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ALL OBLIGATED GROUP MEMBERS AND OR DESIGNATED AFFILIATES ARE PART OF THE SAME HEALTH SYSTEM AND ARE TAX-EXEMPT 501(C)(3) CHARITABLE ORGANIZATIONS. THE 2008C BOND IS ATTRIBUTABLE TO FOUR LEGAL ENTITIES WITHIN THE OBLIGATED GROUP (SEE ALSO FORM 990, PART X, LINE 20): * SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) * SPECTRUM HEALTH CONTINUING CARE CENTER (EIN 38-3242232) * SPECTRUM HEALTH CONTINUING CARE (EIN 38-2415333) * SPECTRUM HEALTH WORTH SERVICES (EIN 38-2786617) AS IT RELATES TO THIS BOND, THE INFORMATION REPORTED IN SCHEDULE K, PART I IS REPEATED FOR EACH MEMBER OF THE OBLIGATED GROUP. THE INFORMATION REPORTED IN PART II IS REPRESENTATIVE OF THE REPORTING ENTITY'S PORTION OF THE TAX-EXEMPT BOND."},{"identifier":"ISSUER NAME: Kent Hospital Financing Authority (2008C): No Rebate Due.","form_and_line_reference":"Schedule K, Part IV, Line 2c","explanation":"THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON JULY 15, 2009."}]},"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 CONTINUING 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CAMPUS","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 CONTINUING CARE","address_line1":"750 FULLER AVE NE","city":"GRAND RAPIDS","state":"MI","zip":"49503","name":"SH KENT COMMUNITY CAMPUS","address":"750 FULLER AVE NE, GRAND RAPIDS, MI, 49503"},{"business_name_line1":"VISITING NURSE SERVICES OF WEST MI","primary_activities":"HEALTHCARE","exempt_code_section":"501(C)(3)","public_charity_status":"9","controlled_organization":false,"legal_domicile_state":"MI","direct_controlling_business_name_line1":"SPECTRUM HEALTH CONTINUING CARE","address_line1":"750 FULLER AVE NE","city":"GRAND RAPIDS","state":"MI","zip":"49503","name":"VISITING NURSE SERVICES OF WEST MI","address":"750 FULLER AVE NE, GRAND RAPIDS, MI, 49503"}],"transaction_flags":{"dividends_from_related_organization":false,"gift_grant_or_capital_contribution_from_other_org":false,"gift_grant_or_capital_contribution_to_other_org":false,"loans_or_guarantees_from_other_org":false,"loans_or_guarantees_to_other_org":false,"performance_of_services_by_other_orgs":true,"performance_of_services_for_other_orgs":true,"sharing_of_facilities":false,"sharing_of_paid_employees":false,"reimbursement_paid_by_other_org":false,"reimbursement_paid_to_other_org":false,"rental_of_facilities_from_other_orgs":false,"rental_of_facilities_to_other_orgs":false,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":false,"other_transfer_from_other_org":false,"other_transfer_to_other_org":true},"supplemental_information":[{"identifier":"SECTION 512(B)(13) CONTROLLED ENTITY?","form_and_line_reference":"PART II, COLUMN (G)","explanation":"THE ORGANIZATION IS A 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Score":{"score":null},"Major-Donor Itemization":{"score":null},"Related-Party Transparency":{"score":null},"Pay-Setting Controls":{"score":0.0,"weight":5,"atoms":{"Compensation committee":{"value":false},"Independent compensation consultant":{"value":false},"Form 990 of other organizations reviewed":{"value":false},"Written employment contract":{"value":false},"Compensation survey or study":{"value":false},"Board or committee approval":{"value":false}}},"Governance Policy Score":{"score":0.7777777777777778,"weight":5,"atoms":{"Conflict of interest policy":{"value":true},"Whistle blower policy":{"value":true},"Document retention policy":{"value":true},"Compensation process for CEO":{"value":false},"Compensation process for other employees":{"value":false},"Form 990 provided to governing body":{"value":true},"Minutes of governing body":{"value":true},"Audit committee":{"value":true},"Independent audit financial statements":{"value":true}}},"Categories":{"Financial 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