2025-11-17T09:39:29-06:00 2024-12-31 990 2024-01-01 382539929 LAKELAND HEALTH FOUNDATION BENTON HARBOR/STJOSEPH LAKE 8669897999 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 MATTHEW E COX CFO 8669897999 2025-11-17 1 2024 2025-03-06 01:10:19Z COREWELL HEALTH FOUNDATION SOUTHWEST MICHIGAN MELINDA GRUBER 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 17451225 0 5981 X https://corewellhealth.org/foundation/southwest X 1984 MI IMPROVE HEALTH, INSTILL HUMANITY AND INSPIRE HOPE. 26 19 0 19 0 0 0 1029485 0 0 0 6099971 0 -173907 0 6955549 0 1017332 0 0 0 0 0 0 0 0 1184001 0 2201333 0 4754216 0 35774838 0 118975 0 35655863 X IMPROVE HEALTH, INSTILL HUMANITY AND INSPIRE HOPE. 1 0 2182707 1017332 LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ ST. JOSEPH (COREWELL HEALTH FOUNDATION SOUTHWEST MICHIGAN) WORKS WITH INDIVIDUAL DONORS, FAMILIES, CORPORATIONS, AND AREA FOUNDATIONS TO GENERATE RESOURCES THROUGH GRANTS, CHARITABLE DONATIONS AND BEQUESTS. THESE RESOURCES PROVIDE NEW EQUIPMENT, EXPANSION AND RENOVATION OF HOSPITAL FACILITIES, SUPPORT FOR QUALITY HEALTH CARE SERVICES AND BEYOND. 2182707 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 26 19 1 0 1 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X CORPORATE TAX 8669897999 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 ALBERTINA JOHNSON DIRECTOR 1.00 0.00 X 0 0 0 ANN CAMPBELL DIRECTOR 1.00 0.00 X 0 0 0 ANNA MURPHY DIRECTOR 1.00 0.00 X 0 0 0 BRITTANY GRASLEY DIRECTOR 1.00 0.00 X 0 0 0 CATIE BROWN-BUSCH DIRECTOR 1.00 0.00 X 0 0 0 DANA WALES DIRECTOR/CHAIR 1.00 0.00 X X 0 0 0 DATHAN LUMPKINS DIRECTOR 1.00 0.00 X 0 0 0 DAVID EIFLER DIRECTOR 1.00 0.00 X 0 0 0 DEBRA JOHNSON DIRECTOR 1.00 50.00 X 0 226562 24392 DENNIS SZYMANSKI MD DIRECTOR 1.00 0.00 X 0 0 0 GREGORY KELLOGG DIRECTOR 1.00 0.00 X 0 0 0 HEATHER LALLO DIRECTOR/TREASURER 1.00 50.00 X X 0 395176 51871 JAMES CLEVER DIRECTOR 1.00 0.00 X 0 0 0 JERRY FRENCH DIRECTOR 1.00 0.00 X 0 0 0 LOREN B HAMEL MD DIRECTOR PY 1.00 50.00 X 0 1492259 34022 MARK WEBER DIRECTOR 1.00 0.00 X 0 0 0 MELINDA GRUBER DIRECTOR 1.00 50.00 X 0 324432 41011 MICHAEL BIRKHOLM DIRECTOR 1.00 0.00 X 0 0 0 NATALIE BAGGIO DIRECTOR PY 1.00 50.00 X 0 590543 82856 RANDY HENDRIXSON DIRECTOR 1.00 0.00 X 0 0 0 ROBIN CURTIS DIRECTOR 1.00 0.00 X 0 0 0 SCOTT GEIK DIRECTOR 1.00 0.00 X 0 0 0 SHANE SHIDLER DIRECTOR/VICE CHAIR 1.00 0.00 X X 0 0 0 SHERRY WALES DIRECTOR 1.00 50.00 X 0 11586 0 SOROYA PIERRE-VANARTSEN DIRECTOR/PRESIDENT 50.00 0.00 X X 0 308454 43159 TAMARA PHILLIPPE DIRECTOR/SECRETARY 1.00 0.00 X X 0 0 0 WENDY EDWARDS DIRECTOR 1.00 0.00 X 0 0 0 CHRISTINA FREESE DECKER CEO 1.00 50.00 X 0 5453830 1498970 MATTHEW COX CFO 1.00 50.00 X 0 2523615 558135 0 11326457 2334416 0 0 1 0 0 246337 783148 68646 1029485 5322574 5322574 11080986 10303589 777397 777397 777397 18180 246337 192087 -173907 -173907 6955549 0 0 5926064 X 308798 308798 708534 708534 18626 18626 513329 513329 1094 1094 14963 14963 3639 3639 15264 15264 LORY'S PLACE ADMIN 553829 553829 HOPE FUND ADMIN 32339 32339 CANCER CENTER ADMIN 22838 22838 HEALING GARDEN ADMIN 4199 4199 3881 3881 2201333 2182707 18626 0 5834930 1028069 587822 33061 0 554761 28357078 0 35774838 5576 0 113399 0 118975 X 23466897 12188966 0 35655863 0 35774838 X 4754216 2130057 28771590 X X 0 1 X 1 0 X 1534251 1422919 1463768 1493015 1029485 6943438 1534251 1422919 1463768 1493015 1029485 6943438 865225 6078213 4199230 256987 437728 134889 5322574 10351408 2020 160077 169246 18180 349523 17644369 0.34450 0.55450 X Schedule A, Part II, Line 10, Explanation of Other Income: SPECIAL EVENTS - 2020 Amount: $ 2,020. 2022 Amount: $ 160,077. 2023 Amount: $ 169,246. 2024 Amount: $ 18,180. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14283428 1794764 16078192 14152043 1960 565480 436055 14283428 18120799 1367865 -5336621 14152043 16803266 26020 1677295 385782 18120799 15370096 64655 2015474 646959 16803266 0.89480 0.10520 0.00000 0 0 576594 31438 545156 11228 1623 9605 554761 DUE TO AFFILIATES 113399 113399 Part V, Line 4: THE INTENDED USE OF THE FOUNDATION'S ENDOWMENT FUNDS IS TO PROVIDE FUNDS TO SUPPORT THE MISSION AND VISION OF LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ ST. JOSEPH. THE FOUNDATION PROVIDES FUNDING FOR ONGOING CAPITAL AND OPERATIONAL NEEDS, COMMUNITY OUTREACH PROGRAMS, SCHOLARSHIPS AND EDUCATION. 2024 FOUNDATION GALA 196630 179530 17100 2500 23576 73143 7183 26002 HOPE GROWS 67887 66807 1080 4232 3248 52203 264517 246337 18180 2500 27808 76391 7183 78205 192087 -173907 1 BENTON HARBOR COMMUNITY DEVELOPMENT CORPORATION 273 MORTON AVENUE APT 2 BENTON HARBOR MI 49022 853784631 501(C)(3) 14950 0 TO SUPPORT EXEMPT PURPOSE BERRIEN RESA 711 ST JOSEPH AVENUE PO BOX 364 BERRIEN SPRINGS MI 49103 381714920 115 52400 0 TO SUPPORT PURPOSE COMMUNITY HEALING CENTERS 2615 STADIUM DRIVE KALAMAZOO MI 49008 381961500 501(C)(3) 86242 0 TO SUPPORT EXEMPT PURPOSE ENFOCUS INC 635 SOUTH LAFAYETTE BLVD STE 105 SOUTH BEND IN 46601 455638209 501(C)(3) 47500 0 TO SUPPORT EXEMPT PURPOSE KRASL ART CENTER 707 LAKE BOULEVARD ST JOSEPH MI 49085 237009281 501(C)(3) 20000 0 TO SUPPORT EXEMPT PURPOSE ST JOSEPH COMMUNITY PARK FOUNDATION INC 728 PLEASANT STREET STE 101 ST JOSEPH MI 49085 831905196 501(C)(3) 30000 0 TO SUPPORT EXEMPT PURPOSE THE EVA MARTIN PROJECT 8890 CORNELIA ROAD BARODA MI 49101 932903032 501(C)(3) 12474 0 TO SUPPORT EXEMPT PURPOSE UNITED THROUGH MOTHERHOOD TEMPLE B'NAI SHALOM 2050 BROADWAY BENTON HARBOR MI 49022 382056016 501(C)(3) 11000 0 TO SUPPORT EXEMPT PURPOSE WEECHO 1625 HOWARD STREET NILES MI 49120 854334369 501(C)(3) 15000 0 TO SUPPORT EXEMPT PURPOSE 9 0 SCHOLARSHIPS 178 67862 EDUCATION ASSISTANCE 73 173492 LAKELAND EDUCATIONAL LEADERSHIP (LEAP) AWARDS 102 373261 PATIENT ASSISTANCE 20 93919 Part I, Line 2: THE FILING ORGANIZATION PROVIDES GRANTS TO ORGANIZATIONS THAT CLOSELY ALIGN WITH ITS OWN MISSION AND VALUES. THE FILING ORGANIZATION PROVIDES GRANTS TO ORGANIZATIONS THAT IMPROVE THE HEALTH OF THE UNDERSERVED IN THE COMMUNITY AND/OR ORGANIZATIONS THAT INCREASE ACCESS TO HEALTH CARE. 1 1 0 0 0 0 0 0 0 CHRISTINA FREESE DECKER CEO 0 2489108 0 2726865 0 237857 0 1462145 0 36825 0 6952800 0 1439610 MATTHEW COX CFO 0 1237492 0 1186309 0 99814 0 520376 0 37759 0 3081750 0 468516 LOREN B HAMEL MD DIRECTOR PY 0 405436 0 511611 0 575212 0 17231 0 16791 0 1526281 0 438838 NATALIE BAGGIO DIRECTOR PY 0 462477 0 49545 0 78521 0 67792 0 15064 0 673399 0 37686 HEATHER LALLO DIRECTOR/TREASURER 0 327681 0 63037 0 4458 0 19759 0 32112 0 447047 0 0 MELINDA GRUBER DIRECTOR 0 264898 0 33256 0 26278 0 17235 0 23776 0 365443 0 23368 SOROYA PIERRE-VANARTSEN DIRECTOR/PRESIDENT 0 249243 0 31571 0 27640 0 11668 0 31491 0 351613 0 22294 DEBRA JOHNSON DIRECTOR 0 200758 0 20172 0 5632 0 10652 0 13740 0 250954 0 0 Part I, Line 3 THE FILING ORGANIZATION RELIED UPON A RELATED ORGANIZATION WHO UTILIZED THE FOLLOWING PROCESS IN DETERMINATION OF THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. THE COREWELL HEALTH BOARD OF DIRECTORS (THROUGH ITS COMPENSATION COMMITTEE) USES THE FOLLOWING PROCESS FOR DETERMINING COMPENSATION OF THE TOP MANAGEMENT OFFICIALS, OTHER OFFICERS, AND KEY EMPLOYEES AT COREWELL HEALTH. LABOR MARKET DATA REFLECTING COMPARABLE ORGANIZATIONS AND JOBS (PREPARED BY INDEPENDENT FIRMS) ARE RELIED UPON IN SETTING COMPENSATION LEVELS. COMPETITIVE ASSESSMENT REPORTS ARE PROVIDED TO THE COMPENSATION COMMITTEE IN ADVANCE OF MEETINGS. THE COMPETITIVE ASSESSMENT REPORT IS PREPARED BY A NATIONALLY KNOWN INDEPENDENT EXECUTIVE COMPENSATION FIRM. THE FOLLOWING SURVEYS, PREPARED BY INDEPENDENT FIRMS, WERE THE PRIMARY SOURCES REFERENCED TO OBTAIN COMPARABLE MARKET DATA FOR THE REVIEW: 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, FINANCIAL 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: LOREN B. HAMEL MD $353,548 THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: CHRISTINA FREESE DECKER $1,449,979 LOREN B. HAMEL MD $438,838 MATTHEW COX $470,111 MELINDA GRUBER $24,943 NATALIE BAGGIO $40,227 SOROYA PIERRE-VANARTSEN $26,319 LINE 4B IS ANSWERED YES BECAUSE CERTAIN INDIVIDUALS DO PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN(S). SOME INDIVIDUALS RECEIVED DISTRIBUTIONS DURING THE YEAR (AS REPORTED ON THIS LINE) WHEREAS OTHERS PARTICIPATED IN THE PLAN(S) BUT DID NOT RECEIVE DISTRIBUTIONS. DISTRIBUTIONS REPORTED ON THIS LINE ARE ALSO INCLUDED IN PART II, COLUMN F AS COMPENSATION REPORTED IN A PRIOR YEAR WHILE ALSO BEING REPORTED IN THE CURRENT 990 AS TOTAL COMPENSATION. THE NONQUALIFIED RETIREMENT PLANS ARE AN INDUSTRY STANDARD AND ARE SUBJECT TO THE FUNDING REQUIREMENTS OF NONQUALIFIED DEFERRED COMPENSATION PLANS UNDER ERISA AND FEDERAL TAX REGULATIONS. PART II COMPENSATION REPORTED IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF RELATED ORGANIZATIONS OF THE HEALTH SYSTEM. X 39488 MARKET VALUE X EVENT MATERIALS 54 28658 MARKET VALUE X GIFT CARDS 1 500 MARKET VALUE 0 1 0 Part I, Column (b): THE NUMBER IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS. Form 990, Part III, line 2 IN 2024, LORY'S PLACE WAS INTEGRATED WITH THE FILING ORGANIZATION. LORY'S PLACE PROVIDES HOPE AND STRENGTH FOR EVERY GRIEVING PERSON, OFFERING PEER-BASED SUPPORT GROUPS, CRISIS RESPONSE, STAFF EDUCATION, AND COMMUNITY OUTREACH FOR CHILDREN, ADULTS, AND FAMILIES ACROSS SOUTHWEST MICHIGAN AND NORTHERN INDIANA. ALL PROGRAM ACTIVITIES ARE NOW UNDER THE FILING ORGANIZATION TO STREAMLINE OPERATIONS AND ENSURE CONTINUED DELIVERY OF GRIEF SUPPORT SERVICES. Form 990, Part VI, Section A, line 2 CHRISTINA FREESE DECKER 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. HEATHER LALLO 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 AND MATTHEW COX HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF PRIORITY HEALTH MANAGED BENEFITS, INC., A RELATED TAXABLE ENTITY. Form 990, Part VI, Section A, line 4 ALL SPECTRUM HEALTH SYSTEM LANGUAGE HAS BEEN CHANGED TO COREWELL HEALTH, ALONGSIDE NAMING CONVENTIONS AND DBAS. 4.1:LANGUAGE ADDED: THE CHAIR OF THE LORY'S PLACE ADVISORY BOARD COMMITTEE SHALL BE AN EX-OFFICIO DIRECTOR WITH A VOTE. 4.3:THE SECTION DISCUSSING MEMBERS OF THE BOARD HAS BEEN CONSOLIDATED INTO ONLY EMERITUS MEMBERS OF THE BOARD, A STATUS "GIVEN AS AN HONOR AND IS A LIFETIME DESIGNATION". PREVIOUSLY THIS SECTION SEPARATELY ADDRESSED HONORARY, EMERITUS, AND LIFETIME MEMBERS OF THE BOARD. 4.3.1: (D) CANDIDATE DESIGNATIONS FOR QUALIFYING TO THE BOARD ARE NOW DEFINED IN THE ARTICLES OF INCORPORATION. 4.3.3: A NEW SECTION WAS ADDED OUTLINING THE RIGHTS AND PRIVILEGES OF EMERITUS MEMBERS. 6.4: PARAGRAPH ADDED: LORY'S PLACE ADVISORY BOARD COMMITTEE. THERE SHALL BE A LORY'S PLACE ADVISORY BOARD COMMITTEE CONSISTING OF NOT LESS THAN SEVEN (7) AND NOT MORE THAN TWENTY-FIVE (25) MEMBERS. THE INITIAL CHAIR AND THE INITIAL MEMBERS WILL BE APPOINTED BY THE CARING CIRCLE LORY'S PLACE ADVISORY BOARD AND SHALL SERVE STAGGERED THREE (3) YEAR TERMS WITH 1/3 OF ITS MEMBERS' TERMS EXPIRING EACH YEAR. THE PRESIDENT OF THE FOUNDATION, THE CHAIR OF THE FOUNDATION, AND DIRECTOR OF LORY'S PLACE SHALL ALSO BE EX-OFFICIO MEMBERS WITH A VOTE. ANY VACANCY SHALL BE FILLED WITH A PERSON SELECTED BY THE AFFIRMATIVE VOTE BY 2/3 OF THE REMAINING MEMBERS OF THE LORY'S PLACE ADVISORY BOARD COMMITTEE. THE DUTIES OF THE LORY'S PLACE ADVISORY BOARD COMMITTEE SHALL CONSIST OF THE FOLLOWING: 6.4.1 ADVISE THE BOARD AND MANAGEMENT AS TO THE FUNDRAISING, PROGRAMS, AND VOLUNTEER ACTIVITIES OF LORY'S PLACE; 6.4.2 PLAY AN ACTIVE ROLE IN DEVELOPING VOLUNTEERS AND SUPPORTERS OF LORY'S PLACE; 6.4.3 REPORT AT LEAST ONCE ANNUALLY OR MORE FREQUENTLY AS MAY BE NECESSARY TO THE BOARD ON THE ACTIVITIES OF LORY'S PLACE; 6.4.4 MAKE RECOMMENDATIONS TO THE BOARD REGARDING THE DIRECTION, STRATEGY, GOALS, AND PRIORITIES OF LORY'S PLACE; AND 6.4.5 PERFORM ANY OTHER DUTIES ASSIGNED BY THE BOARD. 12.4: PARAGRAPH ADDED: SPECIFIC POWERS RELATING TO LORY'S PLACE. GIVEN THAT THE FUNDS TO CONSTRUCT THE EDGEWATER FACILITIES OF LORY'S PLACE WERE GIVEN BY DONORS WITH THE EXPRESS UNDERSTANDING THAT THE FUNDS BE USED FOR THAT PURPOSE, IT IS UNDERSTOOD THAT IN THE UNLIKELY EVENT THAT THE FOUNDATION DISCONTINUES THE OPERATION OF LORY'S PLACE FOR ANY REASON, THE BUILDING, FURNISHINGS (INCLUDING BUT NOT LIMITED TO FURNITURE, EQUIPMENT, AND SUPPLIES), AND ANY DESIGNATED FUNDS OF LORY'S PLACE WILL BE DISTRIBUTED TO ANOTHER 501(C)(3) QUALIFIED ORGANIZATION, AS DETERMINED BY THE LORY'S PLACE ADVISORY BOARD COMMITTEE, TO CARRY ON THE ACTIVITIES OF LORY'S PLACE. Form 990, Part VI, Section A, line 6 COREWELL HEALTH, A MICHIGAN NONPROFIT CORPORATION, IS THE ULTIMATE SOLE MEMBER OF LAKELAND HEALTH FOUNDATION BENTON HARBOR/ST. JOSEPH. Form 990, Part VI, Section A, line 7a COREWELL HEALTH, A MICHIGAN NONPROFIT CORPORATION, IS THE ULTIMATE SOLE MEMBER OF LAKELAND HEALTH FOUNDATION BENTON HARBOR/ST. JOSEPH AND HAS THE RIGHT TO ELECT ONE OR MORE MEMBERS OF LAKELAND HEALTH FOUNDATION BENTON HARBOR/ST. JOSEPH'S GOVERNING BODY. Form 990, Part VI, Section A, line 7b COREWELL HEALTH, A MICHIGAN NONPROFIT CORPORATION, IS THE ULTIMATE SOLE MEMBER OF LAKELAND HEALTH FOUNDATION BENTON HARBOR/ST. JOSEPH AND HAS CERTAIN RESERVED POWERS OVER OPERATIONS OF LAKELAND HEALTH FOUNDATION BENTON HARBOR/ST. JOSEPH, INCLUDING BUT NOT LIMITED TO BUDGET, ACQUISITIONS, CAPITAL PROJECTS, AND PARTICIPATION IN JOINT VENTURES. Form 990, Part VI, Section A, line 8b THE ORGANIZATION HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. Form 990, Part VI, Section B, line 11b THE FORM 990 IS PREPARED BY COREWELL HEALTH CORPORATE TAX. IT IS REVIEWED BY THE CORPORATE TAX MANAGER AND THE DIRECTOR OF TAX. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE 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 ACONFLICT 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 OFDIRECTORS 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. Form 990, Part IX, line 11g SHARED SERVICES/MGMT FEES: Program service expenses 513,329. Management and general expenses 0. Fundraising expenses 0. Total expenses 513,329. Form 990, Part XI, line 9: TRANSFERS FROM AFFILIATES 4,470,109. NET ASSETS BEGINNING OF YEAR REPORTED ON GROUP FILING 24,301,481. FORM 990, PART XII, LINE 2C NO CHANGE IN OVERSIGHT FROM PRIOR YEAR. 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 0 COREWELL HEALTH 100 COREWELL DR NW GRAND RAPIDS MI 49503 383382353 SUPPORTING ORGANIZATION MI 501(c)(3) Line 12c, III-FI N/A 0 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 0 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 0 PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 311069321 HMO MANAGEMENT IN 501(c)(4) PRIORITY HEALTH 0 PRIORITY HEALTH 100 COREWELL DR NW GRAND RAPIDS MI 49503 382715520 HMO MANAGEMENT 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