2025-11-17T09:10:59-06:00 2024-12-31 920460586 PWC US TAX LLP 655 NEW YORK AVENUE NW SUITE 1100 WASHINGTON DC 20001 990 2024-01-01 611740292 COREWELL HEALTH GROUP RETURN CORE 8669897999 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 MATTHEW E COX CFO 8669897999 2025-11-17 1 1 MICHAEL D HOFFMAN P01345551 2024141000 2024 2025-03-06 01:10:19Z X CHRISTINA FREESE DECKER 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 13093763238 1 0 5981 X WWW.COREWELLHEALTH.ORG X TO IMPROVE HEALTH, INSTILL HUMANITY AND INSPIRE HOPE. 357 193 0 3916 54697869 5335236 82215574 69671515 10143479227 11210999152 69209713 148095765 79344632 62509017 10374249146 11491275449 5976567 2988745 0 0 5024745940 5135479988 0 0 2015656 5198865253 6082906073 10229587760 11221374806 144661386 269900643 8720835664 6785966188 3474735743 1210761433 5246099921 5575204755 X TO IMPROVE HEALTH, INSTILL HUMANITY AND INSPIRE HOPE. 0 0 10747716185 2988745 11167845255 SEE SCHEDULE OCOREWELL 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 20 HOSPITALS, MORE THAN 300 OUTPATIENTLOCATIONS AND POST-ACUTE CARE FACILITIES, AND OVER 65,000 EMPLOYEES INCLUDING MORE THAN 12,000 PHYSICIANS, MORE THAN 15,000 NURSES, AND ADVANCED PRACTICE PROVIDERS. DURING THE YEAR ENDED DECEMBER 31, 2024, THE COREWELL HEALTH INTEGRATEDHEALTH SYSTEM PROVIDED OVER $1.3 BILLION IN COMMUNITY BENEFIT PROGRAMS IN MICHIGAN. THE COMMUNITY BENEFIT ACTIVITIES INCLUDED HEALTHCLINICS, RESEARCH, DONATIONS, CHARITY CARE, BAD DEBTS RELATED TO CARINGFOR THE UNINSURED AND UNDERINSURED, COSTS FOR GOVERNMENT PROGRAMPATIENTS, COMMUNITY PARTNERSHIP PROGRAMS, HEALTH PROFESSION EDUCATION, AND DISCOUNTED CARE UNDER HEALTHY MICHIGAN PLAN (UNDER 250% FEDERALPOVERTY LEVEL).THERE ARE 31 SUBORDINATE ORGANIZATIONS FROM THE COREWELL HEALTHAFFILIATED GROUP THAT ARE PART OF THIS GROUP RETURN. OPERATIONS INCLUDEHOSPITAL FACILITIES AND NUMEROUS CLINICAL FACILITIES.THE SUBORDINATES PROVIDE CARE TO INDIVIDUALS COVERED BY GOVERNMENTALPROGRAMS. FINANCIAL ASSISTANCE IS ALSO PROVIDED FOR PATIENTS THAT AREFINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED.IN ADDITION, OUR TEAMS GO THE EXTRA MILE FOR OUR PATIENTS AND COMMUNITIES - AND THIS DEDICATION AND COMMITMENT RESULTS IN EXTERNAL RECOGNITION, AWARDS AND HONORS. NOTABLE HIGHLIGHTS FOR THE YEAR (IN CHRONOLOGICAL ORDER) INCLUDED: THE NATIONAL BLOOD CLOT ALLIANCE (NBCA) NAMED BUTTERWORTH HOSPITAL THE CENTER OF EXCELLENCE IN THE UNITED STATES. THIS DESIGNATION IS REWARDED ON EXCELLENCE DEMONSTRATED ON PERFORMANCE WITH PATIENT EDUCATION AND POST-HOSPITALIZATION PATIENT CARE FOR DEEP VEIN THROMBOSIS AND PULMONARY EMBOLISM. THE AMERICAN MEDICAL GROUP ASSOCIATION (AMGA) RECOGNIZED COREWELL HEALTH AS A 2024 ACCLAIM AWARD RECIPIENT FOR BRINGING THEIR ORGANIZATION CLOSER TO THE IDEAL MEDICAL GROUP AND HEALTH SYSTEM AS THEY MOVED TOWARD VALUE BASED CARE BY IMPROVING PATIENT CARE EXPERIENCE, IMPROVING HEALTH OF POPULATIONS WITH A FOCUS ON QUALITY OUTCOMES, REDUCING PER CAPITA COST OF HEALTHCARE, AND EMPHASIZING WORKPLACE WELLNESS. SERAMOUNT, A STRATEGIC PROFESSIONAL SERVICE AND RESEARCH FIRM RECOGNIZED COREWELL HEALTH AS ONE OF THE BEST 80 COMPANIES FOR MULTICULTURAL WOMEN IN THE UNITED STATES.COREWELL HEALTH WILLIAM BEAUMONT HOSPITAL WAS RECOGNIZED AS THE TOP HOSPITAL IN MICHIGAN BY U.S. NEWS AND WORLD REPORT'S. COREWELL HEALTH'S BLODGETT, BUTTERWORTH, BEAUMONT, TROY, DEARBORN, GROSSE POINTE, AND LAKELAND HOSPITALS WERE ALL IN THE TOP 15. COREWELL HEALTH HAS BEEN RECOGNIZED BY THE DISABILITY EQUALITY INDEX AS A TOP SCORER FOR DISABILITY WORKPLACE INCLUSION.COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL WAS AWARDED THE GET WITH THE GUIDELINES STROKE GOLD PLUS AWARD BY THE AMERICAN HEART ASSOCIATION FOR THEIR PROVEN DEDICATION TO PROVIDE ALL STROKE PATIENTS WITH ACCESS TO LIFESAVING CARE AND TREATMENT.COREWELL HEALTH WAS THE BRONZE WINNER OF THE AMERICAN HOSPITAL ASSOCIATION EXCELLENCE AWARD FOR HEALTH CARE WORKER'S WELL BEING.COREWELL HEALTH BIG RAPIDS, LUDINGTON, PENNOCK, AND LAKELAND HOSPITALS WERE AWARDED THE MATERNITY CARE OF EXCELLENCE AWARD FROM THE ECONOMIC ALLIANCE FOR MICHIGAN. COREWELL HEALTH SOUTHEAST LIVER TRANSPLANT PROGRAM HAS BEEN RECOGNIZED BY THE SCIENTIFIC REGISTRY OF TRANSPLANT RECIPIENTS AS HAVING THE BEST ONE YEAR SURVIVAL RATES IN THE STATE OF MICHIGAN AND SECOND BEST ONE YEAR GRAFT SURVIVAL RATES IN THE NATION.COREWELL HEALTH HELEN DEVOS CHILDREN'S HOSPITAL HAS BEEN RECOGNIZED BY U.S. NEWS AND WORLD REPORT AS ONE OF THE BEST CHILDREN HOSPITAL'S IN THE NATION RANKING IN THE TOP 50 FOR CANCER, ENDOCRINOLOGY, NEUROSCIENCES, NEPHROLOGY, AND PULMONOLOGY.COREWELL HEALTH RICHARD DEVOS HEART & LUNG TRANSPLANT PROGRAM HAS BEEN RECOGNIZED BY THE SCIENTIFIC REGISTRY OF TRANSPLANT RECIPENTS AS ONE OF THE BEST IN THE NATION FOR HAVING THE BEST ONE YEAR LUNG TRANSPLANT GRAFT SURVIVAL RATE IN THE NATION, TYING FOR THE BEST ONE YEAR PATIENT SURVIVAL RATE IN THE NATION, AND BEING TOP FIVE IN THE NATION FOR THREE YEAR PATIENT AND GRAFT SURVIVAL RATES.THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AWARDED COREWELL HEALTH BLODGETT, BUTTERWORTH, HELEN DEVOS CHILDREN'S HOSPITAL, AND MEIJER HEART CENTER WITH A 5 STAR RATING. COREWELL HEALTH BEAUMONT GROSSE POINTE, BIG RAPIDS, GREENVILLE, LAKELAND, LUDINGTON, AND PENNOCK HOSPITAL ALL RECEIVED 4 STARS. COREWELL HEALTH RECEIVED A 2024 HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY DAVIES AWARD OF EXCELLENCE FOR THE USE OF HEALTH INFORMATION AND TECHNOLOGY TO IMPROVE PATIENT OUTCOMES. COREWELL HEALTH ZEELAND, LUDINGTON, GREENVILLE, BEAUMONT GROSSE POINTE, BIG RAPIDS HOSPITAL, AND LAKELAND HOSPITALS ST. JOSEPH ALL EARNED AN "A" HOSPITAL SAFETY GRADE FROM THE LEAPFROG GROUP AWARDS. COREWELL HEALTH BUTTERWORTH, BLODGETT, GERBER, BIG RAPIDS, DEARBORN, FARMINGTON HILLS, BEAUMONT TROY, AND TRENTON HOSPITAL HAVE ALL BEEN NAMED TO U.S. NEWS AND WORLD REPORT 2024-2025 BEST HOSPITALS FOR MATERNITY CARE.COREWELL HEALTH LAKELAND HOSPITALS RECEIVED MULTIPLE AWARDS FROM HEALTHGRADES, INCLUDING AMERICA'S 250 BEST HOSPITAL AWARD, AMERICA'S 100 BEST HOSPITALS FOR GASTROINTESTINAL SURGERY, AND CRITICAL CARE EXCELLENCE. 10747716185 1 1 0 1 0 0 0 1 1 0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 0 1 0 0 1 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 357 193 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 MI X CORPORATE TAX 8669897999 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 X CHRISTINA FREESE DECKER DIRECTOR/CEO 1.00 50.00 X X 0 5453830 1498970 DARRYL ELMOUCHI MD DIRECTOR PY/PRESIDENT PY/FMR OFFCR 1.00 50.00 X X 0 3007016 456952 PRAVEEN THADANI DIRECTOR 1.00 50.00 X 0 2602705 551045 ALEJANDRO QUIROGA CHAND MD DIRECTOR PY/PRESIDENT PY 50.00 1.00 X X 0 1276102 270114 LOREN B HAMEL MD DIRECTOR PY/PRESIDENT PY 50.00 1.00 X X 0 1492259 34022 CHAD TUTTLE DIRECTOR/PRESIDENT/FORMER OFFICER 1.00 50.00 X X 0 987580 172970 JOSHUA KOOISTRA DO DIRECTOR PY/INTERIM PRESIDENT PY 50.00 1.00 X X 0 853724 146823 LAMONT YODER DIRECTOR PY/PRESIDENT PY 50.00 1.00 X X 0 798668 161733 ANTHONY STALLION MD DIRECTOR 50.00 0.00 X 0 904856 46063 NANCY SUSICK DIRECTOR/SECRETARY/FMR KEY EMPLOYEE 50.00 1.00 X X 0 872069 53813 PAOLO MARCIANO MD DIRECTOR/PRESIDENT/FMR KEY EMPLOYEE 50.00 0.00 X X 0 789723 123298 BENJAMIN GIELDA MD DIRECTOR 50.00 0.00 X 0 849691 32688 CHARLES GIBSON MD DIRECTOR 50.00 0.00 X 0 746515 49041 JEFFREY POSTMA DO DIRECTOR 50.00 0.00 X 0 632717 54136 LOWELL HAMEL MD DIRECTOR PY/FORMER OFFICER 50.00 0.00 X 0 672897 1881 NATALIE BAGGIO DIRECTOR PY/PRESIDENT PY 50.00 1.00 X X 0 590543 82856 KELLI SADLER DIRECTOR 50.00 0.00 X 0 553595 105871 MICHAEL WEBB MD DIRECTOR 50.00 0.00 X 0 536558 68688 CHRISTOPHER FLORES DIRECTOR/TREASURER 50.00 1.00 X X 0 489257 49251 KAREN PAKKALA DIR/PRES/TREAS/SECY/FMR OFFICER 50.00 0.00 X X 0 455174 28570 ANNICA WAALKES MD DIRECTOR 50.00 0.00 X 0 443071 29997 HEATHER LALLO DIRECTOR/TREASURER 50.00 1.00 X X 0 395176 51871 TALAWNDA BRAGG MD DIRECTOR 50.00 0.00 X 0 360368 49437 SIMIN BEG MD DIRECTOR/CHAIR 50.00 0.00 X X 0 345086 50245 MELINDA GRUBER DIRECTOR/PRESIDENT 50.00 0.00 X X 0 324432 41011 DEBRA JOHNSON DIRECTOR/SECRETARY 50.00 0.00 X X 0 226562 24392 DANIEL WASSENHOVE DIRECTOR/TREASURER 50.00 0.00 X X 0 160851 34379 COSTA ANDREOU MD DIRECTOR/PRESIDENT 50.00 1.00 X X 0 165752 14023 ASHOK JAIN MD DIRECTOR 50.00 1.00 X 0 136475 15980 JOHANNIE TORRES DIRECTOR 50.00 0.00 X 0 107831 37259 ABEDELRAHIM ASFOUR MD DIRECTOR 50.00 0.00 X 0 113473 6715 CHRISTOPHER BLAKE DIRECTOR/CHAIR 1.00 0.00 X X 0 40000 0 FAYE NELSON DIRECTOR/TREASURER 1.00 0.00 X X 0 36000 0 LINDA LITTLE DIRECTOR/SECRETARY 1.00 0.00 X X 0 36000 0 SHANE O'DONNELL DIRECTOR 1.00 0.00 X 0 31000 0 LYNNETTE FERRELL-ROBINSON DIRECTOR/CHAIR 1.00 0.00 X X 0 30000 0 ROBERT WELSH MD DIRECTOR/VICE CHAIR 1.00 0.00 X X 0 26500 0 MONA MAKKI DIRECTOR 1.00 0.00 X 0 25500 0 WARREN ROSE DIRECTOR 1.00 0.00 X 0 20000 0 MARK WILSON DIRECTOR/TREASURER 1.00 0.00 X X 0 18000 0 BARBARA PILARSKI DIRECTOR 1.00 0.00 X 0 17000 0 JOHN BUCKLEY DIRECTOR 1.00 0.00 X 0 17000 0 BILLY PINK DIRECTOR 1.00 0.00 X 0 16500 0 SAM WATSON DIRECTOR/VICE CHAIR 1.00 0.00 X X 0 16500 0 CHRISTOPHER PORT MD DIRECTOR 1.00 0.00 X 0 15000 0 MARY MOLEWYK DOORNBOS DIRECTOR 1.00 0.00 X 0 15000 0 RONALD HOFMAN MD DIRECTOR 1.00 0.00 X 0 14500 0 JOHN BYRNE DIRECTOR 1.00 0.00 X 0 3000 0 BERTHA KING DIRECTOR 1.00 0.00 X 0 2850 0 DONALD HANEY DIRECTOR 1.00 0.00 X 0 2500 0 CHRISTY PAYNE DIRECTOR 1.00 0.00 X 0 2000 0 BARBARA WYNN MD DIRECTOR 1.00 0.00 X 0 1500 0 KYLE KOOYERS DIRECTOR 1.00 0.00 X 0 1500 0 ALICE RASMUSSEN DIRECTOR 1.00 0.00 X 0 0 0 AMEY UPTON DIRECTOR 1.00 0.00 X 0 0 0 ANNE MCCAUSLAND DIRECTOR 1.00 0.00 X 0 0 0 CAREY MARTIN DIRECTOR 1.00 0.00 X 0 0 0 CHRISTINE VANLANDINGHAM DIRECTOR/CHAIR 1.00 0.00 X X 0 0 0 CURTIS VANDERWAAL DIRECTOR 1.00 0.00 X 0 0 0 DANA WALES DIRECTOR/TREASURER 1.00 0.00 X X 0 0 0 DAVID GRELLMANN MD DIRECTOR 1.00 0.00 X 0 0 0 DAVID SCHAFFER DIRECTOR/VICE CHAIR 1.00 0.00 X X 0 0 0 DEBORAH BENNETT-BERECZ DIRECTOR 1.00 0.00 X 0 0 0 DIANE YOUNG DIRECTOR 1.00 0.00 X 0 0 0 GEORGE HEENAN MD DIRECTOR 1.00 0.00 X 0 0 0 JERRY FRENCH DIRECTOR 1.00 0.00 X 0 0 0 JOAN HILLEBRANDS DIRECTOR 1.00 0.00 X 0 0 0 KENNETH O'NEILL MD DIRECTOR/SECRETARY 1.00 0.00 X X 0 0 0 LENORE BECKER DIRECTOR/VICE CHAIR 1.00 0.00 X X 0 0 0 LISA KUEHNLE DIRECTOR 1.00 0.00 X 0 0 0 MARK ODLAND DIRECTOR/SECRETARY 1.00 0.00 X X 0 0 0 MELISSA PONCE - RODAS DIRECTOR 1.00 0.00 X 0 0 0 NANCY HAYNES DIRECTOR 1.00 0.00 X 0 0 0 OLIVIA STARKS - SCHAUL DIRECTOR 1.00 0.00 X 0 0 0 PAMELA GARMON-JOHNSON DIRECTOR 1.00 0.00 X 0 0 0 RICHARD WARNER DIRECTOR/TREASURER/SECRETARY 1.00 0.00 X X 0 0 0 RODRIGO CORREA DIRECTOR/CHAIR 1.00 0.00 X X 0 0 0 RYAN COFFEY-HOAG DIRECTOR 1.00 0.00 X 0 0 0 SCOTT SMITH DIRECTOR 1.00 0.00 X 0 0 0 SETH GRIFFIN DIRECTOR 1.00 0.00 X 0 0 0 STEPHANIE TIMMER DIRECTOR/VICE CHAIR 1.00 0.00 X X 0 0 0 STEPHEN HEMPEL MD DIRECTOR 1.00 0.00 X 0 0 0 MATTHEW E COX CFO 1.00 50.00 X 0 2523615 558135 ANDREA LESLIE REGIONAL PRESIDENT PY 50.00 1.00 X 0 657863 154992 DREW DOSTAL REGIONAL PRESIDENT 50.00 0.00 X 0 554184 48091 ROBERT HOEFER REGIONAL PRESIDENT 50.00 0.00 X 0 543653 47292 CARA JANSMA SECRETARY 1.00 50.00 X 0 417173 48889 BENJAMIN SCHWARTZ MD FORMER OFFICER 0.00 0.00 X 0 1518565 0 BRIAN BRASSER FORMER OFFICER 1.00 50.00 X 0 819111 213631 JASON SLAIKEU FORMER OFFICER 50.00 0.00 X 0 892777 56101 ROBERT FITZGERALD MD FORMER OFFICER 50.00 0.00 X 0 671147 45342 MARTHA BOONSTRA FORMER OFFICER 0.00 0.00 X 0 709239 0 JOHN SCHUEN MD FORMER OFFICER 50.00 0.00 X 0 400276 54562 PAUL KONOPACKI FORMER OFFICER 0.00 0.00 X 0 448033 0 BRIAN PHILLIPS MD FORMER OFFICER 50.00 0.00 X 0 373626 50110 ANNE STEWART FORMER OFFICER 50.00 0.00 X 0 298711 45926 LESLIE FLAKE FORMER OFFICER 0.00 0.00 X 0 286616 0 DANIEL FRATTARELLI FORMER KEY EMPLOYEE 50.00 0.00 X 0 770033 0 DOMINIC SANFILIPPO MD FORMER KEY EMPLOYEE 50.00 0.00 X 0 662392 100247 BARBARA DUCATMAN MD FORMER KEY EMPLOYEE 50.00 0.00 X 0 647650 43918 JODIE RAPPE MD FORMER KEY EMPLOYEE 50.00 0.00 X 0 397329 52012 NICHOLAS GILPIN DO FORMER KEY EMPLOYEE 50.00 0.00 X 0 383709 48363 MICHAEL KHOURY MD FORMER KEY EMPLOYEE 50.00 0.00 X 0 173799 22173 HOSSAIN MARANDI MD FORMER KEY EMPLOYEE 0.00 0.00 X 0 176544 0 KASSEM CHARARA MD FORMER KEY EMPLOYEE 50.00 0.00 X 0 114594 15839 JONATHAN KAPER MD FORMER KEY EMPLOYEE 50.00 0.00 X 0 112385 8085 KONGKRIT CHAIYASATE MD FORMER HIGHEST COMPENSATED 50.00 0.00 X 0 3517598 54752 MOHAMMAD CHISTI MD FORMER HIGHEST COMPENSATED 50.00 0.00 X 0 2738859 41593 PAUL MAZARIS MD FORMER HIGHEST COMPENSATED 50.00 0.00 X 0 1535098 54246 CHARLES SHERRY DO FORMER HIGHEST COMPENSATED 50.00 0.00 X 0 1486696 53811 MUHAMMAD AZRAK MD FORMER HIGHEST COMPENSATED 50.00 0.00 X 0 1324194 57448 0 52887875 6219652 0 1 1 0 THE CHRISTMAN COMPANY 801 BROADWAY AVE NW SUITE 300 GRAND RAPIDS MI 49504 CONSTRUCTION SERVICES 85128106 NORTHSTAR ANESTHESIA OF MICHIGAN III PLL PO BOX 224928 DALLAS TX 75222 ANESTHESIA SERVICES 71862667 WHITING-TURNER CONTRACTING COMPANY 300 EAST JOPPA ROAD BALTIMORE MD 21286 CONSTRUCTION SERVICES 34860327 AMN HEALTHCARE INC 2999 OLYMPUS BLVD SUITE 500 COPPELL TX 75019 STAFFING SERVICES 14358786 EV CONSTRUCTION 86 E 6TH ST HOLLAND MI 49423 CONSTRUCTION SERVICES 13874219 528 59644 33875313 35331576 404982 8345 69671515 PATIENT CARE 620000 11168495890 11115274450 53221440 QUALITY CARE 620000 19474795 19474795 EDUCATION 624110 9732142 9732142 FITNESS CENTER 713940 3614149 3614149 GIFT SHOP 459420 2910262 2910262 6771914 6750733 21181 11210999152 37593692 1323686 36270006 23118006 15348081 7769925 7769925 131562 7638363 1696442797 1181226 1585963333 1158617 110479464 22609 110502073 110502073 71984 59644 17758 54226 54226 CAFETERIA 722514 44596142 44596142 MISCELLANEOUS 900099 5692066 5692066 EMPLOYEE SERVICES 900099 2489236 2489236 1907422 1907422 54684866 11491275449 11167845255 54697869 199060810 X 180716 180716 2808029 2808029 30921474 7393327 23519664 8483 4188496072 4101121359 86133320 1241393 66843488 64509390 2328940 5158 574547599 567662887 6614442 270270 274671355 269775084 4794235 102036 2594466 2594466 15791 15791 36481 36481 1947050 1947050 1879421270 1621625563 257537561 258146 1891124 1402818 485552 2754 144407691 139288417 5083539 35735 23131603 21114598 2015149 1856 307602494 305774655 1801163 26676 10733425 10254460 464221 14744 10627050 10559886 61786 5378 91085890 90844188 241702 335505942 282978563 52486180 41199 88669578 65157151 23510599 1828 MEDICAL SUPPLIES 2041460267 2041460267 BAD DEBT 651643742 651636137 7605 PROVIDER TAX 449583973 449583973 UNRELATED BUS INC TAX 1771942 1771942 40776294 40776294 11221374806 10747716185 471642965 2015656 214301 186711 105446497 42350343 42023517 21517999 1049346284 1275199661 604016 611022 117658963 125177656 439491465 381710695 6838299823 3100464362 3898891733 3737835461 2677729529 630516636 31415929 46096996 33973907 33512758 324039523 491250250 8720835664 6785966188 615039287 515938948 35174837 30953107 1634985576 22204226 0 9346460 9643953 0 1179892090 632318692 3474735743 1210761433 X 5045165159 5256403385 200934762 318801370 5246099921 5575204755 8720835664 6785966188 X 269900643 113512309 -54308118 X X 0 1 X 1 1 1 X 9 BOTSFORD GENERAL HOSPITAL 381426919 3 1 0 0 HOSPICE AT HOME INC 382416086 7 1 0 0 LAKELAND COMMUNITY HOSPITAL WATERVLIET 381368745 3 1 0 0 LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH 382539929 7 1 0 0 LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC 382156872 3 1 0 0 LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER 383452303 3 1 0 0 MERCY-MEMORIAL HEALTH SERVICES INCORPORATED 382748035 10 1 0 0 OAKWOOD HEALTHCARE INC 381405141 3 1 0 0 WILLIAM BEAUMONT HOSPITAL 381459362 3 1 0 0 9 0 0 28739251 31210325 28492369 81172931 56489193 226104069 28739251 31210325 28492369 81172931 56489193 226104069 4965304 221138765 6142269 2588154 4370235 67772421 29881644 110754723 7627496 4375209 12002705 4011107 2948980 1882303 54377968 42963855 106184213 455045710 15495977350 0.48600 0.42770 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2020 AMOUNT: $ 263,836. 2021 AMOUNT: $ 388,687. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 4,975,090. 2024 AMOUNT: $ 3,343,367. SPECIAL EVENTS - 2020 AMOUNT: $ 747,200. 2021 AMOUNT: $ 253,207. 2022 AMOUNT: $ 1,882,303. 2023 AMOUNT: $ 1,630,996. 2024 AMOUNT: $ 54,226. ADMIN REIMBURSEMENT - 2020 AMOUNT: $ 3,000,071. 2021 AMOUNT: $ 2,307,086. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 13,415,568. 2024 AMOUNT: $ 2,181,626. CAFETERIA REVENUE - 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 34,356,314. 2024 AMOUNT: $ 37,384,636. PART I - REASON FOR PUBLIC CHARITY STATUS THE PUBLIC CHARITY STATUS, A HOSPITAL OR COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III), CHECKED IN PART I REFLECTS THE PUBLIC CHARITY STATUS OF THE LARGEST NUMBER OF SUBORDINATES INCLUDED IN THE GROUP RETURN. THE SUBORDINATES IDENTIFIED BELOW HAVE A PUBLIC CHARITY STATUS DESCRIBED IN 509(A)(2). BEAUMONT MEDICAL GROUP - SPECIALTY SERVICES (EIN 82-2784244) BEAUMONT MEDICAL GROUP - HOSPITAL BASED SERVICES (EIN 82-2768899) BEAUMONT MEDICAL GROUP - PRIMARY CARE SERVICES (EIN 82-2796539) BOTSFORD CONTINUING CARE CORPORATION (EIN 38-2549505) MERCY MEMORIAL HEALTH SERVICES, INC. (EIN 38-2748035) OAKWOOD HEALTH PROMOTIONS, INC. (EIN 38-2601965) SPECTRUM HEALTH CONTINUING CARE (EIN 38-3242232) SPECTRUM HEALTH CONTINUING CARE CENTER (EIN 38-2415333) SPECTRUM HEALTH - LEFFINGWELL AVENUE (EIN 85-4390483) SPECTRUM HEALTH WORTH SERVICES (EIN 38-2786617) VISITING NURSE SERVICES OF WESTERN MICHIGAN (EIN 38-1358412) THE ORGANIZATION IDENTIFIED BELOW HAS A PUBLIC CHARITY STATUS DESCRIBED IN 170(B)(1)(A)(VI). HOSPICE AT HOME, INC. (EIN 38-2416086) THE ORGANIZATIONS IDENTIFIED BELOW HAVE A PUBLIC CHARITY STATUS DESCRIBED IN 170(B)(1)(A)(III) AS HOSPITALS, AND ARE INCLUDED IN PART II OF SCH A AS THEY ALSO MEET THE PUBLIC SUPPORT TEST UNDER SECTION 170(B)(1)(A)(VI). OAKWOOD HEALTHCARE, INC. (38-1405141) SPECTRUM HEALTH HOSPITALS (38-1360529) WILLIAM BEAUMONT HOSPITAL (38-1459362) THE ORGANIZATIONS IDENTIFIED BELOW HAVE A PUBLIC CHARITY STATUS DESCRIBED IN 509(A)(3) AS TYPE III SUPPORTING ORGANIZATION. BEAUMONT HEALTH (EIN 46-5718220) LAKELAND REGIONAL HEALTH SYSTEM (EIN 38-2609624) THE ORGANIZATION IDENTIFIED BELOW HAS A PUBLIC CHARITY STATUS DESCRIBED IN 509(A)(3) AS TYPE I SUPPORTING ORGANIZATION. OAKWOOD UNITED HOSPITALS, INC. (EIN 38-2837961) PART III - SUPPORT MEASUREMENT SUPPORT SCHEDULE FOR 509(A)(2) SECTION A. PUBLIC SUPPORT CALENDAR YEAR (B) 2020 LINE 1 16,924 LINE 2 108,063,427 LINE 3 36,675 LINE 4 0 LINE 5 0 LINE 6 108,117,026 LINE 7A 0 LINE 7B 0 LINE 7C 0 SECTION B. TOTAL SUPPORT CALENDAR YEAR (B) 2020 LINE 9 108,117,026 LINE 10A 17,720 LINE 10B 0 LINE 10C 17,720 LINE 11 0 LINE 12 0 LINE 13 108,134,746 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (C) 2021 LINE 1 727,279 LINE 2 98,592,408 LINE 3 15,012 LINE 4 0 LINE 5 0 LINE 6 99,334,699 LINE 7A 0 LINE 7B 0 LINE 7C 0 SECTION B. TOTAL SUPPORT CALENDAR YEAR (C) 2021 LINE 9 99,334,699 LINE 10A 29,009 LINE 10B 0 LINE 10C 29,009 LINE 11 0 LINE 12 0 LINE 13 99,363,708 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (D) 2022 LINE 1 4,201,636 LINE 2 347,479,065 LINE 3 11,073 LINE 4 0 LINE 5 0 LINE 6 351,691,774 LINE 7A 0 LINE 7B 0 LINE 7C 0 SECTION B. TOTAL SUPPORT CALENDAR YEAR (D) 2022 LINE 9 351,691,774 LINE 10A 1,171,509 LINE 10B 0 LINE 10C 1,171,509 LINE 11 0 LINE 12 0 LINE 13 352,863,283 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (E) 2023 LINE 1 1,914,417 LINE 2 361,791,223 LINE 3 321,449 LINE 4 0 LINE 5 0 LINE 6 364,027,089 LINE 7A 0 LINE 7B 0 LINE 7C 0 SECTION B. TOTAL SUPPORT CALENDAR YEAR (E) 2023 LINE 9 364,027,089 LINE 10A 9,953,527 LINE 10B 0 LINE 10C 9,953,527 LINE 11 0 LINE 12 0 LINE 13 373,980,616 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (E) 2024 LINE 1 3,026,778 LINE 2 408,255,813 LINE 3 636,683 LINE 4 0 LINE 5 0 LINE 6 411,919,274 LINE 7A 0 LINE 7B 0 LINE 7C 0 SECTION B. TOTAL SUPPORT CALENDAR YEAR (E) 2024 LINE 9 411,919,274 LINE 10A 11,165,982 LINE 10B 0 LINE 10C 11,165,982 LINE 11 0 LINE 12 0 LINE 13 423,085,256 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (F) TOTAL LINE 1 9,887,035 LINE 2 1,324,181,936 LINE 3 1,020,892 LINE 4 0 LINE 5 0 LINE 6 1,335,089,863 LINE 7A 0 LINE 7B 0 LINE 7C 0 LINE 8 1,335,089,863 SECTION B. TOTAL SUPPORT CALENDAR YEAR (F) TOTAL LINE 9 1,335,089,863 LINE 10A 22,337,748 LINE 10B 0 LINE 10C 22,337,748 LINE 11 0 LINE 12 0 LINE 13 1,357,427,611 LINE 15 PUBLIC SUPPORT PERCENTAGE FOR 2024 98.35% LINE 16 PUBLIC SUPPORT PERCENTAGE FOR 2023 98.86% LINE 17 INVESTMENT INCOME PERCENTAGE FOR 2024 1.65% LINE 18 INVESTMENT INCOME PERCENTAGE FOR 2023 1.14% LINE 19A X - THE ORGANIZATION MEETS AND QUALIFIES FOR THE 33 1/3% SUPPORT TEST. PART IV SUPPORTING ORGANIZATIONS THE ORGANIZATIONS IDENTIFIED BELOW HAVE A PUBLIC CHARITY STATUS DESCRIBED IN 509(A)(3) AS TYPE III FUNCTIONALLY INTEGRATED SUPPORTING ORGANIZATIONS. BEAUMONT HEALTH (EIN 46-5718220) LAKELAND REGIONAL HEALTH SYSTEM (EIN 38-2609624) TYPE III FUNCTIONALLY INTEGRATED SUPPORTING ORGANIZATIONS REQUIRE THE COMPLETION OF PART IV SECTIONS A, D, AND E THE ORGANIZATION IDENTIFIED BELOW HAS A PUBLIC CHARITY STATUS DESCRIBED IN 509(A)(3) AS TYPE I SUPPORTING ORGANIZATION. OAKWOOD UNITED HOSPITALS, INC. (EIN 38-2837961) TYPE I SUPPORTING ORGANIZATIONS REQUIRE THE COMPLETION OF PART IV SECTIONS A AND B UNLESS OTHERWISE NOTED IN THE FOLLOWING SECTIONS, BEAUMONT HEALTH, LAKELAND REGIONAL HEALTH SYSTEM AND OAKWOOD UNITED HOSPITALS, INC. HAVE THE SAME RESPONSE FOR ALL QUESTIONS. PART IV SECTION A. ALL SUPPORTING ORGANIZATIONS LINE 1 YES LINE 2 NO LINE 3A NO LINE 4A NO LINE 5A NO LINE 6 BEAUMONT HEALTH AND LAKELAND REGIONAL HEALTH SYSTEM YES BEAUMONT HEALTH AND LAKELAND REGIONAL HEALTH SYSTEM PROVIDE SERVICES AND SUPPORT TO ORGANIZATIONS WITHIN THE INTEGRATED HEALTH CARE SYSTEM THAT ARE OUTSIDE OF THEIR SUPPORTED ORGANIZATIONS. THE OTHER ORGANIZATIONS THEY PROVIDES SERVICES AND SUPPORT TO ARE RELATED ORGANIZATIONS REPORTED ON SCHEDULE R. LINE 6 OAKWOOD UNITED HOSPITALS, INC. NO LINE 7 NO LINE 8 NO LINE 9A NO LINE 9B NO LINE 9C NO LINE 10A NO LINE 11A NO LINE 11B NO LINE 11C NO PART IV SECTION B. TYPE 1 SUPPORTING ORGANIZATIONS LINE 1 YES LINE 2 NO PART IV SECTION D. ALL TYPE III SUPPORTING ORGANIZATIONS LINE 1 YES LINE 2 YES BEAUMONT HEALTH AND LAKELAND REGIONAL HEALTH SYSTEM MAINTAIN A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH ITS SUPPORTED ORGANIZATIONS THROUGH INTEGRATED POLICIES AND PROCEDURES AND UNIFIED LEADERSHIP. LINE 3 YES SUPPORTED ORGANIZATIONS OF BEAUMONT HEALTH AND LAKELAND REGIONAL HEALTH SYSTEM HAVE SIGNIFICANT VOICES IN INVESTMENT POLICIES AS NOTED BELOW, INVESTMENTS OF CASH AND/OR RESERVES, WHETHER ON AN INDIVIDUAL BASIS OR AS PART OF A POOLED INVESTMENT STRATEGY, IS A RESERVED POWER MAINTAINED BY THE SUPPORTING ORGANIZATION. THE CONSOLIDATED TREASURY FUNCTION IS CONSIDERED A SHARED SERVICE FUNCTION PROVIDED BY THE SUPPORTING ORGANIZATION TO EACH SUPPORTED ORGANIZATION. AS PART OF THAT SHARED SERVICE FUNCTION, THE SUPPORTING ORGANIZATION CONTROLS ALL INVESTMENT POLICIES AND DIRECTS ALL INVESTMENT STRATEGIES. THIS PROVIDES MANY BENEFITS INCLUDING REDUCED COSTS AND SUBJECT MATTER EXPERTISE TO YIELD GREATER RESULTS. THE SUPPORTED ORGANIZATIONS HAVE THE ABILITY TO PROVIDE DIRECTION SPECIFICALLY RELATED TO THEIR RESPECTIVE ASSETS AS IT RELATES TO GRANT MAKING AND DIRECTING THE USE OF THE ORGANIZATIONS INCOME OR ASSETS. PART IV SECTION E. TYPE III FUNCTIONALLY INTEGRATED SUPPORTING ORGANIZATIONS LINE 1B THE ORGANIZATION IS THE PARENT OF ITS SUPPORTED ORGANIZATIONS. LINE 3A YES THE ACTIONS LISTED BELOW MAY BE UNILATERALLY CAUSED AND/OR TAKEN BY THE SUPPORTING ORGANIZATION, WITHIN ITS SOLE AND EXCLUSIVE POWER AND DISCRETION, AND SHALL NOT BE DEEMED AUTHORIZED UNLESS AND UNTIL APPROVED BY THE SUPPORTING ORGANIZATION: -ELECTION AND/OR REMOVAL OF THE MEMBERS OF THE SUPPORTED ORGANIZATIONS BOARD OF DIRECTORS; -ELECTION AND/OR REMOVAL OF THE SUPPORTED ORGANIZATIONS CHAIRPERSON OF THE BOARD OF DIRECTORS; AND -HIRING, DISCHARGE, AND EVALUATION OF THE SUPPORTED ORGANIZATIONS PRESIDENT. LINE 3B YES THE ACTIONS LISTED BELOW MAY BE UNILATERALLY CAUSED AND/OR TAKEN BY THE SUPPORTING ORGANIZATION, WITHIN ITS SOLE AND EXCLUSIVE POWER AND DISCRETION, AND SHALL NOT BE DEEMED AUTHORIZED UNLESS AND UNTIL APPROVED BY THE SUPPORTING ORGANIZATION: -AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE SUPPORTED ORGANIZATION; -ADOPTION OF THE SUPPORTED ORGANIZATIONS STRATEGIC PLAN; -ADOPTION OF THE SUPPORTED ORGANIZATIONS 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 ORGANIZATIONS 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 0 1 36481 36481 0 PART II-B, LINE 1: LOBBYING ACTIVITIES INCLUDE CALLS TO OR MEETINGS WITH GOVERNMENT OFFICIALS OR LAWMAKERS, AND ELECTRONIC COMMUNICATIONS SENT TO CONVEY POSITIONS, CONCERNS, AND RECOMMENDATIONS. SUCH FUNCTIONS WERE PERFORMED BY EMPLOYEES AS WELL AS LOBBYING FIRMS AND TRADE ORGANIZATIONS LOBBYING ON OUR BEHALF. THE AMOUNT IN OTHER ACTIVITIES REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING. 785389 X 0 1 56071 304466 310076 50461 0 136966327 -136966327 121370317 5198884 15907963 5510837 136966327 145110232 2092487 -21415391 4417011 121370317 130255451 4122097 15215729 4483045 145110232 97349298 25703447 11573893 4371187 130255451 212667068 212667068 3911468060 1380778686 2530689374 59105805 49436732 9669073 1909188280 1274714830 634473450 745870610 395534114 350336496 3737835461 INVESTMENTS HELD BY FOUNDATIONS 305411027 NONQUALIFIED BENEFIT PLAN 149306069 LONG TERM PREPAID PENSION ASSET 20184993 DUE FROM AFFILIATES 7365087 OTHER LONG TERM ASSETS 4517161 POST RETIREMENT BENEFITS 4465913 491250250 LEASE LIABILITIES 227392241 NON-QUALIFIED BENEFIT PLAN LIABILITIES 149602579 THIRD PARTY SETTLEMENT 146627236 DUE TO AFFILIATES 48346105 OTHER LIABILITIES 37660429 OTHER POST EMPLOYMENT BENEFITS 12322224 OTHER LONG TERM LIABILITIES - ARO 8661027 FUNDS HELD ON BEHALF OF OTHERS 1706851 632318692 PART III, LINE 4: VARIOUS ART PIECES ARE HELD BY SUBORDINATES FOR PUBLIC EXHIBITION TO CREATE A HEALING ENVIRONMENT FOR PATIENTS, VISITORS, AND STAFF. PART IV, LINE 1B: COREWELL HEALTH REHABILITATION AND NURSING CENTER - KENTRIDGE AND COREWELL HEALTH REHABILITATION AND NURSING CENTER - PINE RIDGE ACT AS CUSTODIANS OF RESIDENT TRUST BANK ACCOUNTS. THESE BANK ACCOUNTS ARE USED FOR THE RESIDENT'S SPENDING DURING THEIR STAY FOR ITEMS SUCH AS ROOM AND BOARD AND BARBER AND BEAUTY SERVICES. THE FUNDS IN THE BANK ACCOUNTS COME FROM THE SOCIAL SECURITY ADMINISTRATION OR OTHER PERSONAL SOURCES. PART V, LINE 4: THE ORGANIZATIONS HOLDING THE ENDOWMENT FUNDS ARE NO LONGER INCLUDED IN THE COREWELL HEALTH GROUP RETURN AND WILL BE FILING SEPARATE TAX RETURNS. THEREFORE, THE COREWELL HEALTH GROUP RETURN HAS ANSWERED "NO" TO FORM 990, PART IV, LINE 10 AND IS NOT REQUIRED TO COMPLETE SCHEDULE D, PART V. CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS CAPTIVE INSURANCE 120000 0 0 0 0 0 0 120000 0 120000 1 0 1 1 1 0 PART IV - FOREIGN FORMS CERTAIN SUBORDINATE ORGANIZATIONS RESPOND WITH A YES ANSWER TO LINES 1, 3, 4, AND 5. 2024 RUN WALK ROCK 72208 59644 12564 17758 2024 HARBOR WINE TASTING 55480 55480 0 127688 59644 68044 17758 17758 50286 1 1 X 1 X 250.000000000000 0 1 1 1 0 1 1 215714440 161635330 54079110 0.00510 799210420 764411393 34799027 0.00330 1014924860 926046723 88878137 0.00840 38600199 15945117 22655082 0.00210 246962342 82931228 164031114 0.01550 1008892764 927389799 81502965 0.00770 43912038 30750954 13161084 0.00120 2907190 2907190 0.00030 1341274533 1057017098 284257435 0.02680 2356199393 1983063821 373135572 0.03520 0 0 0 0 44043 7200 36843 0.00000 37331 0 37331 0.00000 508 0 508 0.00000 157650 28334 129316 0.00000 844189 0 844189 0.00010 414804 0 414804 0.00000 1498525 35534 1462991 0.00010 1 158520350 0 3579264314 4221489820 -642225506 X 1 1 1 OAKWOOD ACCOUNTABLE CARE ORGANIZATION LLC ACCOUNTABLE CARE ORGANIZATION 0.49000 0.00060 0.47820 2 GREATER MICHIGAN LITHOTRIPSY LLC HEALTHCARE SERVICES 0.21270 0.00000 0.50270 3 DEARBORN SURGERY CENTER HEALTHCARE SERVICES 0.49380 0.00000 0.46250 4 LDBH LLC HEALTHCARE SERVICES 0.20000 0.00000 0.20000 5 LIBERTY DIALYSIS - LAKELAND LLC HEALTHCARE SERVICES 0.20000 0.00000 0.20000 6 LAKELAND CARE HEALTHCARE SERVICES 0.50000 0.00590 0.49390 20 1 CH GRAND RAPIDS HOSP-BUTTERWORTH HOSP 100 MICHIGAN ST NE GRAND RAPIDS MI 49503 WWW.COREWELLHEALTH.ORG 1060000021 SPECTRUM HEALTH HOSPITALS 381360529 X X X X X X A 2 CH WILLIAM BEAUMONT UNIVERSITY HOSP 3601 W 13 MILE RD ROYAL OAK MI 48073 WWW.COREWELLHEALTH.ORG 1060000061 WILLIAM BEAUMONT HOSPITAL 381459362 X X X X X X B 3 CH BEAUMONT TROY HOSPITAL 44201 DEQUINDRE RD TROY MI 48085 WWW.COREWELLHEALTH.ORG 1060000101 WILLIAM BEAUMONT HOSPITAL 381459362 X X X X B 4 CH DEARBORN HOSPITAL 18101 OAKWOOD BLVD DEARBORN MI 48124 WWW.COREWELLHEALTH.ORG 1060000009 OAKWOOD HEALTHCARE INC 381405141 X X X X X B 5 CH GRAND RAPIDS HOSP-BLODGETT HOSP 1840 WEALTHY ST SE GRAND RAPIDS MI 49506 WWW.COREWELLHEALTH.ORG 1060000016 SPECTRUM HEALTH HOSPITALS 381360529 X X X X X A 6 CH FARMINGTON HILLS HOSPITAL 28050 GRAND RIVER AVE FARMINGTON HILLS MI 48336 WWW.COREWELLHEALTH.ORG 1060000070 BOTSFORD GENERAL HOSPITAL 381426919 X X X X B 7 CH LAKELAND HOSPITALS-ST JOSEPH HOSP 1234 NAPIER AVE ST JOSEPH MI 49085 WWW.COREWELLHEALTH.ORG 1060000010 LAKELAND HOSPITALS AT NILES & ST JOSEPH 382156872 X X X X A 8 CH BEAUMONT GROSSE POINTE HOSPITAL 468 CADIEUX RD GROSSE POINTE MI 48230 WWW.COREWELLHEALTH.ORG 1060000043 WILLIAM BEAUMONT HOSPITAL 381459362 X X X X B 9 CH TRENTON HOSPITAL 5450 FORT ST TRENTON MI 48183 WWW.COREWELLHEALTH.ORG 1060000075 OAKWOOD HEALTHCARE INC 381405141 X X X X B 10 CH TAYLOR HOSPITAL 10000 TELEGRAPH RD TAYLOR MI 48180 WWW.COREWELLHEALTH.ORG 1060000102 OAKWOOD HEALTHCARE INC 381405141 X X X X B 11 CH WAYNE HOSPITAL 33155 ANNAPOLIS ST WAYNE MI 48184 WWW.COREWELLHEALTH.ORG 1060000067 OAKWOOD HEALTHCARE INC 381405141 X X X X B 12 CH GREENVILLE HOSPITAL 615 S BOWER ST GREENVILLE MI 48838 WWW.COREWELLHEALTH.ORG 1060000018 SPECTRUM HEALTH UNITED 381358412 X X X B 13 CH LAKELAND HOSPITALS-NILES HOSP 31 N ST JOSEPH AVE NILES MI 49120 WWW.COREWELLHEALTH.ORG 1060000065 LAKELAND HOSPITALS AT NILES & ST JOSEPH 382156872 X X X X A 14 CH GERBER HOSPITAL 212 S SULLIVAN ST FREMONT MI 49412 WWW.COREWELLHEALTH.ORG 1060000054 NEWAYGO COUNTY GENERAL HOSPITAL ASS 381359517 X X X X B 15 CH LUDINGTON HOSPITAL 1 N ATKINSON DR LUDINGTON MI 49431 WWW.COREWELLHEALTH.ORG 1060000056 MEMORIAL MEDICAL CENTER OF WEST MICHIGAN 381359266 X X X B 16 CH ZEELAND HOSPITAL 8333 FELCH ST ZEELAND MI 49464 WWW.COREWELLHEALTH.ORG 1060000002 ZEELAND COMMUNITY HOSPITAL 381411184 X X X A 17 CH PENNOCK HOSPITAL 1009 W GREEN ST HASTINGS MI 49058 WWW.COREWELLHEALTH.ORG 1060000022 PENNOCK HOSPITAL 381360562 X X X X B 18 CH BIG RAPIDS HOSPITAL 605 OAK ST BIG RAPIDS MI 49307 WWW.COREWELLHEALTH.ORG 1060000045 MECOSTA COUNTY MEDICAL CENTER 381368744 X X X B 19 CH REED CITY HOSPITAL 300 N PATTERSON RD REED CITY MI 49677 WWW.COREWELLHEALTH.ORG 1060000157 REED CITY HOSPITAL CORPORATION 382770076 X X X B 20 CH WATERVLIET HOSPITAL 400 MEDICAL PARK DR WATERVLIET MI 49098 WWW.COREWELLHEALTH.ORG 1060000039 LAKELAND COMMUNITY HOSPITAL WATERVLIET 381368745 X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 24 1 1 1 1 X SEE PART V, SECTION C X X 1 24 1 SEE PART V, SECTION C 0 1 X 250.000000000000 X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X 1 X 0 X X X X 1 X 0 0 FACILITY REPORTING GROUP - B 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION C X X 1 22 1 SEE PART V, SECTION C 0 1 X 250.000000000000 X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B, LINE 5 INPUT FROM PERSONS WHO REPRESENT BROAD INTERESTS OF COMMUNITY SERVEDFACILITY NAME:COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL AND COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITALDESCRIPTION:A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMMENCED IN 2023 AND CONCLUDED IN 2024 FOR COREWELL BUTTERWORTH HOSPITALS AND COREWELL HEALTH BLODGETT HOSPITALS, WITH THE GOAL OF IMPROVING THE HEALTH OF THOSE IN WEST MICHIGAN. THE DATA COLLECTION PROCESS FOR COMMUNITY HEALTH NEEDS ASSESSMENT INVOLVED COMMUNITY SURVEYS, COMMUNITY-LED FOCUS GROUPS, A BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEY, A COLLECTIVE IMPACT ASSESSMENT SURVEY, LOCAL, STATE, AND NATIONAL SECONDARY SOURCES, AND THREE COMMUNITY PRIORITIZATION MEETINGS WITH STAKEHOLDERS. EACH OF THESE METHODS ARE DESCRIBED IN DETAIL ALONG WITH THE QUESTIONS USED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT.THE COMMUNITY SURVEY UTILIZED BOTH A RANDOM SAMPLE AND A CONVENIENCE SAMPLE TO ENSURE COMPREHENSIVE DATA COLLECTION. THE RANDOM SAMPLE INCLUDED A PHONE SURVEY AND A WEB-PANEL SURVEY, WHILE THE CONVENIENCE SAMPLE CONSISTED OF A SELF-ADMINISTERED WEB-BASED AND PAPER SURVEY. TO GATHER RESPONSES FOR THE CONVENIENCE SAMPLE, THE CORE TEAM COLLABORATED WITH THE COMMUNITY HEALTH COUNCIL AND COMMUNITY PARTNERS TO DISTRIBUTE THE SURVEY AND ENCOURAGE PARTICIPATION ACROSS KENT COUNTY. FUNDING WAS PROVIDED TO 12 COMMUNITY PARTNERS TO LEAD THEIR OWN SURVEYING EFFORTS, WITH EACH PARTNER RECEIVING A $2,000 STIPEND AND PROMOTIONAL MATERIALS. THESE PARTNERS WERE RESPONSIBLE FOR ENGAGING RESIDENTS, EDUCATING THEM ON THE SURVEY'S PURPOSE, ENCOURAGING COMPLETION, AND ASSISTING IF NEEDED. THE SURVEY PERIOD LASTED FROM SEPTEMBER 22 TO OCTOBER 31, AND WAS AVAILABLE ONLINE VIA QUALTRICS IN MULTIPLE LANGUAGES, INCLUDING ENGLISH, SPANISH, VIETNAMESE, KINYARWANDA, ARABIC, AND SWAHILI. DURING THE 5-WEEK SURVEY PERIOD, 3,881 RESPONSES WERE COLLECTED WITH 76% OF RESPONSES COMING FROM THE CONVENIENCE SAMPLE AND 24% FROM THE RANDOMIZED SAMPLE. THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEY WAS ABLE TO COLLECT FEEDBACK FROM 1,338 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. TO PROVIDE GENERALIZABLE POPULATION-SPECIFIC RESULTS, HISPANIC/LATINO AND AFRICAN AMERICAN RESIDENTS WERE OVERSAMPLED. THE BRFS DATA INCLUDED IN THE CHNA REPORT IS WEIGHTED TO ADJUST FOR GENDER, AGE, RACE, AND ETHNICITY USING THE 2020 KENT COUNTY CENSUS POPULATION ESTIMATES. SOME STATISTICS WERE COMPILED BY THE UNIVERSITY OF MISSOURI'S DATA TEAM AND ADDITIONAL ANALYSIS OF THE DATASET WAS COMPLETED BY KENT COUNTY HEALTH CONNECT USING SPSS STATISTICAL SOFTWARE. DUE TO THE LARGE, RANDOMLY SELECTED SAMPLE AND WEIGHTED DATA, BRFS RESULTS ARE LIKELY REPRESENTATIVE OF THE KENT COUNTY ADULT POPULATION WHICH ALLOWS FOR GENERALIZABILITY OF THE FINDINGS AND COMPARISON OF TRENDS OVER TIME FOR MOST INDICATORS.TO GET AN IN-DEPTH UNDERSTANDING OF COMMUNITY NEEDS, LIVED EXPERIENCES, ROOT CAUSES OF HEALTH ISSUES, AND POTENTIAL SOLUTIONS, 10 COMMUNITY-LED FOCUS GROUPS WERE CONDUCTED. THE HEALTH DEPARTMENT CONTRACTED WITH 10 COMMUNITY-BASED ORGANIZATIONS AND PROVIDED TRAINING ON FOCUS GROUP RECRUITMENT AND FACILITATION. FOCUS GROUPS WERE CONDUCTED BETWEEN JULY 27 AND SEPTEMBER 29, 2023. SEVEN WERE CONDUCTED IN-PERSON, AND THREE WERE DONE VIRTUALLY. ONE FOCUS GROUP WAS CONDUCTED IN SPANISH, AND THE AUDIO RECORDING WAS INTERPRETED INTO ENGLISH BY THE HOSTING ORGANIZATION, THE OTHERS WERE CONDUCTED IN ENGLISH. OVERALL, 88 PEOPLE PARTICIPATED. THERE WERE TWO YOUTH-ONLY FOCUS GROUPS, WHICH HELPED INCORPORATE THEIR PERSPECTIVES AND EXPERIENCES INTO THE CHNA DUE TO LIMITATIONS OF THE BRFS AND COMMUNITY SURVEY, WHICH WERE ONLY ADMINISTERED TO RESIDENTS AGED 18 AND OLDER. OTHER FOCUS GROUPS ALSO INCLUDED MEMBERS OF THE PRIORITY POPULATIONS, INCLUDING LGBTQ+, BLACK OR AFRICAN AMERICAN, HISPANIC OR LATINO, OLDER ADULTS, IMMIGRANTS AND REFUGEES, AND RESIDENTS LIVING IN RURAL AREAS OF THE COUNTY. INPUT ON SIGNIFICANT HEALTH NEEDS WAS GATHERED FROM 60 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. THE KENT COUNTY CHNA DESCRIBES 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 ONLINE DATABASE, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND THE MICHIGAN PROFILE FOR HEALTHY YOUTH SURVEY ALONG WITH MANY OTHERS. PART V, SECTION B, LINE 5 CONTINUED FACILITY NAME:COREWELL HEALTH GREENVILLE HOSPITAL, COREWELL HEALTH GERBER HOSPITAL, COREWELL HEALTH REED CITY HOSPITAL, COREWELL HEALTH BIG RAPIDS HOSPITAL, COREWELL HEALTH LUDINGTON HOSPITAL, COREWELL HEALTH PENNOCK HOSPITALDESCRIPTION:A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN 2022 FOR COREWELL HEALTH GREENVILLE HOSPITAL, COREWELL HEALTH GERBER HOSPITAL, COREWELL HEALTH REED CITY HOSPITAL, COREWELL HEALTH BIG RAPIDS HOSPITAL, COREWELL HEALTH LUDINGTON HOSPITAL, COREWELL HEALTH PENNOCK HOSPITAL, WITH THE GOAL OF IMPROVING THE HEALTH OF THOSE IN WEST MICHIGAN. 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.FACILITY NAME:COREWELL HEALTH ZEELAND HOSPITALDESCRIPTION:A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN 2024 FOR COREWELL HEALTH ZEELAND HOSPITAL. COMMUNITY RESIDENT FEEDBACK WAS OBTAINED VIA A PAPER SURVEY DIRECTED TOWARDS VULNERABLE AND UNDERSERVED SUB-POPULATIONS. 300 RESIDENTS COMPLETED THIS SURVEY. KEY STAKEHOLDERS SUCH AS HOSPITAL DIRECTORS AND CLINIC EXECUTIVE DIRECTORS WERE SURVEYED VIA IN-DEPTH TELEPHONE INTERVIEWS. KEY INFORMANTS SUCH AS PHYSICIANS, NURSES, DENTISTS, PHARMACISTS, AND SOCIAL WORKERS WERE SURVEYED WITH AN ONLINE SURVEY TO OBTAIN KNOWLEDGE OF THE TOP HEALTH NEEDS OF THE COMMUNITY. THE BEHAVIORAL RISK FACTOR SURVEILLANCE (BRFS) SURVEY WAS UTILIZED TO COLLECT FEEDBACK FROM 1,006 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. FACILITY NAME:COREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITALDESCRIPTION:A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMMENCED IN 2023 AND CONCLUDED IN 2024 FOR COREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITAL. THE CHNA WAS INFORMED BY DATA COLLECTED THROUGH MULTIPLE METHODS. PRIMARY SOURCE DATA (FIRSTHAND INFORMATION COLLECTED DIRECTLY FROM COMMUNITY MEMBERS) WAS COLLECTED THROUGH SURVEYS, FOCUS GROUPS, AND INTERVIEWS, WITH A FOCUS ON GATHERING INPUT FROM NEIGHBORHOODS AND COMMUNITIES EXPERIENCING THE POOREST HEALTH OUTCOMES (I.E., HIGHEST MORTALITY RATES AND LOWEST LIFE EXPECTANCY).ADDITIONAL INFORMATION (SECONDARY DATA) WAS GATHERED THROUGH SCIENTIFIC LITERATURE AND ORGANIZATIONAL DOCUMENTS. GOVERNMENT DATASETS (E.G., EMPLOYMENT, INCOME, AGRICULTURE, HOUSING, TRANSPORTATION, HEALTHCARE RESOURCES, CIVIC ENGAGEMENT, AND RECREATION) WERE ALSO UTILIZED.THE SURVEY WAS ADMINISTERED IN ELECTRONIC AND PAPER FORMATS TO GOVERNMENT BODIES, LOCAL BUSINESSES, 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. PRIMARY DATA WAS RECEIVED FROM OVER 900 PEOPLE. WHILE GATHERING COMMUNITY INPUT, EFFORTS WERE MADE TO ENSURE THAT THE DEMOGRAPHICS OF RESPONDENTS REFLECTED THE DEMOGRAPHICS OF THE SERVICE AREA. 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 SOUTHWEST MICHIGAN PLANNING COMMISSION, AND OTHER BODIES WITH SPECIALIZED KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. PART V, SECTION B, LINE 5 CONTINUED FACILITY NAME:COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL, COREWELL HEALTH BEAUMONT TROY HOSPITAL, COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL, COREWELL HEALTH FARMINGTON HILLS HOSPITAL, COREWELL HEALTH DEARBORN HOSPITAL, COREWELL HEALTH TRENTON HOSPITAL, COREWELL HEALTH TAYLOR HOSPITAL, AND COREWELL HEALTH WAYNE HOSPITALDESCRIPTION:A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN 2022 FOR EACH OF THE BEAUMONT HEALTH, NOW KNOWN AS COREWELL HEALTH EAST (CHE) HOSPITALS, WITH THE GOAL OF IMPROVING THE HEALTH OF THOSE IN SOUTHEASTERN MICHIGAN.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% OF THE HOSPITAL'S ADMITTED PATIENTS ORIGINATE. THE COMBINED PRIMARY SERVICE AREAS OF THE EIGHT COREWELL HEALTH EAST (CHE) SERVICE AREAS INCLUDE MACOMB, OAKLAND, AND WAYNE COUNTIES IN SOUTHEAST MICHIGAN. MICHIGAN PUBLIC HEALTH INSTITUTE (MPHI) WAS RETAINED TO ASSIST IN THE QUANTITATIVE AND QUALITATIVE DATA. MORE THAN 200 PUBLIC HEALTH INDICATORS WERE EVALUATED FOR THE QUANTITATIVE ANALYSIS. COMMUNITY NEEDS WERE IDENTIFIED BY COMPARING EACH COMMUNITY'S VALUE FOR EACH HEALTH INDICATOR TO THAT OF THE OTHER LOCAL COUNTIES, STATE, OR NATION. DATA WERE COMPILED AND CHECKED AGAINST FIVE CRITERIA TO NARROW DOWN INDICATORS. THESE CRITERIA INCLUDED DISPARITIES BETWEEN POPULATION GROUPS, RATES TRENDING WORSE OVER TIME, THE CHE 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 HTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS. 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 CHE 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 ORGANIZATION'S 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 COREWELL HEALTH EAST 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. PART V, SECTION B, LINE 6A THE FOLLOWING FACILITIES CONDUCTED THE CHNA WITH ONE OR MORE OTHER HOSPITAL FACILITIES. THE APPLICABLE FACILITIES AND OTHER HOSPITAL FACILITIES ARE DESCRIBED BELOW.FACILITY NAME:COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL AND COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITALDESCRIPTION:UNIVERSITY OF MICHIGAN - HEALTH-WESTPINE RESTMARY FREE BED REHABILITATION HOSPITALTRINITY HEALTH GRAND RAPIDSFACILITY NAME:COREWELL HEALTH BIG RAPIDS HOSPITAL, COREWELL HEALTH REED CITY HOSPITAL, COREWELL HEALTH GERBER HOSPITAL, COREWELL HEALTH LUDINGTON HOSPITALDESCRIPTION:DISTRICT HEALTH DEPARTMENT #10MCLAREN HEALTH CAREMUNSON HEALTHCAREFACILITY NAME:COREWELL HEALTH GREENVILLE HOSPITAL DESCRIPTION:SHERIDAN COMMUNITY HOSPITALSPARROW CARSON HOSPITALFACILITY NAME:COREWELL HEALTH ZEELAND HOSPITALDESCRIPTION:HOLLAND HOSPITALTRINITY HEALTH GRAND HAVEN HOSPITALPART V, SECTION B, LINE 6BTHE FOLLOWING FACILITIES CONDUCTED THE CHNA WITH ONE OR MORE OTHER THAN HOSPITAL FACILITIES. THE APPLICABLE FACILITIES AND OTHER THAN HOSPITAL FACILITIES ARE DESCRIBED BELOW.FACILITY NAME:COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL AND COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITALDESCRIPTION:KENT COUNTY HEALTH DEPARTMENTIN ADDITION, MANY COMMUNITY ORGANIZATIONS PARTICIPATED IN OR SUPPORTED COREWELL HEALTH IN THE CHNA PROCESS. THESE INCLUDED:ALTERNATIVES IN MOTION, AMERICAN HEART ASSOCIATION, ARBOR CIRCLE AREA AGENCY ON AGING OF WEST MICHIGAN, BETHLEHEM INTERGENERATIONAL CENTER, CALVIN UNIVERSITY, CALVIN UNIVERSITY CENTER FOR SOCIAL RESEARCH, CHERRY HEALTH COMMUNITY FOOD CLUB, COMMUNITY MEMBERS-AT-LARGE, DEAF AND HARD OF HEARING SERVICES, DISABILITY ADVOCATES OF KENT COUNTY, DOUBLE UP FOOD, BUCKS FAMILY FUTURES, FAMILY OUTREACH CENTER, FIRST STEPS, KENT FLAT RIVER OUTREACH MINISTRIES, GARFIELD PARK NEIGHBORHOOD ASSOCIATION, GODFREY LEE PUBLIC SCHOOLS, GRAND RAPIDS LGBTQIA+ HEALTHCARE CONSORTIUM, GRAND RAPIDS PRIDE CENTER, GRAND RAPIDS PUBLIC SCHOOLS, GRAND VALLEY STATE UNIVERSITY, GREAT START COLLABORATIVE, HEALTH NET OF WEST MICHIGAN, HEALTHY HOMES OF WEST MICHIGAN, HEART OF WEST MICHIGAN, UNITED WAY, HEARTSIDE MINISTRIES, KENT COUNTY ESSENTIAL NEEDS TASK FORCE (ENTF), KENT COUNTY HEALTH DEPARTMENT, KENT SCHOOL SERVICES NETWORK, KID'S FOOD BASKET, LAKESHORE REGIONAL ENTITY, MARY FREE BED REHABILITATION HOSPITAL, MEL TROTTER MINISTRIES, MENDING HEARTS MINISTRIES, MERCY HEALTH METRO HEALTH: UNIVERSITY OF MICHIGAN, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN ERVICES, MICHIGAN STATE UNIVERSITY, NORTH KENT CONNECT, OUR COMMUNITY'S CHILDREN, PINE REST CHRISTIAN MENTAL HEALTH SERVICES, PRIORITY HEALTH, ROOSEVELT PARK NEIGHBORHOOD ASSOCIATION, SARAHCARE ADULT DAY CARE CENTERS, SENIOR NEIGHBORS, COREWELL HEALTH, COREWELL HEALTH HEALTHIER COMMUNITIES, UNITED CHURCH OUTREACH MINISTRIES, WEST MICHIGAN SUSTAINABLE BUSINESS FORUM, YMCA OF GREATER GRAND RAPIDS.FACILITY NAME:COREWELL HEALTH PENNOCK HOSPITALDESCRIPTION:BARRY-EATON DISTRICT HEALTH DEPARTMENTIN ADDITION, MANY COMMUNITY ORGANIZATIONS PARTICIPATED IN OR SUPPORTED THE CHNA PROCESS. THESE INCLUDED:BARRY COUNTY, BARRY COUNTY COMMUNITY MENTAL HEALTH AUTHORITY, BLUE ZONES, FAMILY PROMISE OF BARRY COUNTY, MANNA'S MARKET STATE OF MICHIGAN, BARRY COUNTY CHAMBER AND ECONOMIC DEVELOPMENT ALLIANCE, BRIGHT START PEDIATRICS COMMUNITY ACTION AGENCY - SOUTH CENTRAL MICHIGAN, FAMILY SUPPORT CENTER, THORNAPPLE MANOR, BARRY COUNTY COMMISSION ON AGING, BARRY COUNTY UNITED WAY, CALHOUN ISD DELTON-KELLOGG SCHOOLS, HEALING IN AMERICA MIDWEST YMCA OF BARRY COUNTY FACILITY NAME:COREWELL HEALTH BIG RAPIDS HOSPITAL, COREWELL HEALTH REED CITY HOSPITAL, COREWELL HEALTH GERBER HOSPITAL, COREWELL HEALTH LUDINGTON HOSPITALDESCRIPTION:DISTRICT HEALTH DEPARTMENT #10CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENTIN ADDITION, MANY COMMUNITY ORGANIZATIONS PARTICIPATED IN OR SUPPORTED THE CHNA PROCESS. THESE INCLUDED:NORTHWEST MICHIGAN COMMUNITY ACTION AGENCY, TRAVERSE HEALTH CENTER, MYMICHIGAN, HEALTH DISTRICT HEALTH DEPARTMENT #2 AND DISTRICT HEALTH DEPARTMENT #4, GOODWILL NORTHERN MICHIGAN, NORTH COUNTY CMH AUTHORITY, MICHIGAN STATE UNIVERSITY, EXTENSION HEALTH DEPARTMENT, GRAND TRAVERSE COUNTY HEALTH DEPARTMENT, NORTHERN MICHIGAN HEALTH CONSORTIUM, BENZIE-LEELANAU DISTRICT HEALTH DEPARTMENT, EVERYDAY LIFE CONSULTING, DISABILITY NETWORK OF NORTHERN MICHIGAN, BENZIE-LEELANAU DISTRICT HEALTH DEPARTMENT AND HEALTH DEPARTMENT OF NORTHWEST MICHIGAN, ABBY REEG, NEWAYGO COUNTY COMMUNITY COLLABORATIVE, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, NORTHEAST MICHIGAN COMMUNITY SERVICE AGENCY, NORTHWEST MICHIGAN COMMUNITY ACTION AGENCYFACILITY NAME:COREWELL HEALTH GREENVILLE HOSPITALDESCRIPTION:MID-MICHIGAN DISTRICT HEALTH DEPARTMENTIN ADDITION, MANY COMMUNITY ORGANIZATIONS PARTICIPATED IN OR SUPPORTED THE CHNA PROCESS. THESE INCLUDED:MONTCALM AREA INTERMEDIATE SCHOOL DISTRICT, MONTCALM CARE NETWORK, MONTCALM PREVENTION COLLABORATIVE, UNITED WAY OF MONTCALM-IONIA COUNTIESFACILITY NAME:COREWELL HEALTH ZEELAND HOSPITALDESCRIPTION:COMMUNITY MENTAL HEALTH - OTTAWA COUNTYOTTAWA DEPARTMENT OF PUBLIC HEALTHFACILITY NAME:COREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITALDESCRIPTION:CHNA DATA WAS COLLECTED THROUGH REVIEWS OF DOCUMENTS PUBLISHED BY THE BERRIEN COUNTY HEALTH DEPARTMENT, THE BERRIEN COUNTY MENTAL HEALTH AUTHORITY (RIVERWOOD CENTER), THE SOUTHWEST MICHIGAN PLANNING COMMISSION, AND OTHER BODIES WITH SPECIALIZED KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. PART V, SECTION B, LINE 6B CONTINUED FACILITY NAME: COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL, COREWELL HEALTH BEAUMONT TROY HOSPITAL, COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL, COREWELL HEALTH FARMINGTON HILLS HOSPITAL, COREWELL HEALTH DEARBORN HOSPITAL, COREWELL HEALTH TRENTON HOSPITAL, COREWELL HEALTH TAYLOR HOSPITAL, AND COREWELL HEALTH WAYNE HOSPITALDESCRIPTION:MANY COMMUNITY ORGANIZATIONS PARTICIPATED IN OR SUPPORTED THE CHNA PROCESS. THESE INCLUDED:ARAB COMMUNITY CENTER FOR ECONOMIC AND SOCIAL SERVICES (ACCESS), COMMUNITY HEALTH AND RESEARCH CENTER (CHRC), AFFIRMATIONS AMERICAN ARAB CHAMBER OF COMMERCE, AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, ARC OF WESTERN WAYNE COUNTY, THE ASSOCIATION OF CHINESE AMERICANS, ASSUMPTION CULTURAL CENTER AUBURN HILLS, DEPARTMENT OF SENIOR SERVICES, BANGLADESHI AMERICAN PUBLIC AFFAIRS COMMISSION, BIKE DEARBORN, BIRMINGHAM FAMILY YMCA, CABRINI CLINIC, CARE OF SOUTHEASTERN MICHIGAN, CARES (COMMUNITY. ACTION. RESOURCES. EMPOWERMENT. SERVICES.) OF FARMINGTON HILLS, CATHOLIC CHARITIES OF SOUTHEAST MICHIGAN, CENTRO MULTICULTURAL, LA FAMILIA CHALDEAN, CHAMBER CHALDEAN COMMUNITY FOUNDATION, CHRIST CHURCH OF GROSSE POINTE, CHURCH OF THE DIVINE CHILD, CLAWSON SENIOR CENTER, DEARBORN AREA CHAMBER OF COMMERCE, DEARBORN LIBRARY, DEARBORN POLICE DEPARTMENT, DEARBORN PUBLIC SCHOOLS, DEARBORN, CITY OF DETROIT, ABLOOM DOWNRIVER CYCLING CLUB, DOWNRIVER FAMILY YMCA, EASTER SEALS OF MICHIGAN, EAST DEARBORN DOWNTOWN DEVELOPMENT AUTHORITY (DDA), ECOLOGY CENTER, FARMINGTON CHAMBER OF COMMERCE, FARMINGTON COMMUNITY LIBRARY, FARMINGTON FAMILY YMCA, FARMINGTON FARMERS MARKET, FARMINGTON HILLS, FARMINGTON HILLS CHURCH OF GOD, FARMINGTON HILLS LIBRARY, FARMINGTON HILLS NATURE CENTER, FARMINGTON HILLS POLICE DEPT, FARMINGTON HILLS, CITY OF FARMINGTON PUBLIC SCHOOLS, FERNDALE PRIDE, FERNDALE, CITY OF FIRST PRESBYTERIAN CHURCH, FIRSTSTEP FORGOTTEN HARVEST, FULL CIRCLE STARFISH, FAMILY SERVICES STERLING HEIGHTS, CITY OF STERLING HEIGHTS - PARKS AND RECREATION, SUBURBAN MOBILITY AUTHORITY FOR REGIONAL TRANSPORTATION (SMART), TAYLOR LIBRARY, TAYLOR SCHOOL DISTRICT, TAYLOR, CITY OF TRENTON LIBRARY, TRENTON PUBLIC SCHOOLS TRENTON, CITY OF TRI-COMMUNITY COALITION, TROY STAGE NATURE CENTER, TROY CHAMBER OF COMMERCE, TROY FITNESS CENTER, TROY HISTORIC VILLAGE, TROY LIBRARY, TROY SCHOOL DISTRICT, UNITED WAY FOR SOUTHEASTERN MICHIGAN, UNIVERSITY OF MICHIGAN-DEARBORN, WAYNE COUNTY, WAYNE COUNTY COMMUNITY COLLEGE DISTRICT (WCCCD), WAYNE COUNTY DEPARTMENT OF HEALTH, WAYNE METROPOLITAN COMMUNITY ACTION AGENCY, WAYNE METROPOLITAN COMMUNITY ACTION AGENCY, WESTERN WAYNE FAMILY HEALTH CENTERS WESTLAND, CITY OF WOODSIDE BIBLE CHURCH, WYANDOTTE YOUTH ASSISTANCE PROGRAM, YEMEN AMERICAN BENEVOLENTASSN, YMCA, DEPARTMENT OF HEALTH WAYNE, METROPOLITAN COMMUNITY ACTION AGENCY, WAYNE METROPOLITAN COMMUNITY ACTION AGENCY, WESTERN WAYNE FAMILY HEALTH CENTERS, WESTLAND CITY OF WOODSIDE BIBLE CHURCH, WYANDOTTE YOUTH ASSISTANCE PROGRAM, YEMEN AMERICAN BENEVOLENT ASSN YMCA.PART V, SECTION B, LINE 7ASTEP-BY-STEP INSTRUCTIONS TO ACCESS CHNA SITES:(1) VISIT THE CHNA WEBSITE:- LOCATE THE CHNA WEBSITE FOUND ON PART V, SECTION B, LINE 7A BELOW- SELECT THE FACILITY YOU WANT TO VIEW- COPY AND PASTE THE FULL URL TO A WEB BROWSER- NOTE THAT CLICKING THE LINK DIRECTLY MIGHT RESULT IN PAGE ERROR(2) SELECT THE RELEVANT CHNA REPORT:- IN THE CHNA SECTION, YOU WILL FIND A LIST OF AVAILABLE REPORTS- SELECT THE REPORT FOR THE RELEVANT YEAR OR COMMUNITY AREA(3) CONTACT US FOR MORE INFORMATION:- IF YOU HAVE ANY QUESTIONS OR NEED FURTHER ASSISTANCE, PLEASE EMAIL US AT TAX@COREWELLHEALTH.ORGCHNA WEBSITE ADDRESSES:ALL CHNA'S FOR THIS GROUP CAN BE FOUND AT HTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSPART V, SECTION B, LINE 7DIN PERSON INQURIES ARE DIRECTED TO THE ORGANIZATION'S WEBSITE LINK, PAPER COPIES ARE AVAILABLE UPON REQUEST. PART V, SECTION B, LINE 10 STEP-BY-STEP INSTRUCTIONS TO ACCESS CHNA IMPLEMENTATION STRATEGY WEBSITE ADDRESSES:(1) VISIT THE CHNA WEBSITE:- LOCATE THE CHNA WEBSITE FOUND ON PART V, SECTION B, LINE 10A BELOW- SELECT THE FACILITY YOU WANT TO VIEW- COPY AND PASTE THE FULL URL TO A WEB BROWSER- NOTE THAT CLICKING THE LINK DIRECTLY MIGHT RESULT IN PAGE ERROR(2) SELECT THE RELEVANT IMPLEMENTATION PLAN REPORT:- IN THE IMPLEMENTATION SECTION, YOU WILL FIND A LIST OF AVAILABLE REPORTS- SELECT THE REPORT FOR THE RELEVANT YEAR OR COMMUNITY AREA(3) CONTACT US FOR MORE INFORMATION:- IF YOU HAVE ANY QUESTIONS OR NEED FURTHER ASSISTANCE, PLEASE EMAIL US AT TAX@COREWELLHEALTH.ORGIMPLEMENTATION STRATEGY WEBSITE ADDRESS:ALL IMPLEMENTATION STRATEGIES FOR THIS GROUP CAN BE FOUND AT HTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS PART V, SECTION B, LINE 11 HOW HOSPITAL FACILITY IS ADDRESSING NEEDS IDENTIFIED IN CHNAFACILITY NAME:COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL AND COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITAL:DESCRIPTION:THE SIGNFICANT HEALTH NEEDS IDENTIFIED IN THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE ACCESS TO HEALTH CARE AND MENTAL HEALTH. AS PART OF THE ACCESS TO CARE NEED, THERE ARE FOUR STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GRAND RAPIDS HOSPITALS' SERVICE AREA. THE FOUR STRATEGIES AND THEIR MAIN OBJECTIVES ARE AS FOLLOWS. (1) ACCOMMODATE NEEDS OF COMMUNITY TO IMPROVE ACCESS TO CARE (I.E. CO-LOCATION OF SERVICES WITHIN THE COMMUNITY): LAUNCH COREWELL HEALTH WEST CENTER FOR WELLNESS, LEVERAGE ONDEMAND VIRTUAL URGENT CARE TO IMPROVE PRIMARY CARE PROVIDER ATTRIBUTION, OPTIMIZE SCHOOL NURSING PROGRAM TO CREATE A STANDARDIZED COMMUNITY HEALTH APPROACH(2) PROMOTE CULTURALLY COMPETENT CARE FOR OUR LGBTQIA+ POPULATION: INCREASE SAFE AND AFFIRMING PRIMARY CARE PROVIDERS LISTED ON COREWELL HEALTH AND NATIONALLY AFFILIATED WEBSITES(3) CREATE LINKAGES WITHIN COREWELL HEALTH WEST TO ADDRESS BARRIERS RELATED TO SOCIAL DRIVERS OF HEALTH: ESTABLISH PATHWAYS WITHIN COREWELL HEALTH WEST INTERNAL STRUCTURE THAT SUPPORTS ADDRESSING SOCIAL DRIVERS OF HEALTH, INCREASE AWARENESS AND EXPAND ACCESS TO FINANCIAL COUNSELING SERVICES WITHIN COREWELL HEALTH COMMUNITY PROGRAMS, AMBULATORY SITES AND HOSPITALS(4) ESTABLISH DELIBERATE COMMUNITY CLINICAL PARTNERSHIPS BETWEEN SELECT SERVICE LINES AND COMMUNITY PROGRAMS: EMBED COMMUNITY PROGRAMS INTO CLINICAL PATHWAYSAS PART OF THE MENTAL HEALTH NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GRAND RAPIDS HOSPITALS' SERVICE AREA. THE TWO STRATEGIES AND THEIR MAIN OBJECTIVES ARE:(1) BUILD AND EXPAND SCHOOL AND COMMUNITY MENTAL HEALTH SERVICES PROVIDED BY COREWELL HEALTH WEST TO IMPROVE ACCESS: PROMOTE MENTAL HEALTH INTERVENTIONS BY INCREASING INPATIENT AND OUTPATIENT SERVICES, OPTIMIZE SCHOOL TELEMEDICINE CLINIC, EXPAND SCHOOL BLUE ENVELOPE CLINIC, DEVELOP, PROMOTE, AND IMPLEMENT COLLEGIATE BLUE ENVELOPE PROGRAM, AND PARTNER WITH LOCAL ORGANIZATIONS(2) PROVIDE TRAINING AND EDUCATION TO IMPROVE QUALITY OF CARE: CREATE, ENHANCE AND DISTRIBUTE TRAUMA-INFORMED TRAINING TO CH TEAM MEMBERS, AND CREATE, ENHANCE, AND DISTRIBUTE SUICIDE PREVENTION MATERIALS TO TEAM MEMBERSWE NOTED THE FOLLOWING PROGRESS AS OF MARCH 31, 2024 TOWARDS THE GOALS LISTED ON THE 2021 CHNA PRIOR TO THE ADOPTION OF THE CURRENT CHNA:ACCESS TO CARE:-ESTABLISHED PRIORITY HEALTH PRODUCT: COREWELL HEALTH GRAND RAPIDS HAD DETERMINED THAT A NEW PRODUCT WOULD NOT BE BEST FOR THE POPULATION, INSTEAD OPTING TO OFFER EDUCATION ON HOW TO SIGN UP FOR AND USE INSURANCE- BOSTON SQUARE PRIMARY CARE OFFICE OPENED: COREWELL HEALTH GRAND RAPIDS EXPECTED CONSTRUCTION OF THE OFFICE TO BEGIN IN MAY 2024 AND CONCLUDE IN OCTOBER 2024. THE LOCATION OPENED IN JANUARY 2025DISCRIMINATION AND RACIAL INEQUITY- NUMBER OF COREWELL HEALTH GRAND RAPIDS TEAM MEMBERS WHO HAVE COMPLETED CQ YOUR BIAS TRAINING: 30,008 COREWELL HEALTH GRAND RAPIDS TEAM MEMBERS HAD COMPLETED CQ YOUR BIAS TRAINING- PERCENTAGE OF PATIENTS SEEN IN WHICH NATIONALITY IS DOCUMENTED: COREWELL HEALTH GRAND RAPIDS HAD DOCUMENTED THE NATIONALITY OF 99.6% OF THE PATIENTS SEENECONOMIC SECURITY- NUMBER OF CONTRACTS WITH AFFORDABLE HOUSING ORGANIZATIONS THAT FOCUS ON SUPPORTING LOW-INCOME RESIDENTS IN KENT COUNTY WITH A HISTORY OF UNCONTROLLED DIABETES AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH NEEDS: COREWELL HEALTH HEALTHIER COMMUNITIES HAD ENTERED INTO TWO CONTRACTS WITH AFFORDABLE HOUSING ORGANIZATIONS THAT FOCUS ON SUPPORTING LOW-INCOME RESIDENTS IN KENT COUNTY WITH A HISTORY OF UNCONTROLLED DIABETES AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH NEEDS- FUNDING SECURED THROUGH FUNDRAISING EFFORTS TO SUPPORT THE CLIENT ASSISTANCE FUND: COREWELL HEALTH HEALTHIER COMMUNITIES HAD SECURED $77,000 TO SUPPORT THE CLIENT ASSISTANCE FUND THROUGH FUNDRAISING AND GRANT EFFORTS- DEVELOPMENT OF ANNUAL GOALS RELATED TO THE INCLUSION OF WOMEN- AND MINORITY-OWNED BUSINESSES IN COREWELL HEALTH'S SUPPLIER NETWORK: COREWELL HEALTH GRAND RAPIDS HAD DEVELOPED ANNUAL GOALS RELATED TO THE INCLUSION OF WOMEN- AND MINORITY-OWNED BUSINESSES IN ITS SUPPLIER NETWORKFACILITY NAME:COREWELL HEALTH ZEELAND HOSPITALDESCRIPTION:THE SIGNFICANT HEALTH NEEDS IDENTIFIED IN THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE ACCESS TO HEALTH CARE AND MENTAL HEALTH.AS PART OF THE ACCESS TO CARE NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE ZEELAND HOSPITAL SERVICE AREA. THE THREE STRATEGIES AND THEIR MAIN OBJECTIVES ARE AS FOLLOWS.(1) ENHANCE COLLABORATION OF COMMUNITY HEALTH WORKER SERVICES THROUGHOUT THE COUNTY: ENHANCE COLLABORATION OF COMMUNITY HEALTH WORKER (CHW) SERVICES THROUGHOUT THE COUNTY BY ALIGNING WITH INTERCONNECTED SYSTEMS FRAMEWORK (ISF) GROUP FOR SCHOOL-BASED CHW INTERVENTIONS, TO RESOLVE BARRIERS ASSOCIATED WITH FOOD INSECURITY, HOUSING, UTILITIES, ACCESSING CARE AND OTHER SOCIAL NEEDS. BASELINE: ONE SCHOOL DISTRICT(2) DETERMINE A COMMUNITY-WIDE ACCESS STRATEGY LED BY THE THREE HEALTH SYSTEMS: PARTICIPATE IN THE COUNTY-WIDE MENTAL WELLNESS TASKFORCE, LED BY MOMENTUM CENTER AND COMMUNITY MENTAL HEALTH, TO IMPROVE COMMUNITY INTEGRATED SYSTEMS OF MENTAL HEALTH TREATMENT(3) INCREASE NUMBER OF APPROVED FINANCIAL ASSISTANCE APPLICATIONS TO HELP FOSTER BETTER ACCESS TO HEALTH CARE SERVICES: PARTNER WITH FINANCIAL COUNSELING ON INCREASING NUMBER OF APPROVED FINANCIAL ASSISTANCE APPLICATIONS FOR PATIENTS WHO MEET THE FEDERAL POVERTY LEVEL OF 250% OR LESS (SELF-REPORTED ON THE APPLICATION; 250% OR LESS = POVERTY GUIDELINES)AS PART OF THE MENTAL HEALTH NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE ZEELAND HOSPITAL SERVICE AREA. THE THREE STRATEGIES AND THEIR MAIN OBJECTIVES ARE:(1) IMPLEMENT MATERNAL INFANT HEALTH AND POSTPARTUM DEPRESSION INTERVENTION: INCREASE PERCENTAGE OF INDIVIDUALS WHO WERE REFERRED TO MIHP AND ENROLL WITH MIHP FOR MEDICAID POSTPARTUM PERSONS WITH AN EDINBURGH SCORE OF 10 OR GREATER AND/OR POSITIVE FOR THOUGHTS OF HARMING THEMSELVES(2) ENHANCE INTERCONNECTED SYSTEMS FRAMEWORK INVOLVEMENT: ZEELAND HOSPITAL WILL WORK WITH THE ISF GROUP TO DEVELOP A STRATEGY TO BEST ADDRESS MENTAL AND BEHAVIORAL HEALTH INTERVENTIONS TO STUDENTS WITHIN THE COUNTY. THIS INCLUDES OUR SCHOOL-BASED TELE-BEHAVIORAL CLINICS(3) DEVELOP A SUICIDE PREVENTION PROGRAM SPECIFIC TO VETERANS: EXPLORE PARTNERSHIPS AND INTERVENTIONS TO THOSE WHO MOST CARRY THE BURDEN OF SUICIDEFACILITY NAME:COREWELL HEALTH GERBER HOSPITALDESCRIPTION:THE SIGNFICANT HEALTH NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE BEHAVIORAL HEALTH, CHRONIC DISEASE, ACCESS TO HEALTH CARE, AND ECONOMIC SECURITY. ONE OF THESE NEEDS - ECONOMIC SECURITY, WILL NOT BE ADDRESSED DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE FOLLOWING SIGNFICANT HEALTH NEEDS: BEHAVIORAL HEALTH, CHRONIC DISEASES, AND ACCESS TO HEALTH CARE.AS PART OF THE BEHAVIORAL HEALTH NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GERBER HOSPITAL'S SERVICE AREA. THE THREE STRATEGIES AND THEIR MAIN OBJECTIVES ARE:(1) QUESTION, PERSUADE, REFER SUICIDE PREVENTION TRAINING(2) ACCESS TO BEHAVIORAL HEALTH SERVICES AND SUICIDE PREVENTION EDUCATION(3) THE STIGMA REDUCTION CAMPAIGNTHE GOAL OF THESE STRATEGIES IS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES AND BREAK DOWN BARRIERS, SUCH AS STIGMA, WHICH IMPEDE NAVIGATION OF AVAILABLE TREATMENT.AS PART OF THE CHRONIC DISEASE HEALTH NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GERBER HOSPITAL'S SERVICE AREA. THESE THREE STRATEGIES ARE:(1) VAPING/MARIJUANA PREVENTION IN SCHOOLS(2) ENVIRONMENTAL SUPPORT FOR WORKSITES(3) COORDINATION OF PHYSICAL ACTIVITY AND FOOD RESOURCESTHE GOAL OF THESE STRATEGIES IS TO INCREASE AWARENESS OF EXISTING RESOURCES THAT PROMOTE HEALTH AND HELP TREAT AND PREVENT CHRONIC DISEASE.AS PART OF THE ACCESS TO HEALTH CARE HEALTH NEED, THERE IS ONE STRATEGY THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GERBER HOSPITAL'S SERVICE AREA. THE STRATEGY IS:(1) TAMARAC (MOMENTUM, HEALTH COACHING, FINANCIAL ASSISTANCE)THE GOAL OF THIS STRATEGY IS TO INCREASE ACCESS TO CARE BY EXPANDING REFERRALS THROUGH THE MOMENTUM AND HEALTH COACHING INTERVENTIONS AT TAMARAC AND OFFER FINANCIAL ASSISTANCE TO INDIVIDUALS AND FAMILIES TO REDUCE BARRIERS. PART V, SECTION B, LINE 11 CONTINUED FACILITY NAME:COREWELL HEALTH LUDINGTON HOSPITALDESCRIPTION:THE SIGNFICANT HEALTH NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE BEHAVIORAL HEALTH, CHRONIC DISEASE, ACCESS TO HEALTH CARE, AND ECONOMIC SECURITY. ONE OF THESE NEEDS - ECONOMIC SECURITY, WILL NOT BE ADDRESSED DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE FOLLOWING SIGNFICANT HEALTH NEEDS: BEHAVIORAL HEALTH, CHRONIC DISEASES, AND ACCESS TO HEALTH CARE.AS PART OF THE BEHAVIORAL HEALTH NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE LUDINGTON HOSPITAL'S SERVICE AREA. THESE THREE STRATEGIES ARE:(1) INTERCONNECTED SYSTEMS FRAMEWORK FOR BEHAVIORAL HEALTH(2) MENTAL HEALTH FIRST AID (3) BLUE ENVELOPE ZERO SUICIDE TRAININGTHE GOAL OF THESE STRATEGIES IS TO ENHANCE COLLABORATION WITH KEY AREA STAKEHOLDERS AND LEADERS TO ADOPT AN INTERCONNECTED SYSTEMS FRAMEWORK APPROACH TO ADDRESS BEHAVIORAL HEALTH IN BOTH SCHOOL-AGE AND ADULT POPULATIONS. THIS INCLUDES IMPLEMENTATION OF EVIDENCE-BASED INTERVENTIONS FOR SUICIDAL IDEATION IN ADDITION TO PROACTIVE MEASURES OF MENTAL HEALTH INTERVENTION AND STIGMA REDUCTION.AS PART OF THE ACCESS TO HEALTH CARE HEALTH NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE LUDINGTON HOSPITAL'S SERVICE AREA. THESE TWO STRATEGIES ARE:(1) EXPAND COUNTYWIDE PUBLIC TRANSPORTATION TO SUPPORT INCREASED ACCESS TO CARE (2) PILOT MOBILE PRIMARY CARE OUTREACHTHE GOAL OF THESE STRATEGIES IS TO SUPPORT AND COLLABORATE WITH LOCAL CITY, COUNTY AND AREA PARTNERS TO INCREASE ACCESS TO LOCAL CARE BY ENHANCING COUNTYWIDE PUBLIC TRANSPORTATION.AS PART OF THE CHRONIC DISEASE NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE LUDINGTON HOSPITAL'S SERVICE AREA. THE STRATEGIES ARE: (1) COORDINATED APPROACH TO CHILDHOOD HEALTH(2) INCREASED VAPING/MARIJUANA/TOBACCO/NICOTINE PREVENTION IN SCHOOLSTHE GOAL OF THESE STRATEGIES IS THAT THEY WILL FOSTER EVIDENCE BASED HEALTHY LIFESTYLE CHOICES TO PREVENT CHRONIC DISEASE MANIFESTATIONS AND INCREASE AWARENESS OF EXISTING RESOURCES THAT PROMOTE HEALTH AND HELP TREAT AND PREVENT CHRONIC DISEASEFACILITY NAME:COREWELL HEALTH PENNOCK HOSPITALDESCRIPTION:THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE MENTAL HEALTH NEEDS AND ACCESS, HEALTH CARE ACCESS AND QUALITY, SUBSTANCE MISUSE, AFFORDABLE HOUSING, AND SOCIAL CONNECTION AND COHESION. TWO OF THESE NEEDS - AFFORDABLE HOUSING AND SOCIAL CONNECTION/COHESION WILL NOT BE ADDRESSED DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE FOLLOWING SIGNIFICANT HEALTH NEEDS: MENTAL HEALTH NEEDS AND ACCESS, HEALTH CARE ACCESS AND QUALITY, AND SUBSTANCE MISUSE.AS PART OF THE MENTAL HEALTH NEEDS AND ACCESS NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE PENNOCK HOSPITAL'S SERVICE AREA. THESE TWO STRATEGIES ARE:(1) SCHOOL BLUE ENVELOPE PROGRAM(2) OUTPATIENT BEHAVIORAL HEALTH CONSULTSTHE GOAL OF THESE STRATEGIES IS TO INCREASE ACCESS TO MENTAL HEALTH RESOURCESAS PART OF THE HEALTH CARE ACCESS AND QUALITY NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE PENNOCK HOSPITAL'S SERVICE AREA. THESE THREE STRATEGIES ARE:(1) PERSONAL ACTION TOWARD HEALTH FOR DIABETES (PATH)(2) COORDINATED APPROACH TO CHILDHOOD HEALTH (CATCH)(3) AND YOUTH BEHAVIORAL HEALTH CLINICSTHE GOAL OF THESE STRATEGIES IS TO INCREASE ACCESS TO HEALTH CARE FOR BARRY COUNTY RESIDENTS WITH DIABETES OR WHO ARE PREDIABETIC, AND FOR ADOLESCENTS WITH BEHAVIORAL HEALTH ISSUES.AS PART OF THE SUBSTANCE MISUSE NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE PENNOCK HOSPITAL'S SERVICE AREA. THESE TWO STRATEGIES ARE:(1) MEDICATION AND NEEDLE TAKEBACK ACCESS AND EDUCATION(2) SCRIPT AND TOBACCO/NICOTINE TREATMENT PROGRAMTHE GOAL OF THESE STRATEGIES IS TO INCREASE RESOURCES TO HELP ADDRESS THE ISSUE OF SUBSTANCE MISUSE AND PROPER DISPOSAL OF MEDICATIONS AND SYRINGES FOR BARRY COUNTY RESIDENTS.FACILITY NAME:COREWELL HEALTH BIG RAPIDS HOSPITAL AND COREWELL HEALTH REED CITY HOSPITALDESCRIPTION:THE SIGNFICANT HEALTH NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE BEHAVIORAL HEALTH, CHRONIC DISEASE, ACCESS TO HEALTH CARE, AND ECONOMIC SECURITY. ONE OF THESE NEEDS - ECONOMIC SECURITY, WILL NOT BE ADDRESSED DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE FOLLOWING SIGNFICANT HEALTH NEEDS: BEHAVIORAL HEALTH, CHRONIC DISEASES, AND ACCESS TO HEALTH CARE.AS PART OF THE BEHAVIORAL HEALTH NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE BIG RAPIDS AND REED CITY HOSPITALS' SERVICE AREA. THESE THREE STRATEGIES ARE:(1) K-12 MENTAL HEALTH AWARENESS/EDUCATION(2) AWARENESS/STIGMA REDUCTION CAMPAIGN(3) THE VIRTUAL BEHAVIORAL HEALTH ACCESS PROGRAMTHE GOAL OF THESE STRATEGIES IS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES AND BREAK DOWN BARRIERS, SUCH AS STIGMA, WHICH IMPEDE NAVIGATION OF AVAILABLE TREATMENT.AS PART OF THE CHRONIC DISEASE HEALTH NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE BIG RAPIDS AND REED CITY HOSPITALS' SERVICE AREA. THESE THREE STRATEGIES ARE:(1) COORDINATED APPROACH TO CHILD HEALTH(2) WEIGHT MANAGEMENT PROGRAM(3) HEALTHY LIFESTYLESTHE GOAL OF THESE STRATEGIES IS THAT COREWELL HEALTH BIG RAPIDS AND REED CITY HOSPITALS WILL FOSTER EVIDENCE-BASED HEALTHY LIFESTYLE CHOICES TO PREVENT CHRONIC DISEASE MANIFESTATIONS AND INCREASE AWARENESS OF EXISTING RESOURCES THAT PROMOTE HEALTH AND HELP TREAT AND PREVENT CHRONIC DISEASE.AS PART OF THE ACCESS TO HEALTH CARE HEALTH NEED, THERE IS ONE STRATEGY THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE BIG RAPIDS AND REED CITY HOSPITALS' SERVICE AREA. THE STRATEGY IS:(1) COMMUNITY CONNECTIONS PROGRAMTHE GOAL OF THIS STRATEGY IS TO INCREASE ACCESS TO CARE BY REENGAGING WITH THE NORTH CENTRAL COMMUNITY HEALTH INNOVATION REGION BY RELAUNCHING THE SOCIAL DETERMINANTS OF HEALTH REFERRAL PROCESS TO THE COMMUNITY CONNECTIONS PROGRAM.FACILITY NAME:COREWELL HEALTH GREENVILLE HOSPITALDESCRIPTION:THE SIGNFICANT HEALTH NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE FINANCIAL SECURITY/ECONOMIC STABILITY, HEALTHY LIFESTYLES, MENTAL HEALTH, TRANSPORTATION, AND SUBSTANCE USE DISORDER. TWO OF THESE NEEDS - SUBSTANCE USE DISORDER AND TRANSPORTATION WILL NOT BE ADDRESSED DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE FOLLOWING SIGNFICANT HEALTH NEEDS: FINANCIAL SECURITY/ECONOMIC STABILITY, HEALTHY LIFESTYLES, AND MENTAL HEALTH.AS PART OF THE FINANCIAL SECURITY/ECONOMIC STABILITY NEED, THERE IS ONE STRATEGY THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GREENVILLE HOSPITAL'S SERVICE AREA. THIS STRATEGY IS:(1) COMMUNITY COALITION, ASSESSMENT AND ACTION PLANNINGTHE GOAL OF THIS STRATEGY IS TO INCREASE FINANCIAL SECURITY AND ECONOMIC STABILITY FOR INDIVIDUALS WITH LOW INCOME WHO ARE SEEKING MEDICAL CARE AND DO NOT HAVE HEALTH INSURANCE.AS PART OF THE HEALTHY LIFESTYLES NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GREENVILLE HOSPITAL'S SERVICE AREA. THESE STRATEGIES ARE:(1) PRESCRIPTION FOR HEALTH(2) NUTRITION LABELING IN FOOD PANTRIES(3) THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S CREATING HEALTHY HOSPITAL ENVIRONMENTSTHE GOAL OF THESE STRATEGIES IS TO INCREASE ACCESS TO FRUITS AND VEGETABLES; PROVIDE EDUCATION ALONG WITH ENVIRONMENTAL AND POLICY SUPPORTS ENCOURAGING INDIVIDUALS TO MAKE HEALTHY NUTRITION CHOICES AND BE PHYSICALLY ACTIVE.AS PART OF THE MENTAL HEALTH NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GREENVILLE HOSPITAL'S SERVICE AREA. THESE STRATEGIES ARE:(1) THE STIGMA REDUCTION CAMPAIGN(2) QUESTION, PERSUADE, REFER TRAINING(3) PSYCHIATRIC CONSULTATION AVAILABLE TO PHYSICIANSTHE GOAL OF THESE STRATEGIES IS TO INCREASE THE CAPACITY OF PHYSICIANS AND ADULTS IN THE COMMUNITY TO RESPOND TO INDIVIDUALS EXPERIENCING A MENTAL HEALTH CRISIS AND REDUCE THE STIGMA ASSOCIATED WITH SEEKING MENTAL HEALTH SERVICES PART V, SECTION B, LINE 11 CONTINUED FACILITY NAME:COREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL, AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITALDESCRIPTION:THE SIGNIFICANT HEALTH NEEDS IN THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE MENTAL HEALTH, HEALTH CARE ACCESS, ECONOMIC AND EMPLOYMENT CONDITIONS, NUTRITION ENVIRONMENT, AND SOCIAL COHESION. WITH THE EXCEPTION OF ECONOMIC AND EMPLOYMENT CONDITIONS WHICH REPLACES SAFETY AS A PRIORITY HEALTH NEED (PHN), THESE PHN ARE THE SAME AS THOSE IDENTIFIED IN THE PREVIOUS CHNA. ONE OF THESE NEEDS - ECONOMIC AND EMPLOYMENT CONDITIONS, WILL NOT BE ADDRESSED DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE PREVIOUSLY MENTIONED PHNS.AS PART OF THE MENTAL HEALTH NEED, THERE ARE FOUR STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE SOUTHWEST MICHIGAN AREA. THE STRATEGIES ARE:(1) INCREASE AWARENESS OF MENTAL HEALTH AND WELLNESS AND DECREASE THE STIGMA OF MENTAL HEALTH: WORK WITH COMMUNITY PARTNERS TO HOST POP-UP PUBLIC INTERACTIVE ART AND WELLNESS EXHIBITS(2) MENTAL WELLNESS WORKSHOPS: HOST THE COMMUNITY RESILIENCY MODEL (CRM), YOUTH AND ADULT MENTAL HEALTH FIRST AID, AND TRAUMA AND MENTAL HEALTH 101(3) INTRODUCE MENTAL HEALTH SERVICES TO THE COREWELL HEALTH CENTER FOR WELLNESS: EXPANDING IN-PERSON AND VIRTUAL OPTIONS(4) PROVIDE MINDFUL MOVEMENT TRAINING: ADDRESSING NEEDS AND SYMPTOMS ASSOCIATED WITH TRAUMA IN YOGA AND PILATES CLASSESAS PART OF THE ACCESS TO CARE NEED, THERE ARE NINE STRATEGIES THAT WILL BE UTILIZED TO ADDRES THE NEED IN THE SOUTHWEST MICHIGAN AREA. THE NINE STRATEGIES AND THEIR MAIN OBJECTIVES ARE AS FOLLOWS.(1) TO ADOPT THE AMERICAN MEDICAL ASSOCIATION (AMA) MAP BLOOD PRESSURE PROGRAM: HELP TEAMS CHOOSE THE BEST CARE FOR PATIENTS WITH HYPERTENSION AND IMPROVE BLOOD PRESSURE CONTROL OUTCOMES(2) ENCOURAGE VACCINATION AND INCREASE PROTECTION AGAINST COVID-19: EDUCATION ON BENEFITS AND CONCERNS, ADDRESSING AND REDUCING BARRIERS TO ATTEND VACCINATION APPOINTMENTS(3) HEALTHCARE CAREER PRE-APPRENTICESHIPS: PROVIDE EQUITABLE OPPORTUNITIES FOR CAREERS IN HEALTHCARE(4) GROWTH INTERNSHIPS: SUPPORT A DIVERSE WORKFORCE THROUGH HIRING PAID INTERNS TO GAIN EXPERIENCE, PROVIDE MENTORSHIP OPPORTUNITIES, AND INCREASE PREPAREDNESS FOR FUTURE CAREERS(5) HYPERTENSION MONITORING PROGRAMS: INCREASE HYPERTENSION MANAGEMENT THROUGH HOME MONITORING PROGRAMS(6) MATTERS OF THE HEART: PROVIDE INFORMATIONAL VIDEOS ON LOCAL CONCERNS ON HEART HEALTH TO BETTER INFORM THE PUBLIC(7) PREVENTIVE HEALTH CARE SERVICES AT THE COREWELL HEALTH CENTER FOR WELLNESS: PROVIDE PREVENTIVE SCREENINGS, VACCINATIONS, AND EDUCATION TO COMMUNITY MEMBERS AND PATIENTS IN CLOSER PROXIMITY TO PATIENT NEIGHORHOODS(8) SOCIAL NAVIGATION SERVICES AT THE COREWELL HEALTH CENTER FOR WELLNESS: PROVIDE NO-COST NAVIGATION SERVICES FOR HOUSING AND UTILITY ASSISTANCE, EMPLOYMENT/INCOME NEEDS, FOOD INSECURITY, AND CARE AND SAFETY ITEMS FOR FAMILIES WITH YOUNG CHILDREN(9) NEIGHBERHOOD-BASED HEALTH HOMES: ENHANCE PATIENT RELATIONSHIPS AND ACCESS TO PREVENTITVE HEALTH CARE THROUGH COMMUNITY BUILDING, HEALTH SCREENINGS, AND COACHINGAS PART OF THE NUTRITION ENVRIONMENT NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE SOUTHWEST MICHIGAN AREA. THE TWO STRATEGIES AND THEIR MAIN OBJECTIVES ARE AS FOLLOWS.(1) PRESCRIPTION FOR HEALTH: INCREASE ACCESS TO NUTRITIOUS AND AFFORDABLE FOODS WITH PARTICIPIENTS RECEIVING A WEEKLY STIPEND TO SPEND ON FRUITS AND VEGTABLES(2) COMMUNITY KITCHEN CLUB: SUPPORT COMMUNITY-BASED ORGANIZATIONS BY PROVIDING COMMUNITY-BUILDING ACTIVITIES AND EDUCATION INCLUDING TEACHING GENERAL COOKING SKILLS, NUTRITIONAL MEAL PREPERATION, AND COOKING SAFETYAS PART OF THE SOCIAL COHESION NEED, THERE ARE FIVE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE SOUTHWEST MICHIGAN AREA. THE FIVE STRATEGIES AND THEIR MAIN OBJECTIVES ARE AS FOLLOWS.(1) COMMUNITY ENGAGED RESEARCH: SUPPORT THE DEVELOPMENT OF SOCIAL COHESION, COLLECTIVE COMMUNITY, AND STAKEHOLDER ACTION(2) COMMUNITY GRAND ROUNDS AND BRAVE TALKS: PROMOTE CHANGE IN NARRATIVE THINKING, BEHAVIOR AROUND THE ISSUES OF RACISM AND HEALTH, AND INTEGRATION OF BRAVE TALKS INTO K-12 EDUCATION(3) WHOLE CHILD COUNTY COLLABORATIVE: PROMOTE HEALTH AND WELL-BEING IN SCHOOLS, INCREASE EDUCATOR TRAINING IN MENTAL HEALTH, AND BUILD EDUCATOR CAPACITY AROUND FOSTERING BELONGING AND ENGAGEMENT(4) COMMUNITY EVENTS: COMMUNITY BRUNCHES FOCUSING ON MENTAL HEALTH, THE BREAKING BREAD PROGRAM WORKING TO DEVELOP COMMUNITY RELATIONSHIPS WHILE PARTICIPATING IN MEANINGFUL CULTURAL PRACTICES, AND THE AGORA PROGRAM SEEKING TO CAPTURE INFORMATION AND CONNECT NEIGHBORHOODS TO SHARE IDEAS(5) LAUNCHPAD 022: FOSTER INNOVATIVE ACTIVITIES FOR YOUTH BY INCORPORATING LIFE SKILLS, MENTAL HEALTH, AND PHYSICAL WELL-BEING INTO TRADITIONAL STEAM (SCIENCE, TECHNOLOGY, ENGINEERING, ARTS, AND MATHMATICS) COURSESFACILITY NAME:COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL, COREWELL HEALTH BEAUMONT TROY HOSPITAL, COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL, COREWELL HEALTH FARMINGTON HILLS HOSPITAL, COREWELL HEALTH DEARBORN HOSPITAL, COREWELL HEALTH TRENTON HOSPITAL, COREWELL HEALTH TAYLOR HOSPITAL, AND COREWELL HEALTH WAYNE HOSPITALDESCRIPTION:THE SIGNIFICANT HEALTH NEEDS IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE BEHAVIORAL HEALTH, HEALTH EDUCATION, ACCESS TO CARE, INCOME/POVERTY, AND TRANSPORTATION. INCOME/POVERTY AND TRANSPORTATION WERE NOT ADDRESSED AS THEY DID NOT FALL WITHIN THE PRIORITIZATION PROCESS CRITERIA.AS PART OF THE BEHAVIORAL HEALTH NEED, THERE ARE SEVEN STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE SOUTHEAST MICHIGAN AREA. THE STRATEGIES ARE AS FOLLOWS.(1) CREATE SUPPORT GROUPS BASED ON NEED AVAILABLE TO THE COMMUNITY(2) CREATE EDUCATION SESSIONS ON BEHAVIORAL HEALTH STRATEGIES FOR THE COMMUNITY(3) ESTABLISH A NALOXONE DISTRIBUTION PROGRAM WITHIN THE EMERGENCY CENTER(4) IN COLLABORATION WITH COMMUNITY PARTNERS, PARTICIPATE/HOST MEDICATION TAKE BACK DAYS ANNUALLY FROM 2023-2025(5) PROVIDE MENTAL HEALTH FIRST AID EDUCATION TO 250 COMMUNITY LEADERS/MEMBERS ANNUALLY(6) TEEN HEALTH CENTER/SWP/E3 LMSW'S/LPC WILL PROVIDE MENTAL HEALTH COUNSELING SERVICES TO A MINIMUM OF 50 UNDUPLICATED USERS/STUDENTS AND 500 MENTAL HEALTH VISITS PER YEAR PER SITE(7) OFFER QUARTERLY VIRTUAL SMOKING CESSATION CLASSES AT NO-COST TO COMMUNITY MEMBERSTHE GOAL OF THESE STRATEGIES IS TO ADDRESS BEHAVIORAL HEALTH NEEDS, INCLUDING MENTLA WELL-BEING AND SUBSTANCE USE DISORDERS.AS PART OF THE HEALTH EDUCATION NEED, THERE ARE FIVE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE SOUTHEAST MICHIGAN AREA. THE STRATEGIES ARE AS FOLLOWS.(1) CONDUCT AN ASSESSMENT/REVIEW AND UPDATE THE CURRENT STATE OF CULTURAL COMPETENCY EDUCATION WITHIN THE DEARBORN HOSPITAL(2) IMPROVE RELATIONSHIPS WITH COMMUNITY ORGANIZATIONS(3) INCREASE ENROLLMENT IN CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMS BY 15% BY 2025(4) EMPLOY A COMMUNITY HEALTH WORKER MODEL TO SUPPORT COMMUNITY CONNECTEDNESS AND HEALTH EDUCATION BY 2024(5) ESTABLISH A CHILD PASSENGER SAFETY TECHNICIAN TRAINING MODEL BY JUNE 2023THE GOAL OF THESE STRATEGIES IS TO INCREASE KNOWLEDGE ON HEALTH AND SOCIAL RESORUCES TO IMPROVE COMMUNITY WELLNESS AND INCREASE THE NUMBER OF YOUTHS WHO RECEIVE HEALTH EDUCATION IN THE SCHOOLS AND COMMUNITY.AS PART OF THE ACCESS TO CARE NEED, THERE ARE SEVEN STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE SOUTHEAST MICHIGAN AREA. THE STRATEGIES ARE AS FOLLOWS.(1) CONDUCT AN ASSESSMENT/REVIEW AND UPDATE THE CURRENT STATE OF CULTURAL COMPETENCY EDUCATION WITHIN THE DEARBORN HOSPITA(2) CREATE AWARENESS OF EXISTING RESOURCES AND HOW TO USE THEM TO IMPROVE NAVIGATING THE HEALTHCARE SYSTEM(3) INCREASE PATIENT SATISFACTION SCORES(4) INCREASE THE PERCENT OF STUDENTS WITH ACCESS TO SCHOOL FOOD PANTRIES(5) INCREASE USE OF BEAUMONT COMMUNITY RESOURCE NETWORK (BCRN) IN THE COMMUNITY BY 25%(6) INCREASE COMMUNITY BASED ORGANIZATION CLAIM RATE ON BCRN BY 50%(7) INCREASE THE NUMBER OF STAFF WHO USE BCRNTHE GOAL OF THESE STRATEGIES IS TO ENHANCE ACCESS TO AND COORDINATION OF CARE THROUGH COMMUNITY-BASED EFFORTS. PART V, SECTION B, LINE 11 CONTINUED PART V, SECTION B, LINE 13BINCOME LEVEL OTHER THAN FPGFACILITY NAME: ALL FACILITIES LISTED IN SCHEDULE H, PART V, SECTION ADESCRIPTION:COREWELL HEALTH ACKNOWLEDGES THAT SIGNIFICANT HEALTH EVENTS MAY RESULT IN CATASTROPHIC FINANCIAL BURDEN TO A PATIENT AND FAMILY, AS SUCH COREWELL HEALTH RESERVES THE RIGHT TO REVIEW CATASTROPHIC CASES ON AN INDIVIDUAL BASIS. CONSIDERATION FOR A REDUCED FINANCIAL OBLIGATION WILL BE MADE FACTORING MEDICAL BILLS ACCUMULATED WITHIN THE LAST 240 DAYS, AS WELL AS THOSE ANTICIPATED TO OCCUR WITHIN THE NEXT 90 DAYS. A CATASTROPHIC FINANCIAL BURDEN IS ONE WHICH RESULTS IN A FINANCIAL BURDEN OF 25% OF ANNUAL HOUSEHOLD INCOME OR GREATER. PART V, SECTION B, LINE 13H OTHER ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCEFACILITY NAME: ALL FACILITIES LISTED IN SCHEDULE H, PART V, SECTION ADESCRIPTION:THE ORGANIZATION USES FPG TO DETERMINE ELIGIBILITY FOR FREE CARE. PART V, SECTION B, LINE 16A AND BFAP APPLICATION FORM WEBSITEFACILITY NAME AND DESCRIPTION: SEE PART V, SECTION B, LINE 16CPART V, SECTION B, LINE 16CPLAIN LANGUAGE FAP WEBSITEFACILITY NAME: ALL FACILITIES LISTED IN SCHEDULE H, PART V, SECTION AHTTPS://COREWELLHEALTH.ORG/BILLING/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16JOTHER WAYS HOSPITAL PUBLICIZED FINANCIAL ASSISTANCE POLICYFACILITY NAME: ALL FACILITIES LISTED IN SCHEDULE H, PART V, SECTION ADESCRIPTION:COREWELL HEALTH HAS IMPLEMENTED MEASURES TO WIDELY PUBLICIZE COMMUNICATIONS TO PATIENTS AND THE PUBLIC REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. COMMUNICATION METHODS INCLUDE BUT ARE NOT LIMITED TO SIGNAGE IN EACH HOSPITAL EMERGENCY DEPARTMENT, HOSPITAL ADMISSIONS OFFICE(S) AND OTHER PUBLIC LOCATIONS WITHIN THE HOSPITAL, INFORMATION ON THE COREWELL HEALTH WEBSITE, THE COREWELL HEALTH PATIENT HANDBOOK, VARIOUS INFORMATIONAL BROCHURES, UPON REQUEST BY ANY PATIENT, GUARANTOR OR COMMUNITY MEMBER, WORD OF MOUTH VIA FINANCIAL COUNSELORS AND OTHERS, AND THROUGH COMMUNITY PUBLICATIONS AND OUTREACH EVENTS. IN ADDITION, COREWELL HEALTH OFFERS 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. THE ABOVE-MENTIONED COMMUNICATIONS AND PLAIN LANGUAGE SUMMARIES OF FINANCIAL ASSISTANCE POLICIES ARE OFFERED IN THE FOLLOWING LANGUAGES: ENGLISH, ALBANIAN, ARABIC, BENGALI, BOSNIAN, BURMESE, CHINESE, KAREN, KINYARWANDA, KOREAN, NEPALI, SPANISH, SWAHILI, AND VIETNAMESE.PATIENTS ARE NOTIFIED OF THE FINANCIAL ASSISTANCE ELIGIBILITY POLICY FOR A PERIOD OF AT LEAST 120 DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. PATIENT BALANCES WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE EVALUATION FOR AT LEAST 240 DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT ("APPLICATION PERIOD"). IF COREWELL HEALTH RECEIVES A FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, WHETHER THE APPLICATION IS COMPLETE OR INCOMPLETE, IT WILL SUSPEND ANY COLLECTION EFFORTS UNTIL A DETERMINATION REGARDING FINANCIAL ASSISTANCE IS MADE. 269 1 - CH CARE CTR - 275 MICHIGAN ST NE 275 MICHIGAN ST NE GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 2 - CH WBU CARE CTR - 3535 W 13 MILE RD 3535 W 13 MILE RD ROYAL OAK MI 48073 AMBULATORY/PHYSICIAN CLINIC 3 - CH GR HOSPITALS L-H CANCER PAVILION 145 MICHIGAN ST NE GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 4 - CH CARE CTR - 35 MICHIGAN ST 35 MICHIGAN ST NE GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 5 - CH CARE CTR - 4700 SCHAEFFER RD 4700 SCHAEFER RD DEARBORN MI 48126 ASC/GENERAL MEDICAL 6 - CH TROY HOSPITAL FAMILY MEDICINE 44250 DEQUINDRE DR STERLING HEIGHTS MI 48314 AMBULATORY/PHYSICIAN CLINIC 7 - CH CARE CTR - 25 MICHIGAN ST 25 MICHIGAN ST NE GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 8 - CH CARE CTR - GRAND HAVEN 15100 WHITTAKER WAY GRAND HAVEN MI 49417 AMBULATORY/PHYSICIAN CLINIC 9 - CH CARE CTR - 4100 LAKE DR 4100 LAKE DR SE GRAND RAPIDS MI 49546 ASC/GENERAL MEDICAL 10 - CH CARE CTR - 4069 LAKE DR 4069 LAKE DR SE GRAND RAPIDS MI 49546 ASC/GENERAL MEDICAL 11 - CH WBU HOSPITAL CARE CTR - COOLIDGE 4949 COOLIDGE HWY ROYAL OAK MI 48073 AMBULATORY/PHYSICIAN CLINIC 12 - CH CARE CTR - E BELTLINE 2750 E BELTLINE AVE NE GRAND RAPIDS MI 49525 AMBULATORY/PHYSICIAN CLINIC 13 - CH REHAB & NURSING CTR - KENTRIDGE 4118 KALAMAZOO AVE SE GRAND RAPIDS MI 49508 SKILLED NURSING 14 - CH CARE CTR - ROYALTON 3950 HOLLYWOOD RD ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC 15 - CH WBU HOSPITAL IMAGING CTR 3581 W 13 MILE RD ROYAL OAK MI 48073 AMBULATORY/PHYSICIAN CLINIC 16 - CH REHAB & NURSING CTR - CEDAR ST 1226 CEDAR ST NE GRAND RAPIDS MI 49504 AMBULATORY/PHYSICIAN CLINIC 17 - CH REHAB & NURSING CTR - COMMONS FH 21450 ARCHWOOD CIRCLE FARMINGTON HILLS MI 48336 SKILLED NURSING 18 - CH CARE CTR - OAKWOOD BLVD 18100 OAKWOOD BLVD DEARBORN MI 48124 ASC/GENERAL MEDICAL 19 - CH WBU HOSPITAL ROSE CANCER CTR 3577 W 13 MILE RD ROYAL OAK MI 48073 AMBULATORY/PHYSICIAN CLINIC 20 - CH ORTHOPEDIC CENTER - E BELTLINE 2770 E BELTLINE AVE NE GRAND RAPIDS MI 49525 ASC/GENERAL MEDICAL 21 - CH WBU HOSPITAL NEUROSCIENCE CTR 3555 W 13 MILE RD ROYAL OAK MI 48073 AMBULATORY/PHYSICIAN CLINIC 22 - CHMG SLEEP MEDICINE & PULMONARY 80 68TH ST SE GRAND RAPIDS MI 49548 ASC/GENERAL MEDICAL 23 - CH DEARBORN HOSPITAL 18181 OAKWOOD BLVD DEARBORN MI 48124 AMBULATORY/PHYSICIAN CLINIC 24 - CH SPINE & PAIN MANAGEMENT 1900 WEALTHY ST SE EAST GRAND RAPIDS MI 49503 ADMIN-AMBULATORY 25 - CH CARE CTR - BRADFORD 2900 BRADFORD ST NE GRAND RAPIDS MI 49525 AMBULATORY/PHYSICIAN CLINIC 26 - CH TROY HOSPITAL - DEQUINDRE DR 44199 DEQUINDRE RD TROY MI 48085 AMBULATORY/PHYSICIAN CLINIC 27 - CH WBU CARE CTR - ORCHARD LAKE 6900 ORCHARD LAKE RD WEST BLOOMFIELD MI 48322 AMBULATORY/PHYSICIAN CLINIC 28 - CH CARE CTR - ROYALTON - ST JOSEPH 3900 HOLLYWOOD RD ST JOSEPH MI 49085 ASC/GENERAL MEDICAL 29 - CH REHAB & NURSING CTR - LEFFINGWELL 1001 LEFFINGWELL AVE NE GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 30 - CH TROY HOSPITAL CARE CTR - S BLVD 1555 SOUTH BOULEVARD E ROCHESTER HILLS MI 48307 AMBULATORY/PHYSICIAN CLINIC 31 - CH LUDINGTON HOSPITAL MULTI-SPEC CTR 7 ATKINSON DR LUDINGTON MI 49431 AMBULATORY/PHYSICIAN CLINIC 32 - CH GR HOSPITALS PT - FREEMONT 1401 W MAIN ST FREMONT MI 49412 REHAB CENTER 33 - CH REHAB & NURSING CTR - DEARBORN 16391 ROTUNDA DR DEARBORN MI 48124 REHAB & SKILLED NURSING 34 - CHMG OBGYNCARDIOVASCULAR MEDICINE 221 MICHIGAN ST NE GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 35 - CH FH HOSPITAL CARE CTR 39000 7 MILE RD LIVONIA MI 48152 AMBULATORY/PHYSICIAN CLINIC 36 - CH GP HOSPITAL CARE CTR - LENOX TWP 36555 26 MILE RD LENOX TWP MI 48048 AMBULATORY/PHYSICIAN CLINIC 37 - CH LAKELAND HOMECARE - MEADOWBROOK 2550 MEADOWBROOK RD BENTON HARBOR MI 49022 AMBULATORY/PHYSICIAN CLINIC 38 - CH REHAB & NURSING CTR - PINE RIDGE 4368 S CLEVELAND AVE STEVENSVILLE MI 49127 SKILLED NURSING 39 - CH GR HOSPITALS PEDIATRICS 330 BARCLAY AVE NE GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 40 - CH TROY HOSPITAL CARE CTR - HALL RD 15979 HALL RD MACOMB TWP MI 48044 AMBULATORY/PHYSICIAN CLINIC 41 - CH CARE CTR - LAKEWOOD 588 E LAKEWOOD BLVD HOLLAND MI 49423 AMBULATORY/PHYSICIAN CLINIC 42 - CH PRIMARY CARE CTR - WYOMING 6105 WILSON AVE SW WYOMING MI 49418 AMBULATORY/PHYSICIAN CLINIC 43 - CH PENNOCK MEDICAL ARTS BUILDING 1005 W GREEN ST HASTINGS MI 49058 AMBULATORY/PHYSICIAN CLINIC 44 - CH FH HOSPITAL CARDIOLOGY 28080 GRAND RIVER AVE FARMINGTON HILLS MI 48336 AMBULATORY/PHYSICIAN CLINIC 45 - CH TROY HOSPITAL CARE CTR - STERLING 44300 DEQUINDRE RD STERLING HEIGHTS MI 48314 REHAB & DIALYSIS 46 - CH MUSCULOSKELETAL CTR 230 MICHIGAN ST GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 47 - CH CARE CTR - FORT ST SURGERY 5452 FORT ST TRENTON MI 48183 AMBULATORY/PHYSICIAN CLINIC 48 - CH CARE CTR - NORTHLINE RD 15777 NORTHLINE RD SOUTHGATE MI 48195 AMBULATORY/PHYSICIAN CLINIC 49 - CH PENNOCK POB 1005 W GREEN ST HASTINGS MI 49058 AMBULATORY/PHYSICIAN CLINIC 50 - CH CARE CTR - NILES 42 N ST JOSEPH AVE NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC 51 - CH GERBER HOSPITAL 230 W OAK ST FREMONT MI 49412 AMBULATORY/PHYSICIAN CLINIC 52 - CH GP HOSPITAL CARE CTR - JEFFERSON 16815 E JEFFERSON AVE GROSSE POINTE MI 48230 AMBULATORY/PHYSICIAN CLINIC 53 - CH FH HOSPITAL FAMILY MED 28100 GRAND RIVER AVE FARMINGTON HILLS MI 48336 AMBULATORY/PHYSICIAN CLINIC 54 - CH CARE CTR - DEQUINDRE RD 44344 DEQUINDRE RD STERLING HEIGHTS MI 48314 AMBULATORY/PHYSICIAN CLINIC 55 - CH CARE CTR - MI STREET NE 426 MICHIGAN ST GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 56 - CH ZEELAND HOSPITAL MEDICAL OFFICE 8333 FELCH ST ZEELAND MI 49464 AMBULATORY/PHYSICIAN CLINIC 57 - CH CARE CTR - 25631 LITTLE MACK AVE 25631 LITTLE MACK AVE ST CLAIR SHORES MI 48081 AMBULATORY/PHYSICIAN CLINIC 58 - CH BR HOSPITAL CARE CTR - 215TH AVE 14755 215TH AVE BIG RAPIDS MI 49307 AMBULATORY/PHYSICIAN CLINIC 59 - CH LAKELAND MARIE YEAGER CANCER CTR 3900 HOLLYWOOD RD ST JOSEPH MI 49085 ASC/GENERAL MEDICAL 60 - CH FH HOSPITAL CANCER CARE CTR 27900 GRAND RIVER AVE FARMINGTON HILLS MI 48336 AMBULATORY/PHYSICIAN CLINIC 61 - CH CARE CTR - 2009 HOLTON RD 2009 HOLTON RD MUSKEGON MI 49445 AMBULATORY/PHYSICIAN CLINIC 62 - CH CARE CTR - ROCKFORD 8501 MEADOW CREEK ROCKFORD MI 49341 AMBULATORY/PHYSICIAN CLINIC 63 - CH FAMILY MEDICINE - BRETON 4600 BRETON RD SE KENTWOOD MI 49508 AMBULATORY/PHYSICIAN CLINIC 64 - CH DEARBORN HOSPITAL PEDIATRIC CARE 18501 ROTUNDA DR DEARBORN MI 48124 ADMIN-AMBULATORY 65 - CH LAKELAND PRIMARY CARE - HOLLYWOOD 3950 HOLLYWOOD RD ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC 66 - CH HOME INFUSION - ROYAL OAK 31157 WOODWARD AVE ROYAL OAK MI 48073 AMBULATORY/PHYSICIAN CLINIC 67 - CH TROY HOSPITAL CARE CTR - HALL RD 15959 HALL RD MACOMB TWP MI 48044 AMBULATORY/PHYSICIAN CLINIC 68 - CHMG PSYCHIATRYBEHAVIORAL MEDICINE 75 SHELDON BLVD GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 69 - CH KAREN WILSON SMITHBAUER CARE CTR 5400 FORT ST TRENTON MI 48183 AMBULATORY/PHYSICIAN CLINIC 70 - CH CARE CTR - ADA 7128 FULTON ST SE ADA MI 49355 AMBULATORY/PHYSICIAN CLINIC 71 - CH BIG RAPIDS HOSPITAL - POB 705 OAK ST BIG RAPIDS MI 49307 AMBULATORY/PHYSICIAN CLINIC 72 - CH LAKELAND ICC 2002 S 11TH ST NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC 73 - CH CARE CTR - CANTON 7330 CANTON CENTER RD CANTON MI 48184 AMBULATORY/PHYSICIAN CLINIC 74 - CH GREENVILLE FAMILY MEDICINE 1202 W OAK ST GREENVILLE MI 48838 AMBULATORY/PHYSICIAN CLINIC 75 - CH REED CITY REGIONAL CANCER CTR 4499 220TH AVE REED CITY MI 49677 AMBULATORY/PHYSICIAN CLINIC 76 - CH CARE CTR - ST CLAIR SHORES 21400 E 11 MILE RD ST CLAIR SHORES MI 48081 AMBULATORY/PHYSICIAN CLINIC 77 - CH FAMILY MEDICINE - GARDEN CITY 29150 FORD RD GARDEN CITY MI 48135 AMBULATORY/PHYSICIAN CLINIC 78 - THE COMMONS CH - OAK COURT DEARBORN 16351 ROTUNDA DR DEARBORN MI 48120 AMBULATORY/PHYSICIAN CLINIC 79 - CH WBU HOSPITAL CARE CTR - COMMON RD 8545 COMMON RD WARREN MI 48093 AMBULATORY/PHYSICIAN CLINIC 80 - CH WBU CARDIOLOGY & HEART RHYTHM 4550/4600 INVESTMENT DR TROY MI 48098 AMBULATORY/PHYSICIAN CLINIC 81 - CH TROY HOSPITAL CARE CTR - ORION 1455 S LAPEER RD LAKE ORION MI 48360 AMBULATORY/PHYSICIAN CLINIC 82 - CH DEARBORN HOSPITAL INTERNAL MED 17000 HUBBARD DR DEARBORN MI 48126 AMBULATORY/PHYSICIAN CLINIC 83 - CH MERLINCAROLYN HANSON HOSPICE CTR 4382 CLEVELAND AVE STEVENSVILLE MI 49127 AMBULATORY/PHYSICIAN CLINIC 84 - CH CARE CTR - WESTLAND 2001 S MERRIMAN RD WESTLAND MI 48186 AMBULATORY/PHYSICIAN CLINIC 85 - CH DEARBORN HOSPITAL HEARTVASCULAR 22060 BEECH ST DEARBORN MI 48124 AMBULATORY/PHYSICIAN CLINIC 86 - CH GREENVILLE HOSPITAL CARE CTR 705 S GREENVILLE W DR GREENVILLE MI 48838 AMBULATORY/PHYSICIAN CLINIC 87 - CH CARE CTR - BIDDLE AVE 1700 BIDDLE AVE WYANDOTTE MI 48192 AMBULATORY/PHYSICIAN CLINIC 88 - CH GREENVILLE MULTI-SPEC CTR 707 S GREENVILLE W DR GREENVILLE MI 48838 AMBULATORY/PHYSICIAN CLINIC 89 - CH FAMILY MEDICINE - CAMPUSTOWNE 4868 LAKE MICHIGAN DR ALLENDALE MI 49401 AMBULATORY/PHYSICIAN CLINIC 90 - CH FAMILY MEDICINE - FREMONT 204 W MAIN ST FREMONT MI 49412 AMBULATORY/PHYSICIAN CLINIC 91 - CH WBU HOSPITAL CARDIOLOGY 27901 WOODWARD AVE BERKLEY MI 48072 AMBULATORY/PHYSICIAN CLINIC 92 - CH FAMILY MEDICINE - CANADIAN LAKES 8354 100TH AVE CANADIAN LAKES MI 49346 AMBULATORY/PHYSICIAN CLINIC 93 - CH CARE CTR - LAKEVIEW 8650 HOWARD CITY EDMORE RD LAKEVIEW MI 48850 AMBULATORY/PHYSICIAN CLINIC 94 - CH FAMILY MEDICINE - 14 MILE RD 29645 W 14 MILE RD FARMINGTON HILLS MI 48334 AMBULATORY/PHYSICIAN CLINIC 95 - CH GR HOSPITALS LAB - KALAMAZOO 4444 KALAMAZOO AVE SE KENTWOOD MI 49508 AMBULATORY/PHYSICIAN CLINIC 96 - CH FAMILY MEDICINE - BYRON CTR 7751 BYRON CENTER AVE SW BYRON CENTER MI 49315 AMBULATORY/PHYSICIAN CLINIC 97 - CH PENNOCK HOSPITAL FAMILY MEDICINE 1108 W STATE ST HASTINGS MI 49058 AMBULATORY/PHYSICIAN CLINIC 98 - CH SOUTHWESTERN MEDICAL CLINIC 5515 CLEVELAND AVE STEVENSVILLE MI 49127 AMBULATORY/PHYSICIAN CLINIC 99 - CH FAMILY MEDICINE - GEORGETOWN S 3158 PORT SHELDON HUDSONVILLE MI 49426 AMBULATORY/PHYSICIAN CLINIC 100 - CH CARE CTR - BERRIEN SPRINGS 9045 US 31 BERRIEN SPRINGS MI 49104 AMBULATORY/PHYSICIAN CLINIC 101 - CH WAYNE HOSPITAL IMAGING 7300 CANTON CENTER RD CANTON MI 48187 AMBULATORY/PHYSICIAN CLINIC 102 - CH FAMILY MEDICINE - BELLEVILLE 201 THIRD ST BELLEVILLE MI 48111 AMBULATORY/PHYSICIAN CLINIC 103 - CH TROY HOSPITAL RADIATION ONCOLOGY 44378 DEQUINDRE AVE STERLING HEIGHTS MI 48314 AMBULATORY/PHYSICIAN CLINIC 104 - CH WEIGHT CONTROL CTR 6300 N HAGGERTY RD CANTON TWP MI 48187 AMBULATORY/PHYSICIAN CLINIC 105 - CH CTR FOR HUMAN DEVELOPMENT 30503 GREENFIELD RD SOUTHFIELD MI 48076 AMBULATORY/PHYSICIAN CLINIC 106 - CH FAMILY MEDICINE - SPARTA 2111 12 MILE RD NW SPARTA MI 49345 AMBULATORY/PHYSICIAN CLINIC 107 - CH CARE CTR - N ROCHESTER RD 6700 N ROCHESTER RD ROCHESTER HILLS MI 48306 AMBULATORY/PHYSICIAN CLINIC 108 - CH FAMILY MEDICINE - N HAGGERTY RD 2050 HAGGERTY RD CANTON MI 48187 AMBULATORY/PHYSICIAN CLINIC 109 - CH GP HOSPITALS PT - WATERLOO 17150 WATERLOO ST GROSSE POINTE MI 48230 REHAB 110 - HDCH PEDIATRIC CTR - LANSING 3220 DISCOVERY DRIVE LANSING MI 48910 AMBULATORY/PHYSICIAN CLINIC 111 - CH ADVANCED PRIMARY CARE - ALPINE 2332 ALPINE AVE NW WALKER MI 49544 AMBULATORY/PHYSICIAN CLINIC 112 - CH CARE CTR - BEECH DALY RD 15540 BEECH DALY RD REDFORD TWP MI 48239 AMBULATORY/PHYSICIAN CLINIC 113 - CH PEDIATRICS - 68TH ST SE 1545 68TH ST SE GRAND RAPIDS MI 49508 AMBULATORY/PHYSICIAN CLINIC 114 - CH SLEEP CENTER 16310 W 12 MILE RD SOUTHFIELD MI 48076 AMBULATORY/PHYSICIAN CLINIC 115 - CH RHEUMATOLOGY - SUMMIT PARK 3271 CLEAR VISTA CT NE GRAND RAPIDS MI 49525 AMBULATORY/PHYSICIAN CLINIC 116 - CH CARE CTR - 23715 LITTLE MACK AVE 23715 LITTLE MACK AVE ST CLAIR SHORES MI 48080 REHAB 117 - CH PENNOCK MULTI-SPEC CTR - IONIA 2776 S STATE RD IONIA MI 48846 AMBULATORY/PHYSICIAN CLINIC 118 - CH INTERNAL MEDICINE - NORTHWESTERN 29355 NORTHWESTERN HWY SOUTHFIELD MI 48034 AMBULATORY/PHYSICIAN CLINIC 119 - CH LAKELAND CENTER FOR WELLNESS 133 W MAIN ST BENTON HARBOR MI 49022 AMBULATORY/PHYSICIAN CLINIC 120 - CHMG CARDIOVASCULAR MED - HOLLAND 602 MICHIGAN AVE HOLLAND MI 49423 AMBULATORY/PHYSICIAN CLINIC 121 - CH LAKELAND UROLOGY 815 ST JOSPEH DR ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC 122 - CH CARE CTR - BRIDGEMAN 9625 RED ARROW HWY BRIDGEMAN MI 49106 AMBULATORY/PHYSICIAN CLINIC 123 - CH GASTROENTEROLOGY - ST JOSEPH 3903 HOLLYWOOD RD ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC 124 - HDCH PEDIATRIC CTR - 35 MICHIGAN ST 35 MICHIGAN ST GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 125 - CH PRIMARY CARE LONGMEADOW 4 LONGMEADOW VILLAGE DR NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC 126 - CH ORTHOPEDICS LONGMEADOW 6 LONGMEADOW VILLAGE DR NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC 127 - CH PRIMARY CARE - DOWAGIAC 520 MAIN ST DOWAGIC MI 49047 AMBULATORY/PHYSICIAN CLINIC 128 - CH GERBER FAMILY MEDICINE - NEWAYGO 211 W PINE LAKE DR NEWAYGO MI 49337 REHAB 129 - CH GREENVILLE FAMILY MED - BELDING 1227 W STATE ST BELDING MI 48809 AMBULATORY/PHYSICIAN CLINIC 130 - CH FH PEDIATRICS - ORCHARD LAKE RD 23133 ORCHARD LAKE RD FARMINGTON MI 48336 AMBULATORY/PHYSICIAN CLINIC 131 - CH FAMILY MEDICINE - DIX TOLEDO 14319 DIX TOLEDO RD SOUTHGATE MI 48195 AMBULATORY/PHYSICIAN CLINIC 132 - CHMG OBGYN 3800 LAKE MICHIGAN DR NW GRAND RAPIDS MI 49534 AMBULATORY/PHYSICIAN CLINIC 133 - CH FH FAMILY MEDICINE - W 12 MILE RD 44130 W 12 MILE RD NOVI MI 48377 AMBULATORY/PHYSICIAN CLINIC 134 - CH FAMILY MEDICINE - E 11 MILE RD 309 E 11 MILE RD ROYAL OAK MI 48067 AMBULATORY/PHYSICIAN CLINIC 135 - CH LAKELAND HEART & VASCULAR - NILES 61 N ST JOSEPH AVE NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC 136 - CH INTERNAL MEDICINE - E 10 MILE RD 18325 E 10 MILE RD ROSEVILLE MI 48066 AMBULATORY/PHYSICIAN CLINIC 137 - CH FAMILY MEDICINE - W WARREN ST 27031 W WARREN ST DEARBORN HEIGHTS MI 48127 AMBULATORY/PHYSICIAN CLINIC 138 - CH WATERVLIET HOSPITAL - WATERVLIET 450 MEDICAL PARK DR WATERVLIET MI 49098 AMBULATORY/PHYSICIAN CLINIC 139 - CH DEARBORN HOSPITAL CARE CTR - FORD 25045 FORD RD DEARBORN MI 48128 AMBULATORY/PHYSICIAN CLINIC 140 - CHMG SOUTH AUDIOLOGY - ST JOSEPH 2680 S CLEVELAND AVE ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC 141 - CH WATERVLIET REHAB - COLOMA 7040 RED ARROW HWY COLOMA MI 49038 REHAB 142 - CH PENNOCK ORTHOPEDICSPAIN MGMT CTR 840 COOK RD HASTINGS MI 49058 AMBULATORY/PHYSICIAN CLINIC 143 - CH FAMILY MEDICINE - PLAZA SOUTH DR 15100 S PLAZA DR TAYLOR MI 48180 AMBULATORY/PHYSICIAN CLINIC 144 - CH GR HOSPITALS MRI 3264 N EVERGREEN DR NE GRAND RAPIDS MI 49525 AMBULATORY/PHYSICIAN CLINIC 145 - CH FAMILY MEDICINE - LITTLE MACK AVE 30695 LITTLE MACK AVE ROSEVILLE MI 48066 AMBULATORY/PHYSICIAN CLINIC 146 - CH DEARBORN CARE CTR - ALLEN 19725 ALLEN RD BROWNSTOWN MI 48183 AMBULATORY/PHYSICIAN CLINIC 147 - CH LAKELAND HEARTVASCULAR - COLOMA 6559 PAW PAW AVE COLOMA MI 49038 AMBULATORY/PHYSICIAN CLINIC 148 - CH LAKELAND HOSPITALS REHAB - NILES 905 N FRONT ST NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC 149 - CH PHYSICAL MED & REHAB - ANNAPOLIS 33000 ANNAPOLIS ST WAYNE MI 48184 AMBULATORY/PHYSICIAN CLINIC 150 - CH FAMILY MEDICINE - N MAIN STREET 950 970 N MAIN ST ROYAL OAK MI 48067 AMBULATORY/PHYSICIAN CLINIC 151 - CH FAMILY MEDICINE - 9 MILE RD 22646 E 9 MILE RD ST CLAIR SHORES MI 48080 AMBULATORY/PHYSICIAN CLINIC 152 - CH WBU HOSPITAL INTERNAL MEDICINE 1949 W 12 MILE RD BERKLEY MI 48072 AMBULATORY/PHYSICIAN CLINIC 153 - CH FAMILY MEDICINE - MACATAWA 3185 MACATAWA DRIVE SW GRANDVILLE MI 49418 AMBULATORY/PHYSICIAN CLINIC 154 - CH REED CITY SPECIALTY CLINIC 225 N STATE ST REED CITY MI 49677 AMBULATORY/PHYSICIAN CLINIC 155 - CH BR FAMILY MEDICINE - EVART 5991 95TH AVE EVART MI 49631 AMBULATORY/PHYSICIAN CLINIC 156 - CH FAMILY MEDICINE - PARKSIDE 25 S WASHINGTON ST OXFORD MI 48371 AMBULATORY/PHYSICIAN CLINIC 157 - CH FAMILY MEDICINE - CALEDONIA 9090 S RODGERS CT SE CALEDONIA MI 49316 AMBULATORY/PHYSICIAN CLINIC 158 - CH PENNOCK FAMILY MEDICINE - ODESSA 4294 LAUREL DR LAKE ODESSA MI 48849 AMBULATORY/PHYSICIAN CLINIC 159 - CH DERM & PLASTIC SURGERY - ROYALTON 3901 STONEGATE PARK ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC 160 - CH FAMILY MEDICINE - NEWPORT 3132 NEWPORT RD NEWPORT MI 48166 AMBULATORY/PHYSICIAN CLINIC 161 - CH FAMILY MEDICINE - GASLIGHT 2249 WEALTHY ST SE EAST GRAND RAPIDS MI 49506 AMBULATORY/PHYSICIAN CLINIC 162 - CH FH OBGYN - LEWIS DR 39475 LEWIS DR NOVI MI 48377 AMBULATORY/PHYSICIAN CLINIC 163 - CH WBU HOSPITAL WOMEN'S HEALTH CTR 17400 W 13 MILE RD BEVERLY HILLS MI 48025 AMBULATORY/PHYSICIAN CLINIC 164 - CHMG GASTRO CLINIC 1179 EAST PARIS AVE SE GRAND RAPIDS MI 49546 AMBULATORY/PHYSICIAN CLINIC 165 - CH TRENTON REHAB - JEFFERSON 2707 W JEFFERSON RD TRENTON MI 48183 REHAB 166 - CH WATERVLIET PRIM CARE - HARTFORD 525 S CENTER ST HARTFORD MI 49057 AMBULATORY/PHYSICIAN CLINIC 167 - CH LH HOMECARE - NILES 60 N ST JOSEPH AVE NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC 168 - CH PHYSICIANS & SURGEONS - KERCHEVAL 17000 KERCHEVAL AVE GROSSE POINTE MI 48230 AMBULATORY/PHYSICIAN CLINIC 169 - CH INTERNAL MEDICINE - TOWN CTR DR 130 TOWN CENTER DR TROY MI 48084 AMBULATORY/PHYSICIAN CLINIC 170 - TAYLOR TEEN HEALTH CTR 20352 EUREKA RD TAYLOR MI 48180 AMBULATORY/PHYSICIAN CLINIC 171 - CH PRIMARY CARE - BOSTON SQUARE 1534 KALAMAZOO AVE SE GRAND RAPIDS MI 49507 AMBULATORY/PHYSICIAN CLINIC 172 - CH WBU HOSPITAL PT - COOLIDGE HWY 2160 COOLIDGE HWY BERKLEY MI 48072 AMBULATORY/PHYSICIAN CLINIC 173 - CH FH HOSPITAL CARDIOLOGY - 8 MILE 28711 W 8 MILE RD LIVONIA MI 48152 AMBULATORY/PHYSICIAN CLINIC 174 - CH OBGYN - PARKWAY PLACE 4249 PARKWAY PLACE SW GRANDVILLE MI 49418 AMBULATORY/PHYSICIAN CLINIC 175 - CH SPECIALTY CARE - HOLTON RD 1845 HOLTON RD MUSKEGON MI 49445 AMBULATORY/PHYSICIAN CLINIC 176 - CH PRIMARY CARE - KERCHEVAL AVE 15200 KERCHEVAL AVE GROSSE POINTE PARK MI 48230 AMBULATORY/PHYSICIAN CLINIC 177 - CH GR HOSPITALS PEDIATRIC CARE CTR 360 LAFAYETTE AVE SE GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 178 - CH FAMILY MEDICINE - WALTON BLVD 1202 WALTON BLVD ROCHESTER HILLS MI 48307 AMBULATORY/PHYSICIAN CLINIC 179 - CH LUDINGTON FAMILY MEDICINE - GRANT 230 S MAPLE ST GRANT MI 49327 AMBULATORY/PHYSICIAN CLINIC 180 - CH PENNOCK FAMILY MED - GUN LAKE 12851 W M 179 HWY WAYLAND MI 49348 AMBULATORY/PHYSICIAN CLINIC 181 - HDCH PEDIATRIC CTR - TRAVERSE CITY 880 MUNSON AVE TRAVERSE CITY MI 49686 AMBULATORY/PHYSICIAN CLINIC 182 - CH FAMILY MEDICINE - COOPERSVILLE 25 CONRAN DR COOPERSVILLE MI 49404 AMBULATORY/PHYSICIAN CLINIC 183 - CH ADVANCED PRIMARY CARE - MUSKEGON 2558 HENRY ST MUSKEGON MI 49441 AMBULATORY/PHYSICIAN CLINIC 184 - CH GREENVILLE HOSPITAL OUTPATIENT PT 6896 S GREENVILLE RD GREENVILLE MI 48838 AMBULATORY/PHYSICIAN CLINIC 185 - CH LIFESTYLE MEDICINE 435 IONIA AVE SW GRAND RAPIDS MI 49503 AMBULATORY/PHYSICIAN CLINIC 186 - CH GR HOSPITALS IMAGING - FOREMOST 5800 FOREMOST DR SE GRAND RAPIDS MI 49546 AMBULATORY/PHYSICIAN CLINIC 187 - CH LUDINGTON FAMILY MEDICINE - HART 2481 N 72ND AVE HART MI 49420 AMBULATORY/PHYSICIAN CLINIC 188 - CH URGENT CARE - FARMINGTON HILLS 27810 GRAND RIVER AVE FARMINGTON HILLS MI 48336 AMBULATORY/PHYSICIAN CLINIC 189 - CH FAMILY MEDICINE - RYAN RD 29245 RYAN RD WARREN MI 48092 AMBULATORY/PHYSICIAN CLINIC 190 - CH FH HOSPITAL INTERNAL MEDICINE 20317 FARMINGTON RD LIVONIA MI 48152 AMBULATORY/PHYSICIAN CLINIC 191 - CH TAYLOR HOSPITAL PT 4121 S CANTON CENTER RD CANTON MI 48188 AMBULATORY/PHYSICIAN CLINIC 192 - CH LUDINGTON CLININC & PRIMARY CARE 922 LAWNDALE ST LUDINGTON MI 494311928 AMBULATORY/PHYSICIAN CLINIC 193 - CH TAYLOR HOSPITAL REHAB - TELEGRAPH 9870 TELEGRAPH RD TAYLOR MI 48180 AMBULATORY/PHYSICIAN CLINIC 194 - CH FAMILY MEDICINE - GRAND RVR AVE 32754 GRAND RIVER AVE FARMINGTON MI 48336 AMBULATORY/PHYSICIAN CLINIC 195 - CH DEARBORN HOSPITAL SLEEP CTR 14031 PENNSYLVANIA RD RIVERVIEW MI 48193 AMBULATORY/PHYSICIAN CLINIC 196 - CH GR HOSPITALS PT - ROCKFORD 515 E DIVISION ST ROCKFORD MI 49341 AMBULATORY/PHYSICIAN CLINIC 197 - CH GR HOSPITALS PT - BELTLINE 2830 E BELTLINE AVE NE GRAND RAPIDS MI 49525 AMBULATORY/PHYSICIAN CLINIC 198 - CH INTERNAL MEDICINE - MIDWAY 555 BARCLAY CIRCLE ROCHESTER HILLS MI 48307 AMBULATORY/PHYSICIAN CLINIC 199 - CH FAMILY MEDICINE - NORTHSIDE 14001 GREENFIELD RD DETROIT MI 48227 AMBULATORY/PHYSICIAN CLINIC 200 - CH INTERNAL MEDICINE - DEQUINDRE RD 38865 DEQUINDRE RD TROY MI 48083 AMBULATORY/PHYSICIAN CLINIC 201 - CH BIG RAPIDS HOSPITAL REHAB - 220TH 4393 220TH AVE REED CITY MI 49677 AMBULATORY/PHYSICIAN CLINIC 202 - CH FAMILY MEDICINE - TELEGRAPH RD 9340 TELEGRAPH RD TAYLOR MI 48180 AMBULATORY/PHYSICIAN CLINIC 203 - CH PENNOCK FAMILY MEDICINE 490 EDWARD ST MIDDLEVILLE MI 49333 AMBULATORY/PHYSICIAN CLINIC 204 - CH FAMILY MEDICINE - GEORGETOWN N 3152 PORT SHELDON HUDSONVILLE MI 49426 AMBULATORY/PHYSICIAN CLINIC 205 - CH SLEEP - FORD RD 42180 FORD RD CANTON MI 48187 AMBULATORY/PHYSICIAN CLINIC 206 - CH WBU HOSPITAL CARDIOLOGY - 10 MILE 39500 W 10 MILE RD NOVI MI 48375 AMBULATORY/PHYSICIAN CLINIC 207 - CH LUDINGTON HOSPITAL PEDIATRICS 907 E TINKHAM AVE LUDINGTON MI 49431 AMBULATORY/PHYSICIAN CLINIC 208 - CH INTERNAL MEDICINE - WESTLAND 35180 NANKIN BLVD WESTLAND MI 48185 AMBULATORY/PHYSICIAN CLINIC 209 - CH INTERNAL MEDICINE - W 13 MILE RD 17392 W 13 MILE RD BEVERLY HILLS MI 48025 AMBULATORY/PHYSICIAN CLINIC 210 - CH WAYNE BREAST CARE CTR - ANNAPOLIS 4491 VENOY AVE WAYNE MI 48184 AMBULATORY/PHYSICIAN CLINIC 211 - CH GP HOSPITAL VEIN CTR - KERCHEVAL 87 KERCHEVAL AVE GROSSE POINTE FARMS MI 48236 AMBULATORY/PHYSICIAN CLINIC 212 - CH LUDINGTON FAMILY MED - HESPERIA 78 N DIVISION ST HESPERIA MI 49421 AMBULATORY/PHYSICIAN CLINIC 213 - CH DEARBORN HOSPITAL LAB - MONROE ST 1331 MONROE ST DEARBORN MI 48124 AMBULATORY/PHYSICIAN CLINIC 214 - CH WBU HOSPITAL MAMMOGRAPHY 35046 WOODWARD AVE BIRMINGHAM MI 48009 AMBULATORY/PHYSICIAN CLINIC 215 - CH FAMILY MEDICINE - CHESTERFIELD 50630 CHESTERFIELD RD CHESTERFIELD TOWNSHI MI 48051 AMBULATORY/PHYSICIAN CLINIC 216 - CH CARDIOVASCULAR SERVICES - S HAVEN 749 PHILLIPS ST SOUTH HAVEN MI 49090 AMBULATORY/PHYSICIAN CLINIC 217 - CH TAYLOR HOSPITAL PT - MONROE ST 2552 MONROE ST DEARBORN MI 48124 AMBULATORY/PHYSICIAN CLINIC 218 - CH GR HOSPITALS HEALTHIER COMMUNITIY 1357 CESAR E CHAVEZ AVE SW GRAND RAPIDS MI 49507 AMBULATORY/PHYSICIAN CLINIC 219 - CH OCCUPATIONAL HEALTH - ST JOSEPH 2500 NILES RD ST JOSEPH MI 49085 AMBULATORY/PHYSICIAN CLINIC 220 - CH ENDOCRINE CLINIC 17412 W 13 MILE RD BEVERLY HILLS MI 48025 AMBULATORY/PHYSICIAN CLINIC 221 - CH GR HOSPITALS PT - VISTA SPRINGS 2420 COIT AVE NE GRAND RAPIDS MI 49505 AMBULATORY/PHYSICIAN CLINIC 222 - CH GR HOSPITALS LAB - E PARIS AVE 1000 EAST PARIS AVE SE GRAND RAPIDS MI 49546 AMBULATORY/PHYSICIAN CLINIC 223 - CH GR HOSPITALS PT - FAIRLANES 3540 FAIRLANES AVE SW GRANDVILLE MI 49418 AMBULATORY/PHYSICIAN CLINIC 224 - CH GR HOSPITALS PT - BELDING 1320 W STATE ST BELDING MI 48809 AMBULATORY/PHYSICIAN CLINIC 225 - CH WBU HOSPITAL CARDIOLOGY - 12 MILE 16800 W 12 MILE RD SOUTHFIELD MI 48076 AMBULATORY/PHYSICIAN CLINIC 226 - CH INTERNAL MEDICINE - NANKIN BLVD 35330 NANKIN BLVD WESTLAND MI 48185 AMBULATORY/PHYSICIAN CLINIC 227 - WAYNE MEMORIAL TEEN HEALTH CTR 3001 4TH ST WAYNE MI 48184 TELEMEDICINE CLINIC 228 - CH WBU HOSPITAL LAB - W BIG BEAVER 3290 W BIG BEAVER RD TROY MI 48084 AMBULATORY/PHYSICIAN CLINIC 229 - CH FH HOSPITAL LAB - FARMINGTON RD 27555 FARMINGTON RD FARMINGTON HILLS MI 48336 AMBULATORY/PHYSICIAN CLINIC 230 - CH WALK-IN CLINIC - WYOMING MEIJER 5500 CLYDE PARK AVE SW WYOMING MI 49509 AMBULATORY/PHYSICIAN CLINIC 231 - CH DEARBORN LAB - SOUTHFIELD 15101 SOUTHFIELD RD ALLEN PARK MI 48101 AMBULATORY/PHYSICIAN CLINIC 232 - CH PEDIATRIC CARDIOLOGY - OWOSSO 802 W KING ST OWOSSO MI 48867 AMBULATORY/PHYSICIAN CLINIC 233 - CH GR HOSPITALS PEDIATRIC PT 400 S STATE ST ZEELAND MI 49464 AMBULATORY/PHYSICIAN CLINIC 234 - CH WALK-IN CLINIC - HUDSONVILLE 4075 32ND AVE HUDSONVILLE MI 49426 AMBULATORY/PHYSICIAN CLINIC 235 - CH GR HOSPITALS LAB - WOMENS HEALTH 555 MIDTOWNE ST NE GRAND RAPIDS MI 49503 LABORATORY 236 - CH LAKELAND HOSPITALS LAB - OAK ST 1951 OAK ST NILES MI 49120 AMBULATORY/PHYSICIAN CLINIC 237 - FREMONT TEEN HEALTH CTR 5421 WARNER AVE FREMONT MI 49412 TELEMEDICINE CLINIC 238 - GREENVILLE TEEN HEALTH CTR 111 N HILLCREST ST GREENVILLE MI 48838 TELEMEDICINE CLINIC 239 - CH LAKELAND HOSPITALS LAB - M62 261 M62 CASSOPOLIS MI 49031 AMBULATORY/PHYSICIAN CLINIC 240 - CENTRAL MONTCALM - TEEN HEALTH CTR 1480 S SHERIDAN STANTON MI 48888 TELEMEDICINE CLINIC 241 - HESPERIA TEEN HEALTH CTR 96 S DIVISION HESPERIA MI 49421 TELEMEDICINE CLINIC 242 - MONTABELLA TEEN HEALTH CTR 1324 N COUNTY LINE RD BLANCHARD MI 49310 TELEMEDICINE CLINIC 243 - TRI COUNTY TEEN HEALTH CTR 21338 KENDAVILLE RD HOWARD CITY MI 49329 TELEMEDICINE CLINIC 244 - EVART TEEN HEALTH CTR 6221 95TH AVE EVART MI 49631 TELEMEDICINE CLINIC 245 - CHMG GERIATRIC CARE 4482 PORT SHELDON HUDSONVILLE MI 49426 AMBULATORY/PHYSICIAN CLINIC 246 - CH GREENVILLE LIFESTYLES 701 S GREENVILLE W DR GREENVILLE MI 48838 AMBULATORY/PHYSICIAN CLINIC 247 - CH DEARBORRN HOSPITAL LAB - HALL RD 25000 HALL RD WOODHAVEN MI 48183 AMBULATORY/PHYSICIAN CLINIC 248 - HDCH ORTHOPEDICS - GRAND BLANC 8203 S SAGINAW ST GRAND BLANC MI 48439 AMBULATORY/PHYSICIAN CLINIC 249 - CH BIG RAPIDS OBGYN & UROLOGY 722 LOCUST ST BIG RAPIDS MI 49307 AMBULATORY/PHYSICIAN CLINIC 250 - CH PEDIATRIC NEPHROLOGY - KALAMAZOO 1000 OAKLAND DR KALAMAZOO MI 49008 AMBULATORY/PHYSICIAN CLINIC 251 - HDCH PEDIATRIC UROLOGY - TRAVERSE 106 S MADISON ST TRAVERSE CITY MI 49684 AMBULATORY/PHYSICIAN CLINIC 252 - HDCH HEART CENTER - MT PLEASANT 1205 S MISSION ST MT PLEASANT MI 48858 AMBULATORY/PHYSICIAN CLINIC 253 - ZEELAND WEST TEEN HEALTH CTR 3390 100TH AVE ZEELAND MI 49464 TELEMEDICINE CLINIC 254 - SPARTA TEEN HEALTH CTR 475 W SPARTAN DR SPARTA MI 49345 TELEMEDICINE CLINIC 255 - BIG RAPIDS TEEN HEALTH CTR 21175 15 MILE RD BIG RAPIDS MI 49307 TELEMEDICINE CLINIC 256 - EAST KENTWOOD HS TEEN HEALTH CTR 6230 KALAMAZOO AVE KENTWOOD MI 49508 TELEMEDICINE CLINIC 257 - LAKEVIEW TEEN HEALTH CTR 602 WASHINGTON ST LAKEVIEW MI 48850 TELEMEDICINE CLINIC 258 - WYOMING TEEN HEALTH CTR 1350 PRAIRE PARKWAY SW WYOMING MI 49509 TELEMEDICINE CLINIC 259 - EAST KENTWOOD FR TEEN HEALTH CTR 6170 VALLEY LANE DRIVE SE KENTWOOD MI 49508 TELEMEDICINE CLINIC 260 - HASTINGS TEEN HEALTH CTR 520 W SOUTH ST HASTINGS MI 49058 TELEMEDICINE CLINIC 261 - CARSON CITY-CRYSTAL TEEN HEALTH CTR 213 E SHERMAN ST CARSON CITY MI 48811 TELEMEDICINE CLINIC 262 - MASON COUNTRY TEEN HEALTH CTR 210 W BROADWAY SCOTTSVILLE MI 49464 TELEMEDICINE CLINIC 263 - THORNAPPLE KELLOGG TEEN HEALTH CTR 3885 BENDER RD MIDDLEVILLE MI 49333 TELEMEDICINE CLINIC 264 - ZEELAND EAST TEEN HEALTH CTR 3333 96TH AVE ZEELAND MI 49464 TELEMEDICINE CLINIC 265 - ANNAPOLIS TEEN HEALTH CTR 4650 CLIPPERT ST DEARBORN HEIGHTS MI 48125 TELEMEDICINE CLINIC 266 - DETROIT EDISON TEEN HEALTH CTR 1903 WILKINS ST DETROIT MI 48207 TELEMEDICINE CLINIC 267 - PIERCE MIDDLE SCHOOL TEEN HEALTH CTR 25605 ORANGELAWN ST REDFORD MI 48239 TELEMEDICINE CLINIC 268 - TOMLINSON MIDDLE TEEN HEALTH CTR 25912 ANNAPOLIS ST INKSTER MI 48141 TELEMEDICINE CLINIC 269 - WAYNE WESTLAND TEEN HEALTH CTR 36745 MARQUETTE WESTLAND MI 48185 TELEMEDICINE CLINIC PART I, LINE 6A: COREWELL HEALTH (PARENT) 38-3382353 IS THE RELATED ORGANIZATION THAT PREPARED THE 2024 COMMUNITY BENEFIT REPORT. COREWELL HEALTH PUBLISHES A CONSOLIDATED COMMUNITY BENEFIT REPORT ON ITS WEBSITE. PART I, LINE 7: 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. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 651,643,743. PART II, COMMUNITY BUILDING ACTIVITIES: 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. PART III, LINE 2: METHODOLOGY USED TO ESTIMATE BAD DEBT:THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ACCOUNTS RECEIVABLE, PAYOR COMPOSITION AND AGING, AND HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTED ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR THIRD-PARTY PAYORS, THE PROVISION IS DETERMINED BY ANALYZING CONTRACTUALLY DUE AMOUNTS FROM PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES. FOR SELF-PAY PATIENTS, THE PROVISION IS BASED ON AN ANALYSIS OF PAST EXPERIENCE RELATED TO PATIENTS UNWILLING TO PAY STANDARD RATES CHARGED. THE DIFFERENCE BETWEEN THAT STANDARD RATE CHARGED (LESS THE NEGOTIATED DISCOUNTED RATE) AND THE AMOUNT ACTUALLY COLLECTED AFTER THE REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.BAD DEBT IS CALCULATED AT COST FOR 990 REPORTING PURPOSES. PART III, LINE 3: FAP ELIGIBLE PATIENT BAD DEBT CALCULATION METHODOLOGY:THE HOSPITAL FACILITIES ARE UNABLE TO ESTIMATE ACCURATELY THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY. ALTHOUGH A PORTION OF BAD DEBT EXPENSES MAY RELATE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE, A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED. THE HOSPITAL FACILITIES HAVE IMPLEMENTED A PROPENSITY TO PAY EVALUATION TOOL THAT PROACTIVELY ASSESSES ONE'S ABILITY AND LIKELIHOOD TO PAY. THIS TOOL HAS PROVIDED A HIGHER DEGREE OF FOCUSED FINANCIAL COUNSELING EFFORTS, RESULTING IN A SUBSTANTIAL REDUCTION OF BAD DEBT AND HIGHER RATE OF IDENTIFICATION OF CHARITY ACCOUNTS. PART III, LINE 4: FOOTNOTE IN ORGANIZATION'S FINANCIAL STATEMENTS DESCRIBING BAD DEBT:FOOTNOTES RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS CAN BE FOUND ON PAGES 19-24 OF COREWELL HEALTH'S CONSOLIDATED AUDITED FINANANCIAL STATEMENTS. PART III, LINE 8: THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT ARE:(1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS;(2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS;(3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND(4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS.IN DETERMINING MEDICARE SHORTFALLS, THE ORGANIZATION USES A RATIO OF COST-TO-CHARGES. IN DETERMINING THE RATIO OF COST-TO-CHARGES THE ORGANIZATION ADJUSTS FOR BAD DEBT EXPENSES, NON-PATIENT CARE ACTIVITIES, MEDICAID PROVIDER TAXES AND COMMUNITY BENEFITS ACCOUNTED FOR, AND OR REPORTED, ELSEWHERE. THE RATIO OF COST-TO-CHARGES IS APPLIED TO MEDICARE CHARGES TO DETERMINE SHORTFALLS IN MEDICARE REIMBURSEMENTS. PART III, LINE 9B: DID COLLECTION POLICY CONTAIN PROVISIONS ON COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR ASSISTANCE:PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE ELIGIBLE FOR FREE CARE, AND THUS NO COLLECTION ACTION IS TAKEN. IF FINANCIAL ASSISTANCE ELIGIBILITY WOULD BE DISCOVERED AFTER COMMENCEMENT OF A COLLECTION ACTION, THEN SUCH COLLECTION ACTION WOULD BE SUSPENDED OR REVERSED. PART VI, LINE 2: THE CHNA DATA PROVIDES A LEVEL FOUNDATION ON WHICH TO PLAN, DEVELOP, AND IMPLEMENT NEW PROGRAMS AND SERVICES TO MEET THE NEEDS OF OUR COMMUNITY. OPERATIONAL SERVICES IDENTIFIED BY THE CHNA. PART VI, LINE 3: THE FACILITIES INFORM AND EDUCATE PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY THROUGH PRODUCING INFORMATION CARDS AND BROCHURES FOR THE UNINSURED, COMMUNITY OUTREACH PROGRAMS, CONSUMER INFORMATION CLASSES, OUR WEBSITES PERSONAL FINANCIAL COUNSELING AND BY PROVIDING ASSISTANCE IN THE ACTUAL ENROLLMENT OF SUCH PROGRAMS.EACH FACILITY HAS A DEPARTMENT OF FINANCIAL COUNSELORS WHO WORK WITH PATIENTS THAT EXPRESS ANY LEVEL OF CONCERN WITH PAYING THEIR BILL. IN ADDITION, FINANCIAL COUNSELORS PROACTIVELY IDENTIFY PATIENTS WHO HAVE QUALIFYING FACTORS FOR GOVERNMENTAL ASSISTANCE. COREWELL HEALTH ALSO PARTNERS WITH ORGANIZATIONS THAT SPECIALIZE IN THE QUALIFICATION PROCESS. IF A PATIENT'S NEED FOR ASSISTANCE IS NOT IDENTIFIED PRIOR TO BILLING, ANY CONCERNS AS A RESULT OF RECEIVING A BILL ARE ADDRESSED BY FINANCIAL COUNSELORS AT THAT TIME. COREWELL HEALTH WIDELY PUBLICIZES COMMUNICATIONS TO PATIENTS AND THE PUBLIC ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. THIS IS ACHIEVED THROUGH VARIOUS METHODS INCLUDING, BUT NOT LIMITED TO, THE PATIENT HANDBOOK, VARIOUS INFORMATIONAL BROCHURES, SIGNAGE IN EACH HOSPITAL EMERGENCY DEPARTMENT, ADMISSIONS OFFICES, AND OTHER PUBLIC LOCATIONS, UPON REQUEST BY ANY PATIENT, GUARANTOR OR COMMUNITY MEMBER, WORD OF MOUTH VIA FINANCIAL COUNSELORS AND OTHERS, AND THROUGH COMMUNITY PUBLICATIONS AND OUTREACH EVENTS. IN ADDITION, COREWELL HEALTH LISTS OPTIONS FOR THE UNINSURED AND UNDERINSURED ON ITS WEBSITE, ALONG WITH A COPY OF THE FINANCIAL ASSISTANCE ELIGIBILITY POLICY ON RESPECTIVE WEBSITES. PART VI, LINE 4 COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL AND COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITAL: COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL AND COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITAL ARE LOCATED IN THE SAME COMMUNITY. THEY HAVE IDENTIFIED A PRIMARY SERVICE AREA OF ONE AND A HALF COUNTIES, INCLUDING KENT COUNTY AND PART OF EASTERN OTTAWA COUNTY. THE OVERALL SERVICE AREA TOTALS THIRTEEN COUNTIES, INCLUDING GRAND RAPIDS, MICHIGAN, THE SECOND LARGEST CITY IN THE STATE. OVERALL, THESE COUNTIES HAVE A TOTAL POPULATION OF OVER 1,600,000 RESIDENTS.KENT COUNTY IS LOCATED IN WESTERN MICHIGAN AND IS THE FOURTH LARGEST POPULATION CENTER IN THE STATE. THE COUNTY IS COMPOSED OF TWENTY-ONE TOWNSHIPS, FIVE VILLAGES, AND NINE CITIES COVERING 846 SQUARE MILES.THE HEALTH CARE RESOURCES IN KENT COUNTY INCLUDE: COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL, COREWELL HEALTH GRAND RAPIDS HOSPITALS, BLODGETT HOSPITAL, METRO HEALTH - UNIVERSITY OF MICHIGAN HEALTH, SAINT MARY'S HEALTH CARE, PINE REST, AND MARY FREE BED REHABILITATION HOSPITAL. IN ADDITION, THE HEALTH DEPARTMENT OPERATES FOUR PUBLIC HEALTH CLINICS THROUGHOUT THE COUNTY THAT OFFER PERSONAL HEALTH SERVICES. THE GRAND RAPIDS HOME FOR VETERANS AND THE VETERANS AFFAIRS OUTPATIENT CLINIC PROVIDE SERVICES FOR VETERANS. IN ADDITION TO MAJOR HEALTH CENTERS AND PUBLICLY FUNDED SERVICES, KENT COUNTY OFFERS NUMEROUS HEALTH-RELATED SERVICES THROUGH NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS. FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE ATHTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSCOREWELL HEALTH GREENVILLE HOSPITAL:COREWELL HEALTH GREENVILLE HOSPITAL SERVES THE MEDICAL NEEDS OF THE RESIDENTS OF GREENVILLE, MI. THE PRIMARY SERVICE AREA IS COMPRISED OF WHERE GREENVILLE HOSPITAL IS LOCATED AND INCLUDES MONTCALM COUNTY AND PORTIONS OF ADJACENT COUNTIES (IONIA AND GRATIOT) SUPPORTING A POPULATION OF OVER 173,000 RESIDENTS. RESIDENTS OF KENT COUNTY MAY ALSO SEEK CARE AT GREENVILLE HOSPITAL.THE HEALTHCARE RESOURCES IN GREENVILLE HOSPITAL'S SERVICE AREA INCLUDE, SPARROW CARSON HOSPITAL, SHERIDAN COMMUNITY HOSPITAL, THE MID-MICHIGAN DISTRICT HEALTH DEPARTMENT, AND CHERRY STREET - MONTCALM AREA HEALTH CENTER.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE ATHTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSCOREWELL HEALTH GERBER HOSPITAL:COREWELL HEALTH GERBER HOSPITAL IS A CRITICAL ACCESS FACILITY THAT HAS IDENTIFIED A PRIMARY SERVICE AREA OF SEVERAL COUNTIES INCLUDING NEWAYGO COUNTY, EASTERN OCEANA COUNTY AND EASTERN MUSKEGON COUNTY AS PRIMARY AND NORTHERN KENT COUNTY AND SOUTHERN LAKE COUNTY AS SECONDARY. THE PRIMARY SERVICE AREA SUPPORTS A POPULATION OF OVER 253,000 RESIDENTS. GERBER HOSPITAL IS THE ONLY MAJOR MEDICAL FACILITY IN THE FACILITY'S PRIMARY SERVICE AREA.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE ATHTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSCOREWELL HEALTH LUDINGTON HOSPITAL:COREWELL HEALTH LUDINGTON HOSPITAL SERVES A RURAL COMMUNITY LOCATED ON THE COAST OF LAKE MICHIGAN SERVING MASON AND PORTIONS OF OCEANA AND LAKE COUNTIES. THE PRIMARY SERVICE AREA SUPPORTS A POPULATION OF OVER 68,000 RESIDENTS, HOWEVER AS THE COMMUNITY IS A SEASONAL TOURIST DESTINATION, THE POPULATION OF THE COMMUNITY SIGNIFICANTLY CHANGES WITH THE SEASONS. A SEASONAL MIGRANT POPULATION IS PRESENT DUE TO AGRICULTURAL EMPLOYMENT OPPORTUNITIES IN THE COMMUNITY. A LARGE PORTION OF THE HOSPITALS PATIENTS ARE COVERED BY EITHER MEDICARE OR MEDICAID.LUDINGTON HOSPITAL IS THE ONLY MAJOR MEDICAL FACILITY IN THE FACILITY'S SERVICE AREA.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE ATHTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSCOREWELL HEALTH BIG RAPIDS HOSPITAL:COREWELL HEALTH BIG RAPIDS IS LOCATED IN THE MIDWESTERN PORTION OF THE STATE OF MICHIGAN. IT SERVES THE MEDICAL NEEDS OF THE RESIDENTS OF BIG RAPIDS, MI. THE PRIMARY SERVICE AREA IS COMPRISED OF WHERE BIG RAPIDS HOSPITAL IS LOCATED AND INCLUDES MECOSTA COUNTY AND PORTIONS OF ADJACENT COUNTIES. THESE ADJACENT COUNTIES INCLUDE NEWAYGO, ISABELLA, OSCEOLA, AND LAKE COUNTIES. OVERALL, THESE COUNTIES HAVE A TOTAL POPULATION OF OVER 190,000 RESIDENTS. ACCORDING TO 2024 MICHIGAN POVERTY AND WELL-BEING MAP THESE COUNTIES AVERAGED BETWEEN 12% AND 19% OF THEIR POPULATION LIVING BELOW THE POVERTY LINE.BIG RAPIDS HOSPITAL IS THE ONLY MAJOR MEDICAL FACILITY LOCATED IN THE FACILITY'S SERVICE AREA.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE ATHTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSCOREWELL HEALTH REED CITY HOSPITAL:COREWELL HEALTH REED CITY HOSPITAL IS A CRITICAL ACCESS FACILITY SERVES THE MEDICAL NEEDS OF THE RESIDENTS OF REED CITY, MI AND THE FAR-NORTHERN PORTION OF A PRIMARY SERVICE AREA SHARED WITH COREWELL HEALTH BIG RAPIDS HOSPITAL (FORMERLY SPECTRUM HEALTH BIG RAPIDS), A RELATED ORGANIZATION. THE PRIMARY SERVICE AREA IS COMPRISED OF OSCEOLA COUNTY AND PORTIONS OF ADJACENT COUNTIES. THESE ADJACENT COUNTIES INCLUDE MECOSTA, LAKE, AND CLARE COUNTIES. OVERALL, THESE COUNTIES HAVE A TOTAL POPULATION OF OVER 106,000 RESIDENTS.OSCEOLA COUNTY IS LOCATED IN NORTHERN MICHIGAN APPROXIMATELY 80 MILES NORTH OF GRAND RAPIDS. THE RURAL COUNTY IS COMPOSED OF SIXTEEN TOWNSHIPS, FOUR VILLAGES, AND TWO CITIES COVERING 566 SQUARE MILES. REED CITY IS THE COUNTY SEAT. THE ONLY MAJOR MEDICAL FACILITY IN OSCEOLA COUNTY IS REED CITY HOSPITAL. IN ADDITION, THE HEALTH DEPARTMENT IS A BRANCH OFFICE OF THE CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT. LOCATED WEST OF OSCEOLA COUNTY, LAKE COUNTY IS COMPOSED OF FIFTEEN TOWNSHIPS AND TWO VILLAGES COVERING 567 SQUARE MILES. BALDWIN IS THE COUNTY SEAT. THERE ARE NO MAJOR MEDICAL FACILITIES IN LAKE COUNTY.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE ATHTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSCOREWELL HEALTH ZEELAND HOSPITAL:COREWELL HEALTH ZEELAND HOSPITAL HAS IDENTIFIED A PRIMARY SERVICE AREA INCLUSIVE OF MUCH OF OTTAWA COUNTY AND THE SURROUNDING LAKESHORE REGION. OVERALL, THE SERVICE AREA OF ZEELAND HOSPITAL HAS A POPULATION OF OVER 299,000THE HEALTHCARE RESOURCES IN OTTAWA COUNTY INCLUDE ZEELAND HOSPITAL, HOLLAND HOSPITAL, AND TRINITY HEALTH GRAND HAVEN. OTTAWA COUNTY OFFERS NUMEROUS HEALTH RELATED SERVICES INCLUDING FOUR FREE MEDICAL CLINICS AND A VARIETY OF SERVICES THROUGH NON-PROFIT AGENCIES SUCH AS THE OTTAWA COUNTY HEALTH DEPARTMENT AND OTTAWA COUNTY COMMUNITY MENTAL HEALTH.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE ATHTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS PART VI, LINE 4 CONTINUED COREWELL HEALTH PENNOCK HOSPITAL:COREWELL HEALTH PENNOCK HOSPITAL IS A CRITICAL ACCESS FACILITY LOCATED IN BARRY COUNTY AND IS UNIQUELY LOCATED IN THE MIDDLE OF FOUR (4) LARGER METROPOLITAN AREAS: GRAND RAPIDS, LANSING, KALAMAZOO, AND BATTLE CREEK. THE PRIMARY SERVICE AREA IS IDENTIFIED AS BARRY COUNTY AND SUPPORTS A POPULATION OF RESIDENTS OVER 62,000.PENNOCK HOSPITAL IS THE ONLY HOSPITAL WITHIN A 35 MILE RADIUS SERVICING RESIDENTS OF THE COMMUNITY. OTHER HEALTHCARE RESOURCES AVAILABLE IN THE COMMUNITY INCLUDE BOTH INDEPENDENT AND PENNOCK EMPLOYED PHYSICIAN OFFICES, CHERRY HEALTH - BARRY COMMUNITY HEALTH CENTER, AND PENNOCK URGENT CARE CENTER.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITYHEALTH NEEDS ASSESSMENT ACCESSIBLE ATHTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSCOREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITAL:THE SYSTEM SERVES APPROXIMATELY 240,000 RESIDENTS IN BERRIEN COUNTY AND SURROUNDING AREAS. LAKELAND SERVES ALL OF BERRIEN COUNTY, AND PARTS OF VAN BUREN AND CASS COUNTIES WITH 13% TO 15% 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.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE ATHTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSCOREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL, COREWELL HEALTH BEAUMONT TROY HOSPITAL, COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL, COREWELL HEALTH FARMINGTON HILLS HOSPITAL, COREWELL HEALTH DEARBORN HOSPITAL, COREWELL HEALTH TRENTON HOSPITAL, COREWELL HEALTH TAYLOR HOSPITAL, AND COREWELL HEALTH WAYNE HOSPITAL:THE COREWELL HEALTH EAST (CHE) HOSPITAL COMMUNITY IS DEFINED BY THE CONTIGUOUS ZIP CODES WHERE 80% OF THE HOSPITAL'S ADMISSIONS ORIGINATE. THE COMBINED PRIMARY SERVICE AREAS OF THE EIGHT HOSPITALS PRINCIPALLY INCLUDE MACOMB, OAKLAND, AND WAYNE COUNTIES IN SOUTHEAST MICHIGAN. IN 2022, THE TOTAL POPULATION OF THE COMMUNITY SERVED WAS ESTIMATED TO BE 3.9 MILLION PEOPLE. POPULATION IN THE AREA IS EXPECTED TO GROW 1% 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%. THE UNDER 18 POPULATION WILL DECREASE BY 1.3%, WHILE THE 45-64 AGE GROUP WILL DECREASE BY 4.65%. THE POPULATION IS 67% WHITE, 25% BLACK AND 8% ASIAN PACIFIC ISLANDER AND OTHER. HOWEVER, THERE ARE LARGE VARIANCES IN THESE PERCENTAGES ACROSS THE SERVICE REGION.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE ATHTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS PART VI, LINE 5 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. ALL COREWELL HEALTH HOSPITALS ALSO EXTEND MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. PEOPLE THROUGHOUT THE COMMUNITY CAN COUNT ON ALL COREWELL HEALTH HOSPITAL FACILITIES TO BE STANDING BY WITH EMERGENCY CARE 24 HOURS A DAY, 365 DAYS A YEAR. THE EMERGENCY DEPARTMENTS ARE STAFFED WITH BOARD-CERTIFIED EMERGENCY CARE PHYSICIANS AND A NURSING STAFF THAT IS TRAINED AND EXPERIENCED IN EMERGENCY CARE. FURTHERMORE, NO PATIENT IS DENIED TREATMENT, REGARDLESS OF THEIR ABILITY TO PAY. COREWELL HEALTH INVESTS NET EARNINGS IN IMPROVING PATIENT CARE, BUILDING AND RENOVATING FACILITIES, PURCHASING NEW TECHNOLOGY, PROVIDING HEALTH EDUCATION AND FUNDING COMMUNITY PROGRAMS AS SHOWN BELOW. IN 2024, OUR COMMUNITIES NAVIGATED PROFOUND CHANGES DURING A TIME OF EVOLVING HEALTHCARE NEEDS AND HEIGHTENED INEQUITIES. COREWELL HEALTH'S COMMITMENT TO PROVIDING ACCESSIBLE, COMPASSIONATE AND EQUITABLE HEALTHCARE HAS NEVER BEEN MORE URGENT. GUIDED BY OUR MISSION TO IMPROVE LIVES THROUGH BETTER HEALTH AND GREATER HUMANITY, WE ARE ACTIVELY DISMANTLING INEQUITIES IN INTERNAL PROCESSES, BRIDGING COMMUNITY HEALTH AND CLINICAL FUNCTIONS, AND ADDRESSING WIDENING HEALTH GAPS WITH ACTIONABLE SOLUTIONS. THIS IS OUR LABOR OF LOVE.ACHIEVING COMMUNITY HEALTH REQUIRES AN ORGANIZATIONAL COMMITMENT EMBEDDED IN LEADERSHIP AND VISION. ALTHOUGH OUR STRATEGIES PROVIDE A SOLID FOUNDATION, OUR TAILORED REGIONAL PROGRAMMING FOR MATERNAL-INFANT HEALTH - WITH A FOCUS ON MENTAL HEALTH AND CARDIOVASCULAR DISEASE PREVENTION AND MANAGEMENT PREPARE US TO EFFECTIVELY RESPOND TO THE UNIQUE NEEDS OF OUR DIVERSE COMMUNITIES AND TRANSLATE OUR STRATEGIES INTO IMPACT. COMMUNITY HEALTH IS GAINING MOMENTUM AT COREWELL HEALTH, ATTRACTING LEADERS AND TEAM MEMBERS EAGER TO BETTER SERVE PATIENTS, COMMUNITIES, AND PLAN MEMBERS. TO DEEPEN THIS COMMITMENT, WE MUST SHOW EQUITY IN PRACTICE - NOT ALWAYS IN LARGE-SCALE CHANGES OR NEW PROGRAMS BUT MORE OFTEN IN SMALL, MANAGEABLE STEPS THAT REFINE PROCESSES AND TEST NEW APPROACHES. THESE EFFORTS CAN DISPEL MYTHS ABOUT EQUITY BEING TOO ABSTRACT OR UNACHIEVABLE AND SUPPORT THE THRIVING, CULTURE OF EQUITY ACROSS OUR ORGANIZATION. WE PARTNERED WITH TRUSTED COMMUNITY LEADERS AND LEVERAGED COLLABORATIVE EXPERTISE TO STRENGTHEN OUR PROGRAMMING AND ALIGN EACH INITIATIVE WITH OUR EQUITY GOALS. WHAT WE KNOW FOR SURE IS THAT COMMUNITY HEALTH ISN'T JUST AN ASPIRATION, IT'S A CONCRETE COMMITMENT TO ENSURING ALL COMMUNITIES HAVE AN EQUAL OPPORTUNITY TO ACHIEVE THEIR OPTIMAL HEALTH. IN 2024, WE ADOPTED A PORTFOLIO-BASED APPROACH TO ACTUALIZING COMMUNITY HEALTH, MOVING FROM SILOED PROGRAMS TO UNIFIED, ORGANIZATION-WIDE STRATEGIES. TO DO THIS WE ADOPTED THE TRANSFORMATION COMPASS TO GUIDE OUR DESIGN OF PORTFOLIOS THAT ADDRESS INEQUITIES ACROSS FOUR INTERCONNECTED LEVELS:INDIVIDUAL: INITIATIVES SUCH AS HEALTH EDUCATION AND CHRONIC DISEASE MANAGEMENT. ORGANIZATIONAL: EQUITY-FOCUSED PRACTICES IN HEALTH CARE DELIVERY, EMPLOYMENT AND CONTRACTING.COMMUNITY: ADDRESSING SOCIAL DETERMINANTS LIKE FOOD ACCESS AND TRANSPORTATION. SOCIAL STRUCTURES: ADVOCACY FOR POLICY REFORMS TO ADVANCE SYSTEMIC JUSTICE.THIS SHIFT, POWERED BY A ROBUST EVALUATION OF OUR EXISTING INITIATIVES, ENSURES OUR RESOURCES ARE STRATEGICALLY ALLOCATED. IT REFLECTS AN INTEGRATED, MULTI-LEVEL STRATEGY THAT CULTIVATES COLLABORATION ACROSS TEAMS AND STAKEHOLDERS TO CREATE LASTING, SYSTEMIC CHANGE, ENSURING THAT COMMUNITY HEALTH REMAINS CENTRAL TO OUR MISSION. THE TRANSFORMATION COMPASS OFFERS A WAY TO PLAN HOW WE TACKLE INEQUITIES THROUGH ESTABLISHING BALANCED PORTFOLIOS MADE UP OF MUTUALLY SUPPORTIVE INVESTMENTS ACROSS ALL FOUR LEVELS. APPLYING A PORTFOLIO-BASED APPROACH REFLECTS AN IMPORTANT SHIFT IN HOW COREWELL HEALTH IS APPROACHING COMMUNITY HEALTH. THE INTENT BEHIND THIS IS TWO-FOLD; FIRST IT ENSURES WE ARE FOCUSED IN OUR USE OF RESOURCES TO ACHIEVE OUR GOALS, AND SECOND ACKNOWLEDGES THE REALITY THAT IMPACT WILL COME THROUGH A COLLECTION OF INITIATIVES AS WE WORK TOWARDS THOSE GOALS. BETWEEN JANUARY AND JUNE 2024, THE COMMUNITY HEALTH EVALUATION, ANALYTICS AND ASSESSMENT TEAM (HEEAAT) ASSESSED 34 HEALTHIER COMMUNITIES PROGRAMS ACROSS EACH OF OUR THREE REGIONS USING A TOOL CALLED THE PORTFOLIO ALIGNMENT RUBRIC (PAR) TO BETTER UNDERSTAND OUR PORTFOLIOS. THIS EVALUATION MEASURED EACH PROGRAM'S ALIGNMENT WITH OUR STRATEGIC GOALS AND THE TRANSFORMATION COMPASS FRAMEWORK, REVEALING SIGNIFICANT ACHIEVEMENTS:MEDIAN AGE OF COMMUNITY HEALTH PROGRAMS IS FOUR YEARS. MORE THAN HALF OF THESE PROGRAMS DRIVE POLICY CHANGE AT LOCAL, STATE OR NATIONAL LEVELS. 183,700+ INDIVIDUALS WERE SERVED ANNUALLY THROUGH COMMUNITY HEALTH PROGRAMS.THE RESULTS REVEALED THAT MOST INITIATIVES ARE CONCENTRATED AT THE INDIVIDUAL BEHAVIOR LEVEL OF THE TRANSFORMATION COMPASS. IN AUGUST, THE COMMUNITY HEALTH LEADERSHIP TEAM SET RESOURCE ALLOCATION TARGETS FOR EACH LEVEL OF TRANSFORMATION TO CREATE A BALANCED PORTFOLIO AND GUIDE PROGRESS OVER THE NEXT THREE TO FIVE YEARS. MOVING INTO 2025, WE'LL FOCUS ON SHIFTING OUR SPENDING TO BETTER ALIGN WITH THESE TARGETS.PORTFOLIO INVESTMENT TARGETS10% INDIVIDUAL35% ORGANIZATIONAL35% COMMUNITY20% SOCIAL STRUCTURESEACH OF OUR COMMUNITY HEALTH INITIATIVES IS AN INVESTMENT AND THE STRENGTH OF OUR PORTFOLIOS RELIES ON THE QUALITY OF THOSE INDIVIDUAL INVESTMENTS. HEEAAT'S EVALUATION OF EACH PROGRAMS' COMMUNITY HEALTH ALIGNMENT AND EFFICACY ENHANCED OUR ANALYTICAL FRAMEWORKS TO REFINE IMPACT AND SUPPORT ONGOING IMPROVEMENT, CONNECTING ON-THE-GROUND INSIGHTS TO LONG-TERM DECISION-MAKING. COLLABORATION WITH FRONTLINE TEAM MEMBERS ENSURES OUR COMMUNITY HEALTH EFFORTS REMAIN GROUNDED IN THE REAL EXPERIENCES OF OUR PATIENTS AND COMMUNITIES, DRIVING VALUE AND EXPANDING THEIR OPPORTUNITIES TO LIVE THE HEALTHIEST LIVES POSSIBLE.RESTRUCTURING FOR THE FUTURE REGULATIONS SET BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AND THE JOINT COMMISSION HAVE BEEN PIVOTAL IN SHAPING COREWELL HEALTH'S APPROACH TO COMMUNITY HEALTH. THESE MANDATES REQUIRE HOSPITALS TO APPOINT DEDICATED LEADERS, COLLECT AND ANALYZE PATIENT DEMOGRAPHICS AND SOCIAL NEEDS AND IMPLEMENT STRATEGIES TO IDENTIFY AND ADDRESS INEQUITIES. IN 2024, CMS INTRODUCED REGULATIONS REQUIRING HOSPITALS TO SCREEN ALL ADMITTED PATIENTS FOR HEALTH-RELATED SOCIAL NEEDS. THESE MEASURES NOT ONLY ENHANCE OUR UNDERSTANDING OF HOW SOCIAL DETERMINANTS EFFECT HEALTH INEQUITIES BUT ARE ALSO ESSENTIAL FOR HOSPITALS TO MAINTAIN ACCREDITATION AND RECEIVE REIMBURSEMENTS.OUTLINING MATERNAL-INFANT HEALTH INEQUITIES IN MICHIGAN, PRETERM AND LOW BIRTH WEIGHT BABIES ACCOUNT FOR 41% OF INFANT DEATHS AND FACE INCREASED RISKS OF DEVELOPMENTAL DELAYS AND CHRONIC HEALTH CONDITIONS. SINCE JANUARY 2023, 13.8% OF BABIES BORN AT COREWELL HEALTH WERE DELIVERED PRETERM, EXCEEDING THE STATE AVERAGE OF 10.3%. THESE OUTCOMES LOOK DIFFERENT WHEN WE STRATIFY BY RACE/ ETHNICITY.WE USE A PORTFOLIO-BASED APPROACH TO ADDRESS THE RACIAL, ETHNIC, GEOGRAPHIC, AND SOCIOECONOMIC INEQUITIES THAT CONTRIBUTE TO POOR MATERNAL AND INFANT HEALTH OUTCOMES. THIS MEANS WE FOCUS ON REDUCING INEQUITIES BY ADDRESSING MULTIPLE DETERMINANTS OF HEALTH, TARGETING KEY CLINICAL RISK FACTORS SUCH AS HYPERTENSION, PREECLAMPSIA, ANXIETY AND DEPRESSION, AND REFORMING CLINICAL PRACTICES, POLICIES AND CARE DELIVERY MODELS TO BETTER IDENTIFY AND RESPOND TO SOCIAL STRESSORS. BEYOND THE WALLS OF OUR HEALTH SYSTEM, WE INVEST IN INITIATIVES THAT IMPROVE COMMUNITY CONDITIONS INFLUENCING HEALTH OUTCOMES.UNDERSTANDING THE IMPACT OF CARDIOVASCULAR AND MATERNAL MENTAL HEALTH RESEARCH SHOWS A CLEAR LINK BETWEEN MATERNAL MENTAL HEALTH, CARDIOVASCULAR DISEASE, AND ADVERSE BIRTH OUTCOMES. RESEARCH SHOWS THAT PEOPLE WHO EXPERIENCE DEPRESSION, ANXIETY AND CHRONIC STRESS DURING PREGNANCY ARE AT HIGHER RISK OF DELIVERING LOW-BIRTHWEIGHT BABIES. THESE ADVERSE BIRTH OUTCOMES CAN ALSO INCREASE THE LIKELIHOOD OF PEOPLE EXPERIENCING POSTPARTUM DEPRESSION. BETWEEN JANUARY OF 2023 AND JUNE OF 2024, APPROXIMATELY ONE IN FOUR PREGNANT INDIVIDUALS CARED FOR AT COREWELL HEALTH WERE AT MEDIUM OR HIGH RISK FOR POSTPARTUM DEPRESSION. BLACK AND HISPANIC WOMEN WERE DISPROPORTIONALLY AT RISK COMPARED TO OTHER RACIAL AND ETHNIC GROUPS. MATERNAL MENTAL HEALTH, WHICH ENCOMPASSES EMOTIONAL, SOCIAL AND PSYCHOLOGICAL WELL-BEING, IS A CRUCIAL FACTOR IN PREGNANCY AND POSTPARTUM OUTCOMES. DEPRESSION AND ANXIETY ARE LEADING CONTRIBUTORS TO MATERNAL MORBIDITY AND MORTALITY, YET NEARLY HALF OF ALL WOMEN WITH POSTPARTUM DEPRESSION GO UNTREATED. LATINO PATIENTS ARE MOST LIKELY TO BE AT MEDIUM OR HIGH RISK FOR POSTPARTUM DEPRESSION, FOLLOWED BY BLACK AND NATIVE AMERICAN PATIENTS. PART VI, LINE 5 CONTINUED CARDIOVASCULAR DISEASE IS THE LEADING CAUSE OF DEATH AMONG WOMEN, RESPONSIBLE FOR ONE IN THREE LIVES LOST ANNUALLY - EQUIVALENT TO ONE WOMAN DYING EVERY 80 SECONDS. PREGNANCY COMPLICATIONS LIKE PREECLAMPSIA OR GESTATIONAL DIABETES SIGNIFICANTLY INCREASE A WOMAN'S RISK OF DEVELOPING CARDIOVASCULAR DISEASE LATER IN LIFE. FOR EXAMPLE, WOMEN WITH TWO OR MORE COMPLICATED PREGNANCIES FACE DOUBLE THE RISK OF STROKE BEFORE AGE 45 COMPARED TO WOMEN WITHOUT SERIOUS COMPLICATIONS. THE LINK BETWEEN CARDIOVASCULAR HEALTH AND HEALTHY BIRTHS IS WELL-DOCUMENTED. PATIENTS WHO EXPERIENCE HYPERTENSION AND DIABETES, BOTH RISK FACTORS FOR CARDIOVASCULAR DISEASE, ARE MORE LIKELY TO EXPERIENCE A PRETERM BIRTH COMPARED TO PATIENTS WITHOUT THESE CONDITIONS. OUR SOLUTION TARGETS TWO OF THE PRIMARY DRIVERS OF MATERNAL MORBIDITY AND MORTALITY: MENTAL WELL-BEING AND CARDIOVASCULAR HEALTH. BY FOCUSING ON THESE CRITICAL AREAS, WE'RE REDUCING INEQUITIES AND IMPROVING OUTCOMES FOR BIRTHING PEOPLE AND INFANTS ACROSS MICHIGAN.COREWELL HEALTH'S REGIONAL PROGRAMS, LED BY OUR HEALTHIER COMMUNITIES TEAMS, DEMONSTRATE OUR COMMITMENT TO ADDRESSING HEALTH INEQUITIES WHERE THEY ARE MOST ACUTE. GROUNDED IN THE UNIQUE NEEDS IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA), WE'RE CREATING LOCALLY TAILORED PATHWAYS TO COMMUNITY HEALTH THAT RESONATE AND DELIVER MEASURABLE IMPACT.COREWELL HEALTH IN WEST MICHIGANTHE COREWELL HEALTH HEALTHIER COMMUNITIES IN WEST MICHIGAN TEAM SERVES URBAN AND RURAL COMMUNITIES ACROSS WEST MICHIGAN, DEVELOPING STRATEGIES TO PRIORITIZE HEALTH NEEDS IDENTIFIED FROM THE CHNA. THEY WORK CLOSELY WITH LOCAL LEADERS TO DEFINE WHAT MATTERS MOST AND GUIDE IMPACTFUL INITIATIVES THAT ADDRESS INEQUITIES.BECAUSE WE VALUE MATERNAL HEALTH AS A CORNERSTONE OF COMMUNITY WELL-BEING, COREWELL HEALTH IN WEST MICHIGAN IS TACKLING INEQUITIES FOR BIRTHING INDIVIDUALS AND THEIR INFANTS WITH A COMPREHENSIVE APPROACH DESIGNED TO IMPROVE LIFE EXPECTANCY AND REDUCE PREVENTABLE RISKS. BY BREAKING DOWN BARRIERS WITH CULTURALLY RESPONSIVE CARE, EXPANDING ACCESS TO MENTAL HEALTH SUPPORT AND LEVERAGING PARTNERSHIPS TO DISMANTLE SYSTEMIC INEQUITIES, THE HEALTHIER COMMUNITIES WEST TEAM AIMS TO MEET FAMILIES WHERE THEY ARE - AT HOME, IN CLINICS, THROUGH VIRTUAL EDUCATION - TO ENSURE HEALTHIER BEGINNINGS FOR CHILDREN AND CLOSE COMMUNITY HEALTH GAPS.IMPROVING MATERNAL-INFANT HEALTH FOR PATIENTS AND COMMUNITIESTHE HEALTHIER COMMUNITIES TEAM INVESTED $300,000 IN OUR MENTAL HEALTH COLLECTIVE TO STRENGTHEN ACCESS TO CULTURALLY RELEVANT MENTAL HEALTH CARE AND INTEGRATE BEHAVIORAL HEALTH SERVICES TO IMPROVE CARE FOR PREGNANT INDIVIDUALS. THIS PARTNERSHIP IS A SIGNIFICANT STEP TOWARD CONNECTING COREWELL HEALTH CLIENTS WITH CULTURALLY DIVERSE THERAPISTS TO PROVIDE INCLUSIVE MENTAL HEALTH CARE AND STAY RESPONSIVE TO DIVERSE NEEDS. SINCE ITS LAUNCH IN JULY 2024, 21 REFERRALS HAVE BEEN MADE AND THE INITIATIVE REPRESENTS A GROWING COLLABORATION THAT BUILDS MEANINGFUL RELATIONSHIPS WITH THERAPISTS AND EXPANDS ACCESS TO EQUITABLE CARE. WHILE STILL IN ITS EARLY STAGES, THIS PARTNERSHIP LAYS THE FOUNDATION FOR LONG-TERM IMPACT FOR OUR PATIENTS AND COMMUNITIES BY FOSTERING A MORE INCLUSIVE APPROACH TO MENTAL HEALTH SERVICES. COREWELL HEALTH USES THE EDINBURGH POSTNATAL DEPRESSION SCALE TO ASSESS PREGNANT INDIVIDUALS AND NEW PARENTS. THE RESULTS HELP US CONNECT PATIENTS WITH VITAL SUPPORT SERVICES, INCLUDING FREE THERAPY SESSIONS THROUGH PARTNERSHIPS WITH ARBOR CIRCLE AND OUR MENTAL HEALTH COLLECTIVE, AS WELL AS REFERRALS TO COREWELL HEALTH'S MATERNAL-INFANT HEALTH PROGRAM (MIHP). THE EDINBURGH SCREENING ALSO IDENTIFIES BREASTFEEDING CHALLENGES AND CONNECTS PATIENTS TO SUPPORT GROUPS FOR ADDITIONAL HELP.OVER SIX QUARTERS, AN AVERAGE OF 28.4% PREGNANT PEOPLE WERE SCREENED WITH MEDIUM TO HIGH RISK OF POSTPARTUM (PP) DEPRESSION IN ALL RACES AT COREWELL HEALTH IN WEST MICHIGAN.RESEARCH SHOWS THAT SOCIAL SUPPORT REDUCES MATERNAL ANXIETY AND DEPRESSION, IMPROVES BIRTH WEIGHT, AND ENHANCES IMMUNE FACTORS IN BREAST MILK. COREWELL HEALTH'S PRENATAL EDUCATION PROGRAM COMBINES EVIDENCE-BASED PRACTICES, PEER SUPPORT AND CULTURAL RESPONSIVENESS TO MEET PRENATAL AND POSTPARTUM NEEDS. CLASSES ARE OFFERED BOTH IN PERSON AND ONLINE, COVERING 18 TOPICS ACROSS SIX CATEGORIES WITH AN EMPHASIS ON INFANT HEALTH, CARE AND SAFETY TO REDUCE INEQUITIES AND IMPROVE OUTCOMES FOR PREGNANT WOMEN AND THEIR BABIES. COREWELL HEALTH IN WEST MICHIGAN ALSO CONNECTS NEW MOTHERS TO BREASTFEEDING SUPPORT GROUPS THROUGH PRENATAL EDUCATION CLASSES OFFERED THREE TIMES A WEEK. THESE CLASSES PROVIDE EDUCATION AND SKILLS TO HELP BREASTFEEDING INDIVIDUALS SUCCEED.FROM JANUARY TO DECEMBER 2024, OVER 8,000 REPEAT PARTICIPANTS ATTENDED, INCLUDING NEW MOMS, BABIES AND MEMBERS OF THEIR SUPPORT NETWORK. THE CLASSES ARE A SPACE FOR PEOPLE TO FOSTER CONNECTION, BUILD BONDS AND DEVELOP SUPPORT NETWORKS THAT CAN IMPROVE MENTAL HEALTH OUTCOMES AFTER DELIVERY.EMBEDDING COMMUNITY HEALTH BY TRANSFORMING CLINICAL CAREA MULTIDISCIPLINARY TEAM AT COREWELL HEALTH IN WEST MICHIGAN INITIATED A PLAN TO SUPPORT PATIENTS WHO RELIED ON THE EMERGENCY DEPARTMENT AS THEIR PRIMARY HEALTH CARE SOURCE, OFTEN BECAUSE OF COMPLEX SOCIAL DETERMINANTS. AN ENVIRONMENTAL SCAN IDENTIFIED COREWELL HEALTH LUDINGTON HOSPITAL AS AN OPTIMAL LOCATION TO PILOT THE PLACEMENT OF A COMMUNITY HEALTH WORKER IN THE EMERGENCY DEPARTMENT TO SUPPORT PATIENTS WITH COMPLEX NEEDS. THE PILOT SITE LAUNCHED IN APRIL 2024 WITH A FOCUS ON DEVELOPING FOUNDATIONAL ELEMENTS, INCLUDING NEW PATHWAYS IN EPIC, STANDARD WORKFLOWS, TEAM MEMBERS TRAINING AND COLLECTING BETTER DATA ABOUT PATIENT NEEDS. 71 PATIENTS WERE REFERRED FOR A SOCIAL NEED FROM APRIL TO OCTOBER OF 2024. OF THOSE 71, 51 PATIENTS ENROLLED AND RECEIVED SERVICES. THIS COLLABORATIVE EFFORT INCLUDES COMMUNITY HEALTH LEADERSHIP, CLINICAL LEADERS, FINANCE TEAMS AND PUBLIC HEALTH PARTNERS. THE PROGRAM PLANS TO EXPAND TO FIVE DAYS PER WEEK IN LUDINGTON AND LAUNCH AT COREWELL HEALTH PENNOCK HOSPITAL IN EARLY 2025, WHERE A PATIENT COHORT WILL HELP EVALUATE OUTCOMES AND COST SAVINGS FROM THESE INTERVENTIONS. COREWELL HEALTH ALSO RECOGNIZED A GAP IN OUR COMMUNITIES FOR DELIVERING SICKLE CELL CARE TO PATIENTS. THE COREWELL HEALTH SICKLE CELL EXPERT IMPROVEMENT TEAM (EIT) WAS CREATED AND IT EXCEEDED ITS GOAL FOR IMPROVING PATIENT PERCEPTIONS OF PAIN MANAGEMENT SURPASSING THE TARGET OF 60.2% BY ACHIEVING 72.6% OF PATIENTS WHO REPORTED THEIR PAIN WAS BEING MANAGED EFFECTIVELY. THIS IMPROVEMENT WAS DRIVEN BY COLLABORATION BETWEEN HEALTH CARE TEAMS, PATIENTS AND CAREGIVERS, INCLUDING THE DEVELOPMENT OF A STANDARDIZED EMERGENCY DEPARTMENT SICKLE CELL CRISIS PATHWAY AND AN INPATIENT ACTION PLAN WITHIN EPIC. IN ADDITION, AN UPDATED SICKLE CELL ORDER SET AND IMPROVED EDUCATION ON PATIENT-CONTROLLED ANALGESIA PUMPS CONTRIBUTED TO POSITIVE OUTCOMES. PART VI, LINE 5 CONTINUED STRENGTHENING COMMUNITY PARTNERSHIPS LOCAL PARTNERSHIPS TO ADDRESS FOOD INSECURITIESACCESS TO HEALTHY FOOD REMAINS A SIGNIFICANT CHALLENGE FOR LOW-INCOME INDIVIDUALS, CONTRIBUTING TO CHRONIC CONDITIONS SUCH AS OBESITY, DIABETES AND HEART DISEASE. IN FEBRUARY 2024, COREWELL HEALTH IN WEST MICHIGAN PARTNERED WITH THE AMERICAN HEART ASSOCIATION (AHA) TO INVEST $40,000 INTO ENHANCING FOOD OPTIONS AT MONTCALM COUNTY FOOD PANTRIES. IN THIS COLLABORATIVE PARTNERSHIP, COREWELL HEALTH IS EXPANDING ACCESS TO NUTRITIOUS FOOD AND PROMOTING HEALTHIER EATING HABITS IN THE COMMUNITY. A REGISTERED DIETICIAN IS CENTRAL TO THIS INITIATIVE TO ENHANCE PANTRY INFRASTRUCTURE, PROMOTE HEALTH-FOCUSED FOOD POLICIES AND PROVIDE NUTRITION EDUCATION. ANOTHER TANGIBLE OUTCOME OF THIS PARTNERSHIP WAS THE INSTALLATION OF A NEW REFRIGERATOR/FREEZER COMBO UNIT AT A PARTICIPATING PANTRY, ENABLING TEAM MEMBERS TO STOCK FRESH AND FROZEN PRODUCE MORE EFFECTIVELY. THIS UPGRADE NOT ONLY INCREASES THE AVAILABILITY OF FRUITS AND VEGETABLES BUT ALSO REDUCES UTILITY COSTS, SUPPORTING BOTH HEALTH AND SUSTAINABILITY GOALS. BY WORKING WITH FIVE ESTABLISHED FOOD PANTRIES AND EXPLORING A SIXTH PARTNERSHIP, COREWELL HEALTH IS BUILDING A FOUNDATION FOR IMPACTFUL, HEALTH-FOCUSED FOOD POLICIES TO IMPROVE COMMUNITY NUTRITION BY DECEMBER 2025.MORE LIFE MS VIDA THROUGH CANCER SCREENINGSIN PARTNERSHIP WITH CANCER CARE SERVICES, COREWELL HEALTH'S MORE LIFE MS VIDA HAS WORKED TO REDUCE CANCER INEQUITIES BY INCREASING ACCESS TO PREVENTION, SCREENINGS AND EQUITABLE CARE FOR UNINSURED OR UNDERINSURED INDIVIDUALS. THIS COLLABORATION PROVIDED ACCESS TO FREE OR LOW-COST CANCER SCREENING RESOURCES, INCLUDING EARLY DETECTION MAMMOGRAMS, COLON CANCER AT-HOME KITS, HPV VACCINATIONS AND CERVICAL CANCER SCREENINGS.THESE SERVICES WERE MADE POSSIBLE WITH PHILANTHROPIC FUNDS FROM CANCER CARE SERVICES AS WELL AS THE MDHHS BREAST AND CERVICAL CANCER NAVIGATION PROGRAM (BC3NP), WHICH PROVIDES CERVICAL CANCER SCREENINGS FOR INDIVIDUALS AGED 21 TO 64 AND BREAST CANCER SCREENINGS FOR INDIVIDUALS AGED 40 TO 64 (OR 21+ FOR DIAGNOSTIC MAMMOGRAMS) WHO MEET INCOME ELIGIBILITY.COMMUNITY HEALTH WORKERS ARE INTEGRAL TO THE PROGRAM, ADDRESSING SOCIAL DETERMINANTS AND PROVIDING FOLLOW-UP CARE, FINANCIAL COUNSELING AND PATIENT ASSISTANCE. SINCE ITS INCEPTION IN 2023, THE COMMUNITY-DRIVEN PROGRAM HAS HOSTED TWO CANCER SCREENINGS, DISTRIBUTED 10 COLON CANCER SCREENING KITS, ADMINISTERED 26 HPV VACCINATIONS AND COMPLETED 105 MAMMOGRAMS.ASPEN INSTITUTE'S JUSTICE AND GOVERNANCE PARTNERSHIPLAUNCHED IN 2023, A JUST GR IS GUIDED BY A DIVERSE LEADERSHIP COUNCIL (55% BLACK/AFRICAN AMERICAN, 35% WHITE) AND 60% HOLDING GRADUATE DEGREES WITH REPRESENTATION FROM LAW ENFORCEMENT AND PUBLIC SAFETY, EDUCATION, LOCAL GOVERNMENT AND NONPROFITS. ROOTED IN LISTENING, EMBRACING COMPLEXITY AND DATA-DRIVEN DECISION-MAKING, THE INITIATIVE ACKNOWLEDGES HISTORICAL INEQUITIES AND WORKS TOWARD EQUITABLE OUTCOMES. ITS MISSION IS TO ENHANCE SAFETY AND OPPORTUNITY FOR ALL WHILE SERVING AS A NATIONAL MODEL FOR JUSTICE REFORM.THE COREWELL HEALTH HEALTHIER COMMUNITIES TEAM IN WEST MICHIGAN WAS SELECTED AND FUNDED TO LEAD THIS EFFORT THROUGH 2027, POSITIONING GRAND RAPIDS AS THE FIRST PILOT CITY IN THE NATION. POWERED BY THE ASPEN INSTITUTE'S JUSTICE AND GOVERNANCE PARTNERSHIP, A JUST GR IS A GROUNDBREAKING INITIATIVE PROMOTING EQUITY-CENTERED PUBLIC SAFETY AND JUSTICE IN GRAND RAPIDS. THIS FIRST-OF-ITS-KIND PROJECT BRINGS TOGETHER COMMUNITY VOICES TO CREATE A SHARED VISION FOR JUSTICE AND SAFETY, PRIORITIZING CROSS-SECTOR COLLABORATION TO TACKLE SYSTEMIC INEQUITIES WHILE FOSTERING COMMUNITY LEADERSHIP AND OWNERSHIP.OUR COREWELL HEALTH HOSPITALS IN WEST MICHIGAN ARE RESPONDING TO EMERGING THE JOINT COMMISSION REQUIREMENTS BY IMPLEMENTING COMMUNITY HEALTH ACTION PLANS. THESE HOSPITALS ARE ANALYZING SOCIAL DETERMINANTS AND STRATIFYING DATA TO BETTER UNDERSTAND PATIENT OUTCOMES AND LAUNCH PROJECTS TO ADDRESS POSTPARTUM DEPRESSION SPECIFICALLY AT COREWELL HEALTH ZEELAND AND GREENVILLE HOSPITALS AND IN THE COMMUNITIES WE SERVE.ZEELAND HOSPITAL: WE FOCUSED ON POSTPARTUM PATIENTS AT MEDIUM-HIGH RISK OF PPD. IN 2023, 59% OF MIHP CLIENTS WHO WERE PREGNANT SAID THEY EXPERIENCED STRESS AND DEPRESSION, WHILE 69% OF CLIENTS WHO HAD AN INFANT REPORTED THESE EXPERIENCES.WE FOCUSED ON INCREASING REFERRALS OF PREGNANT PEOPLE AT RISK OF PPD INTO THE MIHP FROM 9% TO A TARGET REFERRAL RATE OF 30% BY 6/2025. AND WE INCREASED THE PROVISION OF EDUCATIONAL MATERIALS TO THESE PATIENTS FROM 41% TO 95% IN THE SAME TIME FRAME.WE ALSO INCREASED REFERRAL RATES FOR MIHP TO 33% BY DECEMBER 2024 AND DELIVERY OF EDUCATIONAL RESOURCES HAD INCREASED TO 60% BY DECEMBER 2024.AT GREENVILLE HOSPITAL, WE FOCUSED ON POSTPARTUM PATIENTS WHO ARE HIGH RISK FOR DEPRESSION. THE RATIO OF MENTAL HEALTH PROVIDERS TO RESIDENTS IN THE COMMUNITY IS 1:477. ADULTS AGED 18 - 34 ARE TWICE AS LIKELY TO EXPERIENCE MENTAL DISTRESS, AND 75% OF MOMS WHO GIVE BIRTH AT GREENVILLE HOSPITAL FALL WITHIN THIS AGE GROUP.NO REFERRALS WERE BEING MADE INTO SUPPORTIVE PROGRAMS WHICH INCLUDED THE WELCOME BABY PROGRAM AND THE MIHP. WE SET A TARGET TO INCREASE REFERRALS FROM 0% TO 10% BY DECEMBER 2024 AND EXCEEDED THE TARGET BY INCREASING REFERRALS TO 100% OF ALL ELIGIBLE PATIENTS. THE OB TEAM HAS ADOPTED NEW WORKFLOWS TO MAINTAIN THE REFERRAL PATHWAY.WE FOCUSED ON TOBACCO CESSATION AT COREWELL HEALTH BIG RAPIDS, REED CITY AND LUDINGTON HOSPITALS.AT BIG RAPIDS AND REED CITY HOSPITALS WE FOCUSED ON ADMITTED PATIENTS BETWEEN AGE 18-65 AT HIGH RISK OF TOBACCO USE. IN 2023 21.2% AND 30.2% OF THESE PATIENTS ADMITTED TO BIG RAPIDS AND REED CITY HOSPITALS WERE AT HIGH RISK FOR TOBACCO USE, RESPECTIVELY. ONLY A FRACTION OF THOSE PATIENTS WERE REFERRED TO THE TOBACCO CESSATION PROGRAM. WE INCREASED REFERRALS TO THE TOBACCO CESSATION PROGRAM TO ABOVE 85% BY DECEMBER 2024.AT LUDINGTON HOSPITAL, WE FOCUSED ON ADMITTED MALE PATIENTS AT HIGH RISK OF TOBACCO USE. MALE PATIENTS BETWEEN 25 - 55 HAD AN 8% HIGHER RISK OF TOBACCO USE.WE FOCUSED ON INCREASING REFERRALS FOR MALE PATIENTS BETWEEN THE AGE OF 35 - 55 WHO WERE AT HIGH RISK OF TOBACCO USE INTO THE TOBACCO CESSATION PROGRAM FROM 0% TO 50% BY JULY 2025. WE EXCEEDED THE TARGET BY NOVEMBER 2024 WITH 60% OF TARGET PATIENTS BEING REFERRED TO THE PROGRAM.WE ALSO FOCUSED ON TOBACCO CESSATION AT COREWELL HEALTH GERBER HOSPITAL. WE FOCUSED ON WHITE PATIENTS BETWEEN THE AGES OF 50 - 80 IN THE MEDICAL SURGERY UNIT AND ICU AT HIGH RISK OF TOBACCO USE. CARDIOVASCULAR DISEASE WAS A LEADING CAUSE OF DEATH IN NEWAYGO COUNTY IN 2023. WE FOCUSED ON INCREASING REFERRALS OF THE TARGET PATIENT POPULATION TO TOBACCO SPECIALIST FROM 0% TO 50% BY DECEMBER 2024. WE INCREASED REFERRALS TO 60%, AND INCREASED CONTACT RATE WITH PATIENTS AT HIGH RISK OF TOBACCO USE TO 86% BY A TOBACCO SPECIALIST.WE ADDRESSED FOOD INSECURITY AT COREWELL HEALTH PENNOCK HOSPITAL. WE FOCUSED ON PATIENTS BETWEEN THE AGES OF 51 - 70 WHO SCREENED POSITIVE FOR FOOD INSECURITY. PATIENTS IN THE MEDICAL SURGERY AND ICU UNITS HAD THE HIGHEST NEEDS. WE FOCUSED ON INCREASING REFERRALS TO THE FRESH FOOD INITIATIVES PRIOR TO PATIENT DISCHARGE FROM 0% TO 40% MAY 2025. WE INCREASED REFERRALS TO THE FRESH FOOD INITIATIVE TO 66% BY NOVEMBER 2024 WITH 40% OF THOSE BEING REFERRED ATTENDING THE PROGRAM. PART VI, LINE 5 CONTINUED COREWELL HEALTH IN SOUTHWEST MICHIGAN.THE KEY TO IMPROVING MATERNAL AND INFANT HEALTH OUTCOMES AT COREWELL HEALTH IN SOUTHWEST MICHIGAN BEGINS WHEN WE EARN THE TRUST OF FAMILIES. IN MARCH 2024, THE COREWELL HEALTH CENTER FOR WELLNESS EXPANDED ITS COMMUNITY REACH BY MOVING INTO A NEW AND SIGNIFICANTLY LARGER LOCATION IN DOWNTOWN BENTON HARBOR. AT THE COREWELL HEALTH CENTER FOR WELLNESS, THE COREWELL HEALTH HEALTHIER COMMUNITIES TEAM HAS CREATED A COHESIVE PORTFOLIO OF PROGRAMMING THAT CENTERS AROUND MATERNAL-INFANT HEALTH, CARDIOVASCULAR HEALTH, AND MENTAL WELLNESS IN AN EASY-TO-ACCESS LOCATION.ADDRESSING THE COMPLEX MATERNAL AND INFANT HEALTH INEQUITIES IN OUR COMMUNITIES REQUIRES A MULTI-FACETED APPROACH. AT THE CENTER, FAMILIES CAN ACCESS A PORTFOLIO OF PROGRAMS DESIGNED TO HAVE A LASTING IMPACT AND IMPROVE OUTCOMES DURING SOME OF THE MOST CRITICAL YEARS OF THEIR LIVES.IN 2024, THE COREWELL HEALTH CENTER FOR WELLNESS SERVED NEARLY 1,500 CLIENTS ACROSS MORE THAN 8,000 VISITS.ENGAGEMENT THROUGH COMMUNITY DIAPER DISTRIBUTIONIN 2024, THE COREWELL HEALTH CENTER FOR WELLNESS DISTRIBUTED MORE THAN 165,000 DIAPERS TO FAMILIES IN BERRIEN COUNTY. BY ALLEVIATING A CRITICAL HOUSEHOLD EXPENSE, THE PROGRAM HELPS REDUCE FAMILY STRESS AND BUILDS TRUST BETWEEN CAREGIVERS AND TEAM MEMBERS. INTERACTIONS ALSO CREATE OPPORTUNITIES TO CONNECT FAMILIES WITH ADDITIONAL SERVICES AND FOSTER LONG-TERM ENGAGEMENT.PEOPLE WHO RECEIVED DIAPERS REPORTED93% COULD CARE FOR THEIR CHILDREN IN NEW WAYS92% FELT HAPPIER90% WERE ABLE TO PAY FOR OTHER NECESSITIES82% REPORTED FEELING LESS STRESSED OR ANXIOUS80% FELT AN INCREASED CONNECTION TO OTHERSBRIDGING COMMUNITY AND CLINICAL CARE FOR HOLISTIC WELLNESSTHE COREWELL HEALTH CENTER FOR WELLNESS IS REDEFINING PRIMARY CARE BY INTEGRATING INNOVATIVE STAFFING, RECRUITMENT AND CARE MODELS. WHILE AWAITING AN EPIC BUILD, THE CENTER HAS COLLABORATED WITH THE MEDICAL GROUP TO INCLUDE OFFERINGS SUCH AS COOKING CLASSES, MENTAL HEALTH SUPPORT AND LIFESTYLE MEDICINE AS PART OF ITS CARE FRAMEWORK. PARTNERSHIPS WITH INTERCARE, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), FURTHER ALIGN OUR EFFORTS TO CREATE A COHESIVE, COMMUNITY-FOCUSED SYSTEM.THE COREWELL HEALTH CENTER FOR WELLNESS ALSO OFFERS THE INSPIRE AND CONNECT PROGRAMS THAT JOINTLY CREATE A SEAMLESS CONNECTION BETWEEN COMMUNITY AND CLINICAL CARE. INSPIRE COMBINES LIFESTYLE INTERVENTIONS AND HOME BLOOD PRESSURE MONITORING TO SUPPORT HYPERTENSION MANAGEMENT; CONNECT ENHANCES BLOOD PRESSURE CONTROL BY PROVIDING IN-HOME EDUCATION AND RESOURCE NAVIGATION TO HELP PATIENTS OVERCOME SOCIAL AND STRUCTURAL BARRIERS. ADDITIONALLY, CENTERED: COOKING FOR BETTER HEALTH, IS A FOOD FOCUSED INITIATIVE DESIGNED TO EMPOWER PATIENTS TO MANAGE HYPERTENSION BY PROVIDING HANDS-ON CULINARY INSTRUCTION FOCUSED ON PREPARING LOW-SALT, PLANT-BASED MEALS. THIS COLLABORATION EXTENDS CARE BEYOND TRADITIONAL MEDICAL TREATMENTS, FOSTERING A DEEPER CONNECTION BETWEEN NUTRITION EDUCATION AND CHRONIC DISEASE MANAGEMENT.PARTICIPANTS REPORT HIGH LEVELS OF SATISFACTION WITH THE PROGRAM, WITH 90% EXPRESSING THAT THEY "LEARNED A LOT" ABOUT HEALTHY EATING FOR HYPERTENSION AND APPRECIATED BEING TREATED WITH RESPECT THROUGHOUT THE CLASSES. THE PROGRAM EQUIPS INDIVIDUALS WITH PRACTICAL SKILLS, SUCH AS PREPARING NUTRITIOUS MEALS AND ORDERING LOW-SALT OPTIONS WHEN DINING OUT. MANY PARTICIPANTS HAVE ALREADY APPLIED THESE NEW RECIPES AND TECHNIQUES AT HOME, ENHANCING THEIR DAILY LIVES.ADDITIONALLY, 80% OF PARTICIPANTS GAINED A BETTER UNDERSTANDING OF HOW UNTREATED HYPERTENSION AFFECTS THEIR HEALTH AND HOW NUTRITION CAN REDUCE ITS IMPACT. THE PROGRAM ALSO NURTURES A SENSE OF COMMUNITY, WITH 80% FEELING CONNECTED TO FELLOW PARTICIPANTS, FURTHER REINFORCING THE IMPORTANCE OF SHARED SUPPORT IN MAKING LASTING LIFESTYLE CHANGES. THIS PARTNERSHIP HIGHLIGHTS THE TRANSFORMATIVE IMPACT OF INTEGRATING CLINICAL REFERRALS WITH COMMUNITY-BASED EDUCATION TO PROMOTE HEALTHIER LIVING AND WE CONTINUE TO BE ELECTRIFIED AROUND DEVELOPING SIMILAR COMMUNITY-SERVING PARTNERSHIPS.PROVIDING CARE FOR THE WHOLE PERSONTHE HOPE PROGRAM PROVIDES MEDICAL CARE AND EDUCATION FOR PREGNANT PATIENTS WITH HYPERTENSION OR PREECLAMPSIA, INCLUDING UP TO 12 VISITS WITH A COMMUNITY HEALTH NURSE FOCUSED ON HEART HEALTH. SINCE LAUNCHING IN AUGUST 2023, HOPE HAS SUPPORTED MORE THAN 20 EXPECTING FAMILIES, HELPING THEM IMPROVE HEART HEALTH FOR SAFER DELIVERIES.IN 2024, COREWELL HEALTH IN SOUTHWEST MICHIGAN LAUNCHED LABOR OF LOVE, A SERIES OF CHILDBIRTH AND BREASTFEEDING EDUCATION CLASSES DESIGNED TO ENSURE EQUITABLE ACCESS TO PRENATAL AND POSTNATAL CARE. FUNDED BY A GRANT FROM THE SOUTHWESTERN MICHIGAN PERINATAL QUALITY COLLABORATIVE, THE PROGRAM'S GOAL IS TO EDUCATE 250 PARTICIPANTS ANNUALLY ON PREGNANCY-RELATED CONDITIONS, RISKS AND RESOURCES. IN ITS INAUGURAL YEAR, A FIVE-COHORT SERIES ENROLLED AND SUPPORTED 59 PARTICIPANTS WITH A 100% RETENTION RATE. FAMILIES CONSISTENTLY REPORTED IMPROVED BIRTHING EXPERIENCES COMPARED TO PREVIOUS PREGNANCIES AND CONTINUED SEEKING ADDITIONAL RESOURCES BEYOND PREGNANCY AND BREASTFEEDING SUPPORT.HIGHLIGHTS OF THE CHILDBIRTH AND BREASTFEEDING CLASS FROM JUNE TO DECEMBER 2024.17 SUPPORT PARTNERS AND CHILDREN ATTENDED.14 CAR SEATS INSTALLED.100% BREASTFEEDING INITIATION.5 COHORT SERIES (JUNE 2024 TO SEPTEMBER 2024) 20 CLASSES TOTAL.72% CONTINUE TO EXCLUSIVELY BREASTFEED (EXCLUSIVE BREASTFEEDING MEANS ONLY BREASTMILK IS FED TO NEW BABIES) AT TWO WEEKS COMPARED TO NATIONAL AVERAGE OF 59% (NIH STUDY).AFTER BIRTH, THE CENTER PROVIDES FREE ESSENTIALS LIKE DIAPERS, WIPES AND CAR SEATS. THESE SERVICES ARE AN ENTRY POINT FOR BUILDING TRUSTING RELATIONSHIPS AND CONNECTING PATIENTS TO ADDITIONAL RESOURCES, INCLUDING PARENTING SUPPORT THROUGH TRIPLE P (POSITIVE PARENTING PROGRAM), A COMMUNITY-CENTERED INTERVENTION THAT EQUIPS NEW PARENTS WITH TOOLS TO MANAGE STRESS, BUILD STRONGER FAMILY RELATIONSHIPS AND FOSTER POSITIVE BEHAVIORS IN CHILDREN. BY OFFERING THESE SERVICES WITHIN AN ACCESSIBLE AND SUPPORTIVE COMMUNITY FRAMEWORK, TRIPLE P PROVIDES FAMILIES WITH "GUARDRAILS" TO STRENGTHEN RESILIENCE AND DISMANTLE TOXIC STRESS, A CONTRIBUTOR TO HYPERTENSION AND HEART DISEASE.ENHANCING COMMUNITY-CENTERED OB CARE COREWELL HEALTH IN SOUTHWEST MICHIGAN IS TRANSFORMING ITS OBSTETRIC CARE MODEL TO PRIORITIZE COMMUNITY HEALTH AND ADDRESS GAPS IN LOCAL SERVICES. A KEY ADVANCEMENT IS THE ESTABLISHMENT OF A LEVEL 2 NURSERY, ENABLING FAMILIES WITH PRETERM BIRTHS TO RECEIVE SPECIALIZED CARE CLOSE TO HOME. TO FURTHER REDUCE INEQUITIES, WE LAUNCHED A DEDICATED OB EMERGENCY DEPARTMENT (OBED), ENSURING PREGNANT PATIENTS RECEIVE IMMEDIATE, SPECIALIZED CARE UPON ARRIVAL. TOGETHER, THE OBED AND LEVEL 2 NURSERY ENHANCE EQUITABLE ACCESS WHILE SUPPORTING THE HOSPITAL'S STRATEGIC GOALS, ILLUSTRATING A COMMITMENT TO VALUE-BASED CARE THAT ALIGNS PATIENT NEEDS WITH SUSTAINABLE GROWTH. PART VI, LINE 5 CONTINUED INVESTING IN COMMUNITY PARTNERSHIPS PARTNERSHIPS LIKE THE ONES WE'VE DEVELOPED WITH BIRTHMARK DOULA AND THE MICHIGAN BREASTFEEDING NETWORK PROVIDE BENTON HARBOR FAMILIES WITH CULTURALLY RELEVANT CHILDBIRTH EDUCATION AND BREASTFEEDING SUPPORT. COLLABORATING WITH PROVIDERS WHO HAVE LIVED EXPERIENCE AND DEEP COMMUNITY TIES ENSURES SERVICES ARE BOTH MEDICALLY SOUND AND CULTURALLY SENSITIVE, WHICH IS CRUCIAL FOR DELIVERING EQUITABLE AND ACCESSIBLE CARE.SOCIAL DETERMINANTS SUCH AS ECONOMIC STABILITY, EDUCATION, HEALTHCARE ACCESS AND SOCIAL CONNECTIONS SIGNIFICANTLY AFFECT CARDIOVASCULAR HEALTH. THE ACHIEVING BIRTH EQUITY THROUGH SYSTEM TRANSFORMATION (ABEST) TASKFORCE, A COALITION OF COMMUNITY PARTNERS INCLUDING COREWELL HEALTH HEALTHIER COMMUNITIES IN SOUTHWEST MICHIGAN, IS ADDRESSING THE ROOT CAUSES AND LONG-TERM RISKS OF CARDIOVASCULAR DISEASE BY FOCUSING ON BIRTH EQUITY AND MATERNAL HEALTH. IN BENTON HARBOR, WHERE DISTRUST IN THE HEALTH CARE SYSTEM IS ROOTED IN HISTORIC DISINVESTMENT, THE TASKFORCE BRIDGES THE GAP BETWEEN FAMILIES AND HEALTHCARE PROVIDERS, PROMOTING EARLY AND REGULAR CARE TO PREVENT, DETECT AND MANAGE CARDIOVASCULAR DISEASE. BY CONFRONTING RACISM AS A ROOT CAUSE OF INEQUITY AND ADVOCATING FOR BETTER ACCESS TO CARE, PARTICULARLY FOR BLACK AND NATIVE AMERICAN PEOPLE, THE TASKFORCE REDUCES THE STRESS BURDEN THESE COMMUNITIES FACE.IMPROVING YOUTH MENTAL HEALTH THROUGH SCHOOL AND COMMUNITY ENGAGEMENT THE BERRIEN WHOLE CHILD COUNTY COLLABORATIVE, CO-LED BY BERRIEN RESA AND COREWELL HEALTH IN SOUTHWEST MICHIGAN, FOSTERS BELONGING AND ENGAGEMENT IN SCHOOLS USING THE WHOLE SCHOOL, WHOLE COMMUNITY, WHOLE CHILD FRAMEWORK. THE COLLABORATIVE OFFERS SHARED SERVICES LIKE YOUTH MENTAL HEALTH FIRST AID AND COMMUNITY RESILIENCY MODEL TRAINING, ALREADY IMPLEMENTED BY EIGHT DISTRICTS WITH TWO MORE TRAININGS SCHEDULED IN 2025. IN 2024 TEAM MEMBERS FOR BERRIEN REGIONAL EDUCATION SERVICES AGENCY AND COMMUNITY PROGRAMS AT COREWELL HEALTH IN SOUTHWEST MICHIGAN PRESENTED AT THE AMERICAN HOSPITAL ASSOCIATION'S ACCELERATING COMMUNITY HEALTH CONFERENCE ABOUT THE PARTNERSHIP BETWEEN THE HEALTH SYSTEM AND LOCAL SCHOOLS TO ADVANCE A WHOLE CHILD MODEL WITH A FOCUS ON ADDRESSING MENTAL HEALTH. THE TEAM MEMBERS WERE ALSO INVITED TO PRESENT AT THE COLLABORATIVE FOR ACADEMIC, SOCIAL AND EMOTIONAL LEARNING (CASEL) EXCHANGE NATIONAL CONFERENCE. THIS WORK HIGHLIGHTS THE IMPORTANCE OF AUTHENTIC PARTNERSHIPS BETWEEN EDUCATION SYSTEMS AND HEALTH CARE TO IMPROVE THE MENTAL WELLNESS OF YOUNG PEOPLE.COREWELL HEALTH IN SOUTHEAST MICHIGANADVANCING WELL-BEINGCOREWELL HEALTH IN SOUTHEAST MICHIGAN TEAM COVERS THE DETROIT METRO AREA OF WAYNE, OAKLAND, AND MACOMB COUNTIES. THEIR COMMUNITY HEALTH EFFORTS ADVANCE MATERNAL-INFANT HEALTH, ADDRESS CHRONIC DISEASE AND SUPPORT STUDENTS AND THEIR FAMILIES THROUGH THEIR NETWORK OF 17 SCHOOL-BASED CLINICS. WITH A FOCUS ON BUILDING LOCAL PARTNERSHIPS, THE COREWELL HEALTH HEALTHIER COMMUNITIES IN SOUTHEAST MICHIGAN TEAM HAS BEEN REVAMPING THEIR PORTFOLIO OF COMMUNITY HEALTH AND COMMUNITY HEALTH INVESTMENTS TO DRIVE IMPACT AND OUTCOMES FOR PATIENTS, COMMUNITIES, TEAM, AND PLAN MEMBERS.TACKLING SYSTEMS CHANGE WITH CDC REACH FUNDINGACCORDING TO THE 2023 COUNTY HEALTH RANKINGS AND ROADMAPS, WAYNE COUNTY IS MICHIGAN'S LEAST HEALTHY COUNTY, RANKING LAST FOR HEALTH OUTCOMES AND FACTORS SUCH AS BEHAVIORS, SOCIOECONOMIC CONDITIONS AND PHYSICAL ENVIRONMENT. TO SUPPORT PROGRAMMING IN COMMUNITIES EXPERIENCING THESE HEALTH GAPS, COREWELL HEALTH IN SOUTHEAST MICHIGAN HAS RECEIVED A $3.4 MILLION CDC REACH GRANT. THIS FUNDING WILL PROMOTE BREASTFEEDING, PHYSICAL ACTIVITY, HEALTHY FOOD ACCESS AND FOOD SERVICE GUIDELINES TO LOW-INCOME BLACK/AFRICAN AMERICAN FAMILIES IN WAYNE COUNTY OVER THE NEXT FIVE YEARS.THE REACH GRANT IS SIGNIFICANT AS ONE OF THE FEW HEALTH SYSTEM-BASED AWARDS IN THE PROGRAM AND COREWELL HEALTH WILL LEVERAGE IT TO COLLABORATE WITH A CROSS-SECTOR NETWORK OF COMMUNITY PARTNERS TO TACKLE KEY HEALTH INEQUITIES AND IMPLEMENT PROVEN PUBLIC HEALTH PROGRAMS FOCUSED ON PHYSICAL ACTIVITY, ACCESS TO NUTRITION AND HEALTHY FOODS AND BREASTFEEDING CONTINUITY OF CARE. DURING THE CDC TEAM'S SITE VISIT IN SUMMER 2024, MUCH OF THE DISCUSSION CENTERED ON THE POTENTIAL OF IMPLEMENTING THE REACH MODEL THROUGH A HEALTHCARE SYSTEM, HIGHLIGHTING THE NOVELTY OF THIS APPROACH. THIS OPPORTUNITY POSITIONS COREWELL HEALTH IN SOUTHEAST MICHIGAN AT THE FOREFRONT OF ADVANCING EQUITABLE COMMUNITY HEALTH. BUILDING RESILIENCY FOR HEALTHIER FAMILIESCOREWELL HEALTH'S RAISING RESILIENT CHILDREN (RRC) PROGRAM IN SOUTHEAST MICHIGAN HELPS PARENTS BUILD PRACTICAL SKILLS FOR MANAGING CHILDREN'S BEHAVIOR WHILE FOSTERING PEER SUPPORT AND CONNECTIONS WITH OTHER CAREGIVERS. ROOTED IN THE TRIPLE P SYSTEM, RRC COMBINES STRUCTURED GUIDANCE, COLLABORATIVE LEARNING AND FREE ONLINE ACCESS TO RESOURCES FOR FAMILIES IN WAYNE, OAKLAND, AND MACOMB COUNTIES. IN SEPTEMBER, THE PROGRAM EXPANDED ITS REACH WITH A WEBSITE OFFERING FREE ACCESS TO EXPERT TOOLS FOR 1,000 FAMILIES, ENSURING PARENTS HAVE THE SUPPORT THEY NEED TO CREATE NURTURING, RESILIENT ENVIRONMENTS FOR THEIR CHILDREN.INCREASING COMMUNITY ENGAGEMENT THROUGH PARTNERSHIPSCOREWELL HEALTH IN SOUTHEAST MICHIGAN SIGNED ON AS A COMMUNITY PARTNER TO BLACK BIRTHING PEOPLE BREASTFEEDING ASSOCIATION'S $4.8 MILLION TRIPLE CROWN INITIATIVE, FUNDED THROUGH THE OFFICE OF MINORITY HEALTH. AS A PARTNER ON THIS GRANT, COREWELL HEALTH IN SOUTHEAST MICHIGAN HAS COMMITTED TO TRANSFORMING INTERNAL PROCESSES AND PRACTICES TO BETTER SUPPORT AND IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES FOR BLACK BIRTHING FAMILIES IN METRO DETROIT.SINCE 2014, COREWELL HEALTH IN SOUTHEAST MICHIGAN HAS PARTNERED WITH THE NATIONAL KIDNEY FOUNDATION OF MICHIGAN (NKFM) TO PROVIDE EVIDENCE-BASED WORKSHOPS, INCLUDING DIABETES PATH AND CHRONIC PAIN PATH. FACILITATED BY NKFM STAFF, THESE PROGRAMS HAVE REACHED HUNDREDS OF COMMUNITY MEMBERS WITH TYPE 2 DIABETES OR CHRONIC PAIN. COREWELL HEALTH IN SOUTHEAST MICHIGAN FURTHER STRENGTHENS COMMUNITY HEALTH BY CONNECTING LOCAL PATIENTS AND RESIDENTS TO THESE VALUABLE RESOURCES THROUGH COLLABORATION.IN MARCH 2024, COREWELL HEALTH IN SOUTHEAST MICHIGAN WAS AWARDED A $100,000 GRANT FROM THE CHILDREN'S MIRACLE NETWORK THAT WILL SUPPORT PROGRAMMING AND TRAINING TO ENHANCE CARE AND OUTCOMES FOR CHILDREN IN THE REGION.EMBEDDING COMMUNITY HEALTHPROJECTS SUCH AS MATERNAL HYPERTENSION PATHWAYS (HYPERPATH) ILLUSTRATE HOW INTERNAL COLLABORATIONS DRIVE EQUITY-FOCUSED CARE. THIS INITIATIVE, SUPPORTED BY THE MICHIGAN MATERNAL MORTALITY SURVEILLANCE MINI AWARD, ADDRESSES PREGNANCY-RELATED HYPERTENSIVE DISORDERS, SOCIAL DETERMINANTS SCREENINGS, POSTPARTUM FOLLOW-UPS AND EDUCATIONAL RESOURCES FOR PATIENTS AND PROVIDERS. THROUGH SUSTAINABLE, SYSTEMIC SOLUTIONS, THE PROJECT REDUCES INEQUITIES AND IMPROVES MATERNAL OUTCOMES FOR UNDERSERVED COMMUNITIES IN WAYNE, OAKLAND, AND MACOMB COUNTIES.IN TANDEM, COREWELL HEALTH IN SOUTHEAST MICHIGAN STRENGTHENED ITS COMMITMENT TO COMMUNITY HEALTH VIA THE CONVENING OF COALITIONS ADDRESSING CRITICAL NEEDS LIKE SUBSTANCE ABUSE PREVENTION, YOUTH MENTAL HEALTH AND FOOD INSECURITY. KEY INITIATIVES INCLUDE THE DOWNRIVER IGNITING YOUTH COALITION'S WORK WITH LGBTQ+ YOUTH AND THE WESTERN WAYNE FOOD POLICY COUNCIL'S ADVOCACY TO COMBAT FOOD DESERTS. THESE PARTNERSHIPS AMPLIFY THE ORGANIZATION'S COMMUNITY HEALTH MISSION BY UNITING COMMUNITY VOICES, ALIGNING LOCAL EFFORTS WITH CLINICAL PRIORITIES AND DRIVING IMPACTFUL POLICY CHANGES.IMPROVING ACCESS BY MEETING FAMILIES WHERE THEY ARECOREWELL HEALTH IN SOUTHEAST MICHIGAN HAS BEEN PROVIDING CHILD AND ADOLESCENT HEALTH CENTER (CAHC) PROGRAMS IN METRO DETROIT SCHOOLS FOR MORE THAN 30 YEARS, STARTING WITH THE TAYLOR TEEN HEALTH CENTER IN 1988. THESE CLINICS ARE MADE POSSIBLE THROUGH PARTNERSHIPS WITH SCHOOLS THAT PROVIDE SPACE AND INVITE COREWELL HEALTH IN SOUTHEAST MICHIGAN IN TO SERVE STUDENTS. FULLY FUNDED BY GRANTS FROM THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, COREWELL HEALTH IN SOUTHEAST MICHIGAN OPERATES 17 TOTAL CLINICS - EIGHT DEDICATED EXCLUSIVELY TO MENTAL HEALTH SERVICES - AND SERVED MORE THAN 3,000 PATIENTS IN 2024. PART VI, LINE 5 CONTINUED THESE CLINICS PROVIDE MEDICAL CARE, MENTAL HEALTH SUPPORT AND HEALTH EDUCATION, SPECIFICALLY TARGETING HIGH-RISK, UNDERSERVED YOUTH. LOCATED IN REGIONS WITH HEALTHCARE PROVIDER SHORTAGES, THEY OFFER CONVENIENT ACCESS FOR STUDENTS AND THEIR FAMILIES. SERVICES ARE AVAILABLE TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY. THE CLINICS ACCEPT ALL INSURANCE TYPES, PROVIDE THE SAME RANGE AND QUALITY OF SERVICES TO UNINSURED INDIVIDUALS AND ENSURE FAMILIES NEVER RECEIVE A BILL.ON JAN. 12, 2024, COREWELL HEALTH IN SOUTHEAST MICHIGAN OPENED ITS FIRST SCHOOL-BASED CLINIC IN DETROIT AT THE DETROIT EDISON PUBLIC SCHOOL ACADEMY (DEPSA), A PUBLIC CHARTER SCHOOL SERVING 1,425 PRE-K THROUGH 12TH-GRADE STUDENTS, WITH 72% FROM LOW-INCOME HOUSEHOLDS AND 98% IDENTIFYING AS BLACK.AS THE FIRST CHARTER SCHOOL IN MICHIGAN TO ACHIEVE BLUE RIBBON STATUS, DEPSA EMPHASIZES ACADEMIC EXCELLENCE IN A SUPPORTIVE ENVIRONMENT, BOLSTERED BY STRONG FAMILY, TEAM MEMBERS AND COMMUNITY PARTNERSHIPS. THE COREWELL HEALTH IN SOUTHEAST MICHIGAN CLINIC IS STAFFED WITH A NURSE PRACTITIONER, MEDICAL ASSISTANT AND SOCIAL WORK THERAPIST TO PROVIDE MEDICAL SERVICES, MENTAL HEALTH COUNSELING, SPORTS PHYSICALS, IMMUNIZATIONS AND HEALTH EDUCATION. ADDITIONALLY, IT'S A SPACE WHERE STUDENTS HAVE THE OPPORTUNITY TO LEARN MORE ABOUT MEDICAL AND SOCIAL SERVICES CAREERS. THE SCHOOL PRIORITIZES THE HEALTH AND WELL-BEING OF ITS STUDENTS, UNDERSTANDING THAT HEALTHY STUDENTS ARE MORE LIKELY TO SUCCEED ACADEMICALLY, CONTRIBUTE TO THEIR COMMUNITY AND BECOME GLOBAL CITIZENS AND LIFELONG LEARNERS. EXPANDING HIV PREVENTION ACCESS FOR YOUTH AFTER YEARS OF PREPARATION, THE TAYLOR TEEN CENTER'S REPRODUCTIVE HEALTH CLINIC HAS OFFICIALLY LAUNCHED HIV PRE-EXPOSURE PROPHYLAXIS (PREP) SERVICES TO ADDRESS A CRITICAL NEED IN THE DOWNRIVER AREA SOUTH OF DETROIT, IDENTIFIED IN 2018 AS A PREP DESERT. A HIGHLY EFFECTIVE PREVENTATIVE MEDICATION, PREP REDUCES THE RISK OF CONTRACTING HIV FROM SEXUAL TRANSMISSION BY UP TO 99% AND AT LEAST 74% FROM INJECTION DRUG USE. TITLE X FUNDING HAS BEEN INSTRUMENTAL IN LAUNCHING PREP SERVICES, ENABLING AFFORDABLE AND CONFIDENTIAL REPRODUCTIVE HEALTH CARE FOR ADOLESCENTS WITHOUT REQUIRING PARENTAL CONSENT. THE FAMILY PLANNING PROGRAM FURTHER EXPANDS ACCESS TO BIRTH CONTROL, STI TESTING AND TREATMENT. WITH DECREASING COSTS OF PREP, THE CLINIC AIMS TO COMBAT HEALTH INEQUITIES IN BLACK AND LATINO COMMUNITIES DISPROPORTIONATELY AFFECTED BY HIV IN MICHIGAN.COREWELL HEALTHAS A SYSTEM, COREWELL HEALTH IS TAKING CRITICAL STEPS TO ADVANCE KEY FOCUS AREAS OF OUR COMMUNITY HEALTH STRATEGY. OUR ACCOMPLISHMENTS IN 2024 MANY OF THEM HIGHLIGHTED BELOW, ILLUSTRATE HOW COMMUNITY HEALTH IS BEING OPERATIONALIZED WITHIN THE ORGANIZATION.COMMUNITY HEALTH NEEDS ASSESSMENTSBRIDGING COMMUNITY HEALTH AND CLINICAL TEAMS' IMPLEMENTATION STRATEGIES THE CHNA AND IMPLEMENTATION STRATEGY (IS) ARE ESSENTIAL TO IDENTIFYING AND ADDRESSING HEALTH INEQUITIES IN THE COMMUNITIES THAT WE SERVE. THROUGH A DATA-DRIVEN PROCESS THAT INCLUDES COMMUNITY INPUT AND ANALYSIS OF PUBLIC HEALTH DATA, THE CHNA REVEALS THE HEALTH NEEDS OF EACH COMMUNITY TO GUIDE FUTURE INITIATIVES AND STRATEGIES. ALTHOUGH EACH REGION HAS ITS OWN CHNA AND IS PROCESS, OUR GOAL IS TO ESTABLISH A SYSTEMWIDE FRAMEWORK THAT ALLOWS FOR REGIONAL FLEXIBILITY AND HOSPITAL-LEVEL AUTONOMY. ULTIMATELY, THE CHNA BRIDGES COMMUNITY HEALTH AND CLINICAL FUNCTIONS, EDUCATES STAKEHOLDERS AND FOSTERS PARTNERSHIPS TO SUSTAIN THE IMPACT OF CLINICAL AND COMMUNITY HEALTH INTERVENTIONS. IN 2024, WE MADE SIGNIFICANT STRIDES IN ALIGNING THE CHNA PROCESS WITH COMMUNITY HEALTH AND CLINICAL PRIORITIES. FOR INSTANCE, THE MATERNAL INFANT HEALTH PROGRAM WAS ADDED TO THE GRAND RAPIDS AND ZEELAND HOSPITALS IS REPORTS AND WE ESTABLISHED REFERRAL PATHWAYS BETWEEN COMMUNITY HEALTH PROGRAMS AND CLINICAL SERVICE LINES, WHICH WERE PREVIOUSLY LACKING. ADDITIONALLY, THE INTEGRATION OF THE HEALTHBEGINS TRANSFORMATION COMPASS INTO IS REPORTS HELPED FOSTER MEANINGFUL DISCUSSIONS AROUND THE CONTINUUM OF HEALTH INTERVENTIONS - FROM INDIVIDUAL BEHAVIOR TO SOCIAL STRUCTURES - GUIDING THE DEVELOPMENT OF TARGETED IMPLEMENTATION STRATEGIES. TRACKING PARTNERSHIPS AND IMPACT THE 2024 CHNA PROCESS ALSO SAW THE CONTINUATION AND EXPANSION OF PARTNERSHIPS ACROSS THE SYSTEM. COREWELL HEALTH IN SOUTHEAST MICHIGAN ISSUED A REQUEST FOR PROPOSALS (RFP) TO IDENTIFY CHNA CONTRACTORS AND FOCUS ON LOCAL COLLABORATIONS WITH HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS. COREWELL HEALTH IN WEST MICHIGAN MAINTAINED LONG-STANDING PARTNERSHIPS WITH KENT AND OTTAWA COUNTY HEALTH DEPARTMENTS, WHILE COREWELL HEALTH IN SOUTHWEST MICHIGAN WORKED CLOSELY WITH THE BERRIEN COUNTY HEALTH DEPARTMENT TO WRITE THE MORTALITY STATISTICS CHAPTER FOR THE 2025 TO 2027 CHNA. SOUTHWEST MICHIGAN ALSO ENGAGED ITS COMMUNITY HEALTH (HE) COMMITTEE IN PRIORITIZING AND RANKING COMMUNITY HEALTH NEEDS. IN PARALLEL TO THE CHNA REPORTS, OUR WORK CONTINUED TO ASSESS THE IMPACT OF ONGOING IS INITIATIVES. IN WEST MICHIGAN, DATA COLLECTION OCCURRED QUARTERLY TO TRACK THE PROGRESS OF INTERVENTIONS, SUCH AS SUPPORTING TELEHEALTH THERAPY IN KENT COUNTY SCHOOL DISTRICTS AND EXPANDING THE SCHOOL BLUE ENVELOPE PROGRAM IN OTTAWA COUNTY. THIS DATA WAS COMPILED INTO SUMMARY DOCUMENTS AND PRESENTED AT QUARTERLY COMMUNITY BOARD MEETINGS FOR DISCUSSION AND FEEDBACK.BUILDING AWARENESS AND BUY-INADVANCING HEALTHY BIRTHS THROUGH STORIES AND ACTIONTHE 2024 MICHIGAN MATERNAL AND INFANT HEALTH SUMMIT BROUGHT NATIONAL AND STATE STAKEHOLDERS TOGETHER TO EXAMINE INEQUITIES, CHALLENGE SYSTEMIC BARRIERS, AND CREATE ACTIONABLE SOLUTIONS. THIS INCLUSIVE EVENT EMPHASIZED COLLABORATION AND POSITIONED FAMILIES AS CHANGEMAKERS IN MATERNAL AND INFANT HEALTH.AS A PREMIER SPONSOR, COREWELL HEALTH HAD THE OPPORTUNITY TO SHOWCASE ITS VISION FOR A MATERNAL HEALTH CARE CONTINUUM GROUNDED IN COMMUNITY-BASED INNOVATIONS AND HOLISTIC CARE. PRESENTATIONS HIGHLIGHTED ADVANCEMENTS IN MATERNAL-FETAL MEDICINE, HOME VISITING PROGRAMS AND COMMUNITY HEALTH PARTNERSHIPS, REINFORCING THE IDEA THAT HEALTHY PREGNANCIES BEGIN IN HOMES AND NEIGHBORHOODS.GALVANIZING BOARD MEMBERS THROUGH COMMUNITY HEALTH EDUCATION IN SUMMER 2024, ALL 15 MEMBERS OF THE COMMUNITY HEALTH COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS TOURED THE COREWELL HEALTH CENTER FOR WELLNESS IN BENTON HARBOR, EXPLORING ITS FUNDING MODEL, PROGRAMS AND IMPACT ON THE COMMUNITY. IN AUGUST, THE COMMITTEE TOURED THE SCHOOL HEALTH CLINICS AT DETROIT EDISON PUBLIC SCHOOL ACADEMY, FOLLOWED BY A PRESENTATION ABOUT SCHOOL HEALTH PROGRAMS' RESPONSE TO HEALTH CARE ACCESS, A NEED HIGHLIGHTED IN ALL NINE HOSPITAL CHNAS ACROSS COREWELL HEALTH'S SERVICE AREA.COREWELL HEALTH IN SOUTHEAST MICHIGAN BOARD OF DIRECTORS SYMPOSIUM FEATURED A PRESENTATION ON THE COREWELL HEALTH IN SOUTHEAST MICHIGAN COMMUNITY HEALTH STRATEGY AND PROGRAMMING; A COMMUNITY HEALTH COMMITTEE FOR THE BOARD IS CURRENTLY IN DEVELOPMENT. THE COREWELL HEALTH IN WEST MICHIGAN BOARD OF DIRECTORS ALSO RECEIVED A PRESENTATION ON THE CHNA AND ITS IMPLEMENTATION STRATEGY AND A COMMUNITY HEALTH COMMITTEE FOR THAT BOARD IS CURRENTLY IN DEVELOPMENT AS WELL. THE COMMUNITY HEALTH COMMITTEE OF THE COREWELL HEALTH IN SOUTHWEST MICHIGAN BOARD OF DIRECTORS REGULARLY MEETS TO DISCUSS KEY COMMUNITY HEALTH PROJECTS, PROGRAMS, INITIATIVES AND EVENTS.INTRODUCING TRANSFORMATIVE THINKING THROUGH COMMUNITY GRAND ROUNDSIN OCTOBER 2024, RISHI MANCHANDA, DR, CEO OF HEALTHBEGINS, DELIVERED AN INSIGHTFUL PRESENTATION ON COMMUNITY HEALTH AT THE COMMUNITY GRAND ROUNDS EVENT HOSTED BY COREWELL HEALTH. SPEAKING TO NEARLY 200 IN-PERSON AND VIRTUAL ATTENDEES ACROSS ALL THREE REGIONS, DR. MANCHANDA HIGHLIGHTED THE IMPORTANCE OF A "BALANCED PORTFOLIO" APPROACH TO COMMUNITY HEALTH, COVERING MEDICAL INTERVENTIONS, POLICY REFORMS, SOCIAL DETERMINANTS OF HEALTH AND ADVOCACY FOR KEY POLICY CHANGES.MONITORING, ASSESSING AND SUSTAINING COMMUNITY HEALTHASSESSING COMMUNITY BENEFITS TO SUSTAIN COMMUNITY HEALTH COMMUNITY BENEFITS INVESTMENTS ARE DEFINED BY THE CATHOLIC HEALTH ASSOCIATION (CHA) AS "ACTIVITIES OR PROGRAMS THAT PROVIDE TREATMENT AND PROMOTE HEALTH AND HEALING IN RESPONSE TO IDENTIFIED NEEDS." FOR COREWELL HEALTH, THEY ARE AN IMPORTANT MECHANISM FOR INTENTIONALLY ALLOCATING RESOURCES TO COMMUNITY NEEDS. PART VI, LINE 5 CONTINUED WE HAVE IMPLEMENTED INNOVATIVE STRATEGIES TO EVALUATE AND ENHANCE COMMUNITY HEALTH INVESTMENTS SYSTEMWIDE. A RECENT OUTCOMES STATEMENT ANALYSIS REVIEWED 27 COMMUNITY PROGRAM LOGIC MODELS ENCOMPASSING 422 OUTCOMES ACROSS THREE REGIONS TO ASSESS THEIR ALIGNMENT WITH COMMUNITY HEALTH PRIORITIES. THIS ANALYSIS REVEALED THAT 81% OF THE OUTCOMES FOCUSED ON INDIVIDUAL-LEVEL CHANGE, WHILE INSTITUTIONAL (8%), COMMUNITY (8%) AND POLICY (3%) CHANGES ACCOUNTED FOR THE REMAINING OUTCOMES. THESE FINDINGS WILL GUIDE FUTURE INVESTMENTS IN MATERNAL-INFANT HEALTH, CHRONIC DISEASE PREVENTION, BEHAVIORAL HEALTH AND OTHER PRIORITIES. ESTABLISHING COMMUNITY HEALTH METRICS TO MONITOR AND ASSESS PROGRESS IN JULY 2024, THE ENTERPRISE COMMUNITY HEALTH COUNCIL APPROVED A GOVERNANCE STRUCTURE TO DEVELOP AND IMPLEMENT ORGANIZATION-WIDE COMMUNITY HEALTH METRICS, INCLUDING A WORKING GROUP TO COLLECT AND VISUALIZE DATA, A SUBJECT MATTER EXPERT GROUP OF CLINICAL AND COMMUNITY HEALTH LEADERS AND THE COUNCIL ITSELF, WHICH MONITORS AND APPROVES THE METRICS. THIS FRAMEWORK ENSURES ACCOUNTABILITY IN PRIORITIZING OUR INDICATORS, MEASURING OUR INEQUITIES AND SETTING BENCHMARKS ACROSS OUR ORGANIZATION. THE COMMUNITY HEALTH METRICS WILL SERVE AS A GUIDING "NORTH STAR" FOR COREWELL HEALTH TO ALIGN EFFORTS ACROSS TEAMS.FUTURE GOALS AND VISIONAS WE MOVE FORWARD, OUR COREWELL COMMUNITY HEALTH, EVALUATION AND ANALYTICS ASSESSMENT TEAM (HEEAAT) WILL CONTINUE REFINING AND SUPPORTING INITIATIVES ACROSS OUR REGIONS, ENSURING THAT THE VOICES AND INSIGHTS OF FRONTLINE TEAM MEMBERS ARE INTEGRATED INTO OUR STRATEGIC DECISION-MAKING. GROUNDED IN THE LIVED EXPERIENCES OF PATIENTS, COMMUNITIES, TEAMS AND PLAN MEMBERS, THESE EFFORTS WILL DRIVE MEANINGFUL INVESTMENTS AND BUILD HIGH-PERFORMING PORTFOLIOS WITH LASTING IMPACT. IN 2025, WE'LL DEEPEN THIS COLLABORATIVE APPROACH, LEVERAGING ORGANIZATION-WIDE INSIGHTS AND RIGOROUS DATA ANALYSIS TO CREATE SYSTEMIC CHANGE. BY ADVANCING COMMUNITY HEALTH AT EVERY LEVEL, WE'LL EXPAND OPPORTUNITIES FOR ALL TO THRIVE AND MOVE CLOSER TO OUR VISION OF OPTIMAL HEALTH FOR EVERYONE.PRIORITIZING METRICS AND ADDRESSING INEQUITIES IN 2024, THE ENTERPRISE COMMUNITY HEALTH COUNCIL AND AN ASSOCIATED GROUP OF SUBJECT MATTER EXPERTS MADE UP OF CLINICIANS AND COMMUNITY HEALTH LEADERS WORKED TO ESTABLISH 13 KEY COMMUNITY HEALTH METRICS FOR 2025. THEY WERE SELECTED BASED ON THEIR POTENTIAL TO ADDRESS SIGNIFICANT INEQUITIES, ALIGNMENT WITH EXISTING ORGANIZATIONAL STRATEGIES, AND THEIR ACTIONABILITY FOR TEAMS. THESE 12 METRICS WILL FORM THE FOUNDATION FOR SETTING SPECIFIC TARGETS AND BENCHMARKS IN 2025 AND QUALITATIVE INVESTIGATIONS WILL EXPLORE THE ROOT CAUSES OF INEQUITIES. ESTABLISHING THESE METRICS IS A STEP TOWARD FORMALIZING COMMUNITY HEALTH WORK AT COREWELL HEALTH BY CREATING A WAY TO MEASURE AND REPORT PROGRESS, WHILE HIGHLIGHTING CRITICAL INEQUITIES IN HEALTH OUTCOMES THAT ARE EXPERIENCED BY OUR PATIENTS. THE PROCESS FOR DEVELOPING THESE METRICS BROUGHT TOGETHER CLINICAL AND COMMUNITY HEALTH EXPERTS TO ENSURE DIVERSE PERSPECTIVES CONTRIBUTED TO THE DECISION MAKING PROCESS. THE METRICS OFFER AN ORGANIZING FRAMEWORK FOR COMMUNITY HEALTH EFFORTS AND A SET OF TOP-LINE OUTCOMES THAT CAN INFORM THE DESIGN AND DEVELOPMENT OF OUR PORTFOLIOS MOVING FORWARD. IMPROVING DATA TO UNCOVER HEALTH INEQUITIES CAPTURING COMPREHENSIVE PATIENT DEMOGRAPHIC DATA INCLUDING SEXUAL ORIENTATION GENDER IDENTITY (SOGI) AND RACE, ETHNICITY, PREFERRED LANGUAGE AND SEX (REALS)IS ESSENTIAL TO UNDERSTAND HOW DIFFERENT POPULATIONS EXPERIENCE HEALTH INEQUITIES. ALTHOUGH COREWELL HEALTH'S ENTERPRISE-WIDE CAPTURE RATES FOR REALS ARE STRONG, WITH MORE THAN 80 TO 90% COMPLETION FOR MOST METRICS, SOGI CAPTURE RATES REMAIN UNDER 15%. IN 2025, IMPROVING THE CAPTURE OF THESE CRITICAL METRICS WILL ENABLE US TO DISAGGREGATE DATA ACROSS A BROADER RANGE OF DEMOGRAPHIC GROUPS AND IDENTIFY AND ADDRESS INEQUITIES THAT WERE PREVIOUSLY DIFFICULT TO PINPOINT. THIS EFFORT WILL ENRICH OUR UNDERSTANDING OF PATIENT NEEDS TO DRIVE OUR TARGETED INTERVENTIONS. MAKING COMMUNITY HEALTH REAL TO REAL PEOPLE OUR IMPACT AS AN AGENT OF CHANGE AND A TRUSTED SOURCE OF EQUITABLE HEALTH CARE IS NOT JUST MEASURED BY METRICS. IT'S DEFINED BY THE LIVES WE TOUCH AND THE BARRIERS WE DISMANTLE. IMPACT IS A PERSON PREPARING TO GIVE BIRTH WHO FEELS LESS WORRIED AND UNCERTAIN KNOWING THERE'S A QUALIFIED DOULA READY TO GUIDE THEM THROUGH DELIVERY. IMPACT IS A CHILD WHO THRIVES BECAUSE THEIR FAMILY RECEIVED TIMELY NUTRITIONAL SUPPORT IN THEIR MOST FORMIDABLE YEARS. IMPACT IS COMMUNITIES OF COLOR THAT FEEL LISTENED TO, CARED ABOUT AND EMPOWERED TO VALUE AND INVEST IN THEIR HEALTH.COREWELL HEALTH IS CATALYZING OUR MISSION WITH PROGRAMS TAILORED TO MEET THE UNIQUE NEEDS OF OUR COMMUNITIES. AS WE MOVE INTO 2025, OUR STRATEGY IS CLEAR: BALANCE INVESTMENTS ACROSS ALL LEVELS OF TRANSFORMATION, DEEPEN PARTNERSHIPS AND ADDRESS THE ROOT CAUSES OF HEALTH INEQUITIES. BY LEVERAGING THE STRENGTHS OF EACH REGION ALONGSIDE SYSTEMWIDE INITIATIVES AND COLLABORATIONS, WE'RE MAXIMIZING OUR COLLECTIVE IMPACT. 2024 WAS A YEAR OF PROGRESS. ASSESSMENTS SHOW THAT WE'VE MARKED SUBSTANTIAL SUCCESSES IN INDIVIDUAL BEHAVIOR INTERVENTIONS. TO SUSTAIN THAT ADVANCEMENT INTO THE NEXT YEAR OF UNKNOWNS AS WE LOOK TO 2025, WE'LL BALANCE THESE INVESTMENTS ACROSS ALL LEVELS, WITH A FOCUS ON ADDRESSING THE ROOT CAUSES OF INEQUITIES AND CREATING MORE LASTING CHANGE. WE REMAIN INSPIRED BY THE PROFOUND CONNECTIONS BETWEEN OUR MISSION AND THE COMMUNITIES WE SERVE. TOGETHER, WE'RE NOT JUST MEASURING IMPACT; WE'RE LIVING IT. PART VI, LINE 6 DESCRIPTION OF AFFILIATED GROUP:THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN ARE PART OF A GROUP OF HEALTHCARE ENTITIES AFFILIATED WITH COREWELL HEALTH. COREWELL HEALTH IS AN INTEGRATED NOT-FOR-PROFIT HEALTH SYSTEM IN MICHIGAN OFFERING A FULL CONTINUUM OF CARE. EACH HOSPITAL FACILITY INCLUDED ON PART V; SECTION A IS A MEMBER OF THE AFFILIATED GROUP OF ENTITIES WITHIN COREWELL HEALTH. EACH HOSPITAL FACILITY IS RESPONSIBLE FOR CREATING VALUE WITHIN ITS RESPECTIVE COMMUNITY. FROM ITS INCEPTION, COREWELL HEALTH HAS BEEN A FAITHFUL STEWARD OF ITS COMMUNITY ASSETS. THE ORGANIZATION INVESTS ITS NET EARNINGS TO IMPROVE PATIENT CARE, BUILD AND RENOVATE FACILITIES, PURCHASE NEW TECHNOLOGY, PROVIDE HEALTH EDUCATION AND FUND LOCAL COMMUNITY PROGRAMS. THE INTEGRATED ORGANIZATION EMPLOYS MORE THAN 65,000 TEAM MEMBERS INCLUDING MORE THAN 15,500 NURSES AND MORE THAN 12,000 AFFILIATED, INDEPENDENT AND EMPLOYED PHYSICIANS, AND ADVANCED PRACTICE PROVIDERS. THE SUBORDINATE ORGANIZATIONS REPORTED ON SCHEDULE H OF THIS GROUP RETURN PROVIDE ONE OR MORE OF THE FOLLOWING SERVICES AT THEIR RESPECTIVE LOCATIONS: MEDICAL EDUCATION, RESEARCH, HOSPITAL AND CLINICAL SERVICES. PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT:THE STATE OF MICHIGAN DOES NOT REQUIRE A COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE HOWEVER COREWELL HEALTH VOLUNTARILY REPORTS COMMUNITY BENEFIT INFORMATION TO THE MICHIGAN HEALTH AND HOSPITAL ASSOCIATION. 1 CITY OF LUDINGTON 400 SOUTH HARRISON ST LUDINGTON MI 49431 386004706 GOVERNMENT 17500 0 K9 FUND COREWELL HEALTH FOUNDATION WEST MICHIGAN 100 COREWELL DR NW GRAND RAPIDS MI 49503 382752328 501(C)(3) 134147 0 TRANSFER OF GIFT SHOP PROFITS TO SUPPORT EXEMPT PURPOSE OF FOUNDATION MONTCALM COMMUNITY COLLEGE FOUNDATION 2800 COLLEGE DR SIDNEY MI 48885 382371295 501(C)(3) 20000 0 TO SUPPORT EXEMPT PURPOSE 3 0 RESIDENT STIPENDS 1430 2778110 N/A N/A PATIENT ASSISTANCE 1 29919 N/A N/A PART I, LINE 2: THE FILING ORGANIZATION ISSUES GRANTS TO ORGANIZATIONS OR PROGRAMS WHOSE GOALS ALIGN WITH OUR ORGANIZATION. GRANT APPLICATIONS ARE REVIEWED AND PRIORITIZED BASED UPON ALIGNMENT IN SUPPORT OF THE ORGANIZATION'S MISSION. SINGLE YEAR OPERATIONAL AND/OR PROGRAM GRANTS ARE NOT MONITORED AFTER AWARD. LARGER MULTI-YEAR AND/OR CAPITAL GRANTS ARE MONITORED FOR ACHIEVEMENT WITHIN THE GRANT AGREEMENT. 1 1 0 0 0 0 0 0 0 CHRISTINA FREESE DECKER DIRECTOR/CEO 0 2489108 0 2726865 0 237857 0 1462145 0 36825 0 6952800 0 1439610 KONGKRIT CHAIYASATE MD FORMER HIGHEST COMPENSATED 0 3515888 0 0 0 1710 0 23850 0 30902 0 3572350 0 0 DARRYL ELMOUCHI MD DIRECTOR PY/PRESIDENT PY/FMR OFFCR 0 1525444 0 1374225 0 107347 0 418200 0 38752 0 3463968 0 538007 PRAVEEN THADANI DIRECTOR 0 1254753 0 1230454 0 117498 0 517393 0 33652 0 3153750 0 508365 MATTHEW E COX CFO 0 1237492 0 1186309 0 99814 0 520376 0 37759 0 3081750 0 468516 MOHAMMAD CHISTI MD FORMER HIGHEST COMPENSATED 0 2737149 0 0 0 1710 0 16500 0 25093 0 2780452 0 0 PAUL MAZARIS MD FORMER HIGHEST COMPENSATED 0 1483550 0 40629 0 10919 0 24150 0 30096 0 1589344 0 0 ALEJANDRO QUIROGA CHAND MD DIRECTOR PY/PRESIDENT PY 0 846228 0 353633 0 76241 0 232700 0 37414 0 1546216 0 65920 CHARLES SHERRY DO FORMER HIGHEST COMPENSATED 0 1444743 0 30799 0 11154 0 19346 0 34465 0 1540507 0 0 LOREN B HAMEL MD DIRECTOR PY/PRESIDENT PY 0 405436 0 511611 0 575212 0 17231 0 16791 0 1526281 0 438838 BENJAMIN SCHWARTZ MD FORMER OFFICER 0 0 0 294565 0 1224000 0 0 0 0 0 1518565 0 0 MUHAMMAD AZRAK MD FORMER HIGHEST COMPENSATED 0 1318224 0 0 0 5970 0 23850 0 33598 0 1381642 0 0 CHAD TUTTLE DIRECTOR/PRESIDENT/FORMER OFFICER 0 758254 0 168314 0 61012 0 132356 0 40614 0 1160550 0 55669 BRIAN BRASSER FORMER OFFICER 0 567764 0 189614 0 61733 0 176494 0 37137 0 1032742 0 51490 JOSHUA KOOISTRA DO DIRECTOR PY/INTERIM PRESIDENT PY 0 639278 0 142337 0 72109 0 111674 0 35149 0 1000547 0 68690 LAMONT YODER DIRECTOR PY/PRESIDENT PY 0 515373 0 200000 0 83295 0 139274 0 22459 0 960401 0 0 ANTHONY STALLION MD DIRECTOR 0 852332 0 45000 0 7524 0 16500 0 29563 0 950919 0 0 JASON SLAIKEU FORMER OFFICER 0 723058 0 161070 0 8649 0 27600 0 28501 0 948878 0 0 NANCY SUSICK DIRECTOR/SECRETARY/FMR KEY EMPLOYEE 0 670841 0 98927 0 102301 0 23850 0 29963 0 925882 0 174157 PAOLO MARCIANO MD DIRECTOR/PRESIDENT/FMR KEY EMPLOYEE 0 274490 0 87501 0 427732 0 114900 0 8398 0 913021 0 87501 BENJAMIN GIELDA MD DIRECTOR 0 841436 0 7115 0 1140 0 20700 0 11988 0 882379 0 0 ANDREA LESLIE REGIONAL PRESIDENT PY 0 498242 0 112500 0 47121 0 118870 0 36122 0 812855 0 39514 CHARLES GIBSON MD DIRECTOR 0 638624 0 106757 0 1134 0 17250 0 31791 0 795556 0 0 DANIEL FRATTARELLI FORMER KEY EMPLOYEE 0 25772 0 99961 0 644300 0 0 0 0 0 770033 0 0 DOMINIC SANFILIPPO MD FORMER KEY EMPLOYEE 0 537126 0 94882 0 30384 0 73892 0 26355 0 762639 0 0 ROBERT FITZGERALD MD FORMER OFFICER 0 581238 0 85007 0 4902 0 20700 0 24642 0 716489 0 0 MARTHA BOONSTRA FORMER OFFICER 0 0 0 53564 0 655675 0 0 0 0 0 709239 0 0 BARBARA DUCATMAN MD FORMER KEY EMPLOYEE 0 568552 0 64751 0 14347 0 16500 0 27418 0 691568 0 64751 JEFFREY POSTMA DO DIRECTOR 0 575043 0 50000 0 7674 0 20700 0 33436 0 686853 0 0 LOWELL HAMEL MD DIRECTOR PY/FORMER OFFICER 0 137879 0 59330 0 475688 0 463 0 1418 0 674778 0 0 NATALIE BAGGIO DIRECTOR PY/PRESIDENT PY 0 462477 0 49545 0 78521 0 67792 0 15064 0 673399 0 37686 KELLI SADLER DIRECTOR 0 491258 0 57168 0 5169 0 81122 0 24749 0 659466 0 57168 MICHAEL WEBB MD DIRECTOR 0 510476 0 7115 0 18967 0 36066 0 32622 0 605246 0 0 DREW DOSTAL REGIONAL PRESIDENT 0 411061 0 96019 0 47104 0 13800 0 34291 0 602275 0 33713 ROBERT HOEFER REGIONAL PRESIDENT 0 408306 0 93254 0 42093 0 13800 0 33492 0 590945 0 36396 CHRISTOPHER FLORES DIRECTOR/TREASURER 0 383237 0 102821 0 3199 0 16500 0 32751 0 538508 0 102821 KAREN PAKKALA DIR/PRES/TREAS/SECY/FMR OFFICER 0 362884 0 80895 0 11395 0 20700 0 7870 0 483744 0 0 ANNICA WAALKES MD DIRECTOR 0 383448 0 50591 0 9032 0 27600 0 2397 0 473068 0 0 CARA JANSMA SECRETARY 0 319619 0 64876 0 32678 0 14109 0 34780 0 466062 0 28693 JOHN SCHUEN MD FORMER OFFICER 0 348425 0 31023 0 20828 0 26900 0 27662 0 454838 0 0 JODIE RAPPE MD FORMER KEY EMPLOYEE 0 356743 0 36677 0 3909 0 16500 0 35512 0 449341 0 36677 PAUL KONOPACKI FORMER OFFICER 0 0 0 0 0 448033 0 0 0 0 0 448033 0 310335 HEATHER LALLO DIRECTOR/TREASURER 0 327681 0 63037 0 4458 0 19759 0 32112 0 447047 0 0 NICHOLAS GILPIN DO FORMER KEY EMPLOYEE 0 382808 0 0 0 901 0 23850 0 24513 0 432072 0 0 BRIAN PHILLIPS MD FORMER OFFICER 0 342955 0 13349 0 17322 0 26781 0 23329 0 423736 0 0 TALAWNDA BRAGG MD DIRECTOR 0 337866 0 14629 0 7873 0 26142 0 23295 0 409805 0 0 SIMIN BEG MD DIRECTOR/CHAIR 0 308025 0 25286 0 11775 0 23967 0 26278 0 395331 0 0 MELINDA GRUBER DIRECTOR/PRESIDENT 0 264898 0 33256 0 26278 0 17235 0 23776 0 365443 0 23368 ANNE STEWART FORMER OFFICER 0 267712 0 26766 0 4233 0 20105 0 25821 0 344637 0 26766 LESLIE FLAKE FORMER OFFICER 0 0 0 0 0 286616 0 0 0 0 0 286616 0 261232 DEBRA JOHNSON DIRECTOR/SECRETARY 0 200758 0 20172 0 5632 0 10652 0 13740 0 250954 0 0 MICHAEL KHOURY MD FORMER KEY EMPLOYEE 0 148296 0 24793 0 710 0 5797 0 16376 0 195972 0 24793 DANIEL WASSENHOVE DIRECTOR/TREASURER 0 141875 0 14591 0 4385 0 9384 0 24995 0 195230 0 0 COSTA ANDREOU MD DIRECTOR/PRESIDENT 0 132121 0 0 0 33631 0 7875 0 6148 0 179775 0 0 HOSSAIN MARANDI MD FORMER KEY EMPLOYEE 0 0 0 0 0 176544 0 0 0 0 0 176544 0 0 ASHOK JAIN MD DIRECTOR 0 112206 0 22129 0 2140 0 8659 0 7321 0 152455 0 22129 KASSEM CHARARA MD FORMER KEY EMPLOYEE 0 91230 0 22566 0 798 0 5061 0 10778 0 130433 0 22566 JONATHAN KAPER MD FORMER KEY EMPLOYEE 0 89392 0 22566 0 427 0 7572 0 513 0 120470 0 22566 PART I, LINE 3 THE FILING ORGANIZATION RELIED UPON A RELATED ORGANIZATION WHO UTILIZED THE FOLLOWING PROCESS IN DETERMINATION OF THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. THE COREWELL HEALTH BOARD OF DIRECTORS (THROUGH ITS COMPENSATION COMMITTEE) USES THE FOLLOWING PROCESS FOR DETERMINING COMPENSATION OF THE TOP MANAGEMENT OFFICIALS, OTHER OFFICERS, AND KEY EMPLOYEES AT COREWELL HEALTH. LABOR MARKET DATA REFLECTING COMPARABLE ORGANIZATIONS AND JOBS (PREPARED BY INDEPENDENT FIRMS) ARE RELIED UPON IN SETTING COMPENSATION LEVELS. COMPETITIVE ASSESSMENT REPORTS ARE PROVIDED TO THE COMPENSATION COMMITTEE IN ADVANCE OF MEETINGS. THE COMPETITIVE ASSESSMENT REPORT IS PREPARED BY A NATIONALLY KNOWN INDEPENDENT EXECUTIVE COMPENSATION FIRM. THE FOLLOWING SURVEYS, PREPARED BY INDEPENDENT FIRMS, WERE THE PRIMARY SOURCES REFERENCED TO OBTAIN COMPARABLE MARKET DATA FOR THE REVIEW: SULLIVANCOTTER, INC: 2024 HEALTH CARE MANAGEMENT AND EXECUTIVE COMPENSATION SURVEY SULLIVANCOTTER, INC: 2024 HEALTH PLAN MANAGEMENT AND EXECUTIVE COMPENSATION SURVEY SULLIVANCOTTER, INC: 2024 MEDICAL GROUP EXECUTIVE COMPENSATION SURVEY MERCER: 2024 IHN HEALTHCARE COMPENSATION SURVEY MERCER: 2024 IHP HEALTH PLAN COMPENSATION SURVEY GALLAGHER: 2023 NATIONAL HEALTHCARE LEADERSHIP COMPENSATION SURVEY IN ADDITION, ONE GENERAL INDUSTRY SURVEY WAS REFERENCED FOR SELECT POSITIONS: MERCER: 2023 US EXECUTIVE REMUNERATION SUITE IN ADDITION TO THE ABOVE DATA SOURCES, THE COMPENSATION COMMITTEE APPROVES A CUSTOM PEER GROUP OF HIGH PERFORMING INTEGRATED HEALTH SYSTEMS TO ENSURE ROBUST DATA AND A RELEVANT COMPARATOR MARKET EACH YEAR. THE PEER GROUP ORGANIZATIONS ARE APPROVED BY THE COMPENSATION COMMITTEE AND CONSISTS OF HEALTHCARE SYSTEMS SIMILAR IN REVENUE SIZE, TALENT MARKET COMPETITION, HIGH PERFORMANCE, FINANCIALLY STABLE AS INDICATED BY BOND RATING, AND THAT FOLLOW A SIMILAR STRATEGY (MULTI-SITE SYSTEMS, HEALTH PLANS). COMPARATIVE DATA FOR THE APPROVED PEER GROUP IS COMPILED BY THE INDEPENDENT EXECUTIVE COMPENSATION CONSULTING FIRM. COMPENSATION ADJUSTMENTS ARE APPROVED BY COMPENSATION COMMITTEE MEMBERS, CONSISTENT WITH THE COREWELL HEALTH COMPENSATION PHILOSOPHY DESCRIBED BELOW. MINUTES OF COMMITTEE DISCUSSIONS AND DECISIONS ARE PREPARED TO MEMORIALIZE COMPENSATION COMMITTEE DECISIONS BASED UPON THE ABOVE DATA. COMPENSATION DATA RELIED UPON BY THE COMPENSATION COMMITTEE IS NATIONAL AND REFLECTS TOTAL 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 REFLECTS 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). THE OPINION SUBMITTED FROM THE THIRD-PARTY INDEPENDENT CONSULTING FIRM IS IN ACCORDANCE WITH THE PROVISIONS OF TREASURY REGULATIONS SECTION 53.4958-6(C)(2) AND IS ALSO INTENDED TO SATISFY THE PROFESSIONAL ADVICE REQUIREMENT OF TREASURY REGULATIONS SECTION 53.4958-1(D)(4)(III). PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: BENJAMIN SCHWARTZ MD $1,224,000 DANIEL FRATTARELLI $644,300 HOSSAIN MARANDI MD $176,544 LOREN B. HAMEL MD $353,548 LOWELL HAMEL MD $474,633 MARTHA BOONSTRA $653,888 PAOLO MARCIANO MD $426,926 LINE 4B IS ANSWERED YES BECAUSE CERTAIN INDIVIDUALS DO PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN(S). SOME INDIVIDUALS RECEIVED DISTRIBUTIONS DURING THE YEAR (AS REPORTED ON THIS LINE) WHEREAS OTHERS PARTICIPATED IN THE PLAN(S) BUT DID NOT RECEIVE DISTRIBUTIONS. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: ALEJANDRO QUIROGA CHAND MD $70,364 ANDREA LESLIE $42,154 BRIAN BRASSER $54,961 CARA JANSMA $29,187 CHAD TUTTLE $55,946 CHRISTINA FREESE DECKER $1,449,979 DARRYL ELMOUCHI MD $538,007 DREW DOSTAL $35,986 JOSHUA KOOISTRA DO $70,214 LESLIE FLAKE $286,616 LOREN B. HAMEL MD $438,838 MATTHEW E. COX $470,111 MELINDA GRUBER $24,943 NANCY SUSICK $89,407 NATALIE BAGGIO $40,227 PAUL KONOPACKI $448,033 PRAVEEN THADANI $513,652 ROBERT HOEFER $38,346 DISTRIBUTIONS REPORTED ON THIS LINE ARE ALSO INCLUDED IN PART II, COLUMN F AS COMPENSATION REPORTED IN A PRIOR YEAR WHILE ALSO BEING REPORTED IN THE CURRENT 990 AS TOTAL COMPENSATION. THE NONQUALIFIED RETIREMENT PLANS ARE AN INDUSTRY STANDARD AND ARE SUBJECT TO THE FUNDING REQUIREMENTS OF NONQUALIFIED DEFERRED COMPENSATION PLANS UNDER ERISA AND FEDERAL TAX REGULATIONS. PART II COMPENSATION REPORTED IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION OR RELATED ORGANIZATIONS OF THE HEALTH SYSTEM. THE USE OF PY IN THE TITLE FOR AN OFFICER, DIRECTOR, TRUSTEE, KEY EMPLOYEE, HIGHEST COMPENSATED EMPLOYEE, OR FORMER INDICATES THAT THIS MEMBER ONLY SERVED IN THEIR CAPACITY FOR PART OF THE YEAR. A MICHIGAN FINANCE AUTHORITY (2022AB) 800596186 59447T3W1 2022-05-12 22928449 2022AB HOSPITAL REFUNDING BONDS 0 0 0 A 22928449 22928449 2022 1 0 1 1 A 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 A 1 PART I, BOND A: THE FULL AMOUNT OF THE MICHIGAN FINANCE AUTHORITY (2022AB) BOND ISSUE PROCEEDS IS $964,174,661. COREWELL HEALTH GROUP RETURN (EIN: 61-1740292) IS REPORTING ALLOCATED BOND ISSUE PROCEEDS OF $22,928,449 FROM THEIR PARENT ORGANIZATION, COREWELL HEALTH. THE REMAINING BOND ISSUE PROCEEDS ARE REPORTED ON THE COREWELL HEALTH (EIN: 38-3382353) FILING. HAGGERTY PROFESSIONAL PLAZA ENTITY OWNED > 35% BY DIRECTOR ASHOK JAIN MD 433619 SERVICES 0 FORM 990, PART VI, SECTION A, LINE 2 DANIEL WASSENHOVE AND MELINDA GRUBER HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF BLUE STAR PROFESSIONAL BUILDING CONDOMINIUM ASSOCIATION, A RELATED TAXABLE ENTITY. CHRISTINA FREESE DECKER, DARRYL ELMOUCHI MD, AND MATTHEW COX HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF COREWELL HEALTH INDEMNITY COMPANY, LTD, A RELATED TAXABLE ENTITY. ASHOK JAIN MD AND DARRYL ELMOUCHI MD HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF COREWELL HEALTH PHYSICIANS INSURANCE COMPANY, A RELATED TAXABLE ENTITY. HEATHER LALLO, LOWELL HAMEL MD, AND NATALIE BAGGIO HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF LAKELAND CARE, INC., A RELATED TAXABLE ENTITY. DEBRA JOHNSON, HEATHER LALLO, AND MELINDA GRUBER HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF LAKELAND HEALTH ENTERPRISES, INC., A RELATED TAXABLE ENTITY. HEATHER LALLO AND MELINDA GRUBER HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF LAKELAND MEDICAL PRACTICES, A RELATED TAXABLE ENTITY. CHRISTINA FREESE DECKER, MATTHEW COX, AND PRAVEEN THADANI HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF PRIORITY HEALTH MANAGED BENEFITS, INC., A RELATED TAXABLE ENTITY. ALEJANDRO QUIROGA CHAND MD AND JOSHUA KOOISTRA DO HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF SPECTRUM HEALTH PHYSICIAN ALLIANCE, A RELATED TAXABLE ENTITY. ALEJANDRO QUIROGA CHAND MD AND CARA JANSMA HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF WMHTC, A RELATED TAXABLE ENTITY. ASHOK JAIN MD, CHRISTOPHER FLORES, AND COSTA ANDREOU MD, HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF OAKWOOD ACCOUNTABLE CARE ORGANIZATION, LLC, A RELATED TAXABLE ENTITY. LOREN HAMEL MD AND LOWELL HAMEL MD HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 4 BEAUMONT HEALTH AMENDED & RESTATED BYLAWS EFFECTIVE DATE: 12/9/2024 4.1 AMENDS LIST OF STANDING COMMITTEES TO MATCH PROPOSED. AMENDS TO HAVE CHAIRPERSON APPOINTING COMMITTEE MEMBERS. AMENDS TO HAVE CHARTERS CONFORM TO STANDARDS ADOPTED BY THE GOVERNANCE COMMITTEE OF THE SYSTEM BOARD, WHICH MAY NOT BE AMENDED IN A NONCONFORMING WAY WITHOUT APPROVAL THEREOF. 4.2-4.8 CONFORMS COMMITTEES TO MATCH NEW CHARTER THE FOLLOWING COREWELL HEALTH WEST ORGANIZATIONS AMENDED & RESTATED BYLAWS: SPECTRUM HEALTH HOSPITALS MECOSTA COUNTY MEDICAL CENTER MEMORIAL MEDICAL CENTER OF WEST MICHIGAN NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION PENNOCK HOSPITAL REED CITY HOSPITAL CORPORAON SPECTRUM HEALTH CONTINUING CARE SPECTRUM HEALTH KELSEY SPECTRUM HEALTH PRIMARY CARE PARTNERS SPECTRUM HEALTH UNITED ZEELAND COMMUNITY HOSPITAL EFFECTIVE DATE: 12/9/2024 7.1 AMENDS LIST OF STANDING COMMITTEES TO MATCH PROPOSED. 7.2 AMENDS TO HAVE CHARTERS CONFORM TO STANDARDS ADOPTED BY THE GOVERNANCE COMMITTEE OF THE SYSTEM BOARD, WHICH MAY NOT BE AMENDED IN A NONCONFORMING WAY WITHOUT APPROVAL THEREOF. LAKELAND REGIONAL HEALTH SYSTEM AMENDED & RESTATED BYLAWS EFFECTIVE DATE: 12/9/2024 6.1 AMENDS LIST OF STANDING COMMITTEES TO MATCH PROPOSED. AMENDS CONFORMING CHARTERS TO STANDARDS ADOPTED BY THE GOVERNANCE COMMITTEE OF THE SYSTEM BOARD, WHICH MAY NOT BE AMENDED IN A NONCONFORMING WAY WITHOUT APPROVAL THEREOF. 6.2 STRIKES EX-OFFICIO BOARD MEMBERSHIP FOR PRESIDENT & CHAIR 6.3-6.7 CONFORMS COMMITTEES TO MATCH NEW CHARTER FORM 990, PART VI, SECTION A, LINE 6 COREWELL HEALTH, A MICHIGAN NONPROFIT CORPORATION, IS THE ULTIMATE SOLE MEMBER FOR ALL OF THE SUBORDINATES INCLUDED IN THE GROUP FILING. FORM 990, PART VI, SECTION A, LINE 7A COREWELL HEALTH, THE ULTIMATE SOLE MEMBER FOR ALL OF THE SUBORDINATES INCLUDED IN THE GROUP FILING, APPOINTS THE MEMBERS OF THE BOARD FOR EACH RESPECTIVE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B COREWELL HEALTH, AS THE SOLE MEMBER FOR ALL OF THE SUPPORTED ORGANIZATIONS INCLUDED IN THE GROUP FILING, HAS RETAINED CERTAIN RESERVED POWERS IN THE ORGANIZATION EXCLUSIVELY, WHICH SHALL NOT BE DEEMED AUTHORIZED UNLESS AND UNTIL APPROVED BY THE SOLE MEMBER: -AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE SUPPORTED ORGANIZATION; -ELECTION AND/OR REMOVAL OF THE MEMBERS OF THE SUPPORTED ORGANIZATION'S BOARD OF DIRECTORS; -ELECTION AND/OR REMOVAL OF THE SUPPORTED ORGANIZATION'S CHAIRPERSON OF THE BOARD OF DIRECTORS; -HIRING, DISCHARGE, AND EVALUATION OF THE SUPPORTED ORGANIZATION'S PRESIDENT; -ADOPTION OF THE SUPPORTED ORGANIZATION'S STRATEGIC PLAN; -ADOPTION OF THE SUPPORTED ORGANIZATION'S ANNUAL OPERATING AND CAPITAL BUDGETS AND ANY AMENDMENTS TO SUCH BUDGETS IN EXCESS OF THE AUTHORITY MATRIX AMOUNT; -ALL CAPITAL EXPENDITURES BY THE SUPPORTED ORGANIZATION IN EXCESS OF THE AMOUNT WHICH WOULD REQUIRE APPROVAL BY THE SUPPORTING ORGANIZATION (THE "AUTHORITY MATRIX AMOUNT"); -ALL BORROWINGS OR GUARANTEES OF INDEBTEDNESS BY THE SUPPORTED ORGANIZATION (OR ANY ENTITY CONTROLLED BY THE SUPPORTED ORGANIZATION THROUGH OWNERSHIP OR MEMBERSHIP INTEREST); -ALL LENDING BY THE SUPPORTED ORGANIZATION (OR ANY SUBSIDIARY) TO PERSONS OTHER THAN THE SUPPORTING ORGANIZATION OR A SUBSIDIARY IN EXCESS OF THE AUTHORITY MATRIX AMOUNT; -THE SUPPORTED ORGANIZATION'S OR ANY SUBSIDIARY'S INVESTMENTS OF CASH AND/OR RESERVES, WHETHER ON AN INDIVIDUAL BASIS OR AS PART OF A POOLED INVESTMENT STRATEGY; -ANY MERGER OR CONSOLIDATION OF THE SUPPORTED ORGANIZATION (OR ANY SUBSIDIARY), OR ANY OTHER CHANGE IN OWNERSHIP PERCENTAGES, CONTROL, OR CAPITAL STRUCTURE; -THE CREATION OF ANY ENTITY CONTROLLED, DIRECTLY OR INDIRECTLY, BY THE SUPPORTED ORGANIZATION -THE SALE OR TRANSFER OF MORE THAN TEN PERCENT (10%) OF THE ASSETS OF THE SUPPORTED ORGANIZATION (OR ANY SUBSIDIARY) TO ANY PERSON OR ENTITY NOT CONTROLLED BY THE SUPPORTING ORGANIZATION; -DISSOLUTION OF THE SUPPORTED ORGANIZATION OR ANY SUBSIDIARY; -THE SELECTION, RETENTION, AND OVERSIGHT OF THE OUTSIDE AUDITORS FOR THE SUPPORTED ORGANIZATION (OR ANY SUBSIDIARY); AND -ANY OTHER APPROVAL FOR WHICH SUPPORTING ORGANIZATION APPROVAL IS REQUIRED BY LAW. IN ADDITION TO THESE RESERVED POWERS OF THE SUPPORTING ORGANIZATION LISTED ABOVE, THE SUPPORTING ORGANIZATION HAS THE AUTHORITY TO ADOPT SYSTEM-WIDE POLICIES AND PROCEDURES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY COREWELL HEALTH CORPORATE TAX DEPARTMENT. IT IS REVIEWED BY THE CORPORATE TAX MANAGER, THE DIRECTOR OF TAX, AND THE VP OF TAX. A SECOND REVIEW IS PERFORMED BY AN EXTERNAL CPA FIRM WITH EXPERTISE IN TAX-EXEMPT TAX RETURN PREPARATION. IT IS THEN REVIEWED BY THE ORGANIZATION'S FINANCE AND LEGAL DEPARTMENTS. A COPY OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE CENTRAL ORGANIZATION GOVERNING BODY. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C 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) COMPLETES A CONFLICT-OF-INTEREST DISCLOSURE QUESTIONNAIRE. A COPY OF THE MEMBER OF MANAGEMENT'S DISCLOSURE QUESTIONNAIRE IS SENT TO THE ORGANIZATION'S SYSTEM COMPLIANCE DEPARTMENT. A COPY OF THE MEMBER OF MANAGEMENT'S DISCLOSURE IS REVIEWED BY THE ORGANIZATION'S COMPLIANCE OPERATIONS ANALYST AND ESCALATED TO THE APPROPRIATE EXECUTIVE LEADERSHIP TEAM, IF NECESSARY. 2. ANNUALLY, EACH MEMBER OF MANAGEMENT (DIRECTORS AND ABOVE) COMPLETES AN ANNUAL CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE ELECTRONICALLY. IF THERE IS AN AFFIRMATIVE DISCLOSURE, THE QUESTIONNAIRE IS REVIEWED BY THE APPROPRIATE EXECUTIVE LEADERSHIP TEAM. 3. THERE IS AN ONGOING REQUIREMENT TO UPDATE THE DISCLOSURE QUESTIONNAIRE WHEN A NEW POTENTIAL CONFLICT OF INTEREST ARISES. UPDATED DISCLOSURES FOLLOW THE SAME PROCESS AS INITIAL DISCLOSURES DESCRIBED ABOVE. 4. THE COMPLIANCE OFFICER, IN CONSULTATION WITH EXECUTIVE MANAGEMENT, DETERMINES HOW REPORTED CONFLICTS SHOULD BE MANAGED. MANAGEMENT OF A CONFLICT MAY TAKE A VARIETY OF DIFFERENT FORMS FROM IMPLEMENTATION OF A MANAGEMENT PLAN TO REQUIRING THAT THE MEMBER OF MANAGEMENT CEASE THE ACTIVITY CREATING THE CONFLICT OR, IN EXTREME CASES, LEAVE THE ORGANIZATION'S EMPLOYMENT. MANAGEMENT OF A CONFLICT IS DETERMINED ON AN INDIVIDUAL BASIS BASED UPON THE FACTS AND CIRCUMSTANCES SURROUNDING THE DISCLOSURE. THE PURPOSE OF CONFLICT MANAGEMENT IS TO PROVIDE TRANSPARENCY WITHIN THE ORGANIZATION AND TO ENSURE THAT THE ORGANIZATION'S EMPLOYEES ARE ALWAYS ACTING IN THE BEST INTEREST OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 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 CONSOLIDATED FINANCIAL STATEMENTS ARE ATTACHED TO THIS TAX RETURN. FORM 990, PART VII, SECTION A AS NOTED IN THEIR TITLES, CERTAIN INDIVIDUALS REPORTED ON THE COREWELL HEALTH GROUP RETURN ARE CURRENT OFFICERS OR KEY EMPLOYEES OF ONE OR MORE OF THE SUBORDINATES. THE INDIVIDUALS LISTED BELOW ARE ALSO FORMER OFFICERS OR KEY EMPLOYEES OF ONE OR MORE OF THE GROUP ENTITIES. CHAD TUTTLE: SPECTRUM HEALTH - LEFFINGWELL AVENUE: DIRECTOR/PRESIDENT SPECTRUM HEALTH CONTINUING CARE: FORMER OFFICER SPECTRUM HEALTH CONTINUING CARE CENTER, INC.: DIRECTOR/PRESIDENT SPECTRUM HEALTH HOSPITALS: FORMER OFFICER SPECTRUM HEALTH WORTH SERVICES: DIRECTOR/PRESIDENT VISITING NURSE SERVICES OF WESTERN MICHIGAN: DIRECTOR/PRESIDENT DARRYL ELMOUCHI MD: BEAUMONT HEALTH: DIRECTOR PY/PRESIDENT PY BOTSFORD GENERAL HOSPITAL: DIRECTOR PY/PRESIDENT PY LAKELAND HOSPITALS AT NILES AND ST. JOSEPH, INC.: DIRECTOR PY LAKELAND REGIONAL HEALTH SYSTEM: DIRECTOR PY MECOSTA COUNTY MEDICAL CENTER: FORMER OFFICER MEMORIAL MEDICAL CENTER OF WEST MICHIGAN: FORMER OFFICER NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION: FORMER OFFICER OAKWOOD HEALTHCARE, INC. : DIRECTOR PY/PRESIDENT PY OAKWOOD UNITED HOSPITALS, INC. : DIRECTOR PY/PRESIDENT PY PENNOCK HOSPITAL: FORMER OFFICER REED CITY HOSPITAL CORPORATION: FORMER OFFICER SPECTRUM HEALTH CONTINUING CARE: FORMER OFFICER SPECTRUM HEALTH HOSPITALS: FORMER OFFICER SPECTRUM HEALTH KELSEY: FORMER OFFICER SPECTRUM HEALTH PRIMARY CARE PARTNERS: FORMER OFFICER SPECTRUM HEALTH UNITED: FORMER OFFICER WILLIAM BEAUMONT HOSPITAL: DIRECTOR PY/PRESIDENT PY ZEELAND COMMUNITY HOSPITAL: FORMER OFFICER KAREN PAKKALA: BOTSFORD CONTINUING CARE CORPORATION: DIRECTOR/PRESIDENT/SECRETARY OAKWOOD HEALTH PROMOTIONS, INC.: DIRECTOR/PRESIDENT/SECRETARY SPECTRUM HEALTH - LEFFINGWELL AVENUE: DIRECTOR/TREASURER/SECRETARY SPECTRUM HEALTH CONTINUING CARE: FORMER OFFICER SPECTRUM HEALTH CONTINUING CARE CENTER, INC.: DIRECTOR/TREASURER/SECRETARY SPECTRUM HEALTH WORTH SERVICES: DIRECTOR/TREASURER/SECRETARY VISITING NURSE SERVICES OF WESTERN MICHIGAN: DIRECTOR/TREASURER/SECRETARY LOWELL HAMEL MD: LAKELAND COMMUNITY HOSPITAL, WATERVLIET: DIRECTOR PY LAKELAND HOSPITALS AT NILES AND ST. JOSEPH, INC.: FORMER OFFICER LAKELAND REGIONAL HEALTH SYSTEM: FORMER OFFICER NANCY SUSICK: BEAUMONT MEDICAL GROUP-HOSPITAL-BASED SERVICES: DIRECTOR/SECRETARY BEAUMONT MEDICAL GROUP-PRIMARY CARE SERVICES: DIRECTOR/SECRETARY BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES: DIRECTOR/SECRETARY WILLIAM BEAUMONT HOSPITAL: FORMER KEY EMPLOYEE PAOLO MARCIANO MD: BEAUMONT MEDICAL GROUP-HOSPITAL-BASED SERVICES: DIRECTOR/PRESIDENT BEAUMONT MEDICAL GROUP-PRIMARY CARE SERVICES: DIRECTOR/PRESIDENT BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES: DIRECTOR/PRESIDENT OAKWOOD HEALTHCARE, INC.: FORMER KEY EMPLOYEE FORM 990, PART IX, LINE 11G SHARED SERVICES: PROGRAM SERVICE EXPENSES 1,248,730,537. MANAGEMENT AND GENERAL EXPENSES 212,235,658. FUNDRAISING EXPENSES 256,270. TOTAL EXPENSES 1,461,222,465. CLINICAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 248,751,745. MANAGEMENT AND GENERAL EXPENSES 26,738,367. FUNDRAISING EXPENSES 1,820. TOTAL EXPENSES 275,491,932. NONCLINICAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 123,917,441. MANAGEMENT AND GENERAL EXPENSES 18,563,536. FUNDRAISING EXPENSES 56. TOTAL EXPENSES 142,481,033. COLLECTION AGENCY FEES: PROGRAM SERVICE EXPENSES 225,840. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 225,840. FORM 990, PART XI, LINE 9: TRANSFERS TO AFFILIATES FROM FOUNDATIONS 7,858,304. NET INVESTMENT ACTIVITY FROM RESTRICTED NET ASSETS 2,795,926. TRANSFERS OF FUNDS TO AFFILIATES -166,355,793. MINIMUM PENSION LIABILITY 68,333,709. ASSETS RELEASED FROM RESTRICTIONS -848,388. FASB ASC 958-605 261,098. CHANGE IN NET ASSETS HELD BY FOUNDATIONS 34,550,414. INVESTMENT INCOME FROM DONOR RESTRICTED NET ASSETS -903,388. FORM 990, PART XII, LINE 2C: NO CHANGE IN OVERSIGHT FROM PRIOR YEAR. DEARBORN REAL ESTATE DEVELOPMENT LLC 100 COREWELL DR NW GRAND RAPIDS MI 49503 202328998 PROPERTY MANAGEMENT/RENTAL MI 3162006 9922899 OAKWOOD HEALTHCARE INC LENOX SURGERY CENTER LLC 100 COREWELL DR NW GRAND RAPIDS MI 49503 320609267 AMBULATORY SURGERY CENTER MI 335831 3739063 OAKWOOD HEALTHCARE INC LIVONIA SURGERY CENTER LLC 100 COREWELL DR NW GRAND RAPIDS MI 49503 352671617 AMBULATORY SURGERY CENTER MI 0 7543588 OAKWOOD HEALTHCARE INC OAKWOOD AMBULATORY LLC 100 COREWELL DR NW GRAND RAPIDS MI 49503 383593303 AMBULATORY MEDICAL SERVICES MI 0 0 OAKWOOD HEALTHCARE INC OAKWOOD INFUSION SERVICES LLC 100 COREWELL DR NW GRAND RAPIDS MI 49503 311552387 AMBULATORY MEDICAL SERVICES MI 0 0 OAKWOOD HEALTHCARE INC OAKWOOD TEEN CENTERS LLC 100 COREWELL DR NW GRAND RAPIDS MI 49503 383513233 AMBULATORY MEDICAL SERVICES MI 0 0 OAKWOOD HEALTHCARE INC ROYAL OAK SURGERY CENTER LLC 100 COREWELL DR NW GRAND RAPIDS MI 49503 611944011 AMBULATORY SURGERY CENTER MI 0 0 OAKWOOD HEALTHCARE INC SOUTHSHORE REAL ESTATE DEVELOPMENT LLC 100 COREWELL DR NW GRAND RAPIDS MI 49503 202329055 PROPERTY MANAGEMENT/RENTAL MI 0 5923702 OAKWOOD HEALTHCARE INC BEAUMONT MEDICAL TRANSPORTATION SERVICES INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 260203703 MEDICAL TRANSPORTATIONAL SERVICES MI 501(C)(3) LINE 10 BH GRAND RIVER SOUTHFIELD INC 0 BH GRAND RIVER SOUTHFIELD INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 382410823 EMERGENCY MEDICAL SERVICES MI 501(C)(3) LINE 10 BOTSFORD GENERAL HOSPITAL 1 COREWELL HEALTH 100 COREWELL DR NW GRAND RAPIDS MI 49503 383382353 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12C, III-FI N/A 0 KENT COMMUNITY HEALTH FOUNDATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 383607110 PHILANTHROPY MI 501(C)(3) LINE 12C, III-FI SPECTRUM HEALTH HOSPITALS 1 LAKESHORE AREA RADIATION ONCOLOGY CENTER 100 COREWELL DR NW GRAND RAPIDS MI 49503 383067954 RADIATION SERVICES MI 501(C)(3) LINE 3 SPECTRUM HEALTH HOSPITALS 1 MICHIGAN MOBILE PET IMAGING 100 COREWELL DR NW GRAND RAPIDS MI 49503 331086165 MOBILE PET SCANNING MI 501(C)(3) LINE 12A, I OAKWOOD HEALTHCARE INC 1 PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA INC 1700 MAGNAVOX WAY STE 201 FORT WAYNE IN 46804 311069321 HMO MANAGEMENT IN 501(C)(4) PRIORITY HEALTH 0 PRIORITY HEALTH 100 COREWELL DR NW GRAND RAPIDS MI 49503 382715520 HMO MANAGEMENT MI 501(C)(4) COREWELL HEALTH 0 PRIORITY HEALTH CHOICE INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 320016523 HMO MANAGEMENT MI 501(C)(3) LINE 10 PRIORITY HEALTH 0 SPECTRUM HEALTH - MSU ALLIANCE CORPORATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 760845329 RESEARCH MI 501(C)(3) LINE 12A, I SPECTRUM HEALTH HOSPITALS 1 TOTAL HEALTH CARE USA INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 383240485 HMO MANAGEMENT MI 501(C)(4) TOTAL HEALTH CARE INC 0 TOTAL HEALTH CARE INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 382018957 HMO MANAGEMENT MI 501(C)(4) PRIORITY HEALTH 0 TRINITY HEALTH PLANS 100 COREWELL DR NW GRAND RAPIDS MI 49503 382663747 HOLDING COMPANY MI 501(C)(4) PRIORITY HEALTH 0 CHCC TAYLOR LLC 2355 E CAMELBACK RD STE 700 PHOENIX AZ 85016 923588577 MANAGEMENT MI N/A N/A 0 0 CHCC TROY LLC 2355 E CAMELBACK RD STE 700 PHOENIX AZ 85016 923960104 MANAGEMENT MI N/A N/A 0 0 CHEC 1 LLC 2355 E CAMELBACK RD STE 700 PHOENIX AZ 85016 990525515 MANAGEMENT MI N/A N/A 0 0 CHEC 2 LLC 2355 E CAMELBACK RD STE 700 PHOENIX AZ 85016 990647116 MANAGEMENT MI N/A N/A 0 0 CHSC ROYAL OAK LLC 2355 E CAMELBACK RD STE 700 PHOENIX AZ 85016 991134940 MANAGEMENT MI N/A N/A 0 0 DEARBORN SCHAEFFER OFFICE CO LLC 100 COREWELL DR NW GRAND RAPIDS MI 49503 262448025 REAL ESTATE MI OAKWOOD HEALTHCARE INC RELATED 2038299 25287121 0 114319 0 0.99000 OAKMED LLC 1938 WOODSLEE DRIVE TROY MI 48084 461459737 PRIVATE DUTY NURSING MI OAKWOOD HEALTHCARE INC RELATED -7396 799948 0 0 0.60000 SPECTRUM ATLAS JV LLC 2355 E CAMELBACK RD STE 700 PHOENIX AZ 85016 874265336 MANAGEMENT MI N/A N/A 0 0 WEST MICHIGAN ACCOUNTABLE CARE ORGANIZATION LLC 100 COREWELL DR NW GRAND RAPIDS MI 49503 833153113 ACCOUNTABLE CARE ORGANIZATION MI N/A N/A 0 0 1697 MICHIGAN STREET PROPERTY 100 COREWELL DR NW GRAND RAPIDS MI 49503 831721239 PROPERTY MANAGEMENT MI SPECTRUM HEALTH HOSPITALS C -120595 4357344 1.00000 1 25 MICHIGAN STREET CONDOMINIUM ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 161734157 PROPERTY MANAGEMENT MI SPECTRUM HEALTH HOSPITALS C 9205 846197 0.82540 1 35 MICHIGAN STREET CONDOMINIUM ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 272193084 PROPERTY MANAGEMENT MI SPECTRUM HEALTH HOSPITALS C -154151 121859 1.00000 1 BH SOUTHFIELD BILLING INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 382755982 MANAGEMENT AND DISPATCH SERVICES MI BH GRAND RIVER SOUTHFIELD INC C 0 BLUE STAR PROFESSIONAL BUILDING CONDOMINIUM ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 208313519 PROPERTY MANAGEMENT MI HOSPICE AT HOME INC C -3231 2902 0.61340 1 BOTSFORD COMMONS PROPERTY ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 383203663 PROPERTY MANAGEMENT MI BOTSFORD CONTINUING CARE CORPORATION C 75823 1509480 1.00000 1 COREWELL HEALTH INDEMNITY COMPANY LTD 23 LIME TREE BAY AVENUE GRAND CAYMAN CJ 980512415 PREMIUM DEPOSITS CJ COREWELL HEALTH 0 COREWELL HEALTH PHYSICIANS INSURANCE COMPANY 100 COREWELL DR NW GRAND RAPIDS MI 49503 274261262 PROFESSIONAL INSURANCE MI COREWELL HEALTH C 0 FOUR FLAGS PROPERTIES INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 364501639 PROPERTY MANAGEMENT MI LAKELAND HEALTH VENTURES INC C 0 GRAND RIVER ABSOLUTE RETURN FUND LTD PO BOX 852 GRAND CAYMAN CJ KY1-1103 POOLED INVESTMENT FUND CJ COREWELL HEALTH 0 HELEN DE VOS WOMEN AND CHILDREN'S HEALTH PAVILION ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 383264184 PROPERTY MANAGEMENT MI SPECTRUM HEALTH HOSPITALS C -22773 756258 0.87470 1 INNOVATIVE HEALTHCARE STRATEGIES INC 1700 MAGNAVOX WAY STE 201 FORT WAYNE IN 46804 474139320 NETWORK NEGOTIATIONS IN PHP MANAGEMENT SYSTEMS INC C 0 LAKELAND HEALTH ENTERPRISES INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 382669798 ACCOUNTING AND BILLING MI LAKELAND REGIONAL HEALTH SYSTEM INC C 84808617 71687595 1.00000 1 LAKELAND HEALTH VENTURES INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 272313790 HOLDING COMPANY MI LAKELAND HEALTH ENTERPRISES INC C 0 LAKELAND MEDICAL PRACTICES 100 COREWELL DR NW GRAND RAPIDS MI 49503 270381199 MEDICAL ADMINISTRATIVE SERVICES MI LAKELAND HEALTH ENTERPRISES INC C 0 LAKELAND PERSONAL CARE SERVICES INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 272990797 HEALTHCARE SERVICES MI LAKELAND HEALTH VENTURES INC C 0 LAKELAND PHYSICIAN CARE NETWORK 100 COREWELL DR NW GRAND RAPIDS MI 49503 208513031 HEALTHCARE SERVICES MI LAKELAND HEALTH ENTERPRISES INC C 0 LEMMEN-HOLTON CANCER PAVILION CONDOMINIUM ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 161734150 PROPERTY MANAGEMENT MI SPECTRUM HEALTH HOSPITALS C 23837 1183945 1.00000 1 LIONTECH INC 1700 MAGNAVOX WAY STE 201 FORT WAYNE IN 46804 300319874 CLAIMS SOFTWARE IN PHP MANAGEMENT SYSTEMS INC C 0 MICHIGAN STREET PARKING CONDOMINIUM ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 161734145 PROPERTY MANAGEMENT MI SPECTRUM HEALTH HOSPITALS C 6292 1763673 0.69140 1 MICHIGAN STREET PROJECT CONDOMINIUM ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 364873152 PROPERTY MANAGEMENT MI SPECTRUM HEALTH HOSPITALS C 10408 45006 0.80000 1 MUSCULO-SKELETAL CENTER CONDOMINIUM ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 383180086 PROPERTY MANAGEMENT MI SPECTRUM HEALTH HOSPITALS C -23074 286091 0.89540 1 NILES PROFESSIONAL SERVICES INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 382633419 HEALTHCARE SERVICES MI LAKELAND HEALTH VENTURES INC C 0 OAKWOOD AFFILIATED VENTURES INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 371753159 HOLDING COMPANY MI OAKWOOD HEALTHCARE INC C 28033834 139457373 1.00000 1 OAKWOOD ENTERPRISES INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 382601930 PROPERTY MANAGEMENT MI OAKWOOD AFFILIATED VENTURES INC C 0 PENNOCK PROFESSIONAL BUILDING CONDOMINIUM ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 384056359 PROPERTY MANAGEMENT MI PENNOCK HOSPITAL C 1552 77049 0.89290 1 PENNOCK VENTURES INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 382712819 PROPERTY MANAGEMENT MI PENNOCK HOSPITAL C 147764 1086092 1.00000 1 PHP HOLDING COMPANY 1700 MAGNAVOX WAY STE 201 FORT WAYNE IN 46804 208074365 HOLDING COMPANY IN PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA INC C 0 PHP INSURANCE COMPANY OF INDIANA INC 1700 MAGNAVOX WAY STE 201 FORT WAYNE IN 46804 203064284 STOP LOSS REI IN PHP HOLDING COMPANY C 0 PHP MANAGEMENT SYSTEMS INC 1700 MAGNAVOX WAY STE 201 FORT WAYNE IN 46804 351826719 THIRD PARTY ADMINISTRATOR IN PHP HOLDING COMPANY C 0 PRIORITY HEALTH INSURANCE COMPANY 100 COREWELL DR NW GRAND RAPIDS MI 49503 201529553 INSURANCE MI PRIORITY HEALTH C 0 PRIORITY HEALTH MANAGED BENEFITS INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 383085182 THIRD PARTY ADMINISTRATOR MI COREWELL HEALTH C 0 PRO-CLAIM PLUS INC 1700 MAGNAVOX WAY STE 201 FORT WAYNE IN 46804 351938551 THIRD PARTY ADMINISTRATOR IN PHP MANAGEMENT SYSTEMS INC C 0 SOUTHWESTERN MEDICAL CLINIC PHYSICIANS INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 272589359 PHYSICIANS OFFICE MI LAKELAND HEALTH ENTERPRISES INC C 0 SPECTRUM HEALTH PHYSICIAN ALLIANCE 100 COREWELL DR NW GRAND RAPIDS MI 49503 371655728 PHYSICIANS OFFICE MI COREWELL HEALTH C 0 THE PHARMACY SHOPPE INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 382929090 PHARMACEUTICALS MI LAKELAND HEALTH VENTURES INC C 0 WMHTC 100 COREWELL DR NW GRAND RAPIDS MI 49503 382125186 PHYSICIANS MI COREWELL HEALTH C 0 1 1 1 0 0 0 0 1 0 1 1 1 1 0 0 1 1 1 1 COREWELL HEALTH B 4505123787 GAAP BEAUMONT HEALTH B 4418600817 GAAP OAKWOOD HEALTHCARE INC B 13204020 GAAP SPECTRUM HEALTH CONTINUING CARE B 307832 GAAP VISITING NURSE SERVICES OF WESTERN MICHIGAN B 79881 GAAP BOTSFORD GENERAL HOSPITAL B 79843 GAAP WILLIAM BEAUMONT HOSPITAL C 2771475845 GAAP OAKWOOD HEALTHCARE INC C 1384806661 GAAP COREWELL HEALTH C 581712914 GAAP BOTSFORD GENERAL HOSPITAL C 141562706 GAAP BEAUMONT MEDICAL GROUP - SPECIALTY SERVICES C 120755605 GAAP OAKWOOD HEALTH PROMOTIONS INC C 13204020 GAAP KENT COMMUNITY HEALTH FOUNDATION C 903388 GAAP SPECTRUM HEALTH CONTINUING CARE CENTER INC C 307832 GAAP SPECTRUM HEALTH CONTINUING CARE C 79881 GAAP BOTSFORD CONTINUING CARE CORPORATION C 79843 GAAP SPECTRUM HEALTH CONTINUING CARE J 172887 GAAP DEARBORN SCHAEFFER OFFICE CO LLC K 6749379 GAAP LEMMEN-HOLTON CANCER PAVILION CONDOMINIUM ASSOCIATION K 2469132 GAAP MICHIGAN MOBILE PET IMAGING K 2448040 GAAP 35 MICHIGAN STREET CONDOMINIUM ASSOCIATION K 1108512 GAAP 25 MICHIGAN STREET CONDOMINIUM ASSOCIATION K 735420 GAAP HELEN DE VOS WOMEN AND CHILDREN'S HEALTH PAVILION ASSOCIATION K 438756 GAAP PENNOCK VENTURES INC K 394111 GAAP MICHIGAN STREET PARKING CONDOMINIUM ASSOCIATION K 379344 GAAP MUSCULO-SKELETAL CENTER CONDOMINIUM ASSOCIATION K 177480 GAAP VISITING NURSE SERVICES OF WESTERN MICHIGAN K 172887 GAAP LAKESHORE AREA RADIATION ONCOLOGY CENTER L 84392 GAAP COREWELL HEALTH M 683072911 GAAP COREWELL HEALTH P 4555800 GAAP LAKESHORE AREA RADIATION ONCOLOGY CENTER P 147149 GAAP COREWELL HEALTH FOUNDATION WEST MICHIGAN P 72607 GAAP MICHIGAN MOBILE PET IMAGING Q 634473 GAAP COREWELL HEALTH Q 555247 GAAP COREWELL HEALTH R 39189723 GAAP LAKESHORE AREA RADIATION ONCOLOGY CENTER S 1565600 GAAP BEAUMONT HEALTH 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 465718220 CORE BEAUMONT MEDICAL GROUP - HOSPITAL BASED SERVICES 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 822768899 CORE BEAUMONT MEDICAL GROUP - PRIMARY CARE SERVICES 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 822796539 CORE BEAUMONT MEDICAL GROUP - SPECIALTY SERVICES 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 822784244 CORE BOTSFORD CONTINUING CARE CORPORATION 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 382549505 CORE BOTSFORD GENERAL HOSPITAL 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 381426919 CORE HOSPICE AT HOME INC 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 382416086 CORE LAKELAND COMMUNITY HOSPITAL WATERVLIET 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 381368745 CORE LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 382156872 CORE LAKELAND REGIONAL HEALTH SYSTEM INC 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 382609624 CORE LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 383452303 CORE MECOSTA COUNTY MEDICAL CENTER 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 381368744 CORE MEMORIAL MEDICAL CENTER OF WEST MICHIGAN 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 381359266 CORE MERCY MEMORIAL HEALTH SERVICES INC 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 382748035 CORE NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 381359517 CORE OAKWOOD HEALTH PROMOTIONS INC 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 382601965 CORE OAKWOOD HEALTHCARE INC 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 381405141 CORE OAKWOOD UNITED HOSPITALS INC 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 382837961 CORE PENNOCK HOSPITAL 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 381360562 CORE REED CITY HOSPITAL CORPORATION 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 382770076 CORE SPECTRUM HEALTH CONTINUING CARE 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 383242232 CORE SPECTRUM HEALTH CONTINUING CARE CENTER 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 382415333 CORE SPECTRUM HEALTH HOSPITALS 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 381360529 CORE SPECTRUM HEALTH KELSEY 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 381297435 CORE SPECTRUM HEALTH PRIMARY CARE PARTNERS 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 381358164 CORE SPECTRUM HEALTH UNITED 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 381358412 CORE SPECTRUM HEALTH WORTH SERVICES 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 382786617 CORE SPECTRUM HEALTH-LEFFINGWELL AVENUE 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 854390483 CORE VISITING NURSE SERVICES OF WESTERN MICHIGAN 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 381359195 CORE WILLIAM BEAUMONT HOSPITAL 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 381459362 CORE ZEELAND COMMUNITY HOSPITAL 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 381411184 CORE