LAKESHORE AREA RADIATION ONCOLOGY CENTER: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- LAKESHORE AREA RADIATION ONCOLOGY CENTER (EIN 38-3067954)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-10-20
- IRS object ID
- 202132939349300233
- Schema version
- 2020v4.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-10-20T11:30:46-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135381590 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BDO USA LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 OTTAWA AVE NW SUITE 300 | AddressLine1Txt |
| City | GRAND RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383067954 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lakeshore Area Radiation Oncology Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LAKE | BusinessNameControlTxt |
| Phone | 6167745083 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12642 Riley ST | AddressLine1Txt |
| City | Holland | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 494249202 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Brenda Winn | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Signature | 2021-10-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Brenda | PersonFirstNm |
| Person Last | Winn | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JACOB COOK | PreparerPersonNm |
| PTIN | P01240455 | PTIN |
| Phone | 6167747000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mr Joseph Klesney | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12642 Riley ST | AddressLine1Txt |
| City | Holland | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 494249202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,980,219 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.lakeshoreradiation.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | The Lakeshore Area Radiation Oncology Center is a cooperative venture by three West Michigan hospitals designed to serve lakeshore area residents and improve the health of the area. Holland Community Hospital, Spectrum Health Hospitals and Zeeland Community Hospital comprise the members of the Lakeshore Area Radiation Oncology Center. Our mission is to provide convenient, technologically advanced, and cost effective radiation oncology services in a comfortable and compassionate environment that reaches beyond the traditional hospital walls. Our commitment is to treat those whom we serve with dignity and respect. We intend to provide individualized care, educational resources and support to our patients and their families, sharing in their sense of hope for the future. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,109,236 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,956,694 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,991 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,529 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,483 | PYOtherRevenueAmt |
| CY Other Revenue | $14,996 | CYOtherRevenueAmt |
| PY Total Revenue | $3,125,710 | PYTotalRevenueAmt |
| CY Total Revenue | $4,980,219 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,352,971 | PYOtherExpensesAmt |
| CY Other Expenses | $2,715,646 | CYOtherExpensesAmt |
| PY Total Expenses | $1,352,971 | PYTotalExpensesAmt |
| CY Total Expenses | $2,715,646 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,772,739 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,264,573 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,444,094 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,831,645 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $375,174 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,106,535 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,068,920 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,725,110 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Lakeshore Area Radiation Oncology Center was established to deliver outpatient radiation services, a health care service for the general public. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $2,391,976 | ExpenseAmt |
| Revenue | $4,971,690 | RevenueAmt |
| Desc | THE LAKESHORE AREA RADIATION ONCOLOGY CENTER ("LAROC") PROVIDES CONVENIENT AND TECHNOLOGICALLY ADVANCED RADIATION ONCOLOGY SERVICES AND EDUCATIONAL RESOURCES TO AREA RESIDENTS. DURING THE YEAR LAROC PROVIDED 7,613 RADIATION ONCOLOGY TREATMENTS ON AN OUTPATIENT BASIS TO 357 PATIENTS. | Desc |
| Total Program Service Expenses | $2,391,976 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (true) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LESLIE FLAKE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6167745083 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Michigan Ave NE | AddressLine1Txt |
| City | Grand Rapids | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49503 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| Brenda Winn | |||||||
| Treasurer | 0.3 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Joseph Klesney | |||||||
| PRESIDENT | 1.0 | 49.0 | Yes (X) | Yes (X) | $0 | $183,233 | $35,364 |
| Mark Pawlak | |||||||
| Secretary | 0.3 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Mary Kay Vandriel | |||||||
| Vice President | 0.3 | 49.7 | Yes (X) | Yes (X) | $0 | $375,635 | $102,286 |
| Ryan Powers | |||||||
| VICE PRESIDENT - Part Year | 0.3 | 49.7 | Yes (X) | Yes (X) | $0 | $200,189 | $34,700 |
| Heather Lallo | |||||||
| Director | 0.3 | 49.7 | Yes (X) | $0 | $223,215 | $36,412 | |
| Ron Lewis | |||||||
| DIRECTOR | 0.3 | 49.7 | Yes (X) | $0 | $411,420 | $142,129 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,393,692 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $350,891 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SPECTRUM HEALTH | |||||
| 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | MANAGEMENT SERVICES | $1,850,424 |
| VARIAN MEDICAL SYSTEMS | |||||
| 660 N MCCARTHY BLVD | MILPITAS | CA | 95035 | MAINTENANCE CONTRACT - RADIATION | $217,420 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Radiation Oncology Services | Desc |
| Business | 621498 | BusinessCd |
| Total Revenue Column | $4,956,694 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,956,694 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,956,694 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,529 | TotalRevenueColumnAmt |
| Exclusion | $8,529 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $14,996 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $14,996 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,996 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,996 | RelatedOrExemptFuncIncomeAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,980,219 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,971,690 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,529 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,807,442 | TotalAmt |
| Program Services | $1,644,227 | ProgramServicesAmt |
| Management And General | $163,215 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,769 | TotalAmt |
| Program Services | $754 | ProgramServicesAmt |
| Management And General | $3,015 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,983 | TotalAmt |
| Program Services | $25,586 | ProgramServicesAmt |
| Management And General | $6,397 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,338 | TotalAmt |
| Program Services | $97,870 | ProgramServicesAmt |
| Management And General | $24,468 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $445,464 | TotalAmt |
| Program Services | $356,371 | ProgramServicesAmt |
| Management And General | $89,093 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,555 | TotalAmt |
| Program Services | $2,044 | ProgramServicesAmt |
| Management And General | $511 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,940 | TotalAmt |
| Program Services | $216,498 | ProgramServicesAmt |
| Management And General | $29,442 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,645 | TotalAmt |
| Program Services | $30,116 | ProgramServicesAmt |
| Management And General | $7,529 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Medical Supplies | $17,710 | $17,710 |
| Other Operating Expenses | $800 | $800 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,715,646 | TotalAmt |
| Program Services | $2,391,976 | ProgramServicesAmt |
| Management And General | $323,670 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200 | BOYAmt |
| EOY | $200 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,970,568 | BOYAmt |
| EOY | $4,648,718 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $295,131 | BOYAmt |
| EOY | $216,978 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,052 | BOYAmt |
| EOY | $87,234 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,872,020 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,993,883 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,077,143 | BOYAmt |
| EOY | $1,878,137 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $378 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,444,094 | BOYAmt |
| EOY | $6,831,645 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,595 | BOYAmt |
| EOY | $731,643 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $364,579 | BOYAmt |
| EOY | $374,892 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $375,174 | BOYAmt |
| EOY | $1,106,535 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,068,920 | BOYAmt |
| EOY | $5,725,110 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,068,920 | BOYAmt |
| EOY | $5,725,110 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,444,094 | BOYAmt |
| EOY | $6,831,645 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,264,573 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$1,608,383 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $302,634 | OtherCostOrOtherBasisAmt |
| Book Value | $302,634 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,628,867 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,626,787 | DepreciationAmt |
| Book Value | $1,002,080 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,775,397 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,235,834 | DepreciationAmt |
| Book Value | $539,563 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $165,122 | OtherCostOrOtherBasisAmt |
| Depreciation | $131,262 | DepreciationAmt |
| Book Value | $33,860 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,878,137 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Due to member | Desc |
| Amt | $374,892 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $374,892 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mary Kay Vandriel | ||||||||||||||
| Vice President | $0 | $318,682 | $0 | $51,252 | $0 | $5,701 | $0 | $48,635 | $0 | $53,651 | $0 | $477,921 | $0 | $0 |
| Ryan Powers | ||||||||||||||
| VICE PRESIDENT - Part Year | $0 | $174,082 | $0 | $24,557 | $0 | $1,550 | $0 | $12,785 | $0 | $21,915 | $0 | $234,889 | $0 | $0 |
| Joseph Klesney | ||||||||||||||
| PRESIDENT | $0 | $155,866 | $0 | $23,065 | $0 | $4,302 | $0 | $11,628 | $0 | $23,736 | $0 | $218,597 | $0 | $0 |
| Ron Lewis | ||||||||||||||
| DIRECTOR | $0 | $323,180 | $0 | $84,287 | $0 | $3,953 | $0 | $78,148 | $0 | $63,981 | $0 | $553,549 | $0 | $29,590 |
| Heather Lallo | ||||||||||||||
| Director | $0 | $193,657 | $0 | $27,709 | $0 | $1,849 | $0 | $11,338 | $0 | $25,074 | $0 | $259,627 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Line 1a Number Reported in Box 3 of Form 1096 | Pursuant to a shared services contract with a member organization, vendors are processed and paid by the member organization. Amounts paid to the member organization by the filing organization are detailed on Lines 11 - 24 of Part IX. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management officials | The organization did not have a process for determining compensation of the top management official or other officers or key employees as the organization did not employ any officers or key employees. |
| Form 990, Part VI, Line 3 Delegation of management duties | The organization has a shared services agreement with Spectrum Health Hospitals, a member organization. Spectrum Health analyzes and prepares the budget for the organization. Spectrum Health also provides the organization with a manager to oversee the facility's operations. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | The Organization has three members/stockholders as follows: -Spectrum Health Hospitals (EIN 38-1360529), a Michigan nonprofit corporation. -Holland Community Hospital (EIN 38-2800065), a Michigan nonprofit corporation. -Zeeland Community Hospital (EIN 38-1411184), a Michigan nonprofit corporation. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | The member(s) (see Form 990, Part VI, Line 6) 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. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | The members (see Form 990, Part VI, Line 6) 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 (see Form 990, Part VI, Line 7a) 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; and -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. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | A copy of the Form 990 is provided to the Board of Directors prior to filing. The review process for this Form 990 is as follows: 1. Preparation of the return is supervised and reviewed by a member organization's Corporate Tax Department. 2. A second review is performed by an external CPA firm with expertise in tax-exempt return preparation. 3. The return is reviewed by the organization's Treasurer and Secretary and shared with the members of the Board of Directors. |
| Form 990, Part VI, Line 12c Conflict of interest policy | BOARD OF DIRECTORS 1. Conflicts of interest must be disclosed, BOTH VIA AN ANNUAL ELECTRONIC DISCLOSURE PROCESS as well as verbally at a board meeting prior to discussion of any agenda item with regard to which a board member has a conflict. 2. A person having a financial interest in a proposed transaction or arrangement may make a presentation at a meeting of the Board of Directors or committee considering that transaction or arrangement, but after that presentation he or she shall leave the meeting during 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 of Directors or committee 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 of Directors 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 of Directors 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 of Directors 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 of directors complete another disclosure questionnaire at any point during his/her tenure on the board of directors when a new potential conflict of interest arises. If a member of the board of directors completes a disclosure questionnaire as a result of a new potential conflict of interest, that disclosure questionnaire is submitted to the conflicts of interest committee, which is comprised of individuals from legal, organizational integrity, internal audit, human resources, and members of leadership for review. MANAGEMENT 1. Upon acceptance of an employment offer, each member of management completes a conflict of interest disclosure questionnaire. A copy of the member of management's disclosure questionnaire is sent to the organization's organizational integrity department. A copy of the member of management's disclosure is reviewed by the organization's COI coordinator and escalated to the Conflicts of Interest Committee if necessary. 2. Annually, each member of management completes an annual conflict of interest disclosure questionnaire electronically. The disclosure questionnaire is reviewed by the conflicts of interest committee, which is comprised of individuals from legal, organizational integrity, internal audit, human resources, and members of leadership. 3. There is an ongoing requirement that members of management complete another disclosure questionnaire at any point during his/her employment when a new potential conflict of interest arises. If a member of management completes a disclosure questionnaire as a result of a new potential conflict of interest, that disclosure questionnaire is submitted to the conflicts of interest committee. 4. The conflicts of interest committee, in consultation with executive management, determines how any reported conflicts should be managed. Management of a conflict may take a variety of different forms from implementation of a management plan to requiring that the member of management cease the activity creating the conflict or, in extreme cases, leave the organization's employment. Management is determined on an individual basis based upon the facts and circumstances surrounding the disclosure. The purpose of conflict management is to provide transparency within the organization and to ensure that the organization's employees are always acting in the best interest of the organization. |
| Form 990, Part VI, Line 19 Required documents available to the public | 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. At the time of this filing, the financial statements have not been made available to the public but are represented in Parts VIII, IX, and X of this Form 990. |
| Form 990, Part IX, Line 11g Other Fees | Leased Employees - Total Expense: 1316924, Program Service Expense: 1198003, Management and General Expenses: 118921, Fundraising Expenses: ; Other Purchased Services - Total Expense: 459666, Program Service Expense: 418158, Management and General Expenses: 41508, Fundraising Expenses: ; Other Professional Services - Total Expense: 30852, Program Service Expense: 28066, Management and General Expenses: 2786, Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | MEMBER HOSPITAL DISTRIBUTIONS - -1608383; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SPECTRUM HEALTH SYSTEM | ||||||||||
| 100 MICHIGAN AVE NE | GRAND RAPIDS | MI | 49503 | 383382353 | MANAGEMENT | MI | 501(c)(3) | Type III-FI | NA | false |
| SPECTRUM HEALTH HOSPITALS | ||||||||||
| 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 381360529 | HEALTHCARE | MI | 501(c)(3) | 3 | SPECTRUM HEALTH SYSTEM | false |
| ZEELAND COMMUNITY HOSPITAL | ||||||||||
| 8333 FELCH STREET | ZEELAND | MI | 49464 | 381411184 | HEALTHCARE | MI | 501(c)(3) | 3 | SPECTRUM HEALTH SYSTEM | false |
| SPECTRUM HEALTH PRIMARY CARE PARTNERS | ||||||||||
| 1840 WEALTHY ST SE | GRAND RAPIDS | MI | 49506 | 381358164 | HEALTHCARE | MI | 501(c)(3) | 3 | SPECTRUM HEALTH SYSTEM | false |
| SPECTRUM HEALTH FOUNDATION | ||||||||||
| 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 382752328 | PHILANTHROPY | MI | 501(c)(3) | 7 | SPECTRUM HEALTH SYSTEM | false |
| SPECTRUM HEALTH CONTINUING CARE | ||||||||||
| 750 FULLER AVE NE | GRAND RAPIDS | MI | 49503 | 383242232 | REHAB/CARE | MI | 501(c)(3) | 10 | SPECTRUM HEALTH SYSTEM | false |
| SPECTRUM HEALTH CONTINUING CARE CENTER | ||||||||||
| 750 FULLER AVE NE | GRAND RAPIDS | MI | 49503 | 382415333 | REHAB/NRS | MI | 501(c)(3) | 10 | SPECTRUM HEALTH CONTINUING CARE | false |
| SPECTRUM HEALTH WORTH SERVICES | ||||||||||
| 750 FULLER AVE NE | GRAND RAPIDS | MI | 49503 | 382786617 | HEALTHCARE | MI | 501(c)(3) | 10 | SPECTRUM HEALTH CONTINUING CARE | false |
| VISITING NURSE SERVICES OF WESTERN MICHIGAN | ||||||||||
| 750 FULLER AVE NE | GRAND RAPIDS | MI | 49503 | 381359195 | HEALTHCARE | MI | 501(c)(3) | 10 | SPECTRUM HEALTH CONTINUING CARE | false |
| PRIORITY HEALTH | ||||||||||
| 1231 EAST BELTLINE NE | GRAND RAPIDS | MI | 49525 | 382715520 | HMO | MI | 501(c)(4) | SPECTRUM HEALTH SYSTEM | false | |
| TRINITY HEALTH PLANS | ||||||||||
| 1231 EAST BELTLINE NE | GRAND RAPIDS | MI | 49525 | 382663747 | HMO MGMT | MI | 501(c)(4) | PRIORITY HEALTH | false | |
| PRIORITY HEALTH CHOICE INC | ||||||||||
| 1231 EAST BELTLINE NE | GRAND RAPIDS | MI | 49525 | 320016523 | HMO (MEDICAID) | MI | 501(c)(3) | 10 | PRIORITY HEALTH | false |
| SPECTRUM HEALTH KELSEY | ||||||||||
| 615 S BOWER | GREENVILLE | MI | 48838 | 381297435 | HEALTHCARE | MI | 501(c)(3) | 3 | SPECTRUM HEALTH UNITED | false |
| REED CITY HOSPITAL CORPORATION | ||||||||||
| 300 N PATTERSON RD | REED CITY | MI | 49677 | 382770076 | HEALTHCARE | MI | 501(c)(3) | 3 | SPECTRUM HEALTH SYSTEM | false |
| NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION | ||||||||||
| 212 S SULLIVAN AVENUE | FREMONT | MI | 49412 | 381359517 | HEALTHCARE | MI | 501(c)(3) | 3 | SPECTRUM HEALTH SYSTEM | false |
| KENT COMMUNITY HEALTH FOUNDATION | ||||||||||
| 750 FULLER AVE NE | GRAND RAPIDS | MI | 49503 | 383607110 | PHILANTHROPY | MI | 501(c)(3) | Type III-O | SPECTRUM HEALTH HOSPITALS | false |
| SPECTRUM HEALTH UNITED | ||||||||||
| 615 S BOWER | GREENVILLE | MI | 48838 | 381358412 | HEALTHCARE | MI | 501(c)(3) | 3 | SPECTRUM HEALTH SYSTEM | false |
| MEMORIAL MEDICAL CENTER OF WEST MICHIGAN | ||||||||||
| ONE ATKINSON DRIVE | LUDINGTON | MI | 49431 | 381359266 | HEALTHCARE | MI | 501(c)(3) | 3 | SPECTRUM HEALTH SYSTEM | false |
| MECOSTA COUNTY MEDICAL CENTER | ||||||||||
| 605 OAK STREET | BIG RAPIDS | MI | 49307 | 381368744 | HEALTHCARE | MI | 501(c)(3) | 3 | SPECTRUM HEALTH SYSTEM | false |
| PENNOCK HOSPITAL | ||||||||||
| 1009 WEST GREEN STREET | HASTINGS | MI | 49058 | 381360562 | HEALTHCARE | MI | 501(c)(3) | 3 | SPECTRUM HEALTH SYSTEM | false |
| LAKELAND REGIONAL HEALTH SYSTEM INC | ||||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 382609624 | PROVIDE A COMPREHENSIVE SYSTEM OF HEALTH CARE TO CITIZENS OF THE COMMUNITY | MI | 501(c)(3) | Type III-FI | SPECTRUM HEALTH SYSTEM | false |
| LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER | ||||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 383452303 | LONGTERM HEALTHCARE/HEALING SERVICES | MI | 501(c)(3) | 3 | LAKELAND REGIONAL HEALTH SYSTEM INC | false |
| LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH | ||||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 382539929 | PROMOTE AND ASSIST IN PROVIDING HEALTH CARE | MI | 501(c)(3) | 7 | LAKELAND REGIONAL HEALTH SYSTEM INC | false |
| MERCY MEMORIAL HEALTH SERVICES INC | ||||||||||
| 4368 CLEVELAND AVENUE | STEVENSVILLE | MI | 49127 | 382748035 | PROVIDE HEALTHCARE AND LONG-TERM HEALTHCARE TO PATIENTS IN SOUTHWEST MICHIGAN | MI | 501(c)(3) | 10 | LAKELAND REGIONAL HEALTH SYSTEM INC | false |
| LAKELAND COMMUNITY HOSPITAL - WATERVLIET | ||||||||||
| 400 MEDICAL PARK DRIVE | WATERVLIET | MI | 49098 | 381368745 | TO PROVODE GENERAL HEALTH OF THE COMMUNITY THROUGH EDUCATION AND HEALTHCARE | MI | 501(c)(3) | 3 | LAKELAND REGIONAL HEALTH SYSTEM INC | false |
| HOSPICE AT HOME INC | ||||||||||
| 4025 HEALTH PARK LANE | ST JOSEPH | MI | 49085 | 382416086 | TO PROVIDE HOSPICE AND PALLIATIVE CARE TO THE TERMINALLY ILL | MI | 501(c)(3) | 7 | LAKELAND REGIONAL HEALTH SYSTEM INC | false |
| LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC | ||||||||||
| 1234 NAPIER AVENUE | GRAND RAPIDS | MI | 49085 | 382156872 | PROVIDE A COMPREHENSIVE SYSTEM OF HEALTH CARE TO CITIZENS OF THE COMMUNITY | MI | 501(c)(3) | 3 | LAKELAND REGIONAL HEALTH SYSTEM INC | false |
| TOTAL HEALTH CARE INC | ||||||||||
| 3011 W GRAND BLVD SUITE 1600 | DETROIT | MI | 48202 | 382018957 | HMO MGMT | MI | 501(c)(4) | PRIORITY HEALTH | false | |
| TOTAL HEALTH CARE USA INC | ||||||||||
| 3011 W GRAND BLVD SUITE 1600 | DETROIT | MI | 48202 | 383240485 | HMO MGMT | MI | 501(c)(4) | TOTAL HEALTH CARE INC | false | |
| SPECTRUM HEALTH - LEFFINGWELL AVENUE | ||||||||||
| 100 MICHIGAN STREET NE | GRAND RAPIDS | MI | 49503 | 854390483 | REHAB/CARE | MI | 501(c)(3) | 10 | SPECTRUM HEALTH CONTINUING CARE | false |
| HEALTH POINTE | ||||||||||
| 15100 WHITTAKER WAY | GRAND HAVEN | MI | 49417 | 474398187 | AMBULATORY HEALTH CARE | MI | 501(c)(3) | 3 | SPECTRUM HEALTH HOSPITALS | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST MICHIGAN ACCOUNTABLE CARE ORGANIZATION LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 221 MICHIGAN ST NE | AddressLine1Txt |
| Address Line2 | STE 501 | AddressLine2Txt |
| City | GRAND RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 833153113 | EIN |
| Primary Activities | ACCOUNTABLE CARE ORGANIZATION | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPECTRUM HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Related | PredominantIncomeTypeTxt |
| Share Of Total Income | $0 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $0 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| UBI Code V | $0 | UBICodeVAmt |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| PRIORITY HEALTH MANAGED BENEFITS | |||||||||
| 1231 EAST BELTLINE NE | GRAND RAPIDS | MI | 49525 | 383085182 | THIRD PARTY ADMINISTRATOR | MI | SPECTRUM HEALTH SYSTEM | C Corporation | false |
| SPECTRUM HEALTH PHYSICIAN ALLIANCE | |||||||||
| 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 371655728 | PHYSICIANS | MI | SPECTRUM HEALTH SYSTEM | C Corporation | false |
| WEST MICHGAN HEART | |||||||||
| 2900 BRADFORD STREET NE | GRAND RAPIDS | MI | 49525 | 382125186 | PHYSICIANS | MI | SPECTRUM HEALTH SYSTEM | C Corporation | false |
| CAMPUS TOWN CENTRE CONDO ASSOCIATION | |||||||||
| 4868 LAKE MICHIGAN DRIVE | ALLENDALE | MI | 49401 | 382910067 | MGMT | MI | NA | C Corporation | false |
| HELEN DEVOS WOMEN'S AND CHILDREN'S HEALTH PAVILION ASSOCIATION | |||||||||
| 330 BARCLAY NE | GRAND RAPIDS | MI | 49503 | 383264184 | MGMT | MI | NA | C Corporation | false |
| LEMMEN-HOLTON CANCER PAVILION CONDOMINIUM ASSOCIATION | |||||||||
| 145 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 161734150 | MGMT | MI | NA | C Corporation | false |
| MUSCULOSKELETAL CENTER CONDOMINIUM ASSOCIATION | |||||||||
| 230 MICHIGAN NE | GRAND RAPIDS | MI | 49503 | 383180086 | MGMT | MI | NA | C Corporation | false |
| PRIORITY HEALTH INSURANCE COMPANY | |||||||||
| 1231 EAST BELTLINE NE | GRAND RAPIDS | MI | 49525 | 201529553 | INSURANCE | MI | NA | C Corporation | false |
| THE FRED AND LENA MEIJER HEART CENTER CONDOMINIUM ASSOCIATION | |||||||||
| 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 830464302 | MGMT | MI | NA | C Corporation | false |
| THE MICHIGAN STREET PARKING CONDOMINIUM ASSOCIATION | |||||||||
| 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 161734145 | MGMT | MI | NA | C Corporation | false |
| 25 MICHIGAN STREET CONDOMINIUM ASSOCIATION | |||||||||
| 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 161734157 | MGMT | MI | NA | C Corporation | false |
| 35 MICHIGAN STREET CONDOMINIUM ASSOCIATION | |||||||||
| 35 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 272193084 | MGMT | MI | NA | C Corporation | false |
| PENNOCK VENTURES INC | |||||||||
| 1009 WEST GREEN STREET | HASTINGS | MI | 49058 | 382712819 | HEALTHCARE | MI | NA | C Corporation | false |
| LAKELAND HEALTH ENTERPRISES INC | |||||||||
| 31 NORTH ST JOSEPH AVENUE | NILES | MI | 49120 | 382669798 | ACCOUNTING AND BILLING | MI | LAKELAND REGIONAL HEALTH SYSTEM INC | C Corporation | false |
| PHARMACY SHOPPE INC DBA LAKELAND PHARMACY SHOPPE INC | |||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 382929090 | PHARMACEUTICALS | MI | LAKELAND HEALTH ENTERPRISES INC | C Corporation | false |
| LAKELAND MEDICAL PRACTICES | |||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 270381199 | MEDICAL ADMINISTRATIVE SERVICES | MI | LAKELAND HEALTH ENTERPRISES INC | C Corporation | false |
| SOUTHWESTERN MEDICAL CLINIC PHYSICIANS INC | |||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 272589359 | PHYSICIAN OFFICE | MI | LAKELAND HEALTH ENTERPRISES INC | C Corporation | false |
| FOUR FLAGS PROPERTIES INC | |||||||||
| 122 GRANT STREET | NILES | MI | 49120 | 364501639 | PROPERTY MANAGEMENT/RENTAL | MI | LAKELAND HEALTH ENTERPRISES INC | C Corporation | false |
| LAKELAND HEALTH VENTURES INC | |||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 272313790 | HOLDING COMPANY | MI | LAKELAND HEALTH ENTERPRISES INC | C Corporation | false |
| LAKELAND PHYSICIAN CARE NETWORK | |||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 208513031 | MEDICAL SERVICES | MI | LAKELAND HEALTH ENTERPRISES INC | C Corporation | false |
| LAKELAND PERSONAL CARE SERVICES | |||||||||
| 1234 NAPIER AVENUE | ST JOSEPH | MI | 49085 | 272990797 | HEALTHCARE SERVICES | MI | LAKELAND HEALTH ENTERPRISES INC | C Corporation | false |
| 1697 MICHIGAN STREET PROPERTY | |||||||||
| 100 MICHIGAN STREET NE | GRAND RAPIDS | MI | 49503 | 831721239 | MGMT | MI | SPECTRUM HEALTH HOSPITALS | C Corporation | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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