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COREWELL HEALTH: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
COREWELL HEALTH (EIN 38-1358164)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-02-03
IRS object ID
201120349349301312
Schema version
2009v1.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-02-03T17:36:11-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN381358164EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SPECTRUM HEALTH PRIMARY CAREBusinessNameLine1
Business Name Line2PARTNERSBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlSPECNameControl
Phone6167747322Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11840 WEALTHY ST SEAddressLine1
CityGRAND RAPIDSCity
StateMIState
ZIP Code49506ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAULINE M KRYWANSKIName
TitleSVP-FINANCETitle
Phone6167747322Phone
Date Signed2011-02-15DateSigned
Authorize Third PartyfalseAuthorizeThirdParty
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SPECTRUM HEALTH MEDICAL GROUPBusinessNameLine1
FieldValueIRS element (for citing)
Gross Receipts75751187GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.SPECTRUM-HEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees628TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year802ContributionsGrantsCurrentYear
Program Service Revenue Prior Year21343599ProgramServiceRevenuePriorYear
Program Service Revenue CY75746711ProgramServiceRevenueCY
Investment Income Current Year-59133InvestmentIncomeCurrentYear
Other Revenue Prior Year3772691OtherRevenuePriorYear
Other Revenue Current Year311OtherRevenueCurrentYear
Total Revenue Prior Year25116290TotalRevenuePriorYear
Total Revenue Current Year75688691TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year25612399SalariesEtcPriorYear
Salaries Etc Current Year45154568SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8963361OtherExpensePriorYear
Other Expenses Current Year26964645OtherExpensesCurrentYear
Total Expenses Prior Year34575760TotalExpensesPriorYear
Total Expenses Current Year72119213TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-9459470RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3569478RevenuesLessExpensesCY
Total Assets BOY11951434TotalAssetsBOY
Total Assets EOY38535706TotalAssetsEOY
Total Liabilities BOY19049324TotalLiabilitiesBOY
Total Liabilities EOY42064118TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-7097890NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-3528412NetAssetsOrFundBalancesEOY
Mission DescriptionTO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense52670182Expense
Revenue75687578Revenue
DescriptionSPECTRUM HEALTH PRIMARY CARE PARTNERS, D/B/A SPECTRUM HEALTH MEDICAL GROUP, PROVIDES CLINICAL, TEACHING, RESEARCH AND ADMINISTRATIVE PHYSICIAN SERVICES. THESE SERVICES ARE PROVIDED IN AMBULATORY PRACTICES, INPATIENT SETTINGS, AND TEACHING ENVIRONMENTS.Description
Total Program Service Expense52670182TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109662NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees628NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MR BRUCE SHIVELYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6164866703TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1665 SEWARD NEAddressLine1
CityGRAND RAPIDSCity
StateMIState
ZIP Code49506ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
RICHARD BREON
DIRECTOR2.00X02249338464041
JAMES TUCCI
PRESIDENT50.00X7658820187924X
KENNETH FAWCETT JR
CHAIR50.00X628109038810X
PHILLIP HENDERSON
TREASURER50.00X504134039549X
CALVIN LEAZENBY
DIRECTOR50.00X395975034743
LAURA ZUIDEMA
DIRECTOR50.00X392589029240
STEVEN BLAU
DIRECTOR50.00X368502017576
KEVIN MCCORMICK
SECRETARY50.00X269015029069X
PAUL WASIELEWSKI
PARTIAL YEAR50.00X225771022050
DAVID DOBBIE
DIRECTOR50.00X222556033643
DUDLEY E WILEY
DIRECTOR50.00X137370010780
M ASHRAF MANSOUR
DIRECTOR50.00X10397606318
PAULINE KRYWANSKI
SVP, FINANCE50.00321542087877X
MARK KADLEC
COO/SVP, OPE50.00158206026641X
JERRY WITTINGEN
PHYSICIAN50.00456947038338X
JOHN HESLIP
PHYSICIAN50.00402610032362X
LEE BEGROW
PHYSICIAN50.00392518034162X
RICHARD HAGELBERG
PHYSICIAN50.00373180025107X
ROBERT MACKINDER
PHYSICIAN50.00335905030600X
MATTHEW VAN VRANKEN
FORMER PRESI01138968280010X
JOHN MOSLEY
FORMER DIREC0743371138713X
JOSEPH FIFER
FORMER CFO0741280154033X
JOHN BYRNES
FORMER SECRE0711976160623X
MARC CHIRCOP
FORMER VICE0668959164176X
BRIAN PHILLIPS
FORMER DIREC058874433843X
LISA SHANNON
FORMER DIREC0373426107996X
GERALD LEE
FORMER DIREC021367228367X
MARK BEVERSLUIS
FORMER TREAS185136029427X
JAMES RANTA
FORMER DIREC163555025607X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6803478TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs7429734TotalReportableCompFrmRltdOrgs
Total Other Compensation2311625TotalOtherCompensation
Number Individuals GT100 K71NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EPIC SYSTEMS COPORATION
PO BOX 88314MILWAUKEEWI432883014CONSULTING2168270
MCKINSEY & COMPANY INC
PO BOX 7247-7255PHILADELPHIPA191707255CONSULTING1444950
IMPACT ADVISORS
931 W 75TH STNAPERVILLEIL60565CONSULTING1096897
DEARBOARN ADVISORS LLC
105 S YORK STELMHURSTIL60126CONSULTING863459
CAMBIA MANAGEMENT LLC
PO BOX 2832ORLAND PARKIL60462CONSULTING659654
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
Related Organizations802RelatedOrganizations
Total Contributions802TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE6211103065929230659292
CLINICAL, TEACHING, & MGMT SV6211101250000012500000
MANAGEMENT FEE6211101200000012000000
TECHNOLOGY SERVICES62111090000949000094
OTHER PROFESSIONAL SERVICES62111043370554337055

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column7250270TotalRevenueColumn
Related Or Exempt Function Income7250270RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue75746711TotalProgramServiceRevenue

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3674Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real3363Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real311Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column311TotalRevenueColumn
Exclusion$311ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other59133Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-59133Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-59133TotalRevenueColumn
Related Or Exempt Function Income-59133RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column75688691TotalRevenueColumn
Related Or Exempt Function Income75687578RelatedOrExemptFunctionIncome
Exclusion$311ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4493626Total
Program Services3459643ProgramServices
Management And General1033983ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total348691Total
Program Services268457ProgramServices
Management And General80234ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total32298204Total
Program Services24866386ProgramServices
Management And General7431818ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1657113Total
Program Services1275811ProgramServices
Management And General381302ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4030964Total
Program Services3103439ProgramServices
Management And General927525ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2325970Total
Program Services1790764ProgramServices
Management And General535206ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1170302Total
Program Services1170302ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total260730Total
Management And General260730ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4249002Total
Program Services4198243ProgramServices
Management And General50759ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total814968Total
Program Services814968ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3446917Total
Program Services3178132ProgramServices
Management And General268785ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total349789Total
Program Services314810ProgramServices
Management And General34979ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2946204Total
Program Services2598987ProgramServices
Management And General347217ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total256491Total
Program Services243666ProgramServices
Management And General12825ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total290982Total
Program Services245589ProgramServices
Management And General45393ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total36182Total
Program Services36182ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2911418Total
Program Services2037993ProgramServices
Management And General873425ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total927093Total
Program Services927093ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
TIS SHARED SERVICES28567504045162452234
MMPC SHARED SERVICES26220923712882250804
MISCELLANEOUS1065700150902914798
EPIC SHARED SERVICES1053305149148904157
BAD DEBTS825620825620

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total881100Total
Program Services238243ProgramServices
Management And General642857ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total72119213Total
Program Services52670182ProgramServices
Management And General19449031ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2915BOY
EOY4339EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY26709BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2338015BOY
EOY3309466EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3906BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY154915BOY
EOY95220EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis34231297LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5532925LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9421617BOY
EOY28698372EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3357BOY
EOY6428309EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11951434BOY
EOY38535706EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3153101BOY
EOY9007836EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY15896223BOY
EOY33056282EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY19049324BOY
EOY42064118EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-7097890BOY
EOY-3528412EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-7097890BOY
EOY-3528412EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11951434BOY
EOY38535706EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis670195OtherCostOrOtherBasis
Book Value670195BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3525993OtherCostOrOtherBasis
Depreciation776708Depreciation
Book Value2749285BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3831616OtherCostOrOtherBasis
Depreciation904800Depreciation
Book Value2926816BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis13301193OtherCostOrOtherBasis
Depreciation1145782Depreciation
Book Value12155411BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12902300OtherCostOrOtherBasis
Depreciation2705635Depreciation
Book Value10196665BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings28698372TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDUE FROM AFFILIATESDescription
Book Value6428309BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets6428309TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$33,056,282Amount
FieldValueIRS element (for citing)
Total Of Amounts33056282TotalOfAmounts

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (27 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
RICHARD BREON
9465111276492263352959971680442713379970982
JAMES TUCCI
4973682552711324311335574569953806115418
KENNETH FAWCETT JR
4343951937141715021660666919
PHILLIP HENDERSON
3292771748571668322866543683
CALVIN LEAZENBY
325832701431960015143430718
LAURA ZUIDEMA
3885774012196009640421829
STEVEN BLAU
343408200005094323314343386078
KEVIN MCCORMICK
2683266891225816811298084
PAUL WASIELEWSKI
2239101861265419396247821
DAVID DOBBIE
21876837881629817345256199
PAULINE KRYWANSKI
2678875203816175307134806409419
MARK KADLEC
12520032077929276323878184847
JERRY WITTINGEN
45340535422203316305495285
JOHN HESLIP
2223331802771320719155434972
LEE BEGROW
39040721111715017012426680
RICHARD HAGELBERG
3696213559490020207398287
ROBERT MACKINDER
308432274731295717643366505
MATTHEW VAN VRANKEN
66389445877116303186411935991418978279183
JOHN MOSLEY
342300385443156288536653347882084292260
JOSEPH FIFER
34176039709224289314860885895313334100
JOHN BYRNES
361527335837146129451666107872599236697
MARC CHIRCOP
3738702835011158811317750999833135211553
BRIAN PHILLIPS
514480742641715016693622587
LISA SHANNON
2385841310373805613304666648142293143
GERALD LEE
185640280321199416373242039
MARK BEVERSLUIS
18346216741547413953214563
JAMES RANTA
15899945561048515122189162

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FRINGE OR EXPENSE EXPLANATIONSCHEDULE J, PAGE 1, PART I, LINE 1ATAXPAYER PAYS HEALTHCLUB DUES ON BEHALF OF SOME INDIVIDUALS LISTED IN PART VII OF THIS TAX RETURN.
OTHER ADDITIONAL INFORMATIONSCHEDULE J, PART IIISCHEDULE J, PART II, COLUMN B(III) GRANDFATHERED SPLIT-DOLLAR ARRANGEMENTS WERE DISCONTINUED AND AN ELECTION TO LIQUIDATE ACCOUNTS WAS OFFERED TO PARTICIPANTS. WHERE APPLICABLE, THE ONE-TIME LIQUIDATED VALUE OF THESE PLANS ARE INCLUDED AS "REPORTABLE COMPENSATION" IN THE CORE FORM 990, PART VII AND "OTHER REPORTABLE COMPENSATION" IN SCHEDULE J OF THIS TAX RETURN. SCHEDULE J, PART I, LINE 4B THIS QUESTION 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 L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonHUGHES MANAGEMENTNamePerson
FieldValueIRS element (for citing)
RelationshipBUSINESSRelationship
Amount Of Transaction14000AmountOfTransaction
Description Of TransactionREAL ESTATE LEASEDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6THE TAXPAYER HAS ONE MEMBER(S)/STOCKHOLDER(S) AS FOLLOWS: "SPECTRUM HEALTH SYSTEM (EIN 38-3382353), A MICHIGAN NONPROFIT CORPORATION.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ATHE SOLE MEMBER (SEE FORM 990, PART VI, LINE 6) OF THE TAXPAYER APPOINTS ALL MEMBERS OF THE BOARD OF DIRECTORS.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BTHE SOLE MEMBER (SEE FORM 990, PART VI, LINE 6) OF THE TAXPAYER HAS THE RESERVED POWERS SET FORTH BELOW, AND SHALL NOT BE DEEMED AUTHORIZED UNLESS AND UNTIL APPROVED BY THE SOLE MEMBER(S): "APPOINTMENT AND/OR REMOVAL OF THE DIRECTORS AND THE CHAIRPERSON OF THE TAXPAYER BOARD, PURSUANT TO THE NOMINATION, ELECTION AND REMOVAL PROCESSES SET FORTH IN THE BYLAWS; "HIRING, DISCHARGE AND EVALUATION OF THE TAXPAYER'S PRESIDENT FOLLOWING CONSULTATION WITH THE BOARD OF DIRECTORS, AS DELEGATED BY THE SYSTEM BOARD TO THE MEMBER'S CHIEF EXECUTIVE OFFICER; "THE ADOPTION OF AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE TAXPAYER; "THE ADOPTION OF STRATEGIC PLANS FOR THE TAXPAYER; "THE ADOPTION OF THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE TAXPAYER AND ANY AMENDMENTS TO SUCH BUDGETS IN EXCESS OF THE AMOUNT SPECIFIED IN THE BUDGET ADOPTED BY THE MEMBER, AS AMENDED BY THE MEMBER FROM TIME TO TIME; "APPROVAL OF ALL TAXPAYER (OR ANY ENTITY CONTROLLED BY THE TAXPAYER) CAPITAL EXPENDITURES IN EXCESS OF CERTAIN PRESET SPENDING LIMITS; "APPROVAL OF ALL BORROWING BY THE TAXPAYER (OR ANY ENTITY CONTROLLED BY THE TAXPAYER) FOR CAPITAL OR OPERATING PURPOSES, AND ALL GUARANTEES OF INDEBTEDNESS; "APPROVAL OF ALL LOANS IN EXCESS OF CERTAIN PRESET LENDING AMOUNTS BY THE TAXPAYER (OR ANY ENTITY CONTROLLED BY THE TAXPAYER) TO PERSONS OTHER THAN SPECTRUM HEALTH OR AN ENTITY CONTROLLED BY SPECTRUM HEALTH; "APPROVAL OF TAXPAYER INVESTMENTS OF CASH AND/OR RESERVES, WHETHER AT THE INDIVIDUAL TAXPAYER LEVEL OR AS PART OF A POOLED INVESTMENT STRATEGY; "APPROVAL OF COMPENSATION PAID TO PHYSICIANS PRACTICING MEDICINE AS EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE TAXPAYER, TO THE EXTENT SUCH APPROVAL IS DEEMED BY THE SYSTEM BOARD TO BE REQUIRED BY APPLICABLE TAX LAWS AND/OR REGULATIONS; "MERGER OR CONSOLIDATION OF THE TAXPAYER (OR ANY ENTITY CONTROLLED BY THE TAXPAYER), ANY OTHER CHANGE IN CONTROL, OWNERSHIP PERCENTAGES OR CAPITAL STRUCTURE OF THE TAXPAYER (OR ANY ENTITY CONTROLLED BY THE TAXPAYER), OR THE CREATION OR ACQUISITION OF ANY ENTITY CONTROLLED BY THE TAXPAYER; "SALE OR TRANSFER OF MORE THAN TEN PERCENT (10%) OF THE ASSETS OF THE TAXPAYER (OR ANY ENTITY CONTROLLED BY THE TAXPAYER) TO ANY PERSON OR ENTITY NOT CONTROLLED BY THE MEMBER; "DISSOLUTION OF THE TAXPAYER; "THE SELECTION, RETENTION AND OVERSIGHT OF AUDITORS FOR THE TAXPAYER (OR ANY ENTITY CONTROLLED BY THE TAXPAYER); "ELIMINATION OF A DEPARTMENT; AND "ANY OTHER APPROVAL REQUIRED BY LAW OR AS PROVIDED IN THE BYLAWS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. THE REVIEW PROCESS FOR THIS FORM 990 IS AS FOLLOWS: 1. PREPARATION OF THE RETURN IS SUPERVISED AND REVIEWED BY THE TAXPAYER'S CORPORATE TAX MANAGER. 2. A SECOND REVIEW IS PERFORMED BY AN EXTERNAL CPA FIRM WITH EXPERTISE IN TAX-EXEMPT RETURN PREPARATION. 3. THE RETURN IS REVIEWED BY THE TAXPAYER'S FINANCE AND LEGAL DEPARTMENTS (INCLUDING THE VICE PRESIDENT OF FINANCE OR CHIEF FINANCIAL OFFICER) AND SHARED WITH THE MEMBERS OF THE BOARD OF DIRECTORS. 4. THE TAXPAYER'S VICE PRESIDENT OF FINANCE OR CHIEF FINANCIAL OFFICER REVIEWS COMMENTS OR QUESTIONS RECEIVED BY MEMBERS OF THE BOARD OF DIRECTORS, IF ANY, TO ADDRESS OR TO INCORPORATE, AS APPROPRIATE, INTO THE RETURN PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CBOARD OF DIRECTORS 1.CONFLICTS OF INTEREST MUST BE DISCLOSED, BOTH VIA A DISCLOSURE FORM PROCESS AS WELL AS VERBALLY AT A BOARD MEETING PRIOR TO DISCUSSION OF ANY AGENDA ITEM WITH REGARD TO WHICH A BOARD MEMBER HAS A CONFLICT. 2.A PERSON HAVING A FINANCIAL INTEREST IN A PROPOSED TRANSACTION OR ARRANGEMENT MAY MAKE A PRESENTATION AT A MEETING OF THE BOARD OF DIRECTORS OR COMMITTEE CONSIDERING THAT TRANSACTION OR ARRANGEMENT, BUT AFTER THAT PRESENTATION HE OR SHE SHALL LEAVE THE MEETING DURING DISCUSSION AND VOTING ON THAT PROPOSED TRANSACTION OR ARRANGEMENT. THE PERSON HAVING THE FINANCIAL INTEREST SHALL NOT BE COUNTED IN DETERMINING WHETHER A QUORUM IS PRESENT. 3.THE CHAIRPERSON OF THE BOARD OF DIRECTORS OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE (INCLUDING OUTSIDE ADVISORS) TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND TO ADVISE WHETHER THE PROPOSED TRANSACTION OR ARRANGEMENT IS IN SPECTRUM HEALTH'S BEST INTEREST. 4.THE BOARD OF DIRECTORS OR COMMITTEE SHALL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER SPECTRUM HEALTH CAN, WITH REASONABLE EFFORTS, OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 5.IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OF DIRECTORS OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS AND MEMBERS WHETHER THE PROPOSED TRANSACTION OR ARRANGEMENT IS IN SPECTRUM HEALTH'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO SPECTRUM HEALTH, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. 6.THE MINUTES OF THE MEETINGS OF THE BOARD OF DIRECTORS AND ALL SPECTRUM HEALTH COMMITTEES SHALL SET FORTH: A)THE NAMES OF THE PERSONS WHO DISCLOSED A FINANCIAL INTEREST IN A PROPOSED TRANSACTION OR ARRANGEMENT INVOLVING SPECTRUM HEALTH OR ANY OF ITS SUBSIDIARIES AND THE NATURE OF THE FINANCIAL INTEREST; AND B)THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO SUCH TRANSACTION OR ARRANGEMENT, INCLUDING ANY DISCUSSION OF ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION WITH THAT MATTER. THE VOTES OF INDIVIDUAL MEMBERS NEED NOT BE RECORDED UNLESS OTHERWISE DIRECTED BY THE BOARD OF DIRECTORS OR COMMITTEE MANAGEMENT 1.EACH MEMBER OF THE MANAGEMENT TEAM SHALL COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM UPON ACCEPTANCE OF AN EMPLOYMENT OFFER AND AT ANY POINT THEREAFTER IF A NEW POTENTIAL CONFLICT OF INTEREST HAS ARISEN. THE CONFLICT OF INTEREST DISCLOSURE FORM SHOULD BE FULLY COMPLETED AND SIGNED. IF THE STAFF MEMBER DISCLOSES ANY POTENTIAL CONFLICT OF INTEREST, THE FORM SHALL BE SUBMITTED IMMEDIATELY TO THE SYSTEM'S ORGANIZATIONAL INTEGRITY DEPARTMENT. A COPY OF THE COMPLETED FORM SHOULD BE MAINTAINED IN THE STAFF MEMBER'S PERSONNEL FILE. 2.EACH MEMBER OF THE MANAGEMENT TEAM SHALL COMPLETE AN ELECTRONIC CONFLICT OF INTEREST DISCLOSURE FORM ON AN ANNUAL BASIS. THE CONFLICT OF INTEREST DISCLOSURE FORM SHOULD BE COMPLETED AND ELECTRONICALLY SIGNED WITHIN THE GIVEN TIMEFRAME. THE SYSTEM'S ORGANIZATIONAL INTEGRITY DEPARTMENT WILL MANAGE THE ANNUAL PROCESS AND WILL MAINTAIN ELECTRONIC COPIES OF THE COMPLETED FORMS. 3.THE SYSTEM'S ORGANIZATIONAL INTEGRITY DEPARTMENT SHALL REVIEW EACH FORM THAT IS SUBMITTED. ADDITIONAL INFORMATION WILL BE GATHERED AS NEEDED. WHETHER ANY ITEMS DISCLOSED MAY BE PERCEIVED AS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST WILL BE REVIEWED. IN ADDITION, STEPS THAT CAN BE TAKEN TO REDUCE THE RISK OF A CONFLICT OF INTEREST WILL BE IDENTIFIED. 4.IF THE SYSTEM'S ORGANIZATIONAL INTEGRITY DEPARTMENT BELIEVES THAT A DISCLOSURE HAS BEEN MADE THAT COMPRISES AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST, THE SYSTEM CONFLICT OF INTEREST COMMITTEE OR MEMBERS THEREOF WILL BE CONSULTED AS NEEDED. THE STAFF MEMBER'S SUPERVISOR AND/OR HUMAN RESOURCES GENERALIST MAY BE CONSULTED AS WELL. REASONABLE STEPS SHOULD BE TAKEN AS NEEDED TO MINIMIZE THE RISK OF A CONFLICT OF INTEREST. A WRITTEN MEMO SUMMARIZING THESE STEPS SHOULD BE SENT TO THE STAFF MEMBER'S SUPERVISOR AND BE MAINTAINED IN THE STAFF MEMBER'S FILE.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15APROCESS FOR ESTABLISHING EXECUTIVE COMPENSATION THE SPECTRUM HEALTH BOARD OF DIRECTORS (EXECUTIVE COMMITTEE) USES THE FOLLOWING PROCESS FOR DETERMINING COMPENSATION OF EXECUTIVES AT ALL ENTITIES: LABOR MARKET DATA REFLECTING COMPARABLE ORGANIZATIONS AND JOBS (PREPARED BY INDEPENDENT FIRMS) ARE RELIED UPON. COMPETITIVE ASSESSMENT REPORTS ARE PROVIDED IN ADVANCE OF EXECUTIVE COMMITTEE MEETINGS. THE COMPETITIVE ASSESSMENT REPORT IS PREPARED BY A NATIONALLY KNOWN INDEPENDENT EXECUTIVE COMPENSATION FIRM AND, FOR FY 2010 (7/1/09-6/30/10), WAS BASED ON THE FOLLOWING INDEPENDENT SURVEYS OF HEALTH CARE EXECUTIVES AT COMPARABLE HEALTH SYSTEMS: SULLIVAN, COTTER AND ASSOCIATES, INC.: 2009 SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS INTEGRATED HEALTHCARE STRATEGIES: 2009 HEALTHCARE EXECUTIVE COMPENSATION SURVEY MERCER HUMAN RESOURCES CONSULTING: 2009 INTEGRATED HEALTH NETWORKS COMPENSATION SURVEY WATSON WYATT DATA SERVICES: 2009/2010 HOSPITAL AND HEALTHCARE MANAGEMENT COMPENSATION REPORT THESE SOURCES ARE CONSISTENT WITH THOSE USED IN LAST YEAR'S ANALYSIS. COMPENSATION ADJUSTMENTS ARE APPROVED BY INDEPENDENT EXECUTIVE COMMITTEE MEMBERS, CONSISTENT WITH THE SPECTRUM HEALTH COMPENSATION PHILOSOPHY DESCRIBED BELOW. MINUTES OF COMMITTEE DISCUSSIONS AND DECISIONS ARE PREPARED TO MEMORIALIZE EXECUTIVE COMMITTEE DECISIONS BASED UPON THE ABOVE DATA. CASH COMPENSATION DATA RELIED UPON BY THE EXECUTIVE COMMITTEE ARE NATIONAL AND REFLECT THE COMPENSATION PAID TO EXECUTIVES IN COMPARABLE JOBS IN COMPARABLY-SIZED HEALTHCARE ORGANIZATIONS. SPECTRUM HEALTH RECRUITS NATIONALLY FOR ITS EXECUTIVES. BENEFITS DATA REFLECT NATIONAL HEALTHCARE MARKET PRACTICES. GEOGRAPHIC PAY DIFFERENTIAL AND COST OF LIVING DATA INDICATE CONSISTENCY WITH NATIONAL DATA. THIS PROCESS IS INTENDED TO ASSIST SPECTRUM HEALTH IN QUALIFYING FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS (INTERMEDIATE SANCTIONS REGULATIONS) AND THE SPECTRUM HEALTH EXCESS BENEFIT TRANSACTION POLICY FOR THOSE INDIVIDUALS IN THE GROUP WHO ARE DISQUALIFIED PERSONS. THE OPINION SUBMITTED FROM THE THIRD PARTY INDEPENDENT CONSULTING FIRM IS IN ACCORDANCE WITH THE PROVISIONS OF TREASURY REGULATIONS SECTION 53.4958-6(C)(2) AND IS ALSO INTENDED TO SATISFY THE PROFESSIONAL ADVICE REQUIREMENT OF TREASURY REGULATIONS SECTION 53.4958-1(D)(4)(III).
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BSEE EXPLANATION PROVIDED FOR FORM 990, PART VI, LINE 15A.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION'S ARTICLES OF INCORPORATION HAVE BEEN PROVIDED TO THE STATE OF MICHIGAN AND ARE AVAILABLE TO THE PUBLIC ON THE STATE'S WEBSITE. THE ORGANIZATION'S BYLAWS AND INTERNAL POLICIES ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC. THE OVERALL SYSTEM CONSOLIDATED FINANCIAL STATEMENTS ARE PROVIDED AT WWW.SPECTRUM-HEALTH.ORG IN THE SECTION TITLED "ABOUT US." FINANCIAL PERFORMANCE, IS DISCUSSED AT AN ANNUAL PUBLIC MEETING HELD AND POSTED TO WWW.SPECTRUM-HEALTH.ORG ANNUALLY (UNDER THE SECTION TITLED "ABOUT US").
ADDITIONAL INFORMATIONSCHEDULE OFORM 990, PART I, LINE 5 AND FORM 990, PART V, LINE 2A - NUMBER OF EMPLOYEES TAXPAYER MAY HAVE INDIRECT EMPLOYEES. COMPENSATION FOR THESE EMPLOYEES ARE 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 28C AND SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS DR. M. ASHRAF MANSOUR, A MEMBER OF TAXPAYER'S BOARD OF DIRECTORS, HAS A GREATER THAN 5% INTEREST IN A TAXABLE ORGANIZATION THAT PROVIDES SERVICES TO THE TAXPAYER. THROUGH OUR ANNUAL CONFLICT OF INTEREST AND TAX REPORTING PROCESSES, CERTAIN INDIVIDUALS LISTED IN SCHEDULE L HAVE REPORTED THAT THEY, OR COMPANIES THEY WORK FOR, HAVE BUSINESS OR FAMILY RELATIONSHIPS WITH THE REPORTING ORGANIZATION THAT EXCEED THRESHOLDS PROVIDED IN THE INSTRUCTIONS TO THE FORM 990. IF AN AMOUNT IS NOT LISTED IN SCHEDULE L, A STATEMENT IS PROVIDED ABOVE EXPLAINING THE NATURE OF THE TRANSACTION(S). FORM 990, PART IV, LINE 33 AND SCHEDULE R - IDENTIFICATION OF DISREGARDED ENTITIES THE ORGANIZATION DOES NOT OWN A WHOLLY OWNED DISREGARDED ENTITY. HOWEVER, THE HEALTH SYSTEM HAS WHOLLY OWNED DISREGARDED ENTITIES. THE ORGANIZATION IS REPORTING INDIRECT CONTROL FOLLOWING THE CONSTRUCTIVE OWNERSHIP RULES UNDER SECTION 318 OF THE INTERNAL REVENUE CODE. OTHER ENTITIES REPORTED ON SCHEDULE R ARE REPORTED BASED ON THE SAME APPLICATION OF THE CONSTRUCTIVE OWNERSHIP RULES OF SECTION 318. FORM, 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 50 HOURS PER WEEK FOR THE REPORTING ORGANIZATION AND/OR A RELATED TAX-EXEMPT ORGANIZATION. 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/BusinessNameLine2Address Line1AddressUS/AddressLine1Address Line2AddressUS/AddressLine2CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Business Name Line2DirectControllingEntityName/BusinessNameLine2
PHMB PROPERTIES LLC
PHMB PROPERTIES LLC1231 EAST BELTLINE NE1231 EAST BELTLINE NEGRAND RAPIDSMI49525382715520PROP. MGMTMI5062443PHPH
WEST MICHIGAN CVCT LLC
WEST MICHIGAN CVCT LLC2900 BRADFORD STREET NE2900 BRADFORD STREET NEGRAND RAPIDSMI49525382125186DORMANTMIWMHWMH
MMPC REAL ESTATE LLC
MMPC REAL ESTATE LLC4100 LAKE DR SE STE 3004100 LAKE DR SE STE 300GRAND RAPIDSMI49525382851295DORMANTMIMMPCMMPC
SPECTRUM HEALTH INNOVATIONS LLC
SPECTRUM HEALTH INNOVATIONS LLC100 MICHIGAN AVE NE100 MICHIGAN AVE NEGRAND RAPIDSMI49503272868213IP DEVELOPMISHSSHS

Form990 Schedule R Part II Form990ScheduleRPartII (22 entries)

Business Name Line2NameOfDisregardedEntity/BusinessNameLine2Address Line1AddressUS/AddressLine1Address Line2AddressUS/AddressLine2CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Business Name Line2DirectControllingEntityName/BusinessNameLine2
SPECTRUM HEALTH SYSTEM
SPECTRUM HEALTH SYSTEM100 MICHIGAN AVE NE100 MICHIGAN AVE NEGRAND RAPIDSMI49503383382353MANAGEMENTMI50111CNAN/A
SPECTRUM HEALTH HOSPITALS
SPECTRUM HEALTH HOSPITALS100 MICHIGAN AVE NE100 MICHIGAN AVE NEGRAND RAPIDSMI49503381360529HEALTHCAREMI5013SHSSHS
SPECTRUM HEALTH PRIMARY CARE PTNRS
SPECTRUM HEALTH PRIMARY CARE PTNRS100 MICHIGAN AVE NE100 MICHIGAN AVE NEGRAND RAPIDSMI49503381358164HEALTHCAREMI5013SHSSHS
WEST MICHIGAN REGIONAL LABORATORY
WEST MICHIGAN REGIONAL LABORATORY1726 KNOLLCREST CIRCLE SE1726 KNOLLCREST CIRCLE SEGRAND RAPIDSMI49546383414862TEACH/RSCHMI5019SHHSHH
SH-SM SHARED TECHNOLOGY SERVICES
SH-SM SHARED TECHNOLOGY SERVICES100 MICHIGAN AVE NE100 MICHIGAN AVE NEGRAND RAPIDSMI49503364528474MED. SVCSMI5019SHHSHH
SPECTRUM HEALTH FOUNDATION
SPECTRUM HEALTH FOUNDATION100 MICHIGAN AVE NE100 MICHIGAN AVE NEGRAND RAPIDSMI49503382752328PHILANTHROMI5017SHSSHS
SPECTRUM HEALTH CONTINUING CARE
SPECTRUM HEALTH CONTINUING CARE750 FULLER AVE NE750 FULLER AVE NEGRAND RAPIDSMI49503383242232REHAB/CAREMI50111BSHSSHS
SH CONTINUING CARE CENTER
SH CONTINUING CARE CENTER750 FULLER AVE NE750 FULLER AVE NEGRAND RAPIDSMI49503382415333REHAB/NRSMI5019SHCCSHCC
SH KENT COMMUNITY CAMPUS
SH KENT COMMUNITY CAMPUS750 FULLER AVE NE750 FULLER AVE NEGRAND RAPIDSMI49503383472677HEALTHCAREMI5013SHCCSHCC
SPECTRUM HEALTH WORTH SERVICES
SPECTRUM HEALTH WORTH SERVICES750 FULLER AVE NE750 FULLER AVE NEGRAND RAPIDSMI49503382786617HEALTHCAREMI5019SHCCSHCC
VISITING NURSE SERVICES OF WEST MI
VISITING NURSE SERVICES OF WEST MI750 FULLER AVE NE750 FULLER AVE NEGRAND RAPIDSMI49503381359195HEALTHCAREMI5019SHCCSHCC
PRIORITY HEALTH
PRIORITY HEALTH1231 EAST BELTLINE NE1231 EAST BELTLINE NEGRAND RAPIDSMI49525382715520HMOMI501SHSSHS
TRINITY HEALTH PLANS
TRINITY HEALTH PLANS1231 EAST BELTLINE NE1231 EAST BELTLINE NEGRAND RAPIDSMI49525382663747HMO MGMTMI501PHPH
PH GOVERNMENT PROGRAMS INC
PH GOVERNMENT PROGRAMS INC1231 EAST BELTLINE NE1231 EAST BELTLINE NEGRAND RAPIDSMI49525320016523HMOMI5019PHPH
SPECTRUM HEALTH UNITED
SPECTRUM HEALTH UNITED615 S BOWER615 S BOWERGREENVILLEMI48838381358412HEALTHCAREMI5013SHSSHS
SH UNITED MEMORIAL FOUNDATION
SH UNITED MEMORIAL FOUNDATION615 S BOWER615 S BOWERGREENVILLEMI48838382990574PHILANTHROMI50111ASHUSHU
AMBULATORY UNITED
AMBULATORY UNITED407 S NELSON407 S NELSONGREENVILLEMI48838383170488HEALTHCAREMI50111ASHUSHU
UNITED LIFESTYLES
UNITED LIFESTYLES615 S BOWER615 S BOWERGREENVILLEMI48838383589727WELLNESSMI5013SHUSHU
SPECTRUM HEALTH KELSEY
SPECTRUM HEALTH KELSEY300 N PATTERSON RD300 N PATTERSON RDREED CITYMI49677381297435HEALTHCAREMI5013SHUSHU
REED CITY HOSPITAL CORPORATION
REED CITY HOSPITAL CORPORATION225 N STATE STREET225 N STATE STREETREED CITYMI49677382770076HEALTHCAREMI5013SHSSHS
WEST MICHIGAN IMAGING CENTER
WEST MICHIGAN IMAGING CENTERPO BOX 1009PO BOX 1009JENISONMI49428382730326HEALTHCAREMI50111CSHHSHH
NEWAYGO COUNTY GENERAL HOSPITAL ASS
NEWAYGO COUNTY GENERAL HOSPITAL ASS212 S SULLIVAN AVENUE212 S SULLIVAN AVENUEFREMONTMI49412381359517HEALTHCAREMI5013SHSSHS

Form990 Schedule R Part IV Form990ScheduleRPartIV (12 entries)

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
PRIORITY HEALTH
K100173
SPECTRUM HEALTH HOSPITALS
J2535123
SPECTRUM HEALTH HOSPITALS
L6671182
PRIORITY HEALTH
L3770854
SPECTRUM HEALTH HOSPITALS
K5819114
SPECRUM HEALTH HOSPITALS
C33500000
PRIORITY HEALTH
K7629729
SPECTRUM HEALTH HOSPITALS
Q25750000
SPECTRUM HEALTH HOSPITALS
R1332981
SPECTRUM HEALTH CONTINUING CARE
K477283