Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
SPECTRUM HEALTH SYSTEM
 
Employer identification number

38-3382353
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2012
Page 2
Schedule L (Form 990 or 990-EZ) 2012
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) MLIVE MEDIA GROUP
  		BUSINESS 238,233 SEE SCHEDULE L, PART V   No
(2) MICHIGAN PROFESSIONAL INSURANCE EXCHANGE
  		BUSINESS 124,464 SEE SCHEDULE L, PART V   No
(3) MS CHRISTINA GAYDOU-PITTMAN
  		FAMILY 93,277 SEE SCHEDULE L, PART V   No
(4) MS ALLYSON BREON
  		FAMILY 72,344 SEE SCHEDULE L, PART V   No
(5) MR MARK BREON
  		FAMILY 71,475 SEE SCHEDULE L, PART V   No
(6) MR BRADLEY PITTMAN
  		FAMILY 65,941 SEE SCHEDULE L, PART V   No
(7) MS CHERYL FREED
  		FAMILY 54,067 SEE SCHEDULE L, PART V   No
(8) MS LAURA FREED
  		FAMILY 43,955 SEE SCHEDULE L, PART V   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
BUSINESS TRANSACTIONS WITH INTERESTED PERSONS SCHEDULE L, PART V MR. RICHARD BREON, PRESIDENT, HAS A SON AND DAUGHTER-IN-LAW WHO ARE EMPLOYED BY THE ORGANIZATION. (PART IV, LINES 4 & 5) MR. MICHAEL FREED, CFO, HAS TWO DAUGHTERS WHO ARE EMPLOYED BY THE ORGANIZATION. HE IS ALSO A MEMBER OF THE BOARD OF DIRECTORS FOR A TAXABLE ENTITY TO WHICH THE ORGANIZATION PROVIDES SERVICES. (PART IV, LINES 2, 7 & 8) MR. DAN GAYDOU, DIRECTOR, HAS A DAUGHTER AND SON-IN-LAW WHO ARE EMPLOYED BY THE ORGANIZATION. HE IS ALSO A KEY EMPLOYEE OF A TAXABLE ENTITY TO WHICH THE ORGANIZATION PROVIDES SERVICES. (PART IV, LINES 1, 3, & 6) MR. RONALD KNAUS, A FORMER KEY EMPLOYEE OF THE FILING ORGANIZATION, IS A MEMBER OF THE BOARD OF DIRECTORS FOR A TAXABLE ENTITY TO WHICH THE ORGANIZATION PROVIDES SERVICES. (PART IV, LINE 2) THROUGH OUR ANNUAL CONFLICT OF INTEREST AND TAX REPORTING PROCESSES, CERTAIN INDIVIDUALS LISTED IN SCHEDULE L HAVE REPORTED THAT THEY, OR COMPANIES THEY WORK FOR, HAVE BUSINESS OR FAMILY RELATIONSHIPS WITH THE REPORTING ORGANIZATION THAT EXCEED THRESHHOLDS PROVIDED IN THE INSTRUCTIONS TO THE FORM 990. IF AN AMOUNT IS NOT LISTED IN SCHEDULE L, A STATEMENT IS PROVIDED ABOVE EXPLAINING THE NATURE OF THE TRANSACTION(S).
Schedule L (Form 990 or 990-EZ) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0