Spectrum Health System in Grand Rapids, Michigan (MI)

Spectrum Health System
Employer Identification Number (EIN)	383382353
Name of Organization	Spectrum Health System
Address	100 Michigan St Ne Mc60, Grand Rapids, MI 49503-2560
Subsection	Charitable Organization
Ruling Date	03/2014
Deductibility	Contributions are deductible
Foundation	Organizations operated solely for the benefit of and in conjunction with organizations described in 10 through 16 above
Organization	Corporation
Exempt Organization Status	Unconditional Exemption
Tax Period	06/2014
Assets	$50,000,000 to greater
Income	$50,000,000 to greater
Filing Requirement	990 (all other) or 990EZ return
Asset Amount	$1,349,906,269
Amount of Income	$471,463,077
Form 990 Revenue Amount	$466,102,534
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Community Health Systems

Non-representatives - add comments:

Amount of income in 2014: $471,463,077

This organization:	$471,463,077
Other organizations performing similar types of work:	$6,791,313

Assets in 2014: $1,349,906,269

Spectrum Health System:	$1,349,906,269
Other organizations performing similar types of work:	$5,000,000

Expenses in 2013: $360,550,714

This organization:	$360,550,714
Other organizations performing similar types of work:	$5,603,496

Income to expenses ratio in 2013: 1.3

This organization:	1.3
Other organizations performing similar types of work:	1.1

Expenses allocated to program services in 2007: 99.3%

Spectrum Health System:	99.3%
Other organizations performing similar types of work:	86.4%

Number of employees in 2013: 2,372

This organization:	2,372
Other organizations performing similar types of work:	83

Employees paid over $100,000 in 2013: 10.4%

This organization:	10.4%
Other organizations performing similar types of work:	0.0%

Grants share in income in 2013: 0.6%

This organization:	0.6%
Other organizations performing similar types of work:	0.5%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

	2012	2013
Checklist
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?	No	No
Is the organization required to complete Schedule B, Schedule of Contributors?	Yes	Yes
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?	No	No
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?	No	No
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?	No	No
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?	No	No
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?	No	No
Did the organization maintain collections of works of art, historical treasures, or other similar assets?	No	No
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?	No	No
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?	No	No
Did the organization report an amount for land, buildings, and equipment?	Yes	Yes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?	No	No
Did the organization report an amount for investments-program related that is 5% or more of its total assets?	Yes	No
Did the organization report an amount for other assets that is 5% or more of its total assets?	Yes	Yes
Did the organization report an amount for other liabilities?	Yes	Yes
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?	No	No
Did the organization obtain separate, independent audited financial statements for the tax year?	No	No
Was the organization included in consolidated, independent audited financial statements for the tax year?	Yes	Yes
Is the organization a school described in section 170(b)(1)(A)(ii)?	No	No
Did the organization maintain an office, employees, or agents outside of the United States?	No	No
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?	No	No
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?	No	No
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?	No	No
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?	No	No
Did the organization report more than $15,000 total of fundraising event gross income and contributions?	No	No
Did the organization report more than $15,000 of gross income from gaming activities?	No	No
Did the organization operate one or more hospital facilities?	No	No
Did the organization attach a copy of its audited financial statements?	No	No
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?	Yes	Yes
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?	No	No
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?	Yes	Yes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?	No	No
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?	No	No
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?	No	No
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?	No	No
Did the organization engage in an excess benefit transaction with a disqualified person during the year?	No	No
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?	No	No
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?	No	No
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?	No	No
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?	No	No
A family member of a current or former officer, director, trustee, or key employee?	Yes	Yes
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?	Yes	Yes
Did the organization receive more than $25,000 in non-cash contributions?	No	No
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?	No	No
Did the organization liquidate, terminate, or dissolve and cease operations?	No	No
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?	No	No
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?	Yes	Yes
Was the organization related to any tax-exempt or taxable entity?	Yes	Yes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?	Yes	Yes
Did the organization make any transfers to an exempt non-charitable related organization?	Yes	Yes
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?	No	No

	2011	2012	2013
Statements Regarding Other IRS Filings and Tax Compliance
The number reported in Box 3 of Form 1096		194	258
The number of Forms W-2G		0	0
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?		Yes	Yes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return		1,431	2,372
Did the organization file all required federal employment tax returns?		Yes	Yes
Did the organization have unrelated business gross income of $1,000 or more during the year?	Yes	Yes	Yes
Has it filed a Form 990-T for this year?		Yes	Yes
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?		Yes	Yes
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?		No	No
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?		No	No
Did the organization file Form 8886-T?		No	No
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?		No	No
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?		No	No
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?		No	No
Did the organization notify the donor of the value of the goods or services provided?		No	No
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?		No	No
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?		No	No
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?		No	No
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?		No	No
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?		No	No
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?		No	No
Did the sponsoring organization make any taxable distributions under section 4966?		No	No
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?		No	No
Initiation fees and capital contributions	$0	$0	$0
Gross receipts for public use of club facilities	$0	$0	$0
Gross income from members or shareholders	$0	$0	$0
Gross income from other sources	$0	$0	$0
Is the organization filing Form 990 in lieu of Form 1041?		No	No
The amount of tax-exempt interest received or accrued during the year		$0	$0
Is the organization licensed to issue qualified health plans in more than one state?		No	No
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans		$0	$0
The amount of reserves on hand		$0	$0
Did the organization receive any payments for indoor tanning services during the tax year?		No	No
Has it filed a Form 720 to report these payments?		No	No

	2012	2013
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization	$7,968,020	$11,257,246
Total reportable compensation from related organizations	$298,340	$1,505,411
Total estimated amount of other compensation from the organization and related organizations	$2,092,239	$3,018,192
Total number of individuals who received more than $100,000 of reportable compensation from the organization	116	185
Total number of independent contractors who received more than $100,000 of compensation from the organization	31	61

	2011	2012	2013
Statement of Revenue
Total revenue	$75,878,356	$190,523,143	$373,177,941
Contributions, Gifts, Grants and Other Similar Amounts	$0	$1,974,147	$2,161,930
Program Service Revenue	$74,636,550	$184,689,052	$367,075,541
561000		$184,242,326	$364,167,956
561000		$383,999	$443,377
900099		$0	$455,922
900099		$0	$93,504
900099		$0	$31,613
All other program service revenue		$62,727	$1,883,169
Other Revenue
Investment income (including dividends, interest, and other similar amounts)	$1,141,283	$2,049,952	$3,293,904
Income from investment of tax-exempt bond proceeds	$0	$0	$0
Royalties	$0	$0	$0
Net rental income	$0	$0	$0
Net gain/loss from sales of assets other than inventory	$-16,757	$0	$646,566
Gross amount from sales of assets other than inventory (Securities / Other)	$0 / $38,250	$0 / $0	$7,547,514 / $348
Less: cost or other basis and sales expenses (Securities / Other)	$0 / $55,007	$0 / $0	$6,868,147 / $33,149
Gain or (loss) (Securities / Other)	$0 / $-16,757	$0 / $0	$679,367 / $-32,801
Net income/loss from fundraising events	$0	$0	$0
Net income/loss from gaming activities	$0	$0	$0
Net income/loss from sales of inventory	$0	$0	$0
Miscellaneous Revenue	$117,280	$1,809,992	$0

	2011	2012	2013
Statement of Functional Expenses
Total functional expenses	$104,517,927	$183,631,523	$360,550,714
Grants and other assistance to domestic organizations and domestic governments		$494,454	$494,077
Grants and other assistance to domestic individuals		$0	$0
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals		$0	$0
Benefits paid to or for members		$0	$0
Compensation of current officers, directors, trustees, and key employees	$2,841,221	$6,161,973	$10,157,613
Compensation not included above, to disqualified persons		$321,984	$401,059
Other salaries and wages	$30,804,465	$89,255,131	$171,577,553
Pension plan accruals and contributions		$3,437,692	$7,071,085
Other employee benefits		$12,942,858	$29,803,469
Payroll taxes	$2,735,009	$7,183,551	$12,893,771
Fees for services (non-employees)
Management		$0	$0
Legal		$1,093,109	$1,574,482
Accounting		$0	$1,089,833
Lobbying		$293,541	$324,182
Professional fundraising services	$0	$0	$0
Investment management fees		$0	$0
Other		$13,350,000	$30,071,869
Advertising and promotion		$4,999,206	$10,046,771
Office expenses		$5,190,534	$9,925,165
Information technology		$24,743,845	$44,702,161
Royalties		$0	$0
Occupancy		$6,478,693	$16,766,930
Travel		$2,084,959	$3,096,091
Payments of travel or entertainment expenses for any federal, state, or local public officials		$0	$0
Conferences, conventions, and meetings		$306,144	$1,224,077
Interest		$-25,210	$-20,777
Payments to affiliates		$0	$0
Depreciation, depletion, and amortization		$1,877,027	$3,682,764
Insurance		$-3,314,687	$-1,884,507
Other expenses		$6,597,270	$1,487,236
Other expenses		$92,661	$1,121,696
Other expenses		$66,788	$310,346
Other expenses		$0	$2,000
Other expenses		$0	$4,631,768

	2011	2012	2013
Balance Sheet
Total assets	$840,206,700	$934,496,786	$1,144,899,814
Cash - non-interest-bearing		$0	$0
Savings and temporary cash investments		$10,664,238	$32,933,905
Pledges and grants receivable, net		$0	$0
Accounts receivable, net		$0	$0
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees		$0	$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations		$0	$0
Notes and loans receivable, net		$43,225,201	$41,165,016
Inventories for sale or use		$0	$0
Prepaid expenses and deferred charges		$12,701,994	$24,209,332
Land, buildings, and equipment: cost or other basis		$2,661,753	$28,460,298
Investments - publicly traded securities		$703,590,182	$862,172,834
Investments - other securities		$9,694,316	$5,021,711
Investments - program-related		$55,452,537	$56,847,798
Intangible assets		$0	$0
Other assets		$96,506,565	$94,088,920
Total liabilities	$825,198,660	$973,082,712	$1,115,697,613
Accounts payable and accrued expenses		$27,072,073	$57,490,993
Grants payable		$0	$0
Deferred revenue		$190,460	$147,065
Tax-exempt bond liabilities	$0	$0	$0
Escrow or custodial account liability		$0	$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons		$0	$0
Secured mortgages and notes payable to unrelated third parties	$0	$0	$0
Unsecured notes and loans payable to unrelated third parties	$12,500,000	$12,500,000	$12,500,000
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)		$933,320,179	$1,045,559,555
Total net assets or fund balances	$15,008,040	$-38,585,926	$29,202,201
Unrestricted net assets		$-38,585,926	$29,202,201
Temporarily restricted net assets		$0	$0
Permanently restricted net assets		$0	$0
Capital stock or trust principal, or current funds		$0	$0
Paid-in or capital surplus, or land, building, or equipment fund		$0	$0
Retained earnings, endowment, accumulated income, or other funds	$0	$0	$0

Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:	An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2)
Number of organizations supported	7
Sum of amounts of support	$268,646,278

	2002	2003	2004	2005	2006	2007
Revenue, Expenses, and Changes in Net Assets or Fund Balances
Total revenue	$3,970,051	$4,037,096	$6,057,355	$10,127,897	$23,132,261	$13,301,358
Contributions, gifts, grants, and similar amounts received	$0	$0	$0	$0	$0	$0
Contributions to donor advised funds					$0	$0
Direct public support	$0	$0	$0	$0	$0	$0
Indirect public support	$0	$0	$0	$0	$0	$0
Government contributions (grants)	$0	$0	$0	$0	$0	$0
Program service revenue including government fees and contracts	$0	$0	$5,710,000	$9,110,000	$9,793,200	$10,502,729
Membership dues and assessments	$0	$0	$0	$0	$0	$0
Interest on savings and temporary cash investments	$51	$67,096	$201,355	$1,017,647	$12,821	$33,454
Dividends and interest from securities	$0	$0	$0	$0	$12,629,893	$0
Net rental income or (loss)	$0	$0	$0	$0	$0	$0
Gross rents	$0	$0	$0	$0	$0	$0
Less: rental expenses	$0	$0	$0	$0	$0	$0
Other investment income	$0	$0	$0	$0	$0	$0
Gain or (loss) from sales of assets other than inventory	$0	$0	$0	$0	$0	$0
Gross amount from sales of assets other than inventory	$0	$0	$0	$0	$0	$0
Less: cost or other basis and sales expenses	$0	$0	$0	$0	$0	$0
Net income or (loss) from special events and activities	$0	$0	$0	$0	$0	$0
Gross revenue	$0	$0	$0	$0	$0	$0
Less: direct expenses other than fundraising expenses	$0	$0	$0	$0	$0	$0
Gross profit or (loss) from sales of inventory	$0	$0	$0	$0	$0	$0
Gross sales of inventory, less returns and allowances	$0	$0	$0	$0	$0	$0
Less: cost of goods sold	$0	$0	$0	$0	$0	$0
Other revenue	$3,970,000	$3,970,000	$146,000	$250	$696,347	$2,765,175
Total expenses	$6,174,474	$7,242,519	$9,217,975	$10,347,720	$10,954,608	$11,551,044
Program services	$0	$0	$0	$9,281,647	$10,765,875	$11,468,151
Management and general	$4,035,965	$6,079,028	$9,217,975	$1,066,073	$188,733	$82,893
Fundraising	$0	$0	$0	$0	$0	$0
Payments to affiliates	$2,138,509	$1,163,491	$0	$0	$0	$0
Net assets or fund balances at end of year	$26,374,741	$29,764,194	$28,191,225	$29,604,165	$97,755,031	$-12,103,947
Excess or (deficit) for the year	$-2,204,423	$-3,205,423	$-3,160,620	$-219,823	$12,177,653	$1,750,314
Net assets or fund balances at beginning of year	$19,437,792	$26,374,741	$29,764,194	$28,191,225	$29,604,165	$97,755,031
Other changes in net assets or fund balances	$9,141,372	$6,594,876	$1,587,651	$1,632,763	$55,973,213	$-111,609,292

	Total	Program services	Management and general	Fundraising
Statement of Functional Expenses (for 2007)
Total functional expenses	$11,551,044	$11,468,151	$82,893	$0
Grants paid from donor advised funds		$0
Other grants and allocations		$0
Specific assistance to individuals		$0
Benefits paid to or for members		$0
Compensation of current officers, directors, key employees, etc.	$2,997,006	$2,997,006	$0	$0
Compensation of former officers, directors, key employees, etc.	$0	$0	$0	$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)	$0	$0	$0	$0
Salaries and wages of employees not included above	$4,484,158	$4,484,158	$0	$0
Pension plan contributions not included above	$0	$0	$0	$0
Employee benefits not included above	$940,455	$940,455	$0	$0
Payroll taxes	$0	$0	$0	$0
Professional fundraising fees	$0	$0	$0	$0
Accounting fees	$0	$0	$0	$0
Legal fees	$82,893	$0	$82,893	$0
Supplies	$29,725	$29,725	$0	$0
Telephone	$13,309	$13,309	$0	$0
Postage and shipping	$2,962	$2,962	$0	$0
Occupancy	$311,397	$311,397	$0	$0
Equipment rental and maintenance	$57,841	$57,841	$0	$0
Printing and publications	$139,251	$139,251	$0	$0
Travel	$317,281	$317,281	$0	$0
Conferences, conventions, and meetings	$193	$193	$0	$0
Interest	$3	$3	$0	$0
Depreciation, depletion, etc.	$104,085	$104,085	$0	$0
Other expenses not covered above	$2,070,485	$2,070,485	$0	$0

	2002	2003	2004	2005	2006	2007
Balance Sheets
Total assets	$35,849,982	$54,598,299	$60,382,877	$55,546,148	$737,691,177	$763,846,627
Cash - non-interest-bearing	$18,463	$36,612	$202,689	$243,354	$0	$0
Savings and temporary cash investments	$0	$0	$0	$0	$711,226	$2,994,117
Accounts receivable less allowance for doubtful accounts	$0	$2,431,262	$0	$14,700	$0	$0
Pledges receivable less allowance for doubtful accounts	$0	$0	$0	$0	$0	$0
Grants receivable	$0	$0	$0	$0	$0	$0
Receivables from current and former officers, directors, trustees, and key employees	$0	$0	$0	$0	$0	$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)					$0	$0
Other notes and loans receivable less allowance for doubtful accounts	$3,900,000	$16,500,000	$20,500,000	$12,500,000	$51,839,572	$58,339,572
Inventories for sale or use	$0	$0	$0	$0	$0	$0
Prepaid expenses and deferred charges	$387,414	$745,298	$185,363	$196,582	$207,978	$247,535
Investments - publicly-traded securities					$610,351,845	$634,645,755
Investments - other securities	$0	$0	$0	$0	$0	$0
Investments - land, buildings, and equipment less accumulated depreciation	$0	$0	$0	$0	$0	$0
Investments - other	$27,291,356	$31,326,443	$31,326,443	$31,326,443	$58,911,187	$57,967,201
Land, buildings, and equipment less accumulated depreciation	$0	$0	$0	$0	$0	$0
Other assets, including program-related investments	$4,252,749	$3,558,684	$8,168,382	$11,265,069	$15,669,369	$9,652,447
Total liabilities	$9,475,241	$24,834,105	$32,191,652	$25,941,983	$639,936,146	$775,950,574
Accounts payable and accrued expenses	$0	$3,635,482	$5,639,649	$6,097,011	$7,274,068	$8,405,567
Grants payable	$0	$0	$0	$0	$0	$0
Deferred revenue	$0	$0	$0	$0	$0	$0
Loans from officers, directors, trustees, and key employees	$0	$0	$0	$0	$0	$0
Tax-exempt bond liabilities	$0	$0	$0	$0	$0	$0
Mortgages and other notes payable	$3,900,000	$16,500,000	$20,500,000	$12,500,000	$18,000,000	$24,500,000
Other liabilities	$5,575,241	$4,698,623	$6,052,003	$7,344,972	$614,662,078	$743,045,007
Total liabilities and net assets/fund balances	$35,849,982	$54,598,299	$60,382,877	$55,546,148	$737,691,177	$763,846,627
Total net assets or fund balances	$26,374,741	$29,764,194	$28,191,225	$29,604,165	$97,755,031	$-12,103,947

	2002	2003	2004	2005	2006	2007
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
Total revenue	$3,970,051	$4,037,096	$6,057,355	$10,127,897	$23,132,261	$13,301,358
Total revenue, gains, and other support per audited financial statements	$3,970,051	$3,970,030	$5,857,487	$9,115,367	$22,301,391	$13,301,358
Other expenses	$0	$0	$0	$0	$0	$0
Net unrealized gains on investments	$0	$0	$0	$0	$0	$0
Donated services and use of facilities	$0	$0	$0	$0	$0	$0
Recoveries of prior year grants	$0	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0	$0
Other revenue	$0	$67,066	$199,868	$1,012,530	$830,870	$0
Investment expenses	$0	$0	$0	$0	$0	$0
Other	$0	$67,066	$199,868	$1,012,530	$830,870	$0

	2002	2003	2004	2005	2006	2007
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
Total expenses	$6,174,474	$7,242,519	$9,217,975	$10,347,720	$10,954,608	$11,551,044
Total expenses and losses per audited financial statements	$6,174,474	$7,175,453	$9,018,107	$9,335,190	$10,123,738	$124,705,151
Other revenue	$0	$0	$0	$0	$0	$113,154,107
Donated services and use of facilities	$0	$0	$0	$0	$0	$0
Prior year adjustments	$0	$0	$0	$0	$0	$0
Losses	$0	$0	$0	$0	$0	$113,154,107
Other	$0	$0	$0	$0	$0	$0
Other expenses	$0	$67,066	$199,868	$1,012,530	$830,870	$0
Investment expenses	$0	$0	$0	$0	$0	$0
Other	$0	$67,066	$199,868	$1,012,530	$830,870	$0

Average hours per week devoted to position	Compensation	Contributions to employee benefit plans & deferred compensation plans	Expense account and other allowances
Current Officers, Directors, Trustees, and Key Employees
50	$389,052	$175,621	$15,602
50	$1,062,812	$466,351	$25,588
50	$601,579	$239,590	$20,811

Total number of officers, directors, and trustees permitted to vote on organization business at board meetings	13
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?	No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?	Yes
Does the organization have a written conflict of interest policy?	Yes

Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?	No
Was there a liquidation, dissolution, termination, or substantial contraction during the year?	No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?	Yes
Direct and indirect political expenditures	$0
Did the organization file Form 1120-POL for this year?	No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members	$0
Section 162(e) lobbying and political expenditures	$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices	$0
Taxable amount of lobbying and political expenditures	$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions	$0
Gross receipts for public use of club facilities	$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?	Yes
Amount of tax imposed on the organization during the year under: section 4911	$0
Amount of tax imposed on the organization during the year under: section 4912	$0
Amount of tax imposed on the organization during the year under: section 4955	$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?	No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958	$0
Amount of tax above, reimbursed by the organization	$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?	No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?	No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?	No
Number of employees employed in the pay period that includes March 12, 2006	39

	Unrelated business income		Excluded by section 512, 513, or 514		Related or exempt function income
Analysis of Income-Producing Activities (for 2007)
	Business code	Amount	Exclusion code	Amount	Related or exempt function income
Total		$0		$33,454	$13,267,904
Program service revenue
Program service revenue 1	000000	$0	00	$0	$10,502,729
Program service revenue 2	000000	$0	00	$0	$0
Program service revenue 3	000000	$0	00	$0	$0
Program service revenue 4	000000	$0	00	$0	$0
Program service revenue 5	000000	$0	00	$0	$0
Medicare/Medicaid payments	000000	$0	00	$0	$0
Fees and contracts from government agencies	000000	$0	00	$0	$0
Membership dues and assessments	000000	$0	00	$0	$0
Interest on savings and temporary cash investments	000000	$0	Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)	$33,454	$0
Dividends and interest from securities	000000	$0	00	$0	$0
Net rental income or (loss) from real estate
debt-financed property	000000	$0	00	$0	$0
not debt-financed property	000000	$0	00	$0	$0
Net rental income or (loss) from personal property	000000	$0	00	$0	$0
Other investment income	000000	$0	00	$0	$0
Gain or (loss) from sales of assets other than inventory	000000	$0	00	$0	$0
Net income or (loss) from special events	000000	$0	00	$0	$0
Gross profit or (loss) from sales of inventory	000000	$0	00	$0	$0
Other revenue	000000	$0	00	$0	$2,765,175

EIN of corporation, partnership, or disregarded entity	Percentage of ownership interest	Total income	End-of-year assets
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
383085182	100%	$119,374,789	$26,352,446
000000000	0%	$0	$0
000000000	0%	$0	$0
000000000	0%	$0	$0

Compensation	Contributions to employee benefit plans & deferred compensation	Expense account and other allowances
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
$495,350	$188,834	$12,170
$430,948	$174,580	$11,861
$423,185	$175,136	$10,439
$405,152	$138,290	$15,712
$374,878	$130,292	$8,751

Total number of other employees paid over $50,000	21

Total number of other employees paid over $50,000

Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities	$175,698
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?	No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?	No
Did the organization maintain any donor advised funds?	No
Did the organization make any taxable distributions under section 4966?	No
Did the organization make a distribution to a donor, donor advisor, or related person?	No
The total number of donor advised funds owned at the end of the tax year	$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year	$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts	$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year	$0

Reason for Non-Private Foundation Status
The organization is not a private foundation because it is	Not controlled by disqualified persons/supports non private foundation
Type of supporting organization	Type III

Employer identification number (EIN)	Name of organization	Type of organization	Is the supported organization listed in the supporting organization's governing documents?	Amount of support
Information about the supported organizations
381360529	Spectrum Health Hospitals		Yes	$0
382752328	Spectrum Health Foundation	Organization that receives a substantial part of its support from a governmental unit or from the general public	Yes	$0
383242232	Spectrum Health Continuing Care		Yes	$0
381358412	Spectrum Health United		Yes	$0
382770076	Reed City Hospital Corporation		Yes	$0
Total				$0

	2001	2002	2003	2004	2005	2006
Support Schedule
Total	$0	$0	$0	$0	$0	$0
Gifts, grants, and contributions received	$0	$0	$0	$0	$0	$0
Membership fees received	$0	$0	$0	$0	$0	$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose	$0	$0	$0	$0	$0	$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975	$0	$0	$0	$0	$0	$0
Net income from unrelated business activities not included above	$0	$0	$0	$0	$0	$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf	$0	$0	$0	$0	$0	$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge	$0	$0	$0	$0	$0	$0
Other income	$0	$0	$0	$0	$0	$0

Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures	$0
Total lobbying expenditures	$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)	$0
Total lobbying expenditures to influence a legislative body (direct lobbying)	$0
Other exempt purpose expenditures	$0
Lobbying nontaxable amount	$0
Grassroots nontaxable amount	$0

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Id	Name	Address	State	Established	Total Income
Organizations performing similar types of work
1	Spectrum Health Hospitals	100 Michigan St Ne, Grand Rapids, MI 49503-2560	MI	2014-03	$2,096,880,653
2	Spectrum Health System	100 Michigan St Ne Mc60, Grand Rapids, MI 49503-2560	MI	2014-03	$471,463,077
3	Spectrum Health System Group Return	100 Michigan St Ne Mc 498, Grand Rapids, MI 49503	MI	2014-03	$2,820,080,763
4	Reed City Hospital Corporation	100 Michigan St Ne, Grand Rapids, MI 49503-2560	MI	2014-03	$58,718,740
5	Sturgis Hospital Inc	916 Myrtle Avenue, Sturgis, MI 49091	MI	2009-09	$49,051,081
6	Spectrum Health Worth Services	750 Fuller Ave Ne, Grand Rapids, MI 49503-1918	MI	2014-03	$19,500,596
7	Spectrum Health Continuing Care	750 Fuller Ave Ne, Grand Rapids, MI 49503-1918	MI	2014-03	$19,235,705
8	Spectrum Health Kelsey	100 Michigan St Ne, Grand Rapids, MI 49503-2560	MI	2014-03	$18,421,897
9	Superior Health Partners	420 W Magnetic St, Marquette, MI 49855	MI	2010-08	$2,612,551
10	Carebridge	1305 Abbot Rd, East Lansing, MI 48823-2602	MI	2014-06	$1,910,749
11	Allegiance Health Foundation	205 N East Ave, Jackson, MI 49201-1753	MI	2002-01	$701,999
12	Andean Alliance For Sustainable Development	560 Orchard Rd, Marshall, MI 49068-8210	MI	2015-01	$64,569
13	Michigan Helps Medical Team	4030 Danford Rd, Ann Arbor, MI 48105-2731	MI	2014-06	$1,000
14	Capernaum Health Clinic	28900 Pontiac Trail, South Lyon, MI 48178	MI	2014-08	$0
15	Harbor Beach Healthcare	210 S 1st St, Harbor Beach, MI 48441-1236	MI	2001-03	$0
16	Precious Helping Hands	1845 Wiltshire Dr, Ann Arbor, MI 48103-6036	MI	2000-06	$0
17	Regents Of The University Of Michigan, Beta Alpha Psi - Kappa Sigma	19000 Hubbard Dr, Dearborn, MI 48126	MI	1961-10	$0
18	Saint Marys Health	800 S Washington Ave, Saginaw, MI 48601-2551	MI	2000-06	$0
19	Total Living Home Health Care Non Profit Corporation	PO BOX 247, Farmington, MI 48332-0247	MI	2010-02	$0
20	Wayne Childrens Healthcare Access Program, Wchap	17567 Hubbell St, Detroit, MI 48235-2708	MI	2014-08	$0

Number of organizations performing similar types of work

Alabama	6
Arkansas	5
Arizona	2
California	34
Colorado	11
Connecticut	6
District of Columbia	3
Delaware	2
Florida	20
Georgia	23
Hawaii	9
Iowa	2
Idaho	5
Illinois	23
Indiana	10
Kansas	8
Kentucky	8
Louisiana	5
Massachusetts	67
Maryland	7
Maine	6
Michigan	36
Minnesota	39
Missouri	15
Mississippi	4
Montana	3

North Carolina	27
North Dakota	14
Nebraska	4
New Hampshire	3
New Jersey	33
New Mexico	3
Nevada	2
New York	45
Ohio	26
Oklahoma	7
Oregon	6
Pennsylvania	46
Rhode Island	5
South Carolina	2
South Dakota	10
Tennessee	7
Texas	62
Utah	3
Virginia	29
Vermont	2
Washington	8
Wisconsin	25
West Virginia	8
Wyoming	1
International	1

Total

738

Affiliation	Name	Address	State	Established	Total Income
All affiliated organizations
Central	Spectrum Health System	100 Michigan St Ne Mc60, Grand Rapids, MI 49503-2560	MI	2014-03	$471,463,077
Subordinate	Spectrum Health Hospitals	100 Michigan St Ne, Grand Rapids, MI 49503-2560	MI	2014-03	$2,096,880,653
Subordinate	Spectrum Health Primary Care Partners, Spectrum Health Medical Group	100 Michigan St Ne, Grand Rapids, MI 49503-2560	MI	2014-03	$392,213,751
Subordinate	Spectrum Health United	100 Michigan St Ne, Grand Rapids, MI 49503-2560	MI	2014-03	$82,403,209
Subordinate	Newaygo County General Hospital Association, Spectrum Health Gerber Memorial	100 Michigan St Ne, Grand Rapids, MI 49503-2560	MI	2014-03	$72,799,767
Subordinate	Mecosta County Medical Center	100 Michigan St Ne, Grand Rapids, MI 49503-2560	MI	2014-03	$63,320,908
Subordinate	Memorial Medical Center Of West Michigan	100 Michigan St Ne, Grand Rapids, MI 49503-2560	MI	2014-03	$62,440,371
Subordinate	Spectrum Health Foundation	100 Michigan St Ne, Grand Rapids, MI 49503-2560	MI	2014-03	$55,108,652
Subordinate	Zeeland Community Hospital, Spectrum Health Zeeland Community	100 Michigan St Ne, Grand Rapids, MI 49503-2560	MI	2014-03	$51,721,679
Subordinate	Spectrum Health-Kent Community Campus	750 Fuller Ave Ne, Grand Rapids, MI 49503-1918	MI	2014-03	$43,936,180
Subordinate	Spectrum Health Continuing Care	750 Fuller Ave Ne, Grand Rapids, MI 49503-1918	MI	2014-03	$33,524,891
Subordinate	Visiting Nurse Services Of Western Michigan	750 Fuller Ave Ne, Grand Rapids, MI 49503-1918	MI	2014-03	$13,539,961
Subordinate	Spectrum Health System Group Return	100 Michigan St Ne Mc 498, Grand Rapids, MI 49503	MI	2014-03	$2,820,080,763
Subordinate	Reed City Hospital Corporation	100 Michigan St Ne, Grand Rapids, MI 49503-2560	MI	2014-03	$58,718,740
Subordinate	Spectrum Health Worth Services	750 Fuller Ave Ne, Grand Rapids, MI 49503-1918	MI	2014-03	$19,500,596
Subordinate	Spectrum Health Continuing Care	750 Fuller Ave Ne, Grand Rapids, MI 49503-1918	MI	2014-03	$19,235,705
Subordinate	Spectrum Health Kelsey	100 Michigan St Ne, Grand Rapids, MI 49503-2560	MI	2014-03	$18,421,897

Number of affiliated organizations

Michigan