2023-11-09T11:54:19+00:00 2022-12-31 990 2022-01-01 382549505 Botsford Continuing Care Corporation BOTS 6163912022 26901 Beaumont Blvd Attn Corp Tax Soutfield MI 48033 Matthew E Cox CFO 6163912022 2023-11-09 Matthew Cox 999009999 true 2022 2023-04-26 12:10:37Z X BEAUMONT COMMONS FARMINGTON HILLS DEAN RUMSEY 26901 Beaumont Blvd Attn Corp Tax Soutfield MI 48033 12120464 false X www.beaumontcommonsfh.org X 1984 MI IMPROVE HEALTH, INSTILL HUMANITY AND INSPIRE HOPE. 3 0 173 26 22577 0 86830 489143 13279463 11492405 -662 0 74829 95927 13440460 12077475 0 0 0 0 8389947 8147998 0 0 0 9726770 9864118 18116717 18012116 -4676257 -5934641 28850593 27443176 77581555 89071830 -48730962 -61628654 IN THE INTEREST OF MEETING OUR COMMUNITY'S NEEDS FOR A CONTINUUM OF CARE, BOTSFORD CONTINUING CARE CORPORATION WILL PROVIDE AN ENVIRONMENT IN WHICH CLIENTS WILL RECEIVE PERSONAL ATTENTION BY HEALTH CARE PROFESSIONALS. false false 16991015 11492405 THE SKILLED NURSING UNIT (SNF) IS A 179-BED FACILITY. THE ASSISTED LIVING FACILITY IS A 63-BED FACILITY. IT IS A SAFE AND SUPPORTIVE ENVIRONMENT FOR OLDER ADULTS NEEDING SOME ASSISTANCE WITH THEIR DAILY ROUTINE. THE CENTER FEATURES RESIDENTIAL SUITES WITH PRIVATE BATHS AND GENEROUS LIVING SPACE FOR TREASURED PERSONAL FURNISHINGS. EACH IS EASILY ACCESSIBLE TO COMMUNITY LIVING, DINING, AND SOCIAL AREAS. THE INDEPENDENT LIVING APARTMENT IS A 51-APARTMENT FACILITY. EACH APARTMENT IS WHEELCHAIR ACCESSIBLE AND HAS ILLUMINATED THERMOSTATS. EACH APARTMENT INCLUDES COMPLETE KITCHEN AND LAUNDRY FACILITIES AND INCLUDES ACCESS TO ADJACENT TOWN COMMONS BUILDING. THE TOWN COMMONS BUILDING INCLUDES DINING SERVICES, A POOL, EXERCISE ROOM, AND LIBRARY WITH MEDIA SERVICES. 16991015 true true false true false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 38 0 true 173 true true true false false false false false false false false false false false X 3 0 false false false false true true true true true false false true true true true true true false false false MI X Corporate Tax 6163912022 100 Michigan AVE NE MC498 Grand Rapids MI 49503 ANNE STEWART DIRECTOR/CHAIR 1.0 50.0 X X 0 356710 94020 CHRISTOPHER FLORES DIRECTOR/TREASURER 1.0 50.0 X X 0 497276 174919 MARGARET LIGHTNER DIRECTOR/PRESIDENT/SECRETARY 50.0 0.0 X X 272375 0 79715 PAULA LEVESQUE DIRECTOR/CHAIR 1.0 50.0 X X 0 213107 27294 SUSAN GRANT DIRECTOR 1.0 50.0 X 0 2526685 11828 CHRISTINA FREESE DECKER CEO 0.0 50.0 X 0 3302354 1190017 MATTHEW COX CFO 0.0 50.0 X 0 1565372 522977 CECILIA ADAMS SUPV NURSING RN LTC 50.0 0.0 X 120148 0 27416 DIANE BERI DIR RES SVC LTC 50.0 0.0 X 128448 0 18318 ERNEST BARNABAS CLINICAL NURSE LTC 50.0 0.0 X 139786 0 13155 JULIE KASLLY SR. DIR SKILLED NURSING LTC 50.0 0.0 X 170346 0 32131 PATIENCE UKACHUKWU CLINICAL NURSE LTC 50.0 0.0 X 339024 0 18951 1170127 8461504 2210741 0 false true false READY NURSING SOLUTIONS PO BOX 182466 SHELBY TOWNSHIP MI 48318 NURSING SERVICES 2702934 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 303682289 FOOD SERVICE STAFFING 2180665 MEDICAL SOLUTIONS LLC 1010 NORTH 102ND ST STE 300 OMAHA NE 68114 NURSE STAFFING SERVICES 1456840 FAIRVIEW CONSTRUCTION SERVICES LLC 28339 BECK RD UNIT F1 WIXOM MI 48393 CONSTRUCTION MANAGEMENT SERVICES 579529 SELECT REHABILITATION INC PO BOX 71985 CHICAGO IL 606941985 THERAPY SERVICES 497352 16 488929 214 489143 PATIENT SERVICES 623000 9831270 9831270 ASSISTED LIVING 623990 738697 738697 INDEPENDENT LIVING 623990 873366 873366 DIETARY SERVICES 900099 49072 49072 0 0 0 0 11492405 65566 42989 22577 0 22577 22577 0 0 OTHER INCOME 900099 73350 73350 0 0 0 0 73350 12077475 11492405 22577 73350 X 272375 272375 5846309 5573401 272908 272762 264579 8183 1299643 1186106 113537 456909 416803 40106 2813 2813 982 982 2325 2325 4152666 4152666 0 0 17984 3413 14571 143308 133436 9872 106226 106226 1152599 1065077 87522 271 271 1946 1946 348961 348961 1144915 1057901 87014 157380 152659 4721 CORPORATE ALLOCATION 1089114 1089114 PROVIDER TAX QAAP 956410 956410 MEDICAL SUPPLIES 498556 498556 EMPLOYEE EDUCATION 49227 49227 38435 38435 0 0 18012116 16991015 1021101 0 14087162 12947398 73242 165899 0 0 65058 21922 170000 170000 14823478 1140521 14455131 13682957 0 0 0 455000 28850593 27443176 1499167 1612279 206759 186215 0 75875629 87273336 77581555 89071830 X -48854050 -61751742 123088 123088 -48730962 -61628654 28850593 27443176 X -5934641 -6963051 X false true X true false X 0 0 934268 86830 489143 1510241 19291960 21736011 15709714 13279463 11492405 81509553 0 0 0 19291960 21736011 16643982 13366293 11981548 83019794 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 83019794 46751 49384 0 0 0 96135 0 46751 49384 0 0 0 96135 0 0 0 57257 48068 73350 178675 19338711 21785395 16701239 13414361 12054898 83294604 0.9967 0.9956 0 0.0032 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - OTHER INCOME, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 57257.0, COLUMN D - 48068.0, COLUMN E - 73350.0, COLUMN F - 178675.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2325 2325 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY BOTSFORD CONTINUING CARE CORPORATION PAID DUES TO HEALTH CARE ASSOCIATION OF MICHIGAN (HCAM). HCAM IDENTIFIED THAT 11.1% OF OPERATION DUES AND 28% OF AMERICAN HEALTH CARE ASSOCIATION (AHCA) DUES WERE SPENT ON LOBBYING AND RELATED EXPENSES. 429384 429384 11892878 855893 11036985 604268 130125 474143 1896948 154503 1742445 13682957 I/C LOAN FROM WILLIAM BEAUMONT HOSPITAL 79274262 I/C DEBT TO BEAUMONT HEALTH 7136269 CONDO RESERVE FUND 455000 ESTIMATED 3RD PARTY SETTLEMENTS 407805 87273336 true true false false false false false true false CHRISTOPHER FLORES DIRECTOR/TREASURER 0 439793 0 46590 0 10893 0 154309 0 20610 0 672195 0 0 ANNE STEWART DIRECTOR/CHAIR 0 251677 0 101365 0 3668 0 63869 0 30151 0 450730 0 0 MARGARET LIGHTNER DIRECTOR/PRESIDENT/SECRETARY 203097 0 45040 0 24238 0 58347 0 21368 0 352090 0 45040 0 PAULA LEVESQUE DIRECTOR/CHAIR 0 134910 0 76169 0 2028 0 5800 0 21494 0 240401 0 0 SUSAN GRANT DIRECTOR 0 149058 0 415484 0 1962143 0 5800 0 6028 0 2538513 0 207742 CHRISTINA FREESE DECKER CEO 0 1946454 0 1080448 0 275452 0 934738 0 255279 0 4492371 0 267256 MATTHEW COX CFO 0 1044193 0 390863 0 130316 0 400134 0 122843 0 2088349 0 124402 PATIENCE UKACHUKWU CLINICAL NURSE LTC 330814 0 8000 0 210 0 8700 0 10251 0 357975 0 0 0 JULIE KASLLY SR. DIR SKILLED NURSING LTC 145492 0 21765 0 3089 0 28842 0 3289 0 202477 0 21765 0 ERNEST BARNABAS CLINICAL NURSE LTC 131587 0 8000 0 199 0 3703 0 9452 0 152941 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation SEE EXPLANATION ON SCHEDULE O FOR FORM 990, PART VI, SECTION B, LINE 15A. Schedule J, Part I, Line 4a Severance or change-of-control payment SEVERANCE OR CHANGE-OF-CONTROL PAYMENT SUSAN GRANT: $1,513,549 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SUSAN GRANT: $445,537 CHRISTINA FREESE DECKER: $267,256 MATTHEW COX: $124,402 SCHEDULE J, PART I, LINE 4B IS ANSWERED YES BECAUSE INDIVIDUALS, WHOSE SALARY AND BENEFITS ARE ALLOCATED TO THIS ORGANIZATION, DO PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. SOME INDIVIDUALS RECEIVED DISTRIBUTIONS DURING THE YEAR (AS REPORTED ON THIS LINE) WHEREAS OTHER PARTICIPATED IN THE PLAN BUT DID NOT RECEIVE DISTRIBUTIONS. DISTRIBUTIONS REPORTED ON THIS LINE ARE ALSO INCLUDED IN SCHEDULE J, PART II, COLUMN F AS COMPENSATION REPORTED IN A PRIOR YEAR. THE NONQUALIFIED RETIREMENT PLANS ARE AN INDUSTRY STANDARD AND ARE SUBJECT TO THE FUNDING REQUIREMENTS OF NONQUALIFIED DEFERRED COMPENSATION PLANS UNDER ERISA AND FEDERAL TAX REGULATIONS. Schedule J, Part I, Line 7 Non-fixed payments SCHEDULE J, PART I, LINE 7, IS ANSWERED YES BECAUSE CERTAIN INDIVIDUALS, WHOSE SALARY AND BENEFITS ARE PAID BY THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION, RECEIVED A NON-FIXED PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN C. Schedule J, Part II, Column (F) THE 2022 BONUS & INCENTIVE COMPENSATION INCLUDES CERTAIN DEFERRED COMPENSATION ARRANGEMENTS THAT WERE REPORTED IN PREVIOUS YEARD BUT PAID IN 2022. THIS RESULTS IN A CERTAIN AMOUNT OF WAGES BEING REPORTED IN THE FORM 990 TWICE. AMOUNTS REPORTED IN PART II COLUMN F REPRESENT COMPENSATION THAT WAS REPORTED IN A PREVIOUS YEAR'S FORM 990 WHILE ALSO BEING REPORTED IN THE CURRENT FORM 990 AS TOTAL COMPENSATION. Form 990, Part VI, Line 6 Classes of members or stockholders BOTSFORD GENERAL HOSPITAL, A WHOLLY-OWNED SUBSIDIARY OF BEAUMONT HEALTH, IS THE SOLE CORPORATE MEMBER OF BOTSFORD CONTINUING CARE CORPORATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body BEAUMONT HEALTH IS THE PARENT CORPORATION AND SOLE MEMBER OF BOTSFORD GENERAL HOSPITAL, WHICH IS THE SOLE MEMBER OF BOTSFORD CONTINUING CARE CORPORATION. BOTSFORD GENERAL HOSPITAL, ACTING SOLELY AT THE DIRECTION OF THE PARENT, HAS THE RIGHT TO ELECT ONE OR MORE MEMBERS OF BOTSFORD CONTINUING CARE CORPORATION'S GOVERNING BODY. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders BEAUMONT HEALTH, AS THE PARENT OF BOTSFORD GENERAL HOSPITAL, AND BOTSFORD GENERAL HOSPITAL, AS THE CORPORATE MEMBER OF BOTSFORD CONTINUING CARE CORPORATION, HAVE DESIGNATED RESERVED POWERS OVER BOTSFORD CONTINUING CARE CORPORATION'S OPERATIONS, INCLUDING BUT NOT LIMITED TO BUDGET, ACQUISITIONS, CAPITAL PROJECTS, AND PARTICIPATION IN JOINT VENTURES. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 A MEMBER WITHIN ORGANIZATION'S CORPORATE TAX DEPARTMENT. 2. THE RETURN IS REVIEWED BY THE ORGANIZATION'S TREASURER AND SHARED WITH THE MEMBERS OF THE BOARD OF DIRECTORS. 3. THE ORGANIZATION'S TREASURER 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. Form 990, Part VI, Line 12c Conflict of interest policy BOARD OF DIRECTORS 1. CONFLICTS OF INTEREST MUST BE DISCLOSED TO OTHER MEMBERS OF THE BOARD OF DIRECTORS AND BOARD OF DIRECTORS MEMBERS MUST NOT VOTE OR USE PERSONAL INFLUENCE ON ANY MATTER IN WHICH THE DIRECTOR HAS A CONFLICT OF INTEREST. 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 THE ORGANIZATION'S BEST INTEREST. 4. THE BOARD OF DIRECTORS OR COMMITTEE SHALL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER THE ORGANIZATION 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 THE ORGANIZATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION, 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 OF THE ORGANIZATION'S COMMITTEES SHALL SET FORTH: A) THE NAMES OF THE PERSONS WHO DISCLOSED A FINANCIAL INTEREST IN A PROPOSED TRANSACTION OR ARRANGEMENT INVOLVING THE ORGANIZATION 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. 7. THERE IS AN ONGOING REQUIREMENT THAT MEMBERS OF THE BOARD OF DIRECTORS COMPLETE ANOTHER DISCLOSURE QUESTIONNAIRE AT ANY POINT DURING HIS/HER TENURE ON THE BOARD OF DIRECTORS WHEN A NEW POTENTIAL CONFLICT OF INTEREST ARISES. IF A MEMBER OF THE BOARD OF DIRECTORS COMPLETES A DISCLOSURE QUESTIONNAIRE AS A RESULT OF A NEW POTENTIAL CONFLICT OF INTEREST, THAT DISCLOSURE QUESTIONNAIRE IS SUBMITTED TO THE LEGAL AND COMPLIANCE DEPARTMENTS FOR REVIEW. MANAGEMENT 1. UPON ACCEPTANCE OF AN EMPLOYMENT OFFER, EACH MEMBER OF MANAGEMENT COMPLETES A CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE. A COPY OF THE MEMBER OF MANAGEMENT'S DISCLOSURE QUESTIONNAIRE IS SENT TO THE COMPLIANCE DEPARTMENT. A COPY OF THE MEMBER OF MANAGEMENT'S DISCLOSURE IS REVIEWED BY THE COI TEAM AND ESCALATED TO THE COI COMMITTEE IF NECESSARY. 2. ANNUALLY, EACH MEMBER OF MANAGEMENT COMPLETES AN ANNUAL CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE ELECTRONICALLY. THE DISCLOSURE QUESTIONNAIRE IS REVIEWED BY THE LEGAL AND COMPLIANCE DEPARTMENTS. 3. THERE IS AN ONGOING REQUIREMENT THAT MEMBERS OF MANAGEMENT COMPLETE ANOTHER DISCLOSURE QUESTIONNAIRE AT ANY POINT DURING HIS/HER EMPLOYMENT WHEN A NEW POTENTIAL CONFLICT OF INTEREST ARISES. IF A MEMBER OF MANAGEMENT COMPLETES A DISCLOSURE QUESTIONNAIRE AS A RESULT OF A NEW POTENTIAL CONFLICT OF INTEREST, THAT DISCLOSURE QUESTIONNAIRE IS SUBMITTED TO THE LEGAL AND COMPLIANCE DEPARTMENTS. 4. THE LEGAL AND COMPLIANCE DEPARTMENTS, IN CONSULTATION WITH EXECUTIVE MANAGEMENT, DETERMINE HOW ANY REPORTED CONFLICTS SHOULD BE MANAGED. MANAGEMENT OF A CONFLICT MAY TAKE A VARIETY OF DIFFERENT FORMS FROM IMPLEMENTATION OF A MANAGEMENT PLAN TO REQUIRING THAT THE MEMBER OF MANAGEMENT CEASE THE ACTIVITY CREATING THE CONFLICT OR, IN EXTREME CASES, LEAVE THE ORGANIZATION'S EMPLOYMENT. MANAGEMENT IS DETERMINED ON AN INDIVIDUAL BASIS BASED UPON THE FACTS AND CIRCUMSTANCES SURROUNDING THE DISCLOSURE. THE PURPOSE OF CONFLICT MANAGEMENT IS TO PROVIDE TRANSPARENCY WITHIN THE ORGANIZATION AND TO ENSURE THAT THE ORGANIZATION'S EMPLOYEES ARE ALWAYS ACTING IN THE BEST INTEREST OF THE ORGANIZATION. Form 990, Part VI, Line 19 Required documents available to the public REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE ON FILE WITH THE STATE OF MICHIGAN AND AVAILABLE TO THE PUBLIC ON THE STATE'S WEBSITE. THE ORGANIZATION'S BYLAWS AND INTERNAL POLICIES ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC. Form 990, Part IX, Line 11g Other Fees CONTRACTED DIETARY SERVICES - Total Expense: 1983536, Program Service Expense: 1983536, Management and General Expenses: , Fundraising Expenses: ; CONTRACTED NURSING SERVICES - Total Expense: 1597276, Program Service Expense: 1597276, Management and General Expenses: , Fundraising Expenses: ; CONTRACTED THERAPY AND OTHER SERVICES - Total Expense: 488401, Program Service Expense: 488401, Management and General Expenses: , Fundraising Expenses: ; CONTRACTED COURIER SERVICES - Total Expense: 47476, Program Service Expense: 47476, Management and General Expenses: , Fundraising Expenses: ; OTHER PROGRAM SERVICES - Total Expense: 26016, Program Service Expense: 26016, Management and General Expenses: , Fundraising Expenses: ; CONTRACTED RADIOLOGY SERVICES - Total Expense: 8896, Program Service Expense: 8896, Management and General Expenses: , Fundraising Expenses: ; SERVICE AGREEMENTS - Total Expense: 1065, Program Service Expense: 1065, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances MERGER EQUITY - 1025; TRANSFER TO AFFILIATES - -6964076; FORM 990, PART VI, LINE 15 PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL: THE COREWELL HEALTH BOARD OF DIRECTORS (THROUGH ITS COMPENSATION COMMITTEE) USES THE FOLLOWING PROCESS FOR DETERMINING COMPENSATION OF THE TOP MANAGEMENT OFFICIALS, OTHER OFFICERS, AND KEY EMPLOYEES AT PRIORITY HEALTH. LABOR MARKET DATA REFLECTING COMPARABLE ORGANIZATIONS AND JOBS (PREPARED BY INDEPENDENT FIRMS) ARE RELIED UPON IN SETTING COMPENSATION LEVELS. COMPETITIVE ASSESSMENT REPORTS ARE PROVIDED TO THE COMPENSATION COMMITTEE IN ADVANCE OF MEETINGS. THE COMPETITIVE ASSESSMENT REPORT IS PREPARED BY A NATIONALLY KNOWN INDEPENDENT EXECUTIVE COMPENSATION FIRM. FOR 2022, THE FOLLOWING SURVEYS, PREPARED BYINDEPENDENT FIRMS, WERE THE PRIMARY SOURCES REFERENCED TO OBTAIN MARKETDATA FOR THE REVIEW: *AON: 2020 TOTAL COMPENSATION MEASUREMENT SURVEY: FINANCIAL SERVICES SURVEY *BDO: 2020 USA HEALTH INSURANCE PLANS SURVEY *INTEGRATED HEALTHCARE STRATEGIES: 2020 NATIONAL HEALTHCARE LEADERSHIP COMPENSATION SURVEY *MERCER: 2020 IHN HEALTHCARE COMPENSATION SURVEY *MERCER: 2020 IHN HEALTH PLAN COMPENSATION SURVEY *SULLIVAN COTTER ASSOCIATES: 2020 MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS SURVEY IN ADDITION, THREE GENERAL INDUSTRY SURVEYS WERE REFERENCED: *AON: 2020 TOTAL COMPENSATION MEASUREMENT SURVEY: GENERAL INDUSTRY *MERCER: 2020 US EXECUTIVE REMUNERATION SUITE *WILLIS TOWERS WATSON: 2020 EXECUTIVE COMPENSATION SURVEY IN ADDITION TO THE ABOVE DATA SOURCES, THE COMPENSATION COMMITTEE APPROVED THE CREATION OF A CUSTOM PEER GROUP OF HIGH PERFORMING INTEGRATED HEALTH SYSTEMS TO ENSURE ROBUST DATA AND A RELEVANT COMPARATOR UNIVERSE. THE PEER GROUP ORGANIZATIONS ARE APPROVED BY THE COMPENSATION COMMITTEE AND CONSISTS OF HEALTHCARE SYSTEMS SIMILAR IN REVENUE SIZE, MARKET COMPETITORS, HIGH PERFORMERS, FINANCIALLY STABLE AS INDICATED BY BOND RATING AND THAT FOLLOW A SIMILAR STRATEGY (MULTI-SITE SYSTEMS, HEALTH PLANS). DATA FOR THE PEER GROUP ORGANIZATIONS IS COMPILED BY THE INDEPENDENT EXECUTIVE COMPENSATION FIRM. COMPENSATION ADJUSTMENTS ARE APPROVED BY COMPENSATION COMMITTEE MEMBERS, CONSISTENT WITH THE SPECTRUM HEALTH COMPENSATION PHILOSOPHY DESCRIBED BELOW. MINUTES OF COMMITTEE DISCUSSIONS AND DECISIONS ARE PREPARED TO MEMORIALIZE COMPENSATION COMMITTEE DECISIONS BASED UPON THE ABOVE DATA. CASH COMPENSATION DATA RELIED UPON BY THE COMPENSATION COMMITTEE IS NATIONAL AND REFLECTS THE COMPENSATION PAID TO EXECUTIVES IN COMPARABLE JOBS IN COMPARABLY SIZED HEALTH CARE AND / OR HEALTH INSURANCE ORGANIZATIONS. SPECTRUM HEALTH RECRUITS NATIONALLY FOR ITS EXECUTIVES. BENEFITS DATA REFLECT NATIONAL HEALTH CARE / HEALTH INSURANCE MARKET PRACTICES. 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). COREWELL HEALTH 100 MICHIGAN ST NE MC 498 GRAND RAPIDS MI 49503 383382353 MANAGEMENT MI 501(c)(3) Type III-FI NA false SPECTRUM HEALTH HOSPITALS 100 MICHIGAN ST NE GRAND RAPIDS MI 49503 381360529 HEALTHCARE MI 501(c)(3) 3 COREWELL HEALTH false SPECTRUM HEALTH PRIMARY CARE PARTNERS 1840 WEALTHY ST SE GRAND RAPIDS MI 49506 381358164 HEALTHCARE MI 501(c)(3) 3 COREWELL HEALTH false COREWELL HEALTH FOUNDATION WEST MICHIGAN 100 MICHIGAN ST NE GRAND RAPIDS MI 49503 382752328 PHILANTHROPY MI 501(c)(3) 7 COREWELL HEALTH false SPECTRUM HEALTH CONTINUING CARE 750 FULLER AVE NE GRAND RAPIDS MI 49503 383242232 REHAB/CARE MI 501(c)(3) 10 COREWELL HEALTH false SPECTRUM HEALTH CONTINUING CARE CENTER 750 FULLER AVE NE GRAND RAPIDS MI 49503 382415333 REHAB/NRS MI 501(c)(3) 10 SPECTRUM HEALTH CONTINUING CARE false SPECTRUM HEALTH WORTH SERVICES 750 FULLER AVE NE GRAND RAPIDS MI 49503 382786617 HEALTHCARE MI 501(c)(3) 10 SPECTRUM HEALTH CONTINUING CARE false VISITING NURSE SERVICES OF WESTERN MICHIGAN 750 FULLER AVE NE GRAND RAPIDS MI 49503 381359195 HEALTHCARE MI 501(c)(3) 10 SPECTRUM HEALTH CONTINUING CARE false SPECTRUM HEALTH - LEFFINGWELL AVENUE 100 MICHIGAN STREET NE GRAND RAPIDS MI 49503 854390483 REHAB/CARE MI 501(c)(3) 10 SPECTRUM HEALTH CONTINUING CARE false PRIORITY HEALTH 1231 EAST BELTLINE NE GRAND RAPIDS MI 49525 382715520 HMO MI 501(c)(4) COREWELL HEALTH false TRINITY HEALTH PLANS 1231 EAST BELTLINE NE GRAND RAPIDS MI 49525 382663747 HMO MGMT MI 501(c)(4) PRIORITY HEALTH false PRIORITY HEALTH CHOICE INC 1231 EAST BELTLINE NE GRAND RAPIDS MI 49525 320016523 HMO (MEDICAID) MI 501(c)(3) 10 PRIORITY HEALTH false SPECTRUM HEALTH KELSEY 615 S BOWER GREENVILLE MI 48838 381297435 HEALTHCARE MI 501(c)(3) 3 SPECTRUM HEALTH UNITED false REED CITY HOSPITAL CORPORATION 300 N PATTERSON RD REED CITY MI 49677 382770076 HEALTHCARE MI 501(c)(3) 3 COREWELL HEALTH false NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION 212 S SULLIVAN AVENUE FREMONT MI 49412 381359517 HEALTHCARE MI 501(c)(3) 3 COREWELL HEALTH false KENT COMMUNITY HEALTH FOUNDATION 750 FULLER AVE NE GRAND RAPIDS MI 49503 383607110 PHILANTHROPY MI 501(c)(3) Type III-O SPECTRUM HEALTH HOSPITALS false ZEELAND COMMUNITY HOSPITAL 8333 FELCH STREET ZEELAND MI 49464 381411184 HEALTHCARE MI 501(c)(3) 3 COREWELL HEALTH false SPECTRUM HEALTH UNITED 615 S BOWER GREENVILLE MI 48838 381358412 HEALTHCARE MI 501(c)(3) 3 COREWELL HEALTH false MEMORIAL MEDICAL CENTER OF WEST MICHIGAN ONE ATKINSON DRIVE LUDINGTON MI 49431 381359266 HEALTHCARE MI 501(c)(3) 3 COREWELL HEALTH false MECOSTA COUNTY MEDICAL CENTER 605 OAK STREET BIG RAPIDS MI 49307 381368744 HEALTHCARE MI 501(c)(3) 3 COREWELL HEALTH false PENNOCK HOSPITAL 1009 WEST GREEN STREET HASTINGS MI 49058 381360562 HEALTHCARE MI 501(c)(3) 3 COREWELL HEALTH false LAKESHORE AREA RADIATION ONCOLOGY CENTER 12642 Riley Street Holland MI 494249202 383067954 Radiation services MI 501(c)(3) 3 Spectrum Health Hospitals false LAKELAND REGIONAL HEALTH SYSTEM INC 1234 NAPIER AVENUE ST JOSEPH MI 49085 382609624 PROVIDE A COMPREHENSIVE SYSTEM OF HEALTH CARE TO CITIZENS OF THE COMMUNITY MI 501(c)(3) Type III-FI COREWELL HEALTH false LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER 1234 NAPIER AVENUE STJOSEPH MI 49085 383452303 LONGTERM HEALTHCARE/HEALING SERVICES MI 501(c)(3) 3 LAKELAND REGIONAL HEALTH SYSTEM INC false LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH 1234 NAPIER AVENUE ST JOSEPH MI 49085 382539929 PROMOTE AND ASSIST IN PROVIDING HEALTH CARE MI 501(c)(3) 7 LAKELAND REGIONAL HEALTH SYSTEM INC false MERCY MEMORIAL HEALTH SERVICES INC 4368 CLEVELAND AVENUE STEVENSVILLE MI 49127 382748035 PROVIDE HOMECARE AND LONG-TERM HEALTHCARE TO PATIENTS IN SOUTHWEST MICHIGAN MI 501(c)(3) 10 LAKELAND REGIONAL HEALTH SYSTEM INC false LAKELAND COMMUNITY HOSPITAL - WATERVLIET 400 MEDICAL PARK DRIVE WATERVLIET MI 49098 381368745 TO PROVIDE GENERAL HEALTH OF THE COMMUNITY THROUGH EDUCATION AND HEALTHCARE MI 501(c)(3) 3 LAKELAND REGIONAL HEALTH SYSTEM INC false HOSPICE AT HOME INC 4025 HEALTH PARK LANE ST JOSEPH MI 49085 382416086 TO PROVIDE HOSPICE AND PALLIATIVE CARE TO THE TERMINALLY ILL MI 501(c)(3) 7 LAKELAND REGIONAL HEALTH SYSTEM INC false LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC 1234 NAPIER AVENUE GRAND RAPIDS MI 49085 382156872 PROVIDE A COMPREHENSIVE SYSTEM OF HEALTH CARE TO CITIZENS OF THE COMMUNITY MI 501(c)(3) 3 LAKELAND REGIONAL HEALTH SYSTEM INC false TOTAL HEALTH CARE INC 3011 W GRAND BLVD SUITE 1600 DETROIT MI 48202 382018957 HMO MGMT MI 501(c)(4) PRIORITY HEALTH false TOTAL HEALTH CARE USA INC 3011 W GRAND BLVD SUITE 1600 DETROIT MI 48202 383240485 HMO MGMT MI 501(c)(4) TOTAL HEALTH CARE INC false BEAUMONT HEALTH 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 465718220 MANAGEMENT MI 501(c)(3) Type III-FI COREWELL HEALTH false BH GRAND RIVER SOUTHFIELD INC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 382410823 EMERGENCY MEDICAL SERVICES MI 501(c)(3) 10 BOTSFORD GENERAL HOSPITAL false MICHIGAN MOBILE PET IMAGING 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 331086165 MOBILE PET SCANNING MI 501(c)(3) Type I OAKWOOD HEALTHCARE INC false OAKWOOD HEALTHCARE INC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 381405141 HOSPITAL MI 501(c)(3) 3 BEAUMONT HEALTH false OAKWOOD UNITED HOSPITALS INC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 382837961 FACILITY LEASING MI 501(c)(3) Type I OAKWOOD HEALTHCARE INC false OAKWOOD HOME CARE SERVICES 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 382877338 HOME HEALTH SERVICES MI 501(c)(3) 10 OAKWOOD HEALTHCARE INC false OAKWOOD HEALTH PROMOTIONS INC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 382601965 ASSISTED AND RESIDENT CARE FACILITIES MI 501(c)(3) 10 OAKWOOD HEALTHCARE INC false WILLIAM BEAMONT HOSPITAL 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 381459362 HOSPITAL MI 501(c)(3) 3 BEAUMONT HEALTH false BEAUMONT HEALTH FOUNDATION 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 364852171 FOUNDATION MI 501(c)(3) 7 BEAUMONT HEALTH false BEAUMONT MEDICAL GROUP - HOSPITAL BASED 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 822768899 PHYSICIAN SUPPORT SERVICES MI 501(c)(3) 10 BEAUMONT HEALTH false BEAUMONT MEDICAL GROUP - SPECIALTY SERVICES 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 822784244 PHYSICIAN SUPPORT SERVICES MI 501(c)(3) 10 BEAUMONT HEALTH false BEAUMONT MEDICAL GROUP - PRIMARY CARE SERVICES 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 822796539 PHYSICIAN SUPPORT SERVICES MI 501(c)(3) 10 BEAUMONT HEALTH false BOSTFORD GENERAL HOSPITAL 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 381426919 HOSPITAL MI 501(c)(3) 3 BEAUMONT HEALTH false BEAUMONT MEDICAL TRANSPORTATION SERVICE 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 260203703 MEDICAL TRANSPORTATION SERVICES MI 501(c)(3) 10 BH GRAND RIVER SOUTHFIELD INC false WEST MICHIGAN ACCOUNTABLE CARE ORGANIZATION LLC 221 MICHIGAN ST NE STE 501 GRAND RAPIDS MI 49503 833153113 ACCOUNTABLE CARE ORGANIZATION MI NA N/A false false DEARBORN SCHAEFFER OFFICE COMPANY LLC 26901 BEAUMONT BOULEVARD SOUTHFIELD MI 48033 262448025 REAL ESTATE MI NA N/A false false OAKMED LLC 1938 WOODSLEE DRIVE TROY MI 48033 461459737 PRIVATE DUTY NURSING MI NA N/A false false PRIORITY HEALTH MANAGED BENEFITS 1231 EAST BELTLINE NE GRAND RAPIDS MI 49525 383085182 THIRD PARTY ADMINISTRATOR MI NA C Corporation false SPECTRUM HEALTH PHYSICIAN ALLIANCE 100 MICHIGAN ST NE GRAND RAPIDS MI 49503 371655728 PHYSICIANS MI NA C Corporation false WEST MICHIGAN HEART 2900 BRADFORD STREET NE GRAND RAPIDS MI 49525 382125186 PHYSICIANS MI NA C Corporation false HELEN DEVOS WOMEN'S AND CHILDREN'S HEALTH PAVILION ASSOCIATION 330 BARCLAY NE GRAND RAPIDS MI 49503 383264184 MGMT MI NA C Corporation false LEMMEN-HOLTON CANCER PAVILION CONDOMINIUM ASSOCIATION 145 MICHIGAN ST NE GRAND RAPIDS MI 49503 161734150 MGMT MI NA C Corporation false MUSCULOSKELETAL CENTER CONDOMINIUM ASSOCIATION 230 MICHIGAN NE GRAND RAPIDS MI 49503 383180086 MGMT MI NA C Corporation false PRIORITY HEALTH INSURANCE COMPANY 1231 EAST BELTLINE NE GRAND RAPIDS MI 49525 201529553 INSURANCE MI NA C Corporation false THE MICHIGAN STREET PARKING CONDOMINIUM ASSOCATION 100 MICHIGAN ST NE GRAND RAPIDS MI 49503 161734145 MGMT MI NA C Corporation false 25 MICHIGAN STREET CONDOMINIUM ASSOCIATION 100 MICHIGAN ST NE GRAND RAPIDS MI 49503 161734157 MGMT MI NA C Corporation false 35 MICHIGAN STREET CONDOMINIUM ASSOCIATION 35 MICHIGAN ST NE GRAND RAPIDS MI 49503 272193084 MGMT MI NA C Corporation false PENNOCK VENTURES INC 1009 WEST GREEN STREET HASTINGS MI 49058 382712819 Healthcare MI NA C Corporation false LAKELAND HEALTH ENTERPRISES INC 31 NORTH ST JOSEPH AVENUE NILES MI 49120 382669798 ACCOUNTING AND BILLING MI NA C Corporation false PHARMACY SHOPPE INC 1234 NAPIER AVENUE ST JOSEPH MI 49085 382929090 PHARMACEUTICALS MI NA C Corporation false LAKELAND MEDICAL PRACTICES 1234 NAPIER AVENUE STJOSEPH MI 49085 270381199 MEDICAL ADMINISTRATIVE SERVICES MI NA C Corporation false SOUTHWESTERN MEDICAL CLINIC PHYSICIANS INC 1234 NAPIER AVENUE ST JOSEPH MI 49085 272589359 PHYSICIAN OFFICE MI NA C Corporation false FOUR FLAGS PROPERTIES INC 122 GRANT STREET NILES MI 49120 364501639 PROPERTY MANAGEMENT/RENTAL MI NA C Corporation false LAKELAND HEALTH VENTURES INC 1234 NAPIER AVENUE ST JOSEPH MI 49085 272313790 HOLDING COMPANY MI NA C Corporation false LAKELAND PHYSICIAN CARE NETWORK 1234 NAPIER AVENUE ST JOSEPH MI 49085 208513031 MEDICAL SERVICES MI NA C Corporation false LAKELAND PERSONAL CARE SERVICES INC 1234 NAPIER AVENUE ST JOSEPH MI 49085 272990797 HEALTHCARE SERVICES MI NA C Corporation false 1697 MICHIGAN STREET PROPERTY 100 MICHIGAN STREET NE GRAND RAPIDS MI 49503 831721239 MGMT MI NA C Corporation false BLUE STAR PROFESSIONAL BUILDING CONDO ASSOCIATION 4025 HEALTH PARK LANE ST JOSEPH MI 49085 208313519 MGMT MI NA C Corporation false PHMB CAMADS TRUST 1231 EAST BELTLINE NE GRAND RAPIDS MI 49525 846496888 TRUST MI NA Trust false PENNOCK PROFESSIONAL BUILDING CONDOMINIUM ASSOCIATION 1009 WEST GREEN STREET HASTINGS MI 49058 384056359 MGMT MI NA C Corporation false COREWELL HEALTH INDEMNITY COMPANY 980512415 PREMIUM DEPOSITS NA C Corporation false BEAUMONT NURSING HOME SERVICES INC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 382799842 ASSISTED CARE LIVING MI NA C Corporation false BEAUMONT PHYSICIANS INSURANCE COMPANY INC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 274261262 PROFESSIONAL INSURANCE MI NA C Corporation false BOTSFORD COMMONS PROPERTY ASSOCIATION 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 383203663 PROPERTY MANAGEMENT MI NA C Corporation false OAKWOOD AFFILIATED VENTURES INC AND SUBSIDIARIES 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 371753159 OFFICE OF PHYSICIANS / NON-RESIDENTIAL RENTAL MI NA C Corporation false BH SOUTHFIELD BILLING INC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 382755982 MANAGEMENT AND DISPATCH SERVICES MI NA C Corporation false MIDWEST MEDICAL CENTER 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 263683446 OFFICE OF PHYSICIANS MI OAKWOOD AFFILIATED VENTURES INC C Corporation false OAKWOOD ENTERPRISES INC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 382601930 NON RESIDENTIAL RENTAL MI OAKWOOD AFFILIATED VENTURES INC C Corporation false MICHIGAN STREET PROJECT CONDOMINIUM ASSOCIATION 100 MICHIGAN ST NE GRAND RAPIDS MI 49503 364873152 MGMT MI SPECTRUM HEALTH HOSPITALS C Corporation false GRAND RIVER ABSOLUTE RETURN FUND LTD PO BOX 852 GRAND CAYMAN CJ KY11103 POOLED INVESTMENT FUND CJ COREWELL HEALTH false false false false false true false false false false false false false false false true true false true true WILLIAM BEAUMONT HOSPITAL R 38197525 FMV BOTSFORD GENERAL HOSPITAL S 3766969 FMV BEAUMONT HEALTH FOUNDATION P 132443 FMV WILLIAM BEAUMONT HOSPITAL E 79327707 FMV BEAUMONT HEALTH E 7136269 FMV BOTSFORD GENERAL HOSPITAL O 188177 FMV Schedule R, Part IV NAME OF RELATED ORGANIZATION: BOTSFORD COMMONS PROPERTY ASSOCIATION DIRECT CONTROLLING ENTITY: BOTSFORD CONTINUING CARE CORPORATION