Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
 
 
Employer identification number
61-1740292
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1)  
100 MICHIGAN ST NE
GRAND RAPIDS,MI49503 		38-3382353 501(C)(3) 2,245,139       GENERAL SUPPORT
(2)  
550 CHERRY ST SE
GRAND RAPIDS,MI49503 		38-2853534 501(C)(3) 350,000       VISION & DENTAL CARE
(3)  
475 LAKE MICHIGAN DR NW
GRAND RAPIDS,MI49503 		38-1358058 501(C)(3) 156,683       OBESITY MANAGEMENT
(4)  
225 COMMERCE SW
GRAND RAPIDS,MI49503 		38-1410467 501(C)(3) 105,000       RECOUPERATION CENTER SERVICES
(5)  
2850 KALAMAZOO SE
GRAND RAPIDS,MI49506 		38-3195190 501(C)(3) 100,000       FOOD PANTRY ASSISTANCE FOR CHRONIC HEALTH CONDITIONS
(6)  
390 JEFFERSON SE STE 3
GRAND RAPIDS,MI49503 		38-3351467 501(C)(3) 100,000       ASTHMA PREVENTION
(7)  
15 ANDRE ST
GRAND RAPIDS,MI49503 		38-3273825 501(C)(3) 75,000       MEDICAL CARE SERVICES
(8)  
435 IONIA AVE SW
GRAND RAPIDS,MI49503 		45-4492691 501(C)(3) 50,000       FOOD & HEALTH EDUCATION
(9)  
906 E LUDINGTON AVE
LUDINGTON,MI49431 		38-2243550 501(C)(3) 35,000       SANE SUITE SPONSORSHIP
(10)  
935 BAXTER SE
GRAND RAPIDS,MI49503 		38-2779590 501(C)(3) 29,000       UNDERSERVED GED ASSISTANCE
(11)  
235 STRAIGHT AVE NW
GRAND RAPIDS,MI49504 		38-0593958 501(C)(3) 27,000       SUMMER PHYSICAL EDUCATION PROGRAMMING
(12)  
611 ETHEL AVE SE
GRAND RAPIDS,MI49506 		36-9942134   25,000       AFFORDABLE CARE ACT STRATEGIC INITIATIVES
(13)  
678 FRONT AVE NW
GRAND RAPIDS,MI49504 		38-2605028 501(C)(3) 25,000       EARLY CHILDHOOD DEVELOPMENT EVALUATION
(14)  
54 S DIVISION
GRAND RAPIDS,MI49503 		38-2477760 501(C)(3) 25,000       MEDICAL CARE SERVICES
(15)  
742 FRANKLIN ST SE
GRAND RAPIDS,MI49507 		20-5326650 501(C)(3) 25,000       ASTHMA PREVENTION
(16)  
1167 MADISON AVE SE
SUITE 104
GRAND RAPIDS,MI49507 		38-2757044 501(C)(3) 25,000       STRATEGIC COMMUNITY GROWTH DEVELOPMENT
(17)  
475 PLEASANT SW
GRAND RAPIDS,MI49503 		38-2527968 501(C)(3) 11,000       MEDICAL & FIRST AID SUPPLIES
(18)  
1211 LAFAYETTE NE
GRAND RAPIDS,MI49506 		20-3572418 501(C)(3) 10,000       MEDICAL CARE SERVICES
(19)  
705 BRIDGE ST NW
GRAND RAPIDS,MI49504 		23-7314063 501(C)(3) 10,000       MEDICAL CARE SERVICES
(20)  
644 GRANDVILLE AVE SW
GRAND RAPIDS,MI49503 		38-3482546 501(C)(3) 5,000       CHILD PHYSICAL EDUCATION PROGRAMS
(21)  
1806 BRIDGE ST NW
GRAND RAPIDS,MI49504 		38-3367525 501(C)(3) 5,000       BEHAVIORAL HEALTH SERVICES
(22)  
1823 S DIVISION
GRAND RAPIDS,MI49507 		38-3075239 501(C)(3) 5,000       FAMILY CRISIS ASSISTANCE
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
21
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014
Page 2

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) SCHOLARSHIPS 24 21,500      












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds SPECTRUM HEALTH ONLY PROVIDES GRANTS TO ORGANIZATIONS THAT HAVE A MISSION AND VALUES THAT CLOSELY ALIGN WITH THE MISSION AND VALUES OF SPECTRUM HEALTH. SPECTRUM HEALTH FOCUSES ON PROVIDING GRANTS TO ORGANIZATIONS THAT IMPROVE THE HEALTH OF THE UNDERSERVED IN THE COMMUNITY AND/OR ORGANIZATIONS THAT INCREASE ACCESS TO HEALTH CARE. RECIPIENTS RECEIVING GRANTS GREATER THAN $25,000 ARE REQUIRED TO SUBMIT TO SPECTRUM HEALTH QUARTERLY ITEMIZED FINANCIAL REPORTS. FOR GRANTS LESS THAN $25,000 SPECTRUM HEALTH DOCUMENTS THE RESTRICTION OF THE FUNDS FOR SPECIFIC PROGRAMS THAT SUPPORT THE UNDERSERVED OR INCREASE ACCESS TO HEALTH CARE. THE PURPOSE OF NOT REQUESTING FINANCIAL REPORTS FOR SMALLER GIFTS IS DUE TO THE SIGNIFICANT LEVEL OF EFFORT THAT IT WOULD IMPOSE UPON THE COMMUNITY ORGANIZATIONS WHO OFTEN HAVE LIMITED RESOURCES TO PROVIDE THE DOCUMENTATION. SPECTRUM HEALTH PROVIDES SCHOLARSHIPS TO LOCAL HIGH SCHOOL OR COLLEGE STUDENTS PURSUING MEDICAL CAREERS. TO BE ELIGIBLE FOR THE SCHOLARSHIP STUDENTS MUST PROVIDE ACADEMIC TRANSCRIPS AND/OR LETTER OF ACCEPTANCE FROM AN ACCREDITED COLLEGE. SCHOLARSHIP FUNDS ARE PAID DIRECTLY TO THE STUDENT'S COLLEGE.
Schedule I (Form 990) 2014



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