COREWELL HEALTH: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: COREWELL HEALTH (EIN 61-1740292)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-10-25
IRS object ID: 202132989349300918
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-10-25T10:31:34-05:00	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	611740292	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Spectrum Health System Group Return	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SPEC	BusinessNameControlTxt
Phone	6167745083	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	221 Michigan St NE MC498	AddressLine1Txt
City	GRAND RAPIDS	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49503	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Matthew E Cox	PersonNm
Person Title	SVP, Chief Financial Officer	PersonTitleTxt
Signature	2021-10-25	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Matthew E	PersonFirstNm
Person Last	Cox	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

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Christina Freese Decker	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	221 Michigan St NE MC498	AddressLine1Txt
City	GRAND RAPIDS	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49503	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$5,726,703,294	GrossReceiptsAmt
Group Return For Affiliates	Yes (true)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (true)	AllAffiliatesIncludedInd
Group Exemption	5981	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.spectrumhealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	To improve health, inspire hope and save lives.	ActivityOrMissionDesc
Voting Members Governing Body	364	VotingMembersGoverningBodyCnt
Voting Members Independent	248	VotingMembersIndependentCnt
Total Employee	30398	TotalEmployeeCnt
Total Volunteers	2375	TotalVolunteersCnt
Total Gross UBI	$7,904,508	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$894,282	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$31,140,138	PYContributionsGrantsAmt
CY Contributions Grants	$160,311,383	CYContributionsGrantsAmt
PY Program Service Revenue	$1,859,106,202	PYProgramServiceRevenueAmt
CY Program Service Revenue	$4,064,888,479	CYProgramServiceRevenueAmt
PY Investment Income	$1,347,260	PYInvestmentIncomeAmt
CY Investment Income	$105,450,213	CYInvestmentIncomeAmt
PY Other Revenue	$9,841,230	PYOtherRevenueAmt
CY Other Revenue	$15,750,389	CYOtherRevenueAmt
PY Total Revenue	$1,901,434,830	PYTotalRevenueAmt
CY Total Revenue	$4,346,400,464	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,061,199	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,952,652	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$847,862,644	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,019,416,000	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,579,170	CYTotalFundraisingExpenseAmt
PY Other Expenses	$885,423,089	PYOtherExpensesAmt
CY Other Expenses	$2,021,218,176	CYOtherExpensesAmt
PY Total Expenses	$1,734,346,932	PYTotalExpensesAmt
CY Total Expenses	$4,044,586,828	CYTotalExpensesAmt
PY Revenues Less Expenses	$167,087,898	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$301,813,636	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,902,493,512	TotalAssetsBOYAmt
Total Assets EOY	$4,297,048,044	TotalAssetsEOYAmt
Total Liabilities BOY	$1,250,317,244	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,600,300,299	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,652,176,268	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,696,747,745	NetAssetsOrFundBalancesEOYAmt
Mission	To improve health, inspire hope and save lives.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$3,012,379,201	ExpenseAmt
Grant	$2,656,526	GrantAmt
Revenue	$3,633,154,812	RevenueAmt
Desc	SPECTRUM HEALTH SYSTEM GROUP REFLECTS THE COMPOSITE INFORMATION AND OPERATIONS OF 23 TAX EXEMPT ENTITIES, INCLUDING 14 SEPARATELY LICENSED HOSPITALS, A SKILLED NURSING FACILITY, LONG-TERM ACUTE REHABILITATION AND HOME CARE, A MULTISPECIALTY PHYSICIAN GROUP, AND A CHARITABLE FOUNDATION. THE SPECTRUM HEALTH SYSTEM GROUP INCLUDES 150 SERVICE SITES, PHYSICIAN OFFICES AND OUTPATIENT LOCATIONS, PROVIDING CONVENIENT ACCESS TO SERVICES THROUGHOUT OUR 16-COUNTY SERVICE AREA. DURING THE YEAR ENDED DECEMBER 31, 2020 THE SPECTRUM HEALTH INTEGRATED HEALTH SYSTEM PROVIDED NEARLY $542 MILLION IN COMMUNITY BENEFIT PROGRAMS TO WEST MICHIGAN. THE COMMUNITY BENEFIT ACTIVITIES INCLUDED HEALTH CLINICS, RESEARCH, DONATIONS, CHARITY CARE, BAD DEBTS RELATED TO CARING FOR THE UNINSURED AND UNDERINSURED, COSTS FOR GOVERNMENT PROGRAM PATIENTS, COMMUNITY PARTNERSHIP PROGRAMS, HEALTH PROFESSION EDUCATION, AND DISCOUNTED CARE UNDER HEALTHY MICHIGAN PLAN (UNDER 250% FEDERAL POVERTY LEVEL). SPECTRUM HEALTH HOSPITAL GROUP - SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$669,268,114	ExpenseAmt
Revenue	$431,680,578	RevenueAmt
Desc	SPECTRUM HEALTH MEDICAL GROUP - SEE SCHEDULE O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$2,383,539	ExpenseAmt
Grant	$1,296,126	GrantAmt
Desc	SPECTRUM HEALTH FOUNDATION - SEE SCHEDULE O	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$3,684,030,854	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	Yes (true)	CollectionsOfArtInd
Credit Counseling	Yes (true)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	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	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	Yes (true)	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
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	1534	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	30398	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
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	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	364	GoverningBodyVotingMembersCnt
Independent Voting Member	248	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	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	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Celeste M Mcintyre	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6167745083	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	221 Michigan St NE MC498	AddressLine1Txt
City	Grand Rapids	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49503	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (235 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	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Andrea Leslie
See Schedule O	50.0	0	Yes (X)	Yes (X)	$384,247	$0	$152,565
Angela Ditmar
President, SHP	50.0	0	Yes (X)	Yes (X)	$336,382	$0	$116,879
Barbara Geno
Chair, SHGM - Part Year	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Barbara Wynn MD
SEE SCHEDULE O	3.0	0	Yes (X)	Yes (X)	$13,000	$0	$0
BRANDI SMITH
See Schedule O	50.0	0	Yes (X)	Yes (X)	$162,934	$0	$21,006
Brian Phillips
Treasurer, SHMG - Part Year	50.0	0	Yes (X)	Yes (X)	$418,290	$0	$50,938
Chad Tuttle
See Schedule O	50.0	0	Yes (X)	Yes (X)	$425,450	$0	$128,134
CHRISTINA FREESE DECKER
See Schedule O	9.0	41.0	Yes (X)	Yes (X)	$0	$2,487,249	$1,034,330
CHRISTINE VANLANDINGHAM
See Schedule O	4.0	0	Yes (X)	Yes (X)	$0	$0	$0
DANA WALES
See Schedule O	4.0	0	Yes (X)	Yes (X)	$0	$0	$0
DANIEL HOPP
See Schedule O	4.0	1.0	Yes (X)	Yes (X)	$0	$22,500	$0
DARRYL ELMOUCHI MD
See Schedule O	48.0	1.0	Yes (X)	Yes (X)	$1,420,242	$0	$506,205
David Langworthy
SECRETARY, SHBR & SHRC - Part Year	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
David Nicol
Treasurer, SHBR & SHRC - Part Year	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
DAVID SCHAFFER
See Schedule O	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
DEB BERECZ
SECRETARY/TREASURER, HAH	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
DENNIS DASCENZO
See Schedule O	4.0	0	Yes (X)	Yes (X)	$0	$0	$0
Donald Haney
See Schedule O	3.5	0	Yes (X)	Yes (X)	$1,000	$0	$0
Drew Dostal
See Schedule O	50.0	0	Yes (X)	Yes (X)	$146,118	$0	$25,111
Eugene Ford
Vice Chair, SHGM - Part Year	0.5	0	Yes (X)	Yes (X)	$0	$4,500	$0
GWEN SANDEFUR
See Schedule O	50.0	0.0	Yes (X)	Yes (X)	$2,275,953	$1,500	$314,851
Harold Vanden Bosch
Secretary, SHZ - Part Year	0.5	0	Yes (X)	Yes (X)	$0	$0	$0
Helen Johnson
Interim President, SHL - Part Year	50.0	0	Yes (X)	Yes (X)	$235,305	$0	$16,547
Hon Anthony Monton
Treasurer, SHL - Part Year	0.5	0	Yes (X)	Yes (X)	$0	$0	$0
James Schoettle
Treasurer, SHZ - Part Year	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
JASON SLAIKEU MD
See Schedule O	50.0	0	Yes (X)	Yes (X)	$620,175	$0	$41,697
JOAN A BUDDEN
See Schedule O	6.0	44.0	Yes (X)	Yes (X)	$0	$1,513,601	$455,711
John Schuen MD
See Schedule O	50.0	0	Yes (X)	Yes (X)	$369,716	$0	$65,168
JULI GAST
VICE CHAIR, HAH - Part Year	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Karen Pakkala
See Schedule O	50.0	0	Yes (X)	Yes (X)	$240,773	$0	$20,194
Kenneth Rocco
Vice Chair, SHL - Part Year	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Kevin Smith
See Schedule O	50.0	0	Yes (X)	Yes (X)	$234,674	$0	$37,008
Kimberly Norris MD
Secretary, SHP - Part Year	0.5	0	Yes (X)	Yes (X)	$0	$0	$0
LENORE BECKER
VICE CHAIR, LCHW	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
LISA KUEHNLE
SEE SCHEDULE O	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
LOREN HAMEL MD
See Schedule O	24.0	26.0	Yes (X)	Yes (X)	$0	$1,106,091	$355,648
LOWELL HAMEL MD
See Schedule O	50.0	0	Yes (X)	Yes (X)	$567,865	$0	$29,920
Luann Forbes
Chair, SHP - Part Year	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
LUCAS BROWN
TREASURER, LHF	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Lynnette Ferrell-Robinson
See Schedule O	12.0	0	Yes (X)	Yes (X)	$27,500	$0	$0
Marc Lenz
Chair, SHL - Part Year	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Marge Potter
Chair, SHF	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
Maria DeVos
Vice Chair, SHF	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Mark Platt
Secretary, SHL - Part Year	0.5	0	Yes (X)	Yes (X)	$0	$0	$0
Mark Wilson
See Schedule O	6.0	0	Yes (X)	Yes (X)	$19,500	$0	$0
MARY ANN PATER
See Schedule O	50.0	0.0	Yes (X)	Yes (X)	$0	$352,139	$115,621
Matthew DeKraker DC
Secretary, SHU & SHK - Part Year	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
MELINDA GRUBER
See Schedule O	50.0	0	Yes (X)	Yes (X)	$199,839	$0	$30,015
MELISSA MILLER
Secretary, SHGM - Part Year	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Michael Ellis
Treasurer, SHF	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL TODMAN
See Schedule O	2.0	1.0	Yes (X)	Yes (X)	$0	$22,500	$0
PAUL KONOPACKI
See Schedule O	50.0	0.0	Yes (X)	Yes (X)	$0	$358,860	$148,610
Randall Kelley
See Schedule O	0.0	0	Yes (X)	Yes (X)	$216,380	$0	$19,649
RAY CRUSE
See Schedule O	50.0	0.0	Yes (X)	Yes (X)	$285,990	$0	$21,361
RICHARD WARNER
SECRETARY/TREASURER, LCHW	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
Robert Fitzgerald MD
See Schedule O	50.0	0	Yes (X)	Yes (X)	$481,050	$0	$57,730
Ron Lewis
President, SHZ	49.0	1.0	Yes (X)	Yes (X)	$411,420	$0	$142,129
Ronald Alvesteffer
Secretary, SHF	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Sam Watson
See Schedule O	6.0	0	Yes (X)	Yes (X)	$17,000	$0	$0
SHANE SHIDLER
VICE CHAIR, LHF	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Shelly Johnson
Interim President, SHGM - Part Year	50.0	0	Yes (X)	Yes (X)	$206,666	$0	$34,204
Sheryl Thompson
See Schedule O	7.0	0	Yes (X)	Yes (X)	$0	$0	$0
Simin Beg
See Schedule O	50.0	0	Yes (X)	Yes (X)	$292,664	$0	$47,730
Steve Bowser
Chair, SHU & SHK - Part Year	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
Tammy Warner
Vice Chair, SHU & SHK - Part Year	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
TERRENCE ALLEN
See Schedule O	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
Terry Nerbonne
Vice Chair, SHBR & SHRC - Part Year	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
TIMOTHY CALHOUN
See Schedule O	50.0	0.0	Yes (X)	Yes (X)	$0	$316,274	$100,948
Ulrica Bowen
Chair, SHZ - Part Year	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Vicki Weaver
President, SHF	50.0	0	Yes (X)	Yes (X)	$399,302	$0	$40,410
William Leaver
Treasurer, SHGM - Part Year	0.5	0	Yes (X)	Yes (X)	$0	$0	$0
Aaron Wong
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
ALICE RASMUSSEN
DIRECTOR, LCHW	1.0	0	Yes (X)		$0	$0	$0
Amy Keller
Director, SHBR & SHRC - Part Year	1.0	0	Yes (X)		$0	$0	$0
Andrew Parsons
See Schedule O	50.0	0	Yes (X)		$413,764	$0	$47,970
Andrew Shannon
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
Andrew Weirda
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
ANNA MURPHY
DIRECTOR, LHF	1.0	0	Yes (X)		$0	$0	$0
Annica Waalkes
See Schedule O	50.0	0	Yes (X)		$365,210	$0	$21,521
BEN GIELDA MD
See Schedule O	50.0	0	Yes (X)		$863,035	$0	$22,835
BERTHA KING
DIRECTOR, HAH	1.0	0	Yes (X)		$0	$0	$0
Bill Pink
See Schedule O	6.0	0	Yes (X)		$10,000	$0	$0
Brett Zimmerman DO
Director, SHMG - Part Year	50.0	0	Yes (X)		$421,487	$0	$52,384
BRITTANY GRASLEY
DIRECTOR, LHF	1.0	0	Yes (X)		$0	$0	$0
Candace Matthews
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
CAREY MARTIN
See Schedule O	2.0	0	Yes (X)		$0	$0	$0
Carolyn Curtin
Director, SHBR & SHRC - Part Year	1.0	0	Yes (X)		$0	$0	$0
CAROLYN HANSON
DIRECTOR, LHF	1.0	0	Yes (X)		$0	$0	$0
Carolyn Slocum
Director, SHU & SHK - Part Year	1.0	0	Yes (X)		$0	$0	$0
Charles Brummeler
See Schedule O	50.0	0	Yes (X)		$387,821	$0	$59,302
Charles Holmquist
Director, SHH - Part Year	1.0	0	Yes (X)		$11,500	$0	$0
Christopher Port MD
See Schedule O	6.0	0	Yes (X)		$6,000	$0	$0
Cortney Collison
Director, SHP - Part Year	0.5	0	Yes (X)		$0	$0	$0
Dale Dehaan
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
Dan King
Director, SHP - Part Year	0.5	0	Yes (X)		$0	$0	$0
DAVE EIFLER
DIRECTOR, LHF	1.0	0	Yes (X)		$0	$0	$0
David KRHOVSKY MD
See Schedule O	50.0	0	Yes (X)		$522,659	$0	$88,289
David Mehney
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
DEB O'CONNOR
DIRECTOR, HAH	1.0	0	Yes (X)		$0	$0	$0
Deborah Smith-Olson
Director, SHBR & SHRC - Part Year	1.0	0	Yes (X)		$0	$0	$0
DEBRA JOHNSON
See Schedule O	50.0	0	Yes (X)		$192,618	$0	$24,691
DENNIS SZYMANSKI MD
DIRECTOR, LHF	1.0	0	Yes (X)		$0	$0	$0
Domenico Ausiello
Director, SHU & SHK - Part Year	1.0	0	Yes (X)		$11,469	$0	$0
Donnalee Holton
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
Eduardo Amaya
Director, SHZ - Part Year	0.5	0	Yes (X)		$0	$0	$0
Erika Lozano-Buhl
See Schedule O	3.0	0	Yes (X)		$500	$0	$0
Evan McManus
Director, SHP - Part Year	0.5	0	Yes (X)		$0	$0	$0
GEORGE HEENAN MD
See Schedule O	2.0	0	Yes (X)		$0	$0	$0
Harry Knopke PHD
Director, SHMG - Part Year	0.5	0.0	Yes (X)		$0	$4,500	$0
HILDA BANYON
See Schedule O	2.0	0	Yes (X)		$0	$0	$0
JAMES CLEVER
DIRECTOR, LHF	1.0	0	Yes (X)		$0	$0	$0
JAMES FORSHEE MD
See Schedule O	1.0	49.0	Yes (X)		$500	$558,281	$144,227
Jane Meilner
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
Janet Nisbett
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
JANICE PETROVICH
DIRECTOR, LHF	1.0	0.0	Yes (X)		$0	$0	$0
JANICE SCHMALTZ
DIRECTOR, LHF	1.0	0	Yes (X)		$0	$0	$0
JASON JOSEPH
Director, SHBR & SHRC - Part Year	1.0	49.0	Yes (X)		$0	$816,339	$299,585
Jeff Helminski
Director, SHH - Part Year	1.0	0	Yes (X)		$15,500	$0	$0
Jeff Weiden
Director, SHP - Part Year	0.5	0	Yes (X)		$0	$0	$0
Jeffrey Bennett
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
JEFFREY POSTMA
DIRECTOR, LCHW	50.0	0	Yes (X)		$606,157	$0	$32,857
Jeffrey Tanis
Director, SHZ - Part Year	0.5	0	Yes (X)		$0	$0	$0
Jennifer Owens
Director, SHZ - Part Year	0.5	0	Yes (X)		$0	$0	$0
JERRY FRENCH
See Schedule O	3.0	0	Yes (X)		$0	$0	$0
Jerry Garner
Director, SHBR & SHRC - Part Year	1.0	0	Yes (X)		$0	$0	$0
Joan Secchia
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
Johannie Torres
See Schedule O	30.0	0	Yes (X)		$70,343	$0	$29,805
John Buckley Jr
See Schedule O	6.0	0	Yes (X)		$7,000	$0	$0
John Byrne
See Schedule O	2.0	0	Yes (X)		$0	$0	$0
John Merchun
Director, SHU & SHK - Part Year	1.0	0	Yes (X)		$0	$0	$0
Jordan Sall
See Schedule O	50.0	0	Yes (X)		$541,697	$0	$47,228
Joseph Jones
Director, SHH - Part Year	1.0	0	Yes (X)		$21,000	$0	$0
JUDY TRUESDELL
DIRECTOR, LHF	1.0	0.0	Yes (X)		$0	$0	$0
KAREN MCKAY
DIRECTOR, LHF	1.0	0.0	Yes (X)		$0	$0	$0
Karl Roberts
Director, SHH - Part Year	1.0	0	Yes (X)		$13,500	$0	$0
KATHERINE CURTIS
DIRECTOR, LHF	1.0	0.0	Yes (X)		$0	$0	$0
KC GAST
DIRECTOR, LHF	1.0	0	Yes (X)		$0	$0	$0
Kenneth Johnson
Director, SHH - Part Year	50.0	0	Yes (X)		$561,142	$0	$43,052
Kurt Wassink
See Schedule O	1.5	0	Yes (X)		$500	$0	$0
Kyle Kooyers
See Schedule O	3.0	0	Yes (X)		$500	$0	$0
Lee Begrow DO
See Schedule O	50.0	0	Yes (X)		$381,543	$0	$54,053
Linda Cronenwett
Director, SHL - Part Year	0.5	0	Yes (X)		$0	$0	$0
LINDA FREEZE
DIRECTOR, LHF - Part Year	1.0	0.0	Yes (X)		$0	$0	$0
Linda Van Houten
Director, SHU & SHK - Part Year	1.0	0	Yes (X)		$0	$0	$0
LYNN GRAY MD
See Schedule O	2.0	0	Yes (X)		$0	$0	$0
Marianne Boerigter
Director, SHGM - Part Year	0.5	0	Yes (X)		$0	$0	$0
MARK ODLAND
DIRECTOR, HAH	1.0	0	Yes (X)		$0	$0	$0
MARK WEBER
DIRECTOR, LHF	1.0	0.0	Yes (X)		$0	$0	$0
MARY ANNE JONES
Director, SHU & SHK - Part Year	1.0	49.0	Yes (X)		$0	$622,100	$213,866
Mary Beth Meijer
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
Mary Molewyk Doornbos
See Schedule O	8.0	0	Yes (X)		$6,000	$0	$0
Mary O'Callaghan
See Schedule O	50.0	0	Yes (X)		$160,291	$0	$36,066
Mary Wachter
Director, SHF - Part Year	1.0	0	Yes (X)		$0	$0	$0
MATTHEW COX
Director, SHZ - Part Year	0.5	49.5	Yes (X)		$0	$1,361,160	$461,670
Matthew Denenberg MD
See Schedule O	50.0	0	Yes (X)		$513,818	$0	$88,419
MAURICE VALENTINE II
See Schedule O	2.0	0	Yes (X)		$0	$0	$0
Maurine Sneathen
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
Melinda Johnson
Director, SHMG - Part Year	50.0	0	Yes (X)		$601,881	$0	$2,574
Melissa DeNiel
See Schedule O	50.0	0	Yes (X)		$465,876	$0	$35,987
Melissa Fuehring
Director, SHL - Part Year	0.5	0	Yes (X)		$0	$0	$0
Michael Danhof
Director, SHGM - Part Year	0.5	0	Yes (X)		$0	$0	$0
Michael Greenslait
Director, SHL - Part Year	0.5	0	Yes (X)		$0	$0	$0
MICHELINO MANCINI
See Schedule O	50.0	0	Yes (X)		$274,611	$0	$7,921
MIKE BIRKHOLM
DIRECTOR, LHF	1.0	0	Yes (X)		$0	$0	$0
Mitchell Miller
Director, SHBR & SHRC - Part Year	1.0	0	Yes (X)		$0	$0	$0
Nancy Hanenburg
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
Nancy Haynes
See Schedule O	2.0	0	Yes (X)		$0	$0	$0
NICKI BRITTEN
See Schedule O	2.0	0	Yes (X)		$0	$0	$0
Nicole McConnell
See Schedule O	1.0	49.0	Yes (X)		$0	$358,887	$132,291
OLIVIA STARKS
DIRECTOR, HAH	1.0	0	Yes (X)		$0	$0	$0
PAMELA RIES
Director, SHP - Part Year	1.0	49.0	Yes (X)		$0	$859,029	$256,482
PAT Forbes
DIRECTOR, HAH	1.0	0	Yes (X)		$0	$0	$0
Patricia Betz
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
Patrick Miles
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
RANDY BETTICH
DIRECTOR, LHF	1.0	0	Yes (X)		$0	$0	$0
RANDY HENDRIXSON
DIRECTOR, LHF	1.0	0.0	Yes (X)		$0	$0	$0
Raymi Sunabe
Director, SHU & SHK - Part Year	2.0	0	Yes (X)		$0	$0	$0
Richard Antonini
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
Richard DeVos III
See Schedule O	6.0	0	Yes (X)		$0	$0	$0
ROBERT NOLAN MD
See Schedule O	50.0	0	Yes (X)		$228,837	$0	$7,826
ROBIN CURTIS
DIRECTOR, LHF	1.0	0.0	Yes (X)		$0	$0	$0
RODRIGO CORREA
DIRECTOR, HAH	1.0	0	Yes (X)		$0	$0	$0
Ronald Hofman MD
See Schedule O	6.0	0	Yes (X)		$12,000	$0	$0
Ross Nelson
Director, SHGM - Part Year	0.5	0	Yes (X)		$0	$0	$0
Ryan Coffey-Hoag
See Schedule O	2.0	0	Yes (X)		$0	$0	$0
Ryan Cook
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
Sabina Otteman
Director, SHZ - Part Year	0.5	0	Yes (X)		$0	$0	$0
Sarla Puri MD
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
SCOTT GEIK
DIRECTOR, LHF	1.0	0	Yes (X)		$0	$0	$0
Scott Robinson
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
SCOTT SMITH
See Schedule O	4.0	0	Yes (X)		$0	$0	$0
SETH GRIFFIN
DIRECTOR, LCHW	1.0	0	Yes (X)		$0	$0	$0
Shannon Cohen
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
Sharon Seys
Director, SHF - Part Year	1.0	0	Yes (X)		$0	$0	$0
SHAWN ULREICH
See Schedule O	50.0	0	Yes (X)		$589,637	$0	$207,187
Stephanie Murray
See Schedule O	50.0	0	Yes (X)		$178,908	$0	$37,760
STEPHANIE TIMMER
DIRECTOR, HAH	1.0	0	Yes (X)		$0	$0	$0
Steven Storrs
Director, SHP - Part Year	1.0	0	Yes (X)		$0	$0	$0
Surender Rajasekaran
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
Talawnda Bragg
See Schedule O	50.0	0	Yes (X)		$315,066	$0	$40,814
TAMMI PHILLIPPE
DIRECTOR, LHF	1.0	0	Yes (X)		$0	$0	$0
THOMAS VISSER MD
See Schedule O	50.0	0	Yes (X)		$647,856	$0	$53,177
THOMAS YEAGER
See Schedule O	2.0	0	Yes (X)		$0	$0	$0
Tricia Baird
See Schedule O	50.0	0	Yes (X)		$330,787	$0	$67,710
WENDY EDWARDS
See Schedule O	3.0	0	Yes (X)		$1,741	$0	$0
Wilbur Lettinga
Director, SHF	1.0	0	Yes (X)		$0	$0	$0
WILLIAM PAYNE
See Schedule O	2.0	1.0	Yes (X)		$0	$27,750	$0
BRIAN BRASSER
See Schedule O	50.0	0		Yes (X)	$601,342	$0	$231,835
Cara Jansma
Secretary, SHH - Part Year	50.0	0		Yes (X)	$272,877	$0	$56,255
DANIEL WASSENHOVE
DIRECTOR OF BUSINESS & COMMUNITY OPs, HAH	50.0	0		Yes (X)	$115,737	$0	$0
KENDALL TROYER
See Schedule O	50.0	0		Yes (X)	$249,295	$0	$27,638
KENNETH O'NEILL
VP - CLINICAL INTEGRATION, LHNSJ	50.0	0		Yes (X)	$168,080	$0	$28,260
LESLIE FLAKE
SVP, Finance - Hospital & Medical Group	50.0	0		Yes (X)	$585,975	$0	$118,963
LYNN Todman
VP - HEALTH EQUITY, LHNSJ	50.0	0		Yes (X)	$184,418	$0	$6,361
Marc Chircop
See Schedule O	49.0	1.0		Yes (X)	$608,436	$0	$40,486
Martha Boonstra
See Schedule O	50.0	0		Yes (X)	$464,544	$0	$117,627
NATALIE BAGGIO
VP - PATIENT CARE CNE, LHNSJ	50.0	0		Yes (X)	$288,748	$0	$16,443
NORMA TIRADO-KELLENBERGER
VP - IT & HR SERVICES, LHNSJ	50.0	0.0		Yes (X)	$0	$354,726	$114,233
ROBIN SARKAR
VP - INFORMATION SERVICES, LHNSJ	50.0	0		Yes (X)	$0	$322,927	$87,101
WARREN WHITE
VP - LAKELAND PHYSICIAN PRACTICES, LHNSJ - PART YEAR	50.0	0		Yes (X)	$216,672	$0	$23,639
William Jewell
Secretary, SHH - Part Year	50.0	0		Yes (X)	$269,784	$0	$123,999
DOMINIC SANFILIPPO
Interim President, HDVCH, SHH - Part Year	50.0	0			$700,489	$0	$82,877	Yes (X)
Hossain Marandi
President, HDVCH, SHH	50.0	0			$225,727	$0	$33,507	Yes (X)
ROBERT CONNORS
President, HDVCH, SHH - Part Year	50.0	0			$819,923	$0	$1,514	Yes (X)
CHARLES SHERRY
Section Chief - Orthopedic Surgery, SHMG	50.0	0			$1,193,687	$0	$53,406		Yes (X)
DILIP ARORA
PHYSICIAN, LHNSJ	50.0	0			$1,296,638	$0	$35,004		Yes (X)
JEROME KUHNLEIN
PHYSICIAN, LHNSJ	50.0	0			$1,207,398	$0	$35,004		Yes (X)
KENDALL HAMILTON
Section Chief, Orthopedic Surgery - Sports Medicine, SHMG	50.0	0			$1,149,587	$0	$44,463		Yes (X)
THOMAS POW
PHYSICIAN, LHNSJ	50.0	0			$1,494,268	$0	$38,967		Yes (X)
Douglas Apple MD
Former Interim President, SHMG	0.0	0			$139,861	$0	$0			Yes (X)
Douglas Welday
See Schedule O	0.0	0.0			$0	$580,689	$0			Yes (X)
Mary Kay Vandriel
See Schedule O	50.0	0.0			$375,635	$0	$102,286			Yes (X)
Scott Davis
Former Treasurer, SHCC	0	0			$0	$397,740	$5,724			Yes (X)
SETH WOLK MD
Former President, SHMG	0.0	0.0			$0	$1,148,766	$0			Yes (X)
Sheryl Lewis-Blake
Former President, SHP	0.0	0			$262,171	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$33,053,481	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$13,598,108	TotReportableCompRltdOrgAmt
Total Other Compensation	$8,173,460	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2225	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
THE CHRISTMAN COMPANY
634 FRONT AVE NW	GRAND RAPIDS	MI	49504	CONSTRUCTION	$16,934,680
EMERGENCY CARE SPECIALISTS PC
4100 EMBASSY DR SE 400	GRAND RAPIDS	MI	49546	MEDICAL SERVICES	$7,576,339
WEST MICHIGAN SHARED HOSPITAL LAUNDRY
3003 WALKENT DR NW	GRAND RAPIDS	MI	49544	LAUNDRY SERVICES	$6,331,778
MEDUIT LLC
4135 South Stream Blvd Suite 400	CHARLOTTE	NC	28217	CONSULTING	$5,999,072
CSM GROUP INC
600 E Michigan Avenue Suite A	KALAMAZOO	MI	49007	CONTRUCTION	$5,418,926

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	274	CntrctRcvdGreaterThan100KCnt
Fundraising	$533,743	FundraisingAmt
Related Organizations	$1,374,463	RelatedOrganizationsAmt
Government Grants	$130,165,610	GovernmentGrantsAmt
All Other Contributions	$28,237,567	AllOtherContributionsAmt
Noncash Contributions	$647,950	NoncashContributionsAmt
Total Contributions	$160,311,383	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Program Service Revenue	622110	$4,007,933,111	$4,007,933,111
Retail Pharmacy	900099	$13,176,437	$13,176,437
Reference Lab	900099	$7,343,176		$7,343,176
VISITOR PARKING	900099	$2,003,132			$2,003,132
GIFT SHOP SALES	900099	$954,985			$954,985

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$33,477,638	TotalRevenueColumnAmt
Related Or Exempt Func Income	$32,911,398	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$561,332	UnrelatedBusinessRevenueAmt
Exclusion	$4,908	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$4,064,888,479	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,251,893	TotalRevenueColumnAmt
Exclusion	$13,251,893	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,648,586	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,034,126	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,614,460	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,614,460	TotalRevenueColumnAmt
Exclusion	$2,614,460	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,469,817,245	SecuritiesAmt
Other	$38,695	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,377,565,836	SecuritiesAmt
Other	$91,784	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$92,251,409	SecuritiesAmt
Other	-$53,089	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$92,198,320	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$53,089	RelatedOrExemptFuncIncomeAmt
Exclusion	$92,251,409	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$747,200	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$533,743	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$611,084	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$136,116	TotalRevenueColumnAmt
Exclusion	$136,116	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
Cafeteria	722514	$12,735,977	$12,735,977
Miscellaneous Revenue	900099	$263,836	$263,836

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	$12,999,813	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,346,400,464	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,053,967,857	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$7,904,508	UnrelatedBusinessRevenueAmt
Exclusion	$124,216,716	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,784,179	TotalAmt
Program Services	$3,784,179	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$168,473	TotalAmt
Program Services	$168,473	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$42,382,104	TotalAmt
Program Services	$39,619,381	ProgramServicesAmt
Management And General	$2,762,723	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,980,615	TotalAmt
Program Services	$1,851,506	ProgramServicesAmt
Management And General	$129,109	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,565,818,767	TotalAmt
Program Services	$1,437,505,581	ProgramServicesAmt
Management And General	$126,633,432	ManagementAndGeneralAmt
Fundraising	$1,679,754	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$58,003,033	TotalAmt
Program Services	$53,472,746	ProgramServicesAmt
Management And General	$4,526,042	ManagementAndGeneralAmt
Fundraising	$4,245	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$239,239,611	TotalAmt
Program Services	$219,963,298	ProgramServicesAmt
Management And General	$18,908,867	ManagementAndGeneralAmt
Fundraising	$367,446	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$111,991,870	TotalAmt
Program Services	$103,007,178	ProgramServicesAmt
Management And General	$8,968,341	ManagementAndGeneralAmt
Fundraising	$16,351	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$764,646	TotalAmt
Management And General	$764,646	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$97,276	TotalAmt
Management And General	$97,276	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$109,212,054	TotalAmt
Program Services	$95,796,410	ProgramServicesAmt
Management And General	$13,123,074	ManagementAndGeneralAmt
Fundraising	$292,570	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,179,284	TotalAmt
Program Services	$456,766	ProgramServicesAmt
Management And General	$1,719,221	ManagementAndGeneralAmt
Fundraising	$3,297	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$34,745,450	TotalAmt
Program Services	$27,537,070	ProgramServicesAmt
Management And General	$7,052,173	ManagementAndGeneralAmt
Fundraising	$156,207	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$16,888,317	TotalAmt
Program Services	$13,430,798	ProgramServicesAmt
Management And General	$3,452,559	ManagementAndGeneralAmt
Fundraising	$4,960	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$95,483,033	TotalAmt
Program Services	$76,473,936	ProgramServicesAmt
Management And General	$19,001,054	ManagementAndGeneralAmt
Fundraising	$8,043	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,470,865	TotalAmt
Program Services	$3,567,435	ProgramServicesAmt
Management And General	$892,445	ManagementAndGeneralAmt
Fundraising	$10,985	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$4,727,668	TotalAmt
Program Services	$3,769,603	ProgramServicesAmt
Management And General	$957,406	ManagementAndGeneralAmt
Fundraising	$659	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$19,978,552	TotalAmt
Program Services	$19,978,552	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$224,658,802	TotalAmt
Program Services	$193,107,089	ProgramServicesAmt
Management And General	$31,544,582	ManagementAndGeneralAmt
Fundraising	$7,131	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$33,612,845	TotalAmt
Program Services	$28,303,105	ProgramServicesAmt
Management And General	$5,308,785	ManagementAndGeneralAmt
Fundraising	$955	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical and other Supplies	$648,590,102	$648,186,377	$403,725
Shared SVS/MGMT Fees	$507,434,018	$405,869,842	$101,544,042	$20,134
QAAP Expense	$121,112,359	$121,112,359
Bad Debts	$112,779,464	$112,779,464

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$84,483,441	TotalAmt
Program Services	$74,289,706	ProgramServicesAmt
Management And General	$10,187,302	ManagementAndGeneralAmt
Fundraising	$6,433	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,044,586,828	TotalAmt
Program Services	$3,684,030,854	ProgramServicesAmt
Management And General	$357,976,804	ManagementAndGeneralAmt
Fundraising	$2,579,170	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$21,524,990	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$498,035,630	BOYAmt
EOY	$706,854,010	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$38,372,667	BOYAmt
EOY	$37,850,940	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$394,986,156	BOYAmt
EOY	$432,647,930	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$64,590	BOYAmt
EOY	$34,159	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$47,949,409	BOYAmt
EOY	$73,724,675	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$29,591,899	BOYAmt
EOY	$39,821,609	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$4,376,699,849	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,330,629,059	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,541,236,250	BOYAmt
EOY	$2,046,070,790	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
EOY	$433,285,517	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	$60,260,037	BOYAmt
EOY	$85,252,316	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,526,400	BOYAmt
EOY	$1,356,800	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$290,470,474	BOYAmt
EOY	$418,624,308	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,902,493,512	BOYAmt
EOY	$4,297,048,044	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$272,662,255	BOYAmt
EOY	$403,368,814	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$3,521,813	BOYAmt
EOY	$4,368,193	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$3,649,744	BOYAmt
EOY	$68,513,599	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$520,939,737	BOYAmt
EOY	$592,135,204	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$602,704	BOYAmt
EOY	$553,507	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$448,940,991	BOYAmt
EOY	$531,360,982	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,250,317,244	BOYAmt
EOY	$1,600,300,299	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	$1,344,015,166	BOYAmt
EOY	$2,445,466,295	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$308,161,102	BOYAmt
EOY	$251,281,450	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,652,176,268	BOYAmt
EOY	$2,696,747,745	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,902,493,512	BOYAmt
EOY	$4,297,048,044	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$301,813,636	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$27,505,760	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$770,263,601	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	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$21,340,326	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$29,538,922	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$27,214,312	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$26,461,716	CurrentTaxYearMinus1YearAmt
Current Tax Year	$28,739,251	CurrentTaxYearAmt
Total	$133,294,527	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$21,340,326	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$29,538,922	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$27,214,312	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$26,461,716	CurrentTaxYearMinus1YearAmt
Current Tax Year	$28,739,251	CurrentTaxYearAmt
Total	$133,294,527	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$19,304,186	SubstantialContributorsTotAmt
Public Support Total170	$113,990,341	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,289,956	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,667,507	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,357,616	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,895,014	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,142,269	CurrentTaxYearAmt
Total	$16,352,362	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,384,782	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,689,360	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,616,023	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,811,813	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,011,107	CurrentTaxYearAmt
Total	$17,513,085	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$167,159,974	TotalSupportAmt
Gross Receipts Rltd Activities	$0	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.6819	PublicSupportCY170Pct
Public Support PY170	0.7072	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$319,665	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$426,982	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$345,316	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$130,691	CurrentTaxYearMinus1YearAmt
Current Tax Year	$16,924	CurrentTaxYearAmt
Total	$1,239,578	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$83,329,641	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$91,873,613	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$90,111,292	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$49,406,347	CurrentTaxYearMinus1YearAmt
Current Tax Year	$108,063,427	CurrentTaxYearAmt
Total	$422,784,320	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$19,964	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$38,229	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$31,265	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$20,507	CurrentTaxYearMinus1YearAmt
Current Tax Year	$36,675	CurrentTaxYearAmt
Total	$146,640	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$83,669,270	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$92,338,824	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$90,487,873	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$49,557,545	CurrentTaxYearMinus1YearAmt
Current Tax Year	$108,117,026	CurrentTaxYearAmt
Total	$424,170,538	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$424,170,538	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$20,982	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$13,381	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$9,963	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,755	CurrentTaxYearMinus1YearAmt
Current Tax Year	$17,720	CurrentTaxYearAmt
Total	$65,801	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$20,982	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$13,381	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$9,963	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,755	CurrentTaxYearMinus1YearAmt
Current Tax Year	$17,720	CurrentTaxYearAmt
Total	$65,801	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$83,690,252	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$92,352,205	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$90,497,836	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$49,561,300	CurrentTaxYearMinus1YearAmt
Current Tax Year	$108,134,746	CurrentTaxYearAmt
Total	$424,236,339	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.9998	PublicSupportCY509Pct
Public Support PY509	0.9998	PublicSupportPY509Pct
Investment Income CY	0	InvestmentIncomeCYPct
Investment Income PY	0.0002	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule A, Part I Reason for Public Charity Status	The public charity status, a hospital or cooperative hospital service organization described in Section 170(b)(1)(A)(iii), checked in Part I reflects the public charity status of the largest number of organizations included in the group return. The organizations identified below have a public charity status described in 509(a)(2). Spectrum Health Continuing Care (EIN 38-3242232) Spectrum Health Continuing Care Center (EIN 38-2415333) Spectrum Health Worth Services (EIN 38-2786617) Visiting Nurse Services of Western Michigan (EIN 38-1358412) Mercy Memorial Health Services, Inc. (EIN 38-2748035) The organizations identified below has a public charity status described in 170(b)(1)(A)(vi). Spectrum Health Foundation (EIN 38-2752328) Hospice at Home Inc (EIN 38-2416086) Lakeland Health Foundation, Benton Harbor/St Joseph (EIN 38-2539929)
Schedule A, Part II Support Measurement	Tax Year 2020 is a 12/31 Calendar Year End Tax Year 2019 was a short year (7/1/19 - 12/31/19) Tax Year 2016-2018 were 6/30 Fiscal Year Ends
Schedule A, Part III Support Measurement	Tax Year 2020 is a 12/31 Calendar Year End Tax Year 2019 was a short year (7/1/19 - 12/31/19) Tax Year 2016-2018 were 6/30 Fiscal Year Ends
Schedule A, Part II, Line 10 Other Income	DESCRIPTION - ADMIN REIMB, COLUMN A - 2242945.0, COLUMN B - 2926997.0, COLUMN C - 2896195.0, COLUMN D - 1461842.0, COLUMN E - 3000071.0, COLUMN F - 12528050.0; DESCRIPTION - SPECIAL EVENTS, COLUMN A - 2141837.0, COLUMN B - 762363.0, COLUMN C - 719828.0, COLUMN D - 349971.0, COLUMN E - 713469.0, COLUMN F - 4687468.0; DESCRIPTION - FUNDRAISING EVENT INCOME, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - 33731.0, COLUMN F - 33731.0; DESCRIPTION - MISCELLANEOUS REVENUE, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - 263836.0, COLUMN F - 263836.0;

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

Field	Value	IRS element (for citing)
Revenues Included	$0	RevenuesIncludedAmt
Assets Included	$2,513,446	AssetsIncludedAmt

Field	Value	IRS element (for citing)
Collection Used Pub Exhibition	Yes (X)	CollectionUsedPubExhibitionInd
Solicited Assets Sale	Yes (true)	SolicitedAssetsSaleInd
Agent Trustee Etc	Yes (true)	AgentTrusteeEtcInd
Beginning Balance	$40,284	BeginningBalanceAmt
Additions During Year	$555,351	AdditionsDuringYearAmt
Distributions During Year	$478,543	DistributionsDuringYearAmt
Ending Balance	$117,092	EndingBalanceAmt
Incl Escrow Custodial Acct Liab	false	InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$97,349,298	BeginningYearBalanceAmt
Contributions	$25,703,447	ContributionsAmt
Investment Earnings Or Losses	$11,573,893	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,371,187	OtherExpendituresAmt
End Year Balance	$130,255,451	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$81,070,443	BeginningYearBalanceAmt
Contributions	$12,717,518	ContributionsAmt
Investment Earnings Or Losses	$5,317,813	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,756,476	OtherExpendituresAmt
End Year Balance	$97,349,298	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$76,568,713	BeginningYearBalanceAmt
Contributions	$5,864,350	ContributionsAmt
Investment Earnings Or Losses	$1,792,632	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,155,252	OtherExpendituresAmt
End Year Balance	$81,070,443	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$68,995,173	BeginningYearBalanceAmt
Contributions	$4,896,564	ContributionsAmt
Investment Earnings Or Losses	$5,379,790	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,702,814	OtherExpendituresAmt
End Year Balance	$76,568,713	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$60,541,018	BeginningYearBalanceAmt
Contributions	$3,904,080	ContributionsAmt
Investment Earnings Or Losses	$7,152,280	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,602,205	OtherExpendituresAmt
End Year Balance	$68,995,173	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.1109	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.8646	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0245	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$87,705,756	OtherCostOrOtherBasisAmt
Book Value	$87,705,756	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,171,164,255	OtherCostOrOtherBasisAmt
Depreciation	$1,003,037,579	DepreciationAmt
Book Value	$1,168,126,676	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$70,235,156	OtherCostOrOtherBasisAmt
Depreciation	$57,543,737	DepreciationAmt
Book Value	$12,691,419	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,530,646,313	OtherCostOrOtherBasisAmt
Depreciation	$1,073,658,413	DepreciationAmt
Book Value	$456,987,900	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$516,948,369	OtherCostOrOtherBasisAmt
Depreciation	$196,389,330	DepreciationAmt
Book Value	$320,559,039	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,046,070,790	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
Due From Affiliates	$142,954,699
Restricted Assets of Spectrum Health Foundation	$222,478,601
Restricted Assets of Lakeland Health Foundation	$21,724,771
Other Assets	$18,939,175
Cost Report Settlements	$6,309,233
Right of Use Asset	$6,217,829

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$418,624,308	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Due to affiliates	$318,791,512
Lease Liabilities	$117,267,300
Third Party Settlement	$63,192,331
Interest Rate SWAPS	$19,266,941
Other Liabilities	$12,842,898

Field	Value	IRS element (for citing)
Total Liability	$531,360,982	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part III, Line 4 Collections of art - description of collections	THE HEALING ART COLLECTION, HELD BY THE SPECTRUM HEALTH FOUNDATION (EIN 38-2752328), CREATES A HEALING ENVIRONMENT FOR PATIENTS, VISITORS, AND STAFF ALIKE.
Schedule D, Part IV, Line 1b Agent, trustee, custodian, or other intermediary arrangement	Spectrum Health Continuing Care Center (EIN 38-2415333) and Mercy Memorial Health Services, Inc. (EIN 38-2748035) act as custodians of resident trust bank accounts. These bank accounts are used for the resident's spending during their stay for items such as room & board and barber & beauty services. The funds in the bank accounts come from the Social Security Administration or other personal sources.
Schedule D, Part V, Line 4 Intended uses of endowment funds	Spectrum Health Foundation (EIN 38-2752328), Lakeland Health Foundation, Benton Harbor/St Joseph (EIN 38-2539929), and Hospice at Home Inc (EIN 38-2416086) hold endowment funds to provide perpetual support of life saving programs and services to organizations throughout Spectrum Health System.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Auto Show	Event1Nm
Gross Receipts Event1	$214,920	GrossReceiptsEvent1Amt
Charitable Contri Event1	$154,920	CharitableContriEvent1Amt
Gross Revenue Event1	$60,000	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$0	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$0	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$54,063	FoodAndBeverageEvent1Amt
Entertainment Event1	$59,975	EntertainmentEvent1Amt
Other Direct Expenses Event1	$16,439	OtherDirectExpensesEvent1Amt
Event2	UK Charity Ball	Event2Nm
Gross Receipts Event2	$189,541	GrossReceiptsEvent2Amt
Charitable Contri Event2	$171,421	CharitableContriEvent2Amt
Gross Revenue Event2	$18,120	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$0	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$12,780	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$23,471	FoodAndBeverageEvent2Amt
Entertainment Event2	$5,040	EntertainmentEvent2Amt
Other Direct Expenses Event2	$17,401	OtherDirectExpensesEvent2Amt
Other Events Total	13	OtherEventsTotalCnt
Gross Receipts Other Events	$876,482	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$207,402	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$669,080	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$0	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$0	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$2,037	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$0	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$419,878	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$1,280,943	GrossReceiptsTotalAmt
Charitable Contributions Tot	$533,743	CharitableContributionsTotAmt
Gross Revenue Total Events	$747,200	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$0	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$0	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$12,780	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$79,571	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$65,015	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$453,718	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$611,084	DirectExpenseSummaryEventsAmt
Net Income Summary	$136,116	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$46,940,716	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,037,247	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,903,469	NetCommunityBenefitExpnsAmt
Total Expense	0.0059	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$769,478,822	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$611,188,192	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$158,290,630	NetCommunityBenefitExpnsAmt
Total Expense	0.0467	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$816,419,538	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$638,225,439	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$178,194,099	NetCommunityBenefitExpnsAmt
Total Expense	0.0526	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$12,142,655	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,121,200	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,021,455	NetCommunityBenefitExpnsAmt
Total Expense	0.0030	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$39,232,754	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,899,100	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,333,654	NetCommunityBenefitExpnsAmt
Total Expense	0.0087	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,508,432	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,508,432	NetCommunityBenefitExpnsAmt
Total Expense	0.0010	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,622,261	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,075	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,617,186	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,342,407	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,342,407	NetCommunityBenefitExpnsAmt
Total Expense	0.0010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$59,848,509	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,025,375	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,823,134	NetCommunityBenefitExpnsAmt
Total Expense	0.0141	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$876,268,047	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$650,250,814	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$226,017,233	NetCommunityBenefitExpnsAmt
Total Expense	0.0667	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,809	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,809	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$15,743	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,743	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$134,295	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$134,295	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$14,780	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,780	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$2,148	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,148	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$10,049	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,049	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$519,644	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$519,644	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$700,468	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$700,468	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$97,961,982	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$1,010,789,079	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$1,278,929,679	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$268,140,600	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	13	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (13 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
SPECTRUM HEALTH BUTTERWORTH
1	100 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-HOSPITALS-BUTTERWORTH-HOSPITAL;	1060000021;	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
SPECTRUM HEALTH BLODGETT
2	1840 WEALTHY ST SE	GRAND RAPIDS	MI	49506	WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-HOSPITALS-BLODGETT-HOSPITAL;	1060000016;	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (X)	A
SPECTRUM HEALTH UNITED
3	615 S BOWER	GREENVILLE	MI	48838	WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-UNITED-HOSPITAL;	1060000018;	Yes (X)	Yes (X)				Yes (X)	A
SPECTRUM HEALTH GERBER MEMORIAL
4	212 SOUTH SULLIVAN	FREMONT	MI	49412	WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-GERBER-MEMORIAL;	1060000054;	Yes (X)	Yes (X)				Yes (X)	A	Yes (X)
SPECTRUM HEALTH LUDINGTON
5	ONE ATKINSON DRIVE	LUDINGTON	MI	49431	WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-LUDINGTON-HOSPITAL;	1060000056;	Yes (X)	Yes (X)				Yes (X)	A
SPECTRUM HEALTH BIG RAPIDS
6	605 OAK STREET	BIG RAPIDS	MI	49307	https://www.spectrumhealth.org/locations/spectrum-health-big-rapids-hospital;	1060000045;	Yes (X)	Yes (X)				Yes (X)	A
SPECTRUM HEALTH REED CITY
7	300 N PATTERSON RD	REED CITY	MI	49677	WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-REED-CITY-HOSPITAL;	1060000157;	Yes (X)	Yes (X)				Yes (X)	A	Yes (X)
SPECTRUM HEALTH ZEELAND
8	8333 FELCH STREET	ZEELAND	MI	49464	WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-ZEELAND-COMMUNITY-HOSPITAL;	1060000002;	Yes (X)	Yes (X)				Yes (X)	A
SPECTRUM HEALTH KELSEY
9	419 WASHINGTON AVE	LAKEVIEW	MI	48840	WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-KELSEY-HOSPITAL;	1060000147;	Yes (X)	Yes (X)				Yes (X)	A	Yes (X)
SPECTRUM HEALTH PENNOCK
10	1009 W GREEN ST	HASTINGS	MI	49058	WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-PENNOCK;	1060000022	Yes (X)	Yes (X)				Yes (X)	A	Yes (X)
LAKELAND COMMUNITY HOSPITAL WATERVLIET
11	400 MEDICAL PARK DRIVE	WATERVLIET	MI	49098	https://www.spectrumhealthlakeland.org	1060000039	Yes (X)	Yes (X)				Yes (X)	A
LAKELAND HOSPITALS AT ST JOSEPH
12	1234 NAPIER AVENUE	ST JOSEPH	MI	49085	https://www.spectrumhealthlakeland.org	1060000010	Yes (X)	Yes (X)		Yes (X)		Yes (X)	A
LAKELAND HOSPITALS AT NILES
13	31 N SAINT JOSEPH AVENUE	NILES	MI	49120	https://www.spectrumhealthlakeland.org	1060000065	Yes (X)	Yes (X)		Yes (X)		Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	20	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SUPPLEMENTAL INFORMATION IN PART VI	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE SUPPLEMENTAL INFORMATION IN PART VI	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	20	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SUPPLEMENTAL INFORMATION IN PART VI	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.0	FPGFamilyIncmLmtFreeCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SUPPLEMENTAL INFORMATION IN PART VI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SUPPLEMENTAL INFORMATION IN PART VI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SUPPLEMENTAL INFORMATION IN PART VI	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
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Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
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Supplemental Information SupplementalInformationGrp (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - A,1 - Spectrum Health Butterworth and A,2 - Spectrum Health Blodgett. THE QUALITATIVE DATA COLLECTION PROCESS INVOLVED COMMUNITY HEALTH SURVEYS, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEYS, AND KEY STAKEHOLDER INTERVIEWS WITH COMMUNITY MEMBERS. EACH OF THESE METHODS ARE DESCRIBED IN DETAIL ALONG WITH THE QUESTIONS USED IN THE KENT COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMUNITY HEALTH SURVEY WAS ADMINISTERED IN AN ONLINE AND PAPER-BASED FORMAT IN BOTH ENGLISH AND SPANISH TO MORE THAN 300 INDIVIDUALS WHO LIVE OR WORK IN KENT COUNTY. THIS IS A SELF-ADMINISTERED SURVEY COLLECTING INFORMATION ON THE OPINIONS AND EXPERIENCES OF RESIDENTS RELATED TO HEALTH AND WELL-BEING. COMMUNITY PARTNER ORGANIZATIONS PLAYED AN INSTRUMENTAL ROLE IN THE SUCCESS OF THE COMMUNITY HEALTH SURVEY AS THEY COLLECTED HUNDREDS OF RESPONSES THROUGH TARGETED OUTREACH AMONG SERVICE RECIPIENTS. THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEYS WERE ABLE TO COLLECT FEEDBACK FROM NEARLY 1,400 INDIVIDUALS THROUGH A STANDARIZED SURVEY CONDUCTED VIA TELEPHONE INTERVIEWS OFFERED IN BOTH ENGLISH AND SPANISH. THE BRFSS SURVEYS WERE ESSENTIAL IN COLLECTING INFORMATION ON SELF-REPORTED DISEASE PREVALENCE AND SELECT RISK FACTORS. EXPERTS IN PUBLIC HEALTH WERE CONSULTED VIA IN-DEPTH INTERVIEWS OF LEADERS AT SPECTRUM HEALTH ALONG WITH MANY OTHER LOCAL AND STATE AGENGIES, COMMUNITY ORGANIZATIONS, AND COALITIONS. THEY WERE ASKED ABOUT EXISTING AND EMERGING COMMUNITY NEEDS, WHAT IS BEING DONE TO ADDRESS THOSE NEEDS, AND WHAT CHALLENGES OR BARRIERS THE LOCAL PUBLIC HEALTH SYSTEM FACES IN IMPROVING COMMUNITY HEALTH. FOR A LISTING OF THE SOURCES CONSULTED, SEE APPENDIX A OF THE KENT COUNTY CHNA. ADDITIONALLY, A VARIETY OF EXISTING DATA AND INFORMATIONAL RESOURCES WERE USED TO PROVIDE ADDITIONAL CONTEXT ABOUT THE COMMUNITY INCLUDING INFORMATION FROM THE U.S. CENSUS BUREAU/AMERICAN COMMUNITY SURVEY, COUNTY HEALTH RANKINGS, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, ALONG WITH MANY OTHERS.
Schedule H, Part V, Section B, Line 5 Facility A, 2	Facility A, 2 - A,3 - Spectrum Health United and A,9 -Spectrum Health Kelsey. DATA WAS GATHERED FROM A VARIETY OF SOURCES USING MULTIPLE METHODOLOGIES. COMMUNITY RESIDENT FEEDBACK WAS OBTAINED VIA A PAPER SURVEY DIRECTED TOWARDS VULNERABLE AND UNDERSERVED SUB-POPULATIONS AS WELL AS A TELEPHONE SURVEY. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS AND KEY INFORMANTS, PROVIDED IN-DEPTH TELEPHONE INTERVIEWSOR COMPLETED AN ONLINE SURVEY. SECONDARY DATA WAS DERIVED FROM VARIOUS GOVERNMENT AND HEALTH SOURCES SUCH AS THE U.S. CENSUS, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, COUNTY HEALTH RANKINGS, BUREAU OF LABOR STATISTICS, AND KIDS COUNT DATA CENTER. MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE CHNA TASK FORCE. ADDITIONALLY, KEY STAKEHOLDERS WHO WERE INTERVIEWED ARE DEFINED AS EXECUTIVE LEVEL COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH AND/OR HUMAN SERVICE ISSUES AND ARE OFTEN INVOLVED IN POLICY DECISION MAKING. KEY INFORMANTS WHO PARTICIPATED IN THE ONLINE SURVEY ARE DEFINED AS COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH ISSUES OR HAVE EXPERIENCE WITH SUB POPULATIONS IMPACTED MOST BY ISSUES IN HEALTH/HEALTH CARE. FOR A LISTING OF THE TITLES OF INDIVIDUALS AND SOURCES CONSULTED, SEE THE CHNA APPENDIX.
Schedule H, Part V, Section B, Line 5 Facility A, 3	Facility A, 3 - A,4 - Spectrum Health Gerber Memorial. DATA WAS GATHERED FROM A VARIETY OF SOURCES USING MULTIPLE METHODOLOGIES. COMMUNITY RESIDENT FEEDBACK WAS OBTAINED VIA A PAPER SURVEY DIRECTED TOWARDS VULNERABLE AND UNDERSERVED SUB-POPULATIONS AS WELL AS A TELEPHONE SURVEY. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS AND KEY INFORMANTS, PROVIDED IN-DEPTH TELEPHONE INTERVIEWS AND AN ONLINE SURVEY SECONDARY DATA WAS DERIVED FROM VARIOUS GOVERNMENT AND HEALTH SOURCES SUCH AS THE U.S. CENSUS, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, COUNTY HEALTH RANKINGS, BUREAU OF LABOR STATISTICS, AND KIDS COUNT DATA CENTER. MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE CHNA TASK FORCE. ADDITIONALLY, KEY STAKEHOLDERS WHO WERE INTERVIEWED ARE DEFINED AS EXECUTIVE LEVEL COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH AND/OR HUMAN SERVICE ISSUES AND ARE OFTEN INVOLVED IN POLICY DECISION MAKING. KEY INFORMANTS WHO PARTICIPATED IN THE ONLINE SURVEY ARE DEFINED AS COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH ISSUES OR HAVE EXPERIENCE WITH SUB POPULATIONS IMPACTED MOST BY ISSUES IN HEALTH/HEALTH CARE. FOR A LISTING OF THE TITLES OF INDIVIDUALS AND SOURCES CONSULTED, SEE THE CHNA APPENDIX.
Schedule H, Part V, Section B, Line 5 Facility A, 4	Facility A, 4 - A,7 - Spectrum Health Reed City. DATA WAS GATHERED FROM A VARIETY OF SOURCES USING MULTIPLE METHODOLOGIES. COMMUNITY RESIDENT FEEDBACK WAS OBTAINED VIA A PAPER SURVEY DIRECTED TOWARDS VULNERABLE AND UNDERSERVED SUB-POPULATIONS AS WELL AS A TELEPHONE SURVEY. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS AND KEY INFORMANTS, PROVIDED IN-DEPTH TELEPHONE INTERVIEWSAND AN ONLINE SURVEY SECONDARY DATA WAS DERIVED FROM VARIOUS GOVERNMENT AND HEALTH SOURCES SUCH AS THE U.S. CENSUS, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, COUNTY HEALTH RANKINGS, BUREAU OF LABOR STATISTICS, AND KIDS COUNT DATA CENTER. MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE CHNA TASK FORCE. ADDITIONALLY, KEY STAKEHOLDERS WHO WERE INTERVIEWED ARE DEFINED AS EXECUTIVE LEVEL COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH AND/OR HUMAN SERVICE ISSUES AND ARE OFTEN INVOLVED IN POLICY DECISION MAKING. KEY INFORMANTS WHO PARTICIPATED IN THE ONLINE SURVEY ARE DEFINED AS COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH ISSUES OR HAVE EXPERIENCE WITH SUB POPULATIONS IMPACTED MOST BY ISSUES IN HEALTH/HEALTH CARE. FOR A LISTING OF THE TITLES OF INDIVIDUALS AND SOURCES CONSULTED, SEE THE CHNA APPENDIX.
Schedule H, Part V, Section B, Line 5 Facility A, 5	Facility A, 5 - A,8 - Spectrum Health Zeeland. DATA WAS GATHERED FROM A VARIETY OF SOURCES USING MULTIPLE METHODOLOGIES. COMMUNITY RESIDENT FEEDBACK WAS OBTAINED VIA A PAPER SURVEY DIRECTED TOWARDS VULNERABLE AND UNDERSERVED SUB-POPULATIONS AS WELL AS A TELEPHONE SURVEY. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS AND KEY INFORMANTS, PROVIDED IN-DEPTH TELEPHONE INTERVIEWS AND AN ONLINE SURVEY. SECONDARY DATA WAS DERIVED FROM VARIOUS GOVERNMENT AND HEALTH SOURCES SUCH AS THE U.S. CENSUS, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, COUNTY HEALTH RANKINGS, BUREAU OF LABOR STATISTICS, AND KIDS COUNT DATA CENTER. MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE CHNA TASK FORCE. ADDITIONALLY, KEY STAKEHOLDERS WHO WERE INTERVIEWED ARE DEFINED AS EXECUTIVE LEVEL COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH AND/OR HUMAN SERVICE ISSUES AND ARE OFTEN INVOLVED IN POLICY DECISION MAKING. KEY INFORMANTS WHO PARTICIPATED IN THE ONLINE SURVEY ARE DEFINED AS COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH ISSUES OR HAVE EXPERIENCE WITH SUB POPULATIONS IMPACTED MOST BY ISSUES IN HEALTH/HEALTH CARE. FOR A LISTING OF THE TITLES OF INDIVIDUALS AND SOURCES CONSULTED, SEE THE CHNA APPENDIX.
Schedule H, Part V, Section B, Line 5 Facility A, 6	Facility A, 6 - A,6 - Spectrum Health Big Rapids. DATA WAS GATHERED FROM A VARIETY OF SOURCES USING MULTIPLE METHODOLOGIES. COMMUNITY RESIDENT FEEDBACK WAS OBTAINED VIA A PAPER SURVEY DIRECTED TOWARDS VULNERABLE AND UNDERSERVED SUB-POPULATIONS AS WELL AS A TELEPHONE SURVEY. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS AND KEY INFORMANTS, PROVIDED IN-DEPTH TELEPHONE INTERVIEWSAND AN ONLINE SURVEY SECONDARY DATA WAS DERIVED FROM VARIOUS GOVERNMENT AND HEALTH SOURCES SUCH AS THE U.S. CENSUS, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, COUNTY HEALTH RANKINGS, BUREAU OF LABOR STATISTICS, AND KIDS COUNT DATA CENTER. MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE CHNA TASK FORCE. ADDITIONALLY, KEY STAKEHOLDERS WHO WERE INTERVIEWED ARE DEFINED AS EXECUTIVE LEVEL COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH AND/OR HUMAN SERVICE ISSUES AND ARE OFTEN INVOLVED IN POLICY DECISION MAKING. KEY INFORMANTS WHO PARTICIPATED IN THE ONLINE SURVEY ARE DEFINED AS COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH ISSUES OR HAVE EXPERIENCE WITH SUB POPULATIONS IMPACTED MOST BY ISSUES IN HEALTH/HEALTH CARE. FOR A LISTING OF THE TITLES OF INDIVIDUALS AND SOURCES CONSULTED, SEE THE CHNA APPENDIX.
Schedule H, Part V, Section B, Line 5 Facility A, 7	Facility A, 7 - A,5 - Spectrum Health Ludington. DATA WAS GATHERED FROM A VARIETY OF SOURCES USING MULTIPLE METHODOLOGIES. COMMUNITY RESIDENT FEEDBACK WAS OBTAINED VIA A PAPER SURVEY DIRECTED TOWARDS VULNERABLE AND UNDERSERVED SUB-POPULATIONS AS WELL AS A TELEPHONE SURVEY. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS AND KEY INFORMANTS, PROVIDED IN-DEPTH TELEPHONE INTERVIEWSAND AN ONLINE SURVEY SECONDARY DATA WAS DERIVED FROM VARIOUS GOVERNMENT AND HEALTH SOURCES SUCH AS THE U.S. CENSUS, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, COUNTY HEALTH RANKINGS, BUREAU OF LABOR STATISTICS, AND KIDS COUNT DATA CENTER. MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE CHNA TASK FORCE. ADDITIONALLY, KEY STAKEHOLDERS WHO WERE INTERVIEWED ARE DEFINED AS EXECUTIVE LEVEL COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH AND/OR HUMAN SERVICE ISSUES AND ARE OFTEN INVOLVED IN POLICY DECISION MAKING. KEY INFORMANTS WHO PARTICIPATED IN THE ONLINE SURVEY ARE DEFINED AS COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH ISSUES OR HAVE EXPERIENCE WITH SUB POPULATIONS IMPACTED MOST BY ISSUES IN HEALTH/HEALTH CARE. FOR A LISTING OF THE TITLES OF INDIVIDUALS AND SOURCES CONSULTED, SEE THE CHNA APPENDIX.
Schedule H, Part V, Section B, Line 5 Facility A, 8	Facility A, 8 - A, 10 - Spectrum Health Pennock. DATA WAS GATHERED FROM A VARIETY OF SOURCES USING MULTIPLE METHODOLOGIES. COMMUNITY RESIDENT FEEDBACK WAS OBTAINED VIA A PAPER SURVEY DIRECTED TOWARDS VULNERABLE AND UNDERSERVED SUB-POPULATIONS AS WELL AS A TELEPHONE SURVEY. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS AND KEY INFORMANTS, PROVIDED IN-DEPTH TELEPHONE INTERVIEWS AND AN ONLINE SURVEY. SECONDARY DATA WAS DERIVED FROM VARIOUS GOVERNMENT AND HEALTH SOURCES SUCH AS THE U.S. CENSUS, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, COUNTY HEALTH RANKINGS, BUREAU OF LABOR STATISTICS, AND KIDS COUNT DATA CENTER. MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE CHNA TASK FORCE. ADDITIONALLY, KEY STAKEHOLDERS WHO WERE INTERVIEWED ARE DEFINED AS EXECUTIVE LEVEL COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH AND/OR HUMAN SERVICE ISSUES AND ARE OFTEN INVOLVED IN POLICY DECISION MAKING. KEY INFORMANTS WHO PARTICIPATED IN THE ONLINE SURVEY ARE DEFINED AS COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH ISSUES OR HAVE EXPERIENCE WITH SUB POPULATIONS IMPACTED MOST BY ISSUES IN HEALTH/HEALTH CARE. FOR A LISTING OF THE TITLES OF INDIVIDUALS AND SOURCES CONSULTED, SEE CHNA APPENDIX.
Schedule H, Part V, Section B, Line 5 Facility A, 9	Facility A, 9 - A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES. THE CHNA WAS INFORMED BY DATA COLLECTED THROUGH MULTIPLE METHODS. PRIMARY SOURCE DATA (FIRSTHAND INFORMATION COLLECTED DIRECTLY FROM COMMUNITY MEMBERS) WAS COLLECTED THROUGH SURVEYS, PHOTOVOICE, AND INTERVIEWS, WITH A FOCUS ON GATHERING INPUT FROM NEIGHBORHOODS EXPERIENCING THE POOREST HEALTH OUTCOMES (I.E., HIGHEST MORTALITY RATES AND LOWEST LIFE EXPECTANCY). ADDITIONAL INFORMATION (SECONDARY DATA) WAS GATHERED THROUGH SCIENTIFIC LITERATURE, POLICY BRIEFS, AND OTHER ORGANIZATIONAL DOCUMENTS. GOVERNMENT DATASETS (E.G., EMPLOYMENT, INCOME, AGRICULTURE, HOUSING, TRANSPORTATION, HEALTHCARE RESOURCES, CIVIL ENGAGEMENT, AND RECREATION) WERE ALSO UTILIZED. THE SURVEY WAS ADMINISTERED IN ELECTRONIC AND PAPER FORMATS TO GOVERNMENT BODIES, LOCAL BUSINESSES, K-12 SCHOOLS, HIGHER EDUCATION INSTITUTIONS, AND NON-PROFIT AND OTHER COMMUNITY ORGANIZATIONS. INPUT WAS SOLICITED FROM STAKEHOLDERS WHO WERE DIVERSE BY AGE, ETHNICITY, GENDER IDENTITY, LANGUAGE PROFICIENCY, LITERACY LEVEL, PROFESSION, SEXUAL ORIENTATION, AND SOCIOECONOMIC STATUS. TO ENSURE INPUT WAS RECEIVED FROM COMMUNITY MEMBERS FACED WITH LITERACY CHALLENGES AND LANGUAGE BARRIERS, SURVEY QUESTIONS WERE ADMINISTERED VERBALLY (I.E., INTERVIEWS) AND TRANSLATED INTO SPANISH. SURVEY RESPONSES WERE RECEIVED FROM NEARLY 2,000 PEOPLE. PHOTOVOICE WAS USED TO CAPTURE RESPONSES TO THE SURVEY QUESTIONS FROM MORE THAN 100 AREA YOUTH. WHILE GATHERING COMMUNITY INPUT, EFFORTS WERE MADE TO ENSURE THAT THE DEMOGRAPHICS OF RESPONDENTS REFLECTED THE DEMOGRAPHICS OF BERRIEN COUNTY. MOREOVER, THE CHNA TEAM OVERSAMPLED IN GEOGRAPHIC AREAS WITH THE HIGHEST DEATH RATES AND LOWEST LIFE EXPECTANCIES. THUS, THE TEAM WAS ABLE TO ENSURE INPUT FROM THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, AND FROM INDIVIDUALS AND ORGANIZATIONS WHO SERVE OR REPRESENT THE INTERESTS OF THESE POPULATIONS. DATA WAS ALSO COLLECTED THROUGH REVIEWS OF DOCUMENTS PUBLISHED BY THE BERRIEN COUNTY HEALTH DEPARTMENT, THE BERRIEN COUNTY MENTAL HEALTH AUTHORITY (RIVERWOOD CENTER), THE SOUTHWEST MICHIGAN PLANNING COMMISSION, AND OTHER BODIES WITH SPECIALIZED KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - A,11 LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES. LAKELAND HOSPITAL - NILES, LAKELAND HOSPITAL - WATERVLIET, AND LAKELAND MEDICAL CENTER, ST. JOSEPH
Schedule H, Part V, Section B, Line 6b Facility A, 1	Facility A, 1 - A,1 - Spectrum Health Butterworth and A,2 - Spectrum Health Blodgett. Kent County Health Department In addition many community organizations participated in or supported the CHNA process. A full listing of these organizations can be found in Appendix A of the CHNA: https://www.spectrumhealth.org/healthier-communities/community-health-needs-assessment/spectrum-health-grand-rapids
Schedule H, Part V, Section B, Line 6b Facility A, 2	Facility A, 2 - A,11 LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES. THE CHNA WAS CONDUCTED BY LAKELAND'S POPULATION HEALTH TEAM - A MULTIDISCIPLINARY GROUP OF PROFESSIONALS IN THE FIELDS OF EDUCATION, EVALUATION, HEALTHCARE, MENTAL HEALTH, NUTRITION, PUBLIC HEALTH, SOCIAL WORK, AND URBAN PLANNING. KEY EXTERNAL PARTNERS IN THE EXECUTION OF THE CHNA INCLUDED THE BERRIEN COUNTY HEALTH DEPARTMENT, ANDREWS UNIVERSITY, WESTERN MICHIGAN UNIVERSITY, AND THE SOUTHWEST MICHIGAN PLANNING COMMISSION. OTHER ORGANIZATIONS INCLUDING K-12 SCHOOLS, LOCAL BUSINESSES AND MUNICIPALITIES, AND COMMUNITY ORGANIZATIONS, PROVIDED VALUABLE INPUT INTO THE CHNA BY PROVIDING DATA, DOCUMENTS, AND OTHER RESOURCES. PER THE LEGISLATION, THIS CHNA CONTAINS DESCRIPTIONS OF: (I) THE COMMUNITY SERVED AND HOW IT WAS DETERMINED; (II) THE PROCESSES AND METHODS USED TO CONDUCT THE CHNA; (III) HOW INPUT WAS RECEIVED FROM PEOPLE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY; (IV) THE PROCESS AND CRITERIA USED TO IDENTIFY AND PRIORITIZE THE COMMUNITY'S HEALTH NEEDS; (V) THE RESOURCES THAT ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA; AND (VI) THE IMPACT OF THE IMPLEMENTATION STRATEGYS (IS) UNDERTAKEN TO ADDRESS THE HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA. THE CHNA PROJECT TEAM EXECUTED THE CHNA IN ACCORDANCE WITH SIX PRINCIPLES THAT WERE INFORMED BY ACA REQUIREMENTS AND SPECTRUM HEALTH LAKELAND'S (LAKELAND) ORGANIZATIONAL COMMITMENT TO ADVANCE POPULATION HEALTH. THESE PRINCIPLES ARE INCLUSIVE INPUT, COMMUNITY VOICE, TRANSPARENT COMMUNICATION, AUTHENTIC COLLABORATION, HEALTH EQUITY, AND THE INFLUENTIAL ROLE OF SOCIAL DETERMINANTS OF HEALTH.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - SPECTRUM HEALTH SYSTEM REPORTING GROUP A,1 - A,10. Spectrum Health System reporting group A is addressing the significant needs identified in the most recently conducted CHNA's through adoption of an implementation strategy that addresses each of the community needs identified through the CHNA, execution of the implementation strategy, participation in the development and execution of a community-wide plan, inclusion of community benefit section in operational plans, adoption of a budget for provision of services that address the needs identified in the CHNA, prioritization of the health needs in the community and prioritization of services that the hospital facilities will undertake to meet health needs in the community. The hospital facilities are addressing many of the significant needs identified in the CHNA, however the hospital facilities will not address all significant health needs identified in the CHNA due to the limited resources and the need to allocate significant resources to the significant health needs that are being addressed. Each hospital facility's implementation plan identifies the significant needs identified in the CHNA but not addressed in the plan. The implementation plans for each hospital facility are available at: https://www.spectrumhealth.org/healthier-communities/community-health-needs-assessment
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES. IN MID-SEPTEMBER, SPECTRUM HEALTH LAKELAND RECEIVED A GRANT FROM THE MICHIGAN CORONAVIRUS TASK FORCE ON RACIAL DISPARITIES, TO PROVIDE SERVICES IN THE BENTON HARBOR COMMUNITY, OCTOBER - DECEMBER 2020. THE GRANT ADDRESSED THE DISPARATE IMPACT OF COVID-19 EXPERIENCED BY AFRICAN AMERICANS IN THE CITY OF BENTON HARBOR WHO, ACCORDING TO THE DATA COMPILED BY THE BERRIEN COUNTY HEALTH DEPARTMENT, EXPERIENCED THE COUNTY'S HIGHEST BURDEN OF COVID INFECTIONS, HOSPITALIZATIONS, AND DEATHS. THE PROJECT ADDRESSED THE DISPARATE IMPACT BY PROVIDING, IN A CENTRALLY LOCATED AND EASILY ACCESSIBLE SITE, THE FOLLOWING FREE SERVICES: COVID TESTING; CULTURALLY RELEVANT/RESONANT COVID EDUCATION AND PUBLIC HEALTH MESSAGING; MENTAL HEALTH SERVICES; SOCIAL AND LEGAL NAVIGATION SERVICES; HEALTH SCREENINGS (FLU SHOTS, BP & CHOLESTEROL CHECKS) AND EDUCATION; PPE; WATER FILTERS; HOT SPOTS AND SCHOOL KITS FOR REMOTE LEARNING ACTIVITIES. HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/CENTER-FOR-BETTER-HEALTH SOCIAL NAVIGATION SERVICES HELPED BENTON HARBOR RESIDENTS ACCESS FOOD, HOUSING, CLOTHING, UTILITY, AND OTHER RESOURCES CHALLENGED BY THE PANDEMIC. LEGAL NAVIGATION SERVICES HELPED BENTON HARBOR RESIDENTS' ACCESS LEGAL AID AND ATTEND COURT DATES VIA ZOOM APPEARANCES (AS THE COURTS WERE CLOSED DUE TO THE PANDEMIC) AND AVOID FEES AND OTHER COLLATERAL CONSEQUENCES OF FAILURE TO ATTEND A COURT HEARING. IN NOVEMBER 2020, THE BOARD OF DIRECTORS OF SPECTRUM HEALTH LAKELAND VOTED UNANIMOUSLY TO FUND THE CENTER FOR BETTER HEALTH FOR ANOTHER 6-8 MONTHS TO SUPPORT A PROOF-OF-CONCEPT HYPERTENSION CENTER. THIS NEW INVESTMENT WILL BE USED TO LEVERAGE ADDITIONAL PRIVATE, STATE, AND FEDERAL FUNDS TO SUPPORT THE EVENTUAL DEVELOPMENT OF A CARDIOMETABOLIC CENTER THAT FOCUSES ON THE HEALTH CONDITIONS THAT DISPROPORTIONATELY BURDEN THE BENTON HARBOR COMMUNITY (I.E., HYPERTENSION, DIABETES, OBESITY). SHORT TERM BENEFITS: * PROVIDED BENTON HARBOR RESIDENTS WITH MUCH NEEDED, EASILY ACCESSIBLE (I.E., AT THE BENTON HARBOR HIGH SCHOOL) COVID TESTING. * PROVIDED 27 BENTON HARBOR RESIDENTS (COMMUNITY RESEARCHERS, COMMUNICATIONS INFLUENCERS, AND OFFICE STAFF) WITH MUCH NEEDED, EASILY ACCESSIBLE (I.E., AT A LOCATION ON MAIN ST BENTON HARBOR) PPE; MENTAL HEALTH SERVICES; SOCIAL AND LEGAL NAVIGATION SUPPORTS; HEALTH SCREENINGS AND EDUCATION; AND LIVING WAGE JOBS. * PROVIDED DEMONSTRABLE EVIDENCE THAT SPECTRUM HEALTH LAKELAND WAS LIVING INTO ITS STATED JUNE 2020 COMMITMENT TO ADVANCE HEALTH EQUITY. * LEVERAGING LOCAL TALENT AND KNOWLEDGE, CREATED COVID SAFETY/PUBLIC HEALTH COMMUNICATIONS MATERIALS THAT RESONATES WITH YOUTH AND YOUNG ADULTS IN BENTON HARBOR, SUCH AS THE LYRICAL VIDEO PLAY YOUR PART, BY COMMUNITY INFLUENCER, TRACI BURTON. INTERMEDIATE BENEFITS: * PROVIDES A FOUNDATION FOR FUTURE WORK TO ADDRESS HEALTH INEQUITIES IN BENTON HARBOR. IN NOVEMBER 2020, THE SPECTRUM HEALTH LAKELAND BOARD APPROVED ADDITIONAL FUNDS FROM OUR HEALTH EQUITY ENDOWMENT TO KEEP THE CENTER FOR BETTER HEALTH OPEN AFTER THE RRI WAS COMPLETED ON DECEMBER 30, 2020. THE ADDITIONAL FINANCIAL RESOURCES WILL BE USED TO PILOT A HYPERTENSION CLINIC IN THE SAME LOCATION. RESEARCH SHOWS THAT HYPERTENSION IS LESS WELL CONTROLLED IN AFRICAN AMERICANS AND IS A SERIOUS RISK FACTOR FOR STROKE. * HELPED SUPPORT EFFORTS TO BUILD THE BENTON HARBOR COMMUNITY'S TRUST IN SPECTRUM HEALTH LAKELAND, WHICH HAD NOT HAD A PHYSICAL PRESENCE IN THE COMMUNITY FOR MORE THAN 30 YEARS. * AMPLIFIED AND SUPPORTED COMMUNITY VOICE IN COVID COMMUNICATIONS. * TRAINED COMMUNITY RESEARCHERS IN BASIC RESEARCH STRATEGIES AND SKILLS. * PROVIDED AN OPPORTUNITY FOR SPECTRUM HEALTH LAKELAND STAFF TO DEVELOP NEW RELATIONSHIPS WITH COMMUNITY MEMBERS IN BENTON HARBOR. * FEATURE AND AMPLIFIED LOCAL MARKETING AND COMMUNICATIONS TALENT. LONG TERM BENEFITS: * PROVIDES A FOUNDATION FOR FUTURE WORK TO ADDRESS HEALTH INEQUITIES IN BENTON HARBOR AND FOR LAKELAND TO EXECUTE ON ITS COMMITMENT TO ADVANCE HEALTH EQUITY.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - Spectrum Health System Group A,1 - A,13. Spectrum Health acknowledges that significant health events may result in catastrophic financial burden to a patient and family, as such Spectrum Health reserves the right to review catastrophic cases on an individual basis. Consideration for a reduced financial obligation will be made factoring medical bills accumulated within the last 240 days, as well as those anticipated to occur within the next 90 days. A catastrophic financial burden is one which results in a financial burden of 25% of annual household income or greater.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - Spectrum Health System Group A,1 - A,13. The organization uses FPG to determine eligibility for free care. an evaluation is not used for discounted care, as applicants that qualify for any assistance receive free care.
Schedule H, Part V, Section B, Line 16 Facility A, 1	Facility A, 1 - Spectrum Health System Group A,1 - A,13. SPECTRUM HEALTH HAS IMPLEMENTED MEASURES TO WIDELY PUBLICIZE COMMUNICATIONS TO PATIENTS AND THE PUBLIC REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. COMMUNICATION METHODS INCLUDE BUT ARE NOT LIMITED TO SIGNAGE IN EACH HOSPITAL EMERGENCY DEPARTMENT, HOSPITAL ADMISSIONS OFFICE(S) AND OTHER PUBLIC LOCATIONS WITHIN THE HOSPITAL, INFORMATION ON THE SPECTRUM HEALTH WEBSITE, THE SPECTRUM HEALTH PATIENT HANDBOOK, VARIOUS INFORMATIONAL BROCHURES, UPON REQUEST BY ANY PATIENT, GUARANTOR OR COMMUNITY MEMBER, WORD OF MOUTH VIA FINANCIAL COUNSELORS AND OTHERS, AND THROUGH COMMUNITY PUBLICATIONS AND OUTREACH EVENTS. IN ADDITION, SPECTRUM HEALTH WILL OFFER A PLAIN LANGUAGE SUMMARY OF ITS FINANCIAL ASSISTANCE ELIGIBILITY POLICY AS PART OF THE PATIENT INTAKE AND/OR DISCHARGE PROCESS, AS WELL AS PROVIDE INDIVIDUALS WITH ASSISTANCE IN COMPLETING THE APPLICATION PROCESS. PATIENTS WILL BE NOTIFIED OF THE FINANCIAL ASSISTANCE ELIGIBILITY POLICY FOR A PERIOD OF AT LEAST 120 DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. PATIENT BALANCES WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE EVALUATION FOR AT LEAST 240 DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT ("APPLICATION PERIOD"). IF SPECTRUM HEALTH RECEIVES A FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, WHETHER THE APPLICATION IS COMPLETE OR INCOMPLETE, IT WILL SUSPEND ANY COLLECTION EFFORTS UNTIL A DETERMINATION REGARDING FINANCIAL ASSISTANCE IS MADE.

Field	Value	IRS element (for citing)
Facility	13	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Spectrum Health Surgery Center - East Paris
1000 East Paris	Grand Rapids	MI	49545	Surgical Center (Free Standing Outpatient Facility)
Spectrum Health Surgery Center - Lake Drive
4069-4100 Lake Drive	Grand Rapids	MI	49545	Surgical Center (Free Standing Outpatient Facility)
Spectrum Health Surgery Center - South Pavilion
80 68th Street	Grand Rapids	MI	49548	Surgical Center (Free Standing Outpatient Facility)
Spectrum Health United Hospital Rehab and Nursing Center
615 South Bower St	Greenville	MI	48838	Skilled Nursing Center
Spectrum Health Reed City Hospital Rehab and Nursing Center
300 North Patterson Road	Reed City	MI	49677	Skilled Nursing Center
Spectrum Health Rehab and Nursing Centers
750 Fuller Ave NE	Grand Rapids	MI	49503	Skilled Nursing Center
Spectrum Health Kelsey Hospital Rehab and Nursing Center
418 Washington Ave	Lakeview	MI	48850	Skilled Nursing Center
COMMUNITY MEDICAL CENTER
420 MEDICAL PARK DRIVE	WATERVLIET	MI	49098	RURAL HEALTH CLINIC
COLOMA MEDICAL CENTER
6701 PAW PAW AVE	COLOMA	MI	49038	RURAL HEALTH CLINIC
COMMUNITY BONE & JOINT
6559 PAW PAW AVE	COLOMA	MI	49038	PROFESSIONAL MEDICAL OFFICE
STAGG MEDICAL CENTER
525 SOUTH CENTER ST	HARTFORD	MI	49057	RURAL HEALTH CLINIC
COMMUNITY CENTER FOR GENERAL SURGERY
6559 PAW PAW AVE	COLOMA	MI	49038	PROFESSIONAL MEDICAL OFFICE
SOUTHWESTERN MEDICAL CLINIC
2002 11TH ST	NILES	MI	49120	RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (32 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 7 CHNA website address	Spectrum Health Butterworth: https://www.spectrumhealth.org/locations/spectrum-health-hospitals-butterworth-hospital/community-health-needs-assessment Spectrum Health Blodgett: https://www.spectrumhealth.org/locations/spectrum-health-hospitals-blodgett-hospital/community-health-needs-assessment Spectrum Health United: https://www.spectrumhealth.org/locations/spectrum-health-united-hospital/community/community-health-needs-assessment Spectrum Health Gerber Memorial: https://www.spectrumhealth.org/locations/spectrum-health-gerber-memorial/community-resources/community-health-needs-assessment Spectrum Health Ludington: https://www.spectrumhealth.org/locations/spectrum-health-ludington-hospital/communities/community-health-needs-assessment Spectrum Health Big Rapids: https://www.spectrumhealth.org/locations/spectrum-health-big-rapids-hospital/communities/community-health-needs-assessment Spectrum Health Reed City: https://www.spectrumhealth.org/locations/spectrum-health-reed-city-hospital/communities/community-health-needs-assessment Spectrum Health Zeeland: https://www.spectrumhealth.org/locations/spectrum-health-zeeland-community-hospital/communities/community-health-needs-assessment Spectrum Health Kelsey: https://www.spectrumhealth.org/locations/spectrum-health-kelsey-hospital/community-resources/community-health-needs-assessment Spectrum Health Pennock: https://www.spectrumhealth.org/locations/spectrum-health-pennock/communities/community-health-needs-assessment Spectrum Health Lakeland: https://www.spectrumhealthlakeland.org/population-health/get-facts/community-health-needs-assessment
Schedule H, Part V, Section B, Line 10 Implementation strategy website address	Spectrum Health Butterworth: https://www.spectrumhealth.org/locations/spectrum-health-hospitals-butterworth-hospital/community-health-needs-assessment Spectrum Health Blodgett: https://www.spectrumhealth.org/locations/spectrum-health-hospitals-blodgett-hospital/community-health-needs-assessment Spectrum Health United: https://www.spectrumhealth.org/locations/spectrum-health-united-hospital/community/community-health-needs-assessment Spectrum Health Gerber Memorial: https://www.spectrumhealth.org/locations/spectrum-health-gerber-memorial/community-resources/community-health-needs-assessment Spectrum Health Ludington: https://www.spectrumhealth.org/locations/spectrum-health-ludington-hospital/communities/community-health-needs-assessment Spectrum Health Big Rapids: https://www.spectrumhealth.org/locations/spectrum-health-big-rapids-hospital/communities/community-health-needs-assessment Spectrum Health Reed City: https://www.spectrumhealth.org/locations/spectrum-health-reed-city-hospital/communities/community-health-needs-assessment Spectrum Health Zeeland: https://www.spectrumhealth.org/locations/spectrum-health-zeeland-community-hospital/communities/community-health-needs-assessment Spectrum Health Kelsey: https://www.spectrumhealth.org/locations/spectrum-health-kelsey-hospital/community-resources/community-health-needs-assessment Spectrum Health Pennock: https://www.spectrumhealth.org/locations/spectrum-health-pennock/communities/community-health-needs-assessment Spectrum Health Lakeland: https://www.spectrumhealthlakeland.org/population-health/get-facts/community-health-needs-assessment
Schedule H, Part I, Line 6a Related Organization Information	SPECTRUM HEALTH SYSTEM GROUP A,1 - A,10 SPECTRUM HEALTH SYSTEM PUBLISHES A CONSOLIDATED COMMUNITY BENEFIT REPORT ON ITS WEBSITE AT WWW.SPECTRUMHEALTH.ORG (CLICK ON THE LINK TITLED "ABOUT" THEN "CORPORATE SOCIAL RESPONSIBILITY" OR HTTPS://WWW.SPECTRUMHEALTH.ORG/ABOUT-US/CORPORATE-SOCIAL-RESPONSIBILITY/COMMUNITY-BENEFIT). IN ADDITION, THE HEALTH SYSTEM HOLDS AN ANNUAL MEETING, WHICH IS OPEN TO THE PUBLIC, TO DISCUSS ITS COMMUNITY COMMITMENTS. A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES AS PART OF THE 2019-2022 IMPLEMENTATION STRATEGY, SPECTRUM HEALTH LAKELAND PRESENTS THE ANNUAL COMMUNITY BENEFITS REPORT TO THE POPULATION HEALTH COMMITTEE (SUB-COMMITTEE OF THE BOARD), AND TO THE LAKELAND BOARD OF DIRECTORS. ONE OF THE ACTION ITEMS INCLUDED IN THE IMPLEMENTATION STRATEGY IS TO RE-ENGINEER COMMUNITY BENEFIT REPORTING INFRASTRUCTURE AND PROCESSES. ONE OF THE INTENDED IMPACTS OF THE AFFORDABLE CARE ACT IS TO ALIGN HEALTH SYSTEMS' ALLOCATIONS OF COMMUNITY BENEFITS WITH HEALTH NEEDS IDENTIFIED IN THE CHNA. THE FOLLOWING ACTIVITIES WILL BE EXECUTED TO ACHIEVE ALIGNMENT: THE PURCHASE OF NEW COMMUNITY BENEFITS REPORTING SOFTWARE (COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY OR CBISA) THAT WILL BE USED SYSTEMWIDE; INTERNAL EDUCATION AND AWARENESS BUILDING WILL BE UNDERTAKEN TO IMPROVE ORGANIZATIONAL UNDERSTANDING OF WHAT COMMUNITY BENEFITS ARE, WHY THEY ARE IMPORTANT, AND WHAT COUNTS AS A COMMUNITY BENEFIT. REGULAR COMMUNICATION WITH THE LAKELAND BOARD OF DIRECTORS AT QUARTERLY MEETINGS TO SEEK DIRECTION, ADVOCACY AND HELP ELEVATE THIS WORK THROUGH THE ESTABLISHMENT OF NEW METRICS AROUND TRUST.
Schedule H, Part VI, Line 7 State Filing of Community Benefit Report	IF APPLICABLE, IDENTIFY ALL STATES WITH WHICH THE ORGANIZATION, OR A RELATED ORGANIZATION, FILES A COMMUNITY BENEFIT REPORT: THE STATE OF MICHIGAN DOES NOT REQUIRE A COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE HOWEVER SPECTRUM HEALTH SYSTEM VOLUNTARILY REPORTS CONSOLIDATED COMMUNITY BENEFIT INFORMATION TO THE MICHIGAN HEALTH AND HOSPITAL ASSOCIATION AND IN AN ANNUAL MEETING TO THE COMMUNITY. THE COMMUNITY BENEFIT REPORT IS ALSO AVAILABLE ON THE ORGANIZATION'S WEBSITE.
Schedule H, Part I, Line 5b Budgeted Free Care	THE ORGANIZATION'S FINANCIAL ASSISTANCE EXPENSE DID NOT EXCEED THE BUDGETED AMOUNT IN CY20. HOWEVER, IN CONJUNCTION WITH THE HEALTHY MICHIGAN PLAN, THE STATE OF MICHIGAN MANDATED DISCOUNTS TO THE UNINSURED BASED ON FINANCIAL NEED. THE HOSPITAL MUST ACCEPT NO MORE THAN 115% MEDICARE RATES AS PAYMENT IN FULL FROM AN UNINSURED INDIVIDUAL WITH AN ANNUAL INCOME LEVEL UP TO 250% OF THE FEDERAL POVERTY LEVEL. UNDER THE STATE OF MICHIGAN MANDATE, THE HOSPITAL FACILITIES PROVIDED $11.4 MILLION OF DISCOUNTED CARE. THE STATE OF MICHIGAN MANDATED DISCOUNTS ARE NOT INCLUDED IN THE HOSPITAL FACILITIES' FINANCIAL ASSISTANCE POLICY, HOWEVER THEY ARE INCLUDED IN FINANCIAL ASSISTANCE EXPENSE BECAUSE THIS REPRESENTS DISCOUNTED CARE BASED ON FINANCIAL NEED.
Schedule H, Part I, Line 7 Total Functional Expenses Used	SINCE THE AMOUNT OF TOTAL FUNCTIONAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25, COLUMN A, INCLUDES NON-HOSPITAL FACILITY EXPENSES (INCLUDING MEDICAL GROUP, SKILLED NURSING, HOSPICE, HOME CARE, AND OTHER SUCH NON-HOSPITAL FACILITY EXPENSES), AND THE COMMUNITY BENEFIT EXPENSES ON PART I, LINE 7, RELATE ONLY TO HOSPITAL FACILITIES, FOR PURPOSES OF CALCULATING TOTAL COMMUNITY BENEFIT, A TOTAL FUNCTIONAL EXPENSE AMOUNT OF $3,389,833,773 WAS USED. THIS AMOUNT REPRESENTS TOTAL FUNCTIONAL EXPENSES RELATED TO SPECTRUM HEALTH'S HOSPITAL FACILITIES ONLY, WHICH YIELDS A MORE ACCURATE AND MEANINGFUL DISCLOSURE OF SPECTRUM HEALTH'S TOTAL COMMUNITY BENEFIT PERCENTAGE.
Schedule H, Part VI, Line 4 COMMUNITY INFORMATION CONTINUED	A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES THE SYSTEM SERVES APPROXIMATELY 284,000 RESIDENTS IN BERRIEN COUNTY AND SURROUNDING AREAS. APPROXIMATELY 17% ARE BELOW POVERTY LEVEL. COMMUNITY SERVED. LAKELAND SERVES ALL OF BERRIEN COUNTY, AND PARTS OF VAN BUREN AND CASS COUNTIES. ALL THREE COUNTIES ARE LOCATED IN THE SOUTHWEST CORNER OF MICHIGAN. THIS SERVICE AREA IS DETERMINED BY THE LOCATION OF LAKELAND'S FACILITIES AND PATIENTS' PLACES OF RESIDENCE. THE 2019 CHNA IDENTIFIES THE HEALTH NEEDS OF BERRIEN COUNTY.
Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE	SPECTRUM HEALTH SYSTEM GROUP A,1 - A,10 https://www.spectrumhealth.org/AFFORDING-CARE/FINANCIAL-ASSISTANCE A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/PATIENT-VISITOR-GUIDE/PATIENT/BILLING/FINANCIAL-ASSISTANCE
Schedule H, Part V, Section B, Line 16b FAB APPLICATION FORM WEBSITE	SPECTRUM HEALTH SYSTEM GROUP A,1 - A,10 https://www.spectrumhealth.org/AFFORDING-CARE/FINANCIAL-ASSISTANCE A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/PATIENT-VISITOR-GUIDE/PATIENT/BILLING/FINANCIAL-ASSISTANCE
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	SPECTRUM HEALTH SYSTEM GROUP A,1 - A,10 https://www.spectrumhealth.org/AFFORDING-CARE/FINANCIAL-ASSISTANCE A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/PATIENT-VISITOR-GUIDE/PATIENT/BILLING/FINANCIAL-ASSISTANCE
Schedule H, Part I, Line 7f LINES 7F AND 7I	A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES HEALTH PROFESSIONS EDUCATION - LAKELAND PREPARES HEALTH CARE PROFESSIONALS FOR THE FUTURE BY PROVIDING A VARIETY OF TRAINING PROGRAMS AND EDUCATIONAL EXPERIENCES IN CLINICAL SETTINGS FOR UNDERGRADUATE AND GRADUATE STUDENTS, MEDICAL RESIDENTS, AND NURSING AND OTHER ALLIED HEALTH PROFESSIONALS. CASH & IN-KIND DONATIONS TO COMMUNITY GROUPS - CASH CONTRIBUTIONS AND IN-KIND DONATIONS ARE DESIGNATED FOR HEALTH CARE RELATED ACTIVITIES PROVIDED BY SOCIAL SERVICE AND COMMUNITY AGENCIES, SUCH AS MEDICAL SUPPORT FOR COMMUNITY EVENTS AND PARTNERS WHO SERVE THE MOST VULNERABLE POPULATIONS. THIS AMOUNT ALSO INCLUDES LEADERSHIP INVOLVEMENT ON COMMUNITY BOARDS THAT SUPPORT ORGANIZATIONS AND THEIR EFFORTS ON BEHALF OF VULNERABLE POPULATIONS. RESEARCH - LAKELAND IS COMMITTED TO INNOVATION BY OFFERING THE MOST ADVANCED, HIGH-QUALITY TREATMENTS AND HEALTH AND HEALING SERVICES TO THE COMMUNITY. AS A RESULT, LAKELAND SPONSORS CLINICAL AND COMMUNITY HEALTH RESEARCH, AS WELL AS STUDIES ON HEALTH CARE DELIVERY. FINANCIAL ASSISTANCE - FREE OR DISCOUNTED CARE THAT LAKELAND OFFERS TO PEOPLE WHO ARE UNABLE TO PAY FOR THEIR OWN CARE AND NOT ELIGIBLE FOR PUBLIC PROGRAMS. FINANCIAL ASSISTANCE DOES NOT INCLUDE THE BAD DEBT COST, WHICH TOTALED $20,509,650 IN CY 2020. UNREIMBURSED MEDICAID - REPRESENTS THE COST OF CARING FOR PEOPLE COVERED BY MEDICAID MINUS THE AMOUNT LAKELAND RECEIVES FROM THOSE PROGRAMS.
Schedule H, Part V, Section B, Line 7 LINE 7B	SPECTRUM HEALTH SYSTEM GROUP A,1 - A,10 HTTPS://WWW.SPECTRUMHEALTH.ORG/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/POPULATION-HEALTH
Schedule H, Part V, Section B, Line 7 LINE 7D	CNHA WAS PROVIDED DURING COMMUNITY EDUCATIONAL CLASSES AND AT THE CENTER FOR BETTER HEALTH HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/CENTER-FOR-BETTER-HEALTH
Schedule H, Part I, Line 6a NAME OF RELATED ORGANIZATION THAT PREPARED COMMUNITY BENEFIT REPORT	SPECTRUM HEALTH SYSTEM GROUP A,1 - A,10 SPECTRUM HEALTH SYSTEM (EIN: 38-3382353) A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES LAKELAND REGIONAL HEALTH SYSTEM, INC. (EIN: 38-2609624)
Schedule H, Part I, Line 7g Subsidized Health Services	SPECTRUM HEALTH SYSTEM GROUP A,1 - A,10 SUBSIDIZED HEALTH SERVICES OFFERED BY SPECTRUM HEALTH INCLUDE THE UNREIMBURSED COSTS OF PROVIDING FREE OR SUBSIDIZED HEALTH SERVICES AND/OR COMMUNITY CLINICS. SUBSIDIZED HEALTH SERVICES WERE PROVIDED AT THE FOLLOWING CLINICS BY SPECTRUM HEALTH: -CENTER FOR INTEGRATED MEDICINE ("CIM") IS AN ADDICTION MEDICINE AND COMPLEX CARE CLINIC THAT EMPLOYS A NEW MODEL OF CARE TO ASSESS AND TREAT SUBUSTANCE USE DISORDERS. THE CENTRAL GOAL OF THE CIM IS TO IDENTIFY, ACCURATELY DIAGNOSE AND DEVELOP A CARE PLAN FOR EACH PATIENT. PATIENTS UNDERGO COMPREHENSIVE HEALTH EXAMS, A BEHAVIORAL HEALTH ASSESSMENT, ADDICTION ASSESSMENT, AND A MEDICAL SOCIAL WORK CASE MANAGEMENT EVALUATION. -HELEN DEVOS CHILDREN'S HOSPITAL PEDIATRIC PRIMARY CARE CLINIC IS A RESIDENCY TEACHING CLINIC THAT TEAMS PEDIATRICIANS WITH MEDICAL STUDENTS AND RESIDENTS TO SERVE AS THE MEDICAL HOME FOR ITS PATIENTS. THE PROGRAM PROVIDES ROUTINE WELL-CHILD CARE, DIAGNOSIS AND TREATMENT FOR NEW PROBLEMS, MANAGEMENT OF COMPLEX CHRONIC CARE, AND PEDIATRIC CONSULTATION BY REFERRAL. -SPECTRUM HEALTH OB/GYN CLINIC HAS A DUAL MISSION OF TEACHING OB/GYN RESIDENTS AND TAKING CARE OF THE UNDERINSURED WOMEN OF ALL AGES IN THE COMMUNITY. SERVICE PROVISION INCLUDES COMPREHENSIVE OBSTETRIC AND GYNECOLOGY CARE, CENTERING PREGNANCY GROUP CARE, HIGH RISK OBSTETRICS, AND CLOSE COLLABORATION WITH SOCIAL WORK, REGISTERED DIETITIANS, AND COMMUNITY PARTNERS TO REDUCE MATERNAL AND INFANT MORTALITY. -SPECTRUM HEALTH INTERNAL MEDICINE AND FAMILY PRACTICE CLINIC OFFERS FAMILY CARE TO THE UNDERINSURED. THE CLINIC SERVES AS A TEACHING CLINIC FOR INTERNAL MEDICINE AND FAMILY PRACTICE CLINICS. -INTERNAL MEDICINE RESIDENCY PRACTICE: THE INTERNAL MEDICINE RESIDENCY CLINIC HAS A DUAL MISSION OF TEACHING INTERNAL MEDICINE RESIDENTS AND TAKING CARE OF THE UNDERINSURED IN THE COMMUNITY, INCLUDING COMPREHENSIVE INTERNAL MEDICINE SERVICES TO ADULTS. -FAMILY MEDICINE RESIDENCY CENTER: THE FAMILY MEDICINE RESIDENCY CENTER HAS A DUAL MISSION OF TEACHING FAMILY MEDICINE RESIDENTS AND TAKING CARE OF THE UNDERINSURED IN THE COMMUNITY, INCLUDING COMPREHENSIVE SERVICES TO ADULTS AND CHILDREN. OBSTETRICS SERVICES ARE OFFERED AS WELL. -ORTHOPEDIC SURGERY RESIDENCY PRACTICE: THE ORTHOPEDIC RESIDENCY CLINIC HAS A DUAL MISSION OF TEACHING ORTHOPEDIC SURGERY RESIDENTS AND TAKING CARE OF THE UNDERINSURED IN THE COMMUNITY, INCLUDING GENERAL ORTHOPEDIC SURGERY SERVIVES TO ADULTS. -GENERAL SURGERY RESIDENCY PRACTICE/ GENERAL SURGERY ACADEMIC PRACTICE: THE GENERAL SURGERY RESIDENCY CLINIC HAS A DUAL MISSION OF TEACHING GENERAL SURGERY RESIDENTS AND TAKING CARE OF THE UNDERINSURED IN THE COMMUNITY, INCLUDING COMPREHENSIVE GENERAL SURGERY SERVICES TO ADULTS. -PLASTIC SURGERY RESIDENCY PRACTICE/ THE PLASTIC SURGERY RESIDENCY CLINIC HAS A DUAL MISSION OF TEACHING PLASTIC SURGERY RESIDENTS AND TAKING CARE OF THE UNDERINSURED IN THE COMMUNITY, INCLUDING COMPREHENSIVE PLASTIC SURGERY SERVICES TO ADULTS. A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES SUBSIDIZED HEALTH SERVICES OFFERED BY SPECTRUM HEALTH LAKELAND INCLUDE THE UNREIMBURSED COSTS OF PROVIDING FREE OR SUBSIDIZED HEALTH SERVICES FOR FORENSIC CARE & ADVOCACY (FORMERLY KNOWN AS SANE=SEXUAL ASSAULT NURSE EXAMINER'S PROGRAM) AT SPECTRUM HEALTH LAKELAND HAS BEEN PROVIDING SPECIALIZED MEDICAL EVALUATIONS SINCE 2009. THROUGH CRISIS INTERVENTION & EMOTIONAL SUPPORT INCLUDING CONTINUAL ADVOCACY, LEGAL ADVOCACY, & COUNSELING, WE PROVIDE CARE FOR SURVIVORS OF SEXUAL ASSAULT; PHYSICAL ASSAULT OR ABUSE; INTIMATE PARTNER VIOLENCE; CHILD & VULNERABLE ADULT ABUSE; & HUMAN TRAFFICKING. FORENSIC CARE & ADVOCACY (SANE) ADDRESSES AN IDENTIFIED COMMUNITY NEED BY OFFERING AN ESSENTIAL HEALTHCARE RESOURCE FOR SURVIVORS OF SEXUAL VIOLENCE WHO OTHERWISE WOULDN'T HAVE ACCESS TO THIS FULL SCOPE OF 24/7 SPECIALIZED, TRAUMA-INFORMED CARE CLOSE TO HOME (& REGARDLESS OF THEIR ABILITY TO PAY).
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	97961981
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE ORGANIZATION CALCULATES AN OVERALL COST-TO-CHARGE RATIO DERIVED BY USING THE IRS WORKSHEET 2 FORMAT, RATIO OF PATIENT CARE COST-TO-CHARGES. ALL PATIENT SEGMENTS AND PAYERS ARE USED IN THE CALCULATION.
Schedule H, Part II Community Building Activities	SPECTRUM HEALTH SYSTEM GROUP A,1 - A,10 SPECTRUM HEALTH'S HOSPITAL FACILITIES ARE DEDICATED TO THE COMMUNITIES THEY SERVE. THE HOSPITALS WORK TO ADDRESS THE PRESSING HEALTH ISSUES OF THE COMMUNITIES THEY SERVE BY PROMOTING AND ADVOCATING FOR OVERALL COMMUNITY HEALTH IMPROVEMENT. SPECTRUM HEALTH CONTRIBUTES FUNDING AND PARTNERS WITH COMMUNITY CLINICS SUCH AS CHERRY HEALTH SERVICES, CATHERINE'S HEALTH CENTER, AND EXALTA HEALTH TO PROVIDE MEDICAL SERVICES TO IMPROVE THE HEALTH OF ADULTS MANAGING CHRONIC DISEASE, IMPROVING CHILDREN'S HEALTH, AND REDUCING INFANT MORTALITY. AS THE NEED FOR MENTAL HEALTH SERVICES AND SUBSTANCE USE DISORDERS CONTINUE TO RISE, SPECTRUM HEALTH FUNDS ORGANIZATIONS SUCH AS ARBOR CIRCLE AND THE GRAND RAPIDS RED PROJECT. AS WE RECOGNIZE THAT HEALTHCARE IS NOT THE SOLE CONTRIBUTOR TO IMPROVING HEALTH, WE ALSO SUPPORT ORGANIZATIONS THAT ADDRESS THE SOCIAL DETERMINANTS OF HEALTH (THAT INCLUDE BUT ARE NOT LIMITED TO) EDUCATION, EMPLOYMENT, HOUSING, AND FOOD INSECURITY. IN THE HEALTH SCIENCES SCHOOL PARTNERSHIP, THE REGION'S PREMIER SPECIALTY HIGH SCHOOL, FOCUS IS ON PREPARING STUDENTS FOR COLLEGE AND TECHNICAL CAREER PATHWAYS IN THE WIDE-RANGING HEALTH CARE INDUSTRY. OUR FOOD INSECURITY ALLIANCE INCLUDES PARTNERING WITH ORGANIZATIONS SUCH AS ACCESS OF WEST MICHIGAN, THE COMMUNITY FOOD CLUB, URBAN ROOTS AND WELLHOUSE. TO REDUCE HOUSING INSECURITY, WE PARTNER WITH KINGDOM LIFE MINISTRIES TO HOUSE PREGNANT MOTHERS AND FAMILIES AND SUPPORT 3:11 HOUSING WHICH HOUSES HOMELESS YOUTH. SPECTRUM HEALTH IS ALSO PART OF A COLLABORATIVE PARTNERSHIP WITH THE ROBERT WOOD JOHNSON FOUNDATION AND REINVESTMENT FUND CALLED INVEST HEALTH. IT FOCUSES ON INCREASING EQUITABLE OUTCOMES BY REDUCING INFANT MORTALITY, LEAD EXPOSURES AND INCREASING FOOD SECURITY IN HISTORICALLY LOW-INCOME TARGETED CENSUS TRACT AREAS. THE INVEST HEALTH GRAND RAPIDS TEAM WILL ACHIEVE THIS THROUGH SCALING WORKFORCE MODELS AND HOUSING SUPPLY WITH ALIGNED INFANT MORTALITY, LEAD AND FOOD PROGRAMMING IN THE TARGETED CENSUS TRACTS. ADDITIONALLY, THE HOSPITALS HOST A MULTITUDE OF FREE COMMUNITY EDUCATION SEMINARS AND HEALTH SCREENINGS, HEALTH FAIRS AND SUPPORT GROUPS. A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES COMMUNITY BUILDING ACTIVITIES - PROGRAMS AND SERVICES THAT WHILE NOT DIRECTLY RELATED TO HEALTH CARE, ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS SUCH AS POVERTY, CRIME, AND ENVIRONMENTAL ISSUES. EXAMPLES ARE PHYSICAL IMPROVEMENTS, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, COALITION BUILDING, COMMUNITY HEALTH IMPROVEMENT ADVOCACY, AND WORKFORCE DEVELOPMENT ACTIVITIES. HEALTH EDUCATION IS PROVIDED ON THE HIGH PRIORITY HEALTH NEEDS IDENTIFIED IN THE CHNA, INCLUDING INFORMATION ON STRESS MANAGEMENT AND MENTAL HEALTH; OBESITY AND WEIGHT CONTROL; DIABETES AND KIDNEY DISEASE; HYPERTENSION AND OTHER CARDIOVASCULAR DISEASES; AND NUTRITION AND HEALTH BEHAVIORS. EDUCATION IS TAILORED TO VULNERABLE POPULATIONS IN NEIGHBORHOOD SETTINGS. FOR EXAMPLE, THE POPULATION HEALTH DEPARTMENT AT LAKELAND HAS DEVELOPED NEIGHBORHOOD-CENTERED HEALTH HOMES AT ELITE BARBERSHOP (A BARBERSHOP THAT PRIMARILY SERVES MEN) AND HARBOR TOWERS (A LOW-INCOME HOUSING FACILITY) IN BENTON HARBOR. THIS CATEGORY ALSO ENCOMPASSES ALLIANCES WITH COMMUNITY PARTNERS. FOR EXAMPLE, DISASTER READINESS PREPARATIONS AS PART OF THE FIFTH DISTRICT MEDICAL RESPONSE COALITION. LAKELAND ASSESSES THE HEALTH CARE NEEDS OF OUR COMMUNITIES IT SERVES BY CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. THE FIRST STEP IN CONDUCTING THE CHNA IN 2019 WAS TO STRATIFY THE POPULATION ACCORDING TO TWO PROXY INDICATORS OF HEALTH: AGE-ADJUSTED MORTALITY AND LIFE EXPECTANCY. THIS LED TO THE IDENTIFICATION OF SIGNIFICANT HEALTH INEQUITIES ACROSS CENSUS TRACTS IN BERRIEN COUNTY. FOR INSTANCE, BENTON HEIGHTS HAS AN AGE-ADJUSTED MORTALITY RATE THREE TIMES HIGHER THAN SHOREHAM. SIMILARLY, THE LIFE EXPECTANCY OF RESIDENTS IN PARTS OF BENTON HARBOR IS ABOUT NINETEEN YEARS SHORTER THAN THAT OF PEOPLE WHO LIVE IN BERRIEN SPRINGS AND LINCOLN TOWNSHIP. PEOPLE WHO LIVE IN AND AROUND THE CITIES OF BENTON HARBOR AND NILES DIE EARLIER THAN PEOPLE WHO LIVE IN AND AROUND THE CITIES OF ST. JOSEPH, STEVENSVILLE AND BERRIEN SPRINGS. MOREOVER, 75% OF THE CENSUS TRACTS WITH THE HIGHEST DEATH RATES (I.E., THE LOWEST QUARTILE) ARE IN AND AROUND THE CITY OF BENTON HARBOR. THESE FINDINGS OF SIGNIFICANT HEALTH INEQUITIES FORMED THE FOUNDATION UPON WHICH THE PROJECT TEAM PLANNED AND EXECUTED THE CHNA. BY DIRECTING THE DATA COLLECTION PROCESS, THESE FINDINGS HELPED THE PROJECT TEAM ENSURE THAT MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS PROVIDED THEIR PERSPECTIVES ON COMMUNITY HEALTH. PLEASE VISIT OUR WEBSITE FOR MORE INFORMATION. HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/HEALTHWELLNESS/COMMUNITY-HEALTH-ANDWELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT COMMUNITY BUILDING ACTIVITIES / PHYSICAL IMPROVEMENTS - DEVELOPMENT OR MAINTENANCE OF PARKS AND PLAYGROUNDS TO PROMOTE PHYSICAL ACTIVITIES LAKELAND HOSPITAL WATERVLIET PAR COURSE - IS MAINTAINED BY HOSPITAL ASSOCIATES TO PROVIDE COMMUNITY MEMBERS A SAFE AND SECURE PLACE TO EXERCISE. IT IS ALSO USED BY WATERVLIET HIGH SCHOOL STUDENTS DURING GYM CLASSES.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ACCOUNTS RECEIVABLE, PAYER COMPOSITION AND AGING, AND HISTORICAL WRITE-OFF EXPERIENCE BY PAYER CATEGORY AND OTHER FACTORS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTED ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR THIRD-PARTY PAYERS, THE PROVISION IS DETERMINED BY ANALYZING CONTRACTUALLY DUE AMOUNTS FROM PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES. FOR SELF-PAY PATIENTS, THE PROVISION IS BASED ON AN ANALYSIS OF PAST EXPERIENCE RELATED TO PATIENTS UNWILLING TO PAY STANDARD RATES CHARGED. THE DIFFERENCE BETWEEN THAT STANDARD RATE CHARGED (LESS THE NEGOTIATED DISCOUNTED RATE) AND THE AMOUNT ACTUALLY COLLECTED AFTER THE REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ALL CHARGES ARE REPORTED AT GROSS, WHICH IS CONSISTENT WITH THE REPORTING METHODOLOGY USED IN THE ORGANIZATION'S FINANCIAL STATEMENTS.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE HOSPITAL FACILITIES ARE UNABLE TO ESTIMATE ACCURATELY THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY. ALTHOUGH A PORTION OF BAD DEBT EXPENSES MAY RELATE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE, A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED. THE HOSPITAL FACILITIES HAVE IMPLEMENTED A "PROPENSITY TO PAY" EVALUATION TOOL THAT PROACTIVELY ASSESSES ONE'S ABILITY AND LIKELIHOOD TO PAY. THIS TOOL HAS PROVIDED A HIGHER DEGREE OF FOCUSED FINANCIAL COUNSELING EFFORTS, RESULTING IN A SUBSTANTIAL REDUCTION OF BAD DEBT AND HIGHER RATE OF IDENTIFICATION OF CHARITY ACCOUNTS.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE NET PATIENT SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE FOOTNOTE, WHICH CONTAINS BAD DEBT EXPENSE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ON PAGES 20-24 OF THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	SPECTRUM HEALTH SYSTEM GROUP A,1 - A,13 THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; (2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; (3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND (4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS. IN DETERMINING MEDICARE SHORTFALLS, THE ORGANIZATION USES A RATIO OF COST-TO-CHARGES. IN DETERMINING THE RATIO OF COST-TO-CHARGES THE ORGANIZATION ADJUSTS FOR BAD DEBT EXPENSES, NON-PATIENT CARE ACTIVITIES, MEDICAID PROVIDER TAXES AND COMMUNITY BENEFITS ACCOUNTED FOR, AND OR REPORTED, ELSEWHERE. THE RATIO OF COST-TO-CHARGES IS APPLIED TO MEDICARE CHARGES TO DETERMINE SHORTFALLS IN MEDICARE REIMBURSEMENTS.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE ELIGIBLE FOR FREE CARE, AND THUS NO COLLECTION ACTION IS TAKEN. IF FINANCIAL ASSISTANCE ELIGIBILITY WOULD BE DISCOVERED AFTER COMMENCEMENT OF A COLLECTION ACTION, THEN SUCH COLLECTION ACTION WOULD BE SUSPENDED OR REVERSED.
Schedule H, Part V, Section B, Line 16a FAP website	A - SPECTRUM HEALTH BUTTERWORTH: Line 16a URL: SEE SUPPLEMENTAL INFORMATION IN PART VI;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - SPECTRUM HEALTH BUTTERWORTH: Line 16b URL: SEE SUPPLEMENTAL INFORMATION IN PART VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - SPECTRUM HEALTH BUTTERWORTH: Line 16c URL: SEE SUPPLEMENTAL INFORMATION IN PART VI;
Schedule H, Part VI, Line 2 Needs assessment	DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, IN ADDITION TO ANY CHNAS REPORTED IN PART V, SECTION B: THE CHNA DATA PROVIDES A LEVEL FOUNDATION ON WHICH TO PLAN, DEVELOP, AND IMPLEMENT NEW PROGRAMS AND SERVICES TO MEET THE NEEDS OF OUR COMMUNITY. OPERATIONAL SERVICES IDENTIFIED BY THE CHNA, EXPANSION OF THE BLUE ENVELOP PROGRAM, INCREASED REFERRAL GOALS FOR THE MATERNAL INFANT HEALTH PROGRAM, SCHEDULED COUNTY DRUG TAKE BACK EVENTS, AND SUSTAINING THE COORDINATED APPROACH TO CHILDHOOD HEALTH PROGRAM. ALL HAVE BEEN BUILT INTO THE STRATEGIC PLAN AND BUDGET. ADDITIONAL AREAS OF IMPROVEMENT TO COMMUNITY HEALTH WERE IDENTIFIED AND ARE BEING ADDRESSED OUTSIDE OF THE CHNA. FOR EXAMPLE, A COMMUNITY- BASED APPROACH (INVEST HEALTH) IS ADDRESSING ITEMS SUCH AS SAFE, AFFORDABLE HOUSING, INFANT MORTALITY, IMPACT HIRING AS AN ECONOMIC ELEVATOR (RECOGNIZING THE LINK BETWEEN WEALTH CREATION AND HEALTH) AND FOOD INSECURITY. IN ADDITION, THE COVID-19 PANDEMIC LED TO COLLORATIVE EFFORTS TO INCREASE ACCESS TO COVID-19 TESTING AND VACCINES. THESE EFFORTS ALLOW SPECTRUM HEALTH TO LEVERAGE/MULTIPLY FUNDS WHILE DOING COLLABORATIVE WORK WITH COMMUNITY TO ADDRESS THESE ISSUES. THE CHNA AND IMPLEMENTATION PLANS ARE LOCATED AT: SPECTRUM HEALTH BUTTERWORTH: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-HOSPITALS-BUTTERWORTH-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH BLODGETT: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-HOSPITALS-BLODGETT-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH UNITED: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-UNITED-HOSPITAL/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH GERBER MEMORIAL: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-GERBER-MEMORIAL/COMMUNITY-RESOURCES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH LUDINGTON: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-LUDINGTON-HOSPITAL/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH BIG RAPIDS: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-BIG-RAPIDS-HOSPITAL/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH REED CITY: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-REED-CITY-HOSPITAL/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH ZEELAND: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-ZEELAND-COMMUNITY-HOSPITAL/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH KELSEY: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-KELSEY-HOSPITAL/COMMUNITY-RESOURCES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH PENNOCK: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-PENNOCK/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH LAKELAND: HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/POPULATION-HEALTH/GET-FACTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY: SPECTRUM HEALTH INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY THROUGH PRODUCING INFORMATION CARDS AND BROCHURES FOR THE UNINSURED, COMMUNITY OUTREACH PROGRAMS, CONSUMER INFORMATION CLASSES, SPECTRUM HEALTH'S WEBSITE, PERSONAL FINANCIAL COUNSELING AND BY PROVIDING ASSISTANCE IN THE ACTUAL ENROLLMENT OF SUCH PROGRAMS. EACH SPECTRUM HEALTH FACILITY HAS A DEPARTMENT OF FINANCIAL COUNSELORS WHO WORK WITH PATIENTS THAT EXPRESS ANY LEVEL OF CONCERN WITH PAYING THEIR BILL. IN ADDITION, FINANCIAL COUNSELORS PROACTIVELY IDENTIFY PATIENTS WHO HAVE QUALIFYING FACTORS FOR GOVERNMENTAL ASSISTANCE. SPECTRUM HEALTH ALSO PARTNERS WITH ORGANIZATIONS THAT SPECIALIZE IN THE QUALIFICATION PROCESS. IF A PATIENT'S NEED FOR ASSISTANCE IS NOT IDENTIFIED PRIOR TO BILLING, ANY CONCERNS AS A RESULT OF RECEIVING A BILL ARE ADDRESSED BY FINANCIAL COUNSELORS AT THAT TIME. SPECTRUM HEALTH WIDELY PUBLICIZES COMMUNICATIONS TO PATIENTS AND THE PUBLIC ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. THIS IS ACHIEVED THROUGH VARIOUS METHODS INCLUDING, BUT NOT LIMITED TO, THE SPECTRUM HEALTH PATIENT HANDBOOK, VARIOUS INFORMATIONAL BROCHURES, SIGNAGE IN EACH HOSPITAL EMERGENCY DEPARTMENT, ADMISSIONS OFFICES, AND OTHER PUBLIC LOCATIONS, UPON REQUEST BY ANY PATIENT, GUARANTOR OR COMMUNITY MEMBER, WORD OF MOUTH VIA FINANCIAL COUNSELORS AND OTHERS, AND THROUGH COMMUNITY PUBLICATIONS AND OUTREACH EVENTS. IN ADDITION, SPECTRUM HEALTH LISTS OPTIONS FOR THE UNINSURED AND UNDERINSURED ON ITS WEBSITE, ALONG WITH A COPY OF THE FINANCIAL ASSISTANCE ELIGIBILITY POLICY AT WWW.SPECTRUMHEALTH.ORG/AFFORDING-CARE/FINANCIAL-ASSISTANCE
Schedule H, Part VI, Line 4 Community information	DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES: SPECTRUM HEALTH BUTTERWORTH AND SPECTRUM HEALTH BLODGETT: SPECTRUM HEALTH BUTTERWORTH AND SPECTRUM HEALTH BLODGETT ARE LOCATED IN THE SAME COMMUNITY. THEY HAVE IDENTIFIED A PRIMARY SERVICE AREA OF ONE AND A HALF COUNTIES, INCLUDING KENT COUNTY AND PART OF EASTERN OTTAWA COUNTY. THE OVERALL SERVICE AREA TOTALS THIRTEEN COUNTIES, INCLUDING GRAND RAPIDS, MICHIGAN, THE SECOND LARGEST CITY IN THE STATE. OVERALL, THESE COUNTIES HAVE A TOTAL POPULATION OF OVER 1,600,000 RESIDENTS. KENT COUNTY IS LOCATED IN WESTERN MICHIGAN AND IS THE FOURTH LARGEST POPULATION CENTER IN THE STATE. THE COUNTY IS COMPOSED OF TWENTY-ONE TOWNSHIPS, FIVE VILLAGES, AND NINE CITIES COVERING 846 SQUARE MILES. GRAND RAPIDS IS THE COUNTY SEAT AND IS 30 MILES FROM LAKE MICHIGAN AND IS THE SECOND LARGEST CITY IN THE STATE. THE HEALTH CARE RESOURCES IN KENT COUNTY INCLUDE SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH BLODGETT, METRO HEALTH - UNIVERSITY OF MICHIGAN HEALTH, SAINT MARY'S HEALTH CARE, PINE REST, AND MARY FREE BED REHABILITATION HOSPITAL. IN ADDITION, THE HEALTH DEPARTMENT OPERATES FOUR PUBLIC HEALTH CLINICS THROUGHOUT THE COUNTY THAT OFFER PERSONAL HEALTH SERVICES. THE GRAND RAPIDS HOME FOR VETERANS AND THE VETERANS AFFAIRS OUTPATIENT CLINIC PROVIDE SERVICES FOR VETERANS. IN ADDITION TO MAJOR HEALTH CENTERS AND PUBLICLY FUNDED SERVICES, KENT COUNTY OFFERS NUMEROUS HEALTH-RELATED SERVICES THROUGH NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS. FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-HOSPITALS-BUTTERWORTH-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT AND HTTPS://SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-HOSPITALS-BLODGETT-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH UNITED: SPECTRUM HEALTH UNITED HAS IDENTIFIED A PRIMARY SERVICE AREA COMPRISED OF 19 ZIP CODES SURROUNDING GREENVILLE, WHERE SPECTRUM HEALTH UNITED IS LOCATED. THE OVERALL SERVICE AREA INCLUDES MONTCALM AND PORTIONS OF ADJACENT COUNTIES THAT IN TOTAL SUPPORT A POPULATION OF OVER 100,000 RESIDENTS. THE HEALTHCARE RESOURCES IN SPECTRUM HEALTH UNITED'S SERVICE AREA INCLUDE SPECTRUM HEALTH KELSEY, CARSON CITY HOSPITAL, SHERIDAN COMMUNITY HOSPITAL, THE MID-MICHIGAN DISTRICT HEALTH DEPARTMENT, AND CHERRY STREET - MONTCALM AREA HEALTH CENTER. FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-UNITED-HOSPITAL/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH GERBER MEMORIAL: SPECTRUM HEALTH GERBER MEMORIAL IS A CRITICAL ACCESS FACILITY THAT HAS IDENTIFIED A PRIMARY SERVICE AREA OF SEVERAL COUNTIES INCLUDING NEWAYGO COUNTY, EASTERN OCEANA COUNTY AND EASTERN MUSKEGON COUNTY AS PRIMARY AND NORTHERN KENT COUNTY AND SOUTHERN LAKE COUNTY AS SECONDARY. SPECTRUM HEALTH GERBER MEMORIAL IS THE ONLY MAJOR MEDICAL FACILITY IN THE FACILITY'S PRIMARY SERVICE AREA. FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-GERBER-MEMORIAL/COMMUNITY-RESOURCES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH LUDINGTON: SPECTRUM HEALTH LUDINGTON SERVES A RURAL COMMUNITY LOCATED ON THE COAST OF LAKE MICHIGAN SERVING MASON AND PORTIONS OF OCEANA AND LAKE COUNTIES. AS THE COMMUNITY IS A SEASONAL TOURIST ATTRACTION, THE POPULATION OF THE COMMUNITY SIGNIFICANTLY CHANGES WITH THE SEASONS. A SEASONAL MIGRANT POPULATION IS PRESENT DUE TO AGRICULTURAL EMPLOYMENT OPPORTUNITIES IN THE COMMUNITY. A LARGE PORTION OF THE HOSPITALS PATIENTS ARE COVERED BY EITHER MEDICARE OR MEDICAID. SPECTRUM HEALTH LUDINGTON IS THE ONLY MAJOR MEDICAL FACILITY IN THE FACILITY'S SERVICE AREA. FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-LUDINGTON-HOSPITAL/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH BIG RAPIDS: SPECTRUM HEALTH BIG RAPIDS IS LOCATED IN THE MID-WESTERN PORTION OF THE STATE OF MICHIGAN. THE HOSPITAL SERVES A FIVE COUNTY AREA SURROUNDING MECOSTA COUNTY THAT INCLUDES A LARGE POPULATION WITH LOW INCOME STATUS. ACCORDING TO THE US CENSUS FROM 2012 TO 2016 ROUGHLY 21 PERCENT OF THE POPULATION IN THIS AREA LIVES BELOW THE POVERTY LINE. SPECTRUM HEALTH BIG RAPIDS IS THE ONLY MAJOR MEDICAL FACILITY LOCATED IN THE FACILITY'S SERVICE AREA. FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-BIG-RAPIDS-HOSPITAL/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH REED CITY: SPECTRUM HEALTH REED CITY IS A CRITICAL ACCESS FACILITY THAT HAS IDENTIFIED A PRIMARY SERVICE AREA OF THREE COUNTIES, INCLUDING LAKE, OSCEOLA AND A PORTION OF NORTH CENTRAL MECOSTA COUNTY. OVERALL, THESE COUNTIES HAVE A TOTAL POPULATION OF OVER 78,600 RESIDENTS. OSCEOLA COUNTY IS LOCATED IN NORTHERN MICHIGAN APPROXIMATELY 80 MILES NORTH OF GRAND RAPIDS. THE RURAL COUNTY IS COMPOSED OF SIXTEEN TOWNSHIPS, FOUR VILLAGES, AND TWO CITIES COVERING 566 SQUARE MILES. REED CITY IS THE COUNTY SEAT. THE ONLY MAJOR MEDICAL FACILITY IN OSCEOLA COUNTY IS SPECTRUM HEALTH REED CITY. IN ADDITION, THE HEALTH DEPARTMENT IS A BRANCH OFFICE OF THE CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT. LOCATED WEST OF OSCEOLA COUNTY, LAKE COUNTY IS COMPOSED OF FIFTEEN TOWNSHIPS AND TWO VILLAGES COVERING 567 SQUARE MILES. BALDWIN IS THE COUNTY SEAT. THERE ARE NO MAJOR MEDICAL FACILITIES IN LAKE COUNTY. FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-REED-CITY-HOSPITAL/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTT SPECTRUM HEALTH ZEELAND: SPECTRUM HEALTH ZEELAND HAS IDENTIFIED A PRIMARY SERVICE AREA INCLUSIVE OF MUCH OF OTTAWA COUNTY AND THE SURROUNDING LAKESHORE REGION. OVERALL, THE SERVICE AREA OF SPECTRUM HEALTH ZEELAND HAS A POPULATION OF OVER 280,000. THE HEALTHCARE RESOURCES IN OTTAWA COUNTY INCLUDE SPECTRUM HEALTH ZEELAND, HOLLAND HOSPITAL, AND NORTH OTTAWA COMMUNITY HEALTH SYSTEM. OTTAWA COUNTY OFFERS NUMEROUS HEALTH RELATED SERVICES INCLUDING THREE FREE MEDICAL CLINICS AND A VARIETY OF SERVICES THROUGH NON-PROFIT AGENCIES SUCH AS THE OTTAWA COUNTY HEALTH DEPARTMENT AND OTTAWA COUNTY COMMUNITY MENTAL HEALTH. FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-ZEELAND-COMMUNITY-HOSPITAL/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH KELSEY: SPECTRUM HEALTH KELSEY IS A CRITICAL ACCESS FACILITY THAT SERVES THE MEDICAL NEEDS OF THE RESIDENTS OF LAKEVIEW, MI AND THE FAR-NORTHERN PORTION OF A PRIMARY SERVICE AREA SHARED WITH SPECTRUM HEALTH UNITED, A RELATED ORGANIZATION. THE PRIMARY SERVICE AREA IS COMPRISED OF 19 ZIP CODES SURROUNDING LAKEVIEW, WHERE SPECTRUM HEALTH KELSEY IS LOCATED, AND INCLUDES MONTCALM AND PORTIONS OF ADJACENT COUNTIES THAT SUPPORT A POPULATION OF OVER 100,000 RESIDENTS. THE HEALTHCARE RESOURCES IN SPECTRUM HEALTH KELSEY'S SERVICE AREA INCLUDE SPECTRUM HEALTH UNITED, CARSON CITY HOSPITAL, AND SHERIDAN COMMUNITY HOSPITAL, THE MID-MICHIGAN DISTRICT HEALTH DEPARTMENT, AND CHERRY STREET - MONTCALM AREA HEALTH CENTER. FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-KELSEY-HOSPITAL/COMMUNITY-RESOURCES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH PENNOCK: SPECTRUM HEALTH PENNOCK IS A CRITICAL ACCESS FACILITY LOCATED IN BARRY COUNTY AND IS UNIQUELY LOCATED IN THE MIDDLE OF FOUR (4) LARGER METROPOLITAN AREAS: GRAND RAPIDS, LANSING, KALAMAZOO, AND BATTLE CREEK. THE PRIMARY SERVICE AREA IS IDENTIFIED AS BARRY COUNTY AND SUPPORTS A POPULATION OF RESIDENTS OVER 60,000. SPECTRUM HEALTH PENNOCK IS THE ONLY HOSPITAL WITHIN A 35 MILE RADIUS SERVICING RESIDENTS OF THE COMMUNITY. OTHER HEALTHCARE RESOURCES AVAILABLE IN THE COMMUNITY INCLUDE BOTH INDEPENDENT AND PENNOCK EMPLOYED PHYSICIAN OFFICES, THE BARRY COMMUNITY FREE CLINIC, HEALTH CONNECTIONS CLINIC, AND PENNOCK URGENT CARE CENTER. FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-PENNOCK/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
Schedule H, Part VI, Line 5 Promotion of community health	SPECTRUM HEALTH SYSTEM GROUP A,1 - A,10 PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G., OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.): THE BOARD OF DIRECTORS OF EACH FACILITY ON PART V, SECTION A ARE SUBSTANTIALLY COMPOSED OF INDEPENDENT COMMUNITY MEMBERS THAT RESIDE IN THE PRIMARY SERVICE AREA OF THE HOSPITAL. ALL HOSPITALS IN SPECTRUM HEALTH SYSTEM ALSO EXTEND MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SPECTRUM HEALTH SYSTEM INVESTS NET EARNINGS IN IMPROVING PATIENT CARE, BUILDING AND RENOVATING FACILITIES, PURCHASING NEW TECHNOLOGY, PROVIDING HEALTH EDUCATION AND FUNDING COMMUNITY PROGRAMS. PEOPLE THROUGHOUT THE COMMUNITY CAN COUNT ON ALL SPECTRUM HEALTH SYSTEM HOSPITAL FACILITIES TO BE STANDING BY WITH EMERGENCY CARE 24 HOURS A DAY, 365 DAYS A YEAR. THE EMERGENCY DEPARTMENTS ARE STAFFED WITH BOARD-CERTIFIED EMERGENCY CARE PHYSICIANS AND A NURSING STAFF THAT IS TRAINED AND EXPERIENCED IN EMERGENCY CARE. FURTHERMORE, NO PATIENT IS DENIED TREATMENT, REGARDLESS OF THEIR ABILITY TO PAY. A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS - REPRESENTS ACTIVITIES THAT HELP IMPROVE THE HEALTH AND QUALITY OF LIFE FOR PEOPLE IN THE COMMUNITY. A MAJORITY OF THE BOARD OF DIRECTORS IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SURPLUS FUNDS ARE USED FOR IMPROVEMENTS IN PATIENT CARE. THE PURPOSE OF THE POPULATION HEALTH COMMITTEE OF THE LAKELAND BOARD OF DIRECTORS IS TO APPROVE THE ANNUAL COMMUNITY BENEFITS REPORT. IN ADDITION, THE COMMITTEE WORKS TO PROVIDE STRATEGIC GUIDANCE OVER EFFORTS TO IMPROVE THE HEALTH OF ALL PEOPLE WHO RESIDE IN LAKELAND'S SERVICE AREA, NOT JUST PATIENTS WHO RECEIVE CARE AT A LAKELAND FACILITY. HEALTH PROFESSIONS EDUCATION: LAKELAND PREPARES HEALTH CARE PROFESSIONALS FOR THE FUTURE BY PROVIDING A VARIETY OF TRAINING PROGRAMS AND EDUCATIONAL EXPERIENCES IN CLINICAL SETTINGS FOR UNDERGRADUATE AND GRADUATE STUDENTS, MEDICAL RESIDENTS, AND NURSING AND OTHER ALLIED HEALTH PROFESSIONALS. SPECIFICALLY, FOR OCCUPATIONAL, SPEECH, AND LANGUAGE THERAPIES. CASH AND IN-KIND DONATIONS TO COMMUNITY GROUPS: CASH CONTRIBUTIONS AND IN-KIND DONATIONS ARE DESIGNATED FOR HEALTH CARE RELATED ACTIVITIES PROVIDED BY SOCIAL SERVICE AND COMMUNITY AGENCIES, SUCH AS MEDICAL SUPPORT FOR COMMUNITY EVENTS AND PARTNERS WHO SERVE THE MOST VULNERABLE POPULATIONS. FOR EXAMPLE, LAKELAND COMMUNITY HOSPITAL, WATERVLIET PROVIDED CONFERENCE ROOM SPACE FOR PAW PAW LAKE ROTARY MEETINGS. THIS AMOUNT ALSO INCLUDES LEADERSHIP INVOLVEMENT ON COMMUNITY BOARDS THAT SUPPORT ORGANIZATIONS AND THEIR EFFORTS ON BEHALF OF VULNERABLE POPULATIONS. FOR EXAMPLE, WATERVLIET LEADERSHIP IS INVOLVED ON A VARIETY OF BOARDS AND/OR COMMITTEES, INCLUDING THE AREA AGENCY ON AGING, THE CASS FAMILY CLINIC NETWORK BOARD, AND CENTER[ED] ON WELLNESS. FINANCIAL ASSISTANCE: FREE OR DISCOUNTED CARE THAT LAKELAND OFFERS TO PEOPLE WHO ARE UNABLE TO PAY FOR THEIR OWN CARE AND NOT ELIGIBLE FOR PUBLIC PROGRAMS. IN ACCORDANCE WITH IRS REQUIREMENTS, BELOW IS A SUMMARY OF THE IMPACT OF THE IMPLEMENTATION STRATEGY THAT WAS UNDERTAKEN TO ADDRESS THE PRIORITY HEALTH NEEDS IDENTIFIED IN THE 2019 - 2021 CHNA. * INCREASED MENTAL HEALTH AWARENESS AND COMMUNITY CAPACITY TO ADDRESS MENTAL HEALTH CONCERNS. MENTAL HEALTH-RELATED TRAININGS WERE PROVIDED. A COMPREHENSIVE MENTAL HEALTH-RELATED CURRICULUM WAS DEVELOPED AND IS BEING DELIVERED THROUGH A REGIONAL MULTI-STAKEHOLDER COLLECTIVE IMPACT INITIATIVE. MENTAL ILLNESS IS LESS STIGMATIZED AS EVIDENCED BY THE SIGNIFICANT INCREASE IN THE NUMBER OF COMMUNITY MEMBERS AND ORGANIZATIONS SEEKING EDUCATION AND TRAINING.
Schedule H, Part VI, Line 6 Affiliated health care system	IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED: SPECTRUM HEALTH IS AN INTEGRATED NOT-FOR-PROFIT HEALTH SYSTEM IN WEST MICHIGAN OFFERING A FULL CONTINUUM OF CARE THROUGH THE SPECTRUM HEALTH HOSPITAL GROUP, WHICH IS COMPRISED OF FOURTEEN HOSPITALS INCLUDING HELEN DEVOS CHILDREN'S HOSPITAL, A STATE OF THE ART CHILDREN'S HOSPITAL AND LAKELAND REGIONAL HEALTH SYSTEM, WHICH INTEGRATED INTO THE SPECTRUM HEALTH SYSTEM IN OCTOBER 2018 AND IS INCLUDED IN THE 2020 990 GROUP RETURN FILING FOR THE FIRST TIME.THE SPECTRUM HEALTH HOSPITAL GROUP INCLUDES MORE THAN 150 AMBULATORY SERVICE SITES (INCLUDING LAKELAND REGIONAL HEALTH SYSTEM SITES); THE SPECTRUM HEALTH MEDICAL GROUP PHYSICIAN GROUP; AND PRIORITY HEALTH, A HEALTH PLAN WITH OVER 920,000 MEMBERS. SPECTRUM HEALTH IS WEST MICHIGAN'S LARGEST EMPLOYER WITH MORE THAN 31,000 EMPLOYEES (INCLUDING LAKELAND REGIONAL HEALTH SYSTEM) AND OVER 2,300 VOLUNTEERS. THE INTEGRATED HEALTH SYSTEM (INCLUDING LAKELAND REGIONAL HEALTH SYSTEM) PROVIDED OVER $542 MILLION IN COMMUNITY BENEFIT DURING ITS 2020 TAX YEAR COVERING JANUARY 1 - DECEMBER 31, 2020. THE $542 MILLION IN COMMUNITY BENEFIT INCLUDES COMMUNITY BENEFIT ACTIVITIES BY THE FACILITIES INCLUDED ON SCHEDULE H HOSPITALS AS WELL AS COMMUNITY BENEFIT ACTIVITIES OF OTHER ORGANIZATION ACROSS THE INTEGRATED HEALTH SYSTEM (INCLUDING LAKELAND REGIONAL HEALTH SYSTEM). EACH HOSPITAL FACILITY INCLUDED ON PART V; SECTION A IS A MEMBER OF THE AFFILIATED GROUP OF ENTITIES WITHIN SPECTRUM HEALTH. EACH HOSPITAL FACILITY IS RESPONSIBLE FOR CREATING VALUE WITHIN ITS RESPECTIVE COMMUNITY. FROM ITS INCEPTION, SPECTRUM HEALTH HAS BEEN A FAITHFUL STEWARD OF ITS COMMUNITY ASSETS. AS A WEST MICHIGAN-BASED NOT-FOR-PROFIT HEALTH SYSTEM, THE ORGANIZATION INVESTS ITS NET EARNINGS TO IMPROVE PATIENT CARE, BUILD AND RENOVATE FACILITIES, PURCHASE NEW TECHNOLOGY, PROVIDE HEALTH EDUCATION AND FUND LOCAL COMMUNITY PROGRAMS. SPECTRUM HEALTH ADOPTED A NEW MISSION IN 2019 - TO IMPROVE HEALTH, INSPIRE HOPE AND SAVE LIVES IT IS CENTRAL TO OUR STRATEGIC DISCUSSIONS AND GUIDES OUR INVESTMENTS AND THE ALLOCATION OF OUR RESOURCES. SPECTRUM HEALTH IS COMMITTED TO PROVIDING VALUE TO THE PEOPLE WE SERVE. "VALUE" MEANS ACCESS TO HIGH-QUALITY HEALTH CARE AT AFFORDABLE COSTS, AS WELL AS ACCESS TO THE FULL CONTINUUM OF HEALTH CARE SERVICES, FROM HEALTH INSURANCE TO OUTPATIENT CARE TO INPATIENT AND HOME CARE, AND EVERYTHING IN BETWEEN. SPECTRUM HEALTH HAS HUNDREDS OF PROGRAMS THAT SUPPORT ITS MISSION "TO IMPROVE HEALTH, INSPIRE HOPE AND SAVE LIVES." THESE PROGRAMS ARE BROUGHT TOGETHER UNDER TEN KEY AREAS: HEALTHIER COMMUNITIES, EDUCATION, INCLUSION AND DIVERSITY, COMMUNITY ENGAGEMENT, RESEARCH, INNOVATION, EMPLOYEE ENGAGEMENT, SUSTAINABILITY, REGIONAL RELATIONSHIPS AND COMMUNITY BENEFIT.
Schedule H, Part VI, Line 7 State filing of community benefit report	MI

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (53 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
SPECTRUM HEALTH SYSTEM
100 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	383382353	501(C)(3)	$770,872	GENERAL SUPPORT
CHERRY STREET HEALTH SERVICES
550 CHERRY ST SE	GRAND RAPIDS	MI	49503	382853534	501(C)(3)	$320,000	INCREASED ACCESS DENTAL SERVICES
EXALTA HEALTH
15 ANDRE ST	GRAND RAPIDS	MI	49503	383273825	501(C)(3)	$200,000	BREAKING WELLNESS BARRIERS & COVID RELIEF STABILITY FUNDS
GRAND RAPIDS AFRICAN AMERICAN HEALTH INSTITUTE
515 MICHIGAN NE	GRAND RAPIDS	MI	49503	061658200	501(C)(3)	$156,870	BLACK MALE DIABETES EMPOWERMENT NETWORK & STRONG FATHERS
ROBERT WOOD JOHNSON FOUNDATION
50 COLLEGE RD E	PRINCETON	NJ	08540	226029397	501(C)(3)	$127,936	CULTURE OF HEALTH AND EVALUATION
ARBOR CIRCLE CORPORATION
1115 BALL NE	GRAND RAPIDS	MI	49505	383263853	501(C)(3)	$117,880	FAMILIAS FUERTES Y SALUDABLES (FFS) (STRONG & HEALTHY FAMILIES) & COVID RELIEF STABILITY FUNDING
HEALTHNET OF WEST MI DBA KENT HEALTH PLAN
620 CENTURY AVE SW	GRAND RAPIDS	MI	49503	383609504	501(C)(3)	$105,000	FITKIDS360 & COVID RELIEF STABILITY FUNDING	STE 210
IFF
3011 WEST GRAND BOULEVARD	DETROIT	MI	48202	363656836	501(C)(3)	$100,000	EXPANDING HIGH-QUALITY, REPLICABLE, EARLY CHILDHOOD EDUCATION CENTER OPTIONS IN GRAND RAPIDS	SUITE 1715
LINCUP
1167 MADISON AVE SE	GRAND RAPIDS	MI	49507	383537915	501(C)(3)	$90,000	SOUTH SIDE AFFORDABLE HOUSING PROJECT
WEST MI CENTER FOR ARTS AND TECHNOLOGY
98 E FULTON ST	GRAND RAPIDS	MI	49503	743120354	501(C)(3)	$90,000	WORKFORCE UNIVERSITY
ACCESS OF WEST MICHIGAN
2850 KALAMAZOO SE	GRAND RAPIDS	MI	49506	383195190	501(C)(3)	$85,000	NUTRITIONAL OPTIONS FOR WELLNESS PROGRAM
COMMUNITY FOOD CLUB
1100 SOUTH DIVISION	GRAND RAPIDS	MI	49507	822265189	501(C)(3)	$85,000	COMMUNITY FOOD CLUB
CATHERINES HEALTH CENTER
1211 LAFAYETTE NE	GRAND RAPIDS	MI	49506	203572418	501(C)(3)	$80,000	IMPROVING HEALTH EQUITY BY REMOVING BARRIERS TO CARE & COVID RELIEF STABILITY FUNDING
FAMILY FUTURES
678 FRONT AVE NW	GRAND RAPIDS	MI	49504	382605028	501(C)(3)	$63,161	TARGETED IMMUNIZATION OUTREACH & INTERPRETATION SERVICES	SUITE 210
REGION IV AREA ON AGING
2900 LAKEVIEW AVENUE	ST JOSEPH	MI	49085	382332594	501(C)(3)	$60,000	GENERAL SUPPORT
ROOSEVELT PARK MINISTRIES
1530 GRANDVILLE AVE SW	GRAND RAPIDS	MI	49503	383305940	501(C)(3)	$60,000	COVID RELIEF STABILITY FUNDING-PUERTAS ABIERTAS
CENTERED ON WELLNESS
1850 COLFAX AVENUE	BENTON HARBOR	MI	49022	382032501	501(C)(3)	$50,000	GENERAL SUPPORT
HEALTHY HOMES COALITION
742 FRANKLIN ST SE	GRAND RAPIDS	MI	49507	205326650	501(C)(3)	$50,000	BREATHE EASY ASTHMA PROJECT
MICHIGAN'S GREAT SOUTHWEST STRATEGIC LEADERSHIP COUNCIL
175 W MAIN STREET	BENTON HARBOR	MI	49022	811493607	501(C)(3)	$50,000	GENERAL SUPPORT
BERRIEN COMMUNITY FOUNDATION
2900 S STATE STREET	ST JOSEPH	MI	49085	386057160	501(C)(3)	$45,435	GENERAL SUPPORT	SUITE 2E
CITY OF NILES
333 N 2ND STREET	NILES	MI	49120	386004720	CITY OF NILES	$45,000	GENERAL SUPPORT
AFRICAN RESOURCE CENTER OF WEST MICHIGAN
950 28TH ST SE	GRAND RAPIDS	MI	49508	464969773	501(C)(3)	$40,000	FUTURENOW! TUTORING PROJECT	STE 105E
BAXTER COMMUNITY CENTER
935 BAXTER ST SE	GRAND RAPIDS	MI	49506	237076806	501(C)(3)	$40,000	FULL DAY SCHOOL AGE CARE AND ACADEMIC SUPPORT
GRAND RAPIDS YOUTH COMMONWEALTH (DBA BOYS & GIRLS CLUB)
235 STRAIGHT AVE NW	GRAND RAPIDS	MI	49504	380593958	501(C)(3)	$40,000	LEARNING ASSISTANCE PROGRAM
FAMILY OUTREACH CENTER INC
1939 DIVISION AVE	GRAND RAPIDS	MI	49507	382272711	501(C)(3)	$40,000	COVID RELIEF STABILITY FUNDING
GRABB LOCAL INC
2012 EASTERN AVE SE	GRAND RAPIDS	MI	49507	832022454	501(C)(3)	$40,000	GRABB RELIEF AND RESILIENCE
MICHIGAN BLACK EXPO INC
101 SOUTH DIVISION AVE	GRAND RAPIDS	MI	49503	383297241	501(C)(3)	$40,000	GRASSROOTS UP (GRUP) INITIATIVE	SUITE 215
GRANDVILLE AVENUE ARTS & HUMANITIES
644 GRANDVILLE AVE SW	GRAND RAPIDS	MI	49503	383482546	501(C)(3)	$40,000	AFTER SCHOOL ARTS AND LIBRARY
KINGDOM LIFE MINISTRIES
2317 KALAMAZOO AVE SE	GRAND RAPIDS	MI	49507	260228233	501(C)(3)	$40,000	DEBORAH HOUSE PROJECT
MEL TROTTER MINISTRIES
225 COMMERCE SW	GRAND RAPIDS	MI	49503	381410467	501(C)(3)	$40,000	PUBLIC INEBRIATE SHELTER PROGRAM
NEW CITY KIDS INC
936 ALPINE AVE	GRAND RAPIDS	MI	49504	223529691	501(C)(3)	$40,000	NEW CITY KIDS ACADEMY
NORTH KENT CONNECT
10075 NORTHLAND DR NE	ROCKFORD	MI	49341	382066893	501(C)(3)	$40,000	RELIEF AND STABILITY FOR RURAL COMMUNITIES
THE SOURCE
1409 BUCHANAN AVE SW	GRAND RAPIDS	MI	49507	204903571	501(C)(3)	$40,000	STAY SAFE TO WORK SAFE PROJECT
THE STORE HOUSE
4411 PLAINFIELD AVE NE	GRAND RAPIDS	MI	49525	814354698	501(C)(3)	$40,000	COVID RELIEF STABILITY FUNDING
WEST MICHIGAN HISPANIC CHAMBER OF COMMERCE FOUNDATION
2007 DIVISION AVENUE SOUTH	GRAND RAPIDS	MI	49507	275303783	501(C)(3)	$40,000	TRANSFORMANDO WEST MICHIGAN UNITY FUND
NATIONAL KIDNEY FOUNDATION
1169 OAK VALLEY DRIVE NE	ANN ARBOR	MI	48108	381559941	501(C)(3)	$35,000	PROGRAMA DE PREVENCION DE LA DIABETES
YMCA
475 LAKE MICHIGAN DR NW	GRAND RAPIDS	MI	49503	381358058	501(C)(3)	$35,000	CHRONIC DISEASE PREVENTION THROUGH THE YMCA WEIGHT LOSS PROGRAM AND COMMUNITY FITNESS CLASSES
MIGRANT LEGAL AID INC (DBA MICHIGAN MIGRANT LEGAL ASSISTANCE PROJECT INC)
1104 FULLER AVE NE	GRAND RAPIDS	MI	49503	382010346	501(C)(3)	$32,500	UNIDOS CONTRA EL COVID
BERRIEN ROSA
711 SAINT JOSEPH AVENUE	BERRIEN SPRINGS	MI	49103	381714920	501(C)(3)	$30,000	GENERAL SUPPORT
HEART OF WEST MICHIGAN UNITED WAY
118 COMMERCE AVE SW	GRAND RAPIDS	MI	49503	381360923	501(C)(3)	$30,000	ENTF FOOD AND NUTRITION COALITION DATA-STORY CAPACITY BUILDING
URBAN CORE COLLECTIVE
413 HALL ST SE	GRAND RAPIDS	MI	49507	465227869	501(C)(3)	$30,000	QUALITATIVE ENGAGEMENT WITH PARENTS AND STUDENTS AROUND SCHOOL ATTENDANCE
KRASEL ART CENTER
707 LAKE BLVD	ST JOSEPH	MI	49085	237009281	501(C)(3)	$27,750	GENERAL SUPPORT
YMCA
905 N FRONT STREET	NILES	MI	49120	381358236	501(C)(3)	$26,591	GENERAL SUPPORT
UNITED WAY OF SOUTHWEST MICHIGAN
2015 LAKEVIEW AVENUE	ST JOSEPH	MI	49085	381358411	501(C)(3)	$25,341	GENERAL SUPPORT
GRAND RAPIDS RED PROJECT
343 ATLAS AVE SE	GRAND RAPIDS	MI	49506	383414580	501(C)(3)	$25,000	RECOVERY COACHING AND ACCESS TO HEALTHCARE
LAKELAND CARE INC
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	383225306		$25,000	GENERAL SUPPORT
AMA INTERNATIONAL
2238 TIMBERWOOD DRIVE SE	GRAND RAPIDS	MI	49508	371907531	501(C)(3)	$24,000	AMA: DELIVERING FOOD AND LOVE FOR ALL- KENT COUNTY
LAKE MICHIGAN COLLEGE
2755 EAST NAPIER AVENUE	BENTON HARBOR	MI	49022	382714753	501(C)(3)	$20,000	GENERAL SUPPORT
URBAN ROOTS
1316 MADISON AVE SE	GRAND RAPIDS	MI	49507	475167474	501(C)(3)	$20,000	URBAN ROOTS COMMUNITY MARKET
WELL HOUSE
600 CASS SE	GRAND RAPIDS	MI	49503	382779457	501(C)(3)	$20,000	IMPROVING HEALTH THROUGH HEALTHY FOOD ACCESS, EDUCATION AND WORK
SENIOR NEIGHBORS
678 FRONT ST NW	GRAND RAPIDS	MI	49504	237195491	501(C)(3)	$15,000	VIRTUAL CONNECTION	STE 205
AREA AGENCY ON AGING OF WEST MICHIGAN
3215 EAGLECREST DRIVE NE	GRAND RAPIDS	MI	49525	382058542	501(C)(3)	$8,520	VIRTUAL SUPPORT GROUP FOR FAMILY CAREGIVERS
LA CASA DE LA COBIJA
2355 S DIVISION AVE	GRAND RAPIDS	MI	49507	811967847	501(C)(3)	$6,160	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	51	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
SCHOLARSHIPS	53	$11,100	$150,857	N/A	N/A
GRANTS TO ASSOCIATES IN NEED	9	$0	$6,516	N/A	N/A

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	Spectrum Health only provides grants to organizations that have a mission and values that closely align with the mission and values of Spectrum Health. Spectrum Health focuses on providing grants to organizations that improve the health of the underserved in the community and/or organizations that increase access to health care. Recipients receiving grants greater than $25,000 are required to submit to Spectrum Health quarterly itemized financial reports. For grants less than $25,000 Spectrum Health documents the restriction of the funds for specific programs that support the underserved or increase access to health care. The purpose of not requesting financial reports for smaller gifts is due to the significant level of effort that it would impose upon the community organizations who often have limited resources to provide the documentation. Spectrum Health provides scholarships to local high school or college students pursuing medical careers. To be eligible for the scholarship students must provide academic transcripts and/or letter of acceptance from an accredited college. Scholarship funds are paid directly to the student's college.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (83 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
BRANDI SMITH
See Schedule O	$124,418	$0	$17,654	$0	$20,862	$0	$6,871	$0	$14,135	$0	$183,940	$0	$0	$0
CHRISTINA FREESE DECKER
See Schedule O	$0	$1,347,427	$0	$1,109,422	$0	$30,400	$0	$798,238	$0	$236,092	$0	$3,521,579	$0	$616,186
GWEN SANDEFUR
See Schedule O	$293,045	$1,500	$1,425,099	$0	$557,809	$0	$206,237	$0	$108,614	$0	$2,590,804	$1,500	$1,220,323	$0
JOAN A BUDDEN
See Schedule O	$0	$884,825	$0	$619,389	$0	$9,387	$0	$329,125	$0	$126,586	$0	$1,969,312	$0	$350,560
DARRYL ELMOUCHI MD
See Schedule O	$834,495	$0	$559,801	$0	$25,946	$0	$363,002	$0	$143,203	$0	$1,926,447	$0	$311,750	$0
LOREN HAMEL MD
See Schedule O	$0	$679,931	$0	$401,088	$0	$25,072	$0	$247,848	$0	$107,800	$0	$1,461,739	$0	$196,357
BRIAN BRASSER
See Schedule O	$465,144	$0	$128,275	$0	$7,923	$0	$153,444	$0	$78,391	$0	$833,177	$0	$48,428	$0
JASON SLAIKEU MD
See Schedule O	$533,292	$0	$79,448	$0	$7,435	$0	$21,375	$0	$20,322	$0	$661,872	$0	$0	$0
LOWELL HAMEL MD
See Schedule O	$448,187	$0	$55,300	$0	$64,378	$0	$16,945	$0	$12,975	$0	$597,785	$0	$0	$0
Chad Tuttle
See Schedule O	$326,566	$0	$96,513	$0	$2,371	$0	$68,942	$0	$59,192	$0	$553,584	$0	$28,020	$0
Ron Lewis
President, SHZ	$323,180	$0	$84,287	$0	$3,953	$0	$78,148	$0	$63,981	$0	$553,549	$0	$29,590	$0
Robert Fitzgerald MD
See Schedule O	$428,282	$0	$37,063	$0	$15,705	$0	$25,650	$0	$32,080	$0	$538,780	$0	$0	$0
Andrea Leslie
See Schedule O	$304,152	$0	$77,220	$0	$2,875	$0	$93,382	$0	$59,183	$0	$536,812	$0	$25,929	$0
PAUL KONOPACKI
See Schedule O	$0	$305,558	$0	$52,442	$0	$860	$0	$90,549	$0	$58,061	$0	$507,470	$0	$0
Brian Phillips
Treasurer, SHMG - Part Year	$369,439	$0	$36,843	$0	$12,008	$0	$31,350	$0	$19,588	$0	$469,228	$0	$0	$0
MARY ANN PATER
See Schedule O	$0	$295,354	$0	$52,175	$0	$4,610	$0	$57,976	$0	$57,645	$0	$467,760	$0	$0
Angela Ditmar
President, SHP	$285,389	$0	$48,053	$0	$2,940	$0	$67,102	$0	$49,777	$0	$453,261	$0	$0	$0
Vicki Weaver
President, SHF	$323,960	$0	$57,546	$0	$17,796	$0	$28,500	$0	$11,910	$0	$439,712	$0	$0	$0
John Schuen MD
See Schedule O	$328,235	$0	$22,635	$0	$18,846	$0	$32,504	$0	$32,664	$0	$434,884	$0	$0	$0
TIMOTHY CALHOUN
See Schedule O	$0	$195,689	$0	$116,545	$0	$4,040	$0	$55,028	$0	$45,920	$0	$417,222	$0	$0
Simin Beg
See Schedule O	$264,360	$0	$20,285	$0	$8,019	$0	$24,485	$0	$23,245	$0	$340,394	$0	$0	$0
RAY CRUSE
See Schedule O	$253,400	$0	$25,651	$0	$6,939	$0	$14,717	$0	$6,644	$0	$307,351	$0	$0	$0
Kevin Smith
See Schedule O	$191,224	$0	$42,251	$0	$1,199	$0	$15,272	$0	$21,736	$0	$271,682	$0	$0	$0
Karen Pakkala
See Schedule O	$208,582	$0	$29,124	$0	$3,067	$0	$15,275	$0	$4,919	$0	$260,967	$0	$0	$0
Helen Johnson
Interim President, SHL - Part Year	$178,673	$0	$52,958	$0	$3,674	$0	$14,547	$0	$2,000	$0	$251,852	$0	$0	$0
Shelly Johnson
Interim President, SHGM - Part Year	$136,290	$0	$51,823	$0	$18,553	$0	$10,445	$0	$23,759	$0	$240,870	$0	$0	$0
Randall Kelley
See Schedule O	$122,616	$0	$58,917	$0	$34,847	$0	$11,005	$0	$8,644	$0	$236,029	$0	$0	$0
MELINDA GRUBER
See Schedule O	$182,970	$0	$9,225	$0	$7,644	$0	$10,474	$0	$19,541	$0	$229,854	$0	$0	$0
Drew Dostal
See Schedule O	$119,483	$0	$25,550	$0	$1,085	$0	$1,487	$0	$23,624	$0	$171,229	$0	$0	$0
MATTHEW COX
Director, SHZ - Part Year	$0	$771,262	$0	$567,640	$0	$22,258	$0	$330,204	$0	$131,466	$0	$1,822,830	$0	$332,341
JASON JOSEPH
Director, SHBR & SHRC - Part Year	$0	$486,511	$0	$326,489	$0	$3,339	$0	$216,864	$0	$82,721	$0	$1,115,924	$0	$183,392
PAMELA RIES
Director, SHP - Part Year	$0	$494,360	$0	$353,239	$0	$11,430	$0	$187,220	$0	$69,262	$0	$1,115,511	$0	$203,544
BEN GIELDA MD
See Schedule O	$624,505	$0	$219,012	$0	$19,518	$0	$14,100	$0	$8,735	$0	$885,870	$0	$0	$0
MARY ANNE JONES
Director, SHU & SHK - Part Year	$0	$467,288	$0	$137,240	$0	$17,572	$0	$121,471	$0	$92,395	$0	$835,966	$0	$51,946
SHAWN ULREICH
See Schedule O	$450,032	$0	$125,727	$0	$13,878	$0	$129,216	$0	$77,971	$0	$796,824	$0	$48,037	$0
JAMES FORSHEE MD
See Schedule O	$500	$423,843	$0	$118,755	$0	$15,683	$0	$64,950	$0	$79,277	$500	$702,508	$0	$41,883
THOMAS VISSER MD
See Schedule O	$603,270	$0	$34,037	$0	$10,549	$0	$28,500	$0	$24,677	$0	$701,033	$0	$0	$0
JEFFREY POSTMA
DIRECTOR, LCHW	$604,457	$0	$1,700	$0	$0	$0	$14,100	$0	$18,757	$0	$639,014	$0	$0	$0
David KRHOVSKY MD
See Schedule O	$394,500	$0	$113,059	$0	$15,100	$0	$19,950	$0	$68,339	$0	$610,948	$0	$44,587	$0
Melinda Johnson
Director, SHMG - Part Year	$17,607	$0	$80,522	$0	$503,752	$0	$0	$0	$2,574	$0	$604,455	$0	$0	$0
Kenneth Johnson
Director, SHH - Part Year	$474,566	$0	$81,715	$0	$4,861	$0	$15,675	$0	$27,377	$0	$604,194	$0	$0	$0
Matthew Denenberg MD
See Schedule O	$390,383	$0	$114,763	$0	$8,672	$0	$15,675	$0	$72,744	$0	$602,237	$0	$47,675	$0
Jordan Sall
See Schedule O	$489,695	$0	$40,848	$0	$11,154	$0	$17,100	$0	$30,128	$0	$588,925	$0	$0	$0
Melissa DeNiel
See Schedule O	$419,757	$0	$37,992	$0	$8,127	$0	$25,650	$0	$10,337	$0	$501,863	$0	$0	$0
Nicole McConnell
See Schedule O	$0	$279,280	$0	$77,475	$0	$2,132	$0	$70,058	$0	$62,233	$0	$491,178	$0	$27,971
Brett Zimmerman DO
Director, SHMG - Part Year	$386,815	$0	$26,545	$0	$8,127	$0	$25,650	$0	$26,734	$0	$473,871	$0	$0	$0
Andrew Parsons
See Schedule O	$388,295	$0	$18,217	$0	$7,252	$0	$21,375	$0	$26,595	$0	$461,734	$0	$0	$0
Charles Brummeler
See Schedule O	$346,689	$0	$30,848	$0	$10,284	$0	$28,500	$0	$30,802	$0	$447,123	$0	$0	$0
Lee Begrow DO
See Schedule O	$349,875	$0	$20,938	$0	$10,730	$0	$31,350	$0	$22,703	$0	$435,596	$0	$0	$0
Tricia Baird
See Schedule O	$280,350	$0	$49,037	$0	$1,400	$0	$11,400	$0	$56,310	$0	$398,497	$0	$0	$0
Annica Waalkes
See Schedule O	$346,875	$0	$16,765	$0	$1,570	$0	$20,261	$0	$1,260	$0	$386,731	$0	$0	$0
Talawnda Bragg
See Schedule O	$286,996	$0	$21,624	$0	$6,446	$0	$21,375	$0	$19,439	$0	$355,880	$0	$0	$0
MICHELINO MANCINI
See Schedule O	$218,219	$0	$1,100	$0	$55,292	$0	$7,903	$0	$18	$0	$282,532	$0	$0	$0
ROBERT NOLAN MD
See Schedule O	$227,737	$0	$1,100	$0	$0	$0	$6,942	$0	$884	$0	$236,663	$0	$0	$0
DEBRA JOHNSON
See Schedule O	$165,770	$0	$5,106	$0	$21,742	$0	$11,134	$0	$13,557	$0	$217,309	$0	$0	$0
Stephanie Murray
See Schedule O	$151,778	$0	$20,804	$0	$6,326	$0	$11,381	$0	$26,379	$0	$216,668	$0	$0	$0
Mary O'Callaghan
See Schedule O	$134,371	$0	$17,584	$0	$8,336	$0	$19,144	$0	$16,922	$0	$196,357	$0	$0	$0
LESLIE FLAKE
SVP, Finance - Hospital & Medical Group	$504,736	$0	$79,935	$0	$1,304	$0	$55,417	$0	$63,546	$0	$704,938	$0	$0	$0
Marc Chircop
See Schedule O	$333,180	$0	$253,759	$0	$21,497	$0	$25,588	$0	$14,898	$0	$648,922	$0	$171,698	$0
Martha Boonstra
See Schedule O	$396,506	$0	$55,799	$0	$12,239	$0	$72,493	$0	$45,134	$0	$582,171	$0	$0	$0
NORMA TIRADO-KELLENBERGER
VP - IT & HR SERVICES, LHNSJ	$0	$298,124	$0	$53,801	$0	$2,801	$0	$50,353	$0	$63,880	$0	$468,959	$0	$0
ROBIN SARKAR
VP - INFORMATION SERVICES, LHNSJ	$0	$267,491	$0	$49,028	$0	$6,408	$0	$19,700	$0	$67,401	$0	$410,028	$0	$0
William Jewell
Secretary, SHH - Part Year	$140,164	$0	$108,086	$0	$21,534	$0	$105,324	$0	$18,675	$0	$393,783	$0	$43,250	$0
Cara Jansma
Secretary, SHH - Part Year	$241,171	$0	$30,237	$0	$1,469	$0	$13,875	$0	$42,380	$0	$329,132	$0	$0	$0
NATALIE BAGGIO
VP - PATIENT CARE CNE, LHNSJ	$263,315	$0	$25,433	$0	$0	$0	$9,713	$0	$6,730	$0	$305,191	$0	$0	$0
KENDALL TROYER
See Schedule O	$227,196	$0	$11,114	$0	$10,985	$0	$12,895	$0	$14,743	$0	$276,933	$0	$0	$0
WARREN WHITE
VP - LAKELAND PHYSICIAN PRACTICES, LHNSJ - PART YEAR	$180,185	$0	$24,540	$0	$11,947	$0	$12,762	$0	$10,877	$0	$240,311	$0	$0	$0
KENNETH O'NEILL
VP - CLINICAL INTEGRATION, LHNSJ	$156,403	$0	$11,677	$0	$0	$0	$12,700	$0	$15,560	$0	$196,340	$0	$0	$0
LYNN Todman
VP - HEALTH EQUITY, LHNSJ	$171,337	$0	$1,700	$0	$11,381	$0	$5,692	$0	$669	$0	$190,779	$0	$0	$0
ROBERT CONNORS
President, HDVCH, SHH - Part Year	$36,761	$0	$231,654	$0	$551,508	$0	$0	$0	$1,514	$0	$821,437	$0	$0	$0
DOMINIC SANFILIPPO
Interim President, HDVCH, SHH - Part Year	$553,714	$0	$126,572	$0	$20,203	$0	$55,866	$0	$27,011	$0	$783,366	$0	$0	$0
Hossain Marandi
President, HDVCH, SHH	$182,814	$0	$30,550	$0	$12,363	$0	$2,996	$0	$30,511	$0	$259,234	$0	$0	$0
THOMAS POW
PHYSICIAN, LHNSJ	$833,000	$0	$659,406	$0	$1,862	$0	$16,950	$0	$22,017	$0	$1,533,235	$0	$0	$0
DILIP ARORA
PHYSICIAN, LHNSJ	$833,001	$0	$444,997	$0	$18,640	$0	$16,950	$0	$18,054	$0	$1,331,642	$0	$0	$0
CHARLES SHERRY
Section Chief - Orthopedic Surgery, SHMG	$1,125,858	$0	$59,764	$0	$8,065	$0	$21,375	$0	$32,031	$0	$1,247,093	$0	$0	$0
JEROME KUHNLEIN
PHYSICIAN, LHNSJ	$816,981	$0	$373,893	$0	$16,524	$0	$16,950	$0	$18,054	$0	$1,242,402	$0	$0	$0
KENDALL HAMILTON
Section Chief, Orthopedic Surgery - Sports Medicine, SHMG	$1,082,050	$0	$59,791	$0	$7,746	$0	$17,100	$0	$27,363	$0	$1,194,050	$0	$0	$0
SETH WOLK MD
Former President, SHMG	$0	$0	$0	$1,148,766	$0	$0	$0	$0	$0	$0	$0	$1,148,766	$0	$1,148,766
Douglas Welday
See Schedule O	$0	$0	$0	$578,942	$0	$1,747	$0	$0	$0	$0	$0	$580,689	$0	$578,942
Mary Kay Vandriel
See Schedule O	$318,682	$0	$51,252	$0	$5,701	$0	$48,635	$0	$53,651	$0	$477,921	$0	$0	$0
Scott Davis
Former Treasurer, SHCC	$0	$93,293	$0	$58,687	$0	$245,760	$0	$0	$0	$5,724	$0	$403,464	$0	$0
Sheryl Lewis-Blake
Former President, SHP	$0	$0	$260,213	$0	$1,958	$0	$0	$0	$0	$0	$262,171	$0	$260,213	$0
Douglas Apple MD
Former Interim President, SHMG	-$1	$0	$2,306	$0	$137,556	$0	$0	$0	$0	$0	$139,861	$0	$2,306	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a First-class or charter travel	The organization has provided first class travel and/or charter travel for certain executive employees and/or board members in limited situations. First class and/or charter travel is utilized when commercial air travel was not available for a destination, or not efficient due to schedules and/or connections, and also for bi-annual board retreat travel. In limited situations where first class travel was utilized, it was paid for as part of a corporate award airline mileage program at no additional cost to the organization. To the extent the benefit is deemed reportable, it is treated as taxable compensation in a 1099 or W-2 to the recipient.
Schedule J, Part I, Line 1a Health or social club dues or initiation fees	The organization provided health club dues for four executive employees. These amounts were treated as taxable compensation and included in Form W-2.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	The organization provided health club dues for twelve executive employees. These amounts were treated as taxable compensation and included in Form W-2.
Schedule J, Part I, Line 4a Severance or change-of-control payment	$137,556 Douglas Apple $538,760 Robert Connors $245,678 Scott Davis $452,840 Melinda Johnson $479,398 Gwen Sandefur
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	$2,306 Doug Apple $48,428 Brian Brasser $350,561 Joan Budden $171,698 Marc Chircop $332,341 Matthew Cox $47,675 Matthew Denenberg $311,750 Darryl Elmouchi $41,883 James Forshee $616,186 Christina Freese Decker $43,250 William Jewell $51,946 Mary Anne Jones $183,392 Jason Joseph $44,587 David Krhovsky $25,929 Andrea Leslie $29,590 Ron Lewis $260,213 Sheryl Lewis-Blake $27,971 Nicole McConnell $203,544 Pamela Ries $1,220,323 Gwen Sandefur $28,020 Chad Tuttle $48,037 Shawn Ulreich $578,942 Douglas Welday $1,148,766 Seth Wolk SCHEDULE J, PART I, LINE 4B IS ANSWERED "YES" BECAUSE CERTAIN INDIVIDUALS, DO "PARTICIPATE IN" SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN(S). SOME INDIVIDUALS RECEIVED DISTRIBUTIONS DURING THE YEAR (AS REPORTED ON THIS LINE) WHEREAS OTHERS PARTICIPATED IN THE PLAN(S) BUT DID NOT RECEIVE DISTRIBUTIONS. DISTRIBUTIONS REPORTED ON THIS LINE ARE ALSO INCLUDED IN SCHEDULE J, PART II, COLUMN F AS COMPENSATION REPORTED IN A PRIOR YEAR WHILE ALSO BEING REPORTED IN THE CURRENT 990 AS TOTAL COMPENSATION. The nonqualified retirement plans are an industry standard and are subject to the funding requirements of nonqualified deferred compensation plans under ERISA and federal tax regulations.
Schedule J, Part I, Line 7 Non-fixed payments	SCHEDULE J, PART I, LINE 7, IS ANSWERED "YES" BECAUSE CERTAIN INDIVIDUALS, WHOSE SALARY AND BENEFITS ARE PAID BY THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION, RECEIVED A NON-FIXED PAYMENT DURING THE YEAR. THE NON-FIXED PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN C.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Kent Hospital Finance Authority (2011AB)
A	382350002	490580DQ7	2011-06-22	$212,859,639	2005B & 2008B1 Revenue Refunding Bonds	false	false	false
Kent Hospital Finance Authority (2008C)
B	382350002	490580CY1	2008-09-09	$67,200,000	1998B Refunding Bond	false	false	Yes (true)
Kent Hospital Finance Authority (2012A)
C	382350002	000000000	2018-10-24	$56,490,000	2012A Revenue refunding Bonds - reissued (2008A1 & 2008B2 Revenue Refunding Bonds)	false	false	false
Kent Hospital Finance Authority (2008A & 2008B)
D	382350002	490580CW5	2008-04-15	$471,211,001	2001B, 2007A & 2007B Refunding Bond	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$120,824,639	$0	$212,859,639	$0	$0	$0	$1,359,065	$0	$0	$50,000,574	$161,500,000	$0	2011	Yes (true)	false	Yes (true)	Yes (true)
B	$38,700,000	$0	$67,200,000	$0	$0	$0	$0	$0	$0	$0	$67,200,000	$0	2008	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$56,490,000	$0	$0	$0	$0	$0	$0	$0	$56,490,000	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
D	$421,211,001	$0	$471,211,001	$0	$13,556,465	$0	$2,528,820	$0	$0	$0	$455,125,716	$0	2008	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	false	Yes (true)
D	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
D	false	Yes (true)	Yes (true)	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I Tax Exempt Bonds	BONDS ARE ISSUED ON BEHALF OF AN OBLIGATED GROUP AND DESIGNATED AFFILIATES UNDER the 1998 Master Trust Indenture (MTI). ALL OBLIGATED GROUP MEMBERS AND/OR DESIGNATED AFFILIATES ARE PART OF THE SAME HEALTH SYSTEM AND ARE TAX-EXEMPT 501(C)(3) CHARITABLE ORGANIZATIONS. THE 2017A BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) THE 2015a BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) THE 2014AB BOND IS ATTRIBUTABLE TO THREE LEGAL ENTITIES WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION (EIN 38-1359517) ZEELAND COMMUNITY HOSPITAL (EIN 38-1411184) THE 2012A BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) THE 2011AB BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: * SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) THE 2008C BOND IS ATTRIBUTABLE TO FOUR LEGAL ENTITIES WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: * SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) * SPECTRUM HEALTH CONTINUING CARE CENTER (EIN 38-2415333) * SPECTRUM HEALTH CONTINUING CARE (EIN 38-3242232) * SPECTRUM HEALTH WORTH SERVICES (EIN 38-2786617) THE 2008AB BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: * SPECTRUM HEALTH HOSPITALS (EIN 38-1360529)
Schedule K, Part I, Column (a) RECONCILIATION OF BOND PROCEEDS - LINE 8	TOTAL ISSUED PROCEEDS: 41,643,043 MINUS ISSUANCE COSTS: 193,091 MINUS WORKING CAPITAL EXPENDITURES: 31,392,506 EQUALS CAPITAL EXPENDITURES FROM PROCEEDS: 10,057,446
Schedule K, Part I, Column (b) RECONCILIATION OF BOND PROCEEDS - LINE 9	TOTAL PROCEEDS ISSUED: 52,613,405 MINUS ISSUANCE COSTS: 467,500 MINUS WORKING CAPITAL EXPENDITURES: 1,012,738 EQUALS CAPITAL EXPENDITURES FROM PROCEEDS: 51,133,167
Schedule K, Part I BOND ISSUE A - LINE 10	THE $8.5 MILLION BOND ISSUE WAS A DIRECT PURCHASE BOND BY J.P. MORGAN CHASE. BOND PROCEEDS WERE DRAWN DURING CONSTRUCTION PERIOD TO BUILD A NEW FACILITY.
Schedule K, Part II BOND PROCEEDS RECONCILIATION - LINE 10	ISSUE PRICE OF BONDS: 8,500,000 SUBTRACT OUT ISSUE COSTS FROM PROCEEDS: 105,875 EQUALS EXPENDITURES FROM PROCEEDS: 8,394,125
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: Kent Hospital Finance Authority (2011AB) The calculation for computing no rebate due was performed on 08/13/2012
Schedule K, Part IV, Line 2c COLUMN B	Issuer name: Kent Hospital Finance Authority (2008C) The calculation for computing no rebate due was performed on 07/15/2009
Schedule K, Part IV, Line 2c COLUMN C	Issuer name: Kent Hospital Finance Authority (2012A) The calculation for computing no rebate due was performed on 08/13/2012
Schedule K, Part IV, Line 2c COLUMN D	Issuer name: Kent Hospital Finance Authority (2008A & 2008B) The calculation for computing no rebate due was performed on 07/15/2009
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: Kent Hospital Finance Authority (2014AB) The calculation for computing no rebate due was performed on 06/18/2014
Schedule K, Part IV, Line 2c COLUMN B	Issuer name: Kent Hospital Finance Authority (2015A) The calculation for computing no rebate due was performed on 06/03/2015
Schedule K, Part IV, Line 2c COLUMN C	Issuer name: Kent Hospital Finance Authority (2017A) The calculation for computing no rebate due was performed on 12/22/2017

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Kent Hospital Finance Authority (2014AB)
A	382350002	000000000	2014-01-15	$111,850,000	2008A2 ZCH 2010 Gerber 2002&2007 Revenue Refunding Bonds	false	false	Yes (true)
Kent Hospital Finance Authority (2015A)
B	382350002	490580EG8	2015-01-13	$78,400,000	Revenue Refunding Bonds	false	false	false
Kent Hospital Finance Authority (2017A)
C	382350002	000000000	2019-03-21	$56,490,000	Revenue Refunding Bonds (2017A Reissuance)	false	false	false
Hospital Authority of The City of St Joseph (MI)
D	383151499	790678CC8	2003-12-17	$41,525,000	REFUND BONDS ISSUED 1/13/1994 AND FACILITY CONSTRUCTION AND IMPROVEMENTS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$12,105,000	$0	$111,850,000	$0	$0	$0	$245,000	$0	$0	$0	$111,605,000	$0	2014	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$78,400,000	$0	$0	$0	$880,000	$0	$0	$0	$77,520,000	$0	2015	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$56,490,000	$0	$0	$0	$0	$0	$0	$0	$56,490,000	$0	2017	Yes (true)	false	Yes (true)	Yes (true)
D	$19,343,043		$41,643,043				$193,091		$31,392,506	$10,057,446			2004	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0	0.001	0.001	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0	0.0	0.0	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0	0.0	0.0	false	false	Yes (true)
D	false	false	Yes (true)	Yes (true)	false				0.0	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of GICTermOfGICPct	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
(no name)
A	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
(no name)
B	false	Yes (true)	Yes (true)	false	false	false	Yes (true)	0.0
(no name)
C	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
UBS AG
D	false	false	Yes (true)	Yes (true)	false	false	false		false	Yes (true)	28.0	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	false

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Hospital Authority of The City of St Joseph (MI)
A	383151499	790678CD6	2006-01-26	$50,000,000	FACILITY CONSTRUCTION AND IMPROVEMENTS	false	false	false
Hospital Authority of The City of St Joseph (MI)
B	383151499	000000000	2012-09-06	$8,500,000	NEW FACILITY CONSTRUCTION	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$15,813,405	$52,613,405	$467,500	$1,012,738	$51,133,167	2007	false	false	Yes (true)	Yes (true)
B	$1,580,000	$8,500,000	$105,875		$8,394,125	2012	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0.0	false	false	false
B	false	false	false	false	0.0	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
UBS AG
A	Yes (true)	Yes (true)	Yes (true)	28.9	false	false	Yes (true)	CITIGROUP GLOBAL MA	3.0	Yes (true)	false	false
(no name)
B	Yes (true)	false	false				false				false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
Jordan Sall
Director, SHGM	Tuition Assistance	Yes (X)	$32,000	$27,315	false	false	Yes (true)
ROBERT FITZGERALD MD
DIRECTOR, SHMG	TUITION ASSISTANCE	Yes (X)	$27,000	$3,422	false	false	Yes (true)
MARTHA BOONSTRA
OFFICER, SHMG	TUITION ASSISTANCE	Yes (X)	$27,000	$3,422	false	false	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$34,159	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (25 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ANESTHIA ASSOCIATES OF WEST MICHIGAN
BUSINESS	$1,207,076	SHL-SEE SCH L, PART V	false
PHILIP WAALKES
FAMILY	$301,423	SHMG-SEE SCH L, PART V	false
LYNN TODMAN
FAMILY	$184,418	LHNSJ-SEE SCH L, PART V	false
SUSAN PHILLIPS
FAMILY	$184,251	SHMG-SEE SCH L, PART V	false
JAMIE MCLACHLAN
FAMILY	$152,719	SHBR-SEE SCH L, PART V	false
LESLIE SCHULTE
FAMILY	$113,540	SHMG-SEE SCH L, PART V	false
INEZ BONIFACE
FAMILY	$110,124	LHNSJ-SEE SCH L, PART V	false
CLARK GRUBER
FAMILY	$89,421	LHNSJ-SEE SCH L, PART V	false
PHILLIP COOPER
FAMILY	$80,644	LHNSJ-SEE SCH L, PART V	false
SAMUEL BOLAND
FAMILY	$79,171	SHH-SEE SCH L, PART V	false
JAYME MCLACHLAN
FAMILY	$75,703	SHRC-SEE SCH L, PART V	false
DILLON NABOZNY
FAMILY	$70,323	SHBR-SEE SCH L, PART V	false
KATELYN WILSON
FAMILY	$68,600	SHZ-SEE SCH L, PART V	false
MICHELE BORRE
FAMILY	$63,746	LHNSJ-SEE SCH L, PART V	false
ERICA MELECA
FAMILY	$61,945	SHH-SEE SCH L, PART V	false
JENA LEE ZEERIP
FAMILY	$57,937	SHGM-SEE SCH L, PART V	false
DANELLE ARNOLD
FAMILY	$48,651	LHNSJ-SEE SCH L, PART V	false
ANDREW DEKRAKER
FAMILY	$44,911	SHU-SEE SCH L, PART V	false
JENNIFER MAIER
FAMILY	$43,132	LHNSJ-SEE SCH L, PART V	false
MICHELLE PETZ
FAMILY	$40,633	SHGM-SEE SCH L, PART V	false
HEIDI HOFMAN
FAMILY	$34,971	SHMG-SEE SCH L, PART V	false
TARA ANAMA
FAMILY	$34,737	SHZ-SEE SCH L, PART V	false
TIMOTHY O'CALLAGHAN
FAMILY	$17,463	SHMG-SEE SCH L, PART V	false
ALLISON FITZGERALD
FAMILY	$11,084	SHH-SEE SCH L, PART V	false
ELLIE TROYER
FAMILY	$11,068	LHNSJ-SEE SCH L, PART V	false

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule L, Part V SHZ FAMILY RELATIONSHIPS WITH INTERESTED PERSONS	MR. KURT WASSINK, A MEMBER OF SHZ'S BOARD OF DIRECTORS, HAS A SISTER-IN-LAW THAT IS EMPLOYED BY SHZ. (PART IV, LINE 22) MR. MARK WILSON, A MEMBER OF SHZ'S BOARD OF DIRECTORS, HAS A DAUGHTER THAT IS EMPLOYED BY SHZ. (PART IV, LINE 13)
Schedule L, Part V SHGM FAMILY RELATIONSHIPS WITH INTERESTED PERSONS	MS. MELISSA MILLER, A MEMBER OF SHGM'S BOARD OF DIRECTORS, HAS A SISTER-IN-LAW THAT IS EMPLOYED BY SHGM. (PART IV, LINE 16) MR. WILLIAM LEAVER, A MEMBER OF SHGM'S BOARD OF DIRECTORS, HAS A SISTER-IN-LAW THAT IS EMPLOYED BY SHGM. (PART IV, LINE 20)
Schedule L, Part V SHL BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS	MR. MICHAEL GREENSLAIT, A MEMBER OF SHL'S BOARD OF DIRECTORS, IS THE OWNER OF ANESTHIA ASSOCIATES OF WEST MICHIGAN, FROM WHOM SHL PURCHASES PHYSICIAN SERVICES. (PART IV, LINE 1)
Schedule L, Part V SHMG FAMILY RELATIONSHIPS WITH INTERESTED PERSONS	MS. MARY O'CALLAGHAN, A MEMBER OF SHMG'S BOARD OF DIRECTORS, HAS A SPOUSE THAT IS EMPLOYED BY SHMG. (PART IV, LINE 23) MR. BRIAN PHILLIPS, AN OFFICER AND MEMBER OF SHMG'S BOARD OF DIRECTORS, HAS A SPOUSE AND DAUGHTER THAT ARE EMPLOYED BY SHMG. (PART IV, LINE 4,6) MS. ANNICA WAALKES, A MEMBER OF SHMG'S BOARD OF DIRECTORS, HAS A SPOUSE THAT IS EMPLOYED BY SHMG. (PART IV, LINE 2) Mr. Ronald Hofman, a member of SHMG's board of directors, has a spouse that is employed by SHMG. (PART IV, LINE 21)
Schedule L, Part V SHBR FAMILY RELATIONSHIPS WITH INTERESTED PERSONS	MS. CAROLYN CURTIN, A MEMBER OF SHBR'S BOARD OF DIRECTORS, HAS A GRANDDAUGHTER AND GRANDSON THAT ARE EMPLOYED BY SHBR. (PART IV, LINE 5, 12)
Schedule L, Part V SHH BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS	MR. WILLIAM JEWELL, AN OFFICER OF SHH, HAS A SON-IN-LAW THAT IS EMPLOYED BY SHH. (PART IV, LINE 10) Mr. Robert Fitzgerald, a member of SHH's board of directors, has a daughter that is employed by SHH. (PART IV, LINE 24) Mr. John Schuen, a member of SHH's board of directors, has a daughter that is employed by SHH. (PART IV, LINE 15)
Schedule L, Part V SHU BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS	MR. MATTHEW DEKRAKER, A MEMBER OF SHU'S BOARD OF DIRECTORS, HAS A BROTHER THAT IS EMPLOYED BY SHU. (PART IV, LINE 18)
Schedule L, Part V SHRC FAMILY RELATIONSHIPS WITH INTERESTED PERSONS	Ms. Carolyn Curtin, a member of the board of directors of SHRC, has a granddaughter employed by SHRC. (PART IV, LINE 11)
Schedule L, Part V LHNSJ FAMILY RELATIONSHIPS WITH INTERESTED PERSONS	Mr. Loren Hamel, an officer and MEMBER OF LHNSJ'S BOARD OF DIRECTORS, has a sister-in-law and a son that are employed by the organization. (PART IV, LINES 7, 9) Mr. Michael Todman, a member of LHNSJ'S BOARD OF DIRECTORS, has a spouse that is employed by the organization. (PART IV, LINE 3) Mr. Timothy Calhoun, an officer of LHNSJ, has a daughter employed by the organization. (PART IV, LINE 19) Mr. Kendall Troyer, an officer of LHNSJ, has a daughter employed by the organization. (PART IV, LINE 25) Mr. Lowell Hamel, an officer of LHNSJ, has a daughter that is employed by the organization. (PART IV, LINE 17) Ms. Mary Ann Pater, an officer of LHNSJ, has a sister-in-law that is employed by the organization. (PART IV, LINE 14) Ms. Melinda Gruber, an officer of LHNSJ, has a spouse that is employed by the organization. (PART IV, LINE 8)

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$4,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$3,616	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$42,375	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	52	ContributionCnt
Noncash Contributions Rpt F990	$39,714	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	MEDICAL SUPPLIES	312	$517,569	Market value
Yes (X)	CERTIFICATES/EVENTS	77	$29,912	Market value
Yes (X)	Various	29	$10,764	Market value

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanations of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	Art - Works of art - NUMBER OF CONTRIBUTIONS Food inventory - Number of Contributions Other - MEDICAL SUPPLIES NUMBER OF CONTRIBUTIONS Other - CERTIFICATES/EVENTS NUMBER OF CONTRIBUTIONS Other - Various Number of Contributions	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (111 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a SPECTRUM HEALTH HOSPITAL GROUP, CONTINUED	SPECTRUM HEALTH HOSPITAL GROUP SPECTRUM HEALTH HOSPITALS - GRAND RAPIDS ("SHH") CONSISTS OF BLODGETT HOSPITAL & BUTTERWORTH HOSPITAL (THE CAMPUS WHICH INCLUDES THE HELEN DEVOS CHILDREN'S HOSPITAL, THE FRED AND LENA MEIJER HEART CENTER, AND THE LEMMEN- HOLTON CANCER PAVILION) WITH APPROXIMATELY 1,226 LICENSED BEDS COMBINED. THE HOSPITALS ARE ACUTE CARE INPATIENT FACILITIES WHICH INCLUDE SPECIALTY CRITICAL CARE UNITS & OUTPATIENT SERVICES. BUTTERWORTH IS THE ONLY LEVEL I TRAUMA CENTER IN WEST MICHIGAN. BLODGETT IS HOME TO THE CENTER FOR ACUTE REHABILITATION, A 42-BED INPATIENT FACILITY HELPING PATIENTS REGAIN INDEPENDENCE. HELEN DEVOS CHILDREN'S HOSPITAL IS MICHIGAN'S LARGEST NEONATAL CENTER, CARING FOR MORE THAN 1,400 CRITICALLY ILL AND PREMATURE BABIES ANNUALLY. THE FRED AND LENA MEIJER HEART CENTER IS A LEADER IN HEART AND VASCULAR CARE IN THE REGION, STATE, AND NATION. LEMMEN-HOLTON CANCER PAVILION IS THE LARGEST CANCER SERVICES PROVIDER IN THE REGION. TOGETHER THESE RESOURCES PROVIDE A COORDINATED CONTINUUM OF HEALTH CARE SERVICES TO THE CITIZENS OF WEST MICHIGAN AND TREAT ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. NOTABLE HIGHLIGHTS FOR THE YEAR INCLUDE: - SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH BLODGETT, AND ZEELAND COMMUNITY HOSPITALS WERE NAMED TO THE FORTUNE/IBM WATSON 100 TOP HOSPITALS LIST. THIS IS THE EIGTH TIME SINCE 2010 FOR SPECTRUM HEALTH BUTTERWORTH AND BLODGETT AND THE SIXTH TIME FOR ZEELAND COMMUNITY HOSPITAL. THIS YEAR'S AWARD INCLUDES FOR THE FIRST TIME A METRIC FOR CONTRIBUTIONS TO COMMUNITY HEALTH BASED ON EQUITY, WHICH IS A PRIMARY FOCUS OF ALL WORK AT SPECTRUM HEALTH. - SPECTRUM HEALTH BUTTERWORTH AND SPECTURM HEALTH BLODGETT HOSPITALS RECEIVED THE HEALTHGRADES 2020 AMERICA'S BEST HOSPITALS AWARD FOR A SIXTH CONSECUTIVE YEAR (2015-2020). THIS DISTINCTION PLACES BUTTERWORTH AND BLODGETT IN THE TOP ONE PERCENT OF MORE THAN 4,500 HOSPITALS IN THE NATION FOR CONSISTENTLY PROVIDING OVERALL CLINICAL EXCELLENCE ACROSS A BROAD SPECTRUM OF CONDITIONS AND PROCEDURES YEAR OVER YEAR. - SPECTRUM HEALTH BUTTERWORTH AND SPECTRUM HEALTH BLODGETT WERE ALSO THE ONLY HOSPITALS IN MICHIGAN TO RECEIVE THE FOLLOWING THREE DISTINCTIONS: AMERICA'S 50 BEST HOSPITALS FOR CARDIAC SURGERY; AMERICA'S 100 BEST HOSPITALS FOR JOINT REPLACEMENT; AND CRITICAL CARE EXCELLANCE AWARD. - SPECTRUM HEALTH BUTTERWORTH AND SPECTURM HEALTH BLODGETT HOSPITALS WERE RANKED "HIGH PERFOMANCE" IN THREE ADULT SPECIALTIES AND 20 PROCEDURES/CONDITIONS IN U.S. NEWS & WORLD REPORT'S 2020-21 BEST HOSPITALS. -HELEN DEVOS CHILDREN'S HOSPITAL WAS NAMED ONE OF U.S. NEWS & WORLD REPORTS 2020-2021 BEST CHILDREN'S HOSPITALS IN 8 PEDIATRIC SPECIALTIES: CANCER, CARDIOLOGY & HEART SURGERY, DIABETES & ENDOCRINOLOGY, NEPHROLOGY, NEUROLOGY & NEUROSURGERY, ORTHOPEDICS, PULMONOLOGY, AND UROLOGY. THIS WAS THE NINTH YEAR HELEN DEVOS CHILDREN'S HOSPITAL HAS BEEN RECOGNIZED. -SPECTRUM HEALTH RECEIVED AN STS 3-STAR RATING, THE HIGHEST POSSIBLE RANKING, FROM THE SOCIETY OF THORACIC SURGEONS FOR QUALITY OF CORONARY ARTERY BYPASS GRAFT SURGERY AMONG HOSPITALS ACROSS THE COUNTRY. -SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH UNITED, AND LAKELAND HOSPITAL AT NILES HOSPITALS WERE NAMED TO NEWSWEEK'S 2020 LIST OF BEST MATERNITY CARE HOSPITALS. SPECTRUM HEALTH HOSPITAL GROUP - COMMUNITY HOSPITALS SPECTRUM HEALTH HOSPITAL GROUP INCLUDES ELEVEN COMMUNITY HOSPITALS LOCATED ACROSS WESTERN AND SOUTHWESTERN MICHIGAN, ALL DEDICATED TO THE COMMUNITIES THEY SERVE, AS IDENTIFIED BELOW: -NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION D/B/A SPECTRUM HEALTH GERBER MEMORIAL ("SHGM") -MEMORIAL MEDICAL CENTER OF WEST MICHIGAN D/B/A SPECTRUM HEALTH LUDINGTON HOSPITAL ("SHL") -MECOSTA COUNTY MEDICAL CENTER D/B/A SPECTRUM HEALTH BIG RAPIDS HOSPITAL ("SHBR") -REED CITY HOSPITAL CORPORATION D/B/A SPECTRUM HEALTH REED CITY HOSPITAL ("SHRC") -PENNOCK HOSPITAL D/B/A SPECTRUM HEALTH PENNOCK ("SHP") -SPECTRUM HEALTH UNITED ("SHU") -SPECTRUM HEALTH KELSEY ("SHK") -ZEELAND COMMUNITY HOSPITAL D/B/A SPECTRUM HEALTH ZEELAND COMMUNITY HOSPITAL ("SHZ") -LAKELAND COMMUNITY HOSPITAL, WATERVLIET ("LCHW") -LAKELAND HOSPITALS AT ST. JOSEPH ("LHSJ") -LAKELAND HOSPITALS AT NILES ("LHN") THE COMMUNITY HOSPITALS OF SPECTRUM HEALTH HOSPITAL GROUP PROVIDE APPROXIMATELY 881 LICENSED BEDS COMBINED AND OFFER A COMPLETE RANGE OF AWARD WINNING MEDICAL AND SURGICAL SERVICES, REGARDLESS OF A PATIENT'S ABILITY TO PAY, TO THE RESIDENTS AND VISITORS OF THE HOSPITALS' LOCAL COMMUNITIES. SERVICES OFFERED BY THE COMMUNITY HOSPITALS INCLUDE 24-HOUR EMERGENCY DEPARTMENTS, ACUTE INTENSIVE CARE, OBSTETRICS, SKILLED NURSING, AND OUTPATIENT SERVICES INCLUDING LAB, IMAGING, PHYSICAL THERAPY AND SPORTS MEDICINE. IN ORDER TO GIVE BACK TO THE COMMUNITIES IN WHICH THEY SERVE, THE COMMUNITY HOSPITALS OFFER SERVICES AND PROGRAMS AVAILABLE TO ALL MEMBERS OF THE COMMUNITY AND LOCAL SCHOOLS. EXAMPLES OF THESE SERVICES INCLUDE: FLU SHOT CLINICS, HEALTH FAIRS, CANCER SCREENINGS, LOW-COST SPORTS PHYSICALS, FIRST AID TENTS, EDUCATION AND NUTRITION CLASSES, AND FAMILY FUN NIGHTS. SPECTRUM HEALTH CONTINUING CARE SPECTRUM HEALTH CONTINUING CARE PROVIDES PATIENTS AND THEIR FAMILIES WITH A SEAMLESS CONTINUUM OF COMPREHENSIVE CARE, INCLUDING SKILLED NURSING, LONG-TERM ACUTE, REHABILITATION AND HOME CARE. SPECTRUM HEALTH CONTINUING CARE INCLUDES THE FOLLOWING ENTITIES: -SPECTRUM HEALTH CONTINUING CARE ("SHCC") -SPECTRUM HEALTH CONTINUING CARE CENTER ("SHCCC") -SPECTRUM HEALTH WORTH SERVICES ("SHWS") -VISITING NURSE SERVICES OF WESTERN MICHIGAN ("VNS") SPECTRUM HEALTH - LEFFINGWELL AVENUE ("SHLA") SHCC PROVIDES LEADERSHIP, PLANNING, AND FUNDING TO ASSIST OUR POST-ACUTE CARE ORGANIZATIONS IN PROVIDING MEDICAL CARE TO PATIENTS, IN ORDER TO MEET THE COMMUNITY'S NEEDS. ADDITIONALLY, SHCC PROVIDES HOSPICE CARE THAT IS CENTERED ON COMFORT AND SUPPORTED BY COMPASSION FOR THOSE WHO ARE EXPERIENCING A LIFE-LIMITING ILLNESS AND A TERMINAL DIAGNOSIS. SHCCC PROVIDES LONG TERM CARE IN A NURSING HOME SETTING THAT ALLOWS PATIENTS TO EXPERIENCE THE BEST QUALITY OF LIFE, WHILE ENSURING THEY HAVE THE AROUND-THE-CLOCK CARE THEY NEED. SHWS PROVIDES FOR THE CARE OF CHILDREN, ADULTS, AND SENIOR CITIZENS WHO NEED EXTRA HELP IN THEIR HOME FROM PRIVATE DUTY NURSES OR HOME HEALTH ASSISTANCE AS WELL AS CARE AND REHABILITATION SERVICES TO INDIVIDUALS WHO SUFFERED A BRAIN INJURY AND ARE ABLE TO LIVE INDEPENDENTLY BUT REQUIRE 24 HOUR SUPERVISION. VNS PROVIDES INTERMITTENT SKILLED HOME HEALTH CARE. UNDER THE DIRECTION OF A PRIMARY CARE PHYSICIAN, MEDICAL AND SURGICAL NURSES DELIVER PATIENT ASSESSMENTS, MEDICAL TREATMENTS (SUCH AS INFUSION THERAPY, WOUND CARE AND MEDICATION INSTRUCTION), AND DISEASE MANAGEMENT EDUCATION.
Form 990, Part III, Line 4b SPECTRUM HEALTH MEDICAL GROUP, CONTINUED	SPECTRUM HEALTH PRIMARY CARE PARTNERS D/B/A SPECTRUM HEALTH MEDICAL GROUP ("SHMG") PROVIDES CLINICAL, TEACHING, RESEARCH AND ADMINISTRATIVE PHYSICIAN SERVICES. THESE SERVICES ARE PROVIDED IN AMBULATORY PRACTICES, INPATIENT SETTINGS, AND TEACHING ENVIRONMENTS. SHMG BRINGS TOGETHER THE FINEST PHYSICIANS AND MEDICAL RESOURCES TO GIVE PATIENTS THE BEST HEALTH OUTCOMES AND THE HIGHEST LEVEL OF SERVICE. WITH OVER 1,700 PROVIDERS, A BROAD RANGE OF MEDICAL SPECIALTIES AND SERVICE SITES across the region, SHMG IS THE REGION'S LARGEST MULTISPECIALTY MEDICAL GROUP. FROM FAMILY MEDICINE TO SPECIALIZED CARE, FROM ANNUAL HEALTH CHECKUPS TO COMPLEX SURGERY AND MEDICAL MANAGEMENT, SHMG OFFERS PATIENTS A MEDICAL HOME FOR A LIFETIME OF CARE AND WELLNESS. SHMG'S GOAL IS TO PROVIDE AN UNPARALLELED SYSTEM OF CARE THAT OFFERS FAMILY MEDICINE AND SPECIALIZED CARE, CLOSE CONVENIENT LOCATIONS AND HOURS, COORDINATED APPOINTMENTS AND MEDICAL RECORDS FOR EASE OF SCHEDULING, AND HIGH QUALITY CONSISTENT CARE. SHMG IS A GATEWAY TO SPECTRUM HEALTH'S MANY QUALIFIED AND HIGHLY SKILLED SPECIALISTS AND COMPREHENSIVE SERVICES. BY BRINGING PROVIDERS TOGETHER AS AN INTEGRATED TEAM, SHMG CREATES SEAMLESS ACCESS AND COORDINATED SERVICES TO PATIENTS. ADDITIONALLY, THE HIGH CALIBER MEDICAL PROFESSIONALS AT SHMG THRIVE ON COLLABORATIVE RESEARCH AND MEDICAL EDUCATION. SHMG IS DEEPLY COMMITTED TO ADVANCING PATIENT CARE AND BUILDING A SUSTAINABLE HEALTH CARE SYSTEM FOR CURRENT AND FUTURE GENERATIONS.
Form 990, Part III, Line 4c SPECTRUM HEALTH FOUNDATION, CONTINUED	SPECTRUM HEALTH FOUNDATION ("SHF") ADVANCES THE HEALTH OF WEST MICHIGAN COMMUNITIES BY PHILANTHROPICALLY SUPPORTING THE HEALTH CARE, RESEARCH, AND EDUCATIONAL PROGRAMS OF THE SPECTRUM HEALTH INTEGRATED HEALTH SYSTEM. SHF PROVIDES FUNDING FOR PROGRAMS, RESEARCH AND EDUCATION, AND HELPS TO ADVANCE INNOVATION, PURCHASE NEW TECHNOLOGY AND BUILD STATE-OF-THE-ART FACILITIES. THE FOUNDATION EXISTS TO MEET THE NEEDS OF PATIENTS AND FAMILIES WITH FUNDS THAT SUPPLEMENT THE HEALTH SYSTEM RESOURCES. SHF CAREFULLY MATCHES PASSIONATE DONORS WITH IMMEDIATE AND EMERGING NEEDS THROUGHOUT THE HEALTH SYSTEM. THANKS TO THE GENEROSITY OF DONORS THE FOUNDATION IS ABLE TO HELP LAUNCH, EXPAND AND SUSTAIN IMPORTANT PROGRAMS AND SERVICES THAT PROMOTE HEALTH AND HEALING. IN CY2020, SHF PROVIDED OVER $29 MILLION IN GRANTS TO ORGANIZATIONS WITHIN THE HEALTH SYSTEM. IN ADDITION, LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ST. JOSEPH (ALSO KNOWN AS SPECTRUM HEALTH LAKELAND FOUNDATION) PROVIDED OVER $3 MILLION IN GRANTS/SCHOLARSHIPS TO ORGANIZATIONS/INDIVIDUALS WITHIN THE HEALTH SYSTEM.
Form 990, Part IV, Line 12a Audited Financial Statements	The "No" response to this question relates to the fact that none of the organizations included in the group return obtained separate, independent financial statements for the tax year. All organizations included in the group return were part of the same consolidated audit.
Form 990, Part V, Line 3a UNRELATED GROSS BUSINESS INCOME	THE FOLLOWING ORGANIZATIONS INCLUDED IN THE GROUP RETURN HAVE UNRELATED BUSINESS GROSS INCOME OR LOSS OF $1,000 OR MORE DURING THE YEAR. THE UNRELATED BUSINESS INCOME OF THESE ORGANIZATIONS IS REPORTED ON FORM 990-T. SPECTRUM HEALTH GERBER MEMORIAL (EIN 38-1359517) SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) SPECTRUM HEALTH PENNOCK (EIN 38-1360562) LAKELAND HOSPITALS AT NILES AND ST. JOSEPH, INC. (EIN 38-2156872)
Form 990, Part V, Line 7a DEDUCTIBLE CONTRIBUTIONS	THE FOLLOWING ORGANIZATIONS INCLUDED IN THE GROUP RETURN RECEIVED A PAYMENT IN EXCESS OF $75 MADE PARTLY AS A CONTRIBUTION AND PARTLY FOR GOODS AND SERVICES PROVIDED TO THE PAYOR. SPECTRUM HEALTH FOUNDATION (EIN 38-2752328)
Form 990, Part VI, Line 16a JOINT VENTURES	THE FOLLOWING ORGANIZATIONS INCLUDED IN THE GROUP RETURN PARTICIPATE IN JOINT VENTURES WITH TAXABLE ENTITIES: SPECTRUM HEALTH HOSPITALS (EIN 38-1360529)
Form 990, Part VI, Line 2 BUSINESS RELATIONSHIPS	THE ORGANIZATION HAS BOARD MEMBERS AND OFFICERS THAT SERVE TOGETHER ON THE BOARDS OF TAX-EXEMPT ORGANIZATION ACROSS SPECTRUM HEALTH SYSTEM.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	SHH - MS. CHRISTINA FREESE DECKER, and Ms. Joan Budden - Business relationship
Form 990, Part VI, Line 4 Significant changes to organizational documents	Spectrum Health Big Rapids Hospital, Spectrum Health Gerber Memorial, Spectrum Health Hospitals, Spectrum Health Kelsey, Spectrum Health Ludington Hospital, Spectrum Health Pennock Hospital, Spectrum Health Reed City Hospital, Spectrum Health United, Spectrum Health Zeeland Community Hospital, Spectrum Health Continuing Care and Spectrum Health Medical Group (collectively, "Spectrum Health West Michigan Entities") all amended and restated their bylaws effective August 18, 2020. The purpose of this restatement was to create a mirror board and committees that govern all the Spectrum Health West Michigan Entities. As part of this reorganization, each of the Spectrum Health West Michigan Entities boards were replaced with the 18 individuals who serve as the mirror board for each of the Spectrum Health West Michigan Entities.
Form 990, Part VI, Line 6 Classes of members or stockholders	SPECTRUM HEALTH SYSTEM (EIN 38-3382353), A MICHIGAN NONPROFIT CORPORATION, IS THE ULTIMATE SOLE MEMBER FOR ALL OF THE SUBORDINATES INCLUDED IN THE GROUP FILING.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	SPECTRUM HEALTH SYSTEM (EIN 38-3382353), THE ULTIMATE SOLE MEMBER FOR ALL OF THE SUBORDINATES INCLUDED IN THE GROUP FILING, APPOINTS THE MEMBERS OF THE BOARD FOR EACH RESPECTIVE ORGANIZATION.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	SPECTRUM HEALTH SYSTEM, AS THE SOLE MEMBER FOR ALL OF THE SUPPORTED ORGANIZATIONS INCLUDED IN THE GROUP FILING, HAS RETAINED CERTAIN RESERVED POWERS IN THE ORGANIZATION EXCLUSIVELY, WHICH SHALL NOT BE DEEMED AUTHORIZED UNLESS AND UNTIL APPROVED BY THE SOLE MEMBER: -Amendment of the Articles of Incorporation or Bylaws of the supported organization; -Election and/or removal of the members of the supported organization's Board of Directors; -Election and/or removal of the supported organization's Chairperson of the Board of Directors; -Hiring, discharge, and evaluation of the supported organization's President; -Adoption of the supported organization's strategic plan; -Adoption of the supported organization's annual operating and capital budgets and any amendments to such budgets in excess of the Authority Matrix Amount; -All capital expenditures by the supported organization in excess of the amount which would require approval by the supporting organization (the "Authority Matrix Amount"); -All borrowings or guarantees of indebtedness by the supported organization (or any entity controlled by the supported organization through ownership or membership interest); -All lending by the supported organization (or any subsidiary) to persons other than the supporting organization or a subsidiary in excess of the Authority Matrix Amount; -The supported organization's or any subsidiary's investments of cash and/or reserves, whether on an individual basis or as part of a pooled investment strategy; -Any merger or consolidation of the supported organization (or any subsidiary), or any other change in ownership percentages, control, or capital structure; -The creation of any entity controlled, directly or indirectly, by the supported organization; -The sale or transfer of more than ten percent (10%) of the assets of the supported organization (or any subsidiary) to any person or entity not controlled by the supporting organization; -Dissolution of the supported organization or any subsidiary; -The selection, retention, and oversight of the outside auditors for the supported organization (or any subsidiary); and -Any other approval for which supporting organization approval is required by law. In addition to these reserved powers of the supporting organization listed above, the supporting organization has the authority to adopt system-wide policies and procedures.
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 the Organization's Corporate Tax Manager. 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 finance and legal departments (including the Chief Financial Officer, Chief Legal Officer and Corporate Controller) and shared with the members of the Finance and audit Committee and Board of Directors. 4. The Organization's Chief Financial Officer reviews comments or questions received from members of the Board of Directors, if any, to address or to incorporate, as appropriate, into the return prior to filing.
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 15a Process to establish compensation of top management official	The Spectrum Health System Board of Directors (through its Executive Committee) uses the following process for determining compensation of the top management official, other officers, and key employees at Spectrum Health. Labor market data reflecting comparable organizations and jobs (prepared by independent firms) are relied upon. Competitive assessment reports are provided to the Executive Committee in advance of meetings. The competitive assessment report is prepared by a nationally known independent executive compensation firm. For Calendar Year 2020 (1/1/20-12/31/20), three health care executive compensation surveys, two medical group surveys, on pediatric hospital survey, and one health plan survey prepared by independent firms, were the primary sources referenced to obtain market data for the review: * Sullivan, Cotter and Associates: 2018 Survey of Manager and Executive Compensation in Hospitals and Health Systems * Integrated Healthcare Strategies: 2018 HealthCare Executive Compensation Survey * Mercer: 2018 Integrated Health Networks Compensation Survey, also provides data for health plans * Medical Group Management Association: 2018 Management Compensation Survey * Sullivan, Cotter and Associates: 2018 Physician Compensation and Productivity Survey Report * Sullivan, Cotter and Associates: 2018 Custom Survey of Manager and Executive Compensation in Children's Hospitals * Warren: Fall 2018 HMO Salary Survey In addition, four general industry surveys were referenced: * Mercer: 2018 Executive Compensation Survey * Mercer: 2018 Information Technology Survey * Mercer: 2018 Human Resources Survey * Towers Watson: 2018 Top Management Compensation Report In addition to the above data sources, the Executive Committee approved the creation of a custom peer group of high performing integrated health systems to ensure robust data and a relevant comparator universe. The peer group organizations are approved by the Executive Committee and consist of double A bond rated and / or Truven top quintile organizations. Data for the peer group organizations is compiled by the independent executive compensation firm. Compensation adjustments are approved by Executive Committee members, consistent with the Spectrum Health compensation philosophy described below. Minutes of Committee discussions and decisions are prepared to memorialize Executive Committee decisions based upon the above data. Cash compensation data relied upon by the Executive Committee is national and reflects the compensation paid to executives in comparable jobs in comparably-sized health care and / or health insurance organizations. Spectrum Health recruits nationally for its executives. Benefits data reflect national health care / health insurance market practices. Geographic pay differential and cost of living data indicates consistency with national data. In addition, several entities were added to the Spectrum Health System Group Filing during calendar year 2020 and used the following process during 2020 (will follow the above process for all post 2020 years): An independent firm is hired by the board to determine compensation packages for senior management on an annual basis. The firm presents comparative pay ranges and compensation recommendations to the governance (compensation) committee for their approval. For senior management, the CEO can provide input and recommendations to the governance committee. As part of the planned transition to the Spectrum Health executive committee methodology, the CEO provided an across-the-board increase recommendation to the governance committee based on previously collected compensation survey data. This process is intended to assist Spectrum Health in qualifying for the rebuttable presumption of reasonableness (Intermediate Sanctions Regulations) and complying with the potential Spectrum Health Excess Benefit Transaction Policy for those individuals in the group who are disqualified persons. The opinion submitted from the third party independent consulting firm is in accordance with the provisions of Treasury Regulations Section 53.4958-6(c)(2) and is also intended to satisfy the professional advice requirement of Treasury Regulations Section 53.4958-1(d)(4)(iii).
Form 990, Part VI, Line 15b Process to establish compensation of other employees	See explanation provided for Form 990, Part VI, Line 15A.
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. The overall system consolidated financial statements are provided at www.spectrumhealth.org/about-us within subsection "Value and Transparency".
Form 990, Part VII, Section A Reported Compensation and Hours	THE COMPENSATION REPORTED FOR EMPLOYEES OF THE ORGANIZATION IS NOT FOR SERVICES IN THEIR CAPACITY AS MEMBERS OF THE BOARD OF DIRECTORS BUT FOR SERVICES AS EMPLOYEES OF THE HEALTH SYSTEM. CERTAIN DIRECTORS WERE PAID REASONABLE COMPENSATION FOR THEIR SERVICES AS MEMBERS OF THE BOARD. EMPLOYEES WITH COMPENSATION REPORTED IN PART VII WORK A COMBINED AVERAGE OF 50 HOURS PER WEEK FOR THE HEALTH SYSTEM.
Form 990, Part VII, Section A Compensation of Directors	Based on external opinion by Sullivan Cotter and Associates, Inc., Spectrum Health System compensates board members in a manner that is reasonable in relation to market data. Board of directors compensation is continually reviewed to confirm compensation falls within reasonable limits. Any compensation amount is treated as taxable to the board member and is reported and provided to them on Form 1099.
Form 990, Part VII, Section A SMITH, BRANDI ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: VP - PHILANTHROPY, LHNSJ / FOUNDATION PRESIDENT, LHF - Part Year, AverageHours: 40.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VP - PHILANTHROPY, LHNSJ - PART YEAR, AverageHours: 10.000; KeyEmployee
Form 990, Part VII, Section A FREESE DECKER, CHRISTINA ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Hospitals, Title: Director, SHH, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health Foundation, Title: Director, SHF, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SANDEFUR, GWEN ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: President, SHH - Part Year, AverageHours: 48.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care, Title: Chair, SHCC - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BUDDEN, JOAN A. ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A ELMOUCHI, DARRYL, MD ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Primary Care Partners , Title: President, SHMG, AverageHours: 21.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: Director / President, SHH, AverageHours: 22.000; IndividualTrusteeOrDirectorOfficer Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A HAMEL, LOREN, MD ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: DIRECTOR, LHF, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Hospice at Home, Inc., Title: DIRECTOR/PRESIDENT & CEO LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Mercy Memorial Health Services, Inc., Title: PRESIDENT, MMHS, AverageHours: 5.000; Officer Organization Name: Lakeland Regional Health System, Inc., Title: PRESIDENT, LRHS, AverageHours: 6.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: PRESIDENT, LHNSJ, AverageHours: 10.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Specialty Hospital at Berrien Center, Title: PRESIDENT, LSHBC, AverageHours: 1.000; Officer
Form 990, Part VII, Section A BRASSER, BRIAN ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: SVP, Chief Operating Officer, SHH, AverageHours: 50.000; Officer Organization Name: Spectrum Health Kelsey, Title: Former President, SHK, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health United, Title: Former President, SHU, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A SLAIKEU, JASON, MD ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG - Part Year, AverageHours: 49.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: Director, SHH - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A HAMEL, LOWELL, MD ADDITIONAL POSITIONS HELD	Organization Name: Hospice at Home, Inc., Title: DIRECTOR, HAH, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: CHIEF OPERATING OFFICER & CHIEF CLINICAL OFFICER, LHNSJ, AverageHours: 48.000; Officer Organization Name: Lakeland Community Hospital Watervliet, Title: DIRECTOR, LCHW, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Tuttle, Chad ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Continuing Care, Title: President/Secretary, SHCC - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Visiting Nurse Services of Western Michigan, Title: Chair - Part Year/President, VNS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care Center, Title: Chair - Part Year / President, SHCCC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Worth Services, Title: Chair - Part Year / President, SHWS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health - Leffingwell Avenue, Title: President, SHLA, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: SVP, Hospital / Post Acute Ops, AverageHours: 45.000; Officer
Form 990, Part VII, Section A Fitzgerald, Robert, MD ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Primary Care Partners , Title: Vice Chair - Part Year/Director, SHMG, AverageHours: 44.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Leslie, Andrea ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health United, Title: President, SHU, AverageHours: 13.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Kelsey, Title: President, SHK, AverageHours: 12.000; IndividualTrusteeOrDirectorOfficer Organization Name: Mecosta County Medical Center, Title: President, SHBR, AverageHours: 13.000; IndividualTrusteeOrDirectorOfficer Organization Name: Reed City Hospital Corporation, Title: President, SHRC, AverageHours: 12.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting only, AverageHours: 0.000;
Form 990, Part VII, Section A KONOPACKI, PAUL ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VP - FINANCE & CFO, LHNSJ, AverageHours: 15.000; Officer Organization Name: Lakeland Community Hospital Watervliet, Title: VP - FINANCE & CFO, LCHW , AverageHours: 10.000; Officer Organization Name: Lakeland Regional Health System, Inc., Title: VP - FINANCE & CFO, LRHS, AverageHours: 15.000; Officer Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: VP - FINANCE & CFO, LHF, AverageHours: 5.000; Officer Organization Name: Mercy Memorial Health Services, Inc., Title: Treasurer, MMHS, AverageHours: 4.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Primary Care Partners , Title: SVP, Finance, SHMG - Part Year, AverageHours: 0.000; Officer Organization Name: Lakeland Specialty Hospital at Berrien Center, Title: VP - FINANCE & CFO, LSHBC , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A PATER, MARY ANN ADDITIONAL POSITIONS HELD	Organization Name: Mercy Memorial Health Services, Inc., Title: SECRETARY, MMHS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Specialty Hospital at Berrien Center, Title: SECRETARY, LSHBC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VP - LEGAL & GENERAL COUNCIL, LHNSJ, AverageHours: 48.000; Officer
Form 990, Part VII, Section A Schuen, John, MD ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Chair- Part Year/Director, SHMG, AverageHours: 44.500; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A CALHOUN, TIMOTHY ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: VP - FINANCE & CFO, LHF - Part Year, AverageHours: 5.000; Officer Organization Name: Lakeland Community Hospital Watervliet, Title: VP - FINANCE & CFO, LCHW - Part Year, AverageHours: 5.000; Officer Organization Name: Mercy Memorial Health Services, Inc., Title: TREASURER, MMSH - Part Year, AverageHours: 5.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Specialty Hospital at Berrien Center, Title: VP - FINANCE & CFO, LSHBC - Part Year, AverageHours: 5.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Regional Health System, Inc., Title: VP - FINANCE & CFO, LRHS - Part Year, AverageHours: 15.000; Officer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VP - FINANCE & CFO, LHNSJ - Part Year, AverageHours: 15.000; Officer
Form 990, Part VII, Section A Beg, Simin ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 40.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health - Leffingwell Avenue, Title: Chair, SHLA, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Visiting Nurse Services of Western Michigan, Title: Chair, VNS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Worth Services, Title: Chair, SHWS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care Center, Title: Chair, SHCCC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A CRUSE, RAY ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Community Hospital Watervliet, Title: PRESIDENT, LCHW, AverageHours: 25.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VP - STRATEGY & HOSPITALITY, LHNSJ/PRESIDENT,LCHW, AverageHours: 24.000; Officer Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: DIRECTOR, LHF, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Smith, Kevin ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Continuing Care, Title: Interim President, SHCC, AverageHours: 48.000; IndividualTrusteeOrDirectorOfficer Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Secretary / Treasurer, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Worth Services, Title: Director, SHWS - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health - Leffingwell Avenue, Title: Secretary/Treasurer, SHLA, AverageHours: 0.500; Officer
Form 990, Part VII, Section A Pakkala, Karen ADDITIONAL POSITIONS HELD	Organization Name: Visiting Nurse Services of Western Michigan, Title: Secretary / Treasurer, VNS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Secretary / Treasurer, SHWS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care, Title: For Compensation Reporting only, AverageHours: 47.500; Officer
Form 990, Part VII, Section A Kelley, Randall ADDITIONAL POSITIONS HELD	Organization Name: Newaygo County General Hospital Association(Former), Title: Former President, SHGM, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center of West Michigan(Former), Title: Former President, SHL, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting only, AverageHours: 0.000;
Form 990, Part VII, Section A GRUBER, MELINDA ADDITIONAL POSITIONS HELD	Organization Name: Hospice at Home, Inc., Title: PRESIDENT, HAH, AverageHours: 20.000; IndividualTrusteeOrDirectorOfficer Organization Name: Mercy Memorial Health Services, Inc., Title: CHAIR, MMHS, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Specialty Hospital at Berrien Center, Title: CHAIR, LSHBC, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VP - POST ACUTE CARE SERVICES, LHNSJ, AverageHours: 20.000; Officer Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: INTERIM PRESIDENT, LHF, AverageHours: 6.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Dostal, Drew ADDITIONAL POSITIONS HELD	Organization Name: Newaygo County General Hospital Association, Title: President, SHGM, AverageHours: 25.000; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center of West Michigan, Title: President, SHL, AverageHours: 25.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting only, AverageHours: 0.000;
Form 990, Part VII, Section A Ferrell-Robinson, Lynnette ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: Chair, SHH, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Newaygo County General Hospital Association, Title: Chair, SHGM, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center of West Michigan, Title: Chair, SHL, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Mecosta County Medical Center, Title: Chair, SHBR , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Reed City Hospital Corporation, Title: Chair, SHRC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Pennock Hospital, Title: Chair, SHP , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health United, Title: Chair, SHU , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Kelsey, Title: Chair, SHK , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Zeeland Community Hospital, Title: Chair, SHZ , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care, Title: Chair, SHCC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Primary Care Partners , Title: Chair, SHPCP, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A HOPP, DANIEL ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Regional Health System, Inc., Title: CHAIR, LRHS, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: CHAIR, LHNSJ, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A TODMAN, MICHAEL ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Regional Health System, Inc., Title: VICE CHAIR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VICE CHAIR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Wilson, Mark ADDITIONAL POSITIONS HELD	Organization Name: Zeeland Community Hospital, Title: Director-Part Year/Treasurer, SHZ , AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: Treasurer, SHH, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Newaygo County General Hospital Association, Title: Treasurer, SHGM, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center of West Michigan, Title: Treasurer, SHL, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Mecosta County Medical Center, Title: Treasurer, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Reed City Hospital Corporation, Title: Treasurer, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Pennock Hospital, Title: Treasurer, SHP, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health United, Title: Treasurer, SHU, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Kelsey, Title: Treasurer, SHK, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care, Title: Treasurer, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Primary Care Partners , Title: Treasurer, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Watson, Sam ADDITIONAL POSITIONS HELD	Organization Name: Pennock Hospital, Title: Vice Chair, SHP, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: Director-Part Year/Vice Chair, SHH , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Newaygo County General Hospital Association, Title: Vice Chair, SHGM, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center of West Michigan, Title: Vice Chair, SHL, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Mecosta County Medical Center, Title: Vice Chair, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Reed City Hospital Corporation, Title: Vice Chair, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health United, Title: Vice Chair, SHU, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Kelsey, Title: Vice Chair, SHK, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Zeeland Community Hospital, Title: Vice Chair, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care, Title: Vice Chair, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Primary Care Partners , Title: Vice Chair, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Wynn, Barbara, MD ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: Vice Chair, SHH - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Haney, Donald ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: OTHER COMPENSATION, AverageHours: 1.000; Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Treasurer, SHP - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Wassink, Kurt ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: Other Compensation, AverageHours: 1.000; Organization Name: Zeeland Community Hospital, Title: Vice Chair, SHZ - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Thompson, Sheryl ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Chair-Part Year/Director, SHBR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Reed City Hospital Corporation, Title: Chair-Part Year/Director, SHRC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A ALLEN, TERRENCE ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Regional Health System, Inc., Title: SECRETARY, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: SECRETARY, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A SCHAFFER, DAVID ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Regional Health System, Inc., Title: TREASURER, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: TREASURER, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A VANLANDINGHAM, CHRISTINE ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Community Hospital Watervliet, Title: CHAIR, LCHW, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A WALES, DANA ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: CHAIR, LHF, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A KUEHNLE, LISA ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Community Hospital Watervliet, Title: DIRECTOR, LCHW, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: SECRETARY, LHF - PART YEAR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A DASCENZO, DENNIS ADDITIONAL POSITIONS HELD	Organization Name: Hospice at Home, Inc., Title: CHAIR, HAH, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A GIELDA, BEN, MD ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ/PHYSICIAN, AverageHours: 49.000; IndividualTrusteeOrDirector Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A ULREICH, SHAWN ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting Only, AverageHours: 49.000; Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A FORSHEE, JAMES, MD ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: OTHER COMPENSATION, AverageHours: 0.500; Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A VISSER, THOMAS, MD ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting Only, AverageHours: 49.500; Organization Name: Zeeland Community Hospital, Title: Director, SHZ - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A KRHOVSKY, David, MD ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting only, AverageHours: 46.000; Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Denenberg, Matthew, MD ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting Only, AverageHours: 49.500; Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Sall, Jordan ADDITIONAL POSITIONS HELD	Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting Only, AverageHours: 48.500; Organization Name: Spectrum Health Hospitals, Title: Other Compensation, AverageHours: 1.000;
Form 990, Part VII, Section A DeNiel, Melissa ADDITIONAL POSITIONS HELD	Organization Name: Mecosta County Medical Center, Title: Director, SHBR - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting Only, AverageHours: 49.000;
Form 990, Part VII, Section A McConnell, Nicole ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Kelsey, Title: Director, SHK - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Parsons, Andrew ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting Only, AverageHours: 49.500; Organization Name: Pennock Hospital, Title: Director, SHP - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Brummeler, Charles ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting Only, AverageHours: 49.000; Organization Name: Reed City Hospital Corporation, Title: Director, SHRC - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Begrow, Lee, DO ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG - Part Year, AverageHours: 49.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health Hospitals, Title: OTHER COMPENSATION, AverageHours: 1.000;
Form 990, Part VII, Section A Baird, Tricia ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting only, AverageHours: 49.500;
Form 990, Part VII, Section A Waalkes, Annica ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 44.500; Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bragg, Talawnda ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting only, AverageHours: 47.000; Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Hospitals, Title: OTHER COMPENSATION, AverageHours: 1.000; Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MANCINI, MICHELINO ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, PRESIDENT OF MEDICAL STAFF, LHNSJ, AverageHours: 49.000; IndividualTrusteeOrDirector Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A NOLAN, ROBERT, MD ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ - Part Year, AverageHours: 49.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A JOHNSON, DEBRA ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: FOR COMPENSATION REPORTING ONLY, AverageHours: 49.000; Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: DIRECTOR, LHF, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Murray, Stephanie ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Continuing Care, Title: For Compensation Reporting only, AverageHours: 48.500; Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A O'Callaghan, Mary ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: Other Compensation, AverageHours: 1.000; Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG - Part Year, AverageHours: 49.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Torres, Johannie ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 24.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A PAYNE, WILLIAM ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hofman, Ronald, MD ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Pink, Bill ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Buckley, John, Jr. ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Port, Christopher, MD ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Molewyk Doornbos, Mary ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A EDWARDS, WENDY ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: DIRECTOR, LHF, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: For Compensation Reporting Only, AverageHours: 2.000;
Form 990, Part VII, Section A Lozano-Buhl, Erika ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: Other Compensation, AverageHours: 1.000; Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kooyers, Kyle ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Hospitals, Title: OTHER COMPENSATION, AverageHours: 1.000; Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DeVos, Richard, III ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Byrne, John ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Coffey-Hoag, Ryan ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Haynes, Nancy ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BRITTEN, NICKI ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A FRENCH, JERRY ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: DIRECTOR, LHF, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A GRAY, LYNN, MD ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A HEENAN, GEORGE, MD ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MARTIN, CAREY ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SMITH, SCOTT ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Community Hospital Watervliet, Title: DIRECTOR, LCHW, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A VALENTINE, MAURICE, II ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A YEAGER, THOMAS ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BANYON, HILDA ADDITIONAL POSITIONS HELD	Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: DIRECTOR, LHF, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Hospice at Home, Inc., Title: DIRECTOR, HAH, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Chircop, Marc ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Continuing Care(Former), Title: Former Chair, SHCC , AverageHours: 0.000; Officer Organization Name: Spectrum Health Hospitals, Title: SVP, Strat Partnership & Op SVC, SHH - Part Year, AverageHours: 49.000; Officer
Form 990, Part VII, Section A Boonstra, Martha ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals, Title: Secretary, SHH , AverageHours: 45.000; Officer Organization Name: Newaygo County General Hospital Association, Title: Secretary, SHGM , AverageHours: 0.500; Officer Organization Name: Memorial Medical Center of West Michigan, Title: Secretary, SHL, AverageHours: 0.500; Officer Organization Name: Mecosta County Medical Center, Title: Secretary, SHBR, AverageHours: 0.500; Officer Organization Name: Reed City Hospital Corporation, Title: Secretary, SHRC, AverageHours: 0.500; Officer Organization Name: Pennock Hospital, Title: Secretary, SHP, AverageHours: 0.500; Officer Organization Name: Spectrum Health United, Title: Secretary, SHU, AverageHours: 0.500; Officer Organization Name: Spectrum Health Kelsey, Title: Secretary, SHK, AverageHours: 0.500; Officer Organization Name: Zeeland Community Hospital, Title: Secretary, SHZ, AverageHours: 0.500; Officer Organization Name: Spectrum Health Continuing Care, Title: Secretary, SHCC, AverageHours: 0.500; Officer Organization Name: Spectrum Health Primary Care Partners , Title: Secretary, SHMG, AverageHours: 0.500; Officer
Form 990, Part VII, Section A TROYER, KENDALL ADDITIONAL POSITIONS HELD	Organization Name: Mercy Memorial Health Services, Inc.(Former), Title: FORMER TREASURER, MMHS, AverageHours: 0.000; Officer Organization Name: Lakeland Specialty Hospital at Berrien Center(Former), Title: FORMER CHAIR, LSCBC, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VP - OP DIAG & QUALITY, LHNSJ, AverageHours: 50.000; Officer
Form 990, Part VII, Section A Welday, Douglas ADDITIONAL POSITIONS HELD	Organization Name: Spectrum Health Hospitals(Former), Title: Former SVP, Finance, Delivery System , AverageHours: 0.000; Officer Organization Name: Spectrum Health Continuing Care(Former), Title: Former Treasurer, SHCC, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Vandriel, Mary Kay ADDITIONAL POSITIONS HELD	Organization Name: Mecosta County Medical Center(Former), Title: Former President, SHBR, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Reed City Hospital Corporation(Former), Title: Former President, SHRC, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting Only, AverageHours: 50.000;
Form 990, Part VIII, Line 2f Other Program Service Revenue	- Total Revenue: 33477638, Related or Exempt Function Revenue: 32911398, Unrelated Business Revenue: 561332, Revenue Excluded from Tax Under Sections 512, 513, or 514: 4908;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Addition Of Members To Group (Lakeland) - XXX-XX-XXXX; Funds Transfer To Supporting Organization - -25308979; Funds Transfer To Entities Outside Group - -11860670; Valuation Allowance - -275200; Other Activity - 2723437; Change In Interest Of Restricted Net Assets Of Outside Trust - 480551; Investment Income - Restricted Assets - 985147;
Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTS	THE ORGANIZATIONS INCLUDED IN THE GROUP RETURN ARE ALL AUDITED ON A CONSOLIDATED BASIS.
Form 990, Part XII, Line 2c Oversight of the Audit	The financial statements of the organization were audited by an independent auditor as part of the consolidated audit of Spectrum Health System (EIN 38-3382353). The oversight of that audit is being assumed by Spectrum Health System, the ultimate controlling member of the organizations included in the group exemption.
Schedule B Contributions	All organizations included in the group return are covered by the general rule for determining contributions reportable on Schedule B except for Spectrum Health Foundation (EIN 38-2752328), Lakeland Health Foundation Benton Harbor/St Joseph (EIN38-2539929), and Hospice at Home Inc (EIN 38-2416086). Spectrum Health Foundation, Lakeland Health Foundation Benton Harbor/St Joseph, and Hospice at Home Inc are Section 501(c)(3) organizations that met the 33 1/3 % support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi). Pursuant to the Form 990 Schedule B Instructions contributions from any contributor that exceed the greater of (1) $5,000 or (2) 2% of the amount of total contributions, gifts, grants and other similar amounts received by the organization are reportable.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 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 ST NE MC 498	GRAND RAPIDS	MI	49503	383382353	MANAGEMENT	MI	501(c)(3)	Type III-FI	na	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
KENT COMMUNITY HEALTH FOUNDATION
750 FULLER AVE NE	GRAND RAPIDS	MI	49503	383607110	PHILANTHROPY	MI	501(c)(3)	Type III-O	SPECTRUM HEALTH HOSPITALS	Yes (true)
SPECTRUM HEALTH - MSU ALLIANCE CORPORATION
100 MICHIGAN ST NE MC 498	GRAND RAPIDS	MI	49503	760845329	RESEARCH	MI	501(c)(3)	Type I	SPECTRUM HEALTH HOSPITALS	Yes (true)
LAKESHORE AREA RADIATION ONCOLOGY CENTER
12642 RILEY ST	HOLLAND	MI	494249202	383067954	RADIATION SERVICES	MI	501(c)(3)	3	SPECTRUM HEALTH HOSPITALS	Yes (true)
HEALTH POINTE
15100 WHITTAKER WAY	GRAND HAVEN	MI	49417	474398187	AMBULATORY HEALTH CARE	MI	501(c)(3)	3	SPECTRUM HEALTH HOSPITALS	Yes (true)
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

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 STE 501	AddressLine1Txt
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
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.9804	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
HELEN DEVOS WOMEN'S AND CHILDREN'S HEALTH PAVILION ASSOCIATION
330 BARCLAY NE	GRAND RAPIDS	MI	49503	383264184	MGMT	MI	SPECTRUM HEALTH HOSPITALS	C Corporation	$433,353	$510,770	0.8747	Yes (true)
THE FRED AND LENA MEIJER HEART CENTER CONDOMINIUM ASSOCIATION
100 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	830464302	MGMT	MI	SPECTRUM HEALTH HOSPITALS	C Corporation	$2,003,873	$1,723,178	1	Yes (true)
CAMPUS TOWN CENTRE CONDO ASSC
4868 LAKE MICHIGAN DRIVE	ALLENDALE	MI	49401	382910067	MGMT	MI	SPECTRUM HEALTH HOSPITALS	C Corporation	$22,210	$0	0.9	Yes (true)
PRIORITY HEALTH INSURANCE COMPANY
1231 EAST BELTLINE NE	GRAND RAPIDS	MI	49525	201529553	INSURANCE	MI	NA	C Corporation				false
PRIORITY HEALTH MANAGED BENEFITS
1231 EAST BELTLINE NE	GRAND RAPIDS	MI	49525	383085182	THIRD PARTY ADMINISTRATOR	MI	NA	C Corporation				false
WEST MICHIGAN HEART
1840 WEALTHY STREET SE	GRAND RAPIDS	MI	49506	382125186	PHYSICIANS	MI	NA	C Corporation				false
SPECTRUM HEALTH PHYSICIAN ALLIANCE
100 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	371655728	PHYSICIANS	MI	NA	C Corporation				false
35 MICHIGAN STREET CONDOMINIUM ASSOCIATION
35 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	272193084	MGMT	MI	SPECTRUM HEALTH HOSPITALS	C Corporation	$1,062,067	$187,235	1.00	Yes (true)
LEMMEN-HOLTON CANCER PAVILION CONDOMINIUM ASSOCIATION
145 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	161734150	MGMT	MI	SPECTRUM HEALTH HOSPITALS	C Corporation	$2,201,717	$1,222,108	0.8298	Yes (true)
MUSCULOSKELETAL CENTER CONDOMINIUM ASSOCIATION
230 MICHIGAN NE	GRAND RAPIDS	MI	49503	383180086	MGMT	MI	SPECTRUM HEALTH HOSPITALS	C Corporation	$178,929	$190,290	0.8954	Yes (true)
25 MICHIGAN STREET CONDOMINUIM ASSOCIATION
100 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	161734157	MGMT	MI	SPECTRUM HEALTH HOSPITALS	C Corporation	$626,098	$560,755	0.8254	Yes (true)
THE MICHIGAN STREET PARKING CONDOMINUIM ASSOCIATION
100 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	161734145	MGMT	MI	SPECTRUM HEALTH HOSPITALS	C Corporation	$422,106	$760,283	0.6914	Yes (true)
PENNOCK VENTURES INC
1009 WEST GREEN STREET	HASTINGS	MI	49058	382712819	HEALTH CARE	MI	Pennock Hospital	C Corporation	$853,162	$1,258,199	1	Yes (true)
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 INC
1234 NAPIER AVENUE	ST JOSEPH	MI	49085	272990797	HEALTHCARE SERVICES	MI	LAKELAND HEALTH ENTERPRISES INC	C Corporation				false
PENNOCK PROFESSIONAL BUILDING CONDOMINIUM ASSOCIATION
1009 W GREEN ST	HASTINGS	MI	49058	384056359	MGMT	MI	PENNOCK HOSPITAL	C Corporation	$138,925	$86,194	0.8929	Yes (true)
1697 MICHIGAN STREET PROPERTY
100 MICHIGAN STREET NE	GRAND RAPIDS	MI	49503	831721239	MGMT	MI	SPECTRUM HEALTH HOSPITALS	C Corporation	$0	$4,849,864	1	Yes (true)
PHMB CAMADS TRUST
1231 EAST BELTLINE NE	GRAND RAPIDS	MI	49525	846496888	TRUST	MI	PRIORITY HEALTH MANAGED BENEFITS INC	Trust				false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	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	Yes (true)	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	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	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (16 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Priority Health
M	$229,290,403	CASH, GAAP, OR FMV
Priority Health
L	$764,060,465	CASH, GAAP, OR FMV
Spectrum Health Continuing Care Campus
L	$3,319,423	CASH, GAAP, OR FMV
Spectrum Health Worth Services
L	$3,191,598	CASH, GAAP, OR FMV
Spectrum Health Kelsey
L	$2,612,263	CASH, GAAP, OR FMV
Health Pointe
L	$2,282,220	CASH, GAAP, OR FMV
Visiting Nurse Services of Western Michigan
L	$2,106,686	CASH, GAAP, OR FMV
Health Pointe
Q	$12,708,761	CASH, GAAP, OR FMV
Lemmen-Holton Cancer Pavilion Condominium Association
Q	$2,596,915	CASH, GAAP, OR FMV
The Fred and Lena Meijer Heart Center Condominium
Q	$2,030,245	CASH, GAAP, OR FMV
35 Michigan Condominium Association
Q	$1,031,092	CASH, GAAP, OR FMV
25 Michigan Condominium Association
Q	$753,289	CASH, GAAP, OR FMV
Michigan Street Parking Condominium Association
Q	$652,755	CASH, GAAP, OR FMV
Helen DeVos Women and Children's Health Pavilion Association
Q	$448,797	CASH, GAAP, OR FMV
Musculoskeletal Center Condominium Association
Q	$191,226	CASH, GAAP, OR FMV
Pennock Professional Building Condominium Association
Q	$131,715	CASH, GAAP, OR FMV

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule R, Part IV IDENTIFICATION OF RELATED ORGANIZATIONS

35 MICHIGAN STREET CONDOMINIUM ASSOCIATION AND LEMMEN-HOLTON CANCER PAVILION CONDOMINIUM ASSOCIATION ARE INCLUDED ON SCHEDULE R, PART IV AS THE VOTING POWER IS CONTROLLING UNDER THE CONSTRUCTIVE OWNERSHIP RULES UNDER SECTION 318 OF THE INTERNAL REVENUE CODE. SCHEDULE R, PART IV, COLUMNS (F) SHARE OF TOTAL INCOME AND (G) SHARE OF END-OF-YEAR ASSETS, AND (H) PERCENTAGE OWNERSHIP ARE REPORTED BASED ON THE GREATER OF OWNERSHIP OR VOTING POWER.

Schedule R, Part V, Line 2 TRANSACTIONS WITH RELATED ORGANIZATIONS

THE AMOUNTS LISTED IN PART V, LINE 2, TRANSACTION TYPE L & M FOR PRIORITY HEALTH REPRESENT THE AGGREGATE AMOUNT OF TRANSACTIONS AMONG ALL ORGANIZATIONS INCLUDED IN THE GROUP RETURN.