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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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
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
noncash assistance		 (h) Purpose of grant
or assistance
(1) SPECTRUM HEALTH SYSTEM
100 MICHIGAN ST NE
GRAND RAPIDS,MI49503 		38-3382353 501(C)(3) 426,028       GENERAL SUPPORT
(2) CHERRY STREET HEALTH SERVICES
550 CHERRY ST SE
GRAND RAPIDS,MI49503 		38-2853534 501(C)(3) 325,000       VISION & DENTAL CARE
(3) ACCESS OF WEST MICHIGAN
2850 KALAMAZOO SE
GRAND RAPIDS,MI49506 		38-3195190 501(C)(3) 176,875       FOOD PANTRY ASSISTANCE FOR CHRONIC HEALTH CONDITIONS
(4) EXALTA HEALTH
15 ANDRE ST
GRAND RAPIDS,MI49503 		38-3273825 501(C)(3) 124,000       MEDICAL CARE SERVICES
(5) GRAND RAPIDS PUBLIC SCHOOLS
1331 FRANKLIN ST SE
GRAND RAPIDS,MI49506 		38-6002019 GRPS 123,333       HEALTH, SCIENCE & TECHNOLOGY PROGRAM FOR UNDERSERVED YOUTH
(6) HOME REPAIR SERVICES
1100 SOUTH DIVISION
GRAND RAPIDS,MI49507 		38-2263817 501(C)(3) 110,000       FOOD AND NUTRITION EDUCATION THROUGH COMMUNITY FOOD CLUB
(7) ARBOR CIRCLE CORPORATION
1115 BALL NE
GRAND RAPIDS,MI49505 		38-3263853 501(C)(3) 90,000       BEHAVIORAL HEALTH FOR THE UNDERSERVED
(8) HEALTHNET OF WEST MI DBA KENT HEALTH PLAN
620 CENTURY AVE SW
STE 210
GRAND RAPIDS,MI49503 		38-3609504 501(C)(3) 85,000       OBESITY MANAGEMENT AND PHYSICAL FITNESS
(9) MEL TROTTER MINISTRIES
225 COMMERCE SW
GRAND RAPIDS,MI49503 		38-1410467 501(C)(3) 75,000       RECOUPERATION CENTER SERVICES/FOOD ASSISTANCE
(10) WEST MI CENTER FOR ARTS AND TECHNOLOGY
98 E FULTON ST
GRAND RAPIDS,MI49503 		74-3120354 501(C)(3) 67,625       WORKFORCE DEVELOPMENT
(11) LINCUP
1167 MADISON AVE SE
GRAND RAPIDS,MI49507 		38-3537915 501(C)(3) 60,500       SOCIAL DETERMINANTS OF HEALTH MANAGEMENT
(12) COMMUNITY FOOD CLUB
1100 SOUTH DIVISION
GRAND RAPIDS,MI49507 		82-2265189 501(C)(3) 50,000       FOOD AND NUTRITION EDUCATION THROUGH COMMUNITY FOOD CLUB
(13) CATHERINES HEALTH CENTER
1211 LAFAYETTE NE
GRAND RAPIDS,MI49506 		20-3572418 501(C)(3) 50,000       MEDICAL CARE SERVICES
(14) HEALTHY HOMES COALITION
742 FRANKLIN ST SE
GRAND RAPIDS,MI49507 		20-5326650 501(C)(3) 50,000       ASTHMA PREVENTION
(15) START GARDEN
40 PEARL NW 200
GRAND RAPIDS,MI49503 		81-1987459 501(C)(3) 50,000       100 IDEAS CAMPAIGN SUPPORT
(16) YMCA
475 LAKE MICHIGAN DR NW
GRAND RAPIDS,MI49503 		38-1358058 501(C)(3) 43,980       OBESITY MANAGEMENT AND PHYSICAL FITNESS
(17) URBAN ROOTS
1316 MADISON AVE SE
GRAND RAPIDS,MI49507 		47-5167474 501(C)(3) 42,334       FOOD AND NUTRITION EDUCATION
(18) FAMILY OUTREACH CENTER INC
1939 DIVISION AVE
GRAND RAPIDS,MI49507 		38-2272711 501(C)(3) 40,000       BEHAVIORAL HEALTH FOR THE UNDERSERVED
(19) KINGDOM LIFE MINISTRIES
2317 KALAMAZOO AVE SE
GRAND RAPIDS,MI49507 		26-0228233 501(C)(3) 40,000       HOUSING AND SUPPORT GROUPS
(20) LITERACY CENTER OF WEST MICHIGAN
1120 MONROE AVE NW
SUITE 240
GRAND RAPIDS,MI49503 		38-2725232 501(C)(3) 35,000       LITERACY PROGRAMMING
(21) WELL HOUSE
600 CASS SE
GRAND RAPIDS,MI49503 		38-2779457 501(C)(3) 35,000       FOOD AND NUTRITION EDUCATION
(22) NATIONAL KIDNEY FOUNDATION
1169 OAK VALLEY DRIVE NE
ANN ARBOR,MI48108 		38-1559941 501(C)(3) 35,000       OBESITY MANAGEMENT AND PHYSICAL FITNESS
(23) GRAND RAPIDS HQ
3501 FAIRLANES AVE SW
GRAND RAPIDS,MI49418 		46-5549116 501(C)(3) 32,359       SERVICES FOR HOMELESS YOUTH
(24) GRAND RAPIDS YOUTH COMMONWEALTH (DBA BOYS & GIRLS CLUB)
235 STRAIGHT AVE NW
GRAND RAPIDS,MI49504 		38-0593958 501(C)(3) 25,000       SUPPLIES
(25) GRAND RAPIDS RED PROJECT
343 ATLAS AVE SE
GRAND RAPIDS,MI49506 		38-3414580 501(C)(3) 25,000       MEDICAL SUPPLIES
(26) 311 YOUTH HOUSING
722 EASTERN AVE SE
GRAND RAPIDS,MI49503 		46-2391112 501(C)(3) 23,000       YOUTH HOUSING
(27) DEGAGE MINISTRIES
144 DIVISION AVE S
GRAND RAPIDS,MI49503 		38-1912094 501(C)(3) 20,000       MEDICAL & FOOD SUPPORT
(28) OASIS OF HOPE
522 LEONARD NW
GRAND RAPIDS,MI49504 		20-2781312 501(C)(3) 20,000       MEDICAL CARE SERVICES
(29) FAMILY FUTURES
678 FRONT AVE NW
GRAND RAPIDS,MI49504 		38-2605028 501(C)(3) 18,500       EARLY CHILDHOOD DEVELOPMENT EVALUATION
(30) HEARTSIDE MINISTRIES
54 S DIVISION
GRAND RAPIDS,MI49503 		38-2477760 501(C)(3) 15,000       MEDICAL CARE SERVICES
(31) GRAND RAPIDS AFRICAN AMERICAN HEALTH INSTITUTE
515 MICHIGAN NE
GRAND RAPIDS,MI49503 		06-1658200 501(C)(3) 12,500       FOOD & HEALTH EDUCATION
(32) DANISH FESTIVAL INC
PO BOX 211
GREENVILLE,MI48838 		38-1869399 501(c)(3) 12,000       COMMUNITY FESTIVAL
(33) BE WELL CENTER INC
336 HALL ST SE
GRAND RAPIDS,MI49507 		36-4737541 501(C)(3) 10,000       PHYSICAL FITNESS ACTIVITY
(34) SALVATION ARMY (DBA KROC CENTER)
2500 SOUTH DIVISION
GRAND RAPIDS,MI49507 		38-2699000 501(C)(3) 6,000       OBESITY MANAGEMENT AND PHYSICAL FITNESS
(35) GREENVILLE AREA RECREATION & COMMUNITY CENTER
411 S LAFAYETTE ST
GREENVILLE,MI48838 		38-6004556 CITY OF GREENVILLE 5,000       TRIATHLON
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
34
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) 2018
Page 2

Schedule I (Form 990) 2018
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
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) SCHOLARSHIPS 6 6,000      
(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) 2018



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