AND CROCKERY TOWNSHIP. THE HOSPITAL SERVES PATIENTS OF ALL INCOME LEVELS.
      PART VI, LINE 5:
      IN CONJUNCTION WITH THE MICHIGAN HOSPITAL ASSOCIATION, A COMMUNITY BENEFIT SURVEY IS COMPLETED EACH YEAR.