{"success":true,"data":{"_id":383472677,"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":"The long term care (ltc) portion of the kcc organization provides services with specialized programs for specific diagnosis. They provided 92,346 days of care for long-term care and skilled nursing services in west michigan. This division has been accredited by carf (commission on accreditation of rehabilitation facilities), an organization which promotes quality rehabilitation services.\n\nThe special care hospital (sch) portion of the kcc organization provided 9,938 days of care of long-term acute care services in west michigan. The shc provides an extended period of acute care to meet the needs of patients who require longer healing and recovery time for a specific, medically complex health need. Our hospital is the only non-profit long term acute care hospital (ltach) in grand rapids, michigan.\n\nThe sch is a 51 bed inpatient long-term acute care (ltac) unit, which provides medically complex care for adult patients requiring extended recuperation periods. Kcc also provides sub-acute rehabilitation and long-term skilled nursing care (snf). Kcc has 329 total licensed beds.","year":2011,"name":"SPECTRUM HEALTH-KENT COMMUNITY CAMPUS","phone":"6164862405","website":"WWW.SPECTRUMHEALTH.ORG","type":"990","year_formation":1999,"state_legal_domicile":"MI","total_volunteers":90,"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":4,"Number of independent voting members":0,"Number of employees total":767,"Total Gross UBI":0,"Net unrelated business taxable income":0,"Number of employees":767,"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":false,"Compensation process for other employees":false,"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":true,"School":false,"Hospital":true,"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":false},"Revenues":{"value":49691174,"Contributions":{"value":3605545,"Related organizations":3605545},"Program revenue":{"value":46086784,"Total revenue":{"value":46086784,"VARIOUS":46086784},"Total other revenue":0,"Unrelated business revenue":0},"Investment income":{"value":-1155,"Investment income total":-1155,"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":46595992,"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":26266656,"Current officers":0,"Disqualified persons":0,"Other salaries and wages":20627760,"Pension plan contributions":463713,"Other employee benefits":3897492,"Payroll taxes":1277691},"Other expenses":{"value":20329336,"Management services":0,"Legal":60190,"Accounting":0,"Lobbying services":0,"Investment management fees":0,"Other services":2688413,"Advertising":4629,"Office expenses":1255076,"Information technology":5605,"Royalties":0,"Occupancy":2092157,"Travel":40773,"Conferences and meetings":12124,"Interest":10326,"Payments to affiliates":0,"Depreciation and depletion":1554137,"Insurance":138624,"Travel entertainment public officials":0,"Itemized Expenses":{"value":12280313,"VARIOUS":12280313},"All other expenses":186969}},"Assets":{"value":36831002,"Non-interest bearing cash":1310,"Savings and temp cash investments":250,"Accounts receivable":7870630,"Inventories for sale or use":218565,"Prepaid expenses deferred charges":47291,"Land, building, equipment":8129123,"Investments other":0,"Investments program related":20443229,"Other assets":120604},"Liabilities":{"value":29485569,"Accounts payable, accrued":1321533,"Other liabilities":28164036},"Fund balance":{"value":7345433},"Form990Details":{"program_service_accomplishments":[{"description":"THE LONG TERM CARE (LTC) PORTION OF THE KCC ORGANIZATION PROVIDES SERVICES WITH SPECIALIZED PROGRAMS FOR SPECIFIC DIAGNOSIS. THEY PROVIDED 92,346 DAYS OF CARE FOR LONG-TERM CARE AND SKILLED NURSING SERVICES IN WEST MICHIGAN. THIS DIVISION HAS BEEN ACCREDITED BY CARF (COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES), AN ORGANIZATION WHICH PROMOTES QUALITY REHABILITATION SERVICES.","expense":23520896,"revenue":29884438},{"description":"THE SPECIAL CARE HOSPITAL (SCH) PORTION OF THE KCC ORGANIZATION PROVIDED 9,938 DAYS OF CARE OF LONG-TERM ACUTE CARE SERVICES IN WEST MICHIGAN. THE SHC PROVIDES AN EXTENDED PERIOD OF ACUTE CARE TO MEET THE NEEDS OF PATIENTS WHO REQUIRE LONGER HEALING AND RECOVERY TIME FOR A SPECIFIC, MEDICALLY COMPLEX HEALTH NEED. OUR HOSPITAL IS THE ONLY NON-PROFIT LONG TERM ACUTE CARE HOSPITAL (LTACH) IN GRAND RAPIDS, MICHIGAN.","expense":12431023,"revenue":16202346}],"program_service_revenue_detail":[{"business_code":"622110","description":"PATIENT SERVICE REVENUE","total_revenue":45804459},{"business_code":"722212","description":"CAFETERIA","total_revenue":125760},{"business_code":"900099","description":"VENDING MACHINE REVENUE","total_revenue":12949},{"business_code":"900099","description":"OTHER HOSPITAL OPERATING 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THERAPY","compensation":346732,"services_description":"THERAPY","address_line1":"2692 MOMENTUM PLACE","city":"CHICAGO","state":"IL","zip":"606895326","name":"AGILITY THERAPY","address":"2692 MOMENTUM PLACE, CHICAGO, IL, 606895326"},{"business_name_line1":"THE REHMANN GROUP","compensation":225001,"services_description":"PROFESSIONAL SERVICES","address_line1":"3597 HENRY ST SUITE 201","city":"MUSKEGON","state":"MI","zip":"49441","name":"THE REHMANN GROUP","address":"3597 HENRY ST SUITE 201, MUSKEGON, MI, 49441"},{"business_name_line1":"WEST MICHIGAN SHARED HOSPITAL","compensation":168389,"services_description":"LAUNDRY","address_line1":"PO BOX 1134","city":"GRAND RAPIDS","state":"MI","zip":"495011134","name":"WEST MICHIGAN SHARED HOSPITAL","address":"PO BOX 1134, GRAND RAPIDS, MI, 495011134"}],"officers_directors_key_employees":[{"title":"President/Chair","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":327492,"other_compensation":114455,"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":178644,"other_compensation":23466,"individual_trustee_or_director":true,"officer":true},{"title":"Secretary","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":56135,"other_compensation":7427,"individual_trustee_or_director":true,"officer":true},{"title":"VP, Support Services","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":196027,"other_compensation":25873,"individual_trustee_or_director":true},{"title":"Medical Director","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":48301,"other_compensation":4779,"individual_trustee_or_director":true},{"title":"Medical Director - PY","average_hours_per_week":2.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":162245,"other_compensation":24796,"individual_trustee_or_director":true},{"title":"RN","average_hours_per_week":50.0,"reportable_comp_from_org":107706,"reportable_comp_from_related_orgs":0,"other_compensation":21769,"highest_compensated_employee":true},{"title":"Case Mgr","average_hours_per_week":50.0,"reportable_comp_from_org":103094,"reportable_comp_from_related_orgs":0,"other_compensation":8012,"highest_compensated_employee":true},{"title":"Senior Help Desk Rep","average_hours_per_week":50.0,"reportable_comp_from_org":115240,"reportable_comp_from_related_orgs":0,"other_compensation":28111,"highest_compensated_employee":true},{"title":"Sr. Administrator","average_hours_per_week":50.0,"reportable_comp_from_org":118464,"reportable_comp_from_related_orgs":0,"other_compensation":19160,"highest_compensated_employee":true}]},"ScheduleA":{"public_charity_status":{"hospital_170b1_aiii":true}},"ScheduleB":{"attached":true,"required":true},"ScheduleD":{"collections":{"used_for_other_purposes":true,"other_purposes_description":"DECORATIVE","solicited_assets_sale":false,"art_public_exhibition_amounts":{"revenues_included":0,"assets_included":25193}},"land_buildings_equipment":{"land":{"book_value":0},"buildings":{"other_cost_or_other_basis":21761831,"book_value":4135592,"depreciation":17626239},"leasehold_improvements":{"other_cost_or_other_basis":49597,"book_value":454,"depreciation":49143},"equipment":{"other_cost_or_other_basis":12223426,"book_value":2928715,"depreciation":9294711},"other_land_buildings":{"other_cost_or_other_basis":1139157,"book_value":1064362,"depreciation":74795},"total_book_value":8129123},"program_related_investments":{"investments":[{"description":"INVESTMENT-KCHF","book_value":20443229,"method_of_valuation":"C"}],"total_book_value":20443229},"other_liabilities":{"federal_income_tax_liability":0,"liabilities":[{"description":"THIRD PARTY PAYABLE","amount":937853},{"description":"OTHER LIABILITIES","amount":16630241},{"description":"DUE TO AFFILIATES","amount":10595942}],"total_liability":28164036},"supplemental_information":[{"identifier":"Collections of art - description of collections","form_and_line_reference":"Schedule D, Part III, Line 4","explanation":"ARTWORK IS USED AS A WAY TO CREATE A MORE HOME-LIKE ENVIRONMENT FOR PATIENTS, FAMILIES, AND VISITORS; ESPECIALLY FOR THOSE STAYING OR VISITING ON A LONG TERM BASIS."},{"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. 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":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":598353,"bad_debt_expense_attributable_to_financial_assistance":0,"reimbursed_by_medicare":18875452,"cost_of_care_reimbursed_by_medicare":18711597,"medicare_surplus_or_shortfall":163855,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":57092,"net_community_benefit_expense":57092,"total_expense_percentage":0.0012},"unreimbursed_medicaid":{"total_community_benefit_expense":20831777,"direct_offsetting_revenue":19634403,"net_community_benefit_expense":1197374,"total_expense_percentage":0.026},"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":20888869,"direct_offsetting_revenue":19634403,"net_community_benefit_expense":1254466,"total_expense_percentage":0.0272},"community_health_services":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"health_professions_education":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"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":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"total_other_benefits":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":0,"direct_offsetting_revenue":0,"net_community_benefit_expense":0,"total_expense_percentage":0.0},"total_community_benefits":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":20888869,"direct_offsetting_revenue":19634403,"net_community_benefit_expense":1254466,"total_expense_percentage":0.0272}},"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":{"net_community_benefit_expense":0,"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":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"health_improvement_advocacy":{"net_community_benefit_expense":0,"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":0,"direct_offsetting_revenue":0,"net_community_benefit_expense":0,"total_expense_percentage":0.0}},"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"SPECTRUM HEALTH KENT COMMUNITY CAMPUS","address_line1":"750 FULLER AVE NE","city":"GRAND RAPIDS","state":"MI","zip":"49503","licensed_hospital":true,"name":"SPECTRUM HEALTH KENT COMMUNITY CAMPUS","address":"750 FULLER AVE NE, GRAND RAPIDS, MI, 49503"}],"other_health_care_facility_count":1,"other_health_care_facilities":[{"business_name_line1":"SPECTRUM HEALTH REHAB AND NURSING CENTER","address_line1":"750 FULLER AVE NE","city":"GRAND RAPIDS","state":"MI","zip":"49503","facility_type":"SKILLED NURSING CENTER (SNF)","name":"SPECTRUM HEALTH REHAB AND NURSING CENTER","address":"750 FULLER AVE NE, GRAND RAPIDS, MI, 49503"}],"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 CONSOLIDATED 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":"598,353"},{"form_and_line_reference":"Schedule H, Part II","explanation":"THE ORGANIZATION HAS DONATED REAL ESTATE TO SUPPORT A COMMUNITY-BASED INTEGRATED CENTER THAT PROVIDES PHYSICAL, MENTAL, AND SPIRITUAL SUPPORT SERVICES FOR LOW INCOME AND/OR PREVIOUSLY HOMELESS COMMUNITY MEMBERS."},{"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":"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/SURPLUS 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 KENT COMMUNITY CAMPUS - 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 KENT COMMUNITY CAMPUS - 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 KENT COMMUNITY CAMPUS - 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 KENT COMMUNITY CAMPUS - 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 VISION OF \"KENT COUNTY WORKING TOGETHER FOR A HEALTHIER TOMORROW\" IS A HIGH QUALITY OF LIFE, HEALTH, AND WELL-BEING FOR ALL PEOPLE IN KENT COUNTY. THE KENT 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 KENT COUNTY RESIDENTS. COMMUNITY PARTNERS THAT SPONSORED THE CHNA WERE THE KENT COUNTY HEALTH DEPARTMENT AND SEVERAL NON-PROFIT COMMUNITY HOSPITALS. THESE PARTNERS CONVENED A LARGE COALITION THAT REPRESENTED THE AGENCIES AND INSTITUTIONS IN THE COUNTY THAT IMPACT HEALTH. THESE PARTNERS ALSO CONTRACTED WITH THE MICHIGAN PUBLIC HEALTH INSTITUTE TO FACILITATE A COMMUNITY HEALTH NEEDS ASSESSMENT AND HEALTH IMPROVEMENT PLAN FOR KENT COUNTY. THE MISSION OF THE KENT COUNTY CHNA PROCESS IS TO ENSURE THAT THE PEOPLE OF KENT COUNTY ARE EMPOWERED TO ACHIEVE LIFELONG PHYSICAL, MENTAL AND SOCIAL WELLBEING THROUGH 1) EQUAL ACCESS TO HIGH QUALITY, AFFORDABLE HEALTHCARE; 2) A COORDINATED SYSTEM OF CARE THAT IS LOCAL, PREVENTIVE, HOLISTIC, AND PATIENT CENTERED; AND 3) AN ENVIRONMENT THAT SUPPORTS HEALTHY LIVING FOR ALL. FIVE STRATEGIC PRIORITIES THAT ALIGN WITH THE MISSION TO ADDRESS THROUGH A COMMUNITY HEALTH IMPROVEMENT PLAN ARE: 1. INCREASE THE PROPORTION OF COMMUNITY MEMBERS, INCLUDING THE UNINSURED AND THE WORKING POOR, THAT HAVE ACCESS TO AFFORDABLE HEALTHCARE TO PROMOTE EQUAL ACCESS TO HIGH QUALITY, AFFORDABLE HEALTHCARE. 2. INCREASE THE NUMBER OF PROVIDERS AVAILABLE THAT ACCEPT MEDICAID OR OFFER LOW-COST/FREE SERVICES TO PROMOTE A COORDINATED SYSTEM OF CARE THAT IS LOCAL, PREVENTIVE, HOLISTIC, AND PATIENT CENTERED. 3. REDUCE DISPARITIES IN ADEQUACY OF PRENATAL CARE TO PROMOTE A COORDINATED SYSTEM OF CARE THAT IS LOCAL, PREVENTIVE, HOLISTIC, AND PATIENT CENTERED. 4. INCREASE HEALTHY EATING BY ENSURING ACCESS TO HEALTHY FOODS TO PROMOTE AN ENVIRONMENT THAT SUPPORTS HEALTHY LIVING FOR ALL. 5. REDUCE THE DISPARITY IN HEALTH RISK FACTORS AND PROTECTIVE FACTORS BETWEEN STUDENTS TO PROMOTE AN ENVIRONMENT THAT SUPPORTS HEALTHY LIVING FOR ALL."},{"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 ONE AND A HALF COUNTIES, INCLUDING KENT COUNTY AND PART OF EASTERN OTTAWA COUNTY. THE OVERALL SERVICE AREA TOTALS THIRTEEN COUNTIES, INCLUDING GRAND RAPIDS, MICHIGAN, THE SECOND LARGEST CITY IN THE STATE. OVERALL THESE COUNTIES HAVE A TOTAL POPULATION OF OVER 1,500,000 RESIDENTS. KENT COUNTY AT A GLANCE KENT COUNTY IS LOCATED IN WESTERN MICHIGAN AND IS THE FOURTH LARGEST POPULATION CENTER IN THE STATE. THE COUNTY IS COMPOSED OF TWENTY-ONE TOWNSHIPS, FIVE VILLAGES, AND NINE CITIES COVERING 864 SQUARE MILES. GRAND RAPIDS IS THE COUNTY SEAT AND IS 30 MILES FROM LAKE MICHIGAN. GRAND RAPIDS IS ALSO KNOWN FOR BEING THE HOME OF PRESIDENT GERALD R. FORD. THE HEALTH CARE RESOURCES IN KENT COUNTY INCLUDE METROPOLITAN HEALTH, SPECTRUM HEALTH-BUTTERWORTH CAMPUS, SPECTRUM HEALTH-BLODGETT CAMPUS, SAINT MARY'S HEALTH CARE, PINE REST, AND MARY FREE BED REHABILITATION HOSPITAL. IN ADDITION, THE HEALTH DEPARTMENT OPERATES SIX PUBLIC HEALTH CLINICS THROUGHOUT THE COUNTY THAT OFFER PERSONAL HEALTH SERVICES. THE GRAND RAPIDS HOME FOR VETERANS AND THE VETERANS AFFAIRS OUTPATIENT CLINIC PROVIDE SERVICES FOR VETERANS. IN ADDITION TO MAJOR HEALTH CENTERS AND PUBLICLY FUNDED SERVICES, KENT COUNTY OFFERS NUMEROUS HEALTH-RELATED SERVICES THROUGH NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS."},{"form_and_line_reference":"Schedule H, Part VI, Line 5","explanation":"SHKCC ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. PEOPLE THROUGHOUT THE COMMUNITY CAN COUNT ON SHKCC TO BE STANDING BY READY TO PROVIDE AN EXTENDED PERIOD OF ACUTE CARE TO MEET THE NEEDS OF PATIENTS WHO REQUIRE LONGER HEALING AND RECOVERY TIME. SPECIALIZED CARE AND INTENSIVE TREATMENT CENTERED ON THE PATIENT'S PRECISE HEALTH CARE NEEDS ARE AVAILABLE 24 HOURS A DAY, 365 DAYS A YEAR. 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-KENT COMMUNITY CAMPUS 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":{"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,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"JEFFERY LEMON","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":75782,"compensation_based_on_related_orgs":249331,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":24605,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":67700,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":46755,"other_compensation_filing_org":0,"other_compensation_related_orgs":2378,"total_compensation_filing_org":0,"total_compensation_related_orgs":441947,"name":"JEFFERY LEMON"},{"person_name":"LARRY OBERST","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":33300,"compensation_based_on_related_orgs":143757,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":8339,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":15126,"other_compensation_filing_org":0,"other_compensation_related_orgs":1588,"total_compensation_filing_org":0,"total_compensation_related_orgs":202110,"name":"LARRY OBERST"},{"person_name":"LORI GIBSON","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":36268,"compensation_based_on_related_orgs":159080,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":9186,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":16686,"other_compensation_filing_org":0,"other_compensation_related_orgs":679,"total_compensation_filing_org":0,"total_compensation_related_orgs":221899,"name":"LORI GIBSON"},{"person_name":"ROBERT CAMP","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":250,"compensation_based_on_related_orgs":161391,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":9077,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":15719,"other_compensation_filing_org":0,"other_compensation_related_orgs":604,"total_compensation_filing_org":0,"total_compensation_related_orgs":187041,"name":"ROBERT CAMP"}],"supplemental_information":[{"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 KENT COMMUNITY HOSPITAL. 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":"$24,605 JEFFERY LEMON 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, NOT ALL OF THESE PARTICIPANTS \"RECEIVED PAYMENT FROM\" THESE PLANS DURING THE TAX YEAR."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":383382353,"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"},{"ein":383242232,"business_name_line1":"SPECTRUM HEALTH CONTINUING CARE","primary_activities":"REHAB/CARE","exempt_code_section":"501(C)(3)","public_charity_status":"11 - Type I","controlled_organization":false,"legal_domicile_state":"MI","direct_controlling_business_name_line1":"SPECTRUM HEALTH SYSTEM","address_line1":"750 FULLER AVE NE","city":"GRAND RAPIDS","state":"MI","zip":"49503","name":"SPECTRUM HEALTH CONTINUING CARE","address":"750 FULLER AVE NE, GRAND RAPIDS, MI, 49503"},{"ein":382415333,"business_name_line1":"SH CONTINUING CARE CENTER","primary_activities":"REHAB/NRS","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":"SH CONTINUING CARE CENTER","address":"750 FULLER AVE NE, GRAND RAPIDS, MI, 49503"},{"ein":382786617,"business_name_line1":"SPECTRUM HEALTH WORTH SERVICES","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":"SPECTRUM HEALTH WORTH SERVICES","address":"750 FULLER AVE NE, GRAND RAPIDS, MI, 49503"},{"ein":381359195,"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"},{"ein":383607110,"business_name_line1":"KENT COMMUNITY HEALTH FOUNDATION","primary_activities":"PHILANTHRO","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":"SPECTRUM HEALTH KENT COMMUNITY CAMPUS","address_line1":"750 FULLER AVE NE","city":"GRAND RAPIDS","state":"MI","zip":"49503","name":"KENT COMMUNITY HEALTH FOUNDATION","address":"750 FULLER AVE NE, GRAND RAPIDS, MI, 49503"}],"transaction_flags":{"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":true,"other_transfer_to_other_org":true},"supplemental_information":[{"identifier":"PART II, COLUMN (G), SECTION 512(B)(13) CONTROLLED ENTITY?","form_and_line_reference":"PART II, COLUMN (G)","explanation":"THE ORGANIZATION IS A MEMBER OF A CONSOLIDATED HEALTH SYSTEM AND HAS A COMMON PARENT ORGANIZATION, SPECTRUM HEALTH SYSTEM."}]},"source_xml":"201301309349302010_public.xml"},{"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":"The ltc portion of the kcc organization provided 89,965 days of care for long term care and skilled nursing services in west michigan.\n\nThe sch portion of the kcc organization provided 10,405 days of care of long-term acute care services in west michigan.","year":2009,"name":"SPECTRUM HEALTH-KENT COMMUNITY","phone":"6164862405","website":"WWW.SPECTRUM-HEALTH.ORG","type":"990","year_formation":1999,"state_legal_domicile":"MI","total_volunteers":100,"tax_period_begin":"2009-07-01T00:00:00","tax_period_end":"2010-06-30T00:00:00","address":"750 FULLER AVE NE - MC 160, GRAND RAPIDS, MI, 49503, USA","city":"GRAND RAPIDS","state":"MI","country":"USA","zip_code":"49503"},"Governance":{"501c determination":true,"Number of voting members":4,"Number of independent voting members":1,"Number of employees total":690,"Total Gross UBI":0,"Number of employees":690,"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":true,"School":false,"Hospital":true,"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":true,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":true},"Revenues":{"value":47125311,"Contributions":{"value":3080782,"Other contributions":3080782},"Program revenue":{"value":43953599,"Total revenue":{"value":43953599,"VARIOUS":43953599}},"Investment income":{"value":5599,"Investment income total":5599},"Other revenues":{"value":85331,"Other total":42927,"Net rental income":42404}},"Expenses":{"value":43730383,"Grant expense":{"value":0},"Total professional fundraising expense":{"value":0},"Benefits paid to members":{"value":0},"Salaries":{"value":21955917,"Other salaries and wages":16837761,"Pension plan contributions":533315,"Other employee benefits":3313343,"Payroll taxes":1271498},"Other expenses":{"value":21774466,"Management services":3850677,"Legal":77092,"Other services":7274972,"Advertising":25326,"Office expenses":5146382,"Information technology":926,"Occupancy":1939710,"Travel":48573,"Conferences and meetings":14130,"Interest":14637,"Depreciation and 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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, 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_building_activities":"THE TAXPAYER HAS DONATED REAL ESTATE TO SUPPORT A COMMUNITY-BASED INTEGRATED CENTER THAT PROVIDES PHYSICAL, MENTAL AND SPIRITUAL SUPPORT SERVICES FOR LOW INCOME AND/OR PREVIOUSLY HOMELESS COMMUNITY MEMBERS.","community_information":"THE TAXPAYER HAS IDENTIFIED A PRIMARY SERVICE AREA OF ONE AND A HALF COUNTIES, INCLUDING KENT COUNTY AND PART OF EASTERN OTTAWA COUNTY. THE OVERALL SERVICE AREA TOTALS THIRTEEN COUNTIES, INCLUDING GRAND RAPIDS, MICHIGAN, THE SECOND LARGEST CITY IN THE STATE. OVERALL THESE COUNTIES HAVE A TOTAL POPULATION OF OVER ONE MILLION FIVE HUNDRED THOUSAND RESIDENTS.","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) AMERICA'S HEALTH RANKING: A CALL TO ACTION FOR PEOPLE AND THEIR COMMUNITIES. 2) AIMING HIGHER: RESULTS FROM A STATE SCORECARD ON HEALTH SYSTEM PERFORMANCE. 3) BEHAVIORAL RISK FACTOR SURVEY (2005): HEALTH RISK BEHAVIORS IN THE STATE OF MICHIGAN. 4) THE 2005/2006 COMMUNITY REPORT CARD 5) THE 2005/2006 GREATER GRAND RAPIDS SURVEY","patient_education_assistance":"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.SPECTRUM-HEALTH.ORG).","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. 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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."},{"identifier":"Collections of art - description of collections","form_and_line_reference":"Schedule D, Part III, Line 4","explanation":"ARTWORK IS USED AS A WAY TO CREATE A MORE HOME-LIKE ENVIRONMENT FOR PATIENTS, FAMILIES, AND VISITORS; ESPECIALLY FOR THOSE STAYING OR VISITING ON A LONG TERM BASIS."}]},"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":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":1259675,"bad_debt_expense_attributable_to_financial_assistance":0,"reimbursed_by_medicare":16475707,"cost_of_care_reimbursed_by_medicare":17233149,"medicare_surplus_or_shortfall":-757442,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":false},"community_benefit":{"financial_assistance_at_cost":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"unreimbursed_medicaid":{"total_community_benefit_expense":19049595,"direct_offsetting_revenue":19200091,"net_community_benefit_expense":-150496,"total_expense_percentage":0.0},"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":19049595,"direct_offsetting_revenue":19200091,"net_community_benefit_expense":-150496,"total_expense_percentage":0.0},"community_health_services":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"health_professions_education":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"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":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"total_other_benefits":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":0,"direct_offsetting_revenue":0,"net_community_benefit_expense":0,"total_expense_percentage":0.0},"total_community_benefits":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":19049595,"direct_offsetting_revenue":19200091,"net_community_benefit_expense":-150496,"total_expense_percentage":0.0}},"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":{"net_community_benefit_expense":0,"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":{"net_community_benefit_expense":0,"total_expense_percentage":0.0},"health_improvement_advocacy":{"net_community_benefit_expense":0,"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":0,"direct_offsetting_revenue":0,"net_community_benefit_expense":0,"total_expense_percentage":0.0}},"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"SPECTRUM HEALTH KENT COMMUNITY CAMPUS","address_line1":"750 FULLER AVE NE","city":"GRAND RAPIDS","state":"MI","zip":"49503","website":"HTTP://WWW.SPECTRUMHEALTH.ORG/SCH","licensed_hospital":true,"name":"SPECTRUM HEALTH KENT COMMUNITY CAMPUS","address":"750 FULLER AVE NE, GRAND RAPIDS, MI, 49503"}],"facility_policies":[{"business_name_line1":"SPECTRUM HEALTH KENT COMMUNITY CAMPUS","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":true,"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 KENT COMMUNITY CAMPUS"}],"other_health_care_facility_count":1,"other_health_care_facilities":[{"business_name_line1":"SPECTRUM HEALTH REHAB AND NURSING CENTER","address_line1":"750 FULLER AVE NE","city":"GRAND RAPIDS","state":"MI","zip":"49503","facility_type":"SKILLED NURSING CENTER (SNF)","name":"SPECTRUM HEALTH REHAB AND NURSING CENTER","address":"750 FULLER AVE NE, GRAND RAPIDS, MI, 49503"}],"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":"1,259,675"},{"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 KENT COMMUNITY CAMPUS - COMMUNITY INPUT METHODS QUALITATIVE DATA COLLECTION INVOLVED CONDUCTING FOCUS GROUPS, BRIEF INTERCEPT INTERVIEWS, AND COMMUNITY INPUT WALLS WITH COMMUNITY MEMBERS. EACH OF THESE METHODS ARE DESCRIBED ALONG WITH THE QUESTIONS USED IN THE KENT COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. FOCUS GROUPS IN THE FOCUS GROUPS, A MICHIGAN PUBLIC HEALTH INSTITUTE (MPHI) RESEARCHER INTERVIEWED PEOPLE IN SMALL GROUPS. THE PURPOSE WAS TO GENERATE COMMUNITY INPUT FROM VARIOUS POPULATION GROUPS ABOUT HEALTH AND WELLBEING IN KENT COUNTY. * 12 FOCUS GROUPS WERE CONDUCTED WITH 119 COMMUNITY MEMBERS PARTICIPATING MPHI PROVIDED INTERVIEWERS WITH THE INTERVIEW MATERIALS NEEDED, AS WELL AS TECHNICAL ASSISTANCE. COMPLETED INTERVIEWS WERE RETURNED TO MPHI FOR ANALYSIS. * 395 INTERCEPT INTERVIEWS WERE CONDUCTED IN THREE LANGUAGES BY TRAINED COMMUNITY MEMBERS COMMUNITY INPUT WALLS THIS STRATEGY INVOLVES GATHERING INPUT FROM COMMUNITY MEMBERS DIRECTLY BY POSTING LARGE SHEETS OF PAPER IN A PUBLIC SPACE AND ASKING COMMUNITY MEMBERS TO ANSWER QUESTIONS ABOUT COMMUNITY HEALTH BY WRITING THEIR THOUGHTS ON THE WALL. * 4 COMMUNITY INPUT WALLS SAMPLE INTERVIEW QUESTIONS INCLUDED: 1. THE VISION OF KENT COUNTY WORKING TOGETHER FOR A HEALTHIER TOMORROW IS TO HAVE A HIGH QUALITY OF LIFE, HEALTH, AND WELL-BEING FOR ALL PEOPLE IN KENT COUNTY. WHAT DO 'HEALTH' AND 'WELLBEING' MEAN TO YOU? 2. WHAT ABOUT THIS COMMUNITY HELPS YOU LIVE A HEALTHY LIFE? WHAT ABOUT THIS COMMUNITY MAKES IT HARD TO STAY HEALTHY? 3. HOW DO YOU FEEL ABOUT THE QUALITY OF LIFE IN KENT COUNTY? IS IT A GOOD PLACE TO RAISE CHILDREN? GROW OLD? ARE THERE JOB OPPORTUNITIES? CAN YOU FIND AFFORDABLE HOUSING? DO YOU FEEL SAFE? 4. ARE THERE PEOPLE OR GROUPS IN YOUR COMMUNITY WHOSE HEALTH OR QUALITY OF LIFE IS NOT AS GOOD AS OTHERS? IF SO, WHY DO THESE DIFFERENCES EXIST? 5. HOW DO YOU FEEL ABOUT HEALTH CARE IN KENT COUNTY? ABILITY TO GET APPOINTMENTS? QUALITY OF SERVICES? INFORMED ABOUT YOUR OPTIONS AS A PATIENT? COST? RESPECT FOR YOUR CULTURE? 6. WHAT DO YOU NEED TO IMPROVE YOUR HEALTH AND WELLBEING? AT HOME? AT WORK? AT SCHOOL? IN YOUR NEIGHBORHOOD? 7. WHAT DO WE NEED TO KNOW TO MAKE KENT COUNTY A HEALTHIER PLACE FOR EVERYONE WHO LIVES HERE? MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE STEERING COMMITTEE INCLUDING KENT, IONIA, AND OTTAWA COUNTY HEALTH DEPARTMENTS, MPHI, ALLIANCE FOR HEALTH, AND THE COMMUNITY RESEARCH INSTITUTE OF GRAND VALLEY STATE UNIVERSITY. FOR A LISTING OF ALL INDIVIDUALS AND SOURCES CONSULTED, SEE APPENDICES A & B OF THE KENT COUNTY CHNA. ;"},{"form_and_line_reference":"Schedule H, Part V Section B, Line 4","explanation":"(1) SPECTRUM HEALTH KENT COMMUNITY CAMPUS - METROPOLITAN HOSPITAL SAINT MARY'S HEALTH CARE PINE REST MARY FREE BED REHABILITATION HOSPITAL;"},{"form_and_line_reference":"Schedule H, Part V Section B, Line 11","explanation":"(1) SPECTRUM HEALTH KENT COMMUNITY CAMPUS - 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 KENT COMMUNITY CAMPUS - 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 KENT COMMUNITY CAMPUS - 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 KENT COMMUNITY CAMPUS - 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. MEDICAL CLINIC, 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/BUTTERWORTH-HOSPITAL-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 ONE AND A HALF COUNTIES, INCLUDING KENT COUNTY AND PART OF EASTERN OTTAWA COUNTY. THE OVERALL SERVICE AREA TOTALS THIRTEEN COUNTIES, INCLUDING GRAND RAPIDS, MICHIGAN, THE SECOND LARGEST CITY IN THE STATE. OVERALL THESE COUNTIES HAVE A TOTAL POPULATION OF OVER 1,500,000 RESIDENTS. KENT COUNTY IS LOCATED IN WESTERN MICHIGAN AND IS THE FOURTH LARGEST POPULATION CENTER IN THE STATE. THE COUNTY IS COMPOSED OF TWENTY-ONE TOWNSHIPS, FIVE VILLAGES, AND NINE CITIES COVERING 864 SQUARE MILES. GRAND RAPIDS IS THE COUNTY SEAT AND IS 30 MILES FROM LAKE MICHIGAN. GRAND RAPIDS IS ALSO KNOWN FOR BEING THE HOME OF PRESIDENT GERALD R. FORD. THE HEALTH CARE RESOURCES IN KENT COUNTY INCLUDE SPECTRUM HEALTH-BUTTERWORTH CAMPUS, SPECTRUM HEALTH-BLODGETT CAMPUS, METROPOLITAN HEALTH, SAINT MARY'S HEALTH CARE, PINE REST, AND MARY FREE BED REHABILITATION HOSPITAL. IN ADDITION, THE HEALTH DEPARTMENT OPERATES SIX PUBLIC HEALTH CLINICS THROUGHOUT THE COUNTY THAT OFFER PERSONAL HEALTH SERVICES. THE GRAND RAPIDS HOME FOR VETERANS AND THE VETERANS AFFAIRS OUTPATIENT CLINIC PROVIDE SERVICES FOR VETERANS. IN ADDITION TO MAJOR HEALTH CENTERS AND PUBLICLY FUNDED SERVICES, KENT COUNTY OFFERS NUMEROUS HEALTH-RELATED SERVICES THROUGH NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS. FOR SPECIFIC POPULATION STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTP://WWW.SPECTRUMHEALTH.ORG/ABOUT-US-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-3870."},{"form_and_line_reference":"Schedule H, Part VI, Line 5","explanation":"SHKCC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SHKCC 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 SHKCC TO BE STANDING BY READY TO PROVIDE ACUTE CARE FOR AN EXTENDED PERIOD OF TIME TO MEET THE NEEDS OF PATIENTS WHO REQUIRE LONGER HEALING AND RECOVERY TIME. SPECIALIZED CARE AND INTENSIVE TREATMENT CENTERED ON THE PATIENT'S PRECISE HEALTH CARE NEEDS ARE AVAILABLE 24 HOURS A DAY, 365 DAYS A YEAR. 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-KENT COMMUNITY CAMPUS 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":{"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,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"JAMES DAVIDSON","title":"FORMER TREASURER, SHKCC","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":44148,"compensation_based_on_related_orgs":194081,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":13894,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":14362,"other_compensation_filing_org":0,"other_compensation_related_orgs":1716,"total_compensation_filing_org":0,"total_compensation_related_orgs":268200,"name":"JAMES DAVIDSON"},{"person_name":"JEFFERY LEMON","title":"FORMER PRESIDENT/CHAIR","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":172571,"compensation_based_on_related_orgs":306014,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":109280,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":76240,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":45525,"other_compensation_filing_org":0,"other_compensation_related_orgs":2794,"total_compensation_filing_org":0,"total_compensation_related_orgs":603144,"name":"JEFFERY LEMON"},{"person_name":"JEFFREY MISLEVY","title":"CHAIR","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":42782,"compensation_based_on_related_orgs":233991,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":33345,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":42400,"other_compensation_filing_org":0,"other_compensation_related_orgs":7454,"total_compensation_filing_org":0,"total_compensation_related_orgs":359971,"name":"JEFFREY MISLEVY"},{"person_name":"LARRY OBERST","title":"TREASURER","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":20822,"compensation_based_on_related_orgs":148488,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":8374,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":15207,"other_compensation_filing_org":0,"other_compensation_related_orgs":774,"total_compensation_filing_org":0,"total_compensation_related_orgs":193665,"name":"LARRY OBERST"},{"person_name":"LINDA ERICKSON-JOEL","title":"DIRECTOR","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":17819,"compensation_based_on_related_orgs":135157,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":15047,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":6243,"other_compensation_filing_org":0,"other_compensation_related_orgs":620,"total_compensation_filing_org":0,"total_compensation_related_orgs":174886,"name":"LINDA ERICKSON-JOEL"},{"person_name":"RONALD TOZER","title":"SECRETARY","base_compensation_filing_org":120831,"bonus_filing_org":15564,"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":2216,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":17262,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":4546,"other_compensation_related_orgs":0,"total_compensation_filing_org":160419,"total_compensation_related_orgs":0,"name":"RONALD TOZER"}],"supplemental_information":[{"identifier":"Supplemental nonqualified retirement plan","form_and_line_reference":"Schedule J, Part I, Line 4b","explanation":"$109,280 JEFFERY LEMON 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."}]},"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 CARE","primary_activities":"REHAB/CARE","exempt_code_section":"501(C)(3)","public_charity_status":"9","controlled_organization":false,"legal_domicile_state":"MI","direct_controlling_business_name_line1":"SPECTRUM HEALTH SYSTEM","address_line1":"750 FULLER AVE NE","city":"GRAND RAPIDS","state":"MI","zip":"49503","name":"SPECTRUM HEALTH CONTINUING CARE","address":"750 FULLER AVE NE, GRAND RAPIDS, MI, 49503"},{"business_name_line1":"SH CONTINUING CARE CENTER","primary_activities":"REHAB/NRS","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":"SH CONTINUING CARE CENTER","address":"750 FULLER AVE NE, GRAND RAPIDS, MI, 49503"},{"business_name_line1":"SPECTRUM HEALTH WORTH SERVICES","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":"SPECTRUM HEALTH WORTH SERVICES","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"},{"business_name_line1":"KENT COMMUNITY HEALTH FOUNDATION","primary_activities":"PHILANTHROPY","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":"SPECTRUM HEALTH KENT COMMUNITY CAMPUS","address_line1":"750 FULLER AVE NE","city":"GRAND RAPIDS","state":"MI","zip":"49503","name":"KENT COMMUNITY HEALTH FOUNDATION","address":"750 FULLER AVE NE, GRAND RAPIDS, MI, 49503"}],"transaction_flags":{"dividends_from_related_organization":false,"gift_grant_or_capital_contribution_from_other_org":true,"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":true,"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 MEMBER OF A CONSOLIDATED HEALTH SYSTEM AND HAS A COMMON PARENT ORGANIZATION, SPECTRUM HEALTH SYSTEM."}]},"source_xml":"201401089349300715_public.xml"},{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"Spectrum health kent community campus (kcc), whose sole corporate member is spectrum health continuing care, provides comprehensive adult health care. 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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":"529,365"},{"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 HAS DONATED REAL ESTATE TO SUPPORT A COMMUNITY-BASED INTEGRATED CENTER THAT PROVIDES PHYSICAL, MENTAL, AND SPIRITUAL SUPPORT SERVICES FOR LOW INCOME AND/OR PREVIOUSLY HOMELESS COMMUNITY MEMBERS."},{"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, LINE 1: BAD DEBTS, AT COST, ARE DETERMINED BY USING AN OVERALL RATIO OF COST-TO-CHARGES APPLIED AGAINST BAD DEBT EXPENSE (AT CHARGES) IN THE STATEMENT OF ACTIVITIES. RATIONAL FOR INCLUDING BAD DEBTS (AT COST) IN SCHEDULE 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 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 REDUCED TO COST AND SHORTFALLS IN GOVERNMENT REIMBURSEMENTS (MEDICARE AND MEDICAID). RATIONAL FOR EXCLUDING (OR REPORTING ZERO) BAD DEBTS (AT COST) IN SCHEDULE 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 COULD 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) AMERICA'S HEALTH RANKING: A CALL TO ACTION FOR PEOPLE AND THEIR COMMUNITIES. 2) AIMING HIGHER: RESULTS FROM A STATE SCORECARD ON HEALTH SYSTEM PERFORMANCE. 3) BEHAVIORAL RISK FACTOR SURVEY (2005): HEALTH RISK BEHAVIORS IN THE STATE OF MICHIGAN. 4) THE 2005/2006 COMMUNITY REPORT CARD. 5) THE 2005/2006 GREATER GRAND RAPIDS SURVEY."},{"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 ONE AND A HALF COUNTIES, INCLUDING KENT COUNTY AND PART OF EASTERN OTTAWA COUNTY. THE OVERALL SERVICE AREA TOTALS THIRTEEN COUNTIES, INCLUDING GRAND RAPIDS, MICHIGAN, THE SECOND LARGEST CITY IN THE STATE. OVERALL THESE COUNTIES HAVE A TOTAL POPULATION OF OVER ONE MILLION FIVE HUNDRED THOUSAND RESIDENTS."},{"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":{"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":"JEFFERY LEMON","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":52635,"compensation_based_on_related_orgs":229898,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":67159,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":43997,"other_compensation_filing_org":0,"other_compensation_related_orgs":2289,"total_compensation_filing_org":0,"total_compensation_related_orgs":395978,"name":"JEFFERY LEMON"},{"person_name":"LARRY OBERST","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":24777,"compensation_based_on_related_orgs":140422,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":4226,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":12251,"other_compensation_filing_org":0,"other_compensation_related_orgs":1575,"total_compensation_filing_org":0,"total_compensation_related_orgs":183251,"name":"LARRY OBERST"},{"person_name":"DONALD ROMAIN","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":22685,"compensation_based_on_related_orgs":140189,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":5608,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":18128,"other_compensation_filing_org":0,"other_compensation_related_orgs":349,"total_compensation_filing_org":0,"total_compensation_related_orgs":186959,"name":"DONALD ROMAIN"},{"person_name":"LORI GIBSON","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":27540,"compensation_based_on_related_orgs":159643,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":6542,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":15561,"other_compensation_filing_org":0,"other_compensation_related_orgs":604,"total_compensation_filing_org":0,"total_compensation_related_orgs":209890,"name":"LORI GIBSON"},{"person_name":"JEFFREY MISLEVY","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":24805,"compensation_based_on_related_orgs":156431,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":6168,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":15024,"other_compensation_filing_org":0,"other_compensation_related_orgs":494,"total_compensation_filing_org":0,"total_compensation_related_orgs":202922,"name":"JEFFREY MISLEVY"}],"supplemental_information":[{"identifier":"Supplemental nonqualified retirement plan","form_and_line_reference":"Schedule J, Part I, Line 4b","explanation":"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."}]},"ScheduleR":{"disregarded_entities":[{"ein":382715520,"business_name_line1":"PHMB PROPERTIES LLC","primary_activities":"PROP. 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FOR ENTITIES THAT ARE PART OF A CONSOLIDATED HEALTH SYSTEM (WITH COMMON CONTROL) THE ATTRIBUTION RULES OF IRC SECTION 318 APPLY; MEANING THAT ALL ORGANIZATIONS ARE DEEMED TO HAVE CONTROL OF THE ORGANIZATIONS OWNED BY THE CONTROLLING ORGANIZATION. AS SUCH, IN ANSWERING THIS QUESTION AND FOR REPORTING IN SCH. R, EACH RELATED ORGANIZATION WITHIN THE HEALTH SYSTEM IS CONSIDERED AND THE TRANSACTIONS DISCLOSED MAY BE BETWEEN DIRECTLY CONTROLLED SUBSIDIARIES OR BROTHER-SISTER ENTITIES (INDIRECTLY CONTROLLED) WITHIN THE HEALTH SYSTEM."}]},"source_xml":"201231329349300718_public.xml"}],"Latest":{"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":"The long term care (ltc) portion of the kcc organization provides services with specialized programs for specific diagnosis. 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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."},{"identifier":"Collections of art - description of collections","form_and_line_reference":"Schedule D, Part III, Line 4","explanation":"ARTWORK IS USED AS A WAY TO CREATE A MORE HOME-LIKE ENVIRONMENT FOR PATIENTS, FAMILIES, AND VISITORS; ESPECIALLY FOR THOSE STAYING OR VISITING ON A LONG TERM 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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":"1,259,675"},{"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 KENT COMMUNITY CAMPUS - COMMUNITY INPUT METHODS QUALITATIVE DATA COLLECTION INVOLVED CONDUCTING FOCUS GROUPS, BRIEF INTERCEPT INTERVIEWS, AND COMMUNITY INPUT WALLS WITH COMMUNITY MEMBERS. EACH OF THESE METHODS ARE DESCRIBED ALONG WITH THE QUESTIONS USED IN THE KENT COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. FOCUS GROUPS IN THE FOCUS GROUPS, A MICHIGAN PUBLIC HEALTH INSTITUTE (MPHI) RESEARCHER INTERVIEWED PEOPLE IN SMALL GROUPS. THE PURPOSE WAS TO GENERATE COMMUNITY INPUT FROM VARIOUS POPULATION GROUPS ABOUT HEALTH AND WELLBEING IN KENT COUNTY. * 12 FOCUS GROUPS WERE CONDUCTED WITH 119 COMMUNITY MEMBERS PARTICIPATING MPHI PROVIDED INTERVIEWERS WITH THE INTERVIEW MATERIALS NEEDED, AS WELL AS TECHNICAL ASSISTANCE. COMPLETED INTERVIEWS WERE RETURNED TO MPHI FOR ANALYSIS. * 395 INTERCEPT INTERVIEWS WERE CONDUCTED IN THREE LANGUAGES BY TRAINED COMMUNITY MEMBERS COMMUNITY INPUT WALLS THIS STRATEGY INVOLVES GATHERING INPUT FROM COMMUNITY MEMBERS DIRECTLY BY POSTING LARGE SHEETS OF PAPER IN A PUBLIC SPACE AND ASKING COMMUNITY MEMBERS TO ANSWER QUESTIONS ABOUT COMMUNITY HEALTH BY WRITING THEIR THOUGHTS ON THE WALL. * 4 COMMUNITY INPUT WALLS SAMPLE INTERVIEW QUESTIONS INCLUDED: 1. THE VISION OF KENT COUNTY WORKING TOGETHER FOR A HEALTHIER TOMORROW IS TO HAVE A HIGH QUALITY OF LIFE, HEALTH, AND WELL-BEING FOR ALL PEOPLE IN KENT COUNTY. WHAT DO 'HEALTH' AND 'WELLBEING' MEAN TO YOU? 2. WHAT ABOUT THIS COMMUNITY HELPS YOU LIVE A HEALTHY LIFE? WHAT ABOUT THIS COMMUNITY MAKES IT HARD TO STAY HEALTHY? 3. HOW DO YOU FEEL ABOUT THE QUALITY OF LIFE IN KENT COUNTY? IS IT A GOOD PLACE TO RAISE CHILDREN? GROW OLD? ARE THERE JOB OPPORTUNITIES? CAN YOU FIND AFFORDABLE HOUSING? DO YOU FEEL SAFE? 4. ARE THERE PEOPLE OR GROUPS IN YOUR COMMUNITY WHOSE HEALTH OR QUALITY OF LIFE IS NOT AS GOOD AS OTHERS? IF SO, WHY DO THESE DIFFERENCES EXIST? 5. HOW DO YOU FEEL ABOUT HEALTH CARE IN KENT COUNTY? ABILITY TO GET APPOINTMENTS? QUALITY OF SERVICES? INFORMED ABOUT YOUR OPTIONS AS A PATIENT? COST? RESPECT FOR YOUR CULTURE? 6. WHAT DO YOU NEED TO IMPROVE YOUR HEALTH AND WELLBEING? AT HOME? AT WORK? AT SCHOOL? IN YOUR NEIGHBORHOOD? 7. WHAT DO WE NEED TO KNOW TO MAKE KENT COUNTY A HEALTHIER PLACE FOR EVERYONE WHO LIVES HERE? MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE STEERING COMMITTEE INCLUDING KENT, IONIA, AND OTTAWA COUNTY HEALTH DEPARTMENTS, MPHI, ALLIANCE FOR HEALTH, AND THE COMMUNITY RESEARCH INSTITUTE OF GRAND VALLEY STATE UNIVERSITY. FOR A LISTING OF ALL INDIVIDUALS AND SOURCES CONSULTED, SEE APPENDICES A & B OF THE KENT COUNTY CHNA. ;"},{"form_and_line_reference":"Schedule H, Part V Section B, Line 4","explanation":"(1) SPECTRUM HEALTH KENT COMMUNITY CAMPUS - METROPOLITAN HOSPITAL SAINT MARY'S HEALTH CARE PINE REST MARY FREE BED REHABILITATION HOSPITAL;"},{"form_and_line_reference":"Schedule H, Part V Section B, Line 11","explanation":"(1) SPECTRUM HEALTH KENT COMMUNITY CAMPUS - 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 KENT COMMUNITY CAMPUS - 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 KENT COMMUNITY CAMPUS - 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 KENT COMMUNITY CAMPUS - 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. MEDICAL CLINIC, 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/BUTTERWORTH-HOSPITAL-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 ONE AND A HALF COUNTIES, INCLUDING KENT COUNTY AND PART OF EASTERN OTTAWA COUNTY. THE OVERALL SERVICE AREA TOTALS THIRTEEN COUNTIES, INCLUDING GRAND RAPIDS, MICHIGAN, THE SECOND LARGEST CITY IN THE STATE. OVERALL THESE COUNTIES HAVE A TOTAL POPULATION OF OVER 1,500,000 RESIDENTS. KENT COUNTY IS LOCATED IN WESTERN MICHIGAN AND IS THE FOURTH LARGEST POPULATION CENTER IN THE STATE. THE COUNTY IS COMPOSED OF TWENTY-ONE TOWNSHIPS, FIVE VILLAGES, AND NINE CITIES COVERING 864 SQUARE MILES. GRAND RAPIDS IS THE COUNTY SEAT AND IS 30 MILES FROM LAKE MICHIGAN. GRAND RAPIDS IS ALSO KNOWN FOR BEING THE HOME OF PRESIDENT GERALD R. FORD. THE HEALTH CARE RESOURCES IN KENT COUNTY INCLUDE SPECTRUM HEALTH-BUTTERWORTH CAMPUS, SPECTRUM HEALTH-BLODGETT CAMPUS, METROPOLITAN HEALTH, SAINT MARY'S HEALTH CARE, PINE REST, AND MARY FREE BED REHABILITATION HOSPITAL. IN ADDITION, THE HEALTH DEPARTMENT OPERATES SIX PUBLIC HEALTH CLINICS THROUGHOUT THE COUNTY THAT OFFER PERSONAL HEALTH SERVICES. THE GRAND RAPIDS HOME FOR VETERANS AND THE VETERANS AFFAIRS OUTPATIENT CLINIC PROVIDE SERVICES FOR VETERANS. IN ADDITION TO MAJOR HEALTH CENTERS AND PUBLICLY FUNDED SERVICES, KENT COUNTY OFFERS NUMEROUS HEALTH-RELATED SERVICES THROUGH NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS. FOR SPECIFIC POPULATION STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AT HTTP://WWW.SPECTRUMHEALTH.ORG/ABOUT-US-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-3870."},{"form_and_line_reference":"Schedule H, Part VI, Line 5","explanation":"SHKCC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SHKCC 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 SHKCC TO BE STANDING BY READY TO PROVIDE ACUTE CARE FOR AN EXTENDED PERIOD OF TIME TO MEET THE NEEDS OF PATIENTS WHO REQUIRE LONGER HEALING AND RECOVERY TIME. SPECIALIZED CARE AND INTENSIVE TREATMENT CENTERED ON THE PATIENT'S PRECISE HEALTH CARE NEEDS ARE AVAILABLE 24 HOURS A DAY, 365 DAYS A YEAR. 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-KENT COMMUNITY CAMPUS 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":{"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,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"JAMES DAVIDSON","title":"FORMER TREASURER, SHKCC","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":44148,"compensation_based_on_related_orgs":194081,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":13894,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":14362,"other_compensation_filing_org":0,"other_compensation_related_orgs":1716,"total_compensation_filing_org":0,"total_compensation_related_orgs":268200,"name":"JAMES DAVIDSON"},{"person_name":"JEFFERY LEMON","title":"FORMER PRESIDENT/CHAIR","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":172571,"compensation_based_on_related_orgs":306014,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":109280,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":76240,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":45525,"other_compensation_filing_org":0,"other_compensation_related_orgs":2794,"total_compensation_filing_org":0,"total_compensation_related_orgs":603144,"name":"JEFFERY LEMON"},{"person_name":"JEFFREY MISLEVY","title":"CHAIR","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":42782,"compensation_based_on_related_orgs":233991,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":33345,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":42400,"other_compensation_filing_org":0,"other_compensation_related_orgs":7454,"total_compensation_filing_org":0,"total_compensation_related_orgs":359971,"name":"JEFFREY MISLEVY"},{"person_name":"LARRY OBERST","title":"TREASURER","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":20822,"compensation_based_on_related_orgs":148488,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":8374,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":15207,"other_compensation_filing_org":0,"other_compensation_related_orgs":774,"total_compensation_filing_org":0,"total_compensation_related_orgs":193665,"name":"LARRY OBERST"},{"person_name":"LINDA ERICKSON-JOEL","title":"DIRECTOR","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":17819,"compensation_based_on_related_orgs":135157,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":15047,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":6243,"other_compensation_filing_org":0,"other_compensation_related_orgs":620,"total_compensation_filing_org":0,"total_compensation_related_orgs":174886,"name":"LINDA ERICKSON-JOEL"},{"person_name":"RONALD TOZER","title":"SECRETARY","base_compensation_filing_org":120831,"bonus_filing_org":15564,"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":2216,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":17262,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":4546,"other_compensation_related_orgs":0,"total_compensation_filing_org":160419,"total_compensation_related_orgs":0,"name":"RONALD TOZER"}],"supplemental_information":[{"identifier":"Supplemental nonqualified retirement plan","form_and_line_reference":"Schedule J, Part I, Line 4b","explanation":"$109,280 JEFFERY LEMON 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."}]},"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 CARE","primary_activities":"REHAB/CARE","exempt_code_section":"501(C)(3)","public_charity_status":"9","controlled_organization":false,"legal_domicile_state":"MI","direct_controlling_business_name_line1":"SPECTRUM HEALTH SYSTEM","address_line1":"750 FULLER AVE NE","city":"GRAND RAPIDS","state":"MI","zip":"49503","name":"SPECTRUM HEALTH CONTINUING CARE","address":"750 FULLER AVE NE, GRAND RAPIDS, MI, 49503"},{"business_name_line1":"SH CONTINUING CARE CENTER","primary_activities":"REHAB/NRS","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":"SH CONTINUING CARE CENTER","address":"750 FULLER AVE NE, GRAND RAPIDS, MI, 49503"},{"business_name_line1":"SPECTRUM HEALTH WORTH SERVICES","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":"SPECTRUM HEALTH WORTH SERVICES","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"},{"business_name_line1":"KENT COMMUNITY HEALTH FOUNDATION","primary_activities":"PHILANTHROPY","exempt_code_section":"501(C)(3)","public_charity_status":"11 - 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