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        <Description>ALL OTHER ACHIEVEMENTS-PLEASE SEE SCHEDULE I.</Description>
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        <InvestmentEarningsOrLosses>-600053</InvestmentEarningsOrLosses>
        <OtherExpenditures>1213952</OtherExpenditures>
        <EndOfYearBalance>39574298</EndOfYearBalance>
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      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>25594717</BeginningOfYearBalance>
        <Contributions>7396235</Contributions>
        <InvestmentEarningsOrLosses>5234538</InvestmentEarningsOrLosses>
        <OtherExpenditures>1045015</OtherExpenditures>
        <EndOfYearBalance>37180475</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>22293000</BeginningOfYearBalance>
        <Contributions>510290</Contributions>
        <InvestmentEarningsOrLosses>2259660</InvestmentEarningsOrLosses>
        <OtherExpenditures>-531767</OtherExpenditures>
        <EndOfYearBalance>25594717</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <CurrentYearMinus4Years>
        <BeginningOfYearBalance>27356000</BeginningOfYearBalance>
        <Contributions>401000</Contributions>
        <InvestmentEarningsOrLosses>-4354000</InvestmentEarningsOrLosses>
        <OtherExpenditures>1110000</OtherExpenditures>
        <EndOfYearBalance>22293000</EndOfYearBalance>
      </CurrentYearMinus4Years>
      <PermanentEndowmentEOYBalance>0.83000</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.17000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <Land>
        <BookValue>0</BookValue>
      </Land>
      <Buildings>
        <BookValue>0</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>539052</OtherCostOrOtherBasis>
        <Depreciation>296478</Depreciation>
        <BookValue>242574</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>497225</OtherCostOrOtherBasis>
        <Depreciation>379273</Depreciation>
        <BookValue>117952</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <BookValue>0</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>360526</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATES</Description>
        <Amount>4767182</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>4767182</TotalOfAmounts>
      <TotRevenueEtcAuditedFinclStmt>26451989</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>3300860</NetUnrealizedGainsInvestments>
      <OtherRevenues>0</OtherRevenues>
      <RevenueNotRptdF990>3300860</RevenueNotRptdF990>
      <RevenueSubtotal>23151129</RevenueSubtotal>
      <OtherRevenuesNotIncluded>148991</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>148991</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>23300120</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>16792250</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>0</OtherExpensesIncluded>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>16792250</ExpensesSubtotal>
      <OtherExpensesNotIncluded>0</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>16792250</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>FIN 48 (ASC 740) FOOTNOTE</Identifier>
        <ReturnReference>SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>SPECTRUM HEALTH SYSTEM CONDUCTS AN ANALYSIS ANNUALLY TO DETERMINE THE ORGANIZATION'S LIABILITY WITH RESPECT TO UNCERTAIN TAX POSITIONS. FOR THE YEAR ENDED JUNE 30, 2013 IT WAS DETERMINED THAT THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS TO DISCLOSE. AS SUCH, THERE WAS NO FOOTNOTE ADDED TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Collections of art - description of collections</Identifier>
        <ReturnReference>Schedule D, Part III, Line 4</ReturnReference>
        <Explanation>THE HEALING ART COLLECTION CREATES A HEALING ENVIRONMENT FOR PATIENTS, VISITORS, AND STAFF ALIKE.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Intended uses of endowment funds</Identifier>
        <ReturnReference>Schedule D, Part V, Line 4</ReturnReference>
        <Explanation>THE ORGANIZATION'S ENDOWMENT FUNDS PROVIDE PERPETUAL SUPPORT OF LIFE SAVING PROGRAMS AND SERVICES AT OUR RELATED SPECTRUM HEALTH ORGANIZATIONS (INCLUDING SPECTRUM HEALTH HOSPITALS AND HELEN DEVOS CHILDREN'S HOSPITAL).</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Other revenues in form 990 not in audited financial statements</Identifier>
        <ReturnReference>Schedule D, Part XI, Line 4b</ReturnReference>
        <Explanation>UNCOLLECTIBLE PLEDGES - 148991;</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
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      <EventsInformation>
        <NameOfEvent1>FOUNDATION GALA</NameOfEvent1>
        <GrossReceiptsEvent1>1009956</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>220000</CharitableContributionsEvent1>
        <GrossRevenueEvent1>789956</GrossRevenueEvent1>
        <OtherDirectExpensesEvent1>333336</OtherDirectExpensesEvent1>
        <NameOfEvent2>OTHER SPECIAL EVENTS</NameOfEvent2>
        <GrossReceiptsEvent2>595850</GrossReceiptsEvent2>
        <GrossRevenueEvent2>595850</GrossRevenueEvent2>
        <OtherDirectExpensesEvent2>485604</OtherDirectExpensesEvent2>
        <GrossRevenueOtherEvents>0</GrossRevenueOtherEvents>
        <GrossReceiptsTotal>1605806</GrossReceiptsTotal>
        <CharitableContributionsTotal>220000</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>1385806</GrossRevenueTotalEvents>
        <CashPrizesTotalEvents>0</CashPrizesTotalEvents>
        <NonCashPrizesTotalEvents>0</NonCashPrizesTotalEvents>
        <RentFacilityCostsTotalEvents>0</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>0</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>0</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>818940</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>818940</DirectExpenseSummaryEvents>
        <NetIncomeSummary>566866</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
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      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>SPECTRUM HEALTH HOSPITALS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>100 MICHIGAN ST NE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49503</ZIPCode>
        </AddressUS>
        <EINOfRecipient>381360529</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>2192667</AmountOfCashGrant>
        <PurposeOfGrant>DISBURSEMENT TO AND ON BEHALF OF THE ORGANIZATION IN SUPPORT OF ITS TAX EXEMPT MISSION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>SPECTRUM HEALTH CONTINUING CARE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>750 FULLER AVE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49503</ZIPCode>
        </AddressUS>
        <EINOfRecipient>383242232</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>100611</AmountOfCashGrant>
        <PurposeOfGrant>DISBURSEMENT TO AND ON BEHALF OF THE ORGANIZATION IN SUPPORT OF ITS TAX EXEMPT MISSION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>SPECTRUM HEALTH CONTINUING CARE CENTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>750 FULLER AVE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49503</ZIPCode>
        </AddressUS>
        <EINOfRecipient>382415333</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>9413</AmountOfCashGrant>
        <PurposeOfGrant>DISBURSEMENT TO AND ON BEHALF OF THE ORGANIZATION IN SUPPORT OF ITS TAX EXEMPT MISSION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>HELEN DEVOS CHILDREN'S HOSPITAL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>100 MICHIGAN ST NE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49503</ZIPCode>
        </AddressUS>
        <EINOfRecipient>381360529</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>6859195</AmountOfCashGrant>
        <PurposeOfGrant>DISBURSEMENT TO AND ON BEHALF OF THE ORGANIZATION IN SUPPORT OF ITS TAX EXEMPT MISSION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>SPECTRUM HEALTH UNITED</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>615 SOUTH BOWER STREET</AddressLine1>
          <City>GREENVILLE</City>
          <State>MI</State>
          <ZIPCode>48838</ZIPCode>
        </AddressUS>
        <EINOfRecipient>381358412</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>49870</AmountOfCashGrant>
        <PurposeOfGrant>DISBURSEMENT TO AND ON BEHALF OF THE ORGANIZATION IN SUPPORT OF ITS TAX EXEMPT MISSION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>SPECTRUM HEALTH KELSEY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>615 SOUTH BOWER STREET</AddressLine1>
          <City>GREENVILLE</City>
          <State>MI</State>
          <ZIPCode>48838</ZIPCode>
        </AddressUS>
        <EINOfRecipient>381297435</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>11733</AmountOfCashGrant>
        <PurposeOfGrant>DISBURSEMENT TO AND ON BEHALF OF THE ORGANIZATION IN SUPPORT OF ITS TAX EXEMPT MISSION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ZEELAND COMMUNITY HOSPITAL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>8333 FELCH STREET</AddressLine1>
          <City>ZEELAND</City>
          <State>MI</State>
          <ZIPCode>49464</ZIPCode>
        </AddressUS>
        <EINOfRecipient>381411184</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>94183</AmountOfCashGrant>
        <PurposeOfGrant>DISBURSEMENT TO AND ON BEHALF OF THE ORGANIZATION IN SUPPORT OF ITS TAX EXEMPT MISSION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>SPECTRUM HEALTH GERBER MEMORIAL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>212 SOUTH SULLIVAN AVENUE</AddressLine1>
          <City>FREMONT</City>
          <State>MI</State>
          <ZIPCode>49412</ZIPCode>
        </AddressUS>
        <EINOfRecipient>381359517</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>15490</AmountOfCashGrant>
        <PurposeOfGrant>DISBURSEMENT TO AND ON BEHALF OF THE ORGANIZATION IN SUPPORT OF ITS TAX EXEMPT MISSION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>REED CITY HOSPITAL CORPORATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>300 NORTH PATTERSON ROAD</AddressLine1>
          <City>REED CITY</City>
          <State>MI</State>
          <ZIPCode>49677</ZIPCode>
        </AddressUS>
        <EINOfRecipient>382770076</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>1093481</AmountOfCashGrant>
        <PurposeOfGrant>DISBURSEMENT TO AND ON BEHALF OF THE ORGANIZATION IN SUPPORT OF ITS TAX EXEMPT MISSION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>SPECTRUM HEALTH SYSTEM</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>100 MICHIGAN ST NE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49503</ZIPCode>
        </AddressUS>
        <EINOfRecipient>383382353</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>1173791</AmountOfCashGrant>
        <PurposeOfGrant>DISBURSEMENT TO AND ON BEHALF OF THE ORGANIZATION IN SUPPORT OF ITS TAX EXEMPT MISSION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>SPECTRUM HEALTH PRIMARY CARE PARTNERS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1840 WEALTHY STREET SE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49506</ZIPCode>
        </AddressUS>
        <EINOfRecipient>381358164</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>1524693</AmountOfCashGrant>
        <PurposeOfGrant>DISBURSEMENT TO AND ON BEHALF OF THE ORGANIZATION IN SUPPORT OF ITS TAX EXEMPT MISSION</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>11</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>Procedures for monitoring use of grant funds</Identifier>
        <ReturnReference>Schedule I, Part I, Line 2</ReturnReference>
        <Explanation>FUNDS ARE GRANTED BASED ON THE SPECIFIC PURPOSE OF THE DONATIONS. WHEN THE SPECIFIC PURPOSE REQUIRES APPLICATIONS, A FUND MANAGER REVIEWS REQUESTS AND AUTHORIZES DISBURSEMENT BASED ON NEED AND BENEFIT TO THE ORGANIZATION. THE ORGANIZATION MONITORS USE OF SPECIFIC PURPOSE FUNDS AND REQUIRES FUND MANAGERS TO SUBMIT ANNUAL STEWARDSHIP REPORTS.</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Identifier>Purpose of grant or assistance</Identifier>
        <ReturnReference>Schedule I, Part II, Column H</ReturnReference>
        <Explanation>HELEN DEVOS CHILDREN'S HOSPITAL, 38-1360529:DISBURSEMENT TO AND ON BEHALF OF THE ORGANIZATION IN SUPPORT OF ITS TAX EXEMPT MISSION;SPECTRUM HEALTH HOSPITALS, 38-1360529:DISBURSEMENT TO AND ON BEHALF OF THE ORGANIZATION IN SUPPORT OF ITS TAX EXEMPT MISSION;SPECTRUM HEALTH PRIMARY CARE PARTNERS, 38-1358164:DISBURSEMENT TO AND ON BEHALF OF THE ORGANIZATION IN SUPPORT OF ITS TAX EXEMPT MISSION;SPECTRUM HEALTH SYSTEM, 38-3382353:DISBURSEMENT TO AND ON BEHALF OF THE ORGANIZATION IN SUPPORT OF ITS TAX EXEMPT MISSION;REED CITY HOSPITAL CORPORATION, 38-2770076:DISBURSEMENT TO AND ON BEHALF OF THE ORGANIZATION IN SUPPORT OF ITS TAX EXEMPT MISSION;SPECTRUM HEALTH CONTINUING CARE, 38-3242232:DISBURSEMENT TO AND ON BEHALF OF THE ORGANIZATION IN SUPPORT OF ITS TAX EXEMPT MISSION;ZEELAND COMMUNITY HOSPITAL, 38-1411184:DISBURSEMENT TO AND ON BEHALF OF THE ORGANIZATION IN SUPPORT OF ITS TAX EXEMPT MISSION;SPECTRUM HEALTH UNITED, 38-1358412:DISBURSEMENT TO AND ON BEHALF OF THE ORGANIZATION IN SUPPORT OF ITS TAX EXEMPT MISSION;SPECTRUM HEALTH GERBER MEMORIAL, 38-1359517:DISBURSEMENT TO AND ON BEHALF OF THE ORGANIZATION IN SUPPORT OF ITS TAX EXEMPT MISSION;SPECTRUM HEALTH KELSEY, 38-1297435:DISBURSEMENT TO AND ON BEHALF OF THE ORGANIZATION IN SUPPORT OF ITS TAX EXEMPT MISSION;SPECTRUM HEALTH CONTINUING CARE CENTER, 38-2415333:DISBURSEMENT TO AND ON BEHALF OF THE ORGANIZATION IN SUPPORT OF ITS TAX EXEMPT MISSION;</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
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      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
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      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>DEBORAH LOCKE</NamePerson>
        <Title>VP, PRINCIPAL GIFTS</Title>
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        <BonusFilingOrg>2798</BonusFilingOrg>
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        <NamePerson>VICKI WEAVER</NamePerson>
        <Title>PRESIDENT</Title>
        <BaseCompensationFilingOrg>241502</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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      <Form990ScheduleJPartIII>
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        <ReturnReference>Schedule J, Part I, Line 1a</ReturnReference>
        <Explanation>THE ORGANIZATION PAID HEALTH CLUB DUES FOR ONE EXECUTIVE EMPLOYEE. THESE AMOUNTS WERE TREATED AS TAXABLE COMPENSATION AND INCLUDED IN FORM W-2.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Arrangement used to establish the top management official's compensation</Identifier>
        <ReturnReference>Schedule J, Part I, Line 3</ReturnReference>
        <Explanation>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 FOUNDATION. LABOR MARKET DATA REFLECTING COMPARABLE ORGANIZATIONS AND JOBS (PREPARED BY INDEPENDENT FIRMS) ARE RELIED UPON. COMPETITIVE ASSESSMENT REPORTS ARE PROVIDED TO THE EXECUTIVE COMMITTEE IN ADVANCE OF MEETINGS. THE COMPETITIVE ASSESSMENT REPORT IS PREPARED BY A NATIONALLY KNOWN INDEPENDENT EXECUTIVE COMPENSATION FIRM AND, FOR FY 2013 (7/1/12-6/30/13), WAS BASED ON THE FOLLOWING INDEPENDENT SURVEYS OF HEALTH CARE EXECUTIVES AT COMPARABLE HEALTH SYSTEMS, HEALTH PLANS, AND MEDICAL GROUPS: * AMERICAN MEDICAL GROUP ASSOCIATION: 2012 MEDICAL GROUP COMPENSATION &amp; FINANCIAL SURVEY * INTEGRATED HEALTHCARE STRATEGIES: 2012 HEALTH CARE EXECUTIVE COMPENSATION SURVEY * MERCER HUMAN RESOURCES CONSULTING: 2012 EXECUTIVE COMPENSATION SURVEY * MERCER HUMAN RESOURCES CONSULTING: 2012 INTEGRATED HEALTH NETWORKS COMPENSATION SURVEY * MEDICAL GROUP MANAGEMENT ASSOCIATION: 2012 MANAGEMENT COMPENSATION SURVEY * SULLIVAN, COTTER AND ASSOCIATES: 2012 SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS * SULLIVAN, COTTER AND ASSOCIATES: 2012 PHYSICIAN COMPENSATION AND PRODUCTIVITY SURVEY REPORT * TOWERS WATSON: 2012/2013 HOSPITAL AND HEALTHCARE MANAGEMENT COMPENSATION REPORT * TOWERS WATSON: 2012/2013 TOP MANAGEMENT COMPENSATION REPORT * WARREN: 2012 COMPENSATION SURVEY COMPENSATION ADJUSTMENTS ARE APPROVED BY EXECUTIVE COMMITTEE MEMBERS, CONSISTENT WITH THE SPECTRUM HEALTH COMPENSATION PHILOSOPHY DESCRIBED BELOW. MINUTES OF COMMITTEE DISCUSSIONS AND DECISIONS ARE PREPARED TO MEMORIALIZE EXECUTIVE COMMITTEE DECISIONS BASED UPON THE ABOVE DATA. CASH COMPENSATION DATA RELIED UPON BY THE EXECUTIVE COMMITTEE IS NATIONAL AND REFLECTS THE COMPENSATION PAID TO EXECUTIVES IN COMPARABLE JOBS IN COMPARABLY-SIZED HEALTHCARE ORGANIZATIONS. SPECTRUM HEALTH RECRUITS NATIONALLY FOR ITS EXECUTIVES. BENEFITS DATA REFLECT NATIONAL HEALTHCARE MARKET PRACTICES. GEOGRAPHIC PAY DIFFERENTIAL AND COST OF LIVING DATA INDICATES CONSISTENCY WITH NATIONAL DATA. THIS PROCESS IS INTENDED TO ASSIST SPECTRUM HEALTH IN QUALIFYING FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS (INTERMEDIATE SANCTIONS REGULATIONS) AND COMPLYING WITH THE POTENTIAL SPECTRUM HEALTH EXCESS BENEFIT TRANSACTION POLICY FOR THOSE INDIVIDUALS IN THE GROUP WHO ARE DISQUALIFIED PERSONS. THE OPINION SUBMITTED FROM THE THIRD PARTY INDEPENDENT CONSULTING FIRM IS IN ACCORDANCE WITH THE PROVISIONS OF TREASURY REGULATIONS SECTION 53.4958-6(C)(2) AND IS ALSO INTENDED TO SATISFY THE PROFESSIONAL ADVICE REQUIREMENT OF TREASURY REGULATIONS SECTION 53.4958-1(D)(4)(III).</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental nonqualified retirement plan</Identifier>
        <ReturnReference>Schedule J, Part I, Line 4b</ReturnReference>
        <Explanation>$835,988 RICHARD BREON SCHEDULE J, PART I, LINE 4B IS ANSWERED "YES" BECAUSE CERTAIN INDIVIDUALS, WHOSE SALARY AND BENEFITS ARE PAID BY THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION, DO "PARTICIPATE IN" A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. SOME INDIVIDUALS RECEIVED DISTRIBUTIONS DURING THE YEAR (AS REPORTED ON THIS LINE) WHEREAS OTHERS PARTICIPATED IN THE PLAN 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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="12000266" softwareVersion="v2012.1.0">
      <WorksOfArt>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>500</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST</MethodOfDeterminingRevenues>
      </WorksOfArt>
      <BooksAndPublications>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NoncashContribsRptdF990>9141</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST</MethodOfDeterminingRevenues>
      </BooksAndPublications>
      <ClothingAndHouseholdGoods>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NoncashContribsRptdF990>20214</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST</MethodOfDeterminingRevenues>
      </ClothingAndHouseholdGoods>
      <RealEstateOther>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>6</NumberOfContributions>
        <NoncashContribsRptdF990>349000</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>MARKET VALUE</MethodOfDeterminingRevenues>
      </RealEstateOther>
      <FoodInventory>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>37</NumberOfContributions>
        <NoncashContribsRptdF990>16866</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST</MethodOfDeterminingRevenues>
      </FoodInventory>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>CERTIF. &amp; EVENTS</Description>
        <NumberOfContributions>219</NumberOfContributions>
        <NoncashContribsRptdF990>259220</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>VARIOUS</Description>
        <NumberOfContributions>114</NumberOfContributions>
        <NoncashContribsRptdF990>169260</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <NumberOf8283Received>1</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>true</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>Explanations of reporting method for number of contributions</Identifier>
        <ReturnReference>Schedule M, Part I</ReturnReference>
        <Explanation>ART - WORKS OF ART: NUMBER OF CONTRIBUTIONS BOOKS AND PUBLICATIONS: NUMBER OF CONTRIBUTIONS CLOTHING AND HOUSEHOLD GOODS: NUMBER OF CONTRIBUTIONS FOOD INVENTORY: NUMBER OF CONTRIBUTIONS OTHER: NUMBER OF CONTRIBUTIONS OTHER: NUMBER OF CONTRIBUTIONS REAL ESTATE - OTHER: NUMBER OF LOTS RECEIVED FROM ONE DONOR.</Explanation>
      </Form990ScheduleMPartII>
      <Form990ScheduleMPartII>
        <Identifier>Number of contributions or items contributed.</Identifier>
        <ReturnReference>Schedule M, part I, column (b), Line 1</ReturnReference>
        <Explanation>NUMBER OF CONTRIBUTIONS</Explanation>
      </Form990ScheduleMPartII>
      <Form990ScheduleMPartII>
        <Identifier>Number of contributions or items contributed.</Identifier>
        <ReturnReference>Schedule M, part I, column (b), Line 4</ReturnReference>
        <Explanation>NUMBER OF CONTRIBUTIONS</Explanation>
      </Form990ScheduleMPartII>
      <Form990ScheduleMPartII>
        <Identifier>Number of contributions or items contributed.</Identifier>
        <ReturnReference>Schedule M, part I, column (b), Line 5</ReturnReference>
        <Explanation>NUMBER OF CONTRIBUTIONS</Explanation>
      </Form990ScheduleMPartII>
      <Form990ScheduleMPartII>
        <Identifier>Number of contributions or items contributed.</Identifier>
        <ReturnReference>Schedule M, part I, column (b), Line 19</ReturnReference>
        <Explanation>NUMBER OF CONTRIBUTIONS</Explanation>
      </Form990ScheduleMPartII>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000266" softwareVersion="v2012.1.0">
      <GeneralExplanation>
        <Identifier>Classes of members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 6</ReturnReference>
        <Explanation>THE ORGANIZATION HAS ONE MEMBER(S)/STOCKHOLDER(S) AS FOLLOWS: SPECTRUM HEALTH SYSTEM (EIN 38-3382353), A MICHIGAN NONPROFIT CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Members or stockholders electing members of governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7a</ReturnReference>
        <Explanation>THE SOLE MEMBER(S) (SEE FORM 990, PART VI, LINE 6) OF THE ORGANIZATION APPOINTS ALL MEMBERS OF THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Decisions requiring approval by members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7b</ReturnReference>
        <Explanation>UNLESS OTHERWISE NOTED BELOW, THE SOLE MEMBER(S) (SEE FORM 990, PART VI, LINE 6) OF THE ORGANIZATION HAS THE RESERVED POWERS SET FORTH BELOW, AND SHALL NOT BE DEEMED AUTHORIZED UNLESS AND UNTIL APPROVED BY THE SOLE MEMBER(S): -AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE ORGANIZATION; -ELECTION AND/OR REMOVAL OF THE MEMBERS OF THE ORGANIZATION'S BOARD OF TRUSTEES; -ELECTION AND/OR REMOVAL OF THE ORGANIZATION'S CHAIRPERSON OF THE BOARD OF TRUSTEES; -HIRING, DISCHARGE, AND EVALUATION OF THE ORGANIZATION'S PRESIDENT; -ADOPTION OF THE ORGANIZATION'S STRATEGIC PLANS; -ADOPTION OF THE ORGANIZATION'S ANNUAL OPERATING AND CAPITAL BUDGETS, AND ANY AMENDMENTS TO SUCH BUDGETS; -ALL CAPITAL EXPENDITURES BY THE ORGANIZATION IN EXCESS OF CERTAIN PRESET SPENDING AMOUNTS; -ALL BORROWINGS OR GUARANTEES OF INDEBTEDNESS BY THE ORGANIZATION (OR ANY ENTITY CONTROLLED BY THE ORGANIZATION); -ALL LENDING BY THE ORGANIZATION (OR ANY ENTITY CONTROLLED BY THE ORGANIZATION) TO PERSONS OTHER THAN SPECTRUM HEALTH OR ANY ENTITY CONTROLLED BY SPECTRUM HEALTH; -THE ORGANIZATION'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 ORGANIZATION (OR ANY ENTITY CONTROLLED BY THE ORGANIZATION), OR ANY OTHER CHANGE IN MEMBERSHIP, CONTROL, OR CAPITAL STRUCTURE OF THE ORGANIZATION (OR ANY ENTITY CONTROLLED BY THE ORGANIZATION); -THE CREATION OF ANY ENTITY CONTROLLED, DIRECTLY OR INDIRECTLY, BY THE ORGANIZATION; -THE SALE OR TRANSFER OF MORE THAN TEN PERCENT (10%) OF THE ASSETS OF THE ORGANIZATION (OR ANY ENTITY CONTROLLED BY THE ORGANIZATION) TO ANY PERSON OR ENTITY NOT CONTROLLED BY SPECTRUM HEALTH; -DISSOLUTION OF THE ORGANIZATION; -THE SELECTION, RETENTION, AND OVERSIGHT OF THE OUTSIDE AUDITORS FOR THE ORGANIZATION (OR ANY ENTITY CONTROLLED BY THE ORGANIZATION); AND -IN OTHER CASES WHEN REQUIRED BY LAW OR AS OTHERWISE PROVIDED IN THE BYLAWS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Review of form 990 by governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>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 VICE PRESIDENT OF FINANCE OR CHIEF FINANCIAL OFFICER) AND SHARED WITH THE MEMBERS OF THE BOARD OF DIRECTORS. 4. THE ORGANIZATION'S VICE PRESIDENT OF FINANCE OR CHIEF FINANCIAL OFFICER REVIEWS COMMENTS OR QUESTIONS RECEIVED BY MEMBERS OF THE BOARD OF DIRECTORS, IF ANY, TO ADDRESS OR TO INCORPORATE, AS APPROPRIATE, INTO THE RETURN PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Conflict of interest policy</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>BOARD OF DIRECTORS 1. CONFLICTS OF INTEREST MUST BE DISCLOSED, BOTH VIA AN ANNUAL ELECTRONIC DISCLOSURE PROCESS AS WELL AS VERBALLY AT A BOARD MEETING PRIOR TO DISCUSSION OF ANY AGENDA ITEM WITH REGARD TO WHICH A BOARD MEMBER HAS A CONFLICT. 2. A PERSON HAVING A FINANCIAL INTEREST IN A PROPOSED TRANSACTION OR ARRANGEMENT MAY MAKE A PRESENTATION AT A MEETING OF THE BOARD OF DIRECTORS OR COMMITTEE CONSIDERING THAT TRANSACTION OR ARRANGEMENT, BUT AFTER THAT PRESENTATION HE OR SHE SHALL LEAVE THE MEETING DURING DISCUSSION AND VOTING ON THAT PROPOSED TRANSACTION OR ARRANGEMENT. THE PERSON HAVING THE FINANCIAL INTEREST SHALL NOT BE COUNTED IN DETERMINING WHETHER A QUORUM IS PRESENT. 3. THE CHAIRPERSON OF THE BOARD OF DIRECTORS OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE (INCLUDING OUTSIDE ADVISORS) TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND TO ADVISE WHETHER THE PROPOSED TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST. 4. THE BOARD OF DIRECTORS OR COMMITTEE SHALL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER THE ORGANIZATION CAN, WITH REASONABLE EFFORTS, OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 5. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OF DIRECTORS OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS AND MEMBERS WHETHER THE PROPOSED TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. 6. THE MINUTES OF THE MEETINGS OF THE BOARD OF DIRECTORS AND ALL OF THE ORGANIZATION'S COMMITTEES SHALL SET FORTH: A)THE NAMES OF THE PERSONS WHO DISCLOSED A FINANCIAL INTEREST IN A PROPOSED TRANSACTION OR ARRANGEMENT INVOLVING THE ORGANIZATION OR ANY OF ITS SUBSIDIARIES AND THE NATURE OF THE FINANCIAL INTEREST; AND B)THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO SUCH TRANSACTION OR ARRANGEMENT, INCLUDING ANY DISCUSSION OF ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION WITH THAT MATTER. THE VOTES OF INDIVIDUAL MEMBERS NEED NOT BE RECORDED UNLESS OTHERWISE DIRECTED BY THE BOARD OF DIRECTORS OR COMMITTEE. 7. THERE IS AN ONGOING REQUIREMENT THAT MEMBERS OF THE BOARD OF DIRECTORS COMPLETE ANOTHER DISCLOSURE QUESTIONNAIRE AT ANY POINT DURING HIS/HER TENURE ON THE BOARD OF DIRECTORS WHEN A NEW POTENTIAL CONFLICT OF INTEREST ARISES. IF A MEMBER OF THE BOARD OF DIRECTORS COMPLETES A DISCLOSURE QUESTIONNAIRE AS A RESULT OF A NEW POTENTIAL CONFLICT OF INTEREST, THAT DISCLOSURE QUESTIONNAIRE IS SUBMITTED TO THE LEGAL, ORGANIZATIONAL INTEGRITY, INTERNAL AUDIT, AND HUMAN RESOURCES DEPARTMENTS FOR REVIEW. MANAGEMENT 1. UPON ACCEPTANCE OF AN EMPLOYMENT OFFER, EACH MEMBER OF MANAGEMENT COMPLETES A CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE. A COPY OF THE MEMBER OF MANAGEMENT'S DISCLOSURE QUESTIONNAIRE IS SENT TO THE ORGANIZATION'S LEGAL DEPARTMENT. A COPY OF THE MEMBER OF MANAGEMENT'S DISCLOSURE IS REVIEWED BY THE ORGANIZATION'S COI COORDINATOR AND ESCALATED TO THE COI COMMITTEE IF NECESSARY. 2. ANNUALLY, EACH MEMBER OF MANAGEMENT COMPLETES AN ANNUAL CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE ELECTRONICALLY. THE DISCLOSURE QUESTIONNAIRE IS REVIEWED THE LEGAL, ORGANIZATIONAL INTEGRITY, INTERNAL AUDIT, AND HUMAN RESOURCES DEPARTMENTS. 3. THERE IS AN ONGOING REQUIREMENT THAT MEMBERS OF MANAGEMENT COMPLETE ANOTHER DISCLOSURE QUESTIONNAIRE AT ANY POINT DURING HIS/HER EMPLOYMENT WHEN A NEW POTENTIAL CONFLICT OF INTEREST ARISES. IF A MEMBER OF MANAGEMENT COMPLETES A DISCLOSURE QUESTIONNAIRE AS A RESULT OF A NEW POTENTIAL CONFLICT OF INTEREST, THAT DISCLOSURE QUESTIONNAIRE IS SUBMITTED TO THE LEGAL, ORGANIZATIONAL INTEGRITY, INTERNAL AUDIT, AND HUMAN RESOURCES DEPARTMENTS. 4. THE LEGAL, ORGANIZATIONAL INTEGRITY, INTERNAL AUDIT, AND HUMAN RESOURCES DEPARTMENTS, IN CONSULTATION WITH EXECUTIVE MANAGEMENT, DETERMINE HOW ANY REPORTED CONFLICTS SHOULD BE MANAGED. MANAGEMENT OF A CONFLICT MAY TAKE A VARIETY OF DIFFERENT FORMS FROM IMPLEMENTATION OF A MANAGEMENT PLAN TO REQUIRING THAT THE MEMBER OF MANAGEMENT CEASE THE ACTIVITY CREATING THE CONFLICT OR, IN EXTREME CASES, LEAVE THE ORGANIZATION'S EMPLOYMENT. MANAGEMENT IS DETERMINED ON AN INDIVIDUAL BASIS BASED UPON THE FACTS AND CIRCUMSTANCES SURROUNDING THE DISCLOSURE. THE PURPOSE OF CONFLICT MANAGEMENT IS TO PROVIDE TRANSPARENCY WITHIN THE ORGANIZATION AND TO ENSURE THAT THE ORGANIZATION'S EMPLOYEES ARE ALWAYS ACTING IN THE BEST INTEREST OF THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process used to establish compensation of top management official</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15a</ReturnReference>
        <Explanation>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 FOUNDATION. LABOR MARKET DATA REFLECTING COMPARABLE ORGANIZATIONS AND JOBS (PREPARED BY INDEPENDENT FIRMS) ARE RELIED UPON. COMPETITIVE ASSESSMENT REPORTS ARE PROVIDED TO THE EXECUTIVE COMMITTEE IN ADVANCE OF MEETINGS. THE COMPETITIVE ASSESSMENT REPORT IS PREPARED BY A NATIONALLY KNOWN INDEPENDENT EXECUTIVE COMPENSATION FIRM AND, FOR FY 2013 (7/1/12-6/30/13), WAS BASED ON THE FOLLOWING INDEPENDENT SURVEYS OF HEALTH CARE EXECUTIVES AT COMPARABLE HEALTH SYSTEMS, HEALTH PLANS, AND MEDICAL GROUPS: * AMERICAN MEDICAL GROUP ASSOCIATION: 2012 MEDICAL GROUP COMPENSATION &amp; FINANCIAL SURVEY * INTEGRATED HEALTHCARE STRATEGIES: 2012 HEALTH CARE EXECUTIVE COMPENSATION SURVEY * MERCER HUMAN RESOURCES CONSULTING: 2012 EXECUTIVE COMPENSATION SURVEY * MERCER HUMAN RESOURCES CONSULTING: 2012 INTEGRATED HEALTH NETWORKS COMPENSATION SURVEY * MEDICAL GROUP MANAGEMENT ASSOCIATION: 2012 MANAGEMENT COMPENSATION SURVEY * SULLIVAN, COTTER AND ASSOCIATES: 2012 SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS * SULLIVAN, COTTER AND ASSOCIATES: 2012 PHYSICIAN COMPENSATION AND PRODUCTIVITY SURVEY REPORT * TOWERS WATSON: 2012/2013 HOSPITAL AND HEALTHCARE MANAGEMENT COMPENSATION REPORT * TOWERS WATSON: 2012/2013 TOP MANAGEMENT COMPENSATION REPORT * WARREN: 2012 COMPENSATION SURVEY COMPENSATION ADJUSTMENTS ARE APPROVED BY EXECUTIVE COMMITTEE MEMBERS, CONSISTENT WITH THE SPECTRUM HEALTH COMPENSATION PHILOSOPHY DESCRIBED BELOW. MINUTES OF COMMITTEE DISCUSSIONS AND DECISIONS ARE PREPARED TO MEMORIALIZE EXECUTIVE COMMITTEE DECISIONS BASED UPON THE ABOVE DATA. CASH COMPENSATION DATA RELIED UPON BY THE EXECUTIVE COMMITTEE IS NATIONAL AND REFLECTS THE COMPENSATION PAID TO EXECUTIVES IN COMPARABLE JOBS IN COMPARABLY-SIZED HEALTHCARE ORGANIZATIONS. SPECTRUM HEALTH RECRUITS NATIONALLY FOR ITS EXECUTIVES. BENEFITS DATA REFLECT NATIONAL HEALTHCARE MARKET PRACTICES. GEOGRAPHIC PAY DIFFERENTIAL AND COST OF LIVING DATA INDICATES CONSISTENCY WITH NATIONAL DATA. THIS PROCESS IS INTENDED TO ASSIST SPECTRUM HEALTH IN QUALIFYING FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS (INTERMEDIATE SANCTIONS REGULATIONS) AND COMPLYING WITH THE POTENTIAL SPECTRUM HEALTH EXCESS BENEFIT TRANSACTION POLICY FOR THOSE INDIVIDUALS IN THE GROUP WHO ARE DISQUALIFIED PERSONS. THE OPINION SUBMITTED FROM THE THIRD PARTY INDEPENDENT CONSULTING FIRM IS IN ACCORDANCE WITH THE PROVISIONS OF TREASURY REGULATIONS SECTION 53.4958-6(C)(2) AND IS ALSO INTENDED TO SATISFY THE PROFESSIONAL ADVICE REQUIREMENT OF TREASURY REGULATIONS SECTION 53.4958-1(D)(4)(III).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process used to establish compensation of other officers/key employees</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15b</ReturnReference>
        <Explanation>SEE EXPLANATION PROVIDED FOR FORM 990, PART VI, LINE 15A.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Governing documents, conflict of interest policy and financial statements available to the public</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S ARTICLES OF INCORPORATION HAVE BEEN PROVIDED TO THE STATE OF MICHIGAN AND ARE AVAILABLE TO THE PUBLIC ON THE STATE'S WEBSITE. THE ORGANIZATION'S BYLAWS AND INTERNAL POLICIES ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC. THE OVERALL SYSTEM CONSOLIDATED FINANCIAL STATEMENTS ARE PROVIDED AT WWW.SPECTRUMHEALTH.ORG IN THE SECTION TITLED "ABOUT US." FINANCIAL PERFORMANCE IS DISCUSSED AT AN ANNUAL PUBLIC MEETING HELD AND POSTED TO WWW.SPECTRUMHEALTH.ORG QUARTERLY (UNDER THE SECTION TITLED "ABOUT US").</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>REPORTED COMPENSATION AND HOURS</Identifier>
        <ReturnReference>FORM 990, PART VII, SECTION A</ReturnReference>
        <Explanation>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 ORGANIZATION OR A RELATED ORGANIZATION. CONSISTENT WITH PRIOR YEARS, COMPENSATION AND BENEFITS ARE REPORTED USING THE MOST RECENT CALENDAR YEAR COMPENSATION DATA. THE COMPENSATION FIGURES REPORTED IN THESE SECTIONS ARE FOR THE YEAR ENDED DECEMBER 31, 2012. EMPLOYEES WITH COMPENSATION REPORTED IN PART VII WORK A COMBINED AVERAGE OF 50 HOURS PER WEEK FOR THE REPORTING ORGANIZATION AND/OR A RELATED TAX-EXEMPT ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other changes in net assets or fund balances</Identifier>
        <ReturnReference>Form 990 , Part XI, Line 9</ReturnReference>
        <Explanation>FUND BALANCE TRANSFER FROM SPECTRUM HEALTH UNITED (EIN 38-1358412) - 1801295; UNCOLLECTIBLE PLEDGES - -148991;</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Number of contributions or items contributed.</Identifier>
        <ReturnReference>Schedule M, part I, column (b), Line other=CERTIF. &amp; EVENTS</ReturnReference>
        <Explanation>NUMBER OF CONTRIBUTIONS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Number of contributions or items contributed.</Identifier>
        <ReturnReference>Schedule M, part I, column (b), Line other=VARIOUS</ReturnReference>
        <Explanation>NUMBER OF CONTRIBUTIONS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Number of contributions or items contributed.</Identifier>
        <ReturnReference>Schedule M, part I, column (b), Line 17</ReturnReference>
        <Explanation>NUMBER OF LOTS RECEIVED FROM ONE DONOR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Number of contributions or items contributed.</Identifier>
        <ReturnReference>Schedule M, part I, column (b), Line 1</ReturnReference>
        <Explanation>NUMBER OF CONTRIBUTIONS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Number of contributions or items contributed.</Identifier>
        <ReturnReference>Schedule M, part I, column (b), Line 4</ReturnReference>
        <Explanation>NUMBER OF CONTRIBUTIONS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Number of contributions or items contributed.</Identifier>
        <ReturnReference>Schedule M, part I, column (b), Line 5</ReturnReference>
        <Explanation>NUMBER OF CONTRIBUTIONS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Number of contributions or items contributed.</Identifier>
        <ReturnReference>Schedule M, part I, column (b), Line 19</ReturnReference>
        <Explanation>NUMBER OF CONTRIBUTIONS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Number of contributions or items contributed.</Identifier>
        <ReturnReference>Schedule M, part I, column (b), Line other=CERTIF. &amp; EVENTS</ReturnReference>
        <Explanation>NUMBER OF CONTRIBUTIONS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Number of contributions or items contributed.</Identifier>
        <ReturnReference>Schedule M, part I, column (b), Line other=VARIOUS</ReturnReference>
        <Explanation>NUMBER OF CONTRIBUTIONS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Number of contributions or items contributed.</Identifier>
        <ReturnReference>Schedule M, part I, column (b), Line 17</ReturnReference>
        <Explanation>NUMBER OF LOTS RECEIVED FROM ONE DONOR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="12000266" softwareVersion="v2012.1.0">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SPECTRUM HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 MICHIGAN ST NE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49503</ZIPCode>
        </AddressUS>
        <PrimaryActivities>MANAGEMENT</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type III - FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SPECTRUM HEALTH HOSPITALS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 MICHIGAN ST NE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49503</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SPECTRUM HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SPECTRUM HEALTH PRIMARY CARE PTNRS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1840 WEALTHY ST SE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49506</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SPECTRUM HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SPECTRUM HEALTH CONTINUING CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>750 FULLER AVE NE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49503</ZIPCode>
        </AddressUS>
        <PrimaryActivities>REHAB/CARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SPECTRUM HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PRIORITY HEALTH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1231 EAST BELTLINE NE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49525</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HMO</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(4)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SPECTRUM HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>REED CITY HOSPITAL CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>300 N PATTERSON RD</AddressLine1>
          <City>REED CITY</City>
          <State>MI</State>
          <ZIPCode>49677</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SPECTRUM HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>212 S SULLIVAN AVENUE</AddressLine1>
          <City>FREMONT</City>
          <State>MI</State>
          <ZIPCode>49412</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SPECTRUM HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ZEELAND COMMUNITY HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>8333 FELCH STREET</AddressLine1>
          <City>ZEELAND</City>
          <State>MI</State>
          <ZIPCode>49464</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SPECTRUM HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SPECTRUM HEALTH UNITED</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>615 S BOWER</AddressLine1>
          <City>GREENVILLE</City>
          <State>MI</State>
          <ZIPCode>48838</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SPECTRUM HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PRIORITY HEALTH MANAGED BENEFITS</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1231 EAST BELTLINE NE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49525</ZIPCode>
        </AddressUS>
        <EIN>383085182</EIN>
        <PrimaryActivity>ADMIN</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MICHIGAN MEDICAL PATIENT CARE</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1840 WEALTHY ST SE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49546</ZIPCode>
        </AddressUS>
        <EIN>382851295</EIN>
        <PrimaryActivity>MEDICAL</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>WEST MICHIGAN HEART</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2900 BRADFORD STREET NE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49525</ZIPCode>
        </AddressUS>
        <EIN>382125186</EIN>
        <PrimaryActivity>PHYSICIANS</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SPECTRUM HEALTH PHYSICIAN ALLIANCE</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>100 MICHIGAN ST NE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49503</ZIPCode>
        </AddressUS>
        <EIN>371655728</EIN>
        <PrimaryActivity>PHYSICIANS</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PRIORITY HEALTH</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>M</TransactionType>
        <AmountInvolved>141630</AmountInvolved>
        <MethodOfAmtDetermination>CASH, FMV, OR GAAP</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <Form990ScheduleRPartVII>
        <Identifier>SECTION 512(B)(13) CONTROLLED ENTITY?</Identifier>
        <ReturnReference>PART II, COLUMN (G)</ReturnReference>
        <Explanation>THE ORGANIZATION IS A MEMBER OF A CONSOLIDATED HEALTH SYSTEM AND HAS A COMMON PARENT ORGANIZATION, SPECTRUM HEALTH SYSTEM.</Explanation>
      </Form990ScheduleRPartVII>
    </IRS990ScheduleR>
  </ReturnData>
</Return>