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," on 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
2015
Open to Public
Inspection
Name of the organization
Spectrum Health System Group Return
 
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" on 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) Spectrum Health System
100 Michigan St NE
Grand Rapids,MI49503 		38-3382353 501(c)(3) 3,256,070       General Support
(2) Cherry Street Health Services
550 Cherry St SE
Grand Rapids,MI49503 		38-2853534 501(c)(3) 300,000       Vision & Dental care
(3) Access of West Michigan
2850 Kalamazoo SE
Grand Rapids,MI49506 		38-3195190 501(c)(3) 150,000       Food Pantry Assistance for Chronic Health Conditions
(4) Home Repair Services
1100 South Division
Grand Rapids,MI49507 		38-2263817 501(c)(3) 135,000       Food and Nutrition Education through Community Food Club
(5) Grand Rapids Public Schools
1331 Franklin SE
Grand Rapids,MI49506 		38-6002019 Governmental Entity 125,000       Health, Science & Technology Program for underserved youth
(6) Asthma Network of West Michigan
390 Jefferson SE Ste 3
Grand Rapids,MI49503 		38-3351467 501(c)(3) 107,000       Asthma prevention
(7) Healthnet of West MI DBA Kent Health Plan
620 Century Ave SW
Suite 210
Grand Rapids,MI49503 		38-3609504 501(c)(3) 105,000       Obesity Management and Physical Fitness
(8) YMCA
475 Lake Michigan Dr NW
Grand Rapids,MI49503 		38-1358058 501(c)(3) 102,716       Obesity Management and Physical Fitness
(9) Mel Trotter Ministries
225 Commerce SW
Grand Rapids,MI49503 		38-1410467 501(c)(3) 102,500       Recouperation Center Services/Food Assistance
(10) Health Intervention Services
15 Andre St
Grand Rapids,MI49503 		38-3273825 501(c)(3) 95,000       Medical Care Services
(11) COVE
906 E Ludington Ave
Ludington,MI49431 		38-2243550 501(c)(3) 70,000       Sane Suite Sponsorship
(12) Catherines Health Center
1211 Lafayette NE
Grand Rapids,MI49506 		20-3572418 501(c)(3) 58,500       Medical Care Services
(13) Board of Trustees of Michigan State University
426 Auditorium Road
Room 360
East Lansing,MI48824 		38-6005984 501(c)(3) 56,000       Maternal Infant Health support
(14) Grand Rapids Downtown Market
435 Ionia Ave SW
Grand Rapids,MI49503 		45-4492691 501(c)(3) 50,000       Food & Health Education
(15) Family Futures
678 Front Ave NW
Grand Rapids,MI49504 		38-2605028 501(c)(3) 37,000       Early Childhood development evaluation
(16) Wellhouse
600 Cass SE
Grand Rapids,MI49503 		38-2779457 501(c)(3) 26,000       Food and Nutrition Education
(17) Grand Rapids African American Health Institute
515 Michigan NE
Grand Rapids,MI49503 		06-1658200 501(c)(3) 26,000       Food & Health Education
(18) Heartside Ministries
54 SDivision
Grand Rapids,MI49503 		38-2477760 501(c)(3) 25,000       Medical Care Services
(19) Baxter Center
935 Baxter SE
Grand Rapids,MI49503 		38-2779590 501(c)(3) 20,000       Underserved GED Assistance
(20) Arborcircle Corp
1115 Ball NE
Grand Rapids,MI49505 		38-3263853 501(c)(3) 15,000       Behavioral Health Services
(21) Catholic Charities of West MI
40 Jefferson Ave SE
Grand Rapids,MI49503 		38-3014273 501(c)(3) 12,500       Medical Care Services
(22) Degage Ministries
144 SDivision Ave
Grand Rapids,MI49503 		38-1912094 501(c)(3) 12,500       Medical & Food Support
(23) Healthy Homes Coalition
742 Franklin St SE
Grand Rapids,MI49507 		20-5326650 501(c)(3) 10,000       Asthma prevention
(24) Hispanic Center of West MI
1204 Grandville Ave SW
Grand Rapids,MI49503 		38-2265825 501(c)(3) 10,000       Translator certification services
(25) Grand Rapids Red Project
343 Atlas Ave SE
Grand Rapids,MI49506 		38-3414580 501(c)(3) 10,000       Medical Supplies
(26) Kent Schools Services Network
1633 East Beltline NE
Suite 205
Grand Rapids,MI49525 		46-3946663 501(c)(3) 10,000       Behavioral Health for the underserved youth
(27) Dwelling Place of Grand Rapids Inc
101 Sheldon Blvd Ste 2
Grand Rapids,MI49503 		38-2313832 501(c)(3) 10,000       Housing assistance for the homeless
(28) YWCA West Central MI
25 Sheldon Blvd SE
Grand Rapids,MI49503 		38-1359578 501(c)(3) 10,000       Sexual assualt nursing program
(29) Grandville Arts & Humanities
644 Grandville Ave SW
Grand Rapids,MI49503 		38-3482546 501(c)(3) 7,500       Child Physical Education Programs
(30) KLMCDC The Deborah House
2317 Kalamazoo Ave
Grand Rapids,MI49507 		26-0228233 501(c)(3) 7,500       Support services for underserved families
(31) Lakestride Half Marathon INC Fellowship of Christian Athletes
8701 Leeds Road
Kansas City,MO64129 		44-0610626 501(c)(3) 7,000 3,000 FMV Non-Cash Items Community growth
(32) Fulton Street Farmer's Market
1145 Fulton Street East
Grand Rapids,MI49503 		46-2859250 501(c)(3) 6,000       Food Assistance Program
(33) Montcalm Area Intermediate School District
621 New Street
PO Box 367
Stanton,MI48888 		38-1715342 Governmental Entity 5,700       Nursing & Medical Supplies
(34) Grand Rapids Youth Commonwealth (DBA Boys & Girls Club)
235 Straight Ave NW
Grand Rapids,MI49504 		38-0593958 501(c)(3) 5,000       Supplies
(35) Family Outreach Center Inc
1939 Division Ave
Grand Rapids,MI49507 		38-2272711 501(c)(3) 5,000       Behavioral Health for the underserved
(36) Grand Rapids Urban League
745 Eastern SE
Grand Rapids,MI49503 		38-1359259 501(c)(3) 5,000       Community growth
(37) Oasis of Hope
522 Leonard NW
Grand Rapids,MI49504 		20-2781312 501(c)(3) 5,000       Medical Care Services
(38) Regents of University of Michigan
503 S State St
Ann Arbor,MI48108 		38-6006309 501(c)(3) 5,000       Maternal Infant Health support
(39) Grand Rapids Student Advancement Foundation (GR8 sports)
111 Library St NE
Grand Rapids,MI49503 		38-3137984 501(c)(3) 5,000       Girls sports education
(40) Grand Rapids HQ
3501 Fairlanes Ave SW
Grand Rapids,MI49418 		46-5549116 501(c)(3) 5,000       Services for homeless youth
(41) NAACP
1167 Madison Ave SE
Suite 104
Grand Rapids,MI49507 		38-2757044 501(c)(3) 5,000       Community growth
(42) Grand Valley University Foundation
301 Fulton St West
PO Box 1945
Grand Rapids,MI49501 		38-6086770 501(c)(3) 5,000       Cesar Chavez Scholarship Fund
(43) North Kent Community Services
10075 Northland Dr SE
Rockford,MI49341 		38-2066893 501(c)(3) 5,000       Support services for underserved families
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
43
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2015
Page 2

Schedule I (Form 990) 2015
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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 13 13,000      
(1)
(2)
(3)
(4)
(5)
(6)
(7)
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 transcripts and/or letter of acceptance from an accredited college. Scholarship funds are paid directly to the student's college.
Schedule I (Form 990) 2015



Additional Data


Software ID: 15000238
Software Version: 2015v3.0