2024-11-19T13:42:10-06:00 2023-12-31 920460586 PWC US TAX LLP 655 NEW YORK AVENUE NW SUITE 1100 WASHINGTON DC 20001 990 2023-01-01 611740292 COREWELL HEALTH GROUP RETURN CORE 8669897999 100 COREWELL DR NW ATTN TAX MC6 GRAND RAPIDS MI 49503 MATTHEW E COX CFO 8669897999 2024-11-19 1 1 TRAVIS L PATTON P00369623 2024141000 2023 2024-10-15 13:58:12Z X CHRISTINA FREESE DECKER 100 COREWELL DR NW ATTN TAX MC6481 GRAND RAPIDS MI 49503 10557948208 1 0 5981 X WWW.COREWELLHEALTH.ORG X TO IMPROVE HEALTH, INSTILL HUMANITY AND INSPIRE HOPE. 421 253 0 3546 71462606 8189615 176737204 82215574 9378174305 10143479227 44616243 69209713 73664754 79344632 9673192506 10374249146 59764120 5976567 0 0 5057197321 5024745940 0 0 2466610 4366560058 5198865253 9483521499 10229587760 189671007 144661386 10007679811 8720835664 4313147173 3474735743 5694532638 5246099921 X TO IMPROVE HEALTH, INSTILL HUMANITY AND INSPIRE HOPE. 0 0 9727337578 5976567 10136071929 SEE SCHEDULE OIN FEBRUARY 2022 COREWELL HEALTH WAS FORMED BY THE MERGER OF THE BEAUMONT AND SPECTRUM HEALTH SYSTEMS. COREWELL HEALTH BROUGHT TWO OF MICHIGAN'S MOST RESPECTED HEALTH SYSTEMS TOGETHER IN PURSUIT OF BETTER HEALTH. WE PUT OUR HEALTH AND WELLNESS AT OUR CORE BECAUSE WHEN PEOPLE ARE HEALTHIER, THEY LIVE BETTER. THE ORGANIZATION'S WEBSITE IS COREWELLHEALTH.ORG.COREWELL HEALTH IS AN INTEGRATED HEALTH CARE SYSTEM IN MICHIGAN. COREWELL HEALTH IS DRIVEN BY ITS MISSION TO IMPROVE HEALTH, INSTILL HUMANITY AND INSPIRE HOPE. OUR VISION IS A FUTURE WHERE HEALTH IS SIMPLE, AFFORDABLE, EQUITABLE AND EXCEPTIONAL AND INSPIRED BY OUR VALUES OF COMPASSION, COLLABORATION, CLARITY, CURIOSITY AND COURAGE. AT OUR CORE, WE ARE HERE TO HELP PEOPLE BE WELL SO THEY CAN LIVE THEIR HEALTHIEST LIFE POSSIBLE.THE INTEGRATED HEALTH SYSTEM HAS 21 HOSPITALS, MORE THAN 300 OUTPATIENT LOCATIONS AND POST-ACUTE CARE FACILITIES. IT HAS OVER 65,000 EMPLOYEES INCLUDING MORE THAN 12,000 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS.DURING THE YEAR ENDED DECEMBER 31, 2023, THE COREWELL HEALTH INTEGRATED HEALTH SYSTEM PROVIDED OVER $1 BILLION IN COMMUNITY BENEFIT PROGRAMS IN MICHIGAN. THE COMMUNITY BENEFIT ACTIVITIES INCLUDED HEALTH CLINICS, RESEARCH, DONATIONS, CHARITY CARE, BAD DEBTS RELATED TO CARING FOR THE UNINSURED AND UNDERINSURED, COSTS FOR GOVERNMENT PROGRAM PATIENTS, COMMUNITY PARTNERSHIP PROGRAMS, HEALTH PROFESSION EDUCATION, AND DISCOUNTED CARE UNDER HEALTHY MICHIGAN PLAN (UNDER 250% FEDERAL POVERTY LEVEL).THERE ARE 33 SUBORDINATE ORGANIZATIONS FROM THE COREWELL HEALTH AFFILIATED GROUP THAT ARE PART OF THIS GROUP RETURN. OPERATIONS INCLUDE HOSPITAL FACILITIES, NUMEROUS CLINICAL FACILITIES AND 2 FUNDRAISING FOUNDATIONS.THE SUBORDINATES PROVIDE CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. FINANCIAL ASSISTANCE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. IN ADDITION OUR TEAMS GO THE EXTRA MILE FOR OUR PATIENTS AND COMMUNITIES - AND THIS DEDICATION AND COMMITMENT RESULTS IN EXTERNAL RECOGNITION, AWARDS AND HONORS. NOTABLE HIGHLIGHTS FOR THE YEAR (IN CHRONOLOGICAL ORDER) INCLUDED: U.S. NEWS & WORLD REPORT INCLUDED COREWELL HEALTH REHABILITATION AND CONTINUING CARE, FARMINGTON HILLS AND COREWELL HEALTH REHAB AND NURSING - FULLER IN ITS BEST NURSING HOMES, 2022-2023 LIST.NEWSWEEK INCLUDED THREE COREWELL HEALTH REHABILITATION AND NURSING FACILITIES ON ITS LIST OF THE NATION'S BEST NURSING HOMES OF 2023.HELEN DEVOS CHILDREN'S HOSPITAL CONNECTED TO THE UNITED NETWORK OF ORGAN SHARING (UNOS)'S NATIONAL TRANSPLANT LIST FOR PEDIATRIC HEART TRANSPLANTS, WITH THE FIRST TRANSPLANT EXPECTED BY SPRING 2023.COREWELL HEALTH EARNED 2022 DISTINCTION THROUGH THE TREE CAMPUS HEALTHCARE PROGRAM FOR THE FOURTH CONSECUTIVE YEAR, AWARDED IN 2023.ZEELAND AND GREENVILLE HOSPITALS AWARDED 14TH STRAIGHT 'A' HOSPITAL SAFTEY GRADE.COREWELL HEALTH WAS NAMED TO NEWSWEEK'S 2023 LIST OF BEST MATERNITY CARE HOSPITALS IN THE COUNTRY.COREWELL HEALTH AND MICHIGAN STATE UNIVERSITY INVENT SUCCESSFUL TREATMENT IN 15 MONTHS FOR CHILDREN WHO HAVE AN ULTRA-RARE DISEASE CALLED BACHMANN-BUPP SYNDROME. U.S. NEWS AND WORLD REPORT HAS RECGONIZED HELEN DEVOS CHILDREN'S HOSPITAL IN ITS 2023-2024 BEST CHILDREN'S HOSPITALS RANKINGS IN TWO SPECIALTY AREAS. THEY RANKED AMOUNG BEST NATIONALLY IN PEDIATRICS: CANCER AND PEDIATRICS: NEUROLOGY AND NEUROSURGERY. HELEN DEVOS CHILDREN'S HOSPITAL HAS BEEN RECONGIZED FOR THE 12TH YEAR IN A ROW.CORWELL HEALTH'S STRUCTRUAL HEART AND VALVE CENTER AT BUTTERWORTH HOSPITAL HAS RECEIVED NATIONAL REACCREDIATION FROM THE AMERICAN COLLEGE OF CARDIOLOGY (ACC) FOR ITS TAVR PROGRAM. COREWELL HEALTH WAS THE ONLY HEALTHCARE SYSTEM IN THE STATE TO ACHIEVE THREE ACC ACCREDIATIONS.THE CENTERS FOR MEDICARE AND MEDICAID SERVICES AWARDS A FIVE STAR RATING TO BUTTERWORTH AND BLODGETT HOSPITALS FOR STRONG PERFORMANCE IN KEY QUALITY MEASURES INCLUDING MORTALITY AND READMISSION RATES. BUTTERWORTH AND BLODGETT HOSPITALS WERE IN THE TOP 15% NATIONWIDE TO RECEIVE THIS FIVE STAR RATING. THE CENTERS FOR MEDICARE AND MEDICAID SERVICES AWARDS A FIVE STAR RATING TO ZEELAND COMMUNITY HOSPITAL FOR STRONG PERFORMANCE IN KEY QUALITY MEASURES INCLUDING READMISISON RATES AND SAFETY OF CARE.THE CENTERS FOR MEDICARE AND MEDICAID SERVICES AWARDS A FIVE STAR RATING TO GERBER HOSPITAL FOR STRONG PERFORMANCE IN KEY QUALITY MEASURES INCLUDING MORTALITY AND READMISISON RATES.U.S. NEWS & WORLD REPORT HAS 12 COREWELL HEALTH HOSPITALS AS BEST NATIONALLY RECOGNIZED HOSPITALS IN THE STATE. AMERICAN HEART ASSOCATION AWARDED COREWELL HEALTH RESEARCH TEAM A $400,000 GRANT FOR ITS STUDY TO BETTER UNDERSTAND HOW DIFFERENCES IN PEOPLE'S CELLS IMPACT ILLNESS AND RECOVERY FROM A NUMBER OF CARDIOVASCULAR DISEASES.COREWELL HEALTH HOSPTIALS BUTTERWORTH, BLODGETT, HELEN DEVOS CHILDREN'S, GROSSE POINTE, ROYAL OAK, TROY, FARMINGTON HILLS, TAYLOR AND TRENTON HOSPITALS HAVE EARNED THE PRESTIGIOUS MAGNET DESIGNATION FOR EXCEPTIONAL NURSING. THIS IS THE HIGHEST INTERNATIONAL DISTINCTION A HEALTH CARE ORGANIZATION CAN RECEIVE FOR NURSING EXCELLENCE AND OUTSTANDING PATIENT CARE.COREWELL HEALTH WAS NAMED TO PROFESSIONAL SERVICES AND RESEARCH FIRM SERAMOUNT'S 2023 TOP 75 COMPANIES FOR EXECUTIVE WOMEN. THIS RECONGINTION CELEBRATES COMPANIES THAT CHAMPION WOMEN'S ACHIEVEMENTS, WITH A FOCUS ON SUCCESSION PLANNING, PROFIT AND LOSS ROLES, GENDER-PAY PARITY, SUPPORT AND FLEXIBILITY PROGRAMS.COREWELL HEALTH'S GRAND RAPIDS HOSPITALS BUTTERWORTH AND BLODGETT HAVE RECEIVED THE 2023 RISING STAR AWARD FROM VIZIENT. THE AWARD RECOGNIZES THE HOSPITALS FOR MAKING SIGNIFICANT IMPROVEMENT IN THEIR YEAR-OVER-YEAR RANKINGS AND SCORING IN THE TOP QUARTILE IN THE VIZIENT QUALITY AND ACCOUNTABILITY RANKING.VIZIENT, INC., DESIGNATED COREWELL HEALTH ZEELAND HOSPITALS TOP PERFORMERS IN THE 2023 BERNARD A. BIRNBAUM, MD, QUALITY LEADERSHIP RANKING. THE HOSPITAL RANKED 7TH OUT OF 333 COMMUNITY HOSPTIAL MEMBERS OF VIZIENT AND WAS RECOGNIZED FOR DEMOSTRATING EXCELLENCE IN HIGH QUALITY CARE. BEAUMONT HOSPITAL: GROSSE POINT, LAKELAND HOSPITALS: ST. JOSEPH HOSPITAL & NILES HOSPITAL, AND COREWELL HEALTH HOSPITALS: BIG RAPIDS, GREENVILLE, LUDINGTON & ZEELAND EARNED AN 'A' HOSPITAL SAFETY GRADE FOR FALL 2023 FROM THE LEAPFROG GROUP, A NATIONAL NONPROFIT WATCHDOG THAT SETS STANDARDS FOR EXCELLENCE IN PATIENT CARE.COREWELL HEALTH WAS NAMED TO PROFESSIONAL SERVICES AND RESEARCH FIRM SERAMOUNT'S 2023 INCLUSION INDEX. THIS RECONGNITION CELEBRATES COMPANIES THROUGH THREE KEY AREAS OF AN ORGANIZATION: BEST PRACTICES IN THE RECRUITMENT, RETENTION AND ADVANCEMENT OF PEOPLE FROM HISTORICALLY MARGINALIZED GROUPS WOMEN, RACIAL/ETHNIC GROUPS, PEOPLE WITH DISABILITIES AND LGBTQIA+ PEOPLE; INCLUSIVE COMPANY CULTURE; AND DEMOGRAPHIC DIVERSITY. 9727337578 1 1 0 1 0 0 0 1 1 1 1 0 0 0 1 0 0 1 0 0 1 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 1 810 0 1 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 421 253 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 MI X CORPORATE TAX 8669897999 100 COREWELL DR NW MC6481 GRAND RAPIDS MI 49503 X AARON WONG DIRECTOR 1.00 0.00 X 0 0 0 ABEDELRAHIM ASFOUR MD DIRECTOR/CO-VICE CHAIR 50.00 0.00 X X 0 239588 1977 ALEJANDRO QUIROGA CHAND MD DIRECTOR/PRESIDENT CHW 1.00 50.00 X X 0 1022707 263693 ALICE RASMUSSEN DIRECTOR 1.00 0.00 X 0 0 0 AMEY UPTON DIRECTOR 1.00 0.00 X 0 0 0 AMRITA PANT DIRECTOR 1.00 0.00 X 0 0 0 ANDREW SHANNON DIRECTOR 1.00 0.00 X 0 0 0 ANDREW WIERDA DIRECTOR 1.00 0.00 X 0 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FORMER HIGHEST COMPENSATED 50.00 0.00 X 0 3094729 52602 MUHAMMAD AZRAK MD FORMER HIGHEST COMPENSATED 50.00 0.00 X 0 1535088 67907 0 56917761 7523206 0 1 1 0 THE CHRISTMAN COMPANY 801 BROADWAY AVE NW SUITE 300 GRAND RAPIDS MI 49504 CONSTRUCTION SERVICES 113194784 NORTHSTAR ANESTHESIA OF MICHIGAN III PLL PO BOX 224928 DALLAS TX 75222 ANESTHESIA SERVICES 57146583 AMN HEALTHCARE INC 2999 OLYMPUS BLVD SUITE 500 DALLAS TX 75019 STAFFING SERVICES 38941449 PIONEER CONSTRUCTION 550 KIRTLAND ST SW GRAND RAPIDS MI 49507 CONSTRUCTION SERVICES 29600452 AYA HEALTHCARE INC PO BOX 123519 DALLAS TX 75312 STAFFING SERVICES 21968450 495 2159846 1181300 27504290 43719403 7650735 553701 82215574 PATIENT CARE 622110 9847085086 9778229581 68855505 PHARMACY 440000 234070105 232395720 1674385 QUALITY CARE 900099 16604204 16604204 BILLED SERVICES 900099 15831517 15812788 18729 EDUCATION 900099 10090085 10090085 19798230 19798230 10143479227 73713196 785509 72927687 26432788 10450905 15981883 15981883 128478 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10229587760 9727337578 499783572 2466610 24835823 214301 1967898987 105446497 35377021 42023517 1199678237 1049346284 604016 194524417 117658963 109806271 439491465 6863963959 2965072226 3658169647 3898891733 2135154362 2677729529 68610273 31415929 146731873 33973907 466892900 324039523 10007679811 8720835664 987279962 615039287 42359870 35174837 1698047397 1634985576 56617317 9643953 1528842627 1179892090 4313147173 3474735743 X 5507277736 5045165159 187254902 200934762 5694532638 5246099921 10007679811 8720835664 X 144661386 301478530 -894572633 X X 0 1 X 1 1 1 X 9 WILLIAM BEAUMONT HOSPITAL 381459362 3 1 0 0 OAKWOOD HEALTHCARE INC 381405141 3 1 0 0 BOTSFORD GENERAL HOSPITAL 381426919 3 1 0 0 LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC 382156872 3 1 0 0 LAKELAND COMMUNITY HOSPITAL WATERVLIET 381368745 3 1 0 0 MERCY-MEMORIAL HEALTH SERVICES INCORPORATED 382748035 10 1 0 0 LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER 383452303 3 1 0 0 LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH 382539929 7 1 0 0 HOSPICE AT HOME INC 382416086 7 1 0 0 9 0 0 26461716 28739251 31210325 28492369 81172931 196076592 26461716 28739251 31210325 28492369 81172931 196076592 45742751 150333841 1895014 6142269 2588154 4370235 67772421 82768093 7627496 7627496 1811813 4011107 2948980 1882303 54377968 65032171 351504352 7284179210 0.42770 0.66980 X Schedule A, Part II, Line 10, Explanation of Other Income: MISCELLANEOUS REVENUE - 2019 Amount: $ 0. 2020 Amount: $ 263,836. 2021 Amount: $ 388,687. 2022 Amount: $ 0. 2023 Amount: $ 4,975,090. SPECIAL EVENTS - 2019 Amount: $ 349,971. 2020 Amount: $ 747,200. 2021 Amount: $ 253,207. 2022 Amount: $ 1,882,303. 2023 Amount: $ 1,630,996. ADMIN REIMBURSEMENT - 2019 Amount: $ 1,461,842. 2020 Amount: $ 3,000,071. 2021 Amount: $ 2,307,086. 2022 Amount: $ 0. 2023 Amount: $ 13,415,568. CAFETERIA REVENUE - 2019 Amount: $ 0. 2020 Amount: $ 0. 2021 Amount: $ 0. 2022 Amount: $ 0. 2023 Amount: $ 34,356,314. PART I - REASON FOR PUBLIC CHARITY STATUS THE PUBLIC CHARITY STATUS, A HOSPITAL OR COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III), CHECKED IN PART I REFLECTS THE PUBLIC CHARITY STATUS OF THE LARGEST NUMBER OF SUBORDINATES INCLUDED IN THE GROUP RETURN. THE SUBORDINATES IDENTIFIED BELOW HAVE A PUBLIC CHARITY STATUS DESCRIBED IN 509(A)(2). BEAUMONT MEDICAL GROUP - SPECIALTY SERVICES (EIN 82-2784244) BEAUMONT MEDICAL GROUP - HOSPITAL BASED SERVICES (EIN 82-2768899) BEAUMONT MEDICAL GROUP - PRIMARY CARE SERVICES (EIN 82-2796539) BOTSFORD CONTINUING CARE CORPORATION (EIN 38-2549505) MERCY MEMORIAL HEALTH SERVICES, INC. (EIN 38-2748035) OAKWOOD HEALTH PROMOTIONS, INC. (EIN 38-2601965) SPECTRUM HEALTH CONTINUING CARE (EIN 38-3242232) SPECTRUM HEALTH CONTINUING CARE CENTER (EIN 38-2415333) SPECTRUM HEALTH - LEFFINGWELL AVENUE (EIN 85-4390483) SPECTRUM HEALTH WORTH SERVICES (EIN 38-2786617) VISITING NURSE SERVICES OF WESTERN MICHIGAN (EIN 38-1358412) THE ORGANIZATIONS IDENTIFIED BELOW HAVE A PUBLIC CHARITY STATUS DESCRIBED IN 170(B)(1)(A)(VI). COREWELL HEALTH FOUNDATION WEST MICHIGAN (EIN 38-2752328) HOSPICE AT HOME INC (EIN 38-2416086) LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ST JOSEPH (EIN 38-2539929) THE ORGANIZATIONS IDENTIFIED BELOW HAVE A PUBLIC CHARITY STATUS DESCRIBED IN 170(B)(1)(A)(III) AS HOSPITALS, AND ARE INCLUDED IN PART II OF SCH A AS THEY ALSO MEET THE PUBLIC SUPORT TEST UNDER SECTION 170(B)(1)(A)(VI). OAKWOOD HEALTHCARE, INC (38-1405141) SPECTRUM HEALTH HOSPITALS (38-1360529) WILLIAM BEAUMONT HOSPITAL (38-1459362) THE ORGANIZATIONS IDENTIFIED BELOW HAVE A PUBLIC CHARITY STATUS DESCRIBED IN 509(A)(3) AS TYPE III SUPPORTING ORGANIZATION. BEAUMONT HEALTH (EIN 46-5718220) LAKELAND REGIONAL HEALTH SYSTEM, INC. (EIN 38-2609624) THE ORGANIZATION IDENTIFIED BELOW HAVE A PUBLIC CHARITY STATUS DESCRIBED IN 509(A)(3) AS TYPE I SUPPORTING ORGANIZATION. OAKWOOD UNITED HOSPITALS, INC. (EIN 38-2837961) PART II - SUPPORT MEASUREMENT FOR THE FOLLOWING SUBORDINATES: SPECTRUM HEALTH CONTINUING CARE (EIN 38-3242232) SPECTRUM HEALTH CONTINUING CARE CENTER (EIN 38-2415333) SPECTRUM HEALTH WORTH SERVICES (EIN 38-2786617) VISITING NURSE SERVICES OF WESTERN MICHIGAN (EIN 38-1359195) SPECTRUM HEALTH - LEFFINGWELL AVENUE (EIN 85-4390483) MERCY MEMORIAL HEALTH SERVICES, INC. (EIN 38-2748035) TAX YEAR 2019 WAS A SHORT YEAR (7/1/19 - 12/31/19) PART III - SUPPORT MEASUREMENT FOR THE FOLLOWING SUBORDINATES: COREWELL HEALTH FOUNDATION WEST MICHIGAN (EIN 38-2752328) HOSPICE AT HOME INC (EIN 38-2416086) LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ST JOSEPH (EIN 38-2539929) SPECTRUM HEALTH HOSPTIALS (38-1360529) TAX YEAR 2019 WAS A SHORT YEAR (7/1/19 - 12/31/19) PART III - SUPPORT MEASUREMENT SUPPORT SCHEDULE FOR 509(A)(2) SECTION A. PUBLIC SUPPORT CALENDAR YEAR (A) 2019 LINE 1 130,691 LINE 2 49,406,347 LINE 3 20,507 LINE 4 0 LINE 5 0 LINE 6 49,557,545 LINE 7A 0 LINE 7B 0 LINE 7C 0 SECTION B. TOTAL SUPPORT CALENDAR YEAR (A) 2019 LINE 9 49,557,545 LINE 10A 3,755 LINE 10B 0 LINE 10C 3,755 LINE 11 0 LINE 12 NONE LINE 13 49,561,300 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (B) 2020 LINE 1 16,924 LINE 2 108,063,427 LINE 3 36,675 LINE 4 0 LINE 5 0 LINE 6 108,117,026 LINE 7A 0 LINE 7B 0 LINE 7C 0 SECTION B. TOTAL SUPPORT CALENDAR YEAR (B) 2020 LINE 9 108,117,026 LINE 10A 17,720 LINE 10B 0 LINE 10C 17,720 LINE 11 0 LINE 12 NONE LINE 13 108,134,746 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (C) 2021 LINE 1 727,279 LINE 2 98,592,408 LINE 3 15,012 LINE 4 0 LINE 5 0 LINE 6 99,334,699 LINE 7A 0 LINE 7B 0 LINE 7C 0 SECTION B. TOTAL SUPPORT CALENDAR YEAR (C) 2021 LINE 9 99,334,699 LINE 10A 29,009 LINE 10B 0 LINE 10C 29,009 LINE 11 0 LINE 12 NONE LINE 13 99,363,708 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (D) 2022 LINE 1 4,201,636 LINE 2 347,479,065 LINE 3 11,073 LINE 4 0 LINE 5 0 LINE 6 351,691,774 LINE 7A 0 LINE 7B 0 LINE 7C 0 SECTION B. TOTAL SUPPORT CALENDAR YEAR (D) 2022 LINE 9 351,691,774 LINE 10A 1,171,509 LINE 10B 0 LINE 10C 1,171,509 LINE 11 0 LINE 12 NONE LINE 13 352,863,283 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (E) 2023 LINE 1 1,914,417 LINE 2 361,791,223 LINE 3 321,449 LINE 4 0 LINE 5 0 LINE 6 364,027,089 LINE 7A 0 LINE 7B 0 LINE 7C 0 SECTION B. TOTAL SUPPORT CALENDAR YEAR (E) 2023 LINE 9 364,027,089 LINE 10A 9,953,527 LINE 10B 0 LINE 10C 9,953,527 LINE 11 0 LINE 12 NONE LINE 13 373,980,616 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (F) TOTAL LINE 1 6,990,947 LINE 2 965,332,470 LINE 3 404,715 LINE 4 0 LINE 5 0 LINE 6 972,728,132 LINE 7A 0 LINE 7B 0 LINE 7C 0 LINE 8 972,728,132 SECTION B. TOTAL SUPPORT CALENDAR YEAR (F) TOTAL LINE 9 972,728,132 LINE 10A 11,175,520 LINE 10B 0 LINE 10C 11,175,520 LINE 11 0 LINE 12 NONE LINE 13 983,903,653 LINE 15 PUBLIC SUPPORT PERCENTAGE FOR 2023 98.86% LINE 16 PUBLIC SUPPORT PERCENTAGE FOR 2022 99.82% LINE 17 INVESTMENT INCOME PERCENTAGE FOR 2023 1.14% LINE 18 INVESTMENT INCOME PERCENTAGE FOR 2022 0.18% LINE 19A X - THE ORGANIZATION MEETS AND QUALIFIES FOR THE 33 1/3% SUPPORT TEST. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 0 1 29047 29047 0 Part II-B, Line 1: LOBBYING ACTIVITIES INCLUDE CALLS TO OR MEETINGS WITH GOVERNMENT OFFICIALS OR LAWMAKERS, AND ELECTRONIC COMMUNICATIONS SENT TO CONVEY POSITIONS, CONCERNS, AND RECOMMENDATIONS. SUCH FUNCTIONS WERE PERFORMED BY EMPLOYEES AS WELL AS LOBBYING FIRMS AND TRADE ORGANIZATIONS LOBBYING ON OUR BEHALF. THE AMOUNT IN OTHER ACTIVITIES REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING. 3538785 X 0 1 82302 323301 349532 56071 0 121370317 5198884 15907963 5510837 136966327 145110232 2092487 -21415391 4417011 121370317 130255451 4122097 15215729 4483045 145110232 97349298 25703447 11573893 4371187 130255451 81070443 12717518 5317813 1756476 97349298 0.20758 0.79242 0.00000 0 0 212178359 212178359 4188257025 1447421032 2740835993 64942438 55486181 9456257 1540247654 1123646753 416600901 858338483 338518260 519820223 3898891733 DUE TO AFFILIATES 395752666 LEASE LIABILITIES 228983540 THIRD PARTY SETTLEMENT 150143139 OTHER LIABILITIES 42045912 OTHER POST EMPLOYMENT BENEFITS 12431143 NON-QUALIFIED BENEFIT PLAN LIABILITIES 123715393 FUNDS HELD ON BEHALF OF OTHERS 1665445 LONG TERM PENSION LIABILITY 225154852 1179892090 Part III, Line 4: VARIOUS ART PIECES ARE HELD BY SUBORDINATES FOR PUBLIC EXHIBTION TO CREATE A HEALING ENVIRONMENT FOR PATIENTS, VISITORS, AND STAFF. Part IV, Line 1b: AGENT, TRUSTEE, CUSTODIAN, OR OTHER INTERMEDIARY ARRANGEMENT COREWELL HEALTH REHABILITATION AND NURSING CENTER - KENTRIDGE AND COREWELL HEALTH REHABILITATION AND NURSING CENTER - PINE RIDGE. ACT AS CUSTODIANS OF RESIDENT TRUST BANK ACCOUNTS. THESE BANK ACCOUNTS ARE USED FOR THE RESIDENT'S SPENDING DURING THEIR STAY FOR ITEMS SUCH AS ROOM AND BOARD AND BARBER AND BEAUTY SERVICES. THE FUNDS IN THE BANK ACCOUNTS COME FROM THE SOCIAL SECURITY ADMINISTRATION OR OTHER PERSONAL SOURCES. Part V, Line 4: INTENDED USES OF ENDOWMENT FUNDS COREWELL HEALTH FOUNDATION WEST MICHIGAN, LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ST JOSEPH, AND HOSPICE AT HOME INC HOLD ENDOWMENT FUNDS TO PROVIDE PERPETUAL SUPPORT OF LIFE SAVING PROGRAMS AND SERVICES TO ORGANIZATIONS THROUGHOUT COREWELL HEALTH. Central America and the Caribbean 0 0 INVESTMENTS CAPTIVE INSURANCE 120000 0 0 0 0 0 0 120000 0 120000 1 0 1 1 1 0 PART IV - FOREIGN FORMS CERTAIN SUBORDINATE ORGANIZATIONS RESPOND WITH A YES ANSWER TO LINES 1, 3, 4, AND 5. 2023 GALA DINNER WEST 1397425 1145050 252375 244847 328617 420800 2023 GALA DINNER SOUTH 205496 36250 169246 2665 39117 53076 3850 7626 23 1186015 1186015 308970 2788936 1181300 1607636 2665 283964 381693 3850 737396 1409568 198068 1 1 1 X 250.000000000000 0 1 0 1 1 95273270 65981034 29292236 0.00290 1867737489 1652135720 215601769 0.02110 1963010759 1718116754 244894005 0.02400 19615903 4752846 14863057 0.00150 226858360 76522709 150335651 0.01470 907817169 811030381 96786788 0.00950 36700493 26584823 10115670 0.00100 4102799 4102799 0.00040 1195094724 918890759 276203965 0.02710 3158105483 2637007513 521097970 0.05110 0 0 438 0 438 0.00000 29830 6000 23830 0.00000 1547 0 1547 0.00000 0 0 66786 0 66786 0.00000 55635 0 55635 0.00000 611318 9030 602288 0.00010 0 0 765554 15030 750524 0.00010 1 134585811 0 3415173410 3729093883 -313920473 X 1 1 1 OAKWOOD ACCOUNTABLE CARE ORGANIZATION LLC REDUCE HEALTHCARE COSTS AND MANAGE POPULATION WELL 0.49000 0.00000 0.50000 2 GREATER MICHIGAN LITHOTRIPSY LLC TREATMENT OF KIDNEY STONES 0.21220 0.00000 0.17700 21 1 CH GRAND RAPIDS HOSP-BUTTERWORTH HOSP 100 MICHIGAN ST NE GRAND RAPIDS MI 49503 www.corewellhealth.org 1060000021 381360529 X X X X X X FKA SPECTRUM HEALTH BUTTERWORTH A 2 CH WILLIAM BEAUMONT UNIVERSITY HOSP 3601 W 13 MILE RD ROYAL OAK MI 48073 www.corewellhealth.org 1060000061 381459362 X X X X X X FKA BEAUMONT HOSPITAL, ROYAL OAK B 3 CH BEAUMONT TROY HOSPITAL 44201 DEQUINDRE RD TROY MI 48085 www.corewellhealth.org 1060000101 381459362 X X X X FKA BEAUMONT HOSPITAL, TROY B 4 CH DEARBORN HOSPITAL 18101 OAKWOOD BLVD DEARBORN MI 48124 www.corewellhealth.org 1060000009 381405141 X X X X X FKA BEAUMONT HOSPITAL, DEARBORN B 5 CH GRAND RAPIDS HOSP-BLODGETT HOSP 1840 WEALTHY ST SE GRAND RAPIDS MI 49506 www.corewellhealth.org 1060000016 381360529 X X X X X FKA SPECTRUM HEALTH BLODGETT A 6 CH FARMINGTON HILLS HOSPITAL 28050 GRAND RIVER AVE FARMINGTON HILLS MI 48336 www.corewellhealth.org 1060000070 381426919 X X X X FKA BEAUMONT HOSPITAL, FARMINGTON HILLS B 7 CH LAKELAND HOSPITALS-ST JOSEPH HOSP 1234 NAPIER AVE ST JOSEPH MI 49085 www.corewellhealth.org 1060000010 382156872 X X X X FKA LAKELAND HOSPITALS AT ST. JOSEPH A 8 CH BEAUMONT GROSSE POINTE HOSPITAL 468 CADIEUX RD GROSSE POINTE MI 48230 www.corewellhealth.org 1060000043 381459362 X X X X FKA BEAUMONT HOSPITAL, GROSSE POINTE B 9 CH TRENTON HOSPITAL 5450 FORT ST TRENTON MI 48183 www.corewellhealth.org 1060000075 381405141 X X X X FKA BEAUMONT HOSPITAL, TRENTON B 10 CH TAYLOR HOSPITAL 10000 TELEGRAPH RD TAYLOR MI 48180 www.corewellhealth.org 1060000102 381405141 X X X X FKA BEAUMONT HOSPITAL, TAYLOR B 11 CH WAYNE HOSPITAL 33155 ANNAPOLIS ST WAYNE MI 48184 www.corewellhealth.org 1060000067 381405141 X X X X FKA BEAUMONT HOSPITAL, WAYNE B 12 CH GREENVILLE HOSPITAL 615 S BOWER ST GREENVILLE MI 48838 www.corewellhealth.org 1060000018 381358412 X X X FKA SPECTRUM HEALTH UNITED B 13 CH LAKELAND HOSPITALS-NILES HOSP 31 N ST JOSEPH AVE NILES MI 49120 www.corewellhealth.org 1060000065 382156872 X X X X FKA LAKELAND HOSPITALS AT NILES A 14 CH GERBER HOSPITAL 212 S SULLIVAN ST FREMONT MI 49412 www.corewellhealth.org 1060000054 381359517 X X X X FKA SPECTRUM HEALTH GERBER MEMORIAL B 15 CH LUDINGTON HOSPITAL 1 N ATKINSON DR LUDINGTON MI 49431 www.corewellhealth.org 1060000056 381359266 X X X FKA SPECTRUM HEALTH LUDINGTON B 16 CH ZEELAND HOSPITAL 8333 FELCH ST ZEELAND MI 49464 www.corewellhealth.org 1060000002 381411184 X X X FKA SPECTRUM HEALTH ZEELAND A 17 CH PENNOCK HOSPITAL 1009 W GREEN ST HASTINGS MI 49058 www.corewellhealth.org 1060000022 381360562 X X X X FKA SPECTRUM HEALTH PENNOCK B 18 CH BIG RAPIDS HOSPITAL 605 OAK ST BIG RAPIDS MI 49307 www.corewellhealth.org 1060000045 381368744 X X X FKA SPECTRUM HEALTH BIG RAPIDS B 19 CH REED CITY HOSPITAL 300 N PATTERSON RD REED CITY MI 49677 www.corewellhealth.org 1060000157 382770076 X X X FKA SPECTRUM HEALTH REED CITY B 20 CH WATERVLIET HOSPITAL 400 MEDICAL PARK DR WATERVLIET MI 49098 www.corewellhealth.org 1060000039 381368745 X X X FKA LAKELAND COMMUNITY HOSPITAL WATERVLIET A 21 CH KELSEY HOSPITAL 419 WASHINGTON AVE LAKEVIEW MI 48840 www.corewellhealth.org 1060000147 381297435 X X X X FKA SPECTRUM HEALTH KELSEY B Facility Reporting Group - A 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE PART V, SECTION C X X 1 21 1 SEE PART V, SECTION C 0 1 X 250.000000000000 X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X 1 X 0 X X X X 1 X 0 0 Facility Reporting Group - B 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION C X X 1 22 1 SEE PART V, SECTION C 0 1 X 250.000000000000 X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X 1 X 0 X X X X 1 X 0 0 NAMING CONVENTIONS: DUE TO CHARACTER LIMITATIONS IN OUR REPORTING SYSTEM, WE HAVE ABBREVIATED THE NAMES OF SOME FACILITIES IN PART V, SECTION A AND C. REFER TO SCHEDULE H NAMING CONVENTION DISCLOSURE FOR THE COMPLETE NAMES OF THE LISTED FACILITIES.FOR QUESTIONS IN PART V, SECTION B, FACILITY NAMES HAVE BEEN RECENTLY CHANGED DUE TO THE INTEGRATION OF SPECTRUM HEALTH AND BEAUMONT HEALTH TO FORM COREWELL HEALTH, AS FOLLOWS.COREWELL HEALTH GRAND RAPIDS HOSPITALS - BUTTERWORTH HOSPITAL (FKA SPECTRUM HEALTH BUTTERWORTH)COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL (FKA BEAUMONT HOSPITAL, ROYAL OAK)COREWELL HEALTH BEAUMONT TROY HOSPITAL (FKA BEAUMONT HOSPITAL, TROY)COREWELL HEALTH DEARBORN HOSPITAL (FKA BEAUMONT HOSPITAL, DEARBORN)COREWELL HEALTH GRAND RAPIDS HOSPITALS - BLODGETT HOSPITAL (FKA SPECTRUM HEALTH BLODGETT)COREWELL HEALTH FARMINGTON HILLS HOSPITAL (FKA BEAUMONT HOSPITAL, FARMINGTON HILLS)COREWELL HEALTH LAKELAND HOSPITALS - ST. JOSEPH HOSPITAL (FKA LAKELAND HOSPITALS AT ST. JOSEPH)COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL (FKA BEAUMONT HOSPITAL, GROSSE POINTE)COREWELL HEALTH TRENTON HOSPITAL (FKA BEAUMONT HOSPITAL, TRENTON)COREWELL HEALTH TAYLOR HOSPITAL (FKA BEAUMONT HOSPITAL, TAYLOR)COREWELL HEALTH WAYNE HOSPITAL (FKA BEAUMONT HOSPITAL, WAYNE)COREWELL HEALTH GREENVILLE HOSPITAL (FKA SPECTRUM HEALTH UNITED)COREWELL HEALTH LAKELAND HOSPITALS - NILES HOSPITAL (FKA LAKELAND HOSPITALS AT NILES)COREWELL HEALTH GERBER HOSPITAL (FKA SPECTRUM HEALTH GERBER MEMORIAL)COREWELL HEALTH LUDINGTON HOSPITAL (FKA SPECTRUM HEALTH LUDINGTON)COREWELL HEALTH ZEELAND HOSPITAL (FKA SPECTRUM HEALTH ZEELAND)COREWELL HEALTH PENNOCK HOSPITAL (FKA SPECTRUM HEALTH PENNOCK)COREWELL HEALTH BIG RAPIDS HOSPITAL (FKA SPECTRUM HEALTH BIG RAPIDS)COREWELL HEALTH REED CITY HOSPITAL (FKA SPECTRUM HEALTH REED CITY)COREWELL HEALTH WATERVLIET HOSPITAL (FKA LAKELAND COMMUNITY HOSPITAL WATERVLIET)COREWELL HEALTH KELSEY HOSPITAL (FKA SPECTRUM HEALTH KELSEY)FACILITY REPORTING GROUPS A/BA/B - IN 2022, COREWELL HEALTH GROUP RETURN WAS EXPANDED WITH THE INTEGRATION OF TWO OF MICHIGAN'S LARGEST HEALTHCARE SYSTEMS (SPECTRUM HEALTH AND BEAUMONT HEALTH). NAME CHANGES HAVE OCCURRED AS PART OF THE INTEGRATION DURING THE TAX YEAR. CONTENT CONTAINED IN SCH H SPECIFIC TO CHNA'S AND IMPLEMENTATION PLANS MAY REFERENCE NAME STRUCTURES PRIOR TO INTEGRATION.PART V, SECTION B, LINE 5INPUT FROM PERSONS WHO REPRESENT BROAD INTERESTS OF COMMUNITY SERVEDFACILITY NAME:COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL AND COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITALDESCRIPTION:THE DATA COLLECTION PROCESS INVOLVED COMMUNITY SURVEYS, COMMUNITY-LED FOCUS GROUPS, A BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEY, LOCAL, STATE, AND NATIONAL SECONDARY SOURCES, AND PRIORITIZATION MEETINGS WITH STAKEHOLDERS. EACH OF THESE METHODS ARE DESCRIBED IN DETAIL ALONG WITH THE QUESTIONS USED IN THE KENT COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT.THE COMMUNITY SURVEY WAS ADMINISTERED IN AN ONLINE AND PAPER-BASED FORMAT IN BOTH ENGLISH AND SPANISH TO INDIVIDUALS WHO LIVE OR WORK IN KENT COUNTY. NEARLY 1,700 RESIDENTS RESPONDED TO THE SURVEY WHICH CONTAINED 54 QUESTIONS RELATED TO COVID-19, STRESS AND SOCIAL SUPPORT, NEIGHBORHOOD CHARACTERISTICS, AND BARRIERS TO HEALTH SERVICES. RESPONDENTS WERE ALSO ASKED TO IDENTIFY THE TOP FIVE HEALTH CONDITIONS AND SOCIAL DETERMINANTS OF HEALTH THAT HAD THE GREATEST IMPACT ON THEM. FOCUS GROUPS WERE ANOTHER METHOD OF DATA COLLECTION WHICH WAS USED TO COLLECT INPUT FROM COMMUNITY PARTNER ORGANIZATIONS. THIS PROCESS WAS INSTRUMENTAL IN DETERMINING THE KEY CHARACTERISTICS OF A HEALTHY COMMUNITY, THE MOST IMPORTANT ISSUES THAT NEEDED TO BE ADDRESSED, AND STRENGTHS AND ASSETS OF THE COMMUNITY.THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEY WAS ABLE TO COLLECT FEEDBACK FROM NEARLY 1,400 INDIVIDUALS THROUGH A STANDARDIZED SURVEY CONDUCTED VIA TELEPHONE INTERVIEWS OFFERED IN BOTH ENGLISH AND SPANISH. THE BRFSS SURVEYS WERE ESSENTIAL IN COLLECTING INFORMATION FROM A REPRESENTATIVE SAMPLE OF KENT COUNTY RESIDENTS ON SELF-REPORTED DISEASE PREVALENCE AND SELECT RISK FACTORS. A 'FORCES OF CHANGE' ASSESSMENT WAS PERFORMED IN PARTNERSHIP WITH GRAND VALLEY STATE UNIVERSITY MASTER OF PUBLIC ADMINISTRATION STUDENTS TO COLLECT INPUT ON CURRENT AND EMERGING ISSUES IN KENT COUNTY FROM LOCAL STAKEHOLDERS AND ORGANIZATIONS. THE TOP FORCES AND OTHER THEMES WERE INCLUDED IN THE CHNA DOCUMENT THROUGHOUT.INPUT ON SIGNIFICANT HEALTH NEEDS WAS GATHERED FROM OVER 54 COMMUNITY PARTNERS IN THREE SEPARATE PRIORITIZATION MEETINGS. CRITERIA-BASED RANKING WAS USED IN THE MEETINGS FOR PARTICIPANTS TO SCORE HEALTH NEEDS AND RANK THEM BASED ON IMPORTANCE, EXISTING DISPARITIES, AND ABILITY TO ADDRESS THE NEED. PLEASE SEE APPENDIX A OF THE KENT COUNTY CHNA FOR THE PRIORITIZATION TOOL USED. ADDITIONALLY, A VARIETY OF EXISTING DATA AND INFORMATIONAL RESOURCES WERE USED TO PROVIDE ADDITIONAL CONTEXT ABOUT THE COMMUNITY INCLUDING INFORMATION FROM THE U.S. CENSUS BUREAU/AMERICAN COMMUNITY SURVEY, THE CENTERS FOR DISEASE CONTROL AND PREVENTION WONDER, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND THE MICHIGAN PROFILE FOR HEALTHY YOUTH SURVEY ALONG WITH MANY OTHERS.FACILITY NAME:COREWELL HEALTH GREENVILLE HOSPITAL, COREWELL HEALTH KELSEY HOSPITAL, COREWELL HEALTH GERBER HOSPITAL, COREWELL HEALTH REED CITY HOSPITAL, COREWELL HEALTH BIG RAPIDS HOSPITAL, COREWELL HEALTH LUDINGTON HOSPITAL, COREWELL HEALTH PENNOCK HOSPITALDESCRIPTION:DATA WAS GATHERED FROM A VARIETY OF SOURCES USING MULTIPLE METHODOLOGIES. COMMUNITY RESIDENT FEEDBACK WAS OBTAINED VIA A PAPER SURVEY DIRECTED TOWARDS VULNERABLE AND UNDERSERVED SUB-POPULATIONS AS WELL AS A TELEPHONE SURVEY. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS AND KEY INFORMANTS, PROVIDED IN-DEPTH TELEPHONE INTERVIEWS OR COMPLETED AN ONLINE SURVEY. SECONDARY DATA WAS DERIVED FROM VARIOUS GOVERNMENT AND HEALTH SOURCES SUCH AS THE U.S. CENSUS, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, COUNTY HEALTH RANKINGS, BUREAU OF LABOR STATISTICS, AND KIDS COUNT DATA CENTER.MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE CHNA TASK FORCE. ADDITIONALLY, KEY STAKEHOLDERS WHO WERE INTERVIEWED ARE DEFINED AS EXECUTIVE LEVEL COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH AND/OR HUMAN SERVICE ISSUES AND ARE OFTEN INVOLVED IN POLICY DECISION MAKING. KEY INFORMANTS WHO PARTICIPATED IN THE ONLINE SURVEY ARE DEFINED AS COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH ISSUES OR HAVE EXPERIENCE WITH SUB POPULATIONS IMPACTED MOST BY ISSUES IN HEALTH/HEALTH CARE. FOR A LISTING OF THE TITLES OF INDIVIDUALS AND SOURCES CONSULTED, SEE THE CHNA APPENDIX. PART V, SECTION B, LINE 5 CONTINUED FACILITY NAME:COREWELL HEALTH ZEELAND HOSPITALDESCRIPTION:DATA WAS GATHERED FROM A VARIETY OF SOURCES USING MULTIPLE METHODOLOGIES. COMMUNITY RESIDENT FEEDBACK WAS OBTAINED VIA A PAPER SURVEY DIRECTED TOWARDS VULNERABLE AND UNDERSERVED SUB-POPULATIONS AS WELL AS A TELEPHONE SURVEY. NEARLY 350 RESIDENTS COMPLETED THIS SURVEY. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS AND KEY INFORMANTS, PROVIDED IN-DEPTH TELEPHONE INTERVIEWS AND AN ONLINE SURVEY. THE BEHAVIORAL RISK FACTOR SURVEILLANCE (BRFS) SURVEY WAS UTILIZED TO COLLECT FEEDBACK FROM 1,200 INDIVIDUALS THROUGH A STANDARDIZED SURVEY CONDUCTED VIA TELEPHONE INTERVIEWS OFFERED IN BOTH ENGLISH AND SPANISH. THE BRFS WAS ESSENTIAL IN COLLECTING INFORMATION FROM A REPRESENTATIVE SAMPLE OF OTTAWA COUNTY RESIDENTS ON SELF-REPORTED DISEASE PREVALENCE AND SELECT RISK FACTORS. SECONDARY DATA WAS DERIVED FROM VARIOUS GOVERNMENT AND HEALTH SOURCES SUCH AS THE U.S. CENSUS, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, COUNTY HEALTH RANKINGS, BUREAU OF LABOR STATISTICS, AND KIDS COUNT DATA CENTER. MANY PUBLIC HEALTH EXPERTS WERE CONSULTED AS MEMBERS OF THE CHNA TASK FORCE. ADDITIONALLY, KEY STAKEHOLDERS WHO WERE INTERVIEWED ARE DEFINED AS EXECUTIVE LEVEL COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH AND/OR HUMAN SERVICE ISSUES AND ARE OFTEN INVOLVED IN POLICY DECISION MAKING. KEY INFORMANTS WHO PARTICIPATED IN THE ONLINE SURVEY ARE DEFINED AS COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH ISSUES OR HAVE EXPERIENCE WITH SUB POPULATIONS IMPACTED MOST BY ISSUES IN HEALTH/HEALTH CARE. FOR A LISTING OF THE TITLES OF INDIVIDUALS AND SOURCES CONSULTED, SEE THE CHNA APPENDIX.FACILITY NAME:COREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITALTHE CHNA WAS INFORMED BY DATA COLLECTED THROUGH MULTIPLE METHODS. PRIMARY SOURCE DATA (FIRSTHAND INFORMATION COLLECTED DIRECTLY FROM COMMUNITY MEMBERS) WAS COLLECTED THROUGH SURVEYS, PHOTOVOICE, AND INTERVIEWS, WITH A FOCUS ON GATHERING INPUT FROM NEIGHBORHOODS EXPERIENCING THE POOREST HEALTH OUTCOMES (I.E., HIGHEST MORTALITY RATES AND LOWEST LIFE EXPECTANCY). ADDITIONAL INFORMATION (SECONDARY DATE) WAS GATHERED THROUGH SCIENTIFIC LITERATURE, POLICY BRIEFS, AND OTHER ORGANIZATIONAL DOCUMENTS. GOVERNMENT DATASETS (E.G., EMPLOYMENT, INCOME, AGRICULTURE, HOUSING, TRANSPORTATION, HEALTHCARE RESOURCES, CIVIL ENGAGEMENT, AND RECREATION) WERE ALSO UTILIZED.THE SURVEY WAS ADMINISTERED IN ELECTRONIC AND PAPER FORMATS TO GOVERNMENT BODIES, LOCAL BUSINESSES, K-12 SCHOOLS, HIGHER EDUCATION INSTITUTIONS, AND NON-PROFIT AND OTHER COMMUNITY ORGANIZATIONS. INPUT WAS SOLICITED FROM STAKEHOLDERS WHO WERE DIVERSE BY AGE, ETHNICITY, GENDER IDENTITY, LANGUAGE PROFICIENCY, LITERACY LEVEL, PROFESSION, SEXUAL ORIENTATION, AND SOCIOECONOMIC STATUS. TO ENSURE INPUT WAS RECEIVED FROM COMMUNITY MEMBERS FACED WITH LITERACY CHALLENGES AND LANGUAGE BARRIERS, SURVEY QUESTIONS WERE ADMINISTERED VERBALLY (I.E., INTERVIEWS) AND TRANSLATED INTO SPANISH. SURVEY RESPONSES WERE RECEIVED FROM NEARLY 2,000 PEOPLE. PHOTOVOICE WAS USED TO CAPTURE RESPONSES TO THE SURVEY QUESTIONS FROM MORE THAN 100 AREA YOUTH. WHILE GATHERING COMMUNITY INPUT, EFFORTS WERE MADE TO ENSURE THAT THE DEMOGRAPHICS OF RESPONDENTS REFLECTED THE DEMOGRAPHICS OF BERRIEN COUNTY. MOREOVER, THE CHNA TEAM OVERSAMPLED IN GEOGRAPHIC AREAS WITH THE HIGHEST DEATH RATES AND LOWEST LIFE EXPECTANCIES. THUS, THE TEAM WAS ABLE TO ENSURE INPUT FROM THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, AND FROM INDIVIDUALS AND ORGANIZATIONS WHO SERVE OR REPRESENT THE INTERESTS OF THESE POPULATIONS. DATA WAS ALSO COLLECTED THROUGH REVIEWS OF DOCUMENTS PUBLISHED BY THE BERRIEN COUNTY HEALTH DEPARTMENT, THE BERRIEN COUNTY MENTAL HEALTH AUTHORITY (RIVERWOOD CENTER), THE SOUTHWEST MICHIGAN PLANNING COMMISSION, AND OTHER BODIES WITH SPECIALIZED KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY.FACILITY NAME:COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL, COREWELL HEALTH BEAUMONT TROY HOSPITAL, COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL, COREWELL HEALTH FARMINGTON HILLS HOSPITAL, COREWELL HEALTH DEARBORN HOSPITAL, COREWELL HEALTH TRENTON HOSPITAL, COREWELL HEALTH TAYLOR HOSPITAL, AND COREWELL HEALTH WAYNE HOSPITALA COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN 2022 FOR EACH OF THE BEAUMONT HEALTH HOSPITALS WITH THE GOAL OF IMPROVING THE HEALTH OF THOSE IN SOUTHEASTERN MICHIGAN. BEAUMONT HAS LONG CONSIDERED COMMUNITY NEED A CORE COMPONENT OF THEIR MISSION OF SERVICE TO LOCAL COMMUNITIES. A STEERING COMMITTEE COMPRISED OF INTERNAL STAFF AND COMMUNITY PARTNERS WAS CONVENED TO GUIDE THE PROCESS AND ASSIST IN THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR EACH HOSPITAL. THE PRIMARY SERVICE AREA WAS DEFINED BY THE CONTIGUOUS ZIP CODES WHERE 80 PERCENT OF THE HOSPITAL'S ADMITTED PATIENTS ORIGINATE. THE COMBINED PRIMARY SERVICE AREAS OF THE EIGHT BEAUMONT SERVICE AREAS INCLUDES MACOMB, OAKLAND, AND WAYNE COUNTIES IN SOUTHEAST MICHIGAN. MICHIGAN PUBLIC HEALTH INSTITUTE (MPHI) WAS RETAINED TO ASSIST IN THE QUANTITATIVE AND QUALITATIVE DATA. MORE THAN 200 PUBLIC HEALTH INDICATORS WERE EVALUATED FOR THE QUANTITATIVE ANALYSIS. COMMUNITY NEEDS WERE IDENTIFIED BY COMPARING EACH COMMUNITY'S VALUE FOR EACH HEALTH INDICATOR TO THAT OF THE OTHER LOCAL COUNTIES, STATE OR NATION. DATA WERE COMPILED AND CHECKED AGAINST FIVE CRITERIA TO NARROW DOWN INDICATORS TO INCLUDE. THESE CRITERIA INCLUDED DISPARITIES BETWEEN POPULATION GROUPS, RATES TRENDING WORSE OVER TIME, THE BEAUMONT SERVICE AREA BELOW STATE OR NATIONAL AVERAGES, FALLING SHORT OF GOALS FOR PERFORMANCE, AND CURRENT PERFORMANCE RELATED TO PREVIOUS ORGANIZATION OR CHNA PRIORITIES.COMMUNITY FOCUS GROUPS AND KEY INFORMANT INTERVIEWS PROVIDED QUALITATIVE INFORMATION FOR THE CHNA. FOCUS GROUPS WERE DESIGNED TO CAPTURE MORE CONTEXTUAL INFORMATION FROM COMMUNITY MEMBERS ON HEALTH IN THE COMMUNITY, WITH A SPECIAL INTEREST OF ENGAGING COMMUNITY MEMBERS REPRESENTING IDENTIFIED PRIORITY POPULATIONS. KEY INFORMANT INTERVIEWS INCLUDED COMMUNITY LEADERS, PUBLIC HEALTH EXPERTS, AND THOSE REPRESENTING THE NEEDS OF INDIVIDUALS WITH CHRONIC DISEASES, MINORITY, UNDERSERVED AND INDIGENT POPULATIONS. FOR A COMPLETE LISTING OF PARTICIPANTS PLEASE VISIT BEAUMONT.ORG/CHNA. THE OUTCOMES OF THE QUANTITATIVE AND QUALITATIVE ANALYSIS WERE ALIGNED TO CREATE A COMPREHENSIVE LIST OF HEALTH NEEDS FOR EACH COMMUNITY.THE CHNA STEERING COMMITTEE SELECTED CRITERIA TO BE USED FOR THE PRIORITIZATION WORKGROUP TO IDENTIFY THE MOST SIGNIFICANT NEEDS FOR EACH COMMUNITY. THE CRITERIA UTILIZED WAS: DISPARITIES IN HEALTH OUTCOMES, URGENCY, AND FEASIBILITY OF POSSIBLE INTERVENTIONS. THROUGH THE PRIORITIZATION PROCESS, THREE SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED IN THE IMPLEMENTATION STRATEGY: BEHAVIORAL HEALTH (MENTAL HEALTH WELL-BEING, SUBSTANCE MISUSE), HEALTH EDUCATION (CULTURALLY APPROPRIATE HEALTH EDUCATION, COMMUNITY CONNECTEDNESS, EDUCATION ON COMMUNITY INFRASTRUCTURE THAT SUPPORT HEALTH), AND ACCESS TO CARE (DISCRIMINATION AND INEQUITY IN HEALTH CARE, SYSTEM NAVIGATION). ALL OTHER SIGNIFICANT NEEDS WERE NOT CHOSEN FOR A COMBINATION OF THE FOLLOWING REASONS: THE NEED WAS NOT WELL-ALIGNED WITH ORGANIZATIONAL STRENGTHS, THERE WAS NOT ENOUGH EXISTING ORGANIZATIONAL RESOURCES TO ADEQUATELY ADDRESS THE NEED, OTHER FACILITIES OR ORGANIZATIONS IN THE COMMUNITY ARE ADDRESSING THEM, OR A LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS TO ADDRESS THE NEED WERE GIVEN.IMPLEMENTATION PLANS WERE DEVELOPED FOR EACH BEAUMONT HOSPITAL WITH THE PRIORITIZED NEEDS OF BEHAVIORAL HEALTH, HEALTH EDUCATION, AND ACCESS TO CARE. CURRENT PROGRAMMING WAS IDENTIFIED ALONG WITH NEW PROGRAMS TO BE IMPLEMENTED. THE CHNA AND IMPLEMENTATION STRATEGIES WERE SHARED WITH ALL ORGANIZATIONS AND PARTICIPANTS WHO PARTICIPATED IN THE INTERVIEWS AND FOCUS GROUPS, SHARED WITH COMMUNITY COALITIONS, AND POSTED ON THE COREWELL HEALTH WEBSITE. COPIES ARE AVAILABLE UPON REQUEST. THE 2022 CHNA CONSIDERED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. INTERVIEWS AND FOCUS GROUPS WERE CONDUCTED FOR EACH OF THE BEAUMONT HEALTH HOSPITAL COMMUNITIES TO PROVIDE QUALITATIVE INFORMATION FOR THE CHNA. PARTICIPANTS INCLUDED COMMUNITY LEADERS, PUBLIC HEALTH EXPERTS AND THOSE REPRESENTING THE NEEDS OF INDIVIDUALS WITH CHRONIC DISEASES, MINORITY, UNDERSERVED AND INDIGENT POPULATIONS. FOR A COMPLETE LISTING OF PARTICIPANTS PLEASE VISIT BEAUMONT.ORG/CHNA. PART V, SECTION B, LINE 6A THE FOLLOWING FACILITIES CONDUCTED THE CHNA WITH ONE OR MORE OTHER HOSPITAL FACILITIES. THE APPLICABLE FACILITIES AND OTHER HOSPITAL FACILITIES ARE DESCRIBED BELOW.FACILITY NAME:COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL AND COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITALDESCRIPTION:METRO HEALTH - UNIVERSITY OF MICHIGAN HEALTHPINE RESTMARY FREE BED REHABILITATION HOSPITALMERCY HEALTHFACILITY NAME:COREWELL HEALTH BIG RAPIDS HOSPITAL, COREWELL HEALTH REED CITY HOSPITAL, COREWELL HEALTH GERBER HOSPITAL, COREWELL HEALTH LUDINGTON HOSPITALDESCRIPTION:CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENTDISTRICT HEALTH DEPARTMENT #10MCLAREN HEALTH CAREMUNSON HEALTHCAREFACILITY NAME:COREWELL HEALTH KELSEY HOSPITAL AND COREWELL HEALTH GREENVILLE HOSPITAL DESCRIPTION:SHERIDAN COMMUNITY HOSPITAL SPARROW CARSON HOSPITALFACILITY NAME:COREWELL HEALTH ZEELAND HOSPITALDESCRIPTION:HOLLAND HOSPITALNORTH OTTAWA COMMUNITY HEALTH SYSTEMFACILITY NAME:COREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITALDESCRIPTION:THESE FACILITIES DID NOT CONDUCT THE CHNA WITH ONE OR MORE OTHER HOSPITAL FACILITIES. FACILITY NAME:COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL, COREWELL HEALTH BEAUMONT TROY HOSPITAL, COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL, COREWELL HEALTH FARMINGTON HILLS HOSPITAL, COREWELL HEALTH DEARBORN HOSPITAL, COREWELL HEALTH TRENTON HOSPITAL, COREWELL HEALTH TAYLOR HOSPITAL, AND COREWELL HEALTH WAYNE HOSPITALDESCRIPTION:THESE FACILITIES DID NOT CONDUCT THE CHNA WITH ONE OR MORE OTHER HOSPITAL FACILITIES. PART V, SECTION B, LINE 6BTHE FOLLOWING FACILITIES CONDUCTED THE CHNA WITH ONE OR MORE OTHER THAN HOSPITAL FACILITIES. THE APPLICABLE FACILITIES AND OTHER THAN HOSPITAL FACILITIES ARE DESCRIBED BELOW.FACILITY NAME:COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL AND COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITALDESCRIPTION:KENT COUNTY HEALTH DEPARTMENTIN ADDITION, MANY COMMUNITY ORGANIZATIONS PARTICIPATED IN OR SUPPORTED COREWELL HEALTH IN THE CHNA PROCESS. THESE INCLUDED:ALTERNATIVES IN MOTION, AMERICAN HEART ASSOCIATION, ARBOR CIRCLE AREA AGENCY ON AGING OF WEST MICHIGAN, BETHLEHEM INTERGENERATIONAL CENTER, CALVIN UNIVERSITY, CALVIN UNIVERSITY CENTER FOR SOCIAL RESEARCH, CHERRY HEALTH COMMUNITY FOOD CLUB, COMMUNITY MEMBERS-AT-LARGE, DEAF AND HARD OF HEARING SERVICES, DISABILITY ADVOCATES OF KENT COUNTY, DOUBLE UP FOOD, BUCKS FAMILY FUTURES, FAMILY OUTREACH CENTER, FIRST STEPS, KENT FLAT RIVER OUTREACH MINISTRIES, GARFIELD PARK NEIGHBORHOOD ASSOCIATION, GODFREY LEE PUBLIC SCHOOLS, GRAND RAPIDS LGBTQIA+ HEALTHCARE CONSORTIUM, GRAND RAPIDS PRIDE CENTER, GRAND RAPIDS PUBLIC SCHOOLS, GRAND VALLEY STATE UNIVERSITY, GREAT START COLLABORATIVE, HEALTH NET OF WEST MICHIGAN, HEALTHY HOMES OF WEST MICHIGAN, HEART OF WEST MICHIGAN, UNITED WAY, HEARTSIDE MINISTRIES, KENT COUNTY ESSENTIAL NEEDS TASK FORCE (ENTF), KENT COUNTY HEALTH DEPARTMENT, KENT SCHOOL SERVICES NETWORK, KID'S FOOD BASKET, LAKESHORE REGIONAL ENTITY, MARY FREE BED REHABILITATION HOSPITAL, MEL TROTTER MINISTRIES, MENDING HEARTS MINISTRIES, MERCY HEALTH METRO HEALTH: UNIVERSITY OF MICHIGAN, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN ERVICES, MICHIGAN STATE UNIVERSITY, NORTH KENT CONNECT, OUR COMMUNITY'S CHILDREN, PINE REST CHRISTIAN MENTAL HEALTH SERVICES, PRIORITY HEALTH, ROOSEVELT PARK NEIGHBORHOOD ASSOCIATION, SARAHCARE ADULT DAY CARE CENTERS, SENIOR NEIGHBORS, SPECTRUM HEALTH, SPECTRUM HEALTH HEALTHIER COMMUNITIES, UNITED CHURCH OUTREACH MINISTRIES, WEST MICHIGAN SUSTAINABLE BUSINESS FORUM, YMCA OF GREATER GRAND RAPIDS.FACILITY NAME:COREWELL HEALTH PENNOCK HOSPITALDESCRIPTION:BARRY-EATON DISTRICT HEALTH DEPARTMENTIN ADDITION, MANY COMMUNITY ORGANIZATIONS PARTICIPATED IN OR SUPPORTED THE CHNA PROCESS. THESE INCLUDED:BARRY COUNTY, BARRY COUNTY COMMUNITY MENTAL HEALTH AUTHORITY, BLUE ZONES, FAMILY PROMISE OF BARRY COUNTY, MANNA'S MARKET STATE OF MICHIGAN, BARRY COUNTY CHAMBER & ECONOMIC DEVELOPMENT ALLIANCE, BRIGHT START PEDIATRICS COMMUNITY ACTION AGENCY - SOUTH CENTRAL MICHIGAN, FAMILY SUPPORT CENTER, THORNAPPLE MANOR, BARRY COUNTY COMMISSION ON AGING, BARRY COUNTY UNITED WAY, CALHOUN ISD DELTON-KELLOGG SCHOOLS, HEALING IN AMERICA MIDWEST YMCA OF BARRY COUNTY FACILITY NAME:COREWELL HEALTH BIG RAPIDS HOSPITAL, COREWELL HEALTH REED CITY HOSPITAL, COREWELL HEALTH GERBER HOSPITAL, COREWELL HEALTH LUDINGTON HOSPITALDESCRIPTION:MANY COMMUNITY ORGANIZATIONS PARTICIPATED IN OR SUPPORTED THE CHNA PROCESS. THESE INCLUDED:NORTHWEST MICHIGAN COMMUNITY ACTION AGENCY, TRAVERSE HEALTH CENTER, MYMICHIGAN, HEALTH DISTRICT HEALTH DEPARTMENT #2 AND DISTRICT HEALTH DEPARTMENT #4, GOODWILL NORTHERN MICHIGAN, NORTH COUNTY CMH AUTHORITY, MICHIGAN STATE UNIVERSITY, EXTENSION HEALTH DEPARTMENT, GRAND TRAVERSE COUNTY HEALTH DEPARTMENT, NORTHERN MICHIGAN HEALTH CONSORTIUM, BENZIE-LEELANAU DISTRICT HEALTH DEPARTMENT, EVERYDAY LIFE CONSULTING, DISABILITY NETWORK OF NORTHERN MICHIGAN, BENZIE-LEELANAU DISTRICT HEALTH DEPARTMENT AND HEALTH DEPARTMENT OF NORTHWEST MICHIGAN, ABBY REEG, NEWAYGO COUNTY COMMUNITY COLLABORATIVE, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, NORTHEAST MICHIGAN COMMUNITY SERVICE AGENCY, NORTHWEST MICHIGAN COMMUNITY ACTION AGENCYFACILITY NAME:COREWELL HEALTH GREENVILLE HOSPITAL AND COREWELL HEALTH KELSEY HOSPITALDESCRIPTION:MID-MICHIGAN DISTRICT HEALTH DEPARTMENTIN ADDITION, MANY COMMUNITY ORGANIZATIONS PARTICIPATED IN OR SUPPORTED THE CHNA PROCESS. THESE INCLUDED:MONTCALM AREA INTERMEDIATE SCHOOL DISTRICT, MONTCALM CARE NETWORK, MONTCALM PREVENTION COLLABORATIVE, UNITED WAY OF MONTCALM-IONIA COUNTIESFACILITY NAME:COREWELL HEALTH ZEELAND HOSPITALDESCRIPTION:COMMUNITY MENTAL HEALTH - OTTAWA COUNTYOTTAWA DEPARTMENT OF PUBLIC HEALTHFACILITY NAME:COREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITALDESCRIPTION:CHNA DATA WAS COLLECTED THROUGH REVIEWS OF DOCUMENTS PUBLISHED BY THE BERRIEN COUNTY HEALTH DEPARTMENT, THE BERRIEN COUNTY MENTAL HEALTH AUTHORITY (RIVERWOOD CENTER), THE SOUTHWEST MICHIGAN PLANNING COMMISSION, AND OTHER BODIES WITH SPECIALIZED KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. PART V, SECTION B, LINE 6B CONTINUED FACILITY NAME: COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL, COREWELL HEALTH BEAUMONT TROY HOSPITAL, COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL, COREWELL HEALTH FARMINGTON HILLS HOSPITAL, COREWELL HEALTH DEARBORN HOSPITAL, COREWELL HEALTH TRENTON HOSPITAL, COREWELL HEALTH TAYLOR HOSPITAL, AND COREWELL HEALTH WAYNE HOSPITALDESCRIPTION:MANY COMMUNITY ORGANIZATIONS PARTICIPATED IN OR SUPPORTED THE CHNA PROCESS. THESE INCLUDED:ARAB COMMUNITY CENTER FOR ECONOMIC AND SOCIAL SERVICES (ACCESS), COMMUNITY HEALTH AND RESEARCH CENTER (CHRC), AFFIRMATIONS AMERICAN ARAB CHAMBER OF COMMERCE, AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, ARC OF WESTERN WAYNE COUNTY, THE ASSOCIATION OF CHINESE AMERICANS, ASSUMPTION CULTURAL CENTER AUBURN HILLS, DEPARTMENT OF SENIOR SERVICES, BANGLADESHI AMERICAN PUBLIC AFFAIRS COMMISSION, BIKE DEARBORN, BIRMINGHAM FAMILY YMCA, CABRINI CLINIC, CARE OF SOUTHEASTERN MICHIGAN, CARES (COMMUNITY. ACTION. RESOURCES. EMPOWERMENT. SERVICES.) OF FARMINGTON HILLS, CATHOLIC CHARITIES OF SOUTHEAST MICHIGAN, CENTRO MULTICULTURAL, LA FAMILIA CHALDEAN, CHAMBER CHALDEAN COMMUNITY FOUNDATION, CHRIST CHURCH OF GROSSE POINTE, CHURCH OF THE DIVINE CHILD, CLAWSON SENIOR CENTER, DEARBORN AREA CHAMBER OF COMMERCE, DEARBORN LIBRARY, DEARBORN POLICE DEPARTMENT, DEARBORN PUBLIC SCHOOLS, DEARBORN, CITY OF DETROIT, ABLOOM DOWNRIVER CYCLING CLUB, DOWNRIVER FAMILY YMCA, EASTER SEALS OF MICHIGAN, EAST DEARBORN DOWNTOWN DEVELOPMENT AUTHORITY (DDA), ECOLOGY CENTER, FARMINGTON CHAMBER OF COMMERCE, FARMINGTON COMMUNITY LIBRARY, FARMINGTON FAMILY YMCA, FARMINGTON FARMERS MARKET, FARMINGTON HILLS, FARMINGTON HILLS CHURCH OF GOD, FARMINGTON HILLS LIBRARY, FARMINGTON HILLS NATURE CENTER, FARMINGTON HILLS POLICE DEPT, FARMINGTON HILLS, CITY OF FARMINGTON PUBLIC SCHOOLS, FERNDALE PRIDE, FERNDALE, CITY OF FIRST PRESBYTERIAN CHURCH, FIRSTSTEP FORGOTTEN HARVEST, FULL CIRCLE STARFISH, FAMILY SERVICES STERLING HEIGHTS, CITY OF - PARKS AND RECREATION, SUBURBAN MOBILITY AUTHORITY FOR REGIONAL TRANSPORTATION (SMART), TAYLOR LIBRARY, TAYLOR SCHOOL DISTRICT, TAYLOR, CITY OF TRENTON LIBRARY, TRENTON PUBLIC SCHOOLS TRENTON, CITY OF TRI-COMMUNITY COALITION, TROY STAGE NATURE CENTER, TROY CHAMBER OF COMMERCE, TROY FITNESS CENTER, TROY HISTORIC VILLAGE, TROY LIBRARY, TROY SCHOOL DISTRICT, UNITED WAY FOR SOUTHEASTERN MICHIGAN, UNIVERSITY OF MICHIGAN-DEARBORN, WAYNE COUNTY, WAYNE COUNTY COMMUNITY COLLEGE DISTRICT (WCCCD), WAYNE COUNTY DEPARTMENT OF HEALTH, WAYNE METROPOLITAN COMMUNITY ACTION AGENCY, WAYNE METROPOLITAN COMMUNITY ACTION AGENCY, WESTERN WAYNE FAMILY HEALTH CENTERS WESTLAND, CITY OF WOODSIDE BIBLE CHURCH, WYANDOTTE YOUTH ASSISTANCE PROGRAM, YEMEN AMERICAN BENEVOLENTASSN, YMCA, DEPARTMENT OF HEALTH WAYNE, METROPOLITAN COMMUNITY ACTION AGENCY, WAYNE METROPOLITAN COMMUNITY ACTION AGENCY, WESTERN WAYNE FAMILY HEALTH CENTERS, WESTLAND CITY OF WOODSIDE BIBLE CHURCH, WYANDOTTE YOUTH ASSISTANCE PROGRAM, YEMEN AMERICAN BENEVOLENT ASSN YMCA.PART V, SECTION B, LINE 7ASTEP-BY-STEP INSTRUCTIONS TO ACCESS CHNA SITES:(1) VISIT THE CHNA WEBSITE:- LOCATE THE CHNA WEBSITE FOUND ON PART V, SECTION B, LINE 7A BELOW. - SELECT THE FACILITY YOU WANT TO VIEW.- COPY AND PASTE THE FULL URL TO A WEB BROWSER.- NOTE THAT CLICKING THE LINK DIRECTLY MIGHT RESULT IN PAGE ERROR.(2) SELECT THE RELEVANT CHNA REPORT:- IN THE CHNA SECTION, YOU WILL FIND A LIST OF AVAILABLE REPORTS.- SELECT THE REPORT FOR THE RELEVANT YEAR OR COMMUNITY AREA.(3) CONTACT US FOR MORE INFORMATION:- IF YOU HAVE ANY QUESTIONS OR NEED FURTHER ASSISTANCE, PLEASE EMAIL US AT TAX@COREWELLHEALTH.ORG.CHNA WEBSITE ADDRESSES:COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL AND COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITAL:https://www.spectrumhealth.org/healthier-communities/grand-rapids-hospitals-community-health-needs-assessmentCOREWELL HEALTH GREENVILLE HOSPITAL:https://www.spectrumhealth.org/healthier-communities/united-hospital-community-health-needs-assessmentCOREWELL HEALTH GERBER HOSPITAL:https://www.spectrumhealth.org/healthier-communities/gerber-memorial-community-health-needs-assessmentCOREWELL HEALTH LUDINGTON HOSPITAL:https://www.spectrumhealth.org/healthier-communities/ludington-hospital-community-health-needs-assessmentCOREWELL HEALTH BIG RAPIDS HOSPITAL:https://www.spectrumhealth.org/healthier-communities/big-rapids-hospital-community-health-needs-assessmentCOREWELL HEALTH REED CITY HOSPITAL:https://www.spectrumhealth.org/healthier-communities/reed-city-hospital-community-health-needs-assessmentCOREWELL HEALTH ZEELAND HOSPITAL:https://www.spectrumhealth.org/healthier-communities/zeeland-hospital-community-health-needs-assessmentCOREWELL HEALTH KELSEY HOSPITAL:https://www.spectrumhealth.org/healthier-communities/united-hospital-community-health-needs-assessmentCOREWELL HEALTH PENNOCK HOSPITAL:https://www.spectrumhealth.org/healthier-communities/pennock-community-health-needs-assessmentCOREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITAL AND COREWELL HEALTH WATERVLIET HOSPITAL:https://www.spectrumhealthlakeland.org/population-health/get-facts/community-health-needs-assessmentCOREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL, COREWELL HEALTH BEAUMONT TROY HOSPITAL, COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL, COREWELL HEALTH FARMINGTON HILLS HOSPITAL, COREWELL HEALTH DEARBORN HOSPITAL, COREWELL HEALTH TRENTON HOSPITAL, COREWELL HEALTH TAYLOR HOSPITAL, AND COREWELL HEALTH WAYNE HOSPITAL:https://www.beaumont.org/community/community-health-needs-assessmentPART V, SECTION B, LINE 7 - LINE 7DIN PERSON INQURIES ARE DIRECTED TO THE ORGANIZATION'S WEBSITE LINK, PAPER COPIES ARE AVAILABLE UPON REQUEST AT FACILITY.PART V, SECTION B, LINE 10STEP-BY-STEP INSTRUCTIONS TO ACCESS CHNA IMPLEMENTATION STRATEGY WEBSITE ADDRESSES:(1) VISIT THE CHNA WEBSITE:- LOCATE THE CHNA WEBSITE FOUND ON PART V, SECTION B, LINE 10A BELOW.- SELECT THE FACILITY YOU WANT TO VIEW.- COPY AND PASTE THE FULL URL TO A WEB BROWSER.- NOTE THAT CLICKING THE LINK DIRECTLY MIGHT RESULT IN PAGE ERROR.(2) SELECT THE RELEVANT IMPLEMENTATION PLAN REPORT:- IN THE IMPLEMENTATION SECTION, YOU WILL FIND A LIST OF AVAILABLE REPORTS.- SELECT THE REPORT FOR THE RELEVANT YEAR OR COMMUNITY AREA.(3) CONTACT US FOR MORE INFORMATION:- IF YOU HAVE ANY QUESTIONS OR NEED FURTHER ASSISTANCE, PLEASE EMAIL US AT TAX@COREWELLHEALTH.ORG.IMPLEMENTATION STRATEGY WEBSITE ADDRESS:COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL:https://www.spectrumhealth.org/healthier-communities/grand-rapids-hospitals-community-health-needs-assessmentCOREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITAL:https://www.spectrumhealth.org/healthier-communities/grand-rapids-hospitals-community-health-needs-assessmentCOREWELL HEALTH GREENVILLE HOSPITAL:https://www.spectrumhealth.org/healthier-communities/united-hospital-community-health-needs-assessmentCOREWELL HEALTH GERBER HOSPITAL:https://www.spectrumhealth.org/healthier-communities/gerber-memorial-community-health-needs-assessmentCOREWELL HEALTH LUDINGTON HOSPITAL:https://www.spectrumhealth.org/healthier-communities/ludington-hospitalcommunity-health-needs-assessmentCOREWELL HEALTH BIG RAPIDS HOSPITAL:https://www.spectrumhealth.org/healthier-communities/big-rapids-hospital-community-health-needs-assessmentCOREWELL HEALTH REED CITY HOSPITAL:https://www.spectrumhealth.org/healthier-communities/reed-city-hospitalcommunity-health-needs-assessmentCOREWELL HEALTH ZEELAND HOSPITAL:https://www.spectrumhealth.org/healthier-communities/zeeland-hospital-community-health-needs-assessmentCOREWELL HEALTH KELSEY HOSPITAL:https://www.spectrumhealth.org/healthier-communities/united-hospital-community-health-needs-assessmentCOREWELL HEALTH PENNOCK HOSPITAL:https://www.spectrumhealth.org/healthier-communities/pennock-community-health-needs-assessmentCOREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL, AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITAL:https://www.spectrumhealthlakeland.org/docs/default-source/community-health-needs-assessment chna_report_2022-2024_final.pdf?sfvrsn=a6b71422_2COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL, COREWELL HEALTH BEAUMONT TROY HOSPITAL, COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL, COREWELL HEALTH FARMINGTON HILLS HOSPITAL, COREWELL HEALTH DEARBORN HOSPITAL, COREWELL HEALTH TRENTON HOSPITAL, COREWELL HEALTH TAYLOR HOSPITAL, AND COREWELL HEALTH WAYNE HOSPITAL:https://www.beaumont.org/community/community-health-needs-assessment PART V, SECTION B, LINE 11 HOW HOSPITAL FACILITY IS ADDRESSING NEEDS IDENTIFIED IN CHNAFACILITY NAME:COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL AND COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITAL:DESCRIPTION:THE SIGNFICANT HEALTH NEEDS IDENTIFIED IN THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE MENTAL HEALTH, ECONOMIC SECURITY, ACCESS TO CARE, AND DISCRIMINATION AND RACIAL INEQUITY. ALL OF THE IDENTIFIED NEEDS WERE SELECTED TO BE ADDRESSED IN THE 2022-2024 IMPLEMENTATION STRATEGY REPORT.AS PART OF THE MENTAL HEALTH NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GRAND RAPIDS HOSPITALS' SERVICE AREA. THE THREE STRATEGIES ARE: THE SCHOOL BEHAVIORAL HEALTH TELEMEDICINE CLINIC, SCHOOL FACULTY SUICIDE RESPONSE PROGRAM, AND TRANSITIONAL AGE YOUTH BEHAVIORAL HEALTH CLINIC. THE GOAL OF THESE THREE STRATEGIES IS TO PROMOTE AND RESTORE RESILIENCE AMONG YOUTH AND YOUNG ADULTS IN KENT COUNTY BY INCREASING BEHAVIORAL HEALTH SERVICE OPPORTUNITIES IN AND OUT OF THE SCHOOL SETTING.AS PART OF THE ECONOMIC SECURITY NEED, THERE ARE FIVE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GRAND RAPIDS HOSPITALS' SERVICE AREA. THE FIVE STRATEGIES ARE: AFFORDABLE HOUSING, THE CLIENT ASSISTANCE FUND, FINANCIALS SERVICES/SUPPORT OUTREACH, ENGLISH PROFICIENCY WORKFORCE DEVELOPMENT PROGRAM, AND SUPPLY CHAIN DIVERSITY. THE GOAL OF THESE FIVE STRATEGIES IS TO CREATE OPPORTUNITIES FOR ALL PEOPLE TO LIVE AND WORK IN KENT COUNTY WITH DIGNITY AND ACHIEVE THEIR FULL POTENTIAL.AS PART OF THE ACCESS TO CARE NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GRAND RAPIDS HOSPITALS' SERVICE AREA. THE TWO STRATEGIES ARE: AMPLIFY GR AND VIRTUAL HEALTHCARE ACCESS. THE GOAL OF THESE TWO STRATEGIES IS TO OFFER COMPASSIONATE, LOCAL, AND EQUITABLE CARE IN KENT COUNTY.AS PART OF THE DISCRIMINATION AND RACIAL INEQUITY NEED, THERE ARE FIVE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GRAND RAPIDS HOSPITALS' SERVICE AREA. THE FIVE STRATEGIES ARE: #123 FOR EQUITY PLEDGE, ACADEMY OF HEALTH SCIENCE AND TECHNOLOGY, INCLUSIVE, LOCAL HIRING STRATEGY: OUTSIDE-IN AND INSIDE-UP, INCLUSIVE COMMUNICATION PRACTICES, AND RACISM AS A PUBLIC HEALTH ISSUE. THE GOAL OF THESE STRATEGIES IS THAT SPECTRUM HEALTH WILL REVOLUTIONIZE HEALTHCARE BY CREATING A CULTURE WHERE STAFF CAN BE THEIR AUTHENTIC SELVES AND OFFER PATIENTS CARE THAT RESPECTS THEIR AUTHENTIC SELVES. FACILITY NAME:COREWELL HEALTH ZEELAND HOSPITALDESCRIPTION:THE SIGNFICANT HEALTH NEEDS IDENTIFIED IN THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE MENTAL HEALTH, ACCESS TO CARE, OBESITY, COVID-19, AFFORDABLE HOUSING, SUBSTANCE USE, CHRONIC DISEASE, RISK BEHAVIORS, BIOPSYCHOSOCIAL, AND HEALTH DISPARITIES. SEVEN OF THESE NEEDS - COVID-19, AFFORDABLE HOUSING, SUBSTANCE USE, CHRONIC DISEASE, RISK BEHAVIORS, BIOPSYCHOSOCIAL, AND HEALTH DISPARITIES WILL NOT BE ADDRESSED DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE FOLLOWING SIGNFICANT HEALTH NEEDS: MENTAL HEALTH, ACCESS TO CARE, AND OBESITY.AS PART OF THE MENTAL HEALTH NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE ZEELAND COMMUNITY HOSPITAL'S SERVICE AREA. THESE STRATEGIES ARE THE SCHOOL BLUE ENVELOPE PROGRAM AND MENTAL HEALTH FIRST AID CLASSES. THE GOAL OF THESE STRATEGIES IS TO INCREASE CAPACITY OF RESIDENTS OF THE COMMUNITY TO RESPOND TO INDIVIDUALS EXPRESSING SUICIDAL IDEATION AND PROCEED WITH EVIDENCE-BASED ACTION PLAN.AS PART OF THE ACCESS TO CARE NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE ZEELAND COMMUNITY HOSPITAL'SSERVICE AREA. THESE STRATEGIES ARE OTTAWA PATHWAYS TO BETTER HEALTH COMMUNITY HEALTH WORKER PROGRAM AND OTTAWA COUNTY BROADBAND ACCESS STUDY. THE GOAL OF THESE STRATEGIES IS TO INCREASE ACCESS TO HEALTH CARE BY EXPANDING REFERRALS TO THE OTTAWA PATHWAYS TO BETTER HEALTH COMMUNITY HEALTH WORKER PROGRAM AND PROVIDING FINANCIAL SUPPORT TO THE OTTAWA COUNTY BROADBAND ACCESS STUDY.AS PART OF THE OBESITY NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE ZEELAND COMMUNITY HOSPITAL'S SERVICE AREA. THESE STRATEGIES ARE THE COORDINATED APPROACH TO CHILD HEALTH PROGRAM, FIT AND HEALTHY FAMILIES EDUCATIONAL SERIES, AND THE YMCA MOBILE VEGGIE VAN. THE GOAL OF THESE STRATEGIES IS TO DECREASE THE RATES OF OBESITY AMONG RESIDENTS OF OTTAWA COUNTY.FACILITY NAME:COREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL, AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITALDESCRIPTION:SINCE THE DEVELOPMENT OF THE 2019 CHNA, SPECTRUM HEALTH LAKELAND HAS COMMITTED TO ADDRESSING THE PREVIOUSLY IDENTIFIED PUBLIC HEALTH NEEDS ("PHN"), SPECIFICALLY THOSE WHICH WERE DETERMINED TO HAVE BEEN THE MOST IMPACTED BY THE COVID-19 PANDEMIC, SOCIAL COHESION, MENTAL HEALTH, FOOD ENVIRONMENT, AND HEALTHCARE ACCESS). THE RESEARCH CONDUCTED BY THE POPULATION HEALTH DEPARTMENT OVER THE PAST TWO YEARS NOT ONLY REINFORCED THAT THOSE NEEDS WERE STILL IMPORTANT, BUT OFFERED EVEN GREATER UNDERSTANDING INTO THE NUANCE AND COMPLEXITY OF WORKING TO ADDRESS THESE CRITICAL COMMUNITY ISSUES IN A PERIOD WHERE SO MANY HAVE EXPERIENCED LOSS, GRIEF, AND TRAUMA.THEREFORE, THE DECISION WAS MADE TO RETAIN FOUR OF THE PREVIOUSLY IDENTIFIED PHN (MENTAL HEALTH, SOCIAL COHESION, HEALTHCARE ACCESS, AND NUTRITION ENVIRONMENT) AND TO ADOPT A NEW PRIORITY HEALTH NEED WHICH ROSE TO PROMINENCE DURING COVID-19: SAFETY. IN AN EFFORT TO FOCUS RESOURCES TO A NUMBER OF PRIORITY HEALTH NEEDS, THE ORGANIZATION WILL PLAY A MORE SUPPORTIVE ROLE TO COMMUNITY ORGANIZATIONS THAT ARE RESPONDING TO THE PRIORITY HEALTH NEEDS OF RECREATION ENVIRONMENT AND THE PHYSICAL ENVIRONMENT, RATHER THAN TAKE THE LEAD IN ADDRESSING THEM.MENTAL HEALTH PROGRAMMING: POP-UP ART & WELLNESS CENTER, MENTAL HEALTH TRAUMA INFORMED CARE WORKSHOPS, MENTAL HEALTH SERVICES AT THE CENTER FOR BETTER HEALTH, 31N SCHOOL MENTAL HEALTH, AND MINDFUL MOVEMENT.SOCIAL COHESION:COMMUNITY ENGAGED RESEARCH, COMMUNITY GRAND ROUNDS AND BRAVE TALKS, COORDINATED SCHOOL HEALTH, GROWTH INTERNSHIP, BLOCK PARTIES, AND LAUNCHPAD 022. FOOD ENVIRONMENT: PRESCRIPTION FOR HEALTH AND COMMUNITY KITCHEN CLUB TRAINING.HEALTHCARE ACCESS: AMERICAN MEDICAL ASSOCIATION M.A.P. BLOOD PRESSURE PROGRAM, CDC VACCINATION GRANT - VACCINE NAVIGATORS, HEALTHCARE CAREERS PRE-APPRENTICESHIP, INSPIRE: A HOME BLOOD PRESSURE MONITORING PROGRAM, MATTERS OF THE HEART, NURSING SERVICES AT THE CENTER FOR BETTER HEALTH, SOCIAL NAVIGATION SERVICES AT THE CENTER FOR BETTER HEALTH, AND NEIGHBORHOOD BASED HEALTH HOMES (NBHH).SAFETY:CPR EDUCATION/TRAINING, REAL AND SOGI DATA COLLECTION AND USE. PART V, SECTION B, LINE 11 CONTINUED FACILITY NAME:COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL, COREWELL HEALTH BEAUMONT TROY HOSPITAL, COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL, COREWELL HEALTH FARMINGTON HILLS HOSPITAL, COREWELL HEALTH DEARBORN HOSPITAL, COREWELL HEALTH TRENTON HOSPITAL, COREWELL HEALTH TAYLOR HOSPITAL, AND COREWELL HEALTH WAYNE HOSPITALDESCRIPTION:THE 2022 CHNA IDENTIFIED THREE PRIORITY HEALTH NEEDS TO BE ADDRESSED. THE IMPLEMENTATION STRATEGY FOR EACH HOSPITAL FOCUSES ON PRIORITY HEALTH NEEDS INCLUDING BEHAVIORAL HEALTH, HEALTH EDUCATION, AND ACCESS TO CARE. INCOME/POVERTY AND TRANSPORTATION WERE NOT ADDRESSED AS THEY DID NOT FALL WITHIN THE PRIORITIZATION PROCESS CRITERIA. COREWELL HEALTH EAST HAS FOCUSED ON THE PRIORITY NEEDS IN MULTIPLE WAYS. THE GOAL FOR BEHAVIORAL HEALTH IS TO ADDRESS BEHAVIORAL HEALTH NEEDS, INCLUDING MENTAL WELL-BEING AND SUBSTANCE USE DISORDERS. STRATEGIES TO MEET THIS GOAL INCLUDE INCREASING OUTPATIENT ACCESS TO BEHAVIORAL HEALTH SERVICES, REMOVING BARRIERS TO TO MENTAL HEALTH CARE, PROVIDING MENTAL HEALTH FIRST AID TRAINING, OFFERING SMOKING CESSATION CLASSES, PARTICIPATING IN MEDICATION TAKE BACK DAYS ANNUALLY, AND MORE.THE GOALS FOR HEALTH EDUCATION ARE TO INCREASE KNOWLEDGE ON HEALTH AND SOCIAL RESOURCES TO IMPROVE COMMUNITY WELLNESS FOR GENERAL COMMUNITY MEMBERS AND TO INCREASE THE NUMBER OF YOUTH WHO RECEIVE HEALTH EDUCATION IN THE SCHOOLS AND COMMUNITY. STRATEGIES TO MEET THESE GOALS INCLUDED PROVIDING EDUCATION ON OVERT DISCRIMINATION AND IMPLICIT BIAS, INCREASING AWARENESS OF RESOURCES IN THE COMMUNITY, ESTABLISHING A CHILD PASSENGER SAFETY TRAINING MODEL, INCREASING ENROLLMENT IN CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMS DIABETES PREVENTION PROGRAM, HBP CONTROL PROGRAM, DIABETES PATH, CHRONIC PAIN PATH, PROVIDING EVIDENCED BASED HEALTH EDUCATION INSIDE SCHOOLS AND COMMUNITIES, AND MORE. THE GOALS FOR ACCESS TO CARE ARE TO ENHANCE ACCESS TO AND COORDINATION OF CARE THROUGH COMMUNITY-BASED EFFORTS AND TO INCREASE THE NUMBER OF HIGH-RISK YOUTH WHO RECEIVED MEDICAL, MENTAL HEALTH, AND PREVENTION SERVICES INSIDE TEEN HEALTH CENTERS/SCHOOL-BASED HEALTH CENTERS. STRATEGIES TO MEET THESE GOALS INCLUDED IMPROVING SUPPORT TO NAVIGATE THE HEALTHCARE SYSTEM THROUGH COMMUNITY HEALTH WORKERS BEGINNING IN 2023, INCREASING THE USE OF THE COMMUNITY RESOURCE NETWORK (A HEALTH RELATES SOCIAL NEEDS PLATFORM), REVIEWING STRUCTURAL BARRIERS TO IMPROVE NAVIGATION, INCREASING ACCESS TO SCHOOL FOOD PANTRIES, AND MORE.A SUMMARY OF IMPLEMENTATION PLAN ACTIONS AND PROGRESS TOWARD ADDRESSING SELECTED HEALTH PRIORITIES IS AS FOLLOWS:PRIORITY 1: BEHAVIORAL HEALTHCOREWELL HEALTH EAST CONTINUED ITS EXTENSIVE EXPANSION OF BEHAVIORAL HEALTH SERVICES THROUGH THE NEW BEHAVIORAL HEALTH HOSPITAL. IN ADDITION, PARTNERSHIPS WITH LOCAL HUMAN SERVICE ORGANIZATIONS WERE VETTED AND PURSUED TO EXPAND THE SERVICES AVAILABLE TO THE COMMUNITY. THE CONTINUUM OF CARE STRATEGIC PLAN CONTINUES TO EVOLVE IN 2023 AND INCLUDES PROPOSED EXPANSION OF INPATIENT AND OUTPATIENT SERVICES TO BETTER MEET THE NEEDS OF COMMUNITY MEMBERS ACROSS THE LIFESPAN.COREWELL HEALTH BEAUMONT TROY HOSPITAL CONTINUED PARTNERSHIP THE STAGE NATURE CENTER TO IMPLEMENT A THREE-YEAR MINDFULNESS PROGRAM. THIS PROGRAM IS TO HELP PEOPLE EXPERIENCING ISOLATION AND DEPRESSION, ANXIETY, OR STRESS TO COPE WITH MENTAL HEALTH CHALLENGES DUE TO THE PANDEMIC AND HELP THEIR WELL-BEING BY IMMERSING THEM IN NATURE. IN THE LAST FEW YEARS, THE PROGRAM HAS BEEN OFFERED SEVERAL TIMES A WEEK WITH OVER 600 PARTICIPANTS.COREWELL HEALTH EAST HAS PARTNERED WITH MOOD LIFTERS TO BRING EVIDENCE BASED MENTAL HEALTH CARE TO THE COREWELL HEALTH EASTSERVICE AREA. MOOD LIFTERS PROVIDED WEEKLY GROUP MEETINGS IN WHICH PEER LEADERS TAUGHT A SERIES OF SCIENCE-BASED STRATEGIES THAT IMPROVE MOOD, RELATIONSHIPS, AND WELL-BEING. AT THE END OF THE PROGRAM, PARTICIPANTS KNOW WHICH STRATEGIES WORK BEST FOR THEM AND HOW TO APPLY THEM TO THEIR UNIQUE SITUATION. FIFTY INDIVIDUALS PARTICIPATED AND COMPLETED THE 15-WEEK PROGRAM.COREWELL HEALTH HOSPITALS DEARBORN, WAYNE AND FARMINGTON HILLS PROVIDE PHYSICAL AND MENTAL HEALTH SERVICES TO YOUTH IN THE COMMUNITIES AT THE TAYLOR, INKSTER, REDFORD, RIVER ROUGE AND ROMULUS TEEN HEALTH CENTERS AND THROUGH A WELLNESS PROGRAM AT TAYLOR HIGH SCHOOL. OVER 3,100 UNIQUE YOUTH RECEIVED SERVICES THROUGH THESE PROGRAMS, INCLUDING OVER 4,300 CLINIC VISITS, OVER 6,200 MENTAL HEALTH VISITS, AND OVER 600 TELEHEALTH VISITS. A TOTAL OF 11,269 VISITS OF OUR 12 CLINICS.A SIX-WEEK SUMMER ARTS & PREVENTION ACADEMY ON SUBSTANCE ABUSE -RELATED PRESSURES, PROBLEMS, AND REFUSAL SKILLS TO TAYLOR ELEMENTARY AND MIDDLE AND HIGH SCHOOL STUDENTS, USING DIFFERENT ART MODALITIES (FINE ART, DANCE, DRAMA, AND MUSIC) WAS PROVIDED IN 2022. THE ACADEMY REACHED JUST OVER 140 HIGH RISK YOUTH AND CONTINUES TO GROW. COREWELL HEALTH EAST OFFERED MENTAL HEALTH FIRST AID TRAINING. BOTH ADULT AND YOUTH COURSES WERE TAUGHT TO COREWELL STAFF WITH A TOTAL OF 14 PARTICIPANTS COMPLETING THE COURSES. EIGHTTEEN HEALTH CENTER STAFF COMPLETED YOUTH MENTAL HEALTH FIRST AID TRAINING. MOST OF THE COMMUNITY HEALTH AND HEALTH EQUITY DEPARTMENT STAFF AT COREWELL HEALTH EAST WERE TRAINED IN ADULT MENTAL HEALTH FIRST AID. NETWORKING AND OUTREACH WERE COMPLETED WITH MANY ORGANIZATIONS WHO WERE INTERESTED IN HOSTING ADULT AND YOUTH MENTAL HEALTH FIRST AID COURSES.PRIORITY 2: HEALTH EDUCATIONTO BEST ADDRESS THE CONDITIONS, BEHAVIORS, SOCIOECONOMIC AND ENVIRONMENTAL FACTORS THAT DRIVE HEALTH, COREWELL HEALTH EAST PARTICIPATES IN MULTI-SECTOR COALITIONS THAT RANGE FROM 10-75 ACTIVE MEMBERS, TAKING PART TO PROMOTE HEALTHY EATING AND ACTIVE LIVING TO ADDRESS CARDIOVASCULAR DISEASE, DIABETES, AND OBESITY. COALITION MEMBERS INCLUDE LOCAL GOVERNMENT LEADERSHIP, COMMUNITY RESIDENTS, THE LOCAL SCHOOL SYSTEM, BUSINESSES, NONPROFIT ORGANIZATIONS, FAITH-BASED ORGANIZATIONS, MEDICAL PROVIDERS, INSURANCE PROVIDERS, AND THOSE REPRESENTING CHRONIC DISEASE ORGANIZATIONS. ADDITIONALLY, THE COALITIONS MAINTAIN MULTIPLE WORKGROUPS AND LIST-SERVES, SOME OF WHICH HAVE UPWARDS OF 500 MEMBERS. THE STUDENT HEART CHECK PROGRAM IS TARGETED TO HIGH SCHOOL STUDENTS, AGES 13-18, TO DETECT ABNORMAL HEART STRUCTURE OR ABNORMAL RHYTHMS AND PREVENT SUDDEN CARDIAC ARREST. TEST RESULTS ARE REVIEWED WITH PARENTS AND, IF INDICATED, FOLLOW UP IS SUGGESTED. IN 2023, 867 STUDENTS WERE SCREENED FOR HEART ABNORMALITIES. DIABETES PREVENTION AND EDUCATIONAL PROGRAMS ARE KEY INITIATIVES OFFERED TO SUPPORT PREVENTION AND MANAGEMENT IN THE COMMUNITY. THE NATIONAL DIABETES PREVENTION PROGRAM (DPP) WAS PROVIDED THROUGH PARTNERSHIPS WITH COMMUNITY CENTERS, SENIOR CENTERS, AND OTHER COMMUNITY ORGANIZATIONS. THE 12-MONTH LIFESTYLE CHANGE PROGRAM FOCUSES ON WEIGHT LOSS STRATEGIES AND INCREASED PHYSICAL ACTIVITY TO PREVENT THE ONSET OF TYPE 2 DIABETES IN THOSE AT RISK. PARTICIPANTS ATTEND CLASS ONCE A WEEK FOR THE FIRST 16 WEEKS OF THE PROGRAM, TRANSITIONING TO BIMONTHLY AND MONTHLY SESSIONS FOR THE FINAL SIX MONTHS. DURING 2023, THERE WERE OVER 340 PARTICIPANTS IN THE DPP PROGRAM AND 16 NEW DPP COURSES STARTED WITH PARTICIPANTS CUTTING THEIR RISK OF TYPE 2 DIABETES BY UP TO 58%.ANOTHER PROGRAM IMPLEMENTED IS THE DIABETES PATH PROGRAM, A NATIONAL EVIDENCE-BASED PROGRAM FOR THOSE WITH TYPE 2 DIABETES AND THEIR CAREGIVERS. THE PROGRAM IS DESIGNED TO ENHANCE PATIENT CONFIDENCE IN THEIR ABILITY TO MANAGE THEIR DISEASE AND TO WORK MORE EFFECTIVELY WITH HEALTH CARE PROVIDERS. IN PARTNERSHIP WITH LIBRARIES, SENIOR CENTERS AND COMMUNITY ORGANIZATIONS THE DIABETES PERSONAL ACTION TOWARD HEALTH (DPATH) PROGRAM HELPS PEOPLE LIVING WITH (OR AT HIGH-RISK) OF TYPE 2 DIABETES. THE PROGRAM INCLUDES SIX-WEEK WORKSHOP IN WHICH PARTICIPANTS LEARN SELF-MANAGEMENT INCLUDING ACTION PLAN DEVELOPMENT, THE IMPORTANCE OF BALANCING AND MONITORING THEIR BLOOD SUGAR, COMMUNICATION WITH FAMILY/CAREGIVERS AND HEALTH PROVIDER AND MANAGING STRESS TO INCREASE THEIR OVERALL HEALTH. OUTCOME DATA INDICATED A HIGH LEVEL OF PARTICIPANTS WERE MORE CONFIDENT ABOUT HANDLING THEIR HEALTH CONDITION AFTER TAKING THE WORKSHOP AND SHOWED SIGNIFICANT IMPROVEMENTS IN TESTING BLOOD SUGAR SEVEN DAYS A WEEK AND REPORTED EXERCISING MORE THAN 150 MINUTES PER WEEK.CHRONIC PAIN PERSONAL ACTION TOWARD HEALTH (CPPATH) IS A SIX-WEEK WORKSHOP WHICH MEETS WEEKLY. THE CP-PATH PROGRAM IS FOR PEOPLE LIVING WITH CHRONIC PAIN TO HELP THEM LEARN TECHNIQUES AND STRATEGIES FOR DAY-TO-DAY PAIN MANAGEMENT. IN 2023, CHE AND NKFM CONTINUED TO WORK TOGETHER TO OFFER THESE TWO PROGRAMS TO THE COMMUNITY. WITH 12 WORKSHOPS TOTAL OF THE DIABETES PATH AND CHRONIC PAIN PROGRAMS, 106 PARTICIPANTS WERE SERVED. PART V, SECTION B, LINE 11 CONTINUED THE HYPERTENSION SELF-MANAGEMENT PROGRAM IS AN EIGHT-WEEK EVIDENCE-BASED WORKSHOP DESIGNED TO PROVIDE THE INDIVIDUAL WITH INFORMATION, TIPS, AND TOOLS TO HELP TAKE CONTROL OF HIGH BLOOD PRESSURE. PARTICIPANTS LEARN ABOUT THE BASICS OF HYPERTENSION, STRESS MANAGEMENT, THE IMPORTANCE OF NUTRITION, AND INCORPORATING PHYSICAL ACTIVITY. CHE OFFERED 12 WORKSHOPS FOR THE HBP CONTROL PROGRAM AND HOSTED A HEALTH COACH TRAINING. OVER 100 PARTICIPANTS ENROLLED IN THE PROGRAM AND MANY PROGRAM PARTICIPANTS CHANGED THEIR BEHAVIOR. CHE OFFERED THE FIRST IN-PERSON CLASSES FOR HBP CONTROL SINCE THIS PROGRAM STARTED DURING THE PUBLIC HEALTH EMERGENCY. IT WAS A HUGE SUCCESS WITH 3 IN-PERSON CLASSES THAT WERE HOSTED IN FARMINGTON HILLS, SOUTHFIELD, AND OAK PARK.THE WALK WITH EASE (WWE) PROGRAM, AN EVIDENCE-BASED PROGRAM, REACHED 32 PARTICIPANTS. THE WWE PROGRAM WAS DESIGNED FOR ADULTS WITH ARTHRITIS AND OLDER ADULTS. THE PROGRAM TEACHES PARTICIPANTS HOW TO SAFELY MAKE PHYSICAL ACTIVITY PART OF THEIR EVERYDAY LIFE. PARTICIPANTS WALK ON THEIR OWN SCHEDULE AT THEIR OWN PACE WITH A GOAL OF BUILDING TO 30 MINUTES OF WALKING AT LEAST THREE TIMES WEEKLY.ADDITIONAL WALKING PROGRAMS OCCURRED ACROSS THE SYSTEM. THE FARMINGTON FARMERS MARKET WALKING GROUP, FORMERLY KNOWN AS THE "WALKABOUTS", CONTINUED TO GROW AND BECOME A PREMIERE EVENT THROUGHOUT THE 2023 MARKET SEASON. THE WALKABOUTS ARE BOTH FUN AND EDUCATIONAL OPPORTUNITIES TO TALK ABOUT HEALTH AND WELLNESS TOPICS SUCH AS HEALTHY EATING, DIABETES PREVENTION, AND INJURY PREVENTION. BETWEEN MAY AND OCTOBER 2023, OVER 750 PEOPLE PARTICIPATED IN THE WALKABOUTS, WITH 50 WALKERS COMPLETING 5 MILES AND 30 WALKERS COMPLETING OVER 10 MILES.PRIORITY 3: ACCESS TO CARESUPPORTING THE SOCIAL NEEDS OF OUR COMMUNITIES WAS A BIG FOCUS DURING THE YEAR. THE BEAUMONT COMMUNITY RESOURCE NETWORK (BCRN) A BRANDED SEARCH AND REFERRAL SOCIAL SERVICE ORGANIZATION PLATFORM FROM AUNT BERTHA/FIND HELP IS USED TO SUPPORT COMMUNITIES' IDENTIFICATION OF NEED. THE FREE ONLINE PLATFORM HELPS INDIVIDUALS FIND RESOURCES FOR BASIC NEEDS SUCH AS FOOD, UTILITIES, TRANSPORTATION, JOB TRAINING, LEGAL AID, AND CHILDCARE. COREWELL HEALTH EAST SAW AN INCREASE IN USERS OF 13% FOR 2023. THE BCRN SERVED 10,236 USERS THAT LEVERAGED THE PLATFORM TO PERFORM 40,428 SEARCHES THAT RESULTED IN 25,352 INTERACTIONS, 3,215 CONNECTIONS, AND 672 REFERRALS TO COMMUNITY RESOURCES. THE TOP SEARCHES IN WERE "HOUSING", "FOOD AND "TRANSPORTATION". THE TOP CITIES SEARCHING FOR RESOURCES INCLUDED DETROIT, TAYLOR, WESTLAND AND WARREN.A NEW PROGRAM FOR 2023 IS THE SCHOOL FOOD PANTRY AND HYGIENE CLOSET PROGRAM. THIS PROGRAM IS DESIGNED TO HELP EXPAND EQUITABLE CARE AND IMPROVE HEALTH OUTCOMES FOR CHILDREN IN UNDERSERVED AND VULNERABLE NEIGHBORHOODS IN WAYNE COUNTY. WITH CHILDREN SPENDING MUCH OF THEIR TIME AT SCHOOL, SCHOOL PANTRIES AND HYGIENE CLOSETS ARE AN EFFECTIVE WAY TO MEET THE NEEDS OF CHILDREN AND THEIR FAMILIES, WHILE ALSO PROMOTING NUTRITION AND WELLNESS THROUGH EDUCATION AND SUPPORT SERVICES.FOCUSING ON THE WHOLE CHILD, THIS PROGRAM HAS A UNIQUE APPROACH TO PROVIDING FOOD ACCESS IN SCHOOLS, WHILE ALSO PROVIDING ACCESS TO BASIC NEEDS AND WRAP-AROUND SERVICES TO YOUTH AND FAMILIES. SCHOOLS CAN OFFER NONPERISHABLE SNACK ITEMS THAT STUDENTS CAN GRAB-AND-GO DURING THE DAY, BACKPACK ITEMS STUDENTS CAN TAKE HOME TO PREPARE, AND BASIC HYGIENE ITEMS (TOOTHBRUSH/PASTE, BODY WASH, DEODORANT, ETC.). SCHOOL STAFF ARE TRAINED ON THE BEAUMONT COMMUNITY RESOURCE NETWORK (BCRN) TO FURTHER CONNECT FAMILIES WITH ADDITIONAL SERVICES SUCH AS HOUSING, EMPLOYMENT, EDUCATION, AND TRANSPORTATION. SOME HIGHLIGHTS FOR 2023 INCLUDE:9 SCHOOLS, WAYNE-WESTLAND DISTRICT7 COREWELL HEALTH EAST TEEN HEALTH CENTERS HYGIENE PRODUCTS ONLY5 SCHOOLS, WESTWOOD DISTRICT5 SCHOOLS, DEARBORN DISTRICT3 SCHOOLS, TAYLOR DISTRICT2 SCHOOLS, DEARBORN HEIGHTS DISTRICTFACILITY NAME:COREWELL HEALTH GERBER HOSPITAL DESCRIPTION:THE SIGNFICANT HEALTH NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE BEHAVIORAL HEALTH, CHRONIC DISEASE, ACCESS TO HEALTH CARE, AND ECONOMIC SECURITY. ONE OF THESE NEEDS - ECONOMIC SECURITY, WILL NOT BE ADDRESSED DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE FOLLOWING SIGNFICANT HEALTH NEEDS: BEHAVIORAL HEALTH, CHRONIC DISEASES, AND ACCESS TO HEALTH CARE.AS PART OF THE BEHAVIORAL HEALTH NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GERBER HOSPITAL'S SERVICE AREA. THESE THREE STRATEGIES ARE: QUESTION, PERSUADE, REFER SUICIDE PREVENTION TRAINING, ACCESS TO BEHAVIORAL HEALTH SERVICES AND SUICIDE PREVENTION EDUCATION, AND THE STIGMA REDUCTION CAMPAIGN. THE GOAL OF THESE STRATEGIES IS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES AND BREAK DOWN BARRIERS, SUCH AS STIGMA, WHICH IMPEDE NAVIGATION OF AVAILABLE TREATMENT.AS PART OF THE CHRONIC DISEASE HEALTH NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GERBER HOSPITAL'S SERVICE AREA. THESE THREE STRATEGIES ARE: VAPING/MARIJUANA PREVENTION IN SCHOOLS, POLICY, SYSTEM, AND ENVIRONMENTAL SUPPORT FOR WORKSITES, AND COORDINATION OF PHYSICAL ACTIVITY AND FOOD RESOURCES. THE GOAL OF THESE STRATEGIES IS TO INCREASE AWARENESS OF EXISTING RESOURCES THAT PROMOTE HEALTH AND HELP TREAT AND PREVENT CHRONIC DISEASE.AS PART OF THE ACCESS TO HEALTH CARE HEALTH NEED, THERE IS ONE STRATEGY THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GERBER HOSPITAL'S SERVICE AREA. THE STRATEGY IS: TAMARAC (MOMENTUM, HEALTH COACHING, FINANCIAL ASSISTANCE). THE GOAL OF THIS STRATEGY IS TO INCREASE ACCESS TO CARE BY EXPANDING REFERRALS THROUGH THE MOMENTUM AND HEALTH COACHING INTERVENTIONS AT TAMARAC AND OFFER FINANCIAL ASSISTANCE TO INDIVIDUALS AND FAMILIES TO REDUCE BARRIERS.FACILITY NAME:COREWELL HEALTH LUDINGTON HOSPITAL DESCRIPTION:THE SIGNFICANT HEALTH NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE BEHAVIORAL HEALTH, CHRONIC DISEASE, ACCESS TO HEALTH CARE, AND ECONOMIC SECURITY. ONE OF THESE NEEDS - ECONOMIC SECURITY, WILL NOT BE ADDRESSED DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE FOLLOWING SIGNFICANT HEALTH NEEDS: BEHAVIORAL HEALTH, CHRONIC DISEASES, AND ACCESS TO HEALTH CARE.AS PART OF THE BEHAVIORAL HEALTH NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE LUDINGTON HOSPITAL'S SERVICE AREA. THESE THREE STRATEGIES ARE: INTERCONNECTED SYSTEMS FRAMEWORK FOR BEHAVIORAL HEALTH, MENTAL HEALTH FIRST AID, AND BLUE ENVELOPE ZERO SUICIDE TRAINING. THE GOAL OF THESE STRATEGIES IS TO ENHANCE COLLABORATION WITH KEY AREA STAKEHOLDERS AND LEADERS TO ADOPT AN INTERCONNECTED SYSTEMS FRAMEWORK APPROACH TO ADDRESS BEHAVIORAL HEALTH IN BOTH SCHOOL-AGE AND ADULT POPULATIONS. THIS INCLUDES IMPLEMENTATION OF EVIDENCE-BASED INTERVENTIONS FOR SUICIDAL IDEATION IN ADDITION TO PROACTIVE MEASURES OF MENTAL HEALTH INTERVENTION AND STIGMA REDUCTION.AS PART OF THE ACCESS TO HEALTH CARE HEALTH NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE LUDINGTON HOSPITAL'S SERVICE AREA. THESE TWO STRATEGIES ARE: EXPAND COUNTYWIDE PUBLIC TRANSPORTATION TO SUPPORT INCREASED ACCESS TO CARE AND PILOT MOBILE PRIMARY CARE OUTREACH. THE GOAL OF THESE STRATEGIES IS TO SUPPORT AND COLLABORATE WITH LOCAL CITY, COUNTY AND AREA PARTNERS TO INCREASE ACCESS TO LOCAL CARE BY ENHANCING COUNTYWIDE PUBLIC TRANSPORTATION.AS PART OF THE CHRONIC DISEASE NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE LUDINGTON HOSPITAL'S SERVICE AREA. THE STRATEGIES ARE: COORDINATED APPROACH TO CHILDHOOD HEALTH AND INCREASED VAPING/MARIJUANA/TOBACCO/NICOTINE PREVENTION IN SCHOOLS. THE GOAL OF THESE STRATEGIES IS THAT THEY WILL FOSTER EVIDENCE BASED HEALTHY LIFESTYLE CHOICES TO PREVENT CHRONIC DISEASE MANIFESTATIONS AND INCREASE AWARENESS OF EXISTING RESOURCES THAT PROMOTE HEALTH AND HELP TREAT AND PREVENT CHRONIC DISEASE. PART V, SECTION B, LINE 11 CONTINUED FACILITY NAME:COREWELL HEALTH PENNOCK HOSPITAL DESCRIPTION:THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE MENTAL HEALTH NEEDS AND ACCESS, HEALTH CARE ACCESS AND QUALITY, SUBSTANCE MISUSE, AFFORDABLE HOUSING, AND SOCIAL CONNECTION AND COHESION. TWO OF THESE NEEDS - AFFORDABLE HOUSING AND SOCIAL CONNECTION/COHESION WILL NOT BE ADDRESSED DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE FOLLOWING SIGNIFICANT HEALTH NEEDS: MENTAL HEALTH NEEDS AND ACCESS, HEALTH CARE ACCESS AND QUALITY, AND SUBSTANCE MISUSE.AS PART OF THE MENTAL HEALTH NEEDS AND ACCESS NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE PENNOCK HOSPITAL'S SERVICE AREA. THESE TWO STRATEGIES ARE: SCHOOL BLUE ENVELOPE PROGRAM AND OUTPATIENT BEHAVIORAL HEALTH CONSULTS. THE GOAL OF THESE STRATEGIES IS TO INCREASE ACCESS TO MENTAL HEALTH RESOURCES.AS PART OF THE HEALTH CARE ACCESS AND QUALITY NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE PENNOCK HOSPITAL'S SERVICE AREA. THESE THREE STRATEGIES ARE: PERSONAL ACTION TOWARD HEALTH FOR DIABETES (PATH), COORDINATED APPROACH TO CHILDHOOD HEALTH (CATCH), AND YOUTH BEHAVIORAL HEALTH CLINICS. THE GOAL OF THESE STRATEGIES IS TO INCREASE ACCESS TO HEALTH CARE FOR BARRY COUNTY RESIDENTS WITH DIABETES OR WHO ARE PREDIABETIC, AND FOR ADOLESCENTS WITH BEHAVIORAL HEALTH ISSUES. AS PART OF THE SUBSTANCE MISUSE NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE PENNOCK HOSPITAL'S SERVICE AREA. THESE TWO STRATEGIES ARE: MEDICATION AND NEEDLE TAKEBACK ACCESS AND EDUCATION AND SCRIPT AND TOBACCO/NICOTINE TREATMENT PROGRAM. THE GOAL OF THESE STRATEGIES IS TO INCREASE RESOURCES TO HELP ADDRESS THE ISSUE OF SUBSTANCE MISUSE AND PROPER DISPOSAL OF MEDICATIONS AND SYRINGES FOR BARRY COUNTY RESIDENTS.FACILITY NAME:COREWELL HEALTH BIG RAPIDS HOSPITAL AND COREWELL HEALTH REED CITY HOSPITAL DESCRIPTION:THE SIGNFICANT HEALTH NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE BEHAVIORAL HEALTH, CHRONIC DISEASE, ACCESS TO HEALTH CARE, AND ECONOMIC SECURITY. ONE OF THESE NEEDS - ECONOMIC SECURITY, WILL NOT BE ADDRESSED DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE FOLLOWING SIGNFICANT HEALTH NEEDS: BEHAVIORAL HEALTH, CHRONIC DISEASES, AND ACCESS TO HEALTH CARE.AS PART OF THE BEHAVIORAL HEALTH NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE BIG RAPIDS AND REED CITY HOSPITALS' SERVICE AREA. THESE THREE STRATEGIES ARE: K-12 MENTAL HEALTH AWARENESS/EDUCATION, AWARENESS/STIGMA REDUCTION CAMPAIGN, AND THE VIRTUAL BEHAVIORAL HEALTH ACCESS PROGRAM. THE GOAL OF THESE STRATEGIES IS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES AND BREAK DOWN BARRIERS, SUCH AS STIGMA, WHICH IMPEDE NAVIGATION OF AVAILABLE TREATMENT. AS PART OF THE CHRONIC DISEASE HEALTH NEED, THERE ARE FOUR STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE BIG RAPIDS AND REED CITY HOSPITALS' SERVICE AREA. THESE FOUR STRATEGIES ARE: COORDINATED APPROACH TO CHILD HEALTH, WEIGHT MANAGEMENT PROGRAM, AND HEALTHY LIFESTYLES. THE GOAL OF THESE STRATEGIES IS THAT SPECTRUM HEALTH BIG RAPIDS AND REED CITY HOSPITALS WILL FOSTER EVIDENCE-BASED HEALTHY LIFESTYLE CHOICES TO PREVENT CHRONIC DISEASE MANIFESTATIONS AND INCREASE AWARENESS OF EXISTING RESOURCES THAT PROMOTE HEALTH AND HELP TREAT AND PREVENT CHRONIC DISEASE.AS PART OF THE ACCESS TO HEALTH CARE HEALTH NEED, THERE IS ONE STRATEGY THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE BIG RAPIDS AND REED CITY HOSPITALS' SERVICE AREA. THE STRATEGY IS: COMMUNITY CONNECTIONS PROGRAM. THE GOAL OF THIS STRATEGY IS TO INCREASE ACCESS TO CARE BY REENGAGING WITH THE NORTH CENTRAL COMMUNITY HEALTH INNOVATION REGION BY RELAUNCHING THE SOCIAL DETERMINANTS OF HEALTH REFERRAL PROCESS TO THE COMMUNITY CONNECTIONS PROGRAM. FACILITY NAME:COREWELL HEALTH GREENVILLE HOSPITAL AND COREWELL HEALTH KELSEY HOSPITALDESCRIPTION:THE SIGNFICANT HEALTH NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE FINANCIAL SECURITY/ECONOMIC STABILITY, HEALTHY LIFESTYLES, MENTAL HEALTH, TRANSPORTATION, AND SUBSTANCE USE DISORDER. TWO OF THESE NEEDS - SUBSTANCE USE DISORDER AND TRANSPORTATION WILL NOT BE ADDRESSED DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE FOLLOWING SIGNFICANT HEALTH NEEDS: FINANCIAL SECURITY/ECONOMIC STABILITY, HEALTHY LIFESTYLES, AND MENTAL HEALTH.AS PART OF THE FINANCIAL SECURITY/ECONOMIC STABILITY NEED, THERE IS ONE STRATEGY THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GREENVILLE AND KELSEY HOSPITALS' SERVICE AREA. THIS STRATEGY IS: COMMUNITY COALITION, ASSESSMENT AND ACTION PLANNING. THE GOAL OF THIS STRATEGY IS TO INCREASE FINANCIAL SECURITY AND ECONOMIC STABILITY FOR INDIVIDUALS WITH LOW INCOME WHO ARE SEEKING MEDICAL CARE AND DO NOT HAVE HEALTH INSURANCE.AS PART OF THE HEALTHY LIFESTYLES NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GREENVILLE AND KELSEY HOSPITALS' SERVICE AREA. THESE STRATEGIES ARE PRESCRIPTION FOR HEALTH, NUTRITION LABELING IN FOOD PANTRIES, AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S CREATING HEALTHY HOSPITAL ENVIRONMENTS. THE GOAL OF THESE STRATEGIES IS TO INCREASE ACCESS TO FRUITS AND VEGETABLES; PROVIDE EDUCATION ALONG WITH ENVIRONMENTAL AND POLICY SUPPORTS ENCOURAGING INDIVIDUALS TO MAKE HEALTHY NUTRITION CHOICES AND BE PHYSICALLY ACTIVE.AS PART OF THE MENTAL HEALTH NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GREENVILLE AND KELSEY HOSPITALS' SERVICE AREA. THESE STRATEGIES ARE THE STIGMA REDUCTION CAMPAIGN, QUESTION, PERSUADE, REFER TRAINING, AND PSYCHIATRIC CONSULTATION AVAILABLE TO PHYSICIANS. THE GOAL OF THESE STRATEGIES IS TO INCREASE THE CAPACITY OF PHYSICIANS AND ADULTS IN THE COMMUNITY TO RESPOND TO INDIVIDUALS EXPERIENCING A MENTAL HEALTH CRISIS AND REDUCE THE STIGMA ASSOCIATED WITH SEEKING MENTAL HEALTH SERVICES.PART V, SECTION B, LINE 13BINCOME LEVEL OTHER THAN FPGFACILITY NAME: ALL FACILITIES LISTED IN SCHEDULE H, PART V, SECTION ADESCRIPTION:COREWELL HEALTH ACKNOWLEDGES THAT SIGNIFICANT HEALTH EVENTS MAY RESULT IN CATASTROPHIC FINANCIAL BURDEN TO A PATIENT AND FAMILY, AS SUCH COREWELL HEALTH RESERVES THE RIGHT TO REVIEW CATASTROPHIC CASES ON AN INDIVIDUAL BASIS. CONSIDERATION FOR A REDUCED FINANCIAL OBLIGATION WILL BE MADE FACTORING MEDICAL BILLS ACCUMULATED WITHIN THE LAST 240 DAYS, AS WELL AS THOSE ANTICIPATED TO OCCUR WITHIN THE NEXT 90 DAYS. A CATASTROPHIC FINANCIAL BURDEN IS ONE WHICH RESULTS IN A FINANCIAL BURDEN OF 25% OF ANNUAL HOUSEHOLD INCOME OR GREATER.PART V, SECTION B, LINE 13HOTHER ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCEFACILITY NAME: ALL FACILITIES LISTED IN SCHEDULE H, PART V, SECTION ADESCRIPTION:THE ORGANIZATION USES FPG TO DETERMINE ELIGIBILITY FOR FREE CARE. PART V, SECTION B, LINE 16A AND BFAP APPLICATION FORM WEBSITEFACILITY NAME AND DESCRIPTION: SEE PART V, SECTION B, LINE 16CPART V, SECTION B, LINE 16CPLAIN LANGUAGE FAP WEBSITEFACILITY NAME: ALL FACILITIES LISTED IN SCHEDULE H, PART V, SECTION Ahttps://corewellhealth.org/billing/financial-assistance PART V, SECTION B, LINE 16J OTHER WAYS HOSPITAL PUBLICIZED FINANCIAL ASSISTANCE POLICYFACILITY NAME: ALL FACILITIES LISTED IN SCHEDULE H, PART V, SECTION ADESCRIPTION:COREWELL HEALTH HAS IMPLEMENTED MEASURES TO WIDELY PUBLICIZE COMMUNICATIONS TO PATIENTS AND THE PUBLIC REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. COMMUNICATION METHODS INCLUDE BUT ARE NOT LIMITED TO SIGNAGE IN EACH HOSPITAL EMERGENCY DEPARTMENT, HOSPITAL ADMISSIONS OFFICE(S) AND OTHER PUBLIC LOCATIONS WITHIN THE HOSPITAL, INFORMATION ON THE COREWELL HEALTH WEBSITE, THE COREWELL HEALTH PATIENT HANDBOOK, VARIOUS INFORMATIONAL BROCHURES, UPON REQUEST BY ANY PATIENT, GUARANTOR OR COMMUNITY MEMBER, WORD OF MOUTH VIA FINANCIAL COUNSELORS AND OTHERS, AND THROUGH COMMUNITY PUBLICATIONS AND OUTREACH EVENTS. IN ADDITION, COREWELL HEALTH WILL OFFER A PLAIN LANGUAGE SUMMARY OF ITS FINANCIAL ASSISTANCE ELIGIBILITY POLICY AS PART OF THE PATIENT INTAKE AND/OR DISCHARGE PROCESS, AS WELL AS PROVIDE INDIVIDUALS WITH ASSISTANCE IN COMPLETING THE APPLICATION PROCESS. PATIENTS WILL BE NOTIFIED OF THE FINANCIAL ASSISTANCE ELIGIBILITY POLICY FOR A PERIOD OF AT LEAST 120 DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. PATIENT BALANCES WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE EVALUATION FOR AT LEAST 240 DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT ("APPLICATION PERIOD"). IF COREWELL HEALTH RECEIVES A FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, WHETHER THE APPLICATION IS COMPLETE OR INCOMPLETE, IT WILL SUSPEND ANY COLLECTION EFFORTS UNTIL A DETERMINATION REGARDING FINANCIAL ASSISTANCE IS MADE. 261 1 - CH WBU HOSPITAL CARE CTR 3535 W 13 MILE RD ROYAL OAK MI 48073 AMBULATORY/PHYSICIAN CLINIC 2 - CH REHAB & NURSING CTR - FULLER 750 FULLER AVE GRAND RAPIDS MI 49503 SKILLED NURSING 3 - CH GR HOSPITALS L-H CANCER PAVILION 145 MICHIGAN ST GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 4 - CH CARE CTR - 35 MICHIGAN ST 35 MICHIGAN ST GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 5 - CH CARE CTR - 4700 SCHAEFFER RD 4700 SCHAEFER RD DEARBORN MI 48126 ASC/GENERAL MEDICAL 6 - CH TROY HOSPITAL FAMILY MEDICINE 44250 DEQUINDRE DR STERLING HEIGHTS MI 48314 AMBULATORY/PHYSICIAN CLINIC 7 - CH CARE CTR - 25 MICHIGAN ST 25 MICHIGAN ST GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 8 - CH CARE CTR - GRAND HAVEN 15100 WHITTAKER WAY GRAND HAVEN MI 49417 AMBULATORY/PHYSICIAN CLINIC 9 - CH CT 4100 LAKE DRIVE GRAND RAPIDS MI 49546 ASC/GENERAL MEDICAL 10 - CH CARE CTR - LAKE DRIVE 4069 LAKE DRIVE GRAND RAPIDS MI 49546 ASC/GENERAL MEDICAL 11 - CH WBU HOSPITAL CARE CTR 4949 COOLIDGE AVE ROYAL OAK MI 48073 AMBULATORY/PHYSICIAN CLINIC 12 - CH CARE CTR - E BELTLINE 2750 E BELTLINE GRAND RAPIDS MI 49525 AMBULATORY/PHYSICIAN CLINIC 13 - CH REHAB & NURSING CTR - KENTRIDGE 4118 KALAMAZOO AVE GRAND RAPIDS MI 49508 SKILLED NURSING 14 - CH CARE CTR - ROYALTON 3950 HOLLYWOOD RD ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC 15 - CH WBU HOSPITAL IMAGING CTR 3581 W 13 MILE RD ROYAL OAK MI 48073 AMBULATORY/PHYSICIAN CLINIC 16 - CH CARE CTR - OAKWOOD BLVD 18100 OAKWOOD BLVD DEARBORN MI 48124 ASC/GENERAL MEDICAL 17 - CH WBU HOSPITAL ROSE CANCER CTR 3577 W 13 MILE RD ROYAL OAK MI 48073 AMBULATORY/PHYSICIAN CLINIC 18 - CH WBU HOSPITAL NEUROSCIENCE CTR 3555 W 13 MILE RD ROYAL OAK MI 48073 AMBULATORY/PHYSICIAN CLINIC 19 - CHMG SLEEP MEDICINE & PULMONARY 80 68TH ST GRAND RAPIDS MI 49548 ASC/GENERAL MEDICAL 20 - CH CARE CETNER 18181 OAKWOOD BLVD DEARBORN MI 48124 AMBULATORY/PHYSICIAN CLINIC 21 - CH SPINE & PAIN MANAGEMENT 1900 WEALTHY EAST GRAND RAPIDS MI 49503 ADMIN-AMBULATORY 22 - CH CARE CTR - BRADFORD 2900 BRADFORD GRAND RAPIDS MI 49525 AMBULATORY/PHYSICIAN CLINIC 23 - CH TROY HOSPITAL - DEQUINDRE DR 44199 DEQUINDRE DR TROY MI 48085 AMBULATORY/PHYSICIAN CLINIC 24 - CH WBU HOSPITAL CARE CTR 6900 ORCHARD LAKE RD WEST BLOOMFIELD MI 48322 AMBULATORY/PHYSICIAN CLINIC 25 - CH REHAB & NURSING CTR - LEFFINGWELL 1001 LEFFINGWELL GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 26 - CH TROY HOSPITAL CARE CTR - S BLVD EAST 1555 SOUTH BOULEVARD EAST ROCHESTER HILLS MI 48307 AMBULATORY/PHYSICIAN CLINIC 27 - CH LUDINGTON HOSPITAL MULTISPECIALTY CTR 7 ATKINSON DR LUDINGTON MI 49431 AMBULATORY/PHYSICIAN CLINIC 28 - CH GR HOSPITALS PT - FREEMONT 1401 W MAIN FREMONT MI 49412 REHAB CENTER 29 - CH REHAB & NURSING CTR - COMMONS DEARBORN 16391 ROTUNDA DR DEARBORN MI 48124 REHAB & SKILLED NURSING 30 - CHMG OBGYN & CARDIOVASCULAR MEDICINE 221 MICHIGAN ST GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 31 - CH CARE CTR - ROYALTON - ST JOSEPH 3900 HOLLYWOOD RD ST JOSEPH MI 49085 ASC/GENERAL MEDICAL 32 - CH FH HOSPITAL CARE CTR 39000 SEVEN MILE RD LIVONIA MI 48152 AMBULATORY/PHYSICIAN CLINIC 33 - CH GP HOSPITAL CARE CTR - LENOX TWP 36555 26 MILE RD LENOX TWP MI 48048 AMBULATORY/PHYSICIAN CLINIC 34 - CH GR HOSPITALS PEDIATRICS 330 BARCLAY GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 35 - CH REHAB & NURSING CTR - PINE RIDGE 4368 S CLEVELAND AVE STEVENSVILLE MI 49127 SKILLED NURSING 36 - CH TROY HOSPITAL CARE CTR - HALL RD 15979 HALL RD MACOMB TWP MI 48044 AMBULATORY/PHYSICIAN CLINIC 37 - CH CARE CTR - LAKEWOOD 588 E LAKEWOOD HOLLAND MI 49423 AMBULATORY/PHYSICIAN CLINIC 38 - CH PRIMARY CARE CTR - WYOMING 6105 WILSON WYOMING MI 49418 AMBULATORY/PHYSICIAN CLINIC 39 - CH PENNOCK HOSPITAL 1005 W GREEN ST A HASTINGS MI 49058 AMBULATORY/PHYSICIAN CLINIC 40 - CH FH HOSPITAL CARDIOLOGY - GRAND RVR AVE 28080 GRAND RIVER AVE FARMINGTON HILLS MI 48336 AMBULATORY/PHYSICIAN CLINIC 41 - CH TROY HOSPITAL CARE CTR - STERL HGHTS 44300 DEQUINDRE RD STERLING HEIGHTS MI 48314 REHAB & DIALYSIS 42 - CH MUSCULOSKELETAL CTR 230 MICHIGAN ST GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 43 - CH REHAB & NURSING CTR - COMMONS FH 21450 ARCHWOOD CIRCLE FARMINGTON HILLS MI 48336 SKILLED NURSING 44 - CH CARE CTR - FORT ST SURGERY 5452 FORT ST TRENTON MI 48183 AMBULATORY/PHYSICIAN CLINIC 45 - CH CARE CTR - NORTHLINE RD 15777 NORTHLINE RD SOUTHGATE MI 48195 AMBULATORY/PHYSICIAN CLINIC 46 - CH PENNOCK POB 1005 W GREEN ST HASTINGS MI 49058 AMBULATORY/PHYSICIAN CLINIC 47 - CH NILES MOB 42 N ST JOSEPH AVE NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC 48 - CH GERBER HOSPITAL 230 W OAK ST FREMONT MI 49412 AMBULATORY/PHYSICIAN CLINIC 49 - CH GP HOSPITAL CARE CTR - E JEFFERSON AVE 16815 E JEFFERSON AVE GROSSE POINTE MI 48203 AMBULATORY/PHYSICIAN CLINIC 50 - CH FH HOSPITAL FAMILY MED - GRAND RVR AVE 28100 GRAND RIVER AVE FARMINGTON HILLS MI 48336 AMBULATORY/PHYSICIAN CLINIC 51 - CH CARE CTR - DEQUINDRE RD 44344 DEQUINDRE RD STERLING HEIGHTS MI 48134 AMBULATORY/PHYSICIAN CLINIC 52 - CH CARE CTR - MI STREET NE 426 MICHIGAN ST GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 53 - CH ZEELAND HOSPITAL 8333 FELCH ZEELAND MI 49464 AMBULATORY/PHYSICIAN CLINIC 54 - CH CARE CTR - LITTLE MACK AVE 25631 LITTLE MACK AVE ST CLAIR SHORES MI 48080 AMBULATORY/PHYSICIAN CLINIC 55 - CH LAKELAND MARIE YEAGER CANCER CTR 3900 HOLLYWOOD RD ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC 56 - CH FH HOSPITAL CANCER CARE CTR 27900 GRAND RIVER AVE FARMINGTON HILLS MI 48336 AMBULATORY/PHYSICIAN CLINIC 57 - CH CARE CTR - 2009 HOLTON RD 2009 HOLTON RD MUSKEGON MI 49445 AMBULATORY/PHYSICIAN CLINIC 58 - CH CARE CTR - ROCKFORD 8501 MEADOW CREEK ROCKFORD MI 49341 AMBULATORY/PHYSICIAN CLINIC 59 - CH FAMILY MEDICINE 4600 BRETON RD KENTWOOD MI 49508 AMBULATORY/PHYSICIAN CLINIC 60 - CH DEARBORN HOSPITAL PEDIATRIC CARE CTR 18501 ROTUNDA DR DEARBORN MI 48124 ADMIN-AMBULATORY 61 - CH HOME INFUSION - ROYAL OAK 31157 WOODWARD AVE ROYAL OAK MI 48073 AMBULATORY/PHYSICIAN CLINIC 62 - CH PRIMARY CARE - HOLLYWOOD AVE 3950 HOLLYWOOD RD UNIT 1 ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC 63 - CH TROY HOSPITAL CARE CTR - HALL RD 15959 HALL RD MACOMB TWP MI 48044 AMBULATORY/PHYSICIAN CLINIC 64 - CH BR HOSPITAL FAMILY MEDICINE - 215 AVE 650 LINDEN ST BIG RAPIDS MI 49307 AMBULATORY/PHYSICIAN CLINIC 65 - CHMG PSYCHIATRY & BEHAVIORAL MEDICINE 75 SHELDON BLVD GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 66 - CH KAREN WILSON SMITHBAUER CARE CTR 5400 FORT ST TRENTON MI 48183 AMBULATORY/PHYSICIAN CLINIC 67 - CH CARE CTR - ADA 7128 FULTON ST SE ADA MI 49355 AMBULATORY/PHYSICIAN CLINIC 68 - CH CARE CTR - CANTON 7330 CANTON CENTER RD CANTON MI 48184 AMBULATORY/PHYSICIAN CLINIC 69 - CH GREENVILLE FAMILY MEDICINE 1202 W OAK ST GREENVILLE MI 48838 AMBULATORY/PHYSICIAN CLINIC 70 - CH REED CITY REGIONAL CANCER CTR 4499 220TH ST REED CITY MI 49677 AMBULATORY/PHYSICIAN CLINIC 71 - CH CARE CTR - ST CLAIR SHORES 21400 E 11 MILE RD ST CLAIR SHORES MI 48081 AMBULATORY/PHYSICIAN CLINIC 72 - CH FAMILY MEDICINE - GARDEN CITY 29150 FORD RD GARDEN CITY MI 48135 AMBULATORY/PHYSICIAN CLINIC 73 - CH WBU HOSPITAL CARE CTR - COMMON RD 8545 COMMON RD WARREN MI 48093 AMBULATORY/PHYSICIAN CLINIC 74 - CH TROY HOSPITAL CARE CTR - LAKE ORION 1455 S LAPEER RD LAKE ORION MI 48360 AMBULATORY/PHYSICIAN CLINIC 75 - CH DEARBORN HOSPITAL INTERNAL MEDICINE 17000 HUBBARD DR DEARBORN MI 48126 AMBULATORY/PHYSICIAN CLINIC 76 - CH MERLIN & CAROLYN HANSON HOSPICE CTR 4382 CLEVELAND AVE STEVENSVILLE MI 49127 AMBULATORY/PHYSICIAN CLINIC 77 - CH CARE CTR - WESTLAND 2001 S MERRIMAN WESTLAND MI 48136 AMBULATORY/PHYSICIAN CLINIC 78 - CH DEARBORN HOSPITAL HEART & VASCULAR CTR 22060 BEECH ST DEARBORN MI 48124 AMBULATORY/PHYSICIAN CLINIC 79 - CH GREENVILLE HOSPITAL CARE CTR 705 S GREENVILLE W DR GREENVILLE MI 48838 AMBULATORY/PHYSICIAN CLINIC 80 - CH SOUTHWESTERN MEDICAL CLINIC 5515 CLEVELAND AVE STEVENSVILLE MI 49127 AMBULATORY/PHYSICIAN CLINIC 81 - CH CARE CTR - BIDDLE AVE 1700 BIDDLE AVE WYANDOTTE MI 48192 AMBULATORY/PHYSICIAN CLINIC 82 - CH GREENVILLE HOSPITAL MULTISPECIALTY CTR 707 S GREENVILLE W DR GREENVILLE MI 48838 AMBULATORY/PHYSICIAN CLINIC 83 - CH FAMILY MEDICINE - FREMONT 204 W MAIN ST FREMONT MI 49412 AMBULATORY/PHYSICIAN CLINIC 84 - CH WBU HOSPITAL CARDIOLOGY 27901 WOODWARD AVE BERKLEY MI 48072 AMBULATORY/PHYSICIAN CLINIC 85 - CH FAMILY MEDICINE - CANADIAN LAKES 8354 100TH AVE CANADIAN LAKES MI 49346 AMBULATORY/PHYSICIAN CLINIC 86 - CH FAMILY MEDICINE - 14 MILE RD 29645 W 14 MILE RD FARMINGTON HILLS MI 48334 AMBULATORY/PHYSICIAN CLINIC 87 - CH GR HOSPITALS LAB - KALAMAZOO 4444 KALAMAZOO AVE KENTWOOD MI 49508 AMBULATORY/PHYSICIAN CLINIC 88 - CH FAMILY MEDICINE - BYRON CTR 7751 BYRON CENTER BYRON CENTER MI 49315 AMBULATORY/PHYSICIAN CLINIC 89 - CH CARE CTR - NILES 2002 S 11TH ST NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC 90 - CH PENNOCK HOSPITAL FAMILY MEDICINE 1108 W STATE ST HASTINGS MI 49058 AMBULATORY/PHYSICIAN CLINIC 91 - CH FAMILY MEDICINE - GEORGETOWN 3158 PORT SHELDON HUDSONVILLE MI 49426 AMBULATORY/PHYSICIAN CLINIC 92 - CH CARE CTR - BERRIEN SPRINGS 9045 US 31 BERRIEN SPRINGS MI 49104 AMBULATORY/PHYSICIAN CLINIC 93 - CH WAYNE HOSPITAL IMAGING 7300 CANTON CENTER RD CANTON MI 48187 AMBULATORY/PHYSICIAN CLINIC 94 - CH FAMILY MEDICINE - BELLEVILLE 201 THIRD ST BELLEVILLE MI 48111 AMBULATORY/PHYSICIAN CLINIC 95 - CH TROY HOSPITAL RADIATION ONCOLOGY 44378 DEQUINDRE AVE STERLING HEIGHTS MI 48314 AMBULATORY/PHYSICIAN CLINIC 96 - CH WEIGHT CONTROL CTR 6300 N HAGGERTY RD CANTON TWSHP MI 48187 AMBULATORY/PHYSICIAN CLINIC 97 - CH CTR FOR HUMAN DEVELOPMENT 30503 GREENFIELD RD SOUTHFIELD MI 40876 AMBULATORY/PHYSICIAN CLINIC 98 - SECCHIA CTR 15 MICHIGAN ST GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 99 - CH FAMILY MEDICINE - SPARTA 2111 12 MILE RD SPARTA MI 49345 AMBULATORY/PHYSICIAN CLINIC 100 - CH CARE CTR - N ROCHESTER RD 6700 N ROCHESTER RD ROCHESTER HILLS MI 48306 AMBULATORY/PHYSICIAN CLINIC 101 - CH FAMILY MEDICINE - N HAGGERTY RD 2050 HAGGERTY RD CANTON MI 48187 AMBULATORY/PHYSICIAN CLINIC 102 - CH DEARBORN HOSPITAL CARE CTR - FORD RD 25045 FORD RD DEARBORN MI 48128 AMBULATORY/PHYSICIAN CLINIC 103 - HDCH PEDIATRIC CTR - LANSING 3220 DISCOVERY DRIVE LANSING MI 48910 AMBULATORY/PHYSICIAN CLINIC 104 - CH ADVANCED PRIMARY CARE - ALPINE 2332 ALPINE AVE WALKER MI 49544 AMBULATORY/PHYSICIAN CLINIC 105 - CH CARE CTR - BEECH DALY RD 15540 BEECH DALY REDFORD TWP MI 48239 AMBULATORY/PHYSICIAN CLINIC 106 - CH PEDIATRICS - 68TH ST SE 1545 68TH ST GRAND RAPIDS MI 49508 AMBULATORY/PHYSICIAN CLINIC 107 - CH WBU HOSPITAL WOMEN'S HEALTH CTR 17400 W 13 MILE RD BEVERLY HILLS MI 48025 AMBULATORY/PHYSICIAN CLINIC 108 - CH SPLEEP CTR 16310 TWELVE MILE RD SOUTHFIELD MI 48076 AMBULATORY/PHYSICIAN CLINIC 109 - CH RHEUMATOLOGY - SUMMIT PARK 3271 CLEAR VISTA CT GRAND RAPIDS MI 49525 AMBULATORY/PHYSICIAN CLINIC 110 - CH CARE CTR - LITTLE MACK AVE 23715 LITTLE MACK ST CLAIR SHORES MI 48080 REHAB 111 - CH PENNOCK MULTISPECIALTY CTR - IONIA 2776 S STATE RD IONIA MI 48846 AMBULATORY/PHYSICIAN CLINIC 112 - CHMG CARDIOVASCULAR MEDICINE - HOLLAND 602 MICHIGAN AVE HOLLAND MI 49423 AMBULATORY/PHYSICIAN CLINIC 113 - CH UROLOGY 815 ST JOSPEH DR ST JOSPEH MI 49085 AMBULATORY/PHYSICIAN CLINIC 114 - CH GASTROENTEROLOGY - ST JOSEPH 3903 HOLLYWOOD RD ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC 115 - CH PRIMARY CARE LONGMEADOW 4 LONGMEADOW VILLAGE DR NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC 116 - CH ORTHOPEDICS LONGMEADOW 6 LONGMEADOW VILLAGE DR NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC 117 - CH GERBER FAMILY MEDICINE - NEWAYGO 211 W PINE LAKE DR NEWAYGO MI 49337 REHAB 118 - CH GREENVILLE FAMILY MEDICINE - BELDING 1227 W STATE ST BELDING MI 48809 AMBULATORY/PHYSICIAN CLINIC 119 - CH CARE CTR - BRIDGEMAN 9625 RED ARROW HWY BRIDGEMAN MI 49106 AMBULATORY/PHYSICIAN CLINIC 120 - CH GREENVILLE LIFESTYLES 701 S GREENVILLE W DR GREENVILLE MI 48838 AMBULATORY/PHYSICIAN CLINIC 121 - CH PEDIATRICS - ORCHARD LAKE RD 23133 ORCHARD LAKE RD FARMINGTON MI 48336 AMBULATORY/PHYSICIAN CLINIC 122 - CH FAMILY MEDICINE - DIX TOLEDO HWY 14319 DIX TOLEDO RD SOUTHGATE MI 48195 AMBULATORY/PHYSICIAN CLINIC 123 - CHMG OBGYN 3800 LAKE MICHIGAN DR WALKER MI 49534 AMBULATORY/PHYSICIAN CLINIC 124 - CH FH FAMILY MEDICINE - W 12 MILE ROAD 44130 W 12 MILE RD NOVI MI 48377 AMBULATORY/PHYSICIAN CLINIC 125 - CH FAMILY MEDICINE - E 11 MILE RD 309 E ELEVEN MILE RD ROYAL OAK MI 48067 AMBULATORY/PHYSICIAN CLINIC 126 - CH FAMILY MEDICINE - CAMPUSTOWNE 4868 LAKE MICHIGAN DR 2 ALLENDALE MI 49401 AMBULATORY/PHYSICIAN CLINIC 127 - CH LAKELAND HEART & VASCULAR - NILES 61 N ST JOSEPH AVE NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC 128 - CH INTERNAL MEDICINE - E 10 MILE ROAD 18325 E 10 MILE RD ROSEVILLE MI 48066 AMBULATORY/PHYSICIAN CLINIC 129 - CH WATERVLIET HOSPITAL - WATERVLIET 450 MEDICAL PARK DR WATERVLIET MI 49098 AMBULATORY/PHYSICIAN CLINIC 130 - CH DERM & PLASTIC SURGERY - ROYALTON 3901 STONEGATE PARK ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC 131 - CH OCCUPATIONAL HEALTH - ST JOSEPH 2500 NILES RD ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC 132 - CH WATERVILET HOSPITAL REHAB - COLOMA 7040 RED ARROW HWY COLOMA MI 49038 REHAB 133 - CH PENNOCK ORTHOPEDICS & PAIN MGMT CTR 840 COOK RD HASTINGS MI 49058 AMBULATORY/PHYSICIAN CLINIC 134 - CH FAMILY MEDICINE - PLAZA SOUTH DR 15100 S PLAZA DR TAYLOR MI 48180 AMBULATORY/PHYSICIAN CLINIC 135 - CH FAMILY MEDICINE - LITTLE MACK AVE 30695 LITTLE MACK AVE ROSEVILLE MI 48066 AMBULATORY/PHYSICIAN CLINIC 136 - CH DEARBORN HOSPTIAL CARE CTR - ALLEN RD 19725 ALLEN RD BROWNSTOWN MI 48183 AMBULATORY/PHYSICIAN CLINIC 137 - CH LAKELAND HEART & VASCULAR - COLOMA 6559 PAW PAW AVE COLOMA MI 49038 AMBULATORY/PHYSICIAN CLINIC 138 - CH LAKELAND HOSPITALS REHAB - NILES 905 N FRONT ST NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC 139 - CH PHYSICAL MED & REHAB - ANNAPOLIS ST 33000 ANNAPOLIS ST WAYNE MI 48184 AMBULATORY/PHYSICIAN CLINIC 140 - CH FAMILY MEDICINE - N MAIN STREET 950 970 N MAIN ST ROYAL OAK MI 48067 AMBULATORY/PHYSICIAN CLINIC 141 - CH FAMILY MEDICINE - 9 MILE RD 22646 NINE MILE RD ST CLAIR SHORES MI 48081 AMBULATORY/PHYSICIAN CLINIC 142 - CH WBU HOSPITAL INTERNAL MEDICINE 1949 W 12 MILE RD BERKLEY MI 48072 AMBULATORY/PHYSICIAN CLINIC 143 - CH FAMILY MED INTERNAL MED & PEDIATRICS 3185 MACATAWA DRIVE GRANDVILLE MI 49418 AMBULATORY/PHYSICIAN CLINIC 144 - CH REED CITY SPECIALTY CLINIC 225 N STATE ST REED CITY MI 49677 AMBULATORY/PHYSICIAN CLINIC 145 - CH BIG RAPIDS HOSPITAL - POB 705 OAK ST BIG RAPIDS MI 49307 AMBULATORY/PHYSICIAN CLINIC 146 - CH BIG RAPIDS FAMILY MEDICINE - EVART 5591 95TH AVE EVART MI 49631 AMBULATORY/PHYSICIAN CLINIC 147 - CH FAMILY MEDICINE - PARKSIDE 25 S WASHINGTON OXFORD MI 48371 AMBULATORY/PHYSICIAN CLINIC 148 - CH FAMILY MEDICINE - CALEDONIA 9090 S RODGERS CT SE CALEDONIA MI 49316 AMBULATORY/PHYSICIAN CLINIC 149 - CH PENNOCK FAMILY MEDICINE - LAKE ODESSA 4294 LAUREL DR LAKE ODESSA MI 48849 AMBULATORY/PHYSICIAN CLINIC 150 - CH FAMILY MEDICINE - NEWPORT 3132 NEWPORT RD NEWPORT MI 48166 AMBULATORY/PHYSICIAN CLINIC 151 - CH FAMILY MEDICINE - GASLIGHT 2249 WEALTHY EAST GRAND RAPIDS MI 49506 AMBULATORY/PHYSICIAN CLINIC 152 - CH FAMILY MEDICINE - CAMPUSTOWNE 4868 LAKE MICHIGAN DR 1 ALLENDALE MI 49401 AMBULATORY/PHYSICIAN CLINIC 153 - CH OBGYN - LEWIS DR 39475 LEWIS DR NOVI MI 48377 AMBULATORY/PHYSICIAN CLINIC 154 - CH TRENTON HOSPITAL REHAB - JEFFERSON AVE 2707 W JEFFERSON RD TRENTON MI 48183 REHAB 155 - CH WATERVILET PRIMARY CARE - HARTFORD 525 S CENTER ST HARTFORD MI 49057 AMBULATORY/PHYSICIAN CLINIC 156 - CH LAKELAND HOSPITALS HOMECARE - NILES 60 N ST JOSEPH AVE NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC 157 - CH PHYSICIANS & SURGEONS - KERCHEVAL AVE 17000 KERCHEVAL AVE GROSSE POINTE MI 48230 AMBULATORY/PHYSICIAN CLINIC 158 - CH INTERNAL MEDICINE - TOWN CTR DR 130 TOWN CENTER DR TROY MI 48084 AMBULATORY/PHYSICIAN CLINIC 159 - CH TEEN CTR - TAYLOR 26650 EUREKA RD TAYLOR MI 48180 AMBULATORY/PHYSICIAN CLINIC 160 - CH WBU HOSPITAL PT - COOLIDGE HWY 2160 COOLIDGE HWY BERKLEY MI 48072 AMBULATORY/PHYSICIAN CLINIC 161 - CH FH HOSPITAL CARDIOLOGY - 8 MILE RD 28711 W 8 MILE RD LIVONIA MI 48152 AMBULATORY/PHYSICIAN CLINIC 162 - CH OBGYN - PARKWAY PLACE 4249 PARKWAY PLACE DR GRANDVILLE MI 49418 AMBULATORY/PHYSICIAN CLINIC 163 - CH GR HOSPITALS MRI 3264 N EVERGREEN DR GRAND RAPIDS MI 49525 AMBULATORY/PHYSICIAN CLINIC 164 - CH SPECIALTY CARE - HOLTON RD 1845 HOLTON RD MUSKEGON MI 49445 AMBULATORY/PHYSICIAN CLINIC 165 - CH PRIMARY CARE - KERCHEVAL AVE 15200 KERCHEVAL AVE GROSSE POINTE PARK MI 48230 AMBULATORY/PHYSICIAN CLINIC 166 - CH GR HOSPITALS PEDIATRIC CARE CTR 360 LAFAYETTE GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 167 - CH FAMILY MEDICINE - WALTON BLVD 1202 WALTON BLVD ROCHESTER HILLS MI 48307 AMBULATORY 168 - CH LUDINGTON FAMILY MEDICINE - GRANT 230 S MAPLE ST GRANT MI 49327 AMBULATORY/PHYSICIAN CLINIC 169 - CH PENNOCK FAMILY MEDICINE - GUN LAKE 179 HIGHWAY WEST M WAYLAND MI 49348 AMBULATORY/PHYSICIAN CLINIC 170 - CH FAMILY MEDICINE - COOPERSVILLE 25 CONRAN COOPERSVILLE MI 49404 AMBULATORY/PHYSICIAN CLINIC 171 - CH ADVANCED PRIMARY CARE - MUSKEGON 2558 HENRY ST MUSKEGON MI 49441 AMBULATORY/PHYSICIAN CLINIC 172 - CH GREENVILLE HOSPITAL OUTPATIENT PT 6896 S GREENVILLE RD GREENVILLE MI 48838 AMBULATORY/PHYSICIAN CLINIC 173 - LAKEVIEW MEDICAL SPECIALITY CTR 420 LINCOLN AVE LAKEVIEW MI 48850 AMBULATORY/PHYSICIAN CLINIC 174 - CH GR HOSPITALS IMAGING - FOREMOST 5800 FOREMOST GRAND RAPIDS MI 49546 AMBULATORY/PHYSICIAN CLINIC 175 - CH LUDINGTON FAMILY MEDICINE - HART 2481 N 72ND AVE HART MI 49420 AMBULATORY/PHYSICIAN CLINIC 176 - CH FAMILY MEDICINE - RYAN RD 29245 RYAN RD WARREN MI 48092 AMBULATORY/PHYSICIAN CLINIC 177 - CH FH HOSPITAL INTERNAL MEDICINE 20317 FARMINGTON RD LIVONIA MI 48152 AMBULATORY/PHYSICIAN CLINIC 178 - CH TAYLOR HOSPITAL PT 4121 S CANTON CENTER RD CANTON MI 48188 AMBULATORY/PHYSICIAN CLINIC 179 - CH LUDINGTON CLININC & PRIMARY CARE 922 LAWNDALE LUDINGTON MI 494311928 AMBULATORY/PHYSICIAN CLINIC 180 - CH FAMILY MEDICINE - GRAND RVR AVE 32754 GRAND RIVER AVE FARMINGTON MI 48336 AMBULATORY/PHYSICIAN CLINIC 181 - CH DEARBORN HOSPITAL SLEEP CTR 14031 PENNSYLVANIA RD RIVERVIEW MI 48193 AMBULATORY/PHYSICIAN CLINIC 182 - CH GR HOSPITALS PT - ROCKFORD 515 E DIVISION ROCKFORD MI 49341 AMBULATORY/PHYSICIAN CLINIC 183 - CH GR HOSPITALS PT - BELTLINE 2830 E BELTLINE GRAND RAPIDS MI 49525 AMBULATORY/PHYSICIAN CLINIC 184 - CH INTERNAL MEDICINE - MIDWAY 555 BARCLAY CIRCLE ROCHERSTER HILLS MI 48307 AMBULATORY/PHYSICIAN CLINIC 185 - CH FAMILY MEDICINE - NORTHSIDE 14001 GREENFIELD RD DETROIT MI 48227 AMBULATORY/PHYSICIAN CLINIC 186 - CH INTERNAL MEDICINE - DEQUINDRE RD 38865 DEQUINDRE RD TROY MI 48083 AMBULATORY/PHYSICIAN CLINIC 187 - CH BIG RAPIDS HOSPITAL REHAB - 220TH ST 4393 220TH ST REED CITY MI 49677 AMBULATORY/PHYSICIAN CLINIC 188 - CH CARE CTR - BELTLINE 550 MUNSON AVE TRAVERSE CITY MI 49684 AMBULATORY/PHYSICIAN CLINIC 189 - CHMG SOUTH AUDIOLOGY - ST JOSEPH 2680 S CLEVELAND AVE ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC 190 - CH FAMILY MEDICINE - TELEGRAPH RD 9340 TELEGRAPH RD TAYLOR MI 48180 AMBULATORY/PHYSICIAN CLINIC 191 - CH WBU HOSPITAL WOUND TREATMENT CLINIC 28905 WOODWARD AVE BERKLEY MI 48072 AMBULATORY/PHYSICIAN CLINIC 192 - CH PENNOCK FAMILY MEDICINE 490 EDWARD ST MIDDLEVILLE MI 49333 AMBULATORY/PHYSICIAN CLINIC 193 - CH FAMILY MEDICINE - GEORGETOWN 3152 PORT SHELDON HUDSONVILLE MI 49426 AMBULATORY/PHYSICIAN CLINIC 194 - CH SLEEP - FORD RD 42180 FORD RD CANTON MI 48187 AMBULATORY/PHYSICIAN CLINIC 195 - CH LAKELAND HOMECARE - MEADOWBROOK 2550 MEADOWBROOK RD BENTON HARBOR MI 49022 AMBULATORY/PHYSICIAN CLINIC 196 - CH WBU HOSPITAL CARDIOLOGY - 10 MILE RD 39500 10 MILE RD NOVI MI 48375 AMBULATORY/PHYSICIAN CLINIC 197 - CH LIFESTYLE MEDICINE 435 IONIA AVE SW GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 198 - CH LUDINGTON HOSPITAL PEDIATRICS 907 TINKHAM AVE LUDINGTON MI 49431 AMBULATORY/PHYSICIAN CLINIC 199 - CH INTERNAL MEDICINE - WESTLAND 35180 NANKIN BLVD WESTLAND MI 48185 AMBULATORY/PHYSICIAN CLINIC 200 - CH GR HOSPITALS PEDIATRIC PT 400 S STATE ST ZEELAND MI 49464 AMBULATORY/PHYSICIAN CLINIC 201 - CH WAYNE BREAST CARE CTR - ANNAPOLIS ST 4491 VENOY AVE WAYNE MI 48184 AMBULATORY/PHYSICIAN CLINIC 202 - CH GP HOSPITAL VEIN CTR - KERCHEVAL AVE 87 KERCHEVAL GROSSE POINTE FARMS MI 48236 AMBULATORY/PHYSICIAN CLINIC 203 - CH HOUGH CTR FOR ADOLESCENT HEALTH 1777 AXTELL RD TROY MI 48084 AMBULATORY/PHYSICIAN CLINIC 204 - CH LUDINGTON FAMILY MEDICINE - HESPERIA 78 N DIVISION ST HESPERIA MI 49421 AMBULATORY/PHYSICIAN CLINIC 205 - CH DEARBORN HOSPITAL LAB - MONROE ST 1331 MONROE ST DEARBORN MI 48124 AMBULATORY/PHYSICIAN CLINIC 206 - CH WBU HOSPITAL MAMMOGRAPHY 35046 WOODWARD AVE BIRMINGHAM MI 48012 AMBULATORY/PHYSICIAN CLINIC 207 - CH FAMILY MEDICINE - CHESTERFIELD 50630 CHESTERFIELD RD CHESTERFIELD TWNSP MI 48051 AMBULATORY/PHYSICIAN CLINIC 208 - CH CARDIOVASCULAR SERVICES - SOUTH HAVEN 749 PHILLIPS ST SOUTH HAVEN MI 49090 AMBULATORY/PHYSICIAN CLINIC 209 - CREEKSIDE II 8075 CREEKSIDE DR PORTAGE MI 49024 AMBULATORY/PHYSICIAN CLINIC 210 - CH TAYLOR HOSPITAL PT - MONROE ST 2552 MONROE ST DEARBORN MI 48124 AMBULATORY/PHYSICIAN CLINIC 211 - CH CTR FOR BETTER HEALTH & WELLNESS 100 W MAIN ST BENTON HARBOR MI 49022 AMBULATORY/PHYSICIAN CLINIC 212 - CH GR HOSPITALS HEALTHIER COMMUNITIES 1357 GRANDVILLE AVE SW GRAND RAPIDS MI 49507 AMBULATORY/PHYSICIAN CLINIC 213 - CH GR HOSPITALS PT - VISTA SPRINGS 2420 COIT AVE NE GRAND RAPIDS MI 49505 AMBULATORY/PHYSICIAN CLINIC 214 - CH GR HOSPITALS LAB - PARIS AVE 1000 EAST PARIS GRAND RAPIDS MI 49546 AMBULATORY/PHYSICIAN CLINIC 215 - CH GR HOSPITALS PT 3540 FAIRLANES GRANDVILLE MI 49418 AMBULATORY/PHYSICIAN CLINIC 216 - CH GR HOSPITALS PT - BELDING 1320 W STATE ST BELDING MI 48809 AMBULATORY/PHYSICIAN CLINIC 217 - CH WBU HOSPITAL CARDIOLOGY - 12 MILE RD 16800 W 12 MILE RD SOUTHFIELD MI 48076 AMBULATORY/PHYSICIAN CLINIC 218 - CH WBU HOSPITAL VASCULAR SURGERY 31700 TELEGRAPH RD BINGHAM FARMS MI 48025 AMBULATORY/PHYSICIAN CLINIC 219 - CH INTERNAL MEDICINE - NANKIN BLVD 35330 NANKIN BLVD WESTLAND MI 48185 AMBULATORY/PHYSICIAN CLINIC 220 - CH TROY HOSPITAL PT - BLOSSOM RIDGE 3145 LILY TRAIL OAKLAND TOWNSHIP MI 48366 AMBULATORY/PHYSICIAN CLINIC 221 - CH WBU HOSPITAL LAB - W BIG BEAVER RD 3290 W BIG BEAVER TROY MI 48084 AMBULATORY/PHYSICIAN CLINIC 222 - CH FH HOSPITAL LAB - FARMINGTON RD 27555 FARMINGTON RD FARMINGTON HILLS MI 48336 AMBULATORY/PHYSICIAN CLINIC 223 - CH WALK-IN CLINIC - WYOMING MEIJER 5500 CLYDE PARK AVE SW WYOMING MI 49509 AMBULATORY/PHYSICIAN CLINIC 224 - CH DEARBORN HOSPITAL LAB - SOUTHFIELD RD 15101 SOUTHFIELD RD ALLEN PARK MI 48101 AMBULATORY/PHYSICIAN CLINIC 225 - CH PEDIATRIC CARDIOLOGY - OWOSSO 802 W KING ST OWOSSO MI 48867 AMBULATORY/PHYSICIAN CLINIC 226 - CH WALK-IN CLINIC - HUDSONVILLE MEIJER 4075 32nd AVE HUDSONVILLE MI 49426 AMBULATORY/PHYSICIAN CLINIC 227 - WOMEN'S HEALTH CTR 555 MIDTOWNE GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 228 - NILES COMMUNITY HEALTH CTR 1951 OAK ST NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC 229 - FREMONT TEEN HEALTH CTR 5421 WARNER AVE FREMONT MI 49412 TELEMEDICINE CLINIC 230 - GREENVILLE TEEN HEALTH CTR 111 N HILLCREST ST GREENVILLE MI 48838 TELEMEDICINE CLINIC 231 - CH LAKELAND HOSPITALS LAB 261 M62 CASSOPOLIS MI 49031 AMBULATORY/PHYSICIAN CLINIC 232 - CENTRAL MONTCALM MIDDLE- TEEN HEALTH CTR 1480 S SHERIDAN STANTON MI 48888 TELEMEDICINE CLINIC 233 - HESPERIA TEEN HEALTH CTR 96 S DIVISION HESPERIA MI 49421 TELEMEDICINE CLINIC 234 - VESTABURG TEEN HEALTH CTR 7188 AVENUE B VESTABURG MI 48891 TELEMEDICINE CLINIC 235 - TRI COUNTY TEEN HEALTH CTR 21338 KENDAVILLE RD HOWARD CITY MI 49329 TELEMEDICINE CLINIC 236 - MONTABELLA TEEN HEALTH CTR 1324 N COUNTY LINE RD BLANCHARD MI 49310 TELEMEDICINE CLINIC 237 - EVART TEEN HEALTH CTR 6221 95TH AVE EVART MI 49631 TELEMEDICINE CLINIC 238 - SHELDON MEADOWS ASSISTED LIVING CTR 4482 PORT SHELDON HUDSONVILLE MI 49426 AMBULATORY/PHYSICIAN CLINIC 239 - DELTON KELLOGG TEEN HEALTH CTR 10425 PANTHER PRIDE DR DELTON MI 49046 TELEMEDICINE CLINIC 240 - CH DEARBORRN HOSPITAL LAB - HALL RD 25000 HALL RD WOODHAVEN MI 48183 AMBULATORY/PHYSICIAN CLINIC 241 - ZEELAND WEST TEEN HEALTH CTR 3390 100th AVE ZEELAND MI 49464 AMBULATORY/PHYSICIAN CLINIC 242 - SPARTA TEEN HEALTH CTR 475 W SPARTAN DR SPARTA MI 49345 TELEMEDICINE CLINIC 243 - BIG RAPIDS TEEN HEALTH CTR 21175 15 MILE RD BIG RAPIDS MI 49307 TELEMEDICINE CLINIC 244 - LAKEVIEW TEEN HEALTH CTR 602 WASHINGTON ST LAKEVIEW MI 48850 TELEMEDICINE CLINIC 245 - EAST KENTWOOD TEEN HEALTH CTR 6230 KALAMAZOO AVE KENTWOOD MI 49508 TELEMEDICINE CLINIC 246 - WYOMING TEEN HEALTH CTR 1350 PRAIRE PARKWAY SW WYOMING MI 49509 TELEMEDICINE CLINIC 247 - EAST KENTWOOD TEEN HEALTH CTR 6170 VALLEY LANE DRIVE SE KENTWOOD MI 49508 TELEMEDICINE CLINIC 248 - HASTINGS TEEN HEALTH CTR 520 W SOUTH ST HASTINGS MI 49058 TELEMEDICINE CLINIC 249 - CARSON CITY-CRYSTAL TEEN HEALTH CTR 213 E SHERMAN ST CARSON CITY MI 48811 TELEMEDICINE CLINIC 250 - HDCH ORTHOPEDICS - GRAND BLANC 8203 S SAGINAW ST GRAND BLANC MI 48430 AMBULATORY/PHYSICIAN CLINIC 251 - MASON COUNTRY CENTRAL TEEN HEALTH CTR 210 W BROADWAY SCOTTSVILLE MI 49464 TELEMEDICINE CLINIC 252 - THORNAPPLE KELLOGG TEEN HEALTH CTR 3885 BENDER RD MIDDLEVILLE MI 49333 TELEMEDICINE CLINIC 253 - REED CITY TEEN HEALTH CTR 225 W CHURCH ST REED CITY MI 49677 TELEMEDICINE CLINIC 254 - CH BIG RAPIDS OBGYN & UROLOGY 722 LOCUST BIG RAPIDS MI 49307 AMBULATORY/PHYSICIAN CLINIC 255 - TOMLINSON MIDDLE SCHOOL TEEN HEALTH CTR 25912 ANNAPOLIS ST INKSTER MI 48141 AMBULATORY/PHYSICIAN CLINIC 256 - ANNAPOLIS TEEN HEALTH CTR 4650 CLIPPERT ST DEARBORN HEIGHTS MI 48125 AMBULATORY/PHYSICIAN CLINIC 257 - WAYNE WESTLAND TEEN HEALTH CTR 36745 MARQUETTE WESTLAND MI 48185 AMBULATORY/PHYSICIAN CLINIC 258 - PIERCE MIDDLE SCHOOL TEEN HEALTH CTR 25605 ORANGELAWN AVE REDFORD MI 48239 AMBULATORY/PHYSICIAN CLINIC 259 - DETROIT EDISON TEEN HEALTH CTR 1903 WILKINS DETROIT MI 48207 AMBULATORY/PHYSICIAN CLINIC 260 - CH PEDIATRIC NEPHROLOGY - KALAMAZOO 1000 OAKLAND DR KALAMAZOO MI 49008 AMBULATORY/PHYSICIAN CLINIC 261 - HDCH CHILDREN'S HEART CTR - MOUNT PLEASANT 1205 S MISSION DR MT PLEASANT MI 48858 AMBULATORY/PHYSICIAN CLINIC SCH H - PART VI FOR QUESTIONS IN PART VI, FACILITY NAMES HAVE BEEN RECENTLY CHANGED DUE TO THE INTEGRATION OF SPECTRUM HEALTH AND BEAUMONT HEALTH TO FORM COREWELL HEALTH, AS FOLLOWS.COREWELL HEALTH GRAND RAPIDS HOSPITALS - BUTTERWORTH HOSPITAL (FKA SPECTRUM HEALTH BUTTERWORTH)COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL (FKA BEAUMONT HOSPITAL, ROYAL OAK)COREWELL HEALTH BEAUMONT TROY HOSPITAL (FKA BEAUMONT HOSPITAL, TROY)COREWELL HEALTH DEARBORN HOSPITAL (FKA BEAUMONT HOSPITAL, DEARBORN)COREWELL HEALTH GRAND RAPIDS HOSPITALS - BLODGETT HOSPITAL (FKA SPECTRUM HEALTH BLODGETT)COREWELL HEALTH FARMINGTON HILLS HOSPITAL (FKA BEAUMONT HOSPITAL, FARMINGTON HILLS)COREWELL HEALTH LAKELAND HOSPITALS - ST. JOSEPH HOSPITAL (FKA LAKELAND HOSPITALS AT ST. JOSEPH)COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL (FKA BEAUMONT HOSPITAL, GROSSE POINTE)COREWELL HEALTH TRENTON HOSPITAL (FKA BEAUMONT HOSPITAL, TRENTON)COREWELL HEALTH TAYLOR HOSPITAL (FKA BEAUMONT HOSPITAL, TAYLOR)COREWELL HEALTH WAYNE HOSPITAL (FKA BEAUMONT HOSPITAL, WAYNE)COREWELL HEALTH GREENVILLE HOSPITAL (FKA SPECTRUM HEALTH UNITED)COREWELL HEALTH LAKELAND HOSPITALS - NILES HOSPITAL (FKA LAKELAND HOSPITALS AT NILES)COREWELL HEALTH GERBER HOSPITAL (FKA SPECTRUM HEALTH GERBER MEMORIAL)COREWELL HEALTH LUDINGTON HOSPITAL (FKA SPECTRUM HEALTH LUDINGTON)COREWELL HEALTH ZEELAND HOSPITAL (FKA SPECTRUM HEALTH ZEELAND)COREWELL HEALTH PENNOCK HOSPITAL (FKA SPECTRUM HEALTH PENNOCK)COREWELL HEALTH BIG RAPIDS HOSPITAL (FKA SPECTRUM HEALTH BIG RAPIDS)COREWELL HEALTH REED CITY HOSPITAL (FKA SPECTRUM HEALTH REED CITY)COREWELL HEALTH WATERVLIET HOSPITAL (FKA LAKELAND COMMUNITY HOSPITAL WATERVLIET)COREWELL HEALTH KELSEY HOSPITAL (FKA SPECTRUM HEALTH KELSEY)PART I, LINE 6ANAME OF RELATED ORGANIZATION THAT PREPARED COMMUNITY BENEFIT REPORTCOREWELL HEALTH 38-3382353COREWELL HEALTH PUBLISHES A CONSOLIDATED COMMUNITY BENEFIT REPORT ONITS WEBSITE.COREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITAL:COREWELL HEALTH LAKELAND HOSPITALS PRESENTS THE ANNUAL COMMUNITY BENEFITS REPORT TO THE POPULATION HEALTH COMMITTEE (SUB-COMMITTEE OF THE BOARD), AND TO THE LAKELAND BOARD OF DIRECTORS. ONE OF THE ACTION ITEMS INCLUDED IN THE IMPLEMENTATION STRATEGY IS TO RE-ENGINEER THE COMMUNITY BENEFIT AFFORDABLE CARE ACT TO ALIGN HEALTH SYSTEMS' ALLOCATIONS OF COMMUNITY BENEFITS WITH HEALTH NEEDS IDENTIFIED IN THE CHNA.PART I, LINE 7EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLETHE ORGANIZATION CALCULATES AN OVERALL COST-TO-CHARGE RATIO DERIVED BY USING THE IRS WORKSHEET 2 FORMAT, RATIO OF PATIENT CARE COST-TO-CHARGES. ALL PATIENT SEGMENTS AND PAYERS ARE USED IN THE CALCULATION. PART I, LINE 7, COL (F) BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION $134,585,811. PART II DESCRIBE HOW COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITYCOREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL, COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITAL, COREWELL HEALTH GREENVILLE HOSPITAL, COREWELL HEALTH GERBER HOSPITAL, COREWELL HEALTH LUDINGTON HOSPITAL, COREWELL HEALTH BIG RAPIDS HOSPITAL, COREWELL HEALTH REED CITY HOSPITAL, COREWELL HEALTH ZEELAND HOSPITAL, COREWELL HEALTH KELSEY HOSPITAL, COREWELL HEALTH PENNOCK HOSPITAL:OUR HOSPITAL FACILITIES ARE DEDICATED TO THE COMMUNITIES THEY SERVE. THE HOSPITALS WORK TO ADDRESS THE PRESSING HEALTH ISSUES OF THE COMMUNITIES THEY SERVE BY PROMOTING AND ADVOCATING FOR OVERALL COMMUNITY HEALTH IMPROVEMENT. THE HOSPITALS CONTRIBUTE FUNDING AND PARTNER WITH COMMUNITY CLINICS SUCH AS CHERRY HEALTH SERVICES, CATHERINE'S HEALTH CENTER, AND EXALTA HEALTH TO PROVIDE MEDICAL SERVICES TO IMPROVE THE HEALTH OF ADULTS MANAGING CHRONIC DISEASE, IMPROVING CHILDREN'S HEALTH, AND REDUCING INFANT MORTALITY. AS THE NEED FOR MENTAL HEALTH SERVICES AND SUBSTANCE USE DISORDERS CONTINUE TO RISE, WE FUND ORGANIZATIONS SUCH AS ARBOR CIRCLE AND THE GRAND RAPIDS RED PROJECT. AS WE RECOGNIZE THAT HEALTHCARE IS NOT THE SOLE CONTRIBUTOR TO IMPROVING HEALTH, WE ALSO SUPPORT ORGANIZATIONS THAT ADDRESS THE SOCIAL DETERMINANTS OF HEALTH (THAT INCLUDE BUT ARE NOT LIMITED TO) EDUCATION, EMPLOYMENT, HOUSING, AND FOOD INSECURITY. IN THE HEALTH SCIENCES SCHOOL PARTNERSHIP, THE REGION'S PREMIER SPECIALTY HIGH SCHOOL, FOCUS IS ON PREPARING STUDENTS FOR COLLEGE AND TECHNICAL CAREER PATHWAYS IN THE WIDE-RANGING HEALTH CARE INDUSTRY. OUR FOOD INSECURITY ALLIANCE INCLUDES PARTNERING WITH ORGANIZATIONS SUCH AS ACCESS OF WEST MICHIGAN, THE COMMUNITY FOOD CLUB, URBAN ROOTS AND WELLHOUSE. TO REDUCE HOUSING INSECURITY, WE PARTNER WITH KINGDOM LIFE MINISTRIES TO HOUSE PREGNANT MOTHERS AND FAMILIES AND SUPPORT 3:11 HOUSING WHICH HOUSES HOMELESS YOUTH. WE ARE ALSO PART OF A COLLABORATIVE PARTNERSHIP WITH THE ROBERT WOOD JOHNSON FOUNDATION AND REINVESTMENT FUND CALLED INVEST HEALTH. IT FOCUSES ON INCREASING EQUITABLE OUTCOMES BY REDUCING INFANT MORTALITY, LEAD EXPOSURES AND INCREASING FOOD SECURITY IN HISTORICALLY LOW-INCOME TARGETED CENSUS TRACT AREAS. THE INVEST HEALTH GRAND RAPIDS TEAM WILL ACHIEVE THIS THROUGH SCALING WORKFORCE MODELS AND HOUSING SUPPLY WITH ALIGNED INFANT MORTALITY, LEAD AND FOOD PROGRAMMING IN THE TARGETED CENSUS TRACTS. ADDITIONALLY, THE HOSPITALS HOST A MULTITUDE OF FREE COMMUNITY EDUCATION SEMINARS AND HEALTH SCREENINGS, HEALTH FAIRS AND SUPPORT GROUPS.COREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITAL:COMMUNITY BUILDING ACTIVITIES - PROGRAMS AND SERVICES THAT WHILE NOT DIRECTLY RELATED TO HEALTH CARE, ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS SUCH AS POVERTY, CRIME, AND ENVIRONMENTAL ISSUES. EXAMPLES ARE PHYSICAL IMPROVEMENTS, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, COALITION BUILDING, COMMUNITY HEALTH IMPROVEMENT ADVOCACY, AND WORKFORCE DEVELOPMENT ACTIVITIES.https://www.spectrumhealthlakeland.org/population-health/get-facts/community-health-needs-assessmentCOMMUNITY BUILDING ACTIVITIES/PHYSICAL IMPROVEMENTS - DEVELOPMENT OR MAINTENANCE OF PARKS AND PLAYGROUNDS TO PROMOTE PHYSICAL ACTIVITIESCOREWELL HEALTH WATERVLIET HOSPITAL PAR COURSE - IS MAINTAINED BY HOSPITAL ASSOCIATES TO PROVIDE COMMUNITY MEMBERS A SAFE AND SECURE PLACE TO EXERCISE. IT IS ALSO USED BY WATERVLIET HIGH SCHOOL STUDENTS DURING GYM CLASSES.THE GROWTH (GUIDED REAL-WORLD ORIENTATION AND WORK TRAINING AT THE HOSPITAL) INTERNSHIP PROGRAM LAUNCHED IN 2020 AND CONTINUED IN 2021, IN RESPONSE TO THE SHORTAGE OF AFRICAN AMERICAN AND HISPANIC/LATINX TEAM MEMBERS. THE PROGRAM CREATES A CAREER PIPELINE BETWEEN BENTON HARBOR AREA YOUTH AND COREWELL HEALTH LAKELAND AND OFFERS AN INCLUSIVE CULTURE OF LOVE AND RESPECT WHILE HELPING STUDENTS DEVELOP A DIVERSE SET OF SKILLS FOR THE WORKFORCE. THE PROGRAM INCLUDED A COMBINATION OF GUIDED REAL-WORLD EXPERIENCE AND WORK TRAINING AT THE HOSPITAL. PART III, LINE 2 METHODOLOGY USED TO ESTIMATE BAD DEBT:THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ACCOUNTS RECEIVABLE, PAYOR COMPOSITION AND AGING, AND HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTED ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR THIRD-PARTY PAYORS, THE PROVISION IS DETERMINED BY ANALYZING CONTRACTUALLY DUE AMOUNTS FROM PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES. FOR SELF-PAY PATIENTS, THE PROVISION IS BASED ON AN ANALYSIS OF PAST EXPERIENCE RELATED TO PATIENTS UNWILLING TO PAY STANDARD RATES CHARGED. THE DIFFERENCE BETWEEN THAT STANDARD RATE CHARGED (LESS THE NEGOTIATED DISCOUNTED RATE) AND THE AMOUNT ACTUALLY COLLECTED AFTER THE REASONABLECOLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.BAD DEBT IS CALCULATED AT COST FOR 990 REPORTING PURPOSES. PART III, LINE 3 FAP ELIGIBLE PATIENT BAD DEBT CALCULATION METHODOLOGY:THE HOSPITAL FACILITIES ARE UNABLE TO ESTIMATE ACCURATELY THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY. ALTHOUGH A PORTION OF BAD DEBT EXPENSES MAY RELATE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE, A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED. THE HOSPITAL FACILITIES HAVE IMPLEMENTED A PROPENSITY TO PAY EVALUATION TOOL THAT PROACTIVELY ASSESSES ONE'S ABILITY AND LIKELIHOOD TO PAY. THIS TOOL HAS PROVIDED A HIGHER DEGREE OF FOCUSED FINANCIAL COUNSELING EFFORTS, RESULTING IN A SUBSTANTIAL REDUCTION OF BAD DEBT AND HIGHER RATE OF IDENTIFICATION OF CHARITY ACCOUNTS. PART III, LINE 4 FOOTNOTE IN ORGANIZATION'S FINANCIAL STATEMENTS DESCRIBING BAD DEBT:FOOTNOTES RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS CAN BE FOUND ON PAGES 20-24 OF COREWELL HEALTH'S CONSOLIDATED AUDITED FINANANCIAL STATEMENTS. PART III, LINE 8 DESCRIBE EXTENT ANY SHORTFALL FROM LINE 7 TREATED AS COMMUNITY BENEFIT AND COSTING METHOD USED:THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT ARE:(1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS;(2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS;(3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND(4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS.IN DETERMINING MEDICARE SHORTFALLS, THE ORGANIZATION USES A RATIO OF COST-TO-CHARGES. IN DETERMINING THE RATIO OF COST-TO-CHARGES THE ORGANIZATION ADJUSTS FOR BAD DEBT EXPENSES, NON-PATIENT CARE ACTIVITIES, MEDICAID PROVIDER TAXES AND COMMUNITY BENEFITS ACCOUNTED FOR, AND OR REPORTED, ELSEWHERE. THE RATIO OF COST-TO-CHARGES IS APPLIED TO MEDICARE CHARGES TO DETERMINE SHORTFALLS IN MEDICARE REIMBURSEMENTS. PART III, LINE 9B DID COLLECTION POLICY CONTAIN PROVISIONS ON COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR ASSISTANCE:PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE ELIGIBLE FOR FREE CARE, AND THUS NO COLLECTION ACTION IS TAKEN. IF FINANCIAL ASSISTANCE ELIGIBILITY WOULD BE DISCOVERED AFTER COMMENCEMENT OF A COLLECTION ACTION, THEN SUCH COLLECTION ACTION WOULD BE SUSPENDED OR REVERSED. PART VI, LINE 2 NEEDS ASSESSMENTDESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, IN ADDITION TO ANY CHNA'S REPORTED IN PART V, SECTION B:THE CHNA DATA PROVIDES A LEVEL FOUNDATION ON WHICH TO PLAN, DEVELOP, AND IMPLEMENT NEW PROGRAMS AND SERVICES TO MEET THE NEEDS OF OUR COMMUNITY. OPERATIONAL SERVICES IDENTIFIED BY THE CHNA. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEDESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY:ALL FACILITIES LISTED IN SCHEDULE H, PART V, SECTION A.THE FACILITIES INFORM AND EDUCATE PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY THROUGH PRODUCING INFORMATION CARDS AND BROCHURES FOR THE UNINSURED, COMMUNITY OUTREACH PROGRAMS, CONSUMER INFORMATION CLASSES, OUR WEBSITES PERSONAL FINANCIAL COUNSELING AND BY PROVIDING ASSISTANCE IN THE ACTUAL ENROLLMENT OF SUCH PROGRAMS.EACH FACILITY HAS A DEPARTMENT OF FINANCIAL COUNSELORS WHO WORK WITH PATIENTS THAT EXPRESS ANY LEVEL OF CONCERN WITH PAYING THEIR BILL. IN ADDITION, FINANCIAL COUNSELORS PROACTIVELY IDENTIFY PATIENTS WHO HAVE QUALIFYING FACTORS FOR GOVERNMENTAL ASSISTANCE. COREWELL HEALTH ALSO PARTNERS WITH ORGANIZATIONS THAT SPECIALIZE IN THE QUALIFICATION PROCESS. IF A PATIENT'S NEED FOR ASSISTANCE IS NOT IDENTIFIED PRIOR TO BILLING, ANY CONCERNS AS A RESULT OF RECEIVING A BILL ARE ADDRESSED BY FINANCIAL COUNSELORS AT THAT TIME. COREWELL HEALTH WIDELY PUBLICIZES COMMUNICATIONS TO PATIENTS AND THE PUBLIC ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. THIS IS ACHIEVED THROUGH VARIOUS METHODS INCLUDING, BUT NOT LIMITED TO, THE PATIENT HANDBOOK, VARIOUS INFORMATIONAL BROCHURES, SIGNAGE IN EACH HOSPITAL EMERGENCY DEPARTMENT, ADMISSIONS OFFICES, AND OTHER PUBLIC LOCATIONS, UPON REQUEST BY ANY PATIENT, GUARANTOR OR COMMUNITY MEMBER, WORD OF MOUTH VIA FINANCIAL COUNSELORS AND OTHERS, AND THROUGH COMMUNITY PUBLICATIONS AND OUTREACH EVENTS. IN ADDITION, COREWELL HEALTH LISTS OPTIONS FOR THE UNINSURED AND UNDERINSURED ON ITS WEBSITE, ALONG WITH A COPY OF THE FINANCIAL ASSISTANCE ELIGIBILITY POLICY ON RESPECTIVE WEBSITES. PART VI, LINE 4 COMMUNITY INFORMATIONDESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES:COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL AND COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITAL:COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL AND COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITAL ARE LOCATED IN THE SAME COMMUNITY. THEY HAVE IDENTIFIED A PRIMARY SERVICE AREA OF ONE AND A HALF COUNTIES, INCLUDING KENT COUNTY AND PART OF EASTERN OTTAWA COUNTY. THE OVERALL SERVICE AREA TOTALS THIRTEEN COUNTIES, INCLUDING GRAND RAPIDS, MICHIGAN, THE SECOND LARGEST CITY IN THE STATE. OVERALL, THESE COUNTIES HAVE A TOTAL POPULATION OF OVER 1,600,000 RESIDENTS.KENT COUNTY IS LOCATED IN WESTERN MICHIGAN AND IS THE FOURTH LARGEST POPULATION CENTER IN THE STATE. THE COUNTY IS COMPOSED OF TWENTY-ONE TOWNSHIPS, FIVE VILLAGES, AND NINE CITIES COVERING 846 SQUARE MILES. GRAND RAPIDS IS THE COUNTY SEAT AND IS 30 MILES FROM LAKE MICHIGAN AND IS THE SECOND LARGEST CITY IN THE STATE. THE HEALTH CARE RESOURCES IN KENT COUNTY INCLUDECOREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL, COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITAL METRO HEALTH - UNIVERSITY OF MICHIGAN HEALTH, SAINT MARY'S HEALTH CARE, PINE REST, AND MARY FREE BED REHABILITATION HOSPITAL. IN ADDITION, THE HEALTH DEPARTMENT OPERATES FOUR PUBLIC HEALTH CLINICS THROUGHOUT THE COUNTY THAT OFFER PERSONAL HEALTH SERVICES. THE GRAND RAPIDS HOME FOR VETERANS AND THE VETERANS AFFAIRS OUTPATIENT CLINIC PROVIDE SERVICES FOR VETERANS. IN ADDITION TO MAJOR HEALTH CENTERS AND PUBLICLY FUNDED SERVICES, KENT COUNTY OFFERS NUMEROUS HEALTH-RELATED SERVICES THROUGH NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AThttps://www.spectrumhealth.org/healthier-communities/grand-rapids-hospitals-community-health-needs-assessmentCOREWELL HEALTH GREENVILLE HOSPITAL:COREWELL HEALTH GREENVILLE HOSPITAL SERVES THE MEDICAL NEEDS OF THE RESIDENTS OF GREENVILLE, MI. THE PRIMARY SERVICE AREA IS COMPRISED WHERE GREENVILLE HOSPITAL IS LOCATED AND INCLUDES MONTCALM COUNTY AND PORTIONS OF ADJACENT COUNTIES (IONIA AND GRATIOT) SUPPORTING A POPULATION OF OVER 173,000 RESIDENTS. RESIDENTS OF KENT COUNTY MAY ALSO SEEK CARE AT GREENVILLE HOSPITAL.THE HEALTHCARE RESOURCES IN GREENVILLE HOSPITAL'S SERVICE AREA INCLUDE COREWELL HEALTH KELSEY HOSPITAL (FORMERLY SPECTRUM HEALTH KELSEY), SPARROW CARSON HOSPITAL, SHERIDAN COMMUNITY HOSPITAL, THE MID-MICHIGAN DISTRICT HEALTH DEPARTMENT, AND CHERRY STREET - MONTCALM AREA HEALTH CENTER.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AThttps://www.spectrumhealth.org/healthier-communities/united-hospital-community-health-needs-assessmentCOREWELL HEALTH GERBER HOSPITAL:COREWELL HEALTH GERBER HOSPITAL IS A CRITICAL ACCESS FACILITY THAT HAS IDENTIFIED A PRIMARY SERVICE AREA OF SEVERAL COUNTIES INCLUDING NEWAYGO COUNTY, EASTERN OCEANA COUNTY AND EASTERN MUSKEGON COUNTY AS PRIMARY AND NORTHERN KENT COUNTY AND SOUTHERN LAKE COUNTY AS SECONDARY. THE PRIMARY SERVICE AREA SUPPORTS A POPULATION OF OVER 253,000 RESIDENTS.GERBER HOSPITAL IS THE ONLY MAJOR MEDICAL FACILITY IN THE FACILITY'S PRIMARY SERVICE AREA.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AThttps://www.spectrumhealth.org/healthier-communities/gerber-memorial-community-health-needs-assessmentCOREWELL HEALTH LUDINGTON HOSPITAL:COREWELL HEALTH LUDINGTON HOSPITAL SERVES A RURAL COMMUNITY LOCATED ON THE COAST OF LAKE MICHIGAN SERVING MASON AND PORTIONS OF OCEANA AND LAKE COUNTIES. THE PRIMARY SERVICE AREA SUPPORTS A POPULATION OF OVER 68,000 RESIDENTS, HOWEVER AS THE COMMUNITY IS A SEASONAL TOURIST DESTINATION, THE POPULATION OF THE COMMUNITY SIGNIFICANTLY CHANGES WITH THE SEASONS. A SEASONAL MIGRANT POPULATION IS PRESENT DUE TO AGRICULTURAL EMPLOYMENT OPPORTUNITIES IN THE COMMUNITY. A LARGE PORTION OF THE HOSPITALS PATIENTS ARE COVERED BY EITHER MEDICARE OR MEDICAID.LUDINGTON HOSPITAL IS THE ONLY MAJOR MEDICAL FACILITY IN THE FACILITY'S SERVICE AREA.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AThttps://www.spectrumhealth.org/healthier-communities/ludington-hospitalcommunity-health-needs-assessmentCOREWELL HEALTH BIG RAPIDS HOSPITAL:COREWELL HEALTH BIG RAPIDS IS LOCATED IN THE MID-WESTERN PORTION OF THE STATE OF MICHIGAN. IT SERVES THE MEDICAL NEEDS OF THE RESIDENTS OF BIG RAPIDS, MI. THE PRIMARY SERVICE AREA IS COMPRISED WHERE BIG RAPIDS HOSPITAL IS LOCATED AND INCLUDES MECOSTA COUNTY AND PORTIONS OF ADJACENT COUNTIES. THESE ADJACENT COUNTIES INCLUDE NEWAYGO, ISABELLA, OSCEOLA, AND LAKE COUNTIES. OVERALL, THESE COUNTIES HAVE A TOTAL POPULATION OF OVER 190,000 RESIDENTS. ACCORDING TO THE US CENSUS FROM 2016 TO 2020 THESE COUNTIES AVERAGED BETWEEN 12 AND 19 PERCENT OF THEIR POPULATION LIVING BELOW THE POVERTY LINE.BIG RAPIDS HOSPITAL IS THE ONLY MAJOR MEDICAL FACILITY LOCATED IN THE FACILITY'S SERVICE AREA.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AThttps://www.spectrumhealth.org/healthier-communities/big-rapids-hospital-community-health-needs-assessmentCOREWELL HEALTH REED CITY HOSPITAL:COREWELL HEALTH REED CITY HOSPITAL IS A CRITICAL ACCESS FACILITY SERVES THE MEDICAL NEEDS OF THE RESIDENTS OF REED CITY, MI AND THE FAR-NORTHERN PORTION OF A PRIMARY SERVICE AREA SHARED WITH COREWELL HEALTH BIG RAPIDS HOSPITAL (FORMERLY SPECTRUM HEALTH BIG RAPIDS), A RELATED ORGANIZATION. THE PRIMARY SERVICE AREA IS COMPRISED OF OSCEOLA COUNTY AND PORTIONS OF ADJACENT COUNTIES. THESE ADJACENT COUNTIES INCLUDE MECOSTA, LAKE, AND CLARE COUNTIES. OVERALL, THESE COUNTIES HAVE A TOTAL POPULATION OF OVER 106,000 RESIDENTS.OSCEOLA COUNTY IS LOCATED IN NORTHERN MICHIGAN APPROXIMATELY 80 MILES NORTH OF GRAND RAPIDS. THE RURAL COUNTY IS COMPOSED OF SIXTEEN TOWNSHIPS, FOUR VILLAGES, AND TWO CITIES COVERING 566 SQUARE MILES. REED CITY IS THE COUNTY SEAT. THE ONLY MAJOR MEDICAL FACILITY IN OSCEOLA COUNTY IS REED CITY HOSPITAL. IN ADDITION, THE HEALTH DEPARTMENT IS A BRANCH OFFICE OF THE CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT. LOCATED WEST OF OSCEOLA COUNTY, LAKE COUNTY IS COMPOSED OF FIFTEEN TOWNSHIPS AND TWO VILLAGES COVERING 567 SQUARE MILES. BALDWIN IS THE COUNTY SEAT. THERE ARE NO MAJOR MEDICAL FACILITIES IN LAKE COUNTY.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AThttps://www.spectrumhealth.org/healthier-communities/reed-city-hospitalcommunity-health-needs-assessmentCOREWELL HEALTH ZEELAND HOSPITAL:COREWELL HEALTH ZEELAND HOSPITAL HAS IDENTIFIED A PRIMARY SERVICE AREA INCLUSIVE OF MUCH OF OTTAWA COUNTY AND THE SURROUNDING LAKESHORE REGION. OVERALL, THE SERVICE AREA OF ZEELAND HOSPITAL HAS A POPULATION OF OVER 299,000.THE HEALTHCARE RESOURCES IN OTTAWA COUNTY INCLUDE ZEELAND HOSPITAL, HOLLAND HOSPITAL, AND NORTH OTTAWA COMMUNITY HEALTH SYSTEM. OTTAWA COUNTY OFFERS NUMEROUS HEALTH RELATED SERVICES INCLUDING FOUR FREE MEDICAL CLINICS AND A VARIETY OF SERVICES THROUGH NON-PROFIT AGENCIES SUCH AS THE OTTAWA COUNTY HEALTH DEPARTMENT AND OTTAWA COUNTY COMMUNITY MENTAL HEALTH.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AThttps://www.spectrumhealth.org/healthier-communities/zeeland-hospital-community-health-needs-assessmentCOREWELL HEALTH KELSEY HOSPITAL:COREWELL HEALTH KELSEY HOSPITAL IS A CRITICAL ACCESS FACILITY THAT SERVES THE MEDICAL NEEDS OF THE RESIDENTS OF LAKEVIEW, MI AND THE FAR-NORTHERN PORTION OF A PRIMARY SERVICE AREA SHARED WITH COREWELL HEALTH GREENVILLE HOSPITAL, A RELATED ORGANIZATION AND INCLUDES MONTCALM COUNTY AND PORTIONS OF ADJACENT COUNTIES (IONIA AND GRATIOT) SUPPORTING A POPULATION OF OVER 173,000 RESIDENTS. RESIDENTS OF KENT COUNTY MAY ALSO SEEK CARE AT KELSEY HOSPITAL.THE HEALTHCARE RESOURCES IN KELSEY HOSPITAL'S SERVICE AREA INCLUDE COREWELL HEALTH GREENVILLE HOSPITAL, SPARROW CARSON HOSPITAL, AND SHERIDAN COMMUNITY HOSPITAL, THE MID-MICHIGAN DISTRICT HEALTH DEPARTMENT, AND CHERRY STREET - MONTCALM AREA HEALTH CENTER.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AThttps://www.spectrumhealth.org/healthier-communities/united-hospital-community-health-needs-assessment PART VI, LINE 4 CONTINUED COREWELL HEALTH PENNOCK HOSPITAL:COREWELL HEALTH PENNOCK HOSPITAL IS A CRITICAL ACCESS FACILITY LOCATED IN BARRY COUNTY AND IS UNIQUELY LOCATED IN THE MIDDLE OF FOUR (4) LARGER METROPOLITAN AREAS: GRAND RAPIDS, LANSING, KALAMAZOO, AND BATTLE CREEK. THE PRIMARY SERVICE AREA IS IDENTIFIED AS BARRY COUNTY AND SUPPORTS A POPULATION OF RESIDENTS OVER 62,000.PENNOCK HOSPITAL IS THE ONLY HOSPITAL WITHIN A 35 MILE RADIUS SERVICING RESIDENTS OF THE COMMUNITY. OTHER HEALTHCARE RESOURCES AVAILABLE IN THE COMMUNITY INCLUDE BOTH INDEPENDENT AND PENNOCK EMPLOYED PHYSICIAN OFFICES, CHERRY HEALTH - BARRY COMMUNITY HEALTH CENTER, AND PENNOCK URGENT CARE CENTER. FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AThttps://www.spectrumhealth.org/healthier-communities/pennock-community-health-needs-assessmentCOREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITAL:THE SYSTEM SERVES APPROXIMATELY 280,000 RESIDENTS IN BERRIEN COUNTY AND SURROUNDING AREAS. LAKELAND SERVES ALL OF BERRIEN COUNTY, AND PARTS OF VAN BUREN AND CASS COUNTIES WITH 13 TO 15 PERCENT OF THE POPULATION IN THESE COUNTIES LIVING BELOW THE POVERTY LEVEL. ALL THREE COUNTIES ARE LOCATED IN THE SOUTHWEST CORNER OF MICHIGAN. THIS SERVICE AREA IS DETERMINED BY THE LOCATION OF LAKELAND'S FACILITIES AND PATIENTS' PLACES OF RESIDENCE. THE 2021 CHNA IDENTIFIES THE HEALTH NEEDS OF BERRIEN COUNTY.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AThttps://www.spectrumhealthlakeland.org/population-health/get-facts/community-health-needs-assessmentCOREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL, COREWELL HEALTH BEAUMONT TROY HOSPITAL, COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL, COREWELL HEALTH FARMINGTON HILLS HOSPITAL, COREWELL HEALTH DEARBORN HOSPITAL, COREWELL HEALTH TRENTON HOSPITAL, COREWELL HEALTH TAYLOR HOSPITAL, AND COREWELL HEALTH WAYNE HOSPITAL:THE COREWELL HEALTH EAST COMMUNITY IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. AREAS SERVED INCLUDE OAKLAND, MACOMB, AND WAYNE COUNTIES. POPULATION IN THE AREA IS EXPECTED TO GROW 1 PERCENT IN THE NEXT FIVE YEARS. THE 18 TO 44 AGE GROUP MAKES UP THE LARGEST PORTION OF THE POPULATION, HOWEVER IS EXPECTED TO STAY THE SAME OVER THE NEXT FIVE YEARS. THE 65+ GROUP WILL EXPERIENCE THE GREATEST GROWTH AND IS PROJECTED TO INCREASE BY 14 PERCENT. THE UNDER 18 POPULATION WILL DECREASE BY 1.3 PERCENT, WHILE THE 45-64 AGE GROUP WILL DECREASE BY 4.65 PERCENT. THE POPULATION IS 62.28% PERCENT WHITE, 24.16 PERCENT BLACK AND 5.48 PERCENT ASIAN PACIFIC ISLANDER, HOWEVER THERE ARE LARGE VARIANCES IN THESE PERCENTAGES ACROSS THE SERVICE REGION. THE COMMUNITY IS EXPECTED TO BECOME INCREASINGLY DIVERSE.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AThttps://www.beaumont.org/community/community-health-needs-assessmentCOREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. THE AREAS SERVED INCLUDE OAKLAND, MACOMB, AND WAYNE COUNTIES. IT IS THE MOST HEAVILY POPULATED AMONG THE BEAUMONT COMMUNITIES AND THE AGE COMPOSITION OF THE COMMUNITY IS SIMILAR TO THE STATE OF MICHIGAN AND THE COUNTY. THE COHORT AGED 65+ MAKES UP THE SMALLEST SEGMENT OF THE POPULATION (18.53 PERCENT) BUT IS EXPECTED TO EXPERIENCE GROWTH IN THE NEXT FIVE YEARS. THIS AGE GROUP WILL INCREASE 14.7 PERCENT WHILE THE 18 TO 44 AGE COHORT WILL GROW MUCH SLOWER. THE 45 TO 64 POPULATION WILL EXPERIENCE THE LARGEST DECREASE. THE WILLIAM BEAUMONT UNIVERSITY HOSPITAL POPULATION IS PREDOMINANTLY WHITE (64.93 PERCENT) AND THE COMMUNITY IS HOME TO A LARGE ARAB POPULATION MOSTLY CONCENTRATED IN STERLING HEIGHTS. IT IS EXPECTED TO BECOME INCREASINGLY DIVERSE AS ALL MINORITY GROUPS ARE PROJECTED TO INCREASE. THE ASIAN PACIFIC ISLANDER AND MULTIRACIAL & OTHER POPULATION WILL EXPERIENCE THE MOST GROWTH.THE COREWELL HEALTH BEAUMONT TROY HOSPITAL COMMUNITY IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. AREAS SERVED INCLUDE OAKLAND, MACOMB, AND WAYNE COUNTIES. POPULATION IN THE BEAUMONT TROY AREA IS EXPECTED TO GROW 2.8 PERCENT IN THE NEXT FIVE YEARS. THE 18 TO 44 AGE GROUP MAKES UP THE LARGEST PORTION OF THE POPULATION AND IS EXPECTED TO INCREASE BY 2.6 PERCENT. SIMILAR TO THE PATTERN ACROSS THE BEAUMONT COMMUNITIES THE 65+ GROUP WILL EXPERIENCE THE GREATEST GROWTH AND IS PROJECTED TO INCREASE BY 17.1 PERCENT. THE UNDER 18 POPULATION WILL DECREASE BY 1.1 PERCENT. THE COMMUNITY POPULATION IS 78.96 PERCENT WHITE, 6.41 PERCENT BLACK AND 8.62 PERCENT ASIAN PACIFIC ISLANDER. THE COMMUNITY IS ALSO HOME TO A RELATIVELY LARGE ARAB POPULATION. THE COMMUNITY IS EXPECTED TO BECOME INCREASINGLY DIVERSE.THE COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. THE POPULATION SERVED IS EXPECTED TO DECREASE LESS THAN 1 PERCENT, WITH HARRISON TOWNSHIP, CLINTON TOWNSHIP AND ROSEVILLE EXPERIENCING SLIGHT GROWTH AND THE SURROUNDING DETROIT AREA EXPERIENCING A CONTRACTION. THE COHORT AGED 65+ MAKES UP THE SMALLEST SEGMENT OF THE POPULATION (17.64 PERCENT) BUT IS EXPECTED TO EXPERIENCE THE MOST GROWTH OVER THE NEXT FIVE YEARS. THIS AGE GROUP IS EXPECTED TO INCREASE 13 PERCENT WHILE THE OTHER AGE GROUPS ARE EXPECTED TO DECREASE. THE POPULATION SERVED IS PRIMARILY WHITE (46.37 PERCENT) AND BLACK (46.25 PERCENT). ASIAN PACIFIC ISLANDERS AND MULTIRACIAL & OTHER POPULATIONS ARE EXPECTED TO INCREASE, WITH THE ASIAN PACIFIC ISLANDERS GROUP EXPERIENCING THE MOST GROWTH.COREWELL HEALTH DEARBORN HOSPITAL IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. THE AREAS SERVED INCLUDE OAKLAND, MACOMB, AND WAYNE COUNTIES. THE POPULATION IN THE COMMUNITIES SERVED BY DEARBORN HOSPITAL IS EXPECTED TO DECREASE BY LESS THAN 1 PERCENT OVER THE NEXT FIVE YEARS. MOST CITIES WILL SEE DECREASES, WITHTHE EXCEPTION OF ROMULUS, FLAT ROCK, AND NEW BOSTON, WHICH WILL HAVE SLIGHT INCREASES. THE AGE COMPOSITION OF DEARBORN IS REPRESENTATIVE OF THAT IN THE STATE OF MICHIGAN AND THE COUNTY. THE COHORT AGED 65 YEARS AND OLDER MAKES UP THE SMALLEST SEGMENT OF THE POPULATION (15.95 PERCENT) BUT IS EXPECTED TO EXPERIENCE THE MOST GROWTH OVER THE NEXT FIVE YEARS. THIS AGE GROUP IS EXPECTED TO INCREASE 11.6 PERCENT WHILE THE OTHER AGE GROUPS ARE EXPECTED TO DECREASE 0.5 TO 6 PERCENT. THE COMMUNITY IS PRIMARILY WHITE (64.16 PERCENT) AND BLACK (18.25 PERCENT). THE CITY OF DEARBORN ALSO HAS THE HIGHEST PROPORTION OF ARAB AMERICANS IN THE COUNTRY. THE ARAB POPULATION IS MOST HIGHLY CONCENTRATED IN DEARBORN (ZIP CODES 48126 AND 48120) AND DEARBORN HEIGHTS (ZIP CODE 48127). THE COMMUNITY IS EXPECTED TO BECOME INCREASINGLY DIVERSE OVER THE NEXT FIVE YEARS. COREWELL HEALTH TRENTON HOSPITAL IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. IN THE NEXT FIVE YEARS, TRENTON HOSPITAL'S POPULATION IS EXPECTED TO INCREASE BY 1.3 PERCENT. NEWPORT, ROCKWOOD, AND NEW BOSTON ARE EXPECTED TO SEE THE MOST GROWTH. THE AGE COMPOSITION OF THE COMMUNITY IS SIMILAR TO THE STATE OF MICHIGAN AND THE COUNTRY. THE COHORT AGED 65+ MAKES UP THE SMALLEST SEGMENT OF THE POPULATION (19.15 PERCENT). THIS GROUP IS EXPECTED TO INCREASE BY 14.4 PERCENT. TRENTON HOSPITAL'S POPULATION IS 81.46 PERCENT WHITE. THE OTHER, ASIAN, AND THE MULTIRACIAL GROUPS WILL EXPERIENCE SLIGHT GROWTH IN THE NEXT 5 YEARS.COREWELL HEALTH WAYNE HOSPITAL IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. IN CONTRAST TO OTHER AREAS IN COREWELL HEALTH EAST'S (FORMERLY BEAUMONT) OVERALL COMMUNITY, WAYNE HOSPITAL'S POPULATION WILL INCREASE ABOUT 1 PERCENT OVER THE NEXT FIVE YEARS. THE AGE COMPOSITION OF THE COMMUNITY IS SIMILAR TO THE STATE OF MICHIGAN AND THE COUNTY. THE COHORT AGED 65+ MAKES UP THE SMALLEST SEGMENT OF THE POPULATION (16.02 PERCENT) BUT IS EXPECTED TO EXPERIENCE THE LARGEST GROWTH (15.6 PERCENT). THE MAJORITY OF WAYNE HOSPITAL'S POPULATION IS WHITE (63.65 PERCENT). COMPARED TO THE STATE AND NATIONAL LEVELS AND OTHER BEAUMONT COMMUNITIES, THIS POPULATION IS MORE DIVERSE. TWENTY PERCENT OF BEAUMONT WAYNE'S POPULATION IS BLACK, AND 8.26 PERCENT IS ASIAN PACIFIC ISLANDER. THE OTHER, ASIAN, AND MULTIRACIAL COMMUNITIES IN WAYNE ARE PROJECTED TO INCREASE IN THE NEXT FIVE YEARS. PART VI, LINE 4 CONTINUED COREWELL HEALTH TAYLOR HOSPITAL IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. THE POPULATION SERVED BY BEAUMONT HOSPITAL TAYLOR IS PROJECTED TO REMAIN STABLE IN FIVE YEARS. THE 65 AND OLDER COHORT MAKES UP THE SMALLEST SEGMENT OF THE TAYLOR POPULATION (17.32 PERCENT); HOWEVER, IT IS THE ONLY AGE GROUP EXPECTED TO EXPERIENCE AN INCREASE IN THE NEXT FIVE YEARS. BEAUMONT TAYLOR'S POPULATION IS PRIMARILY WHITE (73.9 PERCENT) AND BLACK (13.12 PERCENT). THE COMMUNITY SERVED ALSO INCLUDES THE CITY OF TAYLOR, WHICH HAS THE HIGHEST CONCENTRATION OF ARAB AMERICANS IN THE COUNTRY. THE OTHER AND ASIAN COMMUNITIES ARE PROJECTED TO INCREASE IN THE NEXT FIVE YEARS.COREWELL HEALTH FARMINGTON HILLS HOSPITAL IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF THE INPATIENT DISCHARGES. THE POPULATION SERVED BY FARMINGTON HILLS HOSPITAL IS PROJECTED TO INCREASE LESS THAN 1 PERCENT OVER THE NEXT FIVE YEARS. WHILE THE POPULATION OF 64 AND UNDER IS PROJECTED TO DECREASE, THE 65 AND OLDER COHORT IS EXPECTED TO EXPERIENCE AN INCREASE IN THE NEXT FIVE YEARS. FARMINGTON HILLS HOSPITAL'S POPULATION IS PRIMARILY WHITE (48.75 PERCENT) AND BLACK (39.26 PERCENT), HOWEVER BOTH OF THESE GROUPS ARE EXPECTED TO DECREASE OVER THE NEXT FIVE YEARS, WHILE ASIAN PACIFIC ISLANDERS INCREASING BY 16.69 PERCENT. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTHPROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G., OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.):COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL, COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITAL, COREWELL HEALTH GREENVILLE HOSPITAL, COREWELL HEALTH GERBER HOSPITAL, COREWELL HEALTH LUDINGTON HOSPITAL, COREWELL HEALTH BIG RAPIDS HOSPITAL, COREWELL HEALTH REED CITY HOSPITAL, COREWELL HEALTH ZEELAND HOSPITAL, COREWELL HEALTH KELSEY HOSPITAL, AND COREWELL HEALTH PENNOCK HOSPITAL:THE COMMUNITY BOARD OF EACH FACILITY ON PART V, SECTION A IS SUBSTANTIALLY COMPOSED OF INDEPENDENT COMMUNITY MEMBERS THAT RESIDE IN THE PRIMARY SERVICE AREA OF THE HOSPITAL THEY SERVE AND PROVIDE ADVICE TO THAT HOSPITAL'S LEADERSHIP TEAM. THE HOSPITAL IS FURTHER SUPPORTED BY THE COREWELL HEALTH WEST MICHIGAN BOARD, WHICH IS THE GOVERNING BOARD OF THE HOSPITAL AND ALL OTHER HOSPITALS, POST-ACUTE CARE AND THE MEDICAL GROUP IN WEST MICHIGAN. ALL HOSPITALS ALSO EXTEND MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.COREWELL HEALTH INVESTS NET EARNINGS IN IMPROVING PATIENT CARE, BUILDING AND RENOVATING FACILITIES, PURCHASING NEW TECHNOLOGY, PROVIDING HEALTH EDUCATION AND FUNDING COMMUNITY PROGRAMS.PEOPLE THROUGHOUT THE COMMUNITY CAN COUNT ON ALL COREWELL HEALTH HOSPITAL FACILITIES TO BE STANDING BY WITH EMERGENCY CARE 24 HOURS A DAY, 365 DAYS A YEAR. THE EMERGENCY DEPARTMENTS ARE STAFFED WITH BOARD-CERTIFIED EMERGENCY CARE PHYSICIANS AND A NURSING STAFF THAT IS TRAINED AND EXPERIENCED IN EMERGENCY CARE. FURTHERMORE, NO PATIENT IS DENIED TREATMENT, REGARDLESS OF THEIR ABILITY TO PAY. COREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITAL:COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS REPRESENTS ACTIVITIES THAT HELP IMPROVE THE HEALTH AND QUALITY OF LIFE FOR PEOPLE IN THE COMMUNITY.COMMUNITY BUILDING ACTIVITIES - PROMOTED THE HEALTH OF THE COMMUNITIES.HEALTH PROFESSIONS EDUCATION - COREWELL HEALTH PREPARES HEALTH CARE PROFESSIONALS FOR THE FUTURE BY PROVIDING A VARIETY OF TRAINING PROGRAMS AND EDUCATIONAL EXPERIENCES IN CLINICAL SETTINGS FOR UNDERGRADUATE AND GRADUATE STUDENTS, MEDICAL RESIDENTS, AND NURSING AND OTHER ALLIED HEALTH PROFESSIONALS.CASH & IN-KIND DONATIONS TO COMMUNITY GROUPS - CASH CONTRIBUTIONS AND IN-KIND DONATIONS ARE DESIGNATED FOR HEALTH CARE RELATED ACTIVITIES PROVIDED BY SOCIAL SERVICE AND COMMUNITY AGENCIES, SUCH AS MEDICAL SUPPORT FOR COMMUNITY EVENTS AND PARTNERS WHO SERVE THE MOST VULNERABLE POPULATIONS. THIS AMOUNT ALSO INCLUDES LEADERSHIP INVOLVEMENT ON COMMUNITY BOARDS THAT SUPPORT ORGANIZATIONS AND THEIR EFFORTS ON BEHALF OF VULNERABLE POPULATIONS.RESEARCH - COREWELL HEALTH SOUTH IS COMMITTED TO INNOVATION BY OFFERING THE MOST ADVANCED, HIGH-QUALITY TREATMENTS AND HEALTH AND HEALING SERVICES TO THE COMMUNITY. AS A RESULT, COREWELL HEALTH SOUTH SPONSORS CLINICAL AND COMMUNITY HEALTH RESEARCH, AS WELL AS STUDIES ON HEALTH CARE DELIVERY. FINANCIAL ASSISTANCE - FREE OR DISCOUNTED CARE THAT COREWELL HEALTH SOUTH OFFERS TO PEOPLE WHO ARE UNABLE TO PAY FOR THEIR OWN CARE AND NOT ELIGIBLE FOR PUBLIC PROGRAMS. FINANCIAL ASSISTANCE DOES NOT INCLUDE THE BAD DEBT COST.UNREIMBURSED MEDICAID - REPRESENTS THE COST OF CARING FOR PEOPLE COVERED BY MEDICAID MINUS THE AMOUNT COREWELL HEALTH SOUTH RECEIVES FROM THOSE PROGRAMS.COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL, COREWELL HEALTH BEAUMONT TROY HOSPITAL, COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL, COREWELL HEALTH FARMINGTON HILLS HOSPITAL, COREWELL HEALTH DEARBORN HOSPITAL, COREWELL HEALTH TRENTON HOSPITAL, COREWELL HEALTH TAYLOR HOSPITAL, AND COREWELL HEALTH WAYNE HOSPITAL:IN ORDER TO PROMOTE THE HEALTH OF THE COMMUNITIES SERVED, WE HAVE RESPONDED TO THE NEEDS OF THE COMMUNITIES AND INVESTED IN PROGRAMS TO IMPROVE THE HEALTH AND WELL-BEING OF THE NEIGHBORHOODS IN WHICH IT LIVES AND SERVES. BUILDING ON A NATIONAL REPUTATION FOR CLINICAL EXCELLENCE, WE ARE COMMITTED TO ENHANCING PUBLIC AWARENESS THROUGH A VARIETY OF COMMUNITY OUTREACH ACTIVITIES AND INITIATIVES THAT RELATE TO THE FOLLOWING:HEALTH PROMOTION, WELLNESS, AND DISEASE PREVENTIONEVENTS THAT SUPPORT COMMUNITY ENGAGEMENT EDUCATION, DIVERSITY, AND CULTURAL ARTS RELATING TO IMPROVING THE PATIENT EXPERIENCE AT COREWELL HEALTH EAST (FORMERLY BEAUMONT HEALTH) EIGHT HOSPITAL LOCATIONS.EVENTS AND ORGANIZATIONS THAT HELP US ATTAIN COMMUNITY HEALTH NEEDS ASSESSMENT GOALS.WE HAVE A STRONG TRADITION OF BEING A PART OF OUR COMMUNITIES WITH SHARED VISION OF CREATING HEALTH AND WELLNESS FOR ALL AND CONTINUING TO EXPAND THAT OUTREACH WITH EVERY PASSING YEAR.MANY OF OUR EXECUTIVES, MANAGERS, AND OTHER EMPLOYEES SERVE AS LEAD VOLUNTEERS OR BOARD DIRECTORS AND OFFICERS FOR KEY NON-PROFIT AGENCIES AND GOVERNMENT COMMISSIONS IN THE REGION. THESE INCLUDE ORGANIZATIONS AND AUTHORITIES ASSOCIATED WITH HEALTH CARE SOCIAL SERVICES, EDUCATION, MUNICIPAL GOVERNANCE, INDUSTRY, AND TRADE GROUPS, AS WELL AS SERVICE ORGANIZATIONS AND CHAMBERS OF COMMERCE.WE HAVE AN OPEN MEDICAL STAFF MODEL AND A NATIONALLY RENOWNED MEDICAL EDUCATION PROGRAM OFFERING 20 DIFFERENT SPECIALTIES. PART VI, LINE 6 DESCRIPTION OF AFFILIATED GROUP:THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN ARE PART OF A GROUP OF HEALTHCARE ENTIITIES AFFILIATED WITH COREWELL HEALTH. COREWELL HEALTH IS AN INTEGRATED NOT-FOR-PROFIT HEALTH SYSTEM IN MICHIGAN OFFERING A FULL CONTINUUM OF CARE. EACH HOSPITAL FACILITY INCLUDED ON PART V; SECTION A IS A MEMBER OF THE AFFILIATED GROUP OF ENTITIES WITHIN COREWELL HEALTH. EACH HOSPITAL FACILITY IS RESPONSIBLE FOR CREATING VALUE WITHIN ITS RESPECTIVE COMMUNITY. FROM ITS INCEPTION, COREWELL HEALTH HAS BEEN A FAITHFUL STEWARD OF ITS COMMUNITY ASSETS. THE ORGANIZATION INVESTS ITS NET EARNINGS TO IMPROVE PATIENT CARE, BUILD AND RENOVATE FACILITIES, PURCHASE NEW TECHNOLOGY, PROVIDE HEALTH EDUCATION AND FUND LOCAL COMMUNITY PROGRAMS. THE INTEGRATED ORGANIZATION EMPLOYS MORE THAN 65,000 TEAM MEMBERS INCLUDING MORE THAN 15,500 NURSES AND MORE THAN 12,000 AFFILIATED, INDEPENDENT AND EMPLOYED PHYSICIANS, AND ADVANCED PRACTICE PROVIDERS. THE SUBORDINATE ORGANIZATIONS REPORTED ON SCHEDULE H OF THIS GROUP RETURN PROVIDE ON OR MORE OF THE FOLLOWING SERVICES AT THEIR RESPECTIVE LOCATIONS: MEDICAL EDUCATION, RESEARCH, HOSPITAL AND CLINICAL SERVICES. PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT:IF APPLICABLE, IDENTIFY ALL STATES WITH WHICH THE ORGANIZATION, OR A RELATED ORGANIZATION, FILES A COMMUNITY BENEFIT REPORT:THE STATE OF MICHIGAN DOES NOT REQUIRE A COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE HOWEVER COREWELL HEALTH VOLUNTARILY REPORTS COMMUNITY BENEFIT INFORMATION TO THE MICHIGAN HEALTH AND HOSPITAL ASSOCIATION. 1 MENTAL HEALTH CLINICIANS OF COLOR IN GRAND RAPIDS 1345 MONROE AVE NW STE 335 GRAND RAPIDS MI 49505 852787460 501(c)(3) 261125 0 TO SUPPORT EXPEMPT PURPOSE THRESHOLDS INC 160 68TH STREET SW 130 GRAND RAPIDS MI 49548 382063018 501(c)(3) 200000 0 TO SUPPORT EXPEMPT PURPOSE BARRY COMMUNITY FOUNDATION 231 SOUTH BROADWAY HASTINGS MI 49058 383246131 501(c)(3) 200000 0 TO SUPPORT EXPEMPT PURPOSE GRAND RAPIDS PUBLIC SCHOOLS 1331 MARTIN LUTHER KING JR ST SE GRAND RAPIDS MI 49506 386002019 GOVT 174583 0 TO SUPPORT SCHOOL HEALTH AND WELLNESS EXALTA HEALTH 2060 DIVISION AVE S GRAND RAPIDS MI 49507 383273825 501(c)(3) 162500 0 TO SUPPORT EXPEMPT PURPOSE COMMUNITY FOOD CLUBS 1100 S DIVISION AVE GRAND RAPIDS MI 49507 822265189 501(c)(3) 160000 0 TO SUPPORT EXPEMPT PURPOSE CHERRY STREET SERVICES INC 100 CHERRY STREET SE GRAND RAPIDS MI 49503 382853534 501(c)(3) 128150 0 TO SUPPORT EXPEMPT PURPOSE REALISM IS LOYALTY 601 MARTIN LUTHER KING JR ST SE GRAND RAPIDS MI 49507 465225488 501(c)(3) 120000 0 TO SUPPORT EXPEMPT PURPOSE PUERTAS ABIERTAS INC 1345 MONROE AVE NW SUITE 208 GRAND RAPIDS MI 49505 843751469 501(c)(3) 96000 0 TO SUPPORT EXPEMPT PURPOSE UNITED METHODIST COMMUNITY HOUSE 904 SHELDON AVE SE GRAND RAPIDS MI 49507 381360555 501(c)(3) 90000 0 TO SUPPORT EXPEMPT PURPOSE A GLIMPSE OF AFRICA 2025 E BELTLINE AVE SE STE 402 GRAND RAPIDS MI 49546 844904373 501(c)(3) 79500 0 TO SUPPORT EXPEMPT PURPOSE ARBOR CIRCLE CORPORATION 1115 BALL NE GRAND RAPIDS MI 49505 383263853 501(c)(3) 78727 0 TO SUPPORT EXPEMPT PURPOSE FAMILY PROMISE OF GRAND RAPIDS 516 CHERRY ST SE GRAND RAPIDS MI 49503 383357709 501(c)(3) 75000 0 TO SUPPORT EXPEMPT PURPOSE CALVIN UNIVERSITY 1800 EAST BELTLINE SE GRAND RAPIDS MI 49546 383071514 501(c)(3) 74995 0 TO SUPPORT EXPEMPT PURPOSE CATHERINES HEALTH CENTER 1211 LAFAYETTE AVE NE GRAND RAPIDS MI 49505 203572418 501(c)(3) 70000 0 TO SUPPORT EXPEMPT PURPOSE FAMILY OUTREACH CENTER INC 1939 S DIVISION AVE S GRAND RAPIDS MI 49507 382272711 501(c)(3) 65500 0 TO SUPPORT EXPEMPT PURPOSE HEALTH NET OF WEST MICHIGAN 1550 LEONARD ST NE GRAND RAPIDS MI 49505 383609504 501(c)(3) 50000 0 TO SUPPORT EXPEMPT PURPOSE HOAP INC PO BOX 8473 GRAND RAPIDS MI 49518 462795794 501(c)(3) 45000 0 TO SUPPORT EXPEMPT PURPOSE HISPANIC CENTER OF WESTERN MICHIGAN INC 1204 CESAR E CHAVEZ AVE SW GRAND RAPIDS MI 49503 382265825 501(c)(3) 41000 0 TO SUPPORT EXPEMPT PURPOSE FITKIDS360 1550 LEONARD ST NE GRAND RAPIDS MI 49505 850653931 501(c)(3) 40342 0 TO SUPPORT EXPEMPT PURPOSE NEW CITY KIDS INC 936 ALPINE AVE NW GRAND RAPIDS MI 49504 223529691 501(c)(3) 40000 0 TO SUPPORT EXPEMPT PURPOSE DWELLING PLACE OF GRAND RAPIDS 101 SHELDON BLVD SE SUITE 300 GRAND RAPIDS MI 49503 382313832 501(c)(3) 38500 0 TO SUPPORT EXPEMPT PURPOSE YOUNG MEN'S CHRISTIAN ASSN - TRI - CITIES MICHIGAN 1 Y DRIVE GRAND HAVEN MI 49417 381717502 501(c)(3) 37500 0 TO SUPPORT EXPEMPT PURPOSE WEST MICHIGAN CENTER FOR ARTS & TECHNOLOGY 614 FIRST ST NW SUITE 300 GRAND RAPIDS MI 49504 743120354 501(c)(3) 37500 0 TO SUPPORT EXPEMPT PURPOSE LOYOLA WORK EXPERIENCE PROGRAM 15325 PINEHURST DETROIT MI 48238 300219392 501(c)(3) 20000 0 TO SUPPORT EXPEMPT PURPOSE MONTCALM COMMUNITY COLLEGE FOUNDATION 2800 COLLEGE DRIVE SIDNEY MI 48885 382371295 501(c)(3) 20000 0 TO SUPPORT EXPEMPT PURPOSE NOTTAWASEPPI HURON BAND OF THE POTAWATOMI 1485 MNO-BMADZEWEN WAY FULTON MI 49052 382142598 7871 10650 0 TO SUPPORT EXPEMPT PURPOSE LAKESHORE ADVANTAGE CORP 201 WEST WASHINGTON AVE SUITE 410 ZEELAND MI 49464 061708014 501(c)(6) 10000 0 TO SUPPORT EXPEMPT PURPOSE CROSSROADS RECREATION CONNECTION 10697 E 64TH STREET REED CITY MI 49677 874398829 501(c)(3) 10000 0 TO SUPPORT EXPEMPT PURPOSE WILLIAM BEAUMONT HOSPITAL 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 381459362 501(c)(3) 9290 0 TO SUPPORT EXPEMPT PURPOSE PROVINCE OF ST JOSEPH OF THE CAPUCHIN ORDER INC 62460 MT VERNON WASHINGTON MI 48094 381525161 501(c)(3) 8265 0 TO SUPPORT EXPEMPT PURPOSE AUNT BERTHA A PUBLIC BENEFIT CORP 3429 EXECUTIVE CENTER DR AUSTIN TX 78731 273354421 PUBLIC BENEFIT CORP 8000 0 TO SUPPORT EXPEMPT PURPOSE MICHIGAN ADVOCACY PROGRAM 15 S WASHINGTON ST YPSILANTI MI 48197 381845444 501(c)(3) 7500 0 TO SUPPORT EXPEMPT PURPOSE 31 2 RESIDENT STIPENDS 1416 2792463 N/A N/A PATIENT TRANSPORTATION 604458 N/A N/A EDUCATION ASSISTANCE 3 7100 N/A N/A Part I, Line 2: THE FILING ORGANIZATION PROVIDES GRANTS TO ORGANIZATIONS THAT CLOSELY ALIGN WITH ITS OWN MISSION AND VALUES. THE FILING ORGANIZATION PROVIDES GRANTS TO ORGANIZATIONS THAT IMPROVE THE HEALTH OF THE UNDERSERVED IN THE COMMUNITY AND/OR ORGANIZATIONS THAT INCREASE ACCESS TO HEALTH CARE. 1 1 0 0 0 0 0 0 0 CHRISTINA FREESE DECKER DIRECTOR/CEO 0 2319878 0 2835338 0 203252 0 1345273 0 28408 0 6732149 0 1411341 DARRYL ELMOUCHI MD DIRECTOR/EX-OFFICIO/COO 0 1704153 0 1458248 0 92259 0 618080 0 31219 0 3903959 0 461727 KONGKRIT CHAIYASATE MD FORMER HIGHEST COMPENSATED 0 3174823 0 0 0 3364 0 22600 0 34133 0 3234920 0 0 PRAVEEN THADANI DIRECTOR 0 1218900 0 1291995 0 107693 0 550170 0 27146 0 3195904 0 322002 MATTHEW COX CFO 0 1165187 0 1364836 0 84049 0 540264 0 28935 0 3183271 0 421370 MOHAMMAD CHISTI MD FORMER HIGHEST COMPENSATED 0 3090769 0 2250 0 1710 0 15250 0 37352 0 3147331 0 0 BENJAMIN SCHWARTZ MD DIRECTOR PY/PRESIDENT CHE PY 0 856483 0 622691 0 690147 0 60455 0 24321 0 2254097 0 242361 LOREN B HAMEL MD DIRECTOR/PRESIDENT CHS/EX-OFFICIO 0 746607 0 772884 0 225126 0 115872 0 29521 0 1890010 0 341991 MOHAMAD ALSIBAE MD FORMER HIGHEST COMPENSATED 0 1716871 0 0 0 3364 0 22600 0 35295 0 1778130 0 0 MUHAMMAD AZRAK MD FORMER HIGHEST COMPENSATED 0 1505756 0 0 0 29332 0 21350 0 46557 0 1602995 0 23950 CHARLES SHERRY DO FORMER HIGHEST COMPENSATED 0 1378169 0 50356 0 3510 0 18900 0 33040 0 1483975 0 0 NANCY SUSICK DIRECTOR/SECRETARY/FMR KEY 0 720521 0 337395 0 136185 0 209050 0 27898 0 1431049 0 274353 ALEJANDRO QUIROGA CHAND MD DIRECTOR/PRESIDENT CHW 0 746771 0 213604 0 62332 0 236893 0 26800 0 1286400 0 0 PAOLO MARCIANO MD DIRECTOR/PRESIDENT/FMR KEY EMPLOYEE 0 680381 0 237015 0 2622 0 201651 0 24074 0 1145743 0 193592 HOSSAIN MARANDI MD FORMER KEY EMPLOYEE 0 221768 0 205639 0 586769 0 77586 0 8612 0 1100374 0 0 CHAD TUTTLE DIRECTOR/PRESIDENT/FMR OFFICER 0 650045 0 187306 0 49213 0 138149 0 27983 0 1052696 0 0 DANIEL FRATTARELLI FORMER KEY EMPLOYEE 0 662493 0 275278 0 5008 0 32683 0 38308 0 1013770 0 155882 JASON SLAIKEU FORMER OFFICER 0 700703 0 216229 0 8310 0 26400 0 24520 0 976162 0 0 BRIAN BRASSER FORMER OFFICER 0 519650 0 157375 0 55657 0 207794 0 27056 0 967532 0 0 BARBARA DUCATMAN MD FORMER KEY EMPLOYEE 0 611236 0 105673 0 16066 0 80001 0 32163 0 845139 0 105673 ANTHONY STALLION MD DIRECTOR 0 778075 0 0 0 15444 0 15250 0 32402 0 841171 0 0 MARTHA BOONSTRA SECRETARY PY 0 285365 0 144195 0 265040 0 123675 0 2229 0 820504 0 0 BENJAMIN GIELDA MD EX-OFFICIO DIRECTOR 0 793204 0 0 0 1140 0 16500 0 7896 0 818740 0 0 LOWELL HAMEL MD DIRECTOR/EX-OFFICIO/FORMER OFFICER 0 529691 0 110799 0 113002 0 19126 0 22900 0 795518 0 46166 ANDREA LESLIE REGIONAL PRESIDENT 0 436615 0 135174 0 38502 0 139347 0 26798 0 776436 0 0 CHARLES GIBSON MD DIRECTOR 0 645494 0 79389 0 694 0 16500 0 25355 0 767432 0 0 DOMINIC SANFILIPPO MD FORMER KEY EMPLOYEE 0 518991 0 132383 0 21078 0 60890 0 24158 0 757500 0 0 JEFFREY POSTMA DO EX-OFFICIO DIRECTOR 0 596977 0 50000 0 5027 0 19800 0 26945 0 698749 0 0 CHRISTOPHER FLORES DIRECTOR/TREASURER 0 411669 0 148559 0 3395 0 115270 0 17633 0 696526 0 148559 ROBERT HOEFER REGIONAL PRESIDENT 0 388458 0 130821 0 21922 0 57975 0 30707 0 629883 0 0 ROBERT FITZGERALD MD DIRECTOR 0 516559 0 55464 0 9200 0 26400 0 19659 0 627282 0 0 KELLI SADLER DIRECTOR 0 404000 0 100000 0 16203 0 78252 0 21976 0 620431 0 0 KRISTINE DONAHUE FORMER KEY EMPLOYEE 0 438641 0 96001 0 4367 0 70375 0 4750 0 614134 0 96001 DREW DOSTAL REGIONAL PRESIDENT 0 357492 0 121283 0 41566 0 54710 0 28716 0 603767 0 0 KELLY DYER DIRECTOR/PRESIDENT 0 349580 0 118365 0 25735 0 53712 0 29509 0 576901 0 0 MICHAEL WEBB MD EX-OFFICIO DIRECTOR 0 450800 0 32000 0 13612 0 30042 0 25920 0 552374 0 0 CARA JANSMA SECRETARY 0 312671 0 84645 0 27352 0 50844 0 30599 0 506111 0 0 LEE ANN ODOM FORMER KEY EMPLOYEE 0 0 0 0 0 498374 0 0 0 0 0 498374 0 0 KAREN PAKKALA DIRECTOR/PRESIDENT 0 315911 0 100667 0 7877 0 53944 0 6690 0 485089 0 0 MYRON LEWIS FORMER OFFICER 0 0 0 0 0 482255 0 0 0 0 0 482255 0 482255 JODIE RAPPE MD FORMER KEY EMPLOYEE 0 372653 0 38400 0 2470 0 51927 0 6027 0 471477 0 38400 JOHN SCHUEN FORMER OFFICER 0 334037 0 43256 0 27148 0 34200 0 29962 0 468603 0 0 HEATHER LALLO DIRECTOR/TREASURER 0 320739 0 73561 0 26125 0 19372 0 27747 0 467544 0 0 SURENDER RAJASEKARAN MD DIRECTOR 0 402977 0 0 0 10573 0 26400 0 25720 0 465670 0 0 ANNICA WAALKES MD DIRECTOR 0 372358 0 42240 0 8565 0 25509 0 1424 0 450096 0 0 NICHOLAS GILPIN DO FORMER KEY EMPLOYEE 0 391431 0 0 0 1235 0 21049 0 23676 0 437391 0 0 BRIAN PHILLIPS MD FORMER OFFICER 0 347273 0 22952 0 15090 0 25229 0 20855 0 431399 0 0 MELINDA GRUBER DIRECTOR/PRESIDENT/CHAIR/FMR OFFICER 0 252818 0 60384 0 25070 0 45713 0 22035 0 406020 0 0 SIMIN BEG MD DIRECTOR/CHAIR 0 298030 0 34915 0 11350 0 23179 0 24750 0 392224 0 0 TALAWNDA BRAGG MD DIRECTOR 0 332714 0 0 0 7726 0 25284 0 20882 0 386606 0 0 ANNE STEWART DIRECTOR 0 261809 0 50379 0 3678 0 45679 0 24811 0 386356 0 50379 KASSEM CHARARA MD FORMER KEY EMPLOYEE 0 260251 0 29644 0 2074 0 40463 0 31556 0 363988 0 29644 ASHOK JAIN MD DIRECTOR 0 264910 0 29644 0 5775 0 29277 0 26273 0 355879 0 29644 MICHAEL KHOURY MD FORMER KEY EMPLOYEE 0 233379 0 47602 0 2492 0 42716 0 20239 0 346428 0 47602 SOROYA PIERRE-VANARTSEN PRESIDENT 0 228275 0 50432 0 529 0 35187 0 29017 0 343440 0 0 JONATHAN KAPER MD FORMER KEY EMPLOYEE 0 221311 0 29644 0 724 0 28422 0 1412 0 281513 0 29644 MARGARET LIGHTNER DIRECTOR/PRESIDENT/SECRETARY 0 200268 0 44537 0 2913 0 13590 0 16904 0 278212 0 44537 DEBRA JOHNSON DIRECTOR/SECRETARY 0 196660 0 37639 0 6367 0 10967 0 15978 0 267611 0 0 ANGELA DITMAR FORMER OFFICER 0 0 0 0 0 265044 0 0 0 0 0 265044 0 0 RAY CRUSE FORMER OFFICER 0 0 0 0 0 255618 0 0 0 0 0 255618 0 0 ABEDELRAHIM ASFOUR MD DIRECTOR/CO-VICE CHAIR 0 239588 0 0 0 0 0 1977 0 0 0 241565 0 0 MICHAEL REBOCK DO FORMER KEY EMPLOYEE 0 140702 0 43610 0 1383 0 9150 0 915 0 195760 0 43610 DANIEL WASSENHOVE DIRECTOR/TREASURER 0 133530 0 26304 0 3405 0 9224 0 22300 0 194763 0 0 LISA OUELLETTE FORMER KEY EMPLOYEE 0 0 0 0 0 182064 0 0 0 0 0 182064 0 0 Part I, Line 3 THE FILING ORGANIZATION RELIED UPON A RELATED ORGANIZATION WHO UTILIZED THE FOLLOWING PROCESS IN DETERMINATION OF THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. THE COREWELL HEALTH BOARD OF DIRECTORS (THROUGH ITS COMPENSATION COMMITTEE) USES THE FOLLOWING PROCESS FOR DETERMINING COMPENSATION OF THE TOP MANAGEMENT OFFICIALS, OTHER OFFICERS, AND KEY EMPLOYEES AT COREWELL HEALTH. LABOR MARKET DATA REFLECTING COMPARABLE ORGANIZATIONS AND JOBS (PREPARED BY INDEPENDENT FIRMS) ARE RELIED UPON IN SETTING COMPENSATION LEVELS. COMPETITIVE ASSESSMENT REPORTS ARE PROVIDED TO THE COMPENSATION COMMITTEE IN ADVANCE OF MEETINGS. THE COMPETITIVE ASSESSMENT REPORT IS PREPARED BY A NATIONALLY KNOWN INDEPENDENT EXECUTIVE COMPENSATION FIRM. THE FOLLOWING SURVEYS, PREPARED BY INDEPENDENT FIRMS, WERE THE PRIMARY SOURCES REFERENCED TO OBTAIN COMPARABLE MARKET DATA FOR THE REVIEW: GALLAGHER: 2022 NATIONAL HEALTHCARE LEADERSHIP COMPENSATION SURVEY MERCER: 2023 IHN HEALTHCARE COMPENSATION SURVEY MERCER: 2023 IHP HEALTH PLAN COMPENSATION SURVEY SULLIVANCOTTER, INC: 2023 HEALTH CARE MANAGEMENT AND EXECUTIVE COMPENSATION SURVEY IN ADDITION, TWO GENERAL INDUSTRY SURVEYS WERE REFERENCED FOR SELECT POSITIONS: MERCER: 2023 US EXECUTIVE REMUNERATION SUITE WILLIS TOWERS WATSON: 2023 EXECUTIVE COMPENSATION SURVEY IN ADDITION TO THE ABOVE DATA SOURCES, THE COMPENSATION COMMITTEE APPROVED THE CREATION OF A CUSTOM PEER GROUP OF HIGH PERFORMING INTEGRATED HEALTH SYSTEMS TO ENSURE ROBUST DATA AND A RELEVANT COMPARATOR MARKET. THE PEER GROUP ORGANIZATIONS ARE APPROVED BY THE COMPENSATION COMMITTEE AND CONSISTS OF HEALTHCARE SYSTEMS SIMILAR IN REVENUE SIZE, TALENT MARKET COMPETITORS, HIGH PERFORMERS, FINANCIALLY STABLE AS INDICATED BY BOND RATING AND THAT FOLLOW A SIMILAR STRATEGY (MULTI-SITE SYSTEMS, HEALTH PLANS). COMPARABLE DATA FOR THE APPROVED PEER GROUP IS COMPILED BY THE INDEPENDENT EXECUTIVE COMPENSATION CONSULTING FIRM. COMPENSATION ADJUSTMENTS ARE APPROVED BY COMPENSATION COMMITTEE MEMBERS, CONSISTENT WITH THE COREWELL HEALTH COMPENSATION PHILOSOPHY DESCRIBED BELOW. MINUTES OF COMMITTEE DISCUSSIONS AND DECISIONS ARE PREPARED TO MEMORIALIZE COMPENSATION COMMITTEE DECISIONS BASED UPON THE ABOVE DATA. CASH COMPENSATION DATA RELIED UPON BY THE COMPENSATION COMMITTEE IS NATIONAL AND REFLECTS THE COMPENSATION PAID TO EXECUTIVES IN COMPARABLE JOBS IN COMPARABLY-SIZED HEALTH CARE AND/OR HEALTH INSURANCE ORGANIZATIONS. COREWELL HEALTH RECRUITS NATIONALLY FOR ITS EXECUTIVES. BENEFITS DATA REFLECT NATIONAL HEALTH CARE/HEALTH INSURANCE MARKET PRACTICES. THIS PROCESS IS INTENDED TO ASSIST COREWELL HEALTH IN QUALIFYING FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS (INTERMEDIATE SANCTIONS REGULATIONS) AND COMPLYING WITH THE POTENTIAL COREWELL HEALTH EXCESS BENEFIT TRANSACTION POLICY FOR THOSE INDIVIDUALS IN THE GROUP WHO ARE DISQUALIFIED PERSONS. THE OPINION SUBMITTED FROM THE THIRD PARTY INDEPENDENT CONSULTING FIRM IS IN ACCORDANCE WITH THE PROVISIONS OF TREASURY REGULATIONS SECTION 53.4958-6(C)(2) AND IS ALSO INTENDED TO SATISFY THE PROFESSIONAL ADVICE REQUIREMENT OF TREASURY REGULATIONS SECTION 53.4958-1(D)(4)(III). Part I, Lines 4a-b THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: ANGELA DITMAR $265,044 BENJAMIN SCHWARTZ MD $353,077 HOSSAIN MARANDI MD $388,396 LEE ANN ODOM $498,374 LISA OUELLETTE $182,064 MARTHA BOONSTRA $213,183 RAY CRUSE $255,618 THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: ANNE STEWART $50,379 ASHOK JAIN MD $29,644 BARBARA DUCATMAN MD $105,673 BENJAMIN SCHWARTZ MD $242,361 CHRISTINA FREESE DECKER $1,411,341 CHRISTOPHER FLORES $148,559 DANIEL FRATTARELLI $155,882 DARRYL ELMOUCHI MD $461,727 JODIE RAPPE MD $38,400 JONATHAN KAPER MD $29,644 KASSEM CHARARA MD $29,644 KRISTINE DONAHUE $96,001 LOREN B. HAMEL MD $524,640 LOWELL HAMEL MD $46,166 MARGARET LIGHTNER $44,537 MATTHEW COX $421,370 MICHAEL KHOURY MD $47,602 MICHAEL REBOCK DO $43,610 MUHAMMAD AZRAK MD $23,950 MYRON LEWIS $482,255 NANCY SUSICK $274,353 PAOLO MARCIANO MD $193,592 PRAVEEN THADANI $322,002 PART I, LINE 4B IS ANSWERED YES BECAUSE CERTAIN INDIVIDUALS DO PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN(S). SOME INDIVIDUALS RECEIVED DISTRIBUTIONS DURING THE YEAR (AS REPORTED ON THIS LINE) WHEREAS OTHERS PARTICIPATED IN THE PLAN(S) BUT DID NOT RECEIVE DISTRIBUTIONS. DISTRIBUTIONS REPORTED ON THIS LINE ARE ALSO INCLUDED IN PART II, COLUMN F AS COMPENSATION REPORTED IN A PRIOR YEAR WHILE ALSO BEING REPORTED IN THE CURRENT 990 AS TOTAL COMPENSATION. THE NONQUALIFIED RETIREMENT PLANS ARE AN INDUSTRY STANDARD AND ARE SUBJECT TO THE FUNDING REQUIREMENTS OF NONQUALIFIED DEFERRED COMPENSATION PLANS UNDER ERISA AND FEDERAL TAX REGULATIONS. A MICHIGAN FINANCE AUTHORITY 800596186 59447THE3 2016-02-04 323514381 FACILITY ACQUISITION, CONSTRUCTION, AND RENOVATION 0 0 0 B MICHIGAN FINANCE AUTHORITY 800596186 59447T3W1 2022-05-12 964174661 2022AB HOSPITAL REFUNDING BONDS 0 0 0 C HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MI) 383151499 790678CC8 2003-12-17 41525000 REFUNDED BONDS ISSUED 1/13/1994 AND FACTILITY CONSTRUCTION AND IMPROVEMENTS 0 0 0 D HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MI) 383151499 790678CD6 2006-01-26 50000000 FACILITY CONSTRUCTION AND IMPROVEMENTS 0 0 0 A 323514381 2557952 320956429 2019 0 0 1 1 B 84140000 964174661 964174661 2022 1 0 1 1 C 41643043 41643043 193091 31392506 10057446 2004 1 0 1 1 D 52613405 52613405 467500 1012738 51133167 2007 0 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 0 0 0 0 0 1 C 0 0 1 0 1 1 UBS AG 28.000000000000 0 0 0 0 0 D 1 1 1 UBS AG 28.900000000000 0 0 1 CITIGROUP GLOBAL MA 2.700000000000 1 0 0 A 0 B 0 C 0 D 0 SCHEDULE K PART VI - ENTITY 1 BOND A THE PROCEEDS OF THE BOND WERE USED FOR THE FINANCING OR REFINANCING OF THE COSTS OF ACQUIRING, CONSTRUCTING, AND RENOVATING CERTAIN HOSPITAL AND HEALTH FACILITIES INCLUDING, AMONG OTHER PROJECTS: EMERGENCY CENTER EXPANSION AT BEAUMONT, ROYAL OAK, THE MATTER FACILITY EXPANSION AND RENOVATION PLAN AT BEAUMONT, FARMINGTON HILLS, AND THE RENOVATIONS OF THE 1ST FLOOR OPERATING ROOM AT BEAUMONT, TROY. ENTITY 1 BOND A: PART IV, LINE 2: DATE OF REBATE COMPUTATION: 1/26/2021 ENTITY 1, BOND C & D - PART II, LINE 3: ENTITY 1, BOND C & D - THE DIFFERENCE BETWEEN THE LINE 3 AND SCHEDULE K, PART I, COLUMN (E) AMOUNTS REPRESENTS INVESTMENT EARNINGS. ENTITY 2, BOND A: THE $8.5 MILLION BOND ISSUE WAS A DIRECT PURCHASE BOND BY J.P. MORGAN CHASE. BOND PROCEEDS WERE DRAWN DURING CONSTRUCTION PERIOD TO BUILD A NEW FACILITY. ENTITY 2 BOND B, C, & D PART IV, LINE 2C: ENTITY 2, BOND B - DATE OF REBATE COMPUTATION WAS 7/15/2009 ENTITY 2, BOND C - DATE OF REBATE COMPUTATION WAS 8/13/2012 ENTITY 2, BOND D - DATE OF REBATE COMPUTATION WAS 8/13/2012 ENTITY 3, BOND A, B, & C. PART IV, LINE 2C: ENTITY 3, BOND A - DATE OF REBATE COMPUTATION WAS 6/18/2014 ENTITY 3, BOND B - DATE OF REBATE COMPUTATION WAS 6/3/2015 ENTITY 3, BOND C - DATE OF REBATE COMPUTATION WAS 12/22/2017 A HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MI) 383151499 NONEAVAIL 2012-09-06 8500000 NEW FACILITY CONSTRUCTION 0 0 0 B KENT HOSPITAL FINANCE AUTHORITY (2008A & 2008B) 382350002 490580CW5 2008-04-15 471211001 2001B, 2007A, & 2007B REFUNDING BOND 0 0 0 C KENT HOSPITAL FINANCE AUTHORITY (2011AB) 382350002 490580DQ7 2011-06-22 212859639 2005B & 2008B1 REVENUE REFUNDING BONDS 0 0 0 D KENT HOSPITAL FINANCE AUTHORITY (2012A) 382350002 NONEAVAIL 2018-10-24 56490000 2012A REV REFUNDING BONDS-REISSUED (2008A1&2008B2 REVENUE REFUNDING BONDS) 0 0 0 A 2470000 8500000 105875 8394125 2012 0 0 1 1 B 421211001 471211001 13556465 2528820 455125716 2008 1 0 1 1 C 109089639 212859639 1359065 50000574 161500000 2011 1 0 1 1 D 56490000 56490000 2012 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 1 0 0 0 0 0 B 0 0 0 1 1 0 0 0 1 C 0 0 0 1 1 0 0 0 1 D 0 0 0 1 1 0 0 0 1 A 0 B 1 C 1 D 1 A KENT HOSPITAL FINANCE AUTHORITY (2014AB) 382350002 NONEAVAIL 2014-01-15 111850000 2008A2 ZCH 2010 GERBER 2002&2007 REVENUE REFUNDING BONDS 0 0 1 B KENT HOSPITAL FINANCE AUTHORITY (2015A) 382350002 490580EG8 2015-01-13 78400000 REVENUE REFUNDING BONDS 0 0 0 C KENT HOSPITAL FINANCE AUTHORITY (2017A) 382350002 NONEAVAIL 2019-03-21 56490000 REVENUE REFUNDING BONDS (2017A REISSUANCE) 0 0 0 A 19100000 111850000 245000 111605000 2014 1 0 1 1 B 78400000 880000 77520000 2015 1 0 1 1 C 56490000 56490000 2017 1 0 1 1 A 0 0 1 1 1 1 0.00000 0.00100 0.00100 0 0 1 B 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 0 1 1 0 0 0 1 A 1 B 1 C 1 ELLIS PARKING COMPANY ENTITY OWNED > 35% BY DIRECTOR MICHAEL ELLIS 2470365 SERVICES 0 HELEN NOW LLC ENTITY OWNED > 35% BY DIRECTOR JEFFREY BENNETT 613803 SERVICES 0 X 13974 Market Value X 5087 Market Value X 10 207059 Market Value X 19 36263 Market Value X MISCELLANEOUS 260 241352 Market Value X TOYS 78 39791 Market Value X CERTIFICATES/EVENTS 13 10175 Market Value 0 1 0 SCHEDULE M, PART I EXPLANATIONS OF REPORTING METHOD FOR NUMBER OF CONTRIBUTIONS. FOOD INVENTORY - NUMBER OF CONTRIBUTIONS OTHER - MISCELLANEOUS - NUMBER OF CONTRIBUTIONS OTHER - CERTIFICATES/EVENTS - NUMBER OF CONTRIBUTIONS OTHER - TOYS - NUMBER OF CONTRIBUTIONS SECURITIES - PUBLICLY TRADED - NUMBER OF CONTRIBUTIONS Form 990, Part VI, Section A, line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS: DANIEL WASSENHOVE MELINDA GRUBER HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF BLUE STAR PROFESSIONAL BUILDING CONDOMINIUM ASSOCIATION A RELATED TAXABLE ENTITY. DEBRA JOHNSON HEATHER LALLO MELINDA GRUBER HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF FOUR FLAGS PROPERTIES, INC., LAKELAND HEALTH ENTERPRISES, INC, LAKELAND HEALTH VENTURES, INC., LAKELAND PERSONAL CARE SERVICES, INC., AND THE PHARMACY SHOPPE, INC. WHICH ARE RELATED TAXABLE ENTITIES. HEATHER LALLO LOREN B. HAMEL MD LOWELL HAMEL MD HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF LAKELAND CARE, INC. A RELATED TAXABLE ENTITY. LOREN B. HAMEL MD LOWELL HAMEL MD HAVE A FAMILY RELATIONSHIP. ASHOK JAIN MD CHRISTOPHER FLORES PAOLO MARCIANO MD HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF OAKWOOD ACCOUNTABLE CARE ORGANIZATION, LLC A RELATED TAXABLE ENTITY. CHRISTINA FREESE DECKER MATTHEW COX PRAVEEN THADANI HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF PRIORITY HEALTH MANAGED BENEFITS, INC. A RELATED TAXABLE ENTITY. ALEJANDRO QUIROGA CHAND MD CARA JANSMA HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF WMHTC A RELATED TAXABLE ENTITY. Form 990, Part VI, Section A, line 4 FOR QUESTION PART VI, SECTION A, LINE 4, LEGAL ENTITY NAMES ARE BEING USED: MEMORIAL MEDICAL CENTER OF WEST MICHIGAN, MECOSTA COUNTY MEDICAL CENTER, NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION, REED CITY HOSPITAL CORPORATION, SPECTRUM HEALTH CONTINUING CARE, SPECTRUM HEALTH HOSPITALS, PENNOCK HEALTH SERVICES, SPECTRUM HEALTH UNITED, ZEELAND COMMUNITY HOSPITAL, SPECTRUM HEALTH PRIMARY CARE PARTNERS. THE BYLAWS WERE AMENDED AND RESTATED FOR THE COREWELL HEALTH ENTITY NAME CHANGES, AS STATED ABOVE, AND TO BRING THEIR FORM INTO ALIGNMENT WITH OTHER ORGANIZATIONAL FORMS. MATERIAL CHANGES INCLUDE A) MODIFYING THE BOARD OF DIRECTORS TERM OF OFFICE, B) MODIFYING THE CHAIR OF THE BOARD OF DIRECTORS TERM OF OFFICE, C) MODIFYING COMMITTEE MEMBERS WHO ARE ALSO BOARD MEMBERS TERMS OF OFFICE, D) MODIFYING APPROVAL AND AUTHORITY MEASURES FOR CAPITAL EXPENDITURES, LOANS TO NON COREWELL HEALTH ENTITIES, DEBT, CAPITAL INVESTMENTS, AND SWAPS AND OTHER FINANCIAL ARRANGEMENTS DEPENDING ON EXPENDITURE AMOUNTS. LAKELAND REGIONAL HEALTH SYSTEM THE BYLAWS WERE AMENDED AND RESTATED FOR THE COREWELL HEALTH ENTITY NAME CHANGES, AS STATED ABOVE, AND TO BRING THEIR FORM INTO ALIGNMENT WITH OTHER ORGANIZATIONAL FORMS. MATERIAL CHANGES INCLUDE A) MODIFYING THE BOARD OF DIRECTORS COMPOSITION AND TERM OF OFFICE, B) MODIFYING THE CHAIR OF THE BOARD OF DIRECTORS TERM OF OFFICE, C) MODIFYING APPROVAL AND AUTHORITY MEASURES FOR CAPITAL EXPENDITURES, LOANS TO NON COREWELL HEALTH ENTITIES, DEBT, CAPITAL INVESTMENTS, AND SWAPS AND OTHER FINANCIAL ARRANGEMENTS DEPENDING ON EXPENDITURE AMOUNTS. BEAUMONT HEALTH THE BYLAWS WERE AMENDED AND RESTATED FOR THE COREWELL HEALTH ENTITY NAME CHANGES, AS STATED ABOVE, AND TO BRING THEIR FORM INTO ALIGNMENT WITH OTHER ORGANIZATIONAL FORMS. MATERIAL CHANGES INCLUDE A) MODIFYING THE BOARD OF DIRECTORS COMPOSITION AND TERM OF OFFICE, B) MODIFYING THE CHAIR OF THE BOARD OF DIRECTORS TERM OF OFFICE, C) ADDING OF THE JOINT CONFERENCE COMMITTEE TO OVERSEE MEDICAL STAFF MEMBERSHIP AND PRIVILEGES AT THE HOSPITALS, D) MODIFYING APPROVAL AND AUTHORITY MEASURES FOR CAPITAL EXPENDITURES, LOANS TO NON COREWELL HEALTH ENTITIES, DEBT, CAPITAL INVESTMENTS, AND SWAPS AND OTHER FINANCIAL ARRANGEMENTS DEPENDING ON EXPENDITURE AMOUNTS. Form 990, Part VI, Section A, line 6 COREWELL HEALTH, A MICHIGAN NONPROFIT CORPORATION, IS THE ULTIMATE SOLE MEMBER FOR ALL OF THE SUBORDINATES INCLUDED IN THE GROUP FILING. Form 990, Part VI, Section A, line 7a COREWELL HEALTH, THE ULTIMATE SOLE MEMBER FOR ALL OF THE SUBORDINATES INCLUDED IN THE GROUP FILING, APPOINTS THE MEMBERS OF THE BOARD FOR EACH RESPECTIVE ORGANIZATION. Form 990, Part VI, Section A, line 7b COREWELL HEALTH, AS THE SOLE MEMBER FOR ALL OF THE SUPPORTED ORGANIZATIONS INCLUDED IN THE GROUP FILING, HAS RETAINED CERTAIN RESERVED POWERS IN THE ORGANIZATION EXCLUSIVELY, WHICH SHALL NOT BE DEEMED AUTHORIZED UNLESS AND UNTIL APPROVED BY THE SOLE MEMBER: -AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE SUPPORTED ORGANIZATION; -ELECTION AND/OR REMOVAL OF THE MEMBERS OF THE SUPPORTED ORGANIZATION'S BOARD OF DIRECTORS; -ELECTION AND/OR REMOVAL OF THE SUPPORTED ORGANIZATION'S CHAIRPERSON OF THE BOARD OF DIRECTORS; -HIRING, DISCHARGE, AND EVALUATION OF THE SUPPORTED ORGANIZATION'S PRESIDENT; -ADOPTION OF THE SUPPORTED ORGANIZATION'S STRATEGIC PLAN; -ADOPTION OF THE SUPPORTED ORGANIZATION'S ANNUAL OPERATING AND CAPITAL BUDGETS AND ANY AMENDMENTS TO SUCH BUDGETS IN EXCESS OF THE AUTHORITY MATRIX AMOUNT; -ALL CAPITAL EXPENDITURES BY THE SUPPORTED ORGANIZATION IN EXCESS OF THE AMOUNT WHICH WOULD REQUIRE APPROVAL BY THE SUPPORTING ORGANIZATION (THE "AUTHORITY MATRIX AMOUNT"); -ALL BORROWINGS OR GUARANTEES OF INDEBTEDNESS BY THE SUPPORTED ORGANIZATION (OR ANY ENTITY CONTROLLED BY THE SUPPORTED ORGANIZATION THROUGH OWNERSHIP OR MEMBERSHIP INTEREST); -ALL LENDING BY THE SUPPORTED ORGANIZATION (OR ANY SUBSIDIARY) TO PERSONS OTHER THAN THE SUPPORTING ORGANIZATION OR A SUBSIDIARY IN EXCESS OF THE AUTHORITY MATRIX AMOUNT; -THE SUPPORTED ORGANIZATION'S OR ANY SUBSIDIARY'S INVESTMENTS OF CASH AND/OR RESERVES, WHETHER ON AN INDIVIDUAL BASIS OR AS PART OF A POOLED INVESTMENT STRATEGY; -ANY MERGER OR CONSOLIDATION OF THE SUPPORTED ORGANIZATION (OR ANY SUBSIDIARY), OR ANY OTHER CHANGE IN OWNERSHIP PERCENTAGES, CONTROL, OR CAPITAL STRUCTURE; -THE CREATION OF ANY ENTITY CONTROLLED, DIRECTLY OR INDIRECTLY, BY THE SUPPORTED ORGANIZATION -THE SALE OR TRANSFER OF MORE THAN TEN PERCENT (10%) OF THE ASSETS OF THE SUPPORTED ORGANIZATION (OR ANY SUBSIDIARY) TO ANY PERSON OR ENTITY NOT CONTROLLED BY THE SUPPORTING ORGANIZATION; -DISSOLUTION OF THE SUPPORTED ORGANIZATION OR ANY SUBSIDIARY; -THE SELECTION, RETENTION, AND OVERSIGHT OF THE OUTSIDE AUDITORS FOR THE SUPPORTED ORGANIZATION (OR ANY SUBSIDIARY); AND -ANY OTHER APPROVAL FOR WHICH SUPPORTING ORGANIZATION APPROVAL IS REQUIRED BY LAW. IN ADDITION TO THESE RESERVED POWERS OF THE SUPPORTING ORGANIZATION LISTED ABOVE, THE SUPPORTING ORGANIZATION HAS THE AUTHORITY TO ADOPT SYSTEM-WIDE POLICIES AND PROCEDURES. Form 990, Part VI, Section B, line 11b THE REVIEW PROCESS FOR THIS FORM 990 IS AS FOLLOWS: PREPARATION OF THE RETURN IS SUPERVISED AND REVIEWED BY THE ORGANIZATION'S CORPORATE TAX MANAGER AND VP TAX. A SECOND REVIEW IS PERFORMED BY AN EXTERNAL CPA FIRM WITH EXPERTISE IN TAX-EXEMPT RETURN PREPARATION. THE RETURN IS REVIEWED BY THE ORGANIZATION'S FINANCE AND LEGAL DEPARTMENTS (INCLUDING THE CHIEF FINANCIAL OFFICER, CHIEF LEGAL OFFICER AND CORPORATE CONTROLLER) AND SHARED WITH THE MEMBERS OF THE FINANCE AND AUDIT COMMITTEE AND BOARD OF DIRECTORS. THE ORGANIZATION'S CHIEF FINANCIAL OFFICER REVIEWS COMMENTS OR QUESTIONS RECEIVED FROM MEMBERS OF THE BOARD OF DIRECTORS, IF ANY, TO ADDRESS OR TO INCORPORATE, AS APPROPRIATE, INTO THE RETURN PRIOR TO FILING. Form 990, Part VI, Section B, line 12c CONFLICT OF INTEREST POLICY BOARD OF DIRECTORS 1. CONFLICTS OF INTEREST MUST BE DISCLOSED, VIA AN ANNUAL ELECTRONIC DISCLOSURE PROCESS AND VERBALLY AT EACH BOARD AND BOARD COMMITTEE MEETING AS PART OF THE DECLARATION OF CONFLICT OF INTEREST PRIOR TO DISCUSSION OF ANY AGENDA ITEMS. 2. A PERSON HAVING A FINANCIAL INTEREST IN A PROPOSED TRANSACTION OR ARRANGEMENT MAY MAKE A PRESENTATION AT A MEETING OF THE BOARD OR COMMITTEE WHICH IS CONSIDERING THAT TRANSACTION OR ARRANGEMENT, BUT AFTER THAT PRESENTATION HE/SHE SHALL LEAVE THE MEETING BEFORE DISCUSSION AND VOTING ON THAT PROPOSED TRANSACTION OR ARRANGEMENT. THE PERSON HAVING THE FINANCIAL INTEREST SHALL NOT BE COUNTED IN DETERMINING WHETHER A QUORUM IS PRESENT. 3. THE CHAIRPERSON OF THE BOARD OR THE COMMITTEE CHAIR SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE (INCLUDING OUTSIDE ADVISORS) TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND TO ADVISE WHETHER THE PROPOSED TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST. 4. THE BOARD OR COMMITTEE SHALL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER THE ORGANIZATION CAN, WITH REASONABLE EFFORTS, OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 5. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS AND MEMBERS WHETHER THE PROPOSED TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. 6. THE MINUTES OF THE MEETINGS OF THE BOARD AND ALL OF THE ORGANIZATION'S COMMITTEES SHALL SET FORTH: A) THE NAMES OF THE PERSONS WHO DISCLOSED A FINANCIAL INTEREST IN A PROPOSED TRANSACTION OR ARRANGEMENT INVOLVING THE ORGANIZATION OR ANY OF ITS SUBSIDIARIES AND THE NATURE OF THE FINANCIAL INTEREST; AND B) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO SUCH TRANSACTION OR ARRANGEMENT, INCLUDING ANY DISCUSSION OF ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION WITH THAT MATTER. THE VOTES OF INDIVIDUAL MEMBERS NEED NOT BE RECORDED UNLESS OTHERWISE DIRECTED BY THE BOARD OF DIRECTORS OR COMMITTEE. 7. THERE IS AN ONGOING REQUIREMENT THAT MEMBERS OF THE BOARD AND BOARD COMMITTEES UPDATE THEIR ANNUAL DISCLOSURE QUESTIONNAIRE AT ANY POINT DURING HIS/HER TENURE ON THE BOARD OF DIRECTORS WHEN A NEW POTENTIAL CONFLICT OF INTEREST ARISES. MANAGEMENT 1. UPON ACCEPTANCE OF AN EMPLOYMENT OFFER, EACH MEMBER OF MANAGEMENT (DIRECTORS AND ABOVE) COMPLETE A CONFLICT-OF-INTEREST DISCLOSURE QUESTIONNAIRE. A COPY OF THE MEMBER OF MANAGEMENT'S DISCLOSURE QUESTIONNAIRE IS SENT TO THE ORGANIZATION'S SYSTEM COMPLIANCE DEPARTMENT. A COPY OF THE MEMBER OF MANAGEMENT'S DISCLOSURE IS REVIEWED BY THE ORGANIZATION'S COMPLIANCE OPERATIONS ANALYST AND ESCALATED TO THE APPROPRIATE EXECUTIVE LEADERSHIP TEAM, IF NECESSARY. 2. ANNUALLY, EACH MEMBER OF MANAGEMENT (DIRECTORS AND ABOVE) COMPLETES AN ANNUAL CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE ELECTRONICALLY. IF THERE IS AN AFFIRMATIVE DISCLOSURE, THE QUESTIONNAIRE IS REVIEWED BY THE APPROPRIATE EXECUTIVE LEADERSHIP TEAM. 3. THERE IS AN ONGOING REQUIREMENT TO UPDATE THE DISCLOSURE QUESTIONNAIRE WHEN A NEW POTENTIAL CONFLICT OF INTEREST ARISES. UPDATED DISCLOSURES FOLLOW THE SAME PROCESS AS INITIAL DISCLOSURES DESCRIBED ABOVE. 4. THE COMPLIANCE OFFICER, IN CONSULTATION WITH EXECUTIVE MANAGEMENT, DETERMINES HOW REPORTED CONFLICTS SHOULD BE MANAGED. MANAGEMENT OF A CONFLICT MAY TAKE A VARIETY OF DIFFERENT FORMS FROM IMPLEMENTATION OF A MANAGEMENT PLAN TO REQUIRING THAT THE MEMBER OF MANAGEMENT CEASE THE ACTIVITY CREATING THE CONFLICT OR, IN EXTREME CASES, LEAVE THE ORGANIZATION'S EMPLOYMENT. MANAGEMENT OF A CONFLICT IS DETERMINED ON AN INDIVIDUAL BASIS BASED UPON THE FACTS AND CIRCUMSTANCES SURROUNDING THE DISCLOSURE. THE PURPOSE OF CONFLICT MANAGEMENT IS TO PROVIDE TRANSPARENCY WITHIN THE ORGANIZATION AND TO ENSURE THAT THE ORGANIZATION'S EMPLOYEES ARE ALWAYS ACTING IN THE BEST INTEREST OF THE ORGANIZATION. Form 990, Part VI, Section C, line 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION'S ARTICLES OF INCORPORATION HAVE BEEN PROVIDED TO THE STATE OF MICHIGAN AND ARE AVAILABLE TO THE PUBLIC ON THE STATE'S WEBSITE. THE ORGANIZATION'S BYLAWS AND INTERNAL POLICIES ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THIS TAX RETURN. FORM 990, PART VII, SECTION A AS NOTED IN THEIR TITLES, CERTAIN INDIVIDUALS REPORTED ON THE COREWELL HEALTH GROUP RETURN ARE CURRENT OFFICERS OR KEY EMPLOYEES OF ONE OR MORE OF THE SUBORDINATES. THE INDIVIDUALS LISTED BELOW ARE ALSO FORMER OFFICERS OR KEY EMPLOYEES OF ONE OR MORE OF THE GROUP ENTITIES. CHAD TUTTLE: SPECTRUM HEALTH - LEFFINGWELL AVENUE: DIRECTOR/PRESIDENT SPECTRUM HEALTH CONTINUING CARE: FORMER OFFICER SPECTRUM HEALTH CONTINUING CARE CENTER, INC.: DIRECTOR/PRESIDENT SPECTRUM HEALTH HOSPITALS: FORMER OFFICER SPECTRUM HEALTH WORTH SERVICES: DIRECTOR/PRESIDENT VISITING NURSE SERVICES OF WESTERN MICHIGAN: DIRECTOR/PRESIDENT KAREN PAKKALA: BOTSFORD CONTINUING CARE CORPORATION: DIRECTOR/PRESIDENT/SECRETARY OAKWOOD HEALTH PROMOTIONS, INC.: DIRECTOR/PRESIDENT/SECRETARY SPECTRUM HEALTH - LEFFINGWELL AVENUE: TREASURER/SECRETARY SPECTRUM HEALTH CONTINUING CARE: FORMER OFFICER SPECTRUM HEALTH CONTINUING CARE CENTER, INC.: TREASURER/SECRETARY SPECTRUM HEALTH WORTH SERVICES: TREASURER/SECRETARY VISITING NURSE SERVICES OF WESTERN MICHIGAN: TREASURER/SECRETARY LOWELL HAMEL MD: HOSPICE AT HOME, INC.: DIRECTOR LAKELAND COMMUNITY HOSPITAL, WATERVLIET: EX-OFFICIO LAKELAND HOSPITALS AT NILES AND ST. JOSEPH, INC.: FORMER OFFICER LAKELAND REGIONAL HEALTH SYSTEM: FORMER OFFICER MELINDA GRUBER: HOSPICE AT HOME, INC.: DIRECTOR/PRESIDENT LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ST. JOSEPH: DIRECTOR LAKELAND HOSPITALS AT NILES AND ST. JOSEPH, INC.: FORMER OFFICER LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER: DIRECTOR/CHAIR MERCY MEMORIAL HEALTH SERVICES, INCORPORATED: DIRECTOR/CHAIR NANCY SUSICK: BEAUMONT MEDICAL GROUP-HOSPITAL-BASED SERVICES: DIRECTOR/SECRETARY BEAUMONT MEDICAL GROUP-PRIMARY CARE SERVICES: DIRECTOR/SECRETARY BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES: DIRECTOR/SECRETARY WILLIAM BEAUMONT HOSPITAL: FORMER KEY EMPLOYEE PAOLO MARCIANO MD: BEAUMONT MEDICAL GROUP-HOSPITAL-BASED SERVICES: DIRECTOR/PRESIDENT BEAUMONT MEDICAL GROUP-PRIMARY CARE SERVICES: DIRECTOR/PRESIDENT BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES: DIRECTOR/PRESIDENT OAKWOOD HEALTHCARE, INC.: FORMER KEY EMPLOYEE Form 990, Part IX, line 11g SHARED SERVICES: Program service expenses 830,842,570. Management and general expenses 159,459,003. Fundraising expenses 0. Total expenses 990,301,573. CLINICAL PURCHASED SERVICES: Program service expenses 206,023,050. Management and general expenses 21,715,230. Fundraising expenses 0. Total expenses 227,738,280. NONCLINICAL PURCHASED SERVICES: Program service expenses 164,932,520. Management and general expenses 18,939,671. Fundraising expenses 50,355. Total expenses 183,922,546. OTHER FEES FOR SERVICES: Program service expenses 93,477,764. Management and general expenses 19,938,553. Fundraising expenses 123,530. Total expenses 113,539,847. Form 990, Part XI, line 9: RETAINED EARNINGS TRANSFERS -855,456,229. PENSION RELATED CHANGES TO OTHER THAN NET PERIODIC PENSION COSTS -70,921,644. PLEDGE WRITE OFFS 114,528. OTHER NET ASSET ACTIVITY 453,680. TRANSFERS TO AFFILIATES FROM FOUNDATION 5,855,856. ADD ASSETS OF GROUP ADDITIONS 9,062,209. NET INVESTMENT ACTIVITY FROM RESTRICTED NET ASSETS 16,353,074. CHANGE IN INTEREST IN FUNKE TRUST -34,107. Form 990, Part XII, Line 2c: NO CHANGE IN OVERSIGHT FROM PRIOR YEAR SCHEDULE B SPECIAL RULES THE FOLLOWING SUBORDINATES IN THE GROUP RETURN ARE COVERED UNDER SCHEDULE B SPECIAL RULE REPORTING AS MEET THE 33 1/3% SUPPORT TEST OF THE REGULATIONS UNDER SECTIONS 509(A)(1) AND 170(B)(1)(A)(VI) PER SCHEDULE A. 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