COREWELL HEALTH: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
COREWELL HEALTH (EIN 38-1358412)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-02-07
IRS object ID
201140389349300604
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-02-07T08:57:48-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ANDREWS HOOPER PAVLIK PLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13333 DEPOSIT DR NE STE 310AddressLine1
CityGRAND RAPIDSCity
StateMIState
ZIP Code49546ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN381358412EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SPECTRUM HEALTH UNITEDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSPECNameControl
Phone6167544341Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 S BOWERAddressLine1
CityGREENVILLECity
StateMIState
ZIP Code488382628ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID J OEHRINGName
TitleVP FINANCETitle
Phone6167544341Phone
Date Signed2010-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHELLE L DERIDDERName
Phone6169426440Phone
Date Prepared2011-01-28DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVID J OEHRINGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1615 S BOWERAddressLine1
CityGREENVILLECity
StateMIState
ZIP Code488382628ZIPCode
FieldValueIRS element (for citing)
Gross Receipts57263288GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.UM.SPECTRUM-HEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1911YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees564TotalNbrEmployees
Total Nbr Volunteers66TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year105521ContributionsGrantsPriorYear
Contributions Grants Current Year94316ContributionsGrantsCurrentYear
Program Service Revenue Prior Year50660412ProgramServiceRevenuePriorYear
Program Service Revenue CY56474565ProgramServiceRevenueCY
Investment Income Prior Year23087InvestmentIncomePriorYear
Investment Income Current Year15029InvestmentIncomeCurrentYear
Other Revenue Prior Year95051OtherRevenuePriorYear
Other Revenue Current Year-221054OtherRevenueCurrentYear
Total Revenue Prior Year50884071TotalRevenuePriorYear
Total Revenue Current Year56362856TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year69750GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year21119195SalariesEtcPriorYear
Salaries Etc Current Year22704162SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year27281664OtherExpensePriorYear
Other Expenses Current Year30372961OtherExpensesCurrentYear
Total Expenses Prior Year48470609TotalExpensesPriorYear
Total Expenses Current Year53077123TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2413462RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3285733RevenuesLessExpensesCY
Total Assets BOY43322841TotalAssetsBOY
Total Assets EOY49467873TotalAssetsEOY
Total Liabilities BOY32906745TotalLiabilitiesBOY
Total Liabilities EOY35742462TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10416096NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13725411NetAssetsOrFundBalancesEOY
Mission DescriptionTO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense47314407Expense
Revenue56363356Revenue
DescriptionSPECTRUM HEALTH UNITED PROVIDES HEALTHCARE RELATED SERVICES TO THE GREATER MONTCALM COMMUNITY REGARDLESS OF ABILITY TO PAY. IT IS AN ACUTE INPATIENT HOSPITAL WHICH INCLUDES SPECIALTY CRITICAL CARE UNITS, OUTPATIENT SERVICES, AND LONG TERM SKILLED NURSING. -INPATIENT ADMISSIONS 2,568 -INPATIENT DAYS 8,583 -LONG-TERM CARE ADMISSIONS 168 -LONG-TERM CARE PATIENT DAYS 13,519 -EMERGENCY ROOM VISITS 27,050Description
Total Program Service Expense47314407TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109684NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees564NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRYAN K JOHNSONNamePerson
Telephone Number6162256310TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1615 S BOWERAddressLine1
CityGREENVILLECity
StateMIState
ZIP Code488382628ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
MATTHEW VAN VRANKEN
DIRECTOR2.00X01138968280010
DAVID DULL
DIRECTOR2.00X0353503130015
GREGORY PAGE MD PHD
DIRECTOR2.00X019965914308
DOMENICO AUSIELLO MD
DIRECTOR2.00X000
LINDA BLANCHARD
SECRETARY2.00X000X
STEVE BOWSER
DIRECTOR2.00X000
PETER HAINES
DIRECTOR2.00X000
DAVID MACK
CHAIRMAN2.00X000X
FRANZ MOGDIS
DIRECTOR2.00X000
WILLIAM HAM
TREASURER2.00X000X
CHARLES SIMON
DIRECTOR2.00X000
PAUL BONIS
PRESIDENT50.00378563098042X
DAVID OEHRING
VP FINANCE50.00155649019562X
PRISCILLA MAHAR
CCO50.0016288208922X
BRIAN BRASSER
CNO50.00159460024841X
VICKI JENSEN
CHIEF HR OFF50.00154510024032X
LAUREL BERENDS
QUALITY50.00130039012960X
RYAN JOHNSON
DIRECTOR OF50.00111120028162X
RICHARD BREON
FORMER DIREC02249338464041X
LOWELL BURSCH
FORMER DIREC01541542116136X
MARY ANNE JONES
FORMER CFO017684927610X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1252223TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5659859TotalReportableCompFrmRltdOrgs
Total Other Compensation1248641TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ANESTHESIA MEDICAL CONSULTANTS
3333 EVERGREEN NEGRAND RAPIDSMI49525MEDICAL1245750
MICHIGAN MEDICAL PC
4100 LAKE DRIVE SE SUITE 300GRAND RAPIDSMI49546MEDICAL1050379
INCREMEDICAL LLC
8259 WICKER AVEST JOHNIN46373REHAB SERVICES866137
FINCOR SOLUTIONS
6215 W ST JOSEPH HIGHWAYLANSINGMI48917MISC FINANCIAL181761
WEST MICHIGAN SHARED HOSP LAUNDRY
PO BOX 1134GRAND RAPIDSMI49501LAUNDRY178598
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Related Organizations25047RelatedOrganizations
Government Grants42843GovernmentGrants
All Other Contributions26426AllOtherContributions
Total Contributions94316TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
PATIENT SERVICE REVENUE6221105617247056172470
OTHER OPERATING INCOME900099132085132085
CAFETERIA REVENUE722212126238$126,238
TRANSCRIPTION REVENUE5614102648826488
MEDICAL RECORD FEES9000991728417284
FieldValueIRS element (for citing)
Total Program Service Revenue56474565TotalProgramServiceRevenue

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real656656Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real900087Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-243431Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-243431TotalRevenueColumn
Exclusion-$243,431ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other15374Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other345Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other15029Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column15029TotalRevenueColumn
Related Or Exempt Function Income15029RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column22377TotalRevenueColumn
Exclusion$22,377ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue22377TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column56362856TotalRevenueColumn
Related Or Exempt Function Income56363356RelatedOrExemptFunctionIncome
Exclusion-$94,816ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total856554Total
Program Services780064ProgramServices
Management And General76490ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16430671Total
Program Services14981051ProgramServices
Management And General1449620ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total881905Total
Program Services793097ProgramServices
Management And General88808ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3194406Total
Program Services2871771ProgramServices
Management And General322635ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1340626Total
Program Services1205625ProgramServices
Management And General135001ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total189646Total
Program Services153727ProgramServices
Management And General35919ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total129355Total
Management And General129355ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9551176Total
Program Services7003101ProgramServices
Management And General2548075ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total374577Total
Program Services712ProgramServices
Management And General373865ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total9167348Total
Program Services9067099ProgramServices
Management And General100249ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total26553Total
Program Services26500ProgramServices
Management And General53ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total608722Total
Program Services540770ProgramServices
Management And General67952ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total154283Total
Program Services117039ProgramServices
Management And General37244ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total488764Total
Program Services488764ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2376502Total
Program Services2147408ProgramServices
Management And General229094ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total544149Total
Program Services489353ProgramServices
Management And General54796ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT51083095108309
MCAID QUALITY ASSESSMENT13749631374963
MISCELLANEOUS265866154202111664
PROPERTY TAXES12748108521896

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total53077123Total
Program Services47314407ProgramServices
Management And General5762716ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY860BOY
EOY1070EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1630451BOY
EOY6159978EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2744775BOY
EOY5028241EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY711255BOY
EOY761461EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY806282BOY
EOY221639EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis53521122LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec20695853LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY33252139BOY
EOY32825269EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4177079BOY
EOY4470215EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY43322841BOY
EOY49467873EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5772970BOY
EOY6159345EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY24788680BOY
EOY24492547EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2345095BOY
EOY5090570EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY32906745BOY
EOY35742462EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9453023BOY
EOY12688756EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY963073BOY
EOY1036655EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10416096BOY
EOY13725411EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY43322841BOY
EOY49467873EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance11388BeginningOfYearBalance
Contributions8000Contributions
Investment Earnings Or Losses769InvestmentEarningsOrLosses
End Of Year Balance20157EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Contributions11388Contributions
End Of Year Balance11388EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis727975OtherCostOrOtherBasis
Book Value727975BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis35583164OtherCostOrOtherBasis
Depreciation10297162Depreciation
Book Value25286002BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis487210OtherCostOrOtherBasis
Depreciation262079Depreciation
Book Value225131BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis15084296OtherCostOrOtherBasis
Depreciation9110161Depreciation
Book Value5974135BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1638477OtherCostOrOtherBasis
Depreciation1026451Depreciation
Book Value612026BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings32825269TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES3363419
DONOR RESTRICTED ASSETS1036655
UNAMORTIZED FINANCED COSTS70141
THIRD PARTY RECEIVABLES
FieldValueIRS element (for citing)
Total Book Value Other Assets4470215TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
OTHER LIABILITIES$3,329,463
DUE TO WEST MICHIGAN IMAGING$1,139,400
DUE TO AFFILIATES$621,707
FieldValueIRS element (for citing)
Total Of Amounts5090570TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierINTENDED USES FOR ENDOWMENT FUNDSIdentifier
Return ReferenceSCHEDULE D, PAGE 2, PART V, LINE 4ReturnReference
ExplanationTHE FUNDS ARE CURRENTLY AN UNRESTRICTED, BOARD DESIGNATED ENDOWMENT AND HELD AS AN INVESTMENT.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage5.00000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense448473TotalCommunityBenefitExpense
Net Community Benefit Expense448473NetCommunityBenefitExpense
Percent Of Total Expense0.00840PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense10226547TotalCommunityBenefitExpense
Direct Offsetting Revenue9481815DirectOffsettingRevenue
Net Community Benefit Expense744732NetCommunityBenefitExpense
Percent Of Total Expense0.01400PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense10675020TotalCommunityBenefitExpense
Direct Offsetting Revenue9481815DirectOffsettingRevenue
Net Community Benefit Expense1193205NetCommunityBenefitExpense
Percent Of Total Expense0.02250PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10675020TotalCommunityBenefitExpense
Direct Offsetting Revenue9481815DirectOffsettingRevenue
Net Community Benefit Expense1193205NetCommunityBenefitExpense
Percent Of Total Expense0.02250PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,025,753BadDebtExpenseAmount
Amount Reimbursed By Medicare19970595AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare20186826CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-216231MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (10 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeCritical Access HospitalCriticalAccessHospital
SPECTRUM HEALTH UNITED
615 S BOWERGREENVILLEMI488382628X
AMPARO SURGERY PRACTICE
421 BALDWINGREENVILLEMI48838
REHAB CENTER
6896 S GREENVILLE RDGREENVILLEMI48838
BELDING FAMILY PRACTICE
1227 W STATE STBELDINGMI48809
FAMILY PRACTICE PHYSICIAN OFFICE
1200 W OAKGREENVILLEMI48838
GREENVILLE PATIENT CARE CENTER
1202 W OAKGREENVILLEMI48838
HOUSE - GREEN HOUSE
715 MARVEL DRGREENVILLEMI48838
SOUTH BOWER CENTER
420 S BOWER STGREENVILLEMI48838
HOUSE - LOCUM TENANTS
711 MARVEL DRGREENVILLEMI48838
MEDICAL SPECIALTY CENTER
705 S GREENVILLE WEST DRGREENVILLEMI48838

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Annual Community Benefit ExplnTHE CONSOLIDATED HEALTH SYSTEM PUBLISHES THEIR COMMUNITY BENEFIT REPORT ON THEIR WEBSITE AT WWW.SPECTRUM-HEALTH.ORG (CLICK THE LINK TITLED "ABOUT US"). IN ADDITION, THE HEALTH SYSTEM HOLDS AN ANNUAL MEETING TO THE PUBLIC TO DISCUSS ITS COMMUNITY COMMITMENTS.AnnualCommunityBenefitExpln
Subsidized Health Services ExplnSUBSIDIZED HEALTH SERVICES INCLUDE THE UNREIMBURSED COSTS OF PROVIDING FREE OR SUBSIDIZED HEALTH SERVICES AND/OR COMMUNITY CLINICS.SubsidizedHealthServicesExpln
Bad Debt FootnoteCONSOLIDATED FINANCIAL STATEMENT FOOTNOTE EXTRACT RELATED TO UNCOLLECTIBLE ACCOUNTS 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. AFTER AMOUNTS DUE FROM THIRD-PARTY PAYORS ARE SATISFIED, AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH EXTERNAL COLLECTION AGENCIES. COSTING METHODOLOGY USED IN DETERMINING THE FIGURES REPORTED IN SCH. H, PART III, LINE 1 BAD DEBTS, AT COST, ARE DETERMINED BY USING AN OVERALL RATIO OF COSTS-TO-CHARGES APPLIED AGAINST BAD DEBT EXPENSES (AT CHARGES) IN THE STATEMENT OF ACTIVITIES. RATIONAL FOR INCLUDING BAD DEBTS (AT COST) IN SCH. H, PART III, LINE 2 BAD DEBTS, AT COST, REPRESENT AN UNREIMBURSED LIABILITY TO THE TAXPAYER AND FURTHER DEMONSTRATE HOW, BY ASSUMING THOSE COSTS, THE TAXPAYER PROVIDES AND FULFILLS A HEALTH NEED IN THE COMMUNITY. IN ADDITION, EMERGENCY CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. SOME OF THESE SERVICES ARE PROVIDED TO INDIVIDUALS WHO QUALIFY FOR FINANCIAL ASSISTANCE BUT, FOR PERSONAL OR OTHER PRIVATE REASONS, DON'T APPLY FOR FINANCIAL ASSISTANCE. USING THIS INFORMATIONAL TAX RETURN FOR ITS INTENDED PURPOSE, THE TAXPAYER CHOOSES TO BE FULLY TRANSPARENT AND SHARE ALL THE COSTS OF PROVIDING CHARITY CARE AND COMMUNITY BENEFITS TO THE COMMUNITIES WE SERVE, WHICH INCLUDES CHARITY CARE, THE COSTS OF FREE OR SUBSIDIZED COMMUNITY PROGRAMS, BAD DEBT EXPENSES REDUCED TO COST AND SHORTFALLS IN GOVERNMENT REIMBURSEMENTS (MEDICARE AND MEDICAID). RATIONAL FOR EXCLUDING (OR REPORTING ZERO) BAD DEBTS (AT COST) IN SCH. H, PART III, LINE 3 THE TAXPAYER HAS NOT IDENTIFIED THE AMOUNT OF BAD DEBT EXPENSES (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE OR DISCOUNTED SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY. ALTHOUGH IT'S CERTAIN THAT A PORTION OF BAD DEBT EXPENSES (AT COST) RELATES TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE (HAD THEY PROVIDED INFORMATION TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE), A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED.BadDebtFootnote
Shortfall As Community BenefitTHE 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 TAXPAYER USES A RATIO OF COST TO CHARGES. IN DETERMINING THE RATIO OF COST TO CHARGES THE TAXPAYER 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.ShortfallAsCommunityBenefit
Debt Collection PolicyTHE TAXPAYER COOPERATIVELY WORKS WITH PATIENTS HAVING SELF-PAY BALANCES TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE ELIGIBILITY POLICY.DebtCollectionPolicy
General ExplanationSCHEDULE H, PART I, LINE 3B THE TAXPAYER MAY PROVIDE DISCOUNTED CARE TO ELIGIBLE INDIVIDUALS WHOSE INCOME LEVEL EXCEEDS 500% OF THE FEDERAL POVERTY GUIDELINES. CONSOLIDATED CHARITY CARE AND COMMUNITY BENEFIT REPORTING SCHEDULE H OF THIS TAX RETURN ONLY DISCLOSES CHARITY CARE AND COMMUNITY BENEFIT INFORMATION PERTAINING TO THE REPORTING ENTITY. HOWEVER, FOR A FULL AND MORE ACCURATE UNDERSTANDING OF THE CHARITY CARE AND COMMUNITY BENEFITS PROVIDED BY THE CONSOLIDATED HEALTH SYSTEM PLEASE VISIT OUR WEBSITE AT WWW.SPECTRUM-HEALTH.ORG AND CLICK THE LINK TITLED "ABOUT US".GeneralExplanation
Needs AssessmentPERIODICALLY THE TAXPAYER CONDUCTS A COMMUNITY NEEDS ASSESSMENT USING RESULTS FROM LOCAL, STATE AND NATIONAL SOURCES. THE LAST SUCH COMMUNITY NEEDS ASSESSMENT UTILIZED THE FOLLOWING SOURCES: 1) AMERICA'S HEALTH RANKING: A CALL TO ACTION FOR PEOPLE AND THEIR COMMUNITIES. 2) AIMING HIGHER: RESULTS FROM A STATE SCORECARD ON HEALTH SYSTEM PERFORMANCE. 3) BEHAVIORAL RISK FACTOR SURVEY (2005): HEALTH RISK BEHAVIORS IN THE STATE OF MICHIGAN. 4) THE 2005/2006 COMMUNITY REPORT CARD 5) THE 2005/2006 GREATER GRAND RAPIDS SURVEYNeedsAssessment
Patient Education AssistanceTAXPAYER HAS A DEPARTMENT OF FINANCIAL COUNSELORS WHO WORK WITH PATIENTS THAT EXPRESS ANY LEVEL OF CONCERN WITH PAYING THEIR BILL. IN ADDITION, THE TAXPAYER ALSO PROACTIVELY IDENTIFIES PATIENTS WHO HAVE QUALIFYING FACTORS FOR GOVERNMENTAL ASSISTANCE AND PARTNERS WITH ORGANIZATIONS THAT SPECIALIZE IN THE QUALIFICATION PROCESS. IF THE NEED FOR ASSISTANCE IS NOT IDENTIFIED PRIOR TO BILLING, PATIENT CONCERNS THAT ARE RECEIVED AS A RESULT OF RECEIVING A BILL ARE ADDRESSED BY FINANCIAL COUNSELORS AT THAT TIME. IN ADDITION, THE TAXPAYER 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.SPECTRUM-HEALTH.ORG).PatientEducationAssistance
Community InformationTHE TAXPAYER HAS IDENTIFIED A PRIMARY SERVICE AREA COMPRISED OF 19 ZIP CODES SURROUNDING GREENVILLE, WHERE UNITED HOSPITAL IS LOCATED. THE OVERALL SERVICE AREA INCLUDES MONTCALM AND PORTIONS OF ADJACENT COUNTIES THAT IN TOTAL SUPPORTS A POPULATION OF OVER 100,000 RESIDENTS.CommunityInformation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredfalseSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
MATTHEW VAN VRANKEN
66389445877116303186411935991418978279183
DAVID DULL
273628776752200790895092648351830322
GREGORY PAGE MD PHD
1060729358710257405121396728384
PAUL BONIS
2348141424031346570024104047660591700
DAVID OEHRING
134477116559517285816704175211
PRISCILLA MAHAR
13346221725769565262396171804
BRIAN BRASSER
134356221372967659818243184301
VICKI JENSEN
123818232497443624717785178542
RICHARD BREON
9465111276492263352959971680442713379970982
LOWELL BURSCH
35479399096719578259453566831657678409967
MARY ANNE JONES
1695117338218825728204459

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FRINGE OR EXPENSE EXPLANATIONSCHEDULE J, PAGE 1, PART I, LINE 1ASPECTRUM HEALTH UNITED FURNISHED HOUSING TO AN EMPLOYEE PURSUANT TO EMPLOYMENT AGREEMENT, FOR THE PERIOD 1-5-09 TO 9-17-09. THE MARKET VALUE OF HOUSING AND TAX INDEMNIFICATION WAS ADDED TO THE 2009 W-2 AS A TAXABLE BENEFIT.
OTHER ADDITIONAL INFORMATIONSCHEDULE J, PART IIISCHEDULE J, PART I, LINE 4B IS ANSWERED "YES" BECAUSE CERTAIN INDIVIDUALS, WHOSE SALARY AND BENEFITS ARE PAID BY THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION, DO "PARTICIPATE IN" A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. HOWEVER, NONE OF THESE PARTICIPANTS "RECEIVED PAYMENT FROM" THESE PLANS DURING THE TAX YEAR.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerBusiness Name Line2IssuerName/BusinessNameLine2
KHFA (2008A AND 2008B)
382350002490580CW52008-04-154712110012001B, 2007A & 2007Bfalsefalse
MICHIGAN STATE HOSPITAL FINANCE AUT
38288941759465HHD12008-03-267500000CAPITAL FUNDINGfalsefalse(HELP LOAN)

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount DefeasedAmountDefeasedIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpenditures
2298385822909397744612008truefalsetruetrue
2000000237782009falsefalsetruetrue1976222

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsetruetrue
falsefalsefalsefalsetruetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsetruefalsefalsefalsefalse
falsetruefalsefalsefalsefalse

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
CEDAR NORTH DEVELOPMENT
BUSINESS60000SEE SCH. Ofalse
HATHAWAY PROPERTIES LLC
BUSINESS435184SEE SCH. Ofalse
FIFTH THIRD BANK
BUSINESS1688070SEE SCH. Ofalse
PRISCILLA MAHAR
FAMILY54444SEE SCH. Ofalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6THE TAXPAYER HAS ONE MEMBER/STOCKHOLDER AS FOLLOWS: "SPECTRUM HEALTH SYSTEM (EIN 38-3382353), A MICHIGAN NONPROFIT CORPORATION.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ATHE SOLE MEMBER(S) (SEE FORM 990, PART VI, LINE 6) OF THE TAXPAYER APPOINTS ALL MEMBERS OF THE BOARD OF DIRECTORS.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BUNLESS OTHERWISE NOTED BELOW, THE SOLE MEMBER(S) (SEE FORM 990, PART VI, LINE 6) OF THE TAXPAYER HAS THE RESERVED POWERS SET FORTH BELOW, AND SHALL NOT BE DEEMED AUTHORIZED UNLESS AND UNTIL APPROVED BY THE SOLE MEMBER(S): "AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE TAXPAYER; "ELECTION AND/OR REMOVAL OF THE MEMBERS OF THE TAXPAYER'S BOARD OF DIRECTORS; "ELECTION AND/OR REMOVAL OF THE TAXPAYER'S CHAIRPERSON OF THE BOARD OF DIRECTORS; "HIRING, DISCHARGE, AND EVALUATION OF THE TAXPAYER'S PRESIDENT; "ADOPTION OF THE TAXPAYER'S STRATEGIC PLANS; "ADOPTION OF THE TAXPAYER'S ANNUAL OPERATING AND CAPITAL BUDGETS, AND ANY AMENDMENTS TO SUCH BUDGETS; "ALL CAPITAL EXPENDITURES BY THE TAXPAYER IN EXCESS OF CERTAIN PRESET SPENDING AMOUNTS; "ALL BORROWINGS OR GUARANTEES OF INDEBTEDNESS BY THE TAXPAYER (OR ANY ENTITY CONTROLLED BY THE TAXPAYER); "ALL LENDING BY THE TAXPAYER (OR ANY ENTITY CONTROLLED BY THE TAXPAYER) TO PERSONS OTHER THAN THE MEMBER OR AN ENTITY CONTROLLED BY THE SPECTRUM HEALTH IN EXCESS OF CERTAIN PRESET LENDING AMOUNTS; "THE TAXPAYER'S INVESTMENTS OF CASH AND/OR RESERVES, WHETHER ON AN INDIVIDUAL BASIS OR AS PART OF A POOLED INVESTMENT STRATEGY; "ANY MERGER OR CONSOLIDATION OF THE TAXPAYER (OR ANY ENTITY CONTROLLED BY THE TAXPAYER), OR ANY OTHER CHANGE IN OWNERSHIP PERCENTAGES, CONTROL, OR CAPITAL STRUCTURE OF THE TAXPAYER (OR ANY ENTITY CONTROLLED BY THE TAXPAYER); "THE CREATION OF ANY ENTITY CONTROLLED, DIRECTLY OR INDIRECTLY, BY THE TAXPAYER; "THE SALE OR TRANSFER OF MORE THAN TEN PERCENT (10%) OF THE ASSETS OF THE TAXPAYER (OR ANY ENTITY CONTROLLED BY THE TAXPAYER) TO ANY PERSON OR ENTITY NOT CONTROLLED BY THE MEMBER; "DISSOLUTION OF THE TAXPAYER; "THE SELECTION, RETENTION, AND OVERSIGHT OF THE OUTSIDE AUDITORS FOR THE TAXPAYER (OR ANY ENTITY CONTROLLED BY THE TAXPAYER); AND "IN OTHER CASES WHEN REQUIRED BY LAW OR AS OTHERWISE PROVIDED IN THE BYLAWS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11A 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 TAXPAYER'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 TAXPAYER'S FINANCE AND LEGAL DEPARTMENTS (INCLUDING THE VICE PRESIDENT OF FINANCE OR CHIEF FINANCIAL OFFICER) AND SHARED WITH THE MEMBERS OF THE BOARD OF DIRECTORS. 4. THE TAXPAYER'S VICE PRESIDENT OF FINANCE OR 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.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CBOARD OF DIRECTORS 1.CONFLICTS OF INTEREST MUST BE DISCLOSED, BOTH VIA A DISCLOSURE FORM 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 SPECTRUM HEALTH'S BEST INTEREST. 4.THE BOARD OF DIRECTORS OR COMMITTEE SHALL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER SPECTRUM HEALTH 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 SPECTRUM HEALTH'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO SPECTRUM HEALTH, 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 SPECTRUM HEALTH COMMITTEES SHALL SET FORTH: A)THE NAMES OF THE PERSONS WHO DISCLOSED A FINANCIAL INTEREST IN A PROPOSED TRANSACTION OR ARRANGEMENT INVOLVING SPECTRUM HEALTH 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. MANAGEMENT 1.EACH MEMBER OF THE MANAGEMENT TEAM SHALL COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM UPON ACCEPTANCE OF AN EMPLOYMENT OFFER AND AT ANY POINT THEREAFTER IF A NEW POTENTIAL CONFLICT OF INTEREST HAS ARISEN. THE CONFLICT OF INTEREST DISCLOSURE FORM SHOULD BE FULLY COMPLETED AND SIGNED. IF THE STAFF MEMBER DISCLOSES ANY POTENTIAL CONFLICT OF INTEREST, THE FORM SHALL BE SUBMITTED IMMEDIATELY TO THE SYSTEM'S ORGANIZATIONAL INTEGRITY DEPARTMENT. A COPY OF THE COMPLETED FORM SHOULD BE MAINTAINED IN THE STAFF MEMBER'S PERSONNEL FILE. 2.EACH MEMBER OF THE MANAGEMENT TEAM SHALL COMPLETE AN ELECTRONIC CONFLICT OF INTEREST DISCLOSURE FORM ON AN ANNUAL BASIS. THE CONFLICT OF INTEREST DISCLOSURE FORM SHOULD BE COMPLETED AND ELECTRONICALLY SIGNED WITHIN THE GIVEN TIMEFRAME. THE SYSTEM'S ORGANIZATIONAL INTEGRITY DEPARTMENT WILL MANAGE THE ANNUAL PROCESS AND WILL MAINTAIN ELECTRONIC COPIES OF THE COMPLETED FORMS. 3.THE SYSTEM'S ORGANIZATIONAL INTEGRITY DEPARTMENT SHALL REVIEW EACH FORM THAT IS SUBMITTED. ADDITIONAL INFORMATION WILL BE GATHERED AS NEEDED. WHETHER ANY ITEMS DISCLOSED MAY BE PERCEIVED AS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST WILL BE REVIEWED. IN ADDITION, STEPS THAT CAN BE TAKEN TO REDUCE THE RISK OF A CONFLICT OF INTEREST WILL BE IDENTIFIED. 4.IF THE SYSTEM'S ORGANIZATIONAL INTEGRITY DEPARTMENT BELIEVES THAT A DISCLOSURE HAS BEEN MADE THAT COMPRISES AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST, THE SYSTEM CONFLICT OF INTEREST COMMITTEE OR MEMBERS THEREOF WILL BE CONSULTED AS NEEDED. THE STAFF MEMBER'S SUPERVISOR AND/OR HUMAN RESOURCES GENERALIST MAY BE CONSULTED AS WELL. REASONABLE STEPS SHOULD BE TAKEN AS NEEDED TO MINIMIZE THE RISK OF A CONFLICT OF INTEREST. A WRITTEN MEMO SUMMARIZING THESE STEPS SHOULD BE SENT TO THE STAFF MEMBER'S SUPERVISOR AND BE MAINTAINED IN THE STAFF MEMBER'S FILE.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ASPECTRUM HEALTH SYSTEM PROCESS FOR ESTABLISHING EXECUTIVE COMPENSATION THE SPECTRUM HEALTH BOARD OF DIRECTORS (EXECUTIVE COMMITTEE) USES THE FOLLOWING PROCESS FOR DETERMINING COMPENSATION OF EXECUTIVES AT ALL ENTITIES: LABOR MARKET DATA REFLECTING COMPARABLE ORGANIZATIONS AND JOBS (PREPARED BY INDEPENDENT FIRMS) ARE RELIED UPON. COMPETITIVE ASSESSMENT REPORTS ARE PROVIDED IN ADVANCE OF EXECUTIVE COMMITTEE MEETINGS. THE COMPETITIVE ASSESSMENT REPORT IS PREPARED BY A NATIONALLY KNOWN INDEPENDENT EXECUTIVE COMPENSATION FIRM AND, FOR FY 2010 (7/1/09-6/30/10), WAS BASED ON THE FOLLOWING INDEPENDENT SURVEYS OF HEALTH CARE EXECUTIVES AT COMPARABLE HEALTH SYSTEMS: SULLIVAN, COTTER AND ASSOCIATES, INC.: 2009 SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS INTEGRATED HEALTHCARE STRATEGIES: 2009 HEALTHCARE EXECUTIVE COMPENSATION SURVEY MERCER HUMAN RESOURCES CONSULTING: 2009 INTEGRATED HEALTH NETWORKS COMPENSATION SURVEY WATSON WYATT DATA SERVICES: 2009/2010 HOSPITAL AND HEALTHCARE MANAGEMENT COMPENSATION REPORT THESE SOURCES ARE CONSISTENT WITH THOSE USED IN LAST YEAR'S ANALYSIS. COMPENSATION ADJUSTMENTS ARE APPROVED BY INDEPENDENT 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 ARE NATIONAL AND REFLECT THE COMPENSATION PAID TO EXECUTIVES IN COMPARABLE JOBS IN COMPARABLY-SIZED HEALTHCARE ORGANIZATIONS. SPECTRUM HEALTH RECRUITS NATIONALLY FOR ITS EXECUTIVES. BENEFITS DATA REFLECT NATIONAL HEALTHCARE MARKET PRACTICES. GEOGRAPHIC PAY DIFFERENTIAL AND COST OF LIVING DATA INDICATE CONSISTENCY WITH NATIONAL DATA. THIS PROCESS IS INTENDED TO ASSIST SPECTRUM HEALTH IN QUALIFYING FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS (INTERMEDIATE SANCTIONS REGULATIONS) AND THE 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).
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BSEE EXPLANATION PROVIDED FOR FORM 990, PART VI, LINE 15A.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE 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.SPECTRUM-HEALTH.ORG IN THE SECTION TITLED "ABOUT US." FINANCIAL PERFORMANCE IS DISCUSSED AT AN ANNUAL PUBLIC MEETING HELD AND POSTED TO WWW.SPECTRUM-HEALTH.ORG ANNUALLY (UNDER THE SECTION TITLED "ABOUT US").
ADDITIONAL INFORMATIONSCHEDULE OFORM 990, PART I, LINE 5 AND FORM 990, PART V, LINE 2A - NUMBER OF EMPLOYEES TAXPAYER MAY HAVE INDIRECT EMPLOYEES. COMPENSATION FOR THESE EMPLOYEES IS PAID BY A RELATED ORGANIZATION. AN ALLOCATION OF AMOUNTS PAID FOR INDIRECT EMPLOYEES IS PURSUANT TO A MANAGEMENT SERVICES CONTRACT AND IS INCLUDED ON LINES 5-10 OF PART IX. FORM 990, PART IV, LINE 28B AND SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS MS. PRISCILLA MAHAR, A KEY EMPLOYEE OF THE TAXPAYER, HAS A SON AND SISTER-IN-LAW THAT WORK FOR THE TAXPAYER. FORM 990, PART IV, LINE 28C AND SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS MS. LINDA BLANCHARD, A MEMBER OF TAXPAYER'S BOARD OF DIRECTORS, IS A DIRECTOR AND/OR OFFICER OF A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH TAXPAYER. MR. WILLIAM HAM, A MEMBER OF TAXPAYER'S BOARD OF DIRECTORS, HAS A 10% OWNERSHIP INTEREST IN A TAXABLE ORGANIZATION THAT LEASES SPACE TO THE TAXPAYER. MR. MATTHEW VANVRANKEN, A MEMBER OF TAXPAYER'S BOARD OF DIRECTORS, IS A DIRECTOR OF A 5/3RD BANK, A TAXABLE ENTITY THAT PROVIDES CREDIT FACILITIES TO TAXPAYER AND CERTAIN OF ITS AFFILIATES. THROUGH OUR ANNUAL CONFLICT OF INTEREST AND TAX REPORTING PROCESSES, CERTAIN INDIVIDUALS LISTED IN SCHEDULE L HAVE REPORTED THAT THEY, OR COMPANIES THEY WORK FOR, HAVE BUSINESS OR FAMILY RELATIONSHIPS WITH THE REPORTING ORGANIZATION THAT EXCEED THRESHOLDS PROVIDED IN THE INSTRUCTIONS TO THE FORM 990. IF AN AMOUNT IS NOT LISTED IN SCHEDULE L, A STATEMENT IS PROVIDED ABOVE EXPLAINING THE NATURE OF THE TRANSACTION(S). FORM 990, PART IV, LINE 33 AND SCHEDULE R - IDENTIFICATION OF DISREGARDED ENTITIES THE ORGANIZATION DOES NOT OWN A WHOLLY OWNED DISREGARDED ENTITY. HOWEVER, THE HEALTH SYSTEM HAS WHOLLY OWNED DISREGARDED ENTITIES. THE ORGANIZATION IS REPORTING INDIRECT CONTROL FOLLOWING THE CONSTRUCTIVE OWNERSHIP RULES UNDER SECTION 318 OF THE INTERNAL REVENUE CODE. OTHER ENTITIES REPORTED ON SCHEDULE R ARE REPORTED BASED ON THE SAME APPLICATION OF THE CONSTRUCTIVE OWNERSHIP RULES OF SECTION 318. FORM 990, PART VII, LINE 1A - COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, AND INDEPENDENT CONTRACTORS CONSISTENT WITH PRIOR YEARS, THE COMPENSATION REPORTED FOR THESE INDIVIDUALS IS NOT FOR SERVICES IN THEIR CAPACITY AS MEMBERS OF THE BOARD OF DIRECTORS BUT FOR SERVICES AS EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION. CONSISTENT WITH PRIOR YEARS, COMPENSATION AND BENEFITS ARE REPORTED USING THE MOST RECENT CALENDAR YEAR COMPENSATION DATA. THE COMPENSATION FIGURES REPORTED IN THESE SECTIONS IS FOR THE YEAR ENDED DECEMBER 31, 2009. FORM 990, PART XI, LINE 2C - OVERSIGHT OF THE AUDIT THE FINANCIAL STATEMENTS OF THE FILING 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. SCHEDULE K - TAX EXEMPT BONDS BONDS ARE ISSUED ON BEHALF OF AN OBLIGATED GROUP UNDER 1989 MTI AND OBLIGATED GROUP AND DESIGNATED AFFILIATES UNDER 1998 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 2008B BOND IS ATTRIBUTABLE TO TWO LEGAL ENTITIES WITHIN THE OBLIGATED GROUP (SEE ALSO FORM 990, PART X, LINE 20): SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) AND SPECTRUM HEALTH UNITED (EIN 38-1358412) AS IT RELATES TO THIS BOND, THE INFORMATION REPORTED IN SCHEDULE K, PART I IS REPEATED FOR EACH MEMBER OF THE OBLIGATED GROUP. THE INFORMATION REPORTED IN PART II IS REPRESENTATIVE OF THE REPORTING ENTITIES PORTION OF THE TAX-EXEMPT BOND. SCHEDULE R - DIRECT CONTROLLING ENTITIES PART IV THE FORM 990 LIMITS THIS COLUMN TO TEN CHARACTERS AND THEREFORE ACRONYMS ARE USED TO DEFINE THE CONTROLLING ENTITY. THESE ACRONYMS ARE DEFINED AS FOLLOWS: NA - NOT APPLICABLE MMPC - MICHIGAN MEDICAL PATIENT CARE PH - PRIORITY HEALTH SHCC - SPECTRUM HEALTH CONTINUING CARE SHH - SPECTRUM HEALTH HOSPITALS SHI - SPECTRUM HEALTH INNOVATIONS, LLC SHS - SPECTRUM HEALTH SYSTEM SHU - SPECTRUM HEALTH UNITED WMH - WEST MICHIGAN HEART

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)

Business Name Line2NameOfDisregardedEntity/BusinessNameLine2Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Business Name Line2DirectControllingEntityName/BusinessNameLine2
PHMB PROPERTIES LLC
PHMB PROPERTIES LLC-1231 EAST BELT1231 EAST BELTLINE NEGRAND RAPIDSMI49525382715520PROP. MGMTMI5062443PHPH
WEST MICHIGAN CVCT LLC
WEST MICHIGAN CVCT LLC-2900 BRADFO2900 BRADFORD STREET NEGRAND RAPIDSMI49525382125186DORMANTMIWMHWMH
MMPC REAL ESTATE LLC
MMPC REAL ESTATE LLC-4100 LAKE DR4100 LAKE DR SE STE 300GRAND RAPIDSMI49525382851295DORMANTMIMMPCMMPC
SPECTRUM HEALTH INNOVATIONS LLC
SPECTRUM HEALTH INNOVATIONS LLC-10100 MICHIGAN AVE NEGRAND RAPIDSMI49503272868213IP DEVELOPMISHSSHS

Form990 Schedule R Part II Form990ScheduleRPartII (22 entries)

Business Name Line2NameOfDisregardedEntity/BusinessNameLine2Address Line1AddressUS/AddressLine1Address Line2AddressUS/AddressLine2CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Business Name Line2DirectControllingEntityName/BusinessNameLine2
SPECTRUM HEALTH SYSTEM
SPECTRUM HEALTH SYSTEM100 MICHIGAN AVE NE100 MICHIGAN AVE NEGRAND RAPIDSMI49503383382353MANAGEMENTMI50111CNAN/A
SPECTRUM HEALTH HOSPITALS
SPECTRUM HEALTH HOSPITALS100 MICHIGAN AVE NE100 MICHIGAN AVE NEGRAND RAPIDSMI49503381360529HEALTHCAREMI5013SHSSHS
SPECTRUM HEALTH PRIMARY CARE PTNRS
SPECTRUM HEALTH PRIMARY CARE PTNRS100 MICHIGAN AVE NE100 MICHIGAN AVE NEGRAND RAPIDSMI49503381358164HEALTHCAREMI5013SHSSHS
WEST MICHIGAN REGIONAL LABORATORY
WEST MICHIGAN REGIONAL LABORATORY1726 KNOLLCREST CIRCLE SE1726 KNOLLCREST CIRCLE SEGRAND RAPIDSMI49546383414862TEACH/RSCHMI5019SHHSHH
SH-SM SHARED TECHNOLOGY SERVICES
SH-SM SHARED TECHNOLOGY SERVICES100 MICHIGAN AVE NE100 MICHIGAN AVE NEGRAND RAPIDSMI49503364528474MED. SVCSMI5019SHHSHH
SPECTRUM HEALTH FOUNDATION
SPECTRUM HEALTH FOUNDATION100 MICHIGAN AVE NE100 MICHIGAN AVE NEGRAND RAPIDSMI49503382752328PHILANTHROMI5017SHSSHS
SPECTRUM HEALTH CONTINUING CARE
SPECTRUM HEALTH CONTINUING CARE750 FULLER AVE NE750 FULLER AVE NEGRAND RAPIDSMI49503383242232REHAB/CAREMI50111BSHSSHS
SH CONTINUING CARE CENTER
SH CONTINUING CARE CENTER750 FULLER AVE NE750 FULLER AVE NEGRAND RAPIDSMI49503382415333REHAB/NRSMI5019SHCCSHCC
SH KENT COMMUNITY CAMPUS
SH KENT COMMUNITY CAMPUS750 FULLER AVE NE750 FULLER AVE NEGRAND RAPIDSMI49503383472677HEALTHCAREMI5013SHCCSHCC
SPECTRUM HEALTH WORTH SERVICES
SPECTRUM HEALTH WORTH SERVICES750 FULLER AVE NE750 FULLER AVE NEGRAND RAPIDSMI49503382786617HEALTHCAREMI5019SHCCSHCC
VISITING NURSE SERVICES OF WEST MI
VISITING NURSE SERVICES OF WEST MI750 FULLER AVE NE750 FULLER AVE NEGRAND RAPIDSMI49503381359195HEALTHCAREMI5019SHCCSHCC
PRIORITY HEALTH
PRIORITY HEALTH1231 EAST BELTLINE NE1231 EAST BELTLINE NEGRAND RAPIDSMI49525382715520HMOMI501SHSSHS
TRINITY HEALTH PLANS
TRINITY HEALTH PLANS1231 EAST BELTLINE NE1231 EAST BELTLINE NEGRAND RAPIDSMI49525382663747HMO MGMTMI501PHPH
PH GOVERNMENT PROGRAMS INC
PH GOVERNMENT PROGRAMS INC1231 EAST BELTLINE NE1231 EAST BELTLINE NEGRAND RAPIDSMI49525320016523HMOMI5019PHPH
SPECTRUM HEALTH UNITED
SPECTRUM HEALTH UNITED615 S BOWER615 S BOWERGREENVILLEMI48838381358412HEALTHCAREMI5013SHSSHS
SH UNITED MEMORIAL FOUNDATION
SH UNITED MEMORIAL FOUNDATION615 S BOWER615 S BOWERGREENVILLEMI48838382990574PHILANTHROMI50111ASHUSHU
AMBULATORY UNITED
AMBULATORY UNITED407 S NELSON407 S NELSONGREENVILLEMI48838383170488HEALTHCAREMI50111ASHUSHU
UNITED LIFESTYLES
UNITED LIFESTYLES615 S BOWER615 S BOWERGREENVILLEMI48838383589727WELLNESSMI5013SHUSHU
SPECTRUM HEALTH KELSEY
SPECTRUM HEALTH KELSEY300 N PATTERSON RD300 N PATTERSON RDREED CITYMI49677381297435HEALTHCAREMI5013SHUSHU
REED CITY HOSPITAL CORPORATION
REED CITY HOSPITAL CORPORATION225 N STATE STREET225 N STATE STREETREED CITYMI49677382770076HEALTHCAREMI5013SHSSHS
WEST MICHIGAN IMAGING CENTER
WEST MICHIGAN IMAGING CENTERPO BOX 1009PO BOX 1009JENISONMI49428382730326HEALTHCAREMI50111CSHHSHH
NEWAYGO COUNTY GENERAL HOSPITAL ASS
NEWAYGO COUNTY GENERAL HOSPITAL ASS212 S SULLIVAN AVENUE212 S SULLIVAN AVENUEFREMONTMI49412381359517HEALTHCAREMI5013SHS

Form990 Schedule R Part IV Form990ScheduleRPartIV (12 entries)

Business Name Line2NameOfRelatedOrg/BusinessNameLine2Address Line1AddressUS/AddressLine1Address Line2AddressUS/AddressLine2CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Business Name Line2DirectControllingEntityName/BusinessNameLine2Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipLegal Domicile Foreign CountryLegalDomicileForeignCountry
HELEN DEVOS WOMEN'S AND CHILDREN'S
HELEN DEVOS WOMEN'S AND CHILDREN'S1840 WEALTHY ST SE1840 WEALTHY ST SEGRAND RAPIDSMI49506383264184MGMTMISHHSHHC CORP6092494248260.86960
PARTNERSHIP FOR CHILDREN'S HEALTH
PARTNERSHIP FOR CHILDREN'S HEALTH1840 WEALTHY ST SE1840 WEALTHY ST SEGRAND RAPIDSMI49506383364676MGED CAREMISHHSHHC CORP1.00000
THE FRED AND LENA MEIJER HEART CENT
THE FRED AND LENA MEIJER HEART CENT100 MICHIGAN ST NE100 MICHIGAN ST NEGRAND RAPIDSMI49503830464302MGMTMISHHSHHC CORP236520510432370.98270
HDVC - CHC
HDVC - CHC100 MICHIGAN ST NE100 MICHIGAN ST NEGRAND RAPIDSMI49503383417270MED. SVCSMISHHSHHC CORP38848194439611.00000
CAMPUS TOWNE CENTER CONDO ASSC
CAMPUS TOWNE CENTER CONDO ASSC4868 LAKE MICHIGAN DRIVE4868 LAKE MICHIGAN DRIVEALLENDALEMI49401382910067MGMTMISHHSHHC CORP19081203340.75000
PRIORITY HEALTH INSURANCE COMPANY
PRIORITY HEALTH INSURANCE COMPANY1231 EAST BELTLINE NE1231 EAST BELTLINE NEGRAND RAPIDSMI49525201529553INSURANCEMIPHPHC CORP130757283419361381.00000
PRIORITY HEALTH MANAGED BENEFITS
PRIORITY HEALTH MANAGED BENEFITS1231 EAST BELTLINE NE1231 EAST BELTLINE NEGRAND RAPIDSMI49525383085182ADMINMISHSSHSC CORP114304478259509431.00000
MONTCALM PRIMARY CARE PHYSICIANS
MONTCALM PRIMARY CARE PHYSICIANS615 S BOWER615 S BOWERGREENVILLEMI48838202544762MED. SVCSMISHUSHUC CORP1.00000
BLODGETT ASSURANCE COMPANY
BLODGETT ASSURANCE COMPANY100 MICHIGAN AVE NE100 MICHIGAN AVE NEGRAND RAPIDSMI49503INSURANCESHSSHSC CORP1.00000CJ
MICHIGAN MEDICAL PATIENT CARE
MICHIGAN MEDICAL PATIENT CARE4100 LAKE DR SE STE 3004100 LAKE DR SE STE 300GRAND RAPIDSMI49546382851295MEDICALMISHSSHSC CORP160318069592609281.00000
WEST MICHIGAN HEART
WEST MICHIGAN HEART2900 BRADFORD STREET NE2900 BRADFORD STREET NEGRAND RAPIDSMI49525382125186PHYSICIANSMISHSSHSC CORP4263460290481961.00000
MHEALTH INNOVATIONS INC
MHEALTH INNOVATIONS INC425 NORTH MAIN STREET425 NORTH MAIN STREETANN ARBORMI48104611613614PROD DEVLMISHISHIC CORP0.99000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Business Name Line2NameOfOtherOrganization/BusinessNameLine2Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
UNITED LIFESTYLES
UNITED LIFESTYLESQ225000
SHUM FOUNDATION
SHUM FOUNDATIONN202099
SHUM FOUNDATION
SHUM FOUNDATIONM58173
SHUM FOUNDATION
SHUM FOUNDATIONC25047
AMBULATORY UNITED
AMBULATORY UNITEDI63480
PRIORITY HEALTH
PRIORITY HEALTHK6740229
PRIORITY HEALTH
PRIORITY HEALTHL1833491
SPECTRUM HEALTH CONTINUING CARE
SPECTRUM HEALTH CONTINUING CAREK45401
SPECTRUM HEALTH HOSPITALS
SPECTRUM HEALTH HOSPITALSL298834

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