COREWELL HEALTH: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: COREWELL HEALTH (EIN 38-1360562)
Tax period: 2014-10-01 to 2015-06-30
Filed: 2016-05-13
IRS object ID: 201631349349303943
Schema version: 2014v6.0
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 C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-05-13T13:16:05-05:00	ReturnTs
Tax Period End	2015-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE HORWATH LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	9600 Brownsboro Road	AddressLine1Txt
Address Line2	Suite 400	AddressLine2Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402411122	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	381360562	EIN

Business Name BusinessName

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

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1009 West Green Street	AddressLine1Txt
City	Hastings	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49058	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Deidre Weller	PersonNm
Person Title	Controller	PersonTitleTxt
Signature	2016-05-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Spurlock	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	5023263996	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Spectrum Health Pennock	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1009 West Green Street	AddressLine1Txt
City	Hastings	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49058	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$109,072,511	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.pennockhealth.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1923	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	The Hospital's primary mission is to provide healthcare services to the citizens of Barry County. All activities associated with this purpose are included in determination of the operating income. Net assets of the hospital are generally unrestricted and are available for the delivery of healthcare services, with the exception of contributions from individual donors, which are temporarily restricted for the purpose intended by the donor. The hospital provides care to all patients regardless of their ability to pay. Patients who meet certain criteria under its charity care policy receive care without charge or at amounts less than established rates. Because the hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	740	TotalEmployeeCnt
Total Volunteers	114	TotalVolunteersCnt
Total Gross UBI	$160,324	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$7,100	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$20,579	PYContributionsGrantsAmt
CY Contributions Grants	$4,551	CYContributionsGrantsAmt
PY Program Service Revenue	$62,439,958	PYProgramServiceRevenueAmt
CY Program Service Revenue	$49,640,649	CYProgramServiceRevenueAmt
PY Investment Income	$8,368,548	PYInvestmentIncomeAmt
CY Investment Income	$5,133,623	CYInvestmentIncomeAmt
PY Other Revenue	$568,066	PYOtherRevenueAmt
CY Other Revenue	$596,991	CYOtherRevenueAmt
PY Total Revenue	$71,397,151	PYTotalRevenueAmt
CY Total Revenue	$55,375,814	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$34,926,021	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$29,880,875	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$33,961,000	PYOtherExpensesAmt
CY Other Expenses	$27,224,579	CYOtherExpensesAmt
PY Total Expenses	$68,887,021	PYTotalExpensesAmt
CY Total Expenses	$57,105,454	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,510,130	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,729,640	CYRevenuesLessExpensesAmt
Total Assets BOY	$108,322,226	TotalAssetsBOYAmt
Total Assets EOY	$99,664,710	TotalAssetsEOYAmt
Total Liabilities BOY	$19,295,604	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$19,810,085	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$89,026,622	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$79,854,625	NetAssetsOrFundBalancesEOYAmt
Mission	PENNOCK HOSPITAL'S MISSION IS TO PROVIDE QUALITY HEALTH SERVICES IN A PERSONAL, PROFESSIONAL, AND PROGRESSIVE MANNER IN PARTNERSHIP WITH THE COMMUNITY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$41,172,110	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$49,640,649	RevenueAmt
Desc	PENNOCK CONTINUES TO INVEST IN PHYSICIAN INTEGRATION IN ORDER TO BETTER SERVE THE RURAL SECTIONS OF THE MARKET. PRIMARY CARE PHYSICIAN ADJUSTMENTS AND GROWTH OCCURRED IN BARRY COUNTY. OUR CONTINUOUS INVESTMENTS IN ELECTRONIC MEDICAL RECORDS, THE IMPROVEMENTS IN OUR CURRENT FACILITY, AND THE DEVELOPMENT OF A SEAMLESS CIRCLE OF CARE HELP TO ENHANCE PENNOCK'S SERVICE TO THE COMMUNITY.	Desc
Total Program Service Expenses	$41,172,110	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	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	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	76	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	740	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	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	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	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	2699483122	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1009 Green St	AddressLine1Txt
City	Hastings	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49058	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Margaret Coleman
Chair	0.50	0	Yes (X)	Yes (X)	$0	$0	$0
Brad Johnson CPA
Vice Chair	0.50	0	Yes (X)	Yes (X)	$0	$0	$0
Jeff Weiden
Treasurer	0.50	0	Yes (X)	Yes (X)	$0	$0	$0
David Baum
Secretary	0.50	0	Yes (X)	Yes (X)	$0	$0	$0
Sheryl Lewis-Blake
President	40.00	0	Yes (X)	Yes (X)	$328,826	$0	$52,282
Marc Chircop
Director	0.50	49.50	Yes (X)		$0	$636,998	$209,693
David Ottenbaker MD
Director	0.50	49.50	Yes (X)		$0	$427,460	$41,021
Nancy Goodin
Director	0.50	0	Yes (X)		$0	$0	$0
Dan King
Director	0.50	0	Yes (X)		$0	$0	$0
Christopher Noah MD
Director	0.50	0	Yes (X)		$6,480	$0	$0
Kimberly Norris MD
Director	0.50	0	Yes (X)		$0	$0	$0
Nathan Tagg
Director	0.50	0	Yes (X)		$0	$0	$0
Sam Watson
Director	0.50	0	Yes (X)		$0	$0	$0
Connie Downs
CFO	40.00	0		Yes (X)	$196,015	$0	$34,112
Douglas Smendik
CMO	40.00	0		Yes (X)	$40,530	$0	$0
Carla Wilson-Neil
COO	40.00	0		Yes (X)	$181,213	$0	$15,853
Steve Marzolf
CNO	40.00	0		Yes (X)	$152,151	$0	$43,398
Jim Wincek
VP Support Services	40.00	0		Yes (X)	$131,817	$0	$8,791
Bob Davis
Exec. Dir. Physican Network	40.00	0		Yes (X)	$144,736	$0	$27,497
James Horton MD
Physician	40.00	0			$505,590	$0	$16,403	Yes (X)
Eric Leep MD
Physician	40.00	0			$468,024	$0	$31,788	Yes (X)
David Heeringa MD
Physician	40.00	0			$366,355	$0	$21,071	Yes (X)
Laura Doherty MD
Physician	40.00	0			$362,046	$0	$7,384	Yes (X)
Max Rappaport MD
Physician	40.00	0			$337,641	$0	$42,943	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,221,424	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,064,458	TotReportableCompRltdOrgAmt
Total Other Compensation	$552,236	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	36	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Progressive Building Services Inc
PO Box 88235	Kentwood	MI	49518	House Keeping Services	$757,701
Hastings Anesthesiology PC
PO Box 4095	Kalamazoo	MI	49003	Anasthesia Services	$467,600
Spectrum Health
100 Michigan	Grand Rapids	MI	49503	Reference Lab / Sleep Study	$433,078
HDR Architecture Inc
PO Box 3480	Omaha	NE	68103	Architectural Services	$311,367
Aramark Corporation
10510 Twin Lakes Parkway	Charlotte	NC	28269	Repair Services	$291,176

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	10	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$4,551	AllOtherContributionsAmt
Total Contributions	$4,551	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue	621110	$49,627,796	$49,627,796
Meaningful Use Projects	621110	$12,853	$12,853

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$49,640,649	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$495,959	TotalRevenueColumnAmt
Exclusion	$495,959	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$593,747	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$485,444	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$108,303	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$108,303	TotalRevenueColumnAmt
Exclusion	$108,303	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$57,848,917	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$53,194,614	SecuritiesAmt
Other	$16,639	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,654,303	SecuritiesAmt
Other	-$16,639	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,637,664	TotalRevenueColumnAmt
Exclusion	$4,637,664	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Cafeteria Revenue	722100	$254,605	$254,605
Miscellaneous	900099	$73,759	$73,759
Lab Courier Service	621500	$160,324		$160,324

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	$488,688	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$55,375,814	TotalRevenueColumnAmt
Related Or Exempt Func Income	$49,640,649	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$160,324	UnrelatedBusinessRevenueAmt
Exclusion	$5,570,290	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,363,701	TotalAmt
Program Services	$1,240,968	ProgramServicesAmt
Management And General	$122,733	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$23,709,188	TotalAmt
Program Services	$15,410,972	ProgramServicesAmt
Management And General	$8,298,216	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,072,070	TotalAmt
Program Services	$750,449	ProgramServicesAmt
Management And General	$321,621	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,128,578	TotalAmt
Program Services	$1,489,965	ProgramServicesAmt
Management And General	$638,613	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,607,338	TotalAmt
Program Services	$1,125,137	ProgramServicesAmt
Management And General	$482,201	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$426,621	TotalAmt
Program Services	$426,621	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$112,250	TotalAmt
Management And General	$112,250	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$4,802	TotalAmt
Management And General	$4,802	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$156,649	TotalAmt
Management And General	$156,649	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,210,588	TotalAmt
Program Services	$4,186,888	ProgramServicesAmt
Management And General	$3,023,700	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$64,895	TotalAmt
Program Services	$16,224	ProgramServicesAmt
Management And General	$48,671	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,037,975	TotalAmt
Program Services	$801,188	ProgramServicesAmt
Management And General	$236,787	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,437,621	TotalAmt
Program Services	$1,073,743	ProgramServicesAmt
Management And General	$363,878	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$315,587	TotalAmt
Program Services	$205,132	ProgramServicesAmt
Management And General	$110,455	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$247,126	TotalAmt
Program Services	$247,126	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,261,887	TotalAmt
Program Services	$1,922,604	ProgramServicesAmt
Management And General	$339,283	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$248,129	TotalAmt
Program Services	$161,284	ProgramServicesAmt
Management And General	$86,845	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$8,068,950	$7,559,447	$509,503
Bad Debts	$3,770,801	$3,770,801
Quality Assurance Assessments	$924,447		$924,447
Maintenance and Repairs	$934,222	$781,532	$152,690

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,029	TotalAmt
Program Services	$2,029	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$57,105,454	TotalAmt
Program Services	$41,172,110	ProgramServicesAmt
Management And General	$15,933,344	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$130,511	BOYAmt
EOY	$72,861	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,293,541	BOYAmt
EOY	$3,475,833	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,453,773	BOYAmt
EOY	$8,255,966	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$56,500	BOYAmt
EOY	$17,833	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$6,092,948	BOYAmt
EOY	$5,029,388	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$998,923	BOYAmt
EOY	$1,014,463	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$559,292	BOYAmt
EOY	$598,407	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$47,143,077	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$31,634,700	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$24,736,525	BOYAmt
EOY	$15,508,377	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$59,400,385	BOYAmt
EOY	$64,130,064	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$630,000	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$969,828	BOYAmt
EOY	$1,561,518	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$108,322,226	BOYAmt
EOY	$99,664,710	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,850,607	BOYAmt
EOY	$7,193,195	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,930,362	BOYAmt
EOY	$10,743,760	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,514,635	BOYAmt
EOY	$1,873,130	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,295,604	BOYAmt
EOY	$19,810,085	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$88,207,439	BOYAmt
EOY	$78,378,249	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$819,183	BOYAmt
EOY	$1,022,060	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
EOY	$454,316	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$89,026,622	BOYAmt
EOY	$79,854,625	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$108,322,226	BOYAmt
EOY	$99,664,710	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,729,640	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$8,755	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$7,451,112	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$4,802	OtherActivitiesAmt
Total Lobbying Expenditures	$4,802	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	A portion of dues paid to MHA and AHA are allocated to Lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,703,430	OtherCostOrOtherBasisAmt
Book Value	$3,703,430	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,229,313	OtherCostOrOtherBasisAmt
Depreciation	$19,638,178	DepreciationAmt
Book Value	$5,591,135	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,745,888	OtherCostOrOtherBasisAmt
Depreciation	$1,093,582	DepreciationAmt
Book Value	$652,306	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,646,946	OtherCostOrOtherBasisAmt
Depreciation	$10,902,940	DepreciationAmt
Book Value	$4,744,006	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$817,500	OtherCostOrOtherBasisAmt
Book Value	$817,500	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$15,508,377	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	Third Party Payor Settlements	Desc
Amt	$1,873,130	Amt

Field	Value	IRS element (for citing)
Total Liability	$1,873,130	TotalLiabilityAmt

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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$217,206	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$217,206	NetCommunityBenefitExpnsAmt
Total Expense	0.0041	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$5,584,869	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,765,855	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,819,014	NetCommunityBenefitExpnsAmt
Total Expense	0.0341	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,276	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$181,854	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$180,578	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	$5,803,351	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,947,709	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,855,642	NetCommunityBenefitExpnsAmt
Total Expense	0.0382	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	86	ActivitiesOrProgramsCnt
Persons Served	1398	PersonsServedCnt
Total Community Benefit Expns	$17,658	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,658	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

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

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	52	ActivitiesOrProgramsCnt
Persons Served	4328	PersonsServedCnt
Total Community Benefit Expns	$15,915	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,915	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	138	ActivitiesOrProgramsCnt
Persons Served	5726	PersonsServedCnt
Total Community Benefit Expns	$33,573	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,573	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	138	ActivitiesOrProgramsCnt
Persons Served	5726	PersonsServedCnt
Total Community Benefit Expns	$5,836,924	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,947,709	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,889,215	NetCommunityBenefitExpnsAmt
Total Expense	0.0388	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$155,960	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$155,960	NetCommunityBenefitExpnsAmt
Total Expense	0.0029	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$208	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$208	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	35	ActivitiesOrProgramsCnt
Persons Served	657	PersonsServedCnt
Total Community Benefit Expns	$21,749	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,749	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	151	PersonsServedCnt
Total Community Benefit Expns	$3,948	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,948	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
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	45	ActivitiesOrProgramsCnt
Persons Served	808	PersonsServedCnt
Total Community Benefit Expns	$181,865	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$181,865	NetCommunityBenefitExpnsAmt
Total Expense	0.0034	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$3,770,801	BadDebtExpenseAmt
Bad Debt Expense Attributable	$53,293	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$7,731,946	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$6,949,535	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$782,411	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	BARRY HEALTH PARTNERS LTD	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	See Part VI	PrimaryActivitiesTxt
Org Profit Or Ownership	0.5	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.5	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1009 W GREEN ST	AddressLine1Txt
City	HASTINGS	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49058	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.pennockhealth.com;	WebsiteAddressTxt
State License	1060000022	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	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	http://www.pennockhealth.com/bhealthy/site/health_assessment.html	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	http://www.pennockhealth.com/bhealthy/site/health_assessment.html	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
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	2.5	FPGFamilyIncmLmtFreeCarePct
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	HTTP://WWW.SPECTRUMHEALTH.ORG/FINANCIALASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://WWW.SPECTRUMHEALTH.ORG/FINANCIALASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://WWW.SPECTRUMHEALTH.ORG/FINANCIALASSISTANCE	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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - PENNOCK HOSPITAL. Pennock Hospital assesses the health care needs of the communities we serve utilizing internal data, data collected from Thompson Reuters, Michigan Health and hospital association, Barry Eaton Health department, local social services agencies, school systems, national health associations (American Cancer Society, American Heart Association, American Diabetes Association, March of Dimes), and our payors. Pennock collects data internally based on inpatient and outpatient statistics. Thompson Reueters provides data regarding the services being used by the population within the service area supported by Pennock Hospital, including projected population growth trends by age and sex. This helps us to examine the patient needs at a closer level. Local social services agencies and school systems help us identify socioeconomic factors contributing to the identified health status of our service area. The National Health Associations provide data as related to their disease specific area for our county. The composition of the CHNA Steering Committee was such that it was a broad-based representation from the community, including the most vulnerable and lower socio-economic status.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - Pennock Hospital. Barry Eaton District Health Department
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - PENNOCK HOSPITAL. THROUGH THE WORKGROUP MEMBERS AND THEIR RELATED AGENCIES.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Pennock Hospital. THE LEADING CAUSES OF DEATH IN BARRY COUNTY ARE CANCER, HEART DISEASE, DIABETES-RELATED, CHRONIC LOWER RESPIRATORY, STROKE, ALZHEIMERS DISEASE, UNINTENTIONAL INJURY, PNEMONIA & INFLUENZA, INTENTIONAL SELF-HARM (SUICIDE), KIDNEY DISEASE, CHRONIC LIVER DISEASE, INFANT MORTALITY, SEPTICEMIA, ALCOHOL-INDUCED, AIDS, AND ASSAULT (HOMICIDE). DISEASE STATE OR CAUSE OF DEATH WERE NOT CHOSEN BECAUSE OF THE FOCUS ON PREVENTION OF CHRONIC DISEASE THROUGH CHANGING BEHAVIORS AND PREVENTING ILLNESS. ADDITIONALLY, PENNOCK HEALTH SERVICES EXPANDED NEPHROLOGY, OFFERS DIABETIC EDUCATION AND HEALTH COACHES TO ADDRESS HEALTH BEHAVIORS AND MANAGEMENT, AND ALL PENNOCK PHYSICIAN NETWORK CLINICS AND MOST OF THE PHYSICIAN OFFICES ARE PATIENT CENTERED MEDICAL HOME (PCMH) DESIGNATED WHERE THEY HAVE A STRONG FOCUS ON PREVENTION AND DISEASE MANAGEMENT. IN 2012, PENNOCK BROUGHT DIALYSIS SERVICES TO BARRY COUNTY. PENNOCK IS EXPANDING HEART AND VASCULAR SERVICES, AND HAS A STRATEGIC INITIATIVE ALREADY IN PLACE TO EXPAND CANCER SERVICES. TOBACCO USE REDUCTION HAS A COALITION WORKING ON THIS INITIATIVE; THE STEERING COMMITTEE FELT IT NEEDED A STRONGER PARTNERSHIP WITH PENNOCK. BARRY SUBSTANCE ABUSE TASKFORCE ADDRESSES ALCOHOL AND DRUG USE. PENNOCK AIDS IN AWARENESS AND THE PENNOCK FOUNDATION PROVIDES SOME FUNDING. IN ADDITION, A GROUP HAS FORMED TO REDUCE SUICIDE. PENNOCK AND THE PENNOCK FOUNDATION ASSIST WITH RESOURCE AWARENESS AND FUNDING.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - PENNOCK HOSPITAL. 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 , 1	Facility , 1 - PENNOCK HOSPITAL. PENNOCK HOSPITAL 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, ADMISSIONS OFFICE(S) AND OTHER PUBLIC LOCATIONS, INFORMATION ON THE PENNOCK HOSPITAL WEBSITE, THE SPECTRUM HEALTH PATIENT HANDBOOK, VARIOUS INFORMATIONAL BROCHURES, UPON REQUEST BY ANY PATIENT, GUARANTOR OR COMMUNITY MEMBER, WORD OF MOUTH VIA FINANCIAL RESOURCE ADVISORS AND OTHERS, AND THROUGH COMMUNITY PUBLICATIONS AND OUTREACH EVENTS. IN ADDITION, PENNOCK HOSPITAL 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 PENNOCK HOSPITAL 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.
Schedule H, Part V, Section B, Line 22 Facility , 1	Facility , 1 - PENNOCK HOSPITAL. PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE PROVIDED FREE CARE, THEREFORE THE ORGANIZATION DOES NOT CHARGE ANY AMOUNT TO THOSE PATIENTS.

Field	Value	IRS element (for citing)
Facility	14	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
STATE STREET URGENT CARE CENTER
1108 W STATE STREET	HASTINGS	MI	49058	URGENT CARE CENTER
PENNOCK HOME HEALTH
1230 W STATE STREET	HASTINGS	MI	49058	HOME HEALTH CARE AGENCY
HASTINGS GENERAL SURGEONS
1009 W STATE STREET	HASTINGS	MI	49058	SURGEON PRACTICE OFFICE
GUN LAKE FAMILY MEDICINE
77 124TH AVE	SHELBYVILLE	MI	49344	FAMILY PRACTICE OFFICE
PENNOCK HOSPICE
1230 W STATE STREET	HASTINGS	MI	49058	OUTPATIENT HOSPICE CARE
CLARKSVILLE FAMILY MEDICINE
155 E CROSS ST	CLARKSVILLE	MI	48815	FAMILY PRACTICE OFFICE
CALEDONIA FAMILY MEDICINE
9090 RODGERS CT	CALEDONIA	MI	49316	FAMILY PRACTICE OFFICE
HASTINGS FAMILY MEDICINE
1009 W STATE STREET	HASTINGS	MI	49058	FAMILY PRACTICE OFFICE
NASHVILLE FAMILY MEDICINE
750 DURKEE	NASHVILLE	MI	49073	FAMILY PRACTICE OFFICE
ADVANCED ORTHOPEDIC AND PAIN INSTITUTE
840 COOK RD	HASTINGS	MI	49058	SURGEON PRACTICE OFFICE
WOMEN'S HEALTH FIRST
1108 W STATE STREET	HASTINGS	MI	49058	OBGYN
LAKEWOOD FAMILY MEDICINE
4294 LAUREL DRIVE	LAKE ODESSA	MI	48849	FAMILY PRACTICE OFFICE
HOPKINS FAMILY MEDICINE
130 W MAIN STREET	HOPKINS	MI	49328	FAMILY PRACTICE OFFICE
Delton Office
11275 Sprague Rd	Delton	MI	49046	Family Practice Office

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part IV, Column (b) DESCRIPTION OF PRIMARY ACTIVITY	NAME OF ENTITY: BARRY HEALTH PARTNERS LTD TO INTEGRATE PHYSICIAN AND HOSPITAL CLINICAL PRACTICES & PAYOR CONTRACTING.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT	THE STATE OF MICHIGAN DOES NOT REQUIRE A COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE HOWEVER SPECTRUM HEALTH SYSTEM, INCLUDING PENNOCK HOSPITAL, 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 7 Bad Debt Expense excluded from financial assistance calculation	3770801
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE COST TO CHARGE RATIO WAS USED TO DETERMINE PATIENT SERVICE COSTS.
Schedule H, Part II Community Building Activities	PENNOCK HOSPITAL IS DEDICATED TO THE COMMUNITY IT SERVES. THE HOSPITAL WORKS TO ADDRESS THE PRESSING HEALTH ISSUES OF THE COMMUNITY IT SERVES BY PROMOTING AND ADVOCATING FOR OVERALL COMMUNITY HEALTH IMPROVEMENT.
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, PATIENT ACCOUNTS RECEIVABLE, AND ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS FOOTNOTE IS ON PAGES 13 TO 15 OF THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	PENNOCK HOSPITAL DOES NOT EXPERIENCE A MEDICARE SHORTFALL. THE MEDICARE COST REPORT WAS USED TO REPORT MEDICARE ALLOWABLE COSTS.
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 ACTIONS ARE 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	- PENNOCK HOSPITAL: Line 16a URL: HTTP://WWW.SPECTRUMHEALTH.ORG/FINANCIALASSISTANCE;
Schedule H, Part V, Section B, Line 16b FAP Application website	- PENNOCK HOSPITAL: Line 16b URL: HTTP://WWW.SPECTRUMHEALTH.ORG/FINANCIALASSISTANCE;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- PENNOCK HOSPITAL: Line 16c URL: HTTP://WWW.SPECTRUMHEALTH.ORG/FINANCIALASSISTANCE;
Schedule H, Part VI, Line 2 Needs assessment	PENNOCK HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY UTILIZING INTERNAL DATA, DATA COLLECTED FROM THOMPSON REUTERS, MICHIGAN HEALTH AND HOSPITAL ASSOCIATION, BARRY EATON HEALTH DEPARTMENT, LOCAL SOCIAL SERVICE AGENCIES, SCHOOL SYSTEMS, NATIONAL HEALTH ASSOCIATIONS (AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, AMERICAN DIABETES ASSOCIATION, MARCH OF DIMES), AND OUR PAYORS. PENNOCK COLLECTS DATA INTERNALLY BASED ON INPATIENT AND OUTPATIENT STATISTICS. THOMPSON REUTERS PROVIDES DATA REGARDING THE SERVICES BEING USED BY THE POPULATION WITHIN THE SERVICE AREA SUPPORTED BY PENNOCK HOSPITAL, INCLUDING PROJECTED POPULATION GROWTH TRENDS BY AGE AND SEX. THIS HELPS US TO EXAMINE THE PATIENT NEEDS AT A CLOSER LEVEL. LOCAL SOCIAL SERVICES AGENCIES AND SCHOOL SYSTEMS HELP US IDENTIFY SOCIOECONOMIC FACTORS CONTRIBUTING TO THE IDENTIFIED HEALTH STATUS OF OUR SERVICE AREA. THE NATIONAL HEALTH ASSOCIATIONS PROVIDE DATA AS RELATED TO THEIR DISEASE SPECIFIC AREA FOR OUR COUNTY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	PENNOCK HOSPITAL 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 FOR THE UNINSURED, COMMUNITY OUTREACH PROGRAMS, CONSUMER INFORMATION CLASSES, PENNOCK HOSPITAL'S WEBSITE, PERSONAL FINANCIAL COUNSELING AND BY PROVIDING ASSISTANCE IN THE ACTUAL ENROLLMENT OF SUCH PROGRAMS. PENNOCK HOSPITAL 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. PENNOCK HOSPITAL 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. PENNOCK HOSPITAL 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 THE HOSPITAL EMERGENCY DEPARTMENT, ADMISSIONS OFFICE 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, PENNOCK HOSPITAL LISTS OPTIONS FOR THE UNINSURED AND UNDERINSURED ON THEIR WEBSITE, ALONG WITH A COPY OF THE FINANCIAL ASSISTANCE ELIGIBILITY POLICY (SEARCH "FINANCIAL ASSISTANCE" AT WWW.PENNOCKHOSPITAL.ORG).
Schedule H, Part VI, Line 4 Community information	BARRY COUNTY, MICHIGAN IS THE COMMUNITY PENNOCK SERVES. BARRY COUNTY BOASTS 59,173 RESIDENTS, UP 5% SINCE 2000. WITH 11.8% OF THE POPULATION OVER THE AGE OF 65, BARRY COUNTY IS A RELATIVELY YOUNG COMMUNITY. BARRY COUNTY ALSO SERVES AS A STABLE COMMUTER COMMUNITY WHERE THE AVERAGE TRAVEL TIME IS APPROXIMATELY 30 MINUTES AND THE AVERAGE HOUSEHOLD INCOME IS $46,820. BARRY COUNTY IS UNIQUELY LOCATED IN THE MIDDLE OF FOUR (4) LARGER METROPOLITAN AREAS: GRAND RAPIDS, LANSING, KALAMAZOO, AND BATTLE CREEK. Pennock Hospital 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.
Schedule H, Part VI, Line 5 Promotion of community health	THE BOARD OF DIRECTORS IS SUBSTANTIALLY COMPOSED OF INDEPENDENT COMMUNITY MEMBERS THAT RESIDE IN THE PRIMARY SERVICE AREA OF THE HOSPITAL. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. THE MISSION OF PENNOCK HOSPITAL IS TO PROVIDE QUALITY HEALTH SERVICES IN A PERSONAL, PROFESSIONAL, AND PROGRESSIVE MANNER IN PARTNERSHIP WITH OUR COMMUNITY. OUR MISSION IS CLOSELY CORRELATED WITH THE HEALTH AND SOCIOECONOMIC DATA COLLECTED. THIS DATA ALONG WITH OUR MISSION ASSISTS IN STRATEGIC PLANNING EFFORTS TO ALIGN THE SERVICES PROVIDED BY PENNOCK WITH THE TRUE COMMUNITY HEALTH NEED. SPONSORSHIPS AND DONATIONS OR VOLUNTEER TIME IS DIRECTED IN THE AREAS OF HEALTH STATUS IDENTIFICATION, EVALUATION, AND EDUCATION WHERE PREVENTION OR MANAGEMENT IS TAUGHT. PENNOCK COLLEAGUES VOLUNTEER TIME AND MATERIALS TO PROVIDE HEALTH SCREENINGS, FREE OR AT A REDUCED RATE DEPENDING ON THE SERVICE BEING PROVIDED. COLLEAGUES ALSO COLLABORATE WITH LOCAL BUSINESSES TO EDUCATE THEIR EMPLOYEES ON HEALTH IMPROVEMENT AND COST SAVINGS OPTIONS TO EMPLOYERS, WHICH HELPS THE LOCAL ECONOMY AND IMPROVES OVERALL HEALTH OF OUR WORKFORCE. FINALLY, PENNOCK PROVIDES A LOCATION FREE OF CHARGE TO HOUSE THE BARRY COMMUNITY FREE CLINIC AND HABITAT FOR HUMANITY TO ALLEVIATE OVERHEAD AND ALLOW THESE SERVICES TO ASSIST THOSE IN NEED IN OUR COUNTY.
Schedule H, Part VI, Line 6 Affiliated health care system	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 twelve hospitals including Helen DeVos Children's Hospital, a state of the art children's hospital and more than 180 service sites; the Spectrum Health Medical Group physician group totaling more than 1,200 providers; and Priority Health, a health plan with 590,000 members. Spectrum Health is West Michigan's largest employer with more than 21,700 employees. The integrated health system provided $283 million in community benefit during its 2015 fiscal year. The $283 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. Pennock Hospital is a member of the affiliated group of entities within Spectrum Health and is responsible for creating value within its respective community. From its inception, Pennock Hospital has been a faithful steward of its community assets. As a West Michigan-based not-for-profit hospital, 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. Over the years, our mission has remained the same-to provide healthcare services to the citizens of Barry County in a personal, professional, and progressive manner in partnership with the community. We take our mission seriously. It is central to our strategic discussions and guides our investments and the allocation of our resources. Pennock Hospital 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. PENNOCK HOSPITAL HAS PROGRAMS THAT SUPPORT ITS MISSION "TO PROVIDE QUALITY HEALTH SERVICES IN A PERSONAL, PROFESSIONAL, AND PROGRESSIVE MANNER IN PARTNERSHIP WITH THE COMMUNITY."
Schedule H, Part VI, Line 7 State filing of community benefit report	MI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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	false	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	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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
Sheryl Lewis-Blake
President	$272,419	$0	$8,241	$0	$48,166	$0	$13,000	$0	$39,282	$0	$381,108	$0	$0	$0
Marc Chircop
Director	$0	$367,980	$0	$242,691	$0	$26,327	$0	$144,756	$0	$64,937	$0	$846,691	$0	$144,187
David Ottenbaker MD
Director	$0	$339,203	$0	$86,723	$0	$1,534	$0	$23,400	$0	$17,621	$0	$468,481	$0	$0
Connie Downs
CFO	$170,825	$0	$6,016	$0	$19,174	$0	$9,601	$0	$24,511	$0	$230,127	$0	$0	$0
Carla Wilson-Neil
COO	$157,750	$0	$5,074	$0	$18,389	$0	$12,619	$0	$3,234	$0	$197,066	$0	$0	$0
Steve Marzolf
CNO	$135,204	$0	$5,248	$0	$11,699	$0	$5,902	$0	$37,496	$0	$195,549	$0	$0	$0
Bob Davis
Exec. Dir. Physican Network	$138,758	$0	$4,885	$0	$1,093	$0	$2,856	$0	$24,641	$0	$172,233	$0	$0	$0
James Horton MD
Physician	$379,224	$0	$0	$0	$126,366	$0	$0	$0	$16,403	$0	$521,993	$0	$0	$0
Eric Leep MD
Physician	$294,563	$0	$0	$0	$173,461	$0	$10,400	$0	$21,388	$0	$499,812	$0	$0	$0
David Heeringa MD
Physician	$319,781	$0	$0	$0	$46,574	$0	$0	$0	$21,071	$0	$387,426	$0	$0	$0
Laura Doherty MD
Physician	$291,529	$0	$264	$0	$70,253	$0	$4,629	$0	$2,755	$0	$369,430	$0	$0	$0
Max Rappaport MD
Physician	$289,607	$0	$33,300	$0	$14,734	$0	$5,200	$0	$37,743	$0	$380,584	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 1a Health or social club dues or initiation fees

THE HEALTH AND WELLNESS CENTER IS AVAILABLE TO ALL BOARD MEMBERS AND IS TREATED AS TAXABLE COMPENSATION, AND INCLUDED IN FORM W-2.

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

$144,187 Marc Chircop 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.

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
MICHIGAN STATE HOSPITAL FINANCE AUTHORITY (2003 HELP Loan)
A	382889417	59465E5V1	2003-12-10	$13,400,000	HEALTHCARE EQUIPMENT	false	false	Yes (true)
MICHIGAN STATE HOSPITAL FINANCE AUTHORITY (2006 HELP Loan)
B	382889417	59465HGG5	2007-08-29	$7,500,000	HEALTHCARE EQUIPMENT	false	false	Yes (true)
MICHIGAN FINANCE AUTHORITY (2011 HELP Loan)
C	800596186	59447PFB2	2011-06-29	$5,750,000	HEALTHCARE EQUIPMENT	false	false	Yes (true)
MICHIGAN FINANCE AUTHORITY (2013 HELP Loan)
D	800596186	59447PXP1	2013-10-10	$13,700,000	HEALTHCARE EQUIPMENT	false	false	Yes (true)

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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$3,719,587	$0	$4,300,000	$0	$0	$0	$51,122	$0	$0	$4,248,878	$0	$0	2003	false	false	Yes (true)	Yes (true)
B	$1,994,792	$0	$3,031,165	$0	$0	$0	$36,037	$0	$0	$2,995,128	$0	$0	2008	false	false	Yes (true)	Yes (true)
C	$690,961	$0	$4,171,549	$0	$0	$0	$66,804	$0	$0	$4,104,745	$0	$0	2012	false	false	Yes (true)	Yes (true)
D	$862,827	$0	$6,500,000	$0	$0	$0	$77,278	$0	$0	$6,422,722	$0	$0	2014	false	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	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	Yes (true)
D	false	false	false	false	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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (i) Pooled Financing Arrangement	The Michigan State Hospital Finance Authority (MSHFA) was created by Act 38 of 1969, Hospital Finance Authority Act for the purpose of making loans to healthcare organizations in Michigan. MSHFA offers Healthcare Equipment Loan Program (HELP) bond issues which are pooled loans offering assistance to both large integrated health delivery systems and a broad range of smaller healthcare providers. The HELP participants share the costs of issuance and administrative fees among multiple borrowers in a single bond issue. The amounts reported on line 1(e) represent the entire bond issue, while the amounts in Part II, line 3 relate to the portion of the bonds allocated to Pennock Hospital. Any difference between these lines represents the amount of bond proceeds reported on Schedule K of other unaffiliated healthcare providers.
Schedule K, Part IV, Line 2c Rebate Calculation	Issuer name: MICHIGAN STATE HOSPITAL FINANCE AUTHORITY (2003 HELP Loan) The calculation for computing no rebate due was performed on 12/10/2003
Schedule K, Part IV, Line 2c Rebate Calculation	Issuer name: MICHIGAN STATE HOSPITAL FINANCE AUTHORITY (2006 HELP Loan) The calculation for computing no rebate due was performed on 08/29/2007
Schedule K, Part IV, Line 2c Rebate Calculation	Issuer name: MICHIGAN FINANCE AUTHORITY (2011 HELP Loan) The calculation for computing no rebate due was performed on 06/29/2011
Schedule K, Part IV, Line 2c Rebate Calculation	Issuer name: MICHIGAN FINANCE AUTHORITY (2013 HELP Loan) The calculation for computing no rebate due was performed on 10/10/2013

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CONNIE S DOWNS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship With Org	CFO	RelationshipWithOrgTxt
Loan Purpose	HIGHER EDUCATION	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$56,500	OriginalPrincipalAmt
Balance Due	$17,833	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	Yes (true)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$17,833	TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part IV, Line 12b Consolidated Independent Audited Financial Statements	Pennock Hospital Integrated with Spectrum Health and was included in the Consolidated Independent Audited Financial Statements for the period of May 1, 2015 - June 30, 2015. The activity covering October 1, 2014 - April 30, 2015 is not included in the consolidated audited financial statements.
Form 990, Part VI, Line 4 Significant changes to organizational documents	THE TAXPAYER AFFILIATED WITH SPECTRUM HEALTH SYSTEM DURING THE TAX YEAR AND THE TAXPAYER'S GOVERNING DOCUMENTS WERE SIGNIFICANTLY AMENDED TO SUBSTITUTE SPECTRUM HEALTH SYSTEM AS THE SOLE MEMBER OF THE TAXPAYER. AS A RESULT OF THIS AFFILIATION, THE TAXPAYER'S BOARD WAS EXPANDED TO INCLUDE UP TO SIXTEEN MEMBERS, TWO OF WHICH MUST BE APPOINTED BY SPECTRUM HEALTH SYSTEM. THE TAXPAYER'S BYLAWS WERE AMENDED TO REFLECT THE DELEGATION OF CERTAIN OF THE PARENT CORPORATION'S RESERVED POWERS REGARDING MANAGEMENT AND GOVERNANCE TO SPECTRUM HEALTH HOSPITALS D/B/A SPECTRUM HEALTH HOSPITAL GROUP ("SHHG"), THE BOARD OF WHICH OVERSEES ALL OF THE HOSPITAL OPERATIONS OF SPECTRUM HEALTH. SHHG HAS THE RIGHT TO APPOINT THE PRESIDENT OF THE TAXPAYER. APPROVAL LIMITS FOR THE AMOUNT OF CAPITAL EXPENDITURES OR LOANS TO UNRELATED ENTITIES WERE INCREASED FOR THE TAXPAYER'S PRESIDENT AND BOARD OF DIRECTORS AND AN APPROVAL LIMIT WAS ADDED FOR THE SHHG PRESIDENT, FINANCE COMMITTEE AND BOARD OF DIRECTORS. AMENDMENTS TO THE TAXPAYER'S BYLAWS MUST BE ADOPTED BY SHHG.
Form 990, Part VI, Line 6 Classes of members or stockholders	SPECTRUM HEALTH SYSTEM (EIN 38-3382353), A MICHIGAN NONPROFIT CORPORATION, IS THE SOLE MEMBER OF THE ORGANIZATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE SOLE MEMBER (SEE FORM 990, PART VI, LINE 6) OF THE ORGANIZATION APPOINTS ALL MEMBERS OF THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE SOLE MEMBER OF THE ORGANIZATION (SEE FORM 990, PART VI, LINE 6) HAS RETAINED CERTAIN RESERVED POWERS IN THE ORGANIZATION EXCLUSIVELY, WHICH SHALL NOT BE DEEMED AUTHORIZED UNLESS AND UNTIL APPROVED BY THE SOLE MEMBER OF ORGANIZATION: - ELECTION AND/OR REMOVAL OF THE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS AND THE ORGANIZATION'S CHAIR OF THE BOARD; - APPROVAL OF ALL ORGANIZATION'S (OR AN ENTITY DIRECTLY OR INDIRECTLY CONTROLLED BY THE ORGANIZATION ("SUBSIDIARY") CAPITAL EXPENDITURES IN EXCESS OF THE AMOUNT SPECIFIED IN THE AUTHORITY MATRIX, ADOPTED BY THE SOLE MEMBER OF ORGANIZATION AND AS AMENDED BY THE SOLE MEMBER OF ORGANIZATION FROM TIME TO TIME ("AUTHORITY MATRIX AMOUNT"); - APPROVAL OF ALL BORROWING BY THE ORGANIZATION OR A SUBSIDIARY FOR CAPITAL OR OPERATING PURPOSES, AND ALL GUARANTEES OF INDEBTEDNESS, INCLUDING ANY OPERATING LEASE IN AN AMOUNT GREATER THAN ONE MILLION DOLLARS ($1,000,000) DURING\ THE INITIAL LEASE TERM, NOT INCLUDING RENEWALS AND/OR EXTENSIONS; - APPROVAL OF ALL LOANS IN EXCESS OF THE AUTHORITY MATRIX AMOUNT BY THE ORGANIZATION OR A SUBSIDIARY TO PERSONS OR ENTITIES OTHER THAN THE SOLE MEMBER OF ORGANIZATION OR AN ENTITY CONTROLLED BY THE SOLE MEMBER OF ORGANIZATION; - THE CREATION OF ANY ENTITY CONTROLLED, DIRECTLY OR INDIRECTLY, BY THE ORGANIZATION; AND - THE 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. IN ADDITION TO THE RESERVED POWERS RETAINED EXCLUSIVELY BY THE SOLE MEMBER OF ORGANIZATION ABOVE, THE SOLE MEMBER OF ORGANIZATION HAS DELEGATED CERTAIN RESERVED POWERS IN ORGANIZATION REGARDING MANAGEMENT AND GOVERNANCE TO SPECTRUM HEALTH HOSPITALS D/B/A SPECTRUM HEALTH HOSPITAL GROUP ("SHHG"), THE BOARD OF WHICH OVERSEES ALL OF THE HOSPITAL OPERATIONS OF THE SOLE MEMBER OF ORGANIZATION. THE SOLE MEMBER OF ORGANIZATION ALSO RETAINS THE UNILATERAL AUTHORITY TO EXERCISE ANY OF THE RESERVED POWERS BELOW. THE ACTIONS LISTED BELOW MAY BE UNILATERALLY CAUSED AND OR TAKEN BY SHHG, WITHIN ITS SOLE AND EXCLUSIVE POWER AND DISCRETION AND SHALL NOT BE DEEMED AUTHORIZED UNLESS AND UNTIL APPROVED BY SHHG: - HIRING, DISCHARGE, AND EVALUATION OF THE ORGANIZATION'S PRESIDENT AND/OR CEO AS DELEGATED BY THE SOLE MEMBER OF ORGANIZATION'S BOARD OF DIRECTORS TO THE SOLE MEMBER OF ORGANIZATION'S CHIEF EXECUTIVE OFFICER (OR DESIGNEE) OR SHHG'S PRESIDENT; - THE ADOPTION OF THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE ORGANIZATION, AND ANY AMENDMENTS TO SUCH BUDGETS IN EXCESS OF THE AUTHORITY MATRIX AMOUNT; - THE ADOPTION OF THE ORGANIZATION'S STRATEGIC PLANS; - THE ADOPTION OF AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE ORGANIZATION; - MERGER OR CONSOLIDATION OF THE ORGANIZATION OR A SUBSIDIARY, ANY OTHER CHANGE IN CONTROL, OWNERSHIP PERCENTAGES OR CAPITAL STRUCTURE OF THE ORGANIZATION OR A SUBSIDIARY; - SALE OR TRANSFER OF MORE THAN TEN PERCENT (10%) OF THE ASSETS OF THE ORGANIZATION OR A SUBSIDIARY TO ANY PERSON OR ENTITY NOT CONTROLLED BY THE SOLE MEMBER OF ORGANIZATION; - DISSOLUTION OF THE ORGANIZATION; - THE SELECTION AND RETENTION OF AUDITORS FOR THE ORGANIZATION OR A SUBSIDIARY; AND - ANY OTHER APPROVAL FOR WHICH THE SOLE MEMBER OF ORGANIZATION'S APPROVAL IS REQUIRED BY LAW.
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 AND SHARED WITH THE BOARD OF DIRECTORS. 4. THE ORGANIZATION'S CORPORATE CONTROLLER REVIEWS COMMENTS OR QUESTIONS RECEIVED BY 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	ANNUAL CONFLICT OF INTEREST STATEMENTS ARE COMPLETED BY BOARD MEMBERS. MEMBERS ARE RESPONSIBLE FOR FULL DISCLOSURE OF POTENTIAL CONFLICTS WHICH ARE DOCUMENTED IN THE MINUTES. ANY INDIVIDUAL WITH A CONFLICT OF INTEREST MUST ABSTAIN FROM VOTING ON ANY RELEVANT ITEMS.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	PENNOCK USES SALARY SURVEYS ALONG WITH HIRING A CONSULTING COMPANY IN ASSISTING WITH SETTING WAGES FOR THE OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEE IS COMPRISED OF THREE BOARD MEMBERS TO REVIEW COMPENSATION AND ADVISE THE FULL BOARD OF SALARIES, RAISES, AND BENEFITS. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2015. ALL DISCUSSIONS FROM THE COMPENSATION COMMITTEE ARE DOCUMENTED IN MINUTES.
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 IN THE SECTION TITLED "ABOUT US".
Form 990, Part IX, Line 11g Other Fees	Contracted Services - Total Expense: 6877548, Program Service Expense: 4116346, Management and General Expenses: 2761202, Fundraising Expenses: ; Medical Services - Total Expense: 65520, Program Service Expense: 55692, Management and General Expenses: 9828, Fundraising Expenses: ; Public Relations - Total Expense: 29700, Program Service Expense: 14850, Management and General Expenses: 14850, Fundraising Expenses: ; Collections - Total Expense: 237820, Program Service Expense: , Management and General Expenses: 237820, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Equity Classification Adjustments - 2381898; Valuation Adjustment - Integration into Spectrum Health - -9452675; Integration Adjustment - -380335;
Form 990, Part XII, Line 2b Audited Financial Statements	Pennock Hospital Integrated with Spectrum Health and was included in the Consolidated Independent Audited Financial Statements for the period of May 1, 2015 - June 30, 2015. The activity covering October 1, 2014 - April 30, 2015 is not included in the consolidated audited financial statements.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 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
PENNOCK FOUNDATION
1009 WEST GREEN STREET	HASTINGS	MI	49058	382713275	FOUNDATION	MI	501(c)(3	Type III-FI	Spectrum Health System	false
PENNOCK HEALTHCARE SYSTEM
1009 WEST GREEN STREET	HASTINGS	MI	49058	382713276	PARENT ORGANIZATION	MI	501(c)(3	Type II	Spectrum Health System	false
Priority Health
1231 East Beltline NE	Grand Rapids	MI	49525	382715520	HMO	MI	501(c)(4		Spectrum Health System	false
Spectrum Health Hospitals
100 Michigan St NE	Grand Rapids	MI	49503	381360529	Health Care	MI	501(c)(3	3	Spectrum Health System	false
Spectrum Health Primary Care Partners
1840 Wealthy St SE	Grand Rapids	MI	49506	381358164	Healthcare	MI	501(c)(3	3	Spectrum Health System	false
Spectrum Health Foundation
100 Michigan St NE	Grand Rapids	MI	49503	382752328	Philanthropy	MI	501(c)(3	7	Spectrum Health System	false
Spectrum Health Continuing Care
750 Fuller Ave NE	Grand Rapids	MI	49503	383242232	Rehab/Care	MI	501(c)(3	9	Spectrum Health System	false
Newaygo County General Hospital Association
212 S Sullivan Avenue	Fremont	MI	49412	381359517	Healthcare	MI	501(c)(3	3	Spectrum Health System	false
Zeeland Community Hospital
8333 Felch Street	Zeeland	MI	49464	381411184	Healthcare	MI	501(c)(3	3	Spectrum Health System	false
Spectrum Health United
615 S Bower	Greenville	MI	48838	381358412	Healthcare	MI	501(c)(3	3	Spectrum Health System	false
Mecosta County Medical Center
605 Oak Street	Big Rapids	MI	49307	381368744	Healthcare	MI	501(c)(3	3	Spectrum Health System	false
Memorial Medical Center of West Michigan
One Atkinson Drive	Ludington	MI	49431	381359266	Healthcare	MI	501(c)(3	3	Spectrum Health System	false
REED CITY HOSPITAL CORPORATION
300 N PATTERSON RD	REED CITY	MI	49677	382770076	Healthcare	MI	501(c)(3	3	Spectrum Health System	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
Pennock Ventures Inc
1009 West Green Street	Hastings	MI	49058	382712819	Real Estate	MI	NA	C Corporation	false
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
Ideomed Inc
100 Michigan St NE	Grand Rapids	MI	49503	611613614	Information Technology	MI	NA	C Corporation	false
Michigan Medical Patient Care
1840 Wealthy St SE	Grand Rapids	MI	49506	382851295	Medical	MI	NA	C Corporation	false
West Michigan Heart
2900 Bradford Street NE	Grand Rapids	MI	49525	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
Pennock Pharmacy Inc
1009 West Green Street	Hastings	MI	49058	382750680	Health Care	MI	NA	C Corporation	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Pennock Foundation
M	$3,924	Cash, GAAP, or FMV
Pennock Foundation
P	$97,947	Cash, GAAP, or FMV
Pennock Foundation
N	$44,332	Cash, GAAP, or FMV