Holland Community Hospital Authority Self-Insurance Trust Fund

Address
602 Michigan Avenue
Holland, MI 494234913
Contact
Website: http://www.hollandhospital.org
Phone: +1 (616) 392-5141
Nonprofit
NTEE: Y20 - Insurance Providers, Services
EIN: 38-6389385

Mission

TO CONTINUALLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE IN THE SPIRIT OF HOPE, COMPASSION, RESPECT AND DIGNITY.
 20162015201420132012
Basic features of the organization
Year of formation1979
Subsection code03
PF filing required0    
Metropolitan statistical area3000
Form of organization
TrustTrue
Human resources, including compensation
Summary compensation info
Total compensation of current key personnel$32,647.00$37,674.00$24,582.00$19,366.00$26,054.00
Sum of reportable (W2/1099) compensation$32,647.00$0.00$24,582.00$19,366.00$26,054.00
Number of employees00000
Number of people compensated >$100k00000
Number of volunteers801100
Number of highly compensated contractors0000 
Personnel
Bocanegra, Juanita
TitleTRUSTEETRUSTEETRUSTEE  
Name of key/compensated personJUANITA BOCANEGRAJUANITA BOCANEGRAJUANITA BOCANEGRA  
Position of compensated person
Current individual trustee or directorTrueTrueTrue  
Average hours per week working for org1.001.001.00  
Reportable compensation from org$0.00$0.00$0.00  
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00  
Average hours per week working for related orgs1.001.001.00  
Brown, Leslie
Title  TRUSTEECHAIRCHAIR
Name of key/compensated person  LESLIE BROWNLESLIE BROWNLESLIE BROWN
Position of compensated person
Current individual trustee or director  TrueTrueTrue
Average hours per week working for org  1.001.001.00
Reportable compensation from org  $0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs  $0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs   $0.00$0.00$0.00
Average hours per week working for related orgs  1.001.001.00
Casey, Mabel
TitleTRUSTEETRUSTEE   
Name of key/compensated personMABEL CASEYMABEL CASEY   
Position of compensated person
Current individual trustee or directorTrueTrue   
Average hours per week working for org1.001.00   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Average hours per week working for related orgs1.001.00   
Clark, Jane
TitleCHAIRSECRETARYSECRETARYSECRETARYTRUSTEE
Name of key/compensated personJANE CLARKJANE CLARKJANE CLARKJANE CLARKJANE CLARK
Position of compensated person
Current individual trustee or directorTrueTrueTrueTrueTrue
Average hours per week working for org1.001.001.001.001.00
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Average hours per week working for related orgs1.001.001.001.001.00
Department, Huntington
Title   TRUSTEETRUSTEE
Name of key/compensated person   HUNTINGTON BANK - TRUST DEPARTMENTHUNTINGTON BANK - TRUST DEPARTMENT
Position of compensated person
Average hours per week working for org   1.001.00
Reportable compensation from org   $19,366.00$26,054.00
Other comp, non-reportable, from org and related orgs   $0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00$0.00
Average hours per week working for related orgs   0.000.00
Depree, Barbara
Title   TRUSTEE-1ST PART YEARTRUSTEE
Name of key/compensated person   BARBARA DEPREE MDBARBARA DEPREE MD
Position of compensated person
Current individual trustee or director   TrueTrue
Average hours per week working for org   1.001.00
Reportable compensation from org   $0.00$0.00
Other comp, non-reportable, from org and related orgs   $15,606.00$17,392.00
Corresponding comp from related orgs
Reportable compensation from related orgs    $165,667.00$159,830.00
Average hours per week working for related orgs   30.0030.00
Depree, Kris
TitleTRUSTEETRUSTEETRUSTEETRUSTEE 
Name of key/compensated personKRIS DEPREE MDKRIS DEPREE MDKRIS DEPREE MDKRIS DEPREE 
Position of compensated person
Current individual trustee or directorTrueTrueTrueTrue 
Average hours per week working for org1.001.001.001.00 
Reportable compensation from org$0.00$0.00$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00 
Average hours per week working for related orgs1.001.001.001.00 
Dernberger, Becca
Title  TRUSTEE - 1ST PART YEARTRUSTEETRUSTEE
Name of key/compensated person  BECCA DERNBERGERBECCA DERNBERGERBECCA DERNBERGER
Position of compensated person
Current individual trustee or director  TrueTrueTrue
Average hours per week working for org  1.001.001.00
Reportable compensation from org  $0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs  $0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs   $0.00$0.00$0.00
Average hours per week working for related orgs  1.001.001.00
Frauenheim, William
Title   SECRETARY-1ST PART YEARSECRETARY
Name of key/compensated person   WILLIAM FRAUENHEIM MDWILLIAM FRAUENHEIM MD
Position of compensated person
Current individual trustee or director   TrueTrue
Average hours per week working for org   1.001.00
Reportable compensation from org   $0.00$0.00
Other comp, non-reportable, from org and related orgs   $0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00$0.00
Average hours per week working for related orgs   1.001.00
Gamache, Roger
TitleTRUSTEETRUSTEETRUSTEETRUSTEETRUSTEE
Name of key/compensated personROGER GAMACHEROGER GAMACHEROGER GAMACHEROGER GAMACHEROGER GAMACHE
Position of compensated person
Current individual trustee or directorTrueTrueTrueTrueTrue
Average hours per week working for org1.001.001.001.001.00
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Average hours per week working for related orgs1.001.001.001.001.00
Griffin, Clint
Title  TRUSTEETRUSTEE 
Name of key/compensated person  CLINT GRIFFIN MDCLINT GRIFFIN MD 
Position of compensated person
Current individual trustee or director  TrueTrue 
Average hours per week working for org  1.001.00 
Reportable compensation from org  $0.00$0.00 
Other comp, non-reportable, from org and related orgs  $0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs   $15,785.00$0.00 
Average hours per week working for related orgs  1.001.00 
Hoey, Doug
TitleTRUSTEETRUSTEE   
Name of key/compensated personDOUG HOEY MDDOUG HOEY MD   
Position of compensated person
Current individual trustee or directorTrueTrue   
Average hours per week working for org1.001.00   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Average hours per week working for related orgs1.001.00   
Komejan, Don
Title   TREASURER-1ST PART YEARTREASURER
Name of key/compensated person   DON KOMEJANDON KOMEJAN
Position of compensated person
Current individual trustee or director   TrueTrue
Average hours per week working for org   1.001.00
Reportable compensation from org   $0.00$0.00
Other comp, non-reportable, from org and related orgs   $0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00$0.00
Average hours per week working for related orgs   1.001.00
Koning, Phil
TitleTREASURERTREASURERTREASURERTRUSTEETRUSTEE
Name of key/compensated personPHIL KONINGPHIL KONINGPHIL KONINGPHIL KONINGPHIL KONING
Position of compensated person
Current individual trustee or directorTrueTrueTrueTrueTrue
Average hours per week working for org1.001.001.001.001.00
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Average hours per week working for related orgs1.001.001.001.000.00
Manos, Kris
Title    TRUSTEE - 1ST PART YEAR
Name of key/compensated person    KRIS MANOS
Position of compensated person
Current individual trustee or director    True
Average hours per week working for org    1.00
Reportable compensation from org    $0.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Average hours per week working for related orgs    1.00
Mason, Dave
TitleTRUSTEETRUSTEETRUSTEE  
Name of key/compensated personDAVE MASONDAVE MASONDAVE MASON  
Position of compensated person
Current individual trustee or directorTrueTrueTrue  
Average hours per week working for org1.001.001.00  
Reportable compensation from org$0.00$0.00$0.00  
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00  
Average hours per week working for related orgs1.001.001.00  
Maybury, Greg
Title  TRUSTEE - 1ST PART YEARTREASURERTRUSTEE
Name of key/compensated person  GREG MAYBURYGREG MAYBURYGREG MAYBURY
Position of compensated person
Current individual trustee or director  TrueTrueTrue
Average hours per week working for org  1.001.001.00
Reportable compensation from org  $0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs  $0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs   $0.00$0.00$0.00
Average hours per week working for related orgs  1.001.001.00
Rolinski, Elizabeth
Title  TRUSTEETRUSTEETRUSTEE
Name of key/compensated person  ELIZABETH ROLINSKIELIZABETH ROLINSKIELIZABETH ROLINSKI
Position of compensated person
Current individual trustee or director  TrueTrueTrue
Average hours per week working for org  1.001.001.00
Reportable compensation from org  $0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs  $0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs   $0.00$0.00$0.00
Average hours per week working for related orgs  1.001.000.00
Sowders, Dale
TitleTRUSTEE, PRESIDENT, CEOTRUSTEE, PRESIDENT, CEOTRUSTEE, PRESIDENT, CEOTRUSTEE, PRESIDENT, CEOTRUSTEE, PRESIDENT, CEO
Name of key/compensated personDALE SOWDERSDALE SOWDERSDALE SOWDERSDALE SOWDERSDALE SOWDERS
Position of compensated person
Current individual trustee or directorTrueTrueTrueTrueTrue
Average hours per week working for org1.001.001.001.001.00
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$25,098.00$73,009.00$65,732.00$148,829.00$124,160.00
Corresponding comp from related orgs
Reportable compensation from related orgs $731,670.00$644,631.00$694,094.00$649,211.00$624,126.00
Average hours per week working for related orgs40.0040.3040.3040.0040.00
Steele, Terry
TitleVP FINANCE & CFOVP FINANCE & CFOVP FINANCE & CFOVP FINANCE & CFOVP FINANCE & CFO
Name of key/compensated personTERRY STEELETERRY STEELETERRY STEELETERRY STEELETERRY STEELE
Position of compensated person
Average hours per week working for org1.001.001.001.001.00
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$21,809.00$41,008.00$34,639.00$32,141.00$38,659.00
Corresponding comp from related orgs
Reportable compensation from related orgs $361,236.00$319,298.00$340,680.00$326,832.00$339,397.00
Average hours per week working for related orgs40.0040.3040.3040.0040.00
Stid, Mark
TitleTRUSTEETRUSTEETRUSTEETRUSTEETRUSTEE
Name of key/compensated personMARK STID MDMARK STID MDMARK STID MDMARK STID MDMARK STID
Position of compensated person
Current individual trustee or directorTrueTrueTrueTrueTrue
Average hours per week working for org1.001.001.001.001.00
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$19,529.00$19,931.00$19,915.00$14,248.00$17,702.00
Corresponding comp from related orgs
Reportable compensation from related orgs $218,470.00$233,455.00$184,412.00$169,635.00$188,305.00
Average hours per week working for related orgs40.0040.0040.0040.0040.00
Stroop, Jim
TitleSECRETARYCHAIRCHAIRTRUSTEETRUSTEE
Name of key/compensated personJIM STROOPJIM STROOPJIM STROOPJIM STROOPJIM STROOP
Position of compensated person
Current individual trustee or directorTrueTrueTrueTrueTrue
Average hours per week working for org1.001.001.001.001.00
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Average hours per week working for related orgs1.001.001.001.001.00
Ward, Dawn
TitleTRUSTEETRUSTEETRUSTEETRUSTEETRUSTEE
Name of key/compensated personDAWN GARCIA WARDDAWN GARCIA WARDDAWN GARCIA WARDDAWN GARCIA WARDDAWN GARCIA WARD
Position of compensated person
Current individual trustee or directorTrueTrueTrueTrueTrue
Average hours per week working for org1.001.001.001.001.00
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Average hours per week working for related orgs1.001.001.001.001.00
Yasick, Tony
TitleTRUSTEETRUSTEETRUSTEETRUSTEE 
Name of key/compensated personTONY YASICK MDTONY YASICK MDTONY YASICK MDTONY YASICK MD 
Position of compensated person
Current individual trustee or directorTrueTrueTrueTrue 
Average hours per week working for org1.001.001.001.00 
Reportable compensation from org$0.00$0.00$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00 
Average hours per week working for related orgs1.001.001.001.00 
Purpose: mission, activities, & accomplishments
Mission or significant activitiesTHE ORGANIZATION PROVIDES FOR PAYMENT OF MALPRACTICE AND GENERAL HOSPITAL PATIENT LIABILITY CLAIMS FOR HOLLAND COMMUNITY HOSPITAL.THE ORGANIZATION PROVIDES FOR PAYMENT OF MALPRACTICE AND GENERAL HOSPITAL PATIENT LIABILITY CLAIMS FOR HOLLAND COMMUNITY HOSPITAL.THE ORGANIZATION PROVIDES FOR PAYMENT OF MALPRACTICE AND GENERAL HOSPITAL PATIENT LIABILITY CLAIMS FOR HOLLAND COMMUNITY HOSPITAL.THE ORGANIZATION PROVIDES FOR PAYMENT OF MALPRACTICE AND GENERAL HOSPITAL PATIENT LIABILITY CLAIMS FOR HOLLAND COMMUNITY HOSPITAL.THE ORGANIZATION PROVIDES FOR PAYMENT OF MALPRACTICE AND GENERAL HOSPITAL PATIENT LIABILITY CLAIMS FOR HOLLAND COMMUNITY HOSPITAL.
Program service expenses, total$32,647.00 $4,000,000.00  
Programs, including revenue & expenses
THE ORGANIZATION PROVIDES FOR PAYMENT OF MALPRACTICE AND GENERAL HOSPITAL PATIENT LIABILITY CLAIMS FOR HOLLAND COMMUNITY HOSPITAL.
Program expenses$32,647.00 $4,000,000.00$0.00$0.00
Grants and allocations made  $4,000,000.00 $0.00
Program revenue  $0.00$0.00$0.00
Program descriptionTHE ORGANIZATION PROVIDES FOR PAYMENT OF MALPRACTICE AND GENERAL HOSPITAL PATIENT LIABILITY CLAIMS FOR HOLLAND COMMUNITY HOSPITAL.THE ORGANIZATION PROVIDES FOR PAYMENT OF MALPRACTICE AND GENERAL HOSPITAL PATIENT LIABILITY CLAIMS FOR HOLLAND COMMUNITY HOSPITAL.THE ORGANIZATION PROVIDES FOR PAYMENT OF MALPRACTICE AND GENERAL HOSPITAL PATIENT LIABILITY CLAIMS FOR HOLLAND COMMUNITY HOSPITAL.THE ORGANIZATION PROVIDES FOR PAYMENT OF MALPRACTICE AND GENERAL HOSPITAL PATIENT LIABILITY CLAIMS FOR HOLLAND COMMUNITY HOSPITAL.THE ORGANIZATION PROVIDES FOR PAYMENT OF MALPRACTICE AND GENERAL HOSPITAL PATIENT LIABILITY CLAIMS FOR HOLLAND COMMUNITY HOSPITAL.
Financial data
Revenue
Total revenue$885,576.00$664,339.00$688,204.00$265,083.00$523,700.00
Revenue from contributions (total) $0.00$0.00$0.00$0.00
Investment income, current yr$885,576.00$664,339.00$688,204.00$265,083.00$523,700.00
Total revenue from grants, etc., current yr$0.00$0.00$0.00$0.00$0.00
Total unrelated business revenue$0.00$0.00$0.00$0.00$0.00
Other revenue, current yr$0.00$0.00$0.00$0.00$0.00
Net unrelated business taxable revenue$0.00$0.00$0.00$0.00$0.00
Program service revenue (total) $0.00$0.00$0.00$0.00
Gross receipts$4,268,816.00$2,728,871.00$6,241,027.00$488,412.00$26,500,827.00
Other types of revenue
Income from dividends, interest, and similar investments$229,251.00$215,442.00$172,307.00$197,584.00$341,443.00
Net rental income $0.00$0.00$0.00$0.00
Expense categories (totals)
Total functional expenses: sum of all$37,122.00$37,674.00$4,024,582.00$19,366.00$26,054.00
Total functional expenses: program service $32,647.00$0.00$4,000,000.00$0.00$0.00
Total functional expenses: management and general$4,475.00$37,674.00$24,582.00$19,366.00$26,054.00
Total functional expenses: fundraising$0.00$0.00$0.00$0.00$0.00
Fees for services
Fundraising service fees (total)$0.00$0.00$0.00$0.00$0.00
Investment management fees (total)$4,475.00    
Assets and liabilities
Total assets$14,895,560.00$14,230,977.00$14,701,264.00$18,246,593.00$16,081,688.00
Total assets, beginning of year$14,230,977.00$14,701,264.00$18,246,593.00$16,081,688.00$14,289,772.00
Total liabilities$0.00$0.00$0.00$0.00$0.00
Total liabilities, beginning of year$0.00$0.00$0.00$0.00$0.00
Unrestricted net assets, end of yr$14,895,560.00$14,230,977.00$14,701,264.00$18,246,593.00$16,081,688.00
Net assets$14,895,560.00$14,230,977.00$14,701,264.00$18,246,593.00$16,081,688.00
Net assets, beginning of year$14,230,977.00$14,701,264.00$18,246,593.00$16,081,688.00$14,289,772.00
Investments: other securities$14,895,491.00$14,230,908.00$14,701,195.00$12,989,633.00$3,251,196.00
Investments: publicly traded securities  $0.00$5,256,890.00$12,830,423.00
Cash: non-interest bearing$69.00$69.00$69.00$70.00$69.00
Cash: non-interest bearing, beginning of year$69.00$69.00$70.00$69.00$131,068.00
Other financial variables
Revenue less expenses$848,454.00$626,665.00-$3,336,378.00$245,717.00$497,646.00
Total net assets or fund balances$14,895,560.00$14,230,977.00$14,701,264.00$18,246,593.00$16,081,688.00
Governance and accountability
Number of voting members1313141414
Number of independent voting members88111011
Relationships among key personnel   True 
Cash accountingTrueTrueTrueTrueTrue
Tax year start date2016-01-012015-01-012014-01-012013-01-012012-01-01
Tax year end date2016-12-012015-12-012014-12-012013-12-012012-12-01
Indicators for schedules (selected)
Grants to domestic org/gov't >$5k  True  
Org has controlled entityTrueTrueTrueTrueTrue
Metadata about the filing
E-return type: 990, 990EZ, or 990PF990990990990990
Date e-filing submitted2017-11-152017-04-112016-01-202014-10-242013-12-23
IRS schema version2016v3.02015v2.12014v5.02013v3.02012v2.1
Filing identifier201742719349301024201643209349303104201543009349300719201422109349301112201333169349301298
Use these data in your project Benchmark this organization against its peers