Civic Intelligence

Spectrum Health System Group Return

990 • Fiscal year 2019 • EIN 61-1740292

Jul 01, 2018 to Jun 30, 2019 • Filed on Mar 11, 2020

100 Michigan St NE MC 498Grand Rapids, MI 49503

(616) 774-5083

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

61st percentile

0.43x

Higher debt load relative to assets than 61% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Source year 2019

Liabilities / Revenue

21st percentile

0.32x

Higher debt load relative to revenue than 21% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Source year 2019

Net Margin

38th percentile

4.7%

Higher net margin than 38% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Source year 2019

Top Officer Pay

92nd percentile

$6,557,578

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

2019 filings • 501(c)3 • $1B+ nonprofits • Source year 2019

Asset Growth

35th percentile

3.7%

Faster asset growth than 35% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2018 to 2019

Revenue Growth

62nd percentile

7.6%

Faster revenue growth than 62% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2018 to 2019

Assets

Up

$2,644,725,310

Up $94,983,120 (+3.7%) from 2018

Net Assets

Up

$1,507,550,939

Up $134,141,332 (+9.8%) from 2018

Liabilities

Down

$1,137,174,371

Down $39,158,212 (-3.3%) from 2018

Revenue

Up

$3,523,706,223

Up $250,160,167 (+7.6%) from 2018

Expenses

Up

$3,358,421,391

Up $193,876,694 (+6.1%) from 2018

Net Income

Up

$165,284,832

Up $56,283,473 (+52%) from 2018

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$15B$10B$5.0B$0Assets 2014: $3,128,303,781Liabilities 2014: $1,219,027,208Net Assets 2014: $1,909,276,5732014Assets 2015: $2,339,607,766Liabilities 2015: $1,251,301,732Net Assets 2015: $1,088,306,0342015Assets 2016: $2,345,908,055Liabilities 2016: $1,214,185,163Net Assets 2016: $1,131,722,8922016Assets 2017: $2,434,924,975Liabilities 2017: $1,177,725,799Net Assets 2017: $1,257,199,1762017Assets 2018: $2,549,742,190Liabilities 2018: $1,176,332,583Net Assets 2018: $1,373,409,6072018Assets 2019: $2,644,725,310Liabilities 2019: $1,137,174,371Net Assets 2019: $1,507,550,9392019Assets 2020: $4,297,048,044Liabilities 2020: $1,600,300,299Net Assets 2020: $2,696,747,7452020Assets 2021: $4,852,252,378Liabilities 2021: $1,907,987,071Net Assets 2021: $2,944,265,3072021Assets 2022: $10,007,679,811Liabilities 2022: $4,313,147,173Net Assets 2022: $5,694,532,6382022Assets 2023: $8,720,835,664Liabilities 2023: $3,474,735,743Net Assets 2023: $5,246,099,9212023Assets 2024: $6,785,966,188Liabilities 2024: $1,210,761,433Net Assets 2024: $5,575,204,7552024

Highlighted filing

2019

Assets$2,644,725,310
Liabilities$1,137,174,371
Net Assets$1,507,550,939

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$15B$10B$5.0B$0Revenue 2014: $2,599,756,748Expenses 2014: $2,385,512,895Net Income 2014: $214,243,8532014Revenue 2015: $2,763,166,156Expenses 2015: $2,532,008,520Net Income 2015: $231,157,6362015Revenue 2016: $3,046,771,758Expenses 2016: $2,845,440,897Net Income 2016: $201,330,8612016Revenue 2017: $3,103,801,907Expenses 2017: $2,975,971,215Net Income 2017: $127,830,6922017Revenue 2018: $3,273,546,056Expenses 2018: $3,164,544,697Net Income 2018: $109,001,3592018Revenue 2019: $3,523,706,223Expenses 2019: $3,358,421,391Net Income 2019: $165,284,8322019Revenue 2020: $4,346,400,464Expenses 2020: $4,044,586,828Net Income 2020: $301,813,6362020Revenue 2021: $4,589,850,744Expenses 2021: $4,242,768,664Net Income 2021: $347,082,0802021Revenue 2022: $9,673,192,506Expenses 2022: $9,483,521,499Net Income 2022: $189,671,0072022Revenue 2023: $10,374,249,146Expenses 2023: $10,229,587,760Net Income 2023: $144,661,3862023Revenue 2024: $11,491,275,449Expenses 2024: $11,221,374,806Net Income 2024: $269,900,6432024

Highlighted filing

2019

Revenue$3,523,706,223
Expenses$3,358,421,391
Net Income$165,284,832
Jump To
Filing Snapshot
Filing Period
Jul 1, 2018 to Jun 30, 2019
Signed
Mar 11, 2020
Return Version
2018v3.1
Gross Receipts
$3,709,955,344
Mission and Program Overview

Mission

To improve the health of the communities we serve.

to improve health, inspire hope and save lives.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,482,438,595$1,448,709,219▼ $33,729,376
Savings and Temporary Cash Investments$198,458,738$406,418,369▲ $207,959,631
Accounts Receivable$426,076,033$365,182,287▼ $60,893,746
Investments Program Related$68,016,091$59,071,504▼ $8,944,587
Inventories for Sale or Use$43,539,291$45,013,306▲ $1,474,015
Prepaid Expenses and Deferred Charges$28,955,682$26,724,316▼ $2,231,366
Pledges and Grants Receivable$28,080,338$24,035,024▼ $4,045,314
Intangible Assets$3,429,953$3,144,953▼ $285,000
Cash and Non-Interest-Bearing Accounts$82,792$0▼ $82,792
Receivables From Officers Etc$191,480$64,098▼ $127,382
Other Notes and Loans Receivable, Net$0--
Receivable From Disqualified Prsn$0$0→ $0
Investments Other Securities$0--
Loans From Officers Directors$0$0→ $0
Total Assets$2,549,742,190$2,644,725,310▲ $94,983,120
Other Assets Total$270,473,197$266,362,234▼ $4,110,963
Liabilities
Tax Exempt Bond Liabilities$676,723,098$648,710,456▼ $28,012,642
Accounts Payable and Accrued Expenses$279,337,179$285,896,124▲ $6,558,945
Other Liabilities$137,303,932$133,263,901▼ $4,040,031
Unsecured Notes Loans Payable$70,288,819$62,178,968▼ $8,109,851
Deferred Revenue$9,578,221$3,642,271▼ $5,935,950
Grants Payable$3,101,334$3,482,651▲ $381,317
Total Liabilities$1,176,332,583$1,137,174,371▼ $39,158,212
Net Assets / Fund Balance
Unrestricted Net Assets$1,192,876,512$1,332,028,566▲ $139,152,054
Temporarily Rstr Net Assets$112,890,694$128,699,070▲ $15,808,376
Permanently Rstr Net Assets$67,642,401$46,823,303▼ $20,819,098
Total Net Assets Fund Balance$1,373,409,607$1,507,550,939▲ $134,141,332
Total Liabilities and Net Assets / Fund Balance$2,549,742,190$2,644,725,310▲ $94,983,120

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$918,564,303$806,793,489$1,725,357,792
Equipment$264,132,092$737,066,161$1,001,198,253
Other Land Buildings$176,405,524$161,094,368$337,499,892
Leasehold Improvements$28,518,775$65,119,380$93,638,155
Land$61,088,525-$61,088,525
Other Assets Org$4,050,127--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2018$76,568,713$5,864,350▲ $1,792,632$3,155,252$81,070,443
2017$68,995,173$4,896,564▲ $5,379,790$2,702,814$76,568,713
2016$60,541,018$3,904,080▲ $7,152,280$2,602,205$68,995,173
2015$55,689,337$8,045,749▼ $1,034,696$2,159,372$60,541,018
2014$49,547,547$7,166,798▲ $811,997$1,837,005$55,689,337
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-Chief Medical Officer, Delivery System - Part YearFT$402,589$1,905,907$2,308,496
-VP, Dept. Chief, NeurosciencesFT$1,013,811$344,968$1,358,779
-Dept Chief, HDVCH Cardiothorac, SHHFT$1,007,700$189,912$1,197,612
-VP, Dept. Chief, Orthopaedics, SHMGFT$837,763$283,556$1,121,319
-Section Chief - Physician, SHMGFT$1,036,182$72,628$1,108,810
-President, HDVCH, SHHFT$536,199$375,886$912,085
-Secretary, SHHFT$361,347$309,708$671,055
-President, SHGM - Part YearFT$167,876$456,103$623,979
-President, SHZFT$281,415$240,346$521,761
-See Schedule OFT$276,805$240,065$516,870
-President, SHP - Part YearFT$217,058$296,465$513,523
-President, SHBR & SHRC - Part YearFT$285,975$220,068$506,043
-Director, SHMGFT$368,323$100,835$469,158
-Treasurer, SHMGFT$383,973$72,456$456,429
-Secretary, SHMGFT$303,112$152,383$455,495
-President, SHFFT$299,280$135,937$435,217
-Vice Chair, SHMGFT$299,002$121,693$420,695
-President, SHPFT$231,925$147,309$379,234
-Former SVP, Chief Operating Officer, SHMG-$372,976$372,976$372,976
-Director, SHBRFT$305,702$55,246$360,948
-Director, SHL - Part YearFT$219,510$90,124$309,634
-Director, SHZ-$278,426$24,481$302,907
-Director, SHRCFT$222,456$68,024$290,480
-SVP, Finance, SHMGFT$93,718$15,229$108,947
-Chair, SHH-$35,000-$35,000
-Director, SHH-$23,000-$23,000
-Vice Chair, SHH-$22,500-$22,500
-Director, SHH - Part Year-$17,000-$17,000

Board Members and Trustees

NameTitle
-Chair, SHBR & SHRC
-Chair, SHF
-Chair, SHGM
-Chair, SHL
-Chair, SHP
-Chair, SHP - Part Year
-Chair, SHU & SHK
-Former President, SHMG
-Vice Chair, SHBR & SHRC
-Vice Chair, SHF
-Vice Chair, SHGM
-Vice Chair, SHL
-Vice Chair, Shp
-Vice Chair, SHU & SHK - Part Year
-Vice Chair, SHZ
-Director, SHBR & SHRC
-Director, SHCC - Part Year
-Director, SHF
-Director, SHF - PART YEAR
-Director, SHGM
-Director, SHGM - Part Year
-Director, SHL
-Director, SHP
-Director, SHP - Part Year
-Director, SHU & SHK
-Secretary / Treasurer, SHU & SHK
-Secretary, Shbr & Shrc
-Secretary, SHBR & SHRC - Part Year
-Secretary, SHF
-Secretary, SHGM
-Secretary, SHGM - Part Year
-Secretary, SHL
-Secretary, SHP
-Secretary, SHZ
-SVP, Finance - Hospital Group
-Treasurer, SHBR & SHRC
-Treasurer, SHF
-Treasurer, SHGM
-Treasurer, SHL
-Treasurer, SHP
-Treasurer, SHZ

Highest Paid Contractors

ContractorServicesLocationCompensation
Visionpro LLCStaffing3031 WEST GRAND BLVD, SUITE 600, Detroit, MI 48202$33,973,799
Cross Country Staffing INCStaffing5201 CONGRESS AVE, SUITE 190, Boca Raton, FL 33487$11,756,116
Impact Advisors LLCIt Consulting400 E DIEHL RD, Naperville, IL 60563$8,011,705
Emergency Care SpecialistsMedical Services4100 EMBASSY RD SE 400, Grand Rapids, MI 49546$7,582,626
West Michigan Shared Hospital LaundryLaundry Services3003 WALKENT DR NW, Grand Rapids, MI 49544$5,285,492
Revenue and Support

Revenue Composition

Contributions and Grants
$35,597,350
Program Service Revenue
$3,457,251,094
Investment Income
$13,377,035
Other Revenue
$17,480,744
All Other Contributions
$25,850,530
Change in Net Assets
$165,284,832

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table9$142,513Market value
Other Non Cash Contri Table130$135,186Market value
Other Non Cash Contri Table195$67,440Market value
Clothing and Household Goods-$34,167Market value
Drugs and Medical Supplies7$25,335Market value
Food Inventory53$20,392Market value
Books and Publications-$5,846Market value
Works of Art4$1,508Market value
Collectibles4$877Market value
Total Noncash Contributions402$433,264-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,682,744,736
Other Expenses$1,673,311,621
Total Fundraising Expense$2,561,227
Grants and Similar Amounts Paid$2,365,034
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,191,683,719$106,740,059$1,561,117$1,299,984,895
Other Employee Benefits$199,042,394$17,137,487$353,365$216,533,246
Depreciation Depletion$154,984,065$17,150,473-$172,134,538
Occupancy$74,953,231$18,748,965$443$93,702,639
Fees for Services Other$85,775,629$6,717,591$312,876$92,806,096
Payroll Taxes$79,204,991$6,839,926-$86,044,917
Other Expenses$80,613,740$0$89,359$80,613,740
Pension Plan Contributions$47,894,958$4,245,172-$52,140,130
Office Expenses$37,082,108$9,431,748$143,692$46,657,548
All Other Expenses$42,257,157$2,898,106$1,429$45,156,692
Interest$29,231,855--$29,231,855
Insurance$23,117,034$4,497,545-$27,614,579
Current Officers, Directors, Trustees, and Key Employees$25,223,682$1,936,682-$27,160,364
Conferences and Meetings$6,587,675$1,675,781$41,258$8,304,714
Travel$4,910,587$1,266,249$17,691$6,194,527
Information Technology$2,632,558$742,706$7,481$3,382,745
Grants to Domestic Orgs$2,359,034--$2,359,034
Advertising$402,713$1,541,336$32,516$1,976,565
Comp Disqual Persons$818,351$62,833-$881,184
Fees for Services Legal-$555,186-$555,186
Fees for Services Accounting-$58,876-$58,876
Grants to Domestic Individuals$6,000--$6,000
Total Functional Expenses$3,068,126,156$287,734,008$2,561,227$3,358,421,391
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Spectrum Health SystemGrand Rapids, MI501(c)(3)General Support$426,028
Cherry Street Health ServicesGrand Rapids, MI501(c)(3)Vision & Dental Care$325,000
Access of West MichiganGrand Rapids, MI501(c)(3)Food Pantry Assistance for Chronic Health Conditions$176,875
Exalta HealthGrand Rapids, MI501(c)(3)Medical Care Services$124,000
Grand Rapids Public SchoolsGrand Rapids, MIGrpsHealth, Science & Technology Program for Underserved Youth$123,333
Home Repair ServicesGrand Rapids, MI501(c)(3)Food and Nutrition Education Through Community Food Club$110,000
Arbor Circle CorporationGrand Rapids, MI501(c)(3)Behavioral Health for the Underserved$90,000
Healthnet of West Mi Dba Kent Health PlanGrand Rapids, MI501(c)(3)Obesity Management and Physical Fitness$85,000
Mel Trotter MinistriesGrand Rapids, MI501(c)(3)Recouperation Center Services/food Assistance$75,000
West Mi Center for Arts and TechnologyGrand Rapids, MI501(c)(3)Workforce Development$67,625
LincupGrand Rapids, MI501(c)(3)Social Determinants of Health Management$60,500
Catherines Health CenterGrand Rapids, MI501(c)(3)Medical Care Services$50,000
Community Food ClubGrand Rapids, MI501(c)(3)Food and Nutrition Education Through Community Food Club$50,000
Healthy Homes CoalitionGrand Rapids, MI501(c)(3)Asthma Prevention$50,000
Start GardenGrand Rapids, MI501(c)(3)100 Ideas Campaign Support$50,000
YmcaGrand Rapids, MI501(c)(3)Obesity Management and Physical Fitness$43,980
Urban RootsGrand Rapids, MI501(c)(3)Food and Nutrition Education$42,334
Family Outreach Center IncGrand Rapids, MI501(c)(3)Behavioral Health for the Underserved$40,000
Kingdom Life MinistriesGrand Rapids, MI501(c)(3)Housing and Support Groups$40,000
Literacy Center of West MichiganGrand Rapids, MI501(c)(3)Literacy Programming$35,000
National Kidney FoundationAnn Arbor, MI501(c)(3)Obesity Management and Physical Fitness$35,000
Well HouseGrand Rapids, MI501(c)(3)Food and Nutrition Education$35,000
Grand Rapids HqGrand Rapids, MI501(c)(3)Services for Homeless Youth$32,359
Grand Rapids Red ProjectGrand Rapids, MI501(c)(3)Medical Supplies$25,000
Grand Rapids Youth Commonwealth (dba Boys & Girls Club)Grand Rapids, MI501(c)(3)Supplies$25,000
311 Youth HousingGrand Rapids, MI501(c)(3)Youth Housing$23,000
Degage MinistriesGrand Rapids, MI501(c)(3)Medical & Food Support$20,000
Oasis of HopeGrand Rapids, MI501(c)(3)Medical Care Services$20,000
Family FuturesGrand Rapids, MI501(c)(3)Early Childhood Development Evaluation$18,500
Heartside MinistriesGrand Rapids, MI501(c)(3)Medical Care Services$15,000
Grand Rapids African American Health InstituteGrand Rapids, MI501(c)(3)Food & Health Education$12,500
Danish Festival IncGreenville, MI501(c)(3)Community Festival$12,000
Be Well Center IncGrand Rapids, MI501(c)(3)Physical Fitness Activity$10,000
Salvation Army (dba Kroc Center)Grand Rapids, MI501(c)(3)Obesity Management and Physical Fitness$6,000
Greenville Area Recreation & Community CenterGreenville, MICity of GreenvilleTriathlon$5,000

International Summary

Offices
0
Employees
0
Spending
$126,633

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
Europe (Including Iceland and Greenland)Program ServicesPatient refunds00$108,636
Europe (Including Iceland and Greenland)Program ServicesMedical device purchase/malware analysis systems for malware detection and forensics00$8,377
North America (Canada & Mexico only)Program ServicesPatient refunds00$5,235
Europe (Including Iceland and Greenland)Program ServicesPayment for speaker and flight reimbursement00$4,085
South AsiaProgram ServicesPayment for Doctors publication00$300
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$1,224,934
Fundraising Gross Income$719,828
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Foundation Gala$1,441,570$197,125$372,494$-175,369
United Charity Ball$152,156$21,320$20,207$1,113
Total Events$2,095,109$719,828$1,224,934$-505,106
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-BusinessShf-see Sch L, Part VNo$348,675
-FamilyShmg-see Sch L, Part VNo$244,239
-FamilyShbr-see Sch L, Part VNo$146,023
-FamilyShmg-see Sch L, Part VNo$140,677
-FamilyShh-see Sch L, Part VNo$72,736
-FamilyShbr-see Sch L, Part VNo$63,756
-FamilyShgm-see Sch L, Part VNo$58,422
-FamilyShgm-see Sch L, Part VNo$51,898
-FamilyShmg-see Sch L, Part VNo$41,007
-FamilyShz-see Sch L, Part VNo$33,179
-FamilySHL-See Sch L, Part VNo$29,247

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$191,480$64,098▼ $127,382
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to affiliates$81,998,441
Third Party Payable$46,844,117
Other Liabilities$4,421,343

Bond Issues

BondIssuerIssuedIssue PricePurpose
AKent Hospital Finance Authority (2008A & 2008B)2008-04-15$471,211,0012001B, 2007A & 2007B Refunding Bond
AKent Hospital Finance Authority (2011AB)2011-06-22$212,859,6392005B & 2008B1 Revenue Refunding Bonds
DKent Hospital Finance Authority (2012AB)2012-01-17$112,980,0002008A1 & 2008B2 Revenue Refunding Bonds
CKent Hospital Finance Authority (2014AB)2014-01-15$111,850,0002008A2 ZCH 2010 Gerber 2002&2007 Revenue Refunding Bonds
AKent Hospital Finance Authority (2015A)2015-01-13$78,400,000Revenue Refunding Bonds
BKent Hospital Finance Authority (2011C)2011-11-09$75,511,0752008B2 Revenue Refunding Bonds
CKent Hospital Finance Authority (2008C)2008-09-09$67,200,0001998B Refunding Bond
BKent Hospital Finance Authority (2017A)2017-12-22$56,490,000Revenue Refunding Bonds (2012B)
AMichigan Finance Authority (2013 Help)2013-10-10$13,700,000Healthcare equipment
BMichigan State Hospital Finance Authority (2003 Loan Help)2003-12-10$13,400,000Healthcare Equipment
BMason County Hospital Finance Authority (2012A)2012-06-15$10,000,000Revenue and Refunding Bonds (2012A)
DMason County Hospital Finance Authority (2012B)2014-08-14$8,475,0002012B Revenue Bond
CMichigan State Hospital Finance Authority (2006 Loan Help)2007-08-29$7,500,000Healthcare Equipment
DMichigan Finance Authority (2011 Help Loan)2011-06-29$5,750,000Healthcare Equipment

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$471,211,001$455,125,716$421,211,001$2,528,820
A$212,859,639$161,500,000$41,215,708$1,359,065
D$112,980,000$112,725,000$56,490,000$255,000
C$111,850,000$111,605,000$9,930,000$245,000
A$78,400,000$77,520,000$0$880,000
B$75,511,075$74,675,000$0$836,075
C$67,200,000$67,200,000$30,700,000$0
B$56,490,000$56,490,000$0$0
B$10,000,000$3,451,667$10,000,000$193,251
D$8,475,000$0$8,475,000$0
A$6,500,000$0$6,500,000$77,278
B$4,300,000$0$4,300,000$51,122
D$4,171,549$0$4,171,549$66,804
C$3,031,165$0$3,031,165$36,037

Bond Financing Compliance

No rebate due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
Yes
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 16A JOINT VENTURES

The following organizations included in the group return participate in joint ventures with taxable entities: spectrum health hospitals (ein 38-1360529)

Form 990, Part VI, Line 2 BUSINESS RELATIONSHIPS

The organization has board members and officers that serve together on the boards of tax-exempt organization across spectrum health system.

Form 990, Part VI, Line 2 Family/business relationships amongst interested persons

SHH - MS. CHRISTINA FREESE DECKER, and Ms. Joan Budden - Business relationship, SHMG - MS. CHRISTINA FREESE DECKER, AND MS. JOAN BUDDEN - Business relationship

Form 990, Part VI, Line 4 Significant changes to organizational documents

During the year, several supported organizations within the Spectrum Health System Group Return made significant changes to their governing documents. Spectrum Health Primary Care Partners - Amended its bylaws to (a) revise the selection of directors to eliminate governance and non-governance groups and allow for selection of competency based directors rather than representational members, (b) revise powers to reflect governance functions rather than management functions, (c) include biennial survey of Spectrum Health Primary Care Partners' president's performance to be submitted to the Spectrum Health System CEO/President for consideration at the time of presidents' evaluation, (d) to revise president's authorities to reflect ability to select and discharge clinical and management leadership, (e) to remove article of bylaws relating to "departments" and "divisions" in its entirety reflective of the shift to governance duties of the board of directors, (f) to revise the article of bylaws relating to committees to allow committees only by charter, and (g) to revise other sections of the bylaws to align with other subsidiary bylaws. Memorial Medical Center of West Michigan - Amended its bylaws to reduce the minimum number of directors from 12 to 7.

Form 990, Part VI, Line 6 Classes of members or stockholders

Spectrum health system (ein 38-3382353), a michigan nonprofit corporation, is the ultimate sole member for all of the subordinates included in the group filing.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

Spectrum health system (ein 38-3382353), the ultimate sole member for all of the subordinates included in the group filing, appoints the members of the board for each respective organization.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

SPECTRUM HEALTH SYSTEM, AS THE SOLE MEMBER FOR ALL OF THE SUPPORTED ORGANIZATIONS INCLUDED IN THE GROUP FILING, HAS RETAINED CERTAIN RESERVED POWERS IN THE ORGANIZATION EXCLUSIVELY, WHICH SHALL NOT BE DEEMED AUTHORIZED UNLESS AND UNTIL APPROVED BY THE SOLE MEMBER: -Amendment of the Articles of Incorporation or Bylaws of the supported organization; -Election and/or removal of the members of the supported organization's Board of Directors; -Election and/or removal of the supported organization's Chairperson of the Board of Directors; -Hiring, discharge, and evaluation of the supported organization's President; -Adoption of the supported organization's strategic plan; -Adoption of the supported organization's annual operating and capital budgets and any amendments to such budgets in excess of the Authority Matrix Amount; -All capital expenditures by the supported organization in excess of the amount which would require approval by the supporting organization (the "Authority Matrix Amount"); -All borrowings or guarantees of indebtedness by the supported organization (or any entity controlled by the supported organization through ownership or membership interest); -All lending by the supported organization (or any subsidiary) to persons other than the supporting organization or a subsidiary in excess of the Authority Matrix Amount; -The supported organization's or any subsidiary's investments of cash and/or reserves, whether on an individual basis or as part of a pooled investment strategy; -Any merger or consolidation of the supported organization (or any subsidiary), or any other change in ownership percentages, control, or capital structure; -The creation of any entity controlled, directly or indirectly, by the supported organization; -The sale or transfer of more than ten percent (10%) of the assets of the supported organization (or any subsidiary) to any person or entity not controlled by the supporting organization; -Dissolution of the supported organization or any subsidiary; -The selection, retention, and oversight of the outside auditors for the supported organization (or any subsidiary); and -Any other approval for which supporting organization approval is required by law. In addition to these reserved powers of the supporting organization listed above, the supporting organization has the authority to adopt system-wide policies and procedures.

Form 990, Part VI, Line 11B Review of form 990 by governing body

A copy of the Form 990 is provided to the Board of Directors prior to filing. The review process for this Form 990 is as follows: 1. Preparation of the return is supervised and reviewed by the Organization's Corporate Tax Manager. 2. A second review is performed by an external CPA firm with expertise in tax-exempt return preparation. 3. The return is reviewed by the Organization's finance and legal departments (including the Chief Financial Officer, Chief Legal Officer and Corporate Controller) and shared with the members of the Finance and audit Committee and Board of Directors. 4. The Organization's Chief Financial Officer reviews comments or questions received by members of the Board of Directors, if any, to address or to incorporate, as appropriate, into the return prior to filing.

Form 990, Part VI, Line 12C Conflict of interest policy

BOARD OF DIRECTORS 1. Conflicts of interest must be disclosed, BOTH VIA AN ANNUAL ELECTRONIC DISCLOSURE PROCESS as well as verbally at a board meeting prior to discussion of any agenda item with regard to which a board member has a conflict. 2. A person having a financial interest in a proposed transaction or arrangement may make a presentation at a meeting of the Board of Directors or committee considering that transaction or arrangement, but after that presentation he or she shall leave the meeting during discussion and voting on that proposed transaction or arrangement. The person having the financial interest shall not be counted in determining whether a quorum is present. 3. The chairperson of the Board of Directors or committee shall, if appropriate, appoint a disinterested person or committee (including outside advisors) to investigate alternatives to the proposed transaction or arrangement, and to advise whether the proposed transaction or arrangement is in the organization's best interest. 4. The Board of Directors or committee shall exercise due diligence to determine whether the organization can, with reasonable efforts, obtain a more advantageous transaction or arrangement that would not give rise to a conflict of interest. 5. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the Board of Directors or committee shall determine by a majority vote of the disinterested directors and members whether the proposed transaction or arrangement is in the organization's best interest and for its own benefit and whether the transaction is fair and reasonable to the organization, and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination. 6. The minutes of the meetings of the Board of Directors and all of the organization's committees shall set forth: a)The names of the persons who disclosed a financial interest in a proposed transaction or arrangement involving the organization or any of its subsidiaries and the nature of the financial interest; and b)The names of the persons who were present for discussions and votes relating to such transaction or arrangement, including any discussion of alternatives to the proposed transaction or arrangement, and a record of any votes taken in connection with that matter. The votes of individual members need not be recorded unless otherwise directed by the Board of Directors or committee. 7. There is an ongoing requirement that members of the board of directors complete another disclosure questionnaire at any point during his/her tenure on the board of directors when a new potential conflict of interest arises. If a member of the board of directors completes a disclosure questionnaire as a result of a new potential conflict of interest, that disclosure questionnaire is submitted to the conflicts of interest committee, which is comprised of individuals from legal, organizational integrity, internal audit, human resources, and members of leadership for review. MANAGEMENT 1. Upon acceptance of an employment offer, each member of management completes a conflict of interest disclosure questionnaire. A copy of the member of management's disclosure questionnaire is sent to the organization's organizational integrity department. A copy of the member of management's disclosure is reviewed by the organization's COI coordinator and escalated to the Conflicts of Interest Committee if necessary. 2. Annually, each member of management completes an annual conflict of interest disclosure questionnaire electronically. The disclosure questionnaire is reviewed by the conflicts of interest committee, which is comprised of individuals from legal, organizational integrity, internal audit, human resources, and members of leadership. 3. There is an ongoing requirement that members of management complete another disclosure questionnaire at any point d

Form 990, Part VI, Line 15A Process to establish compensation of top management official

The Spectrum Health System Board of Directors (through its Executive Committee) uses the following process for determining compensation of the top management official, other officers, and key employees at Spectrum Health. Labor market data reflecting comparable organizations and jobs (prepared by independent firms) are relied upon. Competitive assessment reports are provided to the Executive Committee in advance of meetings. The competitive assessment report is prepared by a nationally known independent executive compensation firm. For FY 2019 (7/1/18-6/30/19), four health care executive compensation surveys, two medical group surveys, two pediatric hospital surveys and one health plan survey prepared by independent firms were the primary sources referenced to obtain market data for the review: * Sullivan, Cotter and Associates: 2017 Survey of Manager and Executive Compensation in Hospitals and Health Systems * Integrated Healthcare Strategies: 2017 HealthCare Executive Compensation Survey * Mercer: 2017 Integrated Health Networks Compensation Survey, also provides data for health plans * Towers Watson: 2017 Hospital and Health Care Management Compensation Report * Medical Group Management Association: 2017 Management Compensation Survey * Sullivan, Cotter and Associates: 2017 Physician Compensation and Productivity Survey Report * Sullivan, Cotter and Associates: 2017 Custom Survey of Manager and Executive Compensation in Children's Hospitals * Warren: Fall 2017 HMO Salary Survey In addition, four general industry surveys were referenced: * Mercer: 2017 Executive Compensation Survey * Mercer: 2017 Information Technology Survey * Mercer: 2017 Human Resources Survey * Towers Watson: 2017 Top Management Compensation Report In addition to the above data sources, the Executive Committee approved the creation of a custom peer group of high performing integrated health systems to ensure robust data and a relevant comparator universe. The peer group organizations are approved by the Executive Committee and consist of double A bond rated and / or Truven top quintile organizations. Data for the peer group organizations is compiled by the independent executive compensation firm. Compensation adjustments are approved by Executive Committee members, consistent with the Spectrum Health compensation philosophy described below. Minutes of Committee discussions and decisions are prepared to memorialize Executive Committee decisions based upon the above data. Cash compensation data relied upon by the Executive Committee is national and reflects the compensation paid to executives in comparable jobs in comparably-sized health care and / or health insurance organizations. Spectrum Health recruits nationally for its executives. Benefits data reflect national health care / health insurance market practices. Geographic pay differential and cost of living data indicates consistency with national data. This process is intended to assist Spectrum Health in qualifying for the rebuttable presumption of reasonableness (Intermediate Sanctions Regulations) and complying with the potential Spectrum Health Excess Benefit Transaction Policy for those individuals in the group who are disqualified persons. The opinion submitted from the third party independent consulting firm is in accordance with the provisions of Treasury Regulations Section 53.4958-6(c)(2) and is also intended to satisfy the professional advice requirement of Treasury Regulations Section 53.4958-1(d)(4)(iii).

Form 990, Part VI, Line 15B Process to establish compensation of other employees

See explanation provided for Form 990, Part VI, Line 15A.

Form 990, Part VI, Line 19 Required documents available to the public

The organization's Articles of Incorporation have been provided to the State of Michigan and are available to the public on the State's website. The organization's Bylaws and internal policies are generally not made available to the public. The overall system consolidated financial statements are provided at www.spectrumhealth.org in the section titled "About Us" within subsection "Value and Transparency".

Form 990, Part VII, Section A Reported Compensation and Hours

THE COMPENSATION REPORTED FOR EMPLOYEES OF THE ORGANIZATION IS NOT FOR SERVICES IN THEIR CAPACITY AS MEMBERS OF THE BOARD OF DIRECTORS BUT FOR SERVICES AS EMPLOYEES OF THE Health System. CERTAIN DIRECTORS WERE PAID REASONABLE COMPENSATION FOR THEIR SERVICES AS MEMBERS OF THE BOARD. CONSISTENT WITH PRIOR YEARS, COMPENSATION AND BENEFITS ARE REPORTED USING THE MOST RECENT CALENDAR YEAR COMPENSATION DATA. THE COMPENSATION FIGURES REPORTED IN THESE SECTIONS ARE FOR THE YEAR ENDED DECEMBER 31, 2018. EMPLOYEES WITH COMPENSATION REPORTED IN PART VII WORK A COMBINED AVERAGE OF 50 HOURS PER WEEK FOR THE Health System.

Form 990, Part VII, Section A Compensation of Directors

Based on external opinion by Sullivan Cotter and Associates, Inc., Spectrum Health System compensates board members in a manner that is reasonable in relation to market data. Board of directors compensation is continually reviewed to confirm compensation falls within reasonable limits. Any compensation amount is treated as taxable to the board member and is reported and provided to them on Form 1099.

Form 990, Part VII, Section A Wilson, Mark ADDITIONAL POSITIONS HELD

Organization Name: Zeeland Community Hospital, Title: Chair, SHZ, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: Treasurer, SHH, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer

Form 990, Part VII, Section A Sandefur, Gwen ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: President, SHH, AverageHours: 47.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care, Title: Chair, SHCC, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Kelley, Randall ADDITIONAL POSITIONS HELD

Organization Name: Newaygo County General Hospital Association, Title: President, SHGM, AverageHours: 25.000; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center of West Michigan, Title: President, SHL, AverageHours: 25.000; IndividualTrusteeOrDirectorOfficer

Form 990, Part VII, Section A Langworthy, David ADDITIONAL POSITIONS HELD

Organization Name: Reed City Hospital Corporation, Title: Secretary, SHRC, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: SECRETARY, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer

Form 990, Part VII, Section A Leslie, Andrea ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health United, Title: President, SHU, AverageHours: 13.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Kelsey, Title: President, SHK, AverageHours: 12.000; IndividualTrusteeOrDirectorOfficer Organization Name: Mecosta County Medical Center, Title: President, SHBR, AverageHours: 13.000; IndividualTrusteeOrDirectorOfficer Organization Name: Reed City Hospital Corporation, Title: President, SHRC, AverageHours: 12.000; IndividualTrusteeOrDirectorOfficer

Form 990, Part VII, Section A Davis, Scott ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Continuing Care, Title: Treasurer, SHCC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting only, AverageHours: 49.000;

Form 990, Part VII, Section A Welday, Douglas ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: SVP, Finance, Delivery System - Part Year, AverageHours: 49.000; Officer Organization Name: Spectrum Health Continuing Care, Title: Treasurer, SHCC - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer

Form 990, Part VII, Section A Tuttle, Chad ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Continuing Care, Title: President / Secretary, SHCC, AverageHours: 42.000; IndividualTrusteeOrDirectorOfficer Organization Name: Visiting Nurse Services of Western Michigan, Title: President / Chair, VNS, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care Center, Title: President / Chair, SHCCC, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Worth Services, Title: President / Chair, SHWS, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health- Kent Community Campus, Title: President / Chair, SHKCC, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer

Form 990, Part VII, Section A Smith, Kevin ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Continuing Care, Title: Controller, SHCC, AverageHours: 46.000; Officer Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Secretary / Treasurer, SHCCC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health- Kent Community Campus, Title: Secretary / Treasurer, SHKCC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer

Form 990, Part VII, Section A Pakkala, Karen ADDITIONAL POSITIONS HELD

Organization Name: Visiting Nurse Services of Western Michigan, Title: Secretary / Treasurer, VNS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Secretary / Treasurer, SHWS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care, Title: For Compensation Reporting only, AverageHours: 46.000; Officer Organization Name: Spectrum Health- Kent Community Campus, Title: Director, SHKCC, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Slaikeu, Jason, MD ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Primary Care Partners , Title: Chair, SHMG, AverageHours: 49.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: Director, SHH, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Elmouchi, Darryl, MD ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Primary Care Partners , Title: President, SHMG, AverageHours: 49.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: Director, SHH, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A BUDDEN, Joan A. ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: Director, SHH, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Freese Decker, Christina ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Kelsey, Title: Former President, SHK, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Former President, SHU, AverageHours: 0.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health Hospitals, Title: Director, SHH, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health Foundation, Title: Director, SHF, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Holmquist, Charles ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: Director, SHH, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Watson, Sam ADDITIONAL POSITIONS HELD

Organization Name: Pennock Hospital, Title: Director, SHP, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health Hospitals, Title: Director, SHH, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A KRHOVSKY, David, MD ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting only, AverageHours: 42.000; Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A O'Hare, Patrick ADDITIONAL POSITIONS HELD

Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Sall, Jordan ADDITIONAL POSITIONS HELD

Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting Only, AverageHours: 49.000;

Form 990, Part VII, Section A Ulreich, Shawn ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting Only, AverageHours: 48.000; Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Knoer, Zane ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting Only, AverageHours: 49.000; Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Heacock, Steven ADDITIONAL POSITIONS HELD

Organization Name: Pennock Hospital, Title: Director, SHP - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Parsons, Andrew ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting Only, AverageHours: 49.000; Organization Name: Pennock Hospital, Title: Director, SHP, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Barbee, Ovell ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Kelsey, Title: Director, SHK - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A McConnell, Nicole ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Baird, Tricia ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting only, AverageHours: 49.000; Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Denenberg, Matthew, MD ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting Only, AverageHours: 49.000; Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Gadbois, Gregory, MD ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Primary Care Partners , Title: Former Chair, SHMG, AverageHours: 0.000; Organization Name: Spectrum Health Continuing Care, Title: Director - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Murray, Stephanie ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Continuing Care, Title: For Compensation Reporting only, AverageHours: 46.000; Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health- Kent Community Campus, Title: Director, SHKCC, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Brasser, Brian ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: SVP, Chief Operating Officer, AverageHours: 50.000; Officer Organization Name: Spectrum Health Kelsey, Title: Former President, SHK, AverageHours: 0.000; Officer Organization Name: Spectrum Health United, Title: Former President, SHU, AverageHours: 0.000; Officer

Form 990, Part VII, Section A Chircop, Marc ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Continuing Care, Title: Former Chair, SHCC , AverageHours: 0.000; Officer Organization Name: Spectrum Health Hospitals, Title: SVP, Regional Relations Part Year, SVP, Strat Partnership & Op SVC, AverageHours: 50.000; Officer

Form 990, Part VII, Section A Knaus, Ronald ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals(Former), Title: Former VP, Finance, SHH, AverageHours: 0.000; Officer Organization Name: Spectrum Health Continuing Care(Former), Title: Former Treasurer, SHCC , AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer

Form 990, Part VII, Section A Fawcett, Kenneth, Jr., MD ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting Only, AverageHours: 50.000; Organization Name: Spectrum Health Primary Care Partners (Former), Title: Former Interim President, SHMG, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer

Form 990, Part VII, Section A Wolk, Seth, MD ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Primary Care Partners (Former), Title: Former President, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer

Form 990, Part VIII, Line 2F Other Program Service Revenue

- Total Revenue: 41379057, Related or Exempt Function Revenue: 38104250, Unrelated Business Revenue: 177154, Revenue Excluded from Tax Under Sections 512, 513, or 514: 3097653;

Filing and Contact Details

Filer

Filer Name
Spectrum Health System Group Return
EIN
61-1740292
Phone
6167745083
Address
100 Michigan St NE MC 498, Grand Rapids, MI 49503

Signing Officer

Name
Matthew E Cox
Title
SVP, Chief Financial Officer
Signed
2020-03-11
Discuss with paid preparer
Yes

Organization Details

Voting Board Members
181
Independent Board Members
102
Employees
25,651
Volunteers
2,518

Preparer

Firm
Bdo USA Llp
Address
200 OTTAWA AVE NW SUITE 300, GRAND RAPIDS, MI 49503
Preparer
Jacob Cook
Phone
6167747000
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A SPECTRUM HEALTH HOSPITAL GROUP, CONTINUED

Spectrum health hospital group spectrum health hospitals - grand rapids ("shh") consists of blodgett hospital & butterworth hospital (the campus which includes the helen devos children's hospital, the fred and lena meijer heart center, and the lemmen- holton cancer pavilion) with approximately 1,226 licensed beds combined. The hospitals are acute care inpatient facilities which include specialty critical care units & outpatient services. Butterworth is the only level i trauma center in west michigan. Blodgett is home to the center for acute rehabilitation, a 42-bed inpatient facility helping patients regain independence. Helen devos children's hospital is michigan's largest neonatal center, caring for more than 1,400 critically ill and premature babies annually. The fred and lena meijer heart center is a leader in heart and vascular care in the region, state, and nation. Lemmen-holton cancer pavilion is the largest cancer services provider in the region. Together these resources provide a coordinated continuum of health care services to the citizens of west michigan and treat all patients regardless of their ability to pay. Notable highlights for the year include: - spectrum health butterworth and specturm health blodgett hospitals received the healthgrades 2019 america's best hospitals award for a fifth consecutive year (2015-2019). This distinction places butterworth and blodgett in the top one percent of more than 4,500 hospitals in the nation for consistently providing overall clinical excellence across a broad spectrum of conditions and procedures year over year. - spectrum health butterworth and spectrum health blodgett were also the only hospitals in michigan to receive the following three distinctions: america's 100 best hospitals for coronary intervention; america's 100 best hospitals for cardiac care; and america's 50 best hospitals for cardiac surgery. - spectrum health achieved the magnet designation for nursing excellence and outstanding patient care for the third time. Only about 8 percent of u.s. Hospitals achieve magnet designation. -helen devos children's hospital was named one of u.s. News & world reports 2019-2020 best children's hospitals in 4 pediatric specialties: cancer, cardiology & heart surgery, nephrology, and urology. This was the eighth year helen devos children's hospital has been recognized. - helen devos children's hospital's pediatric icu was recognized with a gold-level beacon award for excellence from the american association of critical-care nurses. Helen devos children's hospital is only one of 12 units in the nation with gold-level recognition. The beacon award recognizes caregivers in stellar units whose consistent and systematic approach to evidence-based care optimizes patient outcomes. Spectrum health hospital group - community hospitals spectrum health hospital group includes eight community hospitals located across western michigan, all dedicated to the communities they serve, as identified below: -newaygo county general hospital association d/b/a spectrum health gerber memorial ("shgm") -memorial medical center of west michigan d/b/a spectrum health ludington hospital ("shl") -mecosta county medical center d/b/a spectrum health big rapids hospital ("shbr") -reed city hospital corporation d/b/a spectrum health reed city hospital ("shrc") -pennock hospital d/b/a spectrum health pennock ("shp") -spectrum health united ("shu") -spectrum health kelsey ("shk") -zeeland community hospital d/b/a spectrum health zeeland community hospital ("shz") the community hospitals of spectrum health hospital group provide approximately 409 licensed beds combined and offer a complete range of award winning medical and surgical services, regardless of a patient's ability to pay, to the residents and visitors of the hospitals' local communities. Services offered by the community hospitals include 24-hour emergency departments, acute intensive care, obstetrics, skilled nursing, and outpatient services incl

Form 990, Part III, Line 4B SPECTRUM HEALTH MEDICAL GROUP, CONTINUED

SPECTRUM HEALTH PRIMARY CARE PARTNERS D/B/A SPECTRUM HEALTH MEDICAL GROUP ("SHMG") PROVIDES CLINICAL, TEACHING, RESEARCH AND ADMINISTRATIVE PHYSICIAN SERVICES. THESE SERVICES ARE PROVIDED IN AMBULATORY PRACTICES, INPATIENT SETTINGS, AND TEACHING ENVIRONMENTS. SHMG BRINGS TOGETHER THE FINEST PHYSICIANS AND MEDICAL RESOURCES TO GIVE PATIENTS THE BEST HEALTH OUTCOMES AND THE HIGHEST LEVEL OF SERVICE. WITH nearly 1,600 providers, a broad range of MEDICAL SPECIALTIES AND SERVICE SITES across the region, SHMG IS THE REGION'S LARGEST MULTISPECIALTY MEDICAL GROUP. FROM FAMILY MEDICINE TO SPECIALIZED CARE, FROM ANNUAL HEALTH CHECKUPS TO COMPLEX SURGERY AND MEDICAL MANAGEMENT, SHMG OFFERS PATIENTS A MEDICAL HOME FOR A LIFETIME OF CARE AND WELLNESS. SHMG'S GOAL IS TO PROVIDE AN UNPARALLELED SYSTEM OF CARE THAT OFFERS FAMILY MEDICINE AND SPECIALIZED CARE, CLOSE CONVENIENT LOCATIONS AND HOURS, COORDINATED APPOINTMENTS AND MEDICAL RECORDS FOR EASE OF SCHEDULING, AND HIGH QUALITY CONSISTENT CARE. SHMG IS A GATEWAY TO SPECTRUM HEALTH'S MANY QUALIFIED AND HIGHLY SKILLED SPECIALISTS AND COMPREHENSIVE SERVICES. BY BRINGING PROVIDERS TOGETHER AS AN INTEGRATED TEAM, SHMG CREATES SEAMLESS ACCESS AND COORDINATED SERVICES TO PATIENTS. ADDITIONALLY, THE HIGH CALIBER MEDICAL PROFESSIONALS AT SHMG THRIVE ON COLLABORATIVE RESEARCH AND MEDICAL EDUCATION. SHMG IS DEEPLY COMMITTED TO ADVANCING PATIENT CARE AND BUILDING A SUSTAINABLE HEALTH CARE SYSTEM FOR CURRENT AND FUTURE GENERATIONS.

Form 990, Part III, Line 4C SPECTRUM HEALTH FOUNDATION, CONTINUED

Spectrum health foundation ("shf") advances the health of west michigan communities by philanthropically supporting the health care, research, and educational programs of the spectrum health integrated health system. Shf provides funding for programs, research and education, and helps to advance innovation, purchase new technology and build state-of-the-art facilities. The foundation exists to meet the needs of patients and families with funds that supplement the health system resources. Shf carefully matches passionate donors with immediate and emerging needs throughout the health system. Thanks to the generosity of donors the foundation is able to help launch, expand and sustain important programs and services that promote health and healing. In fy2019, shf provided over $22 million in grants to organizations within the health system.

Form 990, Part IV, Line 12A Audited Financial Statements

The "No" response to this question relates to the fact that none of the organizations included in the group return obtained separate, independent financial statements for the tax year. All organizations included in the group return were part of the same consolidated audit.

Form 990, Part V, Line 3A UNRELATED GROSS BUSINESS INCOME

The following organizations included in the group return have unrelated business gross income or loss of $1,000 or more during the year. The unrelated business income of these organizations is reported on form 990-t. Spectrum health hospitals (ein 38-1360529) spectrum health gerber memorial (ein 38-1359517) spectrum health pennock (ein 38-1360562) spectrum health continuing care (ein 38-3242232)

Form 990, Part V, Line 7A DEDUCTIBLE CONTRIBUTIONS

The following organizations included in the group return received a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor. Spectrum health foundation (ein 38-2752328)

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Minimum Pension Liability - -179867; Uncollectable Pledges - -225267; Funds Transfer To Supporting Organization - -32085802; Transfer of Additional Paid in Capital related from Non Group Return Member - 905522; Investment income from restricted net assets (Pledges Receivable) - -790211; Other Decreases - -142041;

Form 990, Part XII, Line 2B AUDITED FINANCIAL STATEMENTS

The organizations included in the group return are all audited on a consolidated basis.

Form 990, Part XII, Line 2C Oversight of the Audit

The financial statements of the organization were audited by an independent auditor as part of the consolidated audit of Spectrum Health System (EIN 38-3382353). The oversight of that audit is being assumed by Spectrum Health System, the ultimate controlling member of the organizations included in the group exemption.

Schedule B Contributions

All organizations included in the group return are covered by the general rule for determining contributions reportable on Schedule B except for Spectrum Health Foundation (EIN 38-2752328). Spectrum Health Foundation is a Section 501(c)(3) organization that met the 33 1/3 % support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi). Pursuant to the Form 990 Schedule B Instructions contributions from any contributor that exceed the greater of (1) $5,000 or (2) 2% of the amount of total contributions, gifts, grants and other similar amounts received by the organization are reportable.

Financial Statement Notes

Schedule D, Part III, Line 4 Collections of art - description of collections

The healing art collection, held by the spectrum health foundation (ein 38-2752328), creates a healing environment for patients, visitors, and staff alike.

Schedule D, Part IV, Line 1B Agent, trustee, custodian, or other intermediary arrangement

Spectrum Health Continuing Care Center (EIN 38-2415333) acts as a custodian of resident trust bank accounts. These bank accounts are used for the resident's spending during their stay for items such as room & board and barber & beauty services. The funds in the bank accounts come from the Social Security Administration or other personal sources.

Schedule D, Part V, Line 4 Intended uses of endowment funds

Spectrum Health Foundation (EIN 38-2752328) holds endowment funds to provide perpetual support of life saving programs and services to organizations throughout Spectrum Health System.

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