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.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
SPECTRUM HEALTH SYSTEM GROUP RETURN
 
Employer identification number

61-1740292
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
(1) DAVID OTTENBAKER MD
 
DIRECTOR, SHMG TUITION ASSISTANCE   X 36,000 36,000   No   No Yes  
Total ...............Small Bullet $ 36,000
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) 2013
Page 2

Schedule L (Form 990 or 990-EZ) 2013
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) ORTHOPAEDIC ASSOCIATES
 
BUSINESS 2,314,622 SHH-SEE SCH L, PART V   No
(2) GREATER MICHIGAN LITHOTRIPSY
 
BUSINESS 1,751,700 SHH-SEE SCH L, PART V   No
(3) MICHIGAN PATHOLOGY SERVICES
 
BUSINESS 1,178,425 SHH-SEE SCH L, PART V   No
(4) PEDIATRIC SURGEONS OF WEST MICHIGAN
 
BUSINESS 668,630 SHH-SEE SCH L, PART V   No
(5) FIFTH THIRD BANK
 
BUSINESS 423,350 SHH-SEE SCH L, PART V   No
(6) MICHIGAN PROFESSIONAL INSURANCE EXCHANGE
 
BUSINESS 412,330 SHH-SEE SCH L, PART V   No
(7) ANDREW ARMSTRONG
 
FAMILY 31,702 SHH-SEE SCH L, PART V   No
(8) AMBER NICHOLS
 
FAMILY 15,927 SHH-SEE SCH L, PART V   No
(9) MARY HENRY
 
FAMILY 47,555 SHGM-SEE SCH L, PART V   No
(10) PINE MEDICAL GROUP
 
BUSINESS 130,669 SHGM-SEE SCH L, PART V   No
(11) PINE MEDICAL GROUP
 
BUSINESS 323,542 SHGM-SEE SCH L, PART V   No
(12) DEBRA SELLA
 
FAMILY 74,774 SHGM-SEE SCH L, PART V   No
(13) HATHAWAY PROPERTIES LLC
 
BUSINESS 363,132 SHU-SEE SCH L, PART V   No
(14) JACOB BRASSER
 
FAMILY 11,921 SHU-SEE SCH L, PART V   No
(15) KELLY JOHNSON
 
FAMILY 35,605 SHU-SEE SCH L, PART V   No
(16) LORI BRUINS
 
FAMILY 64,690 SHZ-SEE SCH L, PART V   No
(17) MARLENE HOLSTINE
 
FAMILY 91,979 SHZ-SEE SCH L, PART V   No
(18) HUNTINGTON BANK
 
BUSINESS 777,196 SHZ-SEE SCH L, PART V   No
(19) CHRISTA THELEN
 
FAMILY 38,332 SHZ-SEE SCH L, PART V   No
(20) 44K PARTNERS
 
BUSINESS 151,536 SHMG-SEE SCH L, PART V   No
(21) AMWAY HOTEL CORPORATION
 
BUSINESS 227,978 SHF-SEE SCH L, PART V   No
(22) PERE MARQUETTE EMERGENCY PHYSICIANS PLC
 
BUSINESS 101,592 SHL-SEE SCH L, PART V   No
(23) JENNIFER VIPPERMAN
 
FAMILY 37,050 SHL-SEE SCH L, PART V   No
(24) BRYAN DENSLOW
 
FAMILY 30,358 SHBR-SEE SCH L, PART V   No
(25) 722 LOCUST LLC
 
BUSINESS 718,708 SHBR-SEE SCH L, PART V   No
(26) OBSTETRICS & GYNECOLOGY OF BIG RAPIDS
 
BUSINESS 28,008 SHBR-SEE SCH L, PART V   No
(27) PEDIATRIC SURGEONS OF WEST MICHIGAN
 
BUSINESS 20,300 SHH-SEE SCH L, PART V   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
SCHEDULE L, PART V, SHH FAMILY AND BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS DR. THOMAS MALVITZ, A MEMBER OF SHH'S BOARD OF DIRECTORS, SERVES ON THE BOARD OF DIRECTORS OF A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH THE SHH. HE ALSO HAS A SON THAT IS EMPLOYED BY SHH. (PART IV, LINES 1 & 22) MR. MARC CHIRCOP, AN OFFICER OF SHH, SERVES ON THE BOARD OF DIRECTORS OF A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH SHH. (PART IV, LINE 2) DR. SANDRA COTTINGHAM, A MEMBER OF SHH'S BOARD OF DIRECTORS, HAS AN OWNERSHIP INTEREST IN A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH SHH. (PART IV, LINE 3) DR. ROBERT CONNORS, A KEY EMPLOYEE OF SHH, HAS AN OWNERSHIP INTEREST IN A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH SHH. (PART IV, LINES 6 & 25 ) MR. MATTHEW VAN VRANKEN, A MEMBER OF SHH'S BOARD OF DIRECTORS, SERVES ON THE BOARD OF DIRECTORS OF A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH SHH. (PART IV, LINE 7) MR. WILLIAM JEWELL AND MR. RONALD KNAUS, OFFICERS OF SHH, BOTH SERVE ON THE BOARD OF DIRECTORS OF A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH SHH. (PART IV, LINE 8) DR. WILLIAM BUSH, A MEMBER OF SHH'S BOARD OF DIRECTORS, HAS A DAUGHTER-IN-LAW THAT IS EMPLOYED BY SHH. (PART IV, LINE 26)
SCHEDULE L, PART V, SHZ FAMILY AND BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS MR. MARK WILSON, A MEMBER OF SHZ'S BOARD OF DIRECTORS, SERVES ON THE BOARD OF DIRECTORS OF A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH SHZ. (PART IV, LINE 4) MR. STAN KONYNENBELT, A MEMBER OF SHZ'S BOARD OF DIRECTORS, HAS A SIBLING THAT IS EMPLOYED BY SHZ. (PART IV, LINE 15) MR. HENRY VEENSTRA, AN OFFICER AND MEMBER OF SHZ'S BOARD OF DIRECTORS, HAS A DAUGHTER THAT IS EMPLOYED BY SHZ. (PART IV, LINE 17) MR. RANDY THELEN, A MEMBER OF SHZ'S BOARD OF DIRECTORS, HAS A SPOUSE THAT IS EMPLOYED BY SHZ. (PART IV, LINE 19)
SCHEDULE L, PART V, SHBR FAMILY AND BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS DR. FEDERICK GUENTHER, A MEMBER OF SHBR'S BOARD OF DIRECTORS, HAS OWNERSHIP IN A TAXABLE ENTITY AND AN INDIRECT OWNERSHIP INTEREST IN A TAXABLE ENTITY THAT HAVE BUSINESS RELATIONSHIPS WITH SHBR. (PART IV, LINE 5 & 24) MS. DONNA DENSLOW, A MEMBER OF SHBR'S BOARD OF DIRECTORS, HAS A GRANDSON THAT IS EMPLOYED BY SHBR (PART IV, LINE 23)
SCHEDULE L, PART V, SHU FAMILY AND BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS MR. WILLIAM HAM, A MEMBER OF SHU'S BOARD OF DIRECTORS, HAS OWNERSHIP IN A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH SHU. (PART IV, LINE 9) MR. RYAN JOHNSON, AN OFFICER OF SHU, HAS A SPOUSE THAT IS EMPLOYED BY SHU. (PART IV, LINE 21) MR. BRIAN BRASSER, AN OFFICER AND MEMBER OF THE SHU'S BOARD DIRECTORS, HAS A SON THAT IS EMPLOYED BY SHU. (PART IV, LINE 27)
SCHEDULE L, PART V, SHGM FAMILY AND BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS DR. STEPHEN WELSH, A MEMBER OF SHGM'S BOARD OF DIRECTORS, SERVES ON THE BOARD OF DIRECTORS OF A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH SHGM. (PART IV, LINES 10 & 13) MR. JOHN SELLA, A FORMER OFFICER OF SHGM, HAS A SPOUSE THAT IS EMPLOYED BY SHGM. (PART IV, LINE 16) MR. DONALD HENRY, A MEMBER OF SHGM'S BOARD OF DIRECTORS, HAS A SPOUSE THAT IS EMPLOYED BY SHGM. (PART IV, LINE 18)
SCHEDULE L, PART V, SHF BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS MS. MARIA DEVOS, A MEMBER OF SHF'S BOARD OF DIRECTORS, HAS AN INDIRECT OWNERSHIP INTEREST IN A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH SHF. (PART IV, LINE 11)
SCHEDULE L, PART V, SHMG BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS DR. MARK BEVERSLUIS, A FORMER OFFICER OF SHMG'S BOARD OF DIRECTORS, HAS AN OWNERSHIP INTEREST IN A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH SHMG. (PART IV, LINE 12)
SCHEDULE L, PART V, SHL FAMILY AND BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS DR. STEVEN STRBICH, A MEMBER OF SHL'S BOARD OF DIRECTORS, HAS OWNERSHIP IN A TAXABLE ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH SHL. (PART IV, LINE 14) MR. MARK VIPPERMAN, AN OFFICER AND MEMBER OF SHL'S BOARD OF DIRECTORS, HAS A DAUGHTER THAT IS EMPLOYED BY SHL (PART IV, LINE 20)
Schedule L (Form 990 or 990-EZ) 2013


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