COREWELL HEALTH: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: COREWELL HEALTH (EIN 61-1740292)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-03-27
IRS object ID: 201510869349300201
Schema version: 2013v4.0
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	2015-03-27T06:55:55-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE HORWATH LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	225 WEST WACKER DRIVE	AddressLine1
Address Line2	SUITE 2600	AddressLine2
City	CHICAGO	City
State	IL	State
ZIP Code	606061224	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	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	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	SPEC	BusinessNameControlTxt
Phone	6167747322	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 Michigan St NE MC 498	AddressLine1
City	Grand Rapids	City
State	MI	State
ZIP Code	49503	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RONALD J KNAUS	PersonNm
Person Title	SVP & CFO	PersonTitleTxt
Signature	2014-12-19	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	GERALYN R HURD	PreparerPersonNm
PTIN	P00933422	PTIN
Phone	3128997000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Initial Return	Yes (X)	InitialReturnInd

Principal Ofcr Business Address PrincipalOfcrBusinessAddress

Field	Value	IRS element (for citing)
Business Name Line1	RICHARD C BREON	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 Michigan St NE MC 498	AddressLine1
City	Grand Rapids	City
State	MI	State
ZIP Code	49503	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$2,820,080,763	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 THE HEALTH OF THE COMMUNITIES WE SERVE	ActivityOrMissionDesc
Voting Members Governing Body	177	VotingMembersGoverningBodyCnt
Voting Members Independent	102	VotingMembersIndependentCnt
Total Employee	19558	TotalEmployeeCnt
Total Volunteers	2300	TotalVolunteersCnt
Total Gross UBI	$3,303,005	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$375,978	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$21,101,362	PYContributionsGrantsAmt
CY Contributions Grants	$44,637,048	CYContributionsGrantsAmt
PY Program Service Revenue	$2,375,603,272	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,444,721,108	CYProgramServiceRevenueAmt
PY Investment Income	$68,895,678	PYInvestmentIncomeAmt
CY Investment Income	$96,080,088	CYInvestmentIncomeAmt
PY Other Revenue	$16,231,973	PYOtherRevenueAmt
CY Other Revenue	$14,318,504	CYOtherRevenueAmt
PY Total Revenue	$2,481,832,285	PYTotalRevenueAmt
CY Total Revenue	$2,599,756,748	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,239,208	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,465,322	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,085,636,680	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,137,795,061	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,863,040	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,197,407,087	PYOtherExpensesAmt
CY Other Expenses	$1,244,252,512	CYOtherExpensesAmt
PY Total Expenses	$2,285,282,975	PYTotalExpensesAmt
CY Total Expenses	$2,385,512,895	CYTotalExpensesAmt
PY Revenues Less Expenses	$196,549,310	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$214,243,853	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,912,947,549	TotalAssetsBOYAmt
Total Assets EOY	$3,128,303,781	TotalAssetsEOYAmt
Total Liabilities BOY	$1,251,077,842	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,219,027,208	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,661,869,707	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,909,276,573	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,767,215,582	ExpenseAmt
Grant	$2,154,760	GrantAmt
Revenue	$2,168,707,468	RevenueAmt
Desc	SPECTRUM HEALTH SYSTEM GROUP REFLECTS THE COMPOSITE INFORMATION AND OPERATIONS OF FIFTEEN TAX EXEMPT ENTITIES, INCLUDING 10 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 MORE THAN 170 SERVICES SITES, PHYSICIAN OFFICES AND OUTPATIENT LOCATIONS, PROVIDING CONVENIENT ACCESS TO SERVICES THROUGHOUT OUR 13-COUNTY SERVICE AREA. DURING THE FISCAL YEAR ENDED JUNE 30, 2014 THE SPECTRUM HEALTH INTEGRATED HEALTH SYSTEM PROVIDED $295 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, AND HEALTH PROFESSION EDUCATION. SPECTRUM HEALTH HOSPITAL GROUP - SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$410,402,009	ExpenseAmt
Revenue	$274,641,491	RevenueAmt
Desc	SPECTRUM HEALTH MEDICAL GROUP - SEE SCHEDULE O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$2,339,623	ExpenseAmt
Grant	$1,310,562	GrantAmt
Desc	SPECTRUM HEALTH FOUNDATION - SEE SCHEDULE O	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$2,179,957,214	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	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
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	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	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	1760	IRPDocumentCnt
IRP Document W2 G	3	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	19558	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	177	GoverningBodyVotingMembersCnt
Independent Voting Member	102	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	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	Jill B Ferris	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	6167745115	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	545 Michigan NE	AddressLine1
City	Grand Rapids	City
State	MI	State
ZIP Code	49503	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (170 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ALLEN DEERING
Chair, SHL	2.00	0	Yes (X)	Yes (X)	$0	$0	$0
ANDREW BUTLER
Secretary, SHBR & SHRC	2.00	0	Yes (X)	Yes (X)	$1,350	$0	$0
BRADLEY DYKSTRA
Vice Chair, SHZ	1.00	0	Yes (X)	Yes (X)	$0	$0	$0
BRIAN BRASSER
President, SHU & SHK	50.00	0	Yes (X)	Yes (X)	$180,162	$0	$34,463
CHARLES DILLON PHD
Vice Chair, SHL	1.00	0	Yes (X)	Yes (X)	$0	$0	$0
CHARLES HOLMQUIST
Chair, SHBR & SHRC	4.00	0	Yes (X)	Yes (X)	$0	$0	$0
CHRIS BART
Secretary, SHZ - Part Year	1.00	0	Yes (X)	Yes (X)	$0	$0	$0
CHRISTINA FREESE-DECKER
President, SHU & SHK - Part Year	50.00	0	Yes (X)	Yes (X)	$338,966	$0	$127,759
DAVID MACK
See Schedule O	5.00	0	Yes (X)	Yes (X)	$18,000	$0	$0
DAVID MEHNEY
Chair, SHF	2.00	0	Yes (X)	Yes (X)	$0	$0	$0
DAVID ROBINSON
Secretary, SHGM	1.00	0	Yes (X)	Yes (X)	$0	$0	$0
FREDERICK GUENTHER MD
Chair, SHBR- Part Year	2.00	0	Yes (X)	Yes (X)	$1,350	$0	$0
GREGORY GADBOIS MD
Vice Chair, SHMG	50.00	0	Yes (X)	Yes (X)	$208,466	$0	$29,714
HAROLD VANDEN BOSCH
Secretary, SHZ	1.00	0	Yes (X)	Yes (X)	$83	$0	$0
HARRY KNOPKE PHD
Chair, SHH	2.00	0	Yes (X)	Yes (X)	$30,000	$0	$0
HENRY VEENSTRA
President, SHZ	50.00	0.00	Yes (X)	Yes (X)	$342,230	$0	$87,231
JAMES FAHNER MD
Chair, SHMG	50.00	0	Yes (X)	Yes (X)	$315,774	$0	$57,757
JEFFREY MISLEVY
See Schedule O	50.00	0	Yes (X)	Yes (X)	$310,954	$0	$110,511
JOHN WALTERS
Treasurer, SHZ	1.00	0	Yes (X)	Yes (X)	$231	$0	$0
KAREN PAKKALA
See Schedule O	50.00	0	Yes (X)	Yes (X)	$186,085	$0	$13,048
KENNETH FAWCETT JR MD
Interim President, SHMG - Part Year	50.00	0	Yes (X)	Yes (X)	$602,495	$0	$205,949
KENNETH ROCCO
Secretary, SHL	1.00	0	Yes (X)	Yes (X)	$0	$0	$0
KEVIN CAWLEY
See Schedule O	50.00	0	Yes (X)	Yes (X)	$127,800	$0	$0
KEVIN SPLAINE
President, SHH	49.00	1.00	Yes (X)	Yes (X)	$765,968	$0	$285,301
LARRY OBERST
See Schedule O	50.00	0	Yes (X)	Yes (X)	$194,142	$0	$19,704
LINDA BLANCHARD
Secretary, SHU & SHK	2.00	0	Yes (X)	Yes (X)	$0	$0	$0
LINDA ERICKSON-JOEL
See Schedule O	50.00	0	Yes (X)	Yes (X)	$184,643	$0	$22,927
M JANE DRAKE
Vice Chair, SHGM	1.00	0	Yes (X)	Yes (X)	$0	$0	$0
MARC CHIRCOP
See Schedule O	50.00	0	Yes (X)	Yes (X)	$580,809	$0	$177,140
MARC LENZ
Treasurer, SHL	1.00	0	Yes (X)	Yes (X)	$0	$0	$0
MARGE POTTER
Vice Chair, SHF	1.00	0	Yes (X)	Yes (X)	$0	$0	$0
MARIA DEVOS
Secretary, SHF	1.00	0	Yes (X)	Yes (X)	$0	$0	$0
MARK VIPPERMAN
President, SHL	50.00	0	Yes (X)	Yes (X)	$319,492	$0	$38,308
MARK WILSON
See Schedule O	3.00	0	Yes (X)	Yes (X)	$20,514	$0	$0
PHILIP HENDERSON MD
Treasurer, SHMG	50.00	0	Yes (X)	Yes (X)	$313,658	$0	$43,859
RANDALL STASIK
President / CEO, SHGM	50.00	0	Yes (X)	Yes (X)	$330,770	$0	$113,446
RICHARD ANTONINI
Treasurer, SHF	1.00	0	Yes (X)	Yes (X)	$0	$0	$0
RONALD KNAUS
See Schedule O	1.00	49.00	Yes (X)	Yes (X)	$0	$489,101	$229,281
RONALD TOZER
Secretary, SHKCC - Part Year	50.00	0	Yes (X)	Yes (X)	$155,800	$0	$28,162
SANDRA COTTINGHAM MD PHD
Vice Chair, SHH	1.00	0	Yes (X)	Yes (X)	$20,000	$0	$0
SETH WOLK MD
President, SHMG	49.00	1.00	Yes (X)	Yes (X)	$679,144	$900	$25,786
SHERYL THOMPSON
Treasurer, SHBR & SHRC	2.00	0	Yes (X)	Yes (X)	$0	$0	$0
STEPHEN BOSHOVEN
Vice Chair, SHF - Part Year	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
STEPHEN WELSH MD
Chair, SHGM	2.00	0	Yes (X)	Yes (X)	$0	$0	$0
TERRY NERBONNE
Vice Chair, SHBR & SHRC	2.00	0	Yes (X)	Yes (X)	$900	$0	$0
THOMAS DAUGHERTY
President, SHBR & SHRC	50.00	0.00	Yes (X)	Yes (X)	$398,540	$0	$68,915
THOMAS HAAS PHD
Treasurer, SHH	1.00	0	Yes (X)	Yes (X)	$22,895	$0	$0
TODD BLAKE
Treasurer, SHGM	1.00	0	Yes (X)	Yes (X)	$0	$0	$0
VICKI WEAVER
President, SHF	50.00	0	Yes (X)	Yes (X)	$255,505	$0	$28,958
WILLIAM HAM
Treasurer, SHU & SHK	2.00	0	Yes (X)	Yes (X)	$0	$0	$0
MATTHEW VAN VRANKEN
See Schedule O	2.00	48.00	Yes (X)		$0	$1,282,147	$343,329	Yes (X)
AARON WONG
Director, SHF	1.00	0	Yes (X)		$0	$0	$0
ALFRED O'NEIL
Director, SHBR & SHRC	2.00	1.00	Yes (X)		$900	$0	$0
ALLAN NELSON MD
Director, SHL	1.00	0	Yes (X)		$0	$0	$0
ANTHONY FABAZ DO
Director, SHL	1.00	0	Yes (X)		$0	$0	$0
BARBARA GENO
Director, SHGM	1.00	0	Yes (X)		$0	$0	$0
BRETT ZIMMERMAN DO
Director, SHMG	50.00	0	Yes (X)		$373,418	$0	$30,772
BRIAN ROELOF MD
Director, SHF	1.00	0	Yes (X)		$0	$0	$0
CANDACE MATTHEWS
Director, SHF	1.00	0	Yes (X)		$0	$0	$0
CAROLE MONTGOMERY
Director, SHZ - Part Year	50.00	0	Yes (X)		$486,756	$0	$168,286
CONNIE THEUNICK-PERLEY
Director, SHBR & SHRC	2.00	0	Yes (X)		$0	$0	$0
CONSTANCE SMITH
Ex-Officio, SHF	1.00	0	Yes (X)		$0	$0	$0
DAVID BOTTRALL
Director, SHF	1.00	0	Yes (X)		$0	$0	$0
DAVID KRHOVSKY MD
Director, SHH - Part Year	1.00	0	Yes (X)		$0	$0	$0
DAVID LANGWORTHY
See Schedule O	3.00	0	Yes (X)		$18,000	$0	$0
DAVID NICOL
Director, SHBR & SHRC	2.00	1.00	Yes (X)		$900	$0	$0
DAVID OTTENBAKER MD
See Schedule O	50.00	0	Yes (X)		$436,028	$0	$41,381
DAVID VAN ELSLANDER
Director, SHF	1.00	0	Yes (X)		$0	$0	$0
DAVID WOHNS MD
Director, SHMG	1.00	49.00	Yes (X)		$0	$618,419	$66,785
DAWN POOLEY
Director, SHBR & SHRC	2.00	0	Yes (X)		$0	$0	$0
DOMENICO AUSIELLO MD
Director, SHU & SHK - Part Year	2.00	0	Yes (X)		$65,388	$0	$0
DONALD HENRY
See Schedule O	2.00	0	Yes (X)		$18,000	$0	$0
DONALD KIM MD
Director, SHMG - Part Year	50.00	0	Yes (X)		$516,289	$0	$44,826
DONNA DENSLOW
Director, SHBR & SHRC	2.00	0	Yes (X)		$0	$0	$0
DONNALEE HOLTON
Director, SHF	1.00	0	Yes (X)		$0	$0	$0
DOUGLAS APPLE MD
Director, SHU & SHK	50.00	0	Yes (X)		$401,805	$0	$32,080
ELEONORA FREY ZAGEL
Director, SHF	1.00	0	Yes (X)		$0	$0	$0
EMILIE WIERDA
Director, SHF	1.00	0	Yes (X)		$0	$0	$0
FRANZ MOGDIS
Director, SHU & SHK	2.00	0	Yes (X)		$0	$0	$0
GENE FORD
Director, SHGM	1.00	0	Yes (X)		$0	$0	$0
GLORIA LARA
Director, SHH	1.00	0	Yes (X)		$20,000	$0	$0
HON ANTHONY MONTON
Director, SHL	1.00	0	Yes (X)		$0	$0	$0
J DEAN GUSTAFSON
Director, SHL	1.00	0	Yes (X)		$0	$0	$0
JACK CARTER
Director, SHF	1.00	0	Yes (X)		$0	$0	$0
JAMES FUSON MD
Director, SHH - Part Year	50.00	0	Yes (X)		$385,964	$0	$38,132
JAMES SCATENA
Director, SHL	1.00	0	Yes (X)		$0	$0	$0
JANE TORRY
Director, SHBR & SHRC	2.00	0	Yes (X)		$1,350	$0	$0
JASON SLAIKEU MD
See Schedule O	50.00	0	Yes (X)		$476,305	$0	$27,426
JAY LABINE
Director, SHCC	1.00	49.00	Yes (X)		$0	$345,255	$65,535
JEANNE OAKES
Director, SHL	1.00	0	Yes (X)		$0	$0	$0
JEFFERY BENNETT
Director, SHF	1.00	0	Yes (X)		$0	$0	$0
JEFFERY LOOMIS
Director, SHU & SHK	2.00	0	Yes (X)		$0	$0	$0
JOAN SECCHIA
Director, SHF	1.00	0	Yes (X)		$0	$0	$0
JOHANNIE TORRES
Director, SHMG	50.00	0	Yes (X)		$54,349	$0	$20,103
JOHN BUCKLEY
Director, SHGM	1.00	0	Yes (X)		$0	$0	$0
JOHN MERCHUN
Director, SHU & SHK	2.00	0	Yes (X)		$0	$0	$0
JOHN SCHUEN MD
Director, SHMG	50.00	0	Yes (X)		$301,759	$0	$48,548
JOYCE WINCHESTER
Director - NVM, SHF	1.00	0	Yes (X)		$0	$0	$0
KAHN NEDD MD
Director, SHH	1.00	0	Yes (X)		$19,000	$0	$0
KAREN MCPHEE
Director, SHZ	1.00	0	Yes (X)		$0	$0	$0
KEVIN GERTH MD
Director, SHGM	1.00	0	Yes (X)		$0	$0	$0
KEVIN O'CONNOR DO
Director, SHU & SHK	2.00	0	Yes (X)		$7,625	$0	$0
KRISTI TEALL
Director, SHU & SHK	2.00	0	Yes (X)		$0	$0	$0
LAUREL BREUKER
Director, SHGM	1.00	0	Yes (X)		$0	$0	$0
LESLIE JURECKO MD
Director, SHMG	50.00	0	Yes (X)		$198,996	$0	$32,253
LYNNETTE FERRELL-ROBINSON
Director, SHH	1.00	0	Yes (X)		$20,000	$0	$0
MARGARET GUSTAFSON MD
Director, SHL	1.00	0	Yes (X)		$0	$0	$0
MATTHEW DEKRAKER DC
Director, SHU & SHK	2.00	0	Yes (X)		$0	$0	$0
MAURINE SNEATHEN
Ex-Officio, SHF	1.00	0	Yes (X)		$0	$0	$0
MEG MILLER WILLIT
Director, SHF - Part Year	1.00	0	Yes (X)		$0	$0	$0
MICHAEL HARRISON MD
Director, SHMG	50.00	0	Yes (X)		$511,304	$0	$45,612
NANCY HANENBURG
Director, SHF	1.00	0	Yes (X)		$0	$0	$0
PATRICIA BETZ
Director, SHF	1.00	0	Yes (X)		$0	$0	$0
PATRICK O'HARE
Director, SHL	1.00	49.00	Yes (X)		$0	$646,085	$216,546
PETER HAINES
Director, SHU & SHK	2.00	0	Yes (X)		$0	$0	$0
PETER KENT
Director, SHBR & SHRC	2.00	0	Yes (X)		$900	$0	$0
PETER RENUCCI
Director - NVM, SHF	1.00	0	Yes (X)		$0	$0	$0
RALPH ROGERS MD
See Schedule O	50.00	0	Yes (X)		$621,709	$0	$216,326
RANDY THELEN
Director, SHZ - Part Year	1.00	0	Yes (X)		$0	$0	$0
RICHARD BREON
See Schedule O	2.00	48.00	Yes (X)		$0	$1,853,160	$739,667
RICHARD SALADIN
Director, SHBR & SHRC	2.00	0	Yes (X)		$0	$0	$0
RICHARD STRABBING DO
Director, SHZ	50.00	0	Yes (X)		$277,246	$0	$20,733
RICHARD YOUNG
Director, SHF	1.00	0	Yes (X)		$0	$0	$0
ROBERT JOYCE MD
Director, SHBR & SHRC	2.00	0	Yes (X)		$0	$0	$0
ROBERT ROSKAM
Director, SHF	1.00	0	Yes (X)		$0	$0	$0
RUEL LIRIO
Director, SHZ - Part Year	50.00	0	Yes (X)		$271,931	$0	$34,956
SARLA PURI MD
Director, SHF	1.00	0	Yes (X)		$0	$0	$0
STAN KONYNENBELT
Director, SHZ	1.00	0	Yes (X)		$0	$0	$0
STEPHANIE MURRAY
See Schedule O	50.00	0	Yes (X)		$78,910	$0	$24,884
STEVE BOWSER
Director, SHU & SHK - Part Year	2.00	0	Yes (X)		$0	$0	$0
STEVEN STRBICH DO
Director, SHL	1.00	0	Yes (X)		$0	$0	$0
TAD CHARLES SIMON
Director, SHU & SHK - Part Year	2.00	0	Yes (X)		$0	$0	$0
THOMAS CAMPANA MD
Director, SHBR & SHRC	50.00	0	Yes (X)		$330,796	$0	$39,168
THOMAS MALVITZ MD
Director, SHH	1.00	0	Yes (X)		$20,000	$0	$0
THOMAS RUPP MD
Director, SHMG	50.00	0	Yes (X)		$631,120	$0	$25,463
THOMAS VISSER
Director, SHZ	50.00	0	Yes (X)		$544,519	$0	$36,121
TRAVIS BULL
Director, SHGM	1.00	0	Yes (X)		$0	$0	$0
ULRICA BOWEN
Director, SHZ	1.00	0	Yes (X)		$0	$0	$0
WILLIAM BOER
Director, SHH - Part Year	1.00	0	Yes (X)		$22,000	$0	$0
WILLIAM BUSH
Director, SHH	1.00	0	Yes (X)		$0	$0	$0
ANNETTE COVE
CCO, SHBR	50.00	0		Yes (X)	$136,798	$0	$13,091
DEIDRE WELLER
VP, Finance, SHGM	50.00	0		Yes (X)	$79,119	$0	$6,076
DOUGLAS WELDAY
VP, Finance, SHH	50.00	0		Yes (X)	$0	$0	$0
JOSEPH HOHENBERGER
CFO, SHBR - Part Year	15.00	1.00		Yes (X)	$150,456	$0	$5,033
KERRI NELSON
VP, Finance, SHL	50.00	0		Yes (X)	$162,272	$0	$24,862
LARRY JONGEKRIJG
CFO, SHF	50.00	0		Yes (X)	$162,181	$0	$28,528
LISA SHANNON
Chief Operating Officer, SHH	50.00	0		Yes (X)	$598,601	$0	$239,067
MARK KADLEC
COO, SVP Operations, SHMG	50.00	0		Yes (X)	$455,822	$0	$158,901
PAULINE KRYWANSKI
Sr Vice President, Finance, SHMG	50.00	0		Yes (X)	$393,840	$0	$132,265
RYAN JOHNSON
VP, Finance, SHU & SHK	50.00	0		Yes (X)	$170,667	$0	$23,861
RYAN POWERS
VP, Finance, SHZ	50.00	0.00		Yes (X)	$158,051	$0	$21,934
THOMAS KNOERL
CFO, SHBR & SHRC	50.00	1.00		Yes (X)	$196,435	$0	$27,632
THOMAS MCGRAW
Secretary, SHMG	50.00	0		Yes (X)	$373,183	$0	$134,987
WILLIAM JEWELL
Secretary, SHH	50.00	0		Yes (X)	$334,400	$0	$112,782
ROBERT CONNORS
President, DVCH, SHH	50.00	0			$1,237,008	$0	$225,865		Yes (X)
BRUCE FLETTER
Physician, SHMG	50.00	0			$894,660	$0	$34,995			Yes (X)
JAMES LEBOLT
Physician, SHMG	50.00	0			$983,683	$0	$34,253			Yes (X)
JON SCHRAM
Section Chief, Physician, SHMG	50.00	0			$988,498	$0	$34,161			Yes (X)
KONSTANTIN ELISEVICH
Academic Chair, Neurosciences, SHMG	50.00	0			$1,173,389	$0	$35,457			Yes (X)
MARCUS HAW
Dept Chief, HDVCH Cardiothorac, SHH	50.00	0			$1,002,702	$0	$26,719			Yes (X)
JAMES DAVIDSON
See Schedule O	50.00	0			$268,418	$0	$31,262	Yes (X)
JAMES TUCCI MD
Former President, SHMG	0.00	50.00			$0	$790,570	$274,487	Yes (X)
JEFFERY LEMON
See Schedule O	50.00	0			$781,365	$0	$123,514	Yes (X)
JOHN SELLA
Former CFO, SHGM	50.00	0			$212,258	$0	$27,698	Yes (X)
M ASHRAF MANSOUR
Former Vice Chair, SHMG	49.00	1.00			$744,077	$0	$30,802	Yes (X)
MARCUS BEVERSLUIS
Former Treasurer, SHMG	50.00	0			$197,549	$0	$27,830	Yes (X)
MARK GUZICKI
See Schedule O	50.00	0			$279,870	$0	$81,922	Yes (X)
MICHAEL P FREED
Former Secretary / Treasurer, SHCC	0.00	50.00			$0	$1,143,384	$418,833	Yes (X)
PAUL BONIS
See Schedule O	50.00	0			$424,735	$0	$167,367	Yes (X)
TIMOTHY HEINRICH
Former VP, COO, SHL	10.00	0			$197,027	$0	$24,755	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$26,777,056	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,169,022	TotReportableCompRltdOrgAmt
Total Other Compensation	$6,636,086	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1008	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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
GRAND RAPIDS MEDICAL EDUCATION PARTNERS
1000 MONROE AVE NW	GRAND RAPIDS	MI	49503	MEDICAL EDUCATION	$24,519,939
ELZINGA & VOLKERS
86 E 6TH ST	HOLLAND	MI	49423	CONSTRUCTION	$11,863,954
KELLY SERVICES INC
3210 EAGLE RUN DR NE 204	GRAND RAPIDS	MI	49525	STAFFING	$11,264,174
WOLVERINE CONSTRUCTION MGMT
4045 BARDEN SE	GRAND RAPIDS	MI	49512	CONSTRUCTION	$9,889,448
THE CHRISTMAN COMPANY
634 FRONT AVE NW	GRAND RAPIDS	MI	49504	CONSTRUCTION	$8,086,029

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	209	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$65,000	FederatedCampaignsAmt
Fundraising	$277,256	FundraisingAmt
Related Organizations	$1,773,505	RelatedOrganizationsAmt
Government Grants	$5,781,836	GovernmentGrantsAmt
All Other Contributions	$36,739,451	AllOtherContributionsAmt
Noncash Contributions	$342,924	NoncashContributionsAmt
Total Contributions	$44,637,048	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PROGRAM SERVICE REVENUE	622110	$2,329,478,492	$2,329,478,492
SHARED SERVICES	561000	$14,836,207	$14,836,207
MEANINGFUL USE REVENUE - MEDICARE & MEDICAID	900099	$10,035,422	$10,035,422
RETAIL PHARMACY	900099	$18,400,397	$18,400,397
REFERENCE LAB	900099	$2,588,093		$2,588,093

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$69,382,497	TotalRevenueColumnAmt
Related Or Exempt Func Income	$66,363,346	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$714,912	UnrelatedBusinessRevenueAmt
Exclusion	$2,304,239	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,444,721,108	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,782,886	TotalRevenueColumnAmt
Exclusion	$24,782,886	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,512,830	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,342,624	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,170,206	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,170,206	TotalRevenueColumnAmt
Exclusion	$1,170,206	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$287,770,361	SecuritiesAmt
Other	$676,225	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$215,101,010	SecuritiesAmt
Other	$2,048,374	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$72,669,351	SecuritiesAmt
Other	-$1,372,149	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$71,297,202	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$1,372,149	RelatedOrExemptFuncIncomeAmt
Exclusion	$72,669,351	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$1,717,745	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$277,256	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$832,007	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$885,738	TotalRevenueColumnAmt
Exclusion	$885,738	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	722212	$12,262,560	$12,262,560
		$0
		$0

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	$12,262,560	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,599,756,748	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,437,741,715	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,303,005	UnrelatedBusinessRevenueAmt
Exclusion	$114,074,980	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,443,822	TotalAmt
Program Services	$3,443,822	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$21,500	TotalAmt
Program Services	$21,500	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$22,229,712	TotalAmt
Program Services	$20,302,142	ProgramServicesAmt
Management And General	$1,927,570	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$479,893	TotalAmt
Program Services	$438,281	ProgramServicesAmt
Management And General	$41,612	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$866,537,493	TotalAmt
Program Services	$798,015,891	ProgramServicesAmt
Management And General	$67,572,488	ManagementAndGeneralAmt
Fundraising	$949,114	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$37,781,443	TotalAmt
Program Services	$34,839,470	ProgramServicesAmt
Management And General	$2,941,973	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$151,628,760	TotalAmt
Program Services	$139,026,778	ProgramServicesAmt
Management And General	$12,332,958	ManagementAndGeneralAmt
Fundraising	$269,024	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$59,137,760	TotalAmt
Program Services	$54,422,000	ProgramServicesAmt
Management And General	$4,715,760	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,494,700	TotalAmt
Management And General	$2,494,700	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$521,101	TotalAmt
Management And General	$521,101	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$136,618,184	TotalAmt
Program Services	$125,698,036	ProgramServicesAmt
Management And General	$10,675,063	ManagementAndGeneralAmt
Fundraising	$245,085	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,675,306	TotalAmt
Program Services	$854,194	ProgramServicesAmt
Management And General	$3,785,022	ManagementAndGeneralAmt
Fundraising	$36,090	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$29,373,405	TotalAmt
Program Services	$23,080,881	ProgramServicesAmt
Management And General	$6,070,711	ManagementAndGeneralAmt
Fundraising	$221,813	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,240,811	TotalAmt
Program Services	$1,781,969	ProgramServicesAmt
Management And General	$453,957	ManagementAndGeneralAmt
Fundraising	$4,885	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$84,802,225	TotalAmt
Program Services	$67,706,875	ProgramServicesAmt
Management And General	$17,095,350	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$6,024,959	TotalAmt
Program Services	$4,560,074	ProgramServicesAmt
Management And General	$1,446,824	ManagementAndGeneralAmt
Fundraising	$18,061	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,820,017	TotalAmt
Program Services	$2,258,497	ProgramServicesAmt
Management And General	$491,237	ManagementAndGeneralAmt
Fundraising	$70,283	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$40,857,563	TotalAmt
Program Services	$40,857,563	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$143,332,658	TotalAmt
Program Services	$134,962,940	ProgramServicesAmt
Management And General	$8,369,718	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$17,098,619	TotalAmt
Program Services	$14,277,523	ProgramServicesAmt
Management And General	$2,821,096	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL AND OTHER SUPPLIES	$371,569,376	$369,728,041	$1,841,335
SHARED SVS/MGMT FEES	$281,629,747	$225,303,798	$56,325,949
BAD DEBTS	$98,062,058	$98,062,058
UBI TAXES	-$150,000	-$150,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$22,281,783	TotalAmt
Program Services	$20,464,881	ProgramServicesAmt
Management And General	$1,768,217	ManagementAndGeneralAmt
Fundraising	$48,685	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,385,512,895	TotalAmt
Program Services	$2,179,957,214	ProgramServicesAmt
Management And General	$203,692,641	ManagementAndGeneralAmt
Fundraising	$1,863,040	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$65,611	BOYAmt
EOY	$65,394	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$73,287,407	BOYAmt
EOY	$86,604,894	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$23,399,032	BOYAmt
EOY	$38,055,356	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$221,032,451	BOYAmt
EOY	$241,302,765	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$36,000	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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	$39,102,240	BOYAmt
EOY	$36,536,036	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$32,177,508	BOYAmt
EOY	$27,611,245	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,671,234,650	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,291,099,950	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,339,332,525	BOYAmt
EOY	$1,380,134,700	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$154,730,137	BOYAmt
EOY	$94,712,100	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$32,493,845	BOYAmt
EOY	$34,817,472	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,492,442	BOYAmt
EOY	$3,690,743	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$993,834,351	BOYAmt
EOY	$1,184,737,076	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,912,947,549	BOYAmt
EOY	$3,128,303,781	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$256,345,804	BOYAmt
EOY	$221,380,485	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$5,222,681	BOYAmt
EOY	$3,989,339	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,724,471	BOYAmt
EOY	$5,705,204	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$720,222,763	BOYAmt
EOY	$704,620,955	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$8,505,000	BOYAmt
EOY	$8,505,000	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$92,553,025	BOYAmt
EOY	$122,478,867	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$163,504,098	BOYAmt
EOY	$152,347,358	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,251,077,842	BOYAmt
EOY	$1,219,027,208	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,556,021,763	BOYAmt
EOY	$1,774,615,592	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$69,288,016	BOYAmt
EOY	$92,790,160	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$36,559,928	BOYAmt
EOY	$41,870,821	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,661,869,707	BOYAmt
EOY	$1,909,276,573	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,912,947,549	BOYAmt
EOY	$3,128,303,781	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$214,243,853	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$47,535,352	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$14,372,339	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

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	$14,011,134	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$19,125,216	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$14,771,099	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$15,038,781	CurrentTaxYearMinus1YearAmt
Current Tax Year	$36,865,323	CurrentTaxYearAmt
Total	$99,811,553	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	$14,011,134	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$19,125,216	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$14,771,099	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$15,038,781	CurrentTaxYearMinus1YearAmt
Current Tax Year	$36,865,323	CurrentTaxYearAmt
Total	$99,811,553	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$42,375,838	SubstantialContributorsTotAmt
Public Support Total170	$57,435,715	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,068,645	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,059,835	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,147,391	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,296,099	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,421,711	CurrentTaxYearAmt
Total	$5,993,681	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	$2,440,790	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,501,377	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,731,992	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,379,640	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,653,741	CurrentTaxYearAmt
Total	$14,707,540	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$120,512,774	TotalSupportAmt
Gross Receipts Rltd Activities	$0	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.47660	PublicSupportCY170Pct
Public Support PY170	0.56840	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	$353,610	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$753,868	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$455,540	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$164,058	CurrentTaxYearMinus1YearAmt
Current Tax Year	$321,787	CurrentTaxYearAmt
Total	$2,048,863	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$67,010,929	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$75,306,843	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$80,117,062	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$85,528,982	CurrentTaxYearMinus1YearAmt
Current Tax Year	$80,461,714	CurrentTaxYearAmt
Total	$388,425,530	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$24,203	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,087	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$17,856	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$17,732	CurrentTaxYearMinus1YearAmt
Current Tax Year	$20,666	CurrentTaxYearAmt
Total	$85,544	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	$67,388,742	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$76,065,798	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$80,590,458	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$85,710,772	CurrentTaxYearMinus1YearAmt
Current Tax Year	$80,804,167	CurrentTaxYearAmt
Total	$390,559,937	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	$390,559,937	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$464,729	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$33,497	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$46,591	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$90,381	CurrentTaxYearMinus1YearAmt
Current Tax Year	$45,873	CurrentTaxYearAmt
Total	$681,071	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	$464,729	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$33,497	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$46,591	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$90,381	CurrentTaxYearMinus1YearAmt
Current Tax Year	$45,873	CurrentTaxYearAmt
Total	$681,071	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	$104,685	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$159,254	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$263,939	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$67,958,156	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$76,258,549	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$80,637,049	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$85,801,153	CurrentTaxYearMinus1YearAmt
Current Tax Year	$80,850,040	CurrentTaxYearAmt
Total	$391,504,947	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99760	PublicSupportCY509Pct
Public Support PY509	0.99630	PublicSupportPY509Pct
Investment Income CY	0.00170	InvestmentIncomeCYPct
Investment Income PY	0.00270	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE A, PART IV, 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) THE ORGANIZATION IDENTIFIED BELOW HAS A PUBLIC CHARITY STATUS DESCRIBED IN 170(B)(1)(A)(VI). SPECTRUM HEALTH FOUNDATION (EIN 38-2752328)
Schedule A, Part II, Line 10, Other Income	DESCRIPTION - ADMINISTRATIVE REIMBURSEMENT, COLUMN A - 2084952, COLUMN B - 1844640, COLUMN C - 1871004, COLUMN D - 1993834, COLUMN E - 1935996, COLUMN F - 9730426; DESCRIPTION - SPECIAL EVENTS, COLUMN A - 355838, COLUMN B - 656737, COLUMN C - 860988, COLUMN D - 1385806, COLUMN E - 1717745, COLUMN F - 4977114;
Schedule A, Part III, Line 12, Other Income	DESCRIPTION - MISCELLANEOUS INCOME, COLUMN A - 104685, COLUMN B - 159254, COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 263939;

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)
Assets Included	$2,513,446	AssetsIncludedAmt

Field	Value	IRS element (for citing)
Collection Used Pub Exhibition	Yes (X)	CollectionUsedPubExhibitionInd
Solicited Assets Sale	false	SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$43,373,216	BeginningYearBalanceAmt
Contributions	$1,585,901	ContributionsAmt
Investment Earnings Or Losses	$6,203,301	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,614,871	OtherExpendituresAmt
End Year Balance	$49,547,547	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$39,574,298	BeginningYearBalanceAmt
Contributions	$1,212,635	ContributionsAmt
Investment Earnings Or Losses	$4,023,301	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,437,018	OtherExpendituresAmt
End Year Balance	$43,373,216	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$37,180,475	BeginningYearBalanceAmt
Contributions	$4,207,828	ContributionsAmt
Investment Earnings Or Losses	-$600,053	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,213,952	OtherExpendituresAmt
End Year Balance	$39,574,298	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$25,594,717	BeginningYearBalanceAmt
Contributions	$7,396,235	ContributionsAmt
Investment Earnings Or Losses	$5,234,538	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,045,015	OtherExpendituresAmt
End Year Balance	$37,180,475	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,293,000	BeginningYearBalanceAmt
Contributions	$510,290	ContributionsAmt
Investment Earnings Or Losses	$2,259,660	InvestmentEarningsOrLossesAmt
Other Expenditures	-$531,767	OtherExpendituresAmt
End Year Balance	$25,594,717	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.84000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.16000	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	$32,137,967	OtherCostOrOtherBasisAmt
Book Value	$32,137,967	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,501,753,633	OtherCostOrOtherBasisAmt
Depreciation	$548,246,917	DepreciationAmt
Book Value	$953,506,716	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$72,889,904	OtherCostOrOtherBasisAmt
Depreciation	$37,462,144	DepreciationAmt
Book Value	$35,427,760	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$813,656,485	OtherCostOrOtherBasisAmt
Depreciation	$560,146,979	DepreciationAmt
Book Value	$253,509,506	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$250,796,661	OtherCostOrOtherBasisAmt
Depreciation	$145,243,910	DepreciationAmt
Book Value	$105,552,751	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,380,134,700	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$1,089,641,446
BENEFICIAL INTEREST IN FOUNDATION ASSETS	$84,888,631
A/R - MEDICARE MEANINGFUL USE	$4,019,862
OTHER ASSETS	$6,187,137

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,184,737,076	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$104,140,494
THIRD PARTY PAYABLE	$39,425,423
PENSION LIABILITY	$5,663,960
OTHER LIABILITIES	$3,117,481

Field	Value	IRS element (for citing)
Total Liability	$152,347,358	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 V, Line 4, Intended uses of endowment funds	SPECTRUM HEALTH FOUNDATION (EIN 38-2752328) HOLDS ENDOWMENT FUNDS TO PROVIDE PERPETUAL SUPPORT OF LIFE SAVING PROGRAMS AND SERVICES TO ORGANIZATIONS ACROSS THE SPECTRUM HEALTH SYSTEM.
SCHEDULE D, PART XIII, FIN 48 (ASC 740) FOOTNOTE	SPECTRUM HEALTH SYSTEM CONDUCTS AN ANALYSIS ANNUALLY TO DETERMINE THE ORGANIZATION'S LIABILITY WITH RESPECT TO UNCERTAIN TAX POSITIONS. FOR THE YEAR ENDED JUNE 30, 2014 IT WAS DETERMINED THAT THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS TO DISCLOSE. AS SUCH, THERE WAS NO FOOTNOTE ADDED TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Name Of Event1	FOUNDATION GALA	NameOfEvent1Amt
Gross Receipts Event1	$949,768	GrossReceiptsEvent1Amt
Charitable Contri Event1	$220,000	CharitableContriEvent1Amt
Gross Revenue Event1	$729,768	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$229,283	OtherDirectExpensesEvent1Amt
Name Of Event2	AUTO SHOW GALA	NameOfEvent2Amt
Gross Receipts Event2	$186,080	GrossReceiptsEvent2Amt
Gross Revenue Event2	$186,080	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$38,462	OtherDirectExpensesEvent2Amt
Other Events Total	76	OtherEventsTotalCnt
Gross Receipts Other Events	$859,153	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$57,256	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$801,897	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$650	NonCashPrizesOtherEventsAmt
Oth Direct Expnss Other Events	$563,612	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$1,995,001	GrossReceiptsTotalAmt
Charitable Contributions Tot	$277,256	CharitableContributionsTotAmt
Gross Revenue Total Events	$1,717,745	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$0	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$650	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$0	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$0	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$0	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$831,357	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$832,007	DirectExpenseSummaryEventsAmt
Net Income Summary	$885,738	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
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	2.5	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)
Total Community Benefit Expns	$24,614,674	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,614,674	NetCommunityBenefitExpnsAmt
Total Expense	0.01270	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$418,290,087	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$347,212,184	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$71,077,903	NetCommunityBenefitExpnsAmt
Total Expense	0.03660	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	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	$442,904,761	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$347,212,184	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$95,692,577	NetCommunityBenefitExpnsAmt
Total Expense	0.04930	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,384,624	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,610,215	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,774,409	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,306,082	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,850,834	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,455,248	NetCommunityBenefitExpnsAmt
Total Expense	0.00900	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,777,508	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,173,734	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,603,774	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,891,871	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,347,045	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,544,826	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,139,684	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$590	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,139,094	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$55,499,769	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,982,418	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,517,351	NetCommunityBenefitExpnsAmt
Total Expense	0.01780	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$498,404,530	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$368,194,602	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$130,209,928	NetCommunityBenefitExpnsAmt
Total Expense	0.06710	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$135,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$135,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,280	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,280	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,874	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$23,874	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,594	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,594	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$313	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$313	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$574,116	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$574,116	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$236,414	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$236,414	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	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	$973,591	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$973,591	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$88,193,079	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$563,008,373	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$675,383,373	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$112,375,000	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	false	FinancialAssistancePrvsnInd
Hospital Facilities	10	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (10 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Emergency Room OtherEmergencyRoomOtherInd	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
SPECTRUM HEALTH BUTTERWORTH
1	100 Michigan St NE	GRAND RAPIDS	MI	49503	WWW.SPECTRUMHEALTH.ORG	1060000021	Yes (X)	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/BLODGETT	1060000016	Yes (X)	Yes (X)		Yes (X)		Yes (X)		A
SPECTRUM HEALTH UNITED
3	615 S Bower	GREENVILLE	MI	48838	WWW.SPECTRUMHEALTH.ORG/UNITED	1060000018	Yes (X)	Yes (X)				Yes (X)		A
SPECTRUM HEALTH GERBER MEMORIAL
4	212 South Sullivan	FREMONT	MI	49412	WWW.SPECTRUMHEALTH.ORG/GERBER	1060000054	Yes (X)	Yes (X)				Yes (X)		A
SPECTRUM HEALTH LUDINGTON
5	One Atkinson Drive	LUDINGTON	MI	49431	WWW.SPECTRUMHEALTH.ORG/LUDINGTON	1060000056	Yes (X)	Yes (X)				Yes (X)
SPECTRUM HEALTH BIG RAPIDS
6	605 Oak Street	BIG RAPIDS	MI	49307	WWW.SPECTRUMHEALTH.ORG/BIGRAPIDS	1060000045	Yes (X)	Yes (X)				Yes (X)		A
SPECTRUM HEALTH REED CITY
7	300 N Patterson Rd	REED CITY	MI	49677	WWW.SPECTRUMHEALTH.ORG/REEDCITY	1060000157	Yes (X)	Yes (X)				Yes (X)		A	Yes (X)
SPECTRUM HEALTH ZEELAND
8	8333 Felch Street	ZEELAND	MI	49464	WWW.SPECTRUMHEALTH.ORG/ZEELAND	1060000002	Yes (X)	Yes (X)				Yes (X)		A
SPECTRUM HEALTH KENT COMMUNITY CAMPUS
9	750 Fuller Ave NE	GRAND RAPIDS	MI	49503	WWW.SPECTRUMHEALTH.ORG/SCH	1060000130	Yes (X)							A
SPECTRUM HEALTH KELSEY
10	419 Washington Ave	LAKEVIEW	MI	48840	WWW.SPECTRUMHEALTH.ORG/KELSEY	1060000147	Yes (X)	Yes (X)				Yes (X)		A	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Information GapsInformationGapsInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Rpt Available Upon RequestRptAvailableUponRequestInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Adopt Implementation StrategyAdoptImplementationStrategyInd	Exec Implementation StrategyExecImplementationStrategyInd	Develop Community Wide PlanDevelopCommunityWidePlanInd	Exec Community Wide PlanExecCommunityWidePlanInd	Include Operational PlanIncludeOperationalPlanInd	Adopt BudgetAdoptBudgetInd	Prioritize Health NeedsPrioritizeHealthNeedsInd	Prioritize ServicesPrioritizeServicesInd	All Needs AddressedAllNeedsAddressedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd	Explained BasisExplainedBasisInd	Other FactorsOtherFactorsInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	Posted On WebsitePostedOnWebsiteInd	Attached To InvoiceAttachedToInvoiceInd	Posted In Emergency RoomPostedInEmergencyRoomInd	Posted In Admission OfficePostedInAdmissionOfficeInd	Available On RequestAvailableOnRequestInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Other Method UsedOtherMethodUsedInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Income LevelIncomeLevelInd	Medical IndigencyMedicalIndigencyInd	Insurance StatusInsuranceStatusInd	Uninsured DiscountUninsuredDiscountInd	Medicaid MedicareMedicaidMedicareInd
A
1	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	11	Yes (true)	Yes (true)	Yes (true)	Yes (X)	See Supplemental Information	Yes (X)	www.spectrumhealth.org/community-health-needs-assessment	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	false	Yes (true)	Yes (true)	250	false	Yes (true)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
SPECTRUM HEALTH LUDINGTON
5	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	12	Yes (true)	false	Yes (true)	Yes (X)	www.spectrumhealth.org/ludington	Yes (X)	www.spectrumhealth.org/community-health-needs-assessment	Yes (X)		Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	false	Yes (true)	Yes (true)	150	Yes (true)	Yes (true)		Yes (true)	Yes (true)					Yes (X)		Yes (true)	false			Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false	200	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment	(1) A - SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH BLODGETT AND SPECTRUM HEALTH KENT COMMUNITY CAMPUS: THE QUALITATIVE DATA COLLECTION PROCESS INVOLVED CONDUCTING FOCUS GROUPS, BRIEF INTERCEPT INTERVIEWS, AND COMMUNITY INPUT WALLS 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 FOCUS GROUPS WERE FACILITATED BY A MICHIGAN PUBLIC HEALTH INSTITUTE (MPHI) RESEARCHER TO GENERATE COMMUNITY INPUT FROM VARIOUS POPULATION GROUPS ABOUT HEALTH AND WELLBEING IN KENT COUNTY. 12 SMALL FOCUS GROUPS WERE CONDUCTED WITH 119 COMMUNITY MEMBERS PARTICIPATING. INTERVIEWERS CONDUCTED 395 INTERCEPT INTERVIEWS IN THREE LANGUAGES BY TRAINED COMMUNITY MEMBERS. MPHI PROVIDED INTERVIEWERS WITH THE INTERVIEW MATERIALS NEEDED, AS WELL AS TECHNICAL ASSISTANCE. COMPLETED INTERVIEWS WERE RETURNED TO MPHI FOR ANALYSIS. COMMUNITY INPUT WALLS WERE CONDUCTED BY GATHERING INPUT FROM COMMUNITY MEMBERS DIRECTLY BY POSTING LARGE SHEETS OF PAPER IN A PUBLIC SPACE AND ASKING COMMUNITY MEMBERS TO ANSWER QUESTIONS ABOUT COMMUNITY HEALTH BY WRITING THEIR THOUGHTS ON THE WALL. THE COMMUNITY INPUT WALL PROCESS WAS COMPLETED FOUR TIMES. MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE STEERING COMMITTEE INCLUDING KENT, IONIA, AND OTTAWA COUNTY HEALTH DEPARTMENTS, MPHI, ALLIANCE FOR HEALTH, AND THE COMMUNITY RESEARCH INSTITUTE OF GRAND VALLEY STATE UNIVERSITY. FOR A LISTING OF ALL INDIVIDUALS AND SOURCES CONSULTED, SEE APPENDICES A & B OF THE KENT COUNTY CHNA. ; (2) A - SPECTRUM HEALTH UNITED AND SPECTRUM HEALTH KELSEY: PRIMARY AND SECONDARY DATA WERE IDENTIFIED, COLLECTED AND ANALYZED, WHICH INCLUDED THE DEVELOPMENT AND DISTRIBUTION OF A COMMUNITY AND HEALTH CARE PROVIDER SURVEY. THE COMMUNITY SURVEY WAS MAILED TO 500 RANDOMLY SELECTED HOUSEHOLDS WITHIN MONTCALM COUNTY WITH 424 RETURNED BY MAIL FOR ANALYSIS. AN ADDITIONAL 51 SURVEYS WERE COMPLETED AND RETURNED FROM CLIENTS OF LOCAL SERVICE AGENCIES FOR A TOTAL OF 475 SURVEYS USED FOR ANALYSIS. COUNTY SPECIFIC SECONDARY DATA FROM A VARIETY OF SOURCES WAS ALSO COLLECTED AND ANALYZED. MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE STEERING COMMITTEE INCLUDING MIDMICHIGAN DISTRICT HEALTH DEPARTMENT, UNITED WAY, AND THE DEPARTMENT OF HUMAN SERVICES. FOR THE ENTIRE LISTING OF INDIVIDUALS, SEE THE MONTCALM COUNTY CHNA. ; (3) A - SPECTRUM HEALTH GERBER MEMORIAL: DATA WAS GATHERED FROM A VARIETY OF SOURCES AND USING MULTIPLE METHODOLOGIES. COMMUNITY RESIDENT FEEDBACK WAS OBTAINED VIA FOCUS GROUPS. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS OR KEY INFORMANTS, PROVIDED INPUT VIA IN-DEPTH INTERVIEWS AND AN ONLINE SURVEY. SECONDARY DATA GATHERED FROM STATE AND NATIONAL DATABASES WAS ALSO USED TO SUPPLEMENT THE OVERALL FINDINGS. LOCAL HOSPITAL UTILIZATION DATA WAS ALSO USED. 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 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 SUBPOPULATIONS IMPACTED MOST BY ISSUES IN HEALTH CARE. FOR A LISTING OF ALL INDIVIDUALS AND SOURCES CONSULTED, SEE THE NEWAYGO COUNTY CHNA. ; (4) A - SPECTRUM HEALTH REED CITY: DATA WAS GATHERED FROM A VARIETY OF SOURCES AND USING MULTIPLE METHODOLOGIES. COMMUNITY RESIDENT FEEDBACK WAS OBTAINED VIA FOCUS GROUPS. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS OR KEY INFORMANTS, PROVIDED INPUT VIA IN-DEPTH INTERVIEWS AND AN ONLINE SURVEY. SECONDARY DATA GATHERED FROM STATE AND NATIONAL DATABASES WAS ALSO USED TO SUPPLEMENT THE OVERALL FINDINGS. LOCAL HOSPITAL UTILIZATION DATA WAS ALSO USED. 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 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 SUBPOPULATIONS IMPACTED MOST BY ISSUES IN HEALTH CARE. FOR A LISTING OF ALL INDIVIDUALS AND SOURCES CONSULTED, SEE THE LAKE/OSCEOLA COUNTY CHNA. ; (5) A - SPECTRUM HEALTH ZEELAND: DATA WAS GATHERED FROM A VARIETY OF SOURCES AND USING MULTIPLE METHODOLOGIES. FEEDBACK WAS OBTAINED FROM COMMUNITY RESIDENTS INCLUDING PROVIDERS, LOW INCOME, HISPANIC, SENIOR ADULTS AND AT-HOME PARENTS VIA A BEHAVIORAL RISK FACTOR SURVEY AND FOCUS GROUPS. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS OR KEY INFORMANTS, PROVIDED INPUT VIA IN-DEPTH INTERVIEWS AND AN ONLINE SURVEY. SECONDARY DATA GATHERED FROM STATE AND NATIONAL DATABASES WAS ALSO USED TO SUPPLEMENT THE OVERALL FINDINGS. MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE CHNA TASK FORCE INCLUDING OTTAWA COUNTY HEALTH DEPARTMENT, GREATER OTTAWA COUNTY UNITED WAY, HOLLAND HOSPITAL, AND NORTH OTTAWA COMMUNITY HEALTH SYSTEM. FOR A LISTING OF ALL INDIVIDUALS AND SOURCES CONSULTED, SEE THE OTTAWA COUNTY CHNA. ADDITIONALLY KEY STAKEHOLDERS WHO WERE INTERVIEWED ARE DEFINED AS EXECUTIVE-LEVEL COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH 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 SUBPOPULATIONS IMPACTED MOST BY ISSUES IN HEALTHCARE. FOR A LISTING OF ALL INDIVIDUALS AND SOURCES CONSULTED, SEE THE OTTAWA COUNTY CHNA.; (6) A - SPECTRUM HEALTH BIG RAPIDS: DATA WAS GATHERED FROM A VARIETY OF SOURCES USING MULTIPLE METHODOLOGIES. COMMUNITY RESIDENT FEEDBACK WAS COLLECTED THROUGH 400 TELEPHONE SURVEYS OF RANDOMLY SELECTED HOUSEHOLDS. A FOCUS GROUP, AN INTERVIEW GROUP, AND TWO EMAIL SURVEY GROUPS WERE UTILIZED TO GATHER QUALITATIVE DATA FROM KEY COMMUNITY GROUPS INCLUDING: BIG RAPIDS HOUSING COMMISSION, THE SPECTRUM HEALTH BIG RAPIDS AUXILIARY, MECOSTA OSCEOLA HUMAN SERVICES COLLABORATIVE BODY AND THE BOARD OF DIRECTORS OF SPECTRUM HEALTH BIG RAPIDS.; (1) - SPECTRUM HEALTH LUDINGTON: DATA WAS GATHERED FROM A VARIETY OF SOURCES AND USING MULTIPLE METHODOLOGIES. RESIDENT FEEDBACK WAS OBTAINED VIA A BEHAVIORAL RISK FACTOR SURVEY AND FOCUS GROUPS. THIS FEEDBACK WAS OBTAINED FROM COMMUNITY RESIDENTS CHOSEN USING DISPROPORTIONATE STRATIFIED RANDOM SAMPLING. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS OR KEY INFORMANTS, PROVIDED INPUT VIA IN-DEPTH INTERVIEWS AND AN ONLINE SURVEY. SECONDARY DATA GATHERED FROM STATE AND NATIONAL DATABASES AND SPECTRUM HEALTH LUDINGTON UTILIZATION DATA WAS ALSO USED TO SUPPLEMENT THE OVERALL FINDINGS. MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE CHNA TASK FORCE INCLUDING MASON COUNTY HEALTH DEPARTMENT, UNITED WAY OF MASON COUNTY, AND WEST SHORE COMMUNITY COLLEGE. FOR A LISTING OF ALL INDIVIDUALS AND SOURCES CONSULTED, SEE THE MASON COUNTY AND NORTHERN OCEANA COUNTY CHNA. ADDITIONALLY KEY STAKEHOLDERS WHO WERE INTERVIEWED ARE DEFINED AS EXECUTIVE-LEVEL COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH 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 SUBPOPULATIONS IMPACTED MOST BY ISSUES IN HEALTH CARE. FOR A LISTING OF ALL INDIVIDUALS AND SOURCES CONSULTED, SEE THE MASON COUNT AND NORTHERN OCEANA COUNTY CHNA.;
Schedule H, Part V Sec B, Line 4, Other Hospital Facilities included in Needs Assessment	(1) A - SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH BLODGETT, SPECTRUM HEALTH KENT COMMUNITY CAMPUS: METROPOLITAN HOSPITAL SAINT MARY'S HEALTH CARE PINE REST MARY FREE BED REHABILITATION HOSPITAL ; (2) A - SPECTRUM HEALTH UNITED AND SPECTRUM HEALTH KELSEY: CARSON CITY HOSPITAL SHERIDAN COMMUNITY HOSPITAL ; (3) A - SPECTRUM HEALTH ZEELAND: HOLLAND HOSPITAL NORTH OTTAWA COMMUNITY HEALTH SYSTEM ;
Schedule H, Part V Sec B, Line 5d, Availability of Needs Assessment	(1) A - SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH BLODGETT AND SPECTRUM HEALTH KENT COMMUNITY CAMPUS: THE CHNA FOR SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH BLODGETT AND SPECTRUM HEALTH KENT COMMUNITY CAMPUS IS AVAILABLE ON THE KENT COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT WEBSITE: HTTP://WWW.KENTCOUNTYCHNA.ORG/PDFS/CHNA.PDF; (2) A - SPECTRUM HEALTH UNITED AND SPECTRUM HEALTH KELSEY: THE CHNA FOR SPECTRUM HEALTH UNITED AND SPECTRUM HEALTH KELSEY IS AVAILABLE ON THE MID-MICHIGAN DISTRICT HEALTH DEPARTMENTS WEBPAGE. HTTP://WWW.MMDHD.ORG/CHA/MONTCALM/CHA_MONTCALM_CO_PROFILE.PDF; (3) A - SPECTRUM HEALTH ZEELAND: THE CHNA FOR SPECTRUM HEALTH ZEELAND IS AVAILABLE ON THE OTTAWA COUNTY HEALTH DEPARTMENTS WEBSITE: HTTP://WWW.MIOTTAWA.ORG/HEALTH/OCHD/PDF/DATA/2011-2012_CHNA_REPORT_MEDIA.PDF;
Schedule H, Part V Sec B, Line 11, Eligibility for Discounted Care	(1) A - SPECTRUM HEALTH SYSTEM GROUP A: 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 Sec B, Line 12i, Other factors used in determining amounts charged to patients	(1) A - SPECTRUM HEALTH SYSTEM GROUP A: PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE PROVIDED FREE CARE, THEREFORE THE ORGANIZATION DOES NOT CHARGE ANY AMOUNT TO THOSE PATIENTS. ;
Schedule H, Part V Sec B, Line 14g, Other ways hospital publicized Financial Assistance Policy	(1) A - SPECTRUM HEALTH SYSTEM GROUP A: SPECTRUM HEALTH WIDELY PUBLICIZES COMMUNICATIONS TO BOTH PATIENTS AND THE PUBLIC OF 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, POSTING ON THE SPECTRUM HEALTH WEBSITE, 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, SPECTRUM HEALTH WILL DISTRIBUTE A PLAIN LANGUAGE SUMMARY OF ITS FINANCIAL ASSISTANCE POLICY AND MAKE AVAILABLE TO PATIENTS A FINANCIAL ASSISTANCE APPLICATION PRIOR TO DISCHARGE. THE PLAIN LANGUAGE SUMMARY WILL ALSO BE INCLUDED IN ALL BILLING STATEMENTS WITH NO FEWER THAN THREE BILLING STATEMENTS BEING SENT TO EACH PATIENT. PATIENTS WILL BE NOTIFIED OF THE FINANCIAL ASSISTANCE POLICY FOR A PERIOD OF 120 DAYS FROM THE DATE OF THE FIRST BILLING STATEMENT ["NOTIFICATION PERIOD"]. PATIENT BALANCES WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE EVALUATION FOR AT LEAST 240 DAYS FROM THE DATE OF THE FIRST BILLING STATEMENT ["APPLICATION PERIOD"]. SPECTRUM HEALTH WILL ACCEPT FINANCIAL ASSISTANCE APPLICATIONS ON ACCOUNTS PLACED WITH A COLLECTION AGENCY FOR A PERIOD NO LONGER THAN 240 DAYS FROM THE DATE OF THE FIRST BILLING STATEMENT. IF SPECTRUM HEALTH RECEIVES A FINANCIAL ASSISTANCE APPLICATION DURING THE 240 DAY APPLICATION PERIOD, WHETHER COMPLETE OR INCOMPLETE, IT WILL SUSPEND ANY COLLECTION EFFORTS UNTIL SUCH TIME A DETERMINATION IS MADE.;
Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined	(1) A - SPECTRUM HEALTH SYSTEM GROUP A: PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE PROVIDED FREE CARE, THEREFORE THE ORGANIZATION DOES NOT CHARGE ANY AMOUNT TO THOSE PATIENTS. ; (1) - SPECTRUM HEALTH LUDINGTON: SPECTRUM HEALTH LUDINGTON FIRST ATTEMPTS TO QUALIFY THE PATIENT FOR FAP OR OTHER COMMUNITY RESOURCES FOR COVERAGE. PATIENTS ARE THEN OFFERED A DISCOUNT OF UP TO 30% OF CHARGES. THE 30% DISCOUNT IS COMPRISED OF A 20% SELF PAY DISCOUNT AND A 10% PROMPT PAY DISCOUNT. THIS 30% DISCOUNT IS OFFERED BY THE HOSPITAL TO ALL PATIENTS. PATIENTS AT 150% OF FPG QUALIFY FOR FREE CARE AND THEREFORE WILL NOT BE CHARGED.;

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
SPECTRUM HEALTH SURGERY CENTER - LAKE DRIVE
4069-4100 Lake Drive	GRAND RAPIDS	MI	49545	SURGICAL CENTER (FREE STANDING OUTPATIENT FACILITY)
SPECTRUM HEALTH SURGERY CENTER - EAST PARIS
1000 East Paris	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 REHAB AND NURSING CENTERS
750 Fuller Ave NE	GRAND RAPIDS	MI	49503	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 UNITED HOSPITAL REHAB AND NURSING CENTER
615 South Bower St	GREENVILLE	MI	48838	SKILLED NURSING CENTER
SPECTRUM HEALTH KELSEY HOSPITAL REHAB AND NURSING CENTER
418 Washington Ave	LAKEVIEW	MI	48850	SKILLED NURSING CENTER

Supplemental Information Detail SupplementalInformationDetail (24 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 2, FINANCIAL ASSISTANCE POLICY	A UNIFORM FINANCIAL ASSISTANCE POLICY APPLIED TO ALL OF THE HOSPITAL FACILITIES LISTED IN PART V, SECTION A, WITH THE EXCEPTION OF SPECTRUM HEALTH LUDINGTON ("SHL"). DUE TO THE TIMING OF INTEGRATION INTO THE HEALTH SYSTEM, SHL APPLIED THEIR OWN FINANCIAL ASSISTANCE POLICY DURING FY14.
SCHEDULE H, PART I, LINE 3A, FEDERAL POVERTY GUIDELINES FOR FREE CARE	ALL HOSPITAL FACILITIES LISTED IN PART V, SECTION A USE 250% OF FEDERAL POVERTY GUIDELINES AS A FACTOR IN DETERMINING ELIGIBILITY FOR FREE CARE, WITH THE EXCEPTION OF SPECTRUM HEALTH LUDINGTON, WHICH USES 150% OF FEDERAL POVERTY GUIDELINES AS A FACTOR IN DETERMINING ELIGIBILITY FOR FREE CARE DURING FY14.
SCHEDULE H, PART I, LINE 3B, FEDERAL POVERTY GUIDELINES FOR DISCOUNTED CARE	SPECTRUM HEALTH LUDINGTON IS THE ONLY HOSPITAL FACILITY LISTED IN PART V, SECTION A, TO PROVIDE DISCOUNTED CARE, USING 200% OF FEDERAL POVERTY GUIDELINES AS A FACTOR IN DETERMINING ELIGIBILITY.
Schedule H, Part I, Line 3c, Eligibility criteria for free or discounted care	ALL OF THE HOSPITAL FACILITIES LISTED IN PART V, SECTION A USE FPG TO DETERMINE ELIGIBILITY FOR FREE CARE. THE HOSPITAL FACILITIES LISTED IN PART V, SECTION A, EXCEPT FOR SPECTRUM HEALTH LUDINGTON DO NOT USE AN EVALUATION FOR DISCOUNTED CARE, AS APPLICANTS THAT QUALIFY FOR ANY ASSISTANCE RECEIVE FREE CARE.
SCHEDULE H, PART I, LINE 5B, BUDGETED FINANCIAL ASSISTANCE	THE ACTUAL FINANCIAL ASSISTANCE EXPENSES EXCEEDED THE BUDGETED AMOUNTS FOR ALL HOSPITAL FACILITIES LISTED IN PART V, SECTION A WITH THE EXCEPTION OF SPECTRUM HEALTH LUDINGTON AND SPECTRUM HEALTH BIG RAPIDS. SPECTRUM HEALTH LUDINGTON'S ACTUAL FINANCIAL ASSISTANCE EXPENSES WERE 98% OF THE BUDGETED AMOUNT. SPECTRUM HEALTH BIG RAPIDS' ACTUAL FINANCIAL ASSISTANCE EXPENSES WERE 84% OF THE BUDGETED AMOUNT.
Schedule H, Part I, Line 6a, Community benefit report prepared by related organization	SPECTRUM HEALTH SYSTEM (EIN: 38-3382353)
SCHEDULE H, PART I, LINE 6A, RELATED ORGANIZATION INFORMATION	SPECTRUM HEALTH SYSTEM PUBLISHES A CONSOLIDATED COMMUNITY BENEFIT REPORT ON ITS WEBSITE AT WWW.SPECTRUMHEALTH.ORG (CLICK THE LINK TITLED "ABOUT US"). IN ADDITION THE HEALTH SYSTEM HOLDS AN ANNUAL MEETING, WHICH IS OPEN TO THE PUBLIC, TO DISCUSS ITS COMMUNITY COMMITMENTS.
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 I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation	88,193,079
Schedule H, Part I, Line 7g, Subsidized Health Services	SUBSIDIZED HEALTH SERVICES OFFERED BY SPECTRUM HEALTH BUTTERWORTH 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 BUTTERWORTH: -CENTER FOR INTEGRATED MEDICINE ("CIM") IS A MULTI-SPECIALTY CLINIC THAT EMPLOYS A NEW MODEL OF CARE TO ASSESS AND TREAT HIGH-FREQUENCY PATIENTS FROM AREA EMERGENCY ROOMS. THE CENTRAL GOAL OF THE CIM IS TO IDENTIFY, ACCURATELY DIAGNOSE AND DEVELOP A CARE PLAN FOR EACH PATIENT. PATIENTS UNDERGO COMPREHENSIVE EXAMS, A BEHAVIORAL HEALTH EXAM, ADDICTION ASSESSMENT, AND A MEDICAL SOCIAL WORK CASE MANAGEMENT EVALUATION. -DEVOS CHILDREN'S PEDIATRIC CLINIC IS A RESIDENCY TEACHING CLINIC THAT TEAMS PEDIATRICIANS WITH MEDICAL STUDENTS AND RESIDENTS TO PROVIDE ROUTINE WELL-CHILD CARE, DIAGNOSIS AND TREATMENT FOR NEW PROBLEMS, AND PEDIATRIC CONSULTATION BY REFERRAL. THE CLINIC'S NEUROSURGERY TEAM USES ADVANCED TECHNOLOGY AND LEADING-EDGE PROTOCOLS TO DIAGNOSE, TREAT AND MANAGE NERVOUS SYSTEM DISORDERS. -SPECTRUM HEALTH OB/GYN CLINIC HAS A DUAL MISSION OF TEACHING OB/GYN RESIDENTS AND TAKING CARE OF THE UNDERINSURED IN THE COMMUNITY, INCLUDING COMPREHENSIVE OBSTETRIC AND GYNECOLOGY SERVICES TO WOMEN OF ALL AGES. -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.
Schedule H, Part II, Community Building Activities	SPECTRUM HEALTH'S HOSPITAL FACILITIES ARE DEDICATED TO THE COMMUNITIES THEY SERVE. THE HOSPITALS WORK TO ADDRESS MANY OF THE COMMUNITIES THEY SERVE PRESSING HEALTH ISSUES BY PROMOTING AND ADVOCATING FOR OVERALL COMMUNITY HEALTH IMPROVEMENT. SIGNIFICANT COMMUNITY BUILDING ACTIVITIES IN FY14 INCLUDE SUPPORTING FERGUSON RENAISSANCE CENTER, AN ORGANIZATION THAT PROVIDES PERMANENT SUPPORTIVE HOUSING TO PREVIOUSLY HOMELESS COMMUNITY MEMBERS; HEALTH SCIENCES SCHOOL PARTNERSHIP, THE REGION'S PREMIER SPECIALTY HIGH SCHOOL FOCUSED ON PREPARING STUDENTS FOR COLLEGE CAREER PATHWAYS IN THE WIDE-RANGING HEALTH CARE INDUSTRY; AND BELKNAP COMMONS SERVICE CENTER, PROVIDING COMPUTER, PHONE AND FAX RESOURCES, FOOD PANTRY ACCESS AND PERTINENT EDUCATION OPPORTUNITIES TO IMPROVE THE SOCIAL WELLNESS OF THE BELKNAP NEIGHBORHOOD THROUGH PARTNERSHIP, COLLABORATION, AND EMPOWERMENT. ADDITIONALLY, THE HOSPITALS HOST A MULTITUDE OF FREE COMMUNITY EDUCATION SEMINARS AND HEALTH SCREENINGS, HEALTH FAIRS AND SUPPORT GROUPS.
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, PAYOR COMPOSITION AND AGING, AND HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR 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 THIRDPARTY PAYERS, THE PROVISION IS DETERMINED BY ANALYZING CONTRACTUALLY DUE AMOUNTS FROM PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES. FOR SELFPAY 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 NEGOTIATE 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 OR DISCOUNTED 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 UNCOLLECTIBLE ACCOUNTS FOOTNOTE IS ON PAGES 14 TO 16 OF THE ORGANIZATIONS CONSOLIDATED FINANCIAL STATEMENT.
Schedule H, Part III, Line 8, Community benefit & methodology for determining medicare costs	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	ALL OF THE HOSPITAL FACILITIES LISTED IN PART V, SECTION A, EXCEPT FOR SPECTRUM HEALTH LUDINGTON PROVIDE FREE CARE TO ALL PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE WILL NOT OWE ANYTHING, AND THUS WILL NOT BE SUBJECT TO COLLECTION ACTIVITIES. SPECTRUM HEALTH LUDINGTON'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. PATIENTS AT 150% OF FPG QUALIFY FOR FREE CARE WILL NOT OWE ANYTHING, AND THUS WILL NOT BE SUBJECT TO COLLECTION ACTIVITIES.
SCHEDULE H, PART V, SECTION B, LINE 2, COMMUNITY HEALTH NEEDS ASSESSMENT	ALL OF THE HOSPITAL FACILITIES LISTED IN PART V, SECTION A, REPORTING GROUP A, EXCEPT FOR SPECTRUM HEALTH BIG RAPIDS LAST CONDUCTED A CHNA IN TAX YEAR 2011. SPECTRUM HEALTH BIG RAPIDS LAST CONDUCTED A CHNA IN TAX YEAR 2012.
SCHEDULE H, PART V, SECTION B, LINE 5A, SPECTRUM HEALTH BUTTERWORTH FACILITY WEBSITE	SPECTRUM HEALTH BUTTERWORTH:HTTP://WWW.SPECTRUMHEALTH.ORG/BUTTERWORTH-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH BLODGETT:HTTP://WWW.SPECTRUMHEALTH.ORG/ABOUT-BLODGETT-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH UNITED:HTTP://WWW.SPECTRUMHEALTH.ORG/ABOUT-UNITED-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH GERBER MEMORIAL:HTTP://WWW.SPECTRUMHEALTH.ORG/ABOUT-SHGM-COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH BIG RAPIDS:HTTP://WWW.SPECTRUMHEALTH.ORG/ABOUT-BIG-RAPIDS-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH REED CITY:HTTP://WWW.SPECTRUMHEALTH.ORG/ABOUT-REED-CITY-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH ZEELAND:HTTP://WWW.SPECTRUMHEALTH.ORG/ZEELAND-COMMUNITY-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH KENT COMMUNITY CAMPUS:HTTP://WWW.SPECTRUMHEALTH.ORG/ABOUT-US-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-3870 SPECTRUM HEALTH KELSEY:HTTP://WWW.SPECTRUMHEALTH.ORG/ABOUT-KELSEY-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASSESSMENT
Schedule H, Part VI, Line 2, Needs assessment.	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, E.G. ADDITIONAL MEDICAL CLINIC LOCATIONS WITH EXTENDED HOURS OF OPERATION, AND A PHYSICIAN RECRUITMENT PLAN HAS BEEN DEVELOPED TO INCREASE ACCESS, BOTH OF WHICH HAVE BEEN BUILT INTO THE STRATEGIC PLAN AND BUDGET. THE CHNA AND IMPLEMENTATION PLANS ARE LOCATED AT: HTTP://WWW.SPECTRUMHEALTH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH ALSO PREPARES AN ANNUAL CORPORATE SOCIAL RESPONSIBILITY REPORT THAT FOCUSES ON 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 3, Patient education of eligibility for assistance.	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 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, VIA THE SPECTRUM HEALTH PATIENT HANDBOOK, VARIOUS INFORMATIONAL BROCHURES, SIGNAGE IN EACH HOSPITAL 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 THEIR WEBSITE, ALONG WITH A COPY OF THE FINANCIAL ASSISTANCE ELIGIBILITY POLICY (SEARCH "FINANCIAL ASSISTANCE" AT WWW.SPECTRUMHEALTH.ORG).
Schedule H, Part VI, Line 4, Community information.	SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH BLODGETT AND SPECTRUM HEALTH KENT COMMUNITY CAMPUS: SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH BLODGETT AND SPECTRUM HEALTH KENT COMMUNITY CAMPUS 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 1,500,000 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 864 SQUARE MILES. GRAND RAPIDS IS THE COUNTY SEAT AND IS 30 MILES FROM LAKE MICHIGAN. GRAND RAPIDS IS ALSO KNOWN FOR BEING THE HOME OF PRESIDENT GERALD R. FORD. THE HEALTH CARE RESOURCES IN KENT COUNTY INCLUDE SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH BLODGETT, METROPOLITAN HEALTH, SAINT MARY'S HEALTH CARE, PINE REST, AND MARY FREE BED REHABILITATION HOSPITAL. IN ADDITION, THE HEALTH DEPARTMENT OPERATES FIVE 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 STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTP://WWW.SPECTRUMHEALTH.ORG/DOCUMENTS/KENT_COUNTY_CHNA_REPORT_NO_COVER.PDF 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 STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTP://WWW.SPECTRUMHEALTH.ORG/ABOUT-UNITED-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH GERBER MEMORIAL: SPECTRUM HEALTH GERBER MEMORIAL 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 FACILITIES PRIMARY SERVICE AREA. FOR SPECIFIC POPULATION STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTP://WWW.SPECTRUMHEALTH.ORG/ABOUT-SHGM-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 FACILITIES SERVICE AREA. FOR SPECIFIC POPULATION STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTP://WWW.SPECTRUMHEALTH.ORG/DOCUMENTS/LUDINGTON/MMCWM%20CHNA%20REPORT%205_16_13.PDF 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 2008 TO 2012 ROUGHLY 23 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 FACILITIES SERVICE AREA. FOR SPECIFIC POPULATION STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTP://WWW.SPECTRUMHEALTH.ORG/DOCUMENTS/BIG%20RAPIDS%20HOSPITAL/MCMC_CHNA.PDF SPECTRUM HEALTH REED CITY: SPECTRUM HEALTH REED CITY 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 75,600 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 573 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 575 SQUARE MILES. BALDWIN IS THE COUNTY SEAT. THERE ARE NO MAJOR MEDICAL FACILITIES IN LAKE COUNTY. FOR SPECIFIC POPULATION STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTP://WWW.SPECTRUMHEALTH.ORG/ABOUT-REED-CITY-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASSESSMENT. 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 270,000. 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 TWO FREE MEDICAL CLINICS AND A VARIETY OF SERVICES THROUGH NON PROFIT AGENCIES SUCH THE OTTAWA COUNTY HEALTH DEPARTMENT AND OTTAWA COUNTY COMMUNITY MENTAL HEALTH FOR SPECIFIC POPULATION STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTP://WWW.SPECTRUMHEALTH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-4450 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 STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTP://WWW.SPECTRUMHEALTH.ORG/ABOUT-KELSEY-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.
Schedule H, Part VI, Line 5, Promotion of community health	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.
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 ELEVEN HOSPITALS INCLUDING HELEN DEVOS CHILDREN'S HOSPITAL, A STATE OF THE ART CHILDREN'S HOSPITAL THAT OPENED IN JANUARY 2011, AND MORE THAN 170 SERVICE SITES; THE SPECTRUM HEALTH MEDICAL GROUP AND WEST MICHIGAN HEART, PHYSICIAN GROUPS TOTALING MORE THAN 1,000 PROVIDERS; AND PRIORITY HEALTH, A HEALTH PLAN WITH 575,000 MEMBERS. SPECTRUM HEALTH IS WEST MICHIGAN'S LARGEST EMPLOYER WITH 21,000 EMPLOYEES. THE INTEGRATED HEALTH SYSTEM PROVIDED $295 MILLION IN COMMUNITY BENEFIT DURING ITS 2014 FISCAL YEAR. THE $295 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. 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. OVER THE YEARS, OUR MISSION HAS REMAINED THE SAME-TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. WE TAKE OUR MISSION SERIOUSLY. 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 THE HEALTH OF THE COMMUNITIES WE SERVE." 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	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 I IRS990ScheduleI

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

Recipient Table RecipientTable (22 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2
SPECTRUM HEALTH SYSTEM
100 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	383382353	501(C)(3)	$2,245,139	GENERAL SUPPORT
CHERRY STREET HEALTH SERVICES
550 CHERRY ST SE	GRAND RAPIDS	MI	49503	382853534	501(C)(3)	$350,000	VISION & DENTAL CARE
YMCA
475 LAKE MICHIGAN DR NW	GRAND RAPIDS	MI	49503	381358058	501(C)(3)	$156,683	OBESITY MANAGEMENT
MEL TROTTER MINISTRIES
225 COMMERCE SW	GRAND RAPIDS	MI	49503	381410467	501(C)(3)	$105,000	RECOUPERATION CENTER SERVICES
ACCESS OF WEST MICHIGAN
2850 KALAMAZOO SE	GRAND RAPIDS	MI	49506	383195190	501(C)(3)	$100,000	FOOD PANTRY ASSISTANCE FOR CHRONIC HEALTH CONDITIONS
ASTHMA NETWORK OF WEST MICHIGAN
390 JEFFERSON SE STE 3	GRAND RAPIDS	MI	49503	383351467	501(C)(3)	$100,000	ASTHMA PREVENTION
HEALTH INTERVENTION SERVICES
15 ANDRE ST	GRAND RAPIDS	MI	49503	383273825	501(C)(3)	$75,000	MEDICAL CARE SERVICES
GRAND RAPIDS DOWNTOWN MARKET
435 IONIA AVE SW	GRAND RAPIDS	MI	49503	454492691	501(C)(3)	$50,000	FOOD & HEALTH EDUCATION
COVE
906 E LUDINGTON AVE	LUDINGTON	MI	49431	382243550	501(C)(3)	$35,000	SANE SUITE SPONSORSHIP
BAXTER CENTERJUBILEE JOBS WISE PROJECT
935 BAXTER SE	GRAND RAPIDS	MI	49503	382779590	501(C)(3)	$29,000	UNDERSERVED GED ASSISTANCE
GRAND RAPIDS YOUTH COMMONWEALTH (DBA BOYS & GIRLS CLUB)
235 STRAIGHT AVE NW	GRAND RAPIDS	MI	49504	380593958	501(C)(3)	$27,000	SUMMER PHYSICAL EDUCATION PROGRAMMING
CREATIVE ACADEMICS NETWORK
611 ETHEL AVE SE	GRAND RAPIDS	MI	49506	369942134		$25,000	AFFORDABLE CARE ACT STRATEGIC INITIATIVES
FAMILY FUTURES
678 FRONT AVE NW	GRAND RAPIDS	MI	49504	382605028	501(C)(3)	$25,000	EARLY CHILDHOOD DEVELOPMENT EVALUATION
HEARTSIDE MINISTRIES
54 S DIVISION	GRAND RAPIDS	MI	49503	382477760	501(C)(3)	$25,000	MEDICAL CARE SERVICES
HEALTHY HOMES COALITION
742 FRANKLIN ST SE	GRAND RAPIDS	MI	49507	205326650	501(C)(3)	$25,000	ASTHMA PREVENTION
NAACP OF GREATER GRAND RAPIDS
1167 MADISON AVE SE	GRAND RAPIDS	MI	49507	382757044	501(C)(3)	$25,000	STRATEGIC COMMUNITY GROWTH DEVELOPMENT	SUITE 104
HABITAT FOR HUMANITY OF KENT COUNTY
475 PLEASANT SW	GRAND RAPIDS	MI	49503	382527968	501(C)(3)	$11,000	MEDICAL & FIRST AID SUPPLIES
CATHERINE'S CARE
1211 LAFAYETTE NE	GRAND RAPIDS	MI	49506	203572418	501(C)(3)	$10,000	MEDICAL CARE SERVICES
HELP PREGNANCY CRISIS CENTER
705 BRIDGE ST NW	GRAND RAPIDS	MI	49504	237314063	501(C)(3)	$10,000	MEDICAL CARE SERVICES
GRANDVILLE ARTS & HUMANITIES
644 GRANDVILLE AVE SW	GRAND RAPIDS	MI	49503	383482546	501(C)(3)	$5,000	CHILD PHYSICAL EDUCATION PROGRAMS
GILDA'S CLUB
1806 BRIDGE ST NW	GRAND RAPIDS	MI	49504	383367525	501(C)(3)	$5,000	BEHAVIORAL HEALTH SERVICES
MATTHEW 2540 HEARTSIDE INC (DBA IN THE IMAGE)
1823 S DIVISION	GRAND RAPIDS	MI	49507	383075239	501(C)(3)	$5,000	FAMILY CRISIS ASSISTANCE

Field	Value	IRS element (for citing)
Total501c3 Org	21	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	24	RecipientCnt
Cash Grant	$21,500	CashGrantAmt

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 TRANSCRIPS 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
Travel For Companions	Yes (X)	TravelForCompanionsInd
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 (68 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
KEVIN SPLAINE
PRESIDENT, SHH	$526,737	$0	$221,384	$0	$17,847	$0	$206,185	$0	$79,116	$0	$1,051,269	$0	$44,385	$0
RANDALL STASIK
PRESIDENT / CEO, SHGM	$245,283	$0	$81,435	$0	$4,052	$0	$68,784	$0	$44,661	$0	$444,216	$0	$30,385	$0
MARK VIPPERMAN
PRESIDENT, SHL	$312,966	$0	$0	$0	$6,526	$0	$11,785	$0	$26,523	$0	$357,800	$0	$0	$0
THOMAS DAUGHERTY
PRESIDENT, SHBR & SHRC	$185,137	$0	$210,787	$0	$2,616	$0	$32,392	$0	$36,523	$0	$467,455	$0	$162,394	$0
BRIAN BRASSER
PRESIDENT, SHU & SHK	$148,127	$0	$31,110	$0	$924	$0	$6,445	$0	$28,018	$0	$214,624	$0	$0	$0
CHRISTINA FREESE-DECKER
PRESIDENT, SHU & SHK - PART YEAR	$246,735	$0	$90,462	$0	$1,769	$0	$79,327	$0	$48,432	$0	$466,725	$0	$25,268	$0
HENRY VEENSTRA
PRESIDENT, SHZ	$231,135	$0	$107,607	$0	$3,488	$0	$46,184	$0	$41,048	$0	$429,461	$0	$52,240	$0
MARC CHIRCOP
SEE SCHEDULE O	$377,984	$0	$175,005	$0	$27,820	$0	$115,248	$0	$61,892	$0	$757,948	$0	$49,313	$0
JEFFREY MISLEVY
SEE SCHEDULE O	$235,770	$0	$62,015	$0	$13,169	$0	$62,905	$0	$47,606	$0	$421,465	$0	$0	$0
RONALD KNAUS
SEE SCHEDULE O	$0	$354,564	$0	$125,952	$0	$8,584	$0	$157,386	$0	$71,895	$0	$718,382	$0	$28,887
LINDA ERICKSON-JOEL
SEE SCHEDULE O	$152,992	$0	$30,877	$0	$774	$0	$5,454	$0	$17,474	$0	$207,570	$0	$0	$0
LARRY OBERST
SEE SCHEDULE O	$128,199	$0	$30,940	$0	$35,004	$0	$6,252	$0	$13,451	$0	$213,846	$0	$0	$0
RONALD TOZER
SECRETARY, SHKCC - PART YEAR	$126,072	$0	$25,010	$0	$4,717	$0	$7,946	$0	$20,216	$0	$183,962	$0	$0	$0
KAREN PAKKALA
SEE SCHEDULE O	$154,930	$0	$30,381	$0	$774	$0	$8,678	$0	$4,370	$0	$199,133	$0	$0	$0
JAMES FAHNER MD
CHAIR, SHMG	$279,967	$0	$27,824	$0	$7,983	$0	$37,075	$0	$20,682	$0	$373,531	$0	$0	$0
GREGORY GADBOIS MD
VICE CHAIR, SHMG	$207,779	$0	$250	$0	$437	$0	$11,647	$0	$18,067	$0	$238,180	$0	$0	$0
PHILIP HENDERSON MD
TREASURER, SHMG	$265,104	$0	$40,450	$0	$8,104	$0	$20,400	$0	$23,459	$0	$357,516	$0	$0	$0
SETH WOLK MD
PRESIDENT, SHMG	$525,913	$900	$148,329	$0	$4,902	$0	$9,068	$0	$16,718	$0	$704,930	$900	$0	$0
KENNETH FAWCETT JR MD
INTERIM PRESIDENT, SHMG - PART YEAR	$390,242	$0	$202,513	$0	$9,740	$0	$134,944	$0	$71,005	$0	$808,444	$0	$51,162	$0
VICKI WEAVER
PRESIDENT, SHF	$250,802	$0	$0	$0	$4,703	$0	$20,308	$0	$8,651	$0	$284,464	$0	$0	$0
MATTHEW VAN VRANKEN
SEE SCHEDULE O	$0	$897,180	$0	$363,979	$0	$20,987	$0	$225,921	$0	$117,408	$0	$1,625,476	$0	$76,239
RICHARD BREON
SEE SCHEDULE O	$0	$1,151,873	$0	$660,130	$0	$41,157	$0	$552,879	$0	$186,788	$0	$2,592,827	$0	$141,380
RALPH ROGERS MD
SEE SCHEDULE O	$454,031	$0	$153,427	$0	$14,251	$0	$128,092	$0	$88,234	$0	$838,035	$0	$39,560	$0
JAMES FUSON MD
DIRECTOR, SHH - PART YEAR	$375,918	$0	$250	$0	$9,796	$0	$25,500	$0	$12,632	$0	$424,096	$0	$0	$0
DAVID OTTENBAKER MD
SEE SCHEDULE O	$328,148	$0	$106,404	$0	$1,476	$0	$22,950	$0	$18,431	$0	$477,410	$0	$0	$0
PATRICK O'HARE
DIRECTOR, SHL	$0	$402,055	$0	$224,407	$0	$19,624	$0	$150,898	$0	$65,648	$0	$862,631	$0	$92,862
THOMAS CAMPANA MD
DIRECTOR, SHBR & SHRC	$293,927	$0	$35,250	$0	$1,619	$0	$16,575	$0	$22,593	$0	$369,964	$0	$0	$0
DOUGLAS APPLE MD
DIRECTOR, SHU & SHK	$302,759	$0	$98,292	$0	$755	$0	$14,025	$0	$18,055	$0	$433,885	$0	$0	$0
RUEL LIRIO
DIRECTOR, SHZ - PART YEAR	$269,898	$0	$250	$0	$1,783	$0	$14,025	$0	$20,931	$0	$306,887	$0	$0	$0
CAROLE MONTGOMERY
DIRECTOR, SHZ - PART YEAR	$355,818	$0	$129,838	$0	$1,100	$0	$111,657	$0	$56,629	$0	$655,042	$0	$39,188	$0
RICHARD STRABBING DO
DIRECTOR, SHZ	$276,499	$0	$0	$0	$747	$0	$7,501	$0	$13,232	$0	$297,979	$0	$0	$0
THOMAS VISSER
DIRECTOR, SHZ	$542,570	$0	$250	$0	$1,698	$0	$17,850	$0	$18,271	$0	$580,640	$0	$0	$0
JASON SLAIKEU MD
SEE SCHEDULE O	$465,375	$0	$250	$0	$10,680	$0	$10,200	$0	$17,226	$0	$503,730	$0	$0	$0
JAY LABINE
DIRECTOR, SHCC	$0	$292,069	$0	$52,396	$0	$790	$0	$37,009	$0	$28,526	$0	$410,790	$0	$0
MICHAEL HARRISON MD
DIRECTOR, SHMG	$397,564	$0	$111,097	$0	$2,642	$0	$17,850	$0	$27,762	$0	$556,916	$0	$0	$0
LESLIE JURECKO MD
DIRECTOR, SHMG	$187,984	$0	$9,578	$0	$1,433	$0	$11,989	$0	$20,264	$0	$231,249	$0	$0	$0
DONALD KIM MD
DIRECTOR, SHMG - PART YEAR	$510,941	$0	$250	$0	$5,098	$0	$17,850	$0	$26,976	$0	$561,115	$0	$0	$0
THOMAS RUPP MD
DIRECTOR, SHMG	$628,248	$0	$250	$0	$2,622	$0	$17,850	$0	$7,613	$0	$656,583	$0	$0	$0
JOHN SCHUEN MD
DIRECTOR, SHMG	$270,481	$0	$27,118	$0	$4,160	$0	$25,668	$0	$22,880	$0	$350,307	$0	$0	$0
DAVID WOHNS MD
DIRECTOR, SHMG	$0	$496,345	$0	$117,172	$0	$4,902	$0	$33,000	$0	$33,785	$0	$685,204	$0	$0
BRETT ZIMMERMAN DO
DIRECTOR, SHMG	$362,451	$0	$10,250	$0	$717	$0	$10,200	$0	$20,572	$0	$404,190	$0	$0	$0
WILLIAM JEWELL
SECRETARY, SHH	$242,623	$0	$89,683	$0	$2,093	$0	$71,854	$0	$40,928	$0	$447,181	$0	$24,550	$0
LISA SHANNON
CHIEF OPERATING OFFICER, SHH	$422,237	$0	$171,391	$0	$4,973	$0	$169,588	$0	$69,479	$0	$837,668	$0	$29,786	$0
KERRI NELSON
VP, FINANCE, SHL	$162,090	$0	$0	$0	$182	$0	$6,466	$0	$18,396	$0	$187,134	$0	$0	$0
JOSEPH HOHENBERGER
CFO, SHBR - PART YEAR	$84,744	$0	$0	$0	$65,712	$0	$3,015	$0	$2,018	$0	$155,489	$0	$0	$0
THOMAS KNOERL
CFO, SHBR & SHRC	$164,438	$0	$31,120	$0	$878	$0	$11,723	$0	$15,909	$0	$224,067	$0	$0	$0
RYAN JOHNSON
VP, FINANCE, SHU & SHK	$141,579	$0	$28,786	$0	$302	$0	$5,869	$0	$17,992	$0	$194,527	$0	$0	$0
RYAN POWERS
VP, FINANCE, SHZ	$132,259	$0	$24,961	$0	$831	$0	$5,435	$0	$16,498	$0	$179,984	$0	$0	$0
MARK KADLEC
COO, SVP OPERATIONS, SHMG	$325,411	$0	$125,473	$0	$4,938	$0	$97,789	$0	$61,112	$0	$614,722	$0	$36,225	$0
PAULINE KRYWANSKI
SR VICE PRESIDENT, FINANCE, SHMG	$283,291	$0	$107,591	$0	$2,958	$0	$93,460	$0	$38,805	$0	$526,105	$0	$31,932	$0
THOMAS MCGRAW
SECRETARY, SHMG	$264,465	$0	$102,054	$0	$6,664	$0	$80,943	$0	$54,044	$0	$508,170	$0	$29,496	$0
LARRY JONGEKRIJG
CFO, SHF	$156,751	$0	$4,988	$0	$442	$0	$9,082	$0	$19,446	$0	$190,709	$0	$0	$0
ROBERT CONNORS
PRESIDENT, DVCH, SHH	$475,959	$0	$753,746	$0	$7,303	$0	$162,450	$0	$63,415	$0	$1,462,873	$0	$637,316	$0
KONSTANTIN ELISEVICH
ACADEMIC CHAIR, NEUROSCIENCES, SHMG	$917,235	$0	$248,731	$0	$7,423	$0	$17,850	$0	$17,607	$0	$1,208,846	$0	$0	$0
MARCUS HAW
DEPT CHIEF, HDVCH CARDIOTHORAC, SHH	$992,390	$0	$250	$0	$10,062	$0	$5,100	$0	$21,619	$0	$1,029,420	$0	$0	$0
JON SCHRAM
SECTION CHIEF, PHYSICIAN, SHMG	$985,626	$0	$250	$0	$2,622	$0	$14,025	$0	$20,136	$0	$1,022,659	$0	$0	$0
JAMES LEBOLT
PHYSICIAN, SHMG	$981,327	$0	$250	$0	$2,106	$0	$10,200	$0	$24,053	$0	$1,017,935	$0	$0	$0
BRUCE FLETTER
PHYSICIAN, SHMG	$892,241	$0	$250	$0	$2,169	$0	$14,025	$0	$20,970	$0	$929,656	$0	$0	$0
M ASHRAF MANSOUR
FORMER VICE CHAIR, SHMG	$580,445	$0	$158,480	$0	$5,152	$0	$17,850	$0	$12,952	$0	$774,879	$0	$0	$0
JAMES TUCCI MD
FORMER PRESIDENT, SHMG	$0	$560,449	$0	$189,582	$0	$40,539	$0	$188,868	$0	$85,619	$0	$1,065,057	$0	$0
MICHAEL P FREED
FORMER SECRETARY / TREASURER, SHCC	$0	$716,248	$0	$382,842	$0	$44,294	$0	$321,897	$0	$96,936	$0	$1,562,217	$0	$62,723
MARCUS BEVERSLUIS
FORMER TREASURER, SHMG	$194,708	$0	$250	$0	$2,591	$0	$17,861	$0	$9,968	$0	$225,379	$0	$0	$0
TIMOTHY HEINRICH
FORMER VP, COO, SHL	$195,405	$0	$0	$0	$1,622	$0	$7,950	$0	$16,805	$0	$221,782	$0	$0	$0
JOHN SELLA
FORMER CFO, SHGM	$167,923	$0	$42,839	$0	$1,496	$0	$8,979	$0	$18,719	$0	$239,956	$0	$0	$0
MARK GUZICKI
SEE SCHEDULE O	$219,136	$0	$58,039	$0	$2,695	$0	$33,741	$0	$48,182	$0	$361,793	$0	$0	$0
JEFFERY LEMON
SEE SCHEDULE O	$264,772	$0	$431,768	$0	$84,825	$0	$75,328	$0	$48,186	$0	$904,879	$0	$349,536	$0
JAMES DAVIDSON
SEE SCHEDULE O	$211,056	$0	$55,235	$0	$2,128	$0	$15,008	$0	$16,254	$0	$299,680	$0	$0	$0
PAUL BONIS
SEE SCHEDULE O	$305,974	$0	$111,137	$0	$7,624	$0	$113,247	$0	$54,120	$0	$592,102	$0	$28,221	$0

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a, First-class or charter travel	THE ORGANIZATION PROVIDED FIRST CLASS TRAVEL AND/OR CHARTER TRAVEL FOR THREE EXECUTIVE EMPLOYEES. IN CERTAIN LIMITED SITUATIONS WHEN COMMERCIAL AIR TRAVEL WAS NOT AVAILABLE FOR A DESTINATION OR NOT EFFICIENT DUE TO SCHEDULES AND/OR CONNECTIONS, CHARTER AIR TRAVEL WAS UTILIZED.
Schedule J, Part I, Line 1a, Travel for companions	THE ORGANIZATION PROVIDED COMPANION TRAVEL FOR ONE EXECUTIVE EMPLOYEE AND TWO BOARD MEMBERS. THE RELATED AMOUNTS WERE TREATED AS TAXABLE COMPENSATION AND INCLUDED IN FORM W-2 OR FORM 1099 AS REQUIRED ACCORDING TO THE REPORTING THRESHOLDS.
Schedule J, Part I, Line 1a, Health or social club dues or initiation fees	THE ORGANIZATION PROVIDED HEALTH CLUB DUES FOR ELEVEN 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	SEE DISCLOSURE ON SCHEDULE O FOR FORM 990, PART VI, SEC B, LINE 15A
Schedule J, Part I, Line 4a, Severance or change-of-control payment	$ 82,966 JEFFERY LEMON $ 34,382 LARRY OBERST
Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan	$ 28,221 PAUL BONIS $141,380 RICHARD BREON $ 49,313 MARC CHIRCOP $637,316 ROBERT CONNORS $162,394 THOMAS DAUGHERTY $ 51,162 KENNETH FAWCETT, JR. $ 67,723 MICHAEL FREED $ 25,268 CHRISTINA FREESE-DECKER $ 24,550 WILLIAM JEWELL $ 36,225 MARK KADLEC $ 28,887 RONALD KNAUS $ 31,932 PAULINE KRYWANSKI $349,536 JEFFERY LEMON $ 29,496 THOMAS MCGRAW $ 39,188 CAROLE MONTGOMERY $ 92,862 PATRICK O'HARE $ 39,560 RALPH ROGERS $ 29,786 LISA SHANNON $ 44,385 KEVIN SPLAINE $ 30,385 RANDALL STASIK $ 76,239 MATTHEW VAN VRANKEN $ 52,240 HENRY VEENSTRA 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. DURING THE YEAR THE FOLLOWING INDIVIDUALS PARTICPATED IN THE PLAN(S) BUT DID NOT RECEIVE A DISTRIBUTION: MARK GUZICKI, JAY LABINE, JEFFREY MISLEVY, JAMES TUCCI, DAVID WOHNS. DISTRIBUTIONS REPORTED ON THIS LINE ARE ALSO INCLUDED IN SCHEDULE J, PART II, COLUMN F AS COMPENSATION REPORTED IN A PRIOR YEAR.
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
MICHIGAN STATE HOSPITAL FINANCE AUTHORITY
A	382889417	59465E7F4	2004-11-10	$10,000,000	CAPITAL FUNDING	false	false	Yes (true)
KENT HOSPITAL FINANCING AUTHORITY (2008A & 2008B)
B	382350002	490580CW5	2008-04-15	$471,211,001	2001B, 2007A & 2007B REFUNDING BOND	false	false	false
KENT HOSPITAL FINANCING AUTHORITY (2008C)
C	382350002	490580CY1	2008-09-09	$67,200,000	1998B REFUNDING BOND	false	false	Yes (true)
KENT HOSPITAL FINANCING AUTHORITY (2011AB)
D	382350002	490580DQ7	2011-06-22	$212,859,639	2005B & 2008B1 REVENUE REFUNDING BONDS	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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$1,719,553	$0	$2,700,000	$0	$0	$0	$32,486	$0	$0	$2,667,512	$0	$0	2005	false	false	Yes (true)	Yes (true)
B	$343,406,526	$0	$471,211,001	$0	$13,556,465	$0	$2,528,820	$0	$0	$0	$455,125,715	$0	2008	Yes (true)	false	Yes (true)	Yes (true)
C	$4,600,000	$0	$67,200,000	$0	$0	$0	$0	$0	$0	$0	$67,200,000	$0	2008	Yes (true)	false	Yes (true)	Yes (true)
D	$13,772,023	$0	$212,859,639	$0	$0	$0	$1,359,065	$0	$0	$50,000,574	$161,500,000	$0	2010	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	Term Of HedgeTermOfHedgePct	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd
A	false	Yes (true)	Yes (true)	false	0.0	false	0.0	false	Yes (true)
B	false	Yes (true)	Yes (true)	false	0.0	false	0.0	false	Yes (true)	false
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 (10 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 2014AB BOND IS ATTRIBUTABLE TO THREE LEGAL ENTITIES WITHIN THE OBLIGATED GROUP: SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION (EIN 38-1359517) ZEELAND COMMUNITY HOSPITAL (EIN 38-1411184) THE 2012AB BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP: SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) THE 2011C BOND IS ATTRIBUTABLE TO TWO LEGAL ENTITIES WITHIN THE OBLIGATED GROUP: * SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) * SPECTRUM HEALTH UNITED (EIN 38-1358412) THE 2011AB BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP: * SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) THE 2008C BOND IS ATTRIBUTABLE TO FOUR LEGAL ENTITIES WITHIN THE OBLIGATED GROUP: * SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) * SPECTRUM HEALTH CONTINUING CARE CENTER (EIN 38-3242232) * SPECTRUM HEALTH CONTINUING CARE (EIN 38-2415333) * SPECTRUM HEALTH WORTH SERVICES (EIN 38-2786617) THE 2008AB BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP: * SPECTRUM HEALTH HOSPITALS (EIN 38-1360529)
SCHEDULE K, PART I, TAX EXEMPT BONDS	THE MICHIGAN HEALTH & HOSPITAL ASSOCIATION SERVICE CORPORATION AND THE MICHIGAN STATE HOSPITAL FINANCE AUTHORITY OFFER THE HEALTHCARE LOAN PROGRAM (HELP). HELP IS A POOLED, TAX-EXEMPT FINANCING PROGRAM THAT INVOLVES A NUMBER OF HEALTH CARE ORGANIZATIONS PARTICIPATING IN A SINGLE PUBLIC FINANCING AND SHARING IN THE PROCEEDS AND COSTS ASSOCIATED WITH THAT FINANCING. THE PROGRAM TAKES ADVANTAGE OF ECONOMIES OF SCALE THROUGH GROUP PARTICIPATION, ALLOWING EACH BORROWER TO ACCESS LOW COST FINANCING WITHOUT INDIVIDUALLY INCURRING ALL OF THE TRANSACTION COSTS ASSOCIATED WITH PUBLIC FINANCING. THE ISSUE PRICE OF THE HELP LOAN, IN PART I OF SCHEDULE K, REPRESENTS THE ENTIRE AMOUNT OF THE ISSUE AND IS NOT REFLECTIVE OF THE ORGANIZATION'S PORTION OF THE LOAN. THE AMOUNTS REPORTED ON LINE 1(E) REPRESENT THE ENTIRE BOND ISSUE, WHILE THE AMOUNTS IN PART II RELATE TO THE PORTION OF THE MICHIGAN STATE HOSPITAL FINANCE AUTHORITY BOND ALLOCATED TO NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION (EIN 38-1359517).
SCHEDULE K, PART I, TAX EXEMPT BONDS	THE MASON COUNTY HOSPITAL FINANCE AUTHORITY BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY: *MEMORIAL MEDICAL CENTER OF WEST MICHIGAN (EIN 38-1359266)
SCHEDULE K, PART IV, LINE 2C, ISSUER NAME: KENT HOSP FIN AUTH (2008A&B): NO REBATE DUE	THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON JULY 15, 2009.
Sch K, Part IV, Line 2c, ISSUER NAME: Kent Hospital Financing Authority (2011AB): No Rebate Due.	THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON AUGUST 13, 2012.
Sch K, Part IV, Line 2c, ISSUER NAME: Kent Hospital Financing Authority (2011C): No Rebate Due.	THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON AUGUST 13, 2012.
Sch K, Part IV, Line 2c, ISSUER NAME: Kent Hospital Financing Authority (2008C): No Rebate Due.	THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON JULY 15, 2009.
Sch K, Part IV, Line 2c, ISSUER NAME: Kent Hospital Financing Authority (2012AB): No Rebate Due.	THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON AUGUST 13, 2012.
Sch K, Part IV, Line 2c, ISSUER NAME: Michigan State Hospital Finance Authority: No Rebate Due.	THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON SEPTEMBER 22, 2004.
Sch K, Part IV, Line 2c, ISSUER NAME: Kent Hospital Finance Authority (2014AB): No Rebate Due.	THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON JUNE 18, 2014.

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 FINANCING AUTHORITY (2011C)
A	382350002	490580ED5	2011-11-09	$75,511,075	2008B2 REVENUE REFUNDING BONDS	false	false	Yes (true)
KENT HOSPITAL FINANCING AUTHORITY (2012AB)
B	382350002		2012-01-17	$112,980,000	2008A1 & 2008B2 REVENUE REFUNDING BONDS	false	false	false
MASON COUNTY HOSPITAL FINANCE AUTHORITY
C	386004870		2012-06-15	$10,000,000	REVENUE REFUNDING BONDS	false	false	false
KENT HOSPITAL FINANCE AUTHORITY (2014AB)
D	382350002		2014-01-15	$111,850,000	2002, 2007, 2008A2 & 2010 REVENUE REFUNDING BONDS	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	$0	$0	$75,511,075	$0	$0	$0	$836,075	$0	$0	$0	$74,675,000	$0	2011	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$112,980,000	$0	$0	$0	$255,000	$0	$0	$0	$112,725,000	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$10,000,000	$0	$0	$0	$193,251	$0	$0	$6,355,082	$3,451,667	$0	2013	Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$111,850,000	$0	$0	$0	$245,000	$0	$0	$0	$111,605,000	$0	2014	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	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	Term Of HedgeTermOfHedgePct	Term Of GICTermOfGICPct
A	false	Yes (true)	false	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
C	false	false	Yes (true)	false	false	false	Yes (true)	Yes (true)	false	0.0	0.0
D	false	Yes (true)	Yes (true)	false	false	false	Yes (true)	false	false	0.0	0.0

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Schedule K IRS990ScheduleK

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DAVID OTTENBAKER MD	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship With Org	DIRECTOR, SHMG	RelationshipWithOrgTxt
Loan Purpose	TUITION ASSISTANCE	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$36,000	OriginalPrincipalAmt
Balance Due	$36,000	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	false	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$36,000	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (27 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ORTHOPAEDIC ASSOCIATES
BUSINESS	$2,314,622	SHH-SEE SCH L, PART V	false
GREATER MICHIGAN LITHOTRIPSY
BUSINESS	$1,751,700	SHH-SEE SCH L, PART V	false
MICHIGAN PATHOLOGY SERVICES
BUSINESS	$1,178,425	SHH-SEE SCH L, PART V	false
PEDIATRIC SURGEONS OF WEST MICHIGAN
BUSINESS	$668,630	SHH-SEE SCH L, PART V	false
FIFTH THIRD BANK
BUSINESS	$423,350	SHH-SEE SCH L, PART V	false
MICHIGAN PROFESSIONAL INSURANCE EXCHANGE
BUSINESS	$412,330	SHH-SEE SCH L, PART V	false
ANDREW ARMSTRONG
FAMILY	$31,702	SHH-SEE SCH L, PART V	false
AMBER NICHOLS
FAMILY	$15,927	SHH-SEE SCH L, PART V	false
MARY HENRY
FAMILY	$47,555	SHGM-SEE SCH L, PART V	false
PINE MEDICAL GROUP
BUSINESS	$130,669	SHGM-SEE SCH L, PART V	false
PINE MEDICAL GROUP
BUSINESS	$323,542	SHGM-SEE SCH L, PART V	false
DEBRA SELLA
FAMILY	$74,774	SHGM-SEE SCH L, PART V	false
HATHAWAY PROPERTIES LLC
BUSINESS	$363,132	SHU-SEE SCH L, PART V	false
JACOB BRASSER
FAMILY	$11,921	SHU-SEE SCH L, PART V	false
KELLY JOHNSON
FAMILY	$35,605	SHU-SEE SCH L, PART V	false
LORI BRUINS
FAMILY	$64,690	SHZ-SEE SCH L, PART V	false
MARLENE HOLSTINE
FAMILY	$91,979	SHZ-SEE SCH L, PART V	false
HUNTINGTON BANK
BUSINESS	$777,196	SHZ-SEE SCH L, PART V	false
CHRISTA THELEN
FAMILY	$38,332	SHZ-SEE SCH L, PART V	false
44K PARTNERS
BUSINESS	$151,536	SHMG-SEE SCH L, PART V	false
AMWAY HOTEL CORPORATION
BUSINESS	$227,978	SHF-SEE SCH L, PART V	false
PERE MARQUETTE EMERGENCY PHYSICIANS PLC
BUSINESS	$101,592	SHL-SEE SCH L, PART V	false
JENNIFER VIPPERMAN
FAMILY	$37,050	SHL-SEE SCH L, PART V	false
BRYAN DENSLOW
FAMILY	$30,358	SHBR-SEE SCH L, PART V	false
722 LOCUST LLC
BUSINESS	$718,708	SHBR-SEE SCH L, PART V	false
OBSTETRICS & GYNECOLOGY OF BIG RAPIDS
BUSINESS	$28,008	SHBR-SEE SCH L, PART V	false
PEDIATRIC SURGEONS OF WEST MICHIGAN
BUSINESS	$20,300	SHH-SEE SCH L, PART V	false

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE L, PART V, SHH FAMILY AND BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS	DR. THOMAS MALVITZ, A MEMBER OF SHH'S BOARD OF DIRECTORS, SERVES ON THE BOARD OF DIRECTORS OF A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH THE SHH. HE ALSO HAS A SON THAT IS EMPLOYED BY SHH. (PART IV, LINES 1 & 22) MR. MARC CHIRCOP, AN OFFICER OF SHH, SERVES ON THE BOARD OF DIRECTORS OF A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH SHH. (PART IV, LINE 2) DR. SANDRA COTTINGHAM, A MEMBER OF SHH'S BOARD OF DIRECTORS, HAS AN OWNERSHIP INTEREST IN A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH SHH. (PART IV, LINE 3) DR. ROBERT CONNORS, A KEY EMPLOYEE OF SHH, HAS AN OWNERSHIP INTEREST IN A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH SHH. (PART IV, LINES 6 & 25 ) MR. MATTHEW VAN VRANKEN, A MEMBER OF SHH'S BOARD OF DIRECTORS, SERVES ON THE BOARD OF DIRECTORS OF A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH SHH. (PART IV, LINE 7) MR. WILLIAM JEWELL AND MR. RONALD KNAUS, OFFICERS OF SHH, BOTH SERVE ON THE BOARD OF DIRECTORS OF A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH SHH. (PART IV, LINE 8) DR. WILLIAM BUSH, A MEMBER OF SHH'S BOARD OF DIRECTORS, HAS A DAUGHTER-IN-LAW THAT IS EMPLOYED BY SHH. (PART IV, LINE 26)
SCHEDULE L, PART V, SHZ FAMILY AND BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS	MR. MARK WILSON, A MEMBER OF SHZ'S BOARD OF DIRECTORS, SERVES ON THE BOARD OF DIRECTORS OF A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH SHZ. (PART IV, LINE 4) MR. STAN KONYNENBELT, A MEMBER OF SHZ'S BOARD OF DIRECTORS, HAS A SIBLING THAT IS EMPLOYED BY SHZ. (PART IV, LINE 15) MR. HENRY VEENSTRA, AN OFFICER AND MEMBER OF SHZ'S BOARD OF DIRECTORS, HAS A DAUGHTER THAT IS EMPLOYED BY SHZ. (PART IV, LINE 17) MR. RANDY THELEN, A MEMBER OF SHZ'S BOARD OF DIRECTORS, HAS A SPOUSE THAT IS EMPLOYED BY SHZ. (PART IV, LINE 19)
SCHEDULE L, PART V, SHBR FAMILY AND BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS	DR. FEDERICK GUENTHER, A MEMBER OF SHBR'S BOARD OF DIRECTORS, HAS OWNERSHIP IN A TAXABLE ENTITY AND AN INDIRECT OWNERSHIP INTEREST IN A TAXABLE ENTITY THAT HAVE BUSINESS RELATIONSHIPS WITH SHBR. (PART IV, LINE 5 & 24) MS. DONNA DENSLOW, A MEMBER OF SHBR'S BOARD OF DIRECTORS, HAS A GRANDSON THAT IS EMPLOYED BY SHBR (PART IV, LINE 23)
SCHEDULE L, PART V, SHU FAMILY AND BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS	MR. WILLIAM HAM, A MEMBER OF SHU'S BOARD OF DIRECTORS, HAS OWNERSHIP IN A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH SHU. (PART IV, LINE 9) MR. RYAN JOHNSON, AN OFFICER OF SHU, HAS A SPOUSE THAT IS EMPLOYED BY SHU. (PART IV, LINE 21) MR. BRIAN BRASSER, AN OFFICER AND MEMBER OF THE SHU'S BOARD DIRECTORS, HAS A SON THAT IS EMPLOYED BY SHU. (PART IV, LINE 27)
SCHEDULE L, PART V, SHGM FAMILY AND BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS	DR. STEPHEN WELSH, A MEMBER OF SHGM'S BOARD OF DIRECTORS, SERVES ON THE BOARD OF DIRECTORS OF A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH SHGM. (PART IV, LINES 10 & 13) MR. JOHN SELLA, A FORMER OFFICER OF SHGM, HAS A SPOUSE THAT IS EMPLOYED BY SHGM. (PART IV, LINE 16) MR. DONALD HENRY, A MEMBER OF SHGM'S BOARD OF DIRECTORS, HAS A SPOUSE THAT IS EMPLOYED BY SHGM. (PART IV, LINE 18)
SCHEDULE L, PART V, SHF BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS	MS. MARIA DEVOS, A MEMBER OF SHF'S BOARD OF DIRECTORS, HAS AN INDIRECT OWNERSHIP INTEREST IN A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH SHF. (PART IV, LINE 11)
SCHEDULE L, PART V, SHMG BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS	DR. MARK BEVERSLUIS, A FORMER OFFICER OF SHMG'S BOARD OF DIRECTORS, HAS AN OWNERSHIP INTEREST IN A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH SHMG. (PART IV, LINE 12)
SCHEDULE L, PART V, SHL FAMILY AND BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS	DR. STEVEN STRBICH, A MEMBER OF SHL'S BOARD OF DIRECTORS, HAS OWNERSHIP IN A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH SHL. (PART IV, LINE 14) MR. MARK VIPPERMAN, AN OFFICER AND MEMBER OF SHL'S BOARD OF DIRECTORS, HAS A DAUGHTER THAT IS EMPLOYED BY SHL (PART IV, LINE 20)

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$1,039	NoncashContributionsRptF990Amt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$30,548	NoncashContributionsRptF990Amt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	20	ContributionCnt
Noncash Contributions Rpt F990	$4,535	NoncashContributionsRptF990Amt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt
Yes (X)	CERTIF. & EVENTS	194	$72,398
Yes (X)	VARIOUS	283	$234,404

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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule M, Part I, Explanations of reporting method for number of contributions	FOOD INVENTORY: NUMBER OF CONTRIBUTIONS OTHER: NUMBER OF CONTRIBUTIONS OTHER: NUMBER OF CONTRIBUTIONS
Schedule M, part I, column (b), Line 4, Number of contributions or items contributed.
Schedule M, part I, column (b), Line 5, Number of contributions or items contributed.
Schedule M, part I, column (b), Line 19, Number of contributions or items contributed.	NUMBER OF CONTRIBUTIONS
Schedule M, part I, column (b), Line other, Number of contributions or items contributed.	OTHER=CERTIF. & EVENTS : NUMBER OF CONTRIBUTIONS

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (52 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CORE FORM PART VII, Breon, Richard ADDITIONAL POSITIONS HELD	ORGANIZATION NAME: SPECTRUM HEALTH FOUNDATION, TITLE: DIRECTOR, SHF, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: SPECTRUM HEALTH HOSPITALS, TITLE: DIRECTOR, SHH, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Henry, Donald ADDITIONAL POSITIONS HELD	ORGANIZATION NAME: NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION, TITLE: DIRECTOR, SHGM, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: SPECTRUM HEALTH HOSPITALS, TITLE: DIRECTOR, SHH, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Van Vranken, Matthew ADDITIONAL POSITIONS HELD	ORGANIZATION NAME: SPECTRUM HEALTH PRIMARY CARE PARTNERS , TITLE: DIRECTOR, SHMG - PART YEAR, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: SPECTRUM HEALTH CONTINUING CARE(FORMER), TITLE: FORMER CHAIR, SHCC, AVERAGEHOURS: 0.000; OFFICER ORGANIZATION NAME: SPECTRUM HEALTH HOSPITALS, TITLE: DIRECTOR, SHH - PART YEAR, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Chircop, Marc ADDITIONAL POSITIONS HELD	ORGANIZATION NAME: NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION, TITLE: DIRECTOR, SHGM, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: REED CITY HOSPITAL CORPORATION, TITLE: DIRECTOR, SHRC, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: SPECTRUM HEALTH UNITED, TITLE: DIRECTOR, SHU, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: SPECTRUM HEALTH KELSEY, TITLE: DIRECTOR, SHK, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: SPECTRUM HEALTH CONTINUING CARE, TITLE: PRESIDENT/CHAIR, SHCC, AVERAGEHOURS: 2.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: SPECTRUM HEALTH HOSPITALS, TITLE: SVP, REGIONAL RELATIONS, SHH, AVERAGEHOURS: 41.000; OFFICER ORGANIZATION NAME: ZEELAND COMMUNITY HOSPITAL, TITLE: DIRECTOR, SHZ, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: MEMORIAL MEDICAL CENTER OF WEST MICHIGAN, TITLE: DIRECTOR, SHL, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: MECOSTA COUNTY MEDICAL CENTER, TITLE: DIRECTOR, SHBR, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Ottenbaker, David, MD ADDITIONAL POSITIONS HELD	ORGANIZATION NAME: SPECTRUM HEALTH PRIMARY CARE PARTNERS , TITLE: DIRECTOR, SHMG, AVERAGEHOURS: 49.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION, TITLE: DIRECTOR, SHGM, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Langworthy, David ADDITIONAL POSITIONS HELD	ORGANIZATION NAME: REED CITY HOSPITAL CORPORATION, TITLE: DIRECTOR, SHRC, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: SPECTRUM HEALTH HOSPITALS, TITLE: DIRECTOR, SHH, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: MECOSTA COUNTY MEDICAL CENTER, TITLE: DIRECTOR, SHBR, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Mack, David ADDITIONAL POSITIONS HELD	ORGANIZATION NAME: SPECTRUM HEALTH UNITED, TITLE: CHAIR, SHU, AVERAGEHOURS: 2.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: SPECTRUM HEALTH KELSEY, TITLE: CHAIR, SHK, AVERAGEHOURS: 2.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: SPECTRUM HEALTH HOSPITALS, TITLE: DIRECTOR, SHH, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Bonis, Paul ADDITIONAL POSITIONS HELD	ORGANIZATION NAME: SPECTRUM HEALTH UNITED(FORMER), TITLE: FORMER PRESIDENT, SHU, AVERAGEHOURS: 0.000; OFFICER ORGANIZATION NAME: SPECTRUM HEALTH KELSEY(FORMER), TITLE: FORMER PRESIDENT, SHK, AVERAGEHOURS: 0.000; OFFICER ORGANIZATION NAME: SPECTRUM HEALTH HOSPITALS, TITLE: FOR COMPENSATION REPORTING ONLY, AVERAGEHOURS: 50.000; ORGANIZATION NAME: REED CITY HOSPITAL CORPORATION(FORMER), TITLE: FORMER INTERIM PRESIDENT, SHRC, AVERAGEHOURS: 0.000; OFFICER
CORE FORM PART VII, Rogers, Ralph, MD ADDITIONAL POSITIONS HELD	ORGANIZATION NAME: SPECTRUM HEALTH CONTINUING CARE, TITLE: DIRECTOR, SHCC, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: REED CITY HOSPITAL CORPORATION, TITLE: DIRECTOR, SHRC, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: SPECTRUM HEALTH HOSPITALS, TITLE: FOR COMPENSATION REPORTING ONLY, AVERAGEHOURS: 47.000; ORGANIZATION NAME: MECOSTA COUNTY MEDICAL CENTER, TITLE: DIRECTOR, SHBR, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Oberst, Larry ADDITIONAL POSITIONS HELD	ORGANIZATION NAME: SPECTRUM HEALTH CONTINUING CARE, TITLE: VP, FINANCE, SHCC - PART YEAR, AVERAGEHOURS: 46.000; OFFICER ORGANIZATION NAME: SPECTRUM HEALTH CONTINUING CARE CENTER, TITLE: TREASURER, SHCCC - PART YEAR, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: SPECTRUM HEALTH- KENT COMMUNITY CAMPUS, TITLE: TREASURER, SHKCC - PART YEAR, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: SPECTRUM HEALTH WORTH SERVICES, TITLE: TREASURER, SHWS - PART YEAR, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: VISITING NURSE SERVICES OF WESTERN MICHIGAN, TITLE: TREASURER, VNS - PART YEAR, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER
CORE FORM PART VII, Erickson-Joel, Linda ADDITIONAL POSITIONS HELD	ORGANIZATION NAME: SPECTRUM HEALTH CONTINUING CARE, TITLE: FOR COMPENSATION REPORTING ONLY, AVERAGEHOURS: 46.000; ORGANIZATION NAME: VISITING NURSE SERVICES OF WESTERN MICHIGAN, TITLE: DIRECTOR, VNS - PART YEAR, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: SPECTRUM HEALTH CONTINUING CARE CENTER, TITLE: SECRETARY, SHCCC - PART YEAR, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: SPECTRUM HEALTH WORTH SERVICES, TITLE: DIRECTOR, SHWS - PART YEAR, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: SPECTRUM HEALTH- KENT COMMUNITY CAMPUS, TITLE: TREASURER, SHKCC - PART YEAR, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER
CORE FORM PART VII, Guzicki, Mark ADDITIONAL POSITIONS HELD	ORGANIZATION NAME: SPECTRUM HEALTH HOSPITALS, TITLE: FOR COMPENSATION REPORTING ONLY, AVERAGEHOURS: 50.000; ORGANIZATION NAME: SPECTRUM HEALTH WORTH SERVICES(FORMER), TITLE: FORMER SECRETARY, SHWS, AVERAGEHOURS: 0.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: VISITING NURSE SERVICES OF WESTERN MICHIGAN(FORMER), TITLE: FORMER SECRETARY, VNS, AVERAGEHOURS: 0.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: SPECTRUM HEALTH CONTINUING CARE(FORMER), TITLE: FORMER KEY EMPLOYEE, SHCC, AVERAGEHOURS: 0.000; KEYEMPLOYEE
CORE FORM PART VII, Lemon, Jeffery ADDITIONAL POSITIONS HELD	ORGANIZATION NAME: SPECTRUM HEALTH CONTINUING CARE(FORMER), TITLE: FORMER SECRETARY, SHCC, AVERAGEHOURS: 0.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: SPECTRUM HEALTH CONTINUING CARE CENTER(FORMER), TITLE: FORMER PRESIDENT, SHCCC, AVERAGEHOURS: 0.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: SPECTRUM HEALTH- KENT COMMUNITY CAMPUS(FORMER), TITLE: FORMER PRESIDENT/CHAIR, SHKCC, AVERAGEHOURS: 0.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: SPECTRUM HEALTH WORTH SERVICES(FORMER), TITLE: FORMER PRESIDENT/CHAIR, SHWS, AVERAGEHOURS: 0.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: VISITING NURSE SERVICES OF WESTERN MICHIGAN(FORMER), TITLE: FORMER PRESIDENT/CHAIR, VNS, AVERAGEHOURS: 0.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: SPECTRUM HEALTH HOSPITALS(FORMER), TITLE: FOR COMPENSATION REPORTING ONLY, AVERAGEHOURS: 50.000;
CORE FORM PART VII, Mislevy, Jeffrey ADDITIONAL POSITIONS HELD	ORGANIZATION NAME: SPECTRUM HEALTH CONTINUING CARE, TITLE: SECRETARY, SHCC, AVERAGEHOURS: 42.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: SPECTRUM HEALTH CONTINUING CARE CENTER, TITLE: PRESIDENT/CHAIR, SHCCC, AVERAGEHOURS: 2.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: SPECTRUM HEALTH WORTH SERVICES, TITLE: PRESIDENT/CHAIR, SHWS, AVERAGEHOURS: 2.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: VISITING NURSE SERVICES OF WESTERN MICHIGAN, TITLE: PRESIDENT/CHAIR, VNS, AVERAGEHOURS: 2.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: SPECTRUM HEALTH- KENT COMMUNITY CAMPUS, TITLE: PRESIDENT/CHAIR, SHKCC, AVERAGEHOURS: 2.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER
CORE FORM PART VII, Davidson, James ADDITIONAL POSITIONS HELD	ORGANIZATION NAME: SPECTRUM HEALTH HOSPITALS, TITLE: FOR COMPENSATION REPORTING ONLY, AVERAGEHOURS: 50.000; ORGANIZATION NAME: SPECTRUM HEALTH CONTINUING CARE(FORMER), TITLE: FORMER TREASURER, SHCC, AVERAGEHOURS: 0.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: VISITING NURSE SERVICES OF WESTERN MICHIGAN(FORMER), TITLE: FORMER TREASURER, VNS, AVERAGEHOURS: 0.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: SPECTRUM HEALTH WORTH SERVICES(FORMER), TITLE: FORMER TREASURER, SHWS, AVERAGEHOURS: 0.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: SPECTRUM HEALTH- KENT COMMUNITY CAMPUS(FORMER), TITLE: FORMER TREASURER, SHKCC, AVERAGEHOURS: 0.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: SPECTRUM HEALTH CONTINUING CARE CENTER(FORMER), TITLE: FORMER TREASURER, SHCCC, AVERAGEHOURS: 0.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER
CORE FORM PART VII, 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, AVERAGEHOURS: 1.000; 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: 46.000; ORGANIZATION NAME: SPECTRUM HEALTH- KENT COMMUNITY CAMPUS, TITLE: DIRECTOR, SHKCC, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Knaus, Ronald ADDITIONAL POSITIONS HELD	ORGANIZATION NAME: SPECTRUM HEALTH HOSPITALS, TITLE: VP, FINANCE, SHH - PART YEAR, AVERAGEHOURS: 0.000; OFFICER ORGANIZATION NAME: SPECTRUM HEALTH CONTINUING CARE, TITLE: TREASURER, SHCC, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER
CORE FORM PART VII, Wilson, Mark ADDITIONAL POSITIONS HELD	ORGANIZATION NAME: ZEELAND COMMUNITY HOSPITAL, TITLE: CHAIR, SHZ, AVERAGEHOURS: 2.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: SPECTRUM HEALTH HOSPITALS, TITLE: DIRECTOR, SHH, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Cawley, Kevin ADDITIONAL POSITIONS HELD	ORGANIZATION NAME: SPECTRUM HEALTH CONTINUING CARE, TITLE: VP, FINANCE, SHCC, AVERAGEHOURS: 46.000; OFFICER ORGANIZATION NAME: VISITING NURSE SERVICES OF WESTERN MICHIGAN, TITLE: DIRECTOR, VNS, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: SPECTRUM HEALTH CONTINUING CARE CENTER, TITLE: SECRETARY / TREASURER, SHCCC, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER ORGANIZATION NAME: SPECTRUM HEALTH WORTH SERVICES, TITLE: DIRECTOR, SHWS, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: SPECTRUM HEALTH- KENT COMMUNITY CAMPUS, TITLE: SECRETARY / TREASURER, SHKCC, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOROFFICER
CORE FORM PART VII, Slaikeu, Jason, MD ADDITIONAL POSITIONS HELD	ORGANIZATION NAME: SPECTRUM HEALTH PRIMARY CARE PARTNERS , TITLE: DIRECTOR, SHMG, AVERAGEHOURS: 49.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: ZEELAND COMMUNITY HOSPITAL, TITLE: DIRECTOR, SHZ, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
CORE FORM PART VII, Murray, Stephanie ADDITIONAL POSITIONS HELD	ORGANIZATION NAME: SPECTRUM HEALTH CONTINUING CARE, TITLE: FOR COMPENSATION REPORTING ONLY, AVERAGEHOURS: 46.000; ORGANIZATION NAME: VISITING NURSE SERVICES OF WESTERN MICHIGAN, TITLE: DIRECTOR, VNS, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: SPECTRUM HEALTH CONTINUING CARE CENTER, TITLE: DIRECTOR, SHCCC, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: SPECTRUM HEALTH WORTH SERVICES, TITLE: DIRECTOR, SHWS, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR ORGANIZATION NAME: SPECTRUM HEALTH- KENT COMMUNITY CAMPUS, TITLE: DIRECTOR, SHKCC, AVERAGEHOURS: 1.000; INDIVIDUALTRUSTEEORDIRECTOR
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 OF WHICH INCLUDES THE HELEN DEVOS CHILDREN'S HOSPITAL, THE FRED AND LENA MEIJER HEART CENTER, LEMMEN- HOLTON CANCER PAVILION) WITH APPROXIMATELY 1,110 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 30-BED INPATIENT FACILITY HELPING PATIENTS REGAIN INDEPENDENCE. HELEN DEVOS CHILDREN'S HOSPITAL IS MICHIGAN'S LARGEST NEONATAL CENTER, CARING FOR MORE THAN 1,500 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: - HEART AND LUNG TRANSPLANT: IN FISCAL YEAR 2014, SHH PERFORMED THE FIRST COMBINED HEART AND LUNG TRANSPLANT IN WEST MICHIGAN. THIS WAS THE FIRST COMBINED PROCEDURE IN THE STATE SINCE 1999. - THE ADULT BLOOD AND MARROW TRANSPLANT (BMT) CLINIC IN DOWNTOWN GRAND RAPIDS WAS OPENED IN 2012, OFFERING THIS LIFESAVING TREATMENT CLOSE TO HOME FOR THE FIRST TIME. SPECTRUM HEALTH HAS THE ONLY ADULT AND PEDIATRIC BMT PROGRAMS IN THE WESTERN HALF OF THE STATE. THE BMT PROGRAM RECEIVED ACCREDITATION FOR ITS PEDIATRIC ALLOGENEIC AND ADULT ALLOGENEIC AND AUTOLOGOUS PROGRAMS FROM THE FOUNDATION FOR ACCREDITATION OF CELLULAR THERAPY IN FISCAL YEAR 2014. -A NEW INTRAOPERATIVE MRI (IMRI) BECAME AVAILABLE FOR SURGERY ON ADULTS AND CHILDREN. THE IMRI HELPS SURGEONS REMOVED TUMORS IN THE BRAIN AND SPINE WITH GREATER PRECISION. SPECTRUM HEALTH IS THE ONLY PROVIDER IN WEST, NORTH, AND MID-MICHIGAN TO OFFER THIS TECHNOLOGY. SPECTRUM HEALTH HOSPITAL GROUP - COMMUNITY HOSPITALS SPECTRUM HEALTH HOSPITAL GROUP INCLUDES SEVEN COMMUNITY HOSPITALS LOCATED ACROSS WESTERN MICHIGAN, ALL DEDICATED TO THE COMMUNITIES THEY SERVE, AS FOLLOWS: -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 ("SHL") -MECOSTA COUNTY MEDICAL CENTER D/B/A SPECTRUM HEALTH BIG RAPIDS ("SHBR") -REED CITY HOSPITAL CORPORATION D/B/A SPECTRUM HEALTH REED CITY ("SHRC") -SPECTRUM HEALTH UNITED ("SHU") -SPECTRUM HEALTH KELSEY ("SHK") -ZEELAND COMMUNITY HOSPITAL D/B/A SPECTRUM HEALTH ZEELAND COMMUNITY HOSPITAL ("SHZ") THE COMMUNITY HOSPITALS OF SPECTRUM HEALTH HOSPITAL GROUP PROVIDE APPROXIMATELY 450 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 KENT COMMUNITY CAMPUS ("SHKCC") -SPECTRUM HEALTH WORTH SERVICES ("SHWS") -VISITING NURSE SERVICES OF WESTERN MICHIGAN ("VNS") 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. SHKCC PROVIDES LONGER TERM ACUTE CARE TO MEET THE NEEDS OF PATIENTS WHO REQUIRE LONGER HEALING AND RECOVERY TIME FOR A SPECIFIC, MEDICALLY COMPLEX HEALTH NEED. SHKCC'S SPECIAL CARE HOSPITAL IS THE ONLY NON-PROFIT LONG TERM ACUTE CARE HOSPITAL IN GRAND RAPIDS, MICHIGAN. 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 850 PROVIDERS, 40 MEDICAL SPECIALTIES AND MORE THAN 70 SERVICE SITES, 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 SYSTEM 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 FY2014, SHF PROVIDED OVER $17 MILLION IN GRANTS TO ORGANIZATIONS WITHIN THE HEALTH SYSTEM.
FORM 990, PART IV, LINE 12A, AUDITED FINANCIAL STATEMENTS	THE "NO" RESPONSE TO THIS QUESTION RELATES TO THE FACT THAT NOT ALL ORGANIZATIONS INCLUDED IN THE GROUP RETURN OBTAINED SEPARATE, INDEPENDENT FINANCIAL STATEMENTS FOR THE TAX YEAR. THE FOLLOWING ORGANIZATIONS OBTAINED SEPARATE, INDEPENDENT FINANCIAL STATEMENTS FOR THE TAX YEAR: VISITING NURSE SERVICES OF WESTERN MICHIGAN (EN 38-1359195) SPECTRUM HEALTH FOUNDATION (EIN 38-2752328)
FORM 990, PART V, LINE 3A, UNRELATED GROSS BUSINESS INCOME	THE FOLLOWING ORGANIZATIONS INCLUDED IN THE GROUP RETURN HAVE UNRELATED BUSINESS GROSS INCOME OF $1,000 OR MORE DURING THE YEAR. THE UNRELATED BUSINESS INCOME OF THESE ORGANIZATIONS IS REPORTED ON FORM 990-T. SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) SPECTRUM HEALTH GERBER MEMORIAL (EIN 38-1359517)
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 LUDINGTON (EIN 38-1359266) SPECTRUM HEALTH FOUNDATION (EIN 38-2752328)
Form 990, Part VI, Sec A, Line 2, Family/business relationships amongst interested persons	SHH - MR. WILLIAM JEWELL AND MR. RONALD KNAUS - BUSINESS RELATIONSHIP, SHCC - MR. RONALD KNAUS AND DR. RALPH ROGERS - BUSINESS RELATIONSHIP
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, Sec A, 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, Sec A, 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, Sec A, Line 7b, Decisions requiring approval by members or stockholders	SPECTRUM HEALTH SYSTEM, AS THE ULTIMATE SOLE MEMBER FOR ALL OF THE SUBORDINATES 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 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, Sec B, 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 COMMITTEE AND BOARD OF DIRECTORS. 4. THE ORGANIZATION'S CHIEF FINANCIAL OFFICER 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, Sec B, 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 LEGAL, ORGANIZATIONAL INTEGRITY, INTERNAL AUDIT, AND HUMAN RESOURCES DEPARTMENTS 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 LEGAL DEPARTMENT. A COPY OF THE MEMBER OF MANAGEMENT'S DISCLOSURE IS REVIEWED BY THE ORGANIZATION'S COI COORDINATOR AND ESCALATED TO THE COI COMMITTEE IF NECESSARY. 2. ANNUALLY, EACH MEMBER OF MANAGEMENT COMPLETES A CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE ELECTRONICALLY. THE DISCLOSURE QUESTIONNAIRE IS REVIEWED THE LEGAL, ORGANIZATIONAL INTEGRITY, INTERNAL AUDIT, AND HUMAN RESOURCES DEPARTMENTS. 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 LEGAL, ORGANIZATIONAL INTEGRITY, INTERNAL AUDIT, AND HUMAN RESOURCES DEPARTMENTS. 4. THE LEGAL, ORGANIZATIONAL INTEGRITY, INTERNAL AUDIT, AND HUMAN RESOURCES DEPARTMENTS, IN CONSULTATION WITH EXECUTIVE MANAGEMENT, DETERMINE 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 14, DOCUMENT RETENTION AND DESTRUCTION	ALL SUBORDINATES INCLUDED IN THE GROUP EXEMPTION HAVE A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY, WITH THE EXCEPTION OF SPECTRUM HEALTH LUDINGTON. HOWEVER, SPECTRUM HEALTH LUDINGTON DOES FOLLOW DOCUMENT RETENTION AND DESTRUCTION PROCEDURES AND IS IN THE PROCESS OF ADOPTING THE SYSTEM WIDE POLICY.
Form 990, Part VI, Sec B, 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 FOR ALL SUBORDINATES INCLUDED IN THE GROUP EXEMPTION, WITH THE EXCEPTION OF SPECTRUM HEALTH LUDINGTON, WHICH IS DESCRIBED SEPARATELY BELOW. 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 AND, FOR FY 2014 (7/1/13-6/30/14), WAS BASED ON THE FOLLOWING INDEPENDENT SURVEYS OF HEALTH CARE EXECUTIVES AT COMPARABLE HEALTH SYSTEMS, HEALTH PLANS, AND MEDICAL GROUPS: * AMERICAN MEDICAL GROUP ASSOCIATION: 2012 MEDICAL GROUP COMPENSATION & FINANCIAL SURVEY * INTEGRATED HEALTHCARE STRATEGIES: 2012 HEALTH CARE EXECUTIVE COMPENSATION SURVEY * MERCER HUMAN RESOURCES CONSULTING: 2012 EXECUTIVE COMPENSATION SURVEY * MERCER HUMAN RESOURCES CONSULTING: 2012 INTEGRATED HEALTH NETWORKS COMPENSATION SURVEY * MEDICAL GROUP MANAGEMENT ASSOCIATION: 2012 MANAGEMENT COMPENSATION SURVEY * SULLIVAN, COTTER AND ASSOCIATES: 2012 SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS * SULLIVAN, COTTER AND ASSOCIATES: 2012 PHYSICIAN COMPENSATION AND PRODUCTIVITY SURVEY REPORT * TOWERS WATSON: 2012/2013 HOSPITAL AND HEALTHCARE MANAGEMENT COMPENSATION REPORT * TOWERS WATSON: 2012/2013 TOP MANAGEMENT COMPENSATION REPORT * WARREN: 2012 COMPENSATION SURVEY 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 HEALTHCARE AND / OR HEALTH INSURANCE ORGANIZATIONS. SPECTRUM HEALTH RECRUITS NATIONALLY FOR ITS EXECUTIVES. BENEFITS DATA REFLECT NATIONAL HEALTHCARE / HEALTH INSURANCE MARKET PRACTICES. GEOGRAPHIC PAY DIFFERENTIAL AND COST OF LIVING DATA INDICATES CONSISTENCY WITH NATIONAL 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). *SPECTRUM HEALTH LUDINGTON: AS PART OF THE INTEGRATION EFFECTIVE OCTOBER 2013, THE PRESIDENT AND VP OF FINANCE WERE COMPENSATED BASED ON THE ABOVE NOTED PROCESS FOR SPECTRUM HEALTH SYSTEM. PRIOR TO INTEGRATION THE PROCESS FOR SHL WAS AS FOLLOWS: ONCE A YEAR THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE REVIEWS THE PRESIDENT'S EMPLOYMENT PERFORMANCE AND RECOMMENDS TO THE FULL BOARD A CONTINUATION OF EMPLOYMENT AND ANY COMPENSATION INCREASES OR CHANGES. SPECTRUM HEALTH LUDINGTON'S HUMAN RESOURCE MANAGER COMPILES ALL OF THE DATA FROM THE SURVEYS AND PROVIDES THAT DATA - ALONG WITH THE COMPENSATION COMPARABILITY DATA TO THE BOARD. A REVIEW OF COMPENSATION COMPARABILITY DATA WAS PERFORMED TO DETERMINE COMPENSATION PRIOR TO THE INTEGRATION AT THE 11/27/12 BOARD MEETING. ONCE A YEAR THE PRESIDENT REVIEWS THE ANNUAL LEADERSHIP APPRAISAL FOR THE VICE PRESIDENT AND OTHER MANAGEMENT EMPLOYEES UNDER HIS/HER DIRECT SUPERVISION AND RECOMMENDS ANY COMPENSATION ADJUSTMENTS TO THE FULL BOARD OF DIRECTORS FOR APPROVAL.
Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employees	SEE EXPLANATION PROVIDED FOR FORM 990, PART VI, LINE 15A.
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) SPECTRUM HEALTH UNITED (EIN 38-1358412)
Form 990, Part VI, Sec C, 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 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. CONSISTENT WITH PRIOR YEARS, COMPENSATION AND BENEFITS ARE REPORTED USING THE MOST RECENT CALENDAR YEAR COMPENSATION DATA. THE COMPENSATION FIGURES REPORTED IN THESE SECTIONS ARE FOR THE YEAR ENDED DECEMBER 31, 2013. 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 X, LINE 11, REPORTING OF INVESTMENTS	THE ORGANIZATION HAS REPORTED CERTAIN INVESTMENT ACCOUNTS WHICH MAY ALSO BE INCLUDED ON THE BALANCE SHEET(S) OF RELATED ENTITIES WITHIN THE SYSTEM.
Form 990 , Part XI, Line 9, Other changes in net assets or fund balances	MINIMUM PENSION LIABILITY - -136548; OTHER - -3233; SPECTRUM HEALTH SYSTEM (EIN 38-3382353) FUND BALANCE TRANSFER - -4360012; UNCOLLECTABLE PLEDGES - -57422; VALUATION ALLOWANCE - -9815124;
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.
FORM 990, PART XII, LINE 2B, AUDITED FINANCIAL STATEMENTS	THE ORGANIZATIONS INCLUDED IN THE GROUP RETURN ARE ALL AUDITED ON A CONSOLIDATED BASIS. ADDITIONALLY, THE FOLLOWING TWO ORGANIZATIONS INCLUDED IN THE GROUP RETURN ARE AUDITED ON A SEPARATE BASIS: VISITING NURSE SERVICES OF WESTERN MICHIGAN (EIN 38-1359195) SPECTRUM HEALTH FOUNDATION (EIN 38-2752328)
Schedule M, part I, column (b), Line other, Number of contributions or items contributed.	OTHER=VARIOUS : NUMBER OF CONTRIBUTIONS
Schedule M, part I, column (b), Line 19, Number of contributions or items contributed.	NUMBER OF CONTRIBUTIONS
Schedule M, part I, column (b), Line other, Number of contributions or items contributed.	OTHER=CERTIF. & EVENTS : NUMBER OF CONTRIBUTIONS
Schedule M, part I, column (b), Line other, Number of contributions or items contributed.	OTHER=VARIOUS : NUMBER OF CONTRIBUTIONS
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). SPECTRUM HEALTH FOUNDATION IS A SECTION 501(C)(3) ORGANIZATION 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.
FORM 990, PART I, LINES 8-22 & PART X, LINES 1-34, PRIOR YEAR FINANCIAL INFORMATION	FOR COMPARISON PURPOSES THE PRIOR YEAR FINANCIAL INFORMATION REPORTED ON FORM 990, PART I, LINES 8-22 AND PART X, LINES 1-34 REFLECTS THE ACTIVITIES OF ALL SUBORDINATES INCLUDED IN THE SPECTRUM HEALTH SYSTEM GROUP RETURN.
FORM 990, PART I, SUBORDINATE ORGANIZATIONS	THE SPECTRUM HEALTH SYSTEM GROUP RETURN INCLUDES ALL SUBORDINATE ORGANIZATIONS INCLUDED IN GROUP EXEMPTION NUMBER 5951. PURSUANT TO THE TREASURY REGULATION SECTION 1.6033-2(D)(2)(II) THE BELOW LISTING IDENTIFIES THE NAME, ADDRESS, AND EIN OF EACH SUBORDINATE: SPECTRUM HEALTH HOSPITALS ("SHH") 100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503 EIN 38-1360529 NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION D/B/A SPECTRUM HEALTH GERBER MEMORIAL ("SHGM") 212 S SULLIVAN, FREMONT, MI 49412 EIN 38-1359517 MEMORIAL MEDICAL CENTER OF WEST MICHIGAN D/B/A SPECTRUM HEALTH LUDINGTON ("SHL") ONE N ATKINSON DR, LUDINGTON, MI 49431 EIN 38-1359266 MECOSTA COUNTY MEDICAL CENTER D/B/A SPECTRUM HEALTH BIG RAPIDS ("SHBR") 605 OAK STREET, BIG RAPIDS, MI 49307 EIN 38-1368744 REED CITY HOSPITAL CORPORATION D/B/A SPECTRUM HEALTH REED CITY ("SHRC") 300 N PATTERSON RD, REED CITY, MI 49677 EIN 38-2770076 SPECTRUM HEALTH UNITED ("SHU") 615 S BOWER, GREENVILLE, MI 48838 EIN 38-1358412 SPECTRUM HEALTH KELSEY ("SHK") 615 S BOWER, GREENVILLE, MI 48838 EIN 38-1297435 ZEELAND COMMUNITY HOSPITAL D/B/A SPECTRUM HEALTH ZEELAND COMMUNITY HOSPITAL ("SHZ") 8333 FELCH, ZEELAND, MI 49464 EIN 38-1411184 SPECTRUM HEALTH CONTINUING CARE ("SHCC") 750 FULLER AVE NE, GRAND RAPIDS, MI 49503 EIN 38-3242232 SPECTRUM HEALTH CONTINUING CARE CENTER ("SHCCC") 750 FULLER AVE NE, GRAND RAPIDS, MI 49503 EIN 38-2415333 SPECTRUM HEALTH KENT COMMUNITY CAMPUS ("SHKCC") 750 FULLER AVE NE, GRAND RAPIDS, MI 49503 EIN 38-3472677 SPECTRUM HEALTH WORTH SERVICES ("SHWS") 750 FULLER AVE NE, GRAND RAPIDS, MI 49503 EIN 38-2786617 VISITING NURSE SERVICES OF WESTERN MICHIGAN ("VNS") 750 FULLER AVE NE, GRAND RAPIDS, MI 49503 EIN 38-1359195 SPECTRUM HEALTH PRIMARY CARE PARTNERS D/B/A SPECTRUM HEALTH MEDICAL GROUP ("SHMG") 1840 WEALTHY ST SE, GRAND RAPIDS, MI 49506 EIN 38-1358164 SPECTRUM HEALTH FOUNDATION ("SHF") 100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503 EIN 38-2752328

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1
PHMB PROPERTIES LLC
1231 EAST BELTLINE NE	GRAND RAPIDS	MI	49525	382715520	PROP. MGMT	MI	$3,319,274	$26,046,488	PRIORITY HEALTH
MMPC REAL ESTATE LLC
4100 LAKE DR SE STE 300	GRAND RAPIDS	MI	49525	262744213	DORMANT	MI	$0	$0	MICHIGAN MEDICAL PATIENT CARE
SPECTRUM HEALTH INNOVATIONS LLC
100 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	272868213	IP DEVELOP	MI	$49,153	$7,715,690	SPECTRUM HEALTH SYSTEM
SHPHC LLC
750 FULLER AVE NE	GRAND RAPIDS	MI	49503	452911064	DORMANT	MI	$0	$0	SPECTRUM HEALTH CONTINUING CARE

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
PRIORITY HEALTH
1231 EAST BELTLINE NE	GRAND RAPIDS	MI	49525	382715520	HMO	MI	501(C)(4)	N/A	SPECTRUM HEALTH SYSTEM	Yes (true)
TRINITY HEALTH PLANS
1231 EAST BELTLINE NE	GRAND RAPIDS	MI	49525	382663747	HMO MGMT	MI	501(C)(4)	N/A	PRIORITY HEALTH	Yes (true)
PRIORITY HEALTH CHOICE INC
1231 EAST BELTLINE NE	GRAND RAPIDS	MI	49525	320016523	HMO (MEDICAID)	MI	501(C)(3)	9	PRIORITY HEALTH	Yes (true)
MMPC FOUNDATION
4100 LAKE DR SE STE 300	GRAND RAPIDS	MI	49546	201099059	PHILANTHROPY	MI	501(C)(3)	N/A	MICHIGAN MEDICAL PATIENT CARE	Yes (true)
KENT COMMUNITY HEALTH FOUNDATION
750 FULLER AVE NE	GRAND RAPIDS	MI	49503	383607110	PHILANTHROPY	MI	501(C)(3)	11 - Type III - FI	SPECTRUM HEALTH KENT COMMUNITY CAMPUS	Yes (true)
MECOSTA COUNTY MEDICAL CENTER FOUNDATION
605 OAK STREET	BIG RAPIDS	MI	49307	383358675	PHILANTHROPY	MI	501(C)(3)	11 - Type II	SPECTRUM HEALTH BIG RAPIDS	Yes (true)
SPECTRUM HEALTH - MSU ALLIANCE CORPORATION
100 MICHIGAN ST NE MC 498	GRAND RAPIDS	MI	49503	760845329	RESEARCH	MI	501(C)(3)	11 - Type I	SPECTRUM HEALTH HOSPITALS	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (15 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
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	$548,722	$364,453	0.8696	Yes (true)
PARTNERSHIP FOR CHILDREN'S HEALTH
1840 WEALTHY ST SE	GRAND RAPIDS	MI	49506	383364676	MGED CARE	MI	SPECTRUM HEALTH HOSPITALS	C CORPORATION	$0	$0	1	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	$2,239,418	$1,841,713	0.9827	Yes (true)
CAMPUS TOWNE CENTER CONDO ASSC
4868 LAKE MICHIGAN DRIVE	ALLENDALE	MI	49401	382910067	MGMT	MI	SPECTRUM HEALTH HOSPITALS	C CORPORATION	$24,998	$34,489	0.9	Yes (true)
PRIORITY HEALTH INSURANCE COMPANY
1231 EAST BELTLINE NE	GRAND RAPIDS	MI	49525	201529553	INSURANCE	MI		C CORPORATION					N/A
PRIORITY HEALTH MANAGED BENEFITS
1231 EAST BELTLINE NE	GRAND RAPIDS	MI	49525	383085182	THIRD PARTY ADMINISTRATOR	MI		C CORPORATION					N/A
IDEOMED INC
100 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	611613614	INFORMATION TECHNOLOGY	MI		C CORPORATION					N/A
MICHIGAN MEDICAL PATIENT CARE
1840 WEALTHY ST SE	GRAND RAPIDS	MI	49506	382851295	MEDICAL	MI		C CORPORATION					N/A
WEST MICHIGAN HEART
2900 BRADFORD STREET NE	GRAND RAPIDS	MI	49525	382125186	PHYSICIANS	MI		C CORPORATION					N/A
SPECTRUM HEALTH PHYSICIAN ALLIANCE
100 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	371655728	PHYSICIANS	MI		C CORPORATION					N/A
35 MICHIGAN STREET CONDOMINIUM ASSOCIATION
35 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	272193084	MGMT	MI	SPECTRUM HEALTH HOSPITALS	C CORPORATION	$884,388	$276,508	1	Yes (true)
LEMMEN-HOLTON CANCER PAVILION CONDOMINIUM ASSOCIATION
145 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	161734150	MGMT	MI	SPECTRUM HEALTH HOSPITALS	C CORPORATION	$2,303,091	$1,479,502	0.7915	Yes (true)
MUSCULOSKELETAL CENTER CONDOMINIUM ASSOCIATION
230 MICHIGAN NE STE 300	GRAND RAPIDS	MI	49503	383180086	MGMT	MI	SPECTRUM HEALTH HOSPITALS	C CORPORATION	$724,858	$334,272	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	$238,955	$538,302	0.8251	Yes (true)
THE MICHIGAN STREET PARKING CONDOMINUIM ASSOCIATION
100 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	161734145	MGMT	MI	SPECTRUM HEALTH HOSPITALS	C CORPORATION	$349,748		0.6913	Yes (true)

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	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	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 (14 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PRIORITY HEALTH
L	$424,135,644	CASH, GAAP, OR FMV
SPECTRUM HEALTH- KENT COMMUNITY CAMPUS
L	$5,084,280	CASH, GAAP, OR FMV
SPECTRUM HEALTH WORTH SERVICES
L	$2,293,901	CASH, GAAP, OR FMV
SPECTRUM HEALTH CONTINUING CARE CAMPUS
L	$2,261,844	CASH, GAAP, OR FMV
VISITING NURSE SERVICES OF WESTERN MICHIGAN
L	$1,573,433	CASH, GAAP, OR FMV
PRIORITY HEALTH
M	$141,460,303	CASH, GAAP, OR FMV
LEMMEN-HOLTON CANCER PAVILION CONDOMINIUM ASSOCIATION
Q	$2,860,277	CASH, GAAP, OR FMV
THE FRED AND LENA MEIJER HEART CENTER CONDOMINIUM ASSOCIATION
Q	$2,300,842	CASH, GAAP, OR FMV
MUSCULOSKELETAL CENTER CONDOMINIUM ASSOCIATION
Q	$817,195	CASH, GAAP, OR FMV
35 MICHIGAN STREET CONDOMINIUM ASSOCIATION
Q	$780,398	CASH, GAAP, OR FMV
HELEN DEVOS WOMEN AND CHILDREN'S HEALTH PAVILION ASSOCIATION
Q	$638,376	CASH, GAAP, OR FMV
25 MICHIGAN STREET CONDOMINIUM ASSOCIATION
Q	$252,799	CASH, GAAP, OR FMV
CAMPUS TOWNE CENTER CONDO ASSOCIATION
Q	$32,431	CASH, GAAP, OR FMV
MECOSTA COUNTY MEDICAL CENTER FOUNDATION
C	$197,654	CASH, GAAP, OR FMV

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 OF 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 ARE REPORTED BASED ON OWNERSHIP RATHER THAN VOTING POWER. SCHEDULE R, PART IV, COLUMN (H) IS REPORTED BASED ON THE GREATER OF OWNERSHIP OR VOTING POWER.

PART V, LINE 2, TRANSACTIONS WITH RELATED ORGANIZATIONS

THE AMOUNTS LIST 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.