2025-11-14T09:31:45-06:00 2024-12-31 990 2024-01-01 462332843 LAKELAND POST-RETIREMENT MEDICAL TRUST LAKE 8669897999 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 HEATHER LALLO TRUSTEE 8669897999 2025-11-14 1 2024 2025-03-06 01:10:19Z X HEATHER LALLO 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 13805482 0 X N/A X 2013 MI TO FUND THE POSTRETIREMENT OBLIGATION OF LAKELAND REGIONAL HEALTH SYSTEM. 4 0 0 0 0 0 0 0 0 0 461319 4323344 0 0 461319 4323344 0 0 0 0 0 0 0 0 0 52754 67328 52754 67328 408565 4256016 18287609 19079803 0 0 18287609 19079803 THE TRUST WAS ESTABLISHED TO FUND THE POSTRETIREMENT OBLIGATION OF LAKELAND REGIONAL HEALTH SYSTEM. 0 0 PAYMENT OF STIPEND TO ELIGIBLE RETIREES TOWARDS THE PURCHASE OF HEALTH INSURANCE OR TO PURCHASE THEIR OWN MEDICARE STOP LOSS INSURANCE COVERAGE. NUMBER OF ACTIVE MEMBERS IN THE PLAN IS 471. TOTAL EMPLOYEES THAT COULD BECOME ELIGIBLE TO RECEIVE FUTURE BENEFITS UPON RETIREMENT IS 343. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 X CORPORATE TAX 8669897999 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 CELESTE MCINTYRE TRUSTEE 1.00 50.00 X 0 535849 140052 HEATHER LALLO TRUSTEE 1.00 50.00 X 0 395176 51871 STEPHANIE OSTRANDER TRUSTEE 1.00 50.00 X 0 351420 51500 LINDA MACDONALD TRUSTEE 1.00 50.00 X 0 587039 99922 0 1869484 343345 0 0 1 0 0 815973 815973 12989509 9482138 3507371 3507371 3507371 4323344 0 0 4323344 X 33137 34191 67328 624502 3132558 16028072 14477889 2073378 677162 353851 18287609 19079803 0 0 X 0 0 0 0 18287609 19079803 18287609 19079803 18287609 19079803 4256016 -3463822 0 X X 0 1 X 0 0 0 1641747 -3463822 782225 -2681597 4323344 0 4323344 849553 782225 782225 67328 0 67328 PART XI, LINE 2D - OTHER ADJUSTMENTS: EMPLOYER CONTRIBUTIONS $782,225 PART XII, LINE 2D - OTHER ADJUSTMENTS: CLAIMS PAID $782,225 0 1 0 LINDA MACDONALD TRUSTEE 0 446449 0 88711 0 51879 0 80005 0 19917 0 686961 0 40689 CELESTE MCINTYRE TRUSTEE 0 417322 0 83202 0 35325 0 104930 0 35122 0 675901 0 31291 HEATHER LALLO TRUSTEE 0 327681 0 63037 0 4458 0 19759 0 32112 0 447047 0 0 STEPHANIE OSTRANDER TRUSTEE 0 290202 0 59097 0 2121 0 18209 0 33291 0 402920 0 0 Part I, Line 4b 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: LINDA MACDONALD $44,877 CELESTE MCINTYRE $31,476 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. Form 990, Part VI, Section A, line 8b THE TRUST DOES NOT HAVE 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. THE TAX RETURN IS REVIEWED BY THE CORPORATE TAX MANAGER, DIRECTOR OF TAX, AND THE TRUST PRINCIPAL OFFICER. Form 990, Part VI, Section C, line 19 GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. Form 990, Part IX, line 11g ACTUARY FEES 34,191. Form 990, Part XII, Line 1: MODIFIED CASH BASIS BEAUMONT HEALTH 100 COREWELL DR NW GRAND RAPIDS MI 49503 465718220 SUPPORTING ORGANIZATION MI 501(c)(3) Line 12c, III-FI COREWELL HEALTH 0 BEAUMONT HEALTH FOUNDATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 364852171 FUNDRAISING FOUNDATION MI 501(c)(3) Line 7 BEAUMONT HEALTH 0 BEAUMONT MEDICAL GROUP-HOSPITAL-BASED SERVICES 100 COREWELL DR NW GRAND RAPIDS MI 49503 822768899 PHYSICIAN SUPPORT SERVICES MI 501(c)(3) Line 10 BEAUMONT HEALTH 0 BEAUMONT MEDICAL GROUP-PRIMARY CARE SERVICES 100 COREWELL DR NW GRAND RAPIDS MI 49503 822796539 PHYSICIAN SUPPORT SERVICES MI 501(c)(3) Line 10 BEAUMONT HEALTH 0 BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES 100 COREWELL DR NW GRAND RAPIDS MI 49503 822784244 PHYSICIAN SUPPORT SERVICES MI 501(c)(3) Line 10 BEAUMONT HEALTH 0 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 BOTSFORD CONTINUING CARE CORPORATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 382549505 REHABILITATION & NURSING CENTER MI 501(c)(3) Line 10 BOTSFORD GENERAL HOSPITAL 0 BOTSFORD GENERAL HOSPITAL 100 COREWELL DR NW GRAND RAPIDS MI 49503 381426919 HOSPITAL MI 501(c)(3) Line 3 BEAUMONT HEALTH 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 COREWELL HEALTH FOUNDATION WEST MICHIGAN 100 COREWELL DR NW GRAND RAPIDS MI 49503 382752328 FUNDRAISING FOUNDATION MI 501(c)(3) Line 7 SPECTRUM HEALTH HOSPITALS 0 HOSPICE AT HOME INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 382416086 HOSPICE AND PALLIATIVE CARE MI 501(c)(3) Line 7 LAKELAND REGIONAL HEALTH SYSTEM 0 LAKELAND COMMUNITY HOSPITAL WATERVLIET 100 COREWELL DR NW GRAND RAPIDS MI 49503 381368745 HOSPITAL MI 501(c)(3) Line 3 LAKELAND REGIONAL HEALTH SYSTEM 0 LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH 100 COREWELL DR NW GRAND RAPIDS MI 49503 382539929 FUNDRAISING FOUNDATION MI 501(c)(3) Line 7 LAKELAND REGIONAL HEALTH SYSTEM 0 LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 382156872 HOSPITAL MI 501(c)(3) Line 3 LAKELAND REGIONAL HEALTH SYSTEM 0 LAKELAND REGIONAL HEALTH SYSTEM 100 COREWELL DR NW GRAND RAPIDS MI 49503 382609624 SUPPORTING ORGANIZATION MI 501(c)(3) Line 12c, III-FI COREWELL HEALTH 0 LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER 100 COREWELL DR NW GRAND RAPIDS MI 49503 383452303 FACILITY LEASING MI 501(c)(3) Line 3 LAKELAND REGIONAL HEALTH SYSTEM 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 MECOSTA COUNTY MEDICAL CENTER 100 COREWELL DR NW GRAND RAPIDS MI 49503 381368744 HOSPITAL MI 501(c)(3) Line 3 COREWELL HEALTH 0 MEMORIAL MEDICAL CENTER OF WEST MICHIGAN 100 COREWELL DR NW GRAND RAPIDS MI 49503 381359266 HOSPITAL MI 501(c)(3) Line 3 COREWELL HEALTH 0 MERCY-MEMORIAL HEALTH SERVICES INCORPORATED 100 COREWELL DR NW GRAND RAPIDS MI 49503 382748035 REHABILITATION & NURSING CENTER MI 501(c)(3) Line 10 LAKELAND REGIONAL HEALTH SYSTEM 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 NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 381359517 HOSPITAL MI 501(c)(3) Line 3 COREWELL HEALTH 0 OAKWOOD HEALTH PROMOTIONS INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 382601965 REHABILITATION & NURSING CENTER MI 501(c)(3) Line 10 OAKWOOD HEALTHCARE INC 0 OAKWOOD HEALTHCARE INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 381405141 HOSPITAL MI 501(c)(3) Line 3 BEAUMONT HEALTH 0 OAKWOOD UNITED HOSPITALS INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 382837961 FACILITY LEASING MI 501(c)(3) Line 12a, I OAKWOOD HEALTHCARE INC 0 PENNOCK HOSPITAL 100 COREWELL DR NW GRAND RAPIDS MI 49503 381360562 HOSPITAL MI 501(c)(3) Line 3 COREWELL HEALTH 0 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 REED CITY HOSPITAL CORPORATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 382770076 HOSPITAL MI 501(c)(3) Line 3 COREWELL HEALTH 0 SPECTRUM HEALTH - LEFFINGWELL AVENUE 100 COREWELL DR NW GRAND RAPIDS MI 49503 854390483 REHABILITATION & NURSING CENTER MI 501(c)(3) Line 10 SPECTRUM HEALTH CONTINUING CARE 0 SPECTRUM HEALTH CONTINUING CARE 100 COREWELL DR NW GRAND RAPIDS MI 49503 383242232 HOSPICE AND PALLIATIVE CARE MI 501(c)(3) Line 10 COREWELL HEALTH 0 SPECTRUM HEALTH CONTINUING CARE CENTER INC 100 COREWELL DR NW GRAND RAPIDS MI 49503 382415333 REHABILITATION & NURSING CENTER MI 501(c)(3) Line 10 SPECTRUM HEALTH CONTINUING CARE 0 SPECTRUM HEALTH HOSPITALS 100 COREWELL DR NW GRAND RAPIDS MI 49503 381360529 HOSPITAL MI 501(c)(3) Line 3 COREWELL HEALTH 0 SPECTRUM HEALTH KELSEY 100 COREWELL DR NW GRAND RAPIDS MI 49503 381297435 HOSPITAL MI 501(c)(3) Line 3 SPECTRUM HEALTH UNITED 0 SPECTRUM HEALTH PRIMARY CARE PARTNERS 100 COREWELL DR NW GRAND RAPIDS MI 49503 381358164 PHYSICIAN SUPPORT SERVICES MI 501(c)(3) Line 3 COREWELL HEALTH 0 SPECTRUM HEALTH UNITED 100 COREWELL DR NW GRAND RAPIDS MI 49503 381358412 HOSPITAL MI 501(c)(3) Line 3 COREWELL HEALTH 0 SPECTRUM HEALTH WORTH SERVICES 100 COREWELL DR NW GRAND RAPIDS MI 49503 382786617 REHABILITATION SERVICES MI 501(c)(3) Line 10 SPECTRUM HEALTH CONTINUING CARE 0 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 VISITING NURSE SERVICES OF WESTERN MICHIGAN 100 COREWELL DR NW GRAND RAPIDS MI 49503 381359195 HOME HEALTH SERVICES MI 501(c)(3) Line 10 SPECTRUM HEALTH CONTINUING CARE 0 WILLIAM BEAUMONT HOSPITAL 100 COREWELL DR NW GRAND RAPIDS MI 49503 381459362 HOSPITAL MI 501(c)(3) Line 3 BEAUMONT HEALTH 0 ZEELAND COMMUNITY HOSPITAL 100 COREWELL DR NW GRAND RAPIDS MI 49503 381411184 HOSPITAL MI 501(c)(3) Line 3 COREWELL 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 N/A N/A 0 0 OAKMED LLC 1938 WOODSLEE DRIVE TROY MI 48084 461459737 PRIVATE DUTY NURSING MI N/A N/A 0 0 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 0 25 MICHIGAN STREET CONDOMINIUM ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 161734157 PROPERTY MANAGEMENT MI SPECTRUM HEALTH HOSPITALS C 0 35 MICHIGAN STREET CONDOMINIUM ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 272193084 PROPERTY MANAGEMENT MI SPECTRUM HEALTH HOSPITALS C 0 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 0 BOTSFORD COMMONS PROPERTY ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 383203663 PROPERTY MANAGEMENT MI BOTSFORD CONTINUING CARE CORPORATION C 0 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 0 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 0 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 0 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 0 MICHIGAN STREET PROJECT CONDOMINIUM ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 364873152 PROPERTY MANAGEMENT MI SPECTRUM HEALTH HOSPITALS C 0 MUSCULO-SKELETAL CENTER CONDOMINIUM ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS MI 49503 383180086 PROPERTY MANAGEMENT MI SPECTRUM HEALTH HOSPITALS C 0 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 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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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0