Form990
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
A For the 2020 calendar year, or tax year beginning 01-01-2020 , and ending 12-31-2020
BCheck if applicable:
CName of organization
Spectrum Health System Group Return
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
221 Michigan St NE MC498
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
GRAND RAPIDS, MI49503
D Employer identification number

61-1740292
E Telephone number

G Gross receipts $ 5,726,703,294
F Name and address of principal officer:
Christina Freese Decker
221 Michigan St NE MC498
GRAND RAPIDS,MI49503
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.spectrumhealth.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions) Click to see attachment
H(c)
Group exemption number MediumBullet5981
K Form of organization:  
L Year of formation:  
M State of legal domicile:
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: To improve health, inspire hope and save lives.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 364
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 248
5 Total number of individuals employed in calendar year 2020 (Part V, line 2a) ...... 5 30,398
6 Total number of volunteers (estimate if necessary) ............. 6 2,375
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 7,904,508
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 894,282
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 31,140,138 160,311,383
9 Program service revenue (Part VIII, line 2g) ......... 1,859,106,202 4,064,888,479
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,347,260 105,450,213
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 9,841,230 15,750,389
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,901,434,830 4,346,400,464
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,061,199 3,952,652
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 847,862,644 2,019,416,000
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet2,579,170    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 885,423,089 2,021,218,176
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,734,346,932 4,044,586,828
19 Revenue less expenses. Subtract line 18 from line 12....... 167,087,898 301,813,636
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 2,902,493,512 4,297,048,044
21 Total liabilities (Part X, line 26)............. 1,250,317,244 1,600,300,299
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,652,176,268 2,696,747,745
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
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Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2020)
Form 990 (2020)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: To improve health, inspire hope and save lives.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 3,012,379,201 including grants of $ 2,656,526 ) (Revenue $ 3,633,154,812 )
SPECTRUM HEALTH SYSTEM GROUP REFLECTS THE COMPOSITE INFORMATION AND OPERATIONS OF 23 TAX EXEMPT ENTITIES, INCLUDING 14 SEPARATELY LICENSED HOSPITALS, A SKILLED NURSING FACILITY, LONG-TERM ACUTE REHABILITATION AND HOME CARE, A MULTISPECIALTY PHYSICIAN GROUP, AND A CHARITABLE FOUNDATION. THE SPECTRUM HEALTH SYSTEM GROUP INCLUDES 150 SERVICE SITES, PHYSICIAN OFFICES AND OUTPATIENT LOCATIONS, PROVIDING CONVENIENT ACCESS TO SERVICES THROUGHOUT OUR 16-COUNTY SERVICE AREA. DURING THE YEAR ENDED DECEMBER 31, 2020 THE SPECTRUM HEALTH INTEGRATED HEALTH SYSTEM PROVIDED NEARLY $542 MILLION IN COMMUNITY BENEFIT PROGRAMS TO WEST MICHIGAN. THE COMMUNITY BENEFIT ACTIVITIES INCLUDED HEALTH CLINICS, RESEARCH, DONATIONS, CHARITY CARE, BAD DEBTS RELATED TO CARING FOR THE UNINSURED AND UNDERINSURED, COSTS FOR GOVERNMENT PROGRAM PATIENTS, COMMUNITY PARTNERSHIP PROGRAMS, HEALTH PROFESSION EDUCATION, AND DISCOUNTED CARE UNDER HEALTHY MICHIGAN PLAN (UNDER 250% FEDERAL POVERTY LEVEL). SPECTRUM HEALTH HOSPITAL GROUP - SEE SCHEDULE O
4b (Code:   ) (Expenses $ 669,268,114 including grants of $   ) (Revenue $ 431,680,578 )
SPECTRUM HEALTH MEDICAL GROUP - SEE SCHEDULE O
4c (Code:   ) (Expenses $ 2,383,539 including grants of $ 1,296,126 ) (Revenue $   )
SPECTRUM HEALTH FOUNDATION - SEE SCHEDULE O
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet3,684,030,854
Form 990 (2020)
Form 990 (2020)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III..
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment..............
8
Yes
 
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
Yes
 
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2020)
Form 990 (2020)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
Yes
 
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
Yes
 
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV..................... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................Click to see attachment
30
Yes
 
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..
1a
1,534
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2020)
Form 990 (2020)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
30,398
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
Form 990 (2020)
Form 990 (2020)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
364
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
248
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletCeleste M Mcintyre221 Michigan St NE MC498   Grand Rapids,MI49503 (616) 774-5083
Form 990 (2020)
Form 990 (2020)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Andrea Leslie
 
See Schedule O
 50.0
.................
0 		X   X       384,247 0 152,565
(2) Angela Ditmar
 
President, SHP
 50.0
.................
0 		X   X       336,382 0 116,879
(3) Barbara Geno
 
Chair, SHGM - Part Year
 1.0
.................
0 		X   X       0 0 0
(4) Barbara Wynn MD
 
SEE SCHEDULE O
 3.0
.................
0 		X   X       13,000 0 0
(5) BRANDI SMITH
 
See Schedule O
 50.0
.................
0 		X   X       162,934 0 21,006
(6) Brian Phillips
 
Treasurer, SHMG - Part Year
 50.0
.................
0 		X   X       418,290 0 50,938
(7) Chad Tuttle
 
See Schedule O
 50.0
.................
0 		X   X       425,450 0 128,134
(8) CHRISTINA FREESE DECKER
 
See Schedule O
 9.0
.................
41.0 		X   X       0 2,487,249 1,034,330
(9) CHRISTINE VANLANDINGHAM
 
See Schedule O
 4.0
.................
0 		X   X       0 0 0
(10) DANA WALES
 
See Schedule O
 4.0
.................
0 		X   X       0 0 0
(11) DANIEL HOPP
 
See Schedule O
 4.0
.................
1.0 		X   X       0 22,500 0
(12) DARRYL ELMOUCHI MD
 
See Schedule O
 48.0
.................
1.0 		X   X       1,420,242 0 506,205
(13) David Langworthy
 
SECRETARY, SHBR & SHRC - Part Year
 1.0
.................
0 		X   X       0 0 0
(14) David Nicol
 
Treasurer, SHBR & SHRC - Part Year
 1.0
.................
0.0 		X   X       0 0 0
(15) DAVID SCHAFFER
 
See Schedule O
 2.0
.................
0 		X   X       0 0 0
(16) DEB BERECZ
 
SECRETARY/TREASURER, HAH
 1.0
.................
0 		X   X       0 0 0
(17) DENNIS DASCENZO
 
See Schedule O
 4.0
.................
0 		X   X       0 0 0
Form 990 (2020)
Form 990 (2020)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Donald Haney
 
See Schedule O
 3.5
.......................0 		X   X       1,000 0 0
(19) Drew Dostal
 
See Schedule O
 50.0
.......................0 		X   X       146,118 0 25,111
(20) Eugene Ford
 
Vice Chair, SHGM - Part Year
 0.5
.......................0 		X   X       0 4,500 0
(21) GWEN SANDEFUR
 
See Schedule O
 50.0
.......................0.0 		X   X       2,275,953 1,500 314,851
(22) Harold Vanden Bosch
 
Secretary, SHZ - Part Year
 0.5
.......................0 		X   X       0 0 0
(23) Helen Johnson
 
Interim President, SHL - Part Year
 50.0
.......................0 		X   X       235,305 0 16,547
(24) Hon Anthony Monton
 
Treasurer, SHL - Part Year
 0.5
.......................0 		X   X       0 0 0
(25) James Schoettle
 
Treasurer, SHZ - Part Year
 1.0
.......................0 		X   X       0 0 0
(26) JASON SLAIKEU MD
 
See Schedule O
 50.0
.......................0 		X   X       620,175 0 41,697
(27) JOAN A BUDDEN
 
See Schedule O
 6.0
.......................44.0 		X   X       0 1,513,601 455,711
(28) John Schuen MD
 
See Schedule O
 50.0
.......................0 		X   X       369,716 0 65,168
(29) JULI GAST
 
VICE CHAIR, HAH - Part Year
 1.0
.......................0 		X   X       0 0 0
(30) Karen Pakkala
 
See Schedule O
 50.0
.......................0 		X   X       240,773 0 20,194
(31) Kenneth Rocco
 
Vice Chair, SHL - Part Year
 1.0
.......................0 		X   X       0 0 0
(32) Kevin Smith
 
See Schedule O
 50.0
.......................0 		X   X       234,674 0 37,008
(33) Kimberly Norris MD
 
Secretary, SHP - Part Year
 0.5
.......................0 		X   X       0 0 0
(34) LENORE BECKER
 
VICE CHAIR, LCHW
 1.0
.......................0 		X   X       0 0 0
(35) LISA KUEHNLE
 
SEE SCHEDULE O
 2.0
.......................0.0 		X   X       0 0 0
(36) LOREN HAMEL MD
 
See Schedule O
 24.0
.......................26.0 		X   X       0 1,106,091 355,648
(37) LOWELL HAMEL MD
 
See Schedule O
 50.0
.......................0 		X   X       567,865 0 29,920
(38) Luann Forbes
 
Chair, SHP - Part Year
 1.0
.......................0 		X   X       0 0 0
(39) LUCAS BROWN
 
TREASURER, LHF
 1.0
.......................0 		X   X       0 0 0
(40) Lynnette Ferrell-Robinson
 
See Schedule O
 12.0
.......................0 		X   X       27,500 0 0
(41) Marc Lenz
 
Chair, SHL - Part Year
 1.0
.......................0 		X   X       0 0 0
(42) Marge Potter
 
Chair, SHF
 2.0
.......................0 		X   X       0 0 0
(43) Maria DeVos
 
Vice Chair, SHF
 1.0
.......................0 		X   X       0 0 0
(44) Mark Platt
 
Secretary, SHL - Part Year
 0.5
.......................0 		X   X       0 0 0
(45) Mark Wilson
 
See Schedule O
 6.0
.......................0 		X   X       19,500 0 0
(46) MARY ANN PATER
 
See Schedule O
 50.0
.......................0.0 		X   X       0 352,139 115,621
(47) Matthew DeKraker DC
 
Secretary, SHU & SHK - Part Year
 1.0
.......................0 		X   X       0 0 0
(48) MELINDA GRUBER
 
See Schedule O
 50.0
.......................0 		X   X       199,839 0 30,015
(49) MELISSA MILLER
 
Secretary, SHGM - Part Year
 1.0
.......................0 		X   X       0 0 0
(50) Michael Ellis
 
Treasurer, SHF
 1.0
.......................0 		X   X       0 0 0
(51) MICHAEL TODMAN
 
See Schedule O
 2.0
.......................1.0 		X   X       0 22,500 0
(52) PAUL KONOPACKI
 
See Schedule O
 50.0
.......................0.0 		X   X       0 358,860 148,610
(53) Randall Kelley
 
See Schedule O
 0.0
.......................0 		X   X       216,380 0 19,649
(54) RAY CRUSE
 
See Schedule O
 50.0
.......................0.0 		X   X       285,990 0 21,361
(55) RICHARD WARNER
 
SECRETARY/TREASURER, LCHW
 2.0
.......................0 		X   X       0 0 0
(56) Robert Fitzgerald MD
 
See Schedule O
 50.0
.......................0 		X   X       481,050 0 57,730
(57) Ron Lewis
 
President, SHZ
 49.0
.......................1.0 		X   X       411,420 0 142,129
(58) Ronald Alvesteffer
 
Secretary, SHF
 1.0
.......................0 		X   X       0 0 0
(59) Sam Watson
 
See Schedule O
 6.0
.......................0 		X   X       17,000 0 0
(60) SHANE SHIDLER
 
VICE CHAIR, LHF
 1.0
.......................0.0 		X   X       0 0 0
(61) Shelly Johnson
 
Interim President, SHGM - Part Year
 50.0
.......................0 		X   X       206,666 0 34,204
(62) Sheryl Thompson
 
See Schedule O
 7.0
.......................0 		X   X       0 0 0
(63) Simin Beg
 
See Schedule O
 50.0
.......................0 		X   X       292,664 0 47,730
(64) Steve Bowser
 
Chair, SHU & SHK - Part Year
 2.0
.......................0 		X   X       0 0 0
(65) Tammy Warner
 
Vice Chair, SHU & SHK - Part Year
 1.0
.......................0 		X   X       0 0 0
(66) TERRENCE ALLEN
 
See Schedule O
 2.0
.......................0 		X   X       0 0 0
(67) Terry Nerbonne
 
Vice Chair, SHBR & SHRC - Part Year
 1.0
.......................0 		X   X       0 0 0
(68) TIMOTHY CALHOUN
 
See Schedule O
 50.0
.......................0.0 		X   X       0 316,274 100,948
(69) Ulrica Bowen
 
Chair, SHZ - Part Year
 1.0
.......................0 		X   X       0 0 0
(70) Vicki Weaver
 
President, SHF
 50.0
.......................0 		X   X       399,302 0 40,410
(71) William Leaver
 
Treasurer, SHGM - Part Year
 0.5
.......................0 		X   X       0 0 0
(72) Aaron Wong
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(73) ALICE RASMUSSEN
 
DIRECTOR, LCHW
 1.0
.......................0 		X           0 0 0
(74) Amy Keller
 
Director, SHBR & SHRC - Part Year
 1.0
.......................0 		X           0 0 0
(75) Andrew Parsons
 
See Schedule O
 50.0
.......................0 		X           413,764 0 47,970
(76) Andrew Shannon
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(77) Andrew Weirda
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(78) ANNA MURPHY
 
DIRECTOR, LHF
 1.0
.......................0 		X           0 0 0
(79) Annica Waalkes
 
See Schedule O
 50.0
.......................0 		X           365,210 0 21,521
(80) BEN GIELDA MD
 
See Schedule O
 50.0
.......................0 		X           863,035 0 22,835
(81) BERTHA KING
 
DIRECTOR, HAH
 1.0
.......................0 		X           0 0 0
(82) Bill Pink
 
See Schedule O
 6.0
.......................0 		X           10,000 0 0
(83) Brett Zimmerman DO
 
Director, SHMG - Part Year
 50.0
.......................0 		X           421,487 0 52,384
(84) BRITTANY GRASLEY
 
DIRECTOR, LHF
 1.0
.......................0 		X           0 0 0
(85) Candace Matthews
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(86) CAREY MARTIN
 
See Schedule O
 2.0
.......................0 		X           0 0 0
(87) Carolyn Curtin
 
Director, SHBR & SHRC - Part Year
 1.0
.......................0 		X           0 0 0
(88) CAROLYN HANSON
 
DIRECTOR, LHF
 1.0
.......................0 		X           0 0 0
(89) Carolyn Slocum
 
Director, SHU & SHK - Part Year
 1.0
.......................0 		X           0 0 0
(90) Charles Brummeler
 
See Schedule O
 50.0
.......................0 		X           387,821 0 59,302
(91) Charles Holmquist
 
Director, SHH - Part Year
 1.0
.......................0 		X           11,500 0 0
(92) Christopher Port MD
 
See Schedule O
 6.0
.......................0 		X           6,000 0 0
(93) Cortney Collison
 
Director, SHP - Part Year
 0.5
.......................0 		X           0 0 0
(94) Dale Dehaan
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(95) Dan King
 
Director, SHP - Part Year
 0.5
.......................0 		X           0 0 0
(96) DAVE EIFLER
 
DIRECTOR, LHF
 1.0
.......................0 		X           0 0 0
(97) David KRHOVSKY MD
 
See Schedule O
 50.0
.......................0 		X           522,659 0 88,289
(98) David Mehney
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(99) DEB O'CONNOR
 
DIRECTOR, HAH
 1.0
.......................0 		X           0 0 0
(100) Deborah Smith-Olson
 
Director, SHBR & SHRC - Part Year
 1.0
.......................0 		X           0 0 0
(101) DEBRA JOHNSON
 
See Schedule O
 50.0
.......................0 		X           192,618 0 24,691
(102) DENNIS SZYMANSKI MD
 
DIRECTOR, LHF
 1.0
.......................0 		X           0 0 0
(103) Domenico Ausiello
 
Director, SHU & SHK - Part Year
 1.0
.......................0 		X           11,469 0 0
(104) Donnalee Holton
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(105) Eduardo Amaya
 
Director, SHZ - Part Year
 0.5
.......................0 		X           0 0 0
(106) Erika Lozano-Buhl
 
See Schedule O
 3.0
.......................0 		X           500 0 0
(107) Evan McManus
 
Director, SHP - Part Year
 0.5
.......................0 		X           0 0 0
(108) GEORGE HEENAN MD
 
See Schedule O
 2.0
.......................0 		X           0 0 0
(109) Harry Knopke PHD
 
Director, SHMG - Part Year
 0.5
.......................0.0 		X           0 4,500 0
(110) HILDA BANYON
 
See Schedule O
 2.0
.......................0 		X           0 0 0
(111) JAMES CLEVER
 
DIRECTOR, LHF
 1.0
.......................0 		X           0 0 0
(112) JAMES FORSHEE MD
 
See Schedule O
 1.0
.......................49.0 		X           500 558,281 144,227
(113) Jane Meilner
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(114) Janet Nisbett
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(115) JANICE PETROVICH
 
DIRECTOR, LHF
 1.0
.......................0.0 		X           0 0 0
(116) JANICE SCHMALTZ
 
DIRECTOR, LHF
 1.0
.......................0 		X           0 0 0
(117) JASON JOSEPH
 
Director, SHBR & SHRC - Part Year
 1.0
.......................49.0 		X           0 816,339 299,585
(118) Jeff Helminski
 
Director, SHH - Part Year
 1.0
.......................0 		X           15,500 0 0
(119) Jeff Weiden
 
Director, SHP - Part Year
 0.5
.......................0 		X           0 0 0
(120) Jeffrey Bennett
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(121) JEFFREY POSTMA
 
DIRECTOR, LCHW
 50.0
.......................0 		X           606,157 0 32,857
(122) Jeffrey Tanis
 
Director, SHZ - Part Year
 0.5
.......................0 		X           0 0 0
(123) Jennifer Owens
 
Director, SHZ - Part Year
 0.5
.......................0 		X           0 0 0
(124) JERRY FRENCH
 
See Schedule O
 3.0
.......................0 		X           0 0 0
(125) Jerry Garner
 
Director, SHBR & SHRC - Part Year
 1.0
.......................0 		X           0 0 0
(126) Joan Secchia
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(127) Johannie Torres
 
See Schedule O
 30.0
.......................0 		X           70,343 0 29,805
(128) John Buckley Jr
 
See Schedule O
 6.0
.......................0 		X           7,000 0 0
(129) John Byrne
 
See Schedule O
 2.0
.......................0 		X           0 0 0
(130) John Merchun
 
Director, SHU & SHK - Part Year
 1.0
.......................0 		X           0 0 0
(131) Jordan Sall
 
See Schedule O
 50.0
.......................0 		X           541,697 0 47,228
(132) Joseph Jones
 
Director, SHH - Part Year
 1.0
.......................0 		X           21,000 0 0
(133) JUDY TRUESDELL
 
DIRECTOR, LHF
 1.0
.......................0.0 		X           0 0 0
(134) KAREN MCKAY
 
DIRECTOR, LHF
 1.0
.......................0.0 		X           0 0 0
(135) Karl Roberts
 
Director, SHH - Part Year
 1.0
.......................0 		X           13,500 0 0
(136) KATHERINE CURTIS
 
DIRECTOR, LHF
 1.0
.......................0.0 		X           0 0 0
(137) KC GAST
 
DIRECTOR, LHF
 1.0
.......................0 		X           0 0 0
(138) Kenneth Johnson
 
Director, SHH - Part Year
 50.0
.......................0 		X           561,142 0 43,052
(139) Kurt Wassink
 
See Schedule O
 1.5
.......................0 		X           500 0 0
(140) Kyle Kooyers
 
See Schedule O
 3.0
.......................0 		X           500 0 0
(141) Lee Begrow DO
 
See Schedule O
 50.0
.......................0 		X           381,543 0 54,053
(142) Linda Cronenwett
 
Director, SHL - Part Year
 0.5
.......................0 		X           0 0 0
(143) LINDA FREEZE
 
DIRECTOR, LHF - Part Year
 1.0
.......................0.0 		X           0 0 0
(144) Linda Van Houten
 
Director, SHU & SHK - Part Year
 1.0
.......................0 		X           0 0 0
(145) LYNN GRAY MD
 
See Schedule O
 2.0
.......................0 		X           0 0 0
(146) Marianne Boerigter
 
Director, SHGM - Part Year
 0.5
.......................0 		X           0 0 0
(147) MARK ODLAND
 
DIRECTOR, HAH
 1.0
.......................0 		X           0 0 0
(148) MARK WEBER
 
DIRECTOR, LHF
 1.0
.......................0.0 		X           0 0 0
(149) MARY ANNE JONES
 
Director, SHU & SHK - Part Year
 1.0
.......................49.0 		X           0 622,100 213,866
(150) Mary Beth Meijer
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(151) Mary Molewyk Doornbos
 
See Schedule O
 8.0
.......................0 		X           6,000 0 0
(152) Mary O'Callaghan
 
See Schedule O
 50.0
.......................0 		X           160,291 0 36,066
(153) Mary Wachter
 
Director, SHF - Part Year
 1.0
.......................0 		X           0 0 0
(154) MATTHEW COX
 
Director, SHZ - Part Year
 0.5
.......................49.5 		X           0 1,361,160 461,670
(155) Matthew Denenberg MD
 
See Schedule O
 50.0
.......................0 		X           513,818 0 88,419
(156) MAURICE VALENTINE II
 
See Schedule O
 2.0
.......................0 		X           0 0 0
(157) Maurine Sneathen
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(158) Melinda Johnson
 
Director, SHMG - Part Year
 50.0
.......................0 		X           601,881 0 2,574
(159) Melissa DeNiel
 
See Schedule O
 50.0
.......................0 		X           465,876 0 35,987
(160) Melissa Fuehring
 
Director, SHL - Part Year
 0.5
.......................0 		X           0 0 0
(161) Michael Danhof
 
Director, SHGM - Part Year
 0.5
.......................0 		X           0 0 0
(162) Michael Greenslait
 
Director, SHL - Part Year
 0.5
.......................0 		X           0 0 0
(163) MICHELINO MANCINI
 
See Schedule O
 50.0
.......................0 		X           274,611 0 7,921
(164) MIKE BIRKHOLM
 
DIRECTOR, LHF
 1.0
.......................0 		X           0 0 0
(165) Mitchell Miller
 
Director, SHBR & SHRC - Part Year
 1.0
.......................0 		X           0 0 0
(166) Nancy Hanenburg
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(167) Nancy Haynes
 
See Schedule O
 2.0
.......................0 		X           0 0 0
(168) NICKI BRITTEN
 
See Schedule O
 2.0
.......................0 		X           0 0 0
(169) Nicole McConnell
 
See Schedule O
 1.0
.......................49.0 		X           0 358,887 132,291
(170) OLIVIA STARKS
 
DIRECTOR, HAH
 1.0
.......................0 		X           0 0 0
(171) PAMELA RIES
 
Director, SHP - Part Year
 1.0
.......................49.0 		X           0 859,029 256,482
(172) PAT Forbes
 
DIRECTOR, HAH
 1.0
.......................0 		X           0 0 0
(173) Patricia Betz
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(174) Patrick Miles
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(175) RANDY BETTICH
 
DIRECTOR, LHF
 1.0
.......................0 		X           0 0 0
(176) RANDY HENDRIXSON
 
DIRECTOR, LHF
 1.0
.......................0.0 		X           0 0 0
(177) Raymi Sunabe
 
Director, SHU & SHK - Part Year
 2.0
.......................0 		X           0 0 0
(178) Richard Antonini
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(179) Richard DeVos III
 
See Schedule O
 6.0
.......................0 		X           0 0 0
(180) ROBERT NOLAN MD
 
See Schedule O
 50.0
.......................0 		X           228,837 0 7,826
(181) ROBIN CURTIS
 
DIRECTOR, LHF
 1.0
.......................0.0 		X           0 0 0
(182) RODRIGO CORREA
 
DIRECTOR, HAH
 1.0
.......................0 		X           0 0 0
(183) Ronald Hofman MD
 
See Schedule O
 6.0
.......................0 		X           12,000 0 0
(184) Ross Nelson
 
Director, SHGM - Part Year
 0.5
.......................0 		X           0 0 0
(185) Ryan Coffey-Hoag
 
See Schedule O
 2.0
.......................0 		X           0 0 0
(186) Ryan Cook
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(187) Sabina Otteman
 
Director, SHZ - Part Year
 0.5
.......................0 		X           0 0 0
(188) Sarla Puri MD
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(189) SCOTT GEIK
 
DIRECTOR, LHF
 1.0
.......................0 		X           0 0 0
(190) Scott Robinson
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(191) SCOTT SMITH
 
See Schedule O
 4.0
.......................0 		X           0 0 0
(192) SETH GRIFFIN
 
DIRECTOR, LCHW
 1.0
.......................0 		X           0 0 0
(193) Shannon Cohen
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(194) Sharon Seys
 
Director, SHF - Part Year
 1.0
.......................0 		X           0 0 0
(195) SHAWN ULREICH
 
See Schedule O
 50.0
.......................0 		X           589,637 0 207,187
(196) Stephanie Murray
 
See Schedule O
 50.0
.......................0 		X           178,908 0 37,760
(197) STEPHANIE TIMMER
 
DIRECTOR, HAH
 1.0
.......................0 		X           0 0 0
(198) Steven Storrs
 
Director, SHP - Part Year
 1.0
.......................0 		X           0 0 0
(199) Surender Rajasekaran
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(200) Talawnda Bragg
 
See Schedule O
 50.0
.......................0 		X           315,066 0 40,814
(201) TAMMI PHILLIPPE
 
DIRECTOR, LHF
 1.0
.......................0 		X           0 0 0
(202) THOMAS VISSER MD
 
See Schedule O
 50.0
.......................0 		X           647,856 0 53,177
(203) THOMAS YEAGER
 
See Schedule O
 2.0
.......................0 		X           0 0 0
(204) Tricia Baird
 
See Schedule O
 50.0
.......................0 		X           330,787 0 67,710
(205) WENDY EDWARDS
 
See Schedule O
 3.0
.......................0 		X           1,741 0 0
(206) Wilbur Lettinga
 
Director, SHF
 1.0
.......................0 		X           0 0 0
(207) WILLIAM PAYNE
 
See Schedule O
 2.0
.......................1.0 		X           0 27,750 0
(208) BRIAN BRASSER
 
See Schedule O
 50.0
.......................0 		    X       601,342 0 231,835
(209) Cara Jansma
 
Secretary, SHH - Part Year
 50.0
.......................0 		    X       272,877 0 56,255
(210) DANIEL WASSENHOVE
 
DIRECTOR OF BUSINESS & COMMUNITY OPs, HAH
 50.0
.......................0 		    X       115,737 0 0
(211) KENDALL TROYER
 
See Schedule O
 50.0
.......................0 		    X       249,295 0 27,638
(212) KENNETH O'NEILL
 
VP - CLINICAL INTEGRATION, LHNSJ
 50.0
.......................0 		    X       168,080 0 28,260
(213) LESLIE FLAKE
 
SVP, Finance - Hospital & Medical Group
 50.0
.......................0 		    X       585,975 0 118,963
(214) LYNN Todman
 
VP - HEALTH EQUITY, LHNSJ
 50.0
.......................0 		    X       184,418 0 6,361
(215) Marc Chircop
 
See Schedule O
 49.0
.......................1.0 		    X       608,436 0 40,486
(216) Martha Boonstra
 
See Schedule O
 50.0
.......................0 		    X       464,544 0 117,627
(217) NATALIE BAGGIO
 
VP - PATIENT CARE CNE, LHNSJ
 50.0
.......................0 		    X       288,748 0 16,443
(218) NORMA TIRADO-KELLENBERGER
 
VP - IT & HR SERVICES, LHNSJ
 50.0
.......................0.0 		    X       0 354,726 114,233
(219) ROBIN SARKAR
 
VP - INFORMATION SERVICES, LHNSJ
 50.0
.......................0 		    X       0 322,927 87,101
(220) WARREN WHITE
 
VP - LAKELAND PHYSICIAN PRACTICES, LHNSJ - PART YEAR
 50.0
.......................0 		    X       216,672 0 23,639
(221) William Jewell
 
Secretary, SHH - Part Year
 50.0
.......................0 		    X       269,784 0 123,999
(222) DOMINIC SANFILIPPO
 
Interim President, HDVCH, SHH - Part Year
 50.0
.......................0 		      X     700,489 0 82,877
(223) Hossain Marandi
 
President, HDVCH, SHH
 50.0
.......................0 		      X     225,727 0 33,507
(224) ROBERT CONNORS
 
President, HDVCH, SHH - Part Year
 50.0
.......................0 		      X     819,923 0 1,514
(225) CHARLES SHERRY
 
Section Chief - Orthopedic Surgery, SHMG
 50.0
.......................0 		        X   1,193,687 0 53,406
(226) DILIP ARORA
 
PHYSICIAN, LHNSJ
 50.0
.......................0 		        X   1,296,638 0 35,004
(227) JEROME KUHNLEIN
 
PHYSICIAN, LHNSJ
 50.0
.......................0 		        X   1,207,398 0 35,004
(228) KENDALL HAMILTON
 
Section Chief, Orthopedic Surgery - Sports Medicine, SHMG
 50.0
.......................0 		        X   1,149,587 0 44,463
(229) THOMAS POW
 
PHYSICIAN, LHNSJ
 50.0
.......................0 		        X   1,494,268 0 38,967
(230) Douglas Apple MD
 
Former Interim President, SHMG
 0.0
.......................0 		          X 139,861 0 0
(231) Douglas Welday
 
See Schedule O
 0.0
.......................0.0 		          X 0 580,689 0
(232) Mary Kay Vandriel
 
See Schedule O
 50.0
.......................0.0 		          X 375,635 0 102,286
(233) Scott Davis
 
Former Treasurer, SHCC
 0
.......................0 		          X 0 397,740 5,724
(234) SETH WOLK MD
 
Former President, SHMG
 0.0
.......................0.0 		          X 0 1,148,766 0
(235) Sheryl Lewis-Blake
 
Former President, SHP
 0.0
.......................0 		          X 262,171 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 33,053,481 13,598,108 8,173,460
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet2,225
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
THE CHRISTMAN COMPANY

634 FRONT AVE NW
GRAND RAPIDS,MI49504 		CONSTRUCTION 16,934,680
EMERGENCY CARE SPECIALISTS PC

4100 EMBASSY DR SE 400
GRAND RAPIDS,MI49546 		MEDICAL SERVICES 7,576,339
WEST MICHIGAN SHARED HOSPITAL LAUNDRY

3003 WALKENT DR NW
GRAND RAPIDS,MI49544 		LAUNDRY SERVICES 6,331,778
MEDUIT LLC

4135 South Stream Blvd Suite 400
CHARLOTTE,NC28217 		CONSULTING 5,999,072
CSM GROUP INC

600 E Michigan Avenue Suite A
KALAMAZOO,MI49007 		CONTRUCTION 5,418,926
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet274
Form 990 (2020)
Form 990 (2020)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c 533,743
d Related organizations1d 1,374,463
e Government grants (contributions)1e 130,165,610
f All other contributions, gifts, grants, and similar amounts not included above1f 28,237,567
g Noncash contributions included in lines 1a - 1f:$ 1g 647,950
h Total. Add lines 1a-1f.......MediumBullet 160,311,383
Program Service RevenueAmt Business Code
2a Program Service Revenue 622110 4,007,933,111 4,007,933,111    
b Retail Pharmacy 900099 13,176,437 13,176,437    
c Reference Lab 900099 7,343,176   7,343,176  
d VISITOR PARKING 900099 2,003,132     2,003,132
e GIFT SHOP SALES 900099 954,985     954,985
f All other program service revenue. 33,477,638 32,911,398 561,332 4,908
g Total. Add lines 2a–2f .....MediumBullet 4,064,888,479
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 13,251,893     13,251,893
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   4,648,586 6a
b Less: rental expenses   2,034,126 6b
c Rental income or (loss) 0 2,614,460 6c
d Net rental income or (loss).......MediumBullet 2,614,460     2,614,460
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 38,695 1,469,817,245 7a
b Less: cost or other basis and sales expenses 91,784 1,377,565,836 7b
c Gain or (loss) -53,089 92,251,409 7c
d Net gain or (loss).........MediumBullet 92,198,320 -53,089   92,251,409
8a Gross income from fundraising events (not including $ 533,743of contributions reported on line 1c). See Part IV, line 18 ....
8a 747,200
b Less: direct expenses ... 8b 611,084
c Net income or (loss) from fundraising events..MediumBullet 136,116   136,116
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a Cafeteria 722514 12,735,977     12,735,977
b Miscellaneous Revenue 900099 263,836     263,836
c            
d All other revenue .... 0 0 0 0
e Total. Add lines 11a–11d ...... MediumBullet 12,999,813
12 Total revenue. See instructions.....MediumBullet 4,346,400,464 4,053,967,857 7,904,508 124,216,716
Form 990 (2020)
Form 990 (2020)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 3,784,179 3,784,179
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 168,473 168,473
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 42,382,104 39,619,381 2,762,723  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 1,980,615 1,851,506 129,109  
7 Other salaries and wages........ 1,565,818,767 1,437,505,581 126,633,432 1,679,754
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 58,003,033 53,472,746 4,526,042 4,245
9 Other employee benefits ....... 239,239,611 219,963,298 18,908,867 367,446
10 Payroll taxes ........... 111,991,870 103,007,178 8,968,341 16,351
11 Fees for services (non-employees):        
a Management ...... 764,646   764,646  
b Legal ......... 97,276   97,276  
c Accounting ...........        
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 109,212,054 95,796,410 13,123,074 292,570
12 Advertising and promotion .... 2,179,284 456,766 1,719,221 3,297
13 Office expenses ....... 34,745,450 27,537,070 7,052,173 156,207
14 Information technology ...... 16,888,317 13,430,798 3,452,559 4,960
15 Royalties ..        
16 Occupancy ........... 95,483,033 76,473,936 19,001,054 8,043
17 Travel ............ 4,470,865 3,567,435 892,445 10,985
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 4,727,668 3,769,603 957,406 659
20 Interest ........... 19,978,552 19,978,552    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 224,658,802 193,107,089 31,544,582 7,131
23 Insurance ... 33,612,845 28,303,105 5,308,785 955
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Medical and other Supplies 648,590,102 648,186,377 403,725  
b Shared SVS/MGMT Fees 507,434,018 405,869,842 101,544,042 20,134
c QAAP Expense 121,112,359 121,112,359    
d Bad Debts 112,779,464 112,779,464    
e All other expenses 84,483,441 74,289,706 10,187,302 6,433
25 Total functional expenses. Add lines 1 through 24e 4,044,586,828 3,684,030,854 357,976,804 2,579,170
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2020)
Form 990 (2020)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 0 1 21,524,990
2 Savings and temporary cash investments ......... 498,035,630 2 706,854,010
3 Pledges and grants receivable, net ...... 38,372,667 3 37,850,940
4 Accounts receivable, net ............. 394,986,156 4 432,647,930
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
64,590 5 34,159
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............ 47,949,409 8 73,724,675
9 Prepaid expenses and deferred charges ...... 29,591,899 9 39,821,609
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 4,376,699,849
b Less: accumulated depreciation 10b 2,330,629,059 1,541,236,250 10c 2,046,070,790
11 Investments—publicly traded securities .   11 433,285,517
12 Investments—other securities. See Part IV, line 11 ..... 0 12  
13 Investments—program-related. See Part IV, line 11 .. 60,260,037 13 85,252,316
14 Intangible assets ............... 1,526,400 14 1,356,800
15 Other assets. See Part IV, line 11 ........... 290,470,474 15 418,624,308
16 Total assets. Add lines 1 through 15 (must equal line 33)... 2,902,493,512 16 4,297,048,044
Liabilities 17 Accounts payable and accrued expenses ..... 272,662,255 17 403,368,814
18 Grants payable ... 3,521,813 18 4,368,193
19 Deferred revenue ......... 3,649,744 19 68,513,599
20 Tax-exempt bond liabilities ......... 520,939,737 20 592,135,204
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties .. 602,704 24 553,507
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 448,940,991 25 531,360,982
26 Total liabilities. Add lines 17 through 25.. 1,250,317,244 26 1,600,300,299
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 1,344,015,166 27 2,445,466,295
28 Net assets with donor restrictions ........... 308,161,102 28 251,281,450
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 1,652,176,268 32 2,696,747,745
33 Total liabilities and net assets/fund balances ........ 2,902,493,512 33 4,297,048,044
Form 990 (2020)
Form 990 (2020)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
4,346,400,464
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
4,044,586,828
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
301,813,636
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
1,652,176,268
5
Net unrealized gains (losses) on investments ...............
5
-27,505,760
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
770,263,601
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
2,696,747,745
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2020)
Form 990 (2020)
Additional Data


Software ID: 20011424
Software Version: 2020v4.0
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
Spectrum Health System Group Return
 
Employer identification number

61-1740292
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2020

Schedule A (Form 990 or 990-EZ) 2020
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. 21,340,326 29,538,922 27,214,312 26,461,716 28,739,251 133,294,527
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....           0
3 The value of services or facilities furnished by a governmental unit to the organization without charge..           0
4 Total. Add lines 1 through 3 21,340,326 29,538,922 27,214,312 26,461,716 28,739,251 133,294,527
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. 19,304,186
6 Public support. Subtract line 5 from line 4. 113,990,341
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (f) Total
7 Amounts from line 4.. 21,340,326 29,538,922 27,214,312 26,461,716 28,739,251 133,294,527
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 2,289,956 2,667,507 3,357,616 1,895,014 6,142,269 16,352,362
9 Net income from unrelated business activities, whether or not the business is regularly carried on..           0
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. 4,384,782 3,689,360 3,616,023 1,811,813 4,011,107 17,513,085
11 Total support. Add lines 7 through 10 167,159,974
12
12
0
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
68.19 %
15
15
70.72 %
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2020

Schedule A (Form 990 or 990-EZ) 2020
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 319,665 426,982 345,316 130,691 16,924 1,239,578
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose 83,329,641 91,873,613 90,111,292 49,406,347 108,063,427 422,784,320
3 Gross receipts from activities that are not an unrelated trade or business under section 513 ..... 19,964 38,229 31,265 20,507 36,675 146,640
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...           0
5 The value of services or facilities furnished by a governmental unit to the organization without charge           0
6 Total. Add lines 1 through 5 83,669,270 92,338,824 90,487,873 49,557,545 108,117,026 424,170,538
7a Amounts included on lines 1, 2, and 3 received from disqualified persons 0 0 0 0 0 0
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. 0 0 0 0 0 0
c Add lines 7a and 7b.. 0 0 0 0 0 0
8 Public support. (Subtract line 7c from line 6.) 424,170,538
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (f) Total
9 Amounts from line 6... 83,669,270 92,338,824 90,487,873 49,557,545 108,117,026 424,170,538
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 20,982 13,381 9,963 3,755 17,720 65,801
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.           0
c Add lines 10a and 10b. 20,982 13,381 9,963 3,755 17,720 65,801
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.           0
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. 0 0 0 0 0 0
13 Total support. (Add lines 9, 10c, 11, and 12.).. 83,690,252 92,352,205 90,497,836 49,561,300 108,134,746 424,236,339
14
Section C. Computation of Public Support Percentage
15
15
99.98 %
16
16
99.98 %
Section D. Computation of Investment Income Percentage
17
17
0 %
18
18
0.02 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2020

Schedule A (Form 990 or 990-EZ) 2020
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2020

Schedule A (Form 990 or 990-EZ) 2020
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in 11a above?
11b
 
 
c
A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2020

Schedule A (Form 990 or 990-EZ) 2020
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2020

Schedule A (Form 990 or 990-EZ) 2020
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2020 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2020 		(iii)
Distributable
Amount for 2020
1 Distributable amount for 2020 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2020:
a From 2015.......  
b From 2016.......  
c From 2017.......  
d From 2018.......  
e From 2019.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2020 distributable amount  
i Carryover from 2015 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2020 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2020 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2020, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions. 		 
6 Remaining underdistributions for 2020. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions. 		 
7 Excess distributions carryover to 2021. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2016.....  
b Excess from 2017.....  
c Excess from 2018.....  
d Excess from 2019.....  
e Excess from 2020.....  
Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A, Part I Reason for Public Charity Status The public charity status, a hospital or cooperative hospital service organization described in Section 170(b)(1)(A)(iii), checked in Part I reflects the public charity status of the largest number of organizations included in the group return. The organizations identified below have a public charity status described in 509(a)(2). Spectrum Health Continuing Care (EIN 38-3242232) Spectrum Health Continuing Care Center (EIN 38-2415333) Spectrum Health Worth Services (EIN 38-2786617) Visiting Nurse Services of Western Michigan (EIN 38-1358412) Mercy Memorial Health Services, Inc. (EIN 38-2748035) The organizations identified below has a public charity status described in 170(b)(1)(A)(vi). Spectrum Health Foundation (EIN 38-2752328) Hospice at Home Inc (EIN 38-2416086) Lakeland Health Foundation, Benton Harbor/St Joseph (EIN 38-2539929)
Schedule A, Part II Support Measurement Tax Year 2020 is a 12/31 Calendar Year End Tax Year 2019 was a short year (7/1/19 - 12/31/19) Tax Year 2016-2018 were 6/30 Fiscal Year Ends
Schedule A, Part III Support Measurement Tax Year 2020 is a 12/31 Calendar Year End Tax Year 2019 was a short year (7/1/19 - 12/31/19) Tax Year 2016-2018 were 6/30 Fiscal Year Ends
Schedule A, Part II, Line 10 Other Income DESCRIPTION - ADMIN REIMB, COLUMN A - 2242945.0, COLUMN B - 2926997.0, COLUMN C - 2896195.0, COLUMN D - 1461842.0, COLUMN E - 3000071.0, COLUMN F - 12528050.0; DESCRIPTION - SPECIAL EVENTS, COLUMN A - 2141837.0, COLUMN B - 762363.0, COLUMN C - 719828.0, COLUMN D - 349971.0, COLUMN E - 713469.0, COLUMN F - 4687468.0; DESCRIPTION - FUNDRAISING EVENT INCOME, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - 33731.0, COLUMN F - 33731.0; DESCRIPTION - MISCELLANEOUS REVENUE, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - 263836.0, COLUMN F - 263836.0;
Schedule A (Form 990 or 990-EZ) 2020


Additional Data


Software ID: 20011424
Software Version: 2020v4.0
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Name of the organization
Spectrum Health System Group Return
 
Employer identification number

61-1740292
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2020)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2
Name of organization
Spectrum Health System Group Return
  		Employer identification number
61-1740292
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
Page 3
Name of organization
Spectrum Health System Group Return
  		Employer identification number

61-1740292
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
Page 4
Name of organization
Spectrum Health System Group Return
  		Employer identification number

61-1740292
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
Additional Data


Software ID: 20011424
Software Version: 2020v4.0
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
Spectrum Health System Group Return
 
Employer identification number

61-1740292
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $ 0
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $ 2,513,446
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2020

Schedule D (Form 990) 2020
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c 40,284
d Additions during the year ............................ 1d 555,351
e Distributions during the year .......................... 1e 478,543
f Ending balance ................................ 1f 117,092
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance .... 97,349,298 81,070,443 76,568,713 68,995,173 60,541,018
b Contributions ... 25,703,447 12,717,518 5,864,350 4,896,564 3,904,080
c Net investment earnings, gains, and losses 11,573,893 5,317,813 1,792,632 5,379,790 7,152,280
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		4,371,187 1,756,476 3,155,252 2,702,814 2,602,205
f Administrative expenses ....          
g End of year balance ...... 130,255,451 97,349,298 81,070,443 76,568,713 68,995,173
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet11.09 %
b
Permanent endowment SchDMd Bullet86.46 %
c
Term endowment SchDMd Bullet2.45 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .......................
3a(i)
 
No
(ii) Related organizations .......................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   87,705,756 87,705,756
b Buildings ....   2,171,164,255 1,003,037,579 1,168,126,676
c Leasehold improvements   70,235,156 57,543,737 12,691,419
d Equipment ....   1,530,646,313 1,073,658,413 456,987,900
e Other .....   516,948,369 196,389,330 320,559,039
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 2,046,070,790
Schedule D (Form 990) 2020

Schedule D (Form 990) 2020
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)Due From Affiliates 142,954,699
(2)Restricted Assets of Spectrum Health Foundation 222,478,601
(3)Restricted Assets of Lakeland Health Foundation 21,724,771
(4)Other Assets 18,939,175
(5)Cost Report Settlements 6,309,233
(6)Right of Use Asset 6,217,829
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 418,624,308
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 531,360,982
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2020

Schedule D (Form 990) 2020
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D, Part III, Line 4 Collections of art - description of collections THE HEALING ART COLLECTION, HELD BY THE SPECTRUM HEALTH FOUNDATION (EIN 38-2752328), CREATES A HEALING ENVIRONMENT FOR PATIENTS, VISITORS, AND STAFF ALIKE.
Schedule D, Part IV, Line 1b Agent, trustee, custodian, or other intermediary arrangement Spectrum Health Continuing Care Center (EIN 38-2415333) and Mercy Memorial Health Services, Inc. (EIN 38-2748035) act as custodians of resident trust bank accounts. These bank accounts are used for the resident's spending during their stay for items such as room & board and barber & beauty services. The funds in the bank accounts come from the Social Security Administration or other personal sources.
Schedule D, Part V, Line 4 Intended uses of endowment funds Spectrum Health Foundation (EIN 38-2752328), Lakeland Health Foundation, Benton Harbor/St Joseph (EIN 38-2539929), and Hospice at Home Inc (EIN 38-2416086) hold endowment funds to provide perpetual support of life saving programs and services to organizations throughout Spectrum Health System.
Schedule D (Form 990) 2020


Additional Data


Software ID: 20011424
Software Version: 2020v4.0




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
Spectrum Health System Group Return
 
Employer identification number

61-1740292
Part I
Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2020
Schedule G (Form 990 or 990-EZ) 2020
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.









VerticalRevenue
(a) Event #1

Auto Show
(event type) 		(b) Event #2

UK Charity Ball
(event type) 		(c) Other events

13
(total number) 		(d) Total events
(add col. (a) through col. (c))

1
Gross receipts . . . . .
214,920
189,541
876,482
1,280,943

2
Less: Contributions . . . .
154,920
171,421
207,402
533,743
3 Gross income (line 1 minus
line 2) . . . . . .
60,000
18,120
669,080
747,200



VerticalDirectExpenses
4 Cash prizes . . . . . 0 0 0 0
5 Noncash prizes . . . . 0 0 0 0
6 Rent/facility costs . . . . 0 12,780 0 12,780
7 Food and beverages . . . 54,063 23,471 2,037 79,571
8 Entertainment . . . . 59,975 5,040 0 65,015
9 Other direct expenses . . . 16,439 17,401 419,878 453,718
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 611,084
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow 136,116
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1
Gross revenue . . . . .
 
 
 
 
VerticalDirectExpenses

2
Cash prizes . . . . .
 
 
 
 

3
Noncash prizes . . . .
 
 
 
 

4
Rent/facility costs . . . .
 
 
 
 

5
Other direct expenses . . .
 
 
 
 


6

Volunteer labor . . . .
%
%
%


7
Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow
 

8
Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow
 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2020
Schedule G (Form 990 or 990-EZ) 2020
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2020
Additional Data


Software ID: 20011424
Software Version: 2020v4.0
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
Spectrum Health System Group Return
 
Employer identification number

61-1740292
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
 
No
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		0 0 46,940,716 27,037,247 19,903,469 0.59 %
b Medicaid (from Worksheet 3, column a) . . . . . 0 0 769,478,822 611,188,192 158,290,630 4.67 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . . 0 0 0 0 0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 816,419,538 638,225,439 178,194,099 5.26 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 0 0 12,142,655 2,121,200 10,021,455 0.30 %
f Health professions education (from Worksheet 5) . . . 0 0 39,232,754 9,899,100 29,333,654 0.87 %
g Subsidized health services (from Worksheet 6) . . . . 0 0 3,508,432 0 3,508,432 0.10 %
h Research (from Worksheet 7) . 0 0 1,622,261 5,075 1,617,186 0.05 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 0 0 3,342,407 0 3,342,407 0.10 %
j Total. Other Benefits . . 0 0 59,848,509 12,025,375 47,823,134 1.41 %
k Total. Add lines 7d and 7j . 0 0 876,268,047 650,250,814 226,017,233 6.67 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing 0 0 3,809 0 3,809 0 %
2 Economic development 0 0 0 0 0 0 %
3 Community support 0 0 15,743 0 15,743 0 %
4 Environmental improvements 0 0 134,295 0 134,295 0 %
5 Leadership development and
training for community members		 0 0 14,780 0 14,780 0 %
6 Coalition building 0 0 2,148 0 2,148 0 %
7 Community health improvement advocacy 0 0 10,049 0 10,049 0 %
8 Workforce development 0 0 519,644 0 519,644 0.02 %
9 Other 0 0 0 0 0 0 %
10 Total 0 0 700,468 0 700,468 0.02 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
97,961,982
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
1,010,789,079
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
1,278,929,679
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-268,140,600
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?13Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 SPECTRUM HEALTH BUTTERWORTH
100 MICHIGAN ST NE
GRAND RAPIDS,MI49503
WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-HOSPITALS-BUTTERWORTH-HOSPITAL;
1060000021; 		X X X X   X X     A
2 SPECTRUM HEALTH BLODGETT
1840 WEALTHY ST SE
GRAND RAPIDS,MI49506
WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-HOSPITALS-BLODGETT-HOSPITAL;
1060000016; 		X X   X   X X     A
3 SPECTRUM HEALTH UNITED
615 S BOWER
GREENVILLE,MI48838
WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-UNITED-HOSPITAL;
1060000018; 		X X         X     A
4 SPECTRUM HEALTH GERBER MEMORIAL
212 SOUTH SULLIVAN
FREMONT,MI49412
WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-GERBER-MEMORIAL;
1060000054; 		X X     X   X     A
5 SPECTRUM HEALTH LUDINGTON
ONE ATKINSON DRIVE
LUDINGTON,MI49431
WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-LUDINGTON-HOSPITAL;
1060000056; 		X X         X     A
6 SPECTRUM HEALTH BIG RAPIDS
605 OAK STREET
BIG RAPIDS,MI49307
https://www.spectrumhealth.org/locations/spectrum-health-big-rapids-hospital;
1060000045; 		X X         X     A
7 SPECTRUM HEALTH REED CITY
300 N PATTERSON RD
REED CITY,MI49677
WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-REED-CITY-HOSPITAL;
1060000157; 		X X     X   X     A
8 SPECTRUM HEALTH ZEELAND
8333 FELCH STREET
ZEELAND,MI49464
WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-ZEELAND-COMMUNITY-HOSPITAL;
1060000002; 		X X         X     A
9 SPECTRUM HEALTH KELSEY
419 WASHINGTON AVE
LAKEVIEW,MI48840
WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-KELSEY-HOSPITAL;
1060000147; 		X X     X   X     A
10 SPECTRUM HEALTH PENNOCK
1009 W GREEN ST
HASTINGS,MI49058
WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-PENNOCK;
1060000022 		X X     X   X     A
11 LAKELAND COMMUNITY HOSPITAL WATERVLIET
400 MEDICAL PARK DRIVE
WATERVLIET,MI49098
https://www.spectrumhealthlakeland.org
1060000039 		X X         X     A
12 LAKELAND HOSPITALS AT ST JOSEPH
1234 NAPIER AVENUE
ST JOSEPH,MI49085
https://www.spectrumhealthlakeland.org
1060000010 		X X   X     X     A
13 LAKELAND HOSPITALS AT NILES
31 N SAINT JOSEPH AVENUE
NILES,MI49120
https://www.spectrumhealthlakeland.org
1060000065 		X X   X     X     A
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 20
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 20
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SUPPLEMENTAL INFORMATION IN PART VI
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SUPPLEMENTAL INFORMATION IN PART VI
b
SEE SUPPLEMENTAL INFORMATION IN PART VI
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - A,1 - Spectrum Health Butterworth and A,2 - Spectrum Health Blodgett. THE QUALITATIVE DATA COLLECTION PROCESS INVOLVED COMMUNITY HEALTH SURVEYS, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEYS, AND KEY STAKEHOLDER INTERVIEWS WITH COMMUNITY MEMBERS. EACH OF THESE METHODS ARE DESCRIBED IN DETAIL ALONG WITH THE QUESTIONS USED IN THE KENT COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMUNITY HEALTH SURVEY WAS ADMINISTERED IN AN ONLINE AND PAPER-BASED FORMAT IN BOTH ENGLISH AND SPANISH TO MORE THAN 300 INDIVIDUALS WHO LIVE OR WORK IN KENT COUNTY. THIS IS A SELF-ADMINISTERED SURVEY COLLECTING INFORMATION ON THE OPINIONS AND EXPERIENCES OF RESIDENTS RELATED TO HEALTH AND WELL-BEING. COMMUNITY PARTNER ORGANIZATIONS PLAYED AN INSTRUMENTAL ROLE IN THE SUCCESS OF THE COMMUNITY HEALTH SURVEY AS THEY COLLECTED HUNDREDS OF RESPONSES THROUGH TARGETED OUTREACH AMONG SERVICE RECIPIENTS. THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEYS WERE ABLE TO COLLECT FEEDBACK FROM NEARLY 1,400 INDIVIDUALS THROUGH A STANDARIZED SURVEY CONDUCTED VIA TELEPHONE INTERVIEWS OFFERED IN BOTH ENGLISH AND SPANISH. THE BRFSS SURVEYS WERE ESSENTIAL IN COLLECTING INFORMATION ON SELF-REPORTED DISEASE PREVALENCE AND SELECT RISK FACTORS. EXPERTS IN PUBLIC HEALTH WERE CONSULTED VIA IN-DEPTH INTERVIEWS OF LEADERS AT SPECTRUM HEALTH ALONG WITH MANY OTHER LOCAL AND STATE AGENGIES, COMMUNITY ORGANIZATIONS, AND COALITIONS. THEY WERE ASKED ABOUT EXISTING AND EMERGING COMMUNITY NEEDS, WHAT IS BEING DONE TO ADDRESS THOSE NEEDS, AND WHAT CHALLENGES OR BARRIERS THE LOCAL PUBLIC HEALTH SYSTEM FACES IN IMPROVING COMMUNITY HEALTH. FOR A LISTING OF THE SOURCES CONSULTED, SEE APPENDIX A OF THE KENT COUNTY CHNA. ADDITIONALLY, A VARIETY OF EXISTING DATA AND INFORMATIONAL RESOURCES WERE USED TO PROVIDE ADDITIONAL CONTEXT ABOUT THE COMMUNITY INCLUDING INFORMATION FROM THE U.S. CENSUS BUREAU/AMERICAN COMMUNITY SURVEY, COUNTY HEALTH RANKINGS, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, ALONG WITH MANY OTHERS.
Schedule H, Part V, Section B, Line 5 Facility A, 2 Facility A, 2 - A,3 - Spectrum Health United and A,9 -Spectrum Health Kelsey. DATA WAS GATHERED FROM A VARIETY OF SOURCES USING MULTIPLE METHODOLOGIES. COMMUNITY RESIDENT FEEDBACK WAS OBTAINED VIA A PAPER SURVEY DIRECTED TOWARDS VULNERABLE AND UNDERSERVED SUB-POPULATIONS AS WELL AS A TELEPHONE SURVEY. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS AND KEY INFORMANTS, PROVIDED IN-DEPTH TELEPHONE INTERVIEWSOR COMPLETED AN ONLINE SURVEY. SECONDARY DATA WAS DERIVED FROM VARIOUS GOVERNMENT AND HEALTH SOURCES SUCH AS THE U.S. CENSUS, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, COUNTY HEALTH RANKINGS, BUREAU OF LABOR STATISTICS, AND KIDS COUNT DATA CENTER. MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE CHNA TASK FORCE. ADDITIONALLY, KEY STAKEHOLDERS WHO WERE INTERVIEWED ARE DEFINED AS EXECUTIVE LEVEL COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH AND/OR HUMAN SERVICE ISSUES AND ARE OFTEN INVOLVED IN POLICY DECISION MAKING. KEY INFORMANTS WHO PARTICIPATED IN THE ONLINE SURVEY ARE DEFINED AS COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH ISSUES OR HAVE EXPERIENCE WITH SUB POPULATIONS IMPACTED MOST BY ISSUES IN HEALTH/HEALTH CARE. FOR A LISTING OF THE TITLES OF INDIVIDUALS AND SOURCES CONSULTED, SEE THE CHNA APPENDIX.
Schedule H, Part V, Section B, Line 5 Facility A, 3 Facility A, 3 - A,4 - Spectrum Health Gerber Memorial. DATA WAS GATHERED FROM A VARIETY OF SOURCES USING MULTIPLE METHODOLOGIES. COMMUNITY RESIDENT FEEDBACK WAS OBTAINED VIA A PAPER SURVEY DIRECTED TOWARDS VULNERABLE AND UNDERSERVED SUB-POPULATIONS AS WELL AS A TELEPHONE SURVEY. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS AND KEY INFORMANTS, PROVIDED IN-DEPTH TELEPHONE INTERVIEWS AND AN ONLINE SURVEY SECONDARY DATA WAS DERIVED FROM VARIOUS GOVERNMENT AND HEALTH SOURCES SUCH AS THE U.S. CENSUS, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, COUNTY HEALTH RANKINGS, BUREAU OF LABOR STATISTICS, AND KIDS COUNT DATA CENTER. MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE CHNA TASK FORCE. ADDITIONALLY, KEY STAKEHOLDERS WHO WERE INTERVIEWED ARE DEFINED AS EXECUTIVE LEVEL COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH AND/OR HUMAN SERVICE ISSUES AND ARE OFTEN INVOLVED IN POLICY DECISION MAKING. KEY INFORMANTS WHO PARTICIPATED IN THE ONLINE SURVEY ARE DEFINED AS COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH ISSUES OR HAVE EXPERIENCE WITH SUB POPULATIONS IMPACTED MOST BY ISSUES IN HEALTH/HEALTH CARE. FOR A LISTING OF THE TITLES OF INDIVIDUALS AND SOURCES CONSULTED, SEE THE CHNA APPENDIX.
Schedule H, Part V, Section B, Line 5 Facility A, 4 Facility A, 4 - A,7 - Spectrum Health Reed City. DATA WAS GATHERED FROM A VARIETY OF SOURCES USING MULTIPLE METHODOLOGIES. COMMUNITY RESIDENT FEEDBACK WAS OBTAINED VIA A PAPER SURVEY DIRECTED TOWARDS VULNERABLE AND UNDERSERVED SUB-POPULATIONS AS WELL AS A TELEPHONE SURVEY. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS AND KEY INFORMANTS, PROVIDED IN-DEPTH TELEPHONE INTERVIEWSAND AN ONLINE SURVEY SECONDARY DATA WAS DERIVED FROM VARIOUS GOVERNMENT AND HEALTH SOURCES SUCH AS THE U.S. CENSUS, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, COUNTY HEALTH RANKINGS, BUREAU OF LABOR STATISTICS, AND KIDS COUNT DATA CENTER. MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE CHNA TASK FORCE. ADDITIONALLY, KEY STAKEHOLDERS WHO WERE INTERVIEWED ARE DEFINED AS EXECUTIVE LEVEL COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH AND/OR HUMAN SERVICE ISSUES AND ARE OFTEN INVOLVED IN POLICY DECISION MAKING. KEY INFORMANTS WHO PARTICIPATED IN THE ONLINE SURVEY ARE DEFINED AS COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH ISSUES OR HAVE EXPERIENCE WITH SUB POPULATIONS IMPACTED MOST BY ISSUES IN HEALTH/HEALTH CARE. FOR A LISTING OF THE TITLES OF INDIVIDUALS AND SOURCES CONSULTED, SEE THE CHNA APPENDIX.
Schedule H, Part V, Section B, Line 5 Facility A, 5 Facility A, 5 - A,8 - Spectrum Health Zeeland. DATA WAS GATHERED FROM A VARIETY OF SOURCES USING MULTIPLE METHODOLOGIES. COMMUNITY RESIDENT FEEDBACK WAS OBTAINED VIA A PAPER SURVEY DIRECTED TOWARDS VULNERABLE AND UNDERSERVED SUB-POPULATIONS AS WELL AS A TELEPHONE SURVEY. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS AND KEY INFORMANTS, PROVIDED IN-DEPTH TELEPHONE INTERVIEWS AND AN ONLINE SURVEY. SECONDARY DATA WAS DERIVED FROM VARIOUS GOVERNMENT AND HEALTH SOURCES SUCH AS THE U.S. CENSUS, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, COUNTY HEALTH RANKINGS, BUREAU OF LABOR STATISTICS, AND KIDS COUNT DATA CENTER. MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE CHNA TASK FORCE. ADDITIONALLY, KEY STAKEHOLDERS WHO WERE INTERVIEWED ARE DEFINED AS EXECUTIVE LEVEL COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH AND/OR HUMAN SERVICE ISSUES AND ARE OFTEN INVOLVED IN POLICY DECISION MAKING. KEY INFORMANTS WHO PARTICIPATED IN THE ONLINE SURVEY ARE DEFINED AS COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH ISSUES OR HAVE EXPERIENCE WITH SUB POPULATIONS IMPACTED MOST BY ISSUES IN HEALTH/HEALTH CARE. FOR A LISTING OF THE TITLES OF INDIVIDUALS AND SOURCES CONSULTED, SEE THE CHNA APPENDIX.
Schedule H, Part V, Section B, Line 5 Facility A, 6 Facility A, 6 - A,6 - Spectrum Health Big Rapids. DATA WAS GATHERED FROM A VARIETY OF SOURCES USING MULTIPLE METHODOLOGIES. COMMUNITY RESIDENT FEEDBACK WAS OBTAINED VIA A PAPER SURVEY DIRECTED TOWARDS VULNERABLE AND UNDERSERVED SUB-POPULATIONS AS WELL AS A TELEPHONE SURVEY. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS AND KEY INFORMANTS, PROVIDED IN-DEPTH TELEPHONE INTERVIEWSAND AN ONLINE SURVEY SECONDARY DATA WAS DERIVED FROM VARIOUS GOVERNMENT AND HEALTH SOURCES SUCH AS THE U.S. CENSUS, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, COUNTY HEALTH RANKINGS, BUREAU OF LABOR STATISTICS, AND KIDS COUNT DATA CENTER. MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE CHNA TASK FORCE. ADDITIONALLY, KEY STAKEHOLDERS WHO WERE INTERVIEWED ARE DEFINED AS EXECUTIVE LEVEL COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH AND/OR HUMAN SERVICE ISSUES AND ARE OFTEN INVOLVED IN POLICY DECISION MAKING. KEY INFORMANTS WHO PARTICIPATED IN THE ONLINE SURVEY ARE DEFINED AS COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH ISSUES OR HAVE EXPERIENCE WITH SUB POPULATIONS IMPACTED MOST BY ISSUES IN HEALTH/HEALTH CARE. FOR A LISTING OF THE TITLES OF INDIVIDUALS AND SOURCES CONSULTED, SEE THE CHNA APPENDIX.
Schedule H, Part V, Section B, Line 5 Facility A, 7 Facility A, 7 - A,5 - Spectrum Health Ludington. DATA WAS GATHERED FROM A VARIETY OF SOURCES USING MULTIPLE METHODOLOGIES. COMMUNITY RESIDENT FEEDBACK WAS OBTAINED VIA A PAPER SURVEY DIRECTED TOWARDS VULNERABLE AND UNDERSERVED SUB-POPULATIONS AS WELL AS A TELEPHONE SURVEY. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS AND KEY INFORMANTS, PROVIDED IN-DEPTH TELEPHONE INTERVIEWSAND AN ONLINE SURVEY SECONDARY DATA WAS DERIVED FROM VARIOUS GOVERNMENT AND HEALTH SOURCES SUCH AS THE U.S. CENSUS, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, COUNTY HEALTH RANKINGS, BUREAU OF LABOR STATISTICS, AND KIDS COUNT DATA CENTER. MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE CHNA TASK FORCE. ADDITIONALLY, KEY STAKEHOLDERS WHO WERE INTERVIEWED ARE DEFINED AS EXECUTIVE LEVEL COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH AND/OR HUMAN SERVICE ISSUES AND ARE OFTEN INVOLVED IN POLICY DECISION MAKING. KEY INFORMANTS WHO PARTICIPATED IN THE ONLINE SURVEY ARE DEFINED AS COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH ISSUES OR HAVE EXPERIENCE WITH SUB POPULATIONS IMPACTED MOST BY ISSUES IN HEALTH/HEALTH CARE. FOR A LISTING OF THE TITLES OF INDIVIDUALS AND SOURCES CONSULTED, SEE THE CHNA APPENDIX.
Schedule H, Part V, Section B, Line 5 Facility A, 8 Facility A, 8 - A, 10 - Spectrum Health Pennock. DATA WAS GATHERED FROM A VARIETY OF SOURCES USING MULTIPLE METHODOLOGIES. COMMUNITY RESIDENT FEEDBACK WAS OBTAINED VIA A PAPER SURVEY DIRECTED TOWARDS VULNERABLE AND UNDERSERVED SUB-POPULATIONS AS WELL AS A TELEPHONE SURVEY. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS AND KEY INFORMANTS, PROVIDED IN-DEPTH TELEPHONE INTERVIEWS AND AN ONLINE SURVEY. SECONDARY DATA WAS DERIVED FROM VARIOUS GOVERNMENT AND HEALTH SOURCES SUCH AS THE U.S. CENSUS, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, COUNTY HEALTH RANKINGS, BUREAU OF LABOR STATISTICS, AND KIDS COUNT DATA CENTER. MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE CHNA TASK FORCE. ADDITIONALLY, KEY STAKEHOLDERS WHO WERE INTERVIEWED ARE DEFINED AS EXECUTIVE LEVEL COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH AND/OR HUMAN SERVICE ISSUES AND ARE OFTEN INVOLVED IN POLICY DECISION MAKING. KEY INFORMANTS WHO PARTICIPATED IN THE ONLINE SURVEY ARE DEFINED AS COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH ISSUES OR HAVE EXPERIENCE WITH SUB POPULATIONS IMPACTED MOST BY ISSUES IN HEALTH/HEALTH CARE. FOR A LISTING OF THE TITLES OF INDIVIDUALS AND SOURCES CONSULTED, SEE CHNA APPENDIX.
Schedule H, Part V, Section B, Line 5 Facility A, 9 Facility A, 9 - A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES. THE CHNA WAS INFORMED BY DATA COLLECTED THROUGH MULTIPLE METHODS. PRIMARY SOURCE DATA (FIRSTHAND INFORMATION COLLECTED DIRECTLY FROM COMMUNITY MEMBERS) WAS COLLECTED THROUGH SURVEYS, PHOTOVOICE, AND INTERVIEWS, WITH A FOCUS ON GATHERING INPUT FROM NEIGHBORHOODS EXPERIENCING THE POOREST HEALTH OUTCOMES (I.E., HIGHEST MORTALITY RATES AND LOWEST LIFE EXPECTANCY). ADDITIONAL INFORMATION (SECONDARY DATA) WAS GATHERED THROUGH SCIENTIFIC LITERATURE, POLICY BRIEFS, AND OTHER ORGANIZATIONAL DOCUMENTS. GOVERNMENT DATASETS (E.G., EMPLOYMENT, INCOME, AGRICULTURE, HOUSING, TRANSPORTATION, HEALTHCARE RESOURCES, CIVIL ENGAGEMENT, AND RECREATION) WERE ALSO UTILIZED. THE SURVEY WAS ADMINISTERED IN ELECTRONIC AND PAPER FORMATS TO GOVERNMENT BODIES, LOCAL BUSINESSES, K-12 SCHOOLS, HIGHER EDUCATION INSTITUTIONS, AND NON-PROFIT AND OTHER COMMUNITY ORGANIZATIONS. INPUT WAS SOLICITED FROM STAKEHOLDERS WHO WERE DIVERSE BY AGE, ETHNICITY, GENDER IDENTITY, LANGUAGE PROFICIENCY, LITERACY LEVEL, PROFESSION, SEXUAL ORIENTATION, AND SOCIOECONOMIC STATUS. TO ENSURE INPUT WAS RECEIVED FROM COMMUNITY MEMBERS FACED WITH LITERACY CHALLENGES AND LANGUAGE BARRIERS, SURVEY QUESTIONS WERE ADMINISTERED VERBALLY (I.E., INTERVIEWS) AND TRANSLATED INTO SPANISH. SURVEY RESPONSES WERE RECEIVED FROM NEARLY 2,000 PEOPLE. PHOTOVOICE WAS USED TO CAPTURE RESPONSES TO THE SURVEY QUESTIONS FROM MORE THAN 100 AREA YOUTH. WHILE GATHERING COMMUNITY INPUT, EFFORTS WERE MADE TO ENSURE THAT THE DEMOGRAPHICS OF RESPONDENTS REFLECTED THE DEMOGRAPHICS OF BERRIEN COUNTY. MOREOVER, THE CHNA TEAM OVERSAMPLED IN GEOGRAPHIC AREAS WITH THE HIGHEST DEATH RATES AND LOWEST LIFE EXPECTANCIES. THUS, THE TEAM WAS ABLE TO ENSURE INPUT FROM THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, AND FROM INDIVIDUALS AND ORGANIZATIONS WHO SERVE OR REPRESENT THE INTERESTS OF THESE POPULATIONS. DATA WAS ALSO COLLECTED THROUGH REVIEWS OF DOCUMENTS PUBLISHED BY THE BERRIEN COUNTY HEALTH DEPARTMENT, THE BERRIEN COUNTY MENTAL HEALTH AUTHORITY (RIVERWOOD CENTER), THE SOUTHWEST MICHIGAN PLANNING COMMISSION, AND OTHER BODIES WITH SPECIALIZED KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY.
Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - A,11 LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES. LAKELAND HOSPITAL - NILES, LAKELAND HOSPITAL - WATERVLIET, AND LAKELAND MEDICAL CENTER, ST. JOSEPH
Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - A,1 - Spectrum Health Butterworth and A,2 - Spectrum Health Blodgett. Kent County Health Department In addition many community organizations participated in or supported the CHNA process. A full listing of these organizations can be found in Appendix A of the CHNA: https://www.spectrumhealth.org/healthier-communities/community-health-needs-assessment/spectrum-health-grand-rapids
Schedule H, Part V, Section B, Line 6b Facility A, 2 Facility A, 2 - A,11 LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES. THE CHNA WAS CONDUCTED BY LAKELAND'S POPULATION HEALTH TEAM - A MULTIDISCIPLINARY GROUP OF PROFESSIONALS IN THE FIELDS OF EDUCATION, EVALUATION, HEALTHCARE, MENTAL HEALTH, NUTRITION, PUBLIC HEALTH, SOCIAL WORK, AND URBAN PLANNING. KEY EXTERNAL PARTNERS IN THE EXECUTION OF THE CHNA INCLUDED THE BERRIEN COUNTY HEALTH DEPARTMENT, ANDREWS UNIVERSITY, WESTERN MICHIGAN UNIVERSITY, AND THE SOUTHWEST MICHIGAN PLANNING COMMISSION. OTHER ORGANIZATIONS INCLUDING K-12 SCHOOLS, LOCAL BUSINESSES AND MUNICIPALITIES, AND COMMUNITY ORGANIZATIONS, PROVIDED VALUABLE INPUT INTO THE CHNA BY PROVIDING DATA, DOCUMENTS, AND OTHER RESOURCES. PER THE LEGISLATION, THIS CHNA CONTAINS DESCRIPTIONS OF: (I) THE COMMUNITY SERVED AND HOW IT WAS DETERMINED; (II) THE PROCESSES AND METHODS USED TO CONDUCT THE CHNA; (III) HOW INPUT WAS RECEIVED FROM PEOPLE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY; (IV) THE PROCESS AND CRITERIA USED TO IDENTIFY AND PRIORITIZE THE COMMUNITY'S HEALTH NEEDS; (V) THE RESOURCES THAT ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA; AND (VI) THE IMPACT OF THE IMPLEMENTATION STRATEGYS (IS) UNDERTAKEN TO ADDRESS THE HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA. THE CHNA PROJECT TEAM EXECUTED THE CHNA IN ACCORDANCE WITH SIX PRINCIPLES THAT WERE INFORMED BY ACA REQUIREMENTS AND SPECTRUM HEALTH LAKELAND'S (LAKELAND) ORGANIZATIONAL COMMITMENT TO ADVANCE POPULATION HEALTH. THESE PRINCIPLES ARE INCLUSIVE INPUT, COMMUNITY VOICE, TRANSPARENT COMMUNICATION, AUTHENTIC COLLABORATION, HEALTH EQUITY, AND THE INFLUENTIAL ROLE OF SOCIAL DETERMINANTS OF HEALTH.
Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - SPECTRUM HEALTH SYSTEM REPORTING GROUP A,1 - A,10. Spectrum Health System reporting group A is addressing the significant needs identified in the most recently conducted CHNA's through adoption of an implementation strategy that addresses each of the community needs identified through the CHNA, execution of the implementation strategy, participation in the development and execution of a community-wide plan, inclusion of community benefit section in operational plans, adoption of a budget for provision of services that address the needs identified in the CHNA, prioritization of the health needs in the community and prioritization of services that the hospital facilities will undertake to meet health needs in the community. The hospital facilities are addressing many of the significant needs identified in the CHNA, however the hospital facilities will not address all significant health needs identified in the CHNA due to the limited resources and the need to allocate significant resources to the significant health needs that are being addressed. Each hospital facility's implementation plan identifies the significant needs identified in the CHNA but not addressed in the plan. The implementation plans for each hospital facility are available at: https://www.spectrumhealth.org/healthier-communities/community-health-needs-assessment
Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES. IN MID-SEPTEMBER, SPECTRUM HEALTH LAKELAND RECEIVED A GRANT FROM THE MICHIGAN CORONAVIRUS TASK FORCE ON RACIAL DISPARITIES, TO PROVIDE SERVICES IN THE BENTON HARBOR COMMUNITY, OCTOBER - DECEMBER 2020. THE GRANT ADDRESSED THE DISPARATE IMPACT OF COVID-19 EXPERIENCED BY AFRICAN AMERICANS IN THE CITY OF BENTON HARBOR WHO, ACCORDING TO THE DATA COMPILED BY THE BERRIEN COUNTY HEALTH DEPARTMENT, EXPERIENCED THE COUNTY'S HIGHEST BURDEN OF COVID INFECTIONS, HOSPITALIZATIONS, AND DEATHS. THE PROJECT ADDRESSED THE DISPARATE IMPACT BY PROVIDING, IN A CENTRALLY LOCATED AND EASILY ACCESSIBLE SITE, THE FOLLOWING FREE SERVICES: COVID TESTING; CULTURALLY RELEVANT/RESONANT COVID EDUCATION AND PUBLIC HEALTH MESSAGING; MENTAL HEALTH SERVICES; SOCIAL AND LEGAL NAVIGATION SERVICES; HEALTH SCREENINGS (FLU SHOTS, BP & CHOLESTEROL CHECKS) AND EDUCATION; PPE; WATER FILTERS; HOT SPOTS AND SCHOOL KITS FOR REMOTE LEARNING ACTIVITIES. HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/CENTER-FOR-BETTER-HEALTH SOCIAL NAVIGATION SERVICES HELPED BENTON HARBOR RESIDENTS ACCESS FOOD, HOUSING, CLOTHING, UTILITY, AND OTHER RESOURCES CHALLENGED BY THE PANDEMIC. LEGAL NAVIGATION SERVICES HELPED BENTON HARBOR RESIDENTS' ACCESS LEGAL AID AND ATTEND COURT DATES VIA ZOOM APPEARANCES (AS THE COURTS WERE CLOSED DUE TO THE PANDEMIC) AND AVOID FEES AND OTHER COLLATERAL CONSEQUENCES OF FAILURE TO ATTEND A COURT HEARING. IN NOVEMBER 2020, THE BOARD OF DIRECTORS OF SPECTRUM HEALTH LAKELAND VOTED UNANIMOUSLY TO FUND THE CENTER FOR BETTER HEALTH FOR ANOTHER 6-8 MONTHS TO SUPPORT A PROOF-OF-CONCEPT HYPERTENSION CENTER. THIS NEW INVESTMENT WILL BE USED TO LEVERAGE ADDITIONAL PRIVATE, STATE, AND FEDERAL FUNDS TO SUPPORT THE EVENTUAL DEVELOPMENT OF A CARDIOMETABOLIC CENTER THAT FOCUSES ON THE HEALTH CONDITIONS THAT DISPROPORTIONATELY BURDEN THE BENTON HARBOR COMMUNITY (I.E., HYPERTENSION, DIABETES, OBESITY). SHORT TERM BENEFITS: * PROVIDED BENTON HARBOR RESIDENTS WITH MUCH NEEDED, EASILY ACCESSIBLE (I.E., AT THE BENTON HARBOR HIGH SCHOOL) COVID TESTING. * PROVIDED 27 BENTON HARBOR RESIDENTS (COMMUNITY RESEARCHERS, COMMUNICATIONS INFLUENCERS, AND OFFICE STAFF) WITH MUCH NEEDED, EASILY ACCESSIBLE (I.E., AT A LOCATION ON MAIN ST BENTON HARBOR) PPE; MENTAL HEALTH SERVICES; SOCIAL AND LEGAL NAVIGATION SUPPORTS; HEALTH SCREENINGS AND EDUCATION; AND LIVING WAGE JOBS. * PROVIDED DEMONSTRABLE EVIDENCE THAT SPECTRUM HEALTH LAKELAND WAS LIVING INTO ITS STATED JUNE 2020 COMMITMENT TO ADVANCE HEALTH EQUITY. * LEVERAGING LOCAL TALENT AND KNOWLEDGE, CREATED COVID SAFETY/PUBLIC HEALTH COMMUNICATIONS MATERIALS THAT RESONATES WITH YOUTH AND YOUNG ADULTS IN BENTON HARBOR, SUCH AS THE LYRICAL VIDEO PLAY YOUR PART, BY COMMUNITY INFLUENCER, TRACI BURTON. INTERMEDIATE BENEFITS: * PROVIDES A FOUNDATION FOR FUTURE WORK TO ADDRESS HEALTH INEQUITIES IN BENTON HARBOR. IN NOVEMBER 2020, THE SPECTRUM HEALTH LAKELAND BOARD APPROVED ADDITIONAL FUNDS FROM OUR HEALTH EQUITY ENDOWMENT TO KEEP THE CENTER FOR BETTER HEALTH OPEN AFTER THE RRI WAS COMPLETED ON DECEMBER 30, 2020. THE ADDITIONAL FINANCIAL RESOURCES WILL BE USED TO PILOT A HYPERTENSION CLINIC IN THE SAME LOCATION. RESEARCH SHOWS THAT HYPERTENSION IS LESS WELL CONTROLLED IN AFRICAN AMERICANS AND IS A SERIOUS RISK FACTOR FOR STROKE. * HELPED SUPPORT EFFORTS TO BUILD THE BENTON HARBOR COMMUNITY'S TRUST IN SPECTRUM HEALTH LAKELAND, WHICH HAD NOT HAD A PHYSICAL PRESENCE IN THE COMMUNITY FOR MORE THAN 30 YEARS. * AMPLIFIED AND SUPPORTED COMMUNITY VOICE IN COVID COMMUNICATIONS. * TRAINED COMMUNITY RESEARCHERS IN BASIC RESEARCH STRATEGIES AND SKILLS. * PROVIDED AN OPPORTUNITY FOR SPECTRUM HEALTH LAKELAND STAFF TO DEVELOP NEW RELATIONSHIPS WITH COMMUNITY MEMBERS IN BENTON HARBOR. * FEATURE AND AMPLIFIED LOCAL MARKETING AND COMMUNICATIONS TALENT. LONG TERM BENEFITS: * PROVIDES A FOUNDATION FOR FUTURE WORK TO ADDRESS HEALTH INEQUITIES IN BENTON HARBOR AND FOR LAKELAND TO EXECUTE ON ITS COMMITMENT TO ADVANCE HEALTH EQUITY.
Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - Spectrum Health System Group A,1 - A,13. Spectrum Health acknowledges that significant health events may result in catastrophic financial burden to a patient and family, as such Spectrum Health reserves the right to review catastrophic cases on an individual basis. Consideration for a reduced financial obligation will be made factoring medical bills accumulated within the last 240 days, as well as those anticipated to occur within the next 90 days. A catastrophic financial burden is one which results in a financial burden of 25% of annual household income or greater.
Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - Spectrum Health System Group A,1 - A,13. The organization uses FPG to determine eligibility for free care. an evaluation is not used for discounted care, as applicants that qualify for any assistance receive free care.
Schedule H, Part V, Section B, Line 16 Facility A, 1 Facility A, 1 - Spectrum Health System Group A,1 - A,13. SPECTRUM HEALTH HAS IMPLEMENTED MEASURES TO WIDELY PUBLICIZE COMMUNICATIONS TO PATIENTS AND THE PUBLIC REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. COMMUNICATION METHODS INCLUDE BUT ARE NOT LIMITED TO SIGNAGE IN EACH HOSPITAL EMERGENCY DEPARTMENT, HOSPITAL ADMISSIONS OFFICE(S) AND OTHER PUBLIC LOCATIONS WITHIN THE HOSPITAL, INFORMATION ON THE SPECTRUM HEALTH WEBSITE, THE SPECTRUM HEALTH PATIENT HANDBOOK, VARIOUS INFORMATIONAL BROCHURES, UPON REQUEST BY ANY PATIENT, GUARANTOR OR COMMUNITY MEMBER, WORD OF MOUTH VIA FINANCIAL COUNSELORS AND OTHERS, AND THROUGH COMMUNITY PUBLICATIONS AND OUTREACH EVENTS. IN ADDITION, SPECTRUM HEALTH WILL OFFER A PLAIN LANGUAGE SUMMARY OF ITS FINANCIAL ASSISTANCE ELIGIBILITY POLICY AS PART OF THE PATIENT INTAKE AND/OR DISCHARGE PROCESS, AS WELL AS PROVIDE INDIVIDUALS WITH ASSISTANCE IN COMPLETING THE APPLICATION PROCESS. PATIENTS WILL BE NOTIFIED OF THE FINANCIAL ASSISTANCE ELIGIBILITY POLICY FOR A PERIOD OF AT LEAST 120 DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. PATIENT BALANCES WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE EVALUATION FOR AT LEAST 240 DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT ("APPLICATION PERIOD"). IF SPECTRUM HEALTH RECEIVES A FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, WHETHER THE APPLICATION IS COMPLETE OR INCOMPLETE, IT WILL SUSPEND ANY COLLECTION EFFORTS UNTIL A DETERMINATION REGARDING FINANCIAL ASSISTANCE IS MADE.
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?13
Name and address Type of Facility (describe)
1 Spectrum Health Surgery Center - East Paris
1000 East Paris
Grand Rapids,MI49545 		Surgical Center (Free Standing Outpatient Facility)
2 Spectrum Health Surgery Center - Lake Drive
4069-4100 Lake Drive
Grand Rapids,MI49545 		Surgical Center (Free Standing Outpatient Facility)
3 Spectrum Health Surgery Center - South Pavilion
80 68th Street
Grand Rapids,MI49548 		Surgical Center (Free Standing Outpatient Facility)
4 Spectrum Health United Hospital Rehab and Nursing Center
615 South Bower St
Greenville,MI48838 		Skilled Nursing Center
5 Spectrum Health Reed City Hospital Rehab and Nursing Center
300 North Patterson Road
Reed City,MI49677 		Skilled Nursing Center
6 Spectrum Health Rehab and Nursing Centers
750 Fuller Ave NE
Grand Rapids,MI49503 		Skilled Nursing Center
7 Spectrum Health Kelsey Hospital Rehab and Nursing Center
418 Washington Ave
Lakeview,MI48850 		Skilled Nursing Center
8 COMMUNITY MEDICAL CENTER
420 MEDICAL PARK DRIVE
WATERVLIET,MI49098 		RURAL HEALTH CLINIC
9 COLOMA MEDICAL CENTER
6701 PAW PAW AVE
COLOMA,MI49038 		RURAL HEALTH CLINIC
10 COMMUNITY BONE & JOINT
6559 PAW PAW AVE
COLOMA,MI49038 		PROFESSIONAL MEDICAL OFFICE
11 STAGG MEDICAL CENTER
525 SOUTH CENTER ST
HARTFORD,MI49057 		RURAL HEALTH CLINIC
12 COMMUNITY CENTER FOR GENERAL SURGERY
6559 PAW PAW AVE
COLOMA,MI49038 		PROFESSIONAL MEDICAL OFFICE
13 SOUTHWESTERN MEDICAL CLINIC
2002 11TH ST
NILES,MI49120 		RURAL HEALTH CLINIC
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 7 CHNA website address Spectrum Health Butterworth: https://www.spectrumhealth.org/locations/spectrum-health-hospitals-butterworth-hospital/community-health-needs-assessment Spectrum Health Blodgett: https://www.spectrumhealth.org/locations/spectrum-health-hospitals-blodgett-hospital/community-health-needs-assessment Spectrum Health United: https://www.spectrumhealth.org/locations/spectrum-health-united-hospital/community/community-health-needs-assessment Spectrum Health Gerber Memorial: https://www.spectrumhealth.org/locations/spectrum-health-gerber-memorial/community-resources/community-health-needs-assessment Spectrum Health Ludington: https://www.spectrumhealth.org/locations/spectrum-health-ludington-hospital/communities/community-health-needs-assessment Spectrum Health Big Rapids: https://www.spectrumhealth.org/locations/spectrum-health-big-rapids-hospital/communities/community-health-needs-assessment Spectrum Health Reed City: https://www.spectrumhealth.org/locations/spectrum-health-reed-city-hospital/communities/community-health-needs-assessment Spectrum Health Zeeland: https://www.spectrumhealth.org/locations/spectrum-health-zeeland-community-hospital/communities/community-health-needs-assessment Spectrum Health Kelsey: https://www.spectrumhealth.org/locations/spectrum-health-kelsey-hospital/community-resources/community-health-needs-assessment Spectrum Health Pennock: https://www.spectrumhealth.org/locations/spectrum-health-pennock/communities/community-health-needs-assessment Spectrum Health Lakeland: https://www.spectrumhealthlakeland.org/population-health/get-facts/community-health-needs-assessment
Schedule H, Part V, Section B, Line 10 Implementation strategy website address Spectrum Health Butterworth: https://www.spectrumhealth.org/locations/spectrum-health-hospitals-butterworth-hospital/community-health-needs-assessment Spectrum Health Blodgett: https://www.spectrumhealth.org/locations/spectrum-health-hospitals-blodgett-hospital/community-health-needs-assessment Spectrum Health United: https://www.spectrumhealth.org/locations/spectrum-health-united-hospital/community/community-health-needs-assessment Spectrum Health Gerber Memorial: https://www.spectrumhealth.org/locations/spectrum-health-gerber-memorial/community-resources/community-health-needs-assessment Spectrum Health Ludington: https://www.spectrumhealth.org/locations/spectrum-health-ludington-hospital/communities/community-health-needs-assessment Spectrum Health Big Rapids: https://www.spectrumhealth.org/locations/spectrum-health-big-rapids-hospital/communities/community-health-needs-assessment Spectrum Health Reed City: https://www.spectrumhealth.org/locations/spectrum-health-reed-city-hospital/communities/community-health-needs-assessment Spectrum Health Zeeland: https://www.spectrumhealth.org/locations/spectrum-health-zeeland-community-hospital/communities/community-health-needs-assessment Spectrum Health Kelsey: https://www.spectrumhealth.org/locations/spectrum-health-kelsey-hospital/community-resources/community-health-needs-assessment Spectrum Health Pennock: https://www.spectrumhealth.org/locations/spectrum-health-pennock/communities/community-health-needs-assessment Spectrum Health Lakeland: https://www.spectrumhealthlakeland.org/population-health/get-facts/community-health-needs-assessment
Schedule H, Part I, Line 6a Related Organization Information SPECTRUM HEALTH SYSTEM GROUP A,1 - A,10 SPECTRUM HEALTH SYSTEM PUBLISHES A CONSOLIDATED COMMUNITY BENEFIT REPORT ON ITS WEBSITE AT WWW.SPECTRUMHEALTH.ORG (CLICK ON THE LINK TITLED "ABOUT" THEN "CORPORATE SOCIAL RESPONSIBILITY" OR HTTPS://WWW.SPECTRUMHEALTH.ORG/ABOUT-US/CORPORATE-SOCIAL-RESPONSIBILITY/COMMUNITY-BENEFIT). IN ADDITION, THE HEALTH SYSTEM HOLDS AN ANNUAL MEETING, WHICH IS OPEN TO THE PUBLIC, TO DISCUSS ITS COMMUNITY COMMITMENTS. A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES AS PART OF THE 2019-2022 IMPLEMENTATION STRATEGY, SPECTRUM HEALTH LAKELAND PRESENTS THE ANNUAL COMMUNITY BENEFITS REPORT TO THE POPULATION HEALTH COMMITTEE (SUB-COMMITTEE OF THE BOARD), AND TO THE LAKELAND BOARD OF DIRECTORS. ONE OF THE ACTION ITEMS INCLUDED IN THE IMPLEMENTATION STRATEGY IS TO RE-ENGINEER COMMUNITY BENEFIT REPORTING INFRASTRUCTURE AND PROCESSES. ONE OF THE INTENDED IMPACTS OF THE AFFORDABLE CARE ACT IS TO ALIGN HEALTH SYSTEMS' ALLOCATIONS OF COMMUNITY BENEFITS WITH HEALTH NEEDS IDENTIFIED IN THE CHNA. THE FOLLOWING ACTIVITIES WILL BE EXECUTED TO ACHIEVE ALIGNMENT: THE PURCHASE OF NEW COMMUNITY BENEFITS REPORTING SOFTWARE (COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY OR CBISA) THAT WILL BE USED SYSTEMWIDE; INTERNAL EDUCATION AND AWARENESS BUILDING WILL BE UNDERTAKEN TO IMPROVE ORGANIZATIONAL UNDERSTANDING OF WHAT COMMUNITY BENEFITS ARE, WHY THEY ARE IMPORTANT, AND WHAT COUNTS AS A COMMUNITY BENEFIT. REGULAR COMMUNICATION WITH THE LAKELAND BOARD OF DIRECTORS AT QUARTERLY MEETINGS TO SEEK DIRECTION, ADVOCACY AND HELP ELEVATE THIS WORK THROUGH THE ESTABLISHMENT OF NEW METRICS AROUND TRUST.
Schedule H, Part VI, Line 7 State Filing of Community Benefit Report IF APPLICABLE, IDENTIFY ALL STATES WITH WHICH THE ORGANIZATION, OR A RELATED ORGANIZATION, FILES A COMMUNITY BENEFIT REPORT: THE STATE OF MICHIGAN DOES NOT REQUIRE A COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE HOWEVER SPECTRUM HEALTH SYSTEM VOLUNTARILY REPORTS CONSOLIDATED COMMUNITY BENEFIT INFORMATION TO THE MICHIGAN HEALTH AND HOSPITAL ASSOCIATION AND IN AN ANNUAL MEETING TO THE COMMUNITY. THE COMMUNITY BENEFIT REPORT IS ALSO AVAILABLE ON THE ORGANIZATION'S WEBSITE.
Schedule H, Part I, Line 5b Budgeted Free Care THE ORGANIZATION'S FINANCIAL ASSISTANCE EXPENSE DID NOT EXCEED THE BUDGETED AMOUNT IN CY20. HOWEVER, IN CONJUNCTION WITH THE HEALTHY MICHIGAN PLAN, THE STATE OF MICHIGAN MANDATED DISCOUNTS TO THE UNINSURED BASED ON FINANCIAL NEED. THE HOSPITAL MUST ACCEPT NO MORE THAN 115% MEDICARE RATES AS PAYMENT IN FULL FROM AN UNINSURED INDIVIDUAL WITH AN ANNUAL INCOME LEVEL UP TO 250% OF THE FEDERAL POVERTY LEVEL. UNDER THE STATE OF MICHIGAN MANDATE, THE HOSPITAL FACILITIES PROVIDED $11.4 MILLION OF DISCOUNTED CARE. THE STATE OF MICHIGAN MANDATED DISCOUNTS ARE NOT INCLUDED IN THE HOSPITAL FACILITIES' FINANCIAL ASSISTANCE POLICY, HOWEVER THEY ARE INCLUDED IN FINANCIAL ASSISTANCE EXPENSE BECAUSE THIS REPRESENTS DISCOUNTED CARE BASED ON FINANCIAL NEED.
Schedule H, Part I, Line 7 Total Functional Expenses Used SINCE THE AMOUNT OF TOTAL FUNCTIONAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25, COLUMN A, INCLUDES NON-HOSPITAL FACILITY EXPENSES (INCLUDING MEDICAL GROUP, SKILLED NURSING, HOSPICE, HOME CARE, AND OTHER SUCH NON-HOSPITAL FACILITY EXPENSES), AND THE COMMUNITY BENEFIT EXPENSES ON PART I, LINE 7, RELATE ONLY TO HOSPITAL FACILITIES, FOR PURPOSES OF CALCULATING TOTAL COMMUNITY BENEFIT, A TOTAL FUNCTIONAL EXPENSE AMOUNT OF $3,389,833,773 WAS USED. THIS AMOUNT REPRESENTS TOTAL FUNCTIONAL EXPENSES RELATED TO SPECTRUM HEALTH'S HOSPITAL FACILITIES ONLY, WHICH YIELDS A MORE ACCURATE AND MEANINGFUL DISCLOSURE OF SPECTRUM HEALTH'S TOTAL COMMUNITY BENEFIT PERCENTAGE.
Schedule H, Part VI, Line 4 COMMUNITY INFORMATION CONTINUED A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES THE SYSTEM SERVES APPROXIMATELY 284,000 RESIDENTS IN BERRIEN COUNTY AND SURROUNDING AREAS. APPROXIMATELY 17% ARE BELOW POVERTY LEVEL. COMMUNITY SERVED. LAKELAND SERVES ALL OF BERRIEN COUNTY, AND PARTS OF VAN BUREN AND CASS COUNTIES. ALL THREE COUNTIES ARE LOCATED IN THE SOUTHWEST CORNER OF MICHIGAN. THIS SERVICE AREA IS DETERMINED BY THE LOCATION OF LAKELAND'S FACILITIES AND PATIENTS' PLACES OF RESIDENCE. THE 2019 CHNA IDENTIFIES THE HEALTH NEEDS OF BERRIEN COUNTY.
Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE SPECTRUM HEALTH SYSTEM GROUP A,1 - A,10 https://www.spectrumhealth.org/AFFORDING-CARE/FINANCIAL-ASSISTANCE A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/PATIENT-VISITOR-GUIDE/PATIENT/BILLING/FINANCIAL-ASSISTANCE
Schedule H, Part V, Section B, Line 16b FAB APPLICATION FORM WEBSITE SPECTRUM HEALTH SYSTEM GROUP A,1 - A,10 https://www.spectrumhealth.org/AFFORDING-CARE/FINANCIAL-ASSISTANCE A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/PATIENT-VISITOR-GUIDE/PATIENT/BILLING/FINANCIAL-ASSISTANCE
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE SPECTRUM HEALTH SYSTEM GROUP A,1 - A,10 https://www.spectrumhealth.org/AFFORDING-CARE/FINANCIAL-ASSISTANCE A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/PATIENT-VISITOR-GUIDE/PATIENT/BILLING/FINANCIAL-ASSISTANCE
Schedule H, Part I, Line 7f LINES 7F AND 7I A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES HEALTH PROFESSIONS EDUCATION - LAKELAND PREPARES HEALTH CARE PROFESSIONALS FOR THE FUTURE BY PROVIDING A VARIETY OF TRAINING PROGRAMS AND EDUCATIONAL EXPERIENCES IN CLINICAL SETTINGS FOR UNDERGRADUATE AND GRADUATE STUDENTS, MEDICAL RESIDENTS, AND NURSING AND OTHER ALLIED HEALTH PROFESSIONALS. CASH & IN-KIND DONATIONS TO COMMUNITY GROUPS - CASH CONTRIBUTIONS AND IN-KIND DONATIONS ARE DESIGNATED FOR HEALTH CARE RELATED ACTIVITIES PROVIDED BY SOCIAL SERVICE AND COMMUNITY AGENCIES, SUCH AS MEDICAL SUPPORT FOR COMMUNITY EVENTS AND PARTNERS WHO SERVE THE MOST VULNERABLE POPULATIONS. THIS AMOUNT ALSO INCLUDES LEADERSHIP INVOLVEMENT ON COMMUNITY BOARDS THAT SUPPORT ORGANIZATIONS AND THEIR EFFORTS ON BEHALF OF VULNERABLE POPULATIONS. RESEARCH - LAKELAND IS COMMITTED TO INNOVATION BY OFFERING THE MOST ADVANCED, HIGH-QUALITY TREATMENTS AND HEALTH AND HEALING SERVICES TO THE COMMUNITY. AS A RESULT, LAKELAND SPONSORS CLINICAL AND COMMUNITY HEALTH RESEARCH, AS WELL AS STUDIES ON HEALTH CARE DELIVERY. FINANCIAL ASSISTANCE - FREE OR DISCOUNTED CARE THAT LAKELAND OFFERS TO PEOPLE WHO ARE UNABLE TO PAY FOR THEIR OWN CARE AND NOT ELIGIBLE FOR PUBLIC PROGRAMS. FINANCIAL ASSISTANCE DOES NOT INCLUDE THE BAD DEBT COST, WHICH TOTALED $20,509,650 IN CY 2020. UNREIMBURSED MEDICAID - REPRESENTS THE COST OF CARING FOR PEOPLE COVERED BY MEDICAID MINUS THE AMOUNT LAKELAND RECEIVES FROM THOSE PROGRAMS.
Schedule H, Part V, Section B, Line 7 LINE 7B SPECTRUM HEALTH SYSTEM GROUP A,1 - A,10 HTTPS://WWW.SPECTRUMHEALTH.ORG/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/POPULATION-HEALTH
Schedule H, Part V, Section B, Line 7 LINE 7D CNHA WAS PROVIDED DURING COMMUNITY EDUCATIONAL CLASSES AND AT THE CENTER FOR BETTER HEALTH HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/CENTER-FOR-BETTER-HEALTH
Schedule H, Part I, Line 6a NAME OF RELATED ORGANIZATION THAT PREPARED COMMUNITY BENEFIT REPORT SPECTRUM HEALTH SYSTEM GROUP A,1 - A,10 SPECTRUM HEALTH SYSTEM (EIN: 38-3382353) A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES LAKELAND REGIONAL HEALTH SYSTEM, INC. (EIN: 38-2609624)
Schedule H, Part I, Line 7g Subsidized Health Services SPECTRUM HEALTH SYSTEM GROUP A,1 - A,10 SUBSIDIZED HEALTH SERVICES OFFERED BY SPECTRUM HEALTH INCLUDE THE UNREIMBURSED COSTS OF PROVIDING FREE OR SUBSIDIZED HEALTH SERVICES AND/OR COMMUNITY CLINICS. SUBSIDIZED HEALTH SERVICES WERE PROVIDED AT THE FOLLOWING CLINICS BY SPECTRUM HEALTH: -CENTER FOR INTEGRATED MEDICINE ("CIM") IS AN ADDICTION MEDICINE AND COMPLEX CARE CLINIC THAT EMPLOYS A NEW MODEL OF CARE TO ASSESS AND TREAT SUBUSTANCE USE DISORDERS. THE CENTRAL GOAL OF THE CIM IS TO IDENTIFY, ACCURATELY DIAGNOSE AND DEVELOP A CARE PLAN FOR EACH PATIENT. PATIENTS UNDERGO COMPREHENSIVE HEALTH EXAMS, A BEHAVIORAL HEALTH ASSESSMENT, ADDICTION ASSESSMENT, AND A MEDICAL SOCIAL WORK CASE MANAGEMENT EVALUATION. -HELEN DEVOS CHILDREN'S HOSPITAL PEDIATRIC PRIMARY CARE CLINIC IS A RESIDENCY TEACHING CLINIC THAT TEAMS PEDIATRICIANS WITH MEDICAL STUDENTS AND RESIDENTS TO SERVE AS THE MEDICAL HOME FOR ITS PATIENTS. THE PROGRAM PROVIDES ROUTINE WELL-CHILD CARE, DIAGNOSIS AND TREATMENT FOR NEW PROBLEMS, MANAGEMENT OF COMPLEX CHRONIC CARE, AND PEDIATRIC CONSULTATION BY REFERRAL. -SPECTRUM HEALTH OB/GYN CLINIC HAS A DUAL MISSION OF TEACHING OB/GYN RESIDENTS AND TAKING CARE OF THE UNDERINSURED WOMEN OF ALL AGES IN THE COMMUNITY. SERVICE PROVISION INCLUDES COMPREHENSIVE OBSTETRIC AND GYNECOLOGY CARE, CENTERING PREGNANCY GROUP CARE, HIGH RISK OBSTETRICS, AND CLOSE COLLABORATION WITH SOCIAL WORK, REGISTERED DIETITIANS, AND COMMUNITY PARTNERS TO REDUCE MATERNAL AND INFANT MORTALITY. -SPECTRUM HEALTH INTERNAL MEDICINE AND FAMILY PRACTICE CLINIC OFFERS FAMILY CARE TO THE UNDERINSURED. THE CLINIC SERVES AS A TEACHING CLINIC FOR INTERNAL MEDICINE AND FAMILY PRACTICE CLINICS. -INTERNAL MEDICINE RESIDENCY PRACTICE: THE INTERNAL MEDICINE RESIDENCY CLINIC HAS A DUAL MISSION OF TEACHING INTERNAL MEDICINE RESIDENTS AND TAKING CARE OF THE UNDERINSURED IN THE COMMUNITY, INCLUDING COMPREHENSIVE INTERNAL MEDICINE SERVICES TO ADULTS. -FAMILY MEDICINE RESIDENCY CENTER: THE FAMILY MEDICINE RESIDENCY CENTER HAS A DUAL MISSION OF TEACHING FAMILY MEDICINE RESIDENTS AND TAKING CARE OF THE UNDERINSURED IN THE COMMUNITY, INCLUDING COMPREHENSIVE SERVICES TO ADULTS AND CHILDREN. OBSTETRICS SERVICES ARE OFFERED AS WELL. -ORTHOPEDIC SURGERY RESIDENCY PRACTICE: THE ORTHOPEDIC RESIDENCY CLINIC HAS A DUAL MISSION OF TEACHING ORTHOPEDIC SURGERY RESIDENTS AND TAKING CARE OF THE UNDERINSURED IN THE COMMUNITY, INCLUDING GENERAL ORTHOPEDIC SURGERY SERVIVES TO ADULTS. -GENERAL SURGERY RESIDENCY PRACTICE/ GENERAL SURGERY ACADEMIC PRACTICE: THE GENERAL SURGERY RESIDENCY CLINIC HAS A DUAL MISSION OF TEACHING GENERAL SURGERY RESIDENTS AND TAKING CARE OF THE UNDERINSURED IN THE COMMUNITY, INCLUDING COMPREHENSIVE GENERAL SURGERY SERVICES TO ADULTS. -PLASTIC SURGERY RESIDENCY PRACTICE/ THE PLASTIC SURGERY RESIDENCY CLINIC HAS A DUAL MISSION OF TEACHING PLASTIC SURGERY RESIDENTS AND TAKING CARE OF THE UNDERINSURED IN THE COMMUNITY, INCLUDING COMPREHENSIVE PLASTIC SURGERY SERVICES TO ADULTS. A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES SUBSIDIZED HEALTH SERVICES OFFERED BY SPECTRUM HEALTH LAKELAND INCLUDE THE UNREIMBURSED COSTS OF PROVIDING FREE OR SUBSIDIZED HEALTH SERVICES FOR FORENSIC CARE & ADVOCACY (FORMERLY KNOWN AS SANE=SEXUAL ASSAULT NURSE EXAMINER'S PROGRAM) AT SPECTRUM HEALTH LAKELAND HAS BEEN PROVIDING SPECIALIZED MEDICAL EVALUATIONS SINCE 2009. THROUGH CRISIS INTERVENTION & EMOTIONAL SUPPORT INCLUDING CONTINUAL ADVOCACY, LEGAL ADVOCACY, & COUNSELING, WE PROVIDE CARE FOR SURVIVORS OF SEXUAL ASSAULT; PHYSICAL ASSAULT OR ABUSE; INTIMATE PARTNER VIOLENCE; CHILD & VULNERABLE ADULT ABUSE; & HUMAN TRAFFICKING. FORENSIC CARE & ADVOCACY (SANE) ADDRESSES AN IDENTIFIED COMMUNITY NEED BY OFFERING AN ESSENTIAL HEALTHCARE RESOURCE FOR SURVIVORS OF SEXUAL VIOLENCE WHO OTHERWISE WOULDN'T HAVE ACCESS TO THIS FULL SCOPE OF 24/7 SPECIALIZED, TRAUMA-INFORMED CARE CLOSE TO HOME (& REGARDLESS OF THEIR ABILITY TO PAY).
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 97961981
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE ORGANIZATION CALCULATES AN OVERALL COST-TO-CHARGE RATIO DERIVED BY USING THE IRS WORKSHEET 2 FORMAT, RATIO OF PATIENT CARE COST-TO-CHARGES. ALL PATIENT SEGMENTS AND PAYERS ARE USED IN THE CALCULATION.
Schedule H, Part II Community Building Activities SPECTRUM HEALTH SYSTEM GROUP A,1 - A,10 SPECTRUM HEALTH'S HOSPITAL FACILITIES ARE DEDICATED TO THE COMMUNITIES THEY SERVE. THE HOSPITALS WORK TO ADDRESS THE PRESSING HEALTH ISSUES OF THE COMMUNITIES THEY SERVE BY PROMOTING AND ADVOCATING FOR OVERALL COMMUNITY HEALTH IMPROVEMENT. SPECTRUM HEALTH CONTRIBUTES FUNDING AND PARTNERS WITH COMMUNITY CLINICS SUCH AS CHERRY HEALTH SERVICES, CATHERINE'S HEALTH CENTER, AND EXALTA HEALTH TO PROVIDE MEDICAL SERVICES TO IMPROVE THE HEALTH OF ADULTS MANAGING CHRONIC DISEASE, IMPROVING CHILDREN'S HEALTH, AND REDUCING INFANT MORTALITY. AS THE NEED FOR MENTAL HEALTH SERVICES AND SUBSTANCE USE DISORDERS CONTINUE TO RISE, SPECTRUM HEALTH FUNDS ORGANIZATIONS SUCH AS ARBOR CIRCLE AND THE GRAND RAPIDS RED PROJECT. AS WE RECOGNIZE THAT HEALTHCARE IS NOT THE SOLE CONTRIBUTOR TO IMPROVING HEALTH, WE ALSO SUPPORT ORGANIZATIONS THAT ADDRESS THE SOCIAL DETERMINANTS OF HEALTH (THAT INCLUDE BUT ARE NOT LIMITED TO) EDUCATION, EMPLOYMENT, HOUSING, AND FOOD INSECURITY. IN THE HEALTH SCIENCES SCHOOL PARTNERSHIP, THE REGION'S PREMIER SPECIALTY HIGH SCHOOL, FOCUS IS ON PREPARING STUDENTS FOR COLLEGE AND TECHNICAL CAREER PATHWAYS IN THE WIDE-RANGING HEALTH CARE INDUSTRY. OUR FOOD INSECURITY ALLIANCE INCLUDES PARTNERING WITH ORGANIZATIONS SUCH AS ACCESS OF WEST MICHIGAN, THE COMMUNITY FOOD CLUB, URBAN ROOTS AND WELLHOUSE. TO REDUCE HOUSING INSECURITY, WE PARTNER WITH KINGDOM LIFE MINISTRIES TO HOUSE PREGNANT MOTHERS AND FAMILIES AND SUPPORT 3:11 HOUSING WHICH HOUSES HOMELESS YOUTH. SPECTRUM HEALTH IS ALSO PART OF A COLLABORATIVE PARTNERSHIP WITH THE ROBERT WOOD JOHNSON FOUNDATION AND REINVESTMENT FUND CALLED INVEST HEALTH. IT FOCUSES ON INCREASING EQUITABLE OUTCOMES BY REDUCING INFANT MORTALITY, LEAD EXPOSURES AND INCREASING FOOD SECURITY IN HISTORICALLY LOW-INCOME TARGETED CENSUS TRACT AREAS. THE INVEST HEALTH GRAND RAPIDS TEAM WILL ACHIEVE THIS THROUGH SCALING WORKFORCE MODELS AND HOUSING SUPPLY WITH ALIGNED INFANT MORTALITY, LEAD AND FOOD PROGRAMMING IN THE TARGETED CENSUS TRACTS. ADDITIONALLY, THE HOSPITALS HOST A MULTITUDE OF FREE COMMUNITY EDUCATION SEMINARS AND HEALTH SCREENINGS, HEALTH FAIRS AND SUPPORT GROUPS. A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES COMMUNITY BUILDING ACTIVITIES - PROGRAMS AND SERVICES THAT WHILE NOT DIRECTLY RELATED TO HEALTH CARE, ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS SUCH AS POVERTY, CRIME, AND ENVIRONMENTAL ISSUES. EXAMPLES ARE PHYSICAL IMPROVEMENTS, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, COALITION BUILDING, COMMUNITY HEALTH IMPROVEMENT ADVOCACY, AND WORKFORCE DEVELOPMENT ACTIVITIES. HEALTH EDUCATION IS PROVIDED ON THE HIGH PRIORITY HEALTH NEEDS IDENTIFIED IN THE CHNA, INCLUDING INFORMATION ON STRESS MANAGEMENT AND MENTAL HEALTH; OBESITY AND WEIGHT CONTROL; DIABETES AND KIDNEY DISEASE; HYPERTENSION AND OTHER CARDIOVASCULAR DISEASES; AND NUTRITION AND HEALTH BEHAVIORS. EDUCATION IS TAILORED TO VULNERABLE POPULATIONS IN NEIGHBORHOOD SETTINGS. FOR EXAMPLE, THE POPULATION HEALTH DEPARTMENT AT LAKELAND HAS DEVELOPED NEIGHBORHOOD-CENTERED HEALTH HOMES AT ELITE BARBERSHOP (A BARBERSHOP THAT PRIMARILY SERVES MEN) AND HARBOR TOWERS (A LOW-INCOME HOUSING FACILITY) IN BENTON HARBOR. THIS CATEGORY ALSO ENCOMPASSES ALLIANCES WITH COMMUNITY PARTNERS. FOR EXAMPLE, DISASTER READINESS PREPARATIONS AS PART OF THE FIFTH DISTRICT MEDICAL RESPONSE COALITION. LAKELAND ASSESSES THE HEALTH CARE NEEDS OF OUR COMMUNITIES IT SERVES BY CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. THE FIRST STEP IN CONDUCTING THE CHNA IN 2019 WAS TO STRATIFY THE POPULATION ACCORDING TO TWO PROXY INDICATORS OF HEALTH: AGE-ADJUSTED MORTALITY AND LIFE EXPECTANCY. THIS LED TO THE IDENTIFICATION OF SIGNIFICANT HEALTH INEQUITIES ACROSS CENSUS TRACTS IN BERRIEN COUNTY. FOR INSTANCE, BENTON HEIGHTS HAS AN AGE-ADJUSTED MORTALITY RATE THREE TIMES HIGHER THAN SHOREHAM. SIMILARLY, THE LIFE EXPECTANCY OF RESIDENTS IN PARTS OF BENTON HARBOR IS ABOUT NINETEEN YEARS SHORTER THAN THAT OF PEOPLE WHO LIVE IN BERRIEN SPRINGS AND LINCOLN TOWNSHIP. PEOPLE WHO LIVE IN AND AROUND THE CITIES OF BENTON HARBOR AND NILES DIE EARLIER THAN PEOPLE WHO LIVE IN AND AROUND THE CITIES OF ST. JOSEPH, STEVENSVILLE AND BERRIEN SPRINGS. MOREOVER, 75% OF THE CENSUS TRACTS WITH THE HIGHEST DEATH RATES (I.E., THE LOWEST QUARTILE) ARE IN AND AROUND THE CITY OF BENTON HARBOR. THESE FINDINGS OF SIGNIFICANT HEALTH INEQUITIES FORMED THE FOUNDATION UPON WHICH THE PROJECT TEAM PLANNED AND EXECUTED THE CHNA. BY DIRECTING THE DATA COLLECTION PROCESS, THESE FINDINGS HELPED THE PROJECT TEAM ENSURE THAT MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS PROVIDED THEIR PERSPECTIVES ON COMMUNITY HEALTH. PLEASE VISIT OUR WEBSITE FOR MORE INFORMATION. HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/HEALTHWELLNESS/COMMUNITY-HEALTH-ANDWELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT COMMUNITY BUILDING ACTIVITIES / PHYSICAL IMPROVEMENTS - DEVELOPMENT OR MAINTENANCE OF PARKS AND PLAYGROUNDS TO PROMOTE PHYSICAL ACTIVITIES LAKELAND HOSPITAL WATERVLIET PAR COURSE - IS MAINTAINED BY HOSPITAL ASSOCIATES TO PROVIDE COMMUNITY MEMBERS A SAFE AND SECURE PLACE TO EXERCISE. IT IS ALSO USED BY WATERVLIET HIGH SCHOOL STUDENTS DURING GYM CLASSES.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ACCOUNTS RECEIVABLE, PAYER COMPOSITION AND AGING, AND HISTORICAL WRITE-OFF EXPERIENCE BY PAYER CATEGORY AND OTHER FACTORS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTED ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR THIRD-PARTY PAYERS, THE PROVISION IS DETERMINED BY ANALYZING CONTRACTUALLY DUE AMOUNTS FROM PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES. FOR SELF-PAY PATIENTS, THE PROVISION IS BASED ON AN ANALYSIS OF PAST EXPERIENCE RELATED TO PATIENTS UNWILLING TO PAY STANDARD RATES CHARGED. THE DIFFERENCE BETWEEN THAT STANDARD RATE CHARGED (LESS THE NEGOTIATED DISCOUNTED RATE) AND THE AMOUNT ACTUALLY COLLECTED AFTER THE REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ALL CHARGES ARE REPORTED AT GROSS, WHICH IS CONSISTENT WITH THE REPORTING METHODOLOGY USED IN THE ORGANIZATION'S FINANCIAL STATEMENTS.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE HOSPITAL FACILITIES ARE UNABLE TO ESTIMATE ACCURATELY THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY. ALTHOUGH A PORTION OF BAD DEBT EXPENSES MAY RELATE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE, A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED. THE HOSPITAL FACILITIES HAVE IMPLEMENTED A "PROPENSITY TO PAY" EVALUATION TOOL THAT PROACTIVELY ASSESSES ONE'S ABILITY AND LIKELIHOOD TO PAY. THIS TOOL HAS PROVIDED A HIGHER DEGREE OF FOCUSED FINANCIAL COUNSELING EFFORTS, RESULTING IN A SUBSTANTIAL REDUCTION OF BAD DEBT AND HIGHER RATE OF IDENTIFICATION OF CHARITY ACCOUNTS.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE NET PATIENT SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE FOOTNOTE, WHICH CONTAINS BAD DEBT EXPENSE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ON PAGES 20-24 OF THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs SPECTRUM HEALTH SYSTEM GROUP A,1 - A,13 THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; (2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; (3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND (4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS. IN DETERMINING MEDICARE SHORTFALLS, THE ORGANIZATION USES A RATIO OF COST-TO-CHARGES. IN DETERMINING THE RATIO OF COST-TO-CHARGES THE ORGANIZATION ADJUSTS FOR BAD DEBT EXPENSES, NON-PATIENT CARE ACTIVITIES, MEDICAID PROVIDER TAXES AND COMMUNITY BENEFITS ACCOUNTED FOR, AND OR REPORTED, ELSEWHERE. THE RATIO OF COST-TO-CHARGES IS APPLIED TO MEDICARE CHARGES TO DETERMINE SHORTFALLS IN MEDICARE REIMBURSEMENTS.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE ELIGIBLE FOR FREE CARE, AND THUS NO COLLECTION ACTION IS TAKEN. IF FINANCIAL ASSISTANCE ELIGIBILITY WOULD BE DISCOVERED AFTER COMMENCEMENT OF A COLLECTION ACTION, THEN SUCH COLLECTION ACTION WOULD BE SUSPENDED OR REVERSED.
Schedule H, Part V, Section B, Line 16a FAP website A - SPECTRUM HEALTH BUTTERWORTH: Line 16a URL: SEE SUPPLEMENTAL INFORMATION IN PART VI;
Schedule H, Part V, Section B, Line 16b FAP Application website A - SPECTRUM HEALTH BUTTERWORTH: Line 16b URL: SEE SUPPLEMENTAL INFORMATION IN PART VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - SPECTRUM HEALTH BUTTERWORTH: Line 16c URL: SEE SUPPLEMENTAL INFORMATION IN PART VI;
Schedule H, Part VI, Line 2 Needs assessment DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, IN ADDITION TO ANY CHNAS REPORTED IN PART V, SECTION B: THE CHNA DATA PROVIDES A LEVEL FOUNDATION ON WHICH TO PLAN, DEVELOP, AND IMPLEMENT NEW PROGRAMS AND SERVICES TO MEET THE NEEDS OF OUR COMMUNITY. OPERATIONAL SERVICES IDENTIFIED BY THE CHNA, EXPANSION OF THE BLUE ENVELOP PROGRAM, INCREASED REFERRAL GOALS FOR THE MATERNAL INFANT HEALTH PROGRAM, SCHEDULED COUNTY DRUG TAKE BACK EVENTS, AND SUSTAINING THE COORDINATED APPROACH TO CHILDHOOD HEALTH PROGRAM. ALL HAVE BEEN BUILT INTO THE STRATEGIC PLAN AND BUDGET. ADDITIONAL AREAS OF IMPROVEMENT TO COMMUNITY HEALTH WERE IDENTIFIED AND ARE BEING ADDRESSED OUTSIDE OF THE CHNA. FOR EXAMPLE, A COMMUNITY- BASED APPROACH (INVEST HEALTH) IS ADDRESSING ITEMS SUCH AS SAFE, AFFORDABLE HOUSING, INFANT MORTALITY, IMPACT HIRING AS AN ECONOMIC ELEVATOR (RECOGNIZING THE LINK BETWEEN WEALTH CREATION AND HEALTH) AND FOOD INSECURITY. IN ADDITION, THE COVID-19 PANDEMIC LED TO COLLORATIVE EFFORTS TO INCREASE ACCESS TO COVID-19 TESTING AND VACCINES. THESE EFFORTS ALLOW SPECTRUM HEALTH TO LEVERAGE/MULTIPLY FUNDS WHILE DOING COLLABORATIVE WORK WITH COMMUNITY TO ADDRESS THESE ISSUES. THE CHNA AND IMPLEMENTATION PLANS ARE LOCATED AT: SPECTRUM HEALTH BUTTERWORTH: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-HOSPITALS-BUTTERWORTH-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH BLODGETT: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-HOSPITALS-BLODGETT-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH UNITED: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-UNITED-HOSPITAL/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH GERBER MEMORIAL: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-GERBER-MEMORIAL/COMMUNITY-RESOURCES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH LUDINGTON: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-LUDINGTON-HOSPITAL/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH BIG RAPIDS: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-BIG-RAPIDS-HOSPITAL/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH REED CITY: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-REED-CITY-HOSPITAL/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH ZEELAND: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-ZEELAND-COMMUNITY-HOSPITAL/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH KELSEY: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-KELSEY-HOSPITAL/COMMUNITY-RESOURCES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH PENNOCK: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-PENNOCK/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH LAKELAND: HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/POPULATION-HEALTH/GET-FACTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY: SPECTRUM HEALTH INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY THROUGH PRODUCING INFORMATION CARDS AND BROCHURES FOR THE UNINSURED, COMMUNITY OUTREACH PROGRAMS, CONSUMER INFORMATION CLASSES, SPECTRUM HEALTH'S WEBSITE, PERSONAL FINANCIAL COUNSELING AND BY PROVIDING ASSISTANCE IN THE ACTUAL ENROLLMENT OF SUCH PROGRAMS. EACH SPECTRUM HEALTH FACILITY HAS A DEPARTMENT OF FINANCIAL COUNSELORS WHO WORK WITH PATIENTS THAT EXPRESS ANY LEVEL OF CONCERN WITH PAYING THEIR BILL. IN ADDITION, FINANCIAL COUNSELORS PROACTIVELY IDENTIFY PATIENTS WHO HAVE QUALIFYING FACTORS FOR GOVERNMENTAL ASSISTANCE. SPECTRUM HEALTH ALSO PARTNERS WITH ORGANIZATIONS THAT SPECIALIZE IN THE QUALIFICATION PROCESS. IF A PATIENT'S NEED FOR ASSISTANCE IS NOT IDENTIFIED PRIOR TO BILLING, ANY CONCERNS AS A RESULT OF RECEIVING A BILL ARE ADDRESSED BY FINANCIAL COUNSELORS AT THAT TIME. SPECTRUM HEALTH WIDELY PUBLICIZES COMMUNICATIONS TO PATIENTS AND THE PUBLIC ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. THIS IS ACHIEVED THROUGH VARIOUS METHODS INCLUDING, BUT NOT LIMITED TO, THE SPECTRUM HEALTH PATIENT HANDBOOK, VARIOUS INFORMATIONAL BROCHURES, SIGNAGE IN EACH HOSPITAL EMERGENCY DEPARTMENT, ADMISSIONS OFFICES, AND OTHER PUBLIC LOCATIONS, UPON REQUEST BY ANY PATIENT, GUARANTOR OR COMMUNITY MEMBER, WORD OF MOUTH VIA FINANCIAL COUNSELORS AND OTHERS, AND THROUGH COMMUNITY PUBLICATIONS AND OUTREACH EVENTS. IN ADDITION, SPECTRUM HEALTH LISTS OPTIONS FOR THE UNINSURED AND UNDERINSURED ON ITS WEBSITE, ALONG WITH A COPY OF THE FINANCIAL ASSISTANCE ELIGIBILITY POLICY AT WWW.SPECTRUMHEALTH.ORG/AFFORDING-CARE/FINANCIAL-ASSISTANCE
Schedule H, Part VI, Line 4 Community information DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES: SPECTRUM HEALTH BUTTERWORTH AND SPECTRUM HEALTH BLODGETT: SPECTRUM HEALTH BUTTERWORTH AND SPECTRUM HEALTH BLODGETT ARE LOCATED IN THE SAME COMMUNITY. THEY HAVE IDENTIFIED A PRIMARY SERVICE AREA OF ONE AND A HALF COUNTIES, INCLUDING KENT COUNTY AND PART OF EASTERN OTTAWA COUNTY. THE OVERALL SERVICE AREA TOTALS THIRTEEN COUNTIES, INCLUDING GRAND RAPIDS, MICHIGAN, THE SECOND LARGEST CITY IN THE STATE. OVERALL, THESE COUNTIES HAVE A TOTAL POPULATION OF OVER 1,600,000 RESIDENTS. KENT COUNTY IS LOCATED IN WESTERN MICHIGAN AND IS THE FOURTH LARGEST POPULATION CENTER IN THE STATE. THE COUNTY IS COMPOSED OF TWENTY-ONE TOWNSHIPS, FIVE VILLAGES, AND NINE CITIES COVERING 846 SQUARE MILES. GRAND RAPIDS IS THE COUNTY SEAT AND IS 30 MILES FROM LAKE MICHIGAN AND IS THE SECOND LARGEST CITY IN THE STATE. THE HEALTH CARE RESOURCES IN KENT COUNTY INCLUDE SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH BLODGETT, METRO HEALTH - UNIVERSITY OF MICHIGAN HEALTH, SAINT MARY'S HEALTH CARE, PINE REST, AND MARY FREE BED REHABILITATION HOSPITAL. IN ADDITION, THE HEALTH DEPARTMENT OPERATES FOUR PUBLIC HEALTH CLINICS THROUGHOUT THE COUNTY THAT OFFER PERSONAL HEALTH SERVICES. THE GRAND RAPIDS HOME FOR VETERANS AND THE VETERANS AFFAIRS OUTPATIENT CLINIC PROVIDE SERVICES FOR VETERANS. IN ADDITION TO MAJOR HEALTH CENTERS AND PUBLICLY FUNDED SERVICES, KENT COUNTY OFFERS NUMEROUS HEALTH-RELATED SERVICES THROUGH NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS. FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-HOSPITALS-BUTTERWORTH-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT AND HTTPS://SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-HOSPITALS-BLODGETT-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH UNITED: SPECTRUM HEALTH UNITED HAS IDENTIFIED A PRIMARY SERVICE AREA COMPRISED OF 19 ZIP CODES SURROUNDING GREENVILLE, WHERE SPECTRUM HEALTH UNITED IS LOCATED. THE OVERALL SERVICE AREA INCLUDES MONTCALM AND PORTIONS OF ADJACENT COUNTIES THAT IN TOTAL SUPPORT A POPULATION OF OVER 100,000 RESIDENTS. THE HEALTHCARE RESOURCES IN SPECTRUM HEALTH UNITED'S SERVICE AREA INCLUDE SPECTRUM HEALTH KELSEY, CARSON CITY HOSPITAL, SHERIDAN COMMUNITY HOSPITAL, THE MID-MICHIGAN DISTRICT HEALTH DEPARTMENT, AND CHERRY STREET - MONTCALM AREA HEALTH CENTER. FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-UNITED-HOSPITAL/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH GERBER MEMORIAL: SPECTRUM HEALTH GERBER MEMORIAL IS A CRITICAL ACCESS FACILITY THAT HAS IDENTIFIED A PRIMARY SERVICE AREA OF SEVERAL COUNTIES INCLUDING NEWAYGO COUNTY, EASTERN OCEANA COUNTY AND EASTERN MUSKEGON COUNTY AS PRIMARY AND NORTHERN KENT COUNTY AND SOUTHERN LAKE COUNTY AS SECONDARY. SPECTRUM HEALTH GERBER MEMORIAL IS THE ONLY MAJOR MEDICAL FACILITY IN THE FACILITY'S PRIMARY SERVICE AREA. FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-GERBER-MEMORIAL/COMMUNITY-RESOURCES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH LUDINGTON: SPECTRUM HEALTH LUDINGTON SERVES A RURAL COMMUNITY LOCATED ON THE COAST OF LAKE MICHIGAN SERVING MASON AND PORTIONS OF OCEANA AND LAKE COUNTIES. AS THE COMMUNITY IS A SEASONAL TOURIST ATTRACTION, THE POPULATION OF THE COMMUNITY SIGNIFICANTLY CHANGES WITH THE SEASONS. A SEASONAL MIGRANT POPULATION IS PRESENT DUE TO AGRICULTURAL EMPLOYMENT OPPORTUNITIES IN THE COMMUNITY. A LARGE PORTION OF THE HOSPITALS PATIENTS ARE COVERED BY EITHER MEDICARE OR MEDICAID. SPECTRUM HEALTH LUDINGTON IS THE ONLY MAJOR MEDICAL FACILITY IN THE FACILITY'S SERVICE AREA. FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-LUDINGTON-HOSPITAL/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH BIG RAPIDS: SPECTRUM HEALTH BIG RAPIDS IS LOCATED IN THE MID-WESTERN PORTION OF THE STATE OF MICHIGAN. THE HOSPITAL SERVES A FIVE COUNTY AREA SURROUNDING MECOSTA COUNTY THAT INCLUDES A LARGE POPULATION WITH LOW INCOME STATUS. ACCORDING TO THE US CENSUS FROM 2012 TO 2016 ROUGHLY 21 PERCENT OF THE POPULATION IN THIS AREA LIVES BELOW THE POVERTY LINE. SPECTRUM HEALTH BIG RAPIDS IS THE ONLY MAJOR MEDICAL FACILITY LOCATED IN THE FACILITY'S SERVICE AREA. FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-BIG-RAPIDS-HOSPITAL/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH REED CITY: SPECTRUM HEALTH REED CITY IS A CRITICAL ACCESS FACILITY THAT HAS IDENTIFIED A PRIMARY SERVICE AREA OF THREE COUNTIES, INCLUDING LAKE, OSCEOLA AND A PORTION OF NORTH CENTRAL MECOSTA COUNTY. OVERALL, THESE COUNTIES HAVE A TOTAL POPULATION OF OVER 78,600 RESIDENTS. OSCEOLA COUNTY IS LOCATED IN NORTHERN MICHIGAN APPROXIMATELY 80 MILES NORTH OF GRAND RAPIDS. THE RURAL COUNTY IS COMPOSED OF SIXTEEN TOWNSHIPS, FOUR VILLAGES, AND TWO CITIES COVERING 566 SQUARE MILES. REED CITY IS THE COUNTY SEAT. THE ONLY MAJOR MEDICAL FACILITY IN OSCEOLA COUNTY IS SPECTRUM HEALTH REED CITY. IN ADDITION, THE HEALTH DEPARTMENT IS A BRANCH OFFICE OF THE CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT. LOCATED WEST OF OSCEOLA COUNTY, LAKE COUNTY IS COMPOSED OF FIFTEEN TOWNSHIPS AND TWO VILLAGES COVERING 567 SQUARE MILES. BALDWIN IS THE COUNTY SEAT. THERE ARE NO MAJOR MEDICAL FACILITIES IN LAKE COUNTY. FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-REED-CITY-HOSPITAL/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTT SPECTRUM HEALTH ZEELAND: SPECTRUM HEALTH ZEELAND HAS IDENTIFIED A PRIMARY SERVICE AREA INCLUSIVE OF MUCH OF OTTAWA COUNTY AND THE SURROUNDING LAKESHORE REGION. OVERALL, THE SERVICE AREA OF SPECTRUM HEALTH ZEELAND HAS A POPULATION OF OVER 280,000. THE HEALTHCARE RESOURCES IN OTTAWA COUNTY INCLUDE SPECTRUM HEALTH ZEELAND, HOLLAND HOSPITAL, AND NORTH OTTAWA COMMUNITY HEALTH SYSTEM. OTTAWA COUNTY OFFERS NUMEROUS HEALTH RELATED SERVICES INCLUDING THREE FREE MEDICAL CLINICS AND A VARIETY OF SERVICES THROUGH NON-PROFIT AGENCIES SUCH AS THE OTTAWA COUNTY HEALTH DEPARTMENT AND OTTAWA COUNTY COMMUNITY MENTAL HEALTH. FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-ZEELAND-COMMUNITY-HOSPITAL/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH KELSEY: SPECTRUM HEALTH KELSEY IS A CRITICAL ACCESS FACILITY THAT SERVES THE MEDICAL NEEDS OF THE RESIDENTS OF LAKEVIEW, MI AND THE FAR-NORTHERN PORTION OF A PRIMARY SERVICE AREA SHARED WITH SPECTRUM HEALTH UNITED, A RELATED ORGANIZATION. THE PRIMARY SERVICE AREA IS COMPRISED OF 19 ZIP CODES SURROUNDING LAKEVIEW, WHERE SPECTRUM HEALTH KELSEY IS LOCATED, AND INCLUDES MONTCALM AND PORTIONS OF ADJACENT COUNTIES THAT SUPPORT A POPULATION OF OVER 100,000 RESIDENTS. THE HEALTHCARE RESOURCES IN SPECTRUM HEALTH KELSEY'S SERVICE AREA INCLUDE SPECTRUM HEALTH UNITED, CARSON CITY HOSPITAL, AND SHERIDAN COMMUNITY HOSPITAL, THE MID-MICHIGAN DISTRICT HEALTH DEPARTMENT, AND CHERRY STREET - MONTCALM AREA HEALTH CENTER. FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-KELSEY-HOSPITAL/COMMUNITY-RESOURCES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH PENNOCK: SPECTRUM HEALTH PENNOCK IS A CRITICAL ACCESS FACILITY LOCATED IN BARRY COUNTY AND IS UNIQUELY LOCATED IN THE MIDDLE OF FOUR (4) LARGER METROPOLITAN AREAS: GRAND RAPIDS, LANSING, KALAMAZOO, AND BATTLE CREEK. THE PRIMARY SERVICE AREA IS IDENTIFIED AS BARRY COUNTY AND SUPPORTS A POPULATION OF RESIDENTS OVER 60,000. SPECTRUM HEALTH PENNOCK IS THE ONLY HOSPITAL WITHIN A 35 MILE RADIUS SERVICING RESIDENTS OF THE COMMUNITY. OTHER HEALTHCARE RESOURCES AVAILABLE IN THE COMMUNITY INCLUDE BOTH INDEPENDENT AND PENNOCK EMPLOYED PHYSICIAN OFFICES, THE BARRY COMMUNITY FREE CLINIC, HEALTH CONNECTIONS CLINIC, AND PENNOCK URGENT CARE CENTER. FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-PENNOCK/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
Schedule H, Part VI, Line 5 Promotion of community health SPECTRUM HEALTH SYSTEM GROUP A,1 - A,10 PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G., OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.): THE BOARD OF DIRECTORS OF EACH FACILITY ON PART V, SECTION A ARE SUBSTANTIALLY COMPOSED OF INDEPENDENT COMMUNITY MEMBERS THAT RESIDE IN THE PRIMARY SERVICE AREA OF THE HOSPITAL. ALL HOSPITALS IN SPECTRUM HEALTH SYSTEM ALSO EXTEND MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SPECTRUM HEALTH SYSTEM INVESTS NET EARNINGS IN IMPROVING PATIENT CARE, BUILDING AND RENOVATING FACILITIES, PURCHASING NEW TECHNOLOGY, PROVIDING HEALTH EDUCATION AND FUNDING COMMUNITY PROGRAMS. PEOPLE THROUGHOUT THE COMMUNITY CAN COUNT ON ALL SPECTRUM HEALTH SYSTEM HOSPITAL FACILITIES TO BE STANDING BY WITH EMERGENCY CARE 24 HOURS A DAY, 365 DAYS A YEAR. THE EMERGENCY DEPARTMENTS ARE STAFFED WITH BOARD-CERTIFIED EMERGENCY CARE PHYSICIANS AND A NURSING STAFF THAT IS TRAINED AND EXPERIENCED IN EMERGENCY CARE. FURTHERMORE, NO PATIENT IS DENIED TREATMENT, REGARDLESS OF THEIR ABILITY TO PAY. A,11 - LAKELAND COMMUNITY HOSPITAL, WATERVLIET, A,12 - LAKELAND HOSPITALS AT ST. JOSEPH AND A,13 - LAKELAND HOSPITALS AT NILES COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS - REPRESENTS ACTIVITIES THAT HELP IMPROVE THE HEALTH AND QUALITY OF LIFE FOR PEOPLE IN THE COMMUNITY. A MAJORITY OF THE BOARD OF DIRECTORS IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SURPLUS FUNDS ARE USED FOR IMPROVEMENTS IN PATIENT CARE. THE PURPOSE OF THE POPULATION HEALTH COMMITTEE OF THE LAKELAND BOARD OF DIRECTORS IS TO APPROVE THE ANNUAL COMMUNITY BENEFITS REPORT. IN ADDITION, THE COMMITTEE WORKS TO PROVIDE STRATEGIC GUIDANCE OVER EFFORTS TO IMPROVE THE HEALTH OF ALL PEOPLE WHO RESIDE IN LAKELAND'S SERVICE AREA, NOT JUST PATIENTS WHO RECEIVE CARE AT A LAKELAND FACILITY. HEALTH PROFESSIONS EDUCATION: LAKELAND PREPARES HEALTH CARE PROFESSIONALS FOR THE FUTURE BY PROVIDING A VARIETY OF TRAINING PROGRAMS AND EDUCATIONAL EXPERIENCES IN CLINICAL SETTINGS FOR UNDERGRADUATE AND GRADUATE STUDENTS, MEDICAL RESIDENTS, AND NURSING AND OTHER ALLIED HEALTH PROFESSIONALS. SPECIFICALLY, FOR OCCUPATIONAL, SPEECH, AND LANGUAGE THERAPIES. CASH AND IN-KIND DONATIONS TO COMMUNITY GROUPS: CASH CONTRIBUTIONS AND IN-KIND DONATIONS ARE DESIGNATED FOR HEALTH CARE RELATED ACTIVITIES PROVIDED BY SOCIAL SERVICE AND COMMUNITY AGENCIES, SUCH AS MEDICAL SUPPORT FOR COMMUNITY EVENTS AND PARTNERS WHO SERVE THE MOST VULNERABLE POPULATIONS. FOR EXAMPLE, LAKELAND COMMUNITY HOSPITAL, WATERVLIET PROVIDED CONFERENCE ROOM SPACE FOR PAW PAW LAKE ROTARY MEETINGS. THIS AMOUNT ALSO INCLUDES LEADERSHIP INVOLVEMENT ON COMMUNITY BOARDS THAT SUPPORT ORGANIZATIONS AND THEIR EFFORTS ON BEHALF OF VULNERABLE POPULATIONS. FOR EXAMPLE, WATERVLIET LEADERSHIP IS INVOLVED ON A VARIETY OF BOARDS AND/OR COMMITTEES, INCLUDING THE AREA AGENCY ON AGING, THE CASS FAMILY CLINIC NETWORK BOARD, AND CENTER[ED] ON WELLNESS. FINANCIAL ASSISTANCE: FREE OR DISCOUNTED CARE THAT LAKELAND OFFERS TO PEOPLE WHO ARE UNABLE TO PAY FOR THEIR OWN CARE AND NOT ELIGIBLE FOR PUBLIC PROGRAMS. IN ACCORDANCE WITH IRS REQUIREMENTS, BELOW IS A SUMMARY OF THE IMPACT OF THE IMPLEMENTATION STRATEGY THAT WAS UNDERTAKEN TO ADDRESS THE PRIORITY HEALTH NEEDS IDENTIFIED IN THE 2019 - 2021 CHNA. * INCREASED MENTAL HEALTH AWARENESS AND COMMUNITY CAPACITY TO ADDRESS MENTAL HEALTH CONCERNS. MENTAL HEALTH-RELATED TRAININGS WERE PROVIDED. A COMPREHENSIVE MENTAL HEALTH-RELATED CURRICULUM WAS DEVELOPED AND IS BEING DELIVERED THROUGH A REGIONAL MULTI-STAKEHOLDER COLLECTIVE IMPACT INITIATIVE. MENTAL ILLNESS IS LESS STIGMATIZED AS EVIDENCED BY THE SIGNIFICANT INCREASE IN THE NUMBER OF COMMUNITY MEMBERS AND ORGANIZATIONS SEEKING EDUCATION AND TRAINING.
Schedule H, Part VI, Line 6 Affiliated health care system IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED: SPECTRUM HEALTH IS AN INTEGRATED NOT-FOR-PROFIT HEALTH SYSTEM IN WEST MICHIGAN OFFERING A FULL CONTINUUM OF CARE THROUGH THE SPECTRUM HEALTH HOSPITAL GROUP, WHICH IS COMPRISED OF FOURTEEN HOSPITALS INCLUDING HELEN DEVOS CHILDREN'S HOSPITAL, A STATE OF THE ART CHILDREN'S HOSPITAL AND LAKELAND REGIONAL HEALTH SYSTEM, WHICH INTEGRATED INTO THE SPECTRUM HEALTH SYSTEM IN OCTOBER 2018 AND IS INCLUDED IN THE 2020 990 GROUP RETURN FILING FOR THE FIRST TIME.THE SPECTRUM HEALTH HOSPITAL GROUP INCLUDES MORE THAN 150 AMBULATORY SERVICE SITES (INCLUDING LAKELAND REGIONAL HEALTH SYSTEM SITES); THE SPECTRUM HEALTH MEDICAL GROUP PHYSICIAN GROUP; AND PRIORITY HEALTH, A HEALTH PLAN WITH OVER 920,000 MEMBERS. SPECTRUM HEALTH IS WEST MICHIGAN'S LARGEST EMPLOYER WITH MORE THAN 31,000 EMPLOYEES (INCLUDING LAKELAND REGIONAL HEALTH SYSTEM) AND OVER 2,300 VOLUNTEERS. THE INTEGRATED HEALTH SYSTEM (INCLUDING LAKELAND REGIONAL HEALTH SYSTEM) PROVIDED OVER $542 MILLION IN COMMUNITY BENEFIT DURING ITS 2020 TAX YEAR COVERING JANUARY 1 - DECEMBER 31, 2020. THE $542 MILLION IN COMMUNITY BENEFIT INCLUDES COMMUNITY BENEFIT ACTIVITIES BY THE FACILITIES INCLUDED ON SCHEDULE H HOSPITALS AS WELL AS COMMUNITY BENEFIT ACTIVITIES OF OTHER ORGANIZATION ACROSS THE INTEGRATED HEALTH SYSTEM (INCLUDING LAKELAND REGIONAL HEALTH SYSTEM). EACH HOSPITAL FACILITY INCLUDED ON PART V; SECTION A IS A MEMBER OF THE AFFILIATED GROUP OF ENTITIES WITHIN SPECTRUM HEALTH. EACH HOSPITAL FACILITY IS RESPONSIBLE FOR CREATING VALUE WITHIN ITS RESPECTIVE COMMUNITY. FROM ITS INCEPTION, SPECTRUM HEALTH HAS BEEN A FAITHFUL STEWARD OF ITS COMMUNITY ASSETS. AS A WEST MICHIGAN-BASED NOT-FOR-PROFIT HEALTH SYSTEM, THE ORGANIZATION INVESTS ITS NET EARNINGS TO IMPROVE PATIENT CARE, BUILD AND RENOVATE FACILITIES, PURCHASE NEW TECHNOLOGY, PROVIDE HEALTH EDUCATION AND FUND LOCAL COMMUNITY PROGRAMS. SPECTRUM HEALTH ADOPTED A NEW MISSION IN 2019 - TO IMPROVE HEALTH, INSPIRE HOPE AND SAVE LIVES IT IS CENTRAL TO OUR STRATEGIC DISCUSSIONS AND GUIDES OUR INVESTMENTS AND THE ALLOCATION OF OUR RESOURCES. SPECTRUM HEALTH IS COMMITTED TO PROVIDING VALUE TO THE PEOPLE WE SERVE. "VALUE" MEANS ACCESS TO HIGH-QUALITY HEALTH CARE AT AFFORDABLE COSTS, AS WELL AS ACCESS TO THE FULL CONTINUUM OF HEALTH CARE SERVICES, FROM HEALTH INSURANCE TO OUTPATIENT CARE TO INPATIENT AND HOME CARE, AND EVERYTHING IN BETWEEN. SPECTRUM HEALTH HAS HUNDREDS OF PROGRAMS THAT SUPPORT ITS MISSION "TO IMPROVE HEALTH, INSPIRE HOPE AND SAVE LIVES." THESE PROGRAMS ARE BROUGHT TOGETHER UNDER TEN KEY AREAS: HEALTHIER COMMUNITIES, EDUCATION, INCLUSION AND DIVERSITY, COMMUNITY ENGAGEMENT, RESEARCH, INNOVATION, EMPLOYEE ENGAGEMENT, SUSTAINABILITY, REGIONAL RELATIONSHIPS AND COMMUNITY BENEFIT.
Schedule H, Part VI, Line 7 State filing of community benefit report MI
Schedule H (Form 990) 2020
Additional Data


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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
Spectrum Health System Group Return
 
Employer identification number
61-1740292
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) SPECTRUM HEALTH SYSTEM
100 MICHIGAN ST NE
GRAND RAPIDS,MI49503 		38-3382353 501(C)(3) 770,872       GENERAL SUPPORT
(2) CHERRY STREET HEALTH SERVICES
550 CHERRY ST SE
GRAND RAPIDS,MI49503 		38-2853534 501(C)(3) 320,000       INCREASED ACCESS DENTAL SERVICES
(3) EXALTA HEALTH
15 ANDRE ST
GRAND RAPIDS,MI49503 		38-3273825 501(C)(3) 200,000       BREAKING WELLNESS BARRIERS & COVID RELIEF STABILITY FUNDS
(4) GRAND RAPIDS AFRICAN AMERICAN HEALTH INSTITUTE
515 MICHIGAN NE
GRAND RAPIDS,MI49503 		06-1658200 501(C)(3) 156,870       BLACK MALE DIABETES EMPOWERMENT NETWORK & STRONG FATHERS
(5) ROBERT WOOD JOHNSON FOUNDATION
50 COLLEGE RD E
PRINCETON,NJ08540 		22-6029397 501(C)(3) 127,936       CULTURE OF HEALTH AND EVALUATION
(6) ARBOR CIRCLE CORPORATION
1115 BALL NE
GRAND RAPIDS,MI49505 		38-3263853 501(C)(3) 117,880       FAMILIAS FUERTES Y SALUDABLES (FFS) (STRONG & HEALTHY FAMILIES) & COVID RELIEF STABILITY FUNDING
(7) HEALTHNET OF WEST MI DBA KENT HEALTH PLAN
620 CENTURY AVE SW
STE 210
GRAND RAPIDS,MI49503 		38-3609504 501(C)(3) 105,000       FITKIDS360 & COVID RELIEF STABILITY FUNDING
(8) IFF
3011 WEST GRAND BOULEVARD
SUITE 1715
DETROIT,MI48202 		36-3656836 501(C)(3) 100,000       EXPANDING HIGH-QUALITY, REPLICABLE, EARLY CHILDHOOD EDUCATION CENTER OPTIONS IN GRAND RAPIDS
(9) LINCUP
1167 MADISON AVE SE
GRAND RAPIDS,MI49507 		38-3537915 501(C)(3) 90,000       SOUTH SIDE AFFORDABLE HOUSING PROJECT
(10) WEST MI CENTER FOR ARTS AND TECHNOLOGY
98 E FULTON ST
GRAND RAPIDS,MI49503 		74-3120354 501(C)(3) 90,000       WORKFORCE UNIVERSITY
(11) ACCESS OF WEST MICHIGAN
2850 KALAMAZOO SE
GRAND RAPIDS,MI49506 		38-3195190 501(C)(3) 85,000       NUTRITIONAL OPTIONS FOR WELLNESS PROGRAM
(12) COMMUNITY FOOD CLUB
1100 SOUTH DIVISION
GRAND RAPIDS,MI49507 		82-2265189 501(C)(3) 85,000       COMMUNITY FOOD CLUB
(13) CATHERINES HEALTH CENTER
1211 LAFAYETTE NE
GRAND RAPIDS,MI49506 		20-3572418 501(C)(3) 80,000       IMPROVING HEALTH EQUITY BY REMOVING BARRIERS TO CARE & COVID RELIEF STABILITY FUNDING
(14) FAMILY FUTURES
678 FRONT AVE NW
SUITE 210
GRAND RAPIDS,MI49504 		38-2605028 501(C)(3) 63,161       TARGETED IMMUNIZATION OUTREACH & INTERPRETATION SERVICES
(15) REGION IV AREA ON AGING
2900 LAKEVIEW AVENUE
ST JOSEPH,MI49085 		38-2332594 501(C)(3) 60,000       GENERAL SUPPORT
(16) ROOSEVELT PARK MINISTRIES
1530 GRANDVILLE AVE SW
GRAND RAPIDS,MI49503 		38-3305940 501(C)(3) 60,000       COVID RELIEF STABILITY FUNDING-PUERTAS ABIERTAS
(17) CENTERED ON WELLNESS
1850 COLFAX AVENUE
BENTON HARBOR,MI49022 		38-2032501 501(C)(3) 50,000       GENERAL SUPPORT
(18) HEALTHY HOMES COALITION
742 FRANKLIN ST SE
GRAND RAPIDS,MI49507 		20-5326650 501(C)(3) 50,000       BREATHE EASY ASTHMA PROJECT
(19) MICHIGAN'S GREAT SOUTHWEST STRATEGIC LEADERSHIP COUNCIL
175 W MAIN STREET
BENTON HARBOR,MI49022 		81-1493607 501(C)(3) 50,000       GENERAL SUPPORT
(20) BERRIEN COMMUNITY FOUNDATION
2900 S STATE STREET
SUITE 2E
ST JOSEPH,MI49085 		38-6057160 501(C)(3) 45,435       GENERAL SUPPORT
(21) CITY OF NILES
333 N 2ND STREET
NILES,MI49120 		38-6004720 CITY OF NILES 45,000       GENERAL SUPPORT
(22) AFRICAN RESOURCE CENTER OF WEST MICHIGAN
950 28TH ST SE
STE 105E
GRAND RAPIDS,MI49508 		46-4969773 501(C)(3) 40,000       FUTURENOW! TUTORING PROJECT
(23) BAXTER COMMUNITY CENTER
935 BAXTER ST SE
GRAND RAPIDS,MI49506 		23-7076806 501(C)(3) 40,000       FULL DAY SCHOOL AGE CARE AND ACADEMIC SUPPORT
(24) GRAND RAPIDS YOUTH COMMONWEALTH (DBA BOYS & GIRLS CLUB)
235 STRAIGHT AVE NW
GRAND RAPIDS,MI49504 		38-0593958 501(C)(3) 40,000       LEARNING ASSISTANCE PROGRAM
(25) FAMILY OUTREACH CENTER INC
1939 DIVISION AVE
GRAND RAPIDS,MI49507 		38-2272711 501(C)(3) 40,000       COVID RELIEF STABILITY FUNDING
(26) GRABB LOCAL INC
2012 EASTERN AVE SE
GRAND RAPIDS,MI49507 		83-2022454 501(C)(3) 40,000       GRABB RELIEF AND RESILIENCE
(27) MICHIGAN BLACK EXPO INC
101 SOUTH DIVISION AVE
SUITE 215
GRAND RAPIDS,MI49503 		38-3297241 501(C)(3) 40,000       GRASSROOTS UP (GRUP) INITIATIVE
(28) GRANDVILLE AVENUE ARTS & HUMANITIES
644 GRANDVILLE AVE SW
GRAND RAPIDS,MI49503 		38-3482546 501(C)(3) 40,000       AFTER SCHOOL ARTS AND LIBRARY
(29) KINGDOM LIFE MINISTRIES
2317 KALAMAZOO AVE SE
GRAND RAPIDS,MI49507 		26-0228233 501(C)(3) 40,000       DEBORAH HOUSE PROJECT
(30) MEL TROTTER MINISTRIES
225 COMMERCE SW
GRAND RAPIDS,MI49503 		38-1410467 501(C)(3) 40,000       PUBLIC INEBRIATE SHELTER PROGRAM
(31) NEW CITY KIDS INC
936 ALPINE AVE
GRAND RAPIDS,MI49504 		22-3529691 501(C)(3) 40,000       NEW CITY KIDS ACADEMY
(32) NORTH KENT CONNECT
10075 NORTHLAND DR NE
ROCKFORD,MI49341 		38-2066893 501(C)(3) 40,000       RELIEF AND STABILITY FOR RURAL COMMUNITIES
(33) THE SOURCE
1409 BUCHANAN AVE SW
GRAND RAPIDS,MI49507 		20-4903571 501(C)(3) 40,000       STAY SAFE TO WORK SAFE PROJECT
(34) THE STORE HOUSE
4411 PLAINFIELD AVE NE
GRAND RAPIDS,MI49525 		81-4354698 501(C)(3) 40,000       COVID RELIEF STABILITY FUNDING
(35) WEST MICHIGAN HISPANIC CHAMBER OF COMMERCE FOUNDATION
2007 DIVISION AVENUE SOUTH
GRAND RAPIDS,MI49507 		27-5303783 501(C)(3) 40,000       TRANSFORMANDO WEST MICHIGAN UNITY FUND
(36) NATIONAL KIDNEY FOUNDATION
1169 OAK VALLEY DRIVE NE
ANN ARBOR,MI48108 		38-1559941 501(C)(3) 35,000       PROGRAMA DE PREVENCION DE LA DIABETES
(37) YMCA
475 LAKE MICHIGAN DR NW
GRAND RAPIDS,MI49503 		38-1358058 501(C)(3) 35,000       CHRONIC DISEASE PREVENTION THROUGH THE YMCA WEIGHT LOSS PROGRAM AND COMMUNITY FITNESS CLASSES
(38) MIGRANT LEGAL AID INC (DBA MICHIGAN MIGRANT LEGAL ASSISTANCE PROJECT INC)
1104 FULLER AVE NE
GRAND RAPIDS,MI49503 		38-2010346 501(C)(3) 32,500       UNIDOS CONTRA EL COVID
(39) BERRIEN ROSA
711 SAINT JOSEPH AVENUE
BERRIEN SPRINGS,MI49103 		38-1714920 501(C)(3) 30,000       GENERAL SUPPORT
(40) HEART OF WEST MICHIGAN UNITED WAY
118 COMMERCE AVE SW
GRAND RAPIDS,MI49503 		38-1360923 501(C)(3) 30,000       ENTF FOOD AND NUTRITION COALITION DATA-STORY CAPACITY BUILDING
(41) URBAN CORE COLLECTIVE
413 HALL ST SE
GRAND RAPIDS,MI49507 		46-5227869 501(C)(3) 30,000       QUALITATIVE ENGAGEMENT WITH PARENTS AND STUDENTS AROUND SCHOOL ATTENDANCE
(42) KRASEL ART CENTER
707 LAKE BLVD
ST JOSEPH,MI49085 		23-7009281 501(C)(3) 27,750       GENERAL SUPPORT
(43) YMCA
905 N FRONT STREET
NILES,MI49120 		38-1358236 501(C)(3) 26,591       GENERAL SUPPORT
(44) UNITED WAY OF SOUTHWEST MICHIGAN
2015 LAKEVIEW AVENUE
ST JOSEPH,MI49085 		38-1358411 501(C)(3) 25,341       GENERAL SUPPORT
(45) GRAND RAPIDS RED PROJECT
343 ATLAS AVE SE
GRAND RAPIDS,MI49506 		38-3414580 501(C)(3) 25,000       RECOVERY COACHING AND ACCESS TO HEALTHCARE
(46) LAKELAND CARE INC
1234 NAPIER AVENUE
ST JOSEPH,MI49085 		38-3225306   25,000       GENERAL SUPPORT
(47) AMA INTERNATIONAL
2238 TIMBERWOOD DRIVE SE
GRAND RAPIDS,MI49508 		37-1907531 501(C)(3) 24,000       AMA: DELIVERING FOOD AND LOVE FOR ALL- KENT COUNTY
(48) LAKE MICHIGAN COLLEGE
2755 EAST NAPIER AVENUE
BENTON HARBOR,MI49022 		38-2714753 501(C)(3) 20,000       GENERAL SUPPORT
(49) URBAN ROOTS
1316 MADISON AVE SE
GRAND RAPIDS,MI49507 		47-5167474 501(C)(3) 20,000       URBAN ROOTS COMMUNITY MARKET
(50) WELL HOUSE
600 CASS SE
GRAND RAPIDS,MI49503 		38-2779457 501(C)(3) 20,000       IMPROVING HEALTH THROUGH HEALTHY FOOD ACCESS, EDUCATION AND WORK
(51) SENIOR NEIGHBORS
678 FRONT ST NW
STE 205
GRAND RAPIDS,MI49504 		23-7195491 501(C)(3) 15,000       VIRTUAL CONNECTION
(52) AREA AGENCY ON AGING OF WEST MICHIGAN
3215 EAGLECREST DRIVE NE
GRAND RAPIDS,MI49525 		38-2058542 501(C)(3) 8,520       VIRTUAL SUPPORT GROUP FOR FAMILY CAREGIVERS
(53) LA CASA DE LA COBIJA
2355 S DIVISION AVE
GRAND RAPIDS,MI49507 		81-1967847 501(C)(3) 6,160       GENERAL SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
51
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
2
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2020

Schedule I (Form 990) 2020
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) SCHOLARSHIPS 53 11,100 150,857 N/A N/A
(2) GRANTS TO ASSOCIATES IN NEED 9 0 6,516 N/A N/A
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Spectrum Health only provides grants to organizations that have a mission and values that closely align with the mission and values of Spectrum Health. Spectrum Health focuses on providing grants to organizations that improve the health of the underserved in the community and/or organizations that increase access to health care. Recipients receiving grants greater than $25,000 are required to submit to Spectrum Health quarterly itemized financial reports. For grants less than $25,000 Spectrum Health documents the restriction of the funds for specific programs that support the underserved or increase access to health care. The purpose of not requesting financial reports for smaller gifts is due to the significant level of effort that it would impose upon the community organizations who often have limited resources to provide the documentation. Spectrum Health provides scholarships to local high school or college students pursuing medical careers. To be eligible for the scholarship students must provide academic transcripts and/or letter of acceptance from an accredited college. Scholarship funds are paid directly to the student's college.
Schedule I (Form 990) 2020



Additional Data


Software ID: 20011424
Software Version: 2020v4.0


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Graphic Arrow Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
Spectrum Health System Group Return
 
Employer identification number

61-1740292
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2020

Schedule J (Form 990) 2020
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1BRANDI SMITH
 
See Schedule O 		(i)

(ii)		 124,418
-------------
0 		17,654
-------------
0 		20,862
-------------
0 		6,871
-------------
0 		14,135
-------------
0 		183,940
-------------
0 		0
-------------
0
2CHRISTINA FREESE DECKER
 
See Schedule O 		(i)

(ii)		 0
-------------
1,347,427 		0
-------------
1,109,422 		0
-------------
30,400 		0
-------------
798,238 		0
-------------
236,092 		0
-------------
3,521,579 		0
-------------
616,186
3GWEN SANDEFUR
 
See Schedule O 		(i)

(ii)		 293,045
-------------
1,500 		1,425,099
-------------
0 		557,809
-------------
0 		206,237
-------------
0 		108,614
-------------
0 		2,590,804
-------------
1,500 		1,220,323
-------------
0
4JOAN A BUDDEN
 
See Schedule O 		(i)

(ii)		 0
-------------
884,825 		0
-------------
619,389 		0
-------------
9,387 		0
-------------
329,125 		0
-------------
126,586 		0
-------------
1,969,312 		0
-------------
350,560
5DARRYL ELMOUCHI MD
 
See Schedule O 		(i)

(ii)		 834,495
-------------
0 		559,801
-------------
0 		25,946
-------------
0 		363,002
-------------
0 		143,203
-------------
0 		1,926,447
-------------
0 		311,750
-------------
0
6LOREN HAMEL MD
 
See Schedule O 		(i)

(ii)		 0
-------------
679,931 		0
-------------
401,088 		0
-------------
25,072 		0
-------------
247,848 		0
-------------
107,800 		0
-------------
1,461,739 		0
-------------
196,357
7BRIAN BRASSER
 
See Schedule O 		(i)

(ii)		 465,144
-------------
0 		128,275
-------------
0 		7,923
-------------
0 		153,444
-------------
0 		78,391
-------------
0 		833,177
-------------
0 		48,428
-------------
0
8JASON SLAIKEU MD
 
See Schedule O 		(i)

(ii)		 533,292
-------------
0 		79,448
-------------
0 		7,435
-------------
0 		21,375
-------------
0 		20,322
-------------
0 		661,872
-------------
0 		0
-------------
0
9LOWELL HAMEL MD
 
See Schedule O 		(i)

(ii)		 448,187
-------------
0 		55,300
-------------
0 		64,378
-------------
0 		16,945
-------------
0 		12,975
-------------
0 		597,785
-------------
0 		0
-------------
0
10Chad Tuttle
 
See Schedule O 		(i)

(ii)		 326,566
-------------
0 		96,513
-------------
0 		2,371
-------------
0 		68,942
-------------
0 		59,192
-------------
0 		553,584
-------------
0 		28,020
-------------
0
11Ron Lewis
 
President, SHZ 		(i)

(ii)		 323,180
-------------
0 		84,287
-------------
0 		3,953
-------------
0 		78,148
-------------
0 		63,981
-------------
0 		553,549
-------------
0 		29,590
-------------
0
12Robert Fitzgerald MD
 
See Schedule O 		(i)

(ii)		 428,282
-------------
0 		37,063
-------------
0 		15,705
-------------
0 		25,650
-------------
0 		32,080
-------------
0 		538,780
-------------
0 		0
-------------
0
13Andrea Leslie
 
See Schedule O 		(i)

(ii)		 304,152
-------------
0 		77,220
-------------
0 		2,875
-------------
0 		93,382
-------------
0 		59,183
-------------
0 		536,812
-------------
0 		25,929
-------------
0
14PAUL KONOPACKI
 
See Schedule O 		(i)

(ii)		 0
-------------
305,558 		0
-------------
52,442 		0
-------------
860 		0
-------------
90,549 		0
-------------
58,061 		0
-------------
507,470 		0
-------------
0
15Brian Phillips
 
Treasurer, SHMG - Part Year 		(i)

(ii)		 369,439
-------------
0 		36,843
-------------
0 		12,008
-------------
0 		31,350
-------------
0 		19,588
-------------
0 		469,228
-------------
0 		0
-------------
0
16MARY ANN PATER
 
See Schedule O 		(i)

(ii)		 0
-------------
295,354 		0
-------------
52,175 		0
-------------
4,610 		0
-------------
57,976 		0
-------------
57,645 		0
-------------
467,760 		0
-------------
0
17Angela Ditmar
 
President, SHP 		(i)

(ii)		 285,389
-------------
0 		48,053
-------------
0 		2,940
-------------
0 		67,102
-------------
0 		49,777
-------------
0 		453,261
-------------
0 		0
-------------
0
18Vicki Weaver
 
President, SHF 		(i)

(ii)		 323,960
-------------
0 		57,546
-------------
0 		17,796
-------------
0 		28,500
-------------
0 		11,910
-------------
0 		439,712
-------------
0 		0
-------------
0
19John Schuen MD
 
See Schedule O 		(i)

(ii)		 328,235
-------------
0 		22,635
-------------
0 		18,846
-------------
0 		32,504
-------------
0 		32,664
-------------
0 		434,884
-------------
0 		0
-------------
0
20TIMOTHY CALHOUN
 
See Schedule O 		(i)

(ii)		 0
-------------
195,689 		0
-------------
116,545 		0
-------------
4,040 		0
-------------
55,028 		0
-------------
45,920 		0
-------------
417,222 		0
-------------
0
21Simin Beg
 
See Schedule O 		(i)

(ii)		 264,360
-------------
0 		20,285
-------------
0 		8,019
-------------
0 		24,485
-------------
0 		23,245
-------------
0 		340,394
-------------
0 		0
-------------
0
22RAY CRUSE
 
See Schedule O 		(i)

(ii)		 253,400
-------------
0 		25,651
-------------
0 		6,939
-------------
0 		14,717
-------------
0 		6,644
-------------
0 		307,351
-------------
0 		0
-------------
0
23Kevin Smith
 
See Schedule O 		(i)

(ii)		 191,224
-------------
0 		42,251
-------------
0 		1,199
-------------
0 		15,272
-------------
0 		21,736
-------------
0 		271,682
-------------
0 		0
-------------
0
24Karen Pakkala
 
See Schedule O 		(i)

(ii)		 208,582
-------------
0 		29,124
-------------
0 		3,067
-------------
0 		15,275
-------------
0 		4,919
-------------
0 		260,967
-------------
0 		0
-------------
0
25Helen Johnson
 
Interim President, SHL - Part Year 		(i)

(ii)		 178,673
-------------
0 		52,958
-------------
0 		3,674
-------------
0 		14,547
-------------
0 		2,000
-------------
0 		251,852
-------------
0 		0
-------------
0
26Shelly Johnson
 
Interim President, SHGM - Part Year 		(i)

(ii)		 136,290
-------------
0 		51,823
-------------
0 		18,553
-------------
0 		10,445
-------------
0 		23,759
-------------
0 		240,870
-------------
0 		0
-------------
0
27Randall Kelley
 
See Schedule O 		(i)

(ii)		 122,616
-------------
0 		58,917
-------------
0 		34,847
-------------
0 		11,005
-------------
0 		8,644
-------------
0 		236,029
-------------
0 		0
-------------
0
28MELINDA GRUBER
 
See Schedule O 		(i)

(ii)		 182,970
-------------
0 		9,225
-------------
0 		7,644
-------------
0 		10,474
-------------
0 		19,541
-------------
0 		229,854
-------------
0 		0
-------------
0
29Drew Dostal
 
See Schedule O 		(i)

(ii)		 119,483
-------------
0 		25,550
-------------
0 		1,085
-------------
0 		1,487
-------------
0 		23,624
-------------
0 		171,229
-------------
0 		0
-------------
0
30MATTHEW COX
 
Director, SHZ - Part Year 		(i)

(ii)		 0
-------------
771,262 		0
-------------
567,640 		0
-------------
22,258 		0
-------------
330,204 		0
-------------
131,466 		0
-------------
1,822,830 		0
-------------
332,341
31JASON JOSEPH
 
Director, SHBR & SHRC - Part Year 		(i)

(ii)		 0
-------------
486,511 		0
-------------
326,489 		0
-------------
3,339 		0
-------------
216,864 		0
-------------
82,721 		0
-------------
1,115,924 		0
-------------
183,392
32PAMELA RIES
 
Director, SHP - Part Year 		(i)

(ii)		 0
-------------
494,360 		0
-------------
353,239 		0
-------------
11,430 		0
-------------
187,220 		0
-------------
69,262 		0
-------------
1,115,511 		0
-------------
203,544
33BEN GIELDA MD
 
See Schedule O 		(i)

(ii)		 624,505
-------------
0 		219,012
-------------
0 		19,518
-------------
0 		14,100
-------------
0 		8,735
-------------
0 		885,870
-------------
0 		0
-------------
0
34MARY ANNE JONES
 
Director, SHU & SHK - Part Year 		(i)

(ii)		 0
-------------
467,288 		0
-------------
137,240 		0
-------------
17,572 		0
-------------
121,471 		0
-------------
92,395 		0
-------------
835,966 		0
-------------
51,946
35SHAWN ULREICH
 
See Schedule O 		(i)

(ii)		 450,032
-------------
0 		125,727
-------------
0 		13,878
-------------
0 		129,216
-------------
0 		77,971
-------------
0 		796,824
-------------
0 		48,037
-------------
0
36JAMES FORSHEE MD
 
See Schedule O 		(i)

(ii)		 500
-------------
423,843 		0
-------------
118,755 		0
-------------
15,683 		0
-------------
64,950 		0
-------------
79,277 		500
-------------
702,508 		0
-------------
41,883
37THOMAS VISSER MD
 
See Schedule O 		(i)

(ii)		 603,270
-------------
0 		34,037
-------------
0 		10,549
-------------
0 		28,500
-------------
0 		24,677
-------------
0 		701,033
-------------
0 		0
-------------
0
38JEFFREY POSTMA
 
DIRECTOR, LCHW 		(i)

(ii)		 604,457
-------------
0 		1,700
-------------
0 		0
-------------
0 		14,100
-------------
0 		18,757
-------------
0 		639,014
-------------
0 		0
-------------
0
39David KRHOVSKY MD
 
See Schedule O 		(i)

(ii)		 394,500
-------------
0 		113,059
-------------
0 		15,100
-------------
0 		19,950
-------------
0 		68,339
-------------
0 		610,948
-------------
0 		44,587
-------------
0
40Melinda Johnson
 
Director, SHMG - Part Year 		(i)

(ii)		 17,607
-------------
0 		80,522
-------------
0 		503,752
-------------
0 		0
-------------
0 		2,574
-------------
0 		604,455
-------------
0 		0
-------------
0
41Kenneth Johnson
 
Director, SHH - Part Year 		(i)

(ii)		 474,566
-------------
0 		81,715
-------------
0 		4,861
-------------
0 		15,675
-------------
0 		27,377
-------------
0 		604,194
-------------
0 		0
-------------
0
42Matthew Denenberg MD
 
See Schedule O 		(i)

(ii)		 390,383
-------------
0 		114,763
-------------
0 		8,672
-------------
0 		15,675
-------------
0 		72,744
-------------
0 		602,237
-------------
0 		47,675
-------------
0
43Jordan Sall
 
See Schedule O 		(i)

(ii)		 489,695
-------------
0 		40,848
-------------
0 		11,154
-------------
0 		17,100
-------------
0 		30,128
-------------
0 		588,925
-------------
0 		0
-------------
0
44Melissa DeNiel
 
See Schedule O 		(i)

(ii)		 419,757
-------------
0 		37,992
-------------
0 		8,127
-------------
0 		25,650
-------------
0 		10,337
-------------
0 		501,863
-------------
0 		0
-------------
0
45Nicole McConnell
 
See Schedule O 		(i)

(ii)		 0
-------------
279,280 		0
-------------
77,475 		0
-------------
2,132 		0
-------------
70,058 		0
-------------
62,233 		0
-------------
491,178 		0
-------------
27,971
46Brett Zimmerman DO
 
Director, SHMG - Part Year 		(i)

(ii)		 386,815
-------------
0 		26,545
-------------
0 		8,127
-------------
0 		25,650
-------------
0 		26,734
-------------
0 		473,871
-------------
0 		0
-------------
0
47Andrew Parsons
 
See Schedule O 		(i)

(ii)		 388,295
-------------
0 		18,217
-------------
0 		7,252
-------------
0 		21,375
-------------
0 		26,595
-------------
0 		461,734
-------------
0 		0
-------------
0
48Charles Brummeler
 
See Schedule O 		(i)

(ii)		 346,689
-------------
0 		30,848
-------------
0 		10,284
-------------
0 		28,500
-------------
0 		30,802
-------------
0 		447,123
-------------
0 		0
-------------
0
49Lee Begrow DO
 
See Schedule O 		(i)

(ii)		 349,875
-------------
0 		20,938
-------------
0 		10,730
-------------
0 		31,350
-------------
0 		22,703
-------------
0 		435,596
-------------
0 		0
-------------
0
50Tricia Baird
 
See Schedule O 		(i)

(ii)		 280,350
-------------
0 		49,037
-------------
0 		1,400
-------------
0 		11,400
-------------
0 		56,310
-------------
0 		398,497
-------------
0 		0
-------------
0
51Annica Waalkes
 
See Schedule O 		(i)

(ii)		 346,875
-------------
0 		16,765
-------------
0 		1,570
-------------
0 		20,261
-------------
0 		1,260
-------------
0 		386,731
-------------
0 		0
-------------
0
52Talawnda Bragg
 
See Schedule O 		(i)

(ii)		 286,996
-------------
0 		21,624
-------------
0 		6,446
-------------
0 		21,375
-------------
0 		19,439
-------------
0 		355,880
-------------
0 		0
-------------
0
53MICHELINO MANCINI
 
See Schedule O 		(i)

(ii)		 218,219
-------------
0 		1,100
-------------
0 		55,292
-------------
0 		7,903
-------------
0 		18
-------------
0 		282,532
-------------
0 		0
-------------
0
54ROBERT NOLAN MD
 
See Schedule O 		(i)

(ii)		 227,737
-------------
0 		1,100
-------------
0 		0
-------------
0 		6,942
-------------
0 		884
-------------
0 		236,663
-------------
0 		0
-------------
0
55DEBRA JOHNSON
 
See Schedule O 		(i)

(ii)		 165,770
-------------
0 		5,106
-------------
0 		21,742
-------------
0 		11,134
-------------
0 		13,557
-------------
0 		217,309
-------------
0 		0
-------------
0
56Stephanie Murray
 
See Schedule O 		(i)

(ii)		 151,778
-------------
0 		20,804
-------------
0 		6,326
-------------
0 		11,381
-------------
0 		26,379
-------------
0 		216,668
-------------
0 		0
-------------
0
57Mary O'Callaghan
 
See Schedule O 		(i)

(ii)		 134,371
-------------
0 		17,584
-------------
0 		8,336
-------------
0 		19,144
-------------
0 		16,922
-------------
0 		196,357
-------------
0 		0
-------------
0
58LESLIE FLAKE
 
SVP, Finance - Hospital & Medical Group 		(i)

(ii)		 504,736
-------------
0 		79,935
-------------
0 		1,304
-------------
0 		55,417
-------------
0 		63,546
-------------
0 		704,938
-------------
0 		0
-------------
0
59Marc Chircop
 
See Schedule O 		(i)

(ii)		 333,180
-------------
0 		253,759
-------------
0 		21,497
-------------
0 		25,588
-------------
0 		14,898
-------------
0 		648,922
-------------
0 		171,698
-------------
0
60Martha Boonstra
 
See Schedule O 		(i)

(ii)		 396,506
-------------
0 		55,799
-------------
0 		12,239
-------------
0 		72,493
-------------
0 		45,134
-------------
0 		582,171
-------------
0 		0
-------------
0
61NORMA TIRADO-KELLENBERGER
 
VP - IT & HR SERVICES, LHNSJ 		(i)

(ii)		 0
-------------
298,124 		0
-------------
53,801 		0
-------------
2,801 		0
-------------
50,353 		0
-------------
63,880 		0
-------------
468,959 		0
-------------
0
62ROBIN SARKAR
 
VP - INFORMATION SERVICES, LHNSJ 		(i)

(ii)		 0
-------------
267,491 		0
-------------
49,028 		0
-------------
6,408 		0
-------------
19,700 		0
-------------
67,401 		0
-------------
410,028 		0
-------------
0
63William Jewell
 
Secretary, SHH - Part Year 		(i)

(ii)		 140,164
-------------
0 		108,086
-------------
0 		21,534
-------------
0 		105,324
-------------
0 		18,675
-------------
0 		393,783
-------------
0 		43,250
-------------
0
64Cara Jansma
 
Secretary, SHH - Part Year 		(i)

(ii)		 241,171
-------------
0 		30,237
-------------
0 		1,469
-------------
0 		13,875
-------------
0 		42,380
-------------
0 		329,132
-------------
0 		0
-------------
0
65NATALIE BAGGIO
 
VP - PATIENT CARE CNE, LHNSJ 		(i)

(ii)		 263,315
-------------
0 		25,433
-------------
0 		0
-------------
0 		9,713
-------------
0 		6,730
-------------
0 		305,191
-------------
0 		0
-------------
0
66KENDALL TROYER
 
See Schedule O 		(i)

(ii)		 227,196
-------------
0 		11,114
-------------
0 		10,985
-------------
0 		12,895
-------------
0 		14,743
-------------
0 		276,933
-------------
0 		0
-------------
0
67WARREN WHITE
 
VP - LAKELAND PHYSICIAN PRACTICES, LHNSJ - PART YEAR 		(i)

(ii)		 180,185
-------------
0 		24,540
-------------
0 		11,947
-------------
0 		12,762
-------------
0 		10,877
-------------
0 		240,311
-------------
0 		0
-------------
0
68KENNETH O'NEILL
 
VP - CLINICAL INTEGRATION, LHNSJ 		(i)

(ii)		 156,403
-------------
0 		11,677
-------------
0 		0
-------------
0 		12,700
-------------
0 		15,560
-------------
0 		196,340
-------------
0 		0
-------------
0
69LYNN Todman
 
VP - HEALTH EQUITY, LHNSJ 		(i)

(ii)		 171,337
-------------
0 		1,700
-------------
0 		11,381
-------------
0 		5,692
-------------
0 		669
-------------
0 		190,779
-------------
0 		0
-------------
0
70ROBERT CONNORS
 
President, HDVCH, SHH - Part Year 		(i)

(ii)		 36,761
-------------
0 		231,654
-------------
0 		551,508
-------------
0 		0
-------------
0 		1,514
-------------
0 		821,437
-------------
0 		0
-------------
0
71DOMINIC SANFILIPPO
 
Interim President, HDVCH, SHH - Part Year 		(i)

(ii)		 553,714
-------------
0 		126,572
-------------
0 		20,203
-------------
0 		55,866
-------------
0 		27,011
-------------
0 		783,366
-------------
0 		0
-------------
0
72Hossain Marandi
 
President, HDVCH, SHH 		(i)

(ii)		 182,814
-------------
0 		30,550
-------------
0 		12,363
-------------
0 		2,996
-------------
0 		30,511
-------------
0 		259,234
-------------
0 		0
-------------
0
73THOMAS POW
 
PHYSICIAN, LHNSJ 		(i)

(ii)		 833,000
-------------
0 		659,406
-------------
0 		1,862
-------------
0 		16,950
-------------
0 		22,017
-------------
0 		1,533,235
-------------
0 		0
-------------
0
74DILIP ARORA
 
PHYSICIAN, LHNSJ 		(i)

(ii)		 833,001
-------------
0 		444,997
-------------
0 		18,640
-------------
0 		16,950
-------------
0 		18,054
-------------
0 		1,331,642
-------------
0 		0
-------------
0
75CHARLES SHERRY
 
Section Chief - Orthopedic Surgery, SHMG 		(i)

(ii)		 1,125,858
-------------
0 		59,764
-------------
0 		8,065
-------------
0 		21,375
-------------
0 		32,031
-------------
0 		1,247,093
-------------
0 		0
-------------
0
76JEROME KUHNLEIN
 
PHYSICIAN, LHNSJ 		(i)

(ii)		 816,981
-------------
0 		373,893
-------------
0 		16,524
-------------
0 		16,950
-------------
0 		18,054
-------------
0 		1,242,402
-------------
0 		0
-------------
0
77KENDALL HAMILTON
 
Section Chief, Orthopedic Surgery - Sports Medicine, SHMG 		(i)

(ii)		 1,082,050
-------------
0 		59,791
-------------
0 		7,746
-------------
0 		17,100
-------------
0 		27,363
-------------
0 		1,194,050
-------------
0 		0
-------------
0
78SETH WOLK MD
 
Former President, SHMG 		(i)

(ii)		 0
-------------
0 		0
-------------
1,148,766 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
1,148,766 		0
-------------
1,148,766
79Douglas Welday
 
See Schedule O 		(i)

(ii)		 0
-------------
0 		0
-------------
578,942 		0
-------------
1,747 		0
-------------
0 		0
-------------
0 		0
-------------
580,689 		0
-------------
578,942
80Mary Kay Vandriel
 
See Schedule O 		(i)

(ii)		 318,682
-------------
0 		51,252
-------------
0 		5,701
-------------
0 		48,635
-------------
0 		53,651
-------------
0 		477,921
-------------
0 		0
-------------
0
81Scott Davis
 
Former Treasurer, SHCC 		(i)

(ii)		 0
-------------
93,293 		0
-------------
58,687 		0
-------------
245,760 		0
-------------
0 		0
-------------
5,724 		0
-------------
403,464 		0
-------------
0
82Sheryl Lewis-Blake
 
Former President, SHP 		(i)

(ii)		 0
-------------
0 		260,213
-------------
0 		1,958
-------------
0 		0
-------------
0 		0
-------------
0 		262,171
-------------
0 		260,213
-------------
0
83Douglas Apple MD
 
Former Interim President, SHMG 		(i)

(ii)		 -1
-------------
0 		2,306
-------------
0 		137,556
-------------
0 		0
-------------
0 		0
-------------
0 		139,861
-------------
0 		2,306
-------------
0
Schedule J (Form 990) 2020

Schedule J (Form 990) 2020
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 1a First-class or charter travel The organization has provided first class travel and/or charter travel for certain executive employees and/or board members in limited situations. First class and/or charter travel is utilized when commercial air travel was not available for a destination, or not efficient due to schedules and/or connections, and also for bi-annual board retreat travel. In limited situations where first class travel was utilized, it was paid for as part of a corporate award airline mileage program at no additional cost to the organization. To the extent the benefit is deemed reportable, it is treated as taxable compensation in a 1099 or W-2 to the recipient.
Schedule J, Part I, Line 1a Health or social club dues or initiation fees The organization provided health club dues for four executive employees. These amounts were treated as taxable compensation and included in Form W-2.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The organization provided health club dues for twelve executive employees. These amounts were treated as taxable compensation and included in Form W-2.
Schedule J, Part I, Line 4a Severance or change-of-control payment $137,556 Douglas Apple $538,760 Robert Connors $245,678 Scott Davis $452,840 Melinda Johnson $479,398 Gwen Sandefur
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan $2,306 Doug Apple $48,428 Brian Brasser $350,561 Joan Budden $171,698 Marc Chircop $332,341 Matthew Cox $47,675 Matthew Denenberg $311,750 Darryl Elmouchi $41,883 James Forshee $616,186 Christina Freese Decker $43,250 William Jewell $51,946 Mary Anne Jones $183,392 Jason Joseph $44,587 David Krhovsky $25,929 Andrea Leslie $29,590 Ron Lewis $260,213 Sheryl Lewis-Blake $27,971 Nicole McConnell $203,544 Pamela Ries $1,220,323 Gwen Sandefur $28,020 Chad Tuttle $48,037 Shawn Ulreich $578,942 Douglas Welday $1,148,766 Seth Wolk SCHEDULE J, PART I, LINE 4B IS ANSWERED "YES" BECAUSE CERTAIN INDIVIDUALS, DO "PARTICIPATE IN" SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN(S). SOME INDIVIDUALS RECEIVED DISTRIBUTIONS DURING THE YEAR (AS REPORTED ON THIS LINE) WHEREAS OTHERS PARTICIPATED IN THE PLAN(S) BUT DID NOT RECEIVE DISTRIBUTIONS. DISTRIBUTIONS REPORTED ON THIS LINE ARE ALSO INCLUDED IN SCHEDULE J, PART II, COLUMN F AS COMPENSATION REPORTED IN A PRIOR YEAR WHILE ALSO BEING REPORTED IN THE CURRENT 990 AS TOTAL COMPENSATION. The nonqualified retirement plans are an industry standard and are subject to the funding requirements of nonqualified deferred compensation plans under ERISA and federal tax regulations.
Schedule J, Part I, Line 7 Non-fixed payments SCHEDULE J, PART I, LINE 7, IS ANSWERED "YES" BECAUSE CERTAIN INDIVIDUALS, WHOSE SALARY AND BENEFITS ARE PAID BY THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION, RECEIVED A NON-FIXED PAYMENT DURING THE YEAR. THE NON-FIXED PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN C.
Schedule J (Form 990) 2020

Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
Spectrum Health System Group Return
 
Employer identification number
61-1740292
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A Kent Hospital Finance Authority (2011AB)
  		38-2350002 490580DQ7 06-22-2011 212,859,639 2005B & 2008B1 Revenue Refunding Bonds   X   X   X
B Kent Hospital Finance Authority (2008C)
  		38-2350002 490580CY1 09-09-2008 67,200,000 1998B Refunding Bond   X   X X  
C Kent Hospital Finance Authority (2012A)
  		38-2350002 000000000 10-24-2018 56,490,000 2012A Revenue refunding Bonds - reissued (2008A1 & 2008B2 Revenue Refunding Bonds)   X   X   X
D Kent Hospital Finance Authority (2008A & 2008B)
  		38-2350002 490580CW5 04-15-2008 471,211,001 2001B, 2007A & 2007B Refunding Bond   X   X   X
Kent Hospital Finance Authority (2014AB)
  		38-2350002 000000000 01-15-2014 111,850,000 2008A2 ZCH 2010 Gerber 2002&2007 Revenue Refunding Bonds   X   X X  
Kent Hospital Finance Authority (2015A)
  		38-2350002 490580EG8 01-13-2015 78,400,000 Revenue Refunding Bonds   X   X   X
Kent Hospital Finance Authority (2017A)
  		38-2350002 000000000 03-21-2019 56,490,000 Revenue Refunding Bonds (2017A Reissuance)   X   X   X
Hospital Authority of The City of St Joseph (MI)
  		38-3151499 790678CC8 12-17-2003 41,525,000 REFUND BONDS ISSUED 1/13/1994 AND FACILITY CONSTRUCTION AND IMPROVEMENTS   X   X   X
Hospital Authority of The City of St Joseph (MI)
  		38-3151499 790678CD6 01-26-2006 50,000,000 FACILITY CONSTRUCTION AND IMPROVEMENTS   X   X   X
Hospital Authority of The City of St Joseph (MI)
  		38-3151499 000000000 09-06-2012 8,500,000 NEW FACILITY CONSTRUCTION   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 120,824,639 38,700,000 0 421,211,001
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 212,859,639 67,200,000 56,490,000 471,211,001
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 13,556,465
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 1,359,065 0 0 2,528,820
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 50,000,574 0 0 0
11 Other spent proceeds ............. 161,500,000 67,200,000 56,490,000 455,125,716
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2011 2008 2012 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2019, a current refunding issue)? ........ 		X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2019, an advance refunding issue)? ........ 		  X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2020

Schedule K (Form 990) 2020
Page 2
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X   X   X
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......               X
b Exception to rebate? ........             X  
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X   X   X  
Schedule K (Form 990) 2020

Schedule K (Form 990) 2020
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... UBS AG
  		 
  		 
  		UBS AG
 
c Term of hedge ......... 2890 %     2800 %
d Was the hedge superintegrated? ......   X           X
e Was the hedge terminated? ........   X           X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... CITIGROUP GLOBAL MA
  		 
  		 
  		 
 
c Term of GIC ......... 300 % 0 %    
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........ X              
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Schedule K, Part I Tax Exempt Bonds BONDS ARE ISSUED ON BEHALF OF AN OBLIGATED GROUP AND DESIGNATED AFFILIATES UNDER the 1998 Master Trust Indenture (MTI). ALL OBLIGATED GROUP MEMBERS AND/OR DESIGNATED AFFILIATES ARE PART OF THE SAME HEALTH SYSTEM AND ARE TAX-EXEMPT 501(C)(3) CHARITABLE ORGANIZATIONS. THE 2017A BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: *SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) THE 2015a BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: *SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) THE 2014AB BOND IS ATTRIBUTABLE TO THREE LEGAL ENTITIES WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: *SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) *NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION (EIN 38-1359517) *ZEELAND COMMUNITY HOSPITAL (EIN 38-1411184) THE 2012A BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: * SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) THE 2011AB BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: * SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) THE 2008C BOND IS ATTRIBUTABLE TO FOUR LEGAL ENTITIES WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: * SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) * SPECTRUM HEALTH CONTINUING CARE CENTER (EIN 38-2415333) * SPECTRUM HEALTH CONTINUING CARE (EIN 38-3242232) * SPECTRUM HEALTH WORTH SERVICES (EIN 38-2786617) THE 2008AB BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: * SPECTRUM HEALTH HOSPITALS (EIN 38-1360529)
Schedule K, Part I, Column (a) RECONCILIATION OF BOND PROCEEDS - LINE 8 TOTAL ISSUED PROCEEDS: 41,643,043 MINUS ISSUANCE COSTS: 193,091 MINUS WORKING CAPITAL EXPENDITURES: 31,392,506 EQUALS CAPITAL EXPENDITURES FROM PROCEEDS: 10,057,446
Schedule K, Part I, Column (b) RECONCILIATION OF BOND PROCEEDS - LINE 9 TOTAL PROCEEDS ISSUED: 52,613,405 MINUS ISSUANCE COSTS: 467,500 MINUS WORKING CAPITAL EXPENDITURES: 1,012,738 EQUALS CAPITAL EXPENDITURES FROM PROCEEDS: 51,133,167
Schedule K, Part I BOND ISSUE A - LINE 10 THE $8.5 MILLION BOND ISSUE WAS A DIRECT PURCHASE BOND BY J.P. MORGAN CHASE. BOND PROCEEDS WERE DRAWN DURING CONSTRUCTION PERIOD TO BUILD A NEW FACILITY.
Schedule K, Part II BOND PROCEEDS RECONCILIATION - LINE 10 ISSUE PRICE OF BONDS: 8,500,000 SUBTRACT OUT ISSUE COSTS FROM PROCEEDS: 105,875 EQUALS EXPENDITURES FROM PROCEEDS: 8,394,125
Schedule K, Part IV, Line 2c COLUMN A Issuer name: Kent Hospital Finance Authority (2011AB) The calculation for computing no rebate due was performed on 08/13/2012
Schedule K, Part IV, Line 2c COLUMN B Issuer name: Kent Hospital Finance Authority (2008C) The calculation for computing no rebate due was performed on 07/15/2009
Schedule K, Part IV, Line 2c COLUMN C Issuer name: Kent Hospital Finance Authority (2012A) The calculation for computing no rebate due was performed on 08/13/2012
Schedule K, Part IV, Line 2c COLUMN D Issuer name: Kent Hospital Finance Authority (2008A & 2008B) The calculation for computing no rebate due was performed on 07/15/2009
Schedule K, Part IV, Line 2c COLUMN A Issuer name: Kent Hospital Finance Authority (2014AB) The calculation for computing no rebate due was performed on 06/18/2014
Schedule K, Part IV, Line 2c COLUMN B Issuer name: Kent Hospital Finance Authority (2015A) The calculation for computing no rebate due was performed on 06/03/2015
Schedule K, Part IV, Line 2c COLUMN C Issuer name: Kent Hospital Finance Authority (2017A) The calculation for computing no rebate due was performed on 12/22/2017
Schedule K (Form 990) 2020

Additional Data


Software ID: 20011424
Software Version: 2020v4.0


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
Spectrum Health System Group Return
 
Employer identification number
61-1740292
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A Kent Hospital Finance Authority (2011AB)
  		38-2350002 490580DQ7 06-22-2011 212,859,639 2005B & 2008B1 Revenue Refunding Bonds   X   X   X
B Kent Hospital Finance Authority (2008C)
  		38-2350002 490580CY1 09-09-2008 67,200,000 1998B Refunding Bond   X   X X  
C Kent Hospital Finance Authority (2012A)
  		38-2350002 000000000 10-24-2018 56,490,000 2012A Revenue refunding Bonds - reissued (2008A1 & 2008B2 Revenue Refunding Bonds)   X   X   X
D Kent Hospital Finance Authority (2008A & 2008B)
  		38-2350002 490580CW5 04-15-2008 471,211,001 2001B, 2007A & 2007B Refunding Bond   X   X   X
Kent Hospital Finance Authority (2014AB)
  		38-2350002 000000000 01-15-2014 111,850,000 2008A2 ZCH 2010 Gerber 2002&2007 Revenue Refunding Bonds   X   X X  
Kent Hospital Finance Authority (2015A)
  		38-2350002 490580EG8 01-13-2015 78,400,000 Revenue Refunding Bonds   X   X   X
Kent Hospital Finance Authority (2017A)
  		38-2350002 000000000 03-21-2019 56,490,000 Revenue Refunding Bonds (2017A Reissuance)   X   X   X
Hospital Authority of The City of St Joseph (MI)
  		38-3151499 790678CC8 12-17-2003 41,525,000 REFUND BONDS ISSUED 1/13/1994 AND FACILITY CONSTRUCTION AND IMPROVEMENTS   X   X   X
Hospital Authority of The City of St Joseph (MI)
  		38-3151499 790678CD6 01-26-2006 50,000,000 FACILITY CONSTRUCTION AND IMPROVEMENTS   X   X   X
Hospital Authority of The City of St Joseph (MI)
  		38-3151499 000000000 09-06-2012 8,500,000 NEW FACILITY CONSTRUCTION   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 120,824,639 38,700,000 0 421,211,001
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 212,859,639 67,200,000 56,490,000 471,211,001
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 13,556,465
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 1,359,065 0 0 2,528,820
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 50,000,574 0 0 0
11 Other spent proceeds ............. 161,500,000 67,200,000 56,490,000 455,125,716
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2011 2008 2012 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2019, a current refunding issue)? ........ 		X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2019, an advance refunding issue)? ........ 		  X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2020

Schedule K (Form 990) 2020
Page 2
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X   X   X
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......               X
b Exception to rebate? ........             X  
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X   X   X  
Schedule K (Form 990) 2020

Schedule K (Form 990) 2020
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... UBS AG
  		 
  		 
  		UBS AG
 
c Term of hedge ......... 2890 %     2800 %
d Was the hedge superintegrated? ......   X           X
e Was the hedge terminated? ........   X           X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... CITIGROUP GLOBAL MA
  		 
  		 
  		 
 
c Term of GIC ......... 300 % 0 %    
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........ X              
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Schedule K, Part I Tax Exempt Bonds BONDS ARE ISSUED ON BEHALF OF AN OBLIGATED GROUP AND DESIGNATED AFFILIATES UNDER the 1998 Master Trust Indenture (MTI). ALL OBLIGATED GROUP MEMBERS AND/OR DESIGNATED AFFILIATES ARE PART OF THE SAME HEALTH SYSTEM AND ARE TAX-EXEMPT 501(C)(3) CHARITABLE ORGANIZATIONS. THE 2017A BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: *SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) THE 2015a BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: *SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) THE 2014AB BOND IS ATTRIBUTABLE TO THREE LEGAL ENTITIES WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: *SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) *NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION (EIN 38-1359517) *ZEELAND COMMUNITY HOSPITAL (EIN 38-1411184) THE 2012A BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: * SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) THE 2011AB BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: * SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) THE 2008C BOND IS ATTRIBUTABLE TO FOUR LEGAL ENTITIES WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: * SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) * SPECTRUM HEALTH CONTINUING CARE CENTER (EIN 38-2415333) * SPECTRUM HEALTH CONTINUING CARE (EIN 38-3242232) * SPECTRUM HEALTH WORTH SERVICES (EIN 38-2786617) THE 2008AB BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: * SPECTRUM HEALTH HOSPITALS (EIN 38-1360529)
Schedule K, Part I, Column (a) RECONCILIATION OF BOND PROCEEDS - LINE 8 TOTAL ISSUED PROCEEDS: 41,643,043 MINUS ISSUANCE COSTS: 193,091 MINUS WORKING CAPITAL EXPENDITURES: 31,392,506 EQUALS CAPITAL EXPENDITURES FROM PROCEEDS: 10,057,446
Schedule K, Part I, Column (b) RECONCILIATION OF BOND PROCEEDS - LINE 9 TOTAL PROCEEDS ISSUED: 52,613,405 MINUS ISSUANCE COSTS: 467,500 MINUS WORKING CAPITAL EXPENDITURES: 1,012,738 EQUALS CAPITAL EXPENDITURES FROM PROCEEDS: 51,133,167
Schedule K, Part I BOND ISSUE A - LINE 10 THE $8.5 MILLION BOND ISSUE WAS A DIRECT PURCHASE BOND BY J.P. MORGAN CHASE. BOND PROCEEDS WERE DRAWN DURING CONSTRUCTION PERIOD TO BUILD A NEW FACILITY.
Schedule K, Part II BOND PROCEEDS RECONCILIATION - LINE 10 ISSUE PRICE OF BONDS: 8,500,000 SUBTRACT OUT ISSUE COSTS FROM PROCEEDS: 105,875 EQUALS EXPENDITURES FROM PROCEEDS: 8,394,125
Schedule K, Part IV, Line 2c COLUMN A Issuer name: Kent Hospital Finance Authority (2011AB) The calculation for computing no rebate due was performed on 08/13/2012
Schedule K, Part IV, Line 2c COLUMN B Issuer name: Kent Hospital Finance Authority (2008C) The calculation for computing no rebate due was performed on 07/15/2009
Schedule K, Part IV, Line 2c COLUMN C Issuer name: Kent Hospital Finance Authority (2012A) The calculation for computing no rebate due was performed on 08/13/2012
Schedule K, Part IV, Line 2c COLUMN D Issuer name: Kent Hospital Finance Authority (2008A & 2008B) The calculation for computing no rebate due was performed on 07/15/2009
Schedule K, Part IV, Line 2c COLUMN A Issuer name: Kent Hospital Finance Authority (2014AB) The calculation for computing no rebate due was performed on 06/18/2014
Schedule K, Part IV, Line 2c COLUMN B Issuer name: Kent Hospital Finance Authority (2015A) The calculation for computing no rebate due was performed on 06/03/2015
Schedule K, Part IV, Line 2c COLUMN C Issuer name: Kent Hospital Finance Authority (2017A) The calculation for computing no rebate due was performed on 12/22/2017
Schedule K (Form 990) 2020

Additional Data


Software ID: 20011424
Software Version: 2020v4.0


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
Spectrum Health System Group Return
 
Employer identification number
61-1740292
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A Kent Hospital Finance Authority (2011AB)
  		38-2350002 490580DQ7 06-22-2011 212,859,639 2005B & 2008B1 Revenue Refunding Bonds   X   X   X
B Kent Hospital Finance Authority (2008C)
  		38-2350002 490580CY1 09-09-2008 67,200,000 1998B Refunding Bond   X   X X  
C Kent Hospital Finance Authority (2012A)
  		38-2350002 000000000 10-24-2018 56,490,000 2012A Revenue refunding Bonds - reissued (2008A1 & 2008B2 Revenue Refunding Bonds)   X   X   X
D Kent Hospital Finance Authority (2008A & 2008B)
  		38-2350002 490580CW5 04-15-2008 471,211,001 2001B, 2007A & 2007B Refunding Bond   X   X   X
Kent Hospital Finance Authority (2014AB)
  		38-2350002 000000000 01-15-2014 111,850,000 2008A2 ZCH 2010 Gerber 2002&2007 Revenue Refunding Bonds   X   X X  
Kent Hospital Finance Authority (2015A)
  		38-2350002 490580EG8 01-13-2015 78,400,000 Revenue Refunding Bonds   X   X   X
Kent Hospital Finance Authority (2017A)
  		38-2350002 000000000 03-21-2019 56,490,000 Revenue Refunding Bonds (2017A Reissuance)   X   X   X
Hospital Authority of The City of St Joseph (MI)
  		38-3151499 790678CC8 12-17-2003 41,525,000 REFUND BONDS ISSUED 1/13/1994 AND FACILITY CONSTRUCTION AND IMPROVEMENTS   X   X   X
Hospital Authority of The City of St Joseph (MI)
  		38-3151499 790678CD6 01-26-2006 50,000,000 FACILITY CONSTRUCTION AND IMPROVEMENTS   X   X   X
Hospital Authority of The City of St Joseph (MI)
  		38-3151499 000000000 09-06-2012 8,500,000 NEW FACILITY CONSTRUCTION   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 120,824,639 38,700,000 0 421,211,001
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 212,859,639 67,200,000 56,490,000 471,211,001
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 13,556,465
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 1,359,065 0 0 2,528,820
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 50,000,574 0 0 0
11 Other spent proceeds ............. 161,500,000 67,200,000 56,490,000 455,125,716
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2011 2008 2012 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2019, a current refunding issue)? ........ 		X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2019, an advance refunding issue)? ........ 		  X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2020

Schedule K (Form 990) 2020
Page 2
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X   X   X
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......               X
b Exception to rebate? ........             X  
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X   X   X  
Schedule K (Form 990) 2020

Schedule K (Form 990) 2020
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... UBS AG
  		 
  		 
  		UBS AG
 
c Term of hedge ......... 2890 %     2800 %
d Was the hedge superintegrated? ......   X           X
e Was the hedge terminated? ........   X           X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... CITIGROUP GLOBAL MA
  		 
  		 
  		 
 
c Term of GIC ......... 300 % 0 %    
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........ X              
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Schedule K, Part I Tax Exempt Bonds BONDS ARE ISSUED ON BEHALF OF AN OBLIGATED GROUP AND DESIGNATED AFFILIATES UNDER the 1998 Master Trust Indenture (MTI). ALL OBLIGATED GROUP MEMBERS AND/OR DESIGNATED AFFILIATES ARE PART OF THE SAME HEALTH SYSTEM AND ARE TAX-EXEMPT 501(C)(3) CHARITABLE ORGANIZATIONS. THE 2017A BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: *SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) THE 2015a BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: *SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) THE 2014AB BOND IS ATTRIBUTABLE TO THREE LEGAL ENTITIES WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: *SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) *NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION (EIN 38-1359517) *ZEELAND COMMUNITY HOSPITAL (EIN 38-1411184) THE 2012A BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: * SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) THE 2011AB BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: * SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) THE 2008C BOND IS ATTRIBUTABLE TO FOUR LEGAL ENTITIES WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: * SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) * SPECTRUM HEALTH CONTINUING CARE CENTER (EIN 38-2415333) * SPECTRUM HEALTH CONTINUING CARE (EIN 38-3242232) * SPECTRUM HEALTH WORTH SERVICES (EIN 38-2786617) THE 2008AB BOND IS ATTRIBUTABLE TO ONE LEGAL ENTITY WITHIN THE OBLIGATED GROUP AND/OR DESIGNATED AFFILIATES: * SPECTRUM HEALTH HOSPITALS (EIN 38-1360529)
Schedule K, Part I, Column (a) RECONCILIATION OF BOND PROCEEDS - LINE 8 TOTAL ISSUED PROCEEDS: 41,643,043 MINUS ISSUANCE COSTS: 193,091 MINUS WORKING CAPITAL EXPENDITURES: 31,392,506 EQUALS CAPITAL EXPENDITURES FROM PROCEEDS: 10,057,446
Schedule K, Part I, Column (b) RECONCILIATION OF BOND PROCEEDS - LINE 9 TOTAL PROCEEDS ISSUED: 52,613,405 MINUS ISSUANCE COSTS: 467,500 MINUS WORKING CAPITAL EXPENDITURES: 1,012,738 EQUALS CAPITAL EXPENDITURES FROM PROCEEDS: 51,133,167
Schedule K, Part I BOND ISSUE A - LINE 10 THE $8.5 MILLION BOND ISSUE WAS A DIRECT PURCHASE BOND BY J.P. MORGAN CHASE. BOND PROCEEDS WERE DRAWN DURING CONSTRUCTION PERIOD TO BUILD A NEW FACILITY.
Schedule K, Part II BOND PROCEEDS RECONCILIATION - LINE 10 ISSUE PRICE OF BONDS: 8,500,000 SUBTRACT OUT ISSUE COSTS FROM PROCEEDS: 105,875 EQUALS EXPENDITURES FROM PROCEEDS: 8,394,125
Schedule K, Part IV, Line 2c COLUMN A Issuer name: Kent Hospital Finance Authority (2011AB) The calculation for computing no rebate due was performed on 08/13/2012
Schedule K, Part IV, Line 2c COLUMN B Issuer name: Kent Hospital Finance Authority (2008C) The calculation for computing no rebate due was performed on 07/15/2009
Schedule K, Part IV, Line 2c COLUMN C Issuer name: Kent Hospital Finance Authority (2012A) The calculation for computing no rebate due was performed on 08/13/2012
Schedule K, Part IV, Line 2c COLUMN D Issuer name: Kent Hospital Finance Authority (2008A & 2008B) The calculation for computing no rebate due was performed on 07/15/2009
Schedule K, Part IV, Line 2c COLUMN A Issuer name: Kent Hospital Finance Authority (2014AB) The calculation for computing no rebate due was performed on 06/18/2014
Schedule K, Part IV, Line 2c COLUMN B Issuer name: Kent Hospital Finance Authority (2015A) The calculation for computing no rebate due was performed on 06/03/2015
Schedule K, Part IV, Line 2c COLUMN C Issuer name: Kent Hospital Finance Authority (2017A) The calculation for computing no rebate due was performed on 12/22/2017
Schedule K (Form 990) 2020

Additional Data


Software ID: 20011424
Software Version: 2020v4.0

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
Spectrum Health System Group Return
 
Employer identification number

61-1740292
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
(1) Jordan Sall
  		Director, SHGM Tuition Assistance   X 32,000 27,315   No   No Yes  
(2) ROBERT FITZGERALD MD
  		DIRECTOR, SHMG TUITION ASSISTANCE   X 27,000 3,422   No   No Yes  
(3) MARTHA BOONSTRA
  		OFFICER, SHMG TUITION ASSISTANCE   X 27,000 3,422   No   No Yes  
Total ...............Small Bullet $ 34,159
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2020
Schedule L (Form 990 or 990-EZ) 2020
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) ANESTHIA ASSOCIATES OF WEST MICHIGAN
  		BUSINESS 1,207,076 SHL-SEE SCH L, PART V   No
(2) PHILIP WAALKES
  		FAMILY 301,423 SHMG-SEE SCH L, PART V   No
(3) LYNN TODMAN
  		FAMILY 184,418 LHNSJ-SEE SCH L, PART V   No
(4) SUSAN PHILLIPS
  		FAMILY 184,251 SHMG-SEE SCH L, PART V   No
(5) JAMIE MCLACHLAN
  		FAMILY 152,719 SHBR-SEE SCH L, PART V   No
(6) LESLIE SCHULTE
  		FAMILY 113,540 SHMG-SEE SCH L, PART V   No
(7) INEZ BONIFACE
  		FAMILY 110,124 LHNSJ-SEE SCH L, PART V   No
(8) CLARK GRUBER
  		FAMILY 89,421 LHNSJ-SEE SCH L, PART V   No
(9) PHILLIP COOPER
  		FAMILY 80,644 LHNSJ-SEE SCH L, PART V   No
(10) SAMUEL BOLAND
  		FAMILY 79,171 SHH-SEE SCH L, PART V   No
(11) JAYME MCLACHLAN
  		FAMILY 75,703 SHRC-SEE SCH L, PART V   No
(12) DILLON NABOZNY
  		FAMILY 70,323 SHBR-SEE SCH L, PART V   No
(13) KATELYN WILSON
  		FAMILY 68,600 SHZ-SEE SCH L, PART V   No
(14) MICHELE BORRE
  		FAMILY 63,746 LHNSJ-SEE SCH L, PART V   No
(15) ERICA MELECA
  		FAMILY 61,945 SHH-SEE SCH L, PART V   No
(16) JENA LEE ZEERIP
  		FAMILY 57,937 SHGM-SEE SCH L, PART V   No
(17) DANELLE ARNOLD
  		FAMILY 48,651 LHNSJ-SEE SCH L, PART V   No
(18) ANDREW DEKRAKER
  		FAMILY 44,911 SHU-SEE SCH L, PART V   No
(19) JENNIFER MAIER
  		FAMILY 43,132 LHNSJ-SEE SCH L, PART V   No
(20) MICHELLE PETZ
  		FAMILY 40,633 SHGM-SEE SCH L, PART V   No
(21) HEIDI HOFMAN
  		FAMILY 34,971 SHMG-SEE SCH L, PART V   No
(22) TARA ANAMA
  		FAMILY 34,737 SHZ-SEE SCH L, PART V   No
(23) TIMOTHY O'CALLAGHAN
  		FAMILY 17,463 SHMG-SEE SCH L, PART V   No
(24) ALLISON FITZGERALD
  		FAMILY 11,084 SHH-SEE SCH L, PART V   No
(25) ELLIE TROYER
  		FAMILY 11,068 LHNSJ-SEE SCH L, PART V   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L, Part V SHZ FAMILY RELATIONSHIPS WITH INTERESTED PERSONS MR. KURT WASSINK, A MEMBER OF SHZ'S BOARD OF DIRECTORS, HAS A SISTER-IN-LAW THAT IS EMPLOYED BY SHZ. (PART IV, LINE 22) MR. MARK WILSON, A MEMBER OF SHZ'S BOARD OF DIRECTORS, HAS A DAUGHTER THAT IS EMPLOYED BY SHZ. (PART IV, LINE 13)
Schedule L, Part V SHGM FAMILY RELATIONSHIPS WITH INTERESTED PERSONS MS. MELISSA MILLER, A MEMBER OF SHGM'S BOARD OF DIRECTORS, HAS A SISTER-IN-LAW THAT IS EMPLOYED BY SHGM. (PART IV, LINE 16) MR. WILLIAM LEAVER, A MEMBER OF SHGM'S BOARD OF DIRECTORS, HAS A SISTER-IN-LAW THAT IS EMPLOYED BY SHGM. (PART IV, LINE 20)
Schedule L, Part V SHL BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS MR. MICHAEL GREENSLAIT, A MEMBER OF SHL'S BOARD OF DIRECTORS, IS THE OWNER OF ANESTHIA ASSOCIATES OF WEST MICHIGAN, FROM WHOM SHL PURCHASES PHYSICIAN SERVICES. (PART IV, LINE 1)
Schedule L, Part V SHMG FAMILY RELATIONSHIPS WITH INTERESTED PERSONS MS. MARY O'CALLAGHAN, A MEMBER OF SHMG'S BOARD OF DIRECTORS, HAS A SPOUSE THAT IS EMPLOYED BY SHMG. (PART IV, LINE 23) MR. BRIAN PHILLIPS, AN OFFICER AND MEMBER OF SHMG'S BOARD OF DIRECTORS, HAS A SPOUSE AND DAUGHTER THAT ARE EMPLOYED BY SHMG. (PART IV, LINE 4,6) MS. ANNICA WAALKES, A MEMBER OF SHMG'S BOARD OF DIRECTORS, HAS A SPOUSE THAT IS EMPLOYED BY SHMG. (PART IV, LINE 2) Mr. Ronald Hofman, a member of SHMG's board of directors, has a spouse that is employed by SHMG. (PART IV, LINE 21)
Schedule L, Part V SHBR FAMILY RELATIONSHIPS WITH INTERESTED PERSONS MS. CAROLYN CURTIN, A MEMBER OF SHBR'S BOARD OF DIRECTORS, HAS A GRANDDAUGHTER AND GRANDSON THAT ARE EMPLOYED BY SHBR. (PART IV, LINE 5, 12)
Schedule L, Part V SHH BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS MR. WILLIAM JEWELL, AN OFFICER OF SHH, HAS A SON-IN-LAW THAT IS EMPLOYED BY SHH. (PART IV, LINE 10) Mr. Robert Fitzgerald, a member of SHH's board of directors, has a daughter that is employed by SHH. (PART IV, LINE 24) Mr. John Schuen, a member of SHH's board of directors, has a daughter that is employed by SHH. (PART IV, LINE 15)
Schedule L, Part V SHU BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS MR. MATTHEW DEKRAKER, A MEMBER OF SHU'S BOARD OF DIRECTORS, HAS A BROTHER THAT IS EMPLOYED BY SHU. (PART IV, LINE 18)
Schedule L, Part V SHRC FAMILY RELATIONSHIPS WITH INTERESTED PERSONS Ms. Carolyn Curtin, a member of the board of directors of SHRC, has a granddaughter employed by SHRC. (PART IV, LINE 11)
Schedule L, Part V LHNSJ FAMILY RELATIONSHIPS WITH INTERESTED PERSONS Mr. Loren Hamel, an officer and MEMBER OF LHNSJ'S BOARD OF DIRECTORS, has a sister-in-law and a son that are employed by the organization. (PART IV, LINES 7, 9) Mr. Michael Todman, a member of LHNSJ'S BOARD OF DIRECTORS, has a spouse that is employed by the organization. (PART IV, LINE 3) Mr. Timothy Calhoun, an officer of LHNSJ, has a daughter employed by the organization. (PART IV, LINE 19) Mr. Kendall Troyer, an officer of LHNSJ, has a daughter employed by the organization. (PART IV, LINE 25) Mr. Lowell Hamel, an officer of LHNSJ, has a daughter that is employed by the organization. (PART IV, LINE 17) Ms. Mary Ann Pater, an officer of LHNSJ, has a sister-in-law that is employed by the organization. (PART IV, LINE 14) Ms. Melinda Gruber, an officer of LHNSJ, has a spouse that is employed by the organization. (PART IV, LINE 8)
Schedule L (Form 990 or 990-EZ) 2020


Additional Data


Software ID: 20011424
Software Version: 2020v4.0




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
Spectrum Health System Group Return
 
Employer identification number

61-1740292
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art .... X 1 4,000 Market value
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications .. X 3,616 Market value
5 Clothing and household
goods ....... 		X 42,375 Market value
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ... X 52 39,714 Market value
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( MEDICAL SUPPLIES ) X 312 517,569 Market value
26 Other Right pointing arrow large image ( CERTIFICATES/EVENTS ) X 77 29,912 Market value
27 Other Right pointing arrow large image ( Various ) X 29 10,764 Market value
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
0
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2020)
Schedule M (Form 990) (2020)
Page 2
Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
Schedule M, Part I Explanations of reporting method for number of contributions Art - Works of art - NUMBER OF CONTRIBUTIONS Food inventory - Number of Contributions Other - MEDICAL SUPPLIES NUMBER OF CONTRIBUTIONS Other - CERTIFICATES/EVENTS NUMBER OF CONTRIBUTIONS Other - Various Number of Contributions
Schedule M (Form 990) (2020)

Additional Data


Software ID: 20011424
Software Version: 2020v4.0
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
Spectrum Health System Group Return
 
Employer identification number

61-1740292
Return Reference Explanation
Form 990, Part III, Line 4a SPECTRUM HEALTH HOSPITAL GROUP, CONTINUED SPECTRUM HEALTH HOSPITAL GROUP SPECTRUM HEALTH HOSPITALS - GRAND RAPIDS ("SHH") CONSISTS OF BLODGETT HOSPITAL & BUTTERWORTH HOSPITAL (THE CAMPUS WHICH INCLUDES THE HELEN DEVOS CHILDREN'S HOSPITAL, THE FRED AND LENA MEIJER HEART CENTER, AND THE LEMMEN- HOLTON CANCER PAVILION) WITH APPROXIMATELY 1,226 LICENSED BEDS COMBINED. THE HOSPITALS ARE ACUTE CARE INPATIENT FACILITIES WHICH INCLUDE SPECIALTY CRITICAL CARE UNITS & OUTPATIENT SERVICES. BUTTERWORTH IS THE ONLY LEVEL I TRAUMA CENTER IN WEST MICHIGAN. BLODGETT IS HOME TO THE CENTER FOR ACUTE REHABILITATION, A 42-BED INPATIENT FACILITY HELPING PATIENTS REGAIN INDEPENDENCE. HELEN DEVOS CHILDREN'S HOSPITAL IS MICHIGAN'S LARGEST NEONATAL CENTER, CARING FOR MORE THAN 1,400 CRITICALLY ILL AND PREMATURE BABIES ANNUALLY. THE FRED AND LENA MEIJER HEART CENTER IS A LEADER IN HEART AND VASCULAR CARE IN THE REGION, STATE, AND NATION. LEMMEN-HOLTON CANCER PAVILION IS THE LARGEST CANCER SERVICES PROVIDER IN THE REGION. TOGETHER THESE RESOURCES PROVIDE A COORDINATED CONTINUUM OF HEALTH CARE SERVICES TO THE CITIZENS OF WEST MICHIGAN AND TREAT ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. NOTABLE HIGHLIGHTS FOR THE YEAR INCLUDE: - SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH BLODGETT, AND ZEELAND COMMUNITY HOSPITALS WERE NAMED TO THE FORTUNE/IBM WATSON 100 TOP HOSPITALS LIST. THIS IS THE EIGTH TIME SINCE 2010 FOR SPECTRUM HEALTH BUTTERWORTH AND BLODGETT AND THE SIXTH TIME FOR ZEELAND COMMUNITY HOSPITAL. THIS YEAR'S AWARD INCLUDES FOR THE FIRST TIME A METRIC FOR CONTRIBUTIONS TO COMMUNITY HEALTH BASED ON EQUITY, WHICH IS A PRIMARY FOCUS OF ALL WORK AT SPECTRUM HEALTH. - SPECTRUM HEALTH BUTTERWORTH AND SPECTURM HEALTH BLODGETT HOSPITALS RECEIVED THE HEALTHGRADES 2020 AMERICA'S BEST HOSPITALS AWARD FOR A SIXTH CONSECUTIVE YEAR (2015-2020). THIS DISTINCTION PLACES BUTTERWORTH AND BLODGETT IN THE TOP ONE PERCENT OF MORE THAN 4,500 HOSPITALS IN THE NATION FOR CONSISTENTLY PROVIDING OVERALL CLINICAL EXCELLENCE ACROSS A BROAD SPECTRUM OF CONDITIONS AND PROCEDURES YEAR OVER YEAR. - SPECTRUM HEALTH BUTTERWORTH AND SPECTRUM HEALTH BLODGETT WERE ALSO THE ONLY HOSPITALS IN MICHIGAN TO RECEIVE THE FOLLOWING THREE DISTINCTIONS: AMERICA'S 50 BEST HOSPITALS FOR CARDIAC SURGERY; AMERICA'S 100 BEST HOSPITALS FOR JOINT REPLACEMENT; AND CRITICAL CARE EXCELLANCE AWARD. - SPECTRUM HEALTH BUTTERWORTH AND SPECTURM HEALTH BLODGETT HOSPITALS WERE RANKED "HIGH PERFOMANCE" IN THREE ADULT SPECIALTIES AND 20 PROCEDURES/CONDITIONS IN U.S. NEWS & WORLD REPORT'S 2020-21 BEST HOSPITALS. -HELEN DEVOS CHILDREN'S HOSPITAL WAS NAMED ONE OF U.S. NEWS & WORLD REPORTS 2020-2021 BEST CHILDREN'S HOSPITALS IN 8 PEDIATRIC SPECIALTIES: CANCER, CARDIOLOGY & HEART SURGERY, DIABETES & ENDOCRINOLOGY, NEPHROLOGY, NEUROLOGY & NEUROSURGERY, ORTHOPEDICS, PULMONOLOGY, AND UROLOGY. THIS WAS THE NINTH YEAR HELEN DEVOS CHILDREN'S HOSPITAL HAS BEEN RECOGNIZED. -SPECTRUM HEALTH RECEIVED AN STS 3-STAR RATING, THE HIGHEST POSSIBLE RANKING, FROM THE SOCIETY OF THORACIC SURGEONS FOR QUALITY OF CORONARY ARTERY BYPASS GRAFT SURGERY AMONG HOSPITALS ACROSS THE COUNTRY. -SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH UNITED, AND LAKELAND HOSPITAL AT NILES HOSPITALS WERE NAMED TO NEWSWEEK'S 2020 LIST OF BEST MATERNITY CARE HOSPITALS. SPECTRUM HEALTH HOSPITAL GROUP - COMMUNITY HOSPITALS SPECTRUM HEALTH HOSPITAL GROUP INCLUDES ELEVEN COMMUNITY HOSPITALS LOCATED ACROSS WESTERN AND SOUTHWESTERN MICHIGAN, ALL DEDICATED TO THE COMMUNITIES THEY SERVE, AS IDENTIFIED BELOW: -NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION D/B/A SPECTRUM HEALTH GERBER MEMORIAL ("SHGM") -MEMORIAL MEDICAL CENTER OF WEST MICHIGAN D/B/A SPECTRUM HEALTH LUDINGTON HOSPITAL ("SHL") -MECOSTA COUNTY MEDICAL CENTER D/B/A SPECTRUM HEALTH BIG RAPIDS HOSPITAL ("SHBR") -REED CITY HOSPITAL CORPORATION D/B/A SPECTRUM HEALTH REED CITY HOSPITAL ("SHRC") -PENNOCK HOSPITAL D/B/A SPECTRUM HEALTH PENNOCK ("SHP") -SPECTRUM HEALTH UNITED ("SHU") -SPECTRUM HEALTH KELSEY ("SHK") -ZEELAND COMMUNITY HOSPITAL D/B/A SPECTRUM HEALTH ZEELAND COMMUNITY HOSPITAL ("SHZ") -LAKELAND COMMUNITY HOSPITAL, WATERVLIET ("LCHW") -LAKELAND HOSPITALS AT ST. JOSEPH ("LHSJ") -LAKELAND HOSPITALS AT NILES ("LHN") THE COMMUNITY HOSPITALS OF SPECTRUM HEALTH HOSPITAL GROUP PROVIDE APPROXIMATELY 881 LICENSED BEDS COMBINED AND OFFER A COMPLETE RANGE OF AWARD WINNING MEDICAL AND SURGICAL SERVICES, REGARDLESS OF A PATIENT'S ABILITY TO PAY, TO THE RESIDENTS AND VISITORS OF THE HOSPITALS' LOCAL COMMUNITIES. SERVICES OFFERED BY THE COMMUNITY HOSPITALS INCLUDE 24-HOUR EMERGENCY DEPARTMENTS, ACUTE INTENSIVE CARE, OBSTETRICS, SKILLED NURSING, AND OUTPATIENT SERVICES INCLUDING LAB, IMAGING, PHYSICAL THERAPY AND SPORTS MEDICINE. IN ORDER TO GIVE BACK TO THE COMMUNITIES IN WHICH THEY SERVE, THE COMMUNITY HOSPITALS OFFER SERVICES AND PROGRAMS AVAILABLE TO ALL MEMBERS OF THE COMMUNITY AND LOCAL SCHOOLS. EXAMPLES OF THESE SERVICES INCLUDE: FLU SHOT CLINICS, HEALTH FAIRS, CANCER SCREENINGS, LOW-COST SPORTS PHYSICALS, FIRST AID TENTS, EDUCATION AND NUTRITION CLASSES, AND FAMILY FUN NIGHTS. SPECTRUM HEALTH CONTINUING CARE SPECTRUM HEALTH CONTINUING CARE PROVIDES PATIENTS AND THEIR FAMILIES WITH A SEAMLESS CONTINUUM OF COMPREHENSIVE CARE, INCLUDING SKILLED NURSING, LONG-TERM ACUTE, REHABILITATION AND HOME CARE. SPECTRUM HEALTH CONTINUING CARE INCLUDES THE FOLLOWING ENTITIES: -SPECTRUM HEALTH CONTINUING CARE ("SHCC") -SPECTRUM HEALTH CONTINUING CARE CENTER ("SHCCC") -SPECTRUM HEALTH WORTH SERVICES ("SHWS") -VISITING NURSE SERVICES OF WESTERN MICHIGAN ("VNS") SPECTRUM HEALTH - LEFFINGWELL AVENUE ("SHLA") SHCC PROVIDES LEADERSHIP, PLANNING, AND FUNDING TO ASSIST OUR POST-ACUTE CARE ORGANIZATIONS IN PROVIDING MEDICAL CARE TO PATIENTS, IN ORDER TO MEET THE COMMUNITY'S NEEDS. ADDITIONALLY, SHCC PROVIDES HOSPICE CARE THAT IS CENTERED ON COMFORT AND SUPPORTED BY COMPASSION FOR THOSE WHO ARE EXPERIENCING A LIFE-LIMITING ILLNESS AND A TERMINAL DIAGNOSIS. SHCCC PROVIDES LONG TERM CARE IN A NURSING HOME SETTING THAT ALLOWS PATIENTS TO EXPERIENCE THE BEST QUALITY OF LIFE, WHILE ENSURING THEY HAVE THE AROUND-THE-CLOCK CARE THEY NEED. SHWS PROVIDES FOR THE CARE OF CHILDREN, ADULTS, AND SENIOR CITIZENS WHO NEED EXTRA HELP IN THEIR HOME FROM PRIVATE DUTY NURSES OR HOME HEALTH ASSISTANCE AS WELL AS CARE AND REHABILITATION SERVICES TO INDIVIDUALS WHO SUFFERED A BRAIN INJURY AND ARE ABLE TO LIVE INDEPENDENTLY BUT REQUIRE 24 HOUR SUPERVISION. VNS PROVIDES INTERMITTENT SKILLED HOME HEALTH CARE. UNDER THE DIRECTION OF A PRIMARY CARE PHYSICIAN, MEDICAL AND SURGICAL NURSES DELIVER PATIENT ASSESSMENTS, MEDICAL TREATMENTS (SUCH AS INFUSION THERAPY, WOUND CARE AND MEDICATION INSTRUCTION), AND DISEASE MANAGEMENT EDUCATION.
Form 990, Part III, Line 4b SPECTRUM HEALTH MEDICAL GROUP, CONTINUED SPECTRUM HEALTH PRIMARY CARE PARTNERS D/B/A SPECTRUM HEALTH MEDICAL GROUP ("SHMG") PROVIDES CLINICAL, TEACHING, RESEARCH AND ADMINISTRATIVE PHYSICIAN SERVICES. THESE SERVICES ARE PROVIDED IN AMBULATORY PRACTICES, INPATIENT SETTINGS, AND TEACHING ENVIRONMENTS. SHMG BRINGS TOGETHER THE FINEST PHYSICIANS AND MEDICAL RESOURCES TO GIVE PATIENTS THE BEST HEALTH OUTCOMES AND THE HIGHEST LEVEL OF SERVICE. WITH OVER 1,700 PROVIDERS, A BROAD RANGE OF MEDICAL SPECIALTIES AND SERVICE SITES across the region, SHMG IS THE REGION'S LARGEST MULTISPECIALTY MEDICAL GROUP. FROM FAMILY MEDICINE TO SPECIALIZED CARE, FROM ANNUAL HEALTH CHECKUPS TO COMPLEX SURGERY AND MEDICAL MANAGEMENT, SHMG OFFERS PATIENTS A MEDICAL HOME FOR A LIFETIME OF CARE AND WELLNESS. SHMG'S GOAL IS TO PROVIDE AN UNPARALLELED SYSTEM OF CARE THAT OFFERS FAMILY MEDICINE AND SPECIALIZED CARE, CLOSE CONVENIENT LOCATIONS AND HOURS, COORDINATED APPOINTMENTS AND MEDICAL RECORDS FOR EASE OF SCHEDULING, AND HIGH QUALITY CONSISTENT CARE. SHMG IS A GATEWAY TO SPECTRUM HEALTH'S MANY QUALIFIED AND HIGHLY SKILLED SPECIALISTS AND COMPREHENSIVE SERVICES. BY BRINGING PROVIDERS TOGETHER AS AN INTEGRATED TEAM, SHMG CREATES SEAMLESS ACCESS AND COORDINATED SERVICES TO PATIENTS. ADDITIONALLY, THE HIGH CALIBER MEDICAL PROFESSIONALS AT SHMG THRIVE ON COLLABORATIVE RESEARCH AND MEDICAL EDUCATION. SHMG IS DEEPLY COMMITTED TO ADVANCING PATIENT CARE AND BUILDING A SUSTAINABLE HEALTH CARE SYSTEM FOR CURRENT AND FUTURE GENERATIONS.
Form 990, Part III, Line 4c SPECTRUM HEALTH FOUNDATION, CONTINUED SPECTRUM HEALTH FOUNDATION ("SHF") ADVANCES THE HEALTH OF WEST MICHIGAN COMMUNITIES BY PHILANTHROPICALLY SUPPORTING THE HEALTH CARE, RESEARCH, AND EDUCATIONAL PROGRAMS OF THE SPECTRUM HEALTH INTEGRATED HEALTH SYSTEM. SHF PROVIDES FUNDING FOR PROGRAMS, RESEARCH AND EDUCATION, AND HELPS TO ADVANCE INNOVATION, PURCHASE NEW TECHNOLOGY AND BUILD STATE-OF-THE-ART FACILITIES. THE FOUNDATION EXISTS TO MEET THE NEEDS OF PATIENTS AND FAMILIES WITH FUNDS THAT SUPPLEMENT THE HEALTH SYSTEM RESOURCES. SHF CAREFULLY MATCHES PASSIONATE DONORS WITH IMMEDIATE AND EMERGING NEEDS THROUGHOUT THE HEALTH SYSTEM. THANKS TO THE GENEROSITY OF DONORS THE FOUNDATION IS ABLE TO HELP LAUNCH, EXPAND AND SUSTAIN IMPORTANT PROGRAMS AND SERVICES THAT PROMOTE HEALTH AND HEALING. IN CY2020, SHF PROVIDED OVER $29 MILLION IN GRANTS TO ORGANIZATIONS WITHIN THE HEALTH SYSTEM. IN ADDITION, LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ST. JOSEPH (ALSO KNOWN AS SPECTRUM HEALTH LAKELAND FOUNDATION) PROVIDED OVER $3 MILLION IN GRANTS/SCHOLARSHIPS TO ORGANIZATIONS/INDIVIDUALS WITHIN THE HEALTH SYSTEM.
Form 990, Part IV, Line 12a Audited Financial Statements The "No" response to this question relates to the fact that none of the organizations included in the group return obtained separate, independent financial statements for the tax year. All organizations included in the group return were part of the same consolidated audit.
Form 990, Part V, Line 3a UNRELATED GROSS BUSINESS INCOME THE FOLLOWING ORGANIZATIONS INCLUDED IN THE GROUP RETURN HAVE UNRELATED BUSINESS GROSS INCOME OR LOSS OF $1,000 OR MORE DURING THE YEAR. THE UNRELATED BUSINESS INCOME OF THESE ORGANIZATIONS IS REPORTED ON FORM 990-T. SPECTRUM HEALTH GERBER MEMORIAL (EIN 38-1359517) SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) SPECTRUM HEALTH PENNOCK (EIN 38-1360562) LAKELAND HOSPITALS AT NILES AND ST. JOSEPH, INC. (EIN 38-2156872)
Form 990, Part V, Line 7a DEDUCTIBLE CONTRIBUTIONS THE FOLLOWING ORGANIZATIONS INCLUDED IN THE GROUP RETURN RECEIVED A PAYMENT IN EXCESS OF $75 MADE PARTLY AS A CONTRIBUTION AND PARTLY FOR GOODS AND SERVICES PROVIDED TO THE PAYOR. SPECTRUM HEALTH FOUNDATION (EIN 38-2752328)
Form 990, Part VI, Line 16a JOINT VENTURES THE FOLLOWING ORGANIZATIONS INCLUDED IN THE GROUP RETURN PARTICIPATE IN JOINT VENTURES WITH TAXABLE ENTITIES: SPECTRUM HEALTH HOSPITALS (EIN 38-1360529)
Form 990, Part VI, Line 2 BUSINESS RELATIONSHIPS THE ORGANIZATION HAS BOARD MEMBERS AND OFFICERS THAT SERVE TOGETHER ON THE BOARDS OF TAX-EXEMPT ORGANIZATION ACROSS SPECTRUM HEALTH SYSTEM.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons SHH - MS. CHRISTINA FREESE DECKER, and Ms. Joan Budden - Business relationship
Form 990, Part VI, Line 4 Significant changes to organizational documents Spectrum Health Big Rapids Hospital, Spectrum Health Gerber Memorial, Spectrum Health Hospitals, Spectrum Health Kelsey, Spectrum Health Ludington Hospital, Spectrum Health Pennock Hospital, Spectrum Health Reed City Hospital, Spectrum Health United, Spectrum Health Zeeland Community Hospital, Spectrum Health Continuing Care and Spectrum Health Medical Group (collectively, "Spectrum Health West Michigan Entities") all amended and restated their bylaws effective August 18, 2020. The purpose of this restatement was to create a mirror board and committees that govern all the Spectrum Health West Michigan Entities. As part of this reorganization, each of the Spectrum Health West Michigan Entities boards were replaced with the 18 individuals who serve as the mirror board for each of the Spectrum Health West Michigan Entities.
Form 990, Part VI, Line 6 Classes of members or stockholders SPECTRUM HEALTH SYSTEM (EIN 38-3382353), A MICHIGAN NONPROFIT CORPORATION, IS THE ULTIMATE SOLE MEMBER FOR ALL OF THE SUBORDINATES INCLUDED IN THE GROUP FILING.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body SPECTRUM HEALTH SYSTEM (EIN 38-3382353), THE ULTIMATE SOLE MEMBER FOR ALL OF THE SUBORDINATES INCLUDED IN THE GROUP FILING, APPOINTS THE MEMBERS OF THE BOARD FOR EACH RESPECTIVE ORGANIZATION.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders SPECTRUM HEALTH SYSTEM, AS THE SOLE MEMBER FOR ALL OF THE SUPPORTED ORGANIZATIONS INCLUDED IN THE GROUP FILING, HAS RETAINED CERTAIN RESERVED POWERS IN THE ORGANIZATION EXCLUSIVELY, WHICH SHALL NOT BE DEEMED AUTHORIZED UNLESS AND UNTIL APPROVED BY THE SOLE MEMBER: -Amendment of the Articles of Incorporation or Bylaws of the supported organization; -Election and/or removal of the members of the supported organization's Board of Directors; -Election and/or removal of the supported organization's Chairperson of the Board of Directors; -Hiring, discharge, and evaluation of the supported organization's President; -Adoption of the supported organization's strategic plan; -Adoption of the supported organization's annual operating and capital budgets and any amendments to such budgets in excess of the Authority Matrix Amount; -All capital expenditures by the supported organization in excess of the amount which would require approval by the supporting organization (the "Authority Matrix Amount"); -All borrowings or guarantees of indebtedness by the supported organization (or any entity controlled by the supported organization through ownership or membership interest); -All lending by the supported organization (or any subsidiary) to persons other than the supporting organization or a subsidiary in excess of the Authority Matrix Amount; -The supported organization's or any subsidiary's investments of cash and/or reserves, whether on an individual basis or as part of a pooled investment strategy; -Any merger or consolidation of the supported organization (or any subsidiary), or any other change in ownership percentages, control, or capital structure; -The creation of any entity controlled, directly or indirectly, by the supported organization; -The sale or transfer of more than ten percent (10%) of the assets of the supported organization (or any subsidiary) to any person or entity not controlled by the supporting organization; -Dissolution of the supported organization or any subsidiary; -The selection, retention, and oversight of the outside auditors for the supported organization (or any subsidiary); and -Any other approval for which supporting organization approval is required by law. In addition to these reserved powers of the supporting organization listed above, the supporting organization has the authority to adopt system-wide policies and procedures.
Form 990, Part VI, Line 11b Review of form 990 by governing body A copy of the Form 990 is provided to the Board of Directors prior to filing. The review process for this Form 990 is as follows: 1. Preparation of the return is supervised and reviewed by the Organization's Corporate Tax Manager. 2. A second review is performed by an external CPA firm with expertise in tax-exempt return preparation. 3. The return is reviewed by the Organization's finance and legal departments (including the Chief Financial Officer, Chief Legal Officer and Corporate Controller) and shared with the members of the Finance and audit Committee and Board of Directors. 4. The Organization's Chief Financial Officer reviews comments or questions received from members of the Board of Directors, if any, to address or to incorporate, as appropriate, into the return prior to filing.
Form 990, Part VI, Line 12c Conflict of interest policy BOARD OF DIRECTORS 1. Conflicts of interest must be disclosed, BOTH VIA AN ANNUAL ELECTRONIC DISCLOSURE PROCESS as well as verbally at a board meeting prior to discussion of any agenda item with regard to which a board member has a conflict. 2. A person having a financial interest in a proposed transaction or arrangement may make a presentation at a meeting of the Board of Directors or committee considering that transaction or arrangement, but after that presentation he or she shall leave the meeting during discussion and voting on that proposed transaction or arrangement. The person having the financial interest shall not be counted in determining whether a quorum is present. 3. The chairperson of the Board of Directors or committee shall, if appropriate, appoint a disinterested person or committee (including outside advisors) to investigate alternatives to the proposed transaction or arrangement, and to advise whether the proposed transaction or arrangement is in the organization's best interest. 4. The Board of Directors or committee shall exercise due diligence to determine whether the organization can, with reasonable efforts, obtain a more advantageous transaction or arrangement that would not give rise to a conflict of interest. 5. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the Board of Directors or committee shall determine by a majority vote of the disinterested directors and members whether the proposed transaction or arrangement is in the organization's best interest and for its own benefit and whether the transaction is fair and reasonable to the organization, and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination. 6. The minutes of the meetings of the Board of Directors and all of the organization's committees shall set forth: a)The names of the persons who disclosed a financial interest in a proposed transaction or arrangement involving the organization or any of its subsidiaries and the nature of the financial interest; and b)The names of the persons who were present for discussions and votes relating to such transaction or arrangement, including any discussion of alternatives to the proposed transaction or arrangement, and a record of any votes taken in connection with that matter. The votes of individual members need not be recorded unless otherwise directed by the Board of Directors or committee. 7. There is an ongoing requirement that members of the board of directors complete another disclosure questionnaire at any point during his/her tenure on the board of directors when a new potential conflict of interest arises. If a member of the board of directors completes a disclosure questionnaire as a result of a new potential conflict of interest, that disclosure questionnaire is submitted to the conflicts of interest committee, which is comprised of individuals from legal, organizational integrity, internal audit, human resources, and members of leadership for review. MANAGEMENT 1. Upon acceptance of an employment offer, each member of management completes a conflict of interest disclosure questionnaire. A copy of the member of management's disclosure questionnaire is sent to the organization's organizational integrity department. A copy of the member of management's disclosure is reviewed by the organization's COI coordinator and escalated to the Conflicts of Interest Committee if necessary. 2. Annually, each member of management completes an annual conflict of interest disclosure questionnaire electronically. The disclosure questionnaire is reviewed by the conflicts of interest committee, which is comprised of individuals from legal, organizational integrity, internal audit, human resources, and members of leadership. 3. There is an ongoing requirement that members of management complete another disclosure questionnaire at any point during his/her employment when a new potential conflict of interest arises. If a member of management completes a disclosure questionnaire as a result of a new potential conflict of interest, that disclosure questionnaire is submitted to the conflicts of interest committee. 4. The conflicts of interest committee, in consultation with executive management, determines how any reported conflicts should be managed. Management of a conflict may take a variety of different forms from implementation of a management plan to requiring that the member of management cease the activity creating the conflict or, in extreme cases, leave the organization's employment. Management is determined on an individual basis based upon the facts and circumstances surrounding the disclosure. The purpose of conflict management is to provide transparency within the organization and to ensure that the organization's employees are always acting in the best interest of the organization.
Form 990, Part VI, Line 15a Process to establish compensation of top management official The Spectrum Health System Board of Directors (through its Executive Committee) uses the following process for determining compensation of the top management official, other officers, and key employees at Spectrum Health. Labor market data reflecting comparable organizations and jobs (prepared by independent firms) are relied upon. Competitive assessment reports are provided to the Executive Committee in advance of meetings. The competitive assessment report is prepared by a nationally known independent executive compensation firm. For Calendar Year 2020 (1/1/20-12/31/20), three health care executive compensation surveys, two medical group surveys, on pediatric hospital survey, and one health plan survey prepared by independent firms, were the primary sources referenced to obtain market data for the review: * Sullivan, Cotter and Associates: 2018 Survey of Manager and Executive Compensation in Hospitals and Health Systems * Integrated Healthcare Strategies: 2018 HealthCare Executive Compensation Survey * Mercer: 2018 Integrated Health Networks Compensation Survey, also provides data for health plans * Medical Group Management Association: 2018 Management Compensation Survey * Sullivan, Cotter and Associates: 2018 Physician Compensation and Productivity Survey Report * Sullivan, Cotter and Associates: 2018 Custom Survey of Manager and Executive Compensation in Children's Hospitals * Warren: Fall 2018 HMO Salary Survey In addition, four general industry surveys were referenced: * Mercer: 2018 Executive Compensation Survey * Mercer: 2018 Information Technology Survey * Mercer: 2018 Human Resources Survey * Towers Watson: 2018 Top Management Compensation Report In addition to the above data sources, the Executive Committee approved the creation of a custom peer group of high performing integrated health systems to ensure robust data and a relevant comparator universe. The peer group organizations are approved by the Executive Committee and consist of double A bond rated and / or Truven top quintile organizations. Data for the peer group organizations is compiled by the independent executive compensation firm. Compensation adjustments are approved by Executive Committee members, consistent with the Spectrum Health compensation philosophy described below. Minutes of Committee discussions and decisions are prepared to memorialize Executive Committee decisions based upon the above data. Cash compensation data relied upon by the Executive Committee is national and reflects the compensation paid to executives in comparable jobs in comparably-sized health care and / or health insurance organizations. Spectrum Health recruits nationally for its executives. Benefits data reflect national health care / health insurance market practices. Geographic pay differential and cost of living data indicates consistency with national data. In addition, several entities were added to the Spectrum Health System Group Filing during calendar year 2020 and used the following process during 2020 (will follow the above process for all post 2020 years): An independent firm is hired by the board to determine compensation packages for senior management on an annual basis. The firm presents comparative pay ranges and compensation recommendations to the governance (compensation) committee for their approval. For senior management, the CEO can provide input and recommendations to the governance committee. As part of the planned transition to the Spectrum Health executive committee methodology, the CEO provided an across-the-board increase recommendation to the governance committee based on previously collected compensation survey data. This process is intended to assist Spectrum Health in qualifying for the rebuttable presumption of reasonableness (Intermediate Sanctions Regulations) and complying with the potential Spectrum Health Excess Benefit Transaction Policy for those individuals in the group who are disqualified persons. The opinion submitted from the third party independent consulting firm is in accordance with the provisions of Treasury Regulations Section 53.4958-6(c)(2) and is also intended to satisfy the professional advice requirement of Treasury Regulations Section 53.4958-1(d)(4)(iii).
Form 990, Part VI, Line 15b Process to establish compensation of other employees See explanation provided for Form 990, Part VI, Line 15A.
Form 990, Part VI, Line 19 Required documents available to the public The organization's Articles of Incorporation have been provided to the State of Michigan and are available to the public on the State's website. The organization's Bylaws and internal policies are generally not made available to the public. The overall system consolidated financial statements are provided at www.spectrumhealth.org/about-us within subsection "Value and Transparency".
Form 990, Part VII, Section A Reported Compensation and Hours THE COMPENSATION REPORTED FOR EMPLOYEES OF THE ORGANIZATION IS NOT FOR SERVICES IN THEIR CAPACITY AS MEMBERS OF THE BOARD OF DIRECTORS BUT FOR SERVICES AS EMPLOYEES OF THE HEALTH SYSTEM. CERTAIN DIRECTORS WERE PAID REASONABLE COMPENSATION FOR THEIR SERVICES AS MEMBERS OF THE BOARD. EMPLOYEES WITH COMPENSATION REPORTED IN PART VII WORK A COMBINED AVERAGE OF 50 HOURS PER WEEK FOR THE HEALTH SYSTEM.
Form 990, Part VII, Section A Compensation of Directors Based on external opinion by Sullivan Cotter and Associates, Inc., Spectrum Health System compensates board members in a manner that is reasonable in relation to market data. Board of directors compensation is continually reviewed to confirm compensation falls within reasonable limits. Any compensation amount is treated as taxable to the board member and is reported and provided to them on Form 1099.
Form 990, Part VII, Section A SMITH, BRANDI ADDITIONAL POSITIONS HELD Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: VP - PHILANTHROPY, LHNSJ / FOUNDATION PRESIDENT, LHF - Part Year, AverageHours: 40.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VP - PHILANTHROPY, LHNSJ - PART YEAR, AverageHours: 10.000; KeyEmployee
Form 990, Part VII, Section A FREESE DECKER, CHRISTINA ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Hospitals, Title: Director, SHH, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health Foundation, Title: Director, SHF, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SANDEFUR, GWEN ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: President, SHH - Part Year, AverageHours: 48.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care, Title: Chair, SHCC - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BUDDEN, JOAN A. ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A ELMOUCHI, DARRYL, MD ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Primary Care Partners , Title: President, SHMG, AverageHours: 21.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: Director / President, SHH, AverageHours: 22.000; IndividualTrusteeOrDirectorOfficer Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A HAMEL, LOREN, MD ADDITIONAL POSITIONS HELD Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: DIRECTOR, LHF, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Hospice at Home, Inc., Title: DIRECTOR/PRESIDENT & CEO LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Mercy Memorial Health Services, Inc., Title: PRESIDENT, MMHS, AverageHours: 5.000; Officer Organization Name: Lakeland Regional Health System, Inc., Title: PRESIDENT, LRHS, AverageHours: 6.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: PRESIDENT, LHNSJ, AverageHours: 10.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Specialty Hospital at Berrien Center, Title: PRESIDENT, LSHBC, AverageHours: 1.000; Officer
Form 990, Part VII, Section A BRASSER, BRIAN ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: SVP, Chief Operating Officer, SHH, AverageHours: 50.000; Officer Organization Name: Spectrum Health Kelsey, Title: Former President, SHK, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health United, Title: Former President, SHU, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A SLAIKEU, JASON, MD ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG - Part Year, AverageHours: 49.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: Director, SHH - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A HAMEL, LOWELL, MD ADDITIONAL POSITIONS HELD Organization Name: Hospice at Home, Inc., Title: DIRECTOR, HAH, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: CHIEF OPERATING OFFICER & CHIEF CLINICAL OFFICER, LHNSJ, AverageHours: 48.000; Officer Organization Name: Lakeland Community Hospital Watervliet, Title: DIRECTOR, LCHW, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Tuttle, Chad ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Continuing Care, Title: President/Secretary, SHCC - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Visiting Nurse Services of Western Michigan, Title: Chair - Part Year/President, VNS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care Center, Title: Chair - Part Year / President, SHCCC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Worth Services, Title: Chair - Part Year / President, SHWS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health - Leffingwell Avenue, Title: President, SHLA, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: SVP, Hospital / Post Acute Ops, AverageHours: 45.000; Officer
Form 990, Part VII, Section A Fitzgerald, Robert, MD ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Primary Care Partners , Title: Vice Chair - Part Year/Director, SHMG, AverageHours: 44.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Leslie, Andrea ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health United, Title: President, SHU, AverageHours: 13.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Kelsey, Title: President, SHK, AverageHours: 12.000; IndividualTrusteeOrDirectorOfficer Organization Name: Mecosta County Medical Center, Title: President, SHBR, AverageHours: 13.000; IndividualTrusteeOrDirectorOfficer Organization Name: Reed City Hospital Corporation, Title: President, SHRC, AverageHours: 12.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting only, AverageHours: 0.000;
Form 990, Part VII, Section A KONOPACKI, PAUL ADDITIONAL POSITIONS HELD Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VP - FINANCE & CFO, LHNSJ, AverageHours: 15.000; Officer Organization Name: Lakeland Community Hospital Watervliet, Title: VP - FINANCE & CFO, LCHW , AverageHours: 10.000; Officer Organization Name: Lakeland Regional Health System, Inc., Title: VP - FINANCE & CFO, LRHS, AverageHours: 15.000; Officer Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: VP - FINANCE & CFO, LHF, AverageHours: 5.000; Officer Organization Name: Mercy Memorial Health Services, Inc., Title: Treasurer, MMHS, AverageHours: 4.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Primary Care Partners , Title: SVP, Finance, SHMG - Part Year, AverageHours: 0.000; Officer Organization Name: Lakeland Specialty Hospital at Berrien Center, Title: VP - FINANCE & CFO, LSHBC , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A PATER, MARY ANN ADDITIONAL POSITIONS HELD Organization Name: Mercy Memorial Health Services, Inc., Title: SECRETARY, MMHS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Specialty Hospital at Berrien Center, Title: SECRETARY, LSHBC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VP - LEGAL & GENERAL COUNCIL, LHNSJ, AverageHours: 48.000; Officer
Form 990, Part VII, Section A Schuen, John, MD ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Chair- Part Year/Director, SHMG, AverageHours: 44.500; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A CALHOUN, TIMOTHY ADDITIONAL POSITIONS HELD Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: VP - FINANCE & CFO, LHF - Part Year, AverageHours: 5.000; Officer Organization Name: Lakeland Community Hospital Watervliet, Title: VP - FINANCE & CFO, LCHW - Part Year, AverageHours: 5.000; Officer Organization Name: Mercy Memorial Health Services, Inc., Title: TREASURER, MMSH - Part Year, AverageHours: 5.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Specialty Hospital at Berrien Center, Title: VP - FINANCE & CFO, LSHBC - Part Year, AverageHours: 5.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Regional Health System, Inc., Title: VP - FINANCE & CFO, LRHS - Part Year, AverageHours: 15.000; Officer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VP - FINANCE & CFO, LHNSJ - Part Year, AverageHours: 15.000; Officer
Form 990, Part VII, Section A Beg, Simin ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 40.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health - Leffingwell Avenue, Title: Chair, SHLA, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Visiting Nurse Services of Western Michigan, Title: Chair, VNS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Worth Services, Title: Chair, SHWS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care Center, Title: Chair, SHCCC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A CRUSE, RAY ADDITIONAL POSITIONS HELD Organization Name: Lakeland Community Hospital Watervliet, Title: PRESIDENT, LCHW, AverageHours: 25.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VP - STRATEGY & HOSPITALITY, LHNSJ/PRESIDENT,LCHW, AverageHours: 24.000; Officer Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: DIRECTOR, LHF, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Smith, Kevin ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Continuing Care, Title: Interim President, SHCC, AverageHours: 48.000; IndividualTrusteeOrDirectorOfficer Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Secretary / Treasurer, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Worth Services, Title: Director, SHWS - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health - Leffingwell Avenue, Title: Secretary/Treasurer, SHLA, AverageHours: 0.500; Officer
Form 990, Part VII, Section A Pakkala, Karen ADDITIONAL POSITIONS HELD Organization Name: Visiting Nurse Services of Western Michigan, Title: Secretary / Treasurer, VNS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Secretary / Treasurer, SHWS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care, Title: For Compensation Reporting only, AverageHours: 47.500; Officer
Form 990, Part VII, Section A Kelley, Randall ADDITIONAL POSITIONS HELD Organization Name: Newaygo County General Hospital Association(Former), Title: Former President, SHGM, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center of West Michigan(Former), Title: Former President, SHL, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting only, AverageHours: 0.000;
Form 990, Part VII, Section A GRUBER, MELINDA ADDITIONAL POSITIONS HELD Organization Name: Hospice at Home, Inc., Title: PRESIDENT, HAH, AverageHours: 20.000; IndividualTrusteeOrDirectorOfficer Organization Name: Mercy Memorial Health Services, Inc., Title: CHAIR, MMHS, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Specialty Hospital at Berrien Center, Title: CHAIR, LSHBC, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VP - POST ACUTE CARE SERVICES, LHNSJ, AverageHours: 20.000; Officer Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: INTERIM PRESIDENT, LHF, AverageHours: 6.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Dostal, Drew ADDITIONAL POSITIONS HELD Organization Name: Newaygo County General Hospital Association, Title: President, SHGM, AverageHours: 25.000; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center of West Michigan, Title: President, SHL, AverageHours: 25.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting only, AverageHours: 0.000;
Form 990, Part VII, Section A Ferrell-Robinson, Lynnette ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: Chair, SHH, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Newaygo County General Hospital Association, Title: Chair, SHGM, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center of West Michigan, Title: Chair, SHL, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Mecosta County Medical Center, Title: Chair, SHBR , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Reed City Hospital Corporation, Title: Chair, SHRC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Pennock Hospital, Title: Chair, SHP , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health United, Title: Chair, SHU , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Kelsey, Title: Chair, SHK , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Zeeland Community Hospital, Title: Chair, SHZ , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care, Title: Chair, SHCC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Primary Care Partners , Title: Chair, SHPCP, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A HOPP, DANIEL ADDITIONAL POSITIONS HELD Organization Name: Lakeland Regional Health System, Inc., Title: CHAIR, LRHS, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: CHAIR, LHNSJ, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A TODMAN, MICHAEL ADDITIONAL POSITIONS HELD Organization Name: Lakeland Regional Health System, Inc., Title: VICE CHAIR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VICE CHAIR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Wilson, Mark ADDITIONAL POSITIONS HELD Organization Name: Zeeland Community Hospital, Title: Director-Part Year/Treasurer, SHZ , AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: Treasurer, SHH, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Newaygo County General Hospital Association, Title: Treasurer, SHGM, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center of West Michigan, Title: Treasurer, SHL, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Mecosta County Medical Center, Title: Treasurer, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Reed City Hospital Corporation, Title: Treasurer, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Pennock Hospital, Title: Treasurer, SHP, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health United, Title: Treasurer, SHU, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Kelsey, Title: Treasurer, SHK, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care, Title: Treasurer, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Primary Care Partners , Title: Treasurer, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Watson, Sam ADDITIONAL POSITIONS HELD Organization Name: Pennock Hospital, Title: Vice Chair, SHP, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: Director-Part Year/Vice Chair, SHH , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Newaygo County General Hospital Association, Title: Vice Chair, SHGM, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center of West Michigan, Title: Vice Chair, SHL, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Mecosta County Medical Center, Title: Vice Chair, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Reed City Hospital Corporation, Title: Vice Chair, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health United, Title: Vice Chair, SHU, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Kelsey, Title: Vice Chair, SHK, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Zeeland Community Hospital, Title: Vice Chair, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care, Title: Vice Chair, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Primary Care Partners , Title: Vice Chair, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Wynn, Barbara, MD ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: Vice Chair, SHH - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Haney, Donald ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: OTHER COMPENSATION, AverageHours: 1.000; Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Treasurer, SHP - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Wassink, Kurt ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: Other Compensation, AverageHours: 1.000; Organization Name: Zeeland Community Hospital, Title: Vice Chair, SHZ - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Thompson, Sheryl ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Chair-Part Year/Director, SHBR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Reed City Hospital Corporation, Title: Chair-Part Year/Director, SHRC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A ALLEN, TERRENCE ADDITIONAL POSITIONS HELD Organization Name: Lakeland Regional Health System, Inc., Title: SECRETARY, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: SECRETARY, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A SCHAFFER, DAVID ADDITIONAL POSITIONS HELD Organization Name: Lakeland Regional Health System, Inc., Title: TREASURER, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: TREASURER, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A VANLANDINGHAM, CHRISTINE ADDITIONAL POSITIONS HELD Organization Name: Lakeland Community Hospital Watervliet, Title: CHAIR, LCHW, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A WALES, DANA ADDITIONAL POSITIONS HELD Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: CHAIR, LHF, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A KUEHNLE, LISA ADDITIONAL POSITIONS HELD Organization Name: Lakeland Community Hospital Watervliet, Title: DIRECTOR, LCHW, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: SECRETARY, LHF - PART YEAR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A DASCENZO, DENNIS ADDITIONAL POSITIONS HELD Organization Name: Hospice at Home, Inc., Title: CHAIR, HAH, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A GIELDA, BEN, MD ADDITIONAL POSITIONS HELD Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ/PHYSICIAN, AverageHours: 49.000; IndividualTrusteeOrDirector Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A ULREICH, SHAWN ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting Only, AverageHours: 49.000; Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A FORSHEE, JAMES, MD ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: OTHER COMPENSATION, AverageHours: 0.500; Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A VISSER, THOMAS, MD ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting Only, AverageHours: 49.500; Organization Name: Zeeland Community Hospital, Title: Director, SHZ - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A KRHOVSKY, David, MD ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting only, AverageHours: 46.000; Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Denenberg, Matthew, MD ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting Only, AverageHours: 49.500; Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Sall, Jordan ADDITIONAL POSITIONS HELD Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting Only, AverageHours: 48.500; Organization Name: Spectrum Health Hospitals, Title: Other Compensation, AverageHours: 1.000;
Form 990, Part VII, Section A DeNiel, Melissa ADDITIONAL POSITIONS HELD Organization Name: Mecosta County Medical Center, Title: Director, SHBR - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting Only, AverageHours: 49.000;
Form 990, Part VII, Section A McConnell, Nicole ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Kelsey, Title: Director, SHK - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Parsons, Andrew ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting Only, AverageHours: 49.500; Organization Name: Pennock Hospital, Title: Director, SHP - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Brummeler, Charles ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting Only, AverageHours: 49.000; Organization Name: Reed City Hospital Corporation, Title: Director, SHRC - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Begrow, Lee, DO ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG - Part Year, AverageHours: 49.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health Hospitals, Title: OTHER COMPENSATION, AverageHours: 1.000;
Form 990, Part VII, Section A Baird, Tricia ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting only, AverageHours: 49.500;
Form 990, Part VII, Section A Waalkes, Annica ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 44.500; Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Bragg, Talawnda ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting only, AverageHours: 47.000; Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Hospitals, Title: OTHER COMPENSATION, AverageHours: 1.000; Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MANCINI, MICHELINO ADDITIONAL POSITIONS HELD Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, PRESIDENT OF MEDICAL STAFF, LHNSJ, AverageHours: 49.000; IndividualTrusteeOrDirector Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A NOLAN, ROBERT, MD ADDITIONAL POSITIONS HELD Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ - Part Year, AverageHours: 49.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A JOHNSON, DEBRA ADDITIONAL POSITIONS HELD Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: FOR COMPENSATION REPORTING ONLY, AverageHours: 49.000; Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: DIRECTOR, LHF, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Murray, Stephanie ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Continuing Care, Title: For Compensation Reporting only, AverageHours: 48.500; Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A O'Callaghan, Mary ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: Other Compensation, AverageHours: 1.000; Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG - Part Year, AverageHours: 49.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Torres, Johannie ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 24.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A PAYNE, WILLIAM ADDITIONAL POSITIONS HELD Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Hofman, Ronald, MD ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Pink, Bill ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Buckley, John, Jr. ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Port, Christopher, MD ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Molewyk Doornbos, Mary ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A EDWARDS, WENDY ADDITIONAL POSITIONS HELD Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: DIRECTOR, LHF, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: For Compensation Reporting Only, AverageHours: 2.000;
Form 990, Part VII, Section A Lozano-Buhl, Erika ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: Other Compensation, AverageHours: 1.000; Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Kooyers, Kyle ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Hospitals, Title: OTHER COMPENSATION, AverageHours: 1.000; Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A DeVos, Richard, III ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Byrne, John ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Coffey-Hoag, Ryan ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Haynes, Nancy ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BRITTEN, NICKI ADDITIONAL POSITIONS HELD Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A FRENCH, JERRY ADDITIONAL POSITIONS HELD Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: DIRECTOR, LHF, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A GRAY, LYNN, MD ADDITIONAL POSITIONS HELD Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A HEENAN, GEORGE, MD ADDITIONAL POSITIONS HELD Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A MARTIN, CAREY ADDITIONAL POSITIONS HELD Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A SMITH, SCOTT ADDITIONAL POSITIONS HELD Organization Name: Lakeland Community Hospital Watervliet, Title: DIRECTOR, LCHW, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A VALENTINE, MAURICE, II ADDITIONAL POSITIONS HELD Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A YEAGER, THOMAS ADDITIONAL POSITIONS HELD Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A BANYON, HILDA ADDITIONAL POSITIONS HELD Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: DIRECTOR, LHF, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Hospice at Home, Inc., Title: DIRECTOR, HAH, AverageHours: 1.000; IndividualTrusteeOrDirector
Form 990, Part VII, Section A Chircop, Marc ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Continuing Care(Former), Title: Former Chair, SHCC , AverageHours: 0.000; Officer Organization Name: Spectrum Health Hospitals, Title: SVP, Strat Partnership & Op SVC, SHH - Part Year, AverageHours: 49.000; Officer
Form 990, Part VII, Section A Boonstra, Martha ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals, Title: Secretary, SHH , AverageHours: 45.000; Officer Organization Name: Newaygo County General Hospital Association, Title: Secretary, SHGM , AverageHours: 0.500; Officer Organization Name: Memorial Medical Center of West Michigan, Title: Secretary, SHL, AverageHours: 0.500; Officer Organization Name: Mecosta County Medical Center, Title: Secretary, SHBR, AverageHours: 0.500; Officer Organization Name: Reed City Hospital Corporation, Title: Secretary, SHRC, AverageHours: 0.500; Officer Organization Name: Pennock Hospital, Title: Secretary, SHP, AverageHours: 0.500; Officer Organization Name: Spectrum Health United, Title: Secretary, SHU, AverageHours: 0.500; Officer Organization Name: Spectrum Health Kelsey, Title: Secretary, SHK, AverageHours: 0.500; Officer Organization Name: Zeeland Community Hospital, Title: Secretary, SHZ, AverageHours: 0.500; Officer Organization Name: Spectrum Health Continuing Care, Title: Secretary, SHCC, AverageHours: 0.500; Officer Organization Name: Spectrum Health Primary Care Partners , Title: Secretary, SHMG, AverageHours: 0.500; Officer
Form 990, Part VII, Section A TROYER, KENDALL ADDITIONAL POSITIONS HELD Organization Name: Mercy Memorial Health Services, Inc.(Former), Title: FORMER TREASURER, MMHS, AverageHours: 0.000; Officer Organization Name: Lakeland Specialty Hospital at Berrien Center(Former), Title: FORMER CHAIR, LSCBC, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VP - OP DIAG & QUALITY, LHNSJ, AverageHours: 50.000; Officer
Form 990, Part VII, Section A Welday, Douglas ADDITIONAL POSITIONS HELD Organization Name: Spectrum Health Hospitals(Former), Title: Former SVP, Finance, Delivery System , AverageHours: 0.000; Officer Organization Name: Spectrum Health Continuing Care(Former), Title: Former Treasurer, SHCC, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer
Form 990, Part VII, Section A Vandriel, Mary Kay ADDITIONAL POSITIONS HELD Organization Name: Mecosta County Medical Center(Former), Title: Former President, SHBR, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Reed City Hospital Corporation(Former), Title: Former President, SHRC, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting Only, AverageHours: 50.000;
Form 990, Part VIII, Line 2f Other Program Service Revenue - Total Revenue: 33477638, Related or Exempt Function Revenue: 32911398, Unrelated Business Revenue: 561332, Revenue Excluded from Tax Under Sections 512, 513, or 514: 4908;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances Addition Of Members To Group (Lakeland) - XXX-XX-XXXX; Funds Transfer To Supporting Organization - -25308979; Funds Transfer To Entities Outside Group - -11860670; Valuation Allowance - -275200; Other Activity - 2723437; Change In Interest Of Restricted Net Assets Of Outside Trust - 480551; Investment Income - Restricted Assets - 985147;
Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTS THE ORGANIZATIONS INCLUDED IN THE GROUP RETURN ARE ALL AUDITED ON A CONSOLIDATED BASIS.
Form 990, Part XII, Line 2c Oversight of the Audit The financial statements of the organization were audited by an independent auditor as part of the consolidated audit of Spectrum Health System (EIN 38-3382353). The oversight of that audit is being assumed by Spectrum Health System, the ultimate controlling member of the organizations included in the group exemption.
Schedule B Contributions All organizations included in the group return are covered by the general rule for determining contributions reportable on Schedule B except for Spectrum Health Foundation (EIN 38-2752328), Lakeland Health Foundation Benton Harbor/St Joseph (EIN38-2539929), and Hospice at Home Inc (EIN 38-2416086). Spectrum Health Foundation, Lakeland Health Foundation Benton Harbor/St Joseph, and Hospice at Home Inc are Section 501(c)(3) organizations that met the 33 1/3 % support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi). Pursuant to the Form 990 Schedule B Instructions contributions from any contributor that exceed the greater of (1) $5,000 or (2) 2% of the amount of total contributions, gifts, grants and other similar amounts received by the organization are reportable.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2020


Additional Data


Software ID: 20011424
Software Version: 2020v4.0
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
Spectrum Health System Group Return
 
Employer identification number

61-1740292
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)SPECTRUM HEALTH SYSTEM
100 MICHIGAN ST NE MC 498

GRAND RAPIDS,MI49503
38-3382353 		MANAGEMENT MI 501(c)(3) Type III-FI na
 
 
No
(2)PRIORITY HEALTH
1231 EAST BELTLINE NE

GRAND RAPIDS,MI49525
38-2715520 		HMO MI 501(c)(4)   SPECTRUM HEALTH SYSTEM
 
 
No
(3)TRINITY HEALTH PLANS
1231 EAST BELTLINE NE

GRAND RAPIDS,MI49525
38-2663747 		HMO MGMT MI 501(c)(4)   PRIORITY HEALTH
 
 
No
(4)PRIORITY HEALTH CHOICE INC
1231 EAST BELTLINE NE

GRAND RAPIDS,MI49525
32-0016523 		HMO (MEDICAID) MI 501(c)(3) 10 PRIORITY HEALTH
 
 
No
(5)KENT COMMUNITY HEALTH FOUNDATION
750 FULLER AVE NE

GRAND RAPIDS,MI49503
38-3607110 		PHILANTHROPY MI 501(c)(3) Type III-O SPECTRUM HEALTH HOSPITALS
 
Yes
 
(6)SPECTRUM HEALTH - MSU ALLIANCE CORPORATION
100 MICHIGAN ST NE MC 498

GRAND RAPIDS,MI49503
76-0845329 		RESEARCH MI 501(c)(3) Type I SPECTRUM HEALTH HOSPITALS
 
Yes
 
(7)LAKESHORE AREA RADIATION ONCOLOGY CENTER
12642 RILEY ST

HOLLAND,MI494249202
38-3067954 		RADIATION SERVICES MI 501(c)(3) 3 SPECTRUM HEALTH HOSPITALS
 
Yes
 
(8)HEALTH POINTE
15100 WHITTAKER WAY

GRAND HAVEN,MI49417
47-4398187 		AMBULATORY HEALTH CARE MI 501(c)(3) 3 SPECTRUM HEALTH HOSPITALS
 
Yes
 
(9)TOTAL HEALTH CARE INC
3011 W GRAND BLVD SUITE 1600

DETROIT,MI48202
38-2018957 		HMO MGMT MI 501(c)(4)   PRIORITY HEALTH
 
 
No
(10)TOTAL HEALTH CARE USA INC
3011 W GRAND BLVD SUITE 1600

DETROIT,MI48202
38-3240485 		HMO MGMT MI 501(c)(4)   TOTAL HEALTH CARE INC
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) WEST MICHIGAN ACCOUNTABLE CARE ORGANIZATION LLC

221 MICHIGAN ST NE STE 501
GRAND RAPIDS,MI49503
83-3153113 		ACCOUNTABLE CARE ORGANIZATION MI SPECTRUM HEALTH SYSTEM
  		Related       No     No 98.04 %












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) HELEN DEVOS WOMEN'S AND CHILDREN'S HEALTH PAVILION ASSOCIATION

330 BARCLAY NE
GRAND RAPIDS,MI49503
38-3264184 		MGMT MI SPECTRUM HEALTH HOSPITALS
  		C Corporation 433,353 510,770 87.47 % Yes  
(2) THE FRED AND LENA MEIJER HEART CENTER CONDOMINIUM ASSOCIATION

100 MICHIGAN ST NE
GRAND RAPIDS,MI49503
83-0464302 		MGMT MI SPECTRUM HEALTH HOSPITALS
  		C Corporation 2,003,873 1,723,178 100 % Yes  
(3) CAMPUS TOWN CENTRE CONDO ASSC

4868 LAKE MICHIGAN DRIVE
ALLENDALE,MI49401
38-2910067 		MGMT MI SPECTRUM HEALTH HOSPITALS
  		C Corporation 22,210 0 90 % Yes  
(4) PRIORITY HEALTH INSURANCE COMPANY

1231 EAST BELTLINE NE
GRAND RAPIDS,MI49525
20-1529553 		INSURANCE MI NA
  		C Corporation         No
(5) PRIORITY HEALTH MANAGED BENEFITS

1231 EAST BELTLINE NE
GRAND RAPIDS,MI49525
38-3085182 		THIRD PARTY ADMINISTRATOR MI NA
  		C Corporation         No
(6) WEST MICHIGAN HEART

1840 WEALTHY STREET SE
GRAND RAPIDS,MI49506
38-2125186 		PHYSICIANS MI NA
  		C Corporation         No
(7) SPECTRUM HEALTH PHYSICIAN ALLIANCE

100 MICHIGAN ST NE
GRAND RAPIDS,MI49503
37-1655728 		PHYSICIANS MI NA
  		C Corporation         No
(8) 35 MICHIGAN STREET CONDOMINIUM ASSOCIATION

35 MICHIGAN ST NE
GRAND RAPIDS,MI49503
27-2193084 		MGMT MI SPECTRUM HEALTH HOSPITALS
  		C Corporation 1,062,067 187,235 100 % Yes  
(9) LEMMEN-HOLTON CANCER PAVILION CONDOMINIUM ASSOCIATION

145 MICHIGAN ST NE
GRAND RAPIDS,MI49503
16-1734150 		MGMT MI SPECTRUM HEALTH HOSPITALS
  		C Corporation 2,201,717 1,222,108 82.98 % Yes  
(10) MUSCULOSKELETAL CENTER CONDOMINIUM ASSOCIATION

230 MICHIGAN NE
GRAND RAPIDS,MI49503
38-3180086 		MGMT MI SPECTRUM HEALTH HOSPITALS
  		C Corporation 178,929 190,290 89.54 % Yes  
(11) 25 MICHIGAN STREET CONDOMINUIM ASSOCIATION

100 MICHIGAN ST NE
GRAND RAPIDS,MI49503
16-1734157 		MGMT MI SPECTRUM HEALTH HOSPITALS
  		C Corporation 626,098 560,755 82.54 % Yes  
(12) THE MICHIGAN STREET PARKING CONDOMINUIM ASSOCIATION

100 MICHIGAN ST NE
GRAND RAPIDS,MI49503
16-1734145 		MGMT MI SPECTRUM HEALTH HOSPITALS
  		C Corporation 422,106 760,283 69.14 % Yes  
(13) PENNOCK VENTURES INC

1009 WEST GREEN STREET
HASTINGS,MI49058
38-2712819 		HEALTH CARE MI Pennock Hospital
  		C Corporation 853,162 1,258,199 100 % Yes  
(14) LAKELAND HEALTH ENTERPRISES INC

31 NORTH ST JOSEPH AVENUE
NILES,MI49120
38-2669798 		ACCOUNTING AND BILLING MI LAKELAND REGIONAL HEALTH SYSTEM INC
  		C Corporation         No
(15) PHARMACY SHOPPE INC DBA LAKELAND PHARMACY SHOPPE INC

1234 NAPIER AVENUE
ST JOSEPH,MI49085
38-2929090 		PHARMACEUTICALS MI LAKELAND HEALTH ENTERPRISES INC
  		C Corporation         No
(16) LAKELAND MEDICAL PRACTICES

1234 NAPIER AVENUE
ST JOSEPH,MI49085
27-0381199 		MEDICAL ADMINISTRATIVE SERVICES MI LAKELAND HEALTH ENTERPRISES INC
  		C Corporation         No
(17) SOUTHWESTERN MEDICAL CLINIC PHYSICIANS INC

1234 NAPIER AVENUE
ST JOSEPH,MI49085
27-2589359 		PHYSICIAN OFFICE MI LAKELAND HEALTH ENTERPRISES INC
  		C Corporation         No
(18) FOUR FLAGS PROPERTIES INC

122 GRANT STREET
NILES,MI49120
36-4501639 		PROPERTY MANAGEMENT/RENTAL MI LAKELAND HEALTH ENTERPRISES INC
  		C Corporation         No
(19) LAKELAND HEALTH VENTURES INC

1234 NAPIER AVENUE
ST JOSEPH,MI49085
27-2313790 		HOLDING COMPANY MI LAKELAND HEALTH ENTERPRISES INC
  		C Corporation         No
(20) LAKELAND PHYSICIAN CARE NETWORK

1234 NAPIER AVENUE
ST JOSEPH,MI49085
20-8513031 		MEDICAL SERVICES MI LAKELAND HEALTH ENTERPRISES INC
  		C Corporation         No
(21) LAKELAND PERSONAL CARE SERVICES INC

1234 NAPIER AVENUE
ST JOSEPH,MI49085
27-2990797 		HEALTHCARE SERVICES MI LAKELAND HEALTH ENTERPRISES INC
  		C Corporation         No
(22) PENNOCK PROFESSIONAL BUILDING CONDOMINIUM ASSOCIATION

1009 W GREEN ST
HASTINGS,MI49058
38-4056359 		MGMT MI PENNOCK HOSPITAL
  		C Corporation 138,925 86,194 89.29 % Yes  
(23) 1697 MICHIGAN STREET PROPERTY

100 MICHIGAN STREET NE
GRAND RAPIDS,MI49503
83-1721239 		MGMT MI SPECTRUM HEALTH HOSPITALS
  		C Corporation 0 4,849,864 100 % Yes  
(24) PHMB CAMADS TRUST

1231 EAST BELTLINE NE
GRAND RAPIDS,MI49525
84-6496888 		TRUST MI PRIORITY HEALTH MANAGED BENEFITS INC
  		Trust         No
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
Yes
 
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Priority Health

 M 229,290,403 CASH, GAAP, OR FMV
(2) Priority Health

 L 764,060,465 CASH, GAAP, OR FMV
(3) Spectrum Health Continuing Care Campus

 L 3,319,423 CASH, GAAP, OR FMV
(4) Spectrum Health Worth Services

 L 3,191,598 CASH, GAAP, OR FMV
(5) Spectrum Health Kelsey

 L 2,612,263 CASH, GAAP, OR FMV
(6) Health Pointe

 L 2,282,220 CASH, GAAP, OR FMV
(7) Visiting Nurse Services of Western Michigan

 L 2,106,686 CASH, GAAP, OR FMV
(8) Health Pointe

 Q 12,708,761 CASH, GAAP, OR FMV
(9) Lemmen-Holton Cancer Pavilion Condominium Association

 Q 2,596,915 CASH, GAAP, OR FMV
(10) The Fred and Lena Meijer Heart Center Condominium

 Q 2,030,245 CASH, GAAP, OR FMV
(11) 35 Michigan Condominium Association

 Q 1,031,092 CASH, GAAP, OR FMV
(12) 25 Michigan Condominium Association

 Q 753,289 CASH, GAAP, OR FMV
(13) Michigan Street Parking Condominium Association

 Q 652,755 CASH, GAAP, OR FMV
(14) Helen DeVos Women and Children's Health Pavilion Association

 Q 448,797 CASH, GAAP, OR FMV
(15) Musculoskeletal Center Condominium Association

 Q 191,226 CASH, GAAP, OR FMV
(16) Pennock Professional Building Condominium Association

 Q 131,715 CASH, GAAP, OR FMV
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R, Part IV IDENTIFICATION OF RELATED ORGANIZATIONS 35 MICHIGAN STREET CONDOMINIUM ASSOCIATION AND LEMMEN-HOLTON CANCER PAVILION CONDOMINIUM ASSOCIATION ARE INCLUDED ON SCHEDULE R, PART IV AS THE VOTING POWER IS CONTROLLING UNDER THE CONSTRUCTIVE OWNERSHIP RULES UNDER SECTION 318 OF THE INTERNAL REVENUE CODE. SCHEDULE R, PART IV, COLUMNS (F) SHARE OF TOTAL INCOME AND (G) SHARE OF END-OF-YEAR ASSETS, AND (H) PERCENTAGE OWNERSHIP ARE REPORTED BASED ON THE GREATER OF OWNERSHIP OR VOTING POWER.
Schedule R, Part V, Line 2 TRANSACTIONS WITH RELATED ORGANIZATIONS THE AMOUNTS LISTED IN PART V, LINE 2, TRANSACTION TYPE L & M FOR PRIORITY HEALTH REPRESENT THE AGGREGATE AMOUNT OF TRANSACTIONS AMONG ALL ORGANIZATIONS INCLUDED IN THE GROUP RETURN.
Schedule R (Form 990) 2020

Additional Data


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