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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
2020
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) 770,872       GENERAL SUPPORT
(2) CHERRY STREET HEALTH SERVICES
550 CHERRY ST SE
GRAND RAPIDS,MI49503 		38-2853534 501(C)(3) 320,000       INCREASED ACCESS DENTAL SERVICES
(3) EXALTA HEALTH
15 ANDRE ST
GRAND RAPIDS,MI49503 		38-3273825 501(C)(3) 200,000       BREAKING WELLNESS BARRIERS & COVID RELIEF STABILITY FUNDS
(4) GRAND RAPIDS AFRICAN AMERICAN HEALTH INSTITUTE
515 MICHIGAN NE
GRAND RAPIDS,MI49503 		06-1658200 501(C)(3) 156,870       BLACK MALE DIABETES EMPOWERMENT NETWORK & STRONG FATHERS
(5) ROBERT WOOD JOHNSON FOUNDATION
50 COLLEGE RD E
PRINCETON,NJ08540 		22-6029397 501(C)(3) 127,936       CULTURE OF HEALTH AND EVALUATION
(6) ARBOR CIRCLE CORPORATION
1115 BALL NE
GRAND RAPIDS,MI49505 		38-3263853 501(C)(3) 117,880       FAMILIAS FUERTES Y SALUDABLES (FFS) (STRONG & HEALTHY FAMILIES) & COVID RELIEF STABILITY FUNDING
(7) HEALTHNET OF WEST MI DBA KENT HEALTH PLAN
620 CENTURY AVE SW
STE 210
GRAND RAPIDS,MI49503 		38-3609504 501(C)(3) 105,000       FITKIDS360 & COVID RELIEF STABILITY FUNDING
(8) IFF
3011 WEST GRAND BOULEVARD
SUITE 1715
DETROIT,MI48202 		36-3656836 501(C)(3) 100,000       EXPANDING HIGH-QUALITY, REPLICABLE, EARLY CHILDHOOD EDUCATION CENTER OPTIONS IN GRAND RAPIDS
(9) LINCUP
1167 MADISON AVE SE
GRAND RAPIDS,MI49507 		38-3537915 501(C)(3) 90,000       SOUTH SIDE AFFORDABLE HOUSING PROJECT
(10) WEST MI CENTER FOR ARTS AND TECHNOLOGY
98 E FULTON ST
GRAND RAPIDS,MI49503 		74-3120354 501(C)(3) 90,000       WORKFORCE UNIVERSITY
(11) ACCESS OF WEST MICHIGAN
2850 KALAMAZOO SE
GRAND RAPIDS,MI49506 		38-3195190 501(C)(3) 85,000       NUTRITIONAL OPTIONS FOR WELLNESS PROGRAM
(12) COMMUNITY FOOD CLUB
1100 SOUTH DIVISION
GRAND RAPIDS,MI49507 		82-2265189 501(C)(3) 85,000       COMMUNITY FOOD CLUB
(13) CATHERINES HEALTH CENTER
1211 LAFAYETTE NE
GRAND RAPIDS,MI49506 		20-3572418 501(C)(3) 80,000       IMPROVING HEALTH EQUITY BY REMOVING BARRIERS TO CARE & COVID RELIEF STABILITY FUNDING
(14) FAMILY FUTURES
678 FRONT AVE NW
SUITE 210
GRAND RAPIDS,MI49504 		38-2605028 501(C)(3) 63,161       TARGETED IMMUNIZATION OUTREACH & INTERPRETATION SERVICES
(15) REGION IV AREA ON AGING
2900 LAKEVIEW AVENUE
ST JOSEPH,MI49085 		38-2332594 501(C)(3) 60,000       GENERAL SUPPORT
(16) ROOSEVELT PARK MINISTRIES
1530 GRANDVILLE AVE SW
GRAND RAPIDS,MI49503 		38-3305940 501(C)(3) 60,000       COVID RELIEF STABILITY FUNDING-PUERTAS ABIERTAS
(17) CENTERED ON WELLNESS
1850 COLFAX AVENUE
BENTON HARBOR,MI49022 		38-2032501 501(C)(3) 50,000       GENERAL SUPPORT
(18) HEALTHY HOMES COALITION
742 FRANKLIN ST SE
GRAND RAPIDS,MI49507 		20-5326650 501(C)(3) 50,000       BREATHE EASY ASTHMA PROJECT
(19) MICHIGAN'S GREAT SOUTHWEST STRATEGIC LEADERSHIP COUNCIL
175 W MAIN STREET
BENTON HARBOR,MI49022 		81-1493607 501(C)(3) 50,000       GENERAL SUPPORT
(20) BERRIEN COMMUNITY FOUNDATION
2900 S STATE STREET
SUITE 2E
ST JOSEPH,MI49085 		38-6057160 501(C)(3) 45,435       GENERAL SUPPORT
(21) CITY OF NILES
333 N 2ND STREET
NILES,MI49120 		38-6004720 CITY OF NILES 45,000       GENERAL SUPPORT
(22) AFRICAN RESOURCE CENTER OF WEST MICHIGAN
950 28TH ST SE
STE 105E
GRAND RAPIDS,MI49508 		46-4969773 501(C)(3) 40,000       FUTURENOW! TUTORING PROJECT
(23) BAXTER COMMUNITY CENTER
935 BAXTER ST SE
GRAND RAPIDS,MI49506 		23-7076806 501(C)(3) 40,000       FULL DAY SCHOOL AGE CARE AND ACADEMIC SUPPORT
(24) GRAND RAPIDS YOUTH COMMONWEALTH (DBA BOYS & GIRLS CLUB)
235 STRAIGHT AVE NW
GRAND RAPIDS,MI49504 		38-0593958 501(C)(3) 40,000       LEARNING ASSISTANCE PROGRAM
(25) FAMILY OUTREACH CENTER INC
1939 DIVISION AVE
GRAND RAPIDS,MI49507 		38-2272711 501(C)(3) 40,000       COVID RELIEF STABILITY FUNDING
(26) GRABB LOCAL INC
2012 EASTERN AVE SE
GRAND RAPIDS,MI49507 		83-2022454 501(C)(3) 40,000       GRABB RELIEF AND RESILIENCE
(27) MICHIGAN BLACK EXPO INC
101 SOUTH DIVISION AVE
SUITE 215
GRAND RAPIDS,MI49503 		38-3297241 501(C)(3) 40,000       GRASSROOTS UP (GRUP) INITIATIVE
(28) GRANDVILLE AVENUE ARTS & HUMANITIES
644 GRANDVILLE AVE SW
GRAND RAPIDS,MI49503 		38-3482546 501(C)(3) 40,000       AFTER SCHOOL ARTS AND LIBRARY
(29) KINGDOM LIFE MINISTRIES
2317 KALAMAZOO AVE SE
GRAND RAPIDS,MI49507 		26-0228233 501(C)(3) 40,000       DEBORAH HOUSE PROJECT
(30) MEL TROTTER MINISTRIES
225 COMMERCE SW
GRAND RAPIDS,MI49503 		38-1410467 501(C)(3) 40,000       PUBLIC INEBRIATE SHELTER PROGRAM
(31) NEW CITY KIDS INC
936 ALPINE AVE
GRAND RAPIDS,MI49504 		22-3529691 501(C)(3) 40,000       NEW CITY KIDS ACADEMY
(32) NORTH KENT CONNECT
10075 NORTHLAND DR NE
ROCKFORD,MI49341 		38-2066893 501(C)(3) 40,000       RELIEF AND STABILITY FOR RURAL COMMUNITIES
(33) THE SOURCE
1409 BUCHANAN AVE SW
GRAND RAPIDS,MI49507 		20-4903571 501(C)(3) 40,000       STAY SAFE TO WORK SAFE PROJECT
(34) THE STORE HOUSE
4411 PLAINFIELD AVE NE
GRAND RAPIDS,MI49525 		81-4354698 501(C)(3) 40,000       COVID RELIEF STABILITY FUNDING
(35) WEST MICHIGAN HISPANIC CHAMBER OF COMMERCE FOUNDATION
2007 DIVISION AVENUE SOUTH
GRAND RAPIDS,MI49507 		27-5303783 501(C)(3) 40,000       TRANSFORMANDO WEST MICHIGAN UNITY FUND
(36) NATIONAL KIDNEY FOUNDATION
1169 OAK VALLEY DRIVE NE
ANN ARBOR,MI48108 		38-1559941 501(C)(3) 35,000       PROGRAMA DE PREVENCION DE LA DIABETES
(37) YMCA
475 LAKE MICHIGAN DR NW
GRAND RAPIDS,MI49503 		38-1358058 501(C)(3) 35,000       CHRONIC DISEASE PREVENTION THROUGH THE YMCA WEIGHT LOSS PROGRAM AND COMMUNITY FITNESS CLASSES
(38) MIGRANT LEGAL AID INC (DBA MICHIGAN MIGRANT LEGAL ASSISTANCE PROJECT INC)
1104 FULLER AVE NE
GRAND RAPIDS,MI49503 		38-2010346 501(C)(3) 32,500       UNIDOS CONTRA EL COVID
(39) BERRIEN ROSA
711 SAINT JOSEPH AVENUE
BERRIEN SPRINGS,MI49103 		38-1714920 501(C)(3) 30,000       GENERAL SUPPORT
(40) HEART OF WEST MICHIGAN UNITED WAY
118 COMMERCE AVE SW
GRAND RAPIDS,MI49503 		38-1360923 501(C)(3) 30,000       ENTF FOOD AND NUTRITION COALITION DATA-STORY CAPACITY BUILDING
(41) URBAN CORE COLLECTIVE
413 HALL ST SE
GRAND RAPIDS,MI49507 		46-5227869 501(C)(3) 30,000       QUALITATIVE ENGAGEMENT WITH PARENTS AND STUDENTS AROUND SCHOOL ATTENDANCE
(42) KRASEL ART CENTER
707 LAKE BLVD
ST JOSEPH,MI49085 		23-7009281 501(C)(3) 27,750       GENERAL SUPPORT
(43) YMCA
905 N FRONT STREET
NILES,MI49120 		38-1358236 501(C)(3) 26,591       GENERAL SUPPORT
(44) UNITED WAY OF SOUTHWEST MICHIGAN
2015 LAKEVIEW AVENUE
ST JOSEPH,MI49085 		38-1358411 501(C)(3) 25,341       GENERAL SUPPORT
(45) GRAND RAPIDS RED PROJECT
343 ATLAS AVE SE
GRAND RAPIDS,MI49506 		38-3414580 501(C)(3) 25,000       RECOVERY COACHING AND ACCESS TO HEALTHCARE
(46) LAKELAND CARE INC
1234 NAPIER AVENUE
ST JOSEPH,MI49085 		38-3225306   25,000       GENERAL SUPPORT
(47) AMA INTERNATIONAL
2238 TIMBERWOOD DRIVE SE
GRAND RAPIDS,MI49508 		37-1907531 501(C)(3) 24,000       AMA: DELIVERING FOOD AND LOVE FOR ALL- KENT COUNTY
(48) LAKE MICHIGAN COLLEGE
2755 EAST NAPIER AVENUE
BENTON HARBOR,MI49022 		38-2714753 501(C)(3) 20,000       GENERAL SUPPORT
(49) URBAN ROOTS
1316 MADISON AVE SE
GRAND RAPIDS,MI49507 		47-5167474 501(C)(3) 20,000       URBAN ROOTS COMMUNITY MARKET
(50) WELL HOUSE
600 CASS SE
GRAND RAPIDS,MI49503 		38-2779457 501(C)(3) 20,000       IMPROVING HEALTH THROUGH HEALTHY FOOD ACCESS, EDUCATION AND WORK
(51) SENIOR NEIGHBORS
678 FRONT ST NW
STE 205
GRAND RAPIDS,MI49504 		23-7195491 501(C)(3) 15,000       VIRTUAL CONNECTION
(52) AREA AGENCY ON AGING OF WEST MICHIGAN
3215 EAGLECREST DRIVE NE
GRAND RAPIDS,MI49525 		38-2058542 501(C)(3) 8,520       VIRTUAL SUPPORT GROUP FOR FAMILY CAREGIVERS
(53) LA CASA DE LA COBIJA
2355 S DIVISION AVE
GRAND RAPIDS,MI49507 		81-1967847 501(C)(3) 6,160       GENERAL SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
51
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
2
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2020

Schedule I (Form 990) 2020
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 53 11,100 150,857 N/A N/A
(2) GRANTS TO ASSOCIATES IN NEED 9 0 6,516 N/A N/A
(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) 2020



Additional Data


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Software Version: 2020v4.0