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32521169 13881345 18639824 0 18639824 1224770 17415054 4439108 822621 9712016 1726908 -5272908 -904287 -6177195 -6177195 1993003 1382078 1969902 23101 23101 0 0 0 0 0 0 CAFETERIA 722514 34916794 34916794 MISCELLANEOUS 900099 8745462 8745462 EMPLOYEE SERVICES REVENUE 900099 6537791 6537791 4801782 4801782 55001829 9673192506 9280259956 101269231 114926115 2963307 2963307 56800813 56800813 0 0 20984822 20984822 9276565 9276565 3978854767 3843378713 134150130 1325924 104103935 99213822 4857684 32429 670645407 645818641 24699250 127516 273331825 264285870 8995444 50511 0 7209296 7209296 1001955 1001955 1101359 1101359 0 2427610 2427610 555169031 451444179 103714611 10241 6578705 2107944 4329654 141107 86618268 73024530 13409898 183840 31813650 21570330 10213377 29943 0 315117803 255776872 59265330 75601 8368616 7514541 826768 27307 0 7160039 6698121 459542 2376 62978290 61252780 1725510 0 441044869 359299212 81704016 41641 139609303 109062446 30545954 903 MEDICAL AND OTHER SUPPLIES 1655415894 1655415894 SHARED SERVICES/MGMT FEE 597298325 509358661 87939664 QAAP EXPENSE 255769892 255769892 BAD DEBT 155620789 155620789 36256364 35669194 338086 249084 9483521499 8882424475 598798601 2298423 33376233 24835823 1059771252 1967898987 36061633 35377021 506312640 1199678237 0 0 0 0 0 0 82445449 194524417 22193093 109806271 6213680179 2555510532 2079608207 3658169647 481558753 2135154362 0 0 48758806 68610273 1187200 146731873 500979112 466892900 4852252378 10007679811 471387516 987279962 0 0 67524865 42359870 563762986 1698047397 0 0 0 0 0 0 497611 56617317 804814093 1528842627 1907987071 4313147173 X 2743728221 5507277736 200537086 187254902 2944265307 5694532638 4852252378 10007679811 X 189671007 -441976688 14464328 2988108684 X X false true X true true true X 27214312 26461716 28739251 31210325 28492369 142117973 0 0 27214312 26461716 28739251 31210325 28492369 142117973 25084573 117033400 3357616 1895014 6142269 2588154 4370235 18353288 0 3616023 1811813 4011107 2948980 1882303 14270226 174741487 693652539 0.66975 0.66960 X 345316 130691 16924 727279 4201636 5421846 90111292 49406347 108063427 98592408 347479065 693652539 31265 20507 36675 15012 11073 114532 0 0 90487873 49557545 108117026 99334699 351691774 699188917 0 0 0 699188917 9963 3755 17720 29009 1171509 1231956 0 9963 3755 17720 29009 1171509 1231956 0 0 0 0 0 0 0 90497836 49561300 108134746 99363708 352863283 700420873 0.99824 0.99980 0.00176 0.00020 X false false false false false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE A, 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 ORGANIZATIONS INCLUDED IN THE GROUP RETURN. THE ORGANIZATIONS IDENTIFIED BELOW HAVE A PUBLIC CHARITY STATUS DESCRIBED IN 509(A)(2). 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 38-1358412) SPECTRUM HEALTH - LEFFINGWELL AVENUE (EIN 85-4390483) MERCY MEMORIAL HEALTH SERVICES, INC. (EIN 38-2748035) 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) 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) BEAUMONT HEALTH EIN (46-5718220) OAKWOOD UNITED HOSPITALS, INC. (EIN 38-2837691) SCHEDULE A, PART I, LINE 12a OAKWOOD UNITED HOSPITALS, INC., IS THE LEGAL TITLE HOLDER OF CERTAIN REAL ESTATE PARCELS WHICH ARE USED BY OAKWOOD HEALTHCARE, INC., ITS SUPPORTED ORGANIZATION, IN FULFILLING ITS EXEMPT PURPOSE. SCHEDULE A, PART I, LINE 12G, COLUMN (VI) BEAUMONT HEALTH PROVIDES SUPPORT TO ITS SUPPORTED ORGANIZATIONS THROUGH GOVERNANCE, LEADERSHIP, STRATEGY, AND CERTAIN FUNCTIONS SUCH AS ACCOUNTS PAYABLE AND TREASURY OVERSIGHT. SCHEDULE A, 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 38-1358412) SPECTRUM HEALTH - LEFFINGWELL AVENUE (EIN 85-4390483) MERCY MEMORIAL HEALTH SERVICES, INC. (EIN 38-2748035) TAX YEARS 2020, 2021 & 2022 WERE 12/31 CALENDAR YEAR ENDS TAX YEAR 2019 WAS A SHORT YEAR (7/1/19 - 12/31/19) TAX YEAR 2018 WAS 6/30 FISCAL YEAR END SCHEDULE A, 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) TAX YEARS 2020, 2021 & 2022 WERE 12/31 CALENDAR YEAR ENDS TAX YEAR 2019 WAS A SHORT YEAR (7/1/19 - 12/31/19) TAX YEAR 2018 WAS 6/30 FISCAL YEAR END SCHEDULE A, PART IV, SECTION E, LINE 3 BEAUMONT HEALTH IS A SUPPORTING ORGANIZATION OF AN INTEGRATED HEALTH CARE SYSTEM CONSISTING OF BOTSFORD GENERAL HOSPITAL, OAKWOOD HEALTHCARE, INC. AND WILLIAM BEAUMONT HOSPITAL (THE SUPPORTED ORGANIZATIONS). BEAUMONT HEALTH MANAGES AND DIRECTS THE SUPPORTED ORGANIZATIONS' DELIVERY OF HEALTH CARE INCLUDING PROVIDING LONG-TERM AND STRATEGIC PLANNING, FINANCIAL CONTROL, AND PROGRAMS AND POLICIES THAT ALLOW THE SUPPORTED ORGANIZATIONS TO FUNCTION AS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. BEAUMONT HEALTH'S GOVERNING BODY IS COMPOSED OF AT LEAST ONE OR MORE MEMBERS OF THE GOVERNING BODIES OF EACH OF THE SUPPORTED ORGANIZATIONS. IN ADDITION, THERE IS AN OVERLAP OF OFFICERS BETWEEN ORGANIZATIONS TO HELP ENSURE THAT THERE IS A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH EACH SUPPORTED ORGANIZATION. THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN BEAUMONT HEALTH'S OPERATIONS, INCLUDING THE USE OF ITS INCOME AND ASSETS. FOR EXAMPLE, BUDGETS ARE SUBMITTED BY THE SUPPORTED ORGANIZATIONS TO BEAUMONT HEALTH FOR APPROVAL. THIS SUBMISSION ALLOWS THE SUPPORTED ORGANIZATIONS TO ARTICULATE THEIR NEEDS (BUDGETING, CAPITAL ACQUISITIONS, OPERATING CASH FLOW NEEDS, ETC.) FOR CONSIDERATION OF FUNDING. IN ADDITION, THE SUPPORTED ORGANIZATIONS HAVE INPUT INTO ALL THE INVESTMENT POLICIES OF BEAUMONT HEALTH THROUGH EACH SUPPORTED ORGANIZATION'S PRESENCE ON THE GOVERNING BOARD OF BEAUMONT HEALTH. SCHEDULE A, PART IV, SECTION E, LINE 3A BEAUMONT HEALTH IS SOLELY RESPONSIBLE FOR THE DIRECT APPOINTMENT OR ELECTION OF THE OFFICERS, DIRECTORS AND TRUSTEES OF EACH OF THE SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION E, LINE 3B: BEAUMONT HEALTH IS ORGANIZED TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF BOTSFORD GENERAL HOSPITAL, OAKWOOD HEALTHCARE, INC. AND WILLIAM BEAUMONT HOSPITAL (THE "SUPPORTED ORGANIZATIONS"). BEAUMONT HEALTH FUNCTIONS AS AN INTEGRATED OPERATING COMPANY THAT MANAGES AND DIRECTS THE SUPPORTED ORGANIZATIONS' DELIVERY OF HEALTH CARE, INCLUDING PROVIDING LONG-RANGE AND STRATEGIC PLANNING, FINANCIAL CONTROL, AND PROGRAMS AND POLICIES THAT CAUSE THE SUPPORTED ORGANIZATIONS TO FUNCTION AS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. BEAUMONT HEALTH IS RESPONSIBLE FOR THE OVERALL COORDINATION AND SUPERVISION OF THE HEALTH SYSTEM'S SUPPORTED ORGANIZATIONS AND IS RESPONSIBLE FOR APPROVAL OF THE SUPPORTED ORGANIZATIONS' BUDGETS, STRATEGIC PLANNING, MARKETING, RESOURCE ALLOCATION AND COMMUNITY BENEFIT ACTIVITIES. BEAUMONT HEALTH ALSO IS RESPONSIBLE FOR THE MANAGEMENT AND INVESTMENT OF THE ENDOWMENTS OF THE SUPPORTED ORGANIZATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 278612 false true 348896 627508 SCHEDULE C, PART IV LOBBYING ACTIVITIES INCLUDE CALLS TO OR MEETINGS WITH GOVERNMENT OFFICIALS OR LAWMAKERS, AND ELECTRONIC COMMUNICATIONS SENT TO CONVEY POSITIONS, CONCERNS, AND RECOMMENDATIONS. 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SCHEDULE D, PART IV, LINE 1B AGENT, TRUSTEE, CUSTODIAN, OR OTHER INTERMEDIARY ARRANGEMENT SPECTRUM HEALTH CONTINUING CARE CENTER (EIN 38-2415333) AND MERCY MEMORIAL HEALTH SERVICES, INC. (EIN 38-2748035) 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. SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS COREWELL HEALTH FOUNDATION WEST MICHIGAN (EIN 38-2752328), LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ST JOSEPH (EIN 38-2539929), AND HOSPICE AT HOME INC (EIN 38-2416086) HOLD ENDOWMENT FUNDS TO PROVIDE PERPETUAL SUPPORT OF LIFE SAVING PROGRAMS AND SERVICES TO ORGANIZATIONS THROUGHOUT COREWELL HEALTH. 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X X X X true true X X X true 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 true X false X X X X true X false false B false false true X X X X X X X X X X 22 true true true true X SEE PART V, SECTION C X X true 22 true SEE PART V, SECTION C false true X 200. 300. X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false C false false true X X X X X X X X X 22 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 22 true SEE PART V, SECTION C true false true X 250. 250. X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false FACILITY REPORTING GROUPS A/B/C A - IN FEBRUARY 2022 COREWELL HEALTH GROUP RETURN (FKA BHSH SYSTEM) WAS FORMED 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 INTEGRATION PLANS MAY REFERENCE NAME STRUCTURES PRIOR TO INTEGRATION. SCHEDULE H, PART V, SECTION B, LINE 5 INPUT FROM PERSONS WHO REPRESENT BROAD INTERESTS OF COMMUNITY SERVED FACILITY NAME: SPECTRUM HEALTH BUTTERWORTH AND SPECTRUM HEALTH BLODGETT DESCRIPTION: 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 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: SPECTRUM HEALTH UNITED, SPECTRUM HEALTH KELSEY, SPECTRUM HEALTH GERBER MEMORIAL, SPECTRUM HEALTH REED CITY, SPECTRUM HEALTH BIG RAPIDS, SPECTRUM HEALTH LUDINGTON, SPECTRUM HEALTH PENNOCK DESCRIPTION: 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. FACILITY NAME: SPECTRUM HEALTH ZEELAND DESCRIPTION: 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. SCHEDULE H, PART V, SECTION B, LINE 5 CONTINUED FACILITY NAME: LAKELAND COMMUNITY HOSPITAL, WATERVLIET, LAKELAND HOSPITALS AT ST. JOSEPH AND LAKELAND HOSPITALS AT NILES DESCRIPTION: THE 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 DATA) 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. SCHEDULE H, PART V, SECTION B, LINE 5 CONTINUED BEAUMONT HOSPITAL ROYAL OAK, BEAUMONT HOSPITAL TROY, BEAUMONT HOSPITAL GROSSE POINTE, BEAUMONT HOSPITAL FARMINGTON HILLS, BEAUMONT HOSPITAL DEARBORN, BEAUMONT HOSPITAL TRENTON, BEAUMONT HOSPITAL TAYLOR, AND BEAUMONT HOSPITAL WAYNE A 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) WERE 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 BEAUMONT 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. SCHEDULE H, 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: SPECTRUM HEALTH BUTTERWORTH AND SPECTRUM HEALTH BLODGETT DESCRIPTION: METRO HEALTH - UNIVERSITY OF MICHIGAN HEALTH PINE REST MARY FREE BED REHABILITATION HOSPITAL MERCY HEALTH FACILITY NAME: SPECTRUM HEALTH BIG RAPIDS, SPECTRUM HEALTH REED CITY, SPECTRUM HEALTH GERBER AND SPECTRUM HEALTH LUDINGTON DESCRIPTION: CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT DISTRICT HEALTH DEPARTMENT #10 MCLAREN HEALTH CARE MUNSON HEALTHCARE FACILITY NAME: SPECTRUM HEALTH KELSEY AND SPECTRUM HEALTH UNITED DESCRIPTION: SHERIDAN COMMUNITY HOSPITAL AND SPARROW CARSON HOSPITAL FACILITY NAME: SPECTRUM HEALTH ZEELAND DESCRIPTION: HOLLAND HOSPITAL NORTH OTTAWA COMMUNITY HEALTH SYSTEM FACILITY NAME: LAKELAND COMMUNITY HOSPITAL, WATERVLIET, LAKELAND HOSPITALS AT ST. JOSEPH AND LAKELAND HOSPITALS AT NILES DESCRIPTION: LAKELAND HOSPITAL - NILES, LAKELAND HOSPITAL - WATERVLIET, AND LAKELAND MEDICAL CENTER, ST. JOSEPH FACILITY NAME: BEAUMONT HOSPITAL ROYAL OAK, BEAUMONT HOSPITAL TROY, BEAUMONT HOSPITAL GROSSE POINTE, BEAUMONT HOSPITAL FARMINGTON HILLS, BEAUMONT HOSPITAL DEARBORN, BEAUMONT HOSPITAL TRENTON, BEAUMONT HOSPITAL TAYLOR, AND BEAUMONT HOSPITAL WAYNE BEAUMONT HEALTH CONDUCTED THE CHNA FOR THE COMMUNITIES SERVED BY BEAUMONT HOSPITAL ROYAL OAK, BEAUMONT HOSPITAL TROY, BEAUMONT HOSPITAL GROSSE POINTE, BEAUMONT HOSPITAL FARMINGTON HILLS, BEAUMONT HOSPITAL DEARBORN, BEAUMONT HOSPITAL TRENTON, BEAUMONT HOSPITAL TAYLOR, AND BEAUMONT HOSPITAL WAYNE. OAKWOOD HOSPITAL TAYLOR), BEAUMONT HOSPITAL TRENTON (FORMERLY OAKWOOD HOSPITAL TRENTON), BEAUMONT HOSPITAL TROY (FORMERLY BEAUMONT TROY), AND BEAUMONT HOSPITAL WAYNE (FORMERLY OAKWOOD HOSPITAL WAYNE). SCHEDULE H, PART V, SECTION B, LINE 6B THE 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: SPECTRUM HEALTH BUTTERWORTH AND SPECTRUM HEALTH BLODGETT DESCRIPTION: KENT COUNTY HEALTH DEPARTMENT IN ADDITION, MANY COMMUNITY ORGANIZATIONS PARTICIPATED IN OR SUPPORTED 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 SERVICES, 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: SPECTRUM HEALTH PENNOCK DESCRIPTION: BARRY-EATON DISTRICT HEALTH DEPARTMENT IN 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: SPECTRUM HEALTH BIG RAPIDS, SPECTRUM HEALTH REED CITY, SPECTRUM HEALTH GERBER AND SPECTRUM HEALTH LUDINGTON HOSPITALS DESCRIPTION: 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 AGENCY FACILITY NAME: SPECTRUM HEALTH UNITED AND SPECTRUM HEALTH KELSEY DESCRIPTION: MID-MICHIGAN DISTRICT HEALTH DEPARTMENT IN 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 COUNTIES FACILITY NAME: SPECTRUM HEALTH ZEELAND DESCRIPTION: COMMUNITY MENTAL HEALTH - OTTAWA COUNTY OTTAWA DEPARTMENT OF PUBLIC HEALTH FACILITY NAME: LAKELAND COMMUNITY HOSPITAL, WATERVLIET, LAKELAND HOSPITALS AT ST. JOSEPH AND LAKELAND HOSPITALS AT NILES DESCRIPTION: 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. FACILITY NAME: BEAUMONT HOSPITAL ROYAL OAK, BEAUMONT HOSPITAL TROY, BEAUMONT HOSPITAL GROSSE POINTE, BEAUMONT HOSPITAL FARMINGTON HILLS, BEAUMONT HOSPITAL DEARBORN, BEAUMONT HOSPITAL TRENTON, BEAUMONT HOSPITAL TAYLOR, AND BEAUMONT HOSPITAL WAYNE DESCRIPTION: 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, CITY OF- DEPARTMENT OF SENIOR SERVICES, BANGLADESHI AMERICAN PUBLIC AFFAIRS COMMISSION, BEAUMONT DEARBORN HOSPITAL, BEAUMONT FARMINGTON HILLS HOSPITAL, BEAUMONT GROSSE POINTE HOSPITAL, BEAUMONT ROYAL OAK HOSPITAL, BEAUMONT TAYLOR HOSPITAL, BEAUMONT TRENTON HOSPITAL, BEAUMONT TROY HOSPITAL, BEAUMONT WAYNE HOSPITAL, 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 TROY, CITY OF 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 BENEVOLENT ASSN, 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. SCHEDULE H, PART V, SECTION B, LINE 7A CHNA WEBSITE ADDRESS SPECTRUM HEALTH BUTTERWORTH AND SPECTRUM HEALTH BLODGETT: HTTPS://WWW.SPECTRUMHEALTH.ORG/HEALTHIER-COMMUNITIES/GRAND-RAPIDS-HOSPITAL S-COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH UNITED: HTTPS://WWW.SPECTRUMHEALTH.ORG/HEALTHIER-COMMUNITIES/UNITED-HOSPITAL-COMMU NITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH GERBER MEMORIAL: HTTPS://WWW.SPECTRUMHEALTH.ORG/HEALTHIER-COMMUNITIES/GERBER-MEMORIAL-COMMU NITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH LUDINGTON: HTTPS://WWW.SPECTRUMHEALTH.ORG/HEALTHIER-COMMUNITIES/LUDINGTON-HOSPITAL-CO MMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH BIG RAPIDS: HTTPS://WWW.SPECTRUMHEALTH.ORG/HEALTHIER-COMMUNITIES/BIG-RAPIDS-HOSPITAL-C OMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH REED CITY: HTTPS://WWW.SPECTRUMHEALTH.ORG/HEALTHIER-COMMUNITIES/REED-CITY-HOSPITAL-CO MMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH ZEELAND: HTTPS://WWW.SPECTRUMHEALTH.ORG/HEALTHIER-COMMUNITIES/ZEELAND-HOSPITAL-COMM UNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH KELSEY: HTTPS://WWW.SPECTRUMHEALTH.ORG/HEALTHIER-COMMUNITIES/KELSEY-HOSPITAL-COMMU NITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH PENNOCK: HTTPS://WWW.SPECTRUMHEALTH.ORG/HEALTHIER-COMMUNITIES/PENNOCK-COMMUNITY-HEA LTH-NEEDS-ASSESSMENT SPECTRUM HEALTH LAKELAND MEDICAL CENTER, SPECTRUM HEALTH LAKELAND NILES HOSPITAL, AND SPECTRUM HEALTH LAKELAND WATERVLIET HOSPITAL HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/POPULATION-HEALTH/GET-FACTS/COMMUNI TY-HEALTH-NEEDS-ASSESSMENT BEAUMONT HOSPITAL ROYAL OAK, BEAUMONT HOSPITAL TROY, BEAUMONT HOSPITAL GROSSE POINTE, BEAUMONT HOSPITAL FARMINGTON HILLS, BEAUMONT HOSPITAL DEARBORN, BEAUMONT HOSPITAL TRENTON, BEAUMONT HOSPITAL TAYLOR, AND BEAUMONT HOSPITAL WAYNE HTTPS://WWW.BEAUMONT.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 7 - LINE 7B SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH BLODGETT, SPECTRUM HEALTH UNITED, SPECTRUM HEALTH GERBER MEMORIAL, SPECTRUM HEALTH LUDINGTON, SPECTRUM HEALTH BIG RAPIDS, SPECTRUM HEALTH REED CITY, SPECTRUM HEALTH ZEELAND, SPECTRUM HEALTH KELSEY, AND SPECTRUM HEALTH PENNOCK HTTPS://WWW.SPECTRUMHEALTH.ORG/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEED S- ASSESSMENT LAKELAND COMMUNITY HOSPITAL, WATERVLIET, LAKELAND HOSPITALS AT ST. JOSEPH, AND LAKELAND HOSPITALS AT NILES HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/POPULATION-HEALTH SCHEDULE H, PART V, SECTION B, LINE 7 - LINE 7D THE CHNA WAS PROVIDED DURING ONLINE COMMUNITY EDUCATIONAL CLASSES - PARTICIPANTS RECEIVED A LINK TO THE WEBSITE. COPIES WERE AVAILABLE AT THE CENTER FOR BETTER HEALTH HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/CENTER-FOR-BETTER-HEALTH. COMMUNITY MEMBERS AND REPRESENTATIVES FROM THE POPULATION HEALTH COMMITTEE, (SUBGROUP OF THE LAKELAND BOARD OF DIRECTORS), E.G., COMMUNITY LEADERS RECEIVED THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 10 IMPLEMENTATION STRATEGY WEBSITE ADDRESS SPECTRUM HEALTH BUTTERWORTH: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-HOSPITALS-BUTTERW ORTH- HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH BLODGETT: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-HOSPITALS-BLODGET T- HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH UNITED: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-UNITED- HOSPITAL/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH GERBER MEMORIAL: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-GERBER-MEMORIAL/C OMMUNITY- RESOURCES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH LUDINGTON: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-LUDINGTON- HOSPITAL/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH BIG RAPIDS: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-BIG-RAPIDS- HOSPITAL/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH REED CITY: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-REED-CITY- HOSPITAL/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH ZEELAND: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-ZEELAND-COMMUNITY -HOSPITAL/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH KELSEY: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-KELSEY-HOSPITAL/C OMMUNITY- RESOURCES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH PENNOCK: HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH- PENNOCK/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT LAKELAND COMMUNITY HOSPITAL, WATERVLIET, LAKELAND HOSPITALS AT ST. JOSEPH AND, LAKELAND HOSPITALS AT NILES: HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/POPULATION-HEALTH/GET-FACTS/COMMUNI TY-HEALTH- NEEDS-ASSESSMENT BEAUMONT HOSPITAL ROYAL OAK, BEAUMONT HOSPITAL TROY, BEAUMONT HOSPITAL GROSSE POINTE, BEAUMONT HOSPITAL FARMINGTON HILLS, BEAUMONT HOSPITAL DEARBORN, BEAUMONT HOSPITAL TRENTON, BEAUMONT HOSPITAL TAYLOR, AND BEAUMONT HOSPITAL WAYNE HTTPS://WWW.BEAUMONT.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 11 HOW HOSPITAL FACILITY IS ADDRESSING NEEDS IDENTIFIED IN CHNA FACILITY NAME: SPECTRUM HEALTH BUTTERWORTH AND SPECTRUM HEALTH BLODGETT DESCRIPTION: THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE MENTAL HEALTH, HOUSING, SUBSTANCE USE, ECONOMIC SECURITY, OBESITY/POOR NUTRITION, VIOLENCE, SOCIAL DETERMINANTS, AND CHILD TRAUMA. FOUR OF THESE NEEDS - HOUSING, ECONOMIC SECURITY, VIOLENCE, AND CHILD TRAUMA WILL NOT BE ADDRESSED DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE FOLLOWING SIGNIFICANT HEALTH NEEDS: MENTAL HEALTH, SUBSTANCE USE, OBESITY/POOR NUTRITION, AND SOCIAL DETERMINANTS (ACCESS TO CARE). AS PART OF THE MENTAL HEALTH NEED, THERE ARE SIX STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GRAND RAPIDS HOSPITALS' SERVICE AREA. WE WILL ADDRESS THIS NEED BY INCREASING THE ACCESSIBILITY OF PSYCHIATRIC SERVICES AMONG KENT COUNTY RESIDENTS WHO CHOOSE SPECTRUM HEALTH SERVICE. THIS WILL BE DONE BY OFFERING 24/7 INPATIENT PSYCHIATRIC CONSULTATIVE SERVICES AT SPECTRUM HEALTH GRAND RAPIDS. SECONDLY, SPECTRUM HEALTH WILL ADDRESS THIS NEED THROUGH SELECT BEHAVIORAL HEALTH SERVICES AVAILABLE FOR THOSE WHO MAY CHOOSE SPECTRUM HEALTH SERVICES. THIRD, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY REDUCING EMERGENCY BOARDING TIMES. THIS WILL BE ACCOMPLISHED THROUGH UTILIZATION OF AN EMERGENCY DEPLOYMENT TEAM. FOURTH, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY INCREASING THE NUMBER OF INDIVIDUALS SCREENED FOR ANXIETY AND DEPRESSION USING THE PHQ-10/INTEGRATED BEHAVIORAL HEALTH MODEL. FIFTH, SPECTRUM HEALTH WILL ADDRESS THE MENTAL HEALTH NEED BY IMPROVING THE MANAGEMENT OF PATIENTS WITH BEHAVIORAL HEALTH ISSUES AMONG KENT COUNTY RESIDENTS WHO CHOOSE SPECTRUM HEALTH SERVICES. THIS WILL BE DONE BY PROVIDING TRAINING RELATED TO DE-ESCALATION AND THE MANAGEMENT OF CONFLICTS WITH PATIENTS WITH BEHAVIORAL HEALTH ISSUES TO HIGHLY EXPOSED STAFF AT SPECTRUM HEALTH GRAND RAPIDS. LASTLY, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY INCREASING THE CAPACITY OF MENTAL AND BEHAVIORAL HEALTH SERVICES AVAILABLE TO KENT COUNTY RESIDENTS. THIS WILL BE DONE BY PLANNING FOR A NEW MENTAL/BEHAVIORAL HEALTH CRISIS CENTER IN KENT COUNTY. AS PART OF THE SUBSTANCE USE NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GRAND RAPIDS HOSPITALS' SERVICE AREA. FIRST SPECTRUM HEALTH WILL ADDRESS THIS NEED BY EDUCATING RESIDENTS OF KENT COUNTY, OFFERING DRUG TAKE BACK EVENTS, INCREASING ACCESS TO TREATMENT, AND INCREASING PRESCRIPTIONS FOR ALTERNATIVES TO OPIOIDS. SECOND, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY REDUCING THE NUMBER OF OPIOIDS PRESCRIBED BY SPECTRUM HEALTH PROVIDERS. THIS WILL BE DONE BY IMPLEMENTING OPIOID PRESCRIBING GUIDELINES FOR OUR PROVIDERS. LASTLY, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY REDUCING THE NUMBER OF SPECTRUM HEALTH PATIENTS WITH SUBSTANCE USE DISORDERS WHO ARE NOT IN TREATMENT. THIS WILL BE DONE BY IDENTIFYING PATIENTS, SEEN BY OUR OBSTETRICS AND GYNECOLOGY PROVIDERS, WHO HAVE SUBSTANCE USE DISORDERS AND REFERRING THEM TO TREATMENT. AS PART OF THE OBESITY/POOR NUTRITION NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GRAND RAPIDS HOSPITALS' SERVICE AREA. FIRST, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY INCREASING THE PROFICIENCY OF NEW PROVIDERS TO COUNSEL THEIR PATIENTS ACCURATELY AND CONFIDENTLY ABOUT NUTRITION. THIS WILL BE DONE BY OFFERING INTERNAL MEDICINE AND PEDIATRIC RESIDENTS OF SPECTRUM HEALTH AN INTERACTIVE CULINARY MEDICINE ELECTIVE AS PART OF THEIR TRAINING. SECOND, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY INCREASING SUPPORT SERVICES AND TOOLS OFFERED TO RESIDENTS OF KENT COUNTY WHO CHOOSE SPECTRUM HEALTH SERVICES. THIS WILL BE DONE BY EXPANDING THE OFFERINGS AND ACCESS OF THE LIFESTYLE MEDICINE SPECIALTY TO MORE KENT COUNTY RESIDENTS. LASTLY, SPECTRUM HEALTH WILL ADDRESS THIS NEED THROUGH OUR PARTNERSHIPS WITH KENT COUNTY COMMUNITY-BASED PROGRAMS AND ORGANIZATIONS. THIS WILL BE DONE BY DIRECTLY SUPPORTING THE OBESITY PREVENTION/REDUCTION ACTIVITIES OF ORGANIZATIONS SERVING KENT COUNTY RESIDENTS. AS PART OF THE SOCIAL DETERMINANTS (ACCESS TO CARE) NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GRAND RAPIDS HOSPITALS' SERVICE AREA. FIRST, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY ASSURING THAT PATIENTS WITH GOVERNMENT-SPONSORED INSURANCE HAVE ACCESS TO PROVIDERS. THIS WILL BE DONE BY MAINTAINING ENOUGH PROVIDERS WHO HAVE OPENINGS FOR PATIENTS WITH GOVERNMENT-SPONSORED INSURANCE. SECOND, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY ASSURING THAT WOMEN IN KENT COUNTY ARE RECEIVING APPROPRIATE AND TIMELY CARE. THIS WILL BE DONE BY INCREASING THE NUMBER OF HIGH-RISK WOMEN RECEIVING ADEQUATE PRENATAL CARE AND INCREASING THE NUMBER OF WOMEN ENROLLED IN THE MATERNAL INFANT HEALTH PROGRAM. LASTLY, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY REDUCING THE NUMBER OF RESIDENTS INFECTED WITH COVID-19. THIS WILL BE DONE BY PROVIDING THE GENERAL PUBLIC, SCHOOL ADMINISTRATION AND EMPLOYERS WITH ACCURATE AND TIMELY INFORMATION ON COVID-19, BEST PRACTICES FOR REDUCING ITS SPREAD. WE WILL ALSO PROVIDE INDIVIDUALS WITH THEIR OWN INFECTION STATUS AT TIMES AND LOCATIONS THAT ARE CONVENIENT TO THEM. FACILITY NAME: SPECTRUM HEALTH ZEELAND DESCRIPTION: AS PART OF THE HEALTH CARE ACCESS NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE ZEELAND COMMUNITY HOSPITAL SERVICE AREA. FIRST, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING THE OTTAWA PATHWAYS TO BETTER HEALTH COMMUNITY HEALTH WORKER PROGRAM FOR ADULT COMMUNITY MEMBERS BY INCREASING REFERRALS. SECOND, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING VIRTUAL TECHNOLOGY FOR EMPLOYERS, SCHOOL ADMINISTRATORS, ADULTS, AND YOUTH IN THE SPECTRUM HEALTH ZEELAND MARKET AREA. LASTLY, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY REDUCING THE NUMBER OF RESIDENTS INFECTED WITH COVID-19. THIS WILL BE DONE BY PROVIDING EMPLOYERS, SCHOOL ADMINISTRATORS, AND THE GENERAL COMMUNITY WITH ACCURATE AND TIMELY INFORMATION ON COVID-19 AND BEST PRACTICES FOR REDUCING ITS SPREAD. AS PART OF THE MENTAL HEALTH NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE ZEELAND COMMUNITY HOSPITAL SERVICE AREA. FIRST, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING THE BLUE ENVELOPE FOR SCHOOLS PROGRAM FOR MIDDLE AND HIGH SCHOOL YOUTH. LASTLY, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING VIRTUAL CONSULTATIVE SERVICES FOR ADULTS AGED 18 YEARS AND OLDER IN SPECTRUM HEALTH ZEELAND COMMUNITY HOSPITAL AREA IN EFFORTS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES. AS PART OF THE SUBSTANCE USE DISORDER NEED, THERE ARE FOUR STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE ZEELAND COMMUNITY HOSPITAL SERVICE AREA. FIRST, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED BY UTILIZING A TOBACCO/NICOTINE CESSATION PROGRAM FOR COMMUNITY MEMBERS USING TOBACCO PRODUCTS. SECOND, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY REDUCING THE NUMBER OF OPIOIDS PRESCRIBED BY SPECTRUM HEALTH PROVIDERS. THIS WILL BE DONE BY IMPLEMENTING OPIOID PRESCRIBING GUIDELINES FOR OUR PROVIDERS. THIRD, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED BY INCREASING PRESCRIPTIONS FOR OPIOID ALTERNATIVES FOR COMMUNITY RESIDENTS BY ESTABLISHING A GO TEAM. LASTLY, WILL ADDRESS THIS NEED BY REDUCING THE NUMBER OF SPECTRUM HEALTH PATIENTS WITH SUBSTANCE USE DISORDER WHO ARE NOT IN TREATMENT. THIS WILL BE DONE BY IDENTIFYING PATIENTS, SEEN BY OUR OBSTETRICS AND GYNECOLOGY PROVIDERS, WHO HAVE SUBSTANCE USE DISORDER AND REFERRING THEM TO TREATMENT. AS PART OF THE OBESITY NEED, THERE ARE FOUR STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE ZEELAND COMMUNITY HOSPITAL SERVICE AREA. FIRST, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING FIT AND HEALTHY FAMILIES FOR FAMILIES LIVING IN OTTAWA COUNTY. SECOND, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING THE HEALTHY HABITS WALKING GROUP FOR OTTAWA COUNTY COMMUNITY MEMBERS AND INDOOR WALK SITES. THIS AIMS TO INCREASE PHYSICAL ACTIVITIES AND VENUES TO INCREASE ENGAGEMENT IN WINTER MONTHS. THIRD, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED BY INCREASING ACCESS TO FRESH PRODUCE AND NUTRITION EDUCATION TO COMMUNITY MEMBERS. LASTLY, WILL ADDRESS THIS UNMET NEED USING THE COORDINATED APPROACH TO CHILD HEALTH (CATCH) FOR STUDENTS IN GRADE K-5TH IN OTTAWA AND ALLEGAN COUNTIES. THIS AIMS TO DEVELOP POSITIVE BEHAVIOR RELATED TO NUTRITION AND PHYSICAL ACTIVITY. SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUED FACILITY NAME: LAKELAND COMMUNITY HOSPITAL, WATERVLIET, LAKELAND HOSPITALS AT ST. JOSEPH AND, LAKELAND HOSPITALS AT NILES DESCRIPTION: THE PRIORITY HEALTH NEEDS (HEALTH NEEDS) IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE TWO HEALTH CONDITIONS - MENTAL HEALTH AND OBESITY - AND SIX ".SOCIAL, BEHAVIORAL AND ENVIRONMENTAL FACTORS THAT INFLUENCE HEALTH.SOCIAL DETERMINANTS OF HEALTH, INCLUDING THE FOOD ENVIRONMENT, THE RECREATIONAL ENVIRONMENT, THE PHYSICAL ENVIRONMENT, SOCIAL COHESION, HEALTHCARE RESOURCES, AND FAITH-BASED AND SPIRITUAL PRACTICES. ONE HEALTH NEED - FAITH-BASED AND SPIRITUAL PRACTICES - WILL NOT BE ADDRESSED DUE TO INSUFFICIENT RESOURCES AND EXPERTISE, AND A LACK OF EFFECTIVE INTERVENTIONS FOR A FAITH CONTEXT CHARACTERIZED BY HIGH LEVELS OF POLARIZATION AMONG THE COMMUNITY'S RELIGIOUS INSTITUTIONS. THE IS CONTAINS TWO TYPES OF INTERVENTIONS TO IMPROVE COMMUNITY HEALTH: COMMUNITY HEALTH EDUCATION (I.E., PROGRAMMATIC INTERVENTIONS TO ADDRESS SPECIFIC CHNA IDENTIFIED HEALTH NEEDS) AND A POPULATION HEALTH STRATEGY (I.E., STRUCTURAL, AND SYSTEMIC INTERVENTIONS TO ACHIEVE BROADER, DEEPER AND SUSTAINABLE HEALTH IMPROVEMENTS). COMMUNITY HEALTH EDUCATION COMPRISES PROGRAMS DESIGNED TO SHIFT KNOWLEDGE, ATTITUDES, AND BEHAVIORS - BOTH IN AND OUTSIDE OF THE HEALTH SYSTEM - IN WAYS THAT SUPPORT GOOD HEALTH; INCREASE THE CAPACITY OF THE COMMUNITY AND HEALTH SYSTEM TO IMPROVE HEALTH; AND INCREASE MUTUAL TRUST BETWEEN THE HEALTH SYSTEM AND THE COMMUNITY IT SERVES. THE INTERVENTIONS DESCRIBED IN THE IS ARE DESIGNED TO ADDRESS THE HEALTH NEEDS IDENTIFIED IN THE CHNA AND INCLUDE: MENTAL HEALTH EDUCATION AND AWARENESS CURRICULUM; A COLLECTIVE IMPACT TEAM TO CREATE A TRAUMA-INFORMED AND RESILIENCY-INFORMED COMMUNITY; POP-UP ART AND WELLNESS CENTERS BASED ON THE COMMUNITY RESILIENCY MODEL; A LISTENING TOUR TO GAIN GREATER INSIGHT INTO COMMUNITY HEALTH NEEDS; A FRUIT AND VEGETABLE VOUCHER AND NUTRITION EDUCATION PROGRAM; THE ESTABLISHMENT OF PHYSICAL LOCATIONS IN HIGH-NEEDS NEIGHBORHOODS THAT RESIDENTS MANY ACCESS TO RECEIVE BASIC HEALTH INFORMATION; RESOURCES AND SERVICES; SUPPORTING THE TWIN CITIES (SUSTAINABLE) HARBOR REVITALIZATION PROJECT; SCHOOL AND COMMUNITY BASED CPR; AND THE CREATION OF A COORDINATED SCHOOL HEALTH PROGRAM. THE POPULATION HEALTH STRATEGY WILL EXPAND COMMUNITY AND HEALTH SYSTEM CAPACITIES TO ADDRESS THE STRUCTURAL AND SOCIAL DETERMINANTS OF HEALTH; IT WILL ADDRESS HEALTH INEQUITIES THROUGH POLICY AND PRACTICE REFORMS; AND IT WILL SEEK TO CHANGE HEALTH BY CHANGING COMMUNITY AND ORGANIZATIONAL CONTEXTS. IT WILL BE INFORMED BY A HIGH LEVELS OF COMMUNITY PARTICIPATION AND CHARACTERIZED BY HIGH LEVELS OF COMMUNITY BUY-IN, AND IT WILL ENGAGE MULTIPLE PARTNERS FROM A BROAD AND DIVERSE CROSS-SECTION OF PROFESSIONS, PERSPECTIVES, INDUSTRIES AND SECTORS REFLECTING THE WIDE RANGE OF SOCIAL, ECONOMIC AND ENVIRONMENTAL FACTORS THAT DETERMINE HEALTH. THIS WILL PRODUCE SUSTAINABLE STRUCTURES AND PROCESSES THAT HELP ENSURE ITS LONG-TERM FINANCIAL AND ORGANIZATIONAL VIABILITY. THE INTERVENTIONS DESCRIBED IN THE IS INCLUDE: THE DEVELOPMENT AND IMPLEMENTATION OF A POPULATION HEALTH CURRICULUM; THE ADMINISTRATION OF THE PATHWAYS TO POPULATION HEALTH COMPASS THROUGHOUT THE LAKELAND SYSTEM; HOSTING A POPULATION HEALTH ROUNDTABLE TO GATHER THE INFORMATION, INSIGHTS AND CONTACTS REQUIRED TO DEVELOP A FRAMEWORK FOR THE DEVELOPMENT OF A POPULATION HEALTH STRATEGY; THE DEVELOPMENT AND EXECUTION OF A COMMUNITY-BASED PARTICIPATORY RESEARCH AGENDA; THE RE-ENGINEERING OF COMMUNITY BENEFIT REPORTING INFRASTRUCTURE AND PROCESSES; AND BUILDING A CULTURE OF CONTINUOUS LEARNING AMONG POPULATION HEALTH TEAM MEMBERS. FACILITY NAME: BEAUMONT HOSPITAL ROYAL OAK, BEAUMONT HOSPITAL TROY, BEAUMONT HOSPITAL GROSSE POINTE, BEAUMONT HOSPITAL FARMINGTON HILLS, BEAUMONT HOSPITAL DEARBORN, BEAUMONT HOSPITAL TRENTON, BEAUMONT HOSPITAL TAYLOR, AND BEAUMONT HOSPITAL WAYNE DESCRIPTION: 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. BEGINNING IN 2023, BEAUMONT WILL FOCUS 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 CONNECTING 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 AND TO INCREASE THE NUMBER OF YOUTH WHO RECEIVE HEALTH EDUCATION IN THE SCHOOLS AND COMMUNITY. STRATEGIES TO MEET THESE GOALS INCLUDE 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, 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 INCLUDE IMPROVING SUPPORT TO NAVIGATE THE HEALTHCARE SYSTEM THROUGH COMMUNITY HEALTH WORKERS, INCREASING THE USE OF THE COMMUNITY RESOURCE NETWORK, REVIEWING STRUCTURAL BARRIERS TO IMPROVE NAVIGATION, INCREASING ACCESS TO SCHOOL FOOD PANTRIES, AND MORE. A SUMMARY OF IMPLEMENTATION PLAN ACTIONS DURING 2022 AND PROGRESS TOWARD ADDRESSING SELECTED HEALTH PRIORITIES IS AS FOLLOWS: PRIORITY 1: BEHAVIORAL HEALTH BEAUMONT HEALTH SUPPORTED ANNUAL MEDICATION TAKE BACK DAYS. IN 2022 THE MEDICATION TAKE BACK DAYS COLLECTED NEARLY 200 POUNDS OF MATERIALS. BEAUMONT HEALTH CONTINUED ITS EXTENSIVE EXPANSION OF BEHAVIORAL HEALTH SERVICES IN 2022 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 CONTINUED TO EVOLVE IN 2022 AND INCLUDES PROPOSED EXPANSION OF INPATIENT AND OUTPATIENT SERVICES TO BETTER MEET THE NEEDS OF COMMUNITY MEMBERS ACROSS THE LIFESPAN. THE SYSTEM WIDE BWELL MINDFULNESS EATING PROGRAM IS FOCUSED ON NOURISHES THE MIND, BODY, AND SOUL. OFFERINGS COMBINE THE LATEST SCIENCE ON NUTRITION WITH SIMPLE STRATEGIES TO FIND BALANCE IN EATING HABITS AND EQUIP WITH NUTRITIONAL INSPIRATION AND GUIDANCE THAT SUPPORTS ALL FACETS OF HEALTH AND WELL-BEING. THE BWELL MINDFUL EATING PROGRAMS WERE OFFERED TO 65 PARTICIPANTS SYSTEM WIDE IN 2022. ADDITIONAL MINDFULNESS PROGRAMMING OCCURRED, INCLUDING ONLINE MEDITATION SESSIONS, GUIDED MINDFULNESS, AND LIVING WITH EASE - MINDFULNESS. THESE SESSIONS WERE OFFERED TO 847 PARTICIPANTS IN 2022. IN 2022 BEAUMONT TROY 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 2022, THE PROGRAM WAS OFFERED SEVERAL TIMES A WEEK WITH OVER 540 PARTICIPANTS. TAR WARS EDUCATION FOR SCHOOLS OCCURRED 10 TIMES DURING 2022. THE PROGRAM, IN COLLABORATION WITH THE TROY COMMUNITY, SCHOOLS, AND FAMILY MEDICINE DEPARTMENT BROUGHT THE NATIONAL TOOLBOX OF TAR WARS ANTI-SMOKING CAMPAIGN TO 300 5TH GRADERS IN TROY SCHOOLS. IN 2022, BEAUMONT HEALTH PARTNERED WITH MOOD LIFTERS TO BRING EVIDENCE BASED MENTAL HEALTH CARE TO THE BEAUMONT SERVICE AREA. MOOD LIFTERS PROVIDES WEEKLY GROUP MEETINGS IN WHICH PEER LEADERS TEACH A SERIES OF SCIENCE BASED STRATEGIES THAT IMPROVE MOOD, RELATIONSHIPS, AND WELL-BEING. AT THE END OF THE PROGRAM, PARTICIPANTS WILL KNOW WHICH STRATEGIES WORK BEST FOR THEM AND HOW TO APPLY THEM TO THEIR UNIQUE SITUATION. IN 2022, 140 INDIVIDUALS PARTICIPATED IN THE 15 WEEK PROGRAM. SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUED BEAUMONT HOSPITAL DEARBORN PROVIDES PHYSICAL AND MENTAL HEALTH SERVICES TO YOUTH IN THE COMMUNITY AT THE TAYLOR RIVER ROUGE TEEN HEALTH CENTERS AND THROUGH A WELLNESS PROGRAM AT TRUMAN HIGH SCHOOL. OVER 600 UNIQUE YOUTH RECEIVED SERVICES THROUGH THESE PROGRAMS, INCLUDING OVER 700 CLINIC VISITS, OVER 1200 MENTAL HEALTH VISITS, AND OVER 300 TELEHEALTH VISITS. NEARLY 5000 VISITS OCCURRED FOR SCHOOL-BASED HEALTH CENTERS, TEEN CENTERS, AND WELLNESS CENTERS IN THE WAYNE SERVICE REGION. OF THESE VISITS, 1500 WERE UNDUPLICATED USERS, WITH 1900 CLINIC VISITS, 2700 MENTAL HEALTH VISITS, AND NEARLY 300 TELEHEALTH VISITS. BEAUMONT HOSPITAL FARMINGTON HILLS PROVIDES PHYSICAL AND MENTAL HEALTH SERVICES TO YOUTH IN THE COMMUNITY AT THE REDFORD TEEN HEALTH CENTERS AND THROUGH A WELLNESS PROGRAM AT TRUMAN HIGH SCHOOL. NEARLY 700 UNDUPLICATED STUDENTS RECEIVED SERVICES, INCLUDING NEARLY 1500 CLINICAL SERVICES, 1000 MENTAL HEALTH VISITS, AND NEARLY 100 TELEHEALTH VISITS. 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 1100 HIGH RISK YOUTH. BEAUMONT HEALTH OFFERED MENTAL HEALTH FIRST AID TRAINING DURING THE 2022 YEAR. FIVE COURSES WERE TAUGHT WITH A TOTAL OF 52 PARTICIPANTS COMPLETING THE COURSE. 1 COURSE WAS TAUGHT TO YMCA STAFF, 2 COURSES WERE TAUGHT TO STAFF AT FARMINGTON PUBLIC SCHOOLS, 1 COMBINED COURSE WITH FARMINGTON PUBLIC SCHOOL STAFF AND FARMINGTON HILLS PUBLIC SAFETY, AND 1 COURSE TO THE GENERAL PUBLIC. PRIORITY 2: HEALTH EDUCATION TO BEST ADDRESS THE CONDITIONS, BEHAVIORS, AND SOCIOECONOMIC AND ENVIRONMENTAL FACTORS THAT DRIVE HEALTH, BEAUMONT HEALTH MAINTAINS MULTIPLE MULTI-SECTOR COALITIONS THAT RANGE FROM 10-75 ACTIVE MEMBERS, PARTICIPATING 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. BEAUMONT PROVIDES "BACKBONE SUPPORT" TO THIS COALITION - PROVIDING STAFF, CONSULTANTS, AND ACCESS TO A WIDE RANGE OF RESOURCES INCLUDING EVIDENCE-BASED PROGRAMMING AND DATA COLLECTION. 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 2022, 649 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 MONTHLY SESSIONS FOR THE FINAL SIX MONTHS. DURING 2022, THERE WERE OVER 250 PARTICIPANTS IN THE DPP PROGRAM AND 19 NEW DPP COURSES STARTED IN 2022 WITH AN AVERAGE WEIGHT LOSS OF OVER 5%. 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 PROGRAM HELPS PEOPLE LIVING WITH (OR AT HIGH-RISK) OF TYPE 2 DIABETES. THE PROGRAM INCLUDES SIX-WEEK WORKSHOPS 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. 140 INDIVIDUALS PARTICIPATED IN THE PROGRAM. CHRONIC PAIN PERSONAL ACTION TOWARD HEALTH (CPATH) WAS ALSO IMPLEMENTED DURING 2022. THIS PROGRAM IS A SIX-WEEK WORKSHOP WHICH MEETS WEEKLY. THE C-PATH PROGRAM IS FOR PEOPLE LIVING WITH CHRONIC PAIN TO HELP THEM LEARN TECHNIQUES AND STRATEGIES FOR DAY-TO-DAY PAIN MANAGEMENT. IN 2022 THE C-PATH PROGRAM HAD 16 PARTICIPANTS. THE HYPERTENSION SELF-MANAGEMENT PROGRAM IS AN EIGHT-WEEK EVIDENCE-BASED WORKSHOP DESIGNED TO PROVIDE THE INDIVIDUAL WITH INFORMATION, TIPS, AND TOOLS TO HELP THEM TAKE CONTROL OF THEIR BLOOD PRESSURE. PARTICIPANTS LEARN ABOUT THE BASIC OF HYPERTENSION, STRESS MANAGEMENT, THE IMPORTANCE OF NUTRITION, AND INCORPORATING PHYSICAL ACTIVITY. IN 2022, 47 INDIVIDUALS PARTICIPATED IN THE PROGRAM. IN 2022, THE WALK WITH EASE (WWE) PROGRAM, AN EVIDENCE-BASED PROGRAM, REACHED 12 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 IN 2022 ACROSS THE SYSTEM. THE BEAUMONT TROY WALKING TO WELLNESS PROGRAM IN COLLABORATION WITH THE TROY NATURE CENTER OCCURRED BETWEEN APRIL AND OCTOBER 2022. 780 INDIVIDUALS PARTICIPATED IN THE WALKING TO WELLNESS PROGRAM WITH 45 INDIVIDUALS PARTICIPATING IN THE WALK ON A REGULAR BASIS. THE FARMINGTON FARMERS MARKET WALKING GROUP, FORMERLY KNOWN AS THE "WALKABOUTS", CONTINUED TO GROW AND BECOME A PREMIERE EVENT THROUGHOUT THE 2022 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 2022, 572 PEOPLE PARTICIPATED IN THE WALKABOUTS, WITH 45 WALKERS COMPLETING 5 MILES AND 26 WALKERS COMPLETING OVER 10 MILES. FOOD IS MEDICINE IS A PLANT-BASED COOKING PROGRAM THAT TOOK PLACE AT THE DETROIT ABLOOM GARDEN. HEALTH EXPERTS TAUGHT A WELL-BALANCED DIET AND HOW IT CAN PROVIDE MANY HEALTH BENEFITS, SUCH AS A REDUCED RISK OF CHRONIC DISEASES, ADDRESS OBESITY, CORONARY HEART DISEASE, HIGH BLOOD PRESSURE, DIABETES, AND HELP SOME TYPES OF CANCER. HEALTH EXPERTS GAVE A 20-30-MINUTE COOKING DEMONSTRATION AND TIME AFTERWARDS TO SHARE A MEAL. IN 2022, 180 PARTICIPANTS ENJOYED 18 WEEKS OF COOKING DEMOS. PRIORITY 3: ACCESS TO CARE BEAUMONT HEALTH PARTNERED WITH THE MICHIGAN FITNESS FOUNDATION TO IMPLEMENT THE SAFE ROUTES TO HEALTH AMERICORPS PROGRAM. THE FOCUS OF THE PROGRAM WAS TO CONNECT COMMUNITY RESIDENTS TO HEALTH, WELLNESS, AND PHYSICAL ACTIVITY. THREE MEMBERS WERE HIRED TO PROVIDE SUPPORT FOR BEAUMONT HEALTH COMMUNITY ACTIVITIES AND EVENTS RELATED TO CHNA STRATEGIES. SUPPORTING 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. THE BCRN SERVED 8,990 USERS THAT LEVERAGED THE PLATFORM TO PERFORM 38,403 SEARCHES THAT RESULTED IN 25,352 INTERACTIONS, 3,215 CONNECTIONS, AND 300 REFERRALS TO COMMUNITY RESOURCES. THE TOP SEARCHES IN 2022 WERE "HOUSING", "FOOD"TRANSPORTATION". THE TOP CITIES SEARCHING FOR RESOURCES INCLUDED DETROIT, TAYLOR, WESTLAND AND WARREN. ALTHOUGH THE ABOVE IDENTIFIED HEALTH NEEDS (INCOME/POVERTY AND TRANSPORTATION) WILL NOT BE DIRECTLY ADDRESSED THROUGH THE IMPLEMENTATION STRATEGY PLANS, BEAUMONT WILL CONSIDER THEM WHILE IMPLEMENTING THE STRATEGIES FOR THE OTHER PRIORITIZED NEEDS. REASONS FOR NOT ADDRESSING THESE NEEDS INCLUDE: THE NEED WAS NOT WELL-ALIGNED WITH ORGANIZATIONAL STRENGTHS, THERE ARE NOT ENOUGH EXISTING ORGANIZATIONAL RESOURCES TO ADEQUATELY ADDRESS THE NEED AND IT SCORED LOW FOR FEASIBILITY DURING THE PRIORITIZATION SESSION, OTHER FACILITIES OR ORGANIZATIONS IN THE COMMUNITY ARE ADDRESSING THEM, AND A LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS TO ADDRESS THE NEED WERE GIVEN. SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUED FACILITY NAME: SPECTRUM HEALTH GERBER DESCRIPTION: AS PART OF THE HEALTH CARE ACCESS NEED, THERE ARE FIVE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GERBER MEMORIAL HOSPITAL SERVICE AREA. FIRST, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING FIRST STEPS ADVANCE CARE PLANNING FOR COMMUNITY MEMBERS. SECOND, SPECTRUM HEALTH WILL ADDRESS THIS BY COLLABORATING WITH COMMUNITY PARTNERS TO EMBED A PEER ADVOCATE/RECOVERY COACH IN AN EMERGENCY DEPARTMENT SETTING. THIS FUNCTIONS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGH A DIRECT REFERRAL ROUTE WITH COMMUNITY MENTAL HEALTH. THIRD, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED BY PROVIDING PREVENTATIVE SCREENING TO THE COMMUNITY. FOURTH, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING VIRTUAL TECHNOLOGY FOR EMPLOYERS, SCHOOL ADMINISTRATORS, ADULTS, AND YOUTH IN THE SPECTRUM HEALTH GERBER MEMORIAL MARKET AREA. LASTLY, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY REDUCING THE NUMBER OF RESIDENTS INFECTED WITH COVID-19. THIS WILL BE DONE BY PROVIDING EMPLOYERS, SCHOOL ADMINISTRATORS, AND THE GENERAL COMMUNITY WITH ACCURATE AND TIMELY INFORMATION ON COVID-19 AND BEST PRACTICES FOR REDUCING ITS SPREAD. AS PART OF THE MENTAL HEALTH NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GERBER MEMORIAL HOSPITAL SERVICE AREA. FIRST, WE WILL ADDRESS THIS UNMET NEED USING THE QUESTION, PERSUADE, REFER (QPR) SUICIDE PREVENTION PROGRAM FOR NEWAYGO COUNTY COMMUNITY MEMBERS. SECOND, WE WILL ADDRESS THIS UNMET NEED USING VIRTUAL CONSULTATIVE SERVICES FOR ADULTS AGED 18 YEARS AND OLDER IN SPECTRUM HEALTH GERBER MEMORIAL SERVICE AREA IN EFFORTS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES. AS PART OF THE SUBSTANCE USE DISORDER NEED, THERE ARE SIX STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GERBER MEMORIAL HOSPITAL SERVICE AREA. FIRST, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING A TOBACCO/NICOTINE CESSATION PROGRAM FOR PREGNANT WOMEN AND COMMUNITY MEMBERS USING TOBACCO PRODUCTS BY OFFERING PROGRAMMATIC SUPPORT. SECOND, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING VAPING PREVENTION EDUCATION FOR MIDDLE AND HIGH SCHOOL STUDENTS IN NEWAYGO COUNTY. THIRD, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED BY PROVIDING MARIJUANA EDUCATION TO MIDDLE AND HIGH SCHOOL STUDENTS IN NEWAYGO COUNTY. FOURTH, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING THE TOBACCO AND NICOTINE TREATMENT PROGRAM FOR MIDDLE AND HIGH SCHOOL STUDENTS IN NEWAYGO COUNTY. FIFTH, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY REDUCING THE NUMBER OF OPIOIDS PRESCRIBED BY SPECTRUM HEALTH PROVIDERS. THIS WILL BE DONE BY IMPLEMENTING OPIOID PRESCRIBING GUIDELINES FOR OUR PROVIDERS. LASTLY, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY REDUCING THE NUMBER OF SPECTRUM HEALTH PATIENTS WITH SUBSTANCE USE DISORDERS WHO ARE NOT IN TREATMENT. THIS WILL BE DONE BY IDENTIFYING PATIENTS, SEEN BY OUR OBSTETRICS AND GYNECOLOGY PROVIDERS, WHO HAVE SUBSTANCE USE DISORDERS AND REFERRING THEM TO TREATMENT. AS PART OF THE OBESITY NEED, THERE ARE SEVEN STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GERBER MEMORIAL HOSPITAL SERVICE AREA. FIRST, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING THE EARLY CHILDHOOD NUTRITION CLASS FOR WOMEN WITH INFANTS AND/OR YOUNG CHILDREN UNDER 3 YEARS OLD WHO ARE SEEN AT SPECTRUM HEALTH GERBER MEMORIAL. SECOND, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING THE WEIGHT EMPOWERMENT (WE) PROGRAM AT TAMARAC FOR ADULT COMMUNITY MEMBERS. THIRD, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING THE COOKING MATTERS EDUCATIONAL SERIES FOR REFERRED SPECTRUM HEALTH GERBER MEMORIAL PATIENTS. FOURTH, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING THE MEDICAL FITNESS (MOMENTUM PROGRAM) FOR SPECTRUM HEALTH GERBER MEMORIAL PATIENTS REFERRED BY PRIMARY CARE PROVIDERS. FIFTH, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING THE COORDINATED APPROACH TO CHILD HEALTH (CATCH) FOR STUDENTS IN GRADE K-5TH IN NEWAYGO COUNTY PUBLIC SCHOOLS. THIS AIMS TO DEVELOP POSITIVE BEHAVIOR RELATED TO NUTRITION AND PHYSICAL ACTIVITY. SIXTH, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED PROVIDING TECHNICAL ASSISTANCE TO MUNICIPALITIES TO SUPPORT POLICY CHANGE TARGETING PHYSICAL ACTIVITY. LASTLY, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING THE DIABETES PREVENTION PROGRAM FOR DIABETIC PATIENTS OF SPECTRUM HEALTH GERBER MEMORIAL. FACILITY NAME: SPECTRUM HEALTH LUDINGTON DESCRIPTION: AS PART OF THE HEALTH CARE ACCESS NEED, THERE ARE FIVE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE LUDINGTON HOSPITAL SERVICE AREA. FIRST, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING BIOMETRIC SCREENING FOR ADULTS WITHIN THE LUDINGTON HOSPITAL SERVICE AREA. THIS AIMS TO INCREASE SECONDARY PREVENTION MEASURES WITHIN THE COMMUNITY. SECOND, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING THE SCHOOL HEALTH PROGRAM FOR K-12 STUDENTS IN LUDINGTON AREA, MASON COUNTY CENTRAL, MASON COUNTY EASTER, AND G2S CHARTER SCHOOLS. THIRD, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED BY PROVIDING COMMUNITY EDUCATION ON ADVANCED PRACTICE PROVIDERS TO THE SPECTRUM HEALTH LUDINGTON HOSPITAL MARKET AREA. FOURTH, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING VIRTUAL TECHNOLOGY FOR EMPLOYERS, SCHOOL ADMINISTRATORS, ADULTS, AND YOUTH IN THE SPECTRUM HEALTH LUDINGTON MARKET AREA. LASTLY, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY REDUCING THE NUMBER OF RESIDENTS INFECTED WITH COVID-19. THIS WILL BE DONE BY PROVIDING THE GENERAL PUBLIC, SCHOOL ADMINISTRATION AND EMPLOYERS WITH ACCURATE AND TIMELY INFORMATION ON COVID-19 AND BEST PRACTICES FOR REDUCING ITS SPREAD. AS PART OF THE MENTAL HEALTH NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE LUDINGTON HOSPITAL SERVICE AREA. FIRST, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED BY USING A BEHAVIORAL HEALTH RESOURCE GUIDE FOR STAFF OF SCHOOLS AND SOCIAL SERVICE AGENCIES IN SPECTRUM HEALTH LUDINGTON HOSPITAL SERVICE AREA. SECOND, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING SCHOOL-BASED BEHAVIORAL HEALTH DELIVERED VIA VIRTUAL TECHNOLOGY FOR YOUTH ATTENDING SCHOOLS PARTICIPATING IN THE SPECTRUM HEALTH LUDINGTON HOSPITAL PILOT. LASTLY, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING VIRTUAL CONSULTATIVE SERVICES FOR ADULTS AGED 18 YEARS AND OLDER IN SPECTRUM HEALTH LUDINGTON HOSPITAL SERVICE AREA IN EFFORTS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES. SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUED AS PART OF THE SUBSTANCE USE DISORDER NEED, THERE ARE SEVEN STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE LUDINGTON HOSPITAL SERVICE AREA. WE WILL ADDRESS THIS UNMET NEED THROUGH PROVIDING NALOXONE PRESCRIPTIONS TO PATIENTS WITH A KNOWN HISTORY OF OPIOID OVERDOSE. SECOND, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING MEDICATION AND NEEDLE TAKE BACK EVENTS FOR COMMUNITY MEMBERS WANTING TO DISPOSE OF UNUSED MEDICATIONS AND USED NEEDLES. THIS AIMS TO REMOVE UNUSED MEDICINE FROM THE COMMUNITY. THIRD, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING CATCH MY BREATH FOR YOUTH ATTENDING SCHOOLS PARTICIPATING IN SPECTRUM HEALTH LUDINGTON HOSPITAL, WIN WITH WELLNESS FIT CLUB. THIS FUNCTIONS TO PROVIDE EDUCATION ON TOBACCO, NICOTINE, AND VAPING. FOURTH, WE WILL ADDRESS THIS UNMET NEED USING A TOBACCO/NICOTINE CESSATION PROGRAM FOR PREGNANT WOMEN AND COMMUNITY MEMBERS USING TOBACCO PRODUCTS BY OFFERING PROGRAMMATIC SUPPORT. FIFTH, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY REDUCING THE NUMBER OF OPIOIDS PRESCRIBED BY SPECTRUM HEALTH PROVIDERS. THIS WILL BE DONE BY IMPLEMENTING OPIOID PRESCRIBING GUIDELINES FOR OUR PROVIDERS. SIXTH, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED BY INCREASING PRESCRIPTIONS FOR OPIOID ALTERNATIVES FOR COMMUNITY RESIDENTS BY ESTABLISHING A GO TEAM. LASTLY, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY REDUCING THE NUMBER OF SPECTRUM HEALTH PATIENTS WITH SUBSTANCE USE DISORDERS WHO ARE NOT IN TREATMENT. THIS WILL BE DONE BY IDENTIFYING PATIENTS, SEEN BY OUR OBSTETRICS AND GYNECOLOGY PROVIDERS, WHO HAVE SUBSTANCE USE DISORDERS AND REFERRING THEM TO TREATMENT. AS PART OF THE OBESITY NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE LUDINGTON HOSPITAL SERVICE AREA. FIRST, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING THE YMCA VEGGIE VAN FOR MASON AND OCEANA COUNTY COMMUNITY MEMBERS. THIS AIMS TO INCREASE ACCESS TO FRUITS AND VEGETABLES. SECOND, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING CULINARY MEDICINE FOR ADULT COMMUNITY MEMBERS. LASTLY, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING THE COORDINATED APPROACH TO CHILD HEALTH (CATCH) FOR STUDENTS IN GRADE K-5TH IN MASON COUNTY EASTERN AND COVENANT CHRISTIAN SCHOOLS. THIS AIMS TO DEVELOP POSITIVE BEHAVIOR RELATED TO NUTRITION AND PHYSICAL ACTIVITY. FACILITY NAME: SPECTRUM HEALTH PENNOCK DESCRIPTION: AS PART OF THE HEALTH CARE ACCESS NEED, THERE ARE FOUR STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE PENNOCK HOSPITAL SERVICE AREA. FIRST, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING HEALTH SCREENINGS FOR ADULTS 18 YEARS AND OLDER ATTENDING THE FRESH FOOD INITIATIVE. THIS INCLUDES BLOOD PRESSURE, CHOLESTEROL, AND PRE-DIABETES SCREENING. SECOND, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING COMMUNITY PARAMEDICINE FOR UNINSURED ADULTS 18 YEARS AND OLDER WITH CHRONIC DISEASE CONDITIONS WHO ACCESS CARE VIA AMBULANCE TO THE EMERGENCY DEPARTMENT FOR CHRONIC DISEASE MANAGEMENT. THIRD, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING VIRTUAL TECHNOLOGY FOR EMPLOYERS, SCHOOL ADMINISTRATORS, ADULTS, AND YOUTH IN THE SPECTRUM HEALTH PENNOCK MARKET AREA. LASTLY, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY REDUCING THE NUMBER OF RESIDENTS INFECTED WITH COVID-19. THIS WILL BE DONE BY PROVIDING THE GENERAL PUBLIC, SCHOOL ADMINISTRATION AND EMPLOYERS WITH ACCURATE AND TIMELY INFORMATION ON COVID-19 AND BEST PRACTICES FOR REDUCING ITS SPREAD. AS PART OF THE MENTAL HEALTH NEED, THERE ARE FIVE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE PENNOCK HOSPITAL SERVICE AREA. FIRST, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING THE PATIENT HEALTH QUESTIONNAIRE-4 (PHQ-4) DEPRESSION AND ANXIETY SCREENING PROTOCOL FOR ALL SPECTRUM HEALTH PENNOCK PATIENTS AGES 14 YEARS AND OLDER. SECOND, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING THE BLUE ENVELOPE FOR SCHOOLS PROGRAM FOR MIDDLE SCHOOL STUDENTS AT THE PARTICIPATING HIGH SCHOOL. THIRD, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING SIGNS OF SUICIDE EDUCATION FOR MIDDLE AND HIGH SCHOOL AGE STUDENTS IN BARRY COUNTY. FOURTH, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING A BEHAVIORAL HEALTH RESOURCE GUIDE FOR SCHOOL ADMINISTRATORS, STAFF AND SOCIAL WORKERS; HEALTH CARE PROVIDERS, AND SOCIAL SERVICE AGENCY PERSONNEL. THIS AIMS TO INCREASE THE KNOWLEDGE OF BEHAVIORAL HEALTH RESOURCES AMONG COMMUNITY STAKEHOLDERS THAT WORK WITH YOUTH AND ADULTS. LASTLY, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING VIRTUAL CONSULTATIVE SERVICES FOR ADULTS AGED 18 YEARS AND OLDER IN SPECTRUM HEALTH PENNOCK HOSPITAL SERVICE AREA IN EFFORTS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES. AS PART OF THE SUBSTANCE USE DISORDER NEED, THERE ARE FIVE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE PENNOCK HOSPITAL SERVICE AREA. FIRST, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING VIRTUAL CONSULTATIVE SERVICES FOR ADULTS AGED 18 YEARS AND OLDER IN SPECTRUM HEALTH PENNOCK HOSPITAL SERVICE AREA IN EFFORTS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES. SECOND, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING MEDICATION AND NEEDLE TAKE BACK EVENTS FOR COMMUNITY MEMBERS WANTING TO DISPOSE OF UNUSED MEDICATIONS AND USED NEEDLES. THIS AIMS TO REMOVE UNUSED MEDICINE FROM THE COMMUNITY. THIRD, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY REDUCING THE NUMBER OF OPIOIDS PRESCRIBED BY SPECTRUM HEALTH PROVIDERS. THIS WILL BE DONE BY IMPLEMENTING OPIOID PRESCRIBING GUIDELINES FOR OUR PROVIDERS. FOURTH, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED BY INCREASING PRESCRIPTIONS FOR OPIOID ALTERNATIVES FOR COMMUNITY RESIDENTS BY ESTABLISHING A GO TEAM. LASTLY, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY REDUCING THE NUMBER OF SPECTRUM HEALTH PATIENTS WITH SUBSTANCE USE DISORDERS WHO ARE NOT IN TREATMENT. THIS WILL BE DONE BY IDENTIFYING PATIENTS, SEEN BY OUR OBSTETRICS AND GYNECOLOGY PROVIDERS, WHO HAVE SUBSTANCE USE DISORDERS AND REFERRING THEM TO TREATMENT. AS PART OF THE OBESITY NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE PENNOCK HOSPITAL SERVICE AREA. FIRST, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING BLUE ZONE ACTIVATE FOR ALL BARRY COUNTY RESIDENTS. LASTLY, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING THE YMCA VEGGIE VAN FOR UNDERSERVED POPULATION GROUPS IN BARRY COUNTY. THIS AIMS TO INCREASE ACCESS TO FRESH VEGETABLES. SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUED FACILITY NAME: SPECTRUM HEALTH BIG RAPIDS & SPECTRUM HEALTH REED CITY DESCRIPTION: AS PART OF THE HEALTH CARE ACCESS NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE BIG RAPIDS & REED CITY SERVICE AREAS. THE FIRST STRATEGY INCLUDES INCREASING THE NUMBER OF HIGH-RISK WOMEN RECEIVING ADEQUATE PRENATAL CARE AND INCREASING THE NUMBER OF WOMEN ENROLLED IN THE MATERNAL INFANT HEALTH PROGRAM. ALSO, HEALTH CARE ACCESS WILL BE ADDRESSED BY USING VIRTUAL TECHNOLOGY FOR EMPLOYERS, SCHOOL ADMINISTRATORS, ADULTS, AND YOUTH IN THE SPECTRUM HEALTH BIG RAPIDS MARKET AREA. LASTLY, HEALTH CARE ACCESS AS IT RELATES TO COVID-19 INFECTIONS WILL BE ADDRESSED BY PROVIDING THE PUBLIC, SCHOOL ADMINISTRATION, AND EMPLOYERS WITH ACCURATE AND TIMELY INFORMATION ON COVID-19 AND BEST PRACTICES FOR REDUCING ITS SPREAD. AS PART OF THE MENTAL HEALTH NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE BIG RAPIDS & REED CITY SERVICE AREAS. THE FIRST STRATEGY IS TO INCREASE ACCESSIBILITY TO A BEHAVIORAL HEALTH CLINIC FOR STUDENTS ATTENDING EVART AND BIG RAPIDS PUBLIC SCHOOLS. THE SECOND STRATEGY IS THAT SPECTRUM HEALTH WILL USE VIRTUAL CONSULTATIVE SERVICES FOR ADULTS AGED 18 YEARS AND OLDER IN THE SPECTRUM HEALTH BIG RAPIDS HOSPITAL SERVICE AREA TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES. AS PART OF THE SUBSTANCE USE DISORDER NEED, THERE ARE SIX STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE BIG RAPIDS & REED CITY SERVICE AREAS. THE FIRST STRATEGY IS TO USE MEDICATION AND NEEDLE TAKE BACK EVENTS FOR COMMUNITY MEMBERS WANTING TO DISPOSE OF UNUSED MEDICATIONS AND USED NEEDLES. THIS AIMS TO REMOVE UNUSED MEDICINE FROM THE COMMUNITY. SECOND, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING THE PROJECT ASSERT FOR SPECTRUM HEALTH BIG RAPIDS PATIENTS MISUSING SUBSTANCES BY INCREASING SUBSTANCE MISUSE SCREENING AND SUBSEQUENT REFERRALS. THE THIRD STRATEGY THAT WILL BE EMPLOYED IS THE TOBACCO/NICOTINE CESSATION PROGRAM FOR PREGNANT WOMEN AND COMMUNITY MEMBERS USING TOBACCO PRODUCTS, WHICH WILL OFFER PROGRAMMATIC SUPPORT TO THE TARGET POPULATION. THE FOURTH STRATEGY IS TO REDUCE THE NUMBER OF OPIOIDS PRESCRIBED BY SPECTRUM HEALTH PROVIDERS. THIS WILL BE DONE BY IMPLEMENTING OPIOID PRESCRIBING GUIDELINES FOR OUR PROVIDERS. NEXT, SUBSTANCE USE DISORDER WILL BE ADDRESSED BY INCREASING PRESCRIPTIONS FOR OPIOID ALTERNATIVES FOR COMMUNITY RESIDENTS BY ESTABLISHING A 'GO TEAM'. LASTLY, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY REDUCING THE NUMBER OF SPECTRUM HEALTH PATIENTS WITH SUBSTANCE USE DISORDERS WHO ARE NOT IN TREATMENT. THIS WILL BE DONE BY IDENTIFYING PATIENTS, SEEN BY OUR OBSTETRICS AND GYNECOLOGY PROVIDERS, WHO HAVE SUBSTANCE USE DISORDERS AND REFERRING THEM TO TREATMENT. AS PART OF THE OBESITY NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE BIG RAPIDS & REED CITY SERVICE AREAS. FIRST, BY USING A WEIGHT MANAGEMENT PROGRAM FOR OVERWEIGHT ADULT COMMUNITY MEMBERS. THIS WILL FUNCTION TO INCREASE PARTICIPANTS IN THE WEIGHT MANAGEMENT PROGRAM AND THE PROPORTION OF THOSE MEETING THEIR LIFESTYLE GOALS. SECOND, OBESITY WILL BE ADDRESSED USING THE COORDINATED APPROACH TO CHILD HEALTH (CATCH) FOR STUDENTS IN GRADE K-5TH IN BIG RAPIDS AND REED CITY PUBLIC SCHOOLS. THIS AIMS TO DEVELOP POSITIVE BEHAVIOR RELATED TO NUTRITION AND PHYSICAL ACTIVITY. LASTLY, SPECTRUM HEALTH WILL USE THE PRESCRIPTION FOR HEALTH PROGRAM AND NUTRITION EDUCATION FOR COMMUNITY RESIDENTS. THIS AIMS TO INCREASE ACCESS TO FRUITS AND VEGETABLES, KNOWLEDGE OF HEALTHY EATING AND PHYSICAL ACTIVITY. FACILITY NAME: SPECTRUM HEALTH UNITED & SPECTRUM HEALTH KELSEY DESCRIPTION: AS PART OF THE HEALTH CARE ACCESS NEED, THERE ARE FOUR STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE UNITED & KELSEY HOSPITALS SERVICE AREA. FIRST, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED BY ASSURING THAT WOMEN IN THE COMMUNITY ARE RECEIVING APPROPRIATE AND TIMELY CARE. THIS WILL BE DONE BY INCREASING THE NUMBER OF HIGH-RISK WOMEN RECEIVING ADEQUATE PRENATAL CARE AND INCREASING THE NUMBER OF WOMEN ENROLLED IN THE MATERNAL INFANT HEALTH PROGRAM. SECOND, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING THE CORE HEALTH PROGRAM THAT AIMS TO PROVIDE SUPPORT IN CHRONIC DISEASE MANAGEMENT. THIRD, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING VIRTUAL TECHNOLOGY FOR EMPLOYERS, SCHOOL ADMINISTRATORS, ADULTS, AND YOUTH IN THE SPECTRUM HEALTH UNITED/KELSEY MARKET AREA. LASTLY, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY REDUCING THE NUMBER OF RESIDENTS INFECTED WITH COVID-19. THIS WILL BE DONE BY PROVIDING THE GENERAL PUBLIC, SCHOOL ADMINISTRATION AND EMPLOYERS WITH ACCURATE AND TIMELY INFORMATION ON COVID-19 AND BEST PRACTICES FOR REDUCING ITS SPREAD. AS PART OF THE MENTAL HEALTH NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE UNITED & KELSEY HOSPITALS SERVICE AREA. FIRST, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING THE SCHOOL-BASED BEHAVIORAL HEALTH CLINIC FOR HIGH SCHOOL STUDENTS ATTENDING MONTCALM PUBLIC SCHOOLS TO INCREASE ACCESSIBILITY TO A BEHAVIORAL HEALTH CLINIC. LASTLY, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING VIRTUAL CONSULTATIVE SERVICES FOR ADULTS AGED 18 YEARS AND OLDER IN SPECTRUM HEALTH UNITED/KELSEY HOSPITAL SERVICE AREA IN EFFORTS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES. AS PART OF THE SUBSTANCE USE DISORDER NEED, THERE ARE SEVEN STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE UNITED & KELSEY HOSPITALS SERVICE AREA. FIRST, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING MEDICATION AND NEEDLE TAKE BACK EVENTS FOR COMMUNITY MEMBERS WANTING TO DISPOSE OF UNUSED MEDICATIONS AND USED NEEDLES. THIS AIMS TO REMOVE UNUSED MEDICINE FROM THE COMMUNITY. SECOND, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING THE PROJECT ASSERT FOR SPECTRUM HEALTH UNITED/KELSEY PATIENTS MISUSING SUBSTANCES BY INCREASING SUBSTANCE MISUSE SCREENING AND SUBSEQUENT REFERRALS. THIRD, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING A TOBACCO/NICOTINE CESSATION PROGRAM FOR PREGNANT WOMEN AND COMMUNITY MEMBERS USING TOBACCO PRODUCTS BY OFFERING PROGRAMMATIC SUPPORT. FOURTH, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING MARIJUANA MISUSE PREVENTION EDUCATION IN MONTCALM AREA HIGH SCHOOLS. FIFTH, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY REDUCING THE NUMBER OF OPIOIDS PRESCRIBED BY SPECTRUM HEALTH PROVIDERS. THIS WILL BE DONE BY IMPLEMENTING OPIOID PRESCRIBING GUIDELINES FOR OUR PROVIDERS. SIXTH, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED BY INCREASING PRESCRIPTIONS FOR OPIOID ALTERNATIVES FOR COMMUNITY RESIDENTS BY ESTABLISHING A GO TEAM. LASTLY, SPECTRUM HEALTH WILL ADDRESS THIS NEED BY REDUCING THE NUMBER OF SPECTRUM HEALTH PATIENTS WITH SUBSTANCE USE DISORDERS WHO ARE NOT IN TREATMENT. THIS WILL BE DONE BY IDENTIFYING PATIENTS, SEEN BY OUR OBSTETRICS AND GYNECOLOGY PROVIDERS, WHO HAVE SUBSTANCE USE DISORDERS AND REFERRING THEM TO TREATMENT. AS PART OF THE OBESITY NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE UNITED & KELSEY HOSPITALS SERVICE AREA. FIRST, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING A WEIGHT MANAGEMENT PROGRAM FOR OVERWEIGHT ADULT COMMUNITY MEMBERS. THIS WILL FUNCTION TO INCREASE PARTICIPANTS IN THE WEIGHT MANAGEMENT PROGRAM AND THE PROPORTION OF THOSE MEETING THEIR LIFESTYLE GOALS. SECOND, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING THE COORDINATED APPROACH TO CHILD HEALTH (CATCH) FOR STUDENTS IN GRADE K-5TH IN MONTCALM PUBLIC SCHOOLS. THIS AIMS TO DEVELOP POSITIVE BEHAVIOR RELATED TO NUTRITION AND PHYSICAL ACTIVITY. LASTLY, SPECTRUM HEALTH WILL ADDRESS THIS UNMET NEED USING THE PRESCRIPTION FOR HEALTH PROGRAM AND NUTRITION EDUCATION FOR COMMUNITY RESIDENTS. THIS AIMS TO INCREASE ACCESS TO FRUITS AND VEGETABLES, KNOWLEDGE OF HEALTHY EATING AND PHYSICAL ACTIVITY. SCHEDULE H, PART V, SECTION B, LINE 13B ELIGIBILITY FOR FREE OR DISCOUNTED CARE FACILITY NAME: SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH BLODGETT, SPECTRUM HEALTH UNITED, SPECTRUM HEALTH GERBER MEMORIAL, SPECTRUM HEALTH LUDINGTON, SPECTRUM HEALTH BIG RAPIDS, SPECTRUM HEALTH REED CITY, SPECTRUM HEALTH ZEELAND, SPECTRUM HEALTH KELSEY, SPECTRUM HEALTH PENNOCK, LAKELAND COMMUNITY HOSPITAL, WATERVLIET, LAKELAND HOSPITALS AT ST. JOSEPH AND, LAKELAND HOSPITALS AT NILES DESCRIPTION: SPECTRUM HEALTH ACKNOWLEDGES THAT SIGNIFICANT HEALTH EVENTS MAY RESULT IN CATASTROPHIC FINANCIAL BURDEN TO A PATIENT AND FAMILY, AS SUCH SPECTRUM 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. SCHEDULE H, PART V, SECTION B, LINE 13H OTHER ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE FACILITY NAME: SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH BLODGETT, SPECTRUM HEALTH UNITED, SPECTRUM HEALTH GERBER MEMORIAL, SPECTRUM HEALTH LUDINGTON, SPECTRUM HEALTH BIG RAPIDS, SPECTRUM HEALTH REED CITY, SPECTRUM HEALTH ZEELAND, SPECTRUM HEALTH KELSEY, SPECTRUM HEALTH PENNOCK, LAKELAND COMMUNITY HOSPITAL, WATERVLIET, LAKELAND HOSPITALS AT ST. JOSEPH AND, LAKELAND HOSPITALS AT NILES DESCRIPTION: THE ORGANIZATION USES FPG TO DETERMINE ELIGIBILITY FOR FREE CARE. AN EVALUATION IS NOT USED FOR DISCOUNTED CARE, AS APPLICANTS THAT QUALIFY FOR ANY ASSISTANCE RECEIVE FREE CARE. SCHEDULE H, PART V, SECTION B, LINE 16A AND B FAP APPLICATION FORM WEBSITE SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH BLODGETT, SPECTRUM HEALTH UNITED, SPECTRUM HEALTH GERBER MEMORIAL, SPECTRUM HEALTH LUDINGTON, SPECTRUM HEALTH BIG RAPIDS, SPECTRUM HEALTH REED CITY, SPECTRUM HEALTH ZEELAND, SPECTRUM HEALTH KELSEY, AND SPECTRUM HEALTH PENNOCK HTTPS://WWW.SPECTRUMHEALTH.ORG/BILLING/FINANCIAL-ASSISTANCE LAKELAND COMMUNITY HOSPITAL, WATERVLIET, LAKELAND HOSPITALS AT ST. JOSEPH AND, LAKELAND HOSPITALS AT NILES HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/PATIENT-VISITOR-GUIDE/PATIENT/BILLI NG/FINANCIAL- ASSISTANCE BEAUMONT HOSPITAL ROYAL OAK, BEAUMONT HOSPITAL TROY, BEAUMONT HOSPITAL GROSSE POINTE, BEAUMONT HOSPITAL FARMINGTON HILLS, BEAUMONT HOSPITAL DEARBORN, BEAUMONT HOSPITAL TRENTON, BEAUMONT HOSPITAL TAYLOR, AND BEAUMONT HOSPITAL WAYNE HTTPS://BEAUMONT.ORG/PATIENTS-FAMILIES/BILLING/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16C PLAIN LANGUAGE FAP WEBSITE FACILITY NAME: SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH BLODGETT, SPECTRUM HEALTH UNITED, SPECTRUM HEALTH GERBER MEMORIAL, SPECTRUM HEALTH LUDINGTON, SPECTRUM HEALTH BIG RAPIDS, SPECTRUM HEALTH REED CITY, SPECTRUM HEALTH ZEELAND, SPECTRUM HEALTH KELSEY, AND SPECTRUM HEALTH PENNOCK HTTPS://WWW.SPECTRUMHEALTH.ORG/BILLING/FINANCIAL-ASSISTANCE LAKELAND COMMUNITY HOSPITAL, WATERVLIET, LAKELAND HOSPITALS AT ST. JOSEPH AND, LAKELAND HOSPITALS AT NILES HTTPS://WWW.SPECTRUMHEALTHLAKELAND.ORG/PATIENT-VISITOR-GUIDE/PATIENT/BILLI NG/FINANCIAL- ASSISTANCE BEAUMONT HOSPITAL ROYAL OAK, BEAUMONT HOSPITAL TROY, BEAUMONT HOSPITAL GROSSE POINTE, BEAUMONT HOSPITAL FARMINGTON HILLS, BEAUMONT HOSPITAL DEARBORN, BEAUMONT HOSPITAL TRENTON, BEAUMONT HOSPITAL TAYLOR, AND BEAUMONT HOSPITAL WAYNE HTTPS://BEAUMONT.ORG/PATIENTS-FAMILIES/BILLING/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16J OTHER WAYS HOSPITAL PUBLICIZED FINANCIAL ASSISTANCE POLICY FACILITY NAME: SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH BLODGETT, SPECTRUM HEALTH UNITED, SPECTRUM HEALTH GERBER MEMORIAL, SPECTRUM HEALTH LUDINGTON, SPECTRUM HEALTH BIG RAPIDS, SPECTRUM HEALTH REED CITY, SPECTRUM HEALTH ZEELAND, SPECTRUM HEALTH KELSEY, SPECTRUM HEALTH PENNOCK, LAKELAND COMMUNITY HOSPITAL, WATERVLIET, LAKELAND HOSPITALS AT ST. JOSEPH AND, LAKELAND HOSPITALS AT NILES DESCRIPTION: SPECTRUM 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 SPECTRUM HEALTH WEBSITE, THE SPECTRUM 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, SPECTRUM 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 SPECTRUM 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. 268 LEMMEN-HOLTON CANCER PAVILION 145 MICHIGAN ST GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC ROYAL OAK MEDICAL OFFICE BUILDING 3535 W 13 MILE RD ROYAL OAK MI 48073 AMBULATORY/PHYSICIAN CLINIC KENT COMMUNITY CAMPUS-BUILDING 750 FULLER AVE GRAND RAPIDS MI 49503 SKILLED NURSING MICHIGAN ST- 35 35 MICHIGAN ST GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC SERENITY HILLS RECOVERY & WELLNESS CENTE 6418 DEANS HILL RD BERRIEN CENTER MI 49102 REHAB CENTER BEAUMONT MEDICAL BUILDING 4700 SCHAEFER RD DEARBORN MI 481263698 ASC/GENERAL MEDICAL FAMILY MEDICINE CENTER 44250 DEQUINDRE DR STERLING HEIGHTS MI 48314 AMBULATORY/PHYSICIAN CLINIC MICHIGAN ST- 25 25 MICHIGAN ST GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC SPECTRUM HEALTH GRAND HAVEN CENTER 15100 WHITTAKER WAY GRAND HAVEN MI 49417 AMBULATORY/PHYSICIAN CLINIC LAKE DRIVE PROFESSIONAL BUILDING 4100 LAKE DRIVE GRAND RAPIDS MI 49546 ASC/GENERAL MEDICAL LAKE DRIVE AMBULATORY SURGICAL CENTER 4069 LAKE DRIVE GRAND RAPIDS MI 49546 ASC/GENERAL MEDICAL BEAUMONT HEALTH CENTER 4949 COOLIDGE AVE ROYAL OAK MI 48073 AMBULATORY/PHYSICIAN CLINIC ICCB 2750 E BELTLINE GRAND RAPIDS MI 49525 AMBULATORY/PHYSICIAN CLINIC RNCK 4118 KALAMAZOO AVE GRAND RAPIDS MI 49508 SKILLED NURSING ROYAL OAK IMAGING CENTER 3581 W 13 MILE RD ROYAL OAK MI 48073 AMBULATORY/PHYSICIAN CLINIC DEARBORN MEDICAL PARK 18100 OAKWOOD BLVD DEARBORN MI 48124 ASC/GENERAL MEDICAL CANCER TREATMENT CENTER 3577 W 13 MILE RD ROYAL OAK MI 48073 AMBULATORY/PHYSICIAN CLINIC NEUROSCIENCE CENTER 3555 W 13 MILE RD ROYAL OAK MI 48073 AMBULATORY/PHYSICIAN CLINIC SOUTH PAVILION 80 68TH ST GRAND RAPIDS MI 49548 ASC/GENERAL MEDICAL WOODWARD HILLS NURSING CENTER 39312 WOODWARD AVE BLOOMFIELD HILLS MI 48304 AMBULATORY/PHYSICIAN CLINIC DEARBORN MOB 18181 OAKWOOD BLVD DEARBORN MI 48124 AMBULATORY/PHYSICIAN CLINIC BLODGETT POB 1900 WEALTHY EAST GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC SH HEART & VASCULAR CENTER 2900 BRADFORD GRAND RAPIDS MI 49525 AMBULATORY/PHYSICIAN CLINIC SHELBY NURSING CENTER 46100 SCHOENHERR RD SHELBY TWP MI 48315 AMBULATORY/PHYSICIAN CLINIC TROY PROFESSIONAL OFFICE BUILDING 44199 DEQUINDRE DR TROY MI 48085 AMBULATORY/PHYSICIAN CLINIC WEST BLOOMFIELD MEDICAL BUILDING 6900 ORCHARD LAKE RD WEST BLOOMFIELD MI 48322 AMBULATORY/PHYSICIAN CLINIC SHOREPOINTE NURSING CENTER 26001 E JEFFERSON ST ST CLAIR SHORES MI 40081 AMBULATORY/PHYSICIAN CLINIC WEST BLOOMFIELD NURSING CENTER 6445 W MAPLE ST WEST BLOOMFIELD MI 48322 AMBULATORY/PHYSICIAN CLINIC LEFFINGWELL SAR FACILITY 1001 LEFFINGWELL GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC ROCHESTER HILLS HEALTH & WELLNESS CENTER 1555 SOUTH BOULEVARD EAST ROCHESTER HILLS MI 48307 AMBULATORY/PHYSICIAN CLINIC TAMARAC WELLNESS CENTER 1401 W MAIN FREMONT MI 49412 REHAB CENTER BEAUMONT REHAB & SKILLED NURSING 16391 ROTUNDA DR DEARBORN MI 48124 REHAB & SKILLED NURSING NORTH OFFICE BUILDING 221 MICHIGAN ST GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC CENTER FOR OUTPATIENT SURGERY (COPS) 3900 HOLLYWOOD RD ST JOSEPH MI 49085 ASC/GENERAL MEDICAL LIVONIA MOB 39000 SEVEN MILE RD LIVONIA MI 48152 AMBULATORY/PHYSICIAN CLINIC LENOX TWP MOB 36555 26 MILE RD LENOX TWP MI 48048 AMBULATORY/PHYSICIAN CLINIC BARCLAY- 330 330 BARCLAY GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC PINE RIDGE A NURSING & REHAB CENTER 4368 S CLEVELAND AVE ST JOSEPH MI 49085 SKILLED NURSING MEDICAL CENTER MACOMB TWP-ASC 15979 HALL RD MACOMB TWP MI 48044 AMBULATORY/PHYSICIAN CLINIC LAKELAND HEALTH PARK MOB #2 3950 2 HOLLYWOOD RD ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC HOLLAND ICC 588 E LAKEWOOD HOLLAND MI 49423 AMBULATORY/PHYSICIAN CLINIC LAKELAND HEALTH PARK MOB #1 3950 1 HOLLYWOOD RD ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC WEST PAVILION 6105 WILSON WYOMING MI 49418 AMBULATORY/PHYSICIAN CLINIC PENNOCK MEDICAL ARTS BUILDING 1005 W GREEN ST HASTINGS MI 49058 AMBULATORY/PHYSICIAN CLINIC FH PROFESSIONAL NORTH 28080 GRAND RIVER AVE FARMINGTON HILLS MI 48336 AMBULATORY/PHYSICIAN CLINIC REHAB & DIALYSIS CENTER 44300 DEQUINDRE RD STERLING HEIGHTS MI 483141003 REHAB & DIALYSIS MUSCULOSKELETAL CENTER 230 MICHIGAN ST GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC MOB I 7 ATKINSON DR LUDINGTON MI 49431 AMBULATORY/PHYSICIAN CLINIC SOUTHSHORE SURGERY CENTER 5452 FORT ST TRENTON MI 48183 AMBULATORY/PHYSICIAN CLINIC VACANT LAND 460 MEDICAL PARK DR WATERVLIET MI 49098 AMBULATORY/PHYSICIAN CLINIC SOUTHGATE HEALTHCARE CENTER 15777 NORTHLINE RD SOUTHGATE MI 48195 AMBULATORY/PHYSICIAN CLINIC PENNOCK POB 915 W GREEN ST HASTINGS MI 49058 AMBULATORY/PHYSICIAN CLINIC NILES MOB 42 N ST JOSEPH AVE NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC FREMONT MOB 230 W OAK ST FREMONT MI 49412 AMBULATORY/PHYSICIAN CLINIC GP MOB 16815 E JEFFERSON AVE GROSSE POINTE MI 48203 AMBULATORY/PHYSICIAN CLINIC FARMINGTON HILLS POB SOUTH 28100 GRAND RIVER AVE FARMINGTON HILLS MI 48336 AMBULATORY/PHYSICIAN CLINIC TROY MEDICAL BUILDING 44344 DEQUINDRE RD STERLING HEIGHTS MI 48134 AMBULATORY/PHYSICIAN CLINIC SH ZEELAND MOB 8333 FELCH ZEELAND MI 49464 AMBULATORY/PHYSICIAN CLINIC BEAUMONT MEDICAL CENTER-ST CLAIR SHOR 25631 LITTLE MACK AVE ST CLAIR SHORES MI 48080 AMBULATORY/PHYSICIAN CLINIC MARIE YEAGER CANCER CENTER (MYCC) 3900 HOLLYWOOD RD ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC FH CANCER CENTER 27900 GRAND RIVER AVE FARMINGTON HILLS MI 48336 AMBULATORY/PHYSICIAN CLINIC ROCKFORD ICC 8501 MEADOW CREEK ROCKFORD MI 49341 AMBULATORY/PHYSICIAN CLINIC ICCM 2009 HOLTON RD MUSKEGON MI 49445 AMBULATORY/PHYSICIAN CLINIC KENTWOOD MOB 4600 BRETON RD KENTWOOD MI 49508 AMBULATORY/PHYSICIAN CLINIC DEARBORN FAMILY CENTER 18501 ROTUNDA DR DEARBORN MI 48124 AMBULATORY/PHYSICIAN CLINIC LAKELAND HEALTH PARK MOB#2 3950 2 UNIT 1 HOLLYWOOD RD ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC COMPREHENSIVE MEDICAL CENTER 31157 WOODWARD AVE ROYAL OAK MI 48073 AMBULATORY/PHYSICIAN CLINIC MOB II 7 ATKINSON DR LUDINGTON MI 49431 AMBULATORY/PHYSICIAN CLINIC GROUND LEASE- GP MOB 16815 E JEFFERSON AVE GROSSE POINTE MI 48230 AMBULATORY/PHYSICIAN CLINIC MEDICAL ARTS BUILDING 650 LINDEN ST BIG RAPIDS MI 49307 AMBULATORY/PHYSICIAN CLINIC SHELDON CENTER 75 SHELDON BLVD GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC MOB SOUTHSHORE 5400 FORT ST TRENTON MI 48183 AMBULATORY/PHYSICIAN CLINIC ARCHWOOD COMMONS CLINIC BUILDING 21440 ARCHWOOD CIRCLE FARMINGTON HILLS MI 48336 SKILLED NURSING ADA ICC 7128 FULTON ST SE ADA MI 49355 AMBULATORY/PHYSICIAN CLINIC MOB- CANTON 7330 CANTON CENTER RD CANTON MI 48184 AMBULATORY/PHYSICIAN CLINIC GREENVILLE PATIENT CARE CENTER 1202 W OAK ST GREENVILLE MI 48838 AMBULATORY/PHYSICIAN CLINIC SUSAN P WHEATLAKE REGIONAL CENTER 4499 220TH ST REED CITY MI 49677 AMBULATORY/PHYSICIAN CLINIC SCS FAMILY MEDICINE CENTER 21400 E 11 MILE RD ST CLAIR SHORES MI 48081 AMBULATORY/PHYSICIAN CLINIC HEALTHCARE CENTER 29150 FORD RD GARDEN CITY MI 48135 AMBULATORY/PHYSICIAN CLINIC BEAUMONT MEDICAL BUILDING-WARREN 8545 COMMON RD WARREN MI 48093 AMBULATORY/PHYSICIAN CLINIC BEAUMONT MEDICAL CENTER-LAKE ORION 1455 S LAPEER RD LAKE ORION MI 48360 AMBULATORY/PHYSICIAN CLINIC OAKWOOD MEDICAL CENTER 17000 HUBBARD DR DEARBORN MI 48126 AMBULATORY/PHYSICIAN CLINIC MERLIN & CAROLYN HANSON HOSPICE CENTER 4382 CLEVELAND AVE STEVENSVILLE MI 49127 AMBULATORY/PHYSICIAN CLINIC WESTLAND HEALTH CENTER 2001 S MERRIMAN WESTLAND MI 48136 AMBULATORY/PHYSICIAN CLINIC BEAUMONT HEART & VASCULAR CENTER 22060 BEECH ST DEARBORN MI 48124 AMBULATORY/PHYSICIAN CLINIC S GREENVILLE W DR- 705 705 S GREENVILLE W DR GREENVILLE MI 48838 AMBULATORY/PHYSICIAN CLINIC SOUTHWESTERN MEDICAL CLINIC 5515 CLEVELAND AVE STEVENSVILLE MI 49127 AMBULATORY/PHYSICIAN CLINIC WYANDOTTE HEALTHCARE CENTER 1700 BIDDLE AVE WYANDOTTE MI 48192 AMBULATORY/PHYSICIAN CLINIC S GREENVILLE W DR- 707 707 S GREENVILLE W DR GREENVILLE MI 48838 AMBULATORY/PHYSICIAN CLINIC MAIN ST INTERNAL MED 204 W MAIN ST FREMONT MI 49412 AMBULATORY/PHYSICIAN CLINIC NORTHPOINTE MEDICAL BUILDING 27901 WOODWARD AVE BERKLEY MI 48072 AMBULATORY/PHYSICIAN CLINIC CANADIAN LAKES CLINIC 8354 100TH AVE CANADIAN LAKES MI 49346 AMBULATORY/PHYSICIAN CLINIC BEAUMONT LIVING WELL PRIMARY CARE 29645 W 14 MILE RD FARMINGTON HILLS MI 48334 AMBULATORY/PHYSICIAN CLINIC KALAMAZOO CENTER 4444 KALAMAZOO AVE KENTWOOD MI 49508 AMBULATORY/PHYSICIAN CLINIC BYRON FAMILY MEDICINE 7751 BYRON CENTER BYRON CENTER MI 49315 AMBULATORY/PHYSICIAN CLINIC SOUTHWESTERN MEDICAL CLINIC 2002 S 11TH ST NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC PENNOCK URGENT CARESTATE ST CENTER 1108 W STATE ST HASTINGS MI 49058 AMBULATORY/PHYSICIAN CLINIC GEORGETOWN SOUTH 3158 PORT SHELDON HUDSONVILLE MI 49426 AMBULATORY/PHYSICIAN CLINIC UNIVERSITY MEDICAL CENTER 9045 US 31 BERRIEN SPRINGS MI 49104 AMBULATORY/PHYSICIAN CLINIC CANTON OAKWOOD HEALTHCARE CENTER 7300 CANTON CENTER RD CANTON MI 48187 AMBULATORY/PHYSICIAN CLINIC BELLEVILLE HEALTHCARE CENTER 201 THIRD ST BELLEVILLE MI 48111 AMBULATORY/PHYSICIAN CLINIC OP RADIATION TREATMENT CENTER 44378 DEQUINDRE AVE STERLING HEIGHTS MI 48314 AMBULATORY/PHYSICIAN CLINIC LAKELAND HEALTH PARK DIALYSIS UNIT 3772 HOLLYWOOD RD ST JOSEPH MI 49085 DIALYSIS METABOLIC CENTER 6300 N HAGGERTY RD CANTON TWSHP MI 48187 AMBULATORY/PHYSICIAN CLINIC BEAUMONT MEDICAL CENTER-SOUTFIELD 30503 GREENFIELD RD SOUTHFIELD MI 40876 AMBULATORY/PHYSICIAN CLINIC SECCHIA CENTER 15 MICHIGAN ST GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC SPARTA FAMILY MEDICINE 2111 12 MILE RD SPARTA MI 49345 AMBULATORY/PHYSICIAN CLINIC BEAUMONT MEDICAL CENTER-ROCHESTER HIL 6700 N ROCHESTER RD ROCHESTER HILLS MI 48306 AMBULATORY/PHYSICIAN CLINIC HAGGERTY PROFESSIONAL PLAZA 2050 HAGGERTY RD CANTON MI 48187 AMBULATORY/PHYSICIAN CLINIC BEAUMONT MEDICAL BUILDING-DEARBON WEST 25045 FORD RD DEARBORN MI 48128 AMBULATORY/PHYSICIAN CLINIC DISCOVERY DRIVE-3220 3220 DISCOVERY DRIVE LANSING MI 48910 AMBULATORY/PHYSICIAN CLINIC ALPINE URGENT CARE 2332 ALPINE AVE WALKER MI 49544 AMBULATORY/PHYSICIAN CLINIC REDFORD MEDICAL CENTER 15540 BEECH DALY REDFORD TWP MI 48239 AMBULATORY/PHYSICIAN CLINIC INTERNAL MEDS & PEDS 1545 68TH ST GRAND RAPIDS MI 49508 AMBULATORY/PHYSICIAN CLINIC THE CORNERS PROFESSIONAL BUILDING 17400 W 13 MILE RD BEVERLY HILLS MI 48025 AMBULATORY/PHYSICIAN CLINIC SOUTHFIELD SLEEP LAB 16310 TWELVE MILE RD SOUTHFIELD MI 48076 AMBULATORY/PHYSICIAN CLINIC SUMMIT PARK 3271 CLEAR VISTA CT GRAND RAPIDS MI 49525 AMBULATORY/PHYSICIAN CLINIC BEAUMONT REHABILIATION SERVICES 23715 LITTLE MACK ST CLAIR SHORES MI 48080 REHAB IONIA ICC 2776 S STATE RD IONIA MI 48846 AMBULATORY/PHYSICIAN CLINIC MICHIGAN AVE- 602 602 MICHIGAN AVE HOLLAND MI 49423 AMBULATORY/PHYSICIAN CLINIC LAKELAND UROLOGY 815 ST JOSEPH DR ST JOSPEH MI 49085 AMBULATORY/PHYSICIAN CLINIC HOLLYWOOD RD- 3903 3903 HOLLYWOOD RD ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC LONGMEADOW MEDICAL SUITES 4 LONGMEADOW VILLAGE DR NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC LONGMEADOW MEDICAL SUITES 6 LONGMEADOW VILLAGE DR NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC NEWAYGO REHAB 211 W PINE LAKE DR NEWAYGO MI 49337 REHAB BELDING PATIENT CARE CENTER 1227 W STATE ST BELDING MI 48809 AMBULATORY/PHYSICIAN CLINIC SOUTHWESTERN MEDICAL CLINIC 9625 RED ARROW HWY BRIDGEMAN MI 49106 AMBULATORY/PHYSICIAN CLINIC LAKESHORE RADIATION ONCOLOGY CENTER 12642 RILEY ST HOLLAND MI 49424 AMBULATORY/PHYSICIAN CLINIC IMAGING CENTER 3900 HOLLYWOOD RD ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC MARKETPLACE SHOPPING CENTER 701 S GREENVILLE W DR GREENVILLE MI 48838 AMBULATORY/PHYSICIAN CLINIC PEDIATRIC ASSOCIATES-FARMINGTON HILLS 23133 ORCHARD LAKE RD FARMINGTON MI 48336 AMBULATORY/PHYSICIAN CLINIC BLANZY CLINIC 14319 DIX TOLEDO RD SOUTHGATE MI 48195 AMBULATORY/PHYSICIAN CLINIC LAKE MICHIGAN DR-3800 3800 LAKE MICHIGAN DR WALKER MI 49534 AMBULATORY/PHYSICIAN CLINIC LAKELAND NILES DIALYSIS 8 LONGMEADOW VILLAGE DR NILES MI 49120 DIALYSIS STONERIDGE OFFICE PARK 44130 W 12 MILE RD NOVI MI 48377 AMBULATORY/PHYSICIAN CLINIC ROYAL OAK PRIMARY CARE 309 E ELEVEN MILE RD ROYAL OAK MI 48067 AMBULATORY/PHYSICIAN CLINIC CAMPUSTOWNE 2- SOUTH 4868 LAKE MICHIGAN DR 2 ALLENDALE MI 49401 AMBULATORY/PHYSICIAN CLINIC LAKELAND CARDIOLOGY 61 N ST JOSEPH AVE NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC BEAUMONT INTERNAL MEDICINE 18325 E 10 MILE RD ROSEVILLE MI 48066 AMBULATORY/PHYSICIAN CLINIC LAKELAND WATERVLIET-MOB 450 MEDICAL PARK DR WATERVLIET MI 49098 AMBULATORY/PHYSICIAN CLINIC STONEGATE MEDICAL OFFICE BUILDING 3901 STONEGATE PARK ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC ST JOSEPH MOB 2500 NILES RD ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC BUCHANAN FAMILY MEDICAL CENTER 1045 N FRONT ST BUCHANAN MI 49107 AMBULATORY/PHYSICIAN CLINIC LAKELAND REHAB 7040 RED ARROW HWY COLOMA MI 49038 REHAB SH PENNOCK ORTHOPEDICS & PAIN CENTER 840 COOK RD HASTINGS MI 49058 AMBULATORY/PHYSICIAN CLINIC BEAUMONT EAST AREA FAMILY PRACTICE 30695 LITTLE MACK AVE ROSEVILLE MI 48066 AMBULATORY/PHYSICIAN CLINIC CENTER FOR HEMATOLOGY ONCOLOGY-DOWNRIVER 19725 ALLEN RD BROWNSTOWN MI 48183 AMBULATORY/PHYSICIAN CLINIC PAW PAW LAKE MEDICAL CENTER 6559 PAW PAW AVE COLOMA MI 49038 AMBULATORY/PHYSICIAN CLINIC NILES-BUCHANAN YMCA 905 N FRONT ST NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC MOB WAYNE 33000 ANNAPOLIS ST WAYNE MI 48184 AMBULATORY/PHYSICIAN CLINIC INTERNAL & PEDIATRIC MEDICINE OF ROYAL O 950 970 N MAIN ST ROYAL OAK MI 48067 AMBULATORY/PHYSICIAN CLINIC SHOREPOINTE FAMILY PHYSICIANS 22646 NINE MILE RD ST CLAIR SHORES MI 48081 AMBULATORY/PHYSICIAN CLINIC NORTHPOINTE HEART CENTER 1949 W 12 MILE RD BERKLEY MI 48072 AMBULATORY/PHYSICIAN CLINIC RIVERTOWN INTERNAL MEDS & PEDS 3185 MACATAWA DRIVE GRANDVILLE MI 49418 AMBULATORY/PHYSICIAN CLINIC PFSDR ROOSE BUILDING 225 N STATE ST REED CITY MI 49677 AMBULATORY/PHYSICIAN CLINIC SHBR-POB 705 OAK ST BIG RAPIDS MI 49307 AMBULATORY/PHYSICIAN CLINIC EVART FAMILY PRACTICE 5591 95TH AVE EVART MI 49631 AMBULATORY/PHYSICIAN CLINIC BEAUMONT PARKSIDE MEDICAL ASSOC 25 S WASHINGTON OXFORD MI 48371 AMBULATORY/PHYSICIAN CLINIC CEDARBROOK OFFICE BUILDING 820 LESTER AVE ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC S RODGERS CT SE- 9090 9090 S RODGERS CT SE CALEDONIA MI 49316 AMBULATORY/PHYSICIAN CLINIC LAKEWOOD FAMILY HEALTH CARE 4294 LAUREL DR LAKE ODESSA MI 48849 AMBULATORY/PHYSICIAN CLINIC NEWPORT HEALTHCARE CENTER 3132 NEWPORT RD NEWPORT MI 48166 AMBULATORY/PHYSICIAN CLINIC GAS LIGHT VILLAGE 2249 WEALTHY EAST GRAND RAPIDS MI 49506 AMBULATORY/PHYSICIAN CLINIC CAMPUSTOWNE 1- NORTH 4868 LAKE MICHIGAN DR 1 ALLENDALE MI 49401 AMBULATORY/PHYSICIAN CLINIC LEWIS MEDICAL OFFICE CENTRE 39475 LEWIS DR NOVI MI 48377 AMBULATORY/PHYSICIAN CLINIC SOUTHSHORE PHYSICAL MEDICINE & REHAB 2707 W JEFFERSON RD TRENTON MI 48183 REHAB STAGG MEDICAL CENTER 525 S CENTER ST HARTFORD MI 49057 AMBULATORY/PHYSICIAN CLINIC LAKELAND HEALTH PARK MOB 60 N ST JOSEPH AVE NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC KERCHEVAL PLACE 17000 KERCHEVAL AVE GROSSE POINTE MI 48230 AMBULATORY/PHYSICIAN CLINIC TOWN CENTER MEDICAL OFFICE BUILDING 130 TOWN CENTER DR TROY MI 48084 AMBULATORY/PHYSICIAN CLINIC TAYLOR TEEN CENTER 26650 EUREKA RD TAYLOR MI 48180 AMBULATORY/PHYSICIAN CLINIC BERKLEY PTOT 2160 COOLIDGE HWY BERKLEY MI 48072 AMBULATORY/PHYSICIAN CLINIC BRENTWOOD MEDICAL CENTER 28711 W 8 MILE RD LIVONIA MI 48152 AMBULATORY/PHYSICIAN CLINIC HATHWAY PROFESSIONAL BLD 4249 PARKWAY PLACE DR GRANDVILLE MI 49418 AMBULATORY/PHYSICIAN CLINIC N EVERGREEN DR- 3264 (IMAGING) 3264 N EVERGREEN DR GRAND RAPIDS MI 49525 AMBULATORY/PHYSICIAN CLINIC VISITING SPECIALITY CLINIC 1845 HOLTON RD MUSKEGON MI 49445 AMBULATORY/PHYSICIAN CLINIC GROSSE POINTE PARK-INTERNAL MEDICINE CEN 15200 KERCHEVAL AVE GROSSE POINTE PARK MI 48230 AMBULATORY/PHYSICIAN CLINIC MARY FREE BED 360 LAFAYETTE GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC ROCHESTER HILLS FAMILY PRACTICE 1202 WALTON BLVD ROCHESTER HILLS MI 48307 AMBULATORY/PHYSICIAN CLINIC GRANT MEDICAL 230 S MAPLE ST GRANT MI 49327 AMBULATORY/PHYSICIAN CLINIC GUN LAKE FAMILY MEDICINE 179 HIGHWAY WEST M WAYLAND MI 49348 AMBULATORY/PHYSICIAN CLINIC CONRAN- 25 25 CONRAN COOPERSVILLE MI 49404 AMBULATORY/PHYSICIAN CLINIC MUSKEGON PRIMARY CARE 2558 HENRY ST MUSKEGON MI 49441 AMBULATORY/PHYSICIAN CLINIC S GREENVILLE RD- 6896 6896 S GREENVILLE RD GREENVILLE MI 48838 AMBULATORY/PHYSICIAN CLINIC LAKEVIEW MEDICAL SPECIALITY CENTER 420 LINCOLN AVE LAKEVIEW MI 48850 AMBULATORY/PHYSICIAN CLINIC S CLEVELAND AVE- 4077 4077 S CLEVELAND AVE ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC FOREMOST- 5800 5800 FOREMOST GRAND RAPIDS MI 49546 AMBULATORY/PHYSICIAN CLINIC FAMILY CARE CLINIC 2481 N 72ND AVE HART MI 49420 AMBULATORY/PHYSICIAN CLINIC URGENT CARE BY WELLSTREET 27810 GRAND RIVER AVE FARMINGTON HILLS MI 48336 AMBULATORY/PHYSICIAN CLINIC NEIGHBORHOOD FAMILY MEDICINE 29245 RYAN RD WARREN MI 48092 AMBULATORY/PHYSICIAN CLINIC MIDWEST INTERNAL MEDICINE ASSOCIATES 20317 FARMINGTON RD LIVONIA MI 48152 AMBULATORY/PHYSICIAN CLINIC CANTON GATEWAY PLAZA 4121 S CANTON CENTER RD CANTON MI 48188 AMBULATORY/PHYSICIAN CLINIC LAWNDALE- 922 922 LAWNDALE LUDINGTON MI 494311928 AMBULATORY/PHYSICIAN CLINIC FARMINGTON VILLAGE COMMONS 32754 GRAND RIVER AVE FARMINGTON MI 48336 AMBULATORY/PHYSICIAN CLINIC RIVERVIEW SLEEP CENTER 14031 PENNSYLVANIA RD RIVERVIEW MI 48193 AMBULATORY/PHYSICIAN CLINIC E DIVISION- 515-519 515 E DIVISION ROCKFORD MI 49341 AMBULATORY/PHYSICIAN CLINIC E BELTLINE- 2830 2830 E BELTLINE GRAND RAPIDS MI 49525 AMBULATORY/PHYSICIAN CLINIC BARCLAY CIRCLE-RENARD 555 BARCLAY CIRCLE ROCHERSTER HILLS MI 48307 AMBULATORY/PHYSICIAN CLINIC ARCHWOOD REHAB & CONTINUING CARE CENTER 21450B ARCHWOOD CIRCLE FARMINGTON HILLS MI 48336 REHAB & POST ACUTE CARE DEQUINDRE PROFESSIONAL BUILDINGS 38865 DEQUINDRE RD TROY MI 48083 AMBULATORY/PHYSICIAN CLINIC DIABETES EDUCATION 4393 220TH ST REED CITY MI 49677 AMBULATORY/PHYSICIAN CLINIC MUNSON COMMUNITY HEALTH CENTER 550 MUNSON AVE TRAVERSE CITY MI 49684 AMBULATORY/PHYSICIAN CLINIC FRANKLIN POINTE MEDICAL CENTER(VACANT) 26400 W 12 MILE RD SOUTHFIELD MI 48034 AMBULATORY/PHYSICIAN CLINIC LAKELAND EAR NOSE & THROAT 2680 S CLEVELAND AVE ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC TAYLOR CLINIC 9340 TELEGRAPH RD TAYLOR MI 48180 AMBULATORY/PHYSICIAN CLINIC SH PENNOCK FAMILY MEDICINE 490 EDWARD ST MIDDLEVILLE MI 49333 AMBULATORY/PHYSICIAN CLINIC FAIRVIEW PROFESSIONAL BUILDING 5675 FAIRVIEW ST STEVENSVILLE MI 49127 AMBULATORY/PHYSICIAN CLINIC GEORGETOWN NORTH 3152 PORT SHELDON HUDSONVILLE MI 49426 AMBULATORY/PHYSICIAN CLINIC LAKELAND AT MEADOWBROOK 2550 MEADOWBROOK RD BENTON HARBOR MI 49022 AMBULATORY/PHYSICIAN CLINIC WILLOW CREEK PLAZA 42180 FORD RD CANTON MI 48187 AMBULATORY/PHYSICIAN CLINIC TEN HAGGERTY MEDICAL BUILDING 39500 10 MILE RD NOVI MI 48375 AMBULATORY/PHYSICIAN CLINIC DOWNTOWN MARKET 435 IONIA AVE SW GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC TINKHAM AVE- 907 907 TINKHAM AVE LUDINGTON MI 49431 AMBULATORY/PHYSICIAN CLINIC ALLIED MEDICAL GROUP 35180 NANKIN BLVD WESTLAND MI 48185 AMBULATORY/PHYSICIAN CLINIC S STATE ST- 400 400 S STATE ST ZEELAND MI 49464 AMBULATORY/PHYSICIAN CLINIC WAYNE BREAST CANCER CENTER 4491 VENOY AVE WAYNE MI 48184 AMBULATORY/PHYSICIAN CLINIC GPF VEIN CENTER 87 KERCHEVAL GROSSE POINTE FARMS MI 48236 AMBULATORY/PHYSICIAN CLINIC HOUGH CENTER 1777 AXTELL RD TROY MI 48084 AMBULATORY/PHYSICIAN CLINIC HESPERIA MEDICAL 78 N DIVISION ST HESPERIA MI 49421 AMBULATORY/PHYSICIAN CLINIC HAMLET BUILDING 1331 MONROE ST DEARBORN MI 48124 AMBULATORY/PHYSICIAN CLINIC GENERATIONS OBGYN CENTERS 35046 WOODWARD AVE BIRMINGHAM MI 48012 AMBULATORY/PHYSICIAN CLINIC BEAUMONT FAMILY MEDICINE-CHESTERFIELD 50630 CHESTERFIELD RD CHESTERFIELD TWNSP MI 48051 AMBULATORY/PHYSICIAN CLINIC PHILLIPS ST- 749 749 PHILLIPS ST SOUTH HAVEN MI 49090 AMBULATORY/PHYSICIAN CLINIC CREEKSIDE II 8075 CREEKSIDE DR PORTAGE MI 49024 AMBULATORY/PHYSICIAN CLINIC W MAIN ST- 100 100 W MAIN ST BENTON HARBOR MI 49022 AMBULATORY/PHYSICIAN CLINIC DEARBORN SPORTS MEDICINE & PT 2552 MONROE ST DEARBORN MI 48124 AMBULATORY/PHYSICIAN CLINIC PROGRAMA PUENTE 1357 GRANDVILLE AVE SW GRAND RAPIDS MI 49507 AMBULATORY/PHYSICIAN CLINIC VISTA SPRINGS RIVERSIDE GARDENS 2420 COIT AVE NE GRAND RAPIDS MI 49505 AMBULATORY/PHYSICIAN CLINIC EAST PARIS MEDICAL CENTER 1000 EAST PARIS GRAND RAPIDS MI 49546 AMBULATORY/PHYSICIAN CLINIC YMCA 3540 FAIRLANES GRANDVILLE MI 49418 AMBULATORY/PHYSICIAN CLINIC W STATE ST- 1320 1320 W STATE ST BELDING MI 48809 AMBULATORY/PHYSICIAN CLINIC NORTHPOINTE CARDIOLOGY-SOUTHFIELD 16800 W 12 MILE RD SOUTHFIELD MI 48076 AMBULATORY/PHYSICIAN CLINIC GEORGETOWNE EXECUTIVE OFFICES 31700 TELEGRAPH RD BINGHAM FARMS MI 48025 AMBULATORY/PHYSICIAN CLINIC ADULT MEDICAL CARE 35330 NANKIN BLVD WESTLAND MI 48185 AMBULATORY/PHYSICIAN CLINIC BLOSSOM RIDGE 3145 LILY TRAIL OAKLAND TOWNSHIP MI 48366 AMBULATORY/PHYSICIAN CLINIC SHEFFIELD OFFICE II 3290 W BIG BEAVER TROY MI 48084 AMBULATORY/PHYSICIAN CLINIC 696 OFFICE CENTER-FARMINGTON HILLS 27555 FARMINGTON RD FARMINGTON HILLS MI 48336 AMBULATORY/PHYSICIAN CLINIC MEIJER STORE #36 5500 CLYDE PARK AVE SW WYOMING MI 49509 AMBULATORY/PHYSICIAN CLINIC ALLEN PARK LAB 15101 SOUTHFIELD RD ALLEN PARK MI 48101 AMBULATORY/PHYSICIAN CLINIC W KING ST- 802 802 W KING ST OWOSSO MI 48867 AMBULATORY/PHYSICIAN CLINIC MEIJER- HUDSONVILLE 4075 32nd AVE HUDSONVILLE MI 49426 AMBULATORY/PHYSICIAN CLINIC WOMEN'S HEALTH CENTER 555 MIDTOWNE GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC OUTREACH LAB AT LAKES MEDICAL 2300 HAGGERTY RD WEST BLOOMFIELD MI 48323 AMBULATORY/PHYSICIAN CLINIC CASSOPOLIS FAMILY CLINIC NETWORK 1951 OAK ST NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC FREMONT HIGH SCHOOL 5421 WARNER AVE FREMONT MI 49412 AMBULATORY/PHYSICIAN CLINIC GREENVILLE HIGH SCHOOL 111 N HILLCREST ST GREENVILLE MI 48838 AMBULATORY/PHYSICIAN CLINIC CASSOPOLIS FAMILY CLINIC 261 M62 CASSOPOLIS MI 49031 AMBULATORY/PHYSICIAN CLINIC CENTRAL MONTCALM MIDDLE-HIGH SCHOOL 1480 S SHERIDAN STANTON MI 48888 AMBULATORY/PHYSICIAN CLINIC HESPERIA HIGH SCHOOL 96 S DIVISION HESPERIA MI 49421 AMBULATORY/PHYSICIAN CLINIC MONTABELLA HIGH SCHOOL 1324 N COUNTY LINE RD BLANCHARD MI 49310 AMBULATORY/PHYSICIAN CLINIC VESTABURG HIGH SCHOOL 7188 AVENUE B VESTABURG MI 48891 AMBULATORY/PHYSICIAN CLINIC TRI COUNTY HIGH SCHOOL 21338 KENDAVILLE RD HOWARD CITY MI 49329 AMBULATORY/PHYSICIAN CLINIC EVART HIGH SCHOOL 6221 95TH AVE EVART MI 49631 AMBULATORY/PHYSICIAN CLINIC SHELDON MEADOWS ASSISTED LIVING CENTER 4482 PORT SHELDON HUDSONVILLE MI 49426 AMBULATORY/PHYSICIAN CLINIC DELTON KELLOGG HIGH SCHOOL 10425 PANTHER PRIDE DR DELTON MI 49046 AMBULATORY/PHYSICIAN CLINIC BEAUMONT MAIN STREET INT MED-WOODHAVE 25000 HALL RD WOODHAVEN MI 48183 AMBULATORY/PHYSICIAN CLINIC ZEELAND WEST HIGH SCHOOL 3390 100th AVE ZEELAND MI 49464 AMBULATORY/PHYSICIAN CLINIC SPARTA HIGH SCHOOL 475 W SPARTAN DR SPARTA MI 49345 TELEMEDICINE CLINIC BIG RAPIDS HIGH SCHOOL 21175 15 MILE RD BIG RAPIDS MI 49307 TELEMEDICINE CLINIC EAST KENTWOOD HIGHSCHOOL 6230 KALAMAZOO AVE KENTWOOD MI 49508 TELEMEDICINE CLINIC LAKEVIEW HIGH SCHOOL 602 WASHINGTON ST LAKEVIEW MI 48850 TELEMEDICINE CLINIC EAST KENTWOOD FRESHMAN CENTER 6170 VALLEY LANE DRIVE SE KENTWOOD MI 49508 TELEMEDICINE CLINIC HASTINGS HIGH SCHOOL 520 W SOUTH ST HASTINGS MI 49058 TELEMEDICINE CLINIC CARSON CITY-CRYSTAL HIGH SCHOOL 213 E SHERMAN ST CARSON CITY MI 48811 TELEMEDICINE CLINIC S SAGINAW ST - 8203 8203 S SAGINAW ST GRAND BLANC MI 48430 AMBULATORY/PHYSICIAN CLINIC MASON COUNTRY CENTRAL HIGH SCHOOL 210 W BROADWAY SCOTTSVILLE MI 49464 AMBULATORY/PHYSICIAN CLINIC THORNAPPLE KELLOGG HIGH SCHOOL 3885 BENDER RD MIDDLEVILLE MI 49333 TELEMEDICINE CLINIC REED CITY HIGH SCHOOL 225 W CHURCH ST REED CITY MI 49677 TELEMEDICINE CLINIC SCHEDULE H, PART I, LINE 6A NAME OF RELATED ORGANIZATION THAT PREPARED COMMUNITY BENEFIT REPORT COREWELL HEALTH, FORMERLY KNOWN AS BHSH SYSTEM, 38-3382353 COREWELL HEALTH PUBLISHES A CONSOLIDATED COMMUNITY BENEFIT REPORT ON ITS WEBSITE. IN ADDITION, THE HEALTH SYSTEM HOLDS AN ANNUAL MEETING, WHICH IS OPEN TO THE PUBLIC, TO DISCUSS ITS COMMUNITY COMMITMENTS. LAKELAND COMMUNITY HOSPITAL, WATERVLIET, LAKELAND HOSPITALS AT ST. JOSEPH AND, LAKELAND HOSPITALS AT NILES AS PART OF THE 2019-2022 IMPLEMENTATION STRATEGY, SPECTRUM HEALTH LAKELAND 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 COMMUNITY BENEFIT REPORTING INFRASTRUCTURE AND PROCESSES. ONE OF THE INTENDED IMPACTS OF THE AFFORDABLE CARE ACT IS TO ALIGN HEALTH SYSTEMS' ALLOCATIONS OF COMMUNITY BENEFITS WITH HEALTH NEEDS IDENTIFIED IN THE CHNA. BEAUMONT HOSPITAL ROYAL OAK, BEAUMONT HOSPITAL TROY, BEAUMONT HOSPITAL GROSSE POINTE, BEAUMONT HOSPITAL FARMINGTON HILLS, BEAUMONT HOSPITAL DEARBORN, BEAUMONT HOSPITAL TRENTON, BEAUMONT HOSPITAL TAYLOR, AND BEAUMONT HOSPITAL WAYNE BEAUMONT HEALTH 46-5718220 SCHEDULE H, PART I, LINE 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE THE 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. SCHEDULE H, PART I, LINE 7 TOTAL FUNCTIONAL EXPENSES USED SINCE THE AMOUNT OF TOTAL FUNCTIONAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25, COLUMN A, INCLUDES NON-HOSPITAL FACILITY EXPENSES (INCLUDING MEDICAL GROUP, SKILLED NURSING, HOSPICE, HOME CARE, AND OTHER SUCH NON-HOSPITAL FACILITY EXPENSES), AND THE COMMUNITY BENEFIT EXPENSES ON PART I, LINE 7, RELATE ONLY TO HOSPITAL FACILITIES, FOR PURPOSES OF CALCULATING TOTAL COMMUNITY BENEFIT, A TOTAL FUNCTIONAL EXPENSE AMOUNT OF $8,115,434,877 WAS USED. THIS AMOUNT REPRESENTS TOTAL FUNCTIONAL EXPENSES RELATED TO COREWELL HEALTH'S HOSPITAL FACILITIES ONLY, WHICH YIELDS A MORE ACCURATE AND MEANINGFUL DISCLOSURE OF COREWELL HEALTH'S TOTAL COMMUNITY BENEFIT PERCENTAGE. SCHEDULE H, PART I, LINE 7, COL (F) BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION $276,269,402 SCHEDULE H, PART II DESCRIBE HOW COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH BLODGETT, SPECTRUM HEALTH UNITED, SPECTRUM HEALTH GERBER MEMORIAL, SPECTRUM HEALTH LUDINGTON, SPECTRUM HEALTH BIG RAPIDS, SPECTRUM HEALTH REED CITY, SPECTRUM HEALTH ZEELAND, SPECTRUM HEALTH KELSEY, AND SPECTRUM HEALTH PENNOCK 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 PARTNERS 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. LAKELAND COMMUNITY HOSPITAL, WATERVLIET, LAKELAND HOSPITALS AT ST. JOSEPH, AND LAKELAND HOSPITALS AT NILES 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/COMMUNI TY-HEALTH-NEEDS-ASSESSMENT COMMUNITY BUILDING ACTIVITIES/PHYSICAL IMPROVEMENTS - DEVELOPMENT OR MAINTENANCE OF PARKS AND PLAYGROUNDS TO PROMOTE PHYSICAL ACTIVITIES LAKELAND HOSPITAL WATERVLIET 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 SPECTRUM 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. SCHEDULE H, 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, PAYER COMPOSITION AND AGING, AND HISTORICAL WRITE-OFF EXPERIENCE BY PAYER 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 PAYERS, 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 REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ALL CHARGES ARE REPORTED AT GROSS, WHICH IS CONSISTENT WITH THE REPORTING METHODOLOGY USED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. SCHEDULE H, 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. SCHEDULE H, 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 22-24 OF COREWELL HEALTH'S CONSOLIDATED AUDITED FINANANCIAL STATEMENTS. SCHEDULE H, 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. SCHEDULE H, 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. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT DESCRIBE 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. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION DESCRIBE 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: SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH BLODGETT, SPECTRUM HEALTH UNITED, SPECTRUM HEALTH GERBER MEMORIAL, SPECTRUM HEALTH LUDINGTON, SPECTRUM HEALTH BIG RAPIDS, SPECTRUM HEALTH REED CITY, SPECTRUM HEALTH ZEELAND, SPECTRUM HEALTH KELSEY, SPECTRUM HEALTH PENNOCK, LAKELAND COMMUNITY HOSPITAL, WATERVLIET, LAKELAND HOSPITALS AT ST. JOSEPH AND, LAKELAND HOSPITALS AT NILES 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. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES: SPECTRUM HEALTH BUTTERWORTH AND SPECTRUM HEALTH BLODGETT: SPECTRUM HEALTH BUTTERWORTH AND SPECTRUM HEALTH BLODGETT 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 INCLUDE SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH BLODGETT, 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 AT HTTPS://WWW.SPECTRUMHEALTH.ORG/HEALTHIER-COMMUNITIES/GRAND-RAPIDS-HOSPITAL S-COMMUNITY-HEALTH-NEEDS-ASSESSMENT. SPECTRUM HEALTH UNITED: SPECTRUM HEALTH UNITED SERVES THE MEDICAL NEEDS OF THE RESIDENTS OF GREENVILLE, MI. THE PRIMARY SERVICE AREA IS COMPRISED WHERE SPECTRUM HEALTH UNITED 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 SPECTRUM HEALTH UNITED. THE HEALTHCARE RESOURCES IN SPECTRUM HEALTH UNITED'S SERVICE AREA INCLUDE 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 AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-UNITED-HOSPITAL/C OMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH GERBER MEMORIAL: SPECTRUM HEALTH GERBER MEMORIAL 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. SPECTRUM HEALTH GERBER MEMORIAL 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 AT HTTPS://WWW.SPECTRUMHEALTH.ORG/HEALTHIER-COMMUNITIES/GERBER-MEMORIAL-COMMU NITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH LUDINGTON: SPECTRUM HEALTH LUDINGTON 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. SPECTRUM HEALTH LUDINGTON 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 AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/LUDINGTON-HOSPITAL/COMMUNITY-HEAL TH-NEEDS-ASSESSMENT SPECTRUM HEALTH BIG RAPIDS: SPECTRUM 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 SPECTRUM HEALTH BIG RAPIDS 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. SPECTRUM HEALTH BIG RAPIDS 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 AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/BIG-RAPIDS-HOSPITAL/COMMUNITY-HEA LTH-NEEDS-ASSESSMENT SPECTRUM HEALTH REED CITY: SPECTRUM HEALTH REED CITY 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 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 SPECTRUM HEALTH REED CITY. 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 AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-REED-CITY-HOSPITA L/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH ZEELAND: SPECTRUM HEALTH ZEELAND HAS IDENTIFIED A PRIMARY SERVICE AREA INCLUSIVE OF MUCH OF OTTAWA COUNTY AND THE SURROUNDING LAKESHORE REGION. OVERALL, THE SERVICE AREA OF SPECTRUM HEALTH ZEELAND HAS A POPULATION OF OVER 299,000. THE HEALTHCARE RESOURCES IN OTTAWA COUNTY INCLUDE SPECTRUM HEALTH ZEELAND, 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 AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-ZEELAND-COMMUNITY -HOSPITAL/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SPECTRUM HEALTH KELSEY: SPECTRUM HEALTH KELSEY 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 SPECTRUM HEALTH UNITED, 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 SPECTRUM HEALTH KELSEY. THE HEALTHCARE RESOURCES IN SPECTRUM HEALTH KELSEY'S SERVICE AREA INCLUDE SPECTRUM HEALTH UNITED, 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 AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH-KELSEY-HOSPITAL/C OMMUNITY-RESOURCES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART VI, LINE 4 CONTINUED SPECTRUM HEALTH PENNOCK SPECTRUM HEALTH PENNOCK 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. SPECTRUM HEALTH PENNOCK 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 AT HTTPS://WWW.SPECTRUMHEALTH.ORG/LOCATIONS/SPECTRUM-HEALTH- PENNOCK/COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT LAKELAND COMMUNITY HOSPITAL, WATERVLIET, LAKELAND HOSPITALS AT ST. JOSEPH AND, LAKELAND HOSPITALS AT NILES THE SYSTEM SERVES APPROXIMATELY 280,000 RESIDENTS IN BERRIEN COUNTY AND SURROUNDING AREAS. COMMUNITY SERVED. 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. SCHEDULE H, PART VI, LINE 4 CONTINUED BEAUMONT HOSPITAL ROYAL OAK, BEAUMONT HOSPITAL TROY, BEAUMONT HOSPITAL GROSSE POINTE, BEAUMONT HOSPITAL FARMINGTON HILLS, BEAUMONT HOSPITAL DEARBORN, BEAUMONT HOSPITAL TRENTON, BEAUMONT HOSPITAL TAYLOR, AND BEAUMONT HOSPITAL WAYNE THE BEAUMONT 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 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 BY 2023. BEAUMONT HOSPITAL ROYAL OAK 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 BEAUMONT ROYAL OAK'S POPULATION IS PREDOMINANTLY WHITE (64.93 PERCENT) AND THE COMMUNITY IS HOME TO A LARGE ARAB POPULATION MOSTLY CONCENTRATED IN STERLING HEIGHTS. BEAUMONT ROYAL OAK IS EXPECTED TO BECOME INCREASINGLY DIVERSE AS ALL MINORITY GROUPS ARE PROJECTED TO INCREASE BY 2023. THE ASIAN PACIFIC ISLANDER AND MULTIRACIAL & OTHER POPULATION WILL EXPERIENCE THE MOST GROWTH. THE 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 BY 2023. THE 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. BEAUMONT HOSPITAL DEARBORN 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 BEAUMONT DEARBORN IS EXPECTED TO DECREASE BY LESS THAN 1 PERCENT OVER THE NEXT FIVE YEARS. MOST CITIES WILL SEE DECREASES, WITH THE 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. BEAUMONT HOSPITAL TRENTON IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. IN THE NEXT FIVE YEARS, BEAUMONT TRENTON'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. BEAUMONT TRENTON'S POPULATION IS 81.46 PERCENT WHITE. THE OTHER, ASIAN, AND THE MULTIRACIAL GROUPS WILL EXPERIENCE SLIGHT GROWTH IN THE NEXT 5 YEARS. BEAUMONT HOSPITAL WAYNE IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. IN CONTRAST TO OTHER AREAS IN BEAUMONT'S OVERALL COMMUNITY, BEAUMONT WAYNE'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 BEAUMONT WAYNE'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. BEAUMONT HOSPITAL TAYLOR 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 DEARBORN, WHICH HAS THE HIGHEST CONCENTRATION OF ARAB AMERICANS IN THE COUNTRY. THE OTHER AND ASIAN COMMUNITIES IN WAYNE ARE PROJECTED TO INCREASE IN THE NEXT FIVE YEARS. BEAUMONT HOSPITAL FARMINGTON HILLS IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF THE INPATIENT DISCHARGES. THE POPULATION SERVED BY THE BEAUMONT HOSPITAL FARMINGTON HILLS 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. BEAUMONT FARMINGTON HILLS' 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. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH SPECTRUM HEALTH BUTTERWORTH, SPECTRUM HEALTH BLODGETT, SPECTRUM HEALTH UNITED, SPECTRUM HEALTH GERBER MEMORIAL, SPECTRUM HEALTH LUDINGTON, SPECTRUM HEALTH BIG RAPIDS, SPECTRUM HEALTH REED CITY, SPECTRUM HEALTH ZEELAND, SPECTRUM HEALTH KELSEY, AND SPECTRUM HEALTH PENNOCK PROVIDE 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.): 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 SPECTRUM 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. LAKELAND COMMUNITY HOSPITAL, WATERVLIET, LAKELAND HOSPITALS AT ST. JOSEPH, AND LAKELAND HOSPITALS AT NILES 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 - LAKELAND 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 - LAKELAND IS COMMITTED TO INNOVATION BY OFFERING THE MOST ADVANCED, HIGH-QUALITY TREATMENTS AND HEALTH AND HEALING SERVICES TO THE COMMUNITY. AS A RESULT, LAKELAND SPONSORS CLINICAL AND COMMUNITY HEALTH RESEARCH, AS WELL AS STUDIES ON HEALTH CARE DELIVERY. FINANCIAL ASSISTANCE - FREE OR DISCOUNTED CARE THAT LAKELAND 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 LAKELAND RECEIVES FROM THOSE PROGRAMS. SCHEDULE H, PART VI, LINE 5 CONTINUED BEAUMONT HOSPITAL ROYAL OAK, BEAUMONT HOSPITAL TROY, BEAUMONT HOSPITAL GROSSE POINTE, BEAUMONT HOSPITAL FARMINGTON HILLS, BEAUMONT HOSPITAL DEARBORN, BEAUMONT HOSPITAL TRENTON, BEAUMONT HOSPITAL TAYLOR, AND BEAUMONT HOSPITAL WAYNE 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 PREVENTION EVENTS THAT SUPPORT COMMUNITY ENGAGEMENT EDUCATION, DIVERSITY, AND CULTURAL ARTS RELATING TO IMPROVING THE PATIENT EXPERIENCE AT THE SYSTEM'S 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. SCHEDULE H, PART VI, LINE 6 DESCRIPTION OF AFFILIATED GROUP IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED: THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN ARE PART OF A GROUP OF HEALTHCARE ENTIITIES AFFILIATED WITH COREWELL HEALTH. COREWELL HEALTH WAS LAUNCHED IN 2022 AROUND A BOLD VISION TO TRANSFORM HEALTH. WE BROUGHT TOGETHER TWO LEADING HEALTH SYSTEMS TO FORM A NEW SYSTEM COMMITTED TO HELPING EVERYONE BE WELL SO THAT THEY CAN LIVE THEIR HEALTHIEST LIFE POSSIBLE. 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 60,000 TEAM MEMBERS INCLUDING MORE THAN 15,000 NURSES AND MORE THAN 11,500 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. SCHEDULE H, 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. true 311 YOUTH HOUSING 722 EASTERN AVE SE GRAND RAPIDS MI 49503 462391112 501(C)(3) 20000 TO SUPPORT EXEMPT PURPOSE ACCESS OF WEST MICHIGAN 2850 KALAMAZOO SE GRAND RAPIDS MI 49506 383195190 501(C)(3) 80000 TO SUPPORT EXEMPT PURPOSE AFFINITY MENTORING 818 BUTTERWORTH ST SW GRAND RAPIDS MI 49504 812395117 501(C)(3) 20000 TO SUPPORT EXEMPT PURPOSE ARBOR CIRCLE CORPORATION 1115 BALL NE GRAND RAPIDS MI 49505 383263853 501(C)(3) 115000 TO SUPPORT EXEMPT PURPOSE BAXTER COMMUNITY CENTER 935 BAXTER ST SE GRAND RAPIDS MI 49506 237076806 501(C)(3) 85000 TO SUPPORT EXEMPT PURPOSE BENTON HARBOR - ST JOSEPH YMCA 905 N FRONT STREET NILES MI 49120 381358236 501(C)(3) 25000 TO SUPPORT EXEMPT PURPOSE BENTON HARBOR COMMUNITY DEVELOPMENT CORP 273 MORTON AVE BENTON HARBOR MI 49022 853784631 501(C)(3) 75576 TO SUPPORT EXEMPT PURPOSE BOYS & GIRLS CLUB OF BENTON HARBOR MICHIGAN 600 NATE WELLS SENIOR DR BENTON HARBOR MI 49022 383461586 501(C)(3) 25000 TO SUPPORT EXEMPT PURPOSE BOYS & GIRLS CLUBS OF GRAND RAPIDS YOUTH COMMONWEA 235 STRAIGHT AVE NW GRAND RAPIDS MI 49504 380593958 501(C)(3) 50000 TO SUPPORT EXEMPT PURPOSE CATHERINES HEALTH CENTER 1211 LAFAYETTE NE GRAND RAPIDS MI 49506 203572418 501(C)(3) 40000 TO SUPPORT EXEMPT PURPOSE CHERRY STREET HEALTH SERVICES 550 CHERRY ST SE GRAND RAPIDS MI 49503 382853534 501(C)(3) 304000 TO SUPPORT EXEMPT PURPOSE CITY OF BELLEVILLE 6 MAIN ST BELLEVILLE MI 48111 386004535 GOV'T 6881 TO PURCHASE AED'S CITY OF ROMULUS 1111 WAYNE RD ROMULUS MI 48174 386006334 GOV'T 14439 TO PURCHASE AED'S COMMUNITY FOOD CLUB 1100 SOUTH DIVISION GRAND RAPIDS MI 49507 822265189 501(C)(3) 80000 TO SUPPORT EXEMPT PURPOSE COMMUNITY REBUILDERS 1120 MONROE AVE NW SUITE 220 GRAND RAPIDS MI 49503 383094108 501(C)(3) 20000 TO SUPPORT EXEMPT PURPOSE COREWELL HEALTH 100 MICHIGAN ST NE GRAND RAPIDS MI 49503 383382353 501(C)(3) 14043 TO SUPPORT EXEMPT PURPOSE DEARBORN COMMUNITY FUND 15801 MICHIGAN AVE DEARBORN MI 48126 383507205 501(C)(3) 70000 TO SUPPORT EXEMPT PURPOSE DIATRIBE PO BOX 2582 GRAND RAPIDS MI 49501 814131862 501(C)(3) 50000 TO SUPPORT EXEMPT PURPOSE DWELLING PLACE OF GRAND RAPIDS 101 SHELDON BLVD STE 2 GRAND RAPIDS MI 49503 382313832 501(C)(3) 365000 TO SUPPORT EXEMPT PURPOSE EXALTA HEALTH 15 ANDRE ST GRAND RAPIDS MI 49503 383273825 501(C)(3) 100000 TO SUPPORT EXEMPT PURPOSE FAMILY OUTREACH 1939 DIVISION SOUTH GRAND RAPIDS MI 49507 382272711 501(C)(3) 65000 TO SUPPORT EXEMPT PURPOSE FRIENDS OF BERRIEN COUNTY TRAILS PO BOX 371 NEW BUFFALO MI 49117 900424248 501(C)(3) 10000 TO SUPPORT EXEMPT PURPOSE FRIENDS OF GRAND RAPIDS PARKS PO BOX 3199 GRAND RAPIDS MI 49501 261406547 501(C)(3) 30000 TO SUPPORT EXEMPT PURPOSE FRIENDS OF NEW TROY 13372 CALIFORNIA RD PO BOX 125 NEW TROY MI 49119 203885998 501(C)(3) 6440 TO SUPPORT EXEMPT PURPOSE GRAND RAPIDS AFRICAN AMERICAN HEALTH INSTITUTE 515 MICHIGAN NE GRAND RAPIDS MI 49503 061658200 501(C)(3) 20000 TO SUPPORT EXEMPT PURPOSE GRANDVILLE AVENUE ARTS & HUMANITIES 644 GRANDVILLE AVE SW GRAND RAPIDS MI 49503 383482546 501(C)(3) 20000 TO SUPPORT EXEMPT PURPOSE HABITAT FOR HUMANITY KENT COUNTY INC 425 PLEASANT STREET SW GRAND RAPIDS MI 49503 382527968 501(C)(3) 20000 TO SUPPORT EXEMPT PURPOSE HEALTHNET OF WEST MI DBA KENT HEALTH PLAN 620 CENTURY AVE SW SUITE 210 GRAND RAPIDS MI 49503 383609504 501(C)(3) 40000 TO SUPPORT EXEMPT PURPOSE KINGDOM LIFE MINISTIRIES 2317 KALAMAZOO AVE SE GRAND RAPIDS MI 49507 260228233 501(C)(3) 23500 TO SUPPORT EXEMPT PURPOSE LEADERS ADVANCING & HELPING COMMUNITIES 5275 KENILWORTH ST DEARBORN MI 48126 383081799 501(C)(3) 55000 TO SUPPORT EXEMPT PURPOSE LITERACY CENTER OF WEST MICHIGAN 1120 MONROE AVE NW SUITE 240 GRAND RAPIDS MI 49503 382725232 501(C)(3) 300000 TO SUPPORT EXEMPT PURPOSE LOGAN COMMUNITY RESOURCES 2505 E JEFFERSON BLVD SOUTH BEND IN 46615 350965639 501(C)(3) 12850 TO SUPPORT EXEMPT PURPOSE MICHIANA FAMILY CENTER PO BOX 398 EDWARDSBURG MI 49112 843611389 501(C)(3) 25000 TO SUPPORT EXEMPT PURPOSE MICHIGAN ADVOCACY PROGRAM 15 S WASHINGTON ST YPSILANTI MI 48197 381845444 501(C)(3) 20000 TO SUPPORT EXEMPT PURPOSE MICHIGAN COMMUNITY HEALTH WORKER ALLIANCE 901 TOWER DR SUITE 420 TROY MI 48098 831845287 501(C)(3) 27000 TO SUPPORT EXEMPT PURPOSE MICHIGAN STATE UNIVERSITY 965 WILSON RD EAST LANSING MI 48824 386005984 GOV'T 36100 TO SUPPORT MED EDU PROGRAMS NEW CITY KIDS INC 936 ALPINE AVE GRAND RAPID MI 49504 223529691 501(C)(3) 30000 TO SUPPORT EXEMPT PURPOSE PUERTAS ABIERTAS INC PO BOX 120054 GRAND RAPIDS MI 48528 843751469 501(C)(3) 40000 TO SUPPORT EXEMPT PURPOSE READY FOR SCHOOL 268 E 8TH ST SUITE 10 HOLLAND MI 49423 274898652 501(C)(3) 35000 TO SUPPORT EXEMPT PURPOSE REALISM IS LOYALTY 601 FRANKLIN ST SE GRAND RAPIDS MI 49507 465225488 501(C)(3) 40000 TO SUPPORT EXEMPT PURPOSE REFUGEE EDUCATION CENTER 2130 ENTERPRISE ST NE KENTWOOD MI 49508 061770896 501(C)(3) 50000 TO SUPPORT EXEMPT PURPOSE SENIOR SERVICES OF VAN BUREN COUNTY 08337 M140 HWY SOUTH HAVEN MI 49090 383200638 501(C)(3) 50000 TO SUPPORT EXEMPT PURPOSE THE AMITY FOUNDATION 24755 FORD RD DEARBORN MI 48128 474368843 501(C)(3) 15000 TO SUPPORT EXEMPT PURPOSE TRANSPORTATION RIDERS UNITED INC PO BOX 2668 DETROIT MI 48202 383588943 501(C)(3) 30000 TO SUPPORT EXEMPT PURPOSE TRUE NORTH COMMUNITY SERVICES PO BOX 149 FREMONT MI 49412 386158533 501(C)(3) 10000 TO SUPPORT EXEMPT PURPOSE WEST MI CENTER FOR ARTS AND TECHNOLOGY 98 E FULTON ST GRAND RAPIDS MI 49503 743120354 501(C)(3) 20000 TO SUPPORT EXEMPT PURPOSE WEST MICHIGAN HISPANIC CHAMBER OF COMMERCE FOUNDAT 2007 DIVISION AVENUE SOUTH GRAND RAPIDS MI 49507 275303783 501(C)(3) 290000 TO SUPPORT EXEMPT PURPOSE WOMEN'S RESOURCE CENTER 678 FRONT NW SUITE 180 GRAND RAPIDS MI 49504 382008886 501(C)(3) 20000 TO SUPPORT EXEMPT PURPOSE YMCA 475 LAKE MICHIGAN DR NW GRAND RAPIDS MI 49503 381358058 501(C)(3) 25000 TO SUPPORT EXEMPT PURPOSE YMCA OF GREATER MICHIANA INC 905 N FRONT STREET NILES MI 49120 381358236 501(C)(3) 26168 TO SUPPORT EXEMPT PURPOSE 50 0 SCHOLARSHIPS 37000 N/A N/A RESIDENT STIPENDS 56763813 N/A N/A SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS. COREWELL HEALTH AND ITS AFFILIATES PROVIDE GRANTS TO ORGANIZATIONS THAT HAVE A MISSIONS AND VALUES THAT CLOSELY ALIGN WITH THE MISSION AND VALUES OF COREWELL HEALTH. COREWELL HEALTH FOCUSES ON PROVIDING GRANTS TO ORGANIZATIONS THAT IMPROVE THE HEALTH OF THE UNDERSERVED IN THE COMMUNITY AND/OR ORGANIZATIONS THAT INCREASE ACCESS TO HEALTH CARE. RECIPIENTS RECEIVING GRANTS GREATER THAN $25,000 ARE REQUIRED TO SUBMIT TO COREWELL HEALTH QUARTERLY ITEMIZED FINANCIAL REPORTS. FOR GRANTS LESS THAN $25,000 COREWELL HEALTH DOCUMENTS THE RESTRICTION OF THE FUNDS FOR SPECIFIC PROGRAMS THAT SUPPORT THE UNDERSERVED OR INCREASE ACCESS TO HEALTH CARE. THE PURPOSE OF NOT REQUESTING FINANCIAL REPORTS FOR SMALLER GIFTS IS DUE TO THE SIGNIFICANT LEVEL OF EFFORT THAT IT WOULD IMPOSE UPON THE COMMUNITY ORGANIZATIONS WHO OFTEN HAVE LIMITED RESOURCES TO PROVIDE THE DOCUMENTATION. COREWELL HEALTH PROVIDES SCHOLARSHIPS TO LOCAL HIGH SCHOOL OR COLLEGE STUDENTS PURSUING MEDICAL CAREERS. TO BE ELIGIBLE FOR THE SCHOLARSHIP STUDENTS MUST PROVIDE ACADEMIC TRANSCRIPTS AND/OR LETTER OF ACCEPTANCE FROM AN ACCREDITED COLLEGE. SCHOLARSHIP FUNDS ARE PAID DIRECTLY TO THE STUDENT'S COLLEGE. STIPENDS: ENTITIES WITHIN THE GROUP RETURN PROVIDE STIPENDS TO MEDICAL RESIDENTS. APPLICANTS ARE SCORED USING SEVERAL KEY CRITERIA, THEN RANKED ACCORDINGLY. GRANTS WERE AWARDED SUPPORTING 921 MEDICAL RESIDENTS IN 2022. X X X true true X X X X X true true false false false false false true false ABEDELRAHIM ASFOUR MD DIRECTOR/CO-VICE CHAIR 119380 5500 0 0 46826 0 1073 0 0 0 167279 5500 0 0 NATALIE BAGGIO FORMER OFFICER 0 305836 0 80986 0 493 0 37994 0 44383 0 469692 0 0 SIMIN BEG MD DIRECTOR/CHAIR 266190 0 55230 0 10042 0 23565 0 24058 0 379085 0 0 0 MARTHA BOONSTRA SECRETARY 0 477813 0 136097 0 40550 0 68147 0 56792 0 779399 0 34562 TALAWNDA BRAGG MD DIRECTOR 299211 0 36384 0 6565 0 24153 0 20137 0 386450 0 0 0 BRIAN BRASSER FORMER OFFICER 0 486719 0 164182 0 52925 0 149492 0 80060 0 933378 0 47540 KONGKRIT CHAIYASATE MD PHYSICIAN 2150019 0 537850 0 24010 0 21050 0 61192 0 2794121 0 0 0 KASSEM CHARARA MD FORMER KEY EMPLOYEE 201495 0 26943 0 1451 0 42585 0 33355 0 305829 0 26943 0 MOHAMMAD CHISTI MD PHYSICIAN 771199 0 940399 0 21640 0 14500 0 50177 0 1797915 0 0 0 DAVID CLAEYS DIRECTOR/SECY/FMR KEY EMPLOYEE 621464 0 583630 0 2622 0 94709 0 32397 0 1334822 0 192005 0 MATTHEW COX CFO 0 1044193 0 390863 0 130316 0 400134 0 122843 0 2088349 0 124402 RAY CRUSE - 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PART YEAR EVP/CHIEF NURSING OFFICER 149058 0 415484 0 1962143 0 5800 0 6028 0 2538513 0 207742 0 MELINDA GRUBER DIRECTOR/CHAIR/FMR OFFICER 0 221739 0 46185 0 1432 0 15006 0 46654 0 331016 0 0 LOWELL HAMEL MD DIRECTOR/FMR OFFICER 0 517619 0 119987 0 110215 0 17963 0 21900 0 787684 0 102356 LOREN HAMEL MD DIRECTOR/PRESIDENT 0 733400 0 345302 0 336203 0 109441 0 28609 0 1552955 0 310296 BILL HOEFER FORMER OFFICER 0 360798 0 53281 0 2287 0 11033 0 70987 0 498386 0 0 THOMAS HUYCK FORMER OFFICER 0 276652 0 81406 0 920 0 11312 0 51090 0 421380 0 81406 ASHOK JAIN MD DIRECTOR 171656 0 54329 0 2834 0 36035 0 27388 0 292242 0 54329 0 CARA JANSMA FORMER OFFICER 0 273499 0 80956 0 15405 0 17041 0 60399 0 447300 0 12529 DEBRA JOHNSON DIRECTOR/SECRETARY 0 191546 0 22868 0 1203 0 10220 0 15811 0 241648 0 0 SHELLY JOHNSON FORMER OFFICER 0 94439 0 6617 0 583 0 4034 0 24388 0 130061 0 0 JANE JORDAN - PART YEAR GENERAL COUNSEL 145582 0 376708 0 1525053 0 5767 0 5572 0 2058682 0 0 0 JONATHAN KAPER MD FORMER KEY EMPLOYEE 167068 0 27633 0 514 0 35048 0 1047 0 231310 0 27633 0 HANS KEIL - PART YEAR SVP/CIO 141566 0 278716 0 1324046 0 13552 0 10912 0 1768792 0 142503 0 MICHAEL KHOURY MD FORMER KEY EMPLOYEE 242040 0 49586 0 2600 0 65721 0 26383 0 386330 0 49586 0 MICHAEL KING FORMER OFFICER 0 225047 0 38220 0 79198 0 12114 0 26644 0 381223 0 0 JOSEPH KLESNEY FORMER OFFICER 0 176690 0 41226 0 1599 0 11012 0 24852 0 255379 0 0 THOMAS KNOERL FORMER OFFICER 0 112297 0 50882 0 4248 0 7276 0 11487 0 186190 0 0 PAUL KONOPACKI DIRECTOR/TREAS/FMR OFFICER 0 316986 0 109732 0 35980 0 94643 0 60032 0 617373 0 35248 HEATHER LALLO DIRECTOR/TREASURER 0 199058 0 48749 0 1885 0 12672 0 27827 0 290191 0 0 ANDREA LESLIE FORMER OFFICER 0 367307 0 107011 0 33743 0 92149 0 67566 0 667776 0 30425 JAMES LYNCH MD FORMER KEY EMPLOYEE 20157 0 246500 0 21251 0 5800 0 2643 0 296351 0 147900 0 MICHELINO MANCINI DIRECTOR 0 271610 0 26555 0 342 0 8148 0 266 0 306921 0 0 JONATHAN MANER FORMER KEY EMPLOYEE 334812 0 150010 0 7734 0 14500 0 19513 0 526569 0 120008 0 HOSSAIN MARANDI MD FORMER KEY EMPLOYEE 0 603212 0 177606 0 23450 0 12431 0 94382 0 911081 0 21351 PAOLO MARCIANO MD DIRECTOR/PRES/FMR KEY EMPLOYEE 379524 0 101475 0 1081 0 201298 0 5454 0 688832 0 0 0 KERRI NELSON FORMER OFFICER 0 173828 0 41867 0 1594 0 11657 0 25229 0 254175 0 0 LEE ANN ODOM FORMER KEY EMPLOYEE 325679 0 361659 0 1816 0 5800 0 15289 0 710243 0 123633 0 LISA OUELLETTE FORMER KEY EMPLOYEE 198188 0 135503 0 3524 0 13693 0 23870 0 374778 0 41359 0 KAREN PAKKALA DIRECTOR/TREASURER/SECRETARY 0 289553 0 85272 0 7225 0 17983 0 40368 0 440401 0 0 BRIAN PHILLIPS FORMER OFFICER 290096 0 11206 0 11712 0 23369 0 20260 0 356643 0 0 0 SOROYA PIERRE-VANARTSEN DIRECTOR/PRESIDENT 0 199112 0 39588 0 13854 0 10521 0 51923 0 314998 0 0 JEFFREY POSTMA DO DIRECTOR 603463 0 0 0 4902 0 15633 0 26606 0 650604 0 0 0 RYAN POWERS FORMER OFFICER 0 221486 0 50915 0 22147 0 14424 0 23857 0 332829 0 0 SURENDER RAJASEKARAN DIRECTOR 398990 0 0 0 10217 0 24866 0 24838 0 458911 0 0 0 JODIE RAPPE MD FORMER KEY EMPLOYEE 320126 0 27007 0 22894 0 52900 0 12008 0 434935 0 0 0 MICHAEL REBOCK DO FORMER KEY EMPLOYEE 274660 0 87798 0 20766 0 51659 0 4457 0 439340 0 87798 0 DIANE ROTH DIRECTOR/TREASURER/CFO 264931 0 373111 0 3762 0 5800 0 1663 0 649267 0 200906 0 GWEN SANDEFUR FORMER OFFICER 0 0 0 0 0 501120 0 0 0 0 0 501120 0 222198 DOMINIC SANFILIPPO MD FORMER KEY EMPLOYEE 509689 0 151553 0 20598 0 55063 0 27530 0 764433 0 0 0 ROBIN SARKAR FORMER OFFICER 0 223022 0 84834 0 223860 0 11925 0 27110 0 570751 0 99430 TAMMY SCARBOROUGH FORMER KEY EMPLOYEE 104213 0 185583 0 9098 0 11847 0 12368 0 323109 0 111390 0 JOHN SCHUEN MD FORMER OFFICER 325945 0 46616 0 18125 0 28394 0 28567 0 447647 0 0 0 BENJAMIN SCHWARTZ MD DIRECTOR 0 561381 0 300050 0 57381 0 4388 0 37977 0 961177 0 0 JOHN SELLA FORMER OFFICER 0 200810 0 50947 0 4635 0 12849 0 13275 0 282516 0 48875 JASON SLAIKEU MD FORMER OFFICER 636911 0 209358 0 7864 0 25165 0 20828 0 900126 0 0 0 KEVIN SMITH DIRECTOR/TREAS/SECY/FMR OFFICE 0 195511 0 47479 0 1258 0 10423 0 23179 0 277850 0 0 ANTHONY STALLION MD DIRECTOR 947231 0 5500 0 15444 0 14500 0 37045 0 1019720 0 0 0 NANCY SUSICK PRESIDENT WBH/DIRECTOR 678710 0 626185 0 98245 0 431190 0 29542 0 1863872 0 225002 0 PRAVEEN THADANI DIRECTOR 0 1101941 0 435715 0 6049 0 341826 0 131938 0 2017469 0 435715 NORMA TIRADO-KELLENBERGER FORMER OFFICER 0 243447 0 105181 0 118198 0 46475 0 56231 0 569532 0 46308 LYNN TODMAN FORMER OFFICER 0 315211 0 77022 0 4075 0 15410 0 33546 0 445264 0 0 KENDALL TROYER FORMER OFFICER 0 259800 0 67453 0 42800 0 16151 0 55666 0 441870 0 0 CHAD TUTTLE DIRECTOR/PRES/FMR OFFICER 0 539109 0 155252 0 35102 0 73196 0 87012 0 889671 0 30884 MARY KAY VANDRIEL FORMER OFFICER 0 280277 0 98829 0 37862 0 68971 0 54018 0 539957 0 33388 ANNICA WAALKES MD DIRECTOR 351703 0 30662 0 8383 0 24820 0 1297 0 416865 0 0 0 DAN WASSENHOVE TREASURER 0 111489 0 13520 0 2811 0 7366 0 20990 0 156176 0 0 ROBERT WELSH MD DIRECTOR/CO-VICE CHAIR 261272 0 5500 0 4696 0 19549 0 40742 0 331759 0 0 0 CAROLYN WILSON FMR KEY EMPLOYEE/FMR OFFICER 0 0 450061 0 0 0 0 0 0 0 450061 0 255654 0 DAVID WOOD MD FORMER OFFICER 0 0 354685 0 0 0 0 0 0 0 354685 0 208883 0 SCHEDULE J, PART I, LINE 1A FIRST - CLASS OR CHARTER TRAVEL THE ORGANIZATION HAS PROVIDED FIRST CLASS TRAVEL AND/OR CHARTER TRAVEL FOR CERTAIN EXECUTIVE EMPLOYEES AND/OR BOARD MEMBERS IN LIMITED SITUATIONS, FIRST CLASS AND/OR CHARTER TRAVEL IS UTILIZED WHEN COMMERCIAL AIR TRAVEL WAS NOT AVAILABLE FOR A DESTINATION, OR NOT EFFICIENT DUE TO ITS SCHEDULES AND/OR CONNECTIONS, AND ALSO FOR BI-ANNUAL BOARD RETREAT TRAVEL. TO THE EXTENT THE BENEFIT IS DEEMED REPORTABLE, IS IS TREATED AS TAXABLE COMPENSATION IN A 1099 OR W-2 TO THE RECIPIENT. TRAVEL FOR COMPANIONS THE ORGANIZATION HAS PROVIDED TRAVEL FOR COMPANIONS FOR CERTAIN EXECUTIVE EMPLOYEES AND/OR BOARD MEMBERS IN LIMITED SITUATIONS. TO THE EXTENT THE BENEFIT IS DEEMED REPORTABLE, IT IS TREATED AS TAXABLE COMPENSATION IN A 1099 OR W-2 TO THE RECIPIENT. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE THE ORGANIZATION HAS PROVIDED HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE FOR CERTAIN SENIOR EXECUTIVE LEADERS. TO THE EXTENT THE BENEFIT IS DEEMED REPORTABLE, IT IS TREATED AS TAXABLE COMPENSATION IN A W-2 TO THE RECIPIENT. SCHEDULE J, PART I, LINE 3 SEE DISCLOSURE ON SCHEDULE O FOR FORM 990, PART VI, SECTION B, LINE 15A. SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE-OF-CONTROL PAYMENT JOHN FOX $ 6,298,988 SUSAN GRANT $ 1,513,549 JANE JORDAN $ 1,434,387 HANS KEIL $ 1,175,649 RAY CRUSE $ 151,407 ANGELA DITMAR $ 64,368 GWEN SANDEFUR $ 278,922 ROBIN SARKAR $ 56,383 NORMA TIRADO-KELLENBERGER $ 68,257 SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN JOHN FOX $ 779,342 SUSAN GRANT $ 445,537 ANGELA DITMAR $ 445,528 PRAVEEN G. THADANI $ 435,715 LOREN HAMEL M.D. $ 310,296 CHRISTINA FREESE DECKER $ 267,256 GWEN SANDEFUR $ 222,198 LESLIE FLAKE $ 193,617 HANS KEIL $ 125,930 MATTHEW E. COX $ 124,402 DARRYL ELMOUCHI M.D. $ 114,451 LOWELL HAMEL M.D. $ 102,356 ROBIN SARKAR $ 99,430 JANE JORDAN $ 88,380 THOMAS HUYCK $ 81,406 NANCY SUSICK $ 69,167 RAY CRUSE $ 59,704 JOHN SELLA $ 48,875 BRIAN BRASSER $ 47,540 NORMA TIRADO-KELLENBERGER $ 46,308 PAUL KONOPACKI $ 35,248 MARTHA BOONSTRA $ 34,562 MARY KAY VANDRIEL $ 33,388 CHAD TUTTLE $ 30,884 ANDREA LESLIE $ 30,425 HOSSAIN MARANDI M.D. $ 21,351 DREW DOSTAL $ 15,410 CARA JANSMA $ 12,529 SCHEDULE J, PART I, LINE 7 SCHEDULE J, PART I, LINE 7, IS ANSWERED YES BECAUSE CERTAIN INDIVIDUALS, WHOSE SALARY AND BENEFITS ARE PAID BY THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION, RECEIVED A NON-FIXED PAYMENT DURING THE YEAR. THE NON-FIXED PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN C. A CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY 386004646 780486HD1 2014-05-13 468172825 SEE PART VI false false false B CITY OF ROYAL OAK HOSPITAL FINANCE AUTHORITY 386004646 000000000 2014-05-13 100000000 SEE PART VI false false false A 468172825 0 468172825 0 0 0 3305964 0 0 0 464866861 0 2014 false true true true B 100000000 0 100000000 0 0 0 0 0 0 0 100000000 0 2014 true false true true A false false true true false 0.00700 0.00000 0.00700 false false 0.00000 false false B false false true true false 0.00000 0.00000 0.00000 false false 0.00000 false false A false false false true false false 0 false 0 false false B false false true false true false 0 false 0 false false A false B false PART I, COLUMN F: DESCRIPTION OF PURPOSE: BOND A - (2014D) REFINANCE SERIES 2009V ISSUED 1/28/2009. BOND B - (2012 Y&Z) REDINANCE PORTION OF SERIES 2001M ISSUED 5/21/2001. PART IV, LINE 2: BOND A - DATE OF REBATE COMPUTATION WAS 1/10/2019. PART IV, LINE 6: BOND A - THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH THE PROCEEDS OF THE BOND. A MICHIGAN FINANCE AUTHORITY 800596186 59447PLJ8 2012-05-01 161691656 SEE PART VI false false false B MICHIGAN FINANCE AUTHORITY 800596186 59447PUT6 2013-04-25 53999789 SEE PART VI false false false A 161691855 0 161691855 0 0 0 1687398 0 0 25289969 134714488 0 2012 true true true true B 53999789 0 53999789 0 0 0 667921 0 0 0 53331868 0 2013 true false true true A false false true true false 0.00000 0.00000 0.00000 false false 0.00000 false false B false false true true false 0.00000 0.00000 0.00000 false false 0.00000 false true A false false true false false false 0 false 0 false false B false false true false false false 0 false 0 false false A false B false PART I, COLUMN F: DESCRIPTION OF PURPOSE: BOND A - FINANCE HOSPITAL/PARTIAL REFUND OF BONDS ISSUED 4/7/1988, 12/10/2002, AND 11/13/2003. BOND B - REFUNDING OF BONDS ISSUED 4/7/1998. PART II, LINE 3: BOND A - THE DIFFERENCE BETWEEN THE LINE 3 AND SCHEDULE K, PART I, COLUMN (E) AMOUNTS REPRESENTS INVESTMENT EARNINGS. PART IV, LINE 6: BOND A - THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS. A MICHIGAN FINANCE AUTHORITY 800596186 59447P6N6 2015-01-28 469258819 SEE PART VI false false false B MICHIGAN FINANCE AUTHORITY 800596186 59447THE3 2016-02-04 323514381 SEE PART VI false false false C MICHIGAN FINANCE AUTHORITY 800596186 000000000 2016-12-08 65000000 SEE PART VI false false false D MICHIGAN FINANCE AUTHORITY 800596186 59447T3W1 2022-05-12 964174661 2022AB HOSPITAL REFUNDING BONDS false false false A 469258819 0 469258819 0 0 0 4104287 0 0 465154532 0 0 2015 false false true true B 0 0 325929759 0 0 0 2521713 0 0 323408046 0 0 2019 false false true true C 65000000 0 65000000 0 0 0 36646 0 0 0 64963354 0 2016 true false true true D 39965000 0 964174661 0 0 0 0 0 0 0 964174661 0 2022 true false true true A false false true true false 0.00000 0.00000 0.00000 false false 0.00000 false true B false false true true false 0.00000 0.00000 0.00000 false false 0.00000 false true C false false true true false 0.00000 0.00000 0.00000 false false 0.00000 false true D false false true true false 0.00000 0.00000 0.00000 false false 0.00000 false true A false false false true false false 0 false 0 false true B false false false true false false 0 false 0 false true C false true false false true false 0 false 0 false true D false false false false false false 0 false 0 false true A false B false C false D false PART I, COLUMN F: DESCRIPTION OF PURPOSE: BOND A - TO ACQUIRE ASSETS OF WILLIAM BEAUMONT HOSPITAL, BOTSFORD GENERAL HOSPITAL, AND OAKWOOD HEALTHCARE, INC. BOND B - 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. BOND C - TO REFUND BONDS ISSUED 12/19/2012. PART II, LINE 3: BOND B - THE DIFFERENCE BETWEEN THE LINE 3 AND SCHEDULE K, PART I, COLUMN (E) AMOUNTS REPRESENTS INVESTMENT EARNINGS. PART IV, LINE 2: BOND A - DATE OF REBATE COMPUTATION: 2/11/2020. BOND B - DATE OF REBATE COMPUTATION: 1/26/2021. A HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MI) 383151499 790678CC8 2003-12-17 41525000 SEE PART VI false false false B HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MI) 383151499 790678CD6 2006-01-26 50000000 SEE PART VI false false false A 22543043 0 41643043 0 0 0 193091 0 31392506 10057446 0 0 2004 true false true true B 18138405 0 52613405 0 0 0 467500 0 1012738 51133167 0 0 2007 false false true true A false false true true false 0.00000 0.00000 0.00000 false false 0.00000 false false B false false false false 0.00000 0.00000 0.00000 false false 0.00000 false false A false false true false true true UBS AG 28. false false false 0 false false B true true true UBS AG 28.9 false false true CITIGROUIP GLOBAL MA 2.7 true false false A false B false PART I, COLUMN F: DESCRIPTION OF PURPOSE: BOND A - REFUND BONDS ISSUED 1/13/1994 AND FACILITY CONSTRUCTION AND IMPROVEMENTS. BOND B - FACILITY CONSTRUCTION AND IMPROVEMENTS. PART II, LINE 3: BONDS A AND B - THE DIFFERENCE BETWEEN THE LINE 3 AND SCHEDULE K, PART I, COLUMN (E) AMOUNTS REPRESENTS INVESTMENT EARNINGS. A HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MI) 383151499 000000000 2012-09-06 8500000 NEW FACILITY CONSTRUCTION false false false A 2165000 0 0 8500000 0 0 105875 0 0 8394125 0 0 2012 false false true true A false false false false 0.00000 0.00000 0.00000 false false false false A true false false 0 false 0 false false A false BOND ISSUE 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 A KENT HOSPITAL FINANCE AUTHORITY (2014AB) 382350002 000000000 2014-01-15 111850000 SEE PART VI false false true B KENT HOSPITAL FINANCE AUTHORITY (2015A) 382350002 490580EG8 2015-01-13 78400000 REVENUE REFUNDING BONDS false false false C KENT HOSPITAL FINANCE AUTHORITY (2017A) 382350002 000000000 2019-03-21 56490000 REVENUE REFUNDING BONDS (2017A REI false false false A 16685000 0 111850000 0 0 0 245000 0 0 0 111605000 0 2014 true false true true B 0 0 78400000 0 0 0 880000 0 0 0 77520000 0 2015 true false true true C 0 0 56490000 0 0 0 0 0 0 0 56490000 0 2017 true false true true A false false true true true true 0.00000 0.00100 0.00100 false false 0.00000 false true B false false true true true true 0.00000 0.00000 0.00000 false false 0.00000 false true C false false true true true true 0.00000 0.00000 0.00000 false false 0.00000 false true A false true true false 0 false 0 false true B false true true false 0 false 0 false true C false true true false 0 false 0 false true A true B true C true PART I, COLUMN F: DESCRIPTION OF PURPOSE: BOND A - 2008A2 ZCH 2010 GERBER 2002&2007 REVENUE REFUNDING BONDS PART IV, LINE 2C: BOND A - DATE OF REBATE CALCULATION WAS JUNE 18, 2014. BOND B - DATE OF REBATE CALCULATION WAS JUNE 3, 2015. BOND C - DATE OF REBATE CALCULATION WAS DECEMBER 22, 2017. A KENT HOSPITAL FINANCE AUTHORITY (2008A & 2008B) 382350002 490580CW5 2008-04-15 471211001 2001B, 2007A & 2007B REFUNDING BON false false false B KENT HOSPITAL FINANCE AUTHORITY (2008C) 382350002 490580CY1 2008-09-09 67200000 1998B REFUNDING BOND false false true C KENT HOSPITAL FINANCE AUTHORITY (2011AB) 382350002 490580DQ7 2011-06-22 212859639 2005B & 2008B1 REVENUE REFUNDING B false false false D KENT HOSPITAL FINANCE AUTHORITY (2012A) 382350002 000000000 2018-10-24 56490000 SEE PART VI false false false A 421211001 0 471211001 0 13556465 0 2528820 0 0 0 455125716 0 2008 true false true true B 67200000 0 67200000 0 0 0 0 0 0 0 67200000 0 2008 true false true true C 109089639 0 212859639 0 0 0 1359065 0 0 50000574 161500000 0 2011 true false true true D 0 0 56490000 0 0 0 0 0 0 0 56490000 0 2012 true false true true A false false true true true true 0.00000 0.00000 0.00000 false false 0.00000 false true B false false true true true true 0.00000 0.00000 0.00000 false false 0.00000 false true C false false true true true true 0.00000 0.00000 0.00000 false false 0.00000 false true D false false true true true true 0.00000 0.00000 0.00000 false false 0.00000 false true A false true true false 0 false 0 false true B false true true false 0 false 0 false true C false true true false 0 false 0 false true D false true true false 0 false 0 false true A true B true C true D true PART I, COLUMN F: DESCRIPTION OF PURPOSE: BOND D - 2012A REV REFUNDING BONDS - REISSUED (2008A1 & 2008B2 REVENUE REFUNDING BONDS). PART IV, LINE 2C: BOND A - DATE OF REBATE COMPUTATION WAS 7/15/2009. BOND B - DATE OF REBATE COMPUTATION WAS 7/15/2009. BOND C - DATE OF REBATE COMPUTATION WAS 8/13/2012. BOND D - DATE OF REBATE COMPUTATION WAS 8/13/2012. SERVICE EXPRESS 35% OWNED ENTITY OF DIRECTOR 417057 SERVICES false BENNETT RANVILLE GROUP 35% OWNED ENTITY OF DIRECTOR 100000 SERVICES false KIM DAHMER FAMILY MEMBER OF DIRECTOR SETH GRIFFIN 88303 EMPLOYMENT false LESLIE SCHULTE FAMILY MEMBER OF FORMER OFFICER BRIAN PHILLIPS 104996 EMPLOYMENT false SUSAN PHILLIPS FAMILY MEMBER OF FORMER OFFICER BRIAN PHILLIPS 85315 EMPLOYMENT false KATHERNE DEIGHAN FAMILY MEMBER OF FORMER OFFICER JOHN SCHUEN 35291 EMPLOYMENT false ALVIN SUSICK III FAMILY MEMBER OF DIRECTOR NANCY SUSICK 102590 EMPLOYMENT false HANNAH SUSICK FAMILY MEMBER OF DIRECTOR NANCY SUSICK 113844 EMPLOYMENT false ELLIE TROYER FAMILY MEMBER OF FORMER OFFICER KENDALL TROYER 19670 EMPLOYMENT false PHILLIP WAALKES FAMILY MEMBER OF DIRECTOR ANNICA WAALKES M.D. 318660 EMPLOYMENT false X 1 165 MARKET VALUE X 56865 MARKET VALUE X 3834 336410 MARKET VALUE X 27 10289 MARKET VALUE X MEDICAL SUPPLIES 6 160995 MARKET VALUE X CERTIFICATES/EVENTS 395 18571 MARKET VALUE X TOYS 24 10718 MARKET VALUE X AUCTION ITEMS 201 43549 MARKET VALUE false true false SCHEDULE M, PART I SCHEDULE M, PART I EXPLANATIONS OF REPORTING METHOD FOR NUMBER OF CONTRIBUTIONS. ART - WORKS OF ART - NUMBER OF CONTRIBUTIONS FOOD INVENTORY - NUMBER OF CONTRIBUTIONS OTHER - MEDICAL SUPPLIES - NUMBER OF CONTRIBUTIONS OTHER - CERTIFICATES/EVENTS - NUMBER OF CONTRIBUTIONS OTHER - TOYS - NUMBER OF CONTRIBUTIONS OTHER - VARIOUS - NUMBER OF CONTRIBUTIONS SECURITIES - PUBLICLY TRADED - NUMBER OF CONTRIBUTIONS FORM 990, PART III, LINE 4A IN 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 SYSTEM'S NEW 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 22 HOSPITALS, MORE THAN 300 OUTPATIENT LOCATIONS AND POST-ACUTE CARE FACILITIES. IT HAS ABOUT 64,000 EMPLOYEES INCLUDING MORE THAN 11,500 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS. DURING THE YEAR ENDED DECEMBER 31, 2022, THE COREWELL HEALTH INTEGRATED HEALTH SYSTEM PROVIDED NEARLY $1.047 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 31 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. COREWELL HEALTH FOUNDATION WEST MICHIGAN SURPASSED ITS GOAL FOR THE FIRST PHASE OF ITS BEHAVIORAL HEALTH INITIATIVE, WHICH INCLUDED A NEW YOUTH BEHAVIORAL HEALTH CLINIC AND AN EXPANSION OF THE BLUE ENVELOPE SUICIDE PREVENTION PROGRAM. COREWELL HEALTH FOUNDATION SOUTHWEST MICHIGAN CELEBRATED THE LONG-ANTICIPATED OPENING OF THE ST. JOSEPH HOSPITAL PAVILION. PHILANTHROPIC SUPPORT WAS ESSENTIAL TO THIS MISSION-CRITICAL FACILITY DEDICATED TO DELIVERING WORLD-CLASS CARE TO ITS COMMUNITIES. IN ADDITION TO THE INTEGRATION OF THE TWO SYSTEMS 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: EPIC AWARDED COMMUNITY CONNECT ACCREDITATION TO OUR DIGITAL SERVICES. CORAZON, INC., ACCREDITED COREWELL HEALTH LAKELAND HOSPITALS - ST. JOSEPH HOSPITAL'S TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR) PROGRAM. THE CHARTIS CENTER FOR RURAL HEALTH RECOGNIZED COREWELL HEALTH BIG RAPIDS HOSPITAL IN ITS TOP 100 RURAL AND COMMUNITY HOSPITALS LIST. HEALTHGRADES INCLUDED COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL IN ITS LIST OF 24 LEADING HOSPITALS IN EARLY COVID CARE. NEWSWEEK INCLUDED COREWELL HEALTH BEAUMONT GROSSE POINTE, COREWELL HEALTH BEAUMONT TROY, COREWELL HEALTH BUTTERWORTH, COREWELL HEALTH TRENTON AND COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITALS IN ITS LIST OF WORLD'S BEST HOSPITALS 2022. THE ARBOR DAY FOUNDATION RECOGNIZED COREWELL HEALTH BLODGETT AND COREWELL HEALTH BUTTERWORTH HOSPITALS AS 2021 TREE CAMPUS HEALTHCARE FACILITIES. THE ECONOMIC ALLIANCE FOR MICHIGAN AWARDED ITS HOSPITAL PATIENT SAFETY AWARD TO COREWELL HEALTH BEAUMONT TROY, COREWELL HEALTH GREENVILLE AND COREWELL HEALTH ZEELAND HOSPITALS. THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES GRANTED HELEN DEVOS CHILDREN'S HOSPITAL'S PEDIATRIC INTENSIVE CARE UNIT AND PEDIATRIC CARDIAC INTENSIVE CARE UNITSILVER-LEVEL STATUS IN ITS BEACON AWARD FOR EXCELLENCE PROGRAM. THE AMERICAN NURSES CREDENTIALING CENTER DESIGNATED COREWELL HEALTH FARMINGTON HILLS AND COREWELL HEALTH TAYLOR HOSPITALS AS MAGNET HOSPITALS. GIFT OF LIFE MICHIGAN RECOGNIZED COREWELL HEALTH DEARBORN HOSPITAL AS ITS DONOR HOSPITAL OF THE YEAR AND HONORED THE LABORATORY AT COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL WITH ITS INNOVATION AWARD. THE AMERICAN HOSPITAL ASSOCIATION RECOGNIZED COREWELL HEALTH WITH ITS 2021 JUSTIN FORD KIMBALL INNOVATORS AWARD. THE LEAPFROG GROUP AWARDED A'S IN PATIENT SAFETY TO COREWELL HEALTH BIG RAPIDS, COREWELL HEALTH GREENVILLE, COREWELL HEALTH LUDINGTON, COREWELL HEALTH NILES, COREWELL HEALTH ST. JOSEPH AND COREWELL HEALTH ZEELAND HOSPITALS. THE PARENT PROJECT MUSCULAR DYSTROPHY (PPMD) DESIGNATED HELEN DEVOS CHILDREN'S HOSPITAL A CERTIFIED DUCHENNE CARE CENTER. THE JOINT COMMISSION CERTIFIED COREWELL HEALTH BIG RAPIDS HOSPITAL AS A PRIMARY STROKE CENTER. THE ASSOCIATION FOR HEALTHCARE PHILANTHROPY (AHP) RECOGNIZED THE COREWELL HEALTH WEST AND HELEN DEVOS CHILDREN'S HOSPITAL FOUNDATIONS AS HIGH PERFORMERS IN 2021. THE AMERICAN HEALTH CARE ASSOCIATION AND NATIONAL CENTER FOR ASSISTED LIVING (AHCA/NCAL) RECOGNIZED THE REHABILITATION AND NURSING CENTER AT REED CITY HOSPITAL WITH A BRONZE - COMMITMENT TO QUALITY AWARD IN ITS NATIONAL QUALITY AWARD PROGRAM. SUPPLY & DEMAND CHAIN EXECUTIVE HONORED COREWELL HEALTH WITH IS 2022 TOP SUPPLY CHAIN PROJECTS AWARD. THE AMERICAN HEART ASSOCIATION/ AMERICAN STROKE ASSOCIATION GRANTED STROKE GOLDPLUS STATUS TO OUR HOSPITALS IN WEST MICHIGAN IN ITS GET WITH THE GUIDELINES PROGRAM. THE COMMISSION OF ACCREDITATION OF REHABILITATION FACILITIES ACCREDITED COREWELL HEALTH WATERVLIET HOSPITAL'S INPATIENT REHABILITATION AND STROKE SPECIALTY PROGRAMS FOR ADULTS. FORTUNE/MERATIVE INCLUDED COREWELL HEALTH GREENVILLE HOSPITAL IN ITS 100 TOP HOSPITALS LIST. THE AMERICAN HEART ASSOCIATION/ AMERICAN STROKE ASSOCIATION GRANTED STROKE GOLDPLUS STATUS TO OUR HOSPITALS IN SOUTHWEST MICHIGAN IN ITS GET WITH THE GUIDELINES PROGRAM. THE MICHIGAN HEALTH & HOSPITAL ASSOCIATION HONORED THE CENTER FOR BETTER HEALTH AND WELLNESS WITH THE 2022 MHA LUDWIG COMMUNITY BENEFIT AWARD. THE AWARD INCLUDED SUPPORT TO FUND A HEALTH EQUITY LEADERSHIP DEVELOPMENT PROGRAM. THE AMERICAN HOSPITAL ASSOCIATION BESTOWED ITS 2022 AHA DICK DAVIDSON NOVA AWARD ON COREWELL HEALTH'S SCHOOL BLUE ENVELOPE SUICIDE PREVENTION PROGRAM. EPIC AWARDED GOLD STARS LEVEL 10 STATUS-THE HIGHEST RECOGNITION THAT CAN BE ACHIEVED-TO OUR DIGITAL SERVICES. EPIC RECOGNIZED OUR DIGITAL SERVICES WITH CUM LAUDE HONOR ROLL DISTINCTION. THE ECONOMIC ALLIANCE FOR MICHIGAN BESTOWED ITS MATERNITY CARE EXCELLENCE AWARD ON COREWELL HEALTH GERBER, COREWELL HEALTH GREENVILLE, COREWELL HEALTH NILES, COREWELL HEALTH PENNOCK, COREWELL HEALTH ST. JOSEPH AND COREWELL HEALTH ZEELAND HOSPITALS. VIZIENT, INC., DESIGNATED COREWELL HEALTH BIG RAPIDS AND COREWELL HEALTH ZEELAND HOSPITALS TOP PERFORMERS IN THE 2022 BERNARD A. BIRNBAUM, MD, QUALITY LEADERSHIP RANKING. THE JOINT COMMISSION CERTIFIED COREWELL HEALTH PENNOCK HOSPITAL AS A PRIMARY STROKE CENTER. HOUR MAGAZINE (DETROIT) INCLUDED MORE THAN 400 COREWELL HEALTH PHYSICIANS IN ITS "TOP DOCS" LIST. MONEY.COM NAMED COREWELL HEALTH GERBER, COREWELL HEALTH GREENVILLE, COREWELL HEALTH NILES, COREWELL HEALTH PENNOCK, COREWELL HEALTH ST. JOSEPH AND COREWELL HEALTH ZEELAND HOSPITALS TO ITS 2022 BEST HOSPITALS FOR MATERNITY CARE LIST. SERAMOUNT RECOGNIZED COREWELL HEALTH AS A BEST COMPANY FOR MULTICULTURAL WOMEN. COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL WAS ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR RECTAL CANCER (NAPRC). THE JOINT COMMISSION CERTIFIED COREWELL HEALTH GREENVILLE HOSPITAL AS A PRIMARY STROKE CENTER. THE COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES (CHIME) GRANTED LEVEL 10 MARKS TO COREWELL HEALTH FOR OUR ACUTE CARE AND AMBULATORY CARE FACILITIES IN WEST MICHIGAN AND LEVEL 9 MARKS FOR OUR LONG-TERM AND POST-ACUTE CARE FACILITIES IN SOUTHWEST MICHIGAN. THE PARKINSON'S FOUNDATION CERTIFIED OUR NEUROLOGY MOVEMENT DISORDERS PROGRAM AS A COMPREHENSIVE CARE CENTER FOR PARKINSON'S DISEASE. THE COMMISSION ON CANCER ACCREDITED COREWELL HEALTH'S INTEGRATED NETWORK CANCER PROGRAM. FORM 990, PART III, LINE 4A CONTINUED SERAMOUNT INCLUDED COREWELL HEALTH IN ITS SIXTH ANNUAL SERAMOUNT INCLUSION INDEX. THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES DESIGNATED BUTTERWORTH HOSPITAL A REGIONAL EMERGING SPECIAL PATHOGEN TREATMENT CENTER (RESPTC), ONE OF 13 IN THE COUNTRY. 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. GARTNER RANKED COREWELL HEALTH #3 IN ITS HEALTHCARE SUPPLY CHAIN TOP 25 FOR 2022 LIST. THE LEAPFROG GROUP AWARDED A'S IN PATIENT SAFETY TO COREWELL HEALTH BIG RAPIDS, COREWELL HEALTH GREENVILLE, COREWELL HEALTH LUDINGTON, COREWELL HEALTH NILES, COREWELL HEALTH ST. JOSEPH AND COREWELL HEALTH ZEELAND HOSPITALS. THE MICHIGAN SPINE SURGERY IMPROVEMENT COLLABORATIVE (MSSIC) IMPLEMENTED A STATEWIDE RECOMMENDATION TO ESTABLISH SPINE SURGERY TREATMENT PLANS IN LINE WITH THOSE USED AT COREWELL HEALTH. NEWSWEEK INCLUDED THREE COREWELL HEALTH REHABILITATION AND NURSING FACILITIES ON ITS LIST OF THE NATION'S BEST NURSING HOMES OF 2023. U.S. NEWS & WORLD REPORT RANKED COREWELL HEALTH BLODGETT, COREWELL HEALTH BUTTERWORTH, COREWELL HEALTH GERBER, COREWELL HEALTH GREENVILLE, COREWELL HEALTH PENNOCK AND COREWELL HEALTH ZEELAND HOSPITALS AS HIGH PERFORMING IN THE AREA OF MATERNITY CARE (UNCOMPLICATED PREGNANCY). 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. SIX OUT OF COREWELL HEALTH'S SEVEN REHABILITATION AND NURSING FACILITIES RECEIVED 5-STAR RATINGS FROM CMS. COREWELL HEALTH WAS NAMED THE #15 BEST PLACE TO WORK IN IT IN 2023 BY FOUNDRY'S COMPUTERWORLD. FORM 990, PART V, LINE 7A DEDUCTIBLE CONTRIBUTIONS THE FOLLOWING ORGANIZATIONS INCLUDED IN THE GROUP RETURN RECEIVED A PAYMENT IN EXCESS OF $75 MADE PARTLY AS A CONTRIBUTION AND PARTLY FOR GOODS AND SERVICES PROVIDED TO THE PAYOR. COREWELL HEALTH FOUNDATION WEST MICHIGAN (EIN 38-2752328) FORM 990, PART VI, LINE 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS PRAVEEN THADANI, CHRISTINA FREESE DECKER AND MATTHEW COX HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF PRIORITY HEALTH MANAGED BENEFITS, INC., A RELATED TAXABLE ENTITY. FORM 990, PART VI, LINE 4 SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS LAKELAND HOSPITALS AT NILES AND ST. JOSEPH, INC. THE BYLAWS WERE FULLY AMENDED AND RESTATED TO BRING THEIR FORM INTO ALIGNMENT WITH ORGANIZATIONAL FORMS. MATERIAL CHANGES INCLUDE: A - ADDING LANGUAGE REGARDING COMPLIANCE WITH SYSTEM-WIDE POLICIES, B - MODIFYING THE OFFICERS TO REDUCE THE NAMED OFFICERS TO CHAIR, VICE-CHAIR, PRESIDENT, TREASURER AND SECRETARY, AND REMOVES EX-OFFICIO ROLES THAT WERE INCONSISTENT WITH GOVERNANCE DIRECTION, C - REMOVES STANDING COMMITTEES TO PROVIDE THE BOARD WITH FLEXIBILITY TO ESTABLISH NECESSARY STANDING COMMITTEES FROM TIME TO TIME WITHOUT AMENDMENT TO THE BYLAWS, D - MODIFY THE MEDICAL STAFF SECTION TO SIMPLIFY THE OVERSIGHT OF THE MED STAFF, E - UPDATED THE INDEMNIFICATION OF OFFICERS AND DIRECTORS TO CURRENT STANDARDS, AND F - INCLUDE UPDATED CLAUSES RELATED TO FISCAL MATTERS, CONFLICTS OF INTEREST, AUTHORITY OF THE SYSTEM, WAIVER OF NOTICE AND DEDICATION OF ASSETS FOR 501(C)(3) PURPOSES. LAKELAND COMMUNITY HOSPITAL, WATERVLIET THE BYLAWS WERE FULLY AMENDED AND RESTATED TO BRING THEIR FORM INTO ALIGNMENT WITH ORGANIZATIONAL FORMS. MATERIAL CHANGES INCLUDE: A - ADDING LANGUAGE REGARDING COMPLIANCE WITH SYSTEM-WIDE POLICIES, B - MODIFYING THE DIRECTORS TO REMOVE THE "AT-LARGE" DESIGNATION, WHICH WAS NOT IN USE, AND MODIFIES TERMS TO PROVIDE FOR A MAXIMUM OF THREE THREE-YEAR TERMS FOR DIRECTORS, C - MODIFYING OFFICERS TO REDUCE THE NAMED OFFICERS TO CHAIR, VICE-CHAIR, PRESIDENT, TREASURER AND SECRETARY, D - REMOVES STANDING COMMITTEES TO PROVIDE THE BOARD WITH FLEXIBILITY TO ESTABLISH NECESSARY STANDING COMMITTEES FROM TIME TO TIME WITHOUT AMENDMENT TO THE BYLAWS, E - MODIFY THE MEDICAL STAFF SECTION TO SIMPLIFY THE OVERSIGHT OF THE MED STAFF, F - UPDATED THE INDEMNIFICATION OF OFFICERS AND DIRECTORS TO CURRENT STANDARDS, AND G - INCLUDE UPDATED CLAUSES RELATED TO FISCAL MATTERS, CONFLICTS OF INTEREST, AUTHORITY OF THE SYSTEM, WAIVER OF NOTICE AND DEDICATION OF ASSETS FOR 501(C)(3) PURPOSES. LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER THE BYLAWS WERE FULLY AMENDED AND RESTATED TO BRING THEIR FORM INTO ALIGNMENT WITH ORGANIZATIONAL FORMS. MATERIAL CHANGES INCLUDE: A - ADDING LANGUAGE REGARDING COMPLIANCE WITH SYSTEM-WIDE POLICIES, B - PROVIDING FOR RESERVED AUTHORITY OVER CERTAIN DETAILED ACTIONS, INCLUDING APPROVALS OF MATERIAL MODIFICATIONS, OR SALES OF THE ASSETS OF THE COMPANY OR MODIFICATION TO CORPORATE STATUS, C - CHANGING THE BOARD OF DIRECTORS TO BE MINIMALLY THREE APPOINTEES, D - MODIFYING THE OFFICERS TO REDUCE THE NAMED OFFICERS TO CHAIR, VICE-CHAIR, PRESIDENT, TREASURER AND SECRETARY, E - REMOVES STANDING COMMITTEES TO PROVIDE THE BOARD WITH FLEXIBILITY TO ESTABLISH NECESSARY STANDING COMMITTEES FROM TIME TO TIME WITHOUT AMENDMENT TO THE BYLAWS, F - REMOVAL OF THE MEDICAL STAFF SECTION TO REFLECT THAT THE ENTITY IS NO LONGER A FUNCTIONING HOSPITAL, G - UPDATED THE INDEMNIFICATION OF OFFICERS AND DIRECTORS TO CURRENT STANDARDS, AND H - INCLUDE UPDATED CLAUSES RELATED TO FISCAL MATTERS, CONFLICTS OF INTEREST, AUTHORITY OF THE SYSTEM, WAIVER OF NOTICE AND DEDICATION OF ASSETS FOR 501(C)(3) PURPOSES. LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ST. JOSEPH THE BYLAWS WERE FULLY AMENDED AND RESTATED TO BRING THEIR FORM INTO ALIGNMENT WITH ORGANIZATIONAL FORMS. MATERIAL CHANGES INCLUDE: A - ADDING LANGUAGE REGARDING COMPLIANCE WITH SYSTEM-WIDE POLICIES INCLUDING AN AUTHORITY MATRIX FOR DECISION MAKING THRESHOLDS, B - MODIFYING OFFICERS TO REDUCE THE NAMED OFFICERS TO CHAIR, VICE-CHAIR, PRESIDENT, TREASURER AND SECRETARY, C - REMOVES STANDING COMMITTEES TO PROVIDE THE BOARD WITH FLEXIBILITY TO ESTABLISH NECESSARY STANDING COMMITTEES FROM TIME TO TIME WITHOUT AMENDMENT TO THE BYLAWS, D - UPDATED THE INDEMNIFICATION OF OFFICERS AND DIRECTORS TO CURRENT STANDARDS, AND E - INCLUDE UPDATED CLAUSES RELATED TO FISCAL MATTERS, CONFLICTS OF INTEREST, WAIVER OF NOTICE AND DEDICATION OF ASSETS FOR 501(C)(3) PURPOSES. BEAUMONT HEALTH BYLAWS WERE AMENDED AND RESTATED IN CONNECTION WITH THE INTEGRATION OF BEAUMONT HEALTH. MATERIAL AMENDMENTS INCLUDE A - AMENDING TO REFLECT THAT THE COMPANY HAS A MEMBER THAT IS COREWELL HEALTH, B - PROVIDING FOR MEMBER AUTHORITY OVER CERTAIN DECISIONS, SPECIFICALLY AUTHORITY OVER DIRECTOR APPOINTMENT, OFFICER APPOINTMENT AND MATERIAL CORPORATE ACTIONS, C - ADOPTION OF AN AUTHORITY MATRIX DETAILING APPROVAL AUTHORITY FOR BEAUMONT HEALTH AND ITS SUBSIDIARIES WITHIN THE ORGANIZATION. BYLAWS WERE AMENDED TO ADD THE PRESIDENT OF PRIORITY HEALTH (OR A DESIGNEE THEREOF) AS AN EX-OFFICIO MEMBER OF THE BOARD OF DIRECTORS. BEAUMONT HEALTH AMENDED ITS ARTICLES OF INCORPORATION TO AMENDMENT AND RESTATEMENT OF THE ARTICLES IN CONNECTION WITH TRANSACTION TO INTEGRATE BEAUMONT HEALTH. MATERIAL AMENDMENTS INCLUDE CHANGING THE STATUS OF THE ENTITY FROM A DIRECTORSHIP TO A MEMBERSHIP BASED ENTITY, WITH COREWELL HEALTH AS THE SOLE MEMBER. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS COREWELL HEALTH (EIN 38-3382353), A MICHIGAN NONPROFIT CORPORATION, IS THE ULTIMATE SOLE MEMBER FOR ALL OF THE SUBORDINATES INCLUDED IN THE GROUP FILING. FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY COREWELL HEALTH (EIN 38-3382353), 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, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS 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, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY 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 DIRECTOR. 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, 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 CONFLICTS OF INTEREST COMMITTEE, 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, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL 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 THE COREWELL HEALTH GROUP. 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 MARKET DATA FOR THE REVIEW: -BDO: 2021 USA HEALTH INSURANCE PLANS SURVEY -GALLAGHER (FORMERLY INTEGRATED HEALTHCARE STRATEGIES): 2021 NATIONAL HEALTHCARE LEADERSHIP COMPENSATION SURVEY -MERCER: 2021 IHN HEALTHCARE COMPENSATION SURVEY -MERCER: 2021 IHP HEALTH PLAN COMPENSATION SURVEY -SULLIVAN COTTER ASSOCIATES: 2021 MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS SURVEY IN ADDITION, GENERAL INDUSTRY SURVEYS WERE REFERENCED: -MERCER: 2021 US EXECUTIVE REMUNERATION SUITE -WILLIS TOWERS WATSON: 2021 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 UNIVERSE. THE PEER GROUP ORGANIZATIONS ARE APPROVED BY THE COMPENSATION COMMITTEE AND CONSISTS OF HEALTHCARE SYSTEMS SIMILAR IN REVENUE SIZE, MARKET COMPETITORS, HIGH PERFORMERS, FINANCIALLY STABLE AS INDICATED BY BOND RATING AND THAT FOLLOW A SIMILAR STRATEGY (MULTI-SITE SYSTEMS, HEALTH PLANS). DATA FOR THE PEER GROUP ORGANIZATIONS IS COMPILED BY THE INDEPENDENT EXECUTIVE COMPENSATION 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 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). FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES SEE EXPLANATION PROVIDED FOR FORM 990, PART VI, LINE 15A. FORM 990, PART VI, 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 COMPENSATION OF DIRECTORS BASED ON EXTERNAL OPINION BY SULLIVAN COTTER AND ASSOCIATES, INC., COREWELL HEALTH COMPENSATES BOARD MEMBERS IN A MANNER THAT IS REASONABLE IN RELATION TO MARKET DATA. BOARD OF DIRECTORS COMPENSATION IS CONTINUALLY REVIEWED TO CONFIRM COMPENSATION FALLS WITHIN REASONABLE LIMITS. ANY COMPENSATION AMOUNT IS TREATED AS TAXABLE TO THE BOARD MEMBER AND IS REPORTED AND PROVIDED TO THEM ON FORM 1099 OR W-2. FORM 990, PART VII, SECTION A REPORTED COMPENSATION AND HOURS THE COMPENSATION REPORTED FOR EMPLOYEES OF THE ORGANIZATION IS NOT FOR SERVICES IN THEIR CAPACITY AS MEMBERS OF THE BOARD OF DIRECTORS BUT FOR SERVICES AS EMPLOYEES OF THE HEALTH SYSTEM. CERTAIN DIRECTORS WERE PAID REASONABLE COMPENSATION FOR THEIR SERVICES AS MEMBERS OF THE BOARD. EMPLOYEES WITH COMPENSATION REPORTED IN PART VII WORK A COMBINED AVERAGE OF 50 HOURS PER WEEK FOR THE ORGANIZATION. 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 GROUP ENTITIES. THE INDIVIDUALS LISTED BELOW ARE ALSO FORMER OFFICERS OR KEY EMPLOYEES OF ONE OR MORE OF THE GROUP ENTITIES. DAVID CLAEYS: BEAUMONT MEDICAL GROUP - HOSPITAL BASED SERVICES: DIRECTOR/SECRETARY BEAUMONT MEDICAL GROUP - PRIMARY CARE SERVICES: DIRECTOR/SECRETARY BEAUMONT MEDICAL GROUP - SPECIALTY SERVICES: DIRECTOR/SECRETARY BOTSFORD GENERAL HOSPITAL: FORMER KEY EMPLOYEE OAKWOOD HEALTHCARE, INC.: FORMER KEY EMPLOYEE RAY CRUSE: LAKELAND COMMUNITY HOSPITAL, WATERVLIET: DIRECTOR LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ST. JOSEPH: DIRECTOR LAKELAND HOSPITALS AT NILES AND ST. JOSEPH, INC.: FORMER OFFICER JOHN FOX: BEAUMONT HEALTH: DIRECTOR/CEO BEAUMONT MEDICAL GROUP - HOSPITAL BASED SERVICES: FORMER OFFICER BEAUMONT MEDICAL GROUP - PRIMARY CARE SERVICES: FORMER OFFICER BEAUMONT MEDICAL GROUP - SPECIALTY SERVICES: FORMER OFFICER BOTSFORD GENERAL HOSPITAL: DIRECTOR/CEO OAKWOOD HEALTHCARE, INC: DIRECTOR/CEO OAKWOOD UNITED HOSPITALS, INC.: DIRECTOR/CEO WILLIAM BEAUMONT HOSPITAL: PRESIDENT/CEO MELINDA GRUBER: HOSPICE AT HOME: DIRECTOR 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, INC.: DIRECTOR/CHAIR LOWELL HAMEL, MD: HOSPICE AT HOME: DIRECTOR LAKELAND COMMUNITY HOSPITAL, WATERVLIET: DIRECTOR LAKELAND HOSPITALS AT NILES AND ST. JOSEPH, INC.: FORMER OFFICER LAKELAND REGIONAL HEALTH SYSTEM: FORMER OFFICER PAUL KONONPACKI: LAKELAND COMMUNITY HOSPITAL, WATERVLIET : FORMER OFFICER LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ST. JOSEPH: DIRECTOR/TREASURER LAKELAND HOSPITALS AT NILES AND ST. JOSEPH, INC.: FORMER OFFICER LAKELAND REGIONAL HEALTH SYSTEM: FORMER OFFICER LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER: DIRECTOR/TREASURER MERCY MEMORIAL HEALTH SERVICES, INC.: DIRECTOR/TREASURER SPECTRUM HEALTH PRIMARY CARE PARTNERS: FORMER OFFICER 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 KEVIN SMITH: SPECTRUM HEALTH CONTINUING CARE: FORMER OFFICER SPECTRUM HEALTH CONTINUING CARE CENTER: DIRECTOR/TREASURER/SECRETARY SPECTRUM HEALTH REHAB AND NURSING CENTER - LEFFINGWELL: DIRECTOR/TREASURER/SECRETARY CHAD TUTTLE: SPECTRUM HEALTH CONTINUING CARE: DIRECTOR/PRESIDENT SPECTRUM HEALTH CONTINUING CARE CENTER: DIRECTOR/PRESIDENT SPECTRUM HEALTH HOSPITALS: FORMER OFFICER SPECTRUM HEALTH REHAB AND NURSING CENTER - LEFFINGWELL: DIRECTOR SPECTRUM HEALTH WORTH SERVICES: DIRECTOR/PRESIDENT VISITING NURSE SERVICES OF WESTERN MICHIGAN: DIRECTOR/PRESIDENT CAROLYN WILSON: BEAUMONT MEDICAL GROUP - HOSPITAL BASED SERVICES: FORMER OFFICER BEAUMONT MEDICAL GROUP - PRIMARY CARE SERVICES: FORMER OFFICER BEAUMONT MEDICAL GROUP - SPECIALTY SERVICES: FORMER OFFICER WILLIAM BEAUMONT HOSPITAL: FORMER KEY EMPLOYEE FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS NET INVESTMENT ACTIVITY FROM RESTRICTED NET ASSETS ($17,554,190) TRANSFERS TO ENTITIES OUTSIDE THE GROUP ($116,237,973) PLEDGE WRITE OFF $343,100 PENSION ADJUSTMENT ($108,644,818) TRANSFER TO COREWELL HEALTH FOUNDATION WEST MICHIGAN ($3,651,031) VALUATION ADJUSTMENT ($270,932,061) TRANS TO/FROM LHF BENTON HARBOR/ST. JOSEPH ($384,713) CHANGE IN INTEREST OF LAKELAND CARE $489,884 NET ASSETS OF BEAUMONT AFFILIATES $3,504,680,486 TOTAL $2,988,108,684 FORM 990, PART XII, LINE 2B AUDITED FINANCIAL STATEMENTS THE SUBORDINATES INCLUDED IN THE GROUP RETURN ARE ALL AUDITED ON A CONSOLIDATED BASIS. FORM 990, PART XII, LINE 2C OVERSIGHT OF THE AUDIT THE FINANCIAL STATEMENTS OF THE ORGANIZATION WERE AUDITED BY AN INDEPENDENT AUDITOR AS PART OF THE CONSOLIDATED AUDIT OF COREWELL HEALTH (EIN 38-3382353). THE OVERSIGHT OF THAT AUDIT IS BEING ASSUMED BY COREWELL HEALTH; THE PARENT ORGANIZATION OF THE COREWELL HEALTH GROUP RETURN. SCHEDULE B - CONTRIBUTIONS ALL ORGANIZATIONS INCLUDED IN THE GROUP RETURN ARE COVERED BY THE GENERAL RULE FOR DETERMINING CONTRIBUTIONS REPORTABLE ON SCHEDULE B EXCEPT FOR COREWELL HEALTH FOUNDATION WEST MICHIGAN (EIN 38-2752328), LAKELAND HEALTH FOUNDATION BENTON HARBOR/ST JOSEPH (EIN 38-2539929), AND HOSPICE AT HOME INC (EIN 38-2416086). COREWELL HEALTH FOUNDATION WEST MICHIGAN, LAKELAND HEALTH FOUNDATION BENTON HARBOR/ST JOSEPH, AND HOSPICE AT HOME INC ARE SECTION 501(C)(3) ORGANIZATIONS THAT MET THE 33 1/3 % SUPPORT TEST OF THE REGULATIONS UNDER SECTIONS 509(A)(1) AND 170(B)(1)(A)(VI). PURSUANT TO THE FORM 990 SCHEDULE B INSTRUCTIONS CONTRIBUTIONS FROM ANY CONTRIBUTOR THAT EXCEED THE GREATER OF (1) $5,000 OR (2) 2% OF THE AMOUNT OF TOTAL CONTRIBUTIONS, GIFTS, GRANTS AND OTHER SIMILAR AMOUNTS RECEIVED BY THE ORGANIZATION ARE REPORTABLE. 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