{"success":true,"data":{"_id":383242232,"filings":[{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"To improve the health of the communities we serve.","primary_activities":"Spectrum health hospice, a division of shcc, provides care that is centered on comfort and supported by compassion for those who are experiencing a life-limiting illness and a terminal diagnosis. Our hospice care and support is provided in private homes, long term care facilities, assisted living residences, adult foster care homes and in hospitals. We work diligently with caregivers to ensure quality care is received. Spectrum health hospice serves people of all faiths and backgrounds within our service area, regardless of their ability to pay. We are available to patients and families 24 hours a day, every day of the year.\n\nSpectrum health continuing care (\"shcc\") is the parent corporation and supporting organization for the spectrum health-kent community, spectrum health continuing care center, spectrum health worth services, and visiting nurse services of western michigan. Shcc provides leadership, planning, and funding to assist these organizations in providing medical care to patients, in order to meet the community's needs.\n\nSpectrum health infusion pharmacy services (ships) is a home infusion pharmacy, providing state of the art infusion products, technologies and services. Ships offers a full range of infusion therapies allowing pediatric and adult patients to be treated while recovering in the comfort of their own homes. Our community based services are backed by a team of dedicated pharmacists and nurses, 24 hours a day, seven days a week. Trusted and local, we collaborate with physicians to ensure exceptional care and establish individualized care plans.","year":2011,"name":"SPECTRUM HEALTH CONTINUING CARE","phone":"6167747322","website":"WWW.SPECTRUMHEALTH.ORG","type":"990","year_formation":1995,"state_legal_domicile":"MI","total_volunteers":181,"tax_period_begin":"2011-07-01T00:00:00","tax_period_end":"2012-06-30T00:00:00","address":"750 Fuller Ave NE - MC 160, Grand Rapids, MI, 49503, USA","city":"Grand Rapids","state":"MI","country":"USA","zip_code":"49503"},"Governance":{"501c3 determination":true,"Number of voting members":5,"Number of independent voting members":0,"Number of employees total":307,"Total Gross UBI":0,"Net unrelated business taxable income":0,"Number of employees":307,"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":false,"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":false,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":false,"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":true},"Revenues":{"value":29628005,"Contributions":{"value":393246,"Related organizations":393246},"Program revenue":{"value":29207459,"Total revenue":{"value":29207459,"VARIOUS":29207459},"Total other revenue":0,"Unrelated business revenue":0},"Investment income":{"value":27300,"Investment income total":27300,"Net investment gain":0,"Income from invest bond proceeds":0},"Other revenues":{"value":0,"Other total":0,"Royalties revenue":0,"Net rental income":0,"Net income from fundraising events":0,"Net income from gaming":0,"Net income":0}},"Expenses":{"value":30878537,"Grant expense":{"value":0,"Grants to domestic orgs":0,"Grants to domestic individuals":0,"Foreign grants":0},"Total professional fundraising expense":{"value":0,"Fundraising professional":0},"Benefits paid to members":{"value":0,"Benefits paid to members Total":0},"Salaries":{"value":12662815,"Current officers":1605589,"Disqualified persons":0,"Other salaries and wages":8025903,"Pension plan contributions":445318,"Other employee benefits":1518474,"Payroll taxes":1067531},"Other expenses":{"value":18215722,"Management services":0,"Legal":530873,"Accounting":0,"Lobbying services":0,"Investment management fees":0,"Other services":3859429,"Advertising":162527,"Office expenses":336143,"Information technology":38487,"Royalties":0,"Occupancy":620708,"Travel":397950,"Conferences and meetings":24162,"Interest":211959,"Payments to affiliates":0,"Depreciation and depletion":126088,"Insurance":27093,"Travel entertainment public officials":0,"Itemized Expenses":{"value":11688046,"VARIOUS":11688046},"All other expenses":192257}},"Assets":{"value":34255853,"Non-interest bearing cash":600,"Savings and temp cash investments":9615891,"Accounts receivable":3117371,"Inventories for sale or use":106228,"Prepaid expenses deferred charges":92334,"Land, building, equipment":3028553,"Investments other":0,"Investments program related":2427581,"Other assets":15867295},"Liabilities":{"value":17941577,"Accounts payable, accrued":7263190,"Tax exempt bond liabilities":3187556,"Other liabilities":7490831},"Fund balance":{"value":16314276},"Form990Details":{"program_service_accomplishments":[{"description":"SPECTRUM HEALTH HOSPICE, A DIVISION OF SHCC, PROVIDES CARE THAT IS CENTERED ON COMFORT AND SUPPORTED BY COMPASSION FOR THOSE WHO ARE EXPERIENCING A LIFE-LIMITING ILLNESS AND A TERMINAL DIAGNOSIS. OUR HOSPICE CARE AND SUPPORT IS PROVIDED IN PRIVATE HOMES, LONG TERM CARE FACILITIES, ASSISTED LIVING RESIDENCES, ADULT FOSTER CARE HOMES AND IN HOSPITALS. WE WORK DILIGENTLY WITH CAREGIVERS TO ENSURE QUALITY CARE IS RECEIVED. SPECTRUM HEALTH HOSPICE SERVES PEOPLE OF ALL FAITHS AND BACKGROUNDS WITHIN OUR SERVICE AREA, REGARDLESS OF THEIR ABILITY TO PAY. WE ARE AVAILABLE TO PATIENTS AND FAMILIES 24 HOURS A DAY, EVERY DAY OF THE YEAR.","expense":10965105,"revenue":13512822},{"description":"SPECTRUM HEALTH CONTINUING CARE (\"SHCC\") IS THE PARENT CORPORATION AND SUPPORTING ORGANIZATION FOR THE SPECTRUM HEALTH-KENT COMMUNITY, SPECTRUM HEALTH CONTINUING CARE CENTER, SPECTRUM HEALTH WORTH SERVICES, AND VISITING NURSE SERVICES OF WESTERN MICHIGAN. 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TO ESTABLISH AND MAINTAIN, EITHER DIRECTLY, THROUGH SUBSIDIARY ORGANIZATIONS, OR IN COOPERATION WITH OTHER ORGANIZATIONS, SUCH FACILITIES AND SERVICES FOR THE CARE OF PERSONS SUFFERING FROM ILLNESS, INJURY, OR DISABILITY, THE ELDERLY AND THE INDIGENT, AND FOR THE PRESERVATION OF HEALTH AS THE BOARD OF DIRECTORS MAY DETERMINE, INCLUDING, WITHOUT LIMITATION: (1) ONE OR MORE SKILLED NURSING FACILITIES FOR THE CARE OF PERSONS SUFFERING FROM ILLNESS, INJURY, AND DISABILITY, FOR THE ADMINISTRATION OF RESTORATIVE TREATMENTS, AND FOR THE MAINTENANCE OF HEALTH. (2) HOME NURSING AND REHABILITATIVE SERVICES AND TEMPORARY NURSING SERVICES. (3) ADULT AND CHILD FOSTER CARE SERVICES. (4) OTHER ACTIVITIES AND PROGRAMS DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. B. TO PROMOTE AND CARRY ON SUCH SCIENTIFIC RESEARCH AS THE BOARD OF DIRECTORS MAY DETERMINE WITH RESPECT TO THE CAUSE, TERMINATION, AND PREVENTION OF ILLNESS AND INJURY, THE IMPROVEMENT OF PUBLIC HEALTH, AND OTHER MATTERS; C. TO PARTICIPATE IN AND TO CARRY ON SUCH ACTIVITIES AS THE BOARD OF DIRECTORS MAY DETERMINE FOR THE EDUCATION OF PHYSICIANS, NURSES, OTHER PROFESSIONALS AND PARAPROFESSIONAL PERSONNEL AND THE PUBLIC ABOUT RENDERING CARE TO THE SICK, INJURED, AND DISABLED, ABOUT PREVENTION OF ILLNESS AND INJURY, AND ABOUT THE PROMOTION OF HEALTH; D. TO OPERATE FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT ALL OF THE PURPOSES OF SPECTRUM HEALTH - KENT COMMUNITY CAMPUS, A MICHIGAN NONPROFIT CORPORATION; SPECTRUM HEALTH CONTINUING CARE CENTER, INC., A MICHIGAN NONPROFIT CORPORATION; SPECTRUM HEALTH WORTH SERVICES, A MICHIGAN NONPROFIT CORPORATION; AND VISITING NURSE SERVICES OF WESTERN MICHIGAN, A MICHIGAN NONPROFIT CORPORATION (THE \"SUPPORTED ORGANIZATIONS\"), ALL OF WHICH ARE CONTROLLED BY THE ORGANIZATION AND DESCRIBED IN SECTION 501(C)(3) AND EITHER SECTION 509(A)(1) OR SECTION 509(A)(2) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (THE \"CODE\"). E. TO FORMULATE AND IMPLEMENT POLICIES AND PROGRAMS DESIGNED TO PROVIDE DIRECTION AND MANAGEMENT TO THE SUPPORTED ORGANIZATIONS. F. TO CONDUCT ACTIVITIES, EITHER DIRECTLY, THROUGH RELATED OR SUBSIDIARY ORGANIZATIONS OR IN COOPERATION WITH ORGANIZATIONS EXEMPT FROM TAX UNDER SECTION 501(C)(3) OF THE CODE IN ORDER TO RAISE FUNDS TO FURTHER THE PURPOSES OF THE CORPORATION, SUBJECT, HOWEVER, TO ALL LIMITATIONS ON THE NATURE OR EXTENT OF SUCH ACTIVITIES APPLICABLE, FROM TIME TO TIME, TO ORGANIZATIONS DESCRIBED IN SECTIONS 501(C)(3) AND 509(A)(3) OF THE CODE. G. IN FURTHERANCE OF THE PURPOSES OF THE CORPORATION, TO MAKE GIFTS AND GRANTS TO OTHER ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) AND EITHER SECTION 509(A)(1) OR SECTION 509(A)(2) OF THE CODE ESTABLISHED TO PROMOTE THE HEALTH OF THE COMMUNITY OR FOR OTHER CHARITABLE, EDUCATIONAL, OR SCIENTIFIC PURPOSES. H. TO ACQUIRE, TO OWN, TO DISPOSE OF, AND TO DEAL WITH REAL AND PERSONAL PROPERTY AND INTERESTS THEREIN AND TO APPLY GIFTS, GRANTS, BEQUESTS, AND DEVISES THEREOF IN FURTHERANCE OF THE PURPOSES OF THE CORPORATION. I. TO DO SUCH THINGS AND TO PERFORM SUCH ACTS TO ACCOMPLISH ITS PURPOSES AS ARE NOT FORBIDDEN BY SECTION 501(C)(3) OF THE CODE, WITH ALL THE POWERS CONFERRED ON NONPROFIT CORPORATIONS BY THE LAWS OF THE STATE OF MICHIGAN. J. TO OPERATE IN A MANNER WHICH ASSISTS SPECTRUM HEALTH SYSTEM (A MICHIGAN NONPROFIT CORPORATION EXEMPT FROM TAX UNDER SECTION 501(C)(3) OF THE CODE) (THE \"SYSTEM\") IN ITS EFFORTS: (I) TO FORMULATE AND IMPLEMENT POLICIES AND PROGRAMS DESIGNED TO ENABLE AND/OR CAUSE ITS ORGANIZATIONS OR SUBSIDIARY CORPORATIONS TO FUNCTION AS A COORDINATED HEALTH CARE DELIVERY SYSTEM; (II) TO PROVIDE DIRECTION AND MANAGEMENT TO THE SYSTEM; AND (III) TO ACT AND/OR MAKE DECISIONS FOR THE BENEFIT OF THE SYSTEM. ALSO, PLEASE SEE SCHEDULE R, PART V FOR A LISTING OF INTERCOMPANY TRANSACTIONS DEMONSTRATING THE ABOVE SUPPORT SERVICES.,"}}},"ScheduleB":{"attached":true,"required":true},"ScheduleD":{"land_buildings_equipment":{"land":{"book_value":0},"buildings":{"other_cost_or_other_basis":164224,"book_value":116321,"depreciation":47903},"leasehold_improvements":{"other_cost_or_other_basis":15577,"book_value":7789,"depreciation":7788},"equipment":{"other_cost_or_other_basis":719923,"book_value":261325,"depreciation":458598},"other_land_buildings":{"other_cost_or_other_basis":4300492,"book_value":2643118,"depreciation":1657374},"total_book_value":3028553},"program_related_investments":{"investments":[{"description":"INVESTMENT IN HOPE/SPECTRUM HEALTH JV","book_value":2353851,"method_of_valuation":"C"},{"description":"INVESTMENT IN GRAND VALLEY FOSTER CARE","book_value":1000,"method_of_valuation":"C"},{"description":"INVESTMENT IN HOME CARE OF MICHIGAN JV","book_value":-8992,"method_of_valuation":"C"},{"description":"INVESTMENT IN WORTH HOME CARE","book_value":81722,"method_of_valuation":"C"}],"total_book_value":2427581},"other_assets":{"assets":[{"description":"UNAMORTIZED BOND COSTS","book_value":25954},{"description":"DONOR RESTRICTED ASSETS","book_value":23444},{"description":"DUE FROM AFFILIATES","book_value":15817897}],"total_book_value":15867295},"other_liabilities":{"federal_income_tax_liability":0,"liabilities":[{"description":"DUE TO AFFILIATES","amount":7427769},{"description":"THIRD PARTY PAYABLE","amount":63062}],"total_liability":7490831},"supplemental_information":[{"identifier":"FIN 48 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. 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TO CONDUCT ACTIVITIES, EITHER DIRECTLY, THROUGH RELATED OR SUBSIDIARY ORGANIZATIONS OR IN COOPERATION WITH ORGANIZATIONS EXEMPT FROM TAX UNDER SECTION 501(C)(3) OF THE CODE IN ORDER TO RAISE FUNDS TO FURTHER THE PURPOSES OF THE CORPORATION, SUBJECT, HOWEVER, TO ALL LIMITATIONS ON THE NATURE OR EXTENT OF SUCH ACTIVITIES APPLICABLE, FROM TIME TO TIME, TO ORGANIZATIONS DESCRIBED IN SECTIONS 501(C)(3) AND 509(A)(3) OF THE CODE. G. IN FURTHERANCE OF THE PURPOSES OF THE CORPORATION, TO MAKE GIFTS AND GRANTS TO OTHER ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) AND EITHER SECTION 509(A)(1) OR SECTION 509(A)(2) OF THE CODE ESTABLISHED TO PROMOTE THE HEALTH OF THE COMMUNITY OR FOR OTHER CHARITABLE, EDUCATIONAL, OR SCIENTIFIC PURPOSES. H. TO ACQUIRE, TO OWN, TO DISPOSE OF, AND TO DEAL WITH REAL AND PERSONAL PROPERTY AND INTERESTS THEREIN AND TO APPLY GIFTS, GRANTS, BEQUESTS, AND DEVISES THEREOF IN FURTHERANCE OF THE PURPOSES OF THE CORPORATION. I. 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HOWEVER, NONE OF THESE PARTICIPANTS \"RECEIVED PAYMENT FROM\" THESE PLANS DURING THE TAX YEAR."}]},"ScheduleK":{"bond_issues":[{"issuer_ein":382350002,"business_name_line1":"KENT HOSPITAL FINANCING AUTHORITY","cusip_number":"490580CY1","date_issued":"2008-09-09T00:00:00","issue_price":67200000,"purpose":"1998B REFUNDING BOND","defeased":false,"on_behalf_of_issuer":false,"name":"KENT HOSPITAL FINANCING AUTHORITY"}],"bond_proceeds":[{"total_proceeds":3187556,"amount_defeased":3187556,"substantial_completion_year":2008,"current_refunding":true,"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":true,"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":false}]},"ScheduleL":{"business_transactions_involving_interested_persons":[{"person_name":"FIFTH THIRD BANK","relationship":"BUSINESS","description":"SEE SCH. 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TO OPERATE FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT ALL OF THE PURPOSES OF SPECTRUM HEALTH - KENT COMMUNITY CAMPUS, A MICHIGAN NONPROFIT CORPORATION; SPECTRUM HEALTH CONTINUING CARE CENTER, INC., A MICHIGAN NONPROFIT CORPORATION; SPECTRUM HEALTH WORTH SERVICES, A MICHIGAN NONPROFIT CORPORATION; AND VISITING NURSE SERVICES OF WESTERN MICHIGAN, A MICHIGAN NONPROFIT CORPORATION (THE \"SUPPORTED ORGANIZATIONS\"), ALL OF WHICH ARE CONTROLLED BY THE TAXPAYER AND DESCRIBED IN SECTION 501(C)(3) AND EITHER SECTION 509(A)(1) OR SECTION 509(A)(2) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (THE \"CODE\"). E. TO FORMULATE AND IMPLEMENT POLICIES AND PROGRAMS DESIGNED TO PROVIDE DIRECTION AND MANAGEMENT TO THE SUPPORTED ORGANIZATIONS. F. TO CONDUCT ACTIVITIES, EITHER DIRECTLY, THROUGH RELATED OR SUBSIDIARY ORGANIZATIONS OR IN COOPERATION WITH ORGANIZATIONS EXEMPT FROM TAX UNDER SECTION 501(C)(3) OF THE CODE IN ORDER TO RAISE FUNDS TO FURTHER THE PURPOSES OF THE CORPORATION, SUBJECT, HOWEVER, TO ALL LIMITATIONS ON THE NATURE OR EXTENT OF SUCH ACTIVITIES APPLICABLE, FROM TIME TO TIME, TO ORGANIZATIONS DESCRIBED IN SECTIONS 501(C)(3) AND 509(A)(3) OF THE CODE. G. IN FURTHERANCE OF THE PURPOSES OF THE CORPORATION, TO MAKE GIFTS AND GRANTS TO OTHER ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) AND EITHER SECTION 509(A)(1) OR SECTION 509(A)(2) OF THE CODE ESTABLISHED TO PROMOTE THE HEALTH OF THE COMMUNITY OR FOR OTHER CHARITABLE, EDUCATIONAL, OR SCIENTIFIC PURPOSES. H. TO ACQUIRE, TO OWN, TO DISPOSE OF, AND TO DEAL WITH REAL AND PERSONAL PROPERTY AND INTERESTS THEREIN AND TO APPLY GIFTS, GRANTS, BEQUESTS, AND DEVISES THEREOF IN FURTHERANCE OF THE PURPOSES OF THE CORPORATION. I. TO DO SUCH THINGS AND TO PERFORM SUCH ACTS TO ACCOMPLISH ITS PURPOSES AS ARE NOT FORBIDDEN BY SECTION 501(C)(3) OF THE CODE, WITH ALL THE POWERS CONFERRED ON NONPROFIT CORPORATIONS BY THE LAWS OF THE STATE OF MICHIGAN. J. TO OPERATE IN A MANNER WHICH ASSISTS SPECTRUM HEALTH SYSTEM (A MICHIGAN NONPROFIT CORPORATION EXEMPT FROM TAX UNDER SECTION 501(C)(3) OF THE CODE) (THE \"SYSTEM\") IN ITS EFFORTS: (I) TO FORMULATE AND IMPLEMENT POLICIES AND PROGRAMS DESIGNED TO ENABLE AND/OR CAUSE ITS ORGANIZATIONS OR SUBSIDIARY CORPORATIONS TO FUNCTION AS A COORDINATED HEALTH CARE DELIVERY SYSTEM; (II) TO PROVIDE DIRECTION AND MANAGEMENT TO THE SYSTEM; AND (III) TO ACT AND/OR MAKE DECISIONS FOR THE BENEFIT OF THE SYSTEM. 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THESE 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 CONTINUING CARE. 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":"Severance or change-of-control payment","form_and_line_reference":"Schedule J, Part I, Line 4a","explanation":"$66,331 SYLVIA SIMONS"},{"identifier":"Supplemental nonqualified retirement plan","form_and_line_reference":"Schedule J, Part I, Line 4b","explanation":"$174,386 JOHN BYRNES $109,280 JEFFERY LEMON $173,508 MARC CHIRCOP $322,225 MATTHEW VAN VRANKEN $247,656 MICHAEL FREED $172,131 RALPH ROGERS $119,763 RONALD KNAUS 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\" SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN(S). SOME INDIVIDUALS RECEIVED DISTRIBUTIONS DURING THE YEAR (AS REPORTED ON THIS LINE) WHEREAS OTHERS PARTICIPATED IN THE PLAN(S) BUT DID NOT RECEIVE DISTRIBUTIONS. DURING THE YEAR THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN(S) BUT DID NOT RECEIVE A DISTRIBUTION: JEFFREY MISLEVY. 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":382350002,"business_name_line1":"KENT HOSPITAL FINANCING AUTHORITY (2008C)","cusip_number":"490580CY1","date_issued":"2008-09-09T00:00:00","issue_price":67200000,"purpose":"1998B REFUNDING BOND","defeased":false,"on_behalf_of_issuer":false,"pool_financing":true,"name":"KENT HOSPITAL FINANCING AUTHORITY (2008C)"}],"bond_proceeds":[{"bond_reference":"A","total_proceeds":3187556,"gross_proceeds_in_reserve_funds":0,"capitalized_interest":0,"issuance_costs_from_proceeds":0,"credit_enhancement":0,"working_capital_expenditures":0,"capital_expenditures":0,"other_spent_proceeds":3187556,"refunding_escrow":0,"amount_bond_defeased":0,"amount_retired":0,"amount_unspent":0,"substantial_completion_year":2008,"current_refunding":true,"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":false,"bond_counsel_management_contracts":false,"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}],"corrective_action_procedures":[{"bond_reference":"A","procedures_corrective_action":true}],"supplemental_information":[{"identifier":"TAX EXEMPT BONDS","form_and_line_reference":"SCHEDULE K, PART I","explanation":"BONDS ARE ISSUED ON BEHALF OF AN OBLIGATED GROUP AND DESIGNATED AFFILIATES UNDER 1998 MTI. 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":{"disregarded_entities":[{"ein":452911064,"business_name_line1":"SHPHC LLC","primary_activities":"DORMANT","total_income":0,"end_of_year_assets":0,"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":"SHPHC LLC","address":"750 FULLER AVE NE, GRAND RAPIDS, MI, 49503"}],"tax_exempt_organizations":[{"business_name_line1":"SPECTRUM HEALTH SYSTEM","primary_activities":"MANAGEMENT","exempt_code_section":"501(C)(3)","public_charity_status":"11 - Type III - 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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":"Severance or change-of-control payment","form_and_line_reference":"Schedule J, Part I, Line 4a","explanation":"$66,331 SYLVIA SIMONS"},{"identifier":"Supplemental nonqualified retirement plan","form_and_line_reference":"Schedule J, Part I, Line 4b","explanation":"$174,386 JOHN BYRNES $109,280 JEFFERY LEMON $173,508 MARC CHIRCOP $322,225 MATTHEW VAN VRANKEN $247,656 MICHAEL FREED $172,131 RALPH ROGERS $119,763 RONALD KNAUS 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\" SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN(S). SOME INDIVIDUALS RECEIVED DISTRIBUTIONS DURING THE YEAR (AS REPORTED ON THIS LINE) WHEREAS OTHERS PARTICIPATED IN THE PLAN(S) BUT DID NOT RECEIVE DISTRIBUTIONS. DURING THE YEAR THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN(S) BUT DID NOT RECEIVE A DISTRIBUTION: JEFFREY MISLEVY. 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":382350002,"business_name_line1":"KENT HOSPITAL FINANCING AUTHORITY (2008C)","cusip_number":"490580CY1","date_issued":"2008-09-09T00:00:00","issue_price":67200000,"purpose":"1998B REFUNDING BOND","defeased":false,"on_behalf_of_issuer":false,"pool_financing":true,"name":"KENT HOSPITAL FINANCING AUTHORITY (2008C)"}],"bond_proceeds":[{"bond_reference":"A","total_proceeds":3187556,"gross_proceeds_in_reserve_funds":0,"capitalized_interest":0,"issuance_costs_from_proceeds":0,"credit_enhancement":0,"working_capital_expenditures":0,"capital_expenditures":0,"other_spent_proceeds":3187556,"refunding_escrow":0,"amount_bond_defeased":0,"amount_retired":0,"amount_unspent":0,"substantial_completion_year":2008,"current_refunding":true,"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":false,"bond_counsel_management_contracts":false,"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}],"corrective_action_procedures":[{"bond_reference":"A","procedures_corrective_action":true}],"supplemental_information":[{"identifier":"TAX EXEMPT BONDS","form_and_line_reference":"SCHEDULE K, PART I","explanation":"BONDS ARE ISSUED ON BEHALF OF AN OBLIGATED GROUP AND DESIGNATED AFFILIATES UNDER 1998 MTI. 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":{"disregarded_entities":[{"ein":452911064,"business_name_line1":"SHPHC LLC","primary_activities":"DORMANT","total_income":0,"end_of_year_assets":0,"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":"SHPHC LLC","address":"750 FULLER AVE NE, GRAND RAPIDS, MI, 49503"}],"tax_exempt_organizations":[{"business_name_line1":"SPECTRUM HEALTH SYSTEM","primary_activities":"MANAGEMENT","exempt_code_section":"501(C)(3)","public_charity_status":"11 - Type III - 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