SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public Inspection
Name of the organization
Spectrum Health System Group Return
 
Employer identification number

61-1740292
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
 
No
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    2,635,447   2,635,447 0.11 %
b Medicaid (from Worksheet 3, column a) . . . . .     609,007,323 480,209,476 128,797,847 5.33 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     23,015,098 13,432,261 9,582,837 0.40 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 634,657,868 493,641,737 141,016,131 5.83 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     9,653,749 1,669,834 7,983,915 0.33 %
f Health professions education (from Worksheet 5) . . .     27,779,877 9,710,166 18,069,711 0.75 %
g Subsidized health services (from Worksheet 6) . . . .     8,983,119 2,794,203 6,188,916 0.26 %
h Research (from Worksheet 7) .     2,096,116 30,608 2,065,508 0.09 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     3,319,276 62,060 3,257,216 0.13 %
j Total. Other Benefits . . 0 0 51,832,137 14,266,871 37,565,266 1.55 %
k Total. Add lines 7d and 7j . 0 0 686,490,005 507,908,608 178,581,397 7.39 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     191,030   191,030 0.01 %
2 Economic development         0 0 %
3 Community support     19,140   19,140 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members		         0 0 %
6 Coalition building     17,974   17,974 0 %
7 Community health improvement advocacy     246,243   246,243 0.01 %
8 Workforce development     110,649   110,649 0 %
9 Other         0 0 %
10 Total 0 0 585,036 0 585,036 0.02 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
82,033,569
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
708,306,760
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
857,048,282
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-148,741,522
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?11Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 Spectrum Health Butterworth
100 Michigan St NE
Grand Rapids,MI49503
www.spectrumhealth.org/locations/spectrum-health-hospitals-butterworth-hospital;
1060000021; 		X X X X   X X     A
2 Spectrum Health Blodgett
1840 Wealthy St SE
Grand Rapids,MI49506
www.spectrumhealth.org/locations/spectrum-health-hospitals-blodgett-hospital;
1060000016; 		X X   X   X X     A
3 Spectrum Health United
615 S Bower
Greenville,MI48838
www.spectrumhealth.orglocations/spectrum-health-united-hospital;
1060000018; 		X X         X     A
4 Spectrum Health Gerber Memorial
212 South Sullivan
Fremont,MI49412
www.spectrumhealth.org/locations/spectrum-health-gerber-memorial;
1060000054; 		X X     X   X     A
5 Spectrum Health Ludington
One Atkinson Drive
Ludington,MI49431
www.spectrumhealt.org/locations/spectrum-health-ludington-hospital;
1060000056; 		X X         X     A
6 Spectrum Health Big Rapids
605 Oak Street
Big Rapids,MI49307
www.spectrumhealth.org/locations/spectrum-health-big-rapids-hospital;
1060000045; 		X X         X     A
7 Spectrum Health Reed City
300 N Patterson Rd
Reed City,MI49677
www.spectrumhealth.org/locations/spectrum-health-reed-city-hospital;
1060000157; 		X X     X   X     A
8 Spectrum Health Zeeland
8333 Felch Street
Zeeland,MI49464
www.spectrumhealth.org/locations/spectrum-health-zeeland-community-hospital;
1060000002; 		X X         X     A
9 Spectrum Health Kent Community Campus
750 Fuller Ave NE
Grand Rapids,MI49503
www.spectrumhealth.org/patient-care/services-and-treatment-detail-pages/special-care-hospital;
1060000130; 		X                 A
10 Spectrum Health Kelsey
419 Washington Ave
Lakeview,MI48840
www.spectrumhealth.org/locations/spectrum-health-kelsey-hospital;
1060000147; 		X X     X   X     A
11 SPECTRUM HEALTH PENNOCK
1009 W Green St
Hastings,MI49058
www.spectrumhealth.org/locations/spectrum-health-pennock;
1060000022 		X X         X     A
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 14
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): See Supplemental Information in Part VI
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.spectrumhealth.org/affording-care/financial-assistance
b
http://www.spectrumhealth.org/affording-care/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - A,1 - Spectrum Health Butterworth, A,2 - Spectrum Health Blodgett and A,9 - Spectrum Health Kent Community Campus. The qualitative data collection process involved community health forums and community health surveys with community members. Each of these methods are described in detail along with the questions used in the Kent County Community Health Needs Assessment. The community health forums were conducted by Healthy Kent to better understand the perceptions of health and community concerns of Kent County residents. 28 Community health forums were completed with over 231 Kent county residents participating. The community health survey was administered in an online and paper-based format in both English and Spanish to more than 2,600 individuals who live or work in Kent County. Community partner organizations played an instrumental role in the success of the community health survey as they collected hundreds of responses through targeted outreach amongst service recipients. Many experts on public health were consulted as contributors, reviewers, participants and sponsors of the community health forums, community health surveys and the healthy Kent summit activities. For a listing of all individuals and sources consulted, see appendix b of the Kent County CHNA.
Schedule H, Part V, Section B, Line 5 Facility A, 2 Facility A, 2 - A,3 - Spectrum Health United and A,10 -Spectrum Health Kelsey. Data was gathered from a variety of sources using multiple methodologies. Community resident feedback was obtained via a paper survey directed towards vulnerable and underserved sub-populations and a telephone survey. Health care professionals and other community leaders, known as key stakeholders and key informants, provided in-depth telephone interviews and an online survey. Secondary data was derived from various government and health sources such as the U.S. Census, Michigan Department of Community Health, County Health Rankings, Youth Risk Behavior Survey, Youth Assessment Survey, Kids Count Data, and Bureau of Labor Statistics. Many experts on public health were consulted as members of the CHNA task force. Additionally, Key Stakeholders who were interviewed are defined as executive level community leaders having extensive knowledge and expertise on public health issues and are often involved in policy decision making. Key informants who participated in the online survey are defined as community leaders having extensive knowledge and expertise on public health issues or have experience with sub populations impacted most by issues in health care. For a listing of the titles of individuals and sources consulted, see the Montcalm County CHNA.
Schedule H, Part V, Section B, Line 5 Facility A, 3 Facility A, 3 - A,4 - Spectrum Health Gerber Memorial. Data was gathered from a variety of sources using multiple methodologies. Community resident feedback was obtained via a paper survey directed towards vulnerable and underserved sub-populations and a telephone survey. Health care professionals and other community leaders, known as key stakeholders and key informants, provided in-depth telephone interviews and an online survey. Secondary data was derived from various government and health sources such as the U.S. Census, Michigan Department of Community Health, County Health Rankings, Youth Risk Behavior Survey, Youth Assessment Survey, Kids Count Data, and Bureau of Labor Statistics. Many experts on public health were consulted as members of the CHNA task force. Additionally, Key Stakeholders who were interviewed are defined as executive level community leaders having extensive knowledge and expertise on public health issues and are often involved in policy decision making. Key informants who participated in the online survey are defined as community leaders having extensive knowledge and expertise on public health issues or have experience with sub populations impacted most by issues in health care. For a listing of the titles of individuals and sources consulted, see the Newaygo County CHNA.
Schedule H, Part V, Section B, Line 5 Facility A, 4 Facility A, 4 - A,7 - Spectrum Health Reed City. Data was gathered from a variety of sources using multiple methodologies. Community resident feedback was obtained via a paper survey directed towards vulnerable and underserved sub-populations and a telephone survey. Health care professionals and other community leaders, known as key stakeholders and key informants, provided in-depth telephone interviews and an online survey. Secondary data was derived from various government and health sources such as the U.S. Census, Michigan Department of Community Health, County Health Rankings, Youth Risk Behavior Survey, Youth Assessment Survey, Kids Count Data, and Bureau of Labor Statistics. Many experts on public health were consulted as members of the CHNA task force. Additionally, Key Stakeholders who were interviewed are defined as executive level community leaders having extensive knowledge and expertise on public health issues and are often involved in policy decision making. Key informants who participated in the online survey are defined as community leaders having extensive knowledge and expertise on public health issues or have experience with sub populations impacted most by issues in health care. For a listing of the titles of individuals and sources consulted, see the Lake/Mecosta/Osceola County CHNA.
Schedule H, Part V, Section B, Line 5 Facility A, 5 Facility A, 5 - A,8 - Spectrum Health Zeeland. Data was gathered from a variety of sources using multiple methodologies. Community resident feedback was obtained via a paper survey directed towards vulnerable and underserved sub-populations and a telephone survey. Health care professionals and other community leaders, known as key stakeholders and key informants, provided in-depth telephone interviews and an online survey. Secondary data was derived from various government and health sources such as the U.S. Census, Michigan Department of Community Health, County Health Rankings, Youth Risk Behavior Survey, Youth Assessment Survey, Kids Count Data, and Bureau of Labor Statistics. Many experts on public health were consulted as members of the CHNA task force. Additionally, Key Stakeholders who were interviewed are defined as executive level community leaders having extensive knowledge and expertise on public health issues and are often involved in policy decision making. Key informants who participated in the online survey are defined as community leaders having extensive knowledge and expertise on public health issues or have experience with sub populations impacted most by issues in health care. For a listing of the titles of individuals and sources consulted, see the Ottawa County CHNA.
Schedule H, Part V, Section B, Line 5 Facility A, 6 Facility A, 6 - A,6 - Spectrum Health Big Rapids. Data was gathered from a variety of sources using multiple methodologies. Community resident feedback was obtained via a paper survey directed towards vulnerable and underserved sub-populations and a telephone survey. Health care professionals and other community leaders, known as key stakeholders and key informants, provided in-depth telephone interviews and an online survey. Secondary data was derived from various government and health sources such as the U.S. Census, Michigan Department of Community Health, County Health Rankings, Youth Risk Behavior Survey, Youth Assessment Survey, Kids Count Data, and Bureau of Labor Statistics. Many experts on public health were consulted as members of the CHNA task force. Additionally, Key Stakeholders who were interviewed are defined as executive level community leaders having extensive knowledge and expertise on public health issues and are often involved in policy decision making. Key informants who participated in the online survey are defined as community leaders having extensive knowledge and expertise on public health issues or have experience with sub populations impacted most by issues in health care. For a listing of the titles of individuals and sources consulted, see the Lake/Mecosta/Osceola County CHNA.
Schedule H, Part V, Section B, Line 5 Facility A, 7 Facility A, 7 - A,5 - Spectrum Health Ludington. Data was gathered from a variety of sources using multiple methodologies. Community resident feedback was obtained via a paper survey directed towards vulnerable and underserved sub-populations and a telephone survey. Health care professionals and other community leaders, known as key stakeholders and key informants, provided in-depth telephone interviews and an online survey. Secondary data was derived from various government and health sources such as the U.S. Census, Michigan Department of Community Health, County Health Rankings, Youth Risk Behavior Survey, Youth Assessment Survey, Kids Count Data, and Bureau of Labor Statistics. Many experts on public health were consulted as members of the CHNA task force. Additionally, Key Stakeholders who were interviewed are defined as executive level community leaders having extensive knowledge and expertise on public health issues and are often involved in policy decision making. Key informants who participated in the online survey are defined as community leaders having extensive knowledge and expertise on public health issues or have experience with sub populations impacted most by issues in health care. For a listing of the titles of individuals and sources consulted, see the Mason/northern Oceana/western Lake County CHNA.
Schedule H, Part V, Section B, Line 5 Facility A, 8 Facility A, 8 - A, 11 - Spectrum Health Pennock. Data was gathered from a variety of sources using multiple methodologies. Community resident feedback was obtained via a paper survey directed towards vulnerable and underserved sub-populations and a telephone survey. Health care professionals and other community leaders, known as key stakeholders and key informants, provided in-depth telephone interviews and an online survey. Secondary data was derived from various government and health sources such as the U.S. Census, Michigan Department of Community Health, County Health Rankings, Youth Risk Behavior Survey, Youth Assessment Survey, Kids Count Data, and Bureau of Labor Statistics. Many experts on public health were consulted as members of the CHNA task force. Additionally, Key Stakeholders who were interviewed are defined as executive level community leaders having extensive knowledge and expertise on public health issues and are often involved in policy decision making. Key informants who participated in the online survey are defined as community leaders having extensive knowledge and expertise on public health issues or have experience with sub populations impacted most by issues in health care. For a listing of the titles of individuals and sources consulted, see the Barry County CHNA.
Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - A,1 - Spectrum Health Butterworth, A,2 - Spectrum Health Blodgett, A,9 - Spectrum Health Kent Community Campus. METROPOLITAN HOSPITAL SAINT MARY'S HEALTH CARE PINE REST MARY FREE BED REHABILITATION HOSPITAL
Schedule H, Part V, Section B, Line 6a Facility A, 2 Facility A, 2 - A,8 - Spectrum Health Zeeland. HOLLAND HOSPITAL NORTH OTTAWA COMMUNITY HEALTH SYSTEM
Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - A,1 - Spectrum Health Butterworth, A,2 - Spectrum Health Blodgett and A,9 - Spectrum Health Kent Community Campus. Grand Rapids African American Health Institute Kent County Health Department Network 180 The YMCA In addition many community organizations participated in or supported the CHNA process. A full listing of these organizations can be found in Appendix B of the CHNA: http://www.spectrumhealth.org/healthier-communities/community-health-needs-assessment/spectrum-health-grand-rapids
Schedule H, Part V, Section B, Line 6b Facility A, 2 Facility A, 2 - A,8 - Spectrum Health Zeeland. Community Mental Health - Ottawa County Greater Ottawa County United Way Ottawa Department of Public Health
Schedule H, Part V, Section B, Line 6b Facility A, 3 Facility A, 3 - A, 11 - SPECTRUM HEALTH PENNOCK. BARRY EATON DISTRICT HEALTH DEPARTMENT
Schedule H, Part V, Section B, Line 7 Facility A, 1 Facility A, 1 - A,1 - Spectrum Health Butterworth, A,2 - Spectrum Health Blodgett and A,9 - Spectrum Health Kent Community Campus. The CHNA for Spectrum Health Butterworth, Spectrum Health Blodgett and Spectrum Health Kent Community Campus is available on the Kent County Community Health Needs Assessment website: http://www.kentcountychna.org/pdfs/CHNA2014.pdf
Schedule H, Part V, Section B, Line 7 Facility A, 2 Facility A, 2 - A,8 - Spectrum Health Zeeland. The CHNA for Spectrum Health Zeeland is available on the Ottawa County Health Departments website: http://www.miottawa.org/health/ochd/pdf/data/2014-2015_CHNA_Report.pdf
Schedule H, Part V, Section B, Line 7 Facility A, 3 Facility A, 3 - A,11 - SPECTRUM HEALTH PENNOCK. THROUGH THE WORKGROUP MEMBERS AND THEIR RELATED AGENCIES.
Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - SPECTRUM HEALTH SYSTEM REPORTING GROUP A, 1 - A, 11. Spectrum Health System reporting group A is addressing the significant needs identified in the most recently conducted CHNA's through adoption of an implementation strategy that addresses each of the community needs identified through the CHNA, execution of the implementation strategy, participation in the development and execution of a community-wide plan, inclusion of community benefit section in operational plans, adoption of a budget for provision of services that address the needs identified in the CHNA, prioritization of the health needs in the community and prioritization of services that the hospital facilities will undertake to meet health needs in the community. The hospital facilities are addressing many of the significant needs identified in the CHNA, however the hospital facilities will not address all significant health needs identified in the CHNA due to the limited resources and the need to allocate significant resources to the significant health needs that are being addressed. Each hospital facility's implementation plan identifies the significant needs identified in the CHNA but not addressed in the plan. The implementation plans for each hospital faciliity are available at: http://www.spectrumhealth.org/healthier-communities/community-health-needs-assessment
Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - Spectrum Health System Group A,1 - A,11. The organization uses FPG to determine eligibility for free care. an evaluation is not used for discounted care, as applicants that qualify for any assistance receive free care.
Schedule H, Part V, Section B, Line 16 Facility A, 1 Facility A, 1 - Spectrum Health System Group A,1 - A,11. Spectrum Health has implemented measures to widely publicize communications to patients and the public regarding the availability of financial assistance. Communication methods include but are not limited to signage in each hospital emergency department, admissions office(s) and other public locations, information on the Spectrum Health website, the Spectrum Health Patient Handbook, various informational brochures, upon request by any patient, guarantor or community member, word of mouth via Financial Resource Advisors and others, and through community publications and outreach events. In addition, Spectrum Health will offer a plain language summary of its Financial Assistance Eligibility Policy as part of the patient intake and/or discharge process, as well as provide individuals with assistance in completing the application process. Patients will be notified of the Financial Assistance Eligibility Policy for a period of at least 120 days from the date of the first post-discharge billing statement. Patient balances will be eligible for financial assistance evaluation for at least 240 days from the date of the first post-discharge billing statement ("Application Period"). If Spectrum Health receives a financial assistance application during the Application Period, whether the application is complete or incomplete, it will suspend any collection efforts until a determination regarding financial assistance is made.
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?7
Name and address Type of Facility (describe)
1 Spectrum Health Surgery Center - East Paris
1000 East Paris
Grand Rapids,MI49545 		Surgical Center (Free Standing Outpatient Facility)
2 Spectrum Health Surgery Center - Lake Drive
4069-4100 Lake Drive
Grand Rapids,MI49545 		Surgical Center (Free Standing Outpatient Facility)
3 Spectrum Health Surgery Center - South Pavilion
80 68th Street
Grand Rapids,MI49548 		Surgical Center (Free Standing Outpatient Facility)
4 Spectrum Health United Hospital Rehab and Nursing Center
615 South Bower St
Greenville,MI48838 		Skilled Nursing Center
5 Spectrum Health Reed City Hospital Rehab and Nursing Center
300 North Patterson Road
Reed City,MI49677 		Skilled Nursing Center
6 Spectrum Health Rehab and Nursing Centers
750 Fuller Ave NE
Grand Rapids,MI49503 		Skilled Nursing Center
7 Spectrum Health Kelsey Hospital Rehab and Nursing Center
418 Washington Ave
Lakeview,MI48850 		Skilled Nursing Center
8
9
10
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 7 CHNA website address Spectrum Health Butterworth: http://www.spectrumhealth.org/locations/spectrum-health-hospitals-butterworth-hospital/community-health-needs-assessment Spectrum Health Blodgett: http://www.spectrumhealth.org/locations/spectrum-health-hospitals-butterworth-hospital/community-health-needs-assessment Spectrum Health United: http://www.spectrumhealth.org/locations/spectrum-health-united-hospital/communities/community-health-needs-assessment Spectrum Health Gerber Memorial: http://www.spectrumhealth.org/locations/spectrum-health-gerber-memorial/communities/community%20health%20needs%20assessment Spectrum Health Ludington: http://www.spectrumhealth.org/locations/spectrum-health-ludington-hospital/communities/community-health-needs-assessment Spectrum Health Big Rapids: http://www.spectrumhealth.org/locations/spectrum-health-big-rapids-hospital/communities/community-health-needs-assessment Spectrum Health Reed City: http://www.spectrumhealth.org/locations/spectrum-health-reed-city-hospital/communities/community-health-needs-assessment Spectrum Health Zeeland: http://www.spectrumhealth.org/locations/spectrum-health-zeeland-community-hospital/communities/community-health-needs-assessment Spectrum Health Kent Community Campus: http://www.spectrumhealth.org/healthier-communities/community-health-needs-assessment/spectrum-health-grand-rapids Spectrum Health Kelsey: http://www.spectrumhealth.org/locations/spectrum-health-kelsey-hospital/communities/community-health-needs-assessment Spectrum Health Pennock: http://www.spectrumhealth.org/locations/spectrum-health-pennock/communities/community-health-needs-assessment
Schedule H, Part V, Section B, Line 10 Implementation strategy website address Spectrum Health Butterworth: http://www.spectrumhealth.org/locations/spectrum-health-hospitals-butterworth-hospital/community-health-needs-assessment Spectrum Health Blodgett: http://www.spectrumhealth.org/locations/spectrum-health-hospitals-butterworth-hospital/community-health-needs-assessment Spectrum Health United: http://www.spectrumhealth.org/locations/spectrum-health-united-hospital/communities/community-health-needs-assessment Spectrum Health Gerber Memorial: http://www.spectrumhealth.org/locations/spectrum-health-gerber-memorial/communities/community%20health%20needs%20assessment Spectrum Health Ludington: http://www.spectrumhealth.org/locations/spectrum-health-ludington-hospital/communities/community-health-needs-assessment Spectrum Health Big Rapids: http://www.spectrumhealth.org/locations/spectrum-health-big-rapids-hospital/communities/community-health-needs-assessment Spectrum Health Reed City: http://www.spectrumhealth.org/locations/spectrum-health-reed-city-hospital/communities/community-health-needs-assessment Spectrum Health Zeeland: http://www.spectrumhealth.org/locations/spectrum-health-zeeland-community-hospital/communities/community-health-needs-assessment Spectrum Health Kent Community Campus: http://www.spectrumhealth.org/healthier-communities/community-health-needs-assessment/spectrum-health-grand-rapids Spectrum Health Kelsey: http://www.spectrumhealth.org/locations/spectrum-health-kelsey- hospital/communities/community-health-needs-assessment Spectrum Health Pennock: http://www.spectrumhealth.org/locations/spectrum-health-pennock/communities/community-health-needs-assessment
Schedule H, Part I, Line 6a Related Organization Information Spectrum Health System publishes a consolidated community benefit report on its website at www.spectrumhealth.org (click on the link titled "about" then "corporate social responsibilty" or http://www.spectrumhealth.org/about-us/corporate-social-responsibility/community-benefit). In addition the health system holds an annual meeting, which is open to the public, to discuss its community commitments.
Schedule H, Part VI, Line 7 State Filing of Community Benefit Report If applicable, identify all states with which the organization, or a related organization, files a community benefit report: The state of Michigan does not require a community benefit report to be filed with the state however spectrum health system voluntarily reports consolidated community benefit information to the michigan health and hospital association and in an annual meeting to the community. The community benefit report is also available on the organization's website.
Schedule H, Part I, Line 5b Budgeted Free Care The organization's financial assistance expense exceeded the budgeted amount in FY17. In conjunction with the Healthy Michigan Plan, the State of Michigan mandated discounts to the uninsured based on financial need. The hospital must accept no more than 115% Medicare rates as payment in full from an uninsured individual with an annual income level up to 250% of the federal poverty level. Under the State of Michigan mandate the hospital facilities provided $9.6 million of discounted care. The State of Michigan mandated discounts are not included in the hospital facilities' financial assistance policy and thus are not included in financial assistance expense.
Schedule H, Part I, Line 7 Total Functional Expenses Used Since the amount of total functional expenses reported on Form 990, Part IX, Line 25, Column A, includes non-hospital facility expenses (including medical group, skilled nursing, hospice, home care, and other such non-hospital facility expenses), and the community benefit expenses on Part I, Line 7, relate only to hospital facilities, for purposes of calculating total community benefit, a total functional expense amount of $2,417,751,384 was used. This amount represents total functional expenses related to Spectrum Health's hospital facilities only, which yields a more accurate and meaningful disclosure of Spectrum Health's total community benefit percentage.
Schedule H, Part I, Line 6a Community benefit report prepared by related organization Spectrum Health System (EIN: 38-3382353)
Schedule H, Part I, Line 7g Subsidized Health Services Subsidized health services offered by Spectrum Health Butterworth include the unreimbursed costs of providing free or subsidized health services and/or community clinics. Subsidized health services were provided at the following clinics by Spectrum Health Butterworth: -Center for Integrated Medicine ("CIM") is a multi-specialty clinic that employs a new model of care to assess and treat high-frequency patients from area emergency rooms. The central goal of the CIM is to identify, accurately diagnose and develop a care plan for each patient. Patients undergo comprehensive exams, a behavioral health exam, addiction assessment, and a medical social work case management evaluation. -DeVos Children's Pediatric Clinic is a residency teaching clinic that teams pediatricians with medical students and residents to provide routine well-child care, diagnosis and treatment for new problems, and pediatric consultation by referral. The clinic's neurosurgery team uses advanced technology and leading-edge protocols to diagnose, treat and manage nervous system disorders. -Spectrum Health OB/GYN Clinic has a dual mission of teaching OB/GYN residents and taking care of the underinsured in the community, including comprehensive obstetric and gynecology services to women of all ages. -Spectrum Health Internal Medicine and Family Practice Clinic offers family care to the underinsured. The clinic serves as a teaching clinic for internal medicine and family practice clinics. -Internal Medicine Residency Practice: The Internal Medicine Residency Clinic has a dual mission of teaching internal medicine residents and taking care of the underinsured in the community, including comprehensive internal medicine services to adults. -Family Medicine Residency Center: The Family Medicine Residency Center has a dual mission of teaching family medicine residents and taking care of the underinsured in the community, including comprehensive services to adults and children. Obstetrics services are offered as well. -Orthopedic Surgery Residency Practice: The Orthopedic Residency Clinic has a dual mission of teaching orthopedic surgery residents and taking care of the underinsured in the community, including general orthopedic surgery servives to adults -General Surgery Residency Practice/ General Surgery Academic Practice: The General Surgery Residency Clinic has a dual mission of teaching general surgery residents and taking care of the underinsured in the community, including comprehensive general surgery services to adults -Plastic Surgery Residency Practice/ The Plastic Surgery Residency Clinic has a dual mission of teaching plastic surgery residents and taking care of the underinsured in the community, including comprehensive plastic surgery services to adults
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 82033569
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The organization calculates an overall cost-to-charge ratio derived by using the IRS worksheet 2 format, Ratio of Patient Care Cost-to-Charges. All patient segments and payers are used in the calculation.
Schedule H, Part II Community Building Activities Spectrum Health's hospital facilities are dedicated to the communities they serve. The hospitals work to address the pressing health issues of the communities they serve by promoting and advocating for overall community health improvement. Significant Community Building Activities in FY17 include supporting Ferguson Renaissance Center, an organization that provides permanent supportive housing to previously homeless community members; Health Sciences School Partnership, the region's premier specialty high school focused on preparing students for college career pathways in the wide-ranging health care industry. Spectrum Health also contributes funding and partners with community clinics such as Cherry Health Services, Catherine's Health Center and Exalta Health to provide medical services to improve the health of of adults managing chronic disease, improving children's health, and reducing infant mortality. Spectrum Health is also part of a collaborative partnership with Robert Wood Johnson Foundation and Reinvestment Fund called Invest Health. It focuses on increasing equitable outcomes by reducing infant mortality, lead exposures and increasing food security in historically low income targeted census tract areas. The Invest Health Grand Rapids team will achieve this through scaling workforce models and housing supply with aligned infant mortality, lead and food programming in the targeted census tracts. Additionally, the hospitals host a multitude of free community education seminars and health screenings, health fairs and support groups.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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, payer composition and aging, and historical write-off experience by payer category and other factors. The results of this review are then used to make any modifications to the provision for uncollected accounts to establish an appropriate allowance for uncollectible accounts. For third-party payers, the provision is determined by analyzing contractually due amounts from payers who are known to be having financial difficulties. For self-pay patients, the provision is based on an analysis of past experience related to patients unwilling to pay standard rates charged. The difference between that standard rate charged (less the negotiated discounted rate) and the amount actually collected after the reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. All charges are reported at gross, which is consistent with the reporting methodology used in the organization's financial statements.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology The hospital facilities are unable to estimate accurately the amount of bad debt expense attributable to patients eligible for free services under the financial assistance policy. Although a portion of bad debt expenses may relate to patients who would qualify for charity care, a reportable figure cannot be reasonably estimated. The hospital facilities have implemented a "propensity to pay" evaluation tool that proactively assesses one's ability and likelihood to pay. This tool has provided a higher degree of focused financial counseling efforts, resulting in a substantial reduction of Bad debt and higher rate of identification of charity accounts.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The Net Patient Service Revenue, Patient accounts receivable, and allowance for uncollectible accounts footnote is on pages 14 to 16 of the organization's consolidated financial statements.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The methodology described in the instructions to schedule H, Part III, Section B, Line 6 does not take into account all costs incurred by the hospital and does not represent the total community benefit conferred in this area. Reasons why Medicare shortfall should be treated as community benefit are: (1) absent the Medicare program, it is likely many of the individuals would qualify for charity care or other needs-based government programs; (2) by accepting payment below cost to treat these individuals, the burdens of government are relieved with respect to these individuals; (3) there is a significant possibility that continued reduction in reimbursement may actually create difficulties in access for these individuals; and (4) the amount spent to cover the Medicare shortfall is money not available to cover charity care and other community benefit needs. In determining Medicare shortfalls the organization uses a ratio of cost-to-charges. In determining the ratio of cost-to-charges the organization adjusts for bad debt expenses, non-patient care activities, Medicaid provider taxes and community benefits accounted for, and or reported, elsewhere. The ratio of cost-to-charges is applied to Medicare charges to determine shortfalls in Medicare reimbursements.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Patients who qualify for financial assistance are eligible for free care, and thus no collection actions are taken. If financial assistance eligibility would be discovered after commencement of a collection action, then such collection action would be suspended or reversed.
Schedule H, Part V, Section B, Line 16a FAP website A - Spectrum Health Butterworth: Line 16a URL: http://www.spectrumhealth.org/affording-care/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website A - Spectrum Health Butterworth: Line 16b URL: http://www.spectrumhealth.org/affording-care/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - Spectrum Health Butterworth: Line 16c URL: http://www.spectrumhealth.org/affording-care/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B: The CHNA data provides a level foundation on which to plan, develop, and implement new programs and services to meet the needs of our community. Operational services identified by the CHNA, e.g. additional medical clinic locations with extended hours of operation, and a physician recruitment plan has been developed to increase access, both of which have been built into the strategic plan and budget. Additional areas of improvement to community health were identified and are being addressed outside of the CHNA. For example, a community- based approach (Invest Health) is addressing items such as safe, affordable housing, infant mortality, impact hiring as an economic elevator (recognizing the link between wealth creation and health) and food insecurity. These efforts allow Spectrum Health to leverage/multiply funds while doing collaborative work with community to address these issues. The CHNA and Implementation Plans are located at: Spectrum Health Butterworth: http://www.spectrumhealth.org/locations/spectrum-health-hospitals-butterworth-hospital/community-health-needs-assessment Spectrum Health Blodgett: http://www.spectrumhealth.org/locations/spectrum-health-hospitals-butterworth-hospital/community-health-needs-assessment Spectrum Health United: http://www.spectrumhealth.org/locations/spectrum-health-united-hospital/communities/community-health-needs-assessment Spectrum Health Gerber Memorial: http://www.spectrumhealth.org/locations/spectrum-health-gerber-memorial/communities/community%20health%20needs%20assessment Spectrum Health Ludington: http://www.spectrumhealth.org/locations/spectrum-health-ludington-hospital/communities/community-health-needs-assessment Spectrum Health Big Rapids: http://www.spectrumhealth.org/locations/spectrum-health-big-rapids-hospital/communities/community-health-needs-assessment Spectrum Health Reed City: http://www.spectrumhealth.org/locations/spectrum-health-reed-city-hospital/communities/community-health-needs-assessment Spectrum Health Zeeland: http://www.spectrumhealth.org/locations/spectrum-health-zeeland-community-hospital/communities/community-health-needs-assessment Spectrum Health Kent Community Campus: http://www.spectrumhealth.org/healthier-communities/community-health-needs-assessment/spectrum-health-grand-rapids Spectrum Health Kelsey: http://www.spectrumhealth.org/locations/spectrum-health-kelsey-hospital/communities/community-health-needs-assessment Spectrum Health Pennock: http://www.spectrumhealth.org/locations/spectrum-health-pennock/communities/community-health-needs-assessment
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's financial assistance policy: Spectrum Health informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's financial assistance policy through producing information cards and brochures for the uninsured, Community Outreach Programs, Consumer Information classes, Spectrum Health's website, Personal financial Counseling and by providing assistance in the actual enrollment of such programs. Each Spectrum Health facility has a department of financial counselors who work with patients that express any level of concern with paying their bill. In addition, financial counselors proactively identify patients who have qualifying factors for governmental assistance. Spectrum Health also partners with organizations that specialize in the qualification process. If a patient's need for assistance is not identified prior to billing, any concerns as a result of receiving a bill are addressed by financial counselors at that time. Spectrum Health widely publicizes communications to patients and the public on the availability of financial assistance. This is achieved through various methods including, but not limited to, the Spectrum Health Patient Handbook, various informational brochures, signage in each hospital emergency department, admissions offices and other public locations, upon request by any patient, guarantor or community member, word of mouth via financial counselors and others, and through community publications and outreach events. In addition, Spectrum Health lists options for the uninsured and underinsured on its website, along with a copy of the Financial Assistance Eligibility Policy (search "financial assistance" at www.spectrumhealth.org).
Schedule H, Part VI, Line 4 Community information Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves: Spectrum Health Butterworth, Spectrum Health Blodgett and Spectrum Health Kent Community Campus: Spectrum Health Butterworth, Spectrum Health Blodgett and Spectrum Health Kent Community Campus are located in the same community. They have identified a primary service area of one and a half counties, including Kent county and part of Eastern Ottawa county. The overall service area totals thirteen counties, including Grand Rapids, Michigan, the second largest city in the State. Overall these counties have a total population of over 1,500,000 residents. Kent County is located in Western Michigan and is the fourth largest population center in the state. The county is composed of twenty-one townships, five villages, and nine cities covering 864 square miles. Grand Rapids is the county seat and is 30 miles from Lake Michigan and is the second largest city in the state. The health care resources in Kent County include Spectrum Health Butterworth, Spectrum Health Blodgett, Metropolitan Health, Saint Mary's Health Care, Pine Rest, and Mary Free Bed Rehabilitation Hospital. In addition, the Health Department operates four public health clinics throughout the county that offer personal health services. The Grand Rapids Home for Veterans and the Veterans Affairs Outpatient Clinic provide services for Veterans. In addition to major health centers and publicly funded services, Kent County offers numerous health-related services through non-profit and community-based organizations. For specific population and income/poverty statistics see the Community Health Needs Assessment accessible at http://www.spectrumhealth.org/locations/spectrum-health-hospitals-butterworth-hospital/community-health-needs-assessment Spectrum Health United: Spectrum Health United has identified a primary service area comprised of 19 zip codes surrounding Greenville, where Spectrum Health United is located. The overall service area includes Montcalm and portions of adjacent counties that in total support a population of over 100,000 residents. The Healthcare resources in Spectrum Health United's service area include Spectrum Health Kelsey, Carson City Hospital, Sheridan Community Hospital, the mid-Michigan District Health Department, and Cherry Street - Montcalm Area Health Center. For specific population and income/poverty statistics see the Community Health Needs Assessment accessible at http://www.spectrumhealth.org/locations/spectrum-health-united-hospital/communities/community-health-needs-assessment Spectrum Health Gerber Memorial: Spectrum Health Gerber Memorial is a critical access facility that has identified a primary service area of several counties including Newaygo County, eastern Oceana County and eastern Muskegon County as primary and northern Kent County and southern Lake County as secondary. Spectrum Health Gerber Memorial is the only major medical facility in the facility's primary service area. For specific population and income/poverty statistics see the Community Health Needs Assessment accessible at http://www.spectrumhealth.org/locations/spectrum-health-gerber-memorial/communities/community%20health%20needs%20assessment Spectrum Health Ludington: Spectrum Health Ludington serves a rural community located on the coast of Lake Michigan serving Mason and portions of Oceana and Lake Counties. As the community is a seasonal tourist attraction, the population of the community significantly changes with the seasons. A seasonal migrant population is present due to agricultural employment opportunities in the community. A large portion of the hospitals patients are covered by either medicare or medicaid. Spectrum Health Ludington is the only major medical facility in the facility's service area. For specific population and income/poverty statistics see the Community Health Needs Assessment accessible at http://www.spectrumhealth.org/locations/spectrum-health-ludington-hospital/communities/community-health-needs-assessment Spectrum Health Big Rapids: Spectrum Health Big Rapids is located in the mid-western portion of the state of michigan. The hospital serves a five county area surrounding mecosta county that includes a large population with low income status. According to the US census from 2008 to 2012 roughly 23 percent of the population in this area lives below the poverty line. Spectrum Health Big Rapids is the only major medical facility located in the facility's service area. For specific population and income/poverty statistics see the Community Health Needs Assessment accessible at http://www.spectrumhealth.org/locations/spectrum-health-big-rapids-hospital/communities/community-health-needs-assessment Spectrum Health Reed City: Spectrum Health Reed City is a critical access facility that has identified a primary service area of three counties, including Lake, Osceola and a portion of north central Mecosta County. Overall these counties have a total population of over 75,600 residents. Osceola County is located in Northern Michigan approximately 80 miles North of Grand Rapids. The rural county is composed of sixteen townships, four villages, and two cities covering 573 square miles. Reed City is the county seat. The only major medical facility in Osceola County is Spectrum Health Reed City. In addition, the Health Department is a branch office of the Central Michigan District Health Department. Located West of Osceola County, Lake county is composed of fifteen townships and two villages covering 575 square miles. Baldwin is the county seat. There are no major medical facilities in Lake County. For specific population and income/poverty statistics see the Community Health Needs Assessment accessible at http://www.spectrumhealth.org/locations/spectrum-health-reed-city-hospital Spectrum Health Zeeland: Spectrum Health Zeeland HAS IDENTIFIED A PRIMARY SERVICE AREA INCLUSIVE OF MUCH OF OTTAWA COUNTY AND THE SURROUNDING LAKESHORE REGION. Overall the service area of Spectrum Health Zeeland has a population of over 270,000. The healthcare resources in Ottawa county include Spectrum Health Zeeland, Holland Hospital, and North Ottawa Community Health System. Ottawa County offers numerous health related services including two free medical clinics and a variety of services through non profit agencies such as the Ottawa County Health Department and Ottawa County Community Mental Health For specific population and income/poverty statistics see the Community Health Needs Assessment accessible at http://www.spectrumhealth.org/locations/spectrum-health-zeeland-community-hospital Spectrum Health Kelsey: Spectrum Health Kelsey 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 Spectrum Health United, a related organization. The primary service area is comprised of 19 zip codes surrounding Lakeview, where Spectrum Health Kelsey is located, and includes Montcalm and portions of adjacent counties that support a population of over 100,000 residents. The Healthcare resources in Spectrum Health Kelsey's service area include Spectrum Health United, Carson City Hospital, and Sheridan Community Hospital, the mid-Michigan District Health Department, and Cherry Street - Montcalm Area Health Center. For specific population and income/poverty statistics see the Community Health Needs Assessment accessible at http://www.spectrumhealth.org/locations/spectrum-health-kelsey-hospital/communities/community-health-needs-assessment Spectrum Health Pennock: Spectrum Health Pennock is located in Barry County and is uniquely located in the middle of four (4) larger metropolitan areas: Grand Rapids, Lansing, Kalamazoo, and Battle Creek. The primary service area is identified as Barry County and supports a population of residents over 59,000. Spectrum Health Pennock is the only hospital within a 35 mile radius servicing residents of the community. Other healthcare resources available in the community include both independent and pennock employed physician offices, the barry community free clinic, health connections clinic, and pennock urgent care center. For specific population and income/poverty statistics see the community health needs assessment accessible at http://www.spectrumhealth.org/locations/spectrum-health-pennock/communities/community-health-needs-assessment
Schedule H, Part VI, Line 5 Promotion of community health Provide any other information important to describing how the organization's hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.): The BOARD OF DIRECTORS of each facility on Part V, Section A are substantially COMPOSED OF INDEPENDENT COMMUNITY MEMBERS that RESIDE IN the PRIMARY SERVICE AREA of the hospital. All hospitals in Spectrum Health System ALSO EXTEND MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. Spectrum Health System invests net earnings in improving patient care, building and renovating facilities, purchasing new technology, providing health education and funding community programs. PEOPLE THROUGHOUT THE COMMUNITY CAN COUNT ON all Spectrum Health System hospital facilities TO BE STANDING BY WITH EMERGENCY CARE 24 HOURS A DAY, 365 DAYS A YEAR. THE EMERGENCY DEPARTMENTs are STAFFED WITH BOARD-CERTIFIED EMERGENCY CARE PHYSICIANS AND A NURSING STAFF THAT IS TRAINED AND EXPERIENCED IN EMERGENCY CARE. FURTHERMORE, NO PATIENT IS DENIED TREATMENT, REGARDLESS OF THEIR ABILITY TO PAY.
Schedule H, Part VI, Line 6 Affiliated health care system If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served: Spectrum Health is an integrated not-for-profit health system in West Michigan offering a full continuum of care through the Spectrum Health Hospital Group, which is comprised of twelve hospitals including Helen DeVos Children's Hospital, a state of the art children's hospital and more than 175 service sites; the Spectrum Health Medical Group physician group totaling more than 1,500 providers; and Priority Health, a health plan with 792,000 members. Spectrum Health is West Michigan's largest employer with more than 25,500 employees. The integrated health system provided $372 million in community benefit during its 2017 fiscal year. The $372 million in community benefit includes community benefit activities by the facilities included on Schedule H Hospitals as well as community benefit activities of other organization across the integrated health system. Each hospital facility included on Part V, Section A is a member of the affiliated group of entities within Spectrum Health. Each hospital facility is responsible for creating value within its respective community. From its inception, Spectrum Health has been a faithful steward of its community assets. As a West Michigan-based not-for-profit health system, the organization invests its net earnings to improve patient care, build and renovate facilities, purchase new technology, provide health education and fund local community programs. Over the years, our mission has remained the same-to improve the health of the communities we serve. We take our mission seriously. It is central to our strategic discussions and guides our investments and the allocation of our resources. Spectrum Health is committed to providing value to the people we serve. "Value" means access to high-quality health care at affordable costs, as well as access to the full continuum of health care services, from health insurance to outpatient care to inpatient and home care, and everything in between. Spectrum Health has hundreds of programs that support its mission "to improve the health of the communities we serve." These programs are brought together under ten key areas: Healthier Communities, Education, Inclusion and Diversity, Community Engagement, Research, Innovation, Employee Engagement, Sustainability, Regional Relationships and Community Benefit.
Schedule H, Part VI, Line 7 State filing of community benefit report MI
Schedule H (Form 990) 2016
Additional Data


Software ID: 16000421
Software Version: 2016v3.0