2011-02-07T08:57:48-06:00 2010-06-30 ANDREWS HOOPER PAVLIK PLC 3333 DEPOSIT DR NE STE 310 GRAND RAPIDS MI 49546 990 2009-07-01 381297435 SPECTRUM HEALTH KELSEY SPEC 6167544341 615 S BOWER GREENVILLE MI 488382628 DAVID J OEHRING 6167544341 2010-11-15 true MICHELLE L DERIDDER 6169426440 2011-01-28 2009 2016-02-24 21:20:13Z 15364768 false X WWW.UM.SPECTRUM-HEALTH.ORG X 1945 MI TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. 11 6 162 8 0 78869 12822306 13797609 1200569 6760 51428 29272 14074303 13912510 0 0 6455164 6355693 0 0 6459674 7250590 12914838 13606283 1159465 306227 4594663 3690353 2306601 926231 2288062 2764122 TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. false false 12743804 13783883 SPECTRUM HEALTH KELSEY IS AN ACUTE CARE INPATIENT HOSPITAL, WHICH INCLUDES SPECIALTY CRITICAL CARE UNITS, OUTPATIENT SERVICES, AND LONG TERM SKILLED NURSING. -INPATIENT ADMISSIONS 232 -INPATIENT DAYS 1,135 -LONG-TERM CARE ADMISSIONS 69 -LONG-TERM CARE PATIENT DAYS 10,471 -EMERGENCY ROOM VISITS 7,881 12743804 true true false false false false false false true true false true false false false false false false false false true false false true false false false false false false false true false false false false true true true true false true 0 0 162 true false false false false false false false false false 11 6 false false false false true true true true true false false true true true true true true true true false X X RYAN K JOHNSON 6162256310 615 S BOWER GREENVILLE MI 488382628 X MATTHEW VAN VRANKEN 2.00 X 0 1138968 280010 DAVID DULL 2.00 X 0 353503 130015 GREGORY PAGE MD PHD 2.00 X 0 199659 14308 DOMENICO AUSIELLO MD 2.00 X 0 0 0 LINDA BLANCHARD 2.00 X X 0 0 0 STEVE BOWSER 2.00 X 0 0 0 PETER HAINES 2.00 X 0 0 0 DAVID MACK 2.00 X X 0 0 0 FRANZ MOGDIS 2.00 X 0 0 0 WILLIAM HAM 2.00 X X 0 0 0 CHARLES SIMON 2.00 X 0 0 0 PAUL BONIS 2.00 X 0 378563 98042 DAVID OEHRING 2.00 X 0 155649 19562 PRISCILLA MAHAR 2.00 X 0 162882 8922 BRIAN BRASSER 2.00 X 0 159460 24841 VICKI JENSEN 20.00 X 0 154510 24032 STEVEN FAHLEN 50.00 X 231998 0 22560 JAMES FARINOSI 50.00 X 187227 0 10502 MICHAEL BORGELD 50.00 X 183218 0 25817 RICHARD BREON X 0 2249338 464041 LOWELL BURSCH X 0 1541542 116136 MARY ANNE JONES X 0 176849 27610 602443 6670923 1266398 3 true true false INCREMEDICAL LLC 8259 WICKER AVE ST JOHN IN 46373 REHAB SERVICES 317459 TODD PRYOR 3615 WINDSHIRE DRIVE SE GRAND RAPIDS MI 49546 PROFESSIONAL SV 232775 2 75472 537 2860 78869 PATIENT SERVICE REVENUE 622110 13743230 13743230 OTHER HOSPITAL OPERATING INC. 900099 35491 35491 CAFETERIA 722212 13726 13726 MEDICAL RECORD FEES 900099 3674 3674 TRANSCRIPTION REVENUE 561410 1488 1488 13797609 6760 6760 40951 23120 17831 17831 17831 1429138 1429138 MISCELLANEOUS INCOME 900099 11441 11441 11441 13912510 13783883 49758 4982644 4638411 344233 188730 158382 30348 859456 721327 138129 324863 272625 52238 28470 28470 1760 1760 3259153 3102954 156199 8400 8400 980959 957385 23574 626295 608651 17644 13136 11748 1388 2840 2840 245871 206335 39536 148607 124711 23896 BAD DEBTS 1293518 1293518 MCAID QUALITY ASSESS. TAX 484010 484010 MISCELLANEOUS 156553 134835 21718 PROPERTY TAXES 1018 442 576 13606283 12743804 862479 0 750 1000 1206715 9449 1360185 1307103 73924 69417 13773 14545 8374880 6338665 1900298 2036215 39018 252624 4594663 3690353 26150 60672 1500000 780451 865559 2306601 926231 X 2009077 2544449 278985 219673 2288062 2764122 4594663 3690353 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false 11388 8000 769 20157 11388 11388 1.00000 false true true 143310 143310 3737581 2739995 997586 195345 76498 118847 4131660 3487403 644257 166984 34769 132215 2036215 DONOR RESTRICTED ASSETS 219673 DUE FROM AFFILIATES 32951 252624 THIRD PARTY PAYABLE 797608 DUE TO AFFILIATES 67951 OTHER LIABILITIES 865559 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 THE FUNDS ARE CURRENTLY AN UNRESTRICTED BOARD DESIGNATED ENDOWMENT AND HELD AS AN INVESTMENT. true true X true X true X 5.00000 true true true false true true 75216 75216 0.00550 3380538 2826751 553787 0.04070 3455754 2826751 629003 0.04620 3455754 2826751 629003 0.04620 true 619872 3922968 4664017 -741049 X true true SPECTRUM HEALTH KELSEY HOSPITAL

419 WASHINGTON AVE LAKEVIEW MI 48850

X X EASTSIDE FAMILY MEDICAL

8540 105TH AVE STANWOOD MI 49346

INTERNAL MEDICINE PHYSICIAN OFFICE

418 WASHINGTON LAKEVIEW MI 48850

THE CONSOLIDATED HEALTH SYSTEM PUBLISHES THEIR COMMUNITY BENEFIT REPORT ON THEIR WEBSITE AT WWW.SPECTRUM-HEALTH.ORG (CLICK THE LINK TITLED "ABOUT US"). IN ADDITION, THE HEALTH SYSTEM HOLDS AN ANNUAL MEETING TO THE PUBLIC TO DISCUSS ITS COMMUNITY COMMITMENTS. SUBSIDIZED HEALTH SERVICES INCLUDE THE UNREIMBURSED COSTS OF PROVIDING FREE OR SUBSIDIZED HEALTH SERVICES AND/OR COMMUNITY CLINICS. CONSOLIDATED FINANCIAL STATEMENT FOOTNOTE EXTRACT RELATED TO UNCOLLECTIBLE ACCOUNTS THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ACCOUNTS RECEIVABLE PAYOR COMPOSITION AND AGING, AND HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTED ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. AFTER AMOUNTS DUE FROM THIRD-PARTY PAYORS ARE SATISFIED, AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH EXTERNAL COLLECTION AGENCIES. COSTING METHODOLOGY USED IN DETERMINING THE FIGURES REPORTED IN SCH. H, PART III, LINE 1 BAD DEBTS, AT COST, ARE DETERMINED BY USING AN OVERALL RATIO OF COSTS-TO-CHARGES APPLIED AGAINST BAD DEBT EXPENSES (AT CHARGES) IN THE STATEMENT OF ACTIVITIES. RATIONAL FOR INCLUDING BAD DEBTS (AT COST) IN SCH. H, PART III, LINE 2 BAD DEBTS, AT COST, REPRESENT AN UNREIMBURSED LIABILITY TO THE TAXPAYER AND FURTHER DEMONSTRATE HOW, BY ASSUMING THOSE COSTS, THE TAXPAYER PROVIDES AND FULFILLS A HEALTH NEED IN THE COMMUNITY. IN ADDITION, EMERGENCY CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. SOME OF THESE SERVICES ARE PROVIDED TO INDIVIDUALS WHO QUALIFY FOR FINANCIAL ASSISTANCE BUT, FOR PERSONAL OR OTHER PRIVATE REASONS, DON'T APPLY FOR FINANCIAL ASSISTANCE. USING THIS INFORMATIONAL TAX RETURN FOR ITS INTENDED PURPOSE, THE TAXPAYER CHOOSES TO BE FULLY TRANSPARENT AND SHARE ALL THE COSTS OF PROVIDING CHARITY CARE AND COMMUNITY BENEFITS TO THE COMMUNITIES WE SERVE, WHICH INCLUDES CHARITY CARE, THE COSTS OF FREE OR SUBSIDIZED COMMUNITY PROGRAMS, BAD DEBT EXPENSES REDUCED TO COST AND SHORTFALLS IN GOVERNMENT REIMBURSEMENTS (MEDICARE AND MEDICAID). RATIONAL FOR EXCLUDING (OR REPORTING ZERO) BAD DEBTS (AT COST) IN SCH. H, PART III, LINE 3 THE TAXPAYER HAS NOT IDENTIFIED THE AMOUNT OF BAD DEBT EXPENSES (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE OR DISCOUNTED SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY. ALTHOUGH IT'S CERTAIN THAT A PORTION OF BAD DEBT EXPENSES (AT COST) RELATES TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE (HAD THEY PROVIDED INFORMATION TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE), A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED. THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; (2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; (3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND (4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS. IN DETERMINING MEDICARE SHORTFALLS THE TAXPAYER USES A RATIO OF COST TO CHARGES. IN DETERMINING THE RATIO OF COST TO CHARGES THE TAXPAYER ADJUSTS FOR BAD DEBT EXPENSES, NON-PATIENT CARE ACTIVITIES, MEDICAID PROVIDER TAXES AND COMMUNITY BENEFITS ACCOUNTED FOR AND OR REPORTED ELSEWHERE. THE RATIO OF COST TO CHARGES IS APPLIED TO MEDICARE CHARGES TO DETERMINE SHORTFALLS IN MEDICARE REIMBURSEMENTS. THE TAXPAYER COOPERATIVELY WORKS WITH PATIENTS HAVING SELF-PAY BALANCES TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE ELIGIBILITY POLICY. 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". 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 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). THE TAXPAYER IS A CRITICAL ACCESS FACILITY THAT SERVES THE MEDICAL NEEDS OF THE RESIDENTS OF LAKEVIEW, MI AND THE FAR-NORTHERN PORTION OF A PRIMARY SERVICE AREA SHARED WITH UNITED MEMORIAL HOSPITAL, A RELATED ORGANIZATION. THE PRIMARY SERVICE AREA IS COMPRISED OF 19 ZIP CODES SURROUNDING LAKEVIEW, WHERE KELSEY HOSPITAL IS LOCATED, AND INCLUDES MONTCALM AND PORTIONS OF ADJACENT COUNTIES THAT SUPPORTS A POPULATION OF OVER 100,000 RESIDENTS. X true false X X X X X false true false false false false false false false MATTHEW VAN VRANKEN 663894 458771 16303 186411 93599 1418978 279183 DAVID DULL 273628 77675 2200 79089 50926 483518 30322 GREGORY PAGE MD PHD 106072 93587 10257 4051 213967 28384 PAUL BONIS 234814 142403 1346 57002 41040 476605 91700 DAVID OEHRING 134477 11655 9517 2858 16704 175211 PRISCILLA MAHAR 133462 21725 7695 6526 2396 171804 BRIAN BRASSER 134356 22137 2967 6598 18243 184301 VICKI JENSEN 123818 23249 7443 6247 17785 178542 STEVEN FAHLEN 223676 7500 822 937 21623 254558 JAMES FARINOSI 185797 1430 10502 197729 MICHAEL BORGELD 182675 543 6715 19102 209035 RICHARD BREON 946511 1276492 26335 295997 168044 2713379 970982 LOWELL BURSCH 354793 990967 195782 59453 56683 1657678 409967 MARY ANNE JONES 169511 7338 21882 5728 204459 FRINGE OR EXPENSE EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 1A SPECTRUM HEALTH UNITED FURNISHED HOUSING TO AN EMPLOYEE PURSUANT TO EMPLOYMENT AGREEMENT, FOR THE PERIOD 1-5-09 TO 9-17-09. THE MARKET VALUE OF HOUSING AND TAX INDEMNIFICATION WAS ADDED TO THE 2009 W-2 AS A TAXABLE BENEFIT. OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III 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. CEDAR NORTH DEVELOPMENT BUSINESS 60000 SEE SCH. O false HATHAWAY PROPERTIES LLC BUSINESS 435184 SEE SCH. O false FIFTH THIRD BANK BUSINESS 1688070 SEE SCH. O false CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 THE TAXPAYER HAS ONE MEMBER(S)/STOCKHOLDER(S) AS FOLLOWS: -SPECTRUM HEALTH UNITED (F/K/A UNITED MEMORIAL HOSPITAL ASSOCIATION) (EIN 38-1358412), A MICHIGAN NONPROFIT CORPORATION. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A THE SOLE MEMBER(S) (SEE FORM 990, PART VI, LINE 6) OF THE TAXPAYER APPOINTS ALL MEMBERS OF THE BOARD OF DIRECTORS. DECISIONS SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B UNLESS OTHERWISE NOTED BELOW, THE SOLE MEMBER(S) (SEE FORM 990, PART VI, LINE 6) OF THE TAXPAYER HAS THE RESERVED POWERS SET FORTH BELOW, AND SHALL NOT BE DEEMED AUTHORIZED UNLESS AND UNTIL APPROVED BY THE SOLE MEMBER(S): -THE ADOPTION OF OR AMENDMENTS TO THE ARTICLES OF INCORPORATION AND/OR THE BYLAWS OF THE TAXPAYER (THE "GOVERNING DOCUMENTS") OR ANY SUBSIDIARY OF THE TAXPAYER; -THE ADOPTION OF OR AMENDMENT OF STRATEGIC PLANS, VISIONS, BUSINESS PLANS, JOINT VENTURES AND FACILITY MASTER PLANS; -THE ADOPTION OF OR AMENDMENT OF THE ANNUAL OPERATING AND CAPITAL BUDGETS; -APPROVAL OF CAPITAL EXPENDITURES PURSUANT TO GUIDELINES AS ADOPTED AND/OR REVISED BY UNITED FROM TIME TO TIME; -APPROVAL OF ALL BORROWING FOR CAPITAL OR OPERATING PURPOSES, ALL GUARANTEES OF INDEBTEDNESS, AND ALL MORTGAGES OF REAL ESTATE; -APPROVAL OF ALL PROJECTS REQUIRING A CERTIFICATE OF NEED UNDER MICHIGAN LAW; -APPROVAL OF THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF PROPERTY PURSUANT TO GUIDELINES AS ADOPTED AND/OR REVISED BY UNITED FROM TIME TO TIME; -APPROVAL OF THE SALE, TRANSFER OR SUBSTANTIAL CHANGE IN USE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE TAXPAYER, OR THE DIVESTITURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION OR CHANGE IN CORPORATE MEMBERSHIP OF THE TAXPAYER OR ANY SUBSIDIARY OF THE TAXPAYER; OR -ANY OTHER APPROVAL OF UNITED REQUIRED BY LAW OR BY THE GOVERNING DOCUMENTS. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11 A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. THE REVIEW PROCESS FOR THIS FORM 990 IS AS FOLLOWS: 1. PREPARATION OF THE RETURN IS SUPERVISED AND REVIEWED BY THE TAXPAYER'S CORPORATE TAX MANAGER. 2. A SECOND REVIEW IS PERFORMED BY AN EXTERNAL CPA FIRM WITH EXPERTISE IN TAX-EXEMPT RETURN PREPARATION. 3. THE RETURN IS REVIEWED BY THE TAXPAYER'S FINANCE AND LEGAL DEPARTMENTS (INCLUDING THE VICE PRESIDENT OF FINANCE OR CHIEF FINANCIAL OFFICER) AND SHARED WITH THE MEMBERS OF THE BOARD OF DIRECTORS. 4. THE TAXPAYER'S VICE PRESIDENT OF FINANCE OR CHIEF FINANCIAL OFFICER REVIEWS COMMENTS OR QUESTIONS RECEIVED BY MEMBERS OF THE BOARD OF DIRECTORS, IF ANY, TO ADDRESS OR TO INCORPORATE, AS APPROPRIATE, INTO THE RETURN PRIOR TO FILING. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C BOARD OF DIRECTORS 1.CONFLICTS OF INTEREST MUST BE DISCLOSED, BOTH VIA A DISCLOSURE FORM PROCESS AS WELL AS VERBALLY AT A BOARD MEETING PRIOR TO DISCUSSION OF ANY AGENDA ITEM WITH REGARD TO WHICH A BOARD MEMBER HAS A CONFLICT. 2.A PERSON HAVING A FINANCIAL INTEREST IN A PROPOSED TRANSACTION OR ARRANGEMENT MAY MAKE A PRESENTATION AT A MEETING OF THE BOARD OF DIRECTORS OR COMMITTEE CONSIDERING THAT TRANSACTION OR ARRANGEMENT, BUT AFTER THAT PRESENTATION HE OR SHE SHALL LEAVE THE MEETING DURING DISCUSSION AND VOTING ON THAT PROPOSED TRANSACTION OR ARRANGEMENT. THE PERSON HAVING THE FINANCIAL INTEREST SHALL NOT BE COUNTED IN DETERMINING WHETHER A QUORUM IS PRESENT. 3.THE CHAIRPERSON OF THE BOARD OF DIRECTORS OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE (INCLUDING OUTSIDE ADVISORS) TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND TO ADVISE WHETHER THE PROPOSED TRANSACTION OR ARRANGEMENT IS IN SPECTRUM HEALTH'S BEST INTEREST. 4.THE BOARD OF DIRECTORS OR COMMITTEE SHALL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER SPECTRUM HEALTH CAN, WITH REASONABLE EFFORTS, OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 5.IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OF DIRECTORS OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS AND MEMBERS WHETHER THE PROPOSED TRANSACTION OR ARRANGEMENT IS IN SPECTRUM HEALTH'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO SPECTRUM HEALTH, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. 6.THE MINUTES OF THE MEETINGS OF THE BOARD OF DIRECTORS AND ALL SPECTRUM HEALTH COMMITTEES SHALL SET FORTH: A)THE NAMES OF THE PERSONS WHO DISCLOSED A FINANCIAL INTEREST IN A PROPOSED TRANSACTION OR ARRANGEMENT INVOLVING SPECTRUM HEALTH OR ANY OF ITS SUBSIDIARIES AND THE NATURE OF THE FINANCIAL INTEREST; AND B)THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO SUCH TRANSACTION OR ARRANGEMENT, INCLUDING ANY DISCUSSION OF ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION WITH THAT MATTER. THE VOTES OF INDIVIDUAL MEMBERS NEED NOT BE RECORDED UNLESS OTHERWISE DIRECTED BY THE BOARD OF DIRECTORS OR COMMITTEE. MANAGEMENT 1.EACH MEMBER OF THE MANAGEMENT TEAM SHALL COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM UPON ACCEPTANCE OF AN EMPLOYMENT OFFER AND AT ANY POINT THEREAFTER IF A NEW POTENTIAL CONFLICT OF INTEREST HAS ARISEN. THE CONFLICT OF INTEREST DISCLOSURE FORM SHOULD BE FULLY COMPLETED AND SIGNED. IF THE STAFF MEMBER DISCLOSES ANY POTENTIAL CONFLICT OF INTEREST, THE FORM SHALL BE SUBMITTED IMMEDIATELY TO THE SYSTEM'S ORGANIZATIONAL INTEGRITY DEPARTMENT. A COPY OF THE COMPLETED FORM SHOULD BE MAINTAINED IN THE STAFF MEMBER'S PERSONNEL FILE. 2.EACH MEMBER OF THE MANAGEMENT TEAM SHALL COMPLETE AN ELECTRONIC CONFLICT OF INTEREST DISCLOSURE FORM ON AN ANNUAL BASIS. THE CONFLICT OF INTEREST DISCLOSURE FORM SHOULD BE COMPLETED AND ELECTRONICALLY SIGNED WITHIN THE GIVEN TIMEFRAME. THE SYSTEM'S ORGANIZATIONAL INTEGRITY DEPARTMENT WILL MANAGE THE ANNUAL PROCESS AND WILL MAINTAIN ELECTRONIC COPIES OF THE COMPLETED FORMS. 3.THE SYSTEM'S ORGANIZATIONAL INTEGRITY DEPARTMENT SHALL REVIEW EACH FORM THAT IS SUBMITTED. ADDITIONAL INFORMATION WILL BE GATHERED AS NEEDED. WHETHER ANY ITEMS DISCLOSED MAY BE PERCEIVED AS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST WILL BE REVIEWED. IN ADDITION, STEPS THAT CAN BE TAKEN TO REDUCE THE RISK OF A CONFLICT OF INTEREST WILL BE IDENTIFIED. 4.IF THE SYSTEM'S ORGANIZATIONAL INTEGRITY DEPARTMENT BELIEVES THAT A DISCLOSURE HAS BEEN MADE THAT COMPRISES AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST, THE SYSTEM CONFLICT OF INTEREST COMMITTEE OR MEMBERS THEREOF WILL BE CONSULTED AS NEEDED. THE STAFF MEMBER'S SUPERVISOR AND/OR HUMAN RESOURCES GENERALIST MAY BE CONSULTED AS WELL. REASONABLE STEPS SHOULD BE TAKEN AS NEEDED TO MINIMIZE THE RISK OF A CONFLICT OF INTEREST. A WRITTEN MEMO SUMMARIZING THESE STEPS SHOULD BE SENT TO THE STAFF MEMBER'S SUPERVISOR AND BE MAINTAINED IN THE STAFF MEMBER'S FILE. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A SPECTRUM HEALTH SYSTEM PROCESS FOR ESTABLISHING EXECUTIVE COMPENSATION THE SPECTRUM HEALTH BOARD OF DIRECTORS (EXECUTIVE COMMITTEE) USES THE FOLLOWING PROCESS FOR DETERMINING COMPENSATION OF EXECUTIVES AT ALL ENTITIES: LABOR MARKET DATA REFLECTING COMPARABLE ORGANIZATIONS AND JOBS (PREPARED BY INDEPENDENT FIRMS) ARE RELIED UPON. COMPETITIVE ASSESSMENT REPORTS ARE PROVIDED IN ADVANCE OF EXECUTIVE COMMITTEE MEETINGS. THE COMPETITIVE ASSESSMENT REPORT IS PREPARED BY A NATIONALLY KNOWN INDEPENDENT EXECUTIVE COMPENSATION FIRM AND, FOR FY 2010 (7/1/09-6/30/10), WAS BASED ON THE FOLLOWING INDEPENDENT SURVEYS OF HEALTH CARE EXECUTIVES AT COMPARABLE HEALTH SYSTEMS: SULLIVAN, COTTER AND ASSOCIATES, INC.: 2009 SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS INTEGRATED HEALTHCARE STRATEGIES: 2009 HEALTHCARE EXECUTIVE COMPENSATION SURVEY MERCER HUMAN RESOURCES CONSULTING: 2009 INTEGRATED HEALTH NETWORKS COMPENSATION SURVEY WATSON WYATT DATA SERVICES: 2009/2010 HOSPITAL AND HEALTHCARE MANAGEMENT COMPENSATION REPORT THESE SOURCES ARE CONSISTENT WITH THOSE USED IN LAST YEAR'S ANALYSIS. COMPENSATION ADJUSTMENTS ARE APPROVED BY INDEPENDENT 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 ARE NATIONAL AND REFLECT 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 THE 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). COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B SEE EXPLANATION PROVIDED FOR FORM 990, PART VI, LINE 15A. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION HAVE BEEN PROVIDED TO THE STATE OF MICHIGAN AND ARE AVAILABLE TO THE PUBLIC ON THE STATE'S WEBSITE. THE ORGANIZATION'S BYLAWS AND INTERNAL POLICIES ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC. THE OVERALL SYSTEM CONSOLIDATED FINANCIAL STATEMENTS ARE PROVIDED AT WWW.SPECTRUM-HEALTH.ORG IN THE SECTION TITLED "ABOUT US." FINANCIAL PERFORMANCE IS DISCUSSED AT AN ANNUAL PUBLIC MEETING HELD AND POSTED TO WWW.SPECTRUM-HEALTH.ORG ANNUALLY (UNDER THE SECTION TITLED "ABOUT US"). ADDITIONAL INFORMATION SCHEDULE O FORM 990, PART I, LINE 5 AND FORM 990, PART V, LINE 2A - NUMBER OF EMPLOYEES TAXPAYER MAY HAVE INDIRECT EMPLOYEES. COMPENSATION FOR THESE EMPLOYEES IS PAID BY A RELATED ORGANIZATION. AN ALLOCATION OF AMOUNTS PAID FOR INDIRECT EMPLOYEES IS PURSUANT TO A MANAGEMENT SERVICES CONTRACT AND IS INCLUDED ON LINES 5-10 OF PART IX. FORM 990, PART IV, LINE 28C AND SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS MS. LINDA BLANCHARD, A MEMBER OF TAXPAYER'S BOARD OF DIRECTORS, IS A DIRECTOR AND/OR OFFICER OF A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH TAXPAYER. MR. WILLIAM HAM, A MEMBER OF TAXPAYER'S BOARD OF DIRECTORS, HAS A 10% OWNERSHIP INTEREST IN A TAXABLE ORGANIZATION THAT LEASES SPACE TO THE TAXPAYER. MR. MATTHEW VANVRANKEN, A MEMBER OF TAXPAYER'S BOARD OF DIRECTORS, IS A DIRECTOR OF A 5/3RD BANK, A TAXABLE ENTITY THAT PROVIDES CREDIT FACILITIES TO TAXPAYER AND CERTAIN OF ITS AFFILIATES. THROUGH OUR ANNUAL CONFLICT OF INTEREST AND TAX REPORTING PROCESSES, CERTAIN INDIVIDUALS LISTED IN SCHEDULE L HAVE REPORTED THAT THEY, OR COMPANIES THEY WORK FOR, HAVE BUSINESS OR FAMILY RELATIONSHIPS WITH THE REPORTING ORGANIZATION THAT EXCEED THRESHOLDS PROVIDED IN THE INSTRUCTIONS TO THE FORM 990. IF AN AMOUNT IS NOT LISTED IN SCHEDULE L, A STATEMENT IS PROVIDED ABOVE EXPLAINING THE NATURE OF THE TRANSACTION(S). FORM 990, PART IV, LINE 33 AND SCHEDULE R - IDENTIFICATION OF DISREGARDED ENTITIES THE ORGANIZATION DOES NOT OWN A WHOLLY OWNED DISREGARDED ENTITY. HOWEVER, THE HEALTH SYSTEM HAS WHOLLY OWNED DISREGARDED ENTITIES. THE ORGANIZATION IS REPORTING INDIRECT CONTROL FOLLOWING THE CONSTRUCTIVE OWNERSHIP RULES UNDER SECTION 318 OF THE INTERNAL REVENUE CODE. OTHER ENTITIES REPORTED ON SCHEDULE R ARE REPORTED BASED ON THE SAME APPLICATION OF THE CONSTRUCTIVE OWNERSHIP RULES OF SECTION 318. FORM 990, PART VII, LINE 1A - COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, AND INDEPENDENT CONTRACTORS CONSISTENT WITH PRIOR YEARS, THE COMPENSATION REPORTED FOR THESE INDIVIDUALS IS NOT FOR SERVICES IN THEIR CAPACITY AS MEMBERS OF THE BOARD OF DIRECTORS BUT FOR SERVICES AS EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION. CONSISTENT WITH PRIOR YEARS, COMPENSATION AND BENEFITS ARE REPORTED USING THE MOST RECENT CALENDAR YEAR COMPENSATION DATA. THE COMPENSATION FIGURES REPORTED IN THESE SECTIONS IS FOR THE YEAR ENDED DECEMBER 31, 2009. INDIVIDUALS WITH COMPENSATION REPORTED IN PART VII WORK A COMBINED AVERAGE OF 50 HOURS PER WEEK FOR THE REPORTING ORGANIZATION AND/OR A RELATED TAX-EXEMPT ORGANIZATION. FORM 990, PART XI, LINE 2C - OVERSIGHT OF THE AUDIT THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION WERE AUDITED BY AN INDEPENDENT AUDITOR AS PART OF THE CONSOLIDATED AUDIT OF SPECTRUM HEALTH SYSTEM (EIN 38-3382353). THE OVERSIGHT OF THAT AUDIT IS BEING ASSUMED BY SPECTRUM HEALTH SYSTEM. SCHEDULE R - DIRECT CONTROLLING ENTITY PART IV THE FORM 990 LIMITS THIS COLUMN TO TEN CHARACTERS AND THEREFORE ACRONYMS ARE USED TO DEFINE THE CONTROLLING ENTITY. THESE ACRONYMS ARE DEFINED AS FOLLOWS: NA - NOT APPLICABLE MMPC - MICHIGAN MEDICAL PATIENT CARE PH - PRIORITY HEALTH SHCC - SPECTRUM HEALTH CONTINUING CARE SHH - SPECTRUM HEALTH HOSPITALS SHI - SPECTRUM HEALTH INNOVATIONS, LLC SHS - SPECTRUM HEALTH SYSTEM SHU - SPECTRUM HEALTH UNITED WMH - WEST MICHIGAN HEART PHMB PROPERTIES LLC PHMB PROPERTIES LLC-1231 EAST BELT 1231 EAST BELTLINE NE GRAND RAPIDS MI 49525 382715520 PROP. MGMT MI 5062443 PH PH WEST MICHIGAN CVCT LLC WEST MICHIGAN CVCT LLC-2900 BRADFO 2900 BRADFORD STREET NE GRAND RAPIDS MI 49525 382125186 DORMANT MI WMH WMH MMPC REAL ESTATE LLC MMPC REAL ESTATE LLC-4100 LAKE DR 4100 LAKE DR SE STE 300 GRAND RAPIDS MI 49525 382851295 DORMANT MI MMPC MMPC SPECTRUM HEALTH INNOVATIONS LLC SPECTRUM HEALTH INNOVATIONS LLC-10 100 MICHIGAN AVE NE GRAND RAPIDS MI 49503 272868213 IP DEVELOP MI SHS SHS SPECTRUM HEALTH SYSTEM SPECTRUM HEALTH SYSTEM 100 MICHIGAN AVE NE 100 MICHIGAN AVE NE GRAND RAPIDS MI 49503 383382353 MANAGEMENT MI 501 11C NA N/A SPECTRUM HEALTH HOSPITALS SPECTRUM HEALTH HOSPITALS 100 MICHIGAN AVE NE 100 MICHIGAN AVE NE GRAND RAPIDS MI 49503 381360529 HEALTHCARE MI 501 3 SHS SHS SPECTRUM HEALTH PRIMARY CARE PTNRS SPECTRUM HEALTH PRIMARY CARE PTNRS 100 MICHIGAN AVE NE 100 MICHIGAN AVE NE GRAND RAPIDS MI 49503 381358164 HEALTHCARE MI 501 3 SHS SHS WEST MICHIGAN REGIONAL LABORATORY WEST MICHIGAN REGIONAL LABORATORY 1726 KNOLLCREST CIRCLE SE 1726 KNOLLCREST CIRCLE SE GRAND RAPIDS MI 49546 383414862 TEACH/RSCH MI 501 9 SHH SHH SH-SM SHARED TECHNOLOGY SERVICES SH-SM SHARED TECHNOLOGY SERVICES 100 MICHIGAN AVE NE 100 MICHIGAN AVE NE GRAND RAPIDS MI 49503 364528474 MED. SVCS MI 501 9 SHH SHH SPECTRUM HEALTH FOUNDATION SPECTRUM HEALTH FOUNDATION 100 MICHIGAN AVE NE 100 MICHIGAN AVE NE GRAND RAPIDS MI 49503 382752328 PHILANTHRO MI 501 7 SHS SHS SPECTRUM HEALTH CONTINUING CARE SPECTRUM HEALTH CONTINUING CARE 750 FULLER AVE NE 750 FULLER AVE NE GRAND RAPIDS MI 49503 383242232 REHAB/CARE MI 501 11B SHS SHS SH CONTINUING CARE CENTER SH CONTINUING CARE CENTER 750 FULLER AVE NE 750 FULLER AVE NE GRAND RAPIDS MI 49503 382415333 REHAB/NRS MI 501 9 SHCC SHCC SH KENT COMMUNITY CAMPUS SH KENT COMMUNITY CAMPUS 750 FULLER AVE NE 750 FULLER AVE NE GRAND RAPIDS MI 49503 383472677 HEALTHCARE MI 501 3 SHCC SHCC SPECTRUM HEALTH WORTH SERVICES SPECTRUM HEALTH WORTH SERVICES 750 FULLER AVE NE 750 FULLER AVE NE GRAND RAPIDS MI 49503 382786617 HEALTHCARE MI 501 9 SHCC SHCC VISITING NURSE SERVICES OF WEST MI VISITING NURSE SERVICES OF WEST MI 750 FULLER AVE NE 750 FULLER AVE NE GRAND RAPIDS MI 49503 381359195 HEALTHCARE MI 501 9 SHCC SHCC PRIORITY HEALTH PRIORITY HEALTH 1231 EAST BELTLINE NE 1231 EAST BELTLINE NE GRAND RAPIDS MI 49525 382715520 HMO MI 501 SHS SHS TRINITY HEALTH PLANS TRINITY HEALTH PLANS 1231 EAST BELTLINE NE 1231 EAST BELTLINE NE GRAND RAPIDS MI 49525 382663747 HMO MGMT MI 501 PH PH PH GOVERNMENT PROGRAMS INC PH GOVERNMENT PROGRAMS INC 1231 EAST BELTLINE NE 1231 EAST BELTLINE NE GRAND RAPIDS MI 49525 320016523 HMO MI 501 9 PH PH SPECTRUM HEALTH UNITED SPECTRUM HEALTH UNITED 615 S BOWER 615 S BOWER GREENVILLE MI 48838 381358412 HEALTHCARE MI 501 3 SHS SHS SH UNITED MEMORIAL FOUNDATION SH UNITED MEMORIAL FOUNDATION 615 S BOWER 615 S BOWER GREENVILLE MI 48838 382990574 PHILANTHRO MI 501 11A SHU SHU AMBULATORY UNITED AMBULATORY UNITED 407 S NELSON 407 S NELSON GREENVILLE MI 48838 383170488 HEALTHCARE MI 501 11A SHU SHU UNITED LIFESTYLES UNITED LIFESTYLES 615 S BOWER 615 S BOWER GREENVILLE MI 48838 383589727 WELLNESS MI 501 3 SHU SHU SPECTRUM HEALTH KELSEY SPECTRUM HEALTH KELSEY 300 N PATTERSON RD 300 N PATTERSON RD REED CITY MI 49677 381297435 HEALTHCARE MI 501 3 SHU SHU REED CITY HOSPITAL CORPORATION REED CITY HOSPITAL CORPORATION 225 N STATE STREET 225 N STATE STREET REED CITY MI 49677 382770076 HEALTHCARE MI 501 3 SHS SHS WEST MICHIGAN IMAGING CENTER WEST MICHIGAN IMAGING CENTER PO BOX 1009 PO BOX 1009 JENISON MI 49428 382730326 HEALTHCARE MI 501 11C SHH SHH NEWAYGO COUNTY GENERAL HOSPITAL ASS NEWAYGO COUNTY GENERAL HOSPITAL ASS 212 S SULLIVAN AVENUE 212 S SULLIVAN AVENUE FREMONT MI 49412 381359517 HEALTHCARE MI 501 3 SHS HELEN DEVOS WOMEN'S AND CHILDREN'S HELEN DEVOS WOMEN'S AND CHILDREN'S 1840 WEALTHY ST SE 1840 WEALTHY ST SE GRAND RAPIDS MI 49506 383264184 MGMT MI SHH SHH C CORP 609249 424826 0.86960 PARTNERSHIP FOR CHILDREN'S HEALTH PARTNERSHIP FOR CHILDREN'S HEALTH 1840 WEALTHY ST SE 1840 WEALTHY ST SE GRAND RAPIDS MI 49506 383364676 MGED CARE MI SHH SHH C CORP 1.00000 THE FRED AND LENA MEIJER HEART CENT THE FRED AND LENA MEIJER HEART CENT 100 MICHIGAN ST NE 100 MICHIGAN ST NE GRAND RAPIDS MI 49503 830464302 MGMT MI SHH SHH C CORP 2365205 1043237 0.98270 HDVC - CHC HDVC - CHC 100 MICHIGAN ST NE 100 MICHIGAN ST NE GRAND RAPIDS MI 49503 383417270 MED. SVCS MI SHH SHH C CORP 388481 9443961 1.00000 CAMPUS TOWNE CENTER CONDO ASSC CAMPUS TOWNE CENTER CONDO ASSC 4868 LAKE MICHIGAN DRIVE 4868 LAKE MICHIGAN DRIVE ALLENDALE MI 49401 382910067 MGMT MI SHH SHH C CORP 19081 20334 0.75000 PRIORITY HEALTH INSURANCE COMPANY PRIORITY HEALTH INSURANCE COMPANY 1231 EAST BELTLINE NE 1231 EAST BELTLINE NE GRAND RAPIDS MI 49525 201529553 INSURANCE MI PH PH C CORP 130757283 41936138 1.00000 PRIORITY HEALTH MANAGED BENEFITS PRIORITY HEALTH MANAGED BENEFITS 1231 EAST BELTLINE NE 1231 EAST BELTLINE NE GRAND RAPIDS MI 49525 383085182 ADMIN MI SHS SHS C CORP 114304478 25950943 1.00000 MONTCALM PRIMARY CARE PHYSICIANS MONTCALM PRIMARY CARE PHYSICIANS 615 S BOWER 615 S BOWER GREENVILLE MI 48838 202544762 MED. SVCS MI SHU SHU C CORP 1.00000 BLODGETT ASSURANCE COMPANY BLODGETT ASSURANCE COMPANY 100 MICHIGAN AVE NE 100 MICHIGAN AVE NE GRAND RAPIDS MI 49503 INSURANCE CJ SHS SHS C CORP 1.00000 MICHIGAN MEDICAL PATIENT CARE MICHIGAN MEDICAL PATIENT CARE 4100 LAKE DR SE STE 300 4100 LAKE DR SE STE 300 GRAND RAPIDS MI 49546 382851295 MEDICAL MI SHS SHS C CORP 160318069 59260928 1.00000 WEST MICHIGAN HEART WEST MICHIGAN HEART 2900 BRADFORD STREET NE 2900 BRADFORD STREET NE GRAND RAPIDS MI 49525 382125186 PHYSICIANS MI SHS SHS C CORP 42634602 9048196 1.00000 MHEALTH INNOVATIONS INC MHEALTH INNOVATIONS INC 425 NORTH MAIN STREET 425 NORTH MAIN STREET ANN ARBOR MI 48104 611613614 PROD DEVL MI SHI SHI C CORP 0.99000 false false true false false false false false false false true false false false false false false false SPECTRUM HEALTH UNITED MEMORIAL FND SPECTRUM HEALTH UNITED MEMORIAL FND C 75472 PRIORITY HEALTH PRIORITY HEALTH K 1190824 SPECTRUM HEALTH CONTINUING CARE SPECTRUM HEALTH CONTINUING CARE K 45418