COREWELL HEALTH: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- COREWELL HEALTH (EIN 38-1359517)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-04-06
- IRS object ID
- 201110969349300506
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-04-06T09:30:56-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDREWS HOOPER PAVLIK PLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3333 DEPOSIT DR NE STE 310 | AddressLine1 |
| City | GRAND RAPIDS | City |
| State | MI | State |
| ZIP Code | 49546 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381359517 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEWAYGO COUNTY GENERAL HOSPITAL | BusinessNameLine1 |
| Business Name Line2 | ASSOCIATION | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NEWA | NameControl |
| Phone | 2319243300 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 212 SOUTH SULLIVAN | AddressLine1 |
| City | FREMONT | City |
| State | MI | State |
| ZIP Code | 49412 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN SELLA | Name |
| Title | VICE PRESIDENT OF FINANCE | Title |
| Phone | 2319243300 | Phone |
| Date Signed | 2011-03-02 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHELLE L DERIDDER | Name |
| Phone | 6169426440 | Phone |
| Date Prepared | 2011-04-05 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPECTRUM HEALTH GERBER MEMORIAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RANDALL STASIK CEO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 212 SOUTH SULLIVAN | AddressLine1 |
| City | FREMONT | City |
| State | MI | State |
| ZIP Code | 49412 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 65095440 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.GERBERHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1918 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | OUR MISSION IS TO PROVIDE COMPETENT AND COMPASSIONATE COMMUNITY HEALTH CARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 692 | TotalNbrEmployees |
| Total Nbr Volunteers | 191 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 856314 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 462721 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 61615845 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 63885816 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 159323 | InvestmentIncomePriorYear |
| Investment Income Current Year | 615394 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 788129 | OtherRevenuePriorYear |
| Other Revenue Current Year | 36058 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 63419611 | TotalRevenuePriorYear |
| Total Revenue Current Year | 64999989 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 32839933 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 34314152 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 31044281 | OtherExpensePriorYear |
| Other Expenses Current Year | 33077841 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 63884214 | TotalExpensesPriorYear |
| Total Expenses Current Year | 67391993 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -464603 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -2392004 | RevenuesLessExpensesCY |
| Total Assets BOY | 55731948 | TotalAssetsBOY |
| Total Assets EOY | 52823220 | TotalAssetsEOY |
| Total Liabilities BOY | 31160396 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 30744158 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 24571552 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 22079062 | NetAssetsOrFundBalancesEOY |
| Mission Description | OUR MISSION IS TO PROVIDE COMPETENT AND COMPASSIONATE COMMUNITY HEALTH CARE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 40349969 | Expense |
| Revenue | 53377034 | Revenue |
| Description | HEALTH CARE PROGRAMS, GENERAL/OTHER: SPECTRUM HEALTH GERBER MEMORIAL PROVIDED 112,155 OUTPATIENT ANCILLARY VISITS, AS WELL AS 7,327 ADULT ACUTE AND 720 NEWBORN PATIENT DAYS OF CARE TO THE RESIDENTS OF NEWAYGO COUNTY AND THE SURROUNDING AREAS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4043684 | Expense |
| Revenue | 4358497 | Revenue |
| Description | HOME HEALTH CARE: CONTINU-CARE, THE HOME HEALTH DEPARTMENT OF THE HOSPITAL PROVIDED 30,424 SKILLED NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SOCIAL WORK, HOME HEALTH AIDE, AND MSS/ISS SERVICE. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3977712 | Expense |
| Revenue | 3230485 | Revenue |
| Description | PHYSICIAN PRACTICES/RURAL HEALTH CLINICS: SEVERAL PHYSICIAN OFFICES PROVIDED 39,305 OFFICE VISITS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2773111 | Expense |
| Revenue | 1966611 | Revenue |
| Description | WELLNESS PROGRAMMING AND COMMUNITY EDUCATION, AVAILABLE TO THE RESIDENTS OF NEWAYGO COUNTY AND SURROUNDING AREAS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 2773111 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 1966611 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 51144476 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 64 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 692 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JOHN SELLA VP OF FINANCE | NamePerson |
| Telephone Number | 2319243300 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 212 SOUTH SULLIVAN | AddressLine1 |
| City | FREMONT | City |
| State | MI | State |
| ZIP Code | 49412 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| MATTHEW VANVRANKEN | ||||||||
| DIRECTOR | 1.00 | X | 0 | 1138968 | 280010 | |||
| MARC CHIRCOP | ||||||||
| DIRECTOR | 1.00 | X | 0 | 668959 | 164176 | |||
| DOUGLAS JOHNSON MD | ||||||||
| CHIEF OF STA | 1.00 | X | 0 | 0 | 0 | |||
| LARRY LETHORN | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| MIKE PUMFORD | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| DAVE ROBINSON | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| DON HENRY | ||||||||
| CHAIR | 1.00 | X | 0 | 0 | 0 | X | ||
| STEPHEN WELSH MD | ||||||||
| VICE CHAIR | 1.00 | X | 0 | 0 | 0 | X | ||
| JOHN MELLEMA | ||||||||
| TREASURY | 1.00 | X | 0 | 0 | 0 | X | ||
| CAROLYN HUMMEL | ||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | ||
| BRENT BECKMAN MD | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| TODD BLAKE | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| LAUREL BRUEKER | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| TRAVIS BULL | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JANE DRAKE | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| RANDALL STASIK | ||||||||
| PRES/CEO | 40.00 | 248371 | 0 | 0 | X | |||
| JOHN SELLA | ||||||||
| CFO | 40.00 | 119672 | 0 | 0 | X | |||
| TED BRITTON | ||||||||
| VP/CHIEF ADM | 40.00 | 113486 | 0 | 0 | X | |||
| DR JAMES PATENGE | ||||||||
| OB/GYN | 40.00 | 310400 | 0 | 0 | X | |||
| DR TAMI MICHELE | ||||||||
| OB/GYN | 40.00 | 237462 | 0 | 0 | X | |||
| DR MARK BYLAND | ||||||||
| MD | 40.00 | 226035 | 0 | 0 | X | |||
| MARCUS GARDENER | ||||||||
| CRNA | 40.00 | 225497 | 0 | 0 | X | |||
| DAVID POEL | ||||||||
| CRNA | 40.00 | 222794 | 0 | 0 | X | |||
| SUE NIEBOER | ||||||||
| VP NURSING | 40.00 | 106104 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1809821 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1807927 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 444186 | TotalOtherCompensation |
| Number Individuals GT100 K | 20 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| TERRENCE A WESCOTT | |||||
| 609 PICKERAL LAKE DRIVE | NEWAGO | MI | 49337 | PHYS. THERAPIST | 387428 |
| AHSA LLC | |||||
| PO BOX 945 | TRAVERSE CITY | MI | 49412 | STAFFING SVCS | 363486 |
| PINE MEDICAL GROUP PC | |||||
| 230 WEST OAK STREET | FREMONT | MI | 49412 | MGT SERVICE | 360825 |
| PLANTE & MORAN PLLC | |||||
| 16060 COLLECTIONS CENTER | CHICAGO | IL | 60693 | AUDIT, CONSULT. | 120631 |
| BLUEWATER ASSOCIATES | |||||
| 2760 KEEPER HIGHWAY | LYONS | MI | 48851 | PHYSICIAN SVCS | 115700 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Fundraising Events | 39699 | FundraisingEvents |
| All Other Contributions | 423022 | AllOtherContributions |
| Total Contributions | 462721 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622110 | 62917122 | 62917122 | |
| PHYSICIAN OFFICE RENT | 531120 | 810674 | $810,674 | |
| CAFETERIA | 531120 | 158020 | $158,020 | |
| 722212 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 63885816 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 627468 | TotalRevenueColumn |
| Exclusion | $627,468 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 11702 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 23776 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -12074 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -12074 | TotalRevenueColumn |
| Exclusion | -$12,074 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrbtns Rprtd Fundraising Events | 39699 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 12228 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -12228 | TotalRevenueColumn |
| Exclusion | -$12,228 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 92228 | GrossSalesOfInventory |
| Cost Of Goods Sold | 59447 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 32781 | TotalRevenueColumn |
| Exclusion | $32,781 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MEMBERSHIP DUES | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 15505 | TotalRevenueColumn |
| Related Or Exempt Function Income | 15505 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 15505 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 64999989 | TotalRevenueColumn |
| Related Or Exempt Function Income | 62932627 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,604,641 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 481529 | Total |
| Management And General | 481529 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 149481 | Total |
| Management And General | 149481 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26040690 | Total |
| Program Services | 21665214 | ProgramServices |
| Management And General | 4375476 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1293632 | Total |
| Program Services | 1050807 | ProgramServices |
| Management And General | 242825 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4436885 | Total |
| Program Services | 3604047 | ProgramServices |
| Management And General | 832838 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1911935 | Total |
| Program Services | 1553050 | ProgramServices |
| Management And General | 358885 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95217 | Total |
| Management And General | 95217 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70401 | Total |
| Management And General | 70401 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48504 | Total |
| Management And General | 48504 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 376829 | Total |
| Program Services | 90769 | ProgramServices |
| Management And General | 286060 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16887961 | Total |
| Program Services | 11146748 | ProgramServices |
| Management And General | 5741213 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 138676 | Total |
| Program Services | 138676 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 158784 | Total |
| Program Services | 157508 | ProgramServices |
| Management And General | 1276 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1426165 | Total |
| Management And General | 1426165 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3568707 | Total |
| Program Services | 3033401 | ProgramServices |
| Management And General | 535306 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 373641 | Total |
| Management And General | 373641 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT LESS RECOVERIES | 5303103 | 5303103 | |
| PROFESSIONAL CONTRACT FEE | 1847121 | 1594036 | 253085 |
| EQUIPMENT RENTAL & MAIN. | 1692391 | 1374884 | 317507 |
| PHYSICIANS' FEES | 1069031 | 432233 | 636798 |
| CHARITABLE CONTRIBUTIONS | 17741 | 17741 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3569 | Total |
| Management And General | 3569 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67391993 | Total |
| Program Services | 51144476 | ProgramServices |
| Management And General | 16247517 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6544867 | BOY |
| EOY | 6125828 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 149336 | BOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 593964 | BOY |
| EOY | 102024 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2642615 | BOY |
| EOY | 3437538 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1072033 | BOY |
| EOY | 1181707 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1558025 | BOY |
| EOY | 721316 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 67542013 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 36923061 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33056448 | BOY |
| EOY | 30618952 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8851187 | BOY |
| EOY | 9441958 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1263473 | BOY |
| EOY | 1193897 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55731948 | BOY |
| EOY | 52823220 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6122528 | BOY |
| EOY | 7797516 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23050475 | BOY |
| EOY | 19473463 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1987393 | BOY |
| EOY | 3473179 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31160396 | BOY |
| EOY | 30744158 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23452583 | BOY |
| EOY | 20960093 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1093836 | BOY |
| EOY | 1093836 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25133 | BOY |
| EOY | 25133 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24571552 | BOY |
| EOY | 22079062 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55731948 | BOY |
| EOY | 52823220 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1866182 | InvestmentCostOrOtherBasis |
| Book Value | 1866182 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 38038238 | InvestmentCostOrOtherBasis |
| Depreciation | 14748915 | Depreciation |
| Book Value | 23289323 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 642867 | InvestmentCostOrOtherBasis |
| Depreciation | 522888 | Depreciation |
| Book Value | 119979 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 25150493 | InvestmentCostOrOtherBasis |
| Depreciation | 21152073 | Depreciation |
| Book Value | 3998420 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1844233 | InvestmentCostOrOtherBasis |
| Depreciation | 499185 | Depreciation |
| Book Value | 1345048 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 30618952 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| FAIR VALUE OF SWAP AGREEMENT | $2,347,089 |
| THIRD PARTY SETTLEMENTS | $1,126,090 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3473179 | TotalOfAmounts |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed States | MI | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | PACKER PINK OUT | NameOfEvent1 |
| Gross Receipts Event1 | 26756 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 26756 | CharitableContributionsEvent1 |
| Non Cash Prizes Event1 | 500 | NonCashPrizesEvent1 |
| Other Direct Expenses Event1 | 5059 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GOLF OUTING | NameOfEvent2 |
| Gross Receipts Event2 | 12943 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 12943 | CharitableContributionsEvent2 |
| Cash Prizes Event2 | 250 | CashPrizesEvent2 |
| Non Cash Prizes Event2 | 1800 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 2877 | RentFacilityCostsEvent2 |
| Other Direct Expenses Event2 | 1742 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 39699 | GrossReceiptsTotal |
| Charitable Contributions Total | 39699 | CharitableContributionsTotal |
| Cash Prizes Total Events | 250 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 2300 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 2877 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 6801 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 12228 | DirectExpenseSummaryEvents |
| Net Income Summary | -12228 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1362525 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1362525 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02020 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9857061 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4938480 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4918581 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07300 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11219586 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4938480 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6281106 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09320 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4057907 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2232878 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1825029 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02710 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4057907 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2232878 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1825029 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02710 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15277493 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7171358 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8106135 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $1,943,351 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 17768029 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 21342899 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3574870 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (9 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Critical Access HospitalCriticalAccessHospital |
|---|---|---|---|---|
| SPECTRUM HEALTH GERBER MEMORIAL | ||||
| 212 S SULLIVAN ST | FREMONT | MI | 49412 | X |
| PINE MEDICAL | ||||
| 211 W PINE DRIVE | NEWAYGO | MI | 49337 | |
| NEWAYGO CONTINUING CARE | ||||
| 231 W PINE LAKE DRIVE | NEWAYGO | MI | 49337 | |
| GRANT MEDICAL | ||||
| 230 SOUTH MAPLE | GRANT | MI | 49327 | |
| MEDICAL OFFICE BUILDING | ||||
| 230 W OAK ST | FREMONT | MI | 49412 | |
| MEDICAL OFFICE BUILDING | ||||
| 78 N DIVISION ST | HESPERIA | MI | 49421 | |
| FINANCE & MEDICAL OFFICE BUILDING | ||||
| 204 W MAIN ST | FREMONT | MI | 49412 | |
| WELLNESS CENTER | ||||
| 1401 W MAIN ST | FREMONT | MI | 49412 | |
| RESIDENTIAL HOUSE | ||||
| 333 W MAPLE ST | FREMONT | MI | 49412 | |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Annual Community Benefit Expln | THE CONSOLIDATED HEALTH SYSTEM PUBLISHES THEIR COMMUNITY BENEFIT REPORT ON THEIR WEBSITE AT WWW.SPECTRUM-HEALTH.ORG (CLICK THE LINK TITLED "ABOUT US"). IN ADDITION, THE HEALTH SYSTEM HOLDS AN ANNUAL MEETING TO THE PUBLIC TO DISCUSS ITS COMMUNITY COMMITMENTS. | AnnualCommunityBenefitExpln |
| Subsidized Health Services Expln | SUBSIDIZED HEALTH SERVICES INCLUDE THE UNREIMBURSED COSTS OF PROVIDING FREE OR SUBSIDIZED HEALTH SERVICES AND/OR COMMUNITY CLINICS. | SubsidizedHealthServicesExpln |
| Bad Debt Footnote | CONSOLIDATED FINANCIAL STATEMENT FOOTNOTE EXTRACT RELATED TO UNCOLLECTIBLE ACCOUNTS THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ACCOUNTS RECEIVABLE PAYOR COMPOSITION AND AGING, AND HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTED ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. AFTER AMOUNTS DUE FROM THIRD-PARTY PAYORS ARE SATISFIED, AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH EXTERNAL COLLECTION AGENCIES. COSTING METHODOLOGY USED IN DETERMINING THE FIGURES REPORTED IN SCH. H, PART III, LINE 1 BAD DEBTS, AT COST, ARE DETERMINED BY USING AN OVERALL RATIO OF COSTS-TO-CHARGES APPLIED AGAINST BAD DEBT EXPENSES (AT CHARGES) IN THE STATEMENT OF ACTIVITIES. RATIONAL FOR INCLUDING BAD DEBTS (AT COST) IN SCH. H, PART III, LINE 2 BAD DEBTS, AT COST, REPRESENT AN UNREIMBURSED LIABILITY TO THE TAXPAYER AND FURTHER DEMONSTRATE HOW, BY ASSUMING THOSE COSTS, THE TAXPAYER PROVIDES AND FULFILLS A HEALTH NEED IN THE COMMUNITY. IN ADDITION, EMERGENCY CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. SOME OF THESE SERVICES ARE PROVIDED TO INDIVIDUALS WHO QUALIFY FOR FINANCIAL ASSISTANCE BUT, FOR PERSONAL OR OTHER PRIVATE REASONS, DON'T APPLY FOR FINANCIAL ASSISTANCE. USING THIS INFORMATIONAL TAX RETURN FOR ITS INTENDED PURPOSE, THE TAXPAYER CHOOSES TO BE FULLY TRANSPARENT AND SHARE ALL THE COSTS OF PROVIDING CHARITY CARE AND COMMUNITY BENEFITS TO THE COMMUNITIES WE SERVE, WHICH INCLUDES CHARITY CARE, THE COSTS OF FREE OR SUBSIDIZED COMMUNITY PROGRAMS, BAD DEBT EXPENSES REDUCED TO COST AND SHORTFALLS IN GOVERNMENT REIMBURSEMENTS (MEDICARE AND MEDICAID). RATIONAL FOR EXCLUDING (OR REPORTING ZERO) BAD DEBTS (AT COST) IN SCH. H, PART III, LINE 3 THE TAXPAYER HAS NOT IDENTIFIED THE AMOUNT OF BAD DEBT EXPENSES (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE OR DISCOUNTED SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY. ALTHOUGH IT'S CERTAIN THAT A PORTION OF BAD DEBT EXPENSES (AT COST) RELATES TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE (HAD THEY PROVIDED INFORMATION TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE), A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED. | BadDebtFootnote |
| Shortfall As Community Benefit | 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 TAXPAYER USES A RATIO OF COST TO CHARGES. IN DETERMINING THE RATIO OF COST TO CHARGES THE TAXPAYER ADJUSTS FOR BAD DEBT EXPENSES, NON-PATIENT CARE ACTIVITIES, MEDICAID PROVIDER TAXES AND COMMUNITY BENEFITS ACCOUNTED FOR AND OR REPORTED ELSEWHERE. THE RATIO OF COST TO CHARGES IS APPLIED TO MEDICARE CHARGES TO DETERMINE SHORTFALLS IN MEDICARE REIMBURSEMENTS. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | THE TAXPAYER COOPERATIVELY WORKS WITH PATIENTS HAVING SELF-PAY BALANCES TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE ELIGIBILITY POLICY. | DebtCollectionPolicy |
| General Explanation | SCHEDULE H, PART I, LINE 3B THE TAXPAYER MAY PROVIDE DISCOUNTED CARE TO ELIGIBLE INDIVIDUALS WHOSE INCOME LEVEL EXCEEDS 500% OF THE FEDERAL POVERTY GUIDELINES. CONSOLIDATED CHARITY CARE AND COMMUNITY BENEFIT REPORTING SCHEDULE H OF THIS TAX RETURN ONLY DISCLOSES CHARITY CARE AND COMMUNITY BENEFIT INFORMATION PERTAINING TO THE REPORTING ENTITY. HOWEVER, FOR A FULL AND MORE ACCURATE UNDERSTANDING OF THE CHARITY CARE AND COMMUNITY BENEFITS PROVIDED BY THE CONSOLIDATED HEALTH SYSTEM PLEASE VISIT OUR WEBSITE AT WWW.SPECTRUM-HEALTH.ORG AND CLICK THE LINK TITLED "ABOUT US". | GeneralExplanation |
| Needs Assessment | PERIODICALLY THE TAXPAYER CONDUCTS A COMMUNITY NEEDS ASSESSMENT USING RESULTS FROM LOCAL, STATE AND NATIONAL SOURCES. THE LAST SUCH COMMUNITY NEEDS ASSESSMENT UTILIZED THE FOLLOWING SOURCES: 1)STATE AND PUBLIC HEALTH STATISTICS AVAILABLE ON LINE 2)NEWAYGO COUNTY HEALTH DEPARTMENT - HEALTHIER COMMUNITIES NEEDS ASSESSMENT 3)NEWAYGO COUNTY COMMUNITY CONSORTIUM DATA DASHBOARD | NeedsAssessment |
| Patient Education Assistance | TAXPAYER HAS A FINANCIAL COUNSELOR WHO WORKS WITH PATIENTS THAT EXPRESS ANY LEVEL OF CONCERN WITH PAYING THEIR BILL. IN ADDITION, THE TAXPAYER ALSO PROACTIVELY IDENTIFIES PATIENTS WHO HAVE QUALIFYING FACTORS FOR GOVERNMENTAL ASSISTANCE. IF THE NEED FOR ASSISTANCE IS NOT IDENTIFIED PRIOR TO BILLING, PATIENT CONCERNS THAT ARE RECEIVED AS A RESULT OF RECEIVING A BILL ARE ADDRESSED BY THE FINANCIAL COUNSELOR AT THAT TIME. | PatientEducationAssistance |
| Community Information | THE TAXPAYER 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. | CommunityInformation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| MATTHEW VANVRANKEN | ||||||||||
| 663894 | 458771 | 16303 | 186411 | 93599 | 1418978 | 279183 | ||||
| MARC CHIRCOP | ||||||||||
| 373870 | 283501 | 11588 | 113177 | 50999 | 833135 | 211553 | ||||
| RANDALL STASIK | ||||||||||
| 218576 | 20795 | 9000 | 248371 | |||||||
| DR JAMES PATENGE | ||||||||||
| 284520 | 25880 | 310400 | ||||||||
| DR TAMI MICHELE | ||||||||||
| 211212 | 26250 | 237462 | ||||||||
| DR MARK BYLAND | ||||||||||
| 201957 | 24078 | 226035 | ||||||||
| MARCUS GARDENER | ||||||||||
| 225497 | 225497 | |||||||||
| DAVID POEL | ||||||||||
| 222794 | 222794 | |||||||||
| SUE NIEBOER | ||||||||||
| 106104 | 106104 | |||||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS | SCHEDULE J, PAGE 1, PART I, LINE 4 | SUE NIEBOER 43,377 0 0 |
| OTHER ADDITIONAL INFORMATION | SCHEDULE J, PART III | SCHEDULE J, PART I, LINE 4A PER HER CONTRACT, THE FORMER CNO RECEIVED SEVERANCE PAY FOR ONE YEAR AFTER HER RESIGNATION. 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. HOWEVER, NONE OF THESE PARTICIPANTS "RECEIVED PAYMENT FROM" THESE PLANS DURING THE TAX YEAR. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| CITY OF FREMONT HOSPITAL FINANCE | ||||||
| 383468654 | 357330AC3 | 2007-03-07 | 10800000 | SEE SCH. O | false | false |
| MICHIGAN STATE HOSPITAL FINANCE AUT | ||||||
| 382889417 | 59465E7F4 | 2004-11-10 | 2700000 | SEE SCH. O | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|
| 10800000 | 2007 | false | false | true | true |
| 2700000 | 2005 | false | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| false | true | false | false | false | true |
| false | false | false | false | false | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| true | true | false | false | false | false |
| true | true | false | false | false | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ALL OTHER ACHIEVEMENTS DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4D | WELLNESS PROGRAMMING AND COMMUNITY EDUCATION, AVAILABLE TO THE RESIDENTS OF NEWAYGO COUNTY AND SURROUNDING AREAS. |
| SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS | FORM 990, PAGE 6, PART VI, LINE 4 | THERE WAS A CHANGE IN MANAGEMENT DURING THE YEAR, AS WE ARE NOW A SPECTRUM HEALTH HOSPITAL. WE HAVE MODIFIED BY-LAWS AS A RESULT OF THIS AFFILIATION TO REFLECT THE CHANGE IN MANAGEMENT AND TO STATE THAT SPECTRUM HEALTH IS ALLOWED TO ADD TWO BOARD MEMBERS OF THEIR CHOICE. THERE IS ALSO NOW A SPECTRUM HEALTH REPRESENTATION ON OUR BOARD. |
| CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PAGE 6, PART VI, LINE 6 | THE MEMBERSHIP OF THE CORPORATION CONSISTS OF ONE CLASS, AND THE ONLY MEMBER OF THE CORPORATION SHALL BE SPECTRUM HEALTH SYSTEM (EIN 38-3382353), A MICHIGAN NONPROFIT CORPORATION. |
| ELECTION OF MEMBERS AND THEIR RIGHTS | FORM 990, PAGE 6, PART VI, LINE 7A | THE MEMBER HAS THE POWER TO ADOPT, AMEND AND REPEAL THE BYLAWS OF THE CORPORATION, AND, EXCEPT AS PROVIDED IN THE BYLAWS, THE POWER TO ELECT ALL MEMBERS OF THE BOARD OF TRUSTEES OF THE CORPORATION IS RESERVED EXCLUSIVELY TO THE MEMBER. |
| DECISIONS SUBJECT TO APPROVAL OF MEMBERS | FORM 990, PAGE 6, PART VI, LINE 7B | SUBJECT TO THE POWERS RESERVED TO THE MEMBER OF THE CORPORATION UNDER THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION, THE BOARD OF TRUSTEES OF THE CORPORATION SHALL HAVE CHARGE, CONTROL AND MANAGEMENT OF THE BUSINESS, PROPERTY, PERSONNEL AFFAIRS, AND FUNDS OF THE CORPORATION AND SHALL HAVE THE POWER AND THE AUTHORITY TO DO AND PERFORM ALL ACTS AND FUNCTIONS PERMITTED TO AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE NOT INCONSISTENT WITH THESE AMENDED AND RESTATED ARTICLES OF INCORPORATION OR WITH THE LAWS OF THE STATE OF MICHIGAN, IN ADDITION TO, AND NOT IN LIMITATION OF, ALL POWERS, EXPRESS OR IMPLIED, NOW OR HEREAFTER CONFERRED UPON BOARDS OF DIRECTORS OF NONPROFIT CORPORATIONS, AND IN ADDITION TO THE POWERS MENTIONED IN AND IMPLIED FROM ARTICLE II, BUT SUBJECT TO APPROVAL OF THE MEMBER WHEN REQUIRED UNDER THE BYLAWS, THE BOARD OF TRUSTEES SHALL HAVE THE POWER TO BORROW OR RAISE MONEY FOR CORPORATE PURPOSES, TO ISSUE BONDS, NOTES, OR OTHER OBLIGATIONS, TO SECURE SUCH OBLIGATIONS BY MORTGAGE, SECURITY INTEREST OR OTHER LIEN UPON ANY OR ALL OF THE PROPERTY OF THE CORPORATION, WHETHER AT THE TIME OWNED OR THEREAFTER ACQUIRED, AND TO GUARANTEE THE DEBT OF ANY PARENT AFFILIATED OR SUBSIDIARY CORPORATION OR OTHER ENTITY; WHENEVER THE SAME SHALL BE IN THE BEST INTERESTS OF THE CORPORATION AND IN FURTHERANCE OF ITS PURPOSES. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11 | THE 990 IS REVIEWED BY THE FINANCE COMMITTEE INCLUDING DETAILED SCHEDULES. THE FORM IS THEN PROVIDED AND RECOMMENDED TO THE FULL BOARD FOR APPROVAL FOR FILING. THE REVIEW PROCESS FOR THIS FORM 990 IS AS FOLLOWS: 1. PREPARATION AND REVIEW OF THE RETURN IS PERFORMED BY AN EXTERNAL CPA FIRM WITH EXPERTISE IN TAX-EXEMPT RETURN PREPARATION. 2. THE RETURN IS REVIEWED BY THE FINANCE COMMITTEE AND SHARED WITH ALL MEMBERS OF THE BOARD OF DIRECTORS. 3. THE TAXPAYER'S VP OF FINANCE REVIEWS COMMENTS OR QUESTIONS RECEIVED BY MEMBERS OF THE BOARD OF DIRECTORS, IF ANY, TO ADDRESS OR TO INCORPORATE, AS APPROPRIATE, INTO THE RETURN PRIOR TO FILING. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | BOARD OF DIRECTORS 1.CONFLICTS OF INTEREST MUST BE DISCLOSED, BOTH VIA A DISCLOSURE FORM PROCESS AS WELL AS VERBALLY AT A BOARD MEETING PRIOR TO DISCUSSION OF ANY AGENDA ITEM WITH REGARD TO WHICH A BOARD MEMBER HAS A CONFLICT. 2.A PERSON HAVING A FINANCIAL INTEREST IN A PROPOSED TRANSACTION OR ARRANGEMENT MAY MAKE A PRESENTATION AT A MEETING OF THE BOARD OF DIRECTORS OR COMMITTEE CONSIDERING THAT TRANSACTION OR ARRANGEMENT, BUT AFTER THAT PRESENTATION HE OR SHE SHALL LEAVE THE MEETING DURING DISCUSSION AND VOTING ON THAT PROPOSED TRANSACTION OR ARRANGEMENT. THE PERSON HAVING THE FINANCIAL INTEREST SHALL NOT BE COUNTED IN DETERMINING WHETHER A QUORUM IS PRESENT. 3.THE CHAIRPERSON OF THE BOARD OF DIRECTORS OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE (INCLUDING OUTSIDE ADVISORS) TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND TO ADVISE WHETHER THE PROPOSED TRANSACTION OR ARRANGEMENT IS IN SPECTRUM HEALTH GERBER MEMORIAL'S BEST INTEREST. 4.THE BOARD OF DIRECTORS OR COMMITTEE SHALL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER SPECTRUM HEALTH GERBER MEMORIAL CAN, WITH REASONABLE EFFORTS, OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 5.IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OF DIRECTORS OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS AND MEMBERS WHETHER THE PROPOSED TRANSACTION OR ARRANGEMENT IS IN SPECTRUM HEALTH GERBER MEMORIAL'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO SPECTRUM HEALTH GERBER MEMORIAL, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. 6.THE MINUTES OF THE MEETINGS OF THE BOARD OF DIRECTORS AND ALL SPECTRUM HEALTH GERBER MEMORIAL COMMITTEES SHALL SET FORTH: A)THE NAMES OF THE PERSONS WHO DISCLOSED A FINANCIAL INTEREST IN A PROPOSED TRANSACTION OR ARRANGEMENT INVOLVING SPECTRUM HEALTH GERBER MEMORIAL OR ANY OF ITS SUBSIDIARIES AND THE NATURE OF THE FINANCIAL INTEREST; AND B)THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO SUCH TRANSACTION OR ARRANGEMENT, INCLUDING ANY DISCUSSION OF ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION WITH THAT MATTER. THE VOTES OF INDIVIDUAL MEMBERS NEED NOT BE RECORDED UNLESS OTHERWISE DIRECTED BY THE BOARD OF DIRECTORS OR COMMITTEE. MANAGEMENT 1.EACH MEMBER OF THE MANAGEMENT TEAM SHALL COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM UPON ACCEPTANCE OF AN EMPLOYMENT OFFER AND AT ANY POINT THEREAFTER IF A NEW POTENTIAL CONFLICT OF INTEREST HAS ARISEN. THE CONFLICT OF INTEREST DISCLOSURE FORM SHOULD BE FULLY COMPLETED AND SIGNED. IF THE STAFF MEMBER DISCLOSES ANY POTENTIAL CONFLICT OF INTEREST, THE FORM SHALL BE SUBMITTED IMMEDIATELY TO THE SYSTEM'S ORGANIZATIONAL INTEGRITY DEPARTMENT. A COPY OF THE COMPLETED FORM SHOULD BE MAINTAINED IN THE STAFF MEMBER'S PERSONNEL FILE. 2.EACH MEMBER OF THE MANAGEMENT TEAM SHALL COMPLETE AN ELECTRONIC CONFLICT OF INTEREST DISCLOSURE FORM ON AN ANNUAL BASIS. THE CONFLICT OF INTEREST DISCLOSURE FORM SHOULD BE COMPLETED AND ELECTRONICALLY SIGNED WITHIN THE GIVEN TIMEFRAME. THE SYSTEM'S ORGANIZATIONAL INTEGRITY DEPARTMENT WILL MANAGE THE ANNUAL PROCESS AND WILL MAINTAIN ELECTRONIC COPIES OF THE COMPLETED FORMS. 3.THE SYSTEM'S ORGANIZATIONAL INTEGRITY DEPARTMENT SHALL REVIEW EACH FORM THAT IS SUBMITTED. ADDITIONAL INFORMATION WILL BE GATHERED AS NEEDED. WHETHER ANY ITEMS DISCLOSED MAY BE PERCEIVED AS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST WILL BE REVIEWED. IN ADDITION, STEPS THAT CAN BE TAKEN TO REDUCE THE RISK OF A CONFLICT OF INTEREST WILL BE IDENTIFIED. 4.IF THE SYSTEM'S ORGANIZATIONAL INTEGRITY DEPARTMENT BELIEVES THAT A DISCLOSURE HAS BEEN MADE THAT COMPRISES AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST, THE SYSTEM CONFLICT OF INTEREST COMMITTEE OR MEMBERS THEREOF WILL BE CONSULTED AS NEEDED. THE STAFF MEMBER'S SUPERVISOR AND/OR HUMAN RESOURCES GENERALIST MAY BE CONSULTED AS WELL. REASONABLE STEPS SHOULD BE TAKEN AS NEEDED TO MINIMIZE THE RISK OF A CONFLICT OF INTEREST. A WRITTEN MEMO SUMMARIZING THESE STEPS SHOULD BE SENT TO THE STAFF MEMBER'S SUPERVISOR AND BE MAINTAINED IN THE STAFF MEMBER'S FILE. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | COMPARATIVE DATA IS OBTAINED ANNUALLY BY HUMAN RESOURCES FROM THE MHA EXECUTIVE WAGE SURVEY. MHA COMPARES EXECUTIVE COMPENSATION FROM LIKE-SIZE HOSPITALS. IT PROVIDES A RANGE AND MIDPOINT BASED ON THOSE COMPARISONS. EXECUTIVES ARE PLACED IN THAT RANGE WITH CONSIDERATION FOR EXPERIENCE. THIS PROCESS IS REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE, COMPRISED OF SHGM BOARD MEMBERS. REVIEW OF THE DELIBERATION IS DOCUMENTED IN THE COMMITTEE MINUTES, WHICH ARE FILED IN THE COMPILED EXECUTIVE COMPENSATION REPORT, AND HELD IN HUMAN RESOURCES. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | SEE EXPLANATION PROVIDED FOR FORM 990, PART VI, LINE 15A. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, FINANCIAL INFORMATION IS MAILED TO THE PUBLIC IN THE ANNUAL REPORT. |
| CHANGE IN FINANCIAL REVIEW PROCESS | FORM 990, PAGE 11, PART XI, LINE 2C | THE STATEMENTS ARE NOW PREPARED ON A CONSOLIDATED BASIS WITH SPECTRUM HEALTH. |
| ADDITIONAL INFORMATION | SCHEDULE O | FORM 990, PART I, LINE 1 - ORGANIZATION'S MOST SIGNIFICANT ACTIVITIES WE PROVIDED HOSPITAL, HOMECARE, WELLNESS, AND PHYSICIAN HEALTHCARE SERVICES. FORM 990, PART I, LINE 5 AND FORM 990, PART V, LINE 2A - NUMBER OF EMPLOYEES TAXPAYER MAY HAVE INDIRECT EMPLOYEES. COMPENSATION FOR THESE EMPLOYEES IS PAID BY A RELATED ORGANIZATION. AN ALLOCATION OF AMOUNTS PAID FOR INDIRECT EMPLOYEES IS PURSUANT TO A MANAGEMENT SERVICES CONTRACT AND IS INCLUDED ON LINES 5-10 OF PART IX. FORM 990, PART IV, LINE 33 AND SCHEDULE R - IDENTIFICATION OF DISREGARDED ENTITIES THE ORGANIZATION DOES NOT OWN A WHOLLY OWNED DISREGARDED ENTITY. HOWEVER, THE HEALTH SYSTEM HAS WHOLLY OWNED DISREGARDED ENTITIES. THE ORGANIZATION IS REPORTING INDIRECT CONTROL FOLLOWING THE CONSTRUCTIVE OWNERSHIP RULES UNDER SECTION 318 OF THE INTERNAL REVENUE CODE. OTHER ENTITIES REPORTED ON SCHEDULE R ARE REPORTED BASED ON THE SAME APPLICATION OF THE CONSTRUCTIVE OWNERSHIP RULES OF SECTION 318. FORM 990, PART VII, LINE 1A - COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, AND INDEPENDENT CONTRACTORS CONSISTENT WITH PRIOR YEARS, THE COMPENSATION REPORTED FOR THESE INDIVIDUALS IS NOT FOR SERVICES IN THEIR CAPACITY AS MEMBERS OF THE BOARD OF DIRECTORS BUT FOR SERVICES AS EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION. CONSISTENT WITH PRIOR YEARS, COMPENSATION AND BENEFITS ARE REPORTED USING THE MOST RECENT CALENDAR YEAR COMPENSATION DATA. THE COMPENSATION FIGURES REPORTED IN THESE SECTIONS IS FOR THE YEAR ENDED DECEMBER 31, 2009. INDIVIDUALS WITH COMPENSATION REPORTED IN PART VII WORK A COMBINED AVERAGE OF 40 HOURS PER WEEK FOR THE REPORTING ORGANIZATION AND/OR A RELATED TAX-EXEMPT ORGANIZATION. SCHEDULE K - SUPPLEMENTAL INFORMATION ON TAX-EXEMPT BONDS THE TAX-EXEMPT BONDS ARE USED FOR EQUIPPING, CONSTRUCTING, AND RENOVATING HEALTHCARE FACILITIES. SCHEDULE R - DIRECT CONTROLLING ENTITY PART IV THE FORM 990 LIMITS THIS COLUMN TO TEN CHARACTERS AND THEREFORE ACRONYMS ARE USED TO DEFINE THE CONTROLLING ENTITY. THESE ACRONYMS ARE DEFINED AS FOLLOWS: NA - NOT APPLICABLE MMPC - MICHIGAN MEDICAL PATIENT CARE PH - PRIORITY HEALTH SHCC - SPECTRUM HEALTH CONTINUING CARE SHH - SPECTRUM HEALTH HOSPITALS SHI - SPECTRUM HEALTH INNOVATIONS, LLC SHS - SPECTRUM HEALTH SYSTEM SHU - SPECTRUM HEALTH UNITED WMH - WEST MICHIGAN HEART |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)
| Business Name Line2NameOfDisregardedEntity/BusinessNameLine2 | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Business Name Line2DirectControllingEntityName/BusinessNameLine2 |
|---|---|---|---|---|---|---|---|---|---|---|
| PHMB PROPERTIES LLC | ||||||||||
| PHMB PROPERTIES LLC-1231 EAST BELT | 1231 EAST BELTLINE NE | GRAND RAPIDS | MI | 49525 | 382715520 | PROP. MGMT | MI | 5062443 | PH | PH |
| WEST MICHIGAN CVCT LLC | ||||||||||
| WEST MICHIGAN CVCT LLC-2900 BRADFO | 2900 BRADFORD STREET NE | GRAND RAPIDS | MI | 49525 | 382125186 | DORMANT | MI | WMH | WMH | |
| MMPC REAL ESTATE LLC | ||||||||||
| MMPC REAL ESTATE LLC-4100 LAKE DR | 4100 LAKE DR SE STE 300 | GRAND RAPIDS | MI | 49525 | 382851295 | DORMANT | MI | MMPC | MMPC | |
| SPECTRUM HEALTH INNOVATIONS LLC | ||||||||||
| SPECTRUM HEALTH INNOVATIONS LLC-10 | 100 MICHIGAN AVE NE | GRAND RAPIDS | MI | 49503 | 272868213 | IP DEVELOP | MI | SHS | SHS | |
Form990 Schedule R Part II Form990ScheduleRPartII (22 entries)
| Business Name Line2NameOfDisregardedEntity/BusinessNameLine2 | Address Line1AddressUS/AddressLine1 | Address Line2AddressUS/AddressLine2 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Business Name Line2DirectControllingEntityName/BusinessNameLine2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SPECTRUM HEALTH SYSTEM | ||||||||||||
| SPECTRUM HEALTH SYSTEM | 100 MICHIGAN AVE NE | 100 MICHIGAN AVE NE | GRAND RAPIDS | MI | 49503 | 383382353 | MANAGEMENT | MI | 501 | 11C | NA | N/A |
| SPECTRUM HEALTH HOSPITALS | ||||||||||||
| SPECTRUM HEALTH HOSPITALS | 100 MICHIGAN AVE NE | 100 MICHIGAN AVE NE | GRAND RAPIDS | MI | 49503 | 381360529 | HEALTHCARE | MI | 501 | 3 | SHS | SHS |
| SPECTRUM HEALTH PRIMARY CARE PTNRS | ||||||||||||
| SPECTRUM HEALTH PRIMARY CARE PTNRS | 100 MICHIGAN AVE NE | 100 MICHIGAN AVE NE | GRAND RAPIDS | MI | 49503 | 381358164 | HEALTHCARE | MI | 501 | 3 | SHS | SHS |
| WEST MICHIGAN REGIONAL LABORATORY | ||||||||||||
| WEST MICHIGAN REGIONAL LABORATORY | 1726 KNOLLCREST CIRCLE SE | 1726 KNOLLCREST CIRCLE SE | GRAND RAPIDS | MI | 49546 | 383414862 | TEACH/RSCH | MI | 501 | 9 | SHH | SHH |
| SH-SM SHARED TECHNOLOGY SERVICES | ||||||||||||
| SH-SM SHARED TECHNOLOGY SERVICES | 100 MICHIGAN AVE NE | 100 MICHIGAN AVE NE | GRAND RAPIDS | MI | 49503 | 364528474 | MED. SVCS | MI | 501 | 9 | SHH | SHH |
| SPECTRUM HEALTH FOUNDATION | ||||||||||||
| SPECTRUM HEALTH FOUNDATION | 100 MICHIGAN AVE NE | 100 MICHIGAN AVE NE | GRAND RAPIDS | MI | 49503 | 382752328 | PHILANTHRO | MI | 501 | 7 | SHS | SHS |
| SPECTRUM HEALTH CONTINUING CARE | ||||||||||||
| SPECTRUM HEALTH CONTINUING CARE | 750 FULLER AVE NE | 750 FULLER AVE NE | GRAND RAPIDS | MI | 49503 | 383242232 | REHAB/CARE | MI | 501 | 11B | SHS | SHS |
| SH CONTINUING CARE CENTER | ||||||||||||
| SH CONTINUING CARE CENTER | 750 FULLER AVE NE | 750 FULLER AVE NE | GRAND RAPIDS | MI | 49503 | 382415333 | REHAB/NRS | MI | 501 | 9 | SHCC | SHCC |
| SH KENT COMMUNITY CAMPUS | ||||||||||||
| SH KENT COMMUNITY CAMPUS | 750 FULLER AVE NE | 750 FULLER AVE NE | GRAND RAPIDS | MI | 49503 | 383472677 | HEALTHCARE | MI | 501 | 3 | SHCC | SHCC |
| SPECTRUM HEALTH WORTH SERVICES | ||||||||||||
| SPECTRUM HEALTH WORTH SERVICES | 750 FULLER AVE NE | 750 FULLER AVE NE | GRAND RAPIDS | MI | 49503 | 382786617 | HEALTHCARE | MI | 501 | 9 | SHCC | SHCC |
| VISITING NURSE SERVICES OF WEST MI | ||||||||||||
| VISITING NURSE SERVICES OF WEST MI | 750 FULLER AVE NE | 750 FULLER AVE NE | GRAND RAPIDS | MI | 49503 | 381359195 | HEALTHCARE | MI | 501 | 9 | SHCC | SHCC |
| PRIORITY HEALTH | ||||||||||||
| PRIORITY HEALTH | 1231 EAST BELTLINE NE | 1231 EAST BELTLINE NE | GRAND RAPIDS | MI | 49525 | 382715520 | HMO | MI | 501 | SHS | SHS | |
| TRINITY HEALTH PLANS | ||||||||||||
| TRINITY HEALTH PLANS | 1231 EAST BELTLINE NE | 1231 EAST BELTLINE NE | GRAND RAPIDS | MI | 49525 | 382663747 | HMO MGMT | MI | 501 | PH | PH | |
| PH GOVERNMENT PROGRAMS INC | ||||||||||||
| PH GOVERNMENT PROGRAMS INC | 1231 EAST BELTLINE NE | 1231 EAST BELTLINE NE | GRAND RAPIDS | MI | 49525 | 320016523 | HMO | MI | 501 | 9 | PH | PH |
| SPECTRUM HEALTH UNITED | ||||||||||||
| SPECTRUM HEALTH UNITED | 615 S BOWER | 615 S BOWER | GREENVILLE | MI | 48838 | 381358412 | HEALTHCARE | MI | 501 | 3 | SHS | SHS |
| SH UNITED MEMORIAL FOUNDATION | ||||||||||||
| SH UNITED MEMORIAL FOUNDATION | 615 S BOWER | 615 S BOWER | GREENVILLE | MI | 48838 | 382990574 | PHILANTHRO | MI | 501 | 11A | SHU | SHU |
| AMBULATORY UNITED | ||||||||||||
| AMBULATORY UNITED | 407 S NELSON | 407 S NELSON | GREENVILLE | MI | 48838 | 383170488 | HEALTHCARE | MI | 501 | 11A | SHU | SHU |
| UNITED LIFESTYLES | ||||||||||||
| UNITED LIFESTYLES | 615 S BOWER | 615 S BOWER | GREENVILLE | MI | 48838 | 383589727 | WELLNESS | MI | 501 | 3 | SHU | SHU |
| SPECTRUM HEALTH KELSEY | ||||||||||||
| SPECTRUM HEALTH KELSEY | 300 N PATTERSON RD | 300 N PATTERSON RD | REED CITY | MI | 49677 | 381297435 | HEALTHCARE | MI | 501 | 3 | SHU | SHU |
| REED CITY HOSPITAL CORPORATION | ||||||||||||
| REED CITY HOSPITAL CORPORATION | 225 N STATE STREET | 225 N STATE STREET | REED CITY | MI | 49677 | 382770076 | HEALTHCARE | MI | 501 | 3 | SHS | SHS |
| WEST MICHIGAN IMAGING CENTER | ||||||||||||
| WEST MICHIGAN IMAGING CENTER | PO BOX 1009 | PO BOX 1009 | JENISON | MI | 49428 | 382730326 | HEALTHCARE | MI | 501 | 11C | SHH | SHH |
| NEWAYGO COUNTY GENERAL HOSPITAL ASS | ||||||||||||
| NEWAYGO COUNTY GENERAL HOSPITAL ASS | 212 S SULLIVAN AVENUE | 212 S SULLIVAN AVENUE | FREMONT | MI | 49412 | 381359517 | HEALTHCARE | MI | 501 | 3 | SHS | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (12 entries)
| Business Name Line2NameOfRelatedOrg/BusinessNameLine2 | Address Line1AddressUS/AddressLine1 | Address Line2AddressUS/AddressLine2 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Business Name Line2DirectControllingEntityName/BusinessNameLine2 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HELEN DEVOS WOMEN'S AND CHILDREN'S | |||||||||||||||
| HELEN DEVOS WOMEN'S AND CHILDREN'S | 1840 WEALTHY ST SE | 1840 WEALTHY ST SE | GRAND RAPIDS | MI | 49506 | 383264184 | MGMT | MI | SHH | SHH | C CORP | 609249 | 424826 | 0.86960 | |
| PARTNERSHIP FOR CHILDREN'S HEALTH | |||||||||||||||
| PARTNERSHIP FOR CHILDREN'S HEALTH | 1840 WEALTHY ST SE | 1840 WEALTHY ST SE | GRAND RAPIDS | MI | 49506 | 383364676 | MGED CARE | MI | SHH | SHH | C CORP | 1.00000 | |||
| THE FRED AND LENA MEIJER HEART CENT | |||||||||||||||
| THE FRED AND LENA MEIJER HEART CENT | 100 MICHIGAN ST NE | 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 830464302 | MGMT | MI | SHH | SHH | C CORP | 2365205 | 1043237 | 0.98270 | |
| HDVC - CHC | |||||||||||||||
| HDVC - CHC | 100 MICHIGAN ST NE | 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 383417270 | MED. SVCS | MI | SHH | SHH | C CORP | 388481 | 9443961 | 1.00000 | |
| CAMPUS TOWNE CENTER CONDO ASSC | |||||||||||||||
| CAMPUS TOWNE CENTER CONDO ASSC | 4868 LAKE MICHIGAN DRIVE | 4868 LAKE MICHIGAN DRIVE | ALLENDALE | MI | 49401 | 382910067 | MGMT | MI | SHH | SHH | C CORP | 19081 | 20334 | 0.75000 | |
| PRIORITY HEALTH INSURANCE COMPANY | |||||||||||||||
| PRIORITY HEALTH INSURANCE COMPANY | 1231 EAST BELTLINE NE | 1231 EAST BELTLINE NE | GRAND RAPIDS | MI | 49525 | 201529553 | INSURANCE | MI | PH | PH | C CORP | 130757283 | 41936138 | 1.00000 | |
| PRIORITY HEALTH MANAGED BENEFITS | |||||||||||||||
| PRIORITY HEALTH MANAGED BENEFITS | 1231 EAST BELTLINE NE | 1231 EAST BELTLINE NE | GRAND RAPIDS | MI | 49525 | 383085182 | ADMIN | MI | SHS | SHS | C CORP | 114304478 | 25950943 | 1.00000 | |
| MONTCALM PRIMARY CARE PHYSICIANS | |||||||||||||||
| MONTCALM PRIMARY CARE PHYSICIANS | 615 S BOWER | 615 S BOWER | GREENVILLE | MI | 48838 | 202544762 | MED. SVCS | MI | SHU | SHU | C CORP | 1.00000 | |||
| BLODGETT ASSURANCE COMPANY | |||||||||||||||
| BLODGETT ASSURANCE COMPANY | 100 MICHIGAN AVE NE | 100 MICHIGAN AVE NE | GRAND RAPIDS | MI | 49503 | INSURANCE | SHS | SHS | C CORP | 1.00000 | CJ | ||||
| MICHIGAN MEDICAL PATIENT CARE | |||||||||||||||
| MICHIGAN MEDICAL PATIENT CARE | 4100 LAKE DR SE STE 300 | 4100 LAKE DR SE STE 300 | GRAND RAPIDS | MI | 49546 | 382851295 | MEDICAL | MI | SHS | SHS | C CORP | 160318069 | 59260928 | 1.00000 | |
| WEST MICHIGAN HEART | |||||||||||||||
| WEST MICHIGAN HEART | 2900 BRADFORD STREET NE | 2900 BRADFORD STREET NE | GRAND RAPIDS | MI | 49525 | 382125186 | PHYSICIANS | MI | SHS | SHS | C CORP | 42634602 | 9048196 | 1.00000 | |
| MHEALTH INNOVATIONS INC | |||||||||||||||
| MHEALTH INNOVATIONS INC | 425 NORTH MAIN STREET | 425 NORTH MAIN STREET | ANN ARBOR | MI | 48104 | 611613614 | PROD DEVL | MI | SHI | SHI | C CORP | 0.99000 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |