Schedule L
(Form 990)
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.
MediumBulletGo to www.irs.gov/Form990 for instructions and 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
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) 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 the 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
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting 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) 2021
Schedule L (Form 990) 2021
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) DENNIS DISCH
  		FAMILY 971,374 LHNSJ-SEE SCH L, PART V   No
(2) PHILIP WAALKES
  		FAMILY 316,968 SHMG-SEE SCH L, PART V   No
(3) LYNN TODMAN
  		FAMILY 303,706 LHNSJ-SEE SCH L, PART V   No
(4) AMWAY HOTEL CORPORATION
  		BUSINESS 177,378 SHH-SEE SCH L, PART V   No
(5) GRAND RAPIDS DOWNTOWN MARKET
  		BUSINESS 116,117 SHMG-SEE SCH L, PART V   No
(6) INEZ BONIFACE
  		FAMILY 103,131 LHNSJ-SEE SCH L, PART V   No
(7) KATELYN WILSON
  		FAMILY 96,508 SHZ-SEE SCH L, PART V   No
(8) CLARK GRUBER
  		FAMILY 89,118 LHNSJ-SEE SCH L, PART V   No
(9) PHILLIP COOPER
  		FAMILY 88,588 LHNSJ-SEE SCH L, PART V   No
(10) ERICA MELECA
  		FAMILY 75,802 SHH-SEE SCH L, PART V   No
(11) DANELLE ARNOLD
  		FAMILY 60,923 LHNSJ-SEE SCH L, PART V   No
(12) MICHELE BORRE
  		FAMILY 41,501 LHNSJ-SEE SCH L, PART V   No
(13) HEIDI HOFMAN
  		FAMILY 33,310 SHMG-SEE SCH L, PART V   No
(14) ALLISON FITZGERALD
  		FAMILY 23,826 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 SHZ FAMILY RELATIONSHIPS WITH INTERESTED PERSONS MR. MARK WILSON, A MEMBER OF SHZ'S BOARD OF DIRECTORS, HAS A DAUGHTER THAT IS EMPLOYED BY SHZ. (PART IV, LINE 7)
Schedule L, Part V SHMG FAMILY RELATIONSHIPS WITH INTERESTED PERSONS MS. ANNICA WAALKES, A MEMBER OF SHMG'S BOARD OF DIRECTORS, HAS A SPOUSE THAT IS EMPLOYED BY SHMG. (PART IV, LINE 2) Mr. Ronald Hofman, a member of SHMG's board of directors, has a spouse that is employed by SHMG. (PART IV, LINE 13) Mr. Rick DeVos III, a member of SHMG's board of directors, has an ownership interest in taxable entity that has a business relationship with SHMG. (PART IV, LINE 5).
Schedule L, Part V SHH BUSINESS RELATIONSHIPS WITH INTERESTED PERSONS Mr. Robert Fitzgerald, a member of SHH's board of directors, has a daughter that is employed by SHH. (PART IV, LINE 14) Mr. John Schuen, a member of SHH's board of directors, has a daughter that is employed by SHH. (PART IV, LINE 10) Mr. Rick DeVos III, a member of SHH's board of directors, has an ownership interest in taxable entity that has a business relationship with SHH. (PART IV, LINE 4).
Schedule L, Part V LHNSJ FAMILY RELATIONSHIPS WITH INTERESTED PERSONS Mr. Loren Hamel, an officer and MEMBER OF LHNSJ'S BOARD OF DIRECTORS, has a sister-in-law and a son that are employed by the organization. (PART IV, LINES 6, 9) Mr. Michael Todman, a member of LHNSJ'S BOARD OF DIRECTORS, has a spouse that is employed by the organization. (PART IV, LINE 3) Mr. Lowell Hamel, an officer of LHNSJ, has a daughter that is employed by the organization. (PART IV, LINE 11) Ms. Mary Ann Pater, an officer (Part Year) of LHNSJ, has a sister-in-law that is employed by the organization. (PART IV, LINE 12) Ms. Melinda Gruber, an officer of LHNSJ, has a spouse that is employed by the organization. (PART IV, LINE 8) Ms. Natalie Baggio, an officer of LHNSJ, has a spouse that is employed by the organization. (PART IV, LINE 1)
Schedule L (Form 990) 2021


Additional Data


Software ID: 21014044
Software Version: 2021v4.2