Lakeshore Area Radiation Oncology Center

“The organization has a shared services agreement with spectrum health hospitals, a member organization. Shared services are also provided by corewell health; the parent organization of spectrum health hospitals and zeeland community hospital. Corewell health analyzes and prepares the budget for the organization. Corewell health also provides the organization with a manager to oversee the facility's operations.”

“Spectrum health hospitals, a michigan nonprofit corporation. Holland community hospital, a michigan nonprofit corporation. Zeeland community hospital, a michigan nonprofit corporation.”

“The members of the organization appoint(s) all members of the board of directors. No individual person shall be eligible to become a member of the corporation, and no corporation or other entity shall be eligible to become a member in the corporation unless such corporation or entity is an acute care hospital located in kent, allegan, ottawa, or muskegon counties, michigan. Additional members may be admitted to the corporation upon the approval of the existing members holding at least 80% of the weighted votes as outlined in the bylaws: spectrum health hospitals - 41.2% holland community hospital - 41.2% zeeland community hospital - 17.6% the business and affairs of the organization shall be managed exclusively by a board of directors. There shall be six directors of the corporation. Each of the three members of the corporation shall select two directors. The weighted votes of each pair of directors may be cast by only one of the pair if both are not present at a meeting of the board. If both are present at a meeting of the board, they shall each have a vote equal to one-half of the percentages set forth above. Each director shall hold office until his death, resignation, incapacity to act, or removal. In the event any vacancy shall occur on the board of directors, such vacancy shall be filled by the member of the corporation which had originally appointed that director.”

“The members of the organization have the reserved powers set forth below, and shall not be deemed authorized unless and until approved by at least 80% of the weighted votes of the members: -all matters requiring membership action under michigan law; -amendment of the articles of incorporation or bylaws of the organization; -ratification of the mission, role, and goals of the organization; -adoption, approval, revocation, or abandonment of any plan of dissolution of the organization; -adoption, approval, revocation, or abandonment of any plan of merger, consolidation, sale of all or substantially all of the assets and property of the organization.”

“The form 990 is prepared by corewell health corporate tax. The tax return is reviewed by the corporate tax manager and the director of tax. It is then reviewed by the organization's treasurer and shared with the members of the board of directors. All questions are addressed prior to filing the form 990.”

“1. Conflicts of interest must be disclosed, via an annual electronic disclosure process and verbally at each board and board committee meeting as part of the declaration of conflict of interest prior to discussion of any agenda items. 2. A person having a financial interest in a proposed transaction or arrangement may make a presentation at a meeting of the board or committee which is considering that transaction or arrangement, but after that presentation he/she shall leave the meeting before discussion and voting on that proposed transaction or arrangement. The person having the financial interest shall not be counted in determining whether a quorum is present. 3. The chairperson of the board or the committee chair shall, if appropriate, appoint a disinterested person or committee (including outside advisors) to investigate alternatives to the proposed transaction or arrangement, and to advise whether the proposed transaction or arrangement is in the organization's best interest. 4. The board or committee shall exercise due diligence to determine whether the organization can, with reasonable efforts, obtain a more advantageous transaction or arrangement that would not give rise to a conflict of interest. 5. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the board or committee shall determine by a majority vote of the disinterested directors and members whether the proposed transaction or arrangement is in the organization's best interest and for its own benefit and whether the transaction is fair and reasonable to the organization, and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination. 6. The minutes of the meetings of the board and all of the organization's committees shall set forth: a) the names of the persons who disclosed a financial interest in a proposed transaction or arrangement involving the organization or any of its subsidiaries and the nature of the financial interest; and b) the names of the persons who were present for discussions and votes relating to such transaction or arrangement, including any discussion of alternatives to the proposed transaction or arrangement, and a record of any votes taken in connection with that matter. The votes of individual members need not be recorded unless otherwise directed by the board of directors or committee. 7. There is an ongoing requirement that members of the board and board committees update their annual disclosure questionnaire at any point during his/her tenure on the board of directors when a new potential conflict of interest arises.”

“The organization's articles of incorporation have been provided to the state of michigan and are available to the public on the state's website. The organization's bylaws and internal policies are generally not made available to the public.”

“OTHER PURCHASED SERVICES: Program service expenses 1,366,202. Management and general expenses 135,618. Fundraising expenses 0. Total expenses 1,501,820. NONCLINICAL PURCHASED SERVICES: Program service expenses 516,937. Management and general expenses 51,314. Fundraising expenses 0. Total expenses 568,251. CLINICAL PURCHASED SERVICES: Program service expenses 82,957. Management and general expenses 8,235. Fundraising expenses 0. Total expenses 91,192.”

“Transfer to members -3,800,000.”

“No change in oversight from prior year.”