2023-05-11T12:01:16-05:00 2022-06-30 990 2021-07-01 382589966 MERCY HEALTH PARTNERS MERC 2316722000 1500 E SHERMAN BLVD MUSKEGON MI 49444 MICHAEL GUSHO TREASURER AND CFO 2317284809 2023-05-11 MICHAEL GUSHO 999009999 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z SEE SCHEDULE O FOR LIST GARY ALLORE 1500 E SHERMAN BLVD MUSKEGON MI 49444 838181092 0 0928 X WWW.TRINITYHEALTHMICHIGAN.ORG X 1984 MI TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES. 15 13 4981 67 4722169 0 50499210 18413329 751824696 778405364 16831372 11867835 22859752 27101091 842015030 835787619 2334699 3068630 0 0 356445977 378702794 0 2500 2500 411374818 429036790 770155494 810810714 71859536 24976905 959874237 875892919 666868209 601761019 293006028 274131900 X WE, MERCY HEALTH AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.MERCY HEALTH PARTNERS IS A MEMBER OF MERCY HEALTH AND TRINITY HEALTH. 0 0 747545831 3068630 799572589 MERCY HEALTH PARTNERS IS A TEACHING HOSPITAL WITH MULTIPLE LOCATIONS IN THE MUSKEGON, MICHIGAN AREA, INCLUDING THREE HOSPITALS WITH A TOTAL OF 382 LICENSED BEDS. THE HOSPITALS PROVIDE OVER 90,000 PATIENT SERVICE DAYS, INCLUDING ACUTE CARE, PSYCHIATRIC, AND REHABILITATION SERVICES, AND OVER 91,000 EMERGENCY ROOM VISITS ANNUALLY. THE SYSTEM IS THE LARGEST EMPLOYER IN MUSKEGON COUNTY, WITH A TEAM OF MORE THAN 3,500 EMPLOYEES, INCLUDING 375 PHYSICIANS, COMMITTED TO THE QUALITY CARE OF PATIENTS AND THEIR FAMILIES.THE TRINITY HEALTH MUSKEGON HOSPITAL IS AN ACUTE CARE FACILITY, AND THE MERCY HEALTH MUSKEGON HOSPITAL IS A BEHAVIORAL HEALTH FACILITY; BOTH FACILITIES ARE LOCATED IN MUSKEGON COUNTY AND SERVE MUSKEGON, OCEANA AND NEWAYGO COUNTIES. THE TRINITY HEALTH SHELBY HOSPITAL IS A CRITICAL CARE FACILITY SERVING OCEANA AND NEWAYGO COUNTIES. HEALTHGRADES HAS RANKED THE SYSTEM IN THE TOP 5 PERCENT IN THE NATION FOR COMMITMENT TO CLINICAL QUALITY AND SUPERIOR PATIENT OUTCOMES.PLEASE SEE SCHEDULE H AND VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS AND AWARDS:WWW.TRINITYHEALTHMICHIGAN.ORG 747545831 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 0 0 1 428 0 1 4981 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X TAMARA RICCO 6166853573 318 RIVER RIDGE DR NW SUITE 100 WALKER MI 49544 ROBERT CASALOU DIRECTOR; PRES & CEO, MICH REGION 9.00 46.00 X X 0 1745307 72401 RICK EDGAR MD NEUROSURGEON 50.00 0.00 X 0 1744633 38300 EDMUND HODGE DIRECTOR; TRINITY HEALTH EVP, CHRO 2.00 53.00 X 0 1362452 54921 NOAH THORMEIER DO CARDIOLOGIST 50.00 0.00 X 0 976913 40134 DAVID BONNEMA MD CARDIOLOGIST 50.00 0.00 X 0 972770 44218 MICHAEL GUSHO TREASURER; CFO, MICHIGAN REGION 7.00 43.00 X 0 830738 64319 DANIEL WEST MD CARDIOLOGIST 50.00 0.00 X 0 786427 45912 STEVEN FOX MD GASTROENTEROLOGIST 50.00 0.00 X 0 748403 41696 GARY ALLORE PRESIDENT, TRINITY HEALTH MUSKEGON 54.00 1.00 X 0 633265 49982 SALLY GUINDI SECRETARY; GENL COUNSEL, MICH REGION 9.00 41.00 X 0 564952 65561 KRISTEN WOODS MD FORMER KEY EMPLOYEE; PRESIDENT THMG 0.00 55.00 X 0 510978 113533 JUSTIN GRILL DO CHIEF MEDICAL OFFICER 50.00 0.00 X 0 485746 47662 KRISTI NAGENGAST VICE PRESIDENT FINANCE 49.00 1.00 X 0 345578 52522 CAROL TARNOWSKY FORMER OFFICER 0.00 0.00 X 0 314541 5789 JOHN FOSS VP OPERATIONS, TH SHELBY HOSPITAL 49.00 1.00 X 264008 0 44748 LISA ROSE VP OPERATIONS, TH MUSKEGON HOSPITAL 50.00 0.00 X 276473 0 16646 KEN UGANSKI FORMER KEY EMPLOYEE 0.00 0.00 X 0 160902 10028 DALE NESBARY PHD DIRECTOR; CHAIR 2.00 2.00 X X 0 0 0 DONNA DOLEMAN-DICKERSON DIRECTOR; VICE CHAIR 2.00 2.00 X X 0 0 0 WAYMAN BRITT DIRECTOR 2.00 2.00 X 0 0 0 ERIC FERGUSON MD DIRECTOR AS OF 8/21 2.00 2.00 X 0 0 0 JAN GARFINKLE DIRECTOR 2.00 2.00 X 0 0 0 JOSE' INFANTE DIRECTOR 2.00 2.00 X 0 0 0 SRINIVAS JANARDAN MD DIRECTOR FROM 1/22 THROUGH 4/22 2.00 2.00 X 0 0 0 RANDY LANE DIRECTOR FROM 8/21 THROUGH 9/21 2.00 2.00 X 0 0 0 MARY FRANCIS LEWANDOWSKI CSSF DIRECTOR 2.00 2.00 X 0 0 0 SPENCER MAIDLOW DIRECTOR 2.00 2.00 X 0 0 0 SUZANNE MELLON PHD DIRECTOR AS OF 8/21 2.00 2.00 X 0 0 0 WILLIAM MORRIS DIRECTOR AS OF 3/22 2.00 2.00 X 0 0 0 JEAN NAGELKERK PHD DIRECTOR 2.00 2.00 X 0 0 0 CANETTA REID DIRECTOR 2.00 2.00 X 0 0 0 DAVID STEINBERGER MD DIRECTOR THROUGH 12/21 2.00 2.00 X 0 0 0 LINDA WERTHMAN RSM DIRECTOR 2.00 2.00 X 0 0 0 JAMES WOODS DIRECTOR THROUGH 1/22 2.00 2.00 X 0 0 0 540481 12183605 808372 166 1 1 0 HALLMARK HEALTH CARE SOLUTIONS INC 3000 ATRIUM WAY MT LAUREL TOWNSHIP NJ 08054 HEALTH CARE STAFFING SERVICES 17300769 THE CHRISTMAN COMPANY 208 N CAPITOL AVE LANSING MI 48933 CONSTRUCTION SERVICES 14710810 ELZINGA VOLKERS CONSTRUCTION 86 E 6TH ST HOLLAND MI 49423 CONSTRUCTION SERVICES 7021934 AMERICAN ANESTHESIOLOGY OF MI 1848 E SHERMAN BLVD STE Y MUSKEGON MI 49444 HEALTH CARE SERVICES 4881968 THE MCR GROUP LLC 3419 VIA LIDO 285 NEWPORT BEACH CA 92663 BILLING SERVICES 3229468 124 673024 27125 16625858 1087322 45504 18413329 NET PATIENT SERVICE REVENUE 622110 732490972 731113729 1377243 PHARMACY REVENUE 446110 45914392 42569466 3344926 778405364 8430380 8430380 772201 1624871 -852670 -852670 -852670 3651199 156216 0 369960 3651199 -213744 3437455 3437455 528333 398642 129691 129691 PROVIDER INCENTIVE REVENUE 622110 9182628 9182628 MANAGEMENT SERVICES REVENUE 561000 4530417 4530417 CAFETERIA 722514 1934676 1934676 12176349 12176349 27824070 835787619 799572589 4722169 13079532 X 3068630 3068630 2830754 2830754 530946 249579 281367 308175529 287871589 20303940 9199374 8604115 595259 38793241 36056365 2736876 19172950 18567535 605415 426 426 807870 807870 34472 34472 2500 2500 848886 848886 95148633 90539563 4609070 596810 101057 495753 5804754 3677306 2127448 28191369 22166012 6025357 15904734 12283899 3620835 433897 406294 27603 291153 262470 28683 7562172 7562172 37815374 28963131 8852243 4933391 3946713 986678 MEDICAL SUPPLIES 140334409 140334409 INTERCO PURCH SVCS 36567416 29253933 7313483 BAD DEBT EXPENSE 23319368 23319368 HOSPITAL PROVIDER TAX 19353100 19353100 11088556 10958591 129965 810810714 747545831 63262383 2500 234261 704659 1397014 1179664 85825890 86442468 107450 46886 8371913 8377435 1396306 1128059 586498326 175537574 420144004 410960752 184458319 123103108 93817920 76044353 2171887 2731365 161949273 165174170 959874237 875892919 135872885 135813966 5629731 3408438 1511241 1925589 523854352 460613026 666868209 601761019 X 285482604 268960422 7523424 5171478 293006028 274131900 959874237 875892919 X 24976905 -30701781 -13149252 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 25656 0 0 0 25656 0 PART II-B, LINE 1: MERCY HEALTH PARTNERS HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO NATIONAL AND REGIONAL ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED MERCY HEALTH PARTNERS WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. 1249552 -126294 -26370 1149628 961129 13568 267923 -6933 1249552 1058265 2098 99234 961129 966727 72498 -19040 1058265 990851 80960 105084 966727 0.00000 1.00000 0.00000 1 0 7398627 7398627 397983779 77267583 320716196 159841 126570 33271 168145466 97898401 70247065 12810613 245020 12565593 410960752 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 19011088 F EQUITY METHOD INVESTMENTS 47527721 C HEDGE FUNDS 9505544 F 76044353 MISCELLANEOUS RECEIVABLES 19719028 INTERCOMPANY OTHER ASSETS 41882441 OTHER LONG TERM ASSETS 177574 INVESTMENT IN UNCONSOLIDATED AFFILIATES 8160103 INTERCOMPANY RECEIVABLES 88009719 OPERATING LEASE RIGHT-OF-USE ASSETS 7225305 165174170 INTERCOMPANY NOTES PAYABLE 204571110 INTERCOMPANY ACCOUNTS PAYABLE 228558950 OTHER CURRENT LIABILITIES 1397583 DEFERRED COMPENSATION 1591603 ASSET RETIREMENT OBLIGATIONS 3349268 MEDICARE CASH ADVANCES 13890344 OPERATING LEASE LIABILITIES 7254168 460613026 PART V, LINE 4: EXPLANATION: A PORTION OF MERCY HEALTH PARTNERS' ENDOWMENT FUNDS ARE FOR PATIENT RELATED PURPOSES INCLUDING PATIENT CARE, SPECIALIZED EQUIPMENT AND FACILITIES, FREE CARE AND OPERATIONS. THE REMAINING FUNDS ARE FOR NURSING EDUCATION AND TRAINING. 1 1 X 1 X 1 X 1 1 1 0 1 1 3180828 3180828 0.00400 146968344 125948998 21019346 0.02670 4780015 3609231 1170784 0.00150 154929187 129558229 25370958 0.03220 15 5098 4504304 756738 3747566 0.00480 1 8308284 5206696 3101588 0.00390 5 991542 991542 0.00130 21 5098 13804130 5963434 7840696 0.01000 21 5098 168733317 135521663 33211654 0.04220 2 112411 111915 496 0.00000 2 102427 3701 98726 0.00010 1 2441 2441 0.00000 5 217279 115616 101663 0.00010 0 23319368 0 95725592 111494655 -15769063 X 1 1 1 MUSKEGON SC LLC AMBULATORY SURGERY CTR 0.26460 0.61900 3 1 TRINITY HEALTH MUSKEGON HOSPITAL 1500 E SHERMAN BLVD MUSKEGON MI 49444 WWW.TRINITYHEALTHMICHIGAN.ORG LICENSE 1060000188 X X X X 2 MERCY HEALTH MUSKEGON 125 E SOUTHERN SUITE 120 MUSKEGON MI 49442 WWW.TRINITYHEALTHMICHIGAN.ORG LICENSE 1080000032 X X PSYCHIATRIC HOSPITAL 3 TRINITY HEALTH SHELBY HOSPITAL 72 S STATE STREET SHELBY MI 49455 WWW.TRINITYHEALTHMICHIGAN.ORG LICENSE 1060000153 X X X X TRINITY HEALTH MUSKEGON HOSPITAL 1 0 0 1 X X X X X X X X X 20 1 1 0 1 X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X 1 20 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X 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 1 X 0 X X X X 1 X 0 0 TRINITY HEALTH SHELBY HOSPITAL 3 0 0 1 X X X X X X X X X 20 1 1 0 1 X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X 1 20 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X 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 1 X 0 X X X X 1 X 0 0 MERCY HEALTH MUSKEGON 2 0 0 1 X X X X X X X X X 20 1 1 0 1 X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X 1 20 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X 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 1 X 0 X X X X 0 X X 0 0 TRINITY HEALTH MUSKEGON HOSPITAL PART V, SECTION B, LINE 3J: N/ATRINITY HEALTH MUSKEGON HOSPITAL:PART V, SECTION B, LINE 3E: MERCY HEALTH PARTNERS, DBA TRINITY HEALTH MUSKEGON (THM), INCLUDED IN ITS JOINT FY21 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FY21 CHNA REPORT ENCOMPASSED MUSKEGON AND OCEANA COUNTIES FOR TRINITY HEALTH MUSKEGON HOSPITAL (TH MUSKEGON), TRINITY HEALTH SHELBY HOSPITAL (TH SHELBY), AND MERCY HEALTH MUSKEGON BEHAVIORAL HEALTH HOSPITAL (MH MUSKEGON). THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS:MUSKEGON COUNTY1. EDUCATION2. EMPLOYMENT AND INCOME3. COMMUNITY SAFETY - RACISM AND DISCRIMINATION4. DISPARITIES IN HOUSING - RESIDENTIAL HOUSING AND WATER5. HEALTHY BEHAVIORS - TOBACCO, NUTRITION, EXERCISE, ALCOHOL AND DRUG USE, SEXUAL BEHAVIOROCEANA COUNTY1. EDUCATION2. ACCESS TO CARE3. HOUSING AND TRANSIT4. EMPLOYMENT - CHILDCARE AND TRAINING OPPORTUNITIES5. DIET AND EXERCISE TRINITY HEALTH SHELBY HOSPITAL PART V, SECTION B, LINE 3J: N/ATRINITY HEALTH SHELBY HOSPITAL:PART V, SECTION B, LINE 3E: TRINITY HEALTH MUSKEGON INCLUDED IN ITS JOINT FY21 CHNA WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FY21 CHNA REPORT ENCOMPASSED MUSKEGON AND OCEANA COUNTIES FOR TH MUSKEGON, TH SHELBY, AND MH MUSKEGON. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS:MUSKEGON COUNTY1. EDUCATION2. EMPLOYMENT AND INCOME3. COMMUNITY SAFETY - RACISM AND DISCRIMINATION4. DISPARITIES IN HOUSING - RESIDENTIAL HOUSING AND WATER5. HEALTHY BEHAVIORS - TOBACCO, NUTRITION, EXERCISE, ALCOHOL AND DRUG USE, SEXUAL BEHAVIOROCEANA COUNTY1. EDUCATION2. ACCESS TO CARE3. HOUSING AND TRANSIT4. EMPLOYMENT - CHILDCARE AND TRAINING OPPORTUNITIES5. DIET AND EXERCISE MERCY HEALTH MUSKEGON PART V, SECTION B, LINE 3J: N/AMERCY HEALTH MUSKEGON:PART V, SECTION B, LINE 3E: TRINITY HEALTH MUSKEGON INCLUDED IN ITS JOINT FY21 CHNA WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FY21 CHNA REPORT ENCOMPASSED MUSKEGON AND OCEANA COUNTIES FOR TH MUSKEGON, TH SHELBY, AND MH MUSKEGON. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS:MUSKEGON COUNTY1. EDUCATION2. EMPLOYMENT AND INCOME3. COMMUNITY SAFETY - RACISM AND DISCRIMINATION4. DISPARITIES IN HOUSING - RESIDENTIAL HOUSING AND WATER5. HEALTHY BEHAVIORS - TOBACCO, NUTRITION, EXERCISE, ALCOHOL AND DRUG USE, SEXUAL BEHAVIOROCEANA COUNTY1. EDUCATION2. ACCESS TO CARE3. HOUSING AND TRANSIT4. EMPLOYMENT - CHILDCARE AND TRAINING OPPORTUNITIES5. DIET AND EXERCISE TRINITY HEALTH MUSKEGON HOSPITAL PART V, SECTION B, LINE 5: TRINITY HEALTH MUSKEGON ENCOMPASSES THREE CAMPUSES: TH MUSKEGON, TH SHELBY, AND MH MUSKEGON. THE THM FY21 JOINT-CHNA PROCESS BEGAN IN JANUARY 2021 AND CONCLUDED IN JUNE 2021, WITH A 34-MEMBER ADVISORY COUNCIL REPRESENTING A BROAD RANGE OF INTERESTS IN THE SERVICE AREA. A MAJOR PARTICIPANT IN THE CHNA PROCESS WAS THE MUSKEGON COMMUNITY HEALTH PROJECT (HEALTH PROJECT), THE COMMUNITY BENEFIT ARM OF THM. THE HEALTH PROJECT PROVIDES FREE HEALTH CARE SUPPORT, ADVOCACY, ACCESS, AND SERVICES TO THOSE IN NEED ALONG MICHIGAN'S WEST COAST. OTHER PARTICIPANTS IN THE CHNA PROCESS INCLUDED: PUBLIC HEALTH MUSKEGON COUNTY, DISTRICT HEALTH DEPARTMENT #10, HACKLEY COMMUNITY CARE CENTER, GREAT START COLLABORATIVE THROUGH MUSKEGON ISD, COMMUNITY MERCY HEALTH PARTNERS FOUNDATION FOR MUSKEGON CO., MUSKEGON/OCEANA COMM. ACTION PARTNER, YMCA OF THE LAKESHORE, OCEANA COUNTY LEADER, MUSKEGON COMMUNITY COLLEGE, LAKESHORE CHAMBER OF COMMERCE, TRINITY HEALTH MUSKEGON HOSPITALS, TRINITY HEALTH MEDICAL GROUP, RAMOS AUTO BODY, TRUE NORTH COMMUNITY SERVICES, WALKERVILLE THRIVES, HART PUBLIC SCHOOLS BOARD OF EDUCATION, GOODWILL WEST MICHIGAN, MICHIGAN WORKS, CHILDCARE ACTION TEAM, LIFECIRCLE/PACE, MUSKEGON HEIGHTS NEIGHBORHOOD ASSOC., MUSKEGON FOOD ALLIANCE, MUSKEGON PUBLIC SCHOOLS, HEALTH PROJECT, BETHANY CHRISTIAN SERVICES/COMMUNITY ENCOMPASS, PETERSON FARMS, OCEANA COUNTY FAMILY COURT, OCEANA COUNTY SHERIFF, MDHHS-OCEANA, OCEANA COMMUNITY FOUNDATION, PENTWATER TOWNSHIP, HART PUBLIC SCHOOLS BOARD OF EDUCATION, REP. SCOTT VANSINGEL - 100TH HOUSE DISTRICT, CITY OF HART, HART AREA PUBLIC LIBRARY, VILLAGE OF SHELBY, STATE OF MICHIGAN, SILVER LAKE-HART CHAMBER AND VISITOR BUREAU, OCEANA'S HERALD JOURNAL, ST. GREGORY-OUR LADY OF FATIMA, OCEANA COMMUNITY FOUNDATION, AND WEST MICHIGAN COMMUNITY MENTAL HEALTH.THE COMMUNITY ENGAGEMENT AND INPUT STRATEGY INCLUDED A COMMUNITY SURVEY WITH PARTICIPATION BY 1,257 RESIDENTS AND 13 MULTI-SITE FOCUS GROUPS. THE COMMUNITY SURVEY INCORPORATED A RANGE OF QUESTIONS FOCUSING ON HOUSEHOLD INFORMATION, SOCIAL DETERMINANTS OF HEALTH, DEPENDENT CARE, HEALTH CARE/INSURANCE, PHYSICAL HEALTH, BEHAVIORAL HEALTH AND SUBSTANCE USE, PHYSICAL ACTIVITY AND NUTRITION, ENVIRONMENT AND TRANSPORTATION, HOUSING, EDUCATION AND EMPOWERMENT, AND DEMOGRAPHIC CHARACTERISTICS. THE SURVEY WAS ADMINISTERED BY A CONSULTANT WHO TRACKED DAILY PARTICIPATION AND RESPONSES TO MEDIA PUSHES. THE LINK FOR THE SURVEY WAS CIRCULATED THROUGH VARIOUS SOCIAL MEDIA OUTLETS (FACEBOOK PRIMARILY) AND THE TRINITY HEALTH MUSKEGON DEPARTMENT'S PATIENT MEDIA PLATFORMS, AS WELL AS PAID ADVERTISEMENTS ON FACEBOOK FOR BOTH TRINITY HEALTH MUSKEGON AND THE HEALTH PROJECT.SURVEY METHODOLOGIES INCLUDED VOLUNTEER-ADMINISTERED PAPER QUESTIONNAIRES AND ONLINE SURVEYS CONDUCTED VIA SURVEY MONKEY FROM APRIL 1ST TO MAY 10, 2021. EACH FOCUS GROUP WAS PROFESSIONALLY RECRUITED TO ENSURE THAT PARTICIPANTS REFLECTED THE AREA DEMOGRAPHICS. UTILIZING A VIRTUAL FORMAT, EIGHT TO TEN PARTICIPANTS WERE RECRUITED FOR EACH GROUP AND ALL GROUP SESSIONS WERE FACILITATED BY STAFF. EACH SESSION'S NOTES WERE CAPTURED AND ABRIDGED FOR CENTRAL THEMES, COMMENTS, AND NEW INSIGHTS. ONCE SURVEY AND FOCUS GROUP COMMENTS WERE AGGREGATED, THE PRIORITY ISSUES WERE RANKED BY THE CHNA ADVISORY COMMITTEES IN BOTH MUSKEGON AND OCEANA COUNTIES. TRINITY HEALTH SHELBY HOSPITAL PART V, SECTION B, LINE 5: TRINITY HEALTH MUSKEGON ENCOMPASSES THREE CAMPUSES: TH MUSKEGON, TH SHELBY, AND MH MUSKEGON. THE THM FY21 JOINT-CHNA PROCESS BEGAN IN JANUARY 2021 AND CONCLUDED IN JUNE 2021, WITH A 34-MEMBER ADVISORY COUNCIL REPRESENTING A BROAD RANGE OF INTERESTS IN THE SERVICE AREA. A MAJOR PARTICIPANT IN THE CHNA PROCESS WAS THE MUSKEGON COMMUNITY HEALTH PROJECT (HEALTH PROJECT), THE COMMUNITY BENEFIT ARM OF THM. THE HEALTH PROJECT PROVIDES FREE HEALTH CARE SUPPORT, ADVOCACY, ACCESS, AND SERVICES TO THOSE IN NEED ALONG MICHIGAN'S WEST COAST. OTHER PARTICIPANTS IN THE CHNA PROCESS INCLUDED: PUBLIC HEALTH MUSKEGON COUNTY, DISTRICT HEALTH DEPARTMENT #10, HACKLEY COMMUNITY CARE CENTER, GREAT START COLLABORATIVE THROUGH MUSKEGON ISD, COMMUNITY MERCY HEALTH PARTNERS FOUNDATION FOR MUSKEGON CO., MUSKEGON/OCEANA COMM. ACTION PARTNER, YMCA OF THE LAKESHORE, OCEANA COUNTY LEADER, MUSKEGON COMMUNITY COLLEGE, LAKESHORE CHAMBER OF COMMERCE, TRINITY HEALTH MUSKEGON HOSPITALS, TRINITY HEALTH MEDICAL GROUP, RAMOS AUTO BODY, TRUE NORTH COMMUNITY SERVICES, WALKERVILLE THRIVES, HART PUBLIC SCHOOLS BOARD OF EDUCATION, GOODWILL WEST MICHIGAN, MICHIGAN WORKS, CHILDCARE ACTION TEAM, LIFECIRCLE/PACE, MUSKEGON HEIGHTS NEIGHBORHOOD ASSOC., MUSKEGON FOOD ALLIANCE, MUSKEGON PUBLIC SCHOOLS, HEALTH PROJECT, BETHANY CHRISTIAN SERVICES/COMMUNITY ENCOMPASS, PETERSON FARMS, OCEANA COUNTY FAMILY COURT, OCEANA COUNTY SHERIFF, MDHHS-OCEANA, OCEANA COMMUNITY FOUNDATION, PENTWATER TOWNSHIP, HART PUBLIC SCHOOLS BOARD OF EDUCATION, REP. SCOTT VANSINGEL - 100TH HOUSE DISTRICT, CITY OF HART, HART AREA PUBLIC LIBRARY, VILLAGE OF SHELBY, STATE OF MICHIGAN, SILVER LAKE-HART CHAMBER AND VISITOR BUREAU, OCEANA'S HERALD JOURNAL, ST. GREGORY-OUR LADY OF FATIMA, OCEANA COMMUNITY FOUNDATION, AND WEST MICHIGAN COMMUNITY MENTAL HEALTH.THE COMMUNITY ENGAGEMENT AND INPUT STRATEGY INCLUDED A COMMUNITY SURVEY WITH PARTICIPATION BY 1,257 RESIDENTS AND 13 MULTI-SITE FOCUS GROUPS. THE COMMUNITY SURVEY INCORPORATED A RANGE OF QUESTIONS FOCUSING ON HOUSEHOLD INFORMATION, SOCIAL DETERMINANTS OF HEALTH, DEPENDENT CARE, HEALTH CARE/INSURANCE, PHYSICAL HEALTH, BEHAVIORAL HEALTH AND SUBSTANCE USE, PHYSICAL ACTIVITY AND NUTRITION, ENVIRONMENT AND TRANSPORTATION, HOUSING, EDUCATION AND EMPOWERMENT, AND DEMOGRAPHIC CHARACTERISTICS. THE SURVEY WAS ADMINISTERED BY A CONSULTANT WHO TRACKED DAILY PARTICIPATION AND RESPONSES TO MEDIA PUSHES. THE LINK FOR THE SURVEY WAS CIRCULATED THROUGH VARIOUS SOCIAL MEDIA OUTLETS (FACEBOOK PRIMARILY) AND THE TRINITY HEALTH MUSKEGON DEPARTMENT'S PATIENT MEDIA PLATFORMS, AS WELL AS PAID ADVERTISEMENTS ON FACEBOOK FOR BOTH TRINITY HEALTH MUSKEGON AND THE HEALTH PROJECT.SURVEY METHODOLOGIES INCLUDED VOLUNTEER-ADMINISTERED PAPER QUESTIONNAIRES AND ONLINE SURVEYS CONDUCTED VIA SURVEY MONKEY FROM APRIL 1ST TO MAY 10, 2021. EACH FOCUS GROUP WAS PROFESSIONALLY RECRUITED TO ENSURE THAT PARTICIPANTS REFLECTED THE AREA DEMOGRAPHICS. UTILIZING A VIRTUAL FORMAT, EIGHT TO TEN PARTICIPANTS WERE RECRUITED FOR EACH GROUP AND ALL GROUP SESSIONS WERE FACILITATED BY STAFF. EACH SESSION'S NOTES WERE CAPTURED AND ABRIDGED FOR CENTRAL THEMES, COMMENTS, AND NEW INSIGHTS. ONCE SURVEY AND FOCUS GROUP COMMENTS WERE AGGREGATED, THE PRIORITY ISSUES WERE RANKED BY THE CHNA ADVISORY COMMITTEES IN BOTH MUSKEGON AND OCEANA COUNTIES. MERCY HEALTH MUSKEGON PART V, SECTION B, LINE 5: TRINITY HEALTH MUSKEGON ENCOMPASSES THREE CAMPUSES: TH MUSKEGON, TH SHELBY, AND MH MUSKEGON. THE THM FY21 JOINT-CHNA PROCESS BEGAN IN JANUARY 2021 AND CONCLUDED IN JUNE 2021, WITH A 34-MEMBER ADVISORY COUNCIL REPRESENTING A BROAD RANGE OF INTERESTS IN THE SERVICE AREA. A MAJOR PARTICIPANT IN THE CHNA PROCESS WAS THE MUSKEGON COMMUNITY HEALTH PROJECT (HEALTH PROJECT), THE COMMUNITY BENEFIT ARM OF THM. THE HEALTH PROJECT PROVIDES FREE HEALTH CARE SUPPORT, ADVOCACY, ACCESS, AND SERVICES TO THOSE IN NEED ALONG MICHIGAN'S WEST COAST. OTHER PARTICIPANTS IN THE CHNA PROCESS INCLUDED: PUBLIC HEALTH MUSKEGON COUNTY, DISTRICT HEALTH DEPARTMENT #10, HACKLEY COMMUNITY CARE CENTER, GREAT START COLLABORATIVE THROUGH MUSKEGON ISD, COMMUNITY MERCY HEALTH PARTNERS FOUNDATION FOR MUSKEGON CO., MUSKEGON/OCEANA COMM. ACTION PARTNER, YMCA OF THE LAKESHORE, OCEANA COUNTY LEADER, MUSKEGON COMMUNITY COLLEGE, LAKESHORE CHAMBER OF COMMERCE, TRINITY HEALTH MUSKEGON HOSPITALS, TRINITY HEALTH MEDICAL GROUP, RAMOS AUTO BODY, TRUE NORTH COMMUNITY SERVICES, WALKERVILLE THRIVES, HART PUBLIC SCHOOLS BOARD OF EDUCATION, GOODWILL WEST MICHIGAN, MICHIGAN WORKS, CHILDCARE ACTION TEAM, LIFECIRCLE/PACE, MUSKEGON HEIGHTS NEIGHBORHOOD ASSOC., MUSKEGON FOOD ALLIANCE, MUSKEGON PUBLIC SCHOOLS, HEALTH PROJECT, BETHANY CHRISTIAN SERVICES/COMMUNITY ENCOMPASS, PETERSON FARMS, OCEANA COUNTY FAMILY COURT, OCEANA COUNTY SHERIFF, MDHHS-OCEANA, OCEANA COMMUNITY FOUNDATION, PENTWATER TOWNSHIP, HART PUBLIC SCHOOLS BOARD OF EDUCATION, REP. SCOTT VANSINGEL - 100TH HOUSE DISTRICT, CITY OF HART, HART AREA PUBLIC LIBRARY, VILLAGE OF SHELBY, STATE OF MICHIGAN, SILVER LAKE-HART CHAMBER AND VISITOR BUREAU, OCEANA'S HERALD JOURNAL, ST. GREGORY-OUR LADY OF FATIMA, OCEANA COMMUNITY FOUNDATION, AND WEST MICHIGAN COMMUNITY MENTAL HEALTH.THE COMMUNITY ENGAGEMENT AND INPUT STRATEGY INCLUDED A COMMUNITY SURVEY WITH PARTICIPATION BY 1,257 RESIDENTS AND 13 MULTI-SITE FOCUS GROUPS. THE COMMUNITY SURVEY INCORPORATED A RANGE OF QUESTIONS FOCUSING ON HOUSEHOLD INFORMATION, SOCIAL DETERMINANTS OF HEALTH, DEPENDENT CARE, HEALTH CARE/INSURANCE, PHYSICAL HEALTH, BEHAVIORAL HEALTH AND SUBSTANCE USE, PHYSICAL ACTIVITY AND NUTRITION, ENVIRONMENT AND TRANSPORTATION, HOUSING, EDUCATION AND EMPOWERMENT, AND DEMOGRAPHIC CHARACTERISTICS. THE SURVEY WAS ADMINISTERED BY A CONSULTANT WHO TRACKED DAILY PARTICIPATION AND RESPONSES TO MEDIA PUSHES. THE LINK FOR THE SURVEY WAS CIRCULATED THROUGH VARIOUS SOCIAL MEDIA OUTLETS (FACEBOOK PRIMARILY) AND THE TRINITY HEALTH MUSKEGON DEPARTMENT'S PATIENT MEDIA PLATFORMS, AS WELL AS PAID ADVERTISEMENTS ON FACEBOOK FOR BOTH TRINITY HEALTH MUSKEGON AND THE HEALTH PROJECT.SURVEY METHODOLOGIES INCLUDED VOLUNTEER-ADMINISTERED PAPER QUESTIONNAIRES AND ONLINE SURVEYS CONDUCTED VIA SURVEY MONKEY FROM APRIL 1ST TO MAY 10, 2021. EACH FOCUS GROUP WAS PROFESSIONALLY RECRUITED TO ENSURE THAT PARTICIPANTS REFLECTED THE AREA DEMOGRAPHICS. UTILIZING A VIRTUAL FORMAT, EIGHT TO TEN PARTICIPANTS WERE RECRUITED FOR EACH GROUP AND ALL GROUP SESSIONS WERE FACILITATED BY STAFF. EACH SESSION'S NOTES WERE CAPTURED AND ABRIDGED FOR CENTRAL THEMES, COMMENTS, AND NEW INSIGHTS. ONCE SURVEY AND FOCUS GROUP COMMENTS WERE AGGREGATED, THE PRIORITY ISSUES WERE RANKED BY THE CHNA ADVISORY COMMITTEES IN BOTH MUSKEGON AND OCEANA COUNTIES. TRINITY HEALTH MUSKEGON HOSPITAL PART V, SECTION B, LINE 6A: THE FY21 CHNA WAS CONDUCTED JOINTLY WITH THE THREE HOSPITAL SYSTEM FACILITIES COMPRISING TRINITY HEALTH MUSKEGON: TH MUSKEGON, TH SHELBY, AND MH MUSKEGON. TH MUSKEGON IS A FULL-SERVICE, ACUTE CARE FACILITY LOCATED IN MUSKEGON COUNTY, SERVING MUSKEGON AND OCEANA COUNTIES, WITH A SECONDARY MARKET IN NEWAYGO, MASON, AND OTTAWA COUNTIES. MH MUSKEGON IS A BEHAVIORAL HEALTH UNIT LOCATED IN MUSKEGON COUNTY, SERVING MUSKEGON AND OCEANA COUNTIES, WITH A SECONDARY MARKET IN NEWAYGO, MASON, AND OTTAWA COUNTIES. TH SHELBY IS A CRITICAL ACCESS FACILITY, SERVING OCEANA COUNTY AND PARTS OF NEWAYGO COUNTY. TRINITY HEALTH SHELBY HOSPITAL PART V, SECTION B, LINE 6A: THE FY21 CHNA WAS CONDUCTED JOINTLY WITH THE THREE HOSPITAL SYSTEM FACILITIES COMPRISING TRINITY HEALTH MUSKEGON: TH MUSKEGON, TH SHELBY, AND MH MUSKEGON. TH MUSKEGON IS A FULL-SERVICE, ACUTE CARE FACILITY LOCATED IN MUSKEGON COUNTY, SERVING MUSKEGON AND OCEANA COUNTIES, WITH A SECONDARY MARKET IN NEWAYGO, MASON, AND OTTAWA COUNTIES. MH MUSKEGON IS A BEHAVIORAL HEALTH UNIT LOCATED IN MUSKEGON COUNTY, SERVING MUSKEGON AND OCEANA COUNTIES, WITH A SECONDARY MARKET IN NEWAYGO, MASON, AND OTTAWA COUNTIES. TH SHELBY IS A CRITICAL ACCESS FACILITY, SERVING OCEANA COUNTY AND PARTS OF NEWAYGO COUNTY. MERCY HEALTH MUSKEGON PART V, SECTION B, LINE 6A: THE FY21 CHNA WAS CONDUCTED JOINTLY WITH THE THREE HOSPITAL SYSTEM FACILITIES COMPRISING TRINITY HEALTH MUSKEGON: TH MUSKEGON, TH SHELBY, AND MH MUSKEGON. TH MUSKEGON IS A FULL-SERVICE, ACUTE CARE FACILITY LOCATED IN MUSKEGON COUNTY, SERVING MUSKEGON AND OCEANA COUNTIES, WITH A SECONDARY MARKET IN NEWAYGO, MASON, AND OTTAWA COUNTIES. MH MUSKEGON IS A BEHAVIORAL HEALTH UNIT LOCATED IN MUSKEGON COUNTY, SERVING MUSKEGON AND OCEANA COUNTIES, WITH A SECONDARY MARKET IN NEWAYGO, MASON, AND OTTAWA COUNTIES. TH SHELBY IS A CRITICAL ACCESS FACILITY, SERVING OCEANA COUNTY AND PARTS OF NEWAYGO COUNTY. TRINITY HEALTH MUSKEGON HOSPITAL PART V, SECTION B, LINE 11: DURING THE PAST FISCAL YEAR, THE MERCY HEALTH HACKLEY HOSPITAL BUILDING WAS TORN DOWN, LEAVING ONE ACUTE CARE CAMPUS AND A BEHAVIORAL HEALTH UNIT IN MUSKEGON, AND THE LAKESHORE CAMPUS IN SHELBY. THE MUSKEGON ACUTE CARE CAMPUS WAS OFFICIALLY REBRANDED AS TRINITY HEALTH MUSKEGON HOSPITAL AND THE LAKESHORE CAMPUS AS TRINITY HEALTH SHELBY HOSPITAL. IN FY22, THESE HOSPITALS COLLECTIVELY ADDRESSED THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE FY21 CHNA. MUSKEGON COUNTY:EDUCATION - IN MARCH 2020, TRINITY HEALTH MUSKEGON FORMALLY ANNOUNCED THAT SEVERAL ACRES OF THE HACKLEY CAMPUS PROPERTY WOULD BE GIVEN TO MUSKEGON PUBLIC SCHOOLS TO BUILD A NEW MIDDLE SCHOOL. INCLUDED IN THE DESIGN IS THE DEVELOPMENT OF THE EARLY CAREER TECHNOLOGY EXPLORATION CENTER FOR GRADES 6 THROUGH 8, WITH CAREER PATHWAYS LEADING TO CONTINUED EDUCATION THROUGH THE MUSKEGON CAREER TECH CENTER, MUSKEGON COMMUNITY COLLEGE AND BAKER COLLEGE. IN FY21, THM BEGAN PREPARATION FOR THE LAND TRANSFER BY PLANNING FOR DEMOLITION OF THE EXISTING SITE AND COORDINATING WITH MUSKEGON PUBLIC SCHOOLS AND THE CITY OF MUSKEGON ON MUNICIPAL INFRASTRUCTURE ISSUES, DEMOLITION PERMITS, AND HAZARDOUS MITIGATION REQUIREMENTS. IN FY22, THE HOSPITAL BUILDING WAS DEMOLISHED AND THE LAND TRANSFER WAS COMPLETED. THE LAND WAS OFFICIALLY DONATED TO MUSKEGON PUBLIC SCHOOLS IN SPRING 2022.IN FY22, THM AWARDED CASH GRANTS THROUGH ITS COMMUNITY BENEFIT BOARD INITIATIVE AND SISTER SIMONE GRANT TO ORGANIZATIONS WHOSE PROPOSALS INCLUDED EDUCATIONAL PRIORITIES IN BOTH MUSKEGON AND OCEANA COUNTIES. THREE RECIPIENTS RECEIVED GRANTS: THE OCEANA COLLEGE ACCESS NETWORK, READ MUSKEGON, AND THE BOYS AND GIRLS CLUB.EMPLOYMENT AND INCOME - IN COLLABORATION WITH THE COMMUNITY HEALTH IMPROVEMENT REGION (CHIR), TH MUSKEGON AND SEVERAL COMMUNITY ORGANIZATIONS CONTINUED WORK ON THE CHIR'S LIVABILITY LAB 100-DAY CHALLENGE, WHICH WAS LAUNCHED IN SEPTEMBER 2019. THE CHIR'S PROCESS IDENTIFIED SEVERAL TEAMS THAT COLLABORATED FOR 100 DAYS TO USE DATA TO IDENTIFY BARRIERS AND POSSIBLY IMPLEMENT SOLUTIONS, SUCH AS: CHILDCARE OPPORTUNITIES; WORKFORCE DEVELOPMENT GAPS; EMPLOYMENT OPPORTUNITIES VIA EXPUNGEMENT; AND IDENTIFICATION, PROMOTION, AND SUPPORT OF MINORITY-OWNED BUSINESSES.IN FY22, THM AWARDED ONE ECONOMIC DEVELOPMENT GRANT TO ACCESS HEALTH TO DEVELOP NEIGHBORHOOD ASSOCIATIONS AND ECONOMIC DEVELOPMENT FOR BUSINESSES. COMMUNITY SAFETY, RACISM AND DISCRIMINATION - THM, THROUGH THE HEALTH PROJECT, HAS FACILITATED THE MUSKEGON HEALTH DISPARITIES COALITION (MHDC) FOR SEVERAL YEARS TO COLLECT DATA, OFFER TRAININGS, AND ENCOURAGE COMMUNITY MEMBERS TO ADVOCATE FOR THEIR HEALTH CARE NEEDS. SINCE 2017, MHDC HAS SUPPORTED MASTER TRAINERS IN COMING TOGETHER FOR RACIAL UNDERSTANDING (CTRU) AND OFFERED MULTIPLE WORKSHOPS ON UNCONSCIOUS BIAS AND RACISM, AS WELL AS PRESENTING MOVIES TO THE COMMUNITY FREE OF CHARGE ON MULTIPLE ISSUES. OVER 240 COMMUNITY MEMBERS HAVE TAKEN ADVANTAGE OF THE MHDC TRAININGS SINCE 2018. TH MUSKEGON STAFF AND MISSION LEADERS ARE ACTIVELY ENGAGED IN THE INITIATIVE, ENSURING ALIGNMENT AND PARTNERSHIP OPPORTUNITIES WITH THE DIVERSITY AND INCLUSION TEAM. DURING FY22, CTRU CLASSES WERE ADAPTED TO BOTH A VIRTUAL FORMAT AND A LIVE OPTION, WITH TWO FOUR-WEEK SESSIONS COMPLETED DURING THIS TIME. HEALTHY BEHAVIORS, TOBACCO, NUTRITION, EXERCISE, ALCOHOL AND DRUG USE, SEXUAL BEHAVIOR - SINCE THE RELEASE OF THE 2019 THM CHNA, GREAT EFFORTS TO PROVIDE HEALTHY FOOD OPPORTUNITIES HAVE CONTINUED IN OCEANA COUNTY. OCEANA HEALTH BOUND, A COALITION LED BY THM THROUGH THE HEALTH PROJECT, AND ITS SUBGROUP, HEALTHY LIFESTYLES, HAVE LED AND PARTICIPATED IN SEVERAL COMMUNITY-WIDE HEALTH FAIRS. STAFF FROM TH SHELBY, THE HEALTH PROJECT, AND COMMUNITY PARTNERS LIKE MSU-EXTENSION CONTINUE TO OFFER THE STANFORD UNIVERSITY DIABETES SELF-MANAGEMENT PROGRAM AND OTHER NUTRITION-RELATED COURSES. IN FY22, TH SHELBY WAS AWARDED $15,000 PER YEAR FOR IMPLEMENTATION OF THE PRESCRIPTION FOR HEALTH PROGRAM, WHICH COMES DIRECTLY FROM THE MICHIGAN HEALTH ENDOWMENT FUND GRANT. AREA FARMERS MARKETS HAVE ALSO RECEIVED GRANTS TO OFFER OPPORTUNITIES FOR FRESH FRUITS AND VEGETABLES TO CHILDREN AND SENIORS. IN FY22, 236 PEOPLE TOOK ADVANTAGE OF THE PROGRAM. TH MUSKEGON ALSO OFFERS A DYNAMIC ATHLETIC TRAINING PROGRAM THAT PROVIDES EDUCATION, WELL CHECKS, TRAINING, INJURY PREVENTION AND REHABILITATION SERVICES FULL TIME TO 19 AREA SCHOOL DISTRICTS IN MUSKEGON AND OCEANA COUNTIES. TRAINERS ARE STATIONED WITHIN THE SCHOOL DISTRICTS DURING THE DAY TO ASSIST WITH EDUCATION, INJURY PREVENTION, TRAINING, AND REHABILITATION SERVICES FOR MULTIPLE SCHOOL PROGRAMS, INCLUDING ATHLETICS, BAND, DRAMA, AND THE PERFORMING ARTS DEPARTMENTS. TRAINED IN MULTIPLE HEALTH AND WELLNESS PROGRAMS, THEY ALSO PROVIDE REFERRALS AND ACCESS TO SERVICES FOR STUDENTS NEEDING ACCESS TO PREVENTION PROGRAMS, HEALTH CARE, AND MORE RECENTLY BEHAVIORAL HEALTH PROGRAMS. DURING FY22, THE TRAINERS UNDERWENT EXTENSIVE INSTRUCTION ON SUICIDE PREVENTION AND MENTAL HEALTH ISSUES AMONG YOUTH. OCEANA COUNTY:EMPLOYMENT, CHILDCARE AND TRAINING OPPORTUNITIES - AS PART OF THE HEALTH PROJECT COMMUNITY BENEFIT BOARD INITIATIVE GRANTS, UNITED WAY OF THE LAKESHORE RECEIVED $20,000 TO SUPPORT EXISTING CHILDCARE PROVIDERS AND RECRUIT NEW PROVIDERS THROUGH THE HELP OF A SHARED SERVICES HUB. THIS SHARED SERVICES HUB WILL REDUCE STRESS ON PROVIDERS BY ENABLING ACCESS TO A TEAM OF EXPERTS IN BOTH BUSINESS AND PEDAGOGICAL LEADERSHIP. IT WILL ALLOW MORE TIME TO FOCUS ON THE CHILDREN AND THEIR LEARNING ACTIVITIES, WHICH IN TURN WILL RAISE THE QUALITY OF CARE. SIGNIFICANT PROGRESS WAS MADE IN THE IMPLEMENTATION OF THE TRI SHARE CHILDCARE ACCESS PROGRAM, WHICH WAS ORIGINALLY PILOTED IN MUSKEGON AND EXPANDED REGIONALLY TO OCEANA COUNTY. THIS PROJECT ALLOWS LOW-INCOME FAMILIES TO TAP INTO PRIVATE AND GOVERNMENT FUNDING THAT SUPPLEMENTS DAYCARE COSTS.DIET AND EXERCISE - IN FY22, TH MUSKEGON PARTNERS CONTINUED TO SUPPORT BOTH THE HEALTH BOUND COLLABORATIVE AND THE EXPANSION OF THE DIABETES PREVENTION PROGRAM (DPP) TO OCEANA COUNTY.ACCESS TO CARE - TH SHELBY WORKS WITH THE HEALTH PROJECT TO ENSURE THAT OCEANA COUNTY RESIDENTS ARE SCREENED FOR ENROLLMENT IN A MYRIAD OF ACCESS TO CARE INITIATIVES. THESE INCLUDE GOVERNMENT INSURANCE PROGRAMS LIKE MEDICARE AND MEDICAID, EMERGENCY SERVICES, HOSPITAL FINANCIAL ASSISTANCE PROGRAMS, PHARMACY ACCESS PROGRAMS AND VISION SERVICES, AS WELL AS REFERRALS TO COMMUNITY-BASED ORGANIZATIONS THAT PROVIDE ADDITIONAL SERVICES NOT PROVIDED BY THE HOSPITAL. DURING THIS PERIOD, HEALTH PROJECT COMMUNITY HEALTH WORKERS ENROLLED 339 PATIENTS IN THESE PROGRAMS AND REFERRED PATIENTS TO 302 OTHER SERVICES IN OCEANA COUNTY. TH MUSKEGON, TH SHELBY, AND THE MERCY HEALTH MUSKEGON BEHAVIORAL HEALTH UNIT ACKNOWLEDGE THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. FOR THAT REASON, THE HOSPITALS DID NOT DIRECTLY ADDRESS DISPARITIES IN HOUSING-RESIDENTIAL HOUSING AND WATER IN MUSKEGON COUNTY OR HOUSING AND TRANSIT IN OCEANA COUNTY. TRINITY HEALTH SHELBY HOSPITAL PART V, SECTION B, LINE 11: DURING THE PAST FISCAL YEAR, THE MERCY HEALTH HACKLEY HOSPITAL BUILDING WAS TORN DOWN, LEAVING ONE ACUTE CARE CAMPUS AND A BEHAVIORAL HEALTH UNIT IN MUSKEGON, AND THE LAKESHORE CAMPUS IN SHELBY. THE MUSKEGON ACUTE CARE CAMPUS WAS OFFICIALLY REBRANDED AS TRINITY HEALTH MUSKEGON HOSPITAL AND THE LAKESHORE CAMPUS AS TRINITY HEALTH SHELBY HOSPITAL. IN FY22, THESE HOSPITALS COLLECTIVELY ADDRESSED THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE FY21 CHNA. MUSKEGON COUNTY:EDUCATION - IN FY22, THM AWARDED CASH GRANTS THROUGH ITS COMMUNITY BENEFIT BOARD INITIATIVE AND SISTER SIMONE GRANT TO ORGANIZATIONS WHOSE PROPOSALS INCLUDED EDUCATIONAL PRIORITIES IN BOTH MUSKEGON AND OCEANA COUNTIES. THREE RECIPIENTS RECEIVED GRANTS: THE OCEANA COLLEGE ACCESS NETWORK, READ MUSKEGON, AND THE BOYS AND GIRLS CLUB.EMPLOYMENT AND INCOME - IN COLLABORATION WITH THE COMMUNITY HEALTH IMPROVEMENT REGION (CHIR), TH MUSKEGON AND SEVERAL COMMUNITY ORGANIZATIONS CONTINUED WORK ON THE CHIR'S LIVABILITY LAB 100-DAY CHALLENGE, WHICH WAS LAUNCHED IN SEPTEMBER 2019. THE CHIR'S PROCESS IDENTIFIED SEVERAL TEAMS THAT COLLABORATED FOR 100 DAYS TO USE DATA TO IDENTIFY BARRIERS AND POSSIBLY IMPLEMENT SOLUTIONS, SUCH AS: CHILDCARE OPPORTUNITIES; WORKFORCE DEVELOPMENT GAPS; EMPLOYMENT OPPORTUNITIES VIA EXPUNGEMENT; AND IDENTIFICATION, PROMOTION, AND SUPPORT OF MINORITY-OWNED BUSINESSES.IN FY22, THM AWARDED ONE ECONOMIC DEVELOPMENT GRANT TO ACCESS HEALTH TO DEVELOP NEIGHBORHOOD ASSOCIATIONS AND ECONOMIC DEVELOPMENT FOR BUSINESSES. COMMUNITY SAFETY, RACISM AND DISCRIMINATION - THM, THROUGH THE HEALTH PROJECT, HAS FACILITATED THE MUSKEGON HEALTH DISPARITIES COALITION (MHDC) FOR SEVERAL YEARS TO COLLECT DATA, OFFER TRAININGS, AND ENCOURAGE COMMUNITY MEMBERS TO ADVOCATE FOR THEIR HEALTH CARE NEEDS. SINCE 2017, MHDC HAS SUPPORTED MASTER TRAINERS IN COMING TOGETHER FOR RACIAL UNDERSTANDING (CTRU) AND OFFERED MULTIPLE WORKSHOPS ON UNCONSCIOUS BIAS AND RACISM, AS WELL AS PRESENTING MOVIES TO THE COMMUNITY FREE OF CHARGE ON MULTIPLE ISSUES. OVER 240 COMMUNITY MEMBERS HAVE TAKEN ADVANTAGE OF THE MHDC TRAININGS SINCE 2018. TH MUSKEGON STAFF AND MISSION LEADERS ARE ACTIVELY ENGAGED IN THE INITIATIVE, ENSURING ALIGNMENT AND PARTNERSHIP OPPORTUNITIES WITH THE DIVERSITY AND INCLUSION TEAM. DURING FY22, CTRU CLASSES WERE ADAPTED TO BOTH A VIRTUAL FORMAT AND A LIVE OPTION, WITH TWO FOUR-WEEK SESSIONS COMPLETED DURING THIS TIME. HEALTHY BEHAVIORS, TOBACCO, NUTRITION, EXERCISE, ALCOHOL AND DRUG USE, SEXUAL BEHAVIOR - SINCE THE RELEASE OF THE 2019 THM CHNA, GREAT EFFORTS TO PROVIDE HEALTHY FOOD OPPORTUNITIES HAVE CONTINUED IN OCEANA COUNTY. OCEANA HEALTH BOUND, A COALITION LED BY THM THROUGH THE HEALTH PROJECT, AND ITS SUBGROUP, HEALTHY LIFESTYLES, HAVE LED AND PARTICIPATED IN SEVERAL COMMUNITY-WIDE HEALTH FAIRS. STAFF FROM TH SHELBY, THE HEALTH PROJECT, AND COMMUNITY PARTNERS LIKE MSU-EXTENSION CONTINUE TO OFFER THE STANFORD UNIVERSITY DIABETES SELF-MANAGEMENT PROGRAM AND OTHER NUTRITION-RELATED COURSES. IN FY22, TH SHELBY WAS AWARDED $15,000 PER YEAR FOR IMPLEMENTATION OF THE PRESCRIPTION FOR HEALTH PROGRAM, WHICH COMES DIRECTLY FROM THE MICHIGAN HEALTH ENDOWMENT FUND GRANT. AREA FARMERS MARKETS HAVE ALSO RECEIVED GRANTS TO OFFER OPPORTUNITIES FOR FRESH FRUITS AND VEGETABLES TO CHILDREN AND SENIORS. IN FY22, 236 PEOPLE TOOK ADVANTAGE OF THE PROGRAM. TH MUSKEGON ALSO OFFERS A DYNAMIC ATHLETIC TRAINING PROGRAM THAT PROVIDES EDUCATION, WELL CHECKS, TRAINING, INJURY PREVENTION AND REHABILITATION SERVICES FULL TIME TO 19 AREA SCHOOL DISTRICTS IN MUSKEGON AND OCEANA COUNTIES. TRAINERS ARE STATIONED WITHIN THE SCHOOL DISTRICTS DURING THE DAY TO ASSIST WITH EDUCATION, INJURY PREVENTION, TRAINING, AND REHABILITATION SERVICES FOR MULTIPLE SCHOOL PROGRAMS, INCLUDING ATHLETICS, BAND, DRAMA, AND THE PERFORMING ARTS DEPARTMENTS. TRAINED IN MULTIPLE HEALTH AND WELLNESS PROGRAMS, THEY ALSO PROVIDE REFERRALS AND ACCESS TO SERVICES FOR STUDENTS NEEDING ACCESS TO PREVENTION PROGRAMS, HEALTH CARE, AND MORE RECENTLY BEHAVIORAL HEALTH PROGRAMS. DURING FY22, THE TRAINERS UNDERWENT EXTENSIVE INSTRUCTION ON SUICIDE PREVENTION AND MENTAL HEALTH ISSUES AMONG YOUTH. OCEANA COUNTY:EMPLOYMENT, CHILDCARE AND TRAINING OPPORTUNITIES - AS PART OF THE HEALTH PROJECT COMMUNITY BENEFIT BOARD INITIATIVE GRANTS, UNITED WAY OF THE LAKESHORE RECEIVED $20,000 TO SUPPORT EXISTING CHILDCARE PROVIDERS AND RECRUIT NEW PROVIDERS THROUGH THE HELP OF A SHARED SERVICES HUB. THIS SHARED SERVICES HUB WILL REDUCE STRESS ON PROVIDERS BY ENABLING ACCESS TO A TEAM OF EXPERTS IN BOTH BUSINESS AND PEDAGOGICAL LEADERSHIP. IT WILL ALLOW MORE TIME TO FOCUS ON THE CHILDREN AND THEIR LEARNING ACTIVITIES, WHICH IN TURN WILL RAISE THE QUALITY OF CARE. SIGNIFICANT PROGRESS WAS MADE IN THE IMPLEMENTATION OF THE TRI SHARE CHILDCARE ACCESS PROGRAM, WHICH WAS ORIGINALLY PILOTED IN MUSKEGON AND EXPANDED REGIONALLY TO OCEANA COUNTY. THIS PROJECT ALLOWS LOW-INCOME FAMILIES TO TAP INTO PRIVATE AND GOVERNMENT FUNDING THAT SUPPLEMENTS DAYCARE COSTS. DIET AND EXERCISE - IN FY22, TH MUSKEGON PARTNERS CONTINUED TO SUPPORT BOTH THE HEALTH BOUND COLLABORATIVE AND THE EXPANSION OF THE DIABETES PREVENTION PROGRAM (DPP) TO OCEANA COUNTY.ACCESS TO CARE - TH SHELBY WORKS WITH THE HEALTH PROJECT TO ENSURE THAT OCEANA COUNTY RESIDENTS ARE SCREENED FOR ENROLLMENT IN A MYRIAD OF ACCESS TO CARE INITIATIVES. THESE INCLUDE GOVERNMENT INSURANCE PROGRAMS LIKE MEDICARE AND MEDICAID, EMERGENCY SERVICES, HOSPITAL FINANCIAL ASSISTANCE PROGRAMS, PHARMACY ACCESS PROGRAMS AND VISION SERVICES, AS WELL AS REFERRALS TO COMMUNITY-BASED ORGANIZATIONS THAT PROVIDE ADDITIONAL SERVICES NOT PROVIDED BY THE HOSPITAL. DURING THIS PERIOD, HEALTH PROJECT COMMUNITY HEALTH WORKERS ENROLLED 339 PATIENTS IN THESE PROGRAMS AND REFERRED PATIENTS TO 302 OTHER SERVICES IN OCEANA COUNTY. TH MUSKEGON, TH SHELBY, AND THE MERCY HEALTH MUSKEGON BEHAVIORAL HEALTH UNIT ACKNOWLEDGE THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. FOR THAT REASON, THE HOSPITALS DID NOT DIRECTLY ADDRESS DISPARITIES IN HOUSING-RESIDENTIAL HOUSING AND WATER IN MUSKEGON COUNTY OR HOUSING AND TRANSIT IN OCEANA COUNTY. MERCY HEALTH MUSKEGON PART V, SECTION B, LINE 11: DURING THE PAST FISCAL YEAR, THE MERCY HEALTH HACKLEY HOSPITAL BUILDING WAS TORN DOWN, LEAVING ONE ACUTE CARE CAMPUS AND A BEHAVIORAL HEALTH UNIT IN MUSKEGON, AND THE LAKESHORE CAMPUS IN SHELBY. THE MUSKEGON ACUTE CARE CAMPUS WAS OFFICIALLY REBRANDED AS TRINITY HEALTH MUSKEGON HOSPITAL AND THE LAKESHORE CAMPUS AS TRINITY HEALTH SHELBY HOSPITAL. IN FY22, THESE HOSPITALS COLLECTIVELY ADDRESSED THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE FY21 CHNA. MUSKEGON COUNTY:EDUCATION - IN MARCH 2020, TRINITY HEALTH MUSKEGON FORMALLY ANNOUNCED THAT SEVERAL ACRES OF THE HACKLEY CAMPUS PROPERTY WOULD BE GIVEN TO MUSKEGON PUBLIC SCHOOLS TO BUILD A NEW MIDDLE SCHOOL. INCLUDED IN THE DESIGN IS THE DEVELOPMENT OF THE EARLY CAREER TECHNOLOGY EXPLORATION CENTER FOR GRADES 6 THROUGH 8, WITH CAREER PATHWAYS LEADING TO CONTINUED EDUCATION THROUGH THE MUSKEGON CAREER TECH CENTER, MUSKEGON COMMUNITY COLLEGE AND BAKER COLLEGE. IN FY21, THM BEGAN PREPARATION FOR THE LAND TRANSFER BY PLANNING FOR DEMOLITION OF THE EXISTING SITE AND COORDINATING WITH MUSKEGON PUBLIC SCHOOLS AND THE CITY OF MUSKEGON ON MUNICIPAL INFRASTRUCTURE ISSUES, DEMOLITION PERMITS, AND HAZARDOUS MITIGATION REQUIREMENTS. IN FY22, THE HOSPITAL BUILDING WAS DEMOLISHED AND THE LAND TRANSFER WAS COMPLETED. THE LAND WAS OFFICIALLY DONATED TO MUSKEGON PUBLIC SCHOOLS IN SPRING 2022.IN FY22, THM AWARDED CASH GRANTS THROUGH ITS COMMUNITY BENEFIT BOARD INITIATIVE AND SISTER SIMONE GRANT TO ORGANIZATIONS WHOSE PROPOSALS INCLUDED EDUCATIONAL PRIORITIES IN BOTH MUSKEGON AND OCEANA COUNTIES. THREE RECIPIENTS RECEIVED GRANTS: THE OCEANA COLLEGE ACCESS NETWORK, READ MUSKEGON, AND THE BOYS AND GIRLS CLUB.EMPLOYMENT AND INCOME - IN COLLABORATION WITH THE COMMUNITY HEALTH IMPROVEMENT REGION (CHIR), TH MUSKEGON AND SEVERAL COMMUNITY ORGANIZATIONS CONTINUED WORK ON THE CHIR'S LIVABILITY LAB 100-DAY CHALLENGE, WHICH WAS LAUNCHED IN SEPTEMBER 2019. THE CHIR'S PROCESS IDENTIFIED SEVERAL TEAMS THAT COLLABORATED FOR 100 DAYS TO USE DATA TO IDENTIFY BARRIERS AND POSSIBLY IMPLEMENT SOLUTIONS, SUCH AS: CHILDCARE OPPORTUNITIES; WORKFORCE DEVELOPMENT GAPS; EMPLOYMENT OPPORTUNITIES VIA EXPUNGEMENT; AND IDENTIFICATION, PROMOTION, AND SUPPORT OF MINORITY-OWNED BUSINESSES.IN FY22, THM AWARDED ONE ECONOMIC DEVELOPMENT GRANT TO ACCESS HEALTH TO DEVELOP NEIGHBORHOOD ASSOCIATIONS AND ECONOMIC DEVELOPMENT FOR BUSINESSES. COMMUNITY SAFETY, RACISM AND DISCRIMINATION - THM, THROUGH THE HEALTH PROJECT, HAS FACILITATED THE MUSKEGON HEALTH DISPARITIES COALITION (MHDC) FOR SEVERAL YEARS TO COLLECT DATA, OFFER TRAININGS, AND ENCOURAGE COMMUNITY MEMBERS TO ADVOCATE FOR THEIR HEALTH CARE NEEDS. SINCE 2017, MHDC HAS SUPPORTED MASTER TRAINERS IN COMING TOGETHER FOR RACIAL UNDERSTANDING (CTRU) AND OFFERED MULTIPLE WORKSHOPS ON UNCONSCIOUS BIAS AND RACISM, AS WELL AS PRESENTING MOVIES TO THE COMMUNITY FREE OF CHARGE ON MULTIPLE ISSUES. OVER 240 COMMUNITY MEMBERS HAVE TAKEN ADVANTAGE OF THE MHDC TRAININGS SINCE 2018. TH MUSKEGON STAFF AND MISSION LEADERS ARE ACTIVELY ENGAGED IN THE INITIATIVE, ENSURING ALIGNMENT AND PARTNERSHIP OPPORTUNITIES WITH THE DIVERSITY AND INCLUSION TEAM. DURING FY22, CTRU CLASSES WERE ADAPTED TO BOTH A VIRTUAL FORMAT AND A LIVE OPTION, WITH TWO FOUR-WEEK SESSIONS COMPLETED DURING THIS TIME. HEALTHY BEHAVIORS, TOBACCO, NUTRITION, EXERCISE, ALCOHOL AND DRUG USE, SEXUAL BEHAVIOR - SINCE THE RELEASE OF THE 2019 THM CHNA, GREAT EFFORTS TO PROVIDE HEALTHY FOOD OPPORTUNITIES HAVE CONTINUED IN OCEANA COUNTY. OCEANA HEALTH BOUND, A COALITION LED BY THM THROUGH THE HEALTH PROJECT, AND ITS SUBGROUP, HEALTHY LIFESTYLES, HAVE LED AND PARTICIPATED IN SEVERAL COMMUNITY-WIDE HEALTH FAIRS. STAFF FROM TH SHELBY, THE HEALTH PROJECT, AND COMMUNITY PARTNERS LIKE MSU-EXTENSION CONTINUE TO OFFER THE STANFORD UNIVERSITY DIABETES SELF-MANAGEMENT PROGRAM AND OTHER NUTRITION-RELATED COURSES. IN FY22, TH SHELBY WAS AWARDED $15,000 PER YEAR FOR IMPLEMENTATION OF THE PRESCRIPTION FOR HEALTH PROGRAM, WHICH COMES DIRECTLY FROM THE MICHIGAN HEALTH ENDOWMENT FUND GRANT. AREA FARMERS MARKETS HAVE ALSO RECEIVED GRANTS TO OFFER OPPORTUNITIES FOR FRESH FRUITS AND VEGETABLES TO CHILDREN AND SENIORS. IN FY22, 236 PEOPLE TOOK ADVANTAGE OF THE PROGRAM. TH MUSKEGON ALSO OFFERS A DYNAMIC ATHLETIC TRAINING PROGRAM THAT PROVIDES EDUCATION, WELL CHECKS, TRAINING, INJURY PREVENTION AND REHABILITATION SERVICES FULL TIME TO 19 AREA SCHOOL DISTRICTS IN MUSKEGON AND OCEANA COUNTIES. TRAINERS ARE STATIONED WITHIN THE SCHOOL DISTRICTS DURING THE DAY TO ASSIST WITH EDUCATION, INJURY PREVENTION, TRAINING, AND REHABILITATION SERVICES FOR MULTIPLE SCHOOL PROGRAMS, INCLUDING ATHLETICS, BAND, DRAMA, AND THE PERFORMING ARTS DEPARTMENTS. TRAINED IN MULTIPLE HEALTH AND WELLNESS PROGRAMS, THEY ALSO PROVIDE REFERRALS AND ACCESS TO SERVICES FOR STUDENTS NEEDING ACCESS TO PREVENTION PROGRAMS, HEALTH CARE, AND MORE RECENTLY BEHAVIORAL HEALTH PROGRAMS. DURING FY22, THE TRAINERS UNDERWENT EXTENSIVE INSTRUCTION ON SUICIDE PREVENTION AND MENTAL HEALTH ISSUES AMONG YOUTH. OCEANA COUNTY:EMPLOYMENT, CHILDCARE AND TRAINING OPPORTUNITIES - AS PART OF THE HEALTH PROJECT COMMUNITY BENEFIT BOARD INITIATIVE GRANTS, UNITED WAY OF THE LAKESHORE RECEIVED $20,000 TO SUPPORT EXISTING CHILDCARE PROVIDERS AND RECRUIT NEW PROVIDERS THROUGH THE HELP OF A SHARED SERVICES HUB. THIS SHARED SERVICES HUB WILL REDUCE STRESS ON PROVIDERS BY ENABLING ACCESS TO A TEAM OF EXPERTS IN BOTH BUSINESS AND PEDAGOGICAL LEADERSHIP. IT WILL ALLOW MORE TIME TO FOCUS ON THE CHILDREN AND THEIR LEARNING ACTIVITIES, WHICH IN TURN WILL RAISE THE QUALITY OF CARE. SIGNIFICANT PROGRESS WAS MADE IN THE IMPLEMENTATION OF THE TRI SHARE CHILDCARE ACCESS PROGRAM, WHICH WAS ORIGINALLY PILOTED IN MUSKEGON AND EXPANDED REGIONALLY TO OCEANA COUNTY. THIS PROJECT ALLOWS LOW-INCOME FAMILIES TO TAP INTO PRIVATE AND GOVERNMENT FUNDING THAT SUPPLEMENTS DAYCARE COSTS. DIET AND EXERCISE - IN FY22, TH MUSKEGON PARTNERS CONTINUED TO SUPPORT BOTH THE HEALTH BOUND COLLABORATIVE AND THE EXPANSION OF THE DIABETES PREVENTION PROGRAM (DPP) TO OCEANA COUNTY.ACCESS TO CARE - TH SHELBY WORKS WITH THE HEALTH PROJECT TO ENSURE THAT OCEANA COUNTY RESIDENTS ARE SCREENED FOR ENROLLMENT IN A MYRIAD OF ACCESS TO CARE INITIATIVES. THESE INCLUDE GOVERNMENT INSURANCE PROGRAMS LIKE MEDICARE AND MEDICAID, EMERGENCY SERVICES, HOSPITAL FINANCIAL ASSISTANCE PROGRAMS, PHARMACY ACCESS PROGRAMS AND VISION SERVICES, AS WELL AS REFERRALS TO COMMUNITY-BASED ORGANIZATIONS THAT PROVIDE ADDITIONAL SERVICES NOT PROVIDED BY THE HOSPITAL. DURING THIS PERIOD, HEALTH PROJECT COMMUNITY HEALTH WORKERS ENROLLED 339 PATIENTS IN THESE PROGRAMS AND REFERRED PATIENTS TO 302 OTHER SERVICES IN OCEANA COUNTY. TH MUSKEGON, TH SHELBY, AND THE MH MUSKEGON BEHAVIORAL HEALTH UNIT ACKNOWLEDGE THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. FOR THAT REASON, THE HOSPITALS DID NOT DIRECTLY ADDRESS DISPARITIES IN HOUSING-RESIDENTIAL HOUSING AND WATER IN MUSKEGON COUNTY OR HOUSING AND TRANSIT IN OCEANA COUNTY. TRINITY HEALTH MUSKEGON HOSPITAL PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. TRINITY HEALTH SHELBY HOSPITAL PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. MERCY HEALTH MUSKEGON PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. TRINITY HEALTH MUSKEGON HOSPITAL - PART V, SECTION B, LINE 9 AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. TRINITY HEALTH SHELBY HOSPITAL - PART V, SECTION B, LINE 9 AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. MERCY HEALTH MUSKEGON - PART V, SECTION B, LINE 9 AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. TRINITY HEALTH MUSKEGON HOSPITAL - PART V, SECTION B, LINE 7A: WWW.TRINITYHEALTHMICHIGAN.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS TRINITY HEALTH SHELBY HOSPITAL - PART V, SECTION B, LINE 7A: WWW.TRINITYHEALTHMICHIGAN.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS MERCY HEALTH MUSKEGON- PART V, SECTION B, LINE 7A: WWW.TRINITYHEALTHMICHIGAN.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS TRINITY HEALTH MUSKEGON HOSPITAL- PART V, SECTION B, LINE 10A WWW.TRINITYHEALTHMICHIGAN.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS TRINITY HEALTH SHELBY HOSPITAL - PART V, SECTION B, LINE 10A WWW.TRINITYHEALTHMICHIGAN.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS MERCY HEALTH MUSKEGON - PART V, SECTION B, LINE 10A WWW.TRINITYHEALTHMICHIGAN.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS TRINITY HEALTH MUSKEGON HOSPITAL- PART V, SECTION B, LINE 7B: WWW.MCHP.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/CURRENT-CHNA/ TRINITY HEALTH SHELBY HOSPITAL - PART V, SECTION B, LINE 7B: WWW.MCHP.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/CURRENT-CHNA/ MERCY HEALTH MUSKEGON- PART V, SECTION B, LINE 7B: WWW.MCHP.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/CURRENT-CHNA/ TRINITY HEALTH MUSKEGON HOSPITAL PART V, LINE 16A, FAP WEBSITE: WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/ TRINITY HEALTH SHELBY HOSPITAL PART V, LINE 16A, FAP WEBSITE: WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/ MERCY HEALTH MUSKEGON PART V, LINE 16A, FAP WEBSITE: WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/ TRINITY HEALTH MUSKEGON HOSPITAL PART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/ TRINITY HEALTH SHELBY HOSPITAL PART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/ MERCY HEALTH MUSKEGON PART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/ TRINITY HEALTH MUSKEGON HOSPITAL PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/ TRINITY HEALTH SHELBY HOSPITAL PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/ MERCY HEALTH MUSKEGON PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: WWW.TRINITYHEALTHMICHIGAN.ORG/TOOLS-AND-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/ 48 1 - MUSKEGON SURGERY CENTER 1400 MERCY DRIVE SUITE 150 MUSKEGON MI 49444 OUTPATIENT SURGERY 2 - TH JOHNSON FAMILY CANCER CENTER 1440 E SHERMAN BLVD MUSKEGON MI 49444 CANCER TREATMENT FACILITY 3 - WEST SHORE CARDIOLOGY 1212 E SHERMAN BLVD MUSKEGON MI 49444 CARDIOLOGY 4 - WEST MI GASTROENTEROLOGY 1675 LEAHY STREET SUITE 324B MUSKEGON MI 49444 GASTROENTEROLOGY 5 - LAKES VILLAGE 6401 PRAIRIE STREET NORTON SHORES MI 49444 OUTPATIENT SERVICES, LAB, URGENT CARE, REHAB, IMAGING 6 - OB GYN ASSOCIATES 1675 LEAHY STREET SUITE 428B MUSKEGON MI 49444 OBSTETRICS / GYNECOLOGY 7 - SHORELINE NEUROSURGERY 1675 LEAHY STREET SUITE 401A MUSKEGON MI 49444 NEUROSURGICAL & PHYSIATRY 8 - TRINITY HEALTH AESTHETICS-NORTON SHORES 3570 HENRY STREET STE 210 NORTON SHORES MI 49441 OUTPATIENT SERVICES 9 - TRINITY HEALTH HEART CENTER 1212 E SHERMAN BLVD MUSKEGON MI 49444 CARDIOLOGY 10 - PULMONARY MEDICINE 1560 E SHERMAN BLVD SUITE 150 MUSKEGON MI 49444 PULMONARY 11 - TH MED GROUP - HEPATITIS C CLINIC 1675 LEAHY STREET SUITE 301A MUSKEGON MI 49442 INFECTIOUS DISEASE 12 - HACKLEY LAKES OB GYN 6401 PRAIRIE STREET SUITE 2100 NORTON SHORES MI 49444 OBSTETRICS / GYNECOLOGY 13 - TRINITY HEALTH MED GROUP-NORTON SHORES 3570 HENRY STREET STE 120 NORTON SHORES MI 49441 PRIMARY CARE PHYSICIAN 14 - TRINITY HEALTH MEDICAL GROUP 2006 HOLTON ROAD STE 200 MUSKEGON MI 49445 PRIMARY CARE PHYSICIAN OFFICE 15 - LAKESHORE MEDICAL CENTER - SHELBY 71 W BEVIER ROAD SHELBY MI 49455 PRIMARY CARE PHYSICIAN OFFICE 16 - CARDIOTHORACIC SURGERY 1560 E SHERMAN BLVD SUITE 309 MUSKEGON MI 49444 CARDIOLOGY 17 - WESTSHORE FAMILY MEDICINE 1223 MERCY DRIVE MUSKEGON MI 49444 PRIMARY CARE PHYSICIAN OFFICE 18 - LAKESHORE MEDICAL CENTER - WHITEHALL 905 E COLBY STREET WHITEHALL MI 49461 PRIMARY CARE PHYSICIAN OFFICE 19 - HART FAMILY MEDICAL CENTER 611 E MAIN STREET HART MI 49420 PRIMARY CARE PHYSICIAN OFFICE 20 - TH MED GROUP INTERNAL MEDICINE 1150 E SHERMAN BLVD SUITE 1100 MUSKEGON MI 49444 PRIMARY CARE PHYSICIAN OFFICE 21 - FRUITPORT FAMILY MEDICINE 3443 FARR RD FRUITPORT MI 49415 PRIMARY CARE PHYSICIAN OFFICE 22 - TRINITY HEALTH HEART CENTER 1212 E SHERMAN BLVD MUSKEGON MI 49444 WELLNESS & REHABILITATION FACILITY 23 - HART PAVILION 611 E MAIN STREET HART MI 49420 LAB, RADIOLOGY, PHYSICIAN PARTNERS 24 - TH REHABILITATION - NORTON SHORES 3570 HENRY STREET STE 200 NORTON SHORES MI 49441 REHABILITATION 25 - TH MED GROUP ACADEMIC GERIATRICS 1150 E SHERMAN BLVD SUITE 1175 MUSKEGON MI 49444 GERIATRICS 26 - SABLE POINT 5656 W US 10 LUDINGTON MI 49431 PRIMARY CARE PHYSICIAN OFFICE, LAB, WORKPLACE HEALTH; REHABILITATION 27 - LAKESHORE FAMILY CARE 601 W SAVIDGE STREET SPRING LAKE MI 49456 PRIMARY CARE PHYSICIAN OFFICE 28 - COMPREHENSIVE WOMEN'S HEALTH 1675 LEAHY STREET SUITE 311A MUSKEGON MI 49444 OBSTETRICS / GYNECOLOGY 29 - HACKLEY LAKES OB GYN 1675 LEAHY STREET SUITE 215A MUSKEGON MI 49444 OBSTETRICS / GYNECOLOGY 30 - ADULT MEDICINE SPECIALIST 6401 PRAIRIE STREET SUITE 2800 MUSKEGON MI 49444 PRIMARY CARE PHYSICIAN OFFICE 31 - OSTEOPATHIC MEDICINE 1150 E SHERMAN BLVD SUITE 1100 MUSKEGON MI 49444 PHYSIATRY 32 - NEURODIAGNOSTICS BUILDING 1277 MERCY DR MUSKEGON MI 49444 NEURODIAGNOSTICS / SLEEP CENTER 33 - WEST VIEW FAMILY MEDICINE 6401 PRAIRIE STREET SUITE 2600 MUSKEGON MI 49444 PRIMARY CARE PHYSICIAN OFFICE 34 - BLADDER CLINIC 6401 PRAIRIE STREET SUITE 1700 NORTON SHORES MI 49444 UROLOGY 35 - INTERNAL MEDICINE AND SPECIALTY CARE CLINI 1675 LEAHY STREET SUITE 201A MUSKEGON MI 49442 PRIMARY CARE PHYSICIAN OFFICE 36 - TH IMAGING - NORTON SHORES 3570 HENRY STREET STE NORTON SHORES MI 49441 RADIOLOGY 37 - TRINITY HEALTH IMAGING N MUSKEGON 2006 HOLTON ROAD STE 400 MUSKEGON MI 49445 RADIOLOGY 38 - HACKLEY WORKPLACE NORTH 117 W COLBY ST WHITEHALL MI 49461 OCCUPATIONAL MEDICINE 39 - WEST MICHIGAN INTERNAL MEDICINE 957 BROOKHAVEN CT STE 3-4 BLDG F MUSKEGON MI 49442 PRIMARY CARE PHYSICIAN OFFICE 40 - TH MEDICAL GROUP PRIMARY CARE 1310 WISCONSIN GRAND HAVEN MI 49417 PRIMARY CARE PHYSICIAN OFFICE 41 - TH MEDICAL GROUP PRIMARY CARE 15151 STANTON WEST OLIVE MI 49460 PRIMARY CARE PHYSICIAN OFFICE 42 - TH LIFE COUNSELING - NORTON SHORES 3570 HENRY STREET STE 150 NORTON SHORES MI 49441 BEHAVIORAL HEALTH 43 - TRINITY HEALTH LAB NORTON SHORES 3570 HENRY STREET STE 110 NORTON SHORES MI 49441 LAB 44 - TRINITY HEALTH LAB NORTH MUSKEGON 2006 HOLTON ROAD STE 300 MUSKEGON MI 49445 LAB 45 - TH URGENT CARE WORKPLACE HEALTH 1670 E SHERMAN MUSKEGON MI 49444 URGENT CARE / OCCUPATIONAL MEDICINE 46 - TH WORKPLACE HEALTH DOWNTOWN 150 JEFFERSON SE GRAND RAPIDS MI 49503 OCCUPATIONAL MEDICINE 47 - TH URGENT CARE - NORTON SHORES 3570 HENRY STREET STE 130 NORTON SHORES MI 49441 URGENT CARE 48 - TH URGENT CARE N MUSKEGON 2006 HOLTON ROAD STE 500 MUSKEGON MI 49445 URGENT CARE PART I, LINE 3C: IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. WE DO NOT EVALUATE ASSETS FOR ANY PATIENTS DURING THE FA PROCESS. PART I, LINE 6A: MERCY HEALTH PARTNERS D/B/A TRINITY HEALTH MUSKEGON (THM) REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, TRINITY HEALTH MUSKEGON INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM. PART I, LN 7 COL(F): THE FOLLOWING NUMBER, $23,319,368, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). PART II, COMMUNITY BUILDING ACTIVITIES: IN FY22, TRINITY HEALTH MUSKEGON ENGAGED IN COMMUNITY BUILDING ACTIVITIES IN THE FOLLOWING WAYS: ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS - TRINITY HEALTH MUSKEGON (THM) LEADERSHIP AND COLLEAGUES PARTICIPATE IN ADVOCACY PRIORITIES BY FACILITATING MEETINGS WITH LEGISLATORS TO DISCUSS ISSUES AND OPPORTUNITIES TO IMPROVE THE HEALTH AND WELLBEING OF THE COMMUNITY. HEALTH PROJECT STAFF ALSO HELP DEVELOP MEDIA AND NEWSLETTER ARTICLES HIGHLIGHTING ADVOCACY EFFORTS. IN ADDITION, COLLEAGUES PARTICIPATE IN SEVERAL STATE AND LOCAL ADVOCACY DISCUSSIONS WITH OTHER ORGANIZATIONS, INCLUDING THE PUBLIC HEALTH ADVISORY COUNCIL, GOVERNMENT AFFAIRS COMMITTEE OF THE LAKESHORE CHAMBER OF COMMERCE, MICHIGAN HEALTH & HOSPITAL ASSOCIATION, AND TOBACCO FREE MICHIGAN. THM HOSTED SEVERAL MEETINGS WITH AREA LEGISLATORS TO DISCUSS LEGISLATIVE PRIORITIES, OFFER TOURS OF THE NEW MEDICAL CENTER, AND PROVIDE BRIEFINGS ON THE NEW AMBULATORY STRATEGY, COMMUNITY BENEFIT PROGRAMS, AND MAINTAINING THE PROTECTIONS AND HEALTH ACCESS FOUND UNDER THE AFFORDABLE CARE ACT. ADDITIONALLY, STAFF ATTENDED SEVERAL COUNTY COMMISSIONS, CITY COUNCIL, AND SCHOOL OFFICIAL MEETINGS TO DISCUSS PREVENTION ISSUES AND/OR ADDRESS OTHER COMMUNITY ISSUES.COMMUNITY SUPPORT - THM SUPPORTED THE MUSKEGON COUNTY HOMELESS CONTINUUM OF CARE NETWORK (MCHCCN), WHICH IS THE DESIGNATED COLLABORATIVE BODY TO PLAN AND IMPLEMENT SERVICES TO END HOMELESSNESS IN MUSKEGON COUNTY. THE HEALTH PROJECT IS THE COLLABORATIVE APPLICANT ON BEHALF OF THE NETWORK FOR THE APPLICATION FOR FUNDS FOR ALL AGENCIES SEEKING HUD AND MSHDA EMERGENCY SOLUTIONS GRANT FUNDS. THE HEALTH PROJECT IS THE FIDUCIARY FOR THE HUD PLANNING GRANT, WHICH IS USED TO HIRE A CONSULTANT TO CREATE A COORDINATED ENTRY SYSTEM, REVISE THE NETWORK'S GOVERNANCE CHARTER, AND DEVELOP POLICIES AND PROCEDURES TO BE IN COMPLIANCE WITH FEDERAL AND STATE REGULATIONS. THE MCHCCN COORDINATOR IS A HEALTH PROJECT STAFF MEMBER WHO PREPARES AND SUBMITS FUNDING APPLICATIONS FOR HUD AND MSHDA ON BEHALF OF THE COMMUNITY AND IS SUPPORT STAFF TO THE VARIOUS COMMITTEES OF THE NETWORK. THE MCHCCN COORDINATOR IS ALSO RESPONSIBLE FOR THE DEVELOPMENT OF THE CONSOLIDATED HOUSING PLAN FOR MUSKEGON COUNTY TO ENSURE COORDINATION BETWEEN THE ENTITLEMENT COMMUNITIES, THE COUNTY OF MUSKEGON, AND THE NETWORK. THM ALSO PROVIDES THE STAFF TO ACT AS THE CHAIR FOR THE CASE MANAGEMENT COMMITTEE. THIS COMMITTEE CONVENES MEETINGS OF 60 AGENCIES IN THE COMMUNITY EVERY MONTH TO SHARE RESOURCES. THE THM STAFF DEVELOPS THE EDUCATION PROGRAMS FOR THE CASE MANAGERS OF THESE AGENCIES SO THAT THE AGENCIES ARE ADHERING TO STATE AND FEDERAL REGULATIONS. MANY OF THE SMALL AGENCIES DO NOT HAVE THE TIME NOR FUNDS TO ATTEND REQUIRED TRAININGS, AND THE CASE MANAGERS COMMITTEE PROVIDES THAT ACCESS TO THEM. THE THM STAFF IS THE PERSON WHO PUTS TOGETHER A COMMUNITY CASE MANAGEMENT TEAM TO ADDRESS PROBLEMS PRESENTED BY PATIENTS THAT NO SINGLE AGENCY CAN SOLVE ON ITS OWN. THM ALSO PROVIDES STAFF TO SUPPORT SIMILAR CASE MANAGEMENT COMMITTEES IN OCEANA AND MASON COUNTIES.THE HEALTH PROJECT ALSO SUPPORTS THE COALITION FOR A DRUG FREE MUSKEGON COUNTY, WHICH IS THE SUBSTANCE USE DISORDER COALITION FOR THE COUNTY. PRIMARILY FUNDED BY THE LAKESHORE REGIONAL ENTITY WITH FEDERAL PASSTHROUGH FUNDING, TRINITY HEALTH MUSKEGON SUPPLEMENTS INITIATIVES AND PREVENTION PROGRAMS.COALITION BUILDING - WITH TEN COMMUNITY COALITIONS, THM, THROUGH THE HEALTH PROJECT, ACTS AS THE BACKBONE ORGANIZATION THAT PROVIDES STAFF SUPPORT FOR ALCOHOL, TOBACCO, AND OPIATE USE PROGRAMS; ADVANCE CARE DIRECTIVE PROMOTION; AND YOUTH DEVELOPMENT AND HEALTHY BEHAVIOR PROGRAMS. WORKING WITH AREA COMMUNITY LEADERS, THE HEALTH PROJECT PROVIDES VENUE AND LOGISTICS, DEVELOPS MINUTES AND AGENDAS, AND IS THE FIDUCIARY OF MULTIPLE COMMUNITY HEALTH IMPROVEMENT TEAMS. WITH OVER 140 LEADERS CONTRIBUTING TO THESE COALITIONS, THM LEVERAGES RESOURCES FROM OVER 65 ORGANIZATIONS.COMMUNITY HEALTH IMPROVEMENT (RIDE WITH PRIDE) IS PART OF COALITION BUILDING. THM SUPPORTS THE RIDE WITH PRIDE (RWP) PROGRAM THAT WAS ADMINISTERED IN SEVEN SCHOOL DISTRICTS IN THE 2021/2022 SCHOOL YEAR. THE RWP PROGRAM PROVIDES ANCILLARY SUPPORT OF THE LOCAL SCHOOL DISTRICT'S IMPLEMENTATION OF THE POSITIVE BEHAVIORAL INTERVENTIONS AND SUPPORTS (PBIS) TIER 1 EFFORTS. PBIS ESTABLISHES THE FOUNDATION FOR DELIVERING REGULAR, PROACTIVE SUPPORT AND PREVENTING UNWANTED BEHAVIORS, EMPHASIZING PROSOCIAL SKILLS AND EXPECTATIONS BY TEACHING AND ACKNOWLEDGING APPROPRIATE STUDENT BEHAVIOR. RWP ENGAGES LAW ENFORCEMENT, BUSINESSES, SCHOOL ADMINISTRATORS, AND TEACHERS TO ENHANCE THEIR PROGRAM WITH A POSITIVE BEHAVIOR PLEDGE, PROVIDE ONGOING SUPPORT THROUGHOUT THE SCHOOL YEAR, AND INCENTIVIZE BEHAVIOR WITH FREE PRIZES, INCLUDING A CAR AT THE END OF THE YEAR. PART III, LINE 2: METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS. PART III, LINE 3: TRINITY HEALTH MUSKEGON USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, THM IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, THM IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: TRINITY HEALTH MUSKEGON IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 13 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE ONE PERCENT SEQUESTRATION REDUCTION FOR THE PERIOD APRIL 1, 2022 THROUGH JUNE 30, 2022. PART III, LINE 8: TRINITY HEALTH MUSKEGON DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. PART III, LINE 9B: THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. PART VI, LINE 2: NEEDS ASSESSMENT -TRINITY HEALTH MUSKEGON ASSESSES THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS, AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH OF THE COMMUNITY, THE HOSPITAL SYSTEM USES PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES, AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTIVE SERVICES OR ARE UNINSURED. THE HOSPITALS ALSO USE STANDARD QUALITY MEASURES TO MONITOR PATIENT SATISFACTION AND IMPROVE INPATIENT SERVICES AND QUALITY OF CARE. THM STAFF CONTINUE TO WORK WITH THE TRINITY HEALTH MUSKEGON CHNA ADVISORY COMMITTEE TO OVERSEE PLANNING, IMPLEMENTATION, AND EVALUATION OF THE PRIORITY AREA INITIATIVES. ADDITIONALLY, THE FOLLOWING 11 COMMUNITY COALITIONS AND WORKGROUPS ARE CONVENED AND SUPPORTED BY THE HEALTH PROJECT. THESE COALITIONS MEET REGULARLY TO DISCUSS HEALTH PROBLEMS, ISSUES AND CONCERNS AFFECTING THEIR RESPECTIVE TOPICAL AREAS AND/OR AFFINITY CONSTITUENCIES. WHILE THESE ISSUES MAY OR MAY NOT BE CITED IN THE CHNA, THE HEALTH PROJECT BRINGS THE ISSUES TO THE ATTENTION OF THE APPROPRIATE HOSPITAL SYSTEM LEADERSHIP FOR REVIEW AND RESOLUTION ACTIVITIES, IF POSSIBLE.COALITION FOR A DRUG FREE MUSKEGON COUNTYMUSKEGON ALCOHOL LIABILITY INITIATIVEKNOWSMOKE COALITIONMUSKEGON AREA MEDICATION DISPOSAL PROGRAMMUSKEGON-OCEANA COUNTY HEALTH DISPARITIES COALITIONALLIANCE FOR MARIJUANA PREVENTIONCHARTED COALITIONUPFRONT COALITIONOCEANA HEALTHBOUND COALITIONCOMMUNITY HEALTH INNOVATION REGIONSAFE KIDS WEST MICHIGANTHE FOLLOWING ARE THE COMMUNITY COALITIONS SUPPORTED BY TRINITY HEALTH MUSKEGON AS A MEMBER OR PROVIDER THAT WORK TO ADDRESS, DIRECTLY OR INDIRECTLY, COMMUNITY HEALTH ISSUES THAT ARISE IN THE CHNA PROCESS:WEST MICHIGAN MIGRANT RESOURCE COUNCILNORTHWEST MICHIGAN CHRONIC DISEASE COALITIONOCEANA'S HOME PARTNERSHIPOCEANA LEADSTALKSOONERHEALTHY FAMILIES OF OCEANA COUNTY PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - TRINITY HEALTH MUSKEGON COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. THM OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. THM HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. THM MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. PART VI, LINE 4: COMMUNITY INFORMATION - MUSKEGON COUNTY IS DIVERSE, RANGING FROM RURAL TO URBAN IN CHARACTER, AND IS COMPRISED OF SEVEN CITIES, THREE VILLAGES AND 16 TOWNSHIPS. THE COUNTY IS LOCATED ON THE EASTERN SHORELINE OF LAKE MICHIGAN, 35 MILES WEST OF GRAND RAPIDS. MUSKEGON COUNTY IS KNOWN FOR ITS AGRICULTURAL PRODUCTION OF FRUITS AND VEGETABLES, AS A TOURISM DESTINATION, AND AS AN INDUSTRIAL CENTER. THE COUNTY SEAT IS THE CITY OF MUSKEGON, THE LARGEST CITY IN THE COUNTY AND SERVICE AREA. INTERSTATE I-96 AND US-31 CONNECT THE COUNTY WITH MAJOR METROPOLITAN CENTERS TO THE EAST AND SOUTH. MUSKEGON IS HOME TO THE COUNTY'S MAJOR HOSPITAL SYSTEM, TRINITY HEALTH MUSKEGON, WHICH INCLUDES TH MUSKEGON AND MH MUSKEGON IN MUSKEGON COUNTY. THE COUNTY HAS A TOTAL AREA OF 1,459 SQUARE MILES, A POPULATION OF 173,408 PEOPLE, AND A POPULATION DENSITY OF 335 PEOPLE PER SQUARE MILE. THE COMPOSITION OF THE COUNTY'S POPULATION INCLUDES 76.4% OF RESIDENTS CLASSIFIED AS NON-HISPANIC WHITE, 14.1% AS NON-HISPANIC AFRICAN AMERICAN, 5.6% AS HISPANIC, 1% AS AMERICAN INDIAN OR ALASKA NATIVE, AND 0.7% AS ASIAN. MUSKEGON COUNTY IS 50.2% FEMALE WITH 23.3% OF THE POPULATION LIVING IN A RURAL AREA. THE MEDIAN FAMILY INCOME IS $55,421 AND THE AVERAGE FAMILY INCOME IS $68,221. THE PER CAPITA INCOME AS OF US CENSUS (IN 2017 DOLLARS) IS $22,829. ABOUT 40.73% OF THE POPULATION IS REPORTED WITH INCOME AT OR BELOW 200% OF FEDERAL POVERTY LINE (FPL) AND 53.78% OF CHILDREN, UNDER THE AGE OF 18, ARE AT OR BELOW 200% OF FPL.MUSKEGON COUNTY CONTINUES TO HAVE SIGNIFICANT INVESTMENT IN ITS DOWNTOWN, SIGNALING SIGNIFICANT ECONOMIC REVITALIZATION OF THE AREA. IN SPITE OF THIS, THE CHAMBER OF COMMERCE INDICATES THE AREA HAS A WORKFORCE SHORTAGE. THE CITIES OF MUSKEGON AND MUSKEGON HEIGHTS ARE EACH DESIGNATED AS FEDERAL ENTERPRISE COMMUNITIES AND, MOST RECENTLY, FEDERAL OPPORTUNITY ZONES. THERE ARE THREE ENTITLEMENT COMMUNITIES WITHIN MUSKEGON COUNTY THAT RECEIVE COMMUNITY DEVELOPMENT BLOCK GRANT FUNDS. THE ENTITLEMENT COMMUNITIES ARE THE CITIES OF MUSKEGON, MUSKEGON HEIGHTS, AND NORTON SHORES. THERE ARE ALSO TWO FEDERALLY QUALIFIED HEALTH CENTERS SERVING RESIDENTS OF MUSKEGON COUNTY; BOTH CENTERS ARE IN THE CITY OF MUSKEGON HEIGHTS. OCEANA COUNTY IS LOCATED IMMEDIATELY NORTH OF MUSKEGON COUNTY AND ALONG THE LAKE MICHIGAN COASTLINE. OCEANA IS A RURAL COUNTY WITH THE SECOND LARGEST FRUIT TREE ACREAGE IN THE STATE. BECAUSE OF ITS PROXIMITY TO LAKE MICHIGAN, TOURISM ALSO PLAYS A VITAL PART IN THE LOCAL ECONOMY. OCEANA COUNTY IS COMPRISED OF ONE CITY, SIX VILLAGES AND 16 TOWNSHIPS. THE COUNTY SEAT IS HART, MICHIGAN. OCEANA COUNTY IS RANKED AS A HEALTH PROFESSIONAL SHORTAGE AREA AND A MEDICALLY UNDERSERVED POPULATION BY THE FEDERAL GOVERNMENT.THE COUNTY HAS A TOTAL AREA OF 1,307 SQUARE MILES AND A POPULATION OF 26,027 PEOPLE. THE COMPOSITION OF THE COUNTY'S POPULATION INCLUDES 82.1% OF RESIDENTS CLASSIFIED AS NON-HISPANIC WHITE, 0.6% AS NON-HISPANIC AFRICAN AMERICAN, 14.8% AS HISPANIC, 1.6% AMERICAN INDIAN OR ALASKA NATIVE, 0.1% NATIVE HAWAIIAN OR PACIFIC ISLANDER, AND 0.3% ASIAN. OCEANA COUNTY'S POPULATION IS CONSIDERED 89.9% RURAL, WITH 49.6% FEMALE. AGE DEMOGRAPHICS ARE 23.5% BELOW 18 YEARS OF AGE AND 19.7% AGE 65 AND OLDER. PART VI, LINE 5: OTHER INFORMATION - MOST MEMBERS OF THE GOVERNING BODY OF TRINITY HEALTH MUSKEGON ARE INDIVIDUALS WHO ARE NOT EMPLOYEES, CONTRACTORS OF THE ORGANIZATION, OR FAMILY MEMBERS, AND MANY RESIDE IN THE HOSPITALS' PRIMARY SERVICE AREAS. SINCE TRINITY HEALTH MUSKEGON OPERATES THE ONLY HOSPITALS IN MUSKEGON COUNTY AND OCEANA COUNTY, STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. AVAILABLE FUNDS ARE ALLOCATED TO IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH. SINCE PASSAGE OF THE AFFORDABLE CARE ACT (ACA), HEALTH COVERAGE HAS REMAINED STABLE IN THE REGION. MUSKEGON COUNTY'S RATE OF UNINSURED RESIDENTS IS 6%, WHILE OCEANA'S IS 11%. THM'S FOCUS HAS BEEN ON ACCESS TO CARE, ENROLLMENT UNDER THE ACA OR IN MICHIGAN MEDICAID (AS QUALIFIED), AND ON ADDRESSING UNMET HEALTH AND HUMAN SERVICE NEEDS. OUR SUBSIDIARY AND COMMUNITY BENEFIT MINISTRY, THE MUSKEGON COMMUNITY HEALTH PROJECT, HAS BEEN VERY PROACTIVE IN WORKING WITH TH MUSKEGON'S AND TH SHELBY'S MEDICAL DEPARTMENTS, MEDICAL PRACTICES, TWO FQHCS, AND MANY COMMUNITY AND FAITH-BASED HEALTH AND HUMAN SERVICE AGENCIES TO PROMOTE INTEGRATED COMMUNITY CARE COORDINATION. THE STREAMLINED ENROLLMENT PROCESS MAKES APPLYING FOR ASSISTANCE EASIER FOR CONSUMERS BY INCLUDING ON A SINGLE FORM ALL INFORMATION DEEMED ESSENTIAL FOR DETERMINING ELIGIBILITY FOR MULTIPLE HEALTH AND HUMAN SERVICES PROGRAMS. THM'S COMMUNITY BENEFIT MINISTRY, THE HEALTH PROJECT, OPERATES A PHARMACEUTICAL ACCESS PROGRAM, WHICH INCLUDES THREE PROGRAMS: (1) MEANS-TESTED ELIGIBILITY SCREENING AND ENROLLMENT APPLICATION TO DRUG COMPANY PHARMACEUTICAL ASSISTANCE PROGRAMS (PAPS); (2) PROCUREMENT OF INTERIM MEDICATIONS AND SUPPLIES DURING THE APPLICATION PROCESS PERIOD, AND (3) LOW-INCOME PHARMACY PROGRAM, WHICH PROVIDES MANY GENERIC AND BRAND NAME DRUGS AT NO COST. THE HEALTH PROJECT'S PROGRAM COLLABORATES WITH AREA HEALTH CARE PROVIDERS AND COMMUNITY SERVICE ORGANIZATIONS TO PROVIDE LOW-INCOME, UNINSURED, OR UNDERINSURED PERSONS WITH THE PRESCRIPTION DRUGS THEY NEED TO MANAGE CHRONIC DISEASES. THERE ARE NO OTHER KNOWN PROGRAMS IN THE AREA THAT SUPPLY INTERIM MEDICATIONS TO PATIENTS WAITING TO BE ENROLLED IN THE PAPS. THE HEALTH PROJECT'S PROGRAM IS SUPPORTED 100% BY THM'S COMMUNITY BENEFIT FUNDING. THE PHARMACEUTICAL ACCESS PROGRAM PROVIDES ACCESS TO THE RESOURCES NECESSARY FOR LOW-INCOME PATIENTS TO OBTAIN THE MAINTENANCE MEDICATIONS NEEDED TO CONTROL THEIR CHRONIC DISEASES AND IMPROVE THE QUALITY OF THEIR CARE AND HEALTH. THESE RESOURCES PROVIDE PATIENTS WITH THE MEANS FOR MEDICATION COMPLIANCE, THEREBY REMOVING OBSTACLES TO HEALTHY BEHAVIORS.THM DEPARTMENTS ARE ACTIVELY INVOLVED IN COMMUNITY PROGRAMS. OUTREACH AND ENROLLMENT SPECIALISTS CONDUCT HEALTH AND HUMAN SERVICE ELIGIBILITY SCREENINGS ON ALL UNINSURED PATIENTS AT THE TIME OF DISCHARGE FROM THE HOSPITAL OR EMERGENCY DEPARTMENT. THE SCREENINGS INCLUDE ELIGIBILITY FOR MEDICAID, CHILDREN'S HEALTH INSURANCE PROGRAM AND OTHER AVAILABLE HEALTH COVERAGE, FOOD ASSISTANCE PROGRAMS, AND FOR THE HOSPITALS' FINANCIAL ASSISTANCE PROGRAM. THM COLLEAGUES SUPPORT THE WORK OF THE YMCA, WHICH PROVIDES DPP SERVICES TO THE PRE-DIABETIC POPULATION IN THE REGION WITH A FOCUS ON MEDICARE PATIENTS AND THE AFRICAN AMERICAN AND HISPANIC COMMUNITY. FUNDED PRIMARILY WITH A TRINITY HEALTH FACILITATED CDC GRANT, SIGNIFICANT PHYSICIAN AND ADMINISTRATIVE STAFF TIME HAS BEEN SPENT ENSURING A SEAMLESS CONNECTION FROM PHYSICIAN REFERRALS, COMMUNICATIONS, AND REPORTING. THE DPP PROGRAM SERVED OVER 225 PEOPLE DURING FY22. IN FY21, TRINITY HEALTH PROVIDED A GRANT TO THE YMCA TO PURCHASE SOFTWARE TO TRACK AND DEVELOP A PAYMENT/BILLING PROGRAM FOR CMS AND PRIVATE INSURANCE COVERAGE. DURING FY22, THE YMCA SUCCESSFULLY INTEGRATED THIS SOFTWARE AND IS NOW USING THE WELLD PLATFORM. THM COLLEAGUES PARTICIPATE IN AND CHAIR COMMITTEES WITHIN THE MUSKEGON/OCEANA HOMELESS CONTINUUMS OF CARE, HELPING ENSURE THAT MEDICALLY FRAGILE, HOMELESS MEMBERS OF THE COMMUNITY ARE MATCHED WITH APPROPRIATE EMERGENCY, TRANSITIONAL AND PERMANENT HOUSING FOR THEIR MEDICAL AND SOCIAL NEEDS. THM COLLEAGUES SUPPORT THE HOMELESS POPULATION BY LINKING THEM TO OTHER SERVICES, SUCH AS FOOD, MEDICATION, AND OTHER NEEDS, DURING THEIR SEARCH FOR HOUSING AND AFTER THEY ARE HOUSED, HELPING ENSURE SUCCESSFUL HOUSING PLACEMENT.A THM COLLEAGUE PARTICIPATES ON TWO COMMITTEES FOR THE MUSKEGON AREA TRANSIT SERVICE TO ENSURE THAT BUS ROUTES ARE ACCESSIBLE TO LOW-INCOME RESIDENTS AND TO APPROVE REQUESTS FOR CAPITAL PROJECTS FUNDED BY THE MICHIGAN DEPARTMENT OF TRANSPORTATION FOR NON-PROFIT ORGANIZATIONS THAT PROVIDE TRANSPORTATION TO LOW-INCOME AND DISABLED RESIDENTS.IN FY22, THM CONTINUED TO WORK ON CONNECTING THE COMMUNITY WITH SMOKING CESSATION FOR YOUTH AND ADULTS. THM OFFERS THE NOT ON TOBACCO PROGRAM FOR YOUTH IN TWO AREA SCHOOL DISTRICTS AND THE COURAGE TO QUIT PROGRAM FOR ADULTS REFERRED BY PHYSICIAN OFFICES. ALREADY A SMOKE-FREE CAMPUS, FURTHER WORK WAS DONE TO MAKE SMOKING CESSATION MATERIALS AND SUPPORT AVAILABLE TO EMPLOYEES, PATIENTS, AND COMMUNITY MEMBERS. STAFF IDENTIFIED ADDITIONAL ONLINE CESSATION RESOURCES FOR SCHOOLS AND ADULTS MAKING A TRANSITION TO A VIRTUAL PLATFORM IN FY23. TRINITY HEALTH IS COMMITTED TO IDENTIFYING AND WORKING TO ADDRESS THE SOCIAL INFLUENCERS OF HEALTH THAT IMPACT PATIENTS AND FAMILIES. DURING THE REPORTING PERIOD, THM CONTINUED A PILOT PROGRAM TO EXPAND THE SCREENINGS FOR SOCIAL NEEDS, INCREASING THE RATE OF SCREENINGS IN OUR AMBULATORY SETTINGS FROM 23% OF ALL PATIENTS SCREENED IN FY21 TO 56% IN FY22, THROUGH THE IMPLEMENTATION OF ENHANCED EDUCATIONAL AND AWARENESS PROGRAMS. ADDITIONAL OUTREACH AND EDUCATIONAL EFFORTS WERE UNDERTAKEN TO CONNECT COMMUNITY-BASED ORGANIZATIONS TO THE TRINITY HEALTH COMMUNITY RESOURCE DIRECTORY, AN EASY-TO-USE ONLINE RESOURCE DIRECTORY OF SERVICES. THM CONTINUED TO OPERATE THE COVID-19 EMERGENCY COMMAND CENTER AS NEEDED DURING FY22. WHEN COVID-19 EXPOSURE AND CASES CLIMBED IN MUSKEGON, THM WORKED WITH MUSKEGON PUBLIC HEALTH OFFICIALS ON STAFFING, BED CAPACITY, AND RISK MITIGATION STRATEGIES. ALTHOUGH COVID-19 CASES DROPPED CONSIDERABLY IN MUSKEGON, THIS COMMAND CENTER WAS ACTIVATED IN THE FALL OF 2021 FOR THREE WEEKS. THM ALSO REVIEWED SAFETY POLICIES FOR VISITORS, SCREENING, AND RISKS FOR EXPOSURE FOR EMPLOYEES AND PATIENTS ON AN ONGOING BASIS TO DETERMINE IF NEW PUBLIC COMMUNICATION WAS REQUIRED. AMID THE COVID-19 PANDEMIC, THE OUTREACH PROGRAM HAS CONSISTED PRIMARILY OF PROVIDING EDUCATION AND FACILITATING EFFORTS TO GET COMMUNITY MEMBERS VACCINATED, WITH AN EMPHASIS ON MINORITY POPULATIONS WITH LOWER VACCINATION RATES. THE GOALS OF OUTREACH INCLUDE INCREASING THE VACCINATION RATE AMONG ALL SEGMENTS OF THE COMMUNITY, AS WELL AS REDUCING EMERGENCY DEPARTMENT VISITS AND AVOIDABLE HOSPITALIZATIONS BY SCREENING AND ALERTING PATIENTS TO TREATABLE PROBLEMS THAT COULD ESCALATE INTO SERIOUS OR LIFE-THREATENING SITUATIONS. VACCINATION EFFORTS HAVE INCLUDED EDUCATING THE COMMUNITY THROUGH OUR RADIO PROGRAM, MAKING THOUSANDS OF PHONE CALLS TO SCHEDULE COVID-19 VACCINES, AND ASSISTING AT VACCINATION CLINICS, THEREBY CREATING GREATER ACCESS TO HEALTH CARE AND FOSTERING HEALTHY BEHAVIORS. STATE DATA RELEASED IN FY22 INDICATED THAT THE HEALTH PROJECT'S MINORITY VACCINATION EFFORTS HAD CONSIDERABLE IMPACT IN MUSKEGON COUNTY, WHICH RECORDED ONE OF THE HIGHEST RATES (83%) OF VACCINATION OF AFRICAN AMERICANS OVER 60 YEARS OF AGE. PART VI, LINE 6: TRINITY HEALTH MUSKEGON IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH'S COMMUNITY HEALTH AND WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES IN THE COMMUNITIES WE SERVE BY CONNECTING SOCIAL AND CLINICAL CARE, ADDRESSING SOCIAL NEEDS, DISMANTLING SYSTEMIC RACISM, AND REDUCING HEALTH INEQUITIES. WE DO THIS BY: 1. INVESTING IN OUR COMMUNITIES, 2. ADVANCING SOCIAL CARE, AND 3. IMPACTING SOCIAL INFLUENCERS OF HEALTH.TO FURTHER OUR STRATEGY IN FISCAL YEAR 2022 (FY22), CHWB LAUNCHED TWO TRAINING SERIES TO ADVANCE HEALTH AND RACIAL EQUITY IN OUR COMMUNITIES.1. CHWB LEADER SERIES TO ADVANCE HEALTH AND RACIAL EQUITY: A YEAR-LONG PEER LEARNING SERIES TO BUILD THE CAPACITY OF OUR CHWB LEADERS TO DELIVER ON OUR CHWB STRATEGY WITH A FOCUS ON COMMUNITY LEADERSHIP AND ENGAGEMENT, AND THE USE OF A RACIAL EQUITY LENS IN ALL OF OUR DECISION MAKING. 2. COMMUNITY ENGAGEMENT TO ADVANCE RACIAL JUSTICE - PREPARING FOR IMPLEMENTATION STRATEGY: A FOUR-PART SERIES ON ENGAGING OUR COMMUNITIES IN MEANINGFUL WAYS USING A HEALTH EQUITY AND RACIAL EQUITY LENS TO BUILD LASTING PARTNERSHIPS AND IMPACTFUL IMPLEMENTATION STRATEGIES.INVESTING IN OUR COMMUNITIES - TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES THEY SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FY22, TRINITY HEALTH CONTRIBUTED $1.37 BILLION IN COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE VULNERABLE AND LIVING IN POVERTY, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. SOME EXAMPLES OF THESE INVESTMENTS INCLUDE: TRINITY HEALTH AWARDED OVER $1.6 MILLION IN COMMUNITY GRANTS THAT DIRECTLY ALIGN WITH INTERVENTIONS AND LOCAL PARTNERSHIPS IDENTIFIED IN ITS MEMBER HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION STRATEGIES, INCLUDING ACCESS TO HEALTH CARE, MENTAL HEALTH, TRANSPORTATION, COMMUNITY ENGAGEMENT, FOOD ACCESS, AND HOUSING SUPPORTS. WITH A $1.2 MILLION INITIAL INVESTMENT, TRINITY HEALTH LAUNCHED ROUND 2 OF THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), A FIVE-YEAR, INNOVATIVE FUNDING AND TECHNICAL ASSISTANCE INITIATIVE, PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS AND RESIDENTS TO ADVANCE HEALTH AND RACIAL EQUITY IN NINE OF OUR COMMUNITIES EXPERIENCING HIGH POVERTY AND OTHER VULNERABILITIES. HEALTH MINISTRIES RECEIVING TCI FUNDING ARE COLLABORATING WITH A LOCAL MULTI-SECTOR COLLABORATIVE TO DEVELOP AND IMPLEMENT EVIDENCE-BASED STRATEGIES THAT ADVANCE HEALTH AND RACIAL EQUITY THROUGH ADDRESSING AT LEAST ONE ROOT CAUSE OF POOR HEALTH IDENTIFIED IN THE DEVELOPMENT OF THEIR MOST RECENT CHNA IMPLEMENTATION STRATEGY. TRINITY HEALTH AWARDED OVER $1 MILLION IN COVID-19 FUNDING TO SUPPORT NEW AND ONGOING COMMUNITY ENGAGEMENT AND MOBILIZATION EFFORTS AROUND MAKING THE COVID-19 VACCINATION ACCESSIBLE TO ALL ELIGIBLE POPULATIONS. THIS FUNDING WAS DESIGNED TO SUPPORT ALL COMMUNITIES TO ENSURE EASY AND EQUITABLE ACCESS TO THE VACCINE BY REMOVING BARRIERS FOR ALL PEOPLE TO RECEIVE THE VACCINE, ESPECIALLY COMMUNITIES THAT HAVE LESS THAN A 75% VACCINATION RATE. WITH THIS FUNDING, HEALTH MINISTRIES FACILITATED 3,200 COVID-19 VACCINE EVENTS, ADMINISTERED 80,000 COVID-19 VACCINE DOSES, AND REACHED 874,000 PEOPLE WITH EDUCATIONAL MATERIALS ON COVID-19 AND THE BENEFITS OF VACCINATION.IN ADDITION TO THE $1.37 BILLION IN COMMUNITY BENEFIT SPENDING, OUR COMMUNITY INVESTING PROGRAM HAD THE MOST ROBUST YEAR OF LENDING SINCE THE PROGRAM'S INCEPTION OVER 20 YEARS AGO: $17.8 MILLION IN NEW LOANS AND $8.3 MILLION IN LOAN RENEWALS WERE APPROVED, FOCUSING ON BUILDING AFFORDABLE HOUSING AND INCREASING ACCESS TO EDUCATION IN PARTNERSHIP WITH OUR HEALTH MINISTRIES. ADVANCING SOCIAL CARE - TRINITY HEALTH'S SOCIAL CARE PROGRAM WAS DEVELOPED TO ADDRESS SOCIAL NEEDS, SUCH AS ACCESS TO TRANSPORTATION, CHILDCARE, OR AFFORDABLE MEDICATIONS BY FACILITATING CONNECTIONS BETWEEN OUR PATIENTS, HEALTH CARE PROVIDERS AND COMMUNITY PARTNERS THAT PROMOTE HEALTHY BEHAVIORS. HIGHLIGHTS FROM FY22 INCLUDE THE FOLLOWING SUCCESSES:- LAUNCHED TRINITY HEALTH COMMUNITY HEALTH WORKER (CHW) CERTIFICATION PROGRAM, TRAINING 86 CHWS WITH 40+ HOURS OF TRAINING, AND INCREASED CHW STAFF ACROSS MOST HEALTH MINISTRIES- LAUNCHED A SYSTEM-WIDE ASSESSMENT OF LANGUAGE ACCESS SERVICES TO RECOMMEND SYSTEM STANDARDS THAT ENSURE CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES FOR ALL OF OUR PATIENTS, THEIR COMPANIONS, AND CAREGIVERS- ENGAGED OVER 1,100 PARTICIPANTS IN THE NATIONAL DIABETES PREVENTION PROGRAM, EXCEEDING OUR PROGRAM YEAR 5 GOAL- INCREASED THE NUMBER OF ACTIVE COMMUNITY PARTNER ORGANIZATIONS ON THE COMMUNITY RESOURCE DIRECTORY BY 120% FROM FISCAL YEAR 2021- ENGAGED 5,300+ PATIENTS WHO ARE DUALLY ENROLLED IN MEDICARE AND MEDICAID IN A SOCIAL CARE OR MEDICAL CARE ACTIVITY, IN SUPPORT OF REDUCING PREVENTABLE HOSPITALIZATIONS (SUCH AS DIABETES AND ASTHMA)IMPACTING SOCIAL INFLUENCERS OF HEALTH - LEVERAGING INVESTOR POWER TO CATALYZE CORPORATE SOCIAL RESPONSIBILITY, TRINITY HEALTH'S SHAREHOLDER ADVOCACY WORK FOCUSES ON DISMANTLING RACISM ACROSS FIVE STRATEGIC FOCUS AREAS BY HOLDING CORPORATIONS ACCOUNTABLE FOR THE HUMAN RIGHTS VIOLATIONS THOSE COMPANIES PERPETUATE IN THE U.S. AND BEYOND. IN FY22, TRINITY HEALTH FACILITATED OVER 135 SHAREHOLDER ADVOCACY ENGAGEMENTS, WITH GREAT SUCCESS:- FIVE BELOW COMMITTED TO ASSESS AND MANAGE THE RISKS/HAZARDS ASSOCIATED WITH CHEMICALS OF HIGH CONCERN CONTAINED IN THEIR PRIVATE LABEL PRODUCTS- UNILEVER AGREED TO STOP FOOD AND BEVERAGE MARKETING TO CHILDREN UNDER AGE 16, AND WILL ADOPT NEW TARGETS TO REDUCE SALT, ADDED SUGARS AND CALORIES, AND INCREASE SALES OF THEIR HEALTHIER PRODUCTS- PEPSICO SET GOALS TO INCREASE POSITIVE NUTRIENTS IN THEIR PRODUCTS- PDC ENERGY ACCELERATED ITS GOAL TO END ROUTINE FLARING OF METHANE, FROM 2030 TO 2025, THUS REDUCING ENVIRONMENTAL HEALTH RISKS AND GREENHOUSE GAS EMISSIONSADDITIONALLY, TRINITY HEALTH AND OTHER MEMBERS OF THE INTERFAITH CENTER ON CORPORATE RESPONSIBILITY GUN SAFETY GROUP SUBMITTED A SHAREHOLDER RESOLUTION ASKING STURM RUGER, ONE OF THE NATION'S LEADING MANUFACTURERS OF FIREARMS, TO CONDUCT AND PUBLISH AN INDEPENDENT HUMAN RIGHTS IMPACT ASSESSMENT OF ITS POLICIES, PRACTICES AND PRODUCTS, AND MAKE RECOMMENDATIONS FOR IMPROVEMENT. THE RESOLUTION RECEIVED A 68.5% VOTE IN FAVOR, WELL ABOVE THE THRESHOLD REQUIRED FOR THE RESOLUTION TO BE RESUBMITTED IN 2023, INDICATING A LARGE MAJORITY OF STURM RUGER INVESTORS BELIEVE THE COMPANY HAS TO ADDRESS ITS HUMAN RIGHTS IMPACTS. TRINITY HEALTH AND TRINITY HEALTH OF NEW ENGLAND ARE CITED AS PART OF THE GROUP WHO MOVED FORWARD THIS RESOLUTION.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. 1 MUSKEGON COMMUNITY HEALTH PROJECT 565 W WESTERN AVENUE MUSKEGON MI 49440 911932918 501(C)(3) 2867350 0 COMMUNITY BENEFIT COMMUNITY FOUNDATION FOR MUSKEGON COUNTY 425 WESTERN AVENUE MUSKEGON MI 49440 386114135 501(C)(3) 75000 0 COMMUNITY BENEFIT - DEI PARTNERSHIP & SCHOLARSHIP FUND COMMUNITY ACCESS LINE OF THE LAKESHORE 255 W SHERMAN BLVD MUSKEGON MI 49444 383171086 501(C)(3) 10000 0 COMMUNITY BENEFIT 3 0 PART I, LINE 2: DONATIONS MADE BY MERCY HEALTH PARTNERS TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. 1 1 0 0 0 0 0 0 0 ROBERT CASALOU DIRECTOR; PRES & CEO, MICH REGION 0 1053686 0 472500 0 219121 0 17400 0 55001 0 1817708 0 0 RICK EDGAR MD NEUROSURGEON 0 1660789 0 82104 0 1740 0 13050 0 25250 0 1782933 0 0 EDMUND HODGE DIRECTOR; TRINITY HEALTH EVP, CHRO 0 756691 0 454679 0 151082 0 13050 0 41871 0 1417373 0 0 NOAH THORMEIER DO CARDIOLOGIST 0 881399 0 95001 0 513 0 13050 0 27084 0 1017047 0 0 DAVID BONNEMA MD CARDIOLOGIST 0 871408 0 99916 0 1446 0 17400 0 26818 0 1016988 0 0 MICHAEL GUSHO TREASURER; CFO, MICHIGAN REGION 0 582936 0 141136 0 106666 0 21750 0 42569 0 895057 0 89361 DANIEL WEST MD CARDIOLOGIST 0 722807 0 58501 0 5119 0 21750 0 24162 0 832339 0 0 STEVEN FOX MD GASTROENTEROLOGIST 0 670223 0 77142 0 1038 0 17400 0 24296 0 790099 0 0 GARY ALLORE PRESIDENT, TRINITY HEALTH MUSKEGON 0 454160 0 111139 0 67966 0 17400 0 32582 0 683247 0 0 SALLY GUINDI SECRETARY; GENL COUNSEL, MICH REGION 0 398191 0 100000 0 66761 0 21750 0 43811 0 630513 0 0 KRISTEN WOODS MD FORMER KEY EMPLOYEE; PRESIDENT THMG 0 400526 0 101717 0 8735 0 82244 0 31289 0 624511 0 0 JUSTIN GRILL DO CHIEF MEDICAL OFFICER 0 407989 0 74000 0 3757 0 13050 0 34612 0 533408 0 0 KRISTI NAGENGAST VICE PRESIDENT FINANCE 0 282541 0 57569 0 5468 0 21750 0 30772 0 398100 0 0 CAROL TARNOWSKY FORMER OFFICER 0 4796 0 0 0 309745 0 5084 0 705 0 320330 0 0 JOHN FOSS VP OPERATIONS, TH SHELBY HOSPITAL 219441 0 44092 0 475 0 20274 0 24474 0 308756 0 0 0 LISA ROSE VP OPERATIONS, TH MUSKEGON HOSPITAL 230237 0 45910 0 326 0 12846 0 3800 0 293119 0 0 0 KEN UGANSKI FORMER KEY EMPLOYEE 0 0 0 0 0 160902 0 0 0 10028 0 170930 0 150774 PART I, LINE 3 MERCY HEALTH PARTNERS IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. MERCY HEALTH PARTNERS' CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF MERCY HEALTH PARTNERS' CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2021. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: CAROL TARNOWSKY - $306,913 KEN UGANSKI - $150,774 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNT, WHICH WAS UNPAID AS OF 12/31/21: CAROL TARNOWSKY - $4,796 (PAID IN 2022) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2021. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2021, AND THEIR NON-VESTED BENEFITS FOR 2021 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2021 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: GARY ALLORE - $55,569 ROBERT CASALOU - $183,750 SALLY GUINDI - $50,000 MICHAEL GUSHO - $89,361 EDMUND HODGE - $132,615 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUAL FOR 2021 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KRISTEN WOODS, MD - $64,844 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($290,000 FOR 2021). THE FOLLOWING PAYOUTS FOR 2021 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JUSTIN GRILL, DO - $2,635 KRISTI NAGENGAST - $119 CAROL TARNOWSKY - $837 GREGORY BURNS FAMILY MEMBER OF KEN UGANSKI, FORMER KEY EMPLOYEE 62424 EMPLOYMENT ARRANGEMENT 0 CARRIE GRILL FAMILY MEMBER OF JUSTIN GRILL, KEY EMPLOYEE 12849 EMPLOYMENT ARRANGEMENT 0 KAYLA BURNS FAMILY MEMBER OF KEN UGANSKI, FORMER KEY EMPLOYEE 174306 EMPLOYMENT ARRANGEMENT 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1535049 DONOR PROVIDED GOODS/SERVICES TO MERCY HEALTH PARTNERS 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 513044 DONOR PROVIDED GOODS/SERVICES TO MERCY HEALTH PARTNERS 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 171520 DONOR PROVIDED GOODS/SERVICES TO MERCY HEALTH PARTNERS 0 X 370 DONOR PROVIDED VALUE X 4 16102 MEDIAN VAL-TRAN DATE X 13 7722 DONOR PROVIDED VALUE X VARIOUS TOYS 3 18225 DONOR PROVIDED VALUE X GIFT/CARE BAGS 4 1710 DONOR PROVIDED VALUE X LIFE JACKETS 2 1375 DONOR PROVIDED VALUE 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF MERCY HEALTH PARTNERS D/B/A TRINITY HEALTH MUSKEGON (THM) IS TRINITY HEALTH - MICHIGAN. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A TRINITY HEALTH - MICHIGAN IS THE SOLE MEMBER OF TRINITY HEALTH MUSKEGON. TRINITY HEALTH - MICHIGAN HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF TRINITY HEALTH MUSKEGON. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, TRINITY HEALTH - MICHIGAN MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH - MICHIGAN MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. AS THE PARENT OF THE NATIONAL TRINITY HEALTH SYSTEM, CERTAIN POWERS ARE RESERVED TO TRINITY HEALTH CORPORATION. THESE INCLUDE THE AUTHORITY TO ADOPT OR MODIFY THE ORGANIZATION'S GOVERNING DOCUMENTS, TO APPROVE MAJOR CHANGES SUCH AS A MERGER OR DISSOLUTION, AND TO APPROVE SIGNIFICANT FINANCE MATTERS IN EXCESS OF CERTAIN LIMITS ESTABLISHED BY TRINITY HEALTH CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR TRINITY HEALTH MUSKEGON IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C TRINITY HEALTH MUSKEGON HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF TRINITY HEALTH MUSKEGON, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF TRINITY HEALTH MUSKEGON AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO THE INTEGRITY AND COMPLIANCE OFFICER. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE INTEGRITY AND COMPLIANCE OFFICER SHARES THE DISCLOSURES WITH INTERNAL LEGAL COUNSEL, FROM WHICH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF TRINITY HEALTH MUSKEGON (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO TRINITY HEALTH MUSKEGON OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF TRINITY HEALTH MUSKEGON (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF TRINITY HEALTH MUSKEGON. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 15 QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR THE CEO AND CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF TRINITY HEALTH MUSKEGON IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING COMPENSATION FOR THESE INDIVIDUALS, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THESE INDIVIDUALS ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FOR OTHER EXECUTIVES WHO ARE NOT PART OF THE REBUTTABLE PRESUMPTION PROCESS, TRINITY HEALTH USES A MARKET ANALYSIS TO DETERMINE THE APPROPRIATENESS OF THE EXECUTIVE'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 TRINITY HEALTH MUSKEGON IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, THM INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. THM'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 21,219,760. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,219,760. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 1,281,988. MANAGEMENT AND GENERAL EXPENSES 3,296,541. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,578,529. LAUNDRY AND LINEN SERVICES: PROGRAM SERVICE EXPENSES 765,106. MANAGEMENT AND GENERAL EXPENSES 22,202. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 787,308. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 43,934,563. MANAGEMENT AND GENERAL EXPENSES 7,994. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,942,557. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 20,703,991. MANAGEMENT AND GENERAL EXPENSES 1,282,275. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,986,266. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,591,166. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,591,166. RECRUITING SERVICES: PROGRAM SERVICE EXPENSES 5,086. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,086. BILLING SERVICES: PROGRAM SERVICE EXPENSES 37,903. MANAGEMENT AND GENERAL EXPENSES 58. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,961. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS TO AFFILIATES -8,298,072. EQUITY GAIN IN UNCONSOLIDATED AFFILIATES 2,726,431. ASSET IMPAIRMENT -7,577,611. FORM 990, PART XII, LINE 2: TRINITY HEALTH MUSKEGON'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY22 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. FORM 990, PAGE 1, DOING BUSINESS AS NAMES: BHS-BROADMOOR, BHS-PARCHMENT, CANCER NETWORK OF WEST MICHIGAN, CARDIOVASCULAR NETWORK OF WEST MICHIGAN, HACKLEY HEALTH MANAGEMENT, HACKLEY HEALTHCARE EQUIPMENT AND PHARMACY, HACKLEY HEALTHCARE EQUIPMENT CORP., HACKLEY LIFE COUNSELING, HART FAMILY MEDICAL CENTER, JOHNSON FAMILY CENTER FOR CANCER CARE, LAKES OBGYN SPECIALISTS, LAKESHORE MEDICAL CENTER-SHELBY, LAKESHORE MEDICAL CENTER-WHITEHALL, MCCLEES CLINIC, MERCY HEALTH, MERCY HEALTH BHS BROADMOOR, MERCY HEALTH BHS PARCHMENT, MERCY HEALTH BUSINESS HEALTH SOLUTIONS, MERCY HEALTH GENERAL CAMPUS, MERCY HEALTH HACKLEY, MERCY HEALTH HACKLEY CAMPUS, MERCY HEALTH HEALTHCARE EQUIPMENT, MERCY HEALTH LAKES VILLAGE, MERCY HEALTH LAKESHORE, MERCY HEALTH LAKESHORE CAMPUS, MERCY HEALTH MERCY, MERCY HEALTH MERCY CAMPUS, MERCY HEALTH MUSKEGON, MERCY HEALTH MUSKEGON - SHERMAN BLVD., MERCY HEALTH PARNTERS LAKESHORE CAMPUS, MERCY HEALTH PARTNERS OBSTETRICS & GYNECOLOGY SPECIALIST, MERCY HEALTH PARTNERS PHYSICIAN SPECIALIST, MERCY HEALTH PARTNERS SUB-SPECIALTY, MERCY HEALTH PARTNERS SUB-SPECIALTY SERVICES, MERCY HEALTH PARTNERS, HACKLEY CAMPUS, MERCY HEALTH PARTNERS-LIFE COUNSELING, MERCY HEALTH PARTNERS-ORTHOTICS AND PROSTHETICS, MERCY HEALTH PARTNERS-WORK LIFE SERVICES, MERCY HEALTH PARTNERS-WORK PLACE HEALTH, MERCY HEALTH PHARMACY - GLENSIDE, MERCY HEALTH PHARMACY - HACKLEY PROFESSIONAL, MERCY HEALTH PHARMACY - WESTSHORE PROFESSIONAL, MERCY HEALTH PHYSICIAN PARTNERS, SABLE POINT FAMILY CARE, MERCY HEALTH PHYSICIAN PARTNERS-MUSKEGON, MERCY HEALTH WESTSHORE CARDIOLOGY SERVICES, MERCY HEALTHCARE EQUIPMENT CORP., MERCY LIFE COUNSELING, MERCY SPECIALTY SERVICES, MERCY URGENT CARE, MERCY WOMEN'S HEALTH SERVICES, SHELBY FAMILY CARE, THE BOUTIQUE AT MERCY HEALTH, WESTSHORE HEALTH NETWORK, WORKPLACE HEALTH - LUDINGTON, WORKPLACE HEALTH GRAND RAPIDS, WORKPLACE HEALTH HERMAN MILLER CLINIC, WORKPLACE HEALTH HUDSONVILLE, WORKPLACE HEALTH LUDINGTON, WORKPLACE HEALTH MUSKEGON, WORKPLACE HEALTH SAINT MARY'S, WORKPLACE HEALTH WHITEHALL, TRINITY HEALTH BEHAVIORAL HEALTH PHARMACY-MUSKEGON, TRINITY HEALTH BOUTIQUE, TRINITY HEALTH CMH PHARMACY - MUSKEGON, TRINITY HEALTH HEART CENTER, TRINITY HEALTH IMAGING, TRINITY HEALTH INPATIENT PHARMACY - MUSKEGON HOSPITAL, TRINITY HEALTH INPATIENT PHARMACY - SHELBY HOSPITAL, TRINITY HEALTH JOHNSON FAMILY CANCER CENTER, TRINITY HEALTH LAB, TRINITY HEALTH MEDICAL CENTER, TRINITY HEALTH MEDICAL GROUP, PRIMARY CARE - HART, TRINITY HEALTH MEDICAL GROUP, PRIMARY CARE - LUDINGTON, TRINITY HEALTH MEDICAL GROUP, PRIMARY CARE - SHELBY, TRINITY HEALTH MEDICAL GROUP, PRIMARY CARE - WHITEHALL, TRINITY HEALTH MUSKEGON, TRINITY HEALTH MUSKEGON HOSPITAL, TRINITY HEALTH PHARMACY - HACKLEY, TRINITY HEALTH PHARMACY - LAKES VILLAGE, TRINITY HEALTH PHARMACY - MUSKEGON HOSPITAL, TRINITY HEALTH PHARMACY - NORTH MUSKEGON, TRINITY HEALTH PHARMACY - NORTON SHORES, TRINITY HEALTH PHARMACY - SHERMAN PAVILION, TRINITY HEALTH SHELBY HOSPITAL, TRINITY HEALTH URGENT CARE MERCY HEALTH CLINICALLY INTEGRATED NETWORK LLC 1415 LEAHY STREET MUSKEGON MI 49442 472070753 ACCOUNTABLE CARE ORGANIZATION MI 28457058 64435477 MERCY HEALTH PARTNERS AFFINIA HEALTH ACO LLC 20555 VICTOR PARKWAY LIVONIA MI 48152 473870396 ACCOUNTABLE CARE ORGANIZATION MI 0 0 MERCY HEALTH PARTNERS AFFINIA PHYSICIAN NETWORK LLC 1500 E SHERMAN BLVD MUSKEGON MI 49444 822810979 PHYSICIAN NETWORK MI 0 312628 MERCY HEALTH CLINICALLY INTEGRATED NETWORK LLC ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 200 JEFFERSON AVE SE GRAND RAPIDS MI 49503 272491974 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR FL 34684 581492325 GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 421500277 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 262973307 FOUNDATION IA 501(C)(3) LINE 12A, I BAUM HARMON MERCY HOSPITAL 1 BEECHWOOD INC 2212 BURDETT AVE TROY NY 12180 141651563 TITLE HOLDING COMPANY NY 501(C)(2) N/A LTC (EDDY) INC 1 BETHLEHEM HAVEN OF PITTSBURGH 905 WATSON STREET PITTSBURGH PA 15219 251436685 HOMELESS SHELTER PA 501(C)(3) LINE 7 PITTSBURGH MERCY HEALTH SYSTEM INC 1 BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS NY 12159 141717028 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 BRIGHTSIDE INC 114 WOODLAND STREET HARTFORD CT 06105 042182395 HEALTH CARE SERVICES MA 501(C)(3) LINE 10 THE MERCY HOSPITAL INC 1 CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA STREET COHOES NY 12047 141701597 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 CATHERINE MCAULEY HEALTH SERVICES CORP 5315 ELLIOTT DR 102 YPSILANTI MI 48197 382507173 HEALTH CARE SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 1 CATHOLIC HEALTH MINISTRIES 20555 VICTOR PARKWAY LIVONIA MI 48152 GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM VT 501(C)(3) LINE 1 N/A 0 DILEY RIDGE MEDICAL CENTER 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 342032340 HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 MOUNT CARMEL HEALTH SYSTEM 1 DUBUQUE MERCY HEALTH FOUNDATION 250 MERCY DRIVE DUBUQUE IA 52001 262227941 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 DYERSVILLE HEALTH FOUNDATION INC 1111 3RD STREET SW DYERSVILLE IA 52040 205383271 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 EAST NORRITON PHYSICIANS SERVICES INC 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232515999 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 EDDY LICENSED HOME CARE AGENCY 433 RIVER ST SUITE 3000 TROY NY 12180 141818568 HOME HEALTH SERVICES NY 501(C)(3) LINE 3 LTC (EDDY) INC 1 EMBRACING AGE INC 333 BUTTERNUT DRIVE DEWITT NY 13214 461051881 PACE PROGRAM NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC 1 EMPIRE HOME INFUSION SERVICE INC 10 BLACKSMITH DRIVE MALTA NY 12020 141795732 HOME HEALTH SERVICES NY 501(C)(3) LINE 10 HOME AIDE SERVICE OF EASTERN NEW YORK INC 1 FARREN CARE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 042501711 LONG TERM CARE MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 FRANCISCAN ELDERCARE CORPORATION PO BOX 2500 WILMINGTON DE 19805 223008680 LONG TERM CARE (INACTIVE) DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL INC 1 GLACIER HILLS FOUNDATION 1200 EARHART RD ANN ARBOR MI 48105 208072723 FOUNDATION MI 501(C)(3) LINE 12A, I GLACIER HILLS INC 1 GLACIER HILLS INC 1200 EARHART RD ANN ARBOR MI 48105 381891500 SENIOR LIVING COMMUNITY MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 GLEN EDDY INC 1 GLEN EDDY DRIVE NISKAYUNA NY 12309 141794150 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 GLOBAL HEALTH MINISTRY 20555 VICTOR PARKWAY LIVONIA MI 48152 421253527 HEALTH CARE SERVICES MI 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 GOOD SAMARITAN HOSPITAL INC 5401 LAKE OCONEE PARKWAY GREENSBORO GA 30642 261720984 HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 TRINITY HEALTH GEORGIA INC 1 GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION 701 W NORTH AVE MELROSE PARK IL 60160 363332852 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 GOTTLIEB MEMORIAL FOUNDATION 701 WEST NORTH AVENUE MELROSE PARK IL 60160 743260011 FOUNDATION IL 501(C)(3) LINE 12D, III-O N/A 0 GOTTLIEB MEMORIAL HOSPITAL 701 W NORTH AVE MELROSE PARK IL 60160 362379649 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 HAWTHORNE RIDGE INC 30 COMMUNITY WAY EAST GREENBUSH NY 12061 800102840 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HEART CENTER OF GREATER WATERBURY INC 114 WOODLAND STREET HARTFORD CT 06105 830416893 MANAGEMENT CT 501(C)(3) LINE 12A, I N/A 0 HERITAGE HOUSE NURSING CENTER INC 2920 TIBBITS AVE TROY NY 12180 141725101 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HOLY CROSS CARENET INC PO BOX 9184 FARMINGTON HILLS MI 48152 521945054 LONG TERM CARE MD 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 HOLY CROSS HEALTH FOUNDATION INC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 208428450 FOUNDATION MD 501(C)(3) LINE 7 HOLY CROSS HEALTH INC 1 HOLY CROSS HEALTH INC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 520738041 HEALTH CARE AND HOSPITAL SERVICES MD 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 HOLY CROSS HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 590791028 HEALTH CARE AND HOSPITAL SERVICES FL 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 HOLY CROSS OUTPATIENT SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 465421068 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOLY CROSS PRIMARY CARE INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 812531495 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOLY CROSS SENIOR SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 832256461 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOME AIDE SERVICE OF EASTERN NEW YORK INC 433 RIVER ST SUITE 3000 TROY NY 12180 141514867 HOME HEALTH SERVICES NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HOSPICE OF NORTH IOWA 232 SECOND STREET SE MASON CITY IA 50401 421173708 HOSPICE SERVICES IA 501(C)(3) LINE 10 MERCY HEALTH SERVICES-IOWA CORP 1 HOSPICE OF SIOUXLAND 4300 HAMILTON BLVD SIOUX CITY IA 51104 383320710 HOSPICE SERVICES IA 501(C)(3) LINE 12A, I N/A 0 IHA HEALTH SERVICES CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR MI 48106 383316559 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 JOHNSON MEMORIAL HOSPITAL INC 114 WOODLAND STREET HARTFORD CT 06105 475676956 HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 LANGHORNE MRI INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232519529 HEALTH CARE SERVICES (INACTIVE) PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 LANGHORNE PHYSICIAN SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232571699 HEALTH CARE SERVICES PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 LIFE AT LOURDES INC 2475 MCCLELLAN AVENUE PENNSAUKEN NJ 08109 261854750 PACE PROGRAM NJ 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 LIFE AT ST FRANCIS HEALTHCARE INC 1072 JUSTISON STREET WILMINGTON DE 19801 452569214 PACE PROGRAM DE 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 LIFE ST FRANCIS CORPORATION 7500 K JOHNSON BOULEVARD BORDENTOWN NJ 08505 222797282 PACE PROGRAM NJ 501(C)(3) LINE 10 ST FRANCIS MEDICAL CENTER TRENTON NJ 1 LIFE ST JOSEPH OF THE PINES INC 4900 RAEFORD ROAD FAYETTEVILLE NC 28304 272159847 PACE PROGRAM NC 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 LIFE ST MARY 2500 NORTHGATE ROAD TREVOSE PA 19053 262976184 PACE PROGRAM PA 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 LOYOLA MEDICINE TRANSPORT LLC 905 W NORTH AVE MELROSE PARK IL 60160 474147171 TRANSPORTATION SERVICES IL 501(C)(3) LINE 10 LOYOLA UNIVERSITY MEDICAL CENTER 1 LOYOLA UNIVERSITY HEALTH SYSTEM 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 363342448 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 LOYOLA UNIVERSITY MEDICAL CENTER 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 364015560 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 LTC (EDDY) INC 2212 BURDETT AVE TROY NY 12180 222564710 MANAGEMENT SERVICES FOR LONG TERM CARE NY 501(C)(3) LINE 12B, II ST PETER'S HEALTH PARTNERS 1 MAXIS HEALTH SYSTEM 20555 VICTOR PARKWAY LIVONIA MI 48152 911940902 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT PA 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 MCAULEY CENTER INC 275 STEELE ROAD WEST HARTFORD CT 06117 061058086 SENIOR LIVING COMMUNITY CT 501(C)(3) LINE 10 MERCY COMMUNITY HEALTH INC 1 MCAULEY MINISTRIES 3333 FIFTH AVENUE PITTSBURGH PA 15213 943436142 GRANT MAKING PA 501(C)(3) LINE 12B, II PITTSBURGH MERCY HEALTH SYSTEM INC 1 MERCY CARE CENTER 3753 SOUTH COTTAGE GROVE AVE CHICAGO IL 60653 853904921 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 MERCY CARE FOUNDATION INC 424 DECATUR STREET ATLANTA GA 30312 581448522 FOUNDATION GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC 1 MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA 3805 W CHESTER PIKE STE 100 NEWTOWN SQUARE PA 19073 231352191 HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 MERCY COMMUNITY HEALTH INC 2021 ALBANY AVENUE WEST HARTFORD CT 06117 061492707 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT CT 501(C)(3) LINE 12B, II TRINITY CONTINUING CARE SERVICES 1 MERCY FAMILY SUPPORT 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232325059 HOME HEALTH SERVICES PA 501(C)(3) LINE 10 MERCY HOME HEALTH SERVICES 1 MERCY FOUNDATION INC 2525 SOUTH MICHIGAN AVENUE CHICAGO IL 60616 363227350 FOUNDATION IL 501(C)(3) LINE 7 MERCY HEALTH SYSTEM OF CHICAGO 1 MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE 888 TERRACE STREET MUSKEGON MI 49440 383321856 HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232829864 FOUNDATION PA 501(C)(3) LINE 12B, II TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 MERCY HEALTH NETWORK INC 1449 NW 128TH ST BLDG 5 CLIVE IA 50325 421478417 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT DE 501(C)(3) LINE 12C, III-FI N/A 0 MERCY HEALTH PARTNERS 1500 E SHERMAN BLVD MUSKEGON MI 49444 382589966 HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 0 MERCY HEALTH PLAN 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 222483605 MEDICAID MANAGED CARE PLAN PA 501(C)(3) LINE 12B, II TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 MERCY HEALTH SERVICES - IOWA CORP 1000 4TH STREET SW MASON CITY IA 50401 311373080 HEALTH CARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 MERCY HEALTH SYSTEM OF CHICAGO 2525 SOUTH MICHIGAN AVENUE CHICAGO IL 60616 363163327 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 MERCY HEALTHCARE FOUNDATION - CLINTON 1410 N 4TH ST CLINTON IA 52732 421316126 FOUNDATION IA 501(C)(3) LINE 7 MERCY MEDICAL CENTER - CLINTON INC 1 MERCY HOME HEALTH 20555 VICTOR PARKWAY LIVONIA MI 48152 231352099 HOME HEALTH SERVICES PA 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 MERCY HOME HEALTH SERVICES 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232325058 MANAGEMENT SERVICES FOR HOME HEALTH PA 501(C)(3) LINE 12B, II TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 MERCY HOSPITAL AND MEDICAL CENTER 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 362170152 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF CHICAGO 1 MERCY HOSPITAL CADILLAC FOUNDATION 318 RIVER RIDGE DR NW SUITE 100 WALKER MI 49544 203357131 FOUNDATION MI 501(C)(3) LINE 12A, I TRINITY HEALTH-MICHIGAN 1 MERCY LIFE (FKA ST AGNES CONTINUING CARE CENTER) 1930 SOUTH BROAD STREET PHILADELPHIA PA 19145 232840137 PACE PROGRAM PA 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 MERCY LIFE CENTER CORPORATION 1200 REEDSDALE STREET PITTSBURGH PA 15233 251604115 COMMUNITY OUTREACH PA 501(C)(3) LINE 10 PITTSBURGH MERCY HEALTH SYSTEM INC 1 MERCY LIFE OF ALABAMA PO BOX 7957 MOBILE AL 36670 273163002 PACE PROGRAM AL 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 MERCY LIFE INC 200 HILLSIDE CIRCLE WEST SPRINGFIELD MA 01089 453086711 PACE PROGRAM MA 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232627944 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 MERCY MEDICAL CENTER - CLINTON INC 1410 NORTH 4TH ST CLINTON IA 52732 421336618 HEALTH CARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION 801 5TH STREET SIOUX CITY IA 51102 141880022 FOUNDATION IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP 1 MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA 1000 4TH STREET SW MASON CITY IA 50401 421229151 FOUNDATION IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP 1 MERCY MEDICAL CORPORATION PO BOX 7957 MOBILE AL 36670 636002215 PACE PROGRAM AL 501(C)(3) LINE 10 TRINITY HEALTH CORPORATION 1 MERCY MEDICAL GROUP INC 114 WOODLAND STREET HARTFORD CT 06105 454884805 HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 MERCY SENIOR CARE INC 424 DECATUR STREET ATLANTA GA 30312 581366508 COMMUNITY OUTREACH GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC 1 MERCY SERVICES DOWNTOWN INC 424 DECATUR STREET ATLANTA GA 30312 272046353 TITLE HOLDING COMPANY GA 501(C)(3) LINE 12B, II SAINT JOSEPH'S HEALTH SYSTEM INC 1 MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION PO BOX 9184 FARMINGTON HILLS MI 48333 382719605 LONG TERM CARE MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 MERCY SPECIALIST PHYSICIANS INC 114 WOODLAND STREET HARTFORD CT 06105 264033168 HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 MERCY SUBURBAN HOSPITAL 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 231396763 HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 MOUNT CARMEL COLLEGE OF NURSING 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 311308555 COLLEGE OF NURSING OH 501(C)(3) LINE 2 MOUNT CARMEL HEALTH SYSTEM 1 MOUNT CARMEL HEALTH INSURANCE COMPANY 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 251912781 HEALTH INSURANCE OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM 1 MOUNT CARMEL HEALTH PLAN OF CONNECTICUT INC 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 873948434 MEDICARE HMO CT 501(C)(4) N/A MOUNT CARMEL HEALTH PLAN INC 1 MOUNT CARMEL HEALTH PLAN OF IDAHO INC 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 831422704 MEDICARE HMO ID 501(C)(4) N/A MOUNT CARMEL HEALTH PLAN INC 1 MOUNT CARMEL HEALTH PLAN OF NEW YORK INC 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 833278543 MEDICARE HMO NY 501(C)(4) N/A MOUNT CARMEL HEALTH PLAN INC 1 MOUNT CARMEL HEALTH PLAN INC 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 311471229 MEDICARE HMO OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM 1 MOUNT CARMEL HEALTH SYSTEM 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 311439334 HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 MOUNT CARMEL HEALTH SYSTEM FOUNDATION 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 311113966 FOUNDATION OH 501(C)(3) LINE 12A, I MOUNT CARMEL HEALTH SYSTEM 1 MOUNT SINAI HOSPITAL FOUNDATION INC 114 WOODLAND STREET HARTFORD CT 06105 222584082 FOUNDATION CT 501(C)(3) LINE 12C, III-FI N/A 0 MOUNT SINAI REHABILITATION HOSPITAL INC 114 WOODLAND STREET HARTFORD CT 06105 061422973 HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 MOUNT ST JOSEPH 20555 VICTOR PARKWAY LIVONIA MI 48152 010274998 LONG TERM CARE ME 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC 1 MUSKEGON COMMUNITY HEALTH PROJECT 565 W WESTERN AVENUE MUSKEGON MI 49440 911932918 COMMUNITY OUTREACH MI 501(C)(3) LINE 7 MERCY HEALTH PARTNERS 1 NAZARETH HOSPITAL 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232794121 HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 NAZARETH PHYSICIAN SERVICES INC 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 203261266 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 NE PHYSICIAN SERVICES INC 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232497355 HEALTH CARE SERVICES (INACTIVE) PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 OAKLAND MERCY HOSPITAL 601 EAST 2ND STREET OAKLAND NE 68045 208072234 HEALTH CARE AND HOSPITAL SERVICES NE 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 OAKLAND MERCY HOSPITAL 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