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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.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
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) BHSH System
100 Michigan St NE
Grand Rapids,MI49503 		38-3382353 501(c)(3) 903,518       General Support
(2) Cherry Street Health Services
550 Cherry St SE
Grand Rapids,MI49503 		38-2853534 501(c)(3) 434,000       Increased Access Dental Services
(3) Dwelling Place Of Grand Rapids
101 Sheldon Blvd Ste 2
Grand Rapids,MI49503 		38-2313832 501(c)(3) 320,000       Racial Health Equity Investment
(4) City Of Grand Rapids
300 MONROE AVE NW
GRAND RAPIDS,MI49503 		38-6004689 GOVERNMENTAL ENTITY 300,000       Racial Health Equity Investment
(5) The Diatribe
PO Box 2582
Grand Rapids,MI49501 		81-4131862 501(c)(3) 250,000       Racial Health Equity Investment
(6) Grandville Avenue Arts & Humanities
644 Grandville Ave SW
Grand Rapids,MI49503 		38-3482546 501(c)(3) 225,000       After School Arts and Library
(7) LifeQuest Urban Outreach Center
1050 Fisk Street SE
Grand Rapids,MI49507 		27-3390609 501(c)(3) 225,000       Racial Health Equity Investment
(8) Community Rebuilders
1120 Monroe Ave NW
Suite 220
Grand Rapids,MI49503 		38-3094108 501(c)(3) 200,000       Racial Health Equity Investment
(9) Community Food Club
1100 South Division
Grand Rapids,MI49507 		82-2265189 501(c)(3) 120,000       Community Food Club
(10) Exalta Health
15 Andre St
Grand Rapids,MI49503 		38-3273825 501(c)(3) 120,000       Breaking Wellness Barriers & Covid Relief Stability funds
(11) Community Healing Centers
2615 Stadium Drive
Kalamazoo,MI49008 		38-1961500 501(c)(3) 100,000       General Support
(12) Refugee Education Center
2130 Enterprise St NE
Kentwood,MI49508 		06-1770896 501(c)(3) 100,000       Program to support refugees in journey towards becoming fully participating members of community.
(13) Michigan Community Health Worker Alliance
901 Tower Dr
Suite 420
Troy,MI48098 		83-1845287 501(c)(3) 90,000       Institutional support for CHW Policy work
(14) Access of West Michigan
2850 Kalamazoo SE
Grand Rapids,MI49506 		38-3195190 501(c)(3) 80,000       Nutritional Options for Wellness Program
(15) Family Outreach
1939 Division South
Grand Rapids,MI49507 		38-2272711 501(c)(3) 80,000       Covid Relief Stability funding
(16) Arbor Circle Corporation
1115 Ball NE
Grand Rapids,MI49505 		38-3263853 501(c)(3) 70,000       Familias Fuertes y Saludables (FFS) (Strong & Healthy Families) & Covid Relief Stability funding
(17) True North Community Services
6308 S Warner Ave
PO Box 149
Fremont,MI49412 		31-6158533 501(c)(3) 60,000       access to funding for clients urgent needs
(18) D A Blodgett For Children
805 LEONARD ST NE
GRAND RAPIDS,MI49503 		38-1358163 501(c)(3) 58,000       Fostering Mental Health and Awareness: Encouraging Healthy Latinx Women and Children
(19) Healthnet of West MI DBA Kent Health Plan
620 Century Ave SW
Suite 210
Grand Rapids,MI49503 		38-3609504 501(c)(3) 55,000       FitKids360 & Covid Relief Stability Funding
(20) Boys & Girls Club of Benton Harbor
600 Nate Wells Senior Drive
Benton Harbor,MI49022 		38-3461586 501(c)(3) 50,000       General Support
(21) Housing Stability Alliance
401 Hall St SW
Suite 385
Grand Rapids,MI49503 		86-2581116 501(c)(3) 50,000       Support to develop an equitable housing system for all residents in Kent County
(22) Michigan's Great Southwest Strategic
175 W Main Street
Benton Harbor,MI49022 		81-1493607 501(c)(3) 50,000       General Support
(23) New Heights Christian Community Development Association
2627 Niles Road
St Joseph,MI49085 		81-5017908 501(c)(3) 50,000       General Support
(24) Calvin University
1800 East Beltline Se
Grand Rapids,MI49546 		38-3071514 501(c)(3) 44,527       Mens focus groups around mental health
(25) Bethany Christian Services
901 Eastern Ave Ne PO Box 294
Grand Rapids,MI49501 		38-1405282 501(c)(3) 40,000       General Support
(26) Boys & Girls Clubs of Grand Rapids Youth Commonwealth
235 Straight Ave NW
Grand Rapids,MI49504 		38-0593958 501(c)(3) 40,000       Learning Assistance Program
(27) Grand Rapids Urban League
745 Eastern SE
Grand Rapids,MI49503 		38-1359259 501(c)(3) 40,000       Support to empower African Americans and other minoritiesto achieve economic self-reliance, parity and civil rights.
(28) Literacy Center Of West Mi
1120 Monroe Ave NW
Suite 240
Grand Rapids,MI49503 		38-2725232 501(c)(3) 40,000       General Support
(29) Realism is Loyalty
601 Franklin St SE
Grand Rapids,MI49507 		46-5225488 501(c)(3) 40,000       Each one teach one, Intensive Mentoring Program
(30) Kingdom Life Ministiries
2317 Kalamazoo Ave SE
Grand Rapids,MI49507 		26-0228233 501(c)(3) 35,000       Deborah House Project
(31) Baxter Community Center
935 Baxter St SE
Grand Rapids,MI49506 		23-7076806 501(c)(3) 30,000       Full Day School Age Care and Academic Support
(32) Friends Of Grand Rapids Parks
PO Box 3199
Grand Rapids,MI49501 		26-1406547 501(c)(3) 30,000       Park Restoration
(33) LINC UP
1167 Madison Ave SE
Grand Rapids,MI49507 		38-3537915 501(c)(3) 30,000       South Side Affordable Housing Project
(34) Samaritas
1950 32nd St SE
Grand Rapids,MI49508 		38-1360553 501(c)(3) 30,000       General Support
(35) Women'S Resource Center
25 Sheldon SE
Suite 220
Grand Rapids,MI49503 		38-2008886 501(c)(3) 30,000       Support for program to address issues faced by women in the workforce.
(36) Krasel Art Center
707 Lake BLVD
St Joseph,MI49085 		23-7009281 501(c)(3) 27,737       General Support
(37) Grand Rapids African American Health Institute
515 Michigan NE
Grand Rapids,MI49503 		06-1658200 501(c)(3) 27,500       Black Male Diabetes Empowerment Network & Strong Fathers
(38) Early Learning Neighborhood
PO Box2956
Grand Rapids,MI49501 		27-3763547 501(c)(3) 25,000       Program to implement early childhood education service to create high quality early care and education in vulnerable neighborhoods.
(39) Healthy Homes Coalition
742 Franklin St SE
Grand Rapids,MI49507 		20-5326650 501(c)(3) 25,000       Breathe Easy Asthma Project
(40) National Kidney Foundation
1169 Oak Valley Drive NE
Ann Arbor,MI48108 		38-1559941 501(c)(3) 25,000       Programa de Prevencion de la Diabetes
(41) United Methodist Community House
904 Sheldon Ave SE
Grand Rapids,MI49507 		38-1360555 501(c)(3) 25,000       Support for general programs offering opportunites to children, youth, adults, seniors, and families in Grand Rapids to increase opportunities to succeed.
(42) YMCA
475 Lake Michigan Dr NW
Grand Rapids,MI49503 		38-1358058 501(c)(3) 25,000       Chronic Disease Prevention through the YMCA Weight Loss Program and Community Fitness Classes
(43) Alternative Directions
1706 S Division Ave
Grand Rapids,MI49507 		38-2405582 501(c)(3) 20,000       Program to assist offenders in leading successful crime-free lives in the community.
(44) Catherines Health Center
1211 Lafayette NE
Grand Rapids,MI49506 		20-3572418 501(c)(3) 20,000       Improving Health Equity by Removing Barriers to Care & Covid Relief Stability funding
(45) Grand Rapids Community Foundation
185 Oakes St SW
Grand Rapids,MI49503 		38-2877959 501(c)(3) 20,000       Work towards inclusive and equitable West Michigan.
(46) Grow - Women's Business Center
25 Sheldon Blvd
Suite 210
Grand Rapids,MI49503 		38-2886028 501(c)(3) 20,000       Support to create a more empowered and equitable West Michigan through opportunities for small business ownership.
(47) No Surrender Running Club
1451 Lake Dr SE
Suite 6954
Grand Rapids,MI49516 		27-5069680 501(c)(3) 20,000       Support to empower Grand Rapids youth to achieve great things using running, goal setting, and meaningful relationship building as tools!
(48) Start Garden LLC
40 Pearl St NW
Suite 200
Grand Rapids,MI49503 		81-1987456 501(c)(3) 18,000       General Support
(49) YMCA
905 N Front Street
Niles,MI49120 		38-1358236 501(c)(3) 17,823       General Support
(50) Court Appointed Special Advocates (CASA) of Southwest Michigan Inc
PO Box 1146
Benton Harbor,MI49023 		83-3301571 501(c)(3) 16,480       General Support
(51) Kaleidoscope Evaluation LLC
1944 Valentine Blvd NE
Grand Rapids,MI49525 		47-4761186   15,000       Strong Beginnings PFS Play Book
(52) Michigan Advocacy Program
15 S Washington St
Ypsilanti,MI48197 		38-1845444 501(c)(3) 15,000       Public policy coordination for Immigrant Rights and Immigrant Access
(53) United Way of Southwest Michigan
2015 Lakeview Avenue
St Joseph,MI49085 		38-1358411 501(c)(3) 12,000       General Support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Graphic Arrow
52
3
Enter total number of other organizations listed in the line 1 table ........................ . Graphic Arrow
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021

Schedule I (Form 990) 2021
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 34 8,000 26,750 N/A N/A
(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) 2021



Additional Data


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Software Version: 2021v4.2