{"success":true,"data":{"_id":381359517,"filings":[{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"Our mission is to provide competent and compassionate community health care.","primary_activities":"Health care programs, general/other: spectrum health gerber memorial provided 112,155 outpatient ancillary visits, as well as 7,327 adult acute and 720 newborn patient days of care to the residents of newaygo county and the surrounding areas.\n\nHome health care: continu-care, the home health department of the hospital provided 30,424 skilled nursing, physical therapy, occupational therapy, social work, home health aide, and mss/iss service.\n\nPhysician practices/rural health clinics: several physician offices provided 39,305 office visits.\n\nWellness programming and community education, available to the residents of newaygo county and surrounding areas.\n\nForm 990, part i, line 1 - organization's most significant activities we provided hospital, homecare, wellness, and physician healthcare services. Form 990, part i, line 5 and form 990, part v, line 2a - number of employees taxpayer may have indirect employees. Compensation for these employees is paid by a related organization. An allocation of amounts paid for indirect employees is pursuant to a management services contract and is included on lines 5-10 of part ix. Form 990, part iv, line 33 and schedule r - identification of disregarded entities the organization does not own a wholly owned disregarded entity. However, the health system has wholly owned disregarded entities. The organization is reporting indirect control following the constructive ownership rules under section 318 of the internal revenue code. Other entities reported on schedule r are reported based on the same application of the constructive ownership rules of section 318. Form 990, part vii, line 1a - compensation of officers, directors, trustees, key employees, highest compensated employees, and independent contractors consistent with prior years, the compensation reported for these individuals is not for services in their capacity as members of the board of directors but for services as employees of the organization or a related organization. Consistent with prior years, compensation and benefits are reported using the most recent calendar year compensation data. The compensation figures reported in these sections is for the year ended december 31, 2009. Individuals with compensation reported in part vii work a combined average of 40 hours per week for the reporting organization and/or a related tax-exempt organization. Schedule k - supplemental information on tax-exempt bonds the tax-exempt bonds are used for equipping, constructing, and renovating healthcare facilities. Schedule r - direct controlling entity part iv the form 990 limits this column to ten characters and therefore acronyms are used to define the controlling entity. These acronyms are defined as follows: na - not applicable mmpc - michigan medical patient care ph - priority health shcc - spectrum health continuing care shh - spectrum health hospitals shi - spectrum health innovations, llc shs - spectrum health system shu - spectrum health united wmh - west michigan heart","year":2009,"name":"NEWAYGO COUNTY GENERAL HOSPITAL","phone":"2319243300","website":"WWW.GERBERHOSPITAL.ORG","type":"990","principal_officer":"RANDALL STASIK CEO","year_formation":1918,"state_legal_domicile":"MI","total_volunteers":191,"tax_period_begin":"2009-07-01T00:00:00","tax_period_end":"2010-06-30T00:00:00","address":"212 SOUTH SULLIVAN, FREMONT, MI, 49412, USA","city":"FREMONT","state":"MI","country":"USA","zip_code":"49412"},"Governance":{"501c determination":true,"Number of voting members":15,"Number of independent voting members":13,"Number of employees total":692,"Total Gross UBI":0,"Number of employees":692,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or business relationship":false,"Delegation of management duties":false,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation process for other employees":true,"Changes to organizing documents":true,"Material diversion or misuse":false,"Members or stockholders":true,"Election of board members":true,"Decisions subject to approval":true,"Minutes of governing body":true,"Local chapters":false,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":true,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":false,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":true,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":true,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":64999989,"Contributions":{"value":462721,"Other contributions":423022,"Fundraising revenue":39699},"Program revenue":{"value":63885816,"Total revenue":{"value":63885816,"VARIOUS":63885816}},"Investment income":{"value":615394,"Investment income total":627468,"Net investment gain":-12074},"Other revenues":{"value":36058,"Other total":15505,"Net income from fundraising events":-12228,"Net income":32781}},"Expenses":{"value":67391993,"Grant expense":{"value":0},"Total professional fundraising expense":{"value":0},"Benefits paid to members":{"value":0},"Salaries":{"value":34314152,"Current officers":481529,"Disqualified persons":149481,"Other salaries and wages":26040690,"Pension plan contributions":1293632,"Other employee benefits":4436885,"Payroll taxes":1911935},"Other expenses":{"value":33077841,"Legal":95217,"Accounting":70401,"Investment management fees":48504,"Advertising":376829,"Office expenses":16887961,"Occupancy":138676,"Travel":158784,"Interest":1426165,"Depreciation and depletion":3568707,"Insurance":373641,"Itemized Expenses":{"value":9929387,"VARIOUS":9929387},"All other expenses":3569}},"Assets":{"value":52823220,"Non-interest bearing cash":6125828,"Pledges and grants receivable":102024,"Accounts receivable":3437538,"Inventories for sale or use":1181707,"Prepaid expenses deferred charges":721316,"Land, building, equipment":30618952,"Investments publicly traded":9441958,"Other assets":1193897},"Liabilities":{"value":30744158,"Accounts payable, accrued":7797516,"Tax exempt bond liabilities":19473463,"Other liabilities":3473179},"Fund balance":{"value":22079062},"Form990Details":{"program_service_accomplishments":[{"description":"HEALTH CARE PROGRAMS, GENERAL/OTHER: SPECTRUM HEALTH GERBER MEMORIAL PROVIDED 112,155 OUTPATIENT ANCILLARY VISITS, AS WELL AS 7,327 ADULT ACUTE AND 720 NEWBORN PATIENT DAYS OF CARE TO THE RESIDENTS OF NEWAYGO COUNTY AND THE SURROUNDING AREAS.","expense":40349969,"revenue":53377034},{"description":"HOME HEALTH CARE: CONTINU-CARE, THE HOME HEALTH DEPARTMENT OF THE HOSPITAL PROVIDED 30,424 SKILLED NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SOCIAL WORK, HOME HEALTH AIDE, AND MSS/ISS SERVICE.","expense":4043684,"revenue":4358497},{"description":"PHYSICIAN PRACTICES/RURAL HEALTH CLINICS: SEVERAL PHYSICIAN OFFICES PROVIDED 39,305 OFFICE VISITS.","expense":3977712,"revenue":3230485},{"description":"WELLNESS PROGRAMMING AND COMMUNITY EDUCATION, AVAILABLE TO THE RESIDENTS OF NEWAYGO COUNTY AND SURROUNDING AREAS.","expense":2773111,"revenue":1966611}],"program_service_revenue_detail":[{"business_code":"622110"},{"business_code":"531120"},{"business_code":"531120"},{"business_code":"722212"}],"functional_expense_allocations":{"current_officers_directors":{"management_and_general":481529,"total":481529},"disqualified_persons":{"management_and_general":149481,"total":149481},"other_salaries_and_wages":{"program_services":21665214,"management_and_general":4375476,"total":26040690},"pension_plan_contributions":{"program_services":1050807,"management_and_general":242825,"total":1293632},"other_employee_benefits":{"program_services":3604047,"management_and_general":832838,"total":4436885},"payroll_taxes":{"program_services":1553050,"management_and_general":358885,"total":1911935},"legal_fees":{"management_and_general":95217,"total":95217},"accounting_fees":{"management_and_general":70401,"total":70401},"investment_management_fees":{"management_and_general":48504,"total":48504},"advertising":{"program_services":90769,"management_and_general":286060,"total":376829},"office_expenses":{"program_services":11146748,"management_and_general":5741213,"total":16887961},"occupancy":{"program_services":138676,"total":138676},"travel":{"program_services":157508,"management_and_general":1276,"total":158784},"interest":{"management_and_general":1426165,"total":1426165},"depreciation_depletion":{"program_services":3033401,"management_and_general":535306,"total":3568707},"insurance":{"management_and_general":373641,"total":373641},"all_other_expenses":{"management_and_general":3569,"total":3569}},"fundraising_and_gaming_summary":{"fundraising_direct_expenses":12228},"tax_and_disclosure_flags":{"activities_conducted_through_partnership":false,"foreign_financial_account":false,"backup_withholding_compliance":true,"employment_tax_returns_filed":true,"lobbying_activities":false,"deductible_non_cash_contributions":false,"deductible_contributions_of_art":false,"method_of_accounting_accrual":true},"principal_officer_detail":{"person_name":"RANDALL STASIK CEO","address_line1":"212 SOUTH SULLIVAN","city":"FREMONT","state":"MI","zip":"49412"},"audit_financial_statement_detail":{"accountant_compile_or_review":false,"audited_financial_statement_separate":true,"federal_grant_audit_required":false},"related_party_due_diligence":{"officer_entity_with_business_relationship":false,"officer_mailing_address":false,"related_entity":true,"related_org_controlled_entity":true,"compensation_from_other_sources":false,"excess_benefit_transaction":false,"annual_disclosure_covered_persons":true},"grant_due_diligence":{"grants_to_organizations":false,"grants_to_individuals":false,"more_than_5000_to_organizations":false,"more_than_5000_to_individuals":false},"books_are_in_care_of":{"person_name":"JOHN SELLA VP OF FINANCE","phone":"2319243300","address_line1":"212 SOUTH SULLIVAN","city":"FREMONT","state":"MI","zip":"49412"},"contractor_compensation":[{"person_name":"TERRENCE A WESCOTT","compensation":387428,"services_description":"PHYS. THERAPIST","address_line1":"609 PICKERAL LAKE DRIVE","city":"NEWAGO","state":"MI","zip":"49337","name":"TERRENCE A WESCOTT","address":"609 PICKERAL LAKE DRIVE, NEWAGO, MI, 49337"},{"business_name_line1":"AHSA LLC","compensation":363486,"services_description":"STAFFING SVCS","address_line1":"PO BOX 945","city":"TRAVERSE CITY","state":"MI","zip":"49412","name":"AHSA LLC","address":"PO BOX 945, TRAVERSE CITY, MI, 49412"},{"business_name_line1":"PINE MEDICAL GROUP PC","compensation":360825,"services_description":"MGT SERVICE","address_line1":"230 WEST OAK STREET","city":"FREMONT","state":"MI","zip":"49412","name":"PINE MEDICAL GROUP PC","address":"230 WEST OAK STREET, FREMONT, MI, 49412"},{"business_name_line1":"PLANTE & MORAN PLLC","compensation":120631,"services_description":"AUDIT, CONSULT.","address_line1":"16060 COLLECTIONS CENTER","city":"CHICAGO","state":"IL","zip":"60693","name":"PLANTE & MORAN PLLC","address":"16060 COLLECTIONS CENTER, CHICAGO, IL, 60693"},{"business_name_line1":"BLUEWATER ASSOCIATES","compensation":115700,"services_description":"PHYSICIAN SVCS","address_line1":"2760 KEEPER HIGHWAY","city":"LYONS","state":"MI","zip":"48851","name":"BLUEWATER ASSOCIATES","address":"2760 KEEPER HIGHWAY, LYONS, MI, 48851"}],"officers_directors_key_employees":[{"title":"DIRECTOR","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":1138968,"other_compensation":280010,"individual_trustee_or_director":true},{"title":"DIRECTOR","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":668959,"other_compensation":164176,"individual_trustee_or_director":true},{"title":"CHIEF OF STA","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"DIRECTOR","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"DIRECTOR","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"DIRECTOR","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"CHAIR","average_hours_per_week":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"officer":true},{"title":"VICE 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NURSING","average_hours_per_week":40.0,"reportable_comp_from_org":106104,"reportable_comp_from_related_orgs":0,"other_compensation":0,"former":true}]},"ScheduleA":{"public_charity_status":{"hospital_170b1_aiii":true}},"ScheduleB":{"attached":true,"required":true},"ScheduleD":{"donor_advised_funds":{"disclosed_organization_legal_control":false,"disclosed_for_charitable_purposes":false},"conservation_easements":{"written_policy_monitoring":false,"section_170h_requirements_satisfied":false},"collections":{"solicited_assets_sale":false},"escrow_accounts":{"agent_trustee_etc":false,"included_on_financial_statements":false},"endowment_funds":{"held_by_unrelated_organizations":false,"held_by_related_organizations":false,"related_organizations_listed_schedule_r":false},"land_buildings_equipment":{"land":{"investment_cost_or_other_basis":1866182,"book_value":1866182},"buildings":{"investment_cost_or_other_basis":38038238,"book_value":23289323,"depreciation":14748915},"leasehold_improvements":{"investment_cost_or_other_basis":642867,"book_value":119979,"depreciation":522888},"equipment":{"investment_cost_or_other_basis":25150493,"book_value":3998420,"depreciation":21152073},"other_land_buildings":{"investment_cost_or_other_basis":1844233,"book_value":1345048,"depreciation":499185},"total_book_value":30618952},"other_liabilities":{"liabilities":[{"description":"FAIR VALUE OF SWAP AGREEMENT","amount":2347089},{"description":"THIRD PARTY SETTLEMENTS","amount":1126090}],"total_liability":3473179}},"ScheduleG":{"professional_fundraising":{"licensed_states":["MI"]},"fundraising_events":{"event1":{"name":"PACKER PINK OUT","gross_receipts":26756,"charitable_contributions":26756,"noncash_prizes":500,"other_direct_expenses":5059},"event2":{"name":"GOLF 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ST, FREMONT, MI, 49412"},{"business_name_line1":"MEDICAL OFFICE BUILDING","address_line1":"78 N DIVISION ST","city":"HESPERIA","state":"MI","zip":"49421","name":"MEDICAL OFFICE BUILDING","address":"78 N DIVISION ST, HESPERIA, MI, 49421"},{"business_name_line1":"FINANCE & MEDICAL OFFICE BUILDING","address_line1":"204 W MAIN ST","city":"FREMONT","state":"MI","zip":"49412","name":"FINANCE & MEDICAL OFFICE BUILDING","address":"204 W MAIN ST, FREMONT, MI, 49412"},{"business_name_line1":"WELLNESS CENTER","address_line1":"1401 W MAIN ST","city":"FREMONT","state":"MI","zip":"49412","name":"WELLNESS CENTER","address":"1401 W MAIN ST, FREMONT, MI, 49412"},{"business_name_line1":"RESIDENTIAL HOUSE","address_line1":"333 W MAPLE ST","city":"FREMONT","state":"MI","zip":"49412","name":"RESIDENTIAL HOUSE","address":"333 W MAPLE ST, FREMONT, MI, 49412"}],"part_vi_explanations":{"annual_community_benefit":"THE CONSOLIDATED HEALTH SYSTEM PUBLISHES THEIR COMMUNITY BENEFIT REPORT ON THEIR WEBSITE AT WWW.SPECTRUM-HEALTH.ORG (CLICK THE LINK TITLED \"ABOUT US\"). IN ADDITION, THE HEALTH SYSTEM HOLDS AN ANNUAL MEETING TO THE PUBLIC TO DISCUSS ITS COMMUNITY COMMITMENTS.","bad_debt_footnote":"CONSOLIDATED FINANCIAL STATEMENT FOOTNOTE EXTRACT RELATED TO UNCOLLECTIBLE ACCOUNTS THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ACCOUNTS RECEIVABLE PAYOR COMPOSITION AND AGING, AND HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTED ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. AFTER AMOUNTS DUE FROM THIRD-PARTY PAYORS ARE SATISFIED, AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH EXTERNAL COLLECTION AGENCIES. COSTING METHODOLOGY USED IN DETERMINING THE FIGURES REPORTED IN SCH. H, PART III, LINE 1 BAD DEBTS, AT COST, ARE DETERMINED BY USING AN OVERALL RATIO OF COSTS-TO-CHARGES APPLIED AGAINST BAD DEBT EXPENSES (AT CHARGES) IN THE STATEMENT OF ACTIVITIES. RATIONAL FOR INCLUDING BAD DEBTS (AT COST) IN SCH. H, PART III, LINE 2 BAD DEBTS, AT COST, REPRESENT AN UNREIMBURSED LIABILITY TO THE TAXPAYER AND FURTHER DEMONSTRATE HOW, BY ASSUMING THOSE COSTS, THE TAXPAYER PROVIDES AND FULFILLS A HEALTH NEED IN THE COMMUNITY. IN ADDITION, EMERGENCY CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. SOME OF THESE SERVICES ARE PROVIDED TO INDIVIDUALS WHO QUALIFY FOR FINANCIAL ASSISTANCE BUT, FOR PERSONAL OR OTHER PRIVATE REASONS, DON'T APPLY FOR FINANCIAL ASSISTANCE. USING THIS INFORMATIONAL TAX RETURN FOR ITS INTENDED PURPOSE, THE TAXPAYER CHOOSES TO BE FULLY TRANSPARENT AND SHARE ALL THE COSTS OF PROVIDING CHARITY CARE AND COMMUNITY BENEFITS TO THE COMMUNITIES WE SERVE, WHICH INCLUDES CHARITY CARE, THE COSTS OF FREE OR SUBSIDIZED COMMUNITY PROGRAMS, BAD DEBT EXPENSES REDUCED TO COST AND SHORTFALLS IN GOVERNMENT REIMBURSEMENTS (MEDICARE AND MEDICAID). RATIONAL FOR EXCLUDING (OR REPORTING ZERO) BAD DEBTS (AT COST) IN SCH. H, PART III, LINE 3 THE TAXPAYER HAS NOT IDENTIFIED THE AMOUNT OF BAD DEBT EXPENSES (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE OR DISCOUNTED SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY. ALTHOUGH IT'S CERTAIN THAT A PORTION OF BAD DEBT EXPENSES (AT COST) RELATES TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE (HAD THEY PROVIDED INFORMATION TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE), A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED.","community_information":"THE TAXPAYER HAS IDENTIFIED A PRIMARY SERVICE AREA OF SEVERAL COUNTIES INCLUDING NEWAYGO COUNTY, EASTERN OCEANA COUNTY AND EASTERN MUSKEGON COUNTY AS PRIMARY AND NORTHERN KENT COUNTY AND SOUTHERN LAKE COUNTY AS SECONDARY.","debt_collection_policy":"THE TAXPAYER COOPERATIVELY WORKS WITH PATIENTS HAVING SELF-PAY BALANCES TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE ELIGIBILITY POLICY.","general_explanation":"SCHEDULE H, PART I, LINE 3B THE TAXPAYER MAY PROVIDE DISCOUNTED CARE TO ELIGIBLE INDIVIDUALS WHOSE INCOME LEVEL EXCEEDS 500% OF THE FEDERAL POVERTY GUIDELINES. CONSOLIDATED CHARITY CARE AND COMMUNITY BENEFIT REPORTING SCHEDULE H OF THIS TAX RETURN ONLY DISCLOSES CHARITY CARE AND COMMUNITY BENEFIT INFORMATION PERTAINING TO THE REPORTING ENTITY. HOWEVER, FOR A FULL AND MORE ACCURATE UNDERSTANDING OF THE CHARITY CARE AND COMMUNITY BENEFITS PROVIDED BY THE CONSOLIDATED HEALTH SYSTEM PLEASE VISIT OUR WEBSITE AT WWW.SPECTRUM-HEALTH.ORG AND CLICK THE LINK TITLED \"ABOUT US\".","needs_assessment":"PERIODICALLY THE TAXPAYER CONDUCTS A COMMUNITY NEEDS ASSESSMENT USING RESULTS FROM LOCAL, STATE AND NATIONAL SOURCES. THE LAST SUCH COMMUNITY NEEDS ASSESSMENT UTILIZED THE FOLLOWING SOURCES: 1)STATE AND PUBLIC HEALTH STATISTICS AVAILABLE ON LINE 2)NEWAYGO COUNTY HEALTH DEPARTMENT - HEALTHIER COMMUNITIES NEEDS ASSESSMENT 3)NEWAYGO COUNTY COMMUNITY CONSORTIUM DATA DASHBOARD","patient_education_assistance":"TAXPAYER HAS A FINANCIAL COUNSELOR WHO WORKS WITH PATIENTS THAT EXPRESS ANY LEVEL OF CONCERN WITH PAYING THEIR BILL. IN ADDITION, THE TAXPAYER ALSO PROACTIVELY IDENTIFIES PATIENTS WHO HAVE QUALIFYING FACTORS FOR GOVERNMENTAL ASSISTANCE. IF THE NEED FOR ASSISTANCE IS NOT IDENTIFIED PRIOR TO BILLING, PATIENT CONCERNS THAT ARE RECEIVED AS A RESULT OF RECEIVING A BILL ARE ADDRESSED BY THE FINANCIAL COUNSELOR AT THAT TIME.","shortfall_as_community_benefit":"THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; (2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; (3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND (4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS. IN DETERMINING MEDICARE SHORTFALLS THE TAXPAYER USES A RATIO OF COST TO CHARGES. IN DETERMINING THE RATIO OF COST TO CHARGES THE TAXPAYER ADJUSTS FOR BAD DEBT EXPENSES, NON-PATIENT CARE ACTIVITIES, MEDICAID PROVIDER TAXES AND COMMUNITY BENEFITS ACCOUNTED FOR AND OR REPORTED ELSEWHERE. THE RATIO OF COST TO CHARGES IS APPLIED TO MEDICARE CHARGES TO DETERMINE SHORTFALLS IN MEDICARE REIMBURSEMENTS.","subsidized_health_services":"SUBSIDIZED HEALTH SERVICES INCLUDE THE UNREIMBURSED COSTS OF PROVIDING FREE OR SUBSIDIZED HEALTH SERVICES AND/OR COMMUNITY CLINICS."}},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":true,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"MATTHEW VANVRANKEN","bonus_related_orgs":458771,"compensation_based_on_related_orgs":663894,"comp_report_prior_990_related_orgs":279183,"deferred_compensation_related_orgs":186411,"nontaxable_benefits_related_orgs":93599,"other_compensation_related_orgs":16303,"total_compensation_related_orgs":1418978,"name":"MATTHEW VANVRANKEN"},{"person_name":"MARC CHIRCOP","bonus_related_orgs":283501,"compensation_based_on_related_orgs":373870,"comp_report_prior_990_related_orgs":211553,"deferred_compensation_related_orgs":113177,"nontaxable_benefits_related_orgs":50999,"other_compensation_related_orgs":11588,"total_compensation_related_orgs":833135,"name":"MARC CHIRCOP"},{"person_name":"RANDALL STASIK","base_compensation_filing_org":218576,"bonus_filing_org":20795,"other_compensation_filing_org":9000,"total_compensation_filing_org":248371,"name":"RANDALL STASIK"},{"person_name":"DR JAMES PATENGE","base_compensation_filing_org":284520,"bonus_filing_org":25880,"total_compensation_filing_org":310400,"name":"DR JAMES PATENGE"},{"person_name":"DR TAMI MICHELE","base_compensation_filing_org":211212,"bonus_filing_org":26250,"total_compensation_filing_org":237462,"name":"DR TAMI MICHELE"},{"person_name":"DR MARK BYLAND","base_compensation_filing_org":201957,"other_compensation_filing_org":24078,"total_compensation_filing_org":226035,"name":"DR MARK BYLAND"},{"person_name":"MARCUS GARDENER","base_compensation_filing_org":225497,"total_compensation_filing_org":225497,"name":"MARCUS GARDENER"},{"person_name":"DAVID POEL","base_compensation_filing_org":222794,"total_compensation_filing_org":222794,"name":"DAVID POEL"},{"person_name":"SUE NIEBOER","base_compensation_filing_org":106104,"total_compensation_filing_org":106104,"name":"SUE NIEBOER"}],"supplemental_information":[{"identifier":"SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS","form_and_line_reference":"SCHEDULE J, PAGE 1, PART I, LINE 4","explanation":"SUE NIEBOER 43,377 0 0"},{"identifier":"OTHER ADDITIONAL INFORMATION","form_and_line_reference":"SCHEDULE J, PART III","explanation":"SCHEDULE J, PART I, LINE 4A PER HER CONTRACT, THE FORMER CNO RECEIVED SEVERANCE PAY FOR ONE YEAR AFTER HER RESIGNATION. SCHEDULE J, PART I, LINE 4B IS ANSWERED \"YES\" BECAUSE CERTAIN INDIVIDUALS, WHOSE SALARY AND BENEFITS ARE PAID BY THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION, DO \"PARTICIPATE IN\" A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. HOWEVER, NONE OF THESE PARTICIPANTS \"RECEIVED PAYMENT FROM\" THESE PLANS DURING THE TAX YEAR."}]},"ScheduleK":{"bond_issues":[{"issuer_ein":383468654,"business_name_line1":"CITY OF FREMONT HOSPITAL FINANCE","cusip_number":"357330AC3","date_issued":"2007-03-07T00:00:00","issue_price":10800000,"purpose":"SEE SCH. O","defeased":false,"on_behalf_of_issuer":false,"name":"CITY OF FREMONT HOSPITAL FINANCE"},{"issuer_ein":382889417,"business_name_line1":"MICHIGAN STATE HOSPITAL FINANCE AUT","cusip_number":"59465E7F4","date_issued":"2004-11-10T00:00:00","issue_price":2700000,"purpose":"SEE SCH. O","defeased":false,"on_behalf_of_issuer":false,"name":"MICHIGAN STATE HOSPITAL FINANCE AUT"}],"bond_proceeds":[{"total_proceeds":10800000,"substantial_completion_year":2007,"current_refunding":false,"advance_refunding":false,"final_allocation_made":true,"adequate_books_and_records_maintained":true},{"total_proceeds":2700000,"substantial_completion_year":2005,"current_refunding":false,"advance_refunding":false,"final_allocation_made":true,"adequate_books_and_records_maintained":true}],"private_business_use":[{"post_issuance_compliance_procedures":true,"management_contract":false,"bond_counsel_routinely_engaged":false,"research_agreements":false,"lease_arrangements":true,"partnership_or_llc_owning_property":false},{"post_issuance_compliance_procedures":true,"management_contract":false,"bond_counsel_routinely_engaged":false,"research_agreements":false,"lease_arrangements":false,"partnership_or_llc_owning_property":false}],"arbitrage":[{"gross_proceeds_invested":false,"gross_proceeds_invested_in_gic":false,"hedge_identified_in_books_and_records":false,"variable_rate_issue":true,"exception_to_rebate":false,"form_8038t_filed":true},{"gross_proceeds_invested":false,"gross_proceeds_invested_in_gic":false,"hedge_identified_in_books_and_records":false,"variable_rate_issue":true,"exception_to_rebate":false,"form_8038t_filed":true}]},"ScheduleR":{"disregarded_entities":[{"ein":382715520,"business_name_line1":"PHMB PROPERTIES LLC","business_name_line2":"PHMB PROPERTIES LLC-1231 EAST BELT","primary_activities":"PROP. 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Chair","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"officer":true},{"title":"Treasurer","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"officer":true},{"title":"Director","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"Director","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"Director","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"Director","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"Ex-Officio Director","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":496257,"other_compensation":185237,"individual_trustee_or_director":true},{"title":"Director","average_hours_per_week":50.0,"reportable_comp_from_org":220350,"reportable_comp_from_related_orgs":0,"other_compensation":25725,"individual_trustee_or_director":true},{"title":"Ex-Officio Director","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":1053788,"other_compensation":314403,"individual_trustee_or_director":true},{"title":"Director","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"CFO","average_hours_per_week":50.0,"reportable_comp_from_org":165761,"reportable_comp_from_related_orgs":0,"other_compensation":23001,"officer":true},{"title":"Anethesiologist","average_hours_per_week":50.0,"reportable_comp_from_org":226778,"reportable_comp_from_related_orgs":0,"other_compensation":33712,"highest_compensated_employee":true},{"title":"OB/GYN","average_hours_per_week":50.0,"reportable_comp_from_org":246637,"reportable_comp_from_related_orgs":0,"other_compensation":31181,"highest_compensated_employee":true},{"title":"CRNA","average_hours_per_week":50.0,"reportable_comp_from_org":233406,"reportable_comp_from_related_orgs":0,"other_compensation":31708,"highest_compensated_employee":true},{"title":"OB/GYN","average_hours_per_week":50.0,"reportable_comp_from_org":297556,"reportable_comp_from_related_orgs":0,"other_compensation":32661,"highest_compensated_employee":true},{"title":"OB/GYN","average_hours_per_week":50.0,"reportable_comp_from_org":299928,"reportable_comp_from_related_orgs":0,"other_compensation":26590,"highest_compensated_employee":true}]},"ScheduleA":{"public_charity_status":{"hospital_170b1_aiii":true}},"ScheduleB":{"attached":true,"required":true},"ScheduleD":{"land_buildings_equipment":{"land":{"other_cost_or_other_basis":1963574,"book_value":1963574},"buildings":{"other_cost_or_other_basis":25430282,"book_value":21922219,"depreciation":3508063},"leasehold_improvements":{"other_cost_or_other_basis":15898,"book_value":15103,"depreciation":795},"equipment":{"other_cost_or_other_basis":8741402,"book_value":5671007,"depreciation":3070395},"other_land_buildings":{"other_cost_or_other_basis":505792,"book_value":503042,"depreciation":2750},"total_book_value":30074945},"other_liabilities":{"federal_income_tax_liability":0,"liabilities":[{"description":"FAIR VALUE OF SWAP AGREEMENT","amount":3555489},{"description":"THIRD PARTY SETTLEMENTS","amount":1530290},{"description":"DUE TO AFFILIATES","amount":5143017},{"description":"OTHER LT LIABILITIES","amount":128336}],"total_liability":10357132},"supplemental_information":[{"identifier":"FIN 48 (ASC 740) FOOTNOTE","form_and_line_reference":"PART X, LINE 2","explanation":"SPECTRUM HEALTH SYSTEM CONDUCTS AN ANALYSIS ANNUALLY TO DETERMINE THE ORGANIZATION'S LIABILITY WITH RESPECT TO UNCERTAIN TAX POSITIONS. FOR THE YEAR ENDED JUNE 30, 2012 IT WAS DETERMINED THAT THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS TO DISCLOSE. AS SUCH, THERE WAS NO FOOTNOTE ADDED TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS."}]},"ScheduleG":{"fundraising_events":{"event1":{"name":"GOLF OUTING","gross_receipts":26122,"charitable_contributions":15050,"gross_revenue":11072,"noncash_prizes":1530,"rent_facility_costs":3913,"food_and_beverage":1383,"other_direct_expenses":2318},"event2":{"name":"TURKEY TROT RUN","gross_receipts":18765,"charitable_contributions":9700,"gross_revenue":9065,"noncash_prizes":7767,"food_and_beverage":105,"other_direct_expenses":11302},"other_events":{"gross_revenue":0},"total":{"gross_receipts":44887,"charitable_contributions":24750,"gross_revenue":20137,"cash_prizes":0,"noncash_prizes":9297,"rent_facility_costs":3913,"food_and_beverage":1488,"entertainment":0,"other_direct_expenses":13620},"direct_expense_summary":28318,"net_income_summary":-8181}},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"policy_applied_to_all_hospitals":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":false,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":5313821,"bad_debt_expense_attributable_to_financial_assistance":0,"reimbursed_by_medicare":19332044,"cost_of_care_reimbursed_by_medicare":23281419,"medicare_surplus_or_shortfall":-3949375,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":1119451,"net_community_benefit_expense":1119451,"total_expense_percentage":0.0172},"unreimbursed_medicaid":{"total_community_benefit_expense":12359526,"direct_offsetting_revenue":9181967,"net_community_benefit_expense":3177559,"total_expense_percentage":0.0487},"unreimbursed_costs":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"total_financial_assistance":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":13478977,"direct_offsetting_revenue":9181967,"net_community_benefit_expense":4297010,"total_expense_percentage":0.0659},"community_health_services":{"total_community_benefit_expense":151691,"net_community_benefit_expense":151691,"total_expense_percentage":0.0023},"health_professions_education":{"total_community_benefit_expense":15010,"net_community_benefit_expense":15010,"total_expense_percentage":0.0002},"subsidized_health_services":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"research":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"cash_and_inkind_contributions":{"total_community_benefit_expense":118758,"net_community_benefit_expense":118758,"total_expense_percentage":0.0018},"total_other_benefits":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":285459,"direct_offsetting_revenue":0,"net_community_benefit_expense":285459,"total_expense_percentage":0.0043},"total_community_benefits":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":13764436,"direct_offsetting_revenue":9181967,"net_community_benefit_expense":4582469,"total_expense_percentage":0.0702}},"community_building":{"physical_improvements_and_housing":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"economic_development":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"community_support":{"total_community_benefit_expense":13282,"net_community_benefit_expense":13282,"total_expense_percentage":0.0002},"environmental_improvements":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"leadership_development":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"coalition_building":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"health_improvement_advocacy":{"total_community_benefit_expense":214,"net_community_benefit_expense":214,"total_expense_percentage":0.0},"workforce_development":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"other_community_building_activities":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"total_community_building_activities":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":13496,"direct_offsetting_revenue":0,"net_community_benefit_expense":13496,"total_expense_percentage":0.0002}},"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"SPECTRUM HEALTH GERBER MEMORIAL","address_line1":"212 S SULLIVAN ST","city":"FREMONT","state":"MI","zip":"49412","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"name":"SPECTRUM HEALTH GERBER MEMORIAL","address":"212 S SULLIVAN ST, FREMONT, MI, 49412"}],"supplemental_information":[{"form_and_line_reference":"Schedule H, Part I, Line 3c","explanation":"THE ORGANIZATION USES FPG TO DETERMINE ELIGIBILITY FOR FREE CARE. AN EVALUATION IS NOT USED FOR DISCOUNTED CARE, AS APPLICANTS THAT QUALIFY FOR ANY ASSISTANCE RECEIVE FREE CARE."},{"form_and_line_reference":"Schedule H, Part I, Line 6a","explanation":"SPECTRUM HEALTH"},{"form_and_line_reference":"SCHEDULE H, PART I, LINE 6A","explanation":"THE HEALTH SYSTEM PUBLISHES A CONSOLIDATED COMMUNITY BENEFIT REPORT ON ITS WEBSITE AT WWW.SPECTRUMHEALTH.ORG (CLICK THE LINK TITLED \"ABOUT US\"). IN ADDITION, THE HEALTH SYSTEM HOLDS AN ANNUAL MEETING TO THE PUBLIC TO DISCUSS ITS COMMUNITY COMMITMENTS."},{"form_and_line_reference":"Schedule H, Part I, Line 7","explanation":"THE ORGANIZATION CALCULATES AN OVERALL COST-TO-CHARGE RATIO DERIVED BY USING THE IRS WORKSHEET 2 FORMAT, RATIO OF PATIENT CARE COST-TO-CHARGES. ALL PATIENT SEGMENTS AND PAYERS ARE USED IN THE CALCULATION."},{"form_and_line_reference":"Schedule H, Part I, Line 7, column(f)","explanation":"5,313,821"},{"form_and_line_reference":"Schedule H, Part II","explanation":"THE ORGANIZATION WORKS TO ADDRESS MANY OF THE COMMUNITY'S PRESSING HEALTH ISSUES BY PROMOTING AND ADVOCATING FOR OVERALL COMMUNITY HEALTH IMPROVEMENT. COMMUNITY BUILDING ACTIVITIES INCLUDE: 1. PROVIDING PHYSICAL IMPROVEMENTS AND ECONOMIC DEVELOPMENT; 2. PROVIDING LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS AND PARTNERS; 3. RAISING AWARENESS THROUGH CONDUCTING ASSESSMENTS, PROVIDING EDUCATION AND ASSISTING IN DISEASE MANAGEMENT; 4. OFFERING PRESENTATIONS AND DEMONSTRATIONS TO MEMBERS OF THE COMMUNITY AND THROUGHOUT THE LOCAL SCHOOLS."},{"form_and_line_reference":"Schedule H, Part III, Line 4","explanation":"CONSOLIDATED FINANCIAL STATEMENT FOOTNOTE EXTRACT RELATED TO UNCOLLECTIBLE ACCOUNTS: THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ACCOUNTS RECEIVABLE, PAYOR COMPOSITION AND AGING, AND HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTED ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. AFTER AMOUNTS DUE FROM THIRD-PARTY PAYORS ARE SATISFIED, AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH EXTERNAL COLLECTION AGENCIES. COSTING METHODOLOGY USED IN DETERMINING THE FIGURES REPORTED IN SCHEDULE H, PART III, SECTION A: ALL CHARGES ARE REPORTED AT GROSS, WHICH IS CONSISTENT WITH THE REPORTING METHODOLOGY USED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. RATIONALE FOR INCLUDING BAD DEBTS (AT GROSS CHARGES) IN SCHEDULE H, PART III, LINE 2: BAD DEBTS REPRESENT AN UNREIMBURSED LIABILITY TO THE ORGANIZATION AND FURTHER DEMONSTRATE HOW, BY ASSUMING THOSE COSTS, THE ORGANIZATION PROVIDES AND FULFILLS A HEALTH NEED IN THE COMMUNITY. IN ADDITION, EMERGENCY CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. SOME SERVICES ARE PROVIDED TO INDIVIDUALS WHO QUALIFY FOR FINANCIAL ASSISTANCE BUT, FOR PERSONAL OR OTHER PRIVATE REASONS, DON'T APPLY FOR FINANCIAL ASSISTANCE. USING THIS INFORMATIONAL TAX RETURN FOR ITS INTENDED PURPOSE, THE ORGANIZATION CHOOSES TO BE FULLY TRANSPARENT AND SHARE ALL OF THE COSTS OF PROVIDING CHARITY CARE AND COMMUNITY BENEFITS TO THE COMMUNITIES WE SERVE, WHICH INCLUDES CHARITY CARE, THE COSTS OF FREE OR SUBSIDIZED COMMUNITY PROGRAMS, BAD DEBT EXPENSES AND SHORTFALLS IN GOVERNMENT REIMBURSEMENTS (MEDICARE AND MEDICAID). RATIONALE FOR REPORTING ZERO ON SCHEDULE H, PART III, LINE 3 (OR RATIONALE FOR EXCLUDING A PORTION OF BAD DEBT AMOUNTS AS COMMUNITY BENEFIT): THE ORGANIZATION HAS NOT IDENTIFIED THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE OR DISCOUNTED SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY. ALTHOUGH A PORTION OF BAD DEBT EXPENSES RELATES TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE (HAD THEY PROVIDED INFORMATION TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE), A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED. THE ORGANIZATION IS IN THE PROCESS OF IMPLEMENTING A \"PROPENSITY TO PAY\" EVALUATION TOOL TO PROACTIVELY ASSESS PAYMENT RISK AND USE PREDICTIVE ANALYSIS TO DETERMINE A PATIENT'S LIKELIHOOD TO PAY MEDICAL BILLS. WITH THIS INFORMATION, THE ORGANIZATION WILL BE ABLE TO INITIATE MORE PRODUCTIVE FINANCIAL COUNSELING DISCUSSIONS WHICH WILL ULTIMATELY RESULT IN THE REDUCTION OF PATIENT BAD DEBT."},{"form_and_line_reference":"Schedule H, Part III, Line 8","explanation":"THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; (2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; (3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND (4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS. IN DETERMINING MEDICARE SHORTFALLS THE ORGANIZATION USES A RATIO OF COST TO CHARGES. IN DETERMINING THE RATIO OF COST TO CHARGES THE ORGANIZATION ADJUSTS FOR BAD DEBT EXPENSES, NON-PATIENT CARE ACTIVITIES, MEDICAID PROVIDER TAXES AND COMMUNITY BENEFITS ACCOUNTED FOR, AND OR REPORTED, ELSEWHERE. THE RATIO OF COST TO CHARGES IS APPLIED TO MEDICARE CHARGES TO DETERMINE SHORTFALLS IN MEDICARE REIMBURSEMENTS."},{"form_and_line_reference":"Schedule H, Part III, Line 9b","explanation":"THE ORGANIZATION'S COLLECTION POLICY THAT APPLIES TO THE LARGEST NUMBER OF ITS PATIENTS DURING THE TAX YEAR CONTAINS PROVISIONS TO ENSURE COLLECTION ACTIVITY OCCURS ONLY FOR THOSE WHO ARE UNWILLING TO PAY, OPPOSED TO THOSE NOT ABLE. PATIENTS EXPRESSING OR IDENTIFIED AS HAVING INABILITY TO PAY ARE ASSESSED FOR ASSISTANCE."},{"form_and_line_reference":"Schedule H, Part V Section B, Line 10","explanation":"(1) SPECTRUM HEALTH GERBER MEMORIAL - THE ORGANIZATION USES FPG TO DETERMINE ELIGIBILITY FOR FREE CARE. AN EVALUATION IS NOT USED FOR DISCOUNTED CARE, AS APPLICANTS THAT QUALIFY FOR ANY ASSISTANCE RECEIVE FREE CARE.;"},{"form_and_line_reference":"Schedule H, Part V Section B, Line 11h","explanation":"(1) SPECTRUM HEALTH GERBER MEMORIAL - THE ORGANIZATION DOES NOT CHARGE ANY AMOUNT TO PATIENTS WHO QUALIFY FOR ASSISTANCE.;"},{"form_and_line_reference":"Schedule H, Part V Section B, Line 13g","explanation":"(1) SPECTRUM HEALTH GERBER MEMORIAL - THE ORGANIZATION PUBLICIZES THE FINANCIAL ASSISTANCE POLICY BY COMMUNICATING ITS AVAILABILITY VIA A PATIENT HANDBOOK, SIGNAGE, INFORMATIONAL BROCHURES, COMMUNITY PUBLICATIONS, AND VIA WORD OF MOUTH BY FINANCIAL COUNSELORS ASSISTING PATIENTS. ALTHOUGH THE POLICY ITSELF IS NOT PUBLICLY POSTED IN WAITING ROOMS OR ATTACHED TO BILLS, THERE IS REFERENCE THAT IT IS AVAILABLE. THE ORGANIZATION IS REVIEWING ITS POLICIES COMPARED TO THE REQUIREMENTS OF THE 501(R) PROPOSED REGULATIONS THAT WERE PUBLISHED ON JUNE 22, 2012.;"},{"form_and_line_reference":"Schedule H, Part V Section B, Line 19d","explanation":"(1) SPECTRUM HEALTH GERBER MEMORIAL - THE ORGANIZATION DOES NOT CHARGE ANY AMOUNT TO PATIENTS WHO QUALIFY FOR ASSISTANCE.;"},{"form_and_line_reference":"Schedule H, Part VI, Line 2","explanation":"THE NEWAYGO COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS A SYSTEMATIC PROCESS FOR INVOLVING COMMUNITY PARTNERS IN EXAMINING INDICATORS OF HEALTH IN THE POPULATION, GATHERING INPUT FROM COMMUNITY MEMBERS IDENTIFYING STRATEGIC ISSUES, AND IDENTIFYING STRATEGIC PRIORITIES THAT, IF ADDRESSED, WOULD IMPROVE THE HEALTH OF NEWAYGO COUNTY RESIDENTS. THE OVERALL OBJECTIVE OF THIS CHNA IS TO IDENTIFY KEY HEALTH AND HEALTH SERVICE ISSUES IN NEWAYGO COUNTY. THE RESULTS WILL BE USED TO ASSIST IN PLANNING, IMPLEMENTATION OF PROGRAMS AND SERVICES, EVALUATING RESULTS, ALLOCATION OF RESOURCES, AND ACHIEVING IMPROVED HEALTH OUTCOMES, SPECIFICALLY RELATED TO IDENTIFIED NEEDS. MORE SPECIFICALLY, OBJECTIVES INCLUDE: * GAUGE THE OVERALL HEALTH CLIMATE OR LANDSCAPE IN NEWAYGO COUNTY * DETERMINE POSITIVE AND NEGATIVE HEALTH INDICATORS * IDENTIFY RISK BEHAVIORS * ESTABLISH EXISTING CLINICAL PREVENTIVE PRACTICES * MEASURE THE PREVALENCE OF CHRONIC CONDITIONS * DETERMINE DEGREE/LEVEL OF HEALTH CARE ACCESS * ASCERTAIN BARRIERS AND OBSTACLES TO HEALTH CARE * UNCOVER GAPS IN HEALTH CARE SERVICES OR PROGRAMS * IDENTIFY HEALTH DISPARITIES"},{"form_and_line_reference":"Schedule H, Part VI, Line 3","explanation":"THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY THROUGH PRODUCING INFORMATION CARDS FOR THE UNINSURED, COMMUNITY OUTREACH PROGRAMS, CONSUMER INFORMATION CLASSES, ORGANIZATION WEBSITE, PERSONAL FINANCIAL COUNSELING, AND BY PROVIDING ASSISTANCE IN THE ACTUAL ENROLLMENT OF SUCH PROGRAMS. THE ORGANIZATION HAS A DEPARTMENT OF FINANCIAL COUNSELORS WHO WORK WITH PATIENTS THAT EXPRESS ANY LEVEL OF CONCERN WITH PAYING THEIR BILL. IN ADDITION, THE ORGANIZATION ALSO PROACTIVELY IDENTIFIES PATIENTS WHO HAVE QUALIFYING FACTORS FOR GOVERNMENTAL ASSISTANCE AND PARTNERS WITH ORGANIZATIONS THAT SPECIALIZE IN THE QUALIFICATION PROCESS. IF THE NEED FOR ASSISTANCE IS NOT IDENTIFIED PRIOR TO BILLING, PATIENT CONCERNS THAT ARE RECEIVED AS A RESULT OF RECEIVING A BILL ARE ADDRESSED BY FINANCIAL COUNSELORS AT THAT TIME. THE ORGANIZATION WIDELY PUBLICIZES COMMUNICATIONS TO PATIENTS AND THE PUBLIC ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. THIS IS ACHIEVED THROUGH VARIOUS METHODS INCLUDING, BUT NOT LIMITED TO, VIA THE SPECTRUM HEALTH PATIENT HANDBOOK, VARIOUS INFORMATIONAL BROCHURES, SIGNAGE IN EACH HOSPITAL DEPARTMENT, ADMISSIONS OFFICES AND OTHER PUBLIC LOCATIONS, UPON REQUEST BY ANY PATIENT, GUARANTOR OR COMMUNITY MEMBER, WORD OF MOUTH VIA FINANCIAL COUNSELORS AND OTHERS, AND THROUGH COMMUNITY PUBLICATIONS AND OUTREACH EVENTS. IN ADDITION, THE ORGANIZATION LISTS OPTIONS FOR THE UNINSURED AND UNDERINSURED ON THEIR WEBSITE, ALONG WITH A COPY OF THE FINANCIAL ASSISTANCE ELIGIBILITY POLICY (SEARCH \"FINANCIAL ASSISTANCE\" AT WWW.SPECTRUMHEALTH.ORG)."},{"form_and_line_reference":"Schedule H, Part VI, Line 4","explanation":"THE ORGANIZATION HAS IDENTIFIED A PRIMARY SERVICE AREA OF SEVERAL COUNTIES INCLUDING NEWAYGO COUNTY, EASTERN OCEANA COUNTY AND EASTERN MUSKEGON COUNTY AS PRIMARY AND NORTHERN KENT COUNTY AND SOUTHERN LAKE COUNTY AS SECONDARY."},{"form_and_line_reference":"Schedule H, Part VI, Line 5","explanation":"SPECTRUM HEALTH GERBER MEMORIAL'S BOARD OF DIRECTORS IS COMPOSED OF MEMBERS OF WHICH SUBSTANTIALLY ALL ARE INDEPENDENT COMMUNITY MEMBERS. A MAJORITY OF THE BOARD RESIDES IN SPECTRUM HEALTH GERBER MEMORIAL'S PRIMARY SERVICE AREA. SPECTRUM HEALTH GERBER MEMORIAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. PEOPLE THROUGHOUT THE COMMUNITY CAN COUNT ON SPECTRUM HEALTH GERBER MEMORIAL TO BE STANDING BY WITH EMERGENCY CARE 24 HOURS A DAY, 365 DAYS A YEAR. THE EMERGENCY DEPARTMENT IS STAFFED WITH BOARD-CERTIFIED EMERGENCY CARE PHYSICIANS AND A NURSING STAFF THAT IS TRAINED AND EXPERIENCED IN EMERGENCY CARE. FURTHERMORE, NO PATIENT IS DENIED TREATMENT, REGARDLESS OF THEIR ABILITY TO PAY."},{"form_and_line_reference":"Schedule H, Part VI, Line 6","explanation":"SPECTRUM HEALTH IS AN INTEGRATED NOT-FOR-PROFIT HEALTH SYSTEM IN WEST MICHIGAN OFFERING A FULL CONTINUUM OF CARE THROUGH THE SPECTRUM HEALTH HOSPITAL GROUP, WHICH IS COMPRISED OF NINE HOSPITALS INCLUDING HELEN DEVOS CHILDREN'S HOSPITAL, A STATE OF THE ART CHILDREN'S HOSPITAL THAT OPENED IN JANUARY 2011, AND 183 SERVICE SITES; THE SPECTRUM HEALTH MEDICAL GROUP AND WEST MICHIGAN HEART, PHYSICIAN GROUPS TOTALING MORE THAN 700 PROVIDERS; AND PRIORITY HEALTH, A HEALTH PLAN WITH 600,000 MEMBERS. SPECTRUM HEALTH IS WEST MICHIGAN'S LARGEST EMPLOYER WITH 19,000 EMPLOYEES. THE ORGANIZATION PROVIDED $204 MILLION IN COMMUNITY BENEFIT DURING ITS 2012 FISCAL YEAR. SPECTRUM HEALTH GERBER MEMORIAL IS A MEMBER OF THE AFFILIATED GROUP OF ENTITIES WITHIN THE SPECTRUM HEALTH SYSTEM (\"SPECTRUM HEALTH\"). EACH MEMBER CREATES VALUE WITHIN ITS RESPECTIVE COMMUNITY AND IS RESPONSIBLE FOR THEIR ACTIONS AND THE IMPACT THESE ACTIONS HAVE. FROM ITS INCEPTION, SPECTRUM HEALTH HAS BEEN A FAITHFUL STEWARD OF ITS COMMUNITY ASSETS. AS A WEST MICHIGAN-BASED NOT-FOR-PROFIT HEALTH SYSTEM, THE ORGANIZATION INVESTS ITS NET EARNINGS TO IMPROVE PATIENT CARE, BUILD AND RENOVATE FACILITIES, PURCHASE NEW TECHNOLOGY, PROVIDE HEALTH EDUCATION AND FUND LOCAL COMMUNITY PROGRAMS. OVER THE YEARS, OUR MISSION HAS REMAINED THE SAME-TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. WE TAKE OUR MISSION SERIOUSLY. IT IS CENTRAL TO OUR STRATEGIC DISCUSSIONS AND GUIDES OUR INVESTMENTS AND THE ALLOCATION OF OUR RESOURCES. SPECTRUM HEALTH IS COMMITTED TO PROVIDING VALUE TO THE PEOPLE WE SERVE. \"VALUE\" MEANS ACCESS TO HIGH-QUALITY HEALTH CARE AT AFFORDABLE COSTS, AS WELL AS ACCESS TO THE FULL CONTINUUM OF HEALTH CARE SERVICES, FROM HEALTH INSURANCE TO OUTPATIENT CARE TO INPATIENT AND HOME CARE, AND EVERYTHING IN BETWEEN. SPECTRUM HEALTH HAS HUNDREDS OF PROGRAMS THAT SUPPORT ITS MISSION \"TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.\" THESE PROGRAMS ARE BROUGHT TOGETHER UNDER NINE KEY AREAS: HEALTHIER COMMUNITIES, EDUCATION, COMMUNITY ENGAGEMENT, RESEARCH, INNOVATION, EMPLOYEE ENGAGEMENT, SUSTAINABILITY, REGIONAL RELATIONSHIPS AND COMMUNITY BENEFIT."}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"benefits_and_procedures":{"health_or_social_club_dues":true,"substantiation_required":true,"written_policy_travel_and_entertainment":true},"compensation_process":{"compensation_committee":true,"independent_consultant":true,"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"ERICH 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SELLA","base_compensation_filing_org":141765,"bonus_filing_org":22501,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":7915,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":15086,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":1496,"other_compensation_related_orgs":0,"total_compensation_filing_org":188762,"total_compensation_related_orgs":0,"name":"JOHN SELLA"},{"person_name":"MARC 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GARDINER","base_compensation_filing_org":233173,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":13069,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":18639,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":233,"other_compensation_related_orgs":0,"total_compensation_filing_org":265113,"total_compensation_related_orgs":0,"name":"MARCUS GARDINER"},{"person_name":"MARK BYLAND 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VRANKEN","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":261387,"compensation_based_on_related_orgs":775095,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":56956,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":214689,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":99714,"other_compensation_filing_org":0,"other_compensation_related_orgs":17306,"total_compensation_filing_org":0,"total_compensation_related_orgs":1368191,"name":"MATTHEW VAN VRANKEN"},{"person_name":"MELISSA BAYNE","base_compensation_filing_org":251821,"bonus_filing_org":25000,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":9582,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":23079,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":20734,"other_compensation_related_orgs":0,"total_compensation_filing_org":330217,"total_compensation_related_orgs":0,"name":"MELISSA BAYNE"},{"person_name":"RANDY STASIK","base_compensation_filing_org":228920,"bonus_filing_org":50671,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":61038,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":43441,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":8517,"other_compensation_related_orgs":0,"total_compensation_filing_org":392588,"total_compensation_related_orgs":0,"name":"RANDY STASIK"},{"person_name":"TAMI MICHELE","base_compensation_filing_org":271063,"bonus_filing_org":2606,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":8848,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":17742,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":26260,"other_compensation_related_orgs":0,"total_compensation_filing_org":326518,"total_compensation_related_orgs":0,"name":"TAMI MICHELE"}],"supplemental_information":[{"identifier":"Health or social club dues or initiation fees","form_and_line_reference":"Schedule J, Part I, Line 1a","explanation":"THE ORGANIZATION PROVIDED HEALTH CLUB DUES FOR ONE EXECUTIVE EMPLOYEE (PRESIDENT). THE RELATED AMOUNTS WERE TREATED AS TAXABLE COMPENSATION AND INCLUDED IN FORM W-2."},{"identifier":"Arrangement used to establish the top management official's compensation","form_and_line_reference":"Schedule J, Part I, Line 3","explanation":"THE SPECTRUM HEALTH SYSTEM BOARD OF DIRECTORS (THROUGH ITS EXECUTIVE COMMITTEE) USES THE FOLLOWING PROCESS FOR DETERMINING COMPENSATION OF THE TOP MANAGEMENT OFFICIAL, OTHER OFFICERS, AND KEY EMPLOYEES AT SPECTRUM HEALTH GERBER MEMORIAL: LABOR MARKET DATA REFLECTING COMPARABLE ORGANIZATIONS AND JOBS (PREPARED BY INDEPENDENT FIRMS) ARE RELIED UPON. COMPETITIVE ASSESSMENT REPORTS ARE PROVIDED TO THE EXECUTIVE COMMITTEE IN ADVANCE OF MEETINGS. THE COMPETITIVE ASSESSMENT REPORT IS PREPARED BY A NATIONALLY KNOWN INDEPENDENT EXECUTIVE COMPENSATION FIRM AND, FOR FY 2012 (7/1/11-6/30/12), WAS BASED ON THE FOLLOWING INDEPENDENT SURVEYS OF HEALTH CARE EXECUTIVES AT COMPARABLE HEALTH SYSTEMS: * SULLIVAN, COTTER AND ASSOCIATES, INC.: 2011 SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS * INTEGRATED HEALTHCARE STRATEGIES: 2011 HEALTHCARE EXECUTIVE COMPENSATION SURVEY * MERCER HUMAN RESOURCES CONSULTING: 2011 INTEGRATED HEALTH NETWORKS COMPENSATION SURVEY * TOWERS WATSON DATA SERVICES: 2011/2012 HOSPITAL AND HEALTHCARE MANAGEMENT COMPENSATION REPORT THESE SOURCES ARE CONSISTENT WITH THOSE USED IN LAST YEAR'S ANALYSIS. COMPENSATION ADJUSTMENTS ARE APPROVED BY EXECUTIVE COMMITTEE MEMBERS, CONSISTENT WITH THE SPECTRUM HEALTH COMPENSATION PHILOSOPHY DESCRIBED BELOW. MINUTES OF COMMITTEE DISCUSSIONS AND DECISIONS ARE PREPARED TO MEMORIALIZE EXECUTIVE COMMITTEE DECISIONS BASED UPON THE ABOVE DATA. CASH COMPENSATION DATA RELIED UPON BY THE EXECUTIVE COMMITTEE IS NATIONAL AND REFLECTS THE COMPENSATION PAID TO EXECUTIVES IN COMPARABLE JOBS IN COMPARABLY-SIZED HEALTHCARE ORGANIZATIONS. SPECTRUM HEALTH RECRUITS NATIONALLY FOR ITS EXECUTIVES. BENEFITS DATA REFLECT NATIONAL HEALTHCARE MARKET PRACTICES. GEOGRAPHIC PAY DIFFERENTIAL AND COST OF LIVING DATA INDICATE CONSISTENCY WITH NATIONAL DATA. THIS PROCESS IS INTENDED TO ASSIST SPECTRUM HEALTH IN QUALIFYING FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS (INTERMEDIATE SANCTIONS REGULATIONS) AND COMPLYING WITH THE POTENTIAL SPECTRUM HEALTH EXCESS BENEFIT TRANSACTION POLICY FOR THOSE INDIVIDUALS IN THE GROUP WHO ARE DISQUALIFIED PERSONS. THE OPINION SUBMITTED FROM THE THIRD PARTY INDEPENDENT CONSULTING FIRM IS IN ACCORDANCE WITH THE PROVISIONS OF TREASURY REGULATIONS SECTION 53.4958-6(C)(2) AND IS ALSO INTENDED TO SATISFY THE PROFESSIONAL ADVICE REQUIREMENT OF TREASURY REGULATIONS SECTION 53.4958-1(D)(4)(III)."},{"identifier":"Supplemental nonqualified retirement plan","form_and_line_reference":"Schedule J, Part I, Line 4b","explanation":"$56,956 MATTHEW VAN VRANKEN SCHEDULE J, PART I, LINE 4B IS ANSWERED \"YES\" BECAUSE CERTAIN INDIVIDUALS, WHOSE SALARY AND BENEFITS ARE PAID BY THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION, DO \"PARTICIPATE IN\" A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. HOWEVER, NONE OF THESE PARTICIPANTS \"RECEIVED PAYMENT FROM\" THESE PLANS DURING THE TAX YEAR."}]},"ScheduleK":{"bond_issues":[{"issuer_ein":383468654,"business_name_line1":"CITY OF FREMONT HOSPITAL FINANCE AUTHORITY","cusip_number":"35733OAC3","date_issued":"2007-03-09T00:00:00","issue_price":10800000,"purpose":"CAPITAL FUNDING","defeased":false,"on_behalf_of_issuer":false,"pool_financing":false,"name":"CITY OF FREMONT HOSPITAL FINANCE AUTHORITY"},{"issuer_ein":382889417,"business_name_line1":"MICHIGAN STATE HOSPITAL FINANCE AUTHORITY","cusip_number":"59465E7F4","date_issued":"2004-09-22T00:00:00","issue_price":10000000,"purpose":"CAPITAL FUNDING","defeased":false,"on_behalf_of_issuer":false,"pool_financing":true,"name":"MICHIGAN STATE HOSPITAL FINANCE AUTHORITY"}],"bond_proceeds":[{"total_proceeds":10800000,"gross_proceeds_in_reserve_funds":0,"capitalized_interest":0,"issuance_costs_from_proceeds":126746,"credit_enhancement":64004,"working_capital_expenditures":0,"capital_expenditures":10609250,"other_spent_proceeds":0,"refunding_escrow":0,"amount_bond_defeased":0,"amount_retired":2225000,"amount_unspent":0,"substantial_completion_year":2007,"current_refunding":false,"advance_refunding":false,"final_allocation_made":true,"adequate_books_and_records_maintained":true},{"total_proceeds":2700000,"gross_proceeds_in_reserve_funds":0,"capitalized_interest":0,"issuance_costs_from_proceeds":32486,"credit_enhancement":0,"working_capital_expenditures":0,"capital_expenditures":2667514,"other_spent_proceeds":0,"refunding_escrow":0,"amount_bond_defeased":0,"amount_retired":1176536,"amount_unspent":0,"substantial_completion_year":2005,"current_refunding":false,"advance_refunding":false,"final_allocation_made":true,"adequate_books_and_records_maintained":true}],"private_business_use":[{"private_business_use_by_others_percentage":0.0,"private_business_concerning_ubi_percentage":0.0,"total_private_business_use_percentage":0.0,"post_issuance_compliance_procedures":true,"management_contract":false,"research_agreements":false,"lease_arrangements":true,"partnership_or_llc_owning_property":false},{"private_business_use_by_others_percentage":0.0,"private_business_concerning_ubi_percentage":0.0,"total_private_business_use_percentage":0.0,"post_issuance_compliance_procedures":true,"management_contract":false,"research_agreements":false,"lease_arrangements":true,"partnership_or_llc_owning_property":false}],"arbitrage":[{"gross_proceeds_invested":false,"gross_proceeds_invested_in_gic":false,"term_of_gic_percentage":0.0,"hedge_identified_in_books_and_records":false,"term_of_hedge_percentage":0.0,"variable_rate_issue":true,"exception_to_rebate":false,"form_8038t_filed":false},{"gross_proceeds_invested":false,"gross_proceeds_invested_in_gic":false,"hedge_identified_in_books_and_records":false,"variable_rate_issue":true,"exception_to_rebate":false,"form_8038t_filed":false}]},"ScheduleL":{"business_transactions_involving_interested_persons":[{"business_name_line1":"PINE 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THERE WAS NOT AN EVALUATION USED FOR DISCOUNTED CARE, AS APPLICANTS THAT QUALIFIED FOR ANY ASSISTANCE RECEIVED FREE CARE."},{"form_and_line_reference":"Schedule H, Part I, Line 7, column(f)","explanation":"4,670,723"},{"form_and_line_reference":"Schedule H, Part I, Line 7","explanation":"THE TAXPAYER CALCULATES AN OVERALL COST-TO-CHARGE RATIO DERIVED BY USING THE WORKSHEET 2 FORMAT, RATIO OF PATIENT CARE COST-TO-CHARGES. ALL PATIENT SEGMENTS AND PAYERS ARE USED IN THE CALCULATION."},{"form_and_line_reference":"Schedule H, Part II","explanation":"THE TAXPAYER WORKS TO ADDRESS MANY OF THE COMMUNITY'S PRESSING HEALTH ISSUES BY PROMOTING AND ADVOCATING FOR OVERALL COMMUNITY HEALTH IMPROVEMENT. COMMUNITY BUILDING ACTIVITIES INCLUDE: 1. PROVIDING PHYSICAL IMPROVEMENTS AND ECONOMIC DEVELOPMENT; 2. PROVIDING LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS AND PARTNERS; 3. RAISING AWARENESS THROUGH CONDUCTING ASSESSMENTS, PROVIDING EDUCATION AND ASSISTING IN DISEASE MANAGEMENT; 4. OFFERING PRESENTATIONS AND DEMONSTRATIONS TO MEMBERS OF THE COMMUNITY AND THROUGHOUT THE LOCAL SCHOOLS."},{"form_and_line_reference":"Schedule H, Part III, Line 4","explanation":"CONSOLIDATED FINANCIAL STATEMENT FOOTNOTE EXTRACT RELATED TO UNCOLLECTIBLE ACCOUNTS THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ACCOUNTS RECEIVABLE PAYOR COMPOSITION AND AGING, AND HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTED ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. AFTER AMOUNTS DUE FROM THIRD-PARTY PAYORS ARE SATISFIED, AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH EXTERNAL COLLECTION AGENCIES. COSTING METHODOLOGY USED IN DETERMINING THE FIGURES REPORTED IN SCH. H, PART III, LINE 1 BAD DEBTS, AT COST, ARE DETERMINED BY USING AN OVERALL RATIO OF COSTS-TO-CHARGES APPLIED AGAINST BAD DEBT EXPENSES (AT CHARGES) IN THE STATEMENT OF ACTIVITIES. RATIONAL FOR INCLUDING BAD DEBTS (AT COST) IN SCH. H, PART III, LINE 2 BAD DEBTS, AT COST, REPRESENT AN UNREIMBURSED LIABILITY TO THE TAXPAYER AND FURTHER DEMONSTRATE HOW, BY ASSUMING THOSE COSTS, THE TAXPAYER PROVIDES AND FULFILLS A HEALTH NEED IN THE COMMUNITY. IN ADDITION, EMERGENCY CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. SOME OF THESE SERVICES ARE PROVIDED TO INDIVIDUALS WHO QUALIFY FOR FINANCIAL ASSISTANCE BUT, FOR PERSONAL OR OTHER PRIVATE REASONS, DON'T APPLY FOR FINANCIAL ASSISTANCE. USING THIS INFORMATIONAL TAX RETURN FOR ITS INTENDED PURPOSE, THE TAXPAYER CHOOSES TO BE FULLY TRANSPARENT AND SHARE ALL THE COSTS OF PROVIDING CHARITY CARE AND COMMUNITY BENEFITS TO THE COMMUNITIES WE SERVE, WHICH INCLUDES CHARITY CARE, THE COSTS OF FREE OR SUBSIDIZED COMMUNITY PROGRAMS, BAD DEBT EXPENSES REDUCED TO COST AND SHORTFALLS IN GOVERNMENT REIMBURSEMENTS (MEDICARE AND MEDICAID). RATIONAL FOR EXCLUDING (OR REPORTING ZERO) BAD DEBTS (AT COST) IN SCH. H, PART III, LINE 3 THE TAXPAYER HAS NOT IDENTIFIED THE AMOUNT OF BAD DEBT EXPENSES (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE OR DISCOUNTED SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY. ALTHOUGH IT'S CERTAIN THAT A PORTION OF BAD DEBT EXPENSES (AT COST) RELATES TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE (HAD THEY PROVIDED INFORMATION TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE), A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED."},{"form_and_line_reference":"Schedule H, Part III, Line 8","explanation":"THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; (2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; (3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND (4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS. IN DETERMINING MEDICARE SHORTFALLS THE TAXPAYER USES A RATIO OF COST TO CHARGES. IN DETERMINING THE RATIO OF COST TO CHARGES THE TAXPAYER ADJUSTS FOR BAD DEBT EXPENSES, NON-PATIENT CARE ACTIVITIES, MEDICAID PROVIDER TAXES AND COMMUNITY BENEFITS ACCOUNTED FOR AND OR REPORTED ELSEWHERE. THE RATIO OF COST TO CHARGES IS APPLIED TO MEDICARE CHARGES TO DETERMINE SHORTFALLS IN MEDICARE REIMBURSEMENTS."},{"form_and_line_reference":"Schedule H, Part III, Line 9b","explanation":"THE TAXPAYER COOPERATIVELY WORKS WITH PATIENTS HAVING SELF-PAY BALANCES TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE ELIGIBILITY POLICY."},{"form_and_line_reference":"Schedule H, Part VI, Line 2","explanation":"PERIODICALLY THE TAXPAYER CONDUCTS A COMMUNITY NEEDS ASSESSMENT USING RESULTS FROM LOCAL, STATE AND NATIONAL SOURCES. THE LAST SUCH COMMUNITY NEEDS ASSESSMENT UTILIZED THE FOLLOWING SOURCES: 1) STATE AND PUBLIC HEALTH STATISTICS AVAILABLE ON LINE 2) NEWAYGO COUNTY HEALTH DEPARTMENT - HEALTHIER COMMUNITIES NEEDS ASSESSMENT 3) NEWAYGO COUNTY COMMUNITY CONSORTIUM DATA DASHBOARD"},{"form_and_line_reference":"Schedule H, Part VI, Line 3","explanation":"TAXPAYER HAS A DEPARTMENT OF FINANCIAL COUNSELORS WHO WORK WITH PATIENTS THAT EXPRESS ANY LEVEL OF CONCERN WITH PAYING THEIR BILL. IN ADDITION, THE TAXPAYER ALSO PROACTIVELY IDENTIFIES PATIENTS WHO HAVE QUALIFYING FACTORS FOR GOVERNMENTAL ASSISTANCE AND PARTNERS WITH ORGANIZATIONS THAT SPECIALIZE IN THE QUALIFICATION PROCESS. IF THE NEED FOR ASSISTANCE IS NOT IDENTIFIED PRIOR TO BILLING, PATIENT CONCERNS THAT ARE RECEIVED AS A RESULT OF RECEIVING A BILL ARE ADDRESSED BY FINANCIAL COUNSELORS AT THAT TIME. IN ADDITION, THE TAXPAYER LISTS OPTIONS FOR THE UNINSURED AND UNDERINSURED ON THEIR WEBSITE, ALONG WITH A COPY OF THE FINANCIAL ASSISTANCE ELIGIBILITY POLICY (SEARCH \"FINANCIAL ASSISTANCE\" AT WWW.SPECTRUMHEALTH.ORG). TAXPAYER WIDELY PUBLICIZES COMMUNICATIONS TO PATIENTS AND THE PUBLIC ON AVAILABILITY OF FINANCIAL ASSISTANCE. THIS IS ACHIEVED THROUGH VARIOUS METHODS INCLUDING, BUT NOT LIMITED TO, VIA THE SPECTRUM HEALTH PATIENT HANDBOOK, VARIOUS INFORMATIONAL BROCHURES, SIGNAGE IN EACH HOSPITAL DEPARTMENT, ADMISSIONS OFFICES AND OTHER PUBLIC LOCATIONS, POSTING ON THE SPECTRUM HEALTH WEBSITE, UPON REQUEST BY ANY PATIENT, GUARANTOR OR COMMUNITY MEMBER, WORD OF MOUTH VIA FINANCIAL COUNSELORS AND OTHERS, AND THROUGH COMMUNITY PUBLICATIONS AND OUTREACH EVENTS."},{"form_and_line_reference":"Schedule H, Part VI, Line 4","explanation":"THE TAXPAYER HAS IDENTIFIED A PRIMARY SERVICE AREA OF SEVERAL COUNTIES INCLUDING NEWAYGO COUNTY, EASTERN OCEANA COUNTY AND EASTERN MUSKEGON COUNTY AS PRIMARY AND NORTHERN KENT COUNTY AND SOUTHERN LAKE COUNTY AS SECONDARY."},{"form_and_line_reference":"SCHEDULE H, PART VI, LINE 5","explanation":"SCHEDULE H OF THIS TAX RETURN ONLY DISCLOSES CHARITY CARE AND COMMUNITY BENEFIT INFORMATION PERTAINING TO THE REPORTING ENTITY. HOWEVER, FOR A FULL AND MORE ACCURATE UNDERSTANDING OF THE CHARITY CARE AND COMMUNITY BENEFITS PROVIDED BY THE CONSOLIDATED HEALTH SYSTEM PLEASE VISIT OUR WEBSITE AT WWW.SPECTRUMHEALTH.ORG AND CLICK THE LINK TITLED \"ABOUT US\"."},{"form_and_line_reference":"SCHEDULE H, PART I, LINE 6A","explanation":"THE CONSOLIDATED HEALTH SYSTEM PUBLISHES THEIR COMMUNITY BENEFIT REPORT ON THEIR WEBSITE AT WWW.SPECTRUMHEALTH.ORG (CLICK THE LINK TITLED \"ABOUT US\"). IN ADDITION, THE HEALTH SYSTEM HOLDS AN ANNUAL MEETING TO THE PUBLIC TO DISCUSS ITS COMMUNITY COMMITMENTS."}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"benefits_and_procedures":{"health_or_social_club_dues":true,"substantiation_required":true,"written_policy_travel_and_entertainment":true},"compensation_process":{"compensation_committee":true,"independent_consultant":true,"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":true,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"DR MARK 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Year","average_hours_per_week":50.0,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"officer":true},{"title":"OB/GYN","average_hours_per_week":50.0,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":300842,"reportable_comp_from_related_orgs":0,"other_compensation":24699,"highest_compensated_employee":true},{"title":"Physician","average_hours_per_week":50.0,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":211651,"reportable_comp_from_related_orgs":0,"other_compensation":20889,"highest_compensated_employee":true},{"title":"OB/GYN","average_hours_per_week":50.0,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":295540,"reportable_comp_from_related_orgs":0,"other_compensation":24651,"highest_compensated_employee":true},{"title":"Physician","average_hours_per_week":50.0,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":232707,"reportable_comp_from_related_orgs":0,"other_compensation":25695,"highest_compensated_employee":true},{"title":"OB/GYN","average_hours_per_week":50.0,"average_hours_per_week_related_org":0.0,"reportable_comp_from_org":288504,"reportable_comp_from_related_orgs":0,"other_compensation":25193,"highest_compensated_employee":true}]},"ScheduleA":{"public_charity_status":{"hospital_170b1_aiii":true}},"ScheduleB":{"attached":true,"required":true},"ScheduleD":{"land_buildings_equipment":{"land":{"other_cost_or_other_basis":2025861,"book_value":2025861},"buildings":{"other_cost_or_other_basis":26481543,"book_value":21418402,"depreciation":5063141},"leasehold_improvements":{"other_cost_or_other_basis":15898,"book_value":13513,"depreciation":2385},"equipment":{"other_cost_or_other_basis":10751135,"book_value":6401744,"depreciation":4349391},"other_land_buildings":{"other_cost_or_other_basis":368795,"book_value":353843,"depreciation":14952},"total_book_value":30213363},"other_liabilities":{"federal_income_tax_liability":0,"liabilities":[{"description":"FAIR VALUE OF SWAP AGREEMENT","amount":2594035},{"description":"THIRD PARTY SETTLEMENTS","amount":4326432},{"description":"DUE TO AFFILIATES","amount":879169}],"total_liability":7799636},"supplemental_information":[{"identifier":"FIN 48 (ASC 740) FOOTNOTE","form_and_line_reference":"SCHEDULE D, PART X, LINE 2","explanation":"SPECTRUM HEALTH SYSTEM CONDUCTS AN ANALYSIS ANNUALLY TO DETERMINE THE ORGANIZATION'S LIABILITY WITH RESPECT TO UNCERTAIN TAX POSITIONS. FOR THE YEAR ENDED JUNE 30, 2013 IT WAS DETERMINED THAT THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS TO DISCLOSE. AS SUCH, THERE WAS NO FOOTNOTE ADDED TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"policy_applied_to_all_hospitals":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":false,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":true,"unable_to_provide_care":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":5454960,"bad_debt_expense_attributable_to_financial_assistance":0,"reimbursed_by_medicare":20442080,"cost_of_care_reimbursed_by_medicare":24307629,"medicare_surplus_or_shortfall":-3865549,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":false},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":1444726,"net_community_benefit_expense":1444726,"total_expense_percentage":0.0226},"unreimbursed_medicaid":{"total_community_benefit_expense":13194418,"direct_offsetting_revenue":9547840,"net_community_benefit_expense":3646578,"total_expense_percentage":0.0572},"unreimbursed_costs":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"total_financial_assistance":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":14639144,"direct_offsetting_revenue":9547840,"net_community_benefit_expense":5091304,"total_expense_percentage":0.0798},"community_health_services":{"total_community_benefit_expense":71110,"net_community_benefit_expense":71110,"total_expense_percentage":0.0011},"health_professions_education":{"total_community_benefit_expense":27518,"net_community_benefit_expense":27518,"total_expense_percentage":0.0004},"subsidized_health_services":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"research":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"cash_and_inkind_contributions":{"total_community_benefit_expense":3480,"net_community_benefit_expense":3480,"total_expense_percentage":0.0001},"total_other_benefits":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":102108,"direct_offsetting_revenue":0,"net_community_benefit_expense":102108,"total_expense_percentage":0.0016},"total_community_benefits":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":14741252,"direct_offsetting_revenue":9547840,"net_community_benefit_expense":5193412,"total_expense_percentage":0.0814}},"community_building":{"physical_improvements_and_housing":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"economic_development":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"community_support":{"total_community_benefit_expense":1982,"net_community_benefit_expense":1982,"total_expense_percentage":0.0},"environmental_improvements":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"leadership_development":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"coalition_building":{"total_community_benefit_expense":8638,"net_community_benefit_expense":8638,"total_expense_percentage":0.0001},"health_improvement_advocacy":{"total_community_benefit_expense":3214,"net_community_benefit_expense":3214,"total_expense_percentage":0.0},"workforce_development":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"other_community_building_activities":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"total_community_building_activities":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":13834,"direct_offsetting_revenue":0,"net_community_benefit_expense":13834,"total_expense_percentage":0.0002}},"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"SPECTRUM HEALTH GERBER MEMORIAL","address_line1":"212 S SULLIVAN ST","city":"FREMONT","state":"MI","zip":"49412","website":"WWW.SPECTRUMHEALTH.ORG/GERBER","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"name":"SPECTRUM HEALTH GERBER MEMORIAL","address":"212 S SULLIVAN ST, FREMONT, MI, 49412"}],"facility_policies":[{"business_name_line1":"SPECTRUM HEALTH GERBER MEMORIAL","facility_number":1,"chna_conducted":true,"community_definition":true,"community_demographics":true,"existing_resources":true,"how_data_obtained":true,"community_health_needs":true,"other_health_issues":true,"community_health_needs_identification_process":true,"consulting_process":true,"chna_conducted_year":11,"took_into_account_others_input":true,"chna_conducted_with_other_facilities":false,"chna_report_widely_available":true,"report_available_on_own_website":true,"paper_copy_public_inspection":true,"implementation_strategy_adopted":true,"strategy_posted_website":true,"organization_incurred_excise_tax":false,"adopt_budget":true,"all_needs_addressed":true,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_discounted":true,"fpg_family_income_limit_free_care_percentage":200.0,"fpg_used_determine_discounted_care":false,"other_criteria":true,"basis_explained":true,"application_financial_assistance_explanation":true,"other_method_used":true,"includes_publicity_measures":true,"fap_available_on_website":true,"fap_available_on_request_no_charge":true,"fap_notified_all_patients":true,"other_publicity":true,"fap_actions_on_nonpayment":true,"collection_activities":false,"provided_written_notice":true,"made_effort_orally_notify":true,"processed_fap_application":true,"nondiscriminatory_emergency_care_policy":true,"amounts_generally_billed":false,"gross_charges":false,"develop_community_wide_plan":true,"exec_community_wide_plan":true,"include_operational_plan":true,"information_gaps":true,"prioritize_health_needs":true,"prioritize_services":true,"name":"SPECTRUM HEALTH GERBER MEMORIAL"}],"supplemental_information":[{"form_and_line_reference":"Schedule H, Part I, Line 3c","explanation":"THE ORGANIZATION USES FPG TO DETERMINE ELIGIBILITY FOR FREE CARE. AN EVALUATION IS NOT USED FOR DISCOUNTED CARE, AS APPLICANTS THAT QUALIFY FOR ANY ASSISTANCE RECEIVE FREE CARE."},{"form_and_line_reference":"Schedule H, Part I, Line 6a","explanation":"SPECTRUM HEALTH SYSTEM (EIN 38-3382353)"},{"form_and_line_reference":"SCHEDULE H, PART I, LINE 6A","explanation":"THE HEALTH SYSTEM PUBLISHES A CONSOLIDATED COMMUNITY BENEFIT REPORT ON ITS WEBSITE AT WWW.SPECTRUMHEALTH.ORG (CLICK THE LINK TITLED \"ABOUT US\"). IN ADDITION, THE HEALTH SYSTEM HOLDS AN ANNUAL MEETING TO THE PUBLIC TO DISCUSS ITS COMMUNITY COMMITMENTS."},{"form_and_line_reference":"Schedule H, Part I, Line 7","explanation":"THE ORGANIZATION CALCULATES AN OVERALL COST-TO-CHARGE RATIO DERIVED BY USING THE IRS WORKSHEET 2 FORMAT, RATIO OF PATIENT CARE COST-TO-CHARGES. ALL PATIENT SEGMENTS AND PAYERS ARE USED IN THE CALCULATION."},{"form_and_line_reference":"Schedule H, Part I, Line 7, column(f)","explanation":"5,454,960"},{"form_and_line_reference":"Schedule H, Part II","explanation":"THE ORGANIZATION WORKS TO ADDRESS MANY OF THE COMMUNITY'S PRESSING HEALTH ISSUES BY PROMOTING AND ADVOCATING FOR OVERALL COMMUNITY HEALTH IMPROVEMENT. COMMUNITY BUILDING ACTIVITIES INCLUDE: 1. PROVIDING PHYSICAL IMPROVEMENTS AND ECONOMIC DEVELOPMENT; 2. PROVIDING LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS AND PARTNERS; 3. RAISING AWARENESS THROUGH CONDUCTING ASSESSMENTS, PROVIDING EDUCATION AND ASSISTING IN DISEASE MANAGEMENT; 4. OFFERING PRESENTATIONS AND DEMONSTRATIONS TO MEMBERS OF THE COMMUNITY AND THROUGHOUT THE LOCAL SCHOOLS."},{"form_and_line_reference":"Schedule H, Part III, Line 2","explanation":"THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ACCOUNTS RECEIVABLE, PAYOR COMPOSITION AND AGING, AND HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTED ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR THIRD-PARTY PAYERS, THE PROVISION IS DETERMINED BY ANALYZING CONTRACTUALLY DUE AMOUNTS FROM PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES. FOR SELF-PAY PATIENTS, THE PROVISION IS BASED ON AN ANALYSIS OF PAST EXPERIENCE RELATED TO PATIENTS UNWILLING TO PAY STANDARD RATES CHARGED. THE DIFFERENCE BETWEEN THAT STANDARD RATE CHARGED (LESS THE NEGOTIATE DISCOUNTED RATE) AND THE AMOUNT ACTUALLY COLLECTED AFTER THE REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ALL CHARGES ARE REPORTED AT GROSS, WHICH IS CONSISTENT WITH THE REPORTING METHODOLOGY USED IN THE ORGANIZATION'S FINANCIAL STATEMENTS."},{"form_and_line_reference":"Schedule H, Part III, Line 3","explanation":"THE ORGANIZATION IS UNABLE TO ESTIMATE ACCURATELY THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE OR DISCOUNTED SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY. ALTHOUGH A PORTION OF BAD DEBT EXPENSES MAY RELATE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE, A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED. THE ORGANIZATION HAS IMPLEMENTED A \"PROPENSITY TO PAY\" EVALUATION TOOL THAT PROACTIVELY ASSESSES ONE'S ABILITY AND LIKELIHOOD TO PAY. WITH THIS TOOL, THE ORGANIZATION HAS BEEN ABLE TO PROVIDE A HIGHER DEGREE OF FOCUSED FINANCIAL COUNSELING EFFORTS, RESULTING IN A SUBSTANTIAL REDUCTION OF BAD DEBT AND HIGHER RATE OF IDENTIFICATION OF CHARITY ACCOUNTS."},{"form_and_line_reference":"Schedule H, Part III, Line 4","explanation":"THE NET PATIENT SERVICE REVENUE, PATIENT ACCOUNTS RECEIVABLE, AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOOTNOTE IS ON PAGES 14 TO 16 OF THE ORGANIZATIONS CONSOLIDATED FINANCIAL STATEMENT."},{"form_and_line_reference":"Schedule H, Part III, Line 8","explanation":"THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; (2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; (3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND (4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS. IN DETERMINING MEDICARE SHORTFALLS THE ORGANIZATION USES A RATIO OF COST TO CHARGES. IN DETERMINING THE RATIO OF COST TO CHARGES THE ORGANIZATION ADJUSTS FOR BAD DEBT EXPENSES, NON-PATIENT CARE ACTIVITIES, MEDICAID PROVIDER TAXES AND COMMUNITY BENEFITS ACCOUNTED FOR, AND OR REPORTED, ELSEWHERE. THE RATIO OF COST TO CHARGES IS APPLIED TO MEDICARE CHARGES TO DETERMINE SHORTFALLS IN MEDICARE REIMBURSEMENTS."},{"form_and_line_reference":"SCHEDULE H, PART III, LINE 9B","explanation":"THE ORGANIZATION PROVIDES FREE CARE TO ALL PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE WILL NOT OWE ANYTHING, AND THUS WILL NOT BE SUBJECT TO COLLECTION ACTIVITIES."},{"form_and_line_reference":"Schedule H, Part V Section B, Line 3","explanation":"(1) SPECTRUM HEALTH GERBER MEMORIAL - DATA WAS GATHERED FROM A VARIETY OF SOURCES AND USING MULTIPLE METHODOLOGIES. RESIDENT FEEDBACK WAS OBTAINED VIA FOCUS GROUPS. THIS FEEDBACK WAS OBTAINED FROM COMMUNITY RESIDENTS. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS OR KEY INFORMANTS, PROVIDED INPUT VIA IN-DEPTH INTERVIEWS AND AN ONLINE SURVEY. SECONDARY DATA GATHERED FROM STATE AND NATIONAL DATABASES WAS ALSO USED TO SUPPLEMENT THE OVERALL FINDINGS. LOCAL HOSPITAL UTILIZATION DATA WAS ALSO USED. MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE CHNA TASK FORCE. ADDITIONALLY KEY STAKEHOLDERS WHO WERE INTERVIEWED ARE DEFINED AS EXECUTIVE-LEVEL COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH ISSUES AND ARE OFTEN INVOLVED IN POLICY DECISION MAKING. KEY INFORMANTS WHO PARTICIPATED IN THE ONLINE SURVEY ARE DEFINED AS COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH ISSUES OR HAVE EXPERIENCE WITH SUBPOPULATIONS IMPACTED MOST BY ISSUES IN HEALTH CARE. FOR A LISTING OF ALL INDIVIDUALS AND SOURCES CONSULTED, SEE THE NEWAYGO COUNTY CHNA.;"},{"form_and_line_reference":"Schedule H, Part V Section B, Line 11","explanation":"(1) SPECTRUM HEALTH GERBER MEMORIAL - THE ORGANIZATION USES FPG TO DETERMINE ELIGIBILITY FOR FREE CARE. AN EVALUATION IS NOT USED FOR DISCOUNTED CARE, AS APPLICANTS THAT QUALIFY FOR ANY ASSISTANCE RECEIVE FREE CARE.;"},{"form_and_line_reference":"Schedule H, Part V Section B, Line 12h","explanation":"(1) SPECTRUM HEALTH GERBER MEMORIAL - THE ORGANIZATION DOES NOT CHARGE ANY AMOUNT TO PATIENTS WHO QUALIFY FOR ASSISTANCE.;"},{"form_and_line_reference":"Schedule H, Part V Section B, Line 14g","explanation":"(1) SPECTRUM HEALTH GERBER MEMORIAL - THE ORGANIZATION PUBLICIZES THE FINANCIAL ASSISTANCE POLICY BY COMMUNICATING ITS AVAILABILITY VIA A PATIENT HANDBOOK, SIGNAGE, INFORMATIONAL BROCHURES, COMMUNITY PUBLICATIONS, AND VIA WORD OF MOUTH BY FINANCIAL COUNSELORS ASSISTING PATIENTS. REFERENCE TO THE AVAILABILITY OF THE POLICY IS PUBLICLY POSTED IN WAITING ROOMS. ;"},{"form_and_line_reference":"Schedule H, Part V Section B, Line 20d","explanation":"(1) SPECTRUM HEALTH GERBER MEMORIAL - THE ORGANIZATION DOES NOT CHARGE ANY AMOUNT TO PATIENTS WHO QUALIFY FOR ASSISTANCE.;"},{"form_and_line_reference":"Schedule H, Part VI, Line 2","explanation":"THE CHNA DATA PROVIDES A LEVEL FOUNDATION ON WHICH TO PLAN, DEVELOP, AND IMPLEMENT NEW PROGRAMS AND SERVICES TO MEET THE NEEDS OF OUR COMMUNITY. OPERATIONAL SERVICES IDENTIFIED BY THE CHNA, E.G. INCREASE IN PROPORTION OF PERSONS WITH PRIMARY CARE PROVIDERS, HAVE BEEN BUILT INTO THE STRATEGIC PLAN AND BUDGET, AND A RECRUITMENT PLAN HAS BEEN CREATED BASED ON CONVERSATIONS AROUND THE COMMUNITY BENEFIT DOLLARS. THE CHNA AND IMPLEMENTATION PLAN IS LOCATED AT: HTTP://WWW.SPECTRUMHEALTH.ORG/ABOUT-SHGM-COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH ALSO PREPARES AN ANNUAL CORPORATE SOCIAL RESPONSIBILITY REPORT THAT FOCUSES ON NINE KEY AREAS: HEALTHIER COMMUNITIES, EDUCATION, COMMUNITY ENGAGEMENT, RESEARCH, INNOVATION, EMPLOYEE ENGAGEMENT, SUSTAINABILITY, REGIONAL RELATIONSHIPS AND COMMUNITY BENEFIT."},{"form_and_line_reference":"Schedule H, Part VI, Line 3","explanation":"THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY THROUGH PRODUCING INFORMATION CARDS FOR THE UNINSURED, COMMUNITY OUTREACH PROGRAMS, CONSUMER INFORMATION CLASSES, ORGANIZATION WEBSITE, PERSONAL FINANCIAL COUNSELING, AND BY PROVIDING ASSISTANCE IN THE ACTUAL ENROLLMENT OF SUCH PROGRAMS. THE ORGANIZATION HAS A DEPARTMENT OF FINANCIAL COUNSELORS WHO WORK WITH PATIENTS THAT EXPRESS ANY LEVEL OF CONCERN WITH PAYING THEIR BILL. IN ADDITION, THE ORGANIZATION ALSO PROACTIVELY IDENTIFIES PATIENTS WHO HAVE QUALIFYING FACTORS FOR GOVERNMENTAL ASSISTANCE AND PARTNERS WITH ORGANIZATIONS THAT SPECIALIZE IN THE QUALIFICATION PROCESS. IF THE NEED FOR ASSISTANCE IS NOT IDENTIFIED PRIOR TO BILLING, PATIENT CONCERNS THAT ARE RECEIVED AS A RESULT OF RECEIVING A BILL ARE ADDRESSED BY FINANCIAL COUNSELORS AT THAT TIME. THE ORGANIZATION WIDELY PUBLICIZES COMMUNICATIONS TO PATIENTS AND THE PUBLIC ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. THIS IS ACHIEVED THROUGH VARIOUS METHODS INCLUDING, BUT NOT LIMITED TO, VIA THE SPECTRUM HEALTH PATIENT HANDBOOK, VARIOUS INFORMATIONAL BROCHURES, SIGNAGE IN EACH HOSPITAL DEPARTMENT, ADMISSIONS OFFICES AND OTHER PUBLIC LOCATIONS, UPON REQUEST BY ANY PATIENT, GUARANTOR OR COMMUNITY MEMBER, WORD OF MOUTH VIA FINANCIAL COUNSELORS AND OTHERS, AND THROUGH COMMUNITY PUBLICATIONS AND OUTREACH EVENTS. IN ADDITION, THE ORGANIZATION LISTS OPTIONS FOR THE UNINSURED AND UNDERINSURED ON THEIR WEBSITE, ALONG WITH A COPY OF THE FINANCIAL ASSISTANCE ELIGIBILITY POLICY (SEARCH \"FINANCIAL ASSISTANCE\" AT WWW.SPECTRUMHEALTH.ORG)."},{"form_and_line_reference":"Schedule H, Part VI, Line 4","explanation":"THE ORGANIZATION HAS IDENTIFIED A PRIMARY SERVICE AREA OF SEVERAL COUNTIES INCLUDING NEWAYGO COUNTY, EASTERN OCEANA COUNTY AND EASTERN MUSKEGON COUNTY AS PRIMARY AND NORTHERN KENT COUNTY AND SOUTHERN LAKE COUNTY AS SECONDARY. FOR SPECIFIC POPULATION STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTP://WWW.SPECTRUMHEALTH.ORG/ABOUT-SHGM-COMMUNITY-HEALTH-NEEDS-ASSESSMENT."},{"form_and_line_reference":"Schedule H, Part VI, Line 5","explanation":"SPECTRUM HEALTH GERBER MEMORIAL'S BOARD OF DIRECTORS IS COMPOSED OF MEMBERS OF WHICH SUBSTANTIALLY ALL ARE INDEPENDENT COMMUNITY MEMBERS. A MAJORITY OF THE BOARD RESIDES IN SPECTRUM HEALTH GERBER MEMORIAL'S PRIMARY SERVICE AREA. SPECTRUM HEALTH GERBER MEMORIAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SPECTRUM HEALTH GERBER MEMORIAL INVESTS NET EARNINGS IN IMPROVING PATIENT CARE, BUILDING AND RENOVATING FACILITIES, PURCHASING NEW TECHNOLOGY, PROVIDING HEALTH EDUCATION AND FUNDING COMMUNITY PROGRAMS. PEOPLE THROUGHOUT THE COMMUNITY CAN COUNT ON SPECTRUM HEALTH GERBER MEMORIAL TO BE STANDING BY WITH EMERGENCY CARE 24 HOURS A DAY, 365 DAYS A YEAR. THE EMERGENCY DEPARTMENT IS STAFFED WITH BOARD-CERTIFIED EMERGENCY CARE PHYSICIANS AND A NURSING STAFF THAT IS TRAINED AND EXPERIENCED IN EMERGENCY CARE. FURTHERMORE, NO PATIENT IS DENIED TREATMENT, REGARDLESS OF THEIR ABILITY TO PAY."},{"form_and_line_reference":"Schedule H, Part VI, Line 6","explanation":"SPECTRUM HEALTH IS AN INTEGRATED NOT-FOR-PROFIT HEALTH SYSTEM IN WEST MICHIGAN OFFERING A FULL CONTINUUM OF CARE THROUGH THE SPECTRUM HEALTH HOSPITAL GROUP, WHICH IS COMPRISED OF NINE HOSPITALS INCLUDING HELEN DEVOS CHILDREN'S HOSPITAL, A STATE OF THE ART CHILDREN'S HOSPITAL THAT OPENED IN JANUARY 2011, AND 183 SERVICE SITES; THE SPECTRUM HEALTH MEDICAL GROUP AND WEST MICHIGAN HEART, PHYSICIAN GROUPS TOTALING MORE THAN 700 PROVIDERS; AND PRIORITY HEALTH, A HEALTH PLAN WITH 600,000 MEMBERS. SPECTRUM HEALTH IS WEST MICHIGAN'S LARGEST EMPLOYER WITH 19,000 EMPLOYEES. THE ORGANIZATION PROVIDED $250 MILLION IN COMMUNITY BENEFIT DURING ITS 2013 FISCAL YEAR. SPECTRUM HEALTH GERBER MEMORIAL IS A MEMBER OF THE AFFILIATED GROUP OF ENTITIES WITHIN THE SPECTRUM HEALTH SYSTEM (\"SPECTRUM HEALTH\"). EACH MEMBER CREATES VALUE WITHIN ITS RESPECTIVE COMMUNITY AND IS RESPONSIBLE FOR THEIR ACTIONS AND THE IMPACT THESE ACTIONS HAVE. FROM ITS INCEPTION, SPECTRUM HEALTH HAS BEEN A FAITHFUL STEWARD OF ITS COMMUNITY ASSETS. AS A WEST MICHIGAN-BASED NOT-FOR-PROFIT HEALTH SYSTEM, THE ORGANIZATION INVESTS ITS NET EARNINGS TO IMPROVE PATIENT CARE, BUILD AND RENOVATE FACILITIES, PURCHASE NEW TECHNOLOGY, PROVIDE HEALTH EDUCATION AND FUND LOCAL COMMUNITY PROGRAMS. OVER THE YEARS, OUR MISSION HAS REMAINED THE SAME-TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. WE TAKE OUR MISSION SERIOUSLY. IT IS CENTRAL TO OUR STRATEGIC DISCUSSIONS AND GUIDES OUR INVESTMENTS AND THE ALLOCATION OF OUR RESOURCES. SPECTRUM HEALTH IS COMMITTED TO PROVIDING VALUE TO THE PEOPLE WE SERVE. \"VALUE\" MEANS ACCESS TO HIGH-QUALITY HEALTH CARE AT AFFORDABLE COSTS, AS WELL AS ACCESS TO THE FULL CONTINUUM OF HEALTH CARE SERVICES, FROM HEALTH INSURANCE TO OUTPATIENT CARE TO INPATIENT AND HOME CARE, AND EVERYTHING IN BETWEEN. SPECTRUM HEALTH HAS HUNDREDS OF PROGRAMS THAT SUPPORT ITS MISSION \"TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.\" THESE PROGRAMS ARE BROUGHT TOGETHER UNDER NINE KEY AREAS: HEALTHIER COMMUNITIES, EDUCATION, COMMUNITY ENGAGEMENT, RESEARCH, INNOVATION, EMPLOYEE ENGAGEMENT, SUSTAINABILITY, REGIONAL RELATIONSHIPS AND COMMUNITY BENEFIT."},{"form_and_line_reference":"SCHEDULE H, PART VI, LINE 7","explanation":"THE ORGANIZATION IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH THE STATE HOWEVER THE ORGANIZATION VOLUNTARILY REPORTS COMMUNITY BENEFIT INFORMATION TO THE MICHIGAN HEALTH AND HOSPITAL ASSOCIATION AND IN AN ANNUAL MEETING TO THE COMMUNITY. THE COMMUNITY BENEFIT REPORT IS ALSO AVAILABLE ON THE ORGANIZATION'S WEBSITE."}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"benefits_and_procedures":{"health_or_social_club_dues":true,"substantiation_required":true,"written_policy_travel_and_entertainment":true},"compensation_process":{"compensation_committee":true,"independent_consultant":true,"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"JAMES PATENGE","title":"OB/GYN","base_compensation_filing_org":289042,"bonus_filing_org":11005,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":11302,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":13397,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":794,"other_compensation_related_orgs":0,"total_compensation_filing_org":325540,"total_compensation_related_orgs":0,"name":"JAMES PATENGE"},{"person_name":"JOHN SELLA","title":"CFO - 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THE RELATED AMOUNTS WERE TREATED AS TAXABLE COMPENSATION AND INCLUDED IN FORM W-2."},{"identifier":"Arrangement used to establish the top management official's compensation","form_and_line_reference":"Schedule J, Part I, Line 3","explanation":"THE SPECTRUM HEALTH SYSTEM BOARD OF DIRECTORS (THROUGH ITS EXECUTIVE COMMITTEE) USES THE FOLLOWING PROCESS FOR DETERMINING COMPENSATION OF THE TOP MANAGEMENT OFFICIAL, OTHER OFFICERS, AND KEY EMPLOYEES AT SPECTRUM HEALTH GERBER MEMORIAL. LABOR MARKET DATA REFLECTING COMPARABLE ORGANIZATIONS AND JOBS (PREPARED BY INDEPENDENT FIRMS) ARE RELIED UPON. COMPETITIVE ASSESSMENT REPORTS ARE PROVIDED TO THE EXECUTIVE COMMITTEE IN ADVANCE OF MEETINGS. THE COMPETITIVE ASSESSMENT REPORT IS PREPARED BY A NATIONALLY KNOWN INDEPENDENT EXECUTIVE COMPENSATION FIRM AND, FOR FY 2013 (7/1/12-6/30/13), WAS BASED ON THE FOLLOWING INDEPENDENT SURVEYS OF HEALTH CARE EXECUTIVES AT COMPARABLE HEALTH SYSTEMS, HEALTH PLANS, AND MEDICAL GROUPS: * AMERICAN MEDICAL GROUP ASSOCIATION: 2012 MEDICAL GROUP COMPENSATION & FINANCIAL SURVEY * INTEGRATED HEALTHCARE STRATEGIES: 2012 HEALTH CARE EXECUTIVE COMPENSATION SURVEY * MERCER HUMAN RESOURCES CONSULTING: 2012 EXECUTIVE COMPENSATION SURVEY * MERCER HUMAN RESOURCES CONSULTING: 2012 INTEGRATED HEALTH NETWORKS COMPENSATION SURVEY * MEDICAL GROUP MANAGEMENT ASSOCIATION: 2012 MANAGEMENT COMPENSATION SURVEY * SULLIVAN, COTTER AND ASSOCIATES: 2012 SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS * SULLIVAN, COTTER AND ASSOCIATES: 2012 PHYSICIAN COMPENSATION AND PRODUCTIVITY SURVEY REPORT * TOWERS WATSON: 2012/2013 HOSPITAL AND HEALTHCARE MANAGEMENT COMPENSATION REPORT * TOWERS WATSON: 2012/2013 TOP MANAGEMENT COMPENSATION REPORT * WARREN: 2012 COMPENSATION SURVEY COMPENSATION ADJUSTMENTS ARE APPROVED BY EXECUTIVE COMMITTEE MEMBERS, CONSISTENT WITH THE SPECTRUM HEALTH COMPENSATION PHILOSOPHY DESCRIBED BELOW. MINUTES OF COMMITTEE DISCUSSIONS AND DECISIONS ARE PREPARED TO MEMORIALIZE EXECUTIVE COMMITTEE DECISIONS BASED UPON THE ABOVE DATA. CASH COMPENSATION DATA RELIED UPON BY THE EXECUTIVE COMMITTEE IS NATIONAL AND REFLECTS THE COMPENSATION PAID TO EXECUTIVES IN COMPARABLE JOBS IN COMPARABLY-SIZED HEALTHCARE ORGANIZATIONS. SPECTRUM HEALTH RECRUITS NATIONALLY FOR ITS EXECUTIVES. BENEFITS DATA REFLECT NATIONAL HEALTHCARE MARKET PRACTICES. GEOGRAPHIC PAY DIFFERENTIAL AND COST OF LIVING DATA INDICATES CONSISTENCY WITH NATIONAL DATA. THIS PROCESS IS INTENDED TO ASSIST SPECTRUM HEALTH IN QUALIFYING FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS (INTERMEDIATE SANCTIONS REGULATIONS) AND COMPLYING WITH THE POTENTIAL SPECTRUM HEALTH EXCESS BENEFIT TRANSACTION POLICY FOR THOSE INDIVIDUALS IN THE GROUP WHO ARE DISQUALIFIED PERSONS. THE OPINION SUBMITTED FROM THE THIRD PARTY INDEPENDENT CONSULTING FIRM IS IN ACCORDANCE WITH THE PROVISIONS OF TREASURY REGULATIONS SECTION 53.4958-6(C)(2) AND IS ALSO INTENDED TO SATISFY THE PROFESSIONAL ADVICE REQUIREMENT OF TREASURY REGULATIONS SECTION 53.4958-1(D)(4)(III)."},{"identifier":"Supplemental nonqualified retirement plan","form_and_line_reference":"Schedule J, Part I, Line 4b","explanation":"$173,508 MARC CHIRCOP $ 74,025 RANDY STASIK $322,225 MATTHEW VAN VRANKEN SCHEDULE J, PART I, LINE 4B IS ANSWERED \"YES\" BECAUSE CERTAIN INDIVIDUALS, WHOSE SALARY AND BENEFITS ARE PAID BY THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION, DO \"PARTICIPATE IN\" A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. SOME INDIVIDUALS RECEIVED DISTRIBUTIONS DURING THE YEAR (AS REPORTED ON THIS LINE) WHEREAS OTHERS PARTICIPATED IN THE PLAN BUT DID NOT RECEIVE DISTRIBUTIONS. DISTRIBUTIONS REPORTED ON THIS LINE ARE ALSO INCLUDED IN SCHEDULE J, PART II, COLUMN F AS COMPENSATION REPORTED IN A PRIOR YEAR."}]},"ScheduleK":{"bond_issues":[{"bond_reference":"A","issuer_ein":383468654,"business_name_line1":"CITY OF FREMONT HOSPITAL FINANCE AUTHORITY","cusip_number":"35733OAC3","date_issued":"2007-03-07T00:00:00","issue_price":10800000,"purpose":"CAPITAL FUNDING","defeased":false,"on_behalf_of_issuer":false,"pool_financing":false,"name":"CITY OF FREMONT HOSPITAL FINANCE AUTHORITY"},{"bond_reference":"B","issuer_ein":382889417,"business_name_line1":"MICHIGAN STATE HOSPITAL FINANCE AUTHORITY","cusip_number":"59465E7F4","date_issued":"2004-09-22T00:00:00","issue_price":10000000,"purpose":"CAPITAL FUNDING","defeased":false,"on_behalf_of_issuer":false,"pool_financing":true,"name":"MICHIGAN STATE HOSPITAL FINANCE AUTHORITY"}],"bond_proceeds":[{"bond_reference":"A","total_proceeds":10800000,"gross_proceeds_in_reserve_funds":0,"capitalized_interest":0,"issuance_costs_from_proceeds":190750,"credit_enhancement":0,"working_capital_expenditures":0,"capital_expenditures":10609250,"other_spent_proceeds":0,"refunding_escrow":0,"amount_bond_defeased":0,"amount_retired":2675000,"amount_unspent":0,"substantial_completion_year":2007,"current_refunding":false,"advance_refunding":false,"final_allocation_made":true,"adequate_books_and_records_maintained":true},{"bond_reference":"B","total_proceeds":2700000,"gross_proceeds_in_reserve_funds":0,"capitalized_interest":0,"issuance_costs_from_proceeds":32486,"credit_enhancement":0,"working_capital_expenditures":0,"capital_expenditures":2667514,"other_spent_proceeds":0,"refunding_escrow":0,"amount_bond_defeased":0,"amount_retired":1538548,"amount_unspent":0,"substantial_completion_year":2005,"current_refunding":false,"advance_refunding":false,"final_allocation_made":true,"adequate_books_and_records_maintained":true}],"private_business_use":[{"bond_reference":"A","private_security_or_payment_test":false,"private_business_use_by_others_percentage":0.0,"private_business_concerning_ubi_percentage":0.0,"total_private_business_use_percentage":0.0,"management_contract":true,"bond_counsel_management_contracts":true,"research_agreements":false,"bond_counsel_research_agreements":false,"lease_arrangements":false,"partnership_or_llc_owning_property":false,"change_in_use_bond_financed_property":false,"change_in_use_bond_financed_property_percentage":0.0,"remedial_action_taken":false,"nonqualified_bond_remediated_procedures":true},{"bond_reference":"B","private_security_or_payment_test":false,"private_business_use_by_others_percentage":0.0,"private_business_concerning_ubi_percentage":0.0,"total_private_business_use_percentage":0.0,"management_contract":true,"bond_counsel_management_contracts":true,"research_agreements":false,"bond_counsel_research_agreements":false,"lease_arrangements":false,"partnership_or_llc_owning_property":false,"change_in_use_bond_financed_property":false,"change_in_use_bond_financed_property_percentage":0.0,"remedial_action_taken":false,"nonqualified_bond_remediated_procedures":true}],"arbitrage":[{"bond_reference":"A","gross_proceeds_invested":false,"gross_proceeds_invested_in_gic":false,"term_of_gic_percentage":0.0,"regulatory_safe_harbor_satisfied":false,"hedge_identified_in_books_and_records":false,"term_of_hedge_percentage":0.0,"superintegrated_hedge":false,"hedge_terminated":false,"variable_rate_issue":true,"written_procedures_to_monitor_requirements":true,"rebate_not_due_yet":false,"exception_to_rebate":false,"no_rebate_due":true,"form_8038t_filed":false},{"bond_reference":"B","gross_proceeds_invested":false,"gross_proceeds_invested_in_gic":false,"term_of_gic_percentage":0.0,"regulatory_safe_harbor_satisfied":false,"hedge_identified_in_books_and_records":false,"term_of_hedge_percentage":0.0,"superintegrated_hedge":false,"hedge_terminated":false,"variable_rate_issue":true,"written_procedures_to_monitor_requirements":true,"rebate_not_due_yet":false,"exception_to_rebate":false,"no_rebate_due":true,"form_8038t_filed":false}],"corrective_action_procedures":[{"bond_reference":"A","procedures_corrective_action":true},{"bond_reference":"B","procedures_corrective_action":true}],"supplemental_information":[{"identifier":"TAX EXEMPT BONDS","form_and_line_reference":"SCHEDULE K, PART I","explanation":"THE MICHIGAN HEALTH & HOSPITAL ASSOCIATION SERVICE CORPORATION AND THE MICHIGAN STATE HOSPITAL FINANCE AUTHORITY OFFER THE HEALTHCARE LOAN PROGRAM (HELP). HELP IS A POOLED, TAX-EXEMPT FINANCING PROGRAM THAT INVOLVES A NUMBER OF HEALTH CARE ORGANIZATIONS PARTICIPATING IN A SINGLE PUBLIC FINANCING AND SHARING IN THE PROCEEDS AND COSTS ASSOCIATED WITH THAT FINANCING. THE PROGRAM TAKES ADVANTAGE OF ECONOMIES OF SCALE THROUGH GROUP PARTICIPATION, ALLOWING EACH BORROWER TO ACCESS LOW COST FINANCING WITHOUT INDIVIDUALLY INCURRING ALL OF THE TRANSACTION COSTS ASSOCIATED WITH PUBLIC FINANCING. THE ISSUE PRICE OF THE HELP LOANS, IN PART I OF SCHEDULE K, REPRESENTS THE ENTIRE AMOUNT OF THE ISSUE AND IS NOT REFLECTIVE OF THE ORGANIZATION'S PORTION OF THE LOAN. THE AMOUNTS REPORTED ON LINE 1(E) REPRESENT THE ENTIRE BOND ISSUE, WHILE THE AMOUNTS IN PART II RELATE TO THE PORTION OF THE BONDS ALLOCATED TO NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION."},{"identifier":"ISSUER NAME: Michigan State Hospital Finance Authority: No Rebate Due.","form_and_line_reference":"Schedule K, Part IV, Line 2c","explanation":"THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON SEPTEMBER 22, 2004."}]},"ScheduleL":{"business_transactions_involving_interested_persons":[{"business_name_line1":"PINE MEDICAL GROUP","relationship":"BUSINESS RELATIONSHIP","description":"SEE SCH L, PART V-SERVICES","amount":223500,"sharing_of_revenues":false,"name":"PINE MEDICAL GROUP"},{"business_name_line1":"PINE MEDICAL GROUP","relationship":"BUSINESS RELATIONSHIP","description":"SEE SCH L, PART V-RENTAL","amount":323542,"sharing_of_revenues":false,"name":"PINE MEDICAL GROUP"},{"business_name_line1":"MRS DEBRA SELLA","relationship":"FAMILY","description":"SEE SCH L, PART V","amount":72390,"sharing_of_revenues":false,"name":"MRS DEBRA SELLA"},{"business_name_line1":"MRS MARY HENRY","relationship":"FAMILY","description":"SEE SCH L, PART V","amount":57989,"sharing_of_revenues":false,"name":"MRS MARY HENRY"},{"business_name_line1":"EMERGENCY CARE SPECIALISTS","relationship":"BUSINESS RELATIONSHIP","description":"SEE SCH L, PART V","amount":130081,"sharing_of_revenues":false,"name":"EMERGENCY CARE SPECIALISTS"}],"supplemental_information":[{"identifier":"FAMILY RELATIONSHIPS","form_and_line_reference":"SCHEDULE L, PART V","explanation":"MR. SELLA, AN OFFICER OF THE ORGANIZATION, HAS A SPOUSE THAT IS EMPLOYED BY THE ORGANIZATION. (PART IV, LINES 4) MR. HENRY, A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS, HAS A SPOUSE THAT WORKS FOR THE ORGANIZATION. (PART IV, LINE 5)"},{"identifier":"BUSINESS TRANSACTIONS WITH INTERESTED PERSONS","form_and_line_reference":"SCHEDULE L, PART V","explanation":"DR. WELSH, A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS, IS A DIRECTOR OF A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH THE ORGANIZATION. THE ORGANIZATION ALSO LEASES RENTAL SPACE TO THE SAME TAXABLE ENTITY. (PART IV, LINES 1-2) DR BECKMAN, A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS, HAS OWNERSHIP IN A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH THE ORGANIZATION. (PART IV, LINE 3)"}]},"ScheduleR":{"tax_exempt_organizations":[{"business_name_line1":"SPECTRUM HEALTH SYSTEM","primary_activities":"MANAGEMENT","exempt_code_section":"501(C)(3)","public_charity_status":"11 - Type III - FI","controlled_organization":false,"legal_domicile_state":"MI","direct_controlling_business_name_line1":"NA","address_line1":"100 MICHIGAN ST NE","city":"GRAND RAPIDS","state":"MI","zip":"49503","name":"SPECTRUM HEALTH SYSTEM","address":"100 MICHIGAN ST NE, GRAND RAPIDS, MI, 49503"},{"business_name_line1":"SPECTRUM HEALTH HOSPITALS","primary_activities":"HEALTHCARE","exempt_code_section":"501(C)(3)","public_charity_status":"3","controlled_organization":false,"legal_domicile_state":"MI","direct_controlling_business_name_line1":"SPECTRUM HEALTH SYSTEM","address_line1":"100 MICHIGAN ST NE","city":"GRAND RAPIDS","state":"MI","zip":"49503","name":"SPECTRUM HEALTH HOSPITALS","address":"100 MICHIGAN ST NE, GRAND RAPIDS, MI, 49503"},{"business_name_line1":"SPECTRUM HEALTH 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FOR THE YEAR ENDED JUNE 30, 2013 IT WAS DETERMINED THAT THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS TO DISCLOSE. AS SUCH, THERE WAS NO FOOTNOTE ADDED TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"policy_applied_to_all_hospitals":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":false,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":true,"unable_to_provide_care":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":5454960,"bad_debt_expense_attributable_to_financial_assistance":0,"reimbursed_by_medicare":20442080,"cost_of_care_reimbursed_by_medicare":24307629,"medicare_surplus_or_shortfall":-3865549,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":false},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":1444726,"net_community_benefit_expense":1444726,"total_expense_percentage":0.0226},"unreimbursed_medicaid":{"total_community_benefit_expense":13194418,"direct_offsetting_revenue":9547840,"net_community_benefit_expense":3646578,"total_expense_percentage":0.0572},"unreimbursed_costs":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"total_financial_assistance":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":14639144,"direct_offsetting_revenue":9547840,"net_community_benefit_expense":5091304,"total_expense_percentage":0.0798},"community_health_services":{"total_community_benefit_expense":71110,"net_community_benefit_expense":71110,"total_expense_percentage":0.0011},"health_professions_education":{"total_community_benefit_expense":27518,"net_community_benefit_expense":27518,"total_expense_percentage":0.0004},"subsidized_health_services":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"research":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"cash_and_inkind_contributions":{"total_community_benefit_expense":3480,"net_community_benefit_expense":3480,"total_expense_percentage":0.0001},"total_other_benefits":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":102108,"direct_offsetting_revenue":0,"net_community_benefit_expense":102108,"total_expense_percentage":0.0016},"total_community_benefits":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":14741252,"direct_offsetting_revenue":9547840,"net_community_benefit_expense":5193412,"total_expense_percentage":0.0814}},"community_building":{"physical_improvements_and_housing":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"economic_development":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"community_support":{"total_community_benefit_expense":1982,"net_community_benefit_expense":1982,"total_expense_percentage":0.0},"environmental_improvements":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"leadership_development":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"coalition_building":{"total_community_benefit_expense":8638,"net_community_benefit_expense":8638,"total_expense_percentage":0.0001},"health_improvement_advocacy":{"total_community_benefit_expense":3214,"net_community_benefit_expense":3214,"total_expense_percentage":0.0},"workforce_development":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"other_community_building_activities":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"total_community_building_activities":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":13834,"direct_offsetting_revenue":0,"net_community_benefit_expense":13834,"total_expense_percentage":0.0002}},"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"SPECTRUM HEALTH GERBER MEMORIAL","address_line1":"212 S SULLIVAN ST","city":"FREMONT","state":"MI","zip":"49412","website":"WWW.SPECTRUMHEALTH.ORG/GERBER","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"name":"SPECTRUM HEALTH GERBER MEMORIAL","address":"212 S SULLIVAN ST, FREMONT, MI, 49412"}],"facility_policies":[{"business_name_line1":"SPECTRUM HEALTH GERBER MEMORIAL","facility_number":1,"chna_conducted":true,"community_definition":true,"community_demographics":true,"existing_resources":true,"how_data_obtained":true,"community_health_needs":true,"other_health_issues":true,"community_health_needs_identification_process":true,"consulting_process":true,"chna_conducted_year":11,"took_into_account_others_input":true,"chna_conducted_with_other_facilities":false,"chna_report_widely_available":true,"report_available_on_own_website":true,"paper_copy_public_inspection":true,"implementation_strategy_adopted":true,"strategy_posted_website":true,"organization_incurred_excise_tax":false,"adopt_budget":true,"all_needs_addressed":true,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_discounted":true,"fpg_family_income_limit_free_care_percentage":200.0,"fpg_used_determine_discounted_care":false,"other_criteria":true,"basis_explained":true,"application_financial_assistance_explanation":true,"other_method_used":true,"includes_publicity_measures":true,"fap_available_on_website":true,"fap_available_on_request_no_charge":true,"fap_notified_all_patients":true,"other_publicity":true,"fap_actions_on_nonpayment":true,"collection_activities":false,"provided_written_notice":true,"made_effort_orally_notify":true,"processed_fap_application":true,"nondiscriminatory_emergency_care_policy":true,"amounts_generally_billed":false,"gross_charges":false,"develop_community_wide_plan":true,"exec_community_wide_plan":true,"include_operational_plan":true,"information_gaps":true,"prioritize_health_needs":true,"prioritize_services":true,"name":"SPECTRUM HEALTH GERBER MEMORIAL"}],"supplemental_information":[{"form_and_line_reference":"Schedule H, Part I, Line 3c","explanation":"THE ORGANIZATION USES FPG TO DETERMINE ELIGIBILITY FOR FREE CARE. AN EVALUATION IS NOT USED FOR DISCOUNTED CARE, AS APPLICANTS THAT QUALIFY FOR ANY ASSISTANCE RECEIVE FREE CARE."},{"form_and_line_reference":"Schedule H, Part I, Line 6a","explanation":"SPECTRUM HEALTH SYSTEM (EIN 38-3382353)"},{"form_and_line_reference":"SCHEDULE H, PART I, LINE 6A","explanation":"THE HEALTH SYSTEM PUBLISHES A CONSOLIDATED COMMUNITY BENEFIT REPORT ON ITS WEBSITE AT WWW.SPECTRUMHEALTH.ORG (CLICK THE LINK TITLED \"ABOUT US\"). IN ADDITION, THE HEALTH SYSTEM HOLDS AN ANNUAL MEETING TO THE PUBLIC TO DISCUSS ITS COMMUNITY COMMITMENTS."},{"form_and_line_reference":"Schedule H, Part I, Line 7","explanation":"THE ORGANIZATION CALCULATES AN OVERALL COST-TO-CHARGE RATIO DERIVED BY USING THE IRS WORKSHEET 2 FORMAT, RATIO OF PATIENT CARE COST-TO-CHARGES. ALL PATIENT SEGMENTS AND PAYERS ARE USED IN THE CALCULATION."},{"form_and_line_reference":"Schedule H, Part I, Line 7, column(f)","explanation":"5,454,960"},{"form_and_line_reference":"Schedule H, Part II","explanation":"THE ORGANIZATION WORKS TO ADDRESS MANY OF THE COMMUNITY'S PRESSING HEALTH ISSUES BY PROMOTING AND ADVOCATING FOR OVERALL COMMUNITY HEALTH IMPROVEMENT. COMMUNITY BUILDING ACTIVITIES INCLUDE: 1. PROVIDING PHYSICAL IMPROVEMENTS AND ECONOMIC DEVELOPMENT; 2. PROVIDING LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS AND PARTNERS; 3. RAISING AWARENESS THROUGH CONDUCTING ASSESSMENTS, PROVIDING EDUCATION AND ASSISTING IN DISEASE MANAGEMENT; 4. OFFERING PRESENTATIONS AND DEMONSTRATIONS TO MEMBERS OF THE COMMUNITY AND THROUGHOUT THE LOCAL SCHOOLS."},{"form_and_line_reference":"Schedule H, Part III, Line 2","explanation":"THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ACCOUNTS RECEIVABLE, PAYOR COMPOSITION AND AGING, AND HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTED ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR THIRD-PARTY PAYERS, THE PROVISION IS DETERMINED BY ANALYZING CONTRACTUALLY DUE AMOUNTS FROM PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES. FOR SELF-PAY PATIENTS, THE PROVISION IS BASED ON AN ANALYSIS OF PAST EXPERIENCE RELATED TO PATIENTS UNWILLING TO PAY STANDARD RATES CHARGED. THE DIFFERENCE BETWEEN THAT STANDARD RATE CHARGED (LESS THE NEGOTIATE DISCOUNTED RATE) AND THE AMOUNT ACTUALLY COLLECTED AFTER THE REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ALL CHARGES ARE REPORTED AT GROSS, WHICH IS CONSISTENT WITH THE REPORTING METHODOLOGY USED IN THE ORGANIZATION'S FINANCIAL STATEMENTS."},{"form_and_line_reference":"Schedule H, Part III, Line 3","explanation":"THE ORGANIZATION IS UNABLE TO ESTIMATE ACCURATELY THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE OR DISCOUNTED SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY. ALTHOUGH A PORTION OF BAD DEBT EXPENSES MAY RELATE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE, A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED. THE ORGANIZATION HAS IMPLEMENTED A \"PROPENSITY TO PAY\" EVALUATION TOOL THAT PROACTIVELY ASSESSES ONE'S ABILITY AND LIKELIHOOD TO PAY. WITH THIS TOOL, THE ORGANIZATION HAS BEEN ABLE TO PROVIDE A HIGHER DEGREE OF FOCUSED FINANCIAL COUNSELING EFFORTS, RESULTING IN A SUBSTANTIAL REDUCTION OF BAD DEBT AND HIGHER RATE OF IDENTIFICATION OF CHARITY ACCOUNTS."},{"form_and_line_reference":"Schedule H, Part III, Line 4","explanation":"THE NET PATIENT SERVICE REVENUE, PATIENT ACCOUNTS RECEIVABLE, AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOOTNOTE IS ON PAGES 14 TO 16 OF THE ORGANIZATIONS CONSOLIDATED FINANCIAL STATEMENT."},{"form_and_line_reference":"Schedule H, Part III, Line 8","explanation":"THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; (2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; (3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND (4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS. IN DETERMINING MEDICARE SHORTFALLS THE ORGANIZATION USES A RATIO OF COST TO CHARGES. IN DETERMINING THE RATIO OF COST TO CHARGES THE ORGANIZATION ADJUSTS FOR BAD DEBT EXPENSES, NON-PATIENT CARE ACTIVITIES, MEDICAID PROVIDER TAXES AND COMMUNITY BENEFITS ACCOUNTED FOR, AND OR REPORTED, ELSEWHERE. THE RATIO OF COST TO CHARGES IS APPLIED TO MEDICARE CHARGES TO DETERMINE SHORTFALLS IN MEDICARE REIMBURSEMENTS."},{"form_and_line_reference":"SCHEDULE H, PART III, LINE 9B","explanation":"THE ORGANIZATION PROVIDES FREE CARE TO ALL PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE WILL NOT OWE ANYTHING, AND THUS WILL NOT BE SUBJECT TO COLLECTION ACTIVITIES."},{"form_and_line_reference":"Schedule H, Part V Section B, Line 3","explanation":"(1) SPECTRUM HEALTH GERBER MEMORIAL - DATA WAS GATHERED FROM A VARIETY OF SOURCES AND USING MULTIPLE METHODOLOGIES. RESIDENT FEEDBACK WAS OBTAINED VIA FOCUS GROUPS. THIS FEEDBACK WAS OBTAINED FROM COMMUNITY RESIDENTS. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS OR KEY INFORMANTS, PROVIDED INPUT VIA IN-DEPTH INTERVIEWS AND AN ONLINE SURVEY. SECONDARY DATA GATHERED FROM STATE AND NATIONAL DATABASES WAS ALSO USED TO SUPPLEMENT THE OVERALL FINDINGS. LOCAL HOSPITAL UTILIZATION DATA WAS ALSO USED. MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE CHNA TASK FORCE. ADDITIONALLY KEY STAKEHOLDERS WHO WERE INTERVIEWED ARE DEFINED AS EXECUTIVE-LEVEL COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH ISSUES AND ARE OFTEN INVOLVED IN POLICY DECISION MAKING. KEY INFORMANTS WHO PARTICIPATED IN THE ONLINE SURVEY ARE DEFINED AS COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH ISSUES OR HAVE EXPERIENCE WITH SUBPOPULATIONS IMPACTED MOST BY ISSUES IN HEALTH CARE. FOR A LISTING OF ALL INDIVIDUALS AND SOURCES CONSULTED, SEE THE NEWAYGO COUNTY CHNA.;"},{"form_and_line_reference":"Schedule H, Part V Section B, Line 11","explanation":"(1) SPECTRUM HEALTH GERBER MEMORIAL - THE ORGANIZATION USES FPG TO DETERMINE ELIGIBILITY FOR FREE CARE. AN EVALUATION IS NOT USED FOR DISCOUNTED CARE, AS APPLICANTS THAT QUALIFY FOR ANY ASSISTANCE RECEIVE FREE CARE.;"},{"form_and_line_reference":"Schedule H, Part V Section B, Line 12h","explanation":"(1) SPECTRUM HEALTH GERBER MEMORIAL - THE ORGANIZATION DOES NOT CHARGE ANY AMOUNT TO PATIENTS WHO QUALIFY FOR ASSISTANCE.;"},{"form_and_line_reference":"Schedule H, Part V Section B, Line 14g","explanation":"(1) SPECTRUM HEALTH GERBER MEMORIAL - THE ORGANIZATION PUBLICIZES THE FINANCIAL ASSISTANCE POLICY BY COMMUNICATING ITS AVAILABILITY VIA A PATIENT HANDBOOK, SIGNAGE, INFORMATIONAL BROCHURES, COMMUNITY PUBLICATIONS, AND VIA WORD OF MOUTH BY FINANCIAL COUNSELORS ASSISTING PATIENTS. REFERENCE TO THE AVAILABILITY OF THE POLICY IS PUBLICLY POSTED IN WAITING ROOMS. ;"},{"form_and_line_reference":"Schedule H, Part V Section B, Line 20d","explanation":"(1) SPECTRUM HEALTH GERBER MEMORIAL - THE ORGANIZATION DOES NOT CHARGE ANY AMOUNT TO PATIENTS WHO QUALIFY FOR ASSISTANCE.;"},{"form_and_line_reference":"Schedule H, Part VI, Line 2","explanation":"THE CHNA DATA PROVIDES A LEVEL FOUNDATION ON WHICH TO PLAN, DEVELOP, AND IMPLEMENT NEW PROGRAMS AND SERVICES TO MEET THE NEEDS OF OUR COMMUNITY. OPERATIONAL SERVICES IDENTIFIED BY THE CHNA, E.G. INCREASE IN PROPORTION OF PERSONS WITH PRIMARY CARE PROVIDERS, HAVE BEEN BUILT INTO THE STRATEGIC PLAN AND BUDGET, AND A RECRUITMENT PLAN HAS BEEN CREATED BASED ON CONVERSATIONS AROUND THE COMMUNITY BENEFIT DOLLARS. THE CHNA AND IMPLEMENTATION PLAN IS LOCATED AT: HTTP://WWW.SPECTRUMHEALTH.ORG/ABOUT-SHGM-COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH ALSO PREPARES AN ANNUAL CORPORATE SOCIAL RESPONSIBILITY REPORT THAT FOCUSES ON NINE KEY AREAS: HEALTHIER COMMUNITIES, EDUCATION, COMMUNITY ENGAGEMENT, RESEARCH, INNOVATION, EMPLOYEE ENGAGEMENT, SUSTAINABILITY, REGIONAL RELATIONSHIPS AND COMMUNITY BENEFIT."},{"form_and_line_reference":"Schedule H, Part VI, Line 3","explanation":"THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY THROUGH PRODUCING INFORMATION CARDS FOR THE UNINSURED, COMMUNITY OUTREACH PROGRAMS, CONSUMER INFORMATION CLASSES, ORGANIZATION WEBSITE, PERSONAL FINANCIAL COUNSELING, AND BY PROVIDING ASSISTANCE IN THE ACTUAL ENROLLMENT OF SUCH PROGRAMS. THE ORGANIZATION HAS A DEPARTMENT OF FINANCIAL COUNSELORS WHO WORK WITH PATIENTS THAT EXPRESS ANY LEVEL OF CONCERN WITH PAYING THEIR BILL. IN ADDITION, THE ORGANIZATION ALSO PROACTIVELY IDENTIFIES PATIENTS WHO HAVE QUALIFYING FACTORS FOR GOVERNMENTAL ASSISTANCE AND PARTNERS WITH ORGANIZATIONS THAT SPECIALIZE IN THE QUALIFICATION PROCESS. IF THE NEED FOR ASSISTANCE IS NOT IDENTIFIED PRIOR TO BILLING, PATIENT CONCERNS THAT ARE RECEIVED AS A RESULT OF RECEIVING A BILL ARE ADDRESSED BY FINANCIAL COUNSELORS AT THAT TIME. THE ORGANIZATION WIDELY PUBLICIZES COMMUNICATIONS TO PATIENTS AND THE PUBLIC ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. THIS IS ACHIEVED THROUGH VARIOUS METHODS INCLUDING, BUT NOT LIMITED TO, VIA THE SPECTRUM HEALTH PATIENT HANDBOOK, VARIOUS INFORMATIONAL BROCHURES, SIGNAGE IN EACH HOSPITAL DEPARTMENT, ADMISSIONS OFFICES AND OTHER PUBLIC LOCATIONS, UPON REQUEST BY ANY PATIENT, GUARANTOR OR COMMUNITY MEMBER, WORD OF MOUTH VIA FINANCIAL COUNSELORS AND OTHERS, AND THROUGH COMMUNITY PUBLICATIONS AND OUTREACH EVENTS. IN ADDITION, THE ORGANIZATION LISTS OPTIONS FOR THE UNINSURED AND UNDERINSURED ON THEIR WEBSITE, ALONG WITH A COPY OF THE FINANCIAL ASSISTANCE ELIGIBILITY POLICY (SEARCH \"FINANCIAL ASSISTANCE\" AT WWW.SPECTRUMHEALTH.ORG)."},{"form_and_line_reference":"Schedule H, Part VI, Line 4","explanation":"THE ORGANIZATION HAS IDENTIFIED A PRIMARY SERVICE AREA OF SEVERAL COUNTIES INCLUDING NEWAYGO COUNTY, EASTERN OCEANA COUNTY AND EASTERN MUSKEGON COUNTY AS PRIMARY AND NORTHERN KENT COUNTY AND SOUTHERN LAKE COUNTY AS SECONDARY. FOR SPECIFIC POPULATION STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTP://WWW.SPECTRUMHEALTH.ORG/ABOUT-SHGM-COMMUNITY-HEALTH-NEEDS-ASSESSMENT."},{"form_and_line_reference":"Schedule H, Part VI, Line 5","explanation":"SPECTRUM HEALTH GERBER MEMORIAL'S BOARD OF DIRECTORS IS COMPOSED OF MEMBERS OF WHICH SUBSTANTIALLY ALL ARE INDEPENDENT COMMUNITY MEMBERS. A MAJORITY OF THE BOARD RESIDES IN SPECTRUM HEALTH GERBER MEMORIAL'S PRIMARY SERVICE AREA. SPECTRUM HEALTH GERBER MEMORIAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SPECTRUM HEALTH GERBER MEMORIAL INVESTS NET EARNINGS IN IMPROVING PATIENT CARE, BUILDING AND RENOVATING FACILITIES, PURCHASING NEW TECHNOLOGY, PROVIDING HEALTH EDUCATION AND FUNDING COMMUNITY PROGRAMS. PEOPLE THROUGHOUT THE COMMUNITY CAN COUNT ON SPECTRUM HEALTH GERBER MEMORIAL TO BE STANDING BY WITH EMERGENCY CARE 24 HOURS A DAY, 365 DAYS A YEAR. THE EMERGENCY DEPARTMENT IS STAFFED WITH BOARD-CERTIFIED EMERGENCY CARE PHYSICIANS AND A NURSING STAFF THAT IS TRAINED AND EXPERIENCED IN EMERGENCY CARE. FURTHERMORE, NO PATIENT IS DENIED TREATMENT, REGARDLESS OF THEIR ABILITY TO PAY."},{"form_and_line_reference":"Schedule H, Part VI, Line 6","explanation":"SPECTRUM HEALTH IS AN INTEGRATED NOT-FOR-PROFIT HEALTH SYSTEM IN WEST MICHIGAN OFFERING A FULL CONTINUUM OF CARE THROUGH THE SPECTRUM HEALTH HOSPITAL GROUP, WHICH IS COMPRISED OF NINE HOSPITALS INCLUDING HELEN DEVOS CHILDREN'S HOSPITAL, A STATE OF THE ART CHILDREN'S HOSPITAL THAT OPENED IN JANUARY 2011, AND 183 SERVICE SITES; THE SPECTRUM HEALTH MEDICAL GROUP AND WEST MICHIGAN HEART, PHYSICIAN GROUPS TOTALING MORE THAN 700 PROVIDERS; AND PRIORITY HEALTH, A HEALTH PLAN WITH 600,000 MEMBERS. SPECTRUM HEALTH IS WEST MICHIGAN'S LARGEST EMPLOYER WITH 19,000 EMPLOYEES. THE ORGANIZATION PROVIDED $250 MILLION IN COMMUNITY BENEFIT DURING ITS 2013 FISCAL YEAR. SPECTRUM HEALTH GERBER MEMORIAL IS A MEMBER OF THE AFFILIATED GROUP OF ENTITIES WITHIN THE SPECTRUM HEALTH SYSTEM (\"SPECTRUM HEALTH\"). EACH MEMBER CREATES VALUE WITHIN ITS RESPECTIVE COMMUNITY AND IS RESPONSIBLE FOR THEIR ACTIONS AND THE IMPACT THESE ACTIONS HAVE. FROM ITS INCEPTION, SPECTRUM HEALTH HAS BEEN A FAITHFUL STEWARD OF ITS COMMUNITY ASSETS. AS A WEST MICHIGAN-BASED NOT-FOR-PROFIT HEALTH SYSTEM, THE ORGANIZATION INVESTS ITS NET EARNINGS TO IMPROVE PATIENT CARE, BUILD AND RENOVATE FACILITIES, PURCHASE NEW TECHNOLOGY, PROVIDE HEALTH EDUCATION AND FUND LOCAL COMMUNITY PROGRAMS. OVER THE YEARS, OUR MISSION HAS REMAINED THE SAME-TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. WE TAKE OUR MISSION SERIOUSLY. IT IS CENTRAL TO OUR STRATEGIC DISCUSSIONS AND GUIDES OUR INVESTMENTS AND THE ALLOCATION OF OUR RESOURCES. SPECTRUM HEALTH IS COMMITTED TO PROVIDING VALUE TO THE PEOPLE WE SERVE. \"VALUE\" MEANS ACCESS TO HIGH-QUALITY HEALTH CARE AT AFFORDABLE COSTS, AS WELL AS ACCESS TO THE FULL CONTINUUM OF HEALTH CARE SERVICES, FROM HEALTH INSURANCE TO OUTPATIENT CARE TO INPATIENT AND HOME CARE, AND EVERYTHING IN BETWEEN. SPECTRUM HEALTH HAS HUNDREDS OF PROGRAMS THAT SUPPORT ITS MISSION \"TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE.\" THESE PROGRAMS ARE BROUGHT TOGETHER UNDER NINE KEY AREAS: HEALTHIER COMMUNITIES, EDUCATION, COMMUNITY ENGAGEMENT, RESEARCH, INNOVATION, EMPLOYEE ENGAGEMENT, SUSTAINABILITY, REGIONAL RELATIONSHIPS AND COMMUNITY BENEFIT."},{"form_and_line_reference":"SCHEDULE H, PART VI, LINE 7","explanation":"THE ORGANIZATION IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH THE STATE HOWEVER THE ORGANIZATION VOLUNTARILY REPORTS COMMUNITY BENEFIT INFORMATION TO THE MICHIGAN HEALTH AND HOSPITAL ASSOCIATION AND IN AN ANNUAL MEETING TO THE COMMUNITY. THE COMMUNITY BENEFIT REPORT IS ALSO AVAILABLE ON THE ORGANIZATION'S WEBSITE."}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"benefits_and_procedures":{"health_or_social_club_dues":true,"substantiation_required":true,"written_policy_travel_and_entertainment":true},"compensation_process":{"compensation_committee":true,"independent_consultant":true,"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"JAMES PATENGE","title":"OB/GYN","base_compensation_filing_org":289042,"bonus_filing_org":11005,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":11302,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":13397,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":794,"other_compensation_related_orgs":0,"total_compensation_filing_org":325540,"total_compensation_related_orgs":0,"name":"JAMES PATENGE"},{"person_name":"JOHN SELLA","title":"CFO - 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THE RELATED AMOUNTS WERE TREATED AS TAXABLE COMPENSATION AND INCLUDED IN FORM W-2."},{"identifier":"Arrangement used to establish the top management official's compensation","form_and_line_reference":"Schedule J, Part I, Line 3","explanation":"THE SPECTRUM HEALTH SYSTEM BOARD OF DIRECTORS (THROUGH ITS EXECUTIVE COMMITTEE) USES THE FOLLOWING PROCESS FOR DETERMINING COMPENSATION OF THE TOP MANAGEMENT OFFICIAL, OTHER OFFICERS, AND KEY EMPLOYEES AT SPECTRUM HEALTH GERBER MEMORIAL. LABOR MARKET DATA REFLECTING COMPARABLE ORGANIZATIONS AND JOBS (PREPARED BY INDEPENDENT FIRMS) ARE RELIED UPON. COMPETITIVE ASSESSMENT REPORTS ARE PROVIDED TO THE EXECUTIVE COMMITTEE IN ADVANCE OF MEETINGS. THE COMPETITIVE ASSESSMENT REPORT IS PREPARED BY A NATIONALLY KNOWN INDEPENDENT EXECUTIVE COMPENSATION FIRM AND, FOR FY 2013 (7/1/12-6/30/13), WAS BASED ON THE FOLLOWING INDEPENDENT SURVEYS OF HEALTH CARE EXECUTIVES AT COMPARABLE HEALTH SYSTEMS, HEALTH PLANS, AND MEDICAL GROUPS: * AMERICAN MEDICAL GROUP ASSOCIATION: 2012 MEDICAL GROUP COMPENSATION & FINANCIAL SURVEY * INTEGRATED HEALTHCARE STRATEGIES: 2012 HEALTH CARE EXECUTIVE COMPENSATION SURVEY * MERCER HUMAN RESOURCES CONSULTING: 2012 EXECUTIVE COMPENSATION SURVEY * MERCER HUMAN RESOURCES CONSULTING: 2012 INTEGRATED HEALTH NETWORKS COMPENSATION SURVEY * MEDICAL GROUP MANAGEMENT ASSOCIATION: 2012 MANAGEMENT COMPENSATION SURVEY * SULLIVAN, COTTER AND ASSOCIATES: 2012 SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS * SULLIVAN, COTTER AND ASSOCIATES: 2012 PHYSICIAN COMPENSATION AND PRODUCTIVITY SURVEY REPORT * TOWERS WATSON: 2012/2013 HOSPITAL AND HEALTHCARE MANAGEMENT COMPENSATION REPORT * TOWERS WATSON: 2012/2013 TOP MANAGEMENT COMPENSATION REPORT * WARREN: 2012 COMPENSATION SURVEY COMPENSATION ADJUSTMENTS ARE APPROVED BY EXECUTIVE COMMITTEE MEMBERS, CONSISTENT WITH THE SPECTRUM HEALTH COMPENSATION PHILOSOPHY DESCRIBED BELOW. MINUTES OF COMMITTEE DISCUSSIONS AND DECISIONS ARE PREPARED TO MEMORIALIZE EXECUTIVE COMMITTEE DECISIONS BASED UPON THE ABOVE DATA. CASH COMPENSATION DATA RELIED UPON BY THE EXECUTIVE COMMITTEE IS NATIONAL AND REFLECTS THE COMPENSATION PAID TO EXECUTIVES IN COMPARABLE JOBS IN COMPARABLY-SIZED HEALTHCARE ORGANIZATIONS. SPECTRUM HEALTH RECRUITS NATIONALLY FOR ITS EXECUTIVES. BENEFITS DATA REFLECT NATIONAL HEALTHCARE MARKET PRACTICES. GEOGRAPHIC PAY DIFFERENTIAL AND COST OF LIVING DATA INDICATES CONSISTENCY WITH NATIONAL DATA. THIS PROCESS IS INTENDED TO ASSIST SPECTRUM HEALTH IN QUALIFYING FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS (INTERMEDIATE SANCTIONS REGULATIONS) AND COMPLYING WITH THE POTENTIAL SPECTRUM HEALTH EXCESS BENEFIT TRANSACTION POLICY FOR THOSE INDIVIDUALS IN THE GROUP WHO ARE DISQUALIFIED PERSONS. THE OPINION SUBMITTED FROM THE THIRD PARTY INDEPENDENT CONSULTING FIRM IS IN ACCORDANCE WITH THE PROVISIONS OF TREASURY REGULATIONS SECTION 53.4958-6(C)(2) AND IS ALSO INTENDED TO SATISFY THE PROFESSIONAL ADVICE REQUIREMENT OF TREASURY REGULATIONS SECTION 53.4958-1(D)(4)(III)."},{"identifier":"Supplemental nonqualified retirement plan","form_and_line_reference":"Schedule J, Part I, Line 4b","explanation":"$173,508 MARC CHIRCOP $ 74,025 RANDY STASIK $322,225 MATTHEW VAN VRANKEN SCHEDULE J, PART I, LINE 4B IS ANSWERED \"YES\" BECAUSE CERTAIN INDIVIDUALS, WHOSE SALARY AND BENEFITS ARE PAID BY THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION, DO \"PARTICIPATE IN\" A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. SOME INDIVIDUALS RECEIVED DISTRIBUTIONS DURING THE YEAR (AS REPORTED ON THIS LINE) WHEREAS OTHERS PARTICIPATED IN THE PLAN BUT DID NOT RECEIVE DISTRIBUTIONS. DISTRIBUTIONS REPORTED ON THIS LINE ARE ALSO INCLUDED IN SCHEDULE J, PART II, COLUMN F AS COMPENSATION REPORTED IN A PRIOR YEAR."}]},"ScheduleK":{"bond_issues":[{"bond_reference":"A","issuer_ein":383468654,"business_name_line1":"CITY OF FREMONT HOSPITAL FINANCE AUTHORITY","cusip_number":"35733OAC3","date_issued":"2007-03-07T00:00:00","issue_price":10800000,"purpose":"CAPITAL FUNDING","defeased":false,"on_behalf_of_issuer":false,"pool_financing":false,"name":"CITY OF FREMONT HOSPITAL FINANCE AUTHORITY"},{"bond_reference":"B","issuer_ein":382889417,"business_name_line1":"MICHIGAN STATE HOSPITAL FINANCE AUTHORITY","cusip_number":"59465E7F4","date_issued":"2004-09-22T00:00:00","issue_price":10000000,"purpose":"CAPITAL FUNDING","defeased":false,"on_behalf_of_issuer":false,"pool_financing":true,"name":"MICHIGAN STATE HOSPITAL FINANCE AUTHORITY"}],"bond_proceeds":[{"bond_reference":"A","total_proceeds":10800000,"gross_proceeds_in_reserve_funds":0,"capitalized_interest":0,"issuance_costs_from_proceeds":190750,"credit_enhancement":0,"working_capital_expenditures":0,"capital_expenditures":10609250,"other_spent_proceeds":0,"refunding_escrow":0,"amount_bond_defeased":0,"amount_retired":2675000,"amount_unspent":0,"substantial_completion_year":2007,"current_refunding":false,"advance_refunding":false,"final_allocation_made":true,"adequate_books_and_records_maintained":true},{"bond_reference":"B","total_proceeds":2700000,"gross_proceeds_in_reserve_funds":0,"capitalized_interest":0,"issuance_costs_from_proceeds":32486,"credit_enhancement":0,"working_capital_expenditures":0,"capital_expenditures":2667514,"other_spent_proceeds":0,"refunding_escrow":0,"amount_bond_defeased":0,"amount_retired":1538548,"amount_unspent":0,"substantial_completion_year":2005,"current_refunding":false,"advance_refunding":false,"final_allocation_made":true,"adequate_books_and_records_maintained":true}],"private_business_use":[{"bond_reference":"A","private_security_or_payment_test":false,"private_business_use_by_others_percentage":0.0,"private_business_concerning_ubi_percentage":0.0,"total_private_business_use_percentage":0.0,"management_contract":true,"bond_counsel_management_contracts":true,"research_agreements":false,"bond_counsel_research_agreements":false,"lease_arrangements":false,"partnership_or_llc_owning_property":false,"change_in_use_bond_financed_property":false,"change_in_use_bond_financed_property_percentage":0.0,"remedial_action_taken":false,"nonqualified_bond_remediated_procedures":true},{"bond_reference":"B","private_security_or_payment_test":false,"private_business_use_by_others_percentage":0.0,"private_business_concerning_ubi_percentage":0.0,"total_private_business_use_percentage":0.0,"management_contract":true,"bond_counsel_management_contracts":true,"research_agreements":false,"bond_counsel_research_agreements":false,"lease_arrangements":false,"partnership_or_llc_owning_property":false,"change_in_use_bond_financed_property":false,"change_in_use_bond_financed_property_percentage":0.0,"remedial_action_taken":false,"nonqualified_bond_remediated_procedures":true}],"arbitrage":[{"bond_reference":"A","gross_proceeds_invested":false,"gross_proceeds_invested_in_gic":false,"term_of_gic_percentage":0.0,"regulatory_safe_harbor_satisfied":false,"hedge_identified_in_books_and_records":false,"term_of_hedge_percentage":0.0,"superintegrated_hedge":false,"hedge_terminated":false,"variable_rate_issue":true,"written_procedures_to_monitor_requirements":true,"rebate_not_due_yet":false,"exception_to_rebate":false,"no_rebate_due":true,"form_8038t_filed":false},{"bond_reference":"B","gross_proceeds_invested":false,"gross_proceeds_invested_in_gic":false,"term_of_gic_percentage":0.0,"regulatory_safe_harbor_satisfied":false,"hedge_identified_in_books_and_records":false,"term_of_hedge_percentage":0.0,"superintegrated_hedge":false,"hedge_terminated":false,"variable_rate_issue":true,"written_procedures_to_monitor_requirements":true,"rebate_not_due_yet":false,"exception_to_rebate":false,"no_rebate_due":true,"form_8038t_filed":false}],"corrective_action_procedures":[{"bond_reference":"A","procedures_corrective_action":true},{"bond_reference":"B","procedures_corrective_action":true}],"supplemental_information":[{"identifier":"TAX EXEMPT BONDS","form_and_line_reference":"SCHEDULE K, PART I","explanation":"THE MICHIGAN HEALTH & HOSPITAL ASSOCIATION SERVICE CORPORATION AND THE MICHIGAN STATE HOSPITAL FINANCE AUTHORITY OFFER THE HEALTHCARE LOAN PROGRAM (HELP). HELP IS A POOLED, TAX-EXEMPT FINANCING PROGRAM THAT INVOLVES A NUMBER OF HEALTH CARE ORGANIZATIONS PARTICIPATING IN A SINGLE PUBLIC FINANCING AND SHARING IN THE PROCEEDS AND COSTS ASSOCIATED WITH THAT FINANCING. THE PROGRAM TAKES ADVANTAGE OF ECONOMIES OF SCALE THROUGH GROUP PARTICIPATION, ALLOWING EACH BORROWER TO ACCESS LOW COST FINANCING WITHOUT INDIVIDUALLY INCURRING ALL OF THE TRANSACTION COSTS ASSOCIATED WITH PUBLIC FINANCING. THE ISSUE PRICE OF THE HELP LOANS, IN PART I OF SCHEDULE K, REPRESENTS THE ENTIRE AMOUNT OF THE ISSUE AND IS NOT REFLECTIVE OF THE ORGANIZATION'S PORTION OF THE LOAN. THE AMOUNTS REPORTED ON LINE 1(E) REPRESENT THE ENTIRE BOND ISSUE, WHILE THE AMOUNTS IN PART II RELATE TO THE PORTION OF THE BONDS ALLOCATED TO NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION."},{"identifier":"ISSUER NAME: Michigan State Hospital Finance Authority: No Rebate Due.","form_and_line_reference":"Schedule K, Part IV, Line 2c","explanation":"THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON SEPTEMBER 22, 2004."}]},"ScheduleL":{"business_transactions_involving_interested_persons":[{"business_name_line1":"PINE MEDICAL GROUP","relationship":"BUSINESS RELATIONSHIP","description":"SEE SCH L, PART V-SERVICES","amount":223500,"sharing_of_revenues":false,"name":"PINE MEDICAL GROUP"},{"business_name_line1":"PINE MEDICAL GROUP","relationship":"BUSINESS RELATIONSHIP","description":"SEE SCH L, PART V-RENTAL","amount":323542,"sharing_of_revenues":false,"name":"PINE MEDICAL GROUP"},{"business_name_line1":"MRS DEBRA SELLA","relationship":"FAMILY","description":"SEE SCH L, PART V","amount":72390,"sharing_of_revenues":false,"name":"MRS DEBRA SELLA"},{"business_name_line1":"MRS MARY HENRY","relationship":"FAMILY","description":"SEE SCH L, PART V","amount":57989,"sharing_of_revenues":false,"name":"MRS MARY HENRY"},{"business_name_line1":"EMERGENCY CARE SPECIALISTS","relationship":"BUSINESS RELATIONSHIP","description":"SEE SCH L, PART V","amount":130081,"sharing_of_revenues":false,"name":"EMERGENCY CARE SPECIALISTS"}],"supplemental_information":[{"identifier":"FAMILY RELATIONSHIPS","form_and_line_reference":"SCHEDULE L, PART V","explanation":"MR. SELLA, AN OFFICER OF THE ORGANIZATION, HAS A SPOUSE THAT IS EMPLOYED BY THE ORGANIZATION. (PART IV, LINES 4) MR. HENRY, A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS, HAS A SPOUSE THAT WORKS FOR THE ORGANIZATION. (PART IV, LINE 5)"},{"identifier":"BUSINESS TRANSACTIONS WITH INTERESTED PERSONS","form_and_line_reference":"SCHEDULE L, PART V","explanation":"DR. WELSH, A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS, IS A DIRECTOR OF A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH THE ORGANIZATION. THE ORGANIZATION ALSO LEASES RENTAL SPACE TO THE SAME TAXABLE ENTITY. (PART IV, LINES 1-2) DR BECKMAN, A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS, HAS OWNERSHIP IN A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH THE ORGANIZATION. (PART IV, LINE 3)"}]},"ScheduleR":{"tax_exempt_organizations":[{"business_name_line1":"SPECTRUM HEALTH SYSTEM","primary_activities":"MANAGEMENT","exempt_code_section":"501(C)(3)","public_charity_status":"11 - Type III - FI","controlled_organization":false,"legal_domicile_state":"MI","direct_controlling_business_name_line1":"NA","address_line1":"100 MICHIGAN ST NE","city":"GRAND RAPIDS","state":"MI","zip":"49503","name":"SPECTRUM HEALTH SYSTEM","address":"100 MICHIGAN ST NE, GRAND RAPIDS, MI, 49503"},{"business_name_line1":"SPECTRUM HEALTH HOSPITALS","primary_activities":"HEALTHCARE","exempt_code_section":"501(C)(3)","public_charity_status":"3","controlled_organization":false,"legal_domicile_state":"MI","direct_controlling_business_name_line1":"SPECTRUM HEALTH SYSTEM","address_line1":"100 MICHIGAN ST NE","city":"GRAND RAPIDS","state":"MI","zip":"49503","name":"SPECTRUM HEALTH HOSPITALS","address":"100 MICHIGAN ST NE, GRAND RAPIDS, MI, 49503"},{"business_name_line1":"SPECTRUM HEALTH 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