Civic Intelligence

Spectrum Health System Group Return

990 • Fiscal year 2020 • EIN 61-1740292

Jan 01, 2020 to Dec 31, 2020 • Filed on Oct 25, 2021

221 Michigan St NE MC498Grand Rapids, MI 49503

(616) 774-5083

Siviq Scores

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

Liabilities / Assets

50th percentile

0.37x

Higher debt load relative to assets than 50% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Liabilities / Revenue

23rd percentile

0.37x

Higher debt load relative to revenue than 23% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Net Margin

55th percentile

6.9%

Higher net margin than 55% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Top Officer Pay

79th percentile

$3,521,579

Higher top officer pay than 79% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Asset Growth

96th percentile

62%

Faster asset growth than 96% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2019 to 2020

Revenue Growth

88th percentile

23%

Faster revenue growth than 88% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2019 to 2020

Assets

Flat

$4,297,048,044

Flat from 2020

Net Assets

Flat

$2,696,747,745

Flat from 2020

Liabilities

Flat

$1,600,300,299

Flat from 2020

Revenue

Flat

$4,346,400,464

Flat from 2020

Expenses

Flat

$4,044,586,828

Flat from 2020

Net Income

Flat

$301,813,636

Flat from 2020

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 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

2020

Assets$4,297,048,044
Liabilities$1,600,300,299
Net Assets$2,696,747,745

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 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

2020

Revenue$4,346,400,464
Expenses$4,044,586,828
Net Income$301,813,636
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Oct 25, 2021
Return Version
2020v4.0
Gross Receipts
$5,726,703,294
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$1,541,236,250$2,046,070,790▲ $504,834,540
Savings and Temporary Cash Investments$498,035,630$706,854,010▲ $208,818,380
Investments in Publicly Traded Securities-$433,285,517-
Accounts Receivable$394,986,156$432,647,930▲ $37,661,774
Investments Program Related$60,260,037$85,252,316▲ $24,992,279
Inventories for Sale or Use$47,949,409$73,724,675▲ $25,775,266
Prepaid Expenses and Deferred Charges$29,591,899$39,821,609▲ $10,229,710
Pledges and Grants Receivable$38,372,667$37,850,940▼ $521,727
Cash and Non-Interest-Bearing Accounts$0$21,524,990▲ $21,524,990
Intangible Assets$1,526,400$1,356,800▼ $169,600
Receivables From Officers Etc$64,590$34,159▼ $30,431
Receivable From Disqualified Prsn$0$0→ $0
Investments Other Securities$0--
Loans From Officers Directors$0$0→ $0
Total Assets$2,902,493,512$4,297,048,044▲ $1,394,554,532
Other Assets Total$290,470,474$418,624,308▲ $128,153,834
Liabilities
Tax Exempt Bond Liabilities$520,939,737$592,135,204▲ $71,195,467
Other Liabilities$448,940,991$531,360,982▲ $82,419,991
Accounts Payable and Accrued Expenses$272,662,255$403,368,814▲ $130,706,559
Deferred Revenue$3,649,744$68,513,599▲ $64,863,855
Grants Payable$3,521,813$4,368,193▲ $846,380
Unsecured Notes Loans Payable$602,704$553,507▼ $49,197
Total Liabilities$1,250,317,244$1,600,300,299▲ $349,983,055
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,344,015,166$2,445,466,295▲ $1,101,451,129
Net Assets With Donor Restrictions$308,161,102$251,281,450▼ $56,879,652
Total Net Assets Fund Balance$1,652,176,268$2,696,747,745▲ $1,044,571,477
Total Liabilities and Net Assets / Fund Balance$2,902,493,512$4,297,048,044▲ $1,394,554,532

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,168,126,676$1,003,037,579$2,171,164,255
Equipment$456,987,900$1,073,658,413$1,530,646,313
Other Land Buildings$320,559,039$196,389,330$516,948,369
Land$87,705,756-$87,705,756
Leasehold Improvements$12,691,419$57,543,737$70,235,156
Other Assets Org$6,217,829--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2020$97,349,298$25,703,447▲ $11,573,893$4,371,187$130,255,451
2019$81,070,443$12,717,518▲ $5,317,813$1,756,476$97,349,298
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
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-Section Chief - Orthopedic Surgery, SHMGFT$1,125,858$121,235$1,247,093
-Physician, LhnsjFT$816,981$425,421$1,242,402
-Section Chief, Orthopedic Surgery - Sports Medicine, SHMGFT$1,082,050$112,000$1,194,050
-President, HDVCH, SHH - Part YearFT$36,761$784,676$821,437
-Interim President, HDVCH, SHH - Part YearFT$553,714$229,652$783,366
-SVP, Finance - Hospital & Medical GroupFT$504,736$200,202$704,938
-Director, Lchw-$604,457$34,557$639,014
-Director, SHH - Part YearFT$474,566$129,628$604,194
-President, SHZFT$323,180$230,369$553,549
-See Schedule OFT$318,682$159,239$477,921
-Director, SHMG - Part YearFT$386,815$87,056$473,871
-Treasurer, SHMG - Part YearFT$369,439$99,789$469,228
-President, SHPFT$285,389$167,872$453,261
-President, SHFFT$323,960$115,752$439,712
-Secretary, SHH - Part YearFT$241,171$87,961$329,132
-VP - Patient Care CNE, LhnsjFT$263,315$41,876$305,191
-Former President, SHP-$262,171$262,171$262,171
-President, HDVCH, SHHFT$182,814$76,420$259,234
-Interim President, SHL - Part YearFT$178,673$73,179$251,852
-Interim President, SHGM - Part YearFT$136,290$104,580$240,870
-VP - Lakeland Physician Practices, Lhnsj - Part YearFT$180,185$60,126$240,311
-VP - Clinical Integration, LhnsjFT$156,403$39,937$196,340
-VP - Health Equity, LhnsjFT$171,337$19,442$190,779
-Former Interim President, SHMG-$-1$139,862$139,861
-DIRECTOR OF BUSINESS & COMMUNITY OPs, HAHFT$115,737-$115,737
-Vice Chair, SHGM - Part Year--$4,500$4,500

Board Members and Trustees

NameTitle
-Chair, SHF
-Chair, SHGM - Part Year
-Chair, SHL - Part Year
-Chair, SHP - Part Year
-Chair, SHU & SHK - Part Year
-Chair, SHZ - Part Year
-Former President, SHMG
-VICE CHAIR, HAH - Part Year
-Vice Chair, Lchw
-Vice Chair, Lhf
-Vice Chair, SHBR & SHRC - Part Year
-Vice Chair, SHF
-Vice Chair, SHL - Part Year
-Vice Chair, SHU & SHK - Part Year
-Director, Hah
-Director, Lhf
-DIRECTOR, LHF - Part Year
-Director, SHBR & SHRC - Part Year
-Director, SHF
-Director, SHF - Part Year
-Director, SHGM - Part Year
-Director, SHL - Part Year
-Director, SHP - Part Year
-Director, SHU & SHK - Part Year
-Director, SHZ - Part Year
-Former Treasurer, SHCC
-SECRETARY, SHBR & SHRC - Part Year
-Secretary, SHF
-Secretary, SHGM - Part Year
-Secretary, SHL - Part Year
-Secretary, SHP - Part Year
-Secretary, SHU & SHK - Part Year
-Secretary, SHZ - Part Year
-Secretary/treasurer, Hah
-Secretary/treasurer, Lchw
-Treasurer, Lhf
-Treasurer, SHBR & SHRC - Part Year
-Treasurer, SHF
-Treasurer, SHGM - Part Year
-Treasurer, SHL - Part Year
-Treasurer, SHZ - Part Year
-VP - Information Services, Lhnsj
-VP - It & Hr Services, Lhnsj

Highest Paid Contractors

ContractorServicesLocationCompensation
The Christman CompanyConstruction634 FRONT AVE NW, Grand Rapids, MI 49504$16,934,680
Emergency Care Specialists PCMedical Services4100 EMBASSY DR SE 400, Grand Rapids, MI 49546$7,576,339
West Michigan Shared Hospital LaundryLaundry Services3003 WALKENT DR NW, Grand Rapids, MI 49544$6,331,778
Meduit LLCConsulting4135 South Stream Blvd Suite 400, Charlotte, NC 28217$5,999,072
Csm Group INCContruction600 E Michigan Avenue Suite A, Kalamazoo, MI 49007$5,418,926
Revenue and Support

Revenue Composition

Contributions and Grants
$160,311,383
Program Service Revenue
$4,064,888,479
Investment Income
$105,450,213
Other Revenue
$15,750,389
All Other Contributions
$28,237,567
Change in Net Assets
$301,813,636

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 Table312$517,569Market value
Clothing and Household Goods-$42,375Market value
Food Inventory52$39,714Market value
Other Non Cash Contri Table77$29,912Market value
Other Non Cash Contri Table29$10,764Market value
Works of Art1$4,000Market value
Books and Publications-$3,616Market value
Total Noncash Contributions471$647,950-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,021,218,176
Salaries, Compensation, and Employee Benefits$2,019,416,000
Grants and Similar Amounts Paid$3,952,652
Total Fundraising Expense$2,579,170
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,437,505,581$126,633,432$1,679,754$1,565,818,767
Other Employee Benefits$219,963,298$18,908,867$367,446$239,239,611
Depreciation Depletion$193,107,089$31,544,582$7,131$224,658,802
Other Expenses$112,779,464$101,544,042$20,134$112,779,464
Payroll Taxes$103,007,178$8,968,341$16,351$111,991,870
Fees for Services Other$95,796,410$13,123,074$292,570$109,212,054
Occupancy$76,473,936$19,001,054$8,043$95,483,033
All Other Expenses$74,289,706$10,187,302$6,433$84,483,441
Pension Plan Contributions$53,472,746$4,526,042$4,245$58,003,033
Current Officers, Directors, Trustees, and Key Employees$39,619,381$2,762,723-$42,382,104
Office Expenses$27,537,070$7,052,173$156,207$34,745,450
Insurance$28,303,105$5,308,785$955$33,612,845
Interest$19,978,552--$19,978,552
Information Technology$13,430,798$3,452,559$4,960$16,888,317
Conferences and Meetings$3,769,603$957,406$659$4,727,668
Travel$3,567,435$892,445$10,985$4,470,865
Grants to Domestic Orgs$3,784,179--$3,784,179
Advertising$456,766$1,719,221$3,297$2,179,284
Comp Disqual Persons$1,851,506$129,109-$1,980,615
Fees for Services Management-$764,646-$764,646
Grants to Domestic Individuals$168,473--$168,473
Fees for Services Legal-$97,276-$97,276
Total Functional Expenses$3,684,030,854$357,976,804$2,579,170$4,044,586,828
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Spectrum Health SystemGrand Rapids, MI501(c)(3)General Support$770,872
Cherry Street Health ServicesGrand Rapids, MI501(c)(3)Increased Access Dental Services$320,000
Exalta HealthGrand Rapids, MI501(c)(3)Breaking Wellness Barriers & Covid Relief Stability Funds$200,000
Grand Rapids African American Health InstituteGrand Rapids, MI501(c)(3)Black Male Diabetes Empowerment Network & Strong Fathers$156,870
Robert Wood Johnson FoundationPrinceton, NJ501(c)(3)Culture of Health and Evaluation$127,936
Arbor Circle CorporationGrand Rapids, MI501(c)(3)Familias Fuertes Y Saludables (ffs) (strong & Healthy Families) & Covid Relief Stability Funding$117,880
Healthnet of West Mi Dba Kent Health PlanGrand Rapids, MI501(c)(3)Fitkids360 & Covid Relief Stability Funding$105,000
IffDetroit, MI501(c)(3)Expanding High-quality, Replicable, Early Childhood Education Center Options in Grand Rapids$100,000
LincupGrand Rapids, MI501(c)(3)South Side Affordable Housing Project$90,000
West Mi Center for Arts and TechnologyGrand Rapids, MI501(c)(3)Workforce University$90,000
Access of West MichiganGrand Rapids, MI501(c)(3)Nutritional Options for Wellness Program$85,000
Community Food ClubGrand Rapids, MI501(c)(3)Community Food Club$85,000
Catherines Health CenterGrand Rapids, MI501(c)(3)Improving Health Equity by Removing Barriers to Care & Covid Relief Stability Funding$80,000
Family FuturesGrand Rapids, MI501(c)(3)Targeted Immunization Outreach & Interpretation Services$63,161
Region Iv Area on AgingSt Joseph, MI501(c)(3)General Support$60,000
Roosevelt Park MinistriesGrand Rapids, MI501(c)(3)Covid Relief Stability Funding-puertas Abiertas$60,000
Centered on WellnessBenton Harbor, MI501(c)(3)General Support$50,000
Healthy Homes CoalitionGrand Rapids, MI501(c)(3)Breathe Easy Asthma Project$50,000
MICHIGAN'S GREAT SOUTHWEST STRATEGIC LEADERSHIP COUNCILBenton Harbor, MI501(c)(3)General Support$50,000
Berrien Community FoundationSt Joseph, MI501(c)(3)General Support$45,435
City of NilesNiles, MICity of NilesGeneral Support$45,000
African Resource Center of West MichiganGrand Rapids, MI501(c)(3)FUTURENOW! TUTORING PROJECT$40,000
Baxter Community CenterGrand Rapids, MI501(c)(3)Full Day School Age Care and Academic Support$40,000
Family Outreach Center IncGrand Rapids, MI501(c)(3)Covid Relief Stability Funding$40,000
Grabb Local IncGrand Rapids, MI501(c)(3)Grabb Relief and Resilience$40,000
Grand Rapids Youth Commonwealth (dba Boys & Girls Club)Grand Rapids, MI501(c)(3)Learning Assistance Program$40,000
Grandville Avenue Arts & HumanitiesGrand Rapids, MI501(c)(3)After School Arts and Library$40,000
Kingdom Life MinistriesGrand Rapids, MI501(c)(3)Deborah House Project$40,000
Mel Trotter MinistriesGrand Rapids, MI501(c)(3)Public Inebriate Shelter Program$40,000
Michigan Black Expo IncGrand Rapids, MI501(c)(3)Grassroots Up (grup) Initiative$40,000
New City Kids IncGrand Rapids, MI501(c)(3)New City Kids Academy$40,000
North Kent ConnectRockford, MI501(c)(3)Relief and Stability for Rural Communities$40,000
The SourceGrand Rapids, MI501(c)(3)Stay Safe to Work Safe Project$40,000
The Store HouseGrand Rapids, MI501(c)(3)Covid Relief Stability Funding$40,000
West Michigan Hispanic Chamber of Commerce FoundationGrand Rapids, MI501(c)(3)Transformando West Michigan Unity Fund$40,000
National Kidney FoundationAnn Arbor, MI501(c)(3)Programa De Prevencion De La Diabetes$35,000
YmcaGrand Rapids, MI501(c)(3)Chronic Disease Prevention Through the Ymca Weight Loss Program and Community Fitness Classes$35,000
Migrant Legal Aid Inc (dba Michigan Migrant Legal Assistance Project Inc)Grand Rapids, MI501(c)(3)Unidos Contra El Covid$32,500
Berrien RosaBerrien Springs, MI501(c)(3)General Support$30,000
Heart of West Michigan United WayGrand Rapids, MI501(c)(3)Entf Food and Nutrition Coalition Data-story Capacity Building$30,000
Urban Core CollectiveGrand Rapids, MI501(c)(3)Qualitative Engagement With Parents and Students Around School Attendance$30,000
Krasel Art CenterSt Joseph, MI501(c)(3)General Support$27,750
YmcaNiles, MI501(c)(3)General Support$26,591
United Way of Southwest MichiganSt Joseph, MI501(c)(3)General Support$25,341
Grand Rapids Red ProjectGrand Rapids, MI501(c)(3)Recovery Coaching and Access to Healthcare$25,000
Lakeland Care IncSt Joseph, MI501(c)(3)General Support$25,000
Ama InternationalGrand Rapids, MI501(c)(3)AMA: DELIVERING FOOD AND LOVE FOR ALL- KENT COUNTY$24,000
Lake Michigan CollegeBenton Harbor, MI501(c)(3)General Support$20,000
Urban RootsGrand Rapids, MI501(c)(3)Urban Roots Community Market$20,000
Well HouseGrand Rapids, MI501(c)(3)Improving Health Through Healthy Food Access, Education and Work$20,000
Senior NeighborsGrand Rapids, MI501(c)(3)Virtual Connection$15,000
Area Agency on Aging of West MichiganGrand Rapids, MI501(c)(3)Virtual Support Group for Family Caregivers$8,520
La Casa De La CobijaGrand Rapids, MI-General Support$6,160
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$747,200
Fundraising Direct Expenses$611,084
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Auto Show$214,920$60,000$16,439$43,561
UK Charity Ball$189,541$18,120$17,401$719
Total Events$1,280,943$747,200$611,084$136,116
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-BusinessShl-see Sch L, Part VNo$1,207,076
-FamilyShmg-see Sch L, Part VNo$301,423
-FamilyLhnsj-see Sch L, Part VNo$184,418
-FamilyShmg-see Sch L, Part VNo$184,251
-FamilyShbr-see Sch L, Part VNo$152,719
-FamilyShmg-see Sch L, Part VNo$113,540
-FamilyLhnsj-see Sch L, Part VNo$110,124
-FamilyLhnsj-see Sch L, Part VNo$89,421
-FamilyLhnsj-see Sch L, Part VNo$80,644
-FamilyShh-see Sch L, Part VNo$79,171
-FamilyShrc-see Sch L, Part VNo$75,703
-FamilyShbr-see Sch L, Part VNo$70,323
-FamilyShz-see Sch L, Part VNo$68,600
-FamilyLhnsj-see Sch L, Part VNo$63,746
-FamilyShh-see Sch L, Part VNo$61,945
-FamilyShgm-see Sch L, Part VNo$57,937
-FamilyLhnsj-see Sch L, Part VNo$48,651
-FamilyShu-see Sch L, Part VNo$44,911
-FamilyLhnsj-see Sch L, Part VNo$43,132
-FamilyShgm-see Sch L, Part VNo$40,633
-FamilyShmg-see Sch L, Part VNo$34,971
-FamilyShz-see Sch L, Part VNo$34,737
-FamilyShmg-see Sch L, Part VNo$17,463
-FamilyShh-see Sch L, Part VNo$11,084
-FamilyLhnsj-see Sch L, Part VNo$11,068

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$64,590$34,159▼ $30,431
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$318,791,512
Lease Liabilities$117,267,300
Third Party Settlement$63,192,331
Interest Rate SWAPS$19,266,941
Other Liabilities$12,842,898

Bond Issues

BondIssuerIssuedIssue PricePurpose
DKent 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
AKent Hospital Finance Authority (2014AB)2014-01-15$111,850,0002008A2 ZCH 2010 Gerber 2002&2007 Revenue Refunding Bonds
BKent Hospital Finance Authority (2015A)2015-01-13$78,400,000Revenue Refunding Bonds
BKent Hospital Finance Authority (2008C)2008-09-09$67,200,0001998B Refunding Bond
CKent Hospital Finance Authority (2012A)2018-10-24$56,490,0002012A Revenue refunding Bonds - reissued (2008A1 & 2008B2 Revenue Refunding Bonds)
CKent Hospital Finance Authority (2017A)2019-03-21$56,490,000Revenue Refunding Bonds (2017A Reissuance)
AHospital Authority of The City of St Joseph (MI)2006-01-26$50,000,000Facility construction and improvements
DHospital Authority of The City of St Joseph (MI)2003-12-17$41,525,000Refund bonds issued 1/13/1994 and facility construction and improvements
BHospital Authority of The City of St Joseph (MI)2012-09-06$8,500,000New facility construction

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
D$471,211,001$455,125,716$421,211,001$2,528,820
A$212,859,639$161,500,000$120,824,639$1,359,065
A$111,850,000$111,605,000$12,105,000$245,000
B$78,400,000$77,520,000$0$880,000
B$67,200,000$67,200,000$38,700,000$0
C$56,490,000$56,490,000$0$0
C$56,490,000$56,490,000$0$0
A$52,613,405-$15,813,405$467,500
D$41,643,043-$19,343,043$193,091
B$8,500,000-$1,580,000$105,875

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
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 35% controlled entity
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

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

Spectrum Health Big Rapids Hospital, Spectrum Health Gerber Memorial, Spectrum Health Hospitals, Spectrum Health Kelsey, Spectrum Health Ludington Hospital, Spectrum Health Pennock Hospital, Spectrum Health Reed City Hospital, Spectrum Health United, Spectrum Health Zeeland Community Hospital, Spectrum Health Continuing Care and Spectrum Health Medical Group (collectively, "Spectrum Health West Michigan Entities") all amended and restated their bylaws effective August 18, 2020. The purpose of this restatement was to create a mirror board and committees that govern all the Spectrum Health West Michigan Entities. As part of this reorganization, each of the Spectrum Health West Michigan Entities boards were replaced with the 18 individuals who serve as the mirror board for each of the Spectrum Health West Michigan Entities.

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

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

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

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

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

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

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

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

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

BOARD OF DIRECTORS 1. Conflicts of interest must be disclosed, BOTH VIA AN ANNUAL ELECTRONIC DISCLOSURE PROCESS as well as verbally at a board meeting prior to discussion of any agenda item with regard to which a board member has a conflict. 2. A person having a financial interest in a proposed transaction or arrangement may make a presentation at a meeting of the Board of Directors or committee considering that transaction or arrangement, but after that presentation he or she shall leave the meeting during discussion and voting on that proposed transaction or arrangement. The person having the financial interest shall not be counted in determining whether a quorum is present. 3. The chairperson of the Board of Directors or committee shall, if appropriate, appoint a disinterested person or committee (including outside advisors) to investigate alternatives to the proposed transaction or arrangement, and to advise whether the proposed transaction or arrangement is in the organization's best interest. 4. The Board of Directors or committee shall exercise due diligence to determine whether the organization can, with reasonable efforts, obtain a more advantageous transaction or arrangement that would not give rise to a conflict of interest. 5. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the Board of Directors or committee shall determine by a majority vote of the disinterested directors and members whether the proposed transaction or arrangement is in the organization's best interest and for its own benefit and whether the transaction is fair and reasonable to the organization, and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination. 6. The minutes of the meetings of the Board of Directors and all of the organization's committees shall set forth: a)The names of the persons who disclosed a financial interest in a proposed transaction or arrangement involving the organization or any of its subsidiaries and the nature of the financial interest; and b)The names of the persons who were present for discussions and votes relating to such transaction or arrangement, including any discussion of alternatives to the proposed transaction or arrangement, and a record of any votes taken in connection with that matter. The votes of individual members need not be recorded unless otherwise directed by the Board of Directors or committee. 7. There is an ongoing requirement that members of the board of directors complete another disclosure questionnaire at any point during his/her tenure on the board of directors when a new potential conflict of interest arises. If a member of the board of directors completes a disclosure questionnaire as a result of a new potential conflict of interest, that disclosure questionnaire is submitted to the conflicts of interest committee, which is comprised of individuals from legal, organizational integrity, internal audit, human resources, and members of leadership for review. MANAGEMENT 1. Upon acceptance of an employment offer, each member of management completes a conflict of interest disclosure questionnaire. A copy of the member of management's disclosure questionnaire is sent to the organization's organizational integrity department. A copy of the member of management's disclosure is reviewed by the organization's COI coordinator and escalated to the Conflicts of Interest Committee if necessary. 2. Annually, each member of management completes an annual conflict of interest disclosure questionnaire electronically. The disclosure questionnaire is reviewed by the conflicts of interest committee, which is comprised of individuals from legal, organizational integrity, internal audit, human resources, and members of leadership. 3. There is an ongoing requirement that members of management complete another disclosure questionnaire at any point 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 Calendar Year 2020 (1/1/20-12/31/20), three health care executive compensation surveys, two medical group surveys, on pediatric hospital survey, and one health plan survey prepared by independent firms, were the primary sources referenced to obtain market data for the review: * Sullivan, Cotter and Associates: 2018 Survey of Manager and Executive Compensation in Hospitals and Health Systems * Integrated Healthcare Strategies: 2018 HealthCare Executive Compensation Survey * Mercer: 2018 Integrated Health Networks Compensation Survey, also provides data for health plans * Medical Group Management Association: 2018 Management Compensation Survey * Sullivan, Cotter and Associates: 2018 Physician Compensation and Productivity Survey Report * Sullivan, Cotter and Associates: 2018 Custom Survey of Manager and Executive Compensation in Children's Hospitals * Warren: Fall 2018 HMO Salary Survey In addition, four general industry surveys were referenced: * Mercer: 2018 Executive Compensation Survey * Mercer: 2018 Information Technology Survey * Mercer: 2018 Human Resources Survey * Towers Watson: 2018 Top Management Compensation Report In addition to the above data sources, the Executive Committee approved the creation of a custom peer group of high performing integrated health systems to ensure robust data and a relevant comparator universe. The peer group organizations are approved by the Executive Committee and consist of double A bond rated and / or Truven top quintile organizations. Data for the peer group organizations is compiled by the independent executive compensation firm. Compensation adjustments are approved by Executive Committee members, consistent with the Spectrum Health compensation philosophy described below. Minutes of Committee discussions and decisions are prepared to memorialize Executive Committee decisions based upon the above data. Cash compensation data relied upon by the Executive Committee is national and reflects the compensation paid to executives in comparable jobs in comparably-sized health care and / or health insurance organizations. Spectrum Health recruits nationally for its executives. Benefits data reflect national health care / health insurance market practices. Geographic pay differential and cost of living data indicates consistency with national data. In addition, several entities were added to the Spectrum Health System Group Filing during calendar year 2020 and used the following process during 2020 (will follow the above process for all post 2020 years): An independent firm is hired by the board to determine compensation packages for senior management on an annual basis. The firm presents comparative pay ranges and compensation recommendations to the governance (compensation) committee for their approval. For senior management, the CEO can provide input and recommendations to the governance committee. As part of the planned transition to the Spectrum Health executive committee methodology, the CEO provided an across-the-board increase recommendation to the governance committee based on previously collected compensation survey data. This process is intended to assist Spectrum Health in qualifying for the rebuttable presumption of reasonableness (Intermediate Sanctions Regulations) and complying with the potential Spectrum Health Excess Benefit Transaction Policy for those individuals in the group who are disqualified persons. The opinion submitted from the thir

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

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

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

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

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

The compensation reported for employees of the organization is not for services in their capacity as members of the board of directors but for services as employees of the health system. Certain directors were paid reasonable compensation for their services as members of the board. Employees with compensation reported in part vii work a combined average of 50 hours per week for the health system.

Form 990, Part VII, Section A Compensation of Directors

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

Form 990, Part VII, Section A SMITH, BRANDI ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: VP - PHILANTHROPY, LHNSJ / FOUNDATION PRESIDENT, LHF - Part Year, AverageHours: 40.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VP - PHILANTHROPY, LHNSJ - PART YEAR, AverageHours: 10.000; KeyEmployee

Form 990, Part VII, Section A FREESE DECKER, CHRISTINA ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Hospitals, Title: Director, SHH, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health Foundation, Title: Director, SHF, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector

Form 990, Part VII, Section A SANDEFUR, GWEN ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: President, SHH - Part Year, AverageHours: 48.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care, Title: Chair, SHCC - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector

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

Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector

Form 990, Part VII, Section A ELMOUCHI, DARRYL, MD ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Primary Care Partners , Title: President, SHMG, AverageHours: 21.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: Director / President, SHH, AverageHours: 22.000; IndividualTrusteeOrDirectorOfficer Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector

Form 990, Part VII, Section A HAMEL, LOREN, MD ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: DIRECTOR, LHF, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Hospice at Home, Inc., Title: DIRECTOR/PRESIDENT & CEO LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Mercy Memorial Health Services, Inc., Title: PRESIDENT, MMHS, AverageHours: 5.000; Officer Organization Name: Lakeland Regional Health System, Inc., Title: PRESIDENT, LRHS, AverageHours: 6.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: PRESIDENT, LHNSJ, AverageHours: 10.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Specialty Hospital at Berrien Center, Title: PRESIDENT, LSHBC, AverageHours: 1.000; Officer

Form 990, Part VII, Section A BRASSER, BRIAN ADDITIONAL POSITIONS HELD

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

Form 990, Part VII, Section A SLAIKEU, JASON, MD ADDITIONAL POSITIONS HELD

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

Form 990, Part VII, Section A HAMEL, LOWELL, MD ADDITIONAL POSITIONS HELD

Organization Name: Hospice at Home, Inc., Title: DIRECTOR, HAH, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: CHIEF OPERATING OFFICER & CHIEF CLINICAL OFFICER, LHNSJ, AverageHours: 48.000; Officer Organization Name: Lakeland Community Hospital Watervliet, Title: DIRECTOR, LCHW, AverageHours: 1.000; IndividualTrusteeOrDirector

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

Organization Name: Spectrum Health Continuing Care, Title: President/Secretary, SHCC - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Visiting Nurse Services of Western Michigan, Title: Chair - Part Year/President, VNS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care Center, Title: Chair - Part Year / President, SHCCC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Worth Services, Title: Chair - Part Year / President, SHWS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health - Leffingwell Avenue, Title: President, SHLA, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: SVP, Hospital / Post Acute Ops, AverageHours: 45.000; Officer

Form 990, Part VII, Section A Fitzgerald, Robert, MD ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Primary Care Partners , Title: Vice Chair - Part Year/Director, SHMG, AverageHours: 44.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector

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

Organization Name: Spectrum Health United, Title: President, SHU, AverageHours: 13.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Kelsey, Title: President, SHK, AverageHours: 12.000; IndividualTrusteeOrDirectorOfficer Organization Name: Mecosta County Medical Center, Title: President, SHBR, AverageHours: 13.000; IndividualTrusteeOrDirectorOfficer Organization Name: Reed City Hospital Corporation, Title: President, SHRC, AverageHours: 12.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting only, AverageHours: 0.000;

Form 990, Part VII, Section A KONOPACKI, PAUL ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VP - FINANCE & CFO, LHNSJ, AverageHours: 15.000; Officer Organization Name: Lakeland Community Hospital Watervliet, Title: VP - FINANCE & CFO, LCHW , AverageHours: 10.000; Officer Organization Name: Lakeland Regional Health System, Inc., Title: VP - FINANCE & CFO, LRHS, AverageHours: 15.000; Officer Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: VP - FINANCE & CFO, LHF, AverageHours: 5.000; Officer Organization Name: Mercy Memorial Health Services, Inc., Title: Treasurer, MMHS, AverageHours: 4.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Primary Care Partners , Title: SVP, Finance, SHMG - Part Year, AverageHours: 0.000; Officer Organization Name: Lakeland Specialty Hospital at Berrien Center, Title: VP - FINANCE & CFO, LSHBC , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer

Form 990, Part VII, Section A PATER, MARY ANN ADDITIONAL POSITIONS HELD

Organization Name: Mercy Memorial Health Services, Inc., Title: SECRETARY, MMHS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Specialty Hospital at Berrien Center, Title: SECRETARY, LSHBC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VP - LEGAL & GENERAL COUNCIL, LHNSJ, AverageHours: 48.000; Officer

Form 990, Part VII, Section A Schuen, John, MD ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Chair- Part Year/Director, SHMG, AverageHours: 44.500; IndividualTrusteeOrDirectorOfficer

Form 990, Part VII, Section A CALHOUN, TIMOTHY ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: VP - FINANCE & CFO, LHF - Part Year, AverageHours: 5.000; Officer Organization Name: Lakeland Community Hospital Watervliet, Title: VP - FINANCE & CFO, LCHW - Part Year, AverageHours: 5.000; Officer Organization Name: Mercy Memorial Health Services, Inc., Title: TREASURER, MMSH - Part Year, AverageHours: 5.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Specialty Hospital at Berrien Center, Title: VP - FINANCE & CFO, LSHBC - Part Year, AverageHours: 5.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Regional Health System, Inc., Title: VP - FINANCE & CFO, LRHS - Part Year, AverageHours: 15.000; Officer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VP - FINANCE & CFO, LHNSJ - Part Year, AverageHours: 15.000; Officer

Form 990, Part VII, Section A Beg, Simin ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 40.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health - Leffingwell Avenue, Title: Chair, SHLA, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Visiting Nurse Services of Western Michigan, Title: Chair, VNS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Worth Services, Title: Chair, SHWS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care Center, Title: Chair, SHCCC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer

Form 990, Part VII, Section A CRUSE, RAY ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Community Hospital Watervliet, Title: PRESIDENT, LCHW, AverageHours: 25.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VP - STRATEGY & HOSPITALITY, LHNSJ/PRESIDENT,LCHW, AverageHours: 24.000; Officer Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: DIRECTOR, LHF, AverageHours: 1.000; IndividualTrusteeOrDirector

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

Organization Name: Spectrum Health Continuing Care, Title: Interim President, SHCC, AverageHours: 48.000; IndividualTrusteeOrDirectorOfficer Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Secretary / Treasurer, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Worth Services, Title: Director, SHWS - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health - Leffingwell Avenue, Title: Secretary/Treasurer, SHLA, AverageHours: 0.500; Officer

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

Organization Name: Visiting Nurse Services of Western Michigan, Title: Secretary / Treasurer, VNS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Secretary / Treasurer, SHWS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care, Title: For Compensation Reporting only, AverageHours: 47.500; Officer

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

Organization Name: Newaygo County General Hospital Association(Former), Title: Former President, SHGM, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center of West Michigan(Former), Title: Former President, SHL, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting only, AverageHours: 0.000;

Form 990, Part VII, Section A GRUBER, MELINDA ADDITIONAL POSITIONS HELD

Organization Name: Hospice at Home, Inc., Title: PRESIDENT, HAH, AverageHours: 20.000; IndividualTrusteeOrDirectorOfficer Organization Name: Mercy Memorial Health Services, Inc., Title: CHAIR, MMHS, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Specialty Hospital at Berrien Center, Title: CHAIR, LSHBC, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VP - POST ACUTE CARE SERVICES, LHNSJ, AverageHours: 20.000; Officer Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: INTERIM PRESIDENT, LHF, AverageHours: 6.000; IndividualTrusteeOrDirectorOfficer

Form 990, Part VII, Section A Dostal, Drew ADDITIONAL POSITIONS HELD

Organization Name: Newaygo County General Hospital Association, Title: President, SHGM, AverageHours: 25.000; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center of West Michigan, Title: President, SHL, AverageHours: 25.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting only, AverageHours: 0.000;

Form 990, Part VII, Section A Ferrell-Robinson, Lynnette ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: Chair, SHH, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Newaygo County General Hospital Association, Title: Chair, SHGM, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center of West Michigan, Title: Chair, SHL, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Mecosta County Medical Center, Title: Chair, SHBR , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Reed City Hospital Corporation, Title: Chair, SHRC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Pennock Hospital, Title: Chair, SHP , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health United, Title: Chair, SHU , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Kelsey, Title: Chair, SHK , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Zeeland Community Hospital, Title: Chair, SHZ , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care, Title: Chair, SHCC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Primary Care Partners , Title: Chair, SHPCP, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer

Form 990, Part VII, Section A HOPP, DANIEL ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Regional Health System, Inc., Title: CHAIR, LRHS, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: CHAIR, LHNSJ, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer

Form 990, Part VII, Section A TODMAN, MICHAEL ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Regional Health System, Inc., Title: VICE CHAIR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VICE CHAIR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer

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

Organization Name: Zeeland Community Hospital, Title: Director-Part Year/Treasurer, SHZ , AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: Treasurer, SHH, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Newaygo County General Hospital Association, Title: Treasurer, SHGM, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center of West Michigan, Title: Treasurer, SHL, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Mecosta County Medical Center, Title: Treasurer, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Reed City Hospital Corporation, Title: Treasurer, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Pennock Hospital, Title: Treasurer, SHP, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health United, Title: Treasurer, SHU, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Kelsey, Title: Treasurer, SHK, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care, Title: Treasurer, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Primary Care Partners , Title: Treasurer, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer

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

Organization Name: Pennock Hospital, Title: Vice Chair, SHP, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: Director-Part Year/Vice Chair, SHH , AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Newaygo County General Hospital Association, Title: Vice Chair, SHGM, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Memorial Medical Center of West Michigan, Title: Vice Chair, SHL, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Mecosta County Medical Center, Title: Vice Chair, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Reed City Hospital Corporation, Title: Vice Chair, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health United, Title: Vice Chair, SHU, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Kelsey, Title: Vice Chair, SHK, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Zeeland Community Hospital, Title: Vice Chair, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Continuing Care, Title: Vice Chair, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Primary Care Partners , Title: Vice Chair, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer

Form 990, Part VII, Section A Wynn, Barbara, MD ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: Vice Chair, SHH - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Haney, Donald ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: OTHER COMPENSATION, AverageHours: 1.000; Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Treasurer, SHP - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer

Form 990, Part VII, Section A Wassink, Kurt ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: Other Compensation, AverageHours: 1.000; Organization Name: Zeeland Community Hospital, Title: Vice Chair, SHZ - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirectorOfficer

Form 990, Part VII, Section A Thompson, Sheryl ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Chair-Part Year/Director, SHBR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Reed City Hospital Corporation, Title: Chair-Part Year/Director, SHRC, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector

Form 990, Part VII, Section A ALLEN, TERRENCE ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Regional Health System, Inc., Title: SECRETARY, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: SECRETARY, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer

Form 990, Part VII, Section A SCHAFFER, DAVID ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Regional Health System, Inc., Title: TREASURER, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: TREASURER, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer

Form 990, Part VII, Section A VANLANDINGHAM, CHRISTINE ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Community Hospital Watervliet, Title: CHAIR, LCHW, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A WALES, DANA ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: CHAIR, LHF, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A KUEHNLE, LISA ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Community Hospital Watervliet, Title: DIRECTOR, LCHW, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: SECRETARY, LHF - PART YEAR, AverageHours: 1.000; IndividualTrusteeOrDirectorOfficer

Form 990, Part VII, Section A DASCENZO, DENNIS ADDITIONAL POSITIONS HELD

Organization Name: Hospice at Home, Inc., Title: CHAIR, HAH, AverageHours: 2.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A GIELDA, BEN, MD ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ/PHYSICIAN, AverageHours: 49.000; IndividualTrusteeOrDirector Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A ULREICH, SHAWN ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting Only, AverageHours: 49.000; Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector

Form 990, Part VII, Section A FORSHEE, JAMES, MD ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: OTHER COMPENSATION, AverageHours: 0.500; Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector

Form 990, Part VII, Section A VISSER, THOMAS, MD ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting Only, AverageHours: 49.500; Organization Name: Zeeland Community Hospital, Title: Director, SHZ - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector

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

Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting only, AverageHours: 46.000; Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector

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

Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting Only, AverageHours: 49.500; Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector

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

Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting Only, AverageHours: 48.500; Organization Name: Spectrum Health Hospitals, Title: Other Compensation, AverageHours: 1.000;

Form 990, Part VII, Section A DeNiel, Melissa ADDITIONAL POSITIONS HELD

Organization Name: Mecosta County Medical Center, Title: Director, SHBR - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting Only, AverageHours: 49.000;

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

Organization Name: Spectrum Health Kelsey, Title: Director, SHK - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector

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

Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting Only, AverageHours: 49.500; Organization Name: Pennock Hospital, Title: Director, SHP - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector

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

Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting Only, AverageHours: 49.000; Organization Name: Reed City Hospital Corporation, Title: Director, SHRC - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Begrow, Lee, DO ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG - Part Year, AverageHours: 49.000; IndividualTrusteeOrDirector Organization Name: Spectrum Health Hospitals, Title: OTHER COMPENSATION, AverageHours: 1.000;

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

Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting only, AverageHours: 49.500;

Form 990, Part VII, Section A Waalkes, Annica ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 44.500; Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Bragg, Talawnda ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Primary Care Partners , Title: For Compensation Reporting only, AverageHours: 47.000; Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Hospitals, Title: OTHER COMPENSATION, AverageHours: 1.000; Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector

Form 990, Part VII, Section A MANCINI, MICHELINO ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, PRESIDENT OF MEDICAL STAFF, LHNSJ, AverageHours: 49.000; IndividualTrusteeOrDirector Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A NOLAN, ROBERT, MD ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ - Part Year, AverageHours: 49.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A JOHNSON, DEBRA ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: FOR COMPENSATION REPORTING ONLY, AverageHours: 49.000; Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: DIRECTOR, LHF, AverageHours: 1.000; IndividualTrusteeOrDirector

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

Organization Name: Spectrum Health Continuing Care, Title: For Compensation Reporting only, AverageHours: 48.500; Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS - Part Year, AverageHours: 0.500; IndividualTrusteeOrDirector

Form 990, Part VII, Section A O'Callaghan, Mary ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: Other Compensation, AverageHours: 1.000; Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG - Part Year, AverageHours: 49.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Torres, Johannie ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 24.500; IndividualTrusteeOrDirector

Form 990, Part VII, Section A PAYNE, WILLIAM ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Hofman, Ronald, MD ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Pink, Bill ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Buckley, John, Jr. ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Port, Christopher, MD ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Molewyk Doornbos, Mary ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector

Form 990, Part VII, Section A EDWARDS, WENDY ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: DIRECTOR, LHF, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: For Compensation Reporting Only, AverageHours: 2.000;

Form 990, Part VII, Section A Lozano-Buhl, Erika ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: Other Compensation, AverageHours: 1.000; Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Kooyers, Kyle ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Hospitals, Title: OTHER COMPENSATION, AverageHours: 1.000; Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector

Form 990, Part VII, Section A DeVos, Richard, III ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: Director, SHH , AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Newaygo County General Hospital Association, Title: Director, SHGM , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Memorial Medical Center of West Michigan, Title: Director, SHL, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Mecosta County Medical Center, Title: Director, SHBR, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Reed City Hospital Corporation, Title: Director, SHRC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Pennock Hospital, Title: Director, SHP , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health United, Title: Director, SHU, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Kelsey, Title: Director, SHK, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Zeeland Community Hospital, Title: Director, SHZ, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care, Title: Director, SHCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Primary Care Partners , Title: Director, SHMG, AverageHours: 0.500; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Byrne, John ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Coffey-Hoag, Ryan ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector

Form 990, Part VII, Section A Haynes, Nancy ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health - Leffingwell Avenue, Title: Director, SHLA, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Visiting Nurse Services of Western Michigan, Title: Director, VNS , AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Worth Services, Title: Director, SHWS, AverageHours: 0.500; IndividualTrusteeOrDirector Organization Name: Spectrum Health Continuing Care Center, Title: Director, SHCCC, AverageHours: 0.500; IndividualTrusteeOrDirector

Form 990, Part VII, Section A BRITTEN, NICKI ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A FRENCH, JERRY ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: DIRECTOR, LHF, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A GRAY, LYNN, MD ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS - Part Year, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A HEENAN, GEORGE, MD ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A MARTIN, CAREY ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A SMITH, SCOTT ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Community Hospital Watervliet, Title: DIRECTOR, LCHW, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A VALENTINE, MAURICE, II ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A YEAGER, THOMAS ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Regional Health System, Inc., Title: DIRECTOR, LRHS, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: DIRECTOR, LHNSJ, AverageHours: 1.000; IndividualTrusteeOrDirector

Form 990, Part VII, Section A BANYON, HILDA ADDITIONAL POSITIONS HELD

Organization Name: Lakeland Health Foundation Benton Harbor/St Joseph, Title: DIRECTOR, LHF, AverageHours: 1.000; IndividualTrusteeOrDirector Organization Name: Hospice at Home, Inc., Title: DIRECTOR, HAH, AverageHours: 1.000; IndividualTrusteeOrDirector

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

Organization Name: Spectrum Health Continuing Care(Former), Title: Former Chair, SHCC , AverageHours: 0.000; Officer Organization Name: Spectrum Health Hospitals, Title: SVP, Strat Partnership & Op SVC, SHH - Part Year, AverageHours: 49.000; Officer

Form 990, Part VII, Section A Boonstra, Martha ADDITIONAL POSITIONS HELD

Organization Name: Spectrum Health Hospitals, Title: Secretary, SHH , AverageHours: 45.000; Officer Organization Name: Newaygo County General Hospital Association, Title: Secretary, SHGM , AverageHours: 0.500; Officer Organization Name: Memorial Medical Center of West Michigan, Title: Secretary, SHL, AverageHours: 0.500; Officer Organization Name: Mecosta County Medical Center, Title: Secretary, SHBR, AverageHours: 0.500; Officer Organization Name: Reed City Hospital Corporation, Title: Secretary, SHRC, AverageHours: 0.500; Officer Organization Name: Pennock Hospital, Title: Secretary, SHP, AverageHours: 0.500; Officer Organization Name: Spectrum Health United, Title: Secretary, SHU, AverageHours: 0.500; Officer Organization Name: Spectrum Health Kelsey, Title: Secretary, SHK, AverageHours: 0.500; Officer Organization Name: Zeeland Community Hospital, Title: Secretary, SHZ, AverageHours: 0.500; Officer Organization Name: Spectrum Health Continuing Care, Title: Secretary, SHCC, AverageHours: 0.500; Officer Organization Name: Spectrum Health Primary Care Partners , Title: Secretary, SHMG, AverageHours: 0.500; Officer

Form 990, Part VII, Section A TROYER, KENDALL ADDITIONAL POSITIONS HELD

Organization Name: Mercy Memorial Health Services, Inc.(Former), Title: FORMER TREASURER, MMHS, AverageHours: 0.000; Officer Organization Name: Lakeland Specialty Hospital at Berrien Center(Former), Title: FORMER CHAIR, LSCBC, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Lakeland Hospitals at Niles & St Joseph, Inc., Title: VP - OP DIAG & QUALITY, LHNSJ, AverageHours: 50.000; Officer

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

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

Form 990, Part VII, Section A Vandriel, Mary Kay ADDITIONAL POSITIONS HELD

Organization Name: Mecosta County Medical Center(Former), Title: Former President, SHBR, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Reed City Hospital Corporation(Former), Title: Former President, SHRC, AverageHours: 0.000; IndividualTrusteeOrDirectorOfficer Organization Name: Spectrum Health Hospitals, Title: For Compensation Reporting Only, AverageHours: 50.000;

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

- Total Revenue: 33477638, Related or Exempt Function Revenue: 32911398, Unrelated Business Revenue: 561332, Revenue Excluded from Tax Under Sections 512, 513, or 514: 4908;

Filing and Contact Details

Filer

Filer Name
Spectrum Health System Group Return
EIN
61-1740292
Phone
6167745083
Address
221 Michigan St NE MC498, GRAND RAPIDS, MI 49503

Signing Officer

Name
Matthew E Cox
Title
SVP, Chief Financial Officer
Signed
2021-10-25
Discuss with paid preparer
Yes

Organization Details

Voting Board Members
364
Independent Board Members
248
Employees
30,398
Volunteers
2,375

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, spectrum health blodgett, and zeeland community hospitals were named to the fortune/ibm watson 100 top hospitals list. This is the eigth time since 2010 for spectrum health butterworth and blodgett and the sixth time for zeeland community hospital. This year's award includes for the first time a metric for contributions to community health based on equity, which is a primary focus of all work at spectrum health. - spectrum health butterworth and specturm health blodgett hospitals received the healthgrades 2020 america's best hospitals award for a sixth consecutive year (2015-2020). This distinction places butterworth and blodgett in the top one percent of more than 4,500 hospitals in the nation for consistently providing overall clinical excellence across a broad spectrum of conditions and procedures year over year. - spectrum health butterworth and spectrum health blodgett were also the only hospitals in michigan to receive the following three distinctions: america's 50 best hospitals for cardiac surgery; america's 100 best hospitals for joint replacement; and critical care excellance award. - spectrum health butterworth and specturm health blodgett hospitals were ranked "high perfomance" in three adult specialties and 20 procedures/conditions in u.s. News & world report's 2020-21 best hospitals. -helen devos children's hospital was named one of u.s. News & world reports 2020-2021 best children's hospitals in 8 pediatric specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, nephrology, neurology & neurosurgery, orthopedics, pulmonology, and urology. This was the ninth year helen devos children's hospital has been recognized. -spectrum health received an sts 3-star rating, the highest possible ranking, from the society of thoracic surgeons for quality of coronary artery bypass graft surgery among hospitals across the country. -spectrum health butterworth, spectrum health united, and lakeland hospital at niles hospitals were named to newsweek's 2020 list of best maternity care hospitals. Spectrum health hospital group - community hospitals spectrum health hospital group includes eleven community hospitals located across western and southwestern michigan, all dedicated to the communities they serve, as identified below: -newaygo county general hospital association d/b/a spectrum health gerber memorial ("shgm") -memorial medical center of west michigan d/b/a spectrum health ludington hospital ("shl") -mecosta county medical center d/b/a spectrum health big rapids hospital ("shbr") -reed city hospital corporation d/b/a spectrum health reed city hospital ("shrc") -pennock hospital d/b/a spectrum health pennock ("shp") -spectrum health united ("shu") -spectrum health kelsey ("shk") -zeeland community hospital d/b/a spectr

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

SPECTRUM HEALTH PRIMARY CARE PARTNERS D/B/A SPECTRUM HEALTH MEDICAL GROUP ("SHMG") PROVIDES CLINICAL, TEACHING, RESEARCH AND ADMINISTRATIVE PHYSICIAN SERVICES. THESE SERVICES ARE PROVIDED IN AMBULATORY PRACTICES, INPATIENT SETTINGS, AND TEACHING ENVIRONMENTS. SHMG BRINGS TOGETHER THE FINEST PHYSICIANS AND MEDICAL RESOURCES TO GIVE PATIENTS THE BEST HEALTH OUTCOMES AND THE HIGHEST LEVEL OF SERVICE. WITH OVER 1,700 PROVIDERS, A BROAD RANGE OF MEDICAL SPECIALTIES AND SERVICE SITES across the region, SHMG IS THE REGION'S LARGEST MULTISPECIALTY MEDICAL GROUP. FROM FAMILY MEDICINE TO SPECIALIZED CARE, FROM ANNUAL HEALTH CHECKUPS TO COMPLEX SURGERY AND MEDICAL MANAGEMENT, SHMG OFFERS PATIENTS A MEDICAL HOME FOR A LIFETIME OF CARE AND WELLNESS. SHMG'S GOAL IS TO PROVIDE AN UNPARALLELED SYSTEM OF CARE THAT OFFERS FAMILY MEDICINE AND SPECIALIZED CARE, CLOSE CONVENIENT LOCATIONS AND HOURS, COORDINATED APPOINTMENTS AND MEDICAL RECORDS FOR EASE OF SCHEDULING, AND HIGH QUALITY CONSISTENT CARE. SHMG IS A GATEWAY TO SPECTRUM HEALTH'S MANY QUALIFIED AND HIGHLY SKILLED SPECIALISTS AND COMPREHENSIVE SERVICES. BY BRINGING PROVIDERS TOGETHER AS AN INTEGRATED TEAM, SHMG CREATES SEAMLESS ACCESS AND COORDINATED SERVICES TO PATIENTS. ADDITIONALLY, THE HIGH CALIBER MEDICAL PROFESSIONALS AT SHMG THRIVE ON COLLABORATIVE RESEARCH AND MEDICAL EDUCATION. SHMG IS DEEPLY COMMITTED TO ADVANCING PATIENT CARE AND BUILDING A SUSTAINABLE HEALTH CARE SYSTEM FOR CURRENT AND FUTURE GENERATIONS.

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

Spectrum health foundation ("shf") advances the health of west michigan communities by philanthropically supporting the health care, research, and educational programs of the spectrum health integrated health system. Shf provides funding for programs, research and education, and helps to advance innovation, purchase new technology and build state-of-the-art facilities. The foundation exists to meet the needs of patients and families with funds that supplement the health system resources. Shf carefully matches passionate donors with immediate and emerging needs throughout the health system. Thanks to the generosity of donors the foundation is able to help launch, expand and sustain important programs and services that promote health and healing. In cy2020, shf provided over $29 million in grants to organizations within the health system. In addition, lakeland health foundation, benton harbor/st. Joseph (also known as spectrum health lakeland foundation) provided over $3 million in grants/scholarships to organizations/individuals within the health system.

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

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

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

The following organizations included in the group return have unrelated business gross income or loss of $1,000 or more during the year. The unrelated business income of these organizations is reported on form 990-t. Spectrum health gerber memorial (ein 38-1359517) spectrum health hospitals (ein 38-1360529) spectrum health pennock (ein 38-1360562) lakeland hospitals at niles and st. Joseph, inc. (ein 38-2156872)

Form 990, Part V, Line 7A DEDUCTIBLE CONTRIBUTIONS

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

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

Addition Of Members To Group (Lakeland) - XXX-XX-XXXX; Funds Transfer To Supporting Organization - -25308979; Funds Transfer To Entities Outside Group - -11860670; Valuation Allowance - -275200; Other Activity - 2723437; Change In Interest Of Restricted Net Assets Of Outside Trust - 480551; Investment Income - Restricted Assets - 985147;

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

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

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

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

Schedule B Contributions

All organizations included in the group return are covered by the general rule for determining contributions reportable on Schedule B except for Spectrum Health Foundation (EIN 38-2752328), Lakeland Health Foundation Benton Harbor/St Joseph (EIN38-2539929), and Hospice at Home Inc (EIN 38-2416086). Spectrum Health Foundation, Lakeland Health Foundation Benton Harbor/St Joseph, and Hospice at Home Inc are Section 501(c)(3) organizations that met the 33 1/3 % support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi). Pursuant to the Form 990 Schedule B Instructions contributions from any contributor that exceed the greater of (1) $5,000 or (2) 2% of the amount of total contributions, gifts, grants and other similar amounts received by the organization are reportable.

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) and Mercy Memorial Health Services, Inc. (EIN 38-2748035) act as custodians of resident trust bank accounts. These bank accounts are used for the resident's spending during their stay for items such as room & board and barber & beauty services. The funds in the bank accounts come from the Social Security Administration or other personal sources.

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

Spectrum Health Foundation (EIN 38-2752328), Lakeland Health Foundation, Benton Harbor/St Joseph (EIN 38-2539929), and Hospice at Home Inc (EIN 38-2416086) hold endowment funds to provide perpetual support of life saving programs and services to organizations throughout Spectrum Health System.

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IRS990/Desc0SPECTRUM HEALTH SYSTEM GROUP REFLECTS THE COMPOSITE INFORMATION AND OPERATIONS OF 23 TAX EXEMPT ENTITIES, INCLUDING 14 SEPARATELY LICENSED HOSPITALS, A SKILLED NURSING FACILITY, LONG-TERM ACUTE REHABILITATION AND HOME CARE, A MULTISPECIALTY PHYSICIAN GROUP, AND A CHARITABLE FOUNDATION. THE SPECTRUM HEALTH SYSTEM GROUP INCLUDES 150 SERVICE SITES, PHYSICIAN OFFICES AND OUTPATIENT LOCATIONS, PROVIDING CONVENIENT ACCESS TO SERVICES THROUGHOUT OUR 16-COUNTY SERVICE AREA. DURING THE YEAR ENDED DECEMBER 31, 2020 THE SPECTRUM HEALTH INTEGRATED HEALTH SYSTEM PROVIDED NEARLY $542 MILLION IN COMMUNITY BENEFIT PROGRAMS TO WEST MICHIGAN. THE COMMUNITY BENEFIT ACTIVITIES INCLUDED HEALTH CLINICS, RESEARCH, DONATIONS, CHARITY CARE, BAD DEBTS RELATED TO CARING FOR THE UNINSURED AND UNDERINSURED, COSTS FOR GOVERNMENT PROGRAM PATIENTS, COMMUNITY PARTNERSHIP PROGRAMS, HEALTH PROFESSION EDUCATION, AND DISCOUNTED CARE UNDER HEALTHY MICHIGAN PLAN (UNDER 250% FEDERAL POVERTY LEVEL). SPECTRUM HEALTH HOSPITAL GROUP - SEE SCHEDULE O
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6,786$1,211$5,575$11,491$11,221$270
2023Summary only. Only limited summary data is available for this year.$8,721$3,475$5,246$10,374$10,230$145
2022Summary only. Only limited summary data is available for this year.$10,008$4,313$5,695$9,673$9,484$190
2021Summary only. Only limited summary data is available for this year.$4,852$1,908$2,944$4,590$4,243$347
2020Detailed filing. Detailed filing data is available for this year.$4,297$1,600$2,697$4,346$4,045$302
2020Summary only. Only limited summary data is available for this year.$4,297$1,600$2,697$4,346$4,045$302
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$2,645$1,137$1,508$3,524$3,358$165
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,550$1,176$1,373$3,274$3,165$109
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,435$1,178$1,257$3,104$2,976$128
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,346$1,214$1,132$3,047$2,845$201
2015Detailed filing. Detailed filing data is available for this year.$2,340$1,251$1,088$2,763$2,532$231
2014Detailed filing. Detailed filing data is available for this year.$3,128$1,219$1,909$2,600$2,386$214