2021-05-14T09:33:18-05:00 2020-06-30 990 2019-07-01 382589966 MERCY HEALTH PARTNERS D/B/A MERCY HEALTH MUSKEGON MERC 2316722000 1500 E SHERMAN BLVD MUSKEGON MI 49444 MICHAEL GUSHO TREASURER AND CFO 2317284809 2021-05-14 2019 2022-09-23 18:48:47Z SEE SCHEDULE O FOR LIST GARY ALLORE 1500 E SHERMAN BLVD MUSKEGON MI 49444 697139361 0 0928 X WWW.MERCYHEALTH.COM X 1984 MI TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES. 14 12 4981 227 5481497 0 3651511 20254384 682246631 648280310 4021093 1600031 20341744 22774172 710260979 692908897 4233287 3805355 0 0 342886779 351180046 57000 40375 40375 334048032 368187402 681225098 723213178 29035881 -30304281 692484116 816487004 426203095 607562521 266281021 208924483 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 677386098 3805355 664805137 MERCY HEALTH PARTNERS IS A TEACHING HOSPITAL WITH MULTIPLE LOCATIONS, INCLUDING THREE HOSPITALS TOTALING OVER 400 LICENSED BEDS, LOCATED IN THE MUSKEGON, MICHIGAN AREA. THE HOSPITALS HAVE OVER 64,000 INPATIENT DISCHARGES AND 103,000 EMERGENCY ROOM VISITS ANNUALLY. THE SYSTEM IS THE LARGEST EMPLOYER IN MUSKEGON COUNTY, WITH A TEAM OF MORE THAN 4,000 EMPLOYEES AND 375 PHYSICIANS COMMITTED TO THE QUALITY CARE OF PATIENTS AND THEIR FAMILIES. THE MERCY AND HACKLEY CAMPUSES ARE ACUTE FACILITIES LOCATED IN MUSKEGON COUNTY, SERVING MUSKEGON, OCEANA AND NEWAYGO COUNTIES. THE LAKESHORE CAMPUS IS A CRITICAL CARE FACILITY SERVING OCEANA AND NEWAYGO COUNTIES. HEALTHGRADES HAS RANKED THE SYSTEM IN THE TOP 5% 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.MERCYHEALTH.COM 677386098 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 0 0 1 510 1 1 4981 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 14 12 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 RICK EDGAR MD NEUROSURGEON 50.00 0.00 X 0 1782709 34146 ROBERT CASALOU DIRECTOR;PRESIDENT & CEO-MICH REGION 11.00 44.00 X X 0 1579544 68419 ROGER SPOELMAN FORMER OFFICER 0.00 0.00 X 0 926315 492493 EDMUND HODGE DIRECTOR; TH EVP, CHRO 2.00 53.00 X 0 1098135 48078 DAVID BONNEMA MD CARDIOLOGIST 50.00 0.00 X 0 928587 38626 IONUT ORAVITAN MD CARDIOLOGIST 50.00 0.00 X 0 811476 40510 MICHAEL GUSHO TREASURER; CFO-MICHIGAN REGION 10.00 40.00 X 0 680216 141025 CHRISTOPHER MARQUART MD NEUROSURGEON 50.00 0.00 X 0 773157 29184 DANIEL WEST MD CARDIOLOGIST 50.00 0.00 X 0 734070 42002 GARY ALLORE PRESIDENT, MERCY HEALTH MUSKEGON 53.00 2.00 X 0 599075 48478 JEFFREY ALEXANDER VP SUBS & STRATEGY THROUGH 11/19 49.00 1.00 X 0 326626 295632 SALLY GUINDI SECRETARY; GEN COUNSEL-MICHIGAN 10.00 40.00 X 0 498151 52366 REMINGTON SPRAGUE MD VP & CMO THROUGH 1/20 48.00 2.00 X 0 477491 72665 MARY BOYD FORMER KE; EVP REGIONAL OPERATIONS 0.00 55.00 X 0 511709 34404 KRISTEN WOODS MD PRESIDENT MHPP 1.00 54.00 X 0 443438 87354 CAROL TARNOWSKY FORMER OFFICER; MI DPTY GEN CSL 18.00 32.00 X 0 371464 29378 KRISTI NAGENGAST VP FINANCE 49.00 1.00 X 0 334150 46539 KIMBERLY MAGUIRE FORMER KE; VP PATIENT CARE SERVICES 49.00 1.00 X 0 321102 44336 TOM REYNOLDS VP PHYSICIAN ALIGNMENT THR 1/20 49.00 1.00 X 0 319277 43192 KEN UGANSKI VP CLINICAL OPERATIONS 49.00 1.00 X 0 302773 50861 JUSTIN GRILL DO CMO AS OF 2/20 49.00 1.00 X 311050 0 41739 JOHN FOSS VP OPERATIONS, MERCY LAKESHORE 49.00 1.00 X 221158 0 40007 JAMES WOODS DIRECTOR; CHAIR 2.00 2.00 X X 0 0 0 DALE NESBARY PHD DIRECTOR; VICE CHAIR 2.00 2.00 X X 0 0 0 WAYMAN BRITT DIRECTOR 2.00 2.00 X 0 0 0 DONNA DOLEMAN DIRECTOR 2.00 2.00 X 0 0 0 JAN GARFINKLE DIRECTOR 2.00 2.00 X 0 0 0 LUANN MARY HANNASCH RSM DIRECTOR 2.00 2.00 X 0 0 0 JOSE' INFANTE DIRECTOR 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 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 2.00 2.00 X 0 0 0 TERRENCE WRIGHT MD DIRECTOR THR 12/19 2.00 2.00 X 0 0 0 532208 13819465 1821434 153 1 1 0 THE CHRISTMAN COMPANY 208 N CAPITOL AVE LANSING MI 48933 CONSTRUCTION SERVICES 35615323 CLIFFORD BUCK CONSTRUCTION CO 500 IRWIN AVE MUSKEGON MI 49442 CONSTRUCTION SERVICES 7406817 ATHENAHEALTH INC 311 ARSENAL ST WATERTOWN PA 02472 HEALTH CARE SERVICES 5116408 AMERICAN ANESTHESIOLOGY OF MI 1848 E SHERMAN BLVD STE Y MUSKEGON MI 49444 HEALTH CARE SERVICES 3005886 SECURITAS SECURITY SERVICE USA 36949 SCHOOLCRAFT ROAD LIVONIA MI 48150 HEALTH CARE SERVICES 2656928 132 349210 21789 17856497 2026888 508302 20254384 NET PATIENT SVC REV 622110 591716719 588973713 2743006 PHARMACY REVENUE 446110 56563591 53825100 2738491 648280310 2448354 2448354 1445237 2287346 -842109 -842109 -842109 654009 21482 0 1523814 654009 -1502332 -848323 -848323 36208 21789 31504 4704 4704 424050 387800 36250 36250 PROVIDER INCENTIVE REV 622110 6131553 6131553 MANAGEMENT SERVICES REVENUE 561000 4077796 4077796 CAFETERIA 722514 1569003 1569003 11796975 11796975 23575327 692908897 664805137 5481497 2367879 3805355 3805355 3863383 3863383 609934 104201 505733 287384052 271079761 16304291 7252414 6916547 335867 33496207 31420809 2075398 18574056 17743122 830934 169185 169185 40375 40375 481023 481023 63883418 62112139 1771279 834712 784575 50137 8384730 5501704 2883026 29465769 26760811 2704958 17404034 16533832 870202 543396 457803 85593 950246 877047 73199 7602001 7602001 29452280 19348947 10103333 3404859 3404859 MEDICAL SUPPLIES 118363434 118363434 INTERCO PURCH SVCS 30974618 29425887 1548731 BAD DEBT EXPENSE 26717629 26717629 UBI TAXES PAID 35000 35000 29521068 28390635 1130433 723213178 677386098 45786705 40375 3069374 848900 3551921 2353873 82435918 57424223 48101738 496825 10330601 7880954 2020845 2502270 683621158 285577121 353060001 398044037 85768982 152571869 48993269 55694247 4308542 3243408 50842925 135426398 692484116 816487004 89207772 108228119 3537829 6166145 2383309 1708896 331074185 491459361 426203095 607562521 X 258322479 201456244 7958542 7468239 266281021 208924483 692484116 816487004 X -30304281 -511575 -26540682 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 23896 0 0 0 23896 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. 1058265 2098 99234 961129 966727 72498 -19040 1058265 990851 80960 105084 966727 852697 350 137804 990851 876454 -33069 -9312 852697 1 0 7020687 7020687 343946520 165952494 177994026 638995 589648 49347 163185089 118235650 44949439 168829867 799329 168030538 398044037 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 15912642 F EQUITY METHOD INVESTMENTS 29836204 C HEDGE FUNDS 9945401 F 55694247 MISCELLANEOUS RECEIVABLES 14280005 INTERCOMPANY LONG TERM ASSETS 34311814 OTHER LONG TERM ASSETS 195710 INVESTMENT IN UNCONSOLIDATED AFFILIATES 5877978 INTERCOMPANY RECEIVABLES 66269923 OPERATING LEASE RIGHT-OF-USE ASSETS 14490968 135426398 INTERCOMPANY NOTES PAYABLE 212473290 INTERCOMPANY ACCOUNTS PAYABLE 196813749 SHORT TERM GUARANTEES 232685 DEFERRED COMPENSATION 1921177 ASSET RETIREMENT OBLIGATIONS (FIN 47) 8511223 LONG TERM GUARANTEES 1395610 MEDICARE CASH ADVANCES 55619396 OPERATING LEASE LIABILITIES 14492231 491459361 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. X X X X X X 1 HILLARY LYONS ASSOC PO BOX 99 DIMONDALE MI 48821 CONSULTS IN ALL FUNDRAISING ACTIVITIES 0 1863212 40375 1822837 1863212 40375 1822837 MI HOME & HEARTH 31272 8413 22859 6539 200 9546 THE RIDE 26725 13376 13349 1836 438 12945 1 57997 21789 36208 1836 6977 200 22491 31504 4704 1 1 X 1 X 1 X 1 1 0 1 1 4140038 4140038 0.00590 122069362 88899976 33169386 0.04760 717771 539349 178422 0.00030 126927171 89439325 37487846 0.05380 28 161057 6174358 1545924 4628434 0.00660 2 79 16822318 4317776 12504542 0.01800 3 22149 252076 252076 0.00040 33 183285 23248752 5863700 17385052 0.02500 33 183285 150175923 95303025 54872898 0.07880 3 153237 104544 48693 0.00010 1 97252 3074 94178 0.00010 1 4818 4818 0.00000 5 255307 107618 147689 0.00020 0 26717629 0 106760948 151671880 -44910932 X 1 1 1 MUSKEGON SC LLC AMBULATORY SURGERY CTR 0.25000 0.62000 3 1 MERCY HEALTH PARTNERS MERCY CAMPUS 1500 E SHERMAN BLVD MUSKEGON MI 49444 WWW.MERCYHEALTH.COM LICENSE 1060000188 X X X X 2 MERCY HEALTH PARTNERS HACKLEY CAMPUS 1700 CLINTON STREET MUSKEGON MI 49442 WWW.MERCYHEALTH.COM LICENSE 1060000032 X X X 3 MERCY HEALTH PARTNERS LAKESHORE CAMPUS 72 S STATE STREET SHELBY MI 49455 WWW.MERCYHEALTH.COM LICENSE 1060000153 X X X X MERCY HEALTH PARTNERS MERCY CAMPUS 1 0 0 1 X X X X X X X X X X 18 1 1 0 1 X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X X 1 18 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X WWW.MERCYHEALTH.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X WWW.MERCYHEALTH.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X WWW.MERCYHEALTH.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 MERCY HEALTH PARTNERS LAKESHORE CAMPUS 3 0 0 1 X X X X X X X X X X 18 1 1 0 1 X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X X 1 18 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X WWW.MERCYHEALTH.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X WWW.MERCYHEALTH.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X WWW.MERCYHEALTH.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 MERCY HEALTH PARTNERS HACKLEY CAMPUS 2 0 0 1 X X X X X X X X X X 18 1 1 0 1 X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X X 1 18 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X WWW.MERCYHEALTH.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X WWW.MERCYHEALTH.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X WWW.MERCYHEALTH.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 MERCY HEALTH PARTNERS MERCY CAMPUS PART V, SECTION B, LINE 3J: MERCY HEALTH MUSKEGON'S (MHM) FY19 CHNA ALSO INCLUDED:- INTRODUCTION AND MISSION STATEMENT REVIEW - REFLECTIONS ON THE CHNA PROCESS: COMMUNITY ENGAGEMENT, PROCESS AND FEEDBACK- FIVE APPENDICES, INCLUDING (FOR TWO COUNTIES): COMMUNITY SURVEY, COMMUNITY CENSUS DATA TABLES; CHILDCARE PROVIDER ANALYSIS; MICHIGAN LEAGUE FOR PUBLIC POLICY COUNTY HEALTH RANKINGS DATA; UPDATE ON FY16 CHNA REPORTMERCY HEALTH PARTNERS MERCY CAMPUS:PART V, SECTION B, LINE 3E: MERCY HEALTH PARTNERS INCLUDED IN ITS JOINT FY19 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 FY2019 CHNA REPORT ENCOMPASSED MUSKEGON AND OCEANA COUNTIES FOR MERCY HEALTH MERCY CAMPUS, MERCY HEALTH HACKLEY CAMPUS, AND MERCY HEALTH LAKESHORE CAMPUS. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: MUSKEGON COUNTY 1. CHILDCARE - AFFORDABILITY2. SUBSTANCE USE - OPIOID EDUCATION2. EMPLOYMENT - NEED FOR SKILL BUILDING3. EDUCATION - TRADES AND/OR TECHNICAL TRAINING4. CHILDCARE - AVAILABILITY5. EDUCATION - SPECIAL EDUCATION5. HOUSING - WHERE TO GET HELP6. NUTRITION - COST OF HEALTHY FOOD7. NUTRITION - AVAILABILITY OF HEALTHY FOOD8. STI/STD - WHAT PROTECTS FROM INFECTION8. EMPLOYMENT - WHO YOU KNOW, NOT WHAT YOU KNOW9. ADVANCE DIRECTIVESOCEANA COUNTY 1. HOUSING - WHERE TO GET HELP2. CHILDCARE - AFFORDABILITY3. NUTRITION - COST OF HEALTHY FOOD3. EMPLOYMENT - SKILLS BUILDING4. CHILDCARE - AVAILABILITY4. SUBSTANCE USE - OPIOID EDUCATION5. EDUCATION - TRADES AND/OR TECHNICAL TRAINING6. NUTRITION - AVAILABILITY OF HEALTHY FOOD7. EMPLOYMENT - WHO YOU KNOW, NOT WHAT YOU KNOW8. EDUCATION - SPECIAL EDUCATION9. STD/STI - MYTHS ABOUT WHAT PROTECTS FROM INFECTION10. ADVANCE DIRECTIVES MERCY HEALTH PARTNERS LAKESHORE CAMPUS PART V, SECTION B, LINE 3J: MERCY HEALTH MUSKEGON'S (MHM) FY19 CHNA ALSO INCLUDED:- INTRODUCTION AND MISSION STATEMENT REVIEW - REFLECTIONS ON THE CHNA PROCESS: COMMUNITY ENGAGEMENT, PROCESS AND FEEDBACK- FIVE APPENDICES, INCLUDING (FOR TWO COUNTIES): COMMUNITY SURVEY, COMMUNITY CENSUS DATA TABLES; CHILDCARE PROVIDER ANALYSIS; MICHIGAN LEAGUE FOR PUBLIC POLICY COUNTY HEALTH RANKINGS DATA; UPDATE ON FY16 CHNA REPORTMERCY HEALTH PARTNERS LAKESHORE CAMPUS:PART V, SECTION B, LINE 3E: MERCY HEALTH PARTNERS INCLUDED IN ITS JOINT FY19 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 FY2019 CHNA REPORT ENCOMPASSED MUSKEGON AND OCEANA COUNTIES FOR MERCY HEALTH MERCY CAMPUS, MERCY HEALTH HACKLEY CAMPUS, AND MERCY HEALTH LAKESHORE CAMPUS. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: MUSKEGON COUNTY 1. CHILDCARE - AFFORDABILITY2. SUBSTANCE USE - OPIOID EDUCATION2. EMPLOYMENT - NEED FOR SKILL BUILDING3. EDUCATION - TRADES AND/OR TECHNICAL TRAINING4. CHILDCARE - AVAILABILITY5. EDUCATION - SPECIAL EDUCATION5. HOUSING - WHERE TO GET HELP6. NUTRITION - COST OF HEALTHY FOOD7. NUTRITION - AVAILABILITY OF HEALTHY FOOD8. STI/STD - WHAT PROTECTS FROM INFECTION8. EMPLOYMENT - WHO YOU KNOW, NOT WHAT YOU KNOW9. ADVANCE DIRECTIVESOCEANA COUNTY 1. HOUSING - WHERE TO GET HELP2. CHILDCARE - AFFORDABILITY3. NUTRITION - COST OF HEALTHY FOOD3. EMPLOYMENT - SKILLS BUILDING4. CHILDCARE - AVAILABILITY4. SUBSTANCE USE - OPIOID EDUCATION5. EDUCATION - TRADES AND/OR TECHNICAL TRAINING6. NUTRITION - AVAILABILITY OF HEALTHY FOOD7. EMPLOYMENT - WHO YOU KNOW, NOT WHAT YOU KNOW8. EDUCATION - SPECIAL EDUCATION9. STD/STI - MYTHS ABOUT WHAT PROTECTS FROM INFECTION10. ADVANCE DIRECTIVES MERCY HEALTH PARTNERS HACKLEY CAMPUS PART V, SECTION B, LINE 3J: MERCY HEALTH MUSKEGON'S (MHM) FY19 CHNA ALSO INCLUDED:- INTRODUCTION AND MISSION STATEMENT REVIEW - REFLECTIONS ON THE CHNA PROCESS: COMMUNITY ENGAGEMENT, PROCESS AND FEEDBACK- FIVE APPENDICES, INCLUDING (FOR TWO COUNTIES): COMMUNITY SURVEY, COMMUNITY CENSUS DATA TABLES; CHILDCARE PROVIDER ANALYSIS; MICHIGAN LEAGUE FOR PUBLIC POLICY COUNTY HEALTH RANKINGS DATA; UPDATE ON FY16 CHNA REPORTMERCY HEALTH PARTNERS HACKLEY CAMPUS:PART V, SECTION B, LINE 3E:MERCY HEALTH PARTNERS INCLUDED IN ITS JOINT FY19 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 FY2019 CHNA REPORT ENCOMPASSED MUSKEGON AND OCEANA COUNTIES FOR MERCY HEALTH MERCY CAMPUS, MERCY HEALTH HACKLEY CAMPUS, AND MERCY HEALTH LAKESHORE CAMPUS. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: MUSKEGON COUNTY 1. CHILDCARE - AFFORDABILITY2. SUBSTANCE USE - OPIOID EDUCATION2. EMPLOYMENT - NEED FOR SKILL BUILDING3. EDUCATION - TRADES AND/OR TECHNICAL TRAINING4. CHILDCARE - AVAILABILITY5. EDUCATION - SPECIAL EDUCATION5. HOUSING - WHERE TO GET HELP6. NUTRITION - COST OF HEALTHY FOOD7. NUTRITION - AVAILABILITY OF HEALTHY FOOD8. STI/STD - WHAT PROTECTS FROM INFECTION8. EMPLOYMENT - WHO YOU KNOW, NOT WHAT YOU KNOW9. ADVANCE DIRECTIVESOCEANA COUNTY 1. HOUSING - WHERE TO GET HELP2. CHILDCARE - AFFORDABILITY3. NUTRITION - COST OF HEALTHY FOOD3. EMPLOYMENT - SKILLS BUILDING4. CHILDCARE - AVAILABILITY4. SUBSTANCE USE - OPIOID EDUCATION5. EDUCATION - TRADES AND/OR TECHNICAL TRAINING6. NUTRITION - AVAILABILITY OF HEALTHY FOOD7. EMPLOYMENT - WHO YOU KNOW, NOT WHAT YOU KNOW8. EDUCATION - SPECIAL EDUCATION9. STD/STI - MYTHS ABOUT WHAT PROTECTS FROM INFECTION10. ADVANCE DIRECTIVES MERCY HEALTH PARTNERS MERCY CAMPUS PART V, SECTION B, LINE 5: THE MHM FY2019 CHNA PROCESS BEGAN IN MARCH 2018 AND CONCLUDED IN SEPTEMBER 2018, WITH A 24-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 MINISTRY OF MHM. THE HEALTH PROJECT IS ESSENTIALLY THE COMMUNITY BENEFIT ARM OF MHM, AND PROVIDES FREE HEALTHCARE SUPPORT, ADVOCACY, ACCESS, AND SERVICES TO THOSE IN NEED ALONG MICHIGAN'S WEST COAST. OTHER PARTICIPANTS IN THE CHNA PROCESS INCLUDED: UNITED WAY OF THE LAKESHORE, MUSKEGON COUNTY PUBLIC HEALTH, DISTRICT HEALTH DEPARTMENT #10, HARBOR HOSPICE, HEALTHWEST-COMMUNITY MENTAL HEALTH SERVICES OF MUSKEGON COUNTY, MUSKEGON SUPERINTENDENTS GROUP, MUSKEGON COUNTY PROSECUTOR'S OFFICE, MERCY HEALTH MUSKEGON HOSPITALS, MERCY HEALTH LAKESHORE HOSPITAL, SPECTRUM HEALTH SYSTEM, LITTLE RIVER BAND OF OTTAWA INDIAN NATION, PACE/LIFECIRCLES, MI HISPANIC LATINO COMMISSION, DRUG FREE COMMUNITIES COALITION, HEALTH BOUND COALITION, UNIONS/ELECTRICIANS, HARA/ HOMELESS CONTINUUM OF CARE, MUSKEGON AREA TRANSIT SYSTEM, MUSKEGON CHAMBER OF COMMERCE, RAMOS AUTO BODY, GREAT START COLLABORATIVE THROUGH MUSKEGON ISD, MUSKEGON YOUNG BLACK PROFESSIONALS, MUSKEGON-OCEANA COUNTY HEALTH DISPARITIES REDUCTION COALITION, AND MUSKEGON COMMUNITY COLLEGE.COMMUNITY PARTICIPATION AND INPUT: THE ENGAGEMENT STRATEGY INCLUDED A COMMUNITY SURVEY WITH PARTICIPATION BY 2,067 RESIDENTS, SEVEN MULTI-SITE FOCUS GROUPS, TWO TOWN HALLS, AND A NEIGHBORHOOD LEVEL OPINION SURVEY OF 91 RESIDENTS FROM MUSKEGON COUNTY CENSUS TRACT 14.2, WHICH IS IN THE CITY OF MUSKEGON HEIGHTS, A MAJORITY AFRICAN AMERICAN CITY. THE OPINION SURVEY, CONDUCTED BY RESIDENT VOLUNTEERS, INFORMS INDIVIDUALS OF THE CHNA PROCESS AND ALSO ENSURES THAT INPUT FROM INDIVIDUALS LIVING IN OUR URBAN CENTER HAS BEEN DIRECTLY INCORPORATED INTO THE CHNA PROCESS. THE COMMUNITY SURVEY INCORPORATED A RANGE OF QUESTIONS FOCUSING ON: HOUSEHOLD INFORMATION, DEPENDENT CARE, HEALTH CARE/INSURANCE, PHYSICAL HEALTH, BEHAVIORAL HEALTH AND SUBSTANCE USE, ADVERSE CHILDHOOD EVENTS (ACE), PHYSICAL ACTIVITY AND NUTRITION, ENVIRONMENT AND TRANSPORTATION, HOUSING, EDUCATION AND EMPOWERMENT, END-OF-LIFE PLANNING, AND DEMOGRAPHIC CHARACTERISTICS. SURVEY METHODOLOGIES INCLUDED VOLUNTEER-ADMINISTERED PAPER QUESTIONNAIRES AND ONLINE SURVEYS CONDUCTED VIA SURVEY MONKEY. A TOTAL OF SIX FOCUS GROUPS AND TWO TOWN HALLS WERE CONDUCTED ACROSS THREE COUNTIES TO RECEIVE ADDITIONAL INPUT FROM COMMUNITY MEMBERS INTO THE CHNA DECISION-MAKING PROCESS. EACH FOCUS GROUP WAS PROFESSIONALLY RECRUITED TO ENSURE THAT PARTICIPANTS REFLECTED THE AREA DEMOGRAPHICS. EIGHT TO TEN PARTICIPANTS WERE RECRUITED FOR EACH GROUP AND ALL GROUP SESSIONS WERE FACILITATED. ONCE SURVEYS WERE AGGREGATED, THE PRIORITY ISSUES WERE RANKED IN STAKEHOLDER GROUPS ACROSS THE SERVICE AREA. "GET FEED BACK" WAS USED TO CAPTURE THE INFORMATION IN REAL TIME. FOCUS GROUPS AND TOWN HALLS WERE RUN FROM SEPTEMBER 2018 THROUGH OCTOBER 2018, RANKING SESSIONS BEGAN IN THE LATTER HALF OF OCTOBER 2018, THE HEALTH PROJECT BOARD STRATEGIC PRIORITY RANKING SESSION WAS IN NOVEMBER 2018, AND MHM BOARD OF DIRECTORS STRATEGIC PRIORITY RANKING SESSION WAS IN DECEMBER 2018. MERCY HEALTH PARTNERS LAKESHORE CAMPUS PART V, SECTION B, LINE 5: THE MHM FY2019 CHNA PROCESS BEGAN IN MARCH 2018 AND CONCLUDED IN SEPTEMBER 2018, WITH A 24-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 MINISTRY OF MHM. THE HEALTH PROJECT IS ESSENTIALLY THE COMMUNITY BENEFIT ARM OF MHM, AND PROVIDES FREE HEALTHCARE SUPPORT, ADVOCACY, ACCESS, AND SERVICES TO THOSE IN NEED ALONG MICHIGAN'S WEST COAST. OTHER PARTICIPANTS IN THE CHNA PROCESS INCLUDED: UNITED WAY OF THE LAKESHORE, MUSKEGON COUNTY PUBLIC HEALTH, DISTRICT HEALTH DEPARTMENT #10, HARBOR HOSPICE, HEALTHWEST-COMMUNITY MENTAL HEALTH SERVICES OF MUSKEGON COUNTY, MUSKEGON SUPERINTENDENTS GROUP, MUSKEGON COUNTY PROSECUTOR'S OFFICE, MERCY HEALTH MUSKEGON HOSPITALS, MERCY HEALTH LAKESHORE HOSPITAL, SPECTRUM HEALTH SYSTEM, LITTLE RIVER BAND OF OTTAWA INDIAN NATION, PACE/LIFECIRCLES, MI HISPANIC LATINO COMMISSION, DRUG FREE COMMUNITIES COALITION, HEALTH BOUND COALITION, UNIONS/ELECTRICIANS, HARA/ HOMELESS CONTINUUM OF CARE, MUSKEGON AREA TRANSIT SYSTEM, MUSKEGON CHAMBER OF COMMERCE, RAMOS AUTO BODY, GREAT START COLLABORATIVE THROUGH MUSKEGON ISD, MUSKEGON YOUNG BLACK PROFESSIONALS, MUSKEGON-OCEANA COUNTY HEALTH DISPARITIES REDUCTION COALITION, AND MUSKEGON COMMUNITY COLLEGE.COMMUNITY PARTICIPATION AND INPUT: THE ENGAGEMENT STRATEGY INCLUDED A COMMUNITY SURVEY WITH PARTICIPATION BY 2,067 RESIDENTS, SEVEN MULTI-SITE FOCUS GROUPS, TWO TOWN HALLS, AND A NEIGHBORHOOD LEVEL OPINION SURVEY OF 91 RESIDENTS FROM MUSKEGON COUNTY CENSUS TRACT 14.2, WHICH IS IN THE CITY OF MUSKEGON HEIGHTS, A MAJORITY AFRICAN AMERICAN CITY. THE OPINION SURVEY, CONDUCTED BY RESIDENT VOLUNTEERS, INFORMS INDIVIDUALS OF THE CHNA PROCESS AND ALSO ENSURES THAT INPUT FROM INDIVIDUALS LIVING IN OUR URBAN CENTER HAS BEEN DIRECTLY INCORPORATED INTO THE CHNA PROCESS. THE COMMUNITY SURVEY INCORPORATED A RANGE OF QUESTIONS FOCUSING ON: HOUSEHOLD INFORMATION, DEPENDENT CARE, HEALTH CARE/INSURANCE, PHYSICAL HEALTH, BEHAVIORAL HEALTH AND SUBSTANCE USE, ADVERSE CHILDHOOD EVENTS (ACE), PHYSICAL ACTIVITY AND NUTRITION, ENVIRONMENT AND TRANSPORTATION, HOUSING, EDUCATION AND EMPOWERMENT, END-OF-LIFE PLANNING, AND DEMOGRAPHIC CHARACTERISTICS. SURVEY METHODOLOGIES INCLUDED VOLUNTEER-ADMINISTERED PAPER QUESTIONNAIRES AND ONLINE SURVEYS CONDUCTED VIA SURVEY MONKEY. A TOTAL OF SIX FOCUS GROUPS AND TWO TOWN HALLS WERE CONDUCTED ACROSS THREE COUNTIES TO RECEIVE ADDITIONAL INPUT FROM COMMUNITY MEMBERS INTO THE CHNA DECISION-MAKING PROCESS. EACH FOCUS GROUP WAS PROFESSIONALLY RECRUITED TO ENSURE THAT PARTICIPANTS REFLECTED THE AREA DEMOGRAPHICS. EIGHT TO TEN PARTICIPANTS WERE RECRUITED FOR EACH GROUP AND ALL GROUP SESSIONS WERE FACILITATED. ONCE SURVEYS WERE AGGREGATED, THE PRIORITY ISSUES WERE RANKED IN STAKEHOLDER GROUPS ACROSS THE SERVICE AREA. "GET FEED BACK" WAS USED TO CAPTURE THE INFORMATION IN REAL TIME. FOCUS GROUPS AND TOWN HALLS WERE RUN FROM SEPTEMBER 2018 THROUGH OCTOBER 2018, RANKING SESSIONS BEGAN IN THE LATTER HALF OF OCTOBER 2018, THE HEALTH PROJECT BOARD STRATEGIC PRIORITY RANKING SESSION WAS IN NOVEMBER 2018, AND MHM BOARD OF DIRECTORS STRATEGIC PRIORITY RANKING SESSION WAS IN DECEMBER 2018. MERCY HEALTH PARTNERS HACKLEY CAMPUS PART V, SECTION B, LINE 5: THE MHM FY2019 CHNA PROCESS BEGAN IN MARCH 2018 AND CONCLUDED IN SEPTEMBER 2018, WITH A 24-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 MINISTRY OF MHM. THE HEALTH PROJECT IS ESSENTIALLY THE COMMUNITY BENEFIT ARM OF MHM, AND PROVIDES FREE HEALTHCARE SUPPORT, ADVOCACY, ACCESS, AND SERVICES TO THOSE IN NEED ALONG MICHIGAN'S WEST COAST. OTHER PARTICIPANTS IN THE CHNA PROCESS INCLUDED: UNITED WAY OF THE LAKESHORE, MUSKEGON COUNTY PUBLIC HEALTH, DISTRICT HEALTH DEPARTMENT #10, HARBOR HOSPICE, HEALTHWEST-COMMUNITY MENTAL HEALTH SERVICES OF MUSKEGON COUNTY, MUSKEGON SUPERINTENDENTS GROUP, MUSKEGON COUNTY PROSECUTOR'S OFFICE, MERCY HEALTH MUSKEGON HOSPITALS, MERCY HEALTH LAKESHORE HOSPITAL, SPECTRUM HEALTH SYSTEM, LITTLE RIVER BAND OF OTTAWA INDIAN NATION, PACE/LIFECIRCLES, MI HISPANIC LATINO COMMISSION, DRUG FREE COMMUNITIES COALITION, HEALTH BOUND COALITION, UNIONS/ELECTRICIANS, HARA/ HOMELESS CONTINUUM OF CARE, MUSKEGON AREA TRANSIT SYSTEM, MUSKEGON CHAMBER OF COMMERCE, RAMOS AUTO BODY, GREAT START COLLABORATIVE THROUGH MUSKEGON ISD, MUSKEGON YOUNG BLACK PROFESSIONALS, MUSKEGON-OCEANA COUNTY HEALTH DISPARITIES REDUCTION COALITION, AND MUSKEGON COMMUNITY COLLEGE.COMMUNITY PARTICIPATION AND INPUT: THE ENGAGEMENT STRATEGY INCLUDED A COMMUNITY SURVEY WITH PARTICIPATION BY 2,067 RESIDENTS, SEVEN MULTI-SITE FOCUS GROUPS, TWO TOWN HALLS, AND A NEIGHBORHOOD LEVEL OPINION SURVEY OF 91 RESIDENTS FROM MUSKEGON COUNTY CENSUS TRACT 14.2, WHICH IS IN THE CITY OF MUSKEGON HEIGHTS, A MAJORITY AFRICAN AMERICAN CITY. THE OPINION SURVEY, CONDUCTED BY RESIDENT VOLUNTEERS, INFORMS INDIVIDUALS OF THE CHNA PROCESS AND ALSO ENSURES THAT INPUT FROM INDIVIDUALS LIVING IN OUR URBAN CENTER HAS BEEN DIRECTLY INCORPORATED INTO THE CHNA PROCESS. THE COMMUNITY SURVEY INCORPORATED A RANGE OF QUESTIONS FOCUSING ON: HOUSEHOLD INFORMATION, DEPENDENT CARE, HEALTH CARE/INSURANCE, PHYSICAL HEALTH, BEHAVIORAL HEALTH AND SUBSTANCE USE, ADVERSE CHILDHOOD EVENTS (ACE), PHYSICAL ACTIVITY AND NUTRITION, ENVIRONMENT AND TRANSPORTATION, HOUSING, EDUCATION AND EMPOWERMENT, END-OF-LIFE PLANNING, AND DEMOGRAPHIC CHARACTERISTICS. SURVEY METHODOLOGIES INCLUDED VOLUNTEER-ADMINISTERED PAPER QUESTIONNAIRES AND ONLINE SURVEYS CONDUCTED VIA SURVEY MONKEY. A TOTAL OF SIX FOCUS GROUPS AND TWO TOWN HALLS WERE CONDUCTED ACROSS THREE COUNTIES TO RECEIVE ADDITIONAL INPUT FROM COMMUNITY MEMBERS INTO THE CHNA DECISION-MAKING PROCESS. EACH FOCUS GROUP WAS PROFESSIONALLY RECRUITED TO ENSURE THAT PARTICIPANTS REFLECTED THE AREA DEMOGRAPHICS. EIGHT TO TEN PARTICIPANTS WERE RECRUITED FOR EACH GROUP AND ALL GROUP SESSIONS WERE FACILITATED. ONCE SURVEYS WERE AGGREGATED, THE PRIORITY ISSUES WERE RANKED IN STAKEHOLDER GROUPS ACROSS THE SERVICE AREA. "GET FEED BACK" WAS USED TO CAPTURE THE INFORMATION IN REAL TIME. FOCUS GROUPS AND TOWN HALLS WERE RUN FROM SEPTEMBER 2018 THROUGH OCTOBER 2018, RANKING SESSIONS BEGAN IN THE LATTER HALF OF OCTOBER 2018, THE HEALTH PROJECT BOARD STRATEGIC PRIORITY RANKING SESSION WAS IN NOVEMBER 2018, AND MHM BOARD OF DIRECTORS STRATEGIC PRIORITY RANKING SESSION WAS IN DECEMBER 2018. MERCY HEALTH PARTNERS MERCY CAMPUS PART V, SECTION B, LINE 6A: THE FY19 CHNA WAS CONDUCTED JOINTLY WITH THE THREE HOSPITAL SYSTEM FACILITIES COMPRISING MERCY HEALTH MUSKEGON: MERCY HEALTH MERCY CAMPUS, MERCY HEALTH HACKLEY CAMPUS, AND MERCY HEALTH LAKESHORE CAMPUS. THE MERCY AND HACKLEY CAMPUSES ARE FULL-SERVICE, ACUTE FACILITIES LOCATED IN MUSKEGON COUNTY, SERVING MUSKEGON, OCEANA AND NEWAYGO COUNTIES. THE LAKESHORE CAMPUS IS A CRITICAL ACCESS FACILITY, SERVING OCEANA COUNTY AND PARTS OF NEWAYGO COUNTY. MERCY HEALTH PARTNERS LAKESHORE CAMPUS PART V, SECTION B, LINE 6A: THE FY19 CHNA WAS CONDUCTED JOINTLY WITH THE THREE HOSPITAL SYSTEM FACILITIES COMPRISING MERCY HEALTH MUSKEGON: MERCY HEALTH MERCY CAMPUS, MERCY HEALTH HACKLEY CAMPUS, AND MERCY HEALTH LAKESHORE CAMPUS. THE MERCY AND HACKLEY CAMPUSES ARE FULL-SERVICE, ACUTE FACILITIES LOCATED IN MUSKEGON COUNTY, SERVING MUSKEGON, OCEANA AND NEWAYGO COUNTIES. THE LAKESHORE CAMPUS IS A CRITICAL ACCESS FACILITY, SERVING OCEANA COUNTY AND PARTS OF NEWAYGO COUNTY. MERCY HEALTH PARTNERS HACKLEY CAMPUS PART V, SECTION B, LINE 6A: THE FY19 CHNA WAS CONDUCTED JOINTLY WITH THE THREE HOSPITAL SYSTEM FACILITIES COMPRISING MERCY HEALTH MUSKEGON: MERCY HEALTH MERCY CAMPUS, MERCY HEALTH HACKLEY CAMPUS, AND MERCY HEALTH LAKESHORE CAMPUS. THE MERCY AND HACKLEY CAMPUSES ARE FULL-SERVICE, ACUTE FACILITIES LOCATED IN MUSKEGON COUNTY, SERVING MUSKEGON, OCEANA AND NEWAYGO COUNTIES. THE LAKESHORE CAMPUS IS A CRITICAL ACCESS FACILITY, SERVING OCEANA COUNTY AND PARTS OF NEWAYGO COUNTY. MERCY HEALTH PARTNERS MERCY CAMPUS PART V, SECTION B, LINE 7D: IN JUNE 2019, MHM'S MARKETING DEPARTMENT PUBLISHED FIVE SINGLE-PAGE CHNA SUMMARIES ON CHILDCARE, EMPLOYMENT, HOUSING, NUTRITION, AND OPIOIDS THAT HAVE BEEN USED REPEATEDLY BY MERCY PERSONNEL FOR DISTRIBUTION AT MEETINGS, SPEAKING ENGAGEMENTS, CONFERENCES AND A VARIETY OF COMMUNITY OUTREACH EVENTS. THEY ARE ALSO AVAILABLE AT HEALTH PROJECT OFFICES. THE FY19 CHNA IS POSTED ON BOTH MERCY HEALTH MUSKEGON'S WEBSITE AND THE HEALTH PROJECT'S WEBSITE. A DIGITAL COPY OF THE CHNA WAS DISTRIBUTED TO ALL MEMBERS OF THE MHM BOARD, THE HEALTH PROJECT BOARD, AND THE 24-MEMBER ADVISORY COUNCIL LISTED IN LINE 5. THE LINK FOR THE SURVEY WAS CIRCULATED THROUGH VARIOUS SOCIAL MEDIA OUTLETS (FACEBOOK AND TWITTER, PRIMARILY), BY LOCAL SOCIAL MEDIA "CELEBRITIES", AS WELL AS THROUGH PAID ADVERTISEMENTS ON FACEBOOK, DESIGNED BY OUR MEDIA CONSULTANTS. MERCY HEALTH PARTNERS LAKESHORE CAMPUS PART V, SECTION B, LINE 7D: IN JUNE 2019, MHM'S MARKETING DEPARTMENT PUBLISHED FIVE SINGLE-PAGE CHNA SUMMARIES ON CHILDCARE, EMPLOYMENT, HOUSING, NUTRITION, AND OPIOIDS THAT HAVE BEEN USED REPEATEDLY BY MERCY PERSONNEL FOR DISTRIBUTION AT MEETINGS, SPEAKING ENGAGEMENTS, CONFERENCES AND A VARIETY OF COMMUNITY OUTREACH EVENTS. THEY ARE ALSO AVAILABLE AT HEALTH PROJECT OFFICES. THE FY19 CHNA IS POSTED ON BOTH MERCY HEALTH MUSKEGON'S WEBSITE AND THE HEALTH PROJECT'S WEBSITE. A DIGITAL COPY OF THE CHNA WAS DISTRIBUTED TO ALL MEMBERS OF THE MHM BOARD, THE HEALTH PROJECT BOARD, AND THE 24-MEMBER ADVISORY COUNCIL LISTED IN LINE 5. THE LINK FOR THE SURVEY WAS CIRCULATED THROUGH VARIOUS SOCIAL MEDIA OUTLETS (FACEBOOK AND TWITTER, PRIMARILY), BY LOCAL SOCIAL MEDIA "CELEBRITIES", AS WELL AS THROUGH PAID ADVERTISEMENTS ON FACEBOOK, DESIGNED BY OUR MEDIA CONSULTANTS. MERCY HEALTH PARTNERS HACKLEY CAMPUS PART V, SECTION B, LINE 7D: IN JUNE 2019, MHM'S MARKETING DEPARTMENT PUBLISHED FIVE SINGLE-PAGE CHNA SUMMARIES ON CHILDCARE, EMPLOYMENT, HOUSING, NUTRITION, AND OPIOIDS THAT HAVE BEEN USED REPEATEDLY BY MERCY PERSONNEL FOR DISTRIBUTION AT MEETINGS, SPEAKING ENGAGEMENTS, CONFERENCES AND A VARIETY OF COMMUNITY OUTREACH EVENTS. THEY ARE ALSO AVAILABLE AT HEALTH PROJECT OFFICES. THE FY19 CHNA IS POSTED ON BOTH MERCY HEALTH MUSKEGON'S WEBSITE AND THE HEALTH PROJECT'S WEBSITE. A DIGITAL COPY OF THE CHNA WAS DISTRIBUTED TO ALL MEMBERS OF THE MHM BOARD, THE HEALTH PROJECT BOARD, AND THE 24-MEMBER ADVISORY COUNCIL LISTED IN LINE 5. THE LINK FOR THE SURVEY WAS CIRCULATED THROUGH VARIOUS SOCIAL MEDIA OUTLETS (FACEBOOK AND TWITTER, PRIMARILY), BY LOCAL SOCIAL MEDIA "CELEBRITIES", AS WELL AS THROUGH PAID ADVERTISEMENTS ON FACEBOOK, DESIGNED BY OUR MEDIA CONSULTANTS. MERCY HEALTH PARTNERS MERCY CAMPUS PART V, SECTION B, LINE 11: IN FY20, MERCY HEALTH MERCY CAMPUS, MERCY HEALTH HACKLEY CAMPUS, AND MERCY HEALTH LAKESHORE CAMPUS COLLECTIVELY ADDRESSED THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE FY19 CHNA. 1. CHILDCARE - AFFORDABILITY: MHM DEVELOPED A CHILDCARE AFFORDABILITY AND AVAILABILITY SUB-GROUP IN APRIL 2019, SETTING THE FRAMEWORK FOR THE WORKGROUP. THIS WORKGROUP WAS FORMALIZED WITHIN THE COMMUNITY DURING THE 100-DAY CHALLENGE WHEN THE UNITED WAY OF THE LAKESHORE ASKED TO FURTHER FACILITATE THE TEAM. THEY DEVELOPED A STRATEGIC PLAN TO: (1) CREATE A COMMUNITY HUB OR SHARED SERVICES PROGRAM THAT WOULD INCREASE CAPACITY FOR AREA DAYCARE PROVIDERS; (2) INCREASE THE AVAILABILITY OF NEW DAYCARE PROVIDERS IN THE MUSKEGON AREA; AND (3) SEEK OUT ADDITIONAL RESOURCES OR MECHANISMS BY WHICH TO FINANCIALLY SUPPORT DAYCARE ACCESS. MERCY HEALTH PROVIDED A $25,000 COMMUNITY BENEFIT BOARD INITIATIVE (CBBI) GRANT FOR THIS WORK TO CONTINUE. 2. SUBSTANCE USE - OPIOID EDUCATION: MHM IS A MEMBER OF THE OPIATE TASK FORCE, WHICH IS A COMMUNITY-RUN GROUP. THE MEDICATION ASSISTED THERAPY (MAT) TEAM FOR MERCY HEALTH DID NOT FORMALLY CONTINUE AS BOTH THE MEDICAL DIRECTOR AND PHYSICIAN ASSISTANT DEDICATED TO THE PROGRAM LEFT THE ORGANIZATION JUST PRIOR TO THE COVID-19 PANDEMIC. MAT IS PROVIDED IN MUSKEGON BY THREE ORGANIZATIONS WHO WERE ABLE TO ABSORB ANY PATIENTS UTILIZING THE SERVICES. MHM ADDED SIX RECOVERY COACHES ACROSS THE ENTIRE SERVICE AREA. MHM IS THE FIDUCIARY AND HOST FOR THE COALITION OF DRUG-FREE MUSKEGON, WHICH HAS MULTIPLE PREVENTION STRATEGIES AROUND TOBACCO, MARIJUANA, ALCOHOL, PRESCRIPTION DRUGS AND OPIATE USE REDUCTIONS. MERCY HEALTH SUPPORTS A SUSTAINED MEDICATION TAKE BACK AND DISPOSAL PROGRAM CALLED THE MUSKEGON AREA MEDICATION DISPOSAL PROJECT (MAMDP), WHICH COLLECTS MATERIALS FROM EIGHT PHARMACY LOCATIONS, 13 LAW ENFORCEMENT LOCATIONS, AND HAS TWO TAKE BACK EVENTS EVERY YEAR. MHM HAS ALSO BEEN ACTIVELY ENGAGED IN THE INTERNAL OPIOID UTILIZATION REDUCTION (OUR) INITIATIVE, DESIGNED FOR SYSTEM READINESS AND EXPANSION AROUND OPIATE SOURCE REDUCTION. MERCY HEALTH AND THE PHYSICIAN ORGANIZATION FORMALLY ADOPTED NEW PROTOCOLS, PATIENT ATTESTATIONS, AND DEVELOPED PATIENT EDUCATION MATERIALS THAT HAVE SIGNIFICANTLY REDUCED OPIATE PRESCRIBING. 3. EMPLOYMENT: MHM DEVELOPED EMPLOYMENT AND EDUCATION WORKGROUPS DESIGNED TO ADDRESS THE FINDINGS OF THE CURRENT CHNA. THIS TOPIC WAS ALSO RECOGNIZED BY THE 100-DAY CHALLENGE AND TWO WORK TEAMS WERE DEVELOPED, INCLUDING ONE FOR RECORD EXPUNGEMENT FOR PREVIOUS DRUG-RELATED AND NONVIOLENT CRIMES WHICH HELD TWO EXPUNGEMENT CLINICS. MHM STARTED THE ASSESSMENT OF EXISTING WORKFORCE DEVELOPMENT PROGRAMS AVAILABLE WITHIN THE SERVICE AREA. MHM BEGAN EXPANDING THEIR EDUCATIONAL PROGRAM TO ALLOW AND ENGAGE STUDENT INTERNS IN SPECIFIC JOB CLASSIFICATIONS TO CONDUCT EDUCATIONAL REQUIREMENTS ON CAMPUS, ACROSS THE SERVICE REGION. THE JOB CLASSIFICATIONS INCLUDE THOSE WITH POTENTIAL CAREER PATHWAYS INTO THE HEALTH CARE PROFESSION FOR UNDERSERVED POPULATIONS. THIS PROGRAM CONTINUED WITH EXPLORATION OF A CAREER RESOURCE CENTER FOR MUSKEGON. 4. EDUCATION - TRADES AND/OR TECHNICAL TRAINING: MHM DEVELOPED EMPLOYMENT AND EDUCATION WORKGROUPS DESIGNED TO ADDRESS THE FINDINGS OF THE CURRENT CHNA. MHM STARTED THE ASSESSMENT OF EXISTING WORKFORCE DEVELOPMENT PROGRAMS. MH MUSKEGON BEGAN PLANNING FOR THE REUTILIZATION OF THE HACKLEY CAMPUS WHICH WAS SCHEDULED TO CLOSE IN THE FALL OF 2019, BUT THE CLOSING WAS MOVED TO CALENDAR YEAR 2020. IN MARCH, MERCY HEALTH FORMALLY ANNOUNCED THAT SEVERAL ACRES OF THE PROPERTY WOULD BE GIVEN TO MUSKEGON PUBLIC SCHOOLS IN ORDER TO BUILD A NEW MIDDLE SCHOOL. INCLUDED IN THE DESIGNS IS THE DEVELOPMENT OF THE EARLY CAREER TECHNOLOGY EXPLORATION CENTER FOR GRADES 6-10. 5. HOUSING - WHERE TO GET HELP: MHM PROVIDES STAFFING TO MUSKEGON COUNTY HOMELESS CONTINUUM OF CARE NETWORK (MCHCCN). THE COORDINATOR OF MCHCCN IS AN MHM EMPLOYEE WHOSE ROLE WAS EXPANDED IN 2020. MCHCCN IS THE FIDUCIARY FOR THE HUD CONTINUUM OF CARE (COC) PLANNING GRANT AND OUTREACH COMMITTEE. MHM HAS BEEN THE FIDUCIARY FOR THE COC PLANNING GRANT FOR THE LAST FOUR YEARS AND HAS REQUESTED FUNDING FOR FY 2020. MHM HAS CONTRACTS WITH THE LOCAL HOUSING ASSESSMENT AND RESOURCE AGENCY (HARA) IN MUSKEGON TO PLACE COMMUNITY HEALTH WORKERS ONSITE IN THEIR LOCATION. MHM HAS FOUR SUPPLEMENTAL SECURITY INCOME (SSI)/SOCIAL SECURITY DISABILITY (SSDI) OUTREACH, ACCESS, AND RECOVERY (SOAR) CERTIFIED STAFF THAT SECURE INCOME AND INSURANCE FOR HOMELESS INDIVIDUALS THROUGH SOCIAL SECURITY. SOAR IS A PROGRAM DESIGNED TO INCREASE ACCESS TO SSI/SSDI FOR ELIGIBLE ADULTS AND CHILDREN WHO ARE EXPERIENCING, OR ARE AT RISK OF, HOMELESSNESS AND HAVE A SERIOUS MENTAL ILLNESS, MEDICAL IMPAIRMENT, AND/OR A CO-OCCURRING SUBSTANCE USE DISORDER. MHM HOSTS THE POINT IN TIME (PIT) BI-ANNUAL HOMELESSNESS COUNT IN MUSKEGON COUNTY AND PROVIDES STAFF TO ASSIST IN THE PROCESS. THE MUSKEGON COMMUNITY HEALTH PROJECT, THE COMMUNITY BENEFIT DEPARTMENT OF MERCY HEALTH MUSKEGON, HAS COLLEAGUES WORKING WITH THE OCEANA HOME PARTNERSHIP, IDENTIFIED AS THE WEST MICHIGAN HOUSING NETWORK THAT SERVICES OCEANA COUNTY. 6. NUTRITION - COST AND AVAILABILITY OF HEALTHY FOOD: MHM REPLICATED THE NATIONALLY ACCREDITED DIABETES PREVENTION PROGRAM (DPP) IN OCEANA COUNTY. MHM MADE SIGNIFICANT FINANCIAL INVESTMENTS IN FY20 THROUGH TWO GRANT PROGRAMS DESIGNED TO WORK IN RESPONSE TO THE CHNA. MHM INVESTED IN WHITEHALL SCHOOLS - REAL FOOD SEED ACCESS TO HEALTHY FOODS AND OBESITY, AND MONTAGUE AREA PUBLIC SCHOOLS - REAL FOOD SEED PROJECT - ACCESS TO HEALTHY FOOD. THIS PROGRAM HAS NOW BEEN REPLICATED IN TWO ADDITIONAL SCHOOLS, WHITEHALL PUBLIC SCHOOLS AND HOLTON PUBLIC SCHOOLS. AGEWELL SERVICES OF WEST MICHIGAN CONTINUES TO RECEIVE FUNDING TO INCREASE ACCESS TO HEALTHY FOODS, WITH MEALS DELIVERED BY MEALS ON WHEELS TO SENIORS LIVING IN OCEANA AND MUSKEGON COUNTIES, AS WAS THE KIDS' FOOD BASKET SACK SUPPER PROGRAM WHICH IS IN THE THIRD YEAR OF DIRECT INVESTMENT. NEW INVESTMENTS INCLUDED FUNDING FOR THE COALITION FOR COMMUNITY DEVELOPMENT FOR THEIR HEIGHTS GARDEN TO FAMILY TABLE INITIATIVE, SUPPORTING YOUTH EDUCATION AND ACCESS TO FRESH VEGETABLES FOUND IN URBAN COMMUNITY SETTINGS. MERCY HEALTH MUSKEGON ACKNOWLEDGES 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. MERCY HEALTH MUSKEGON WILL CONTINUE TO SUPPORT EFFORTS IN THE FOLLOWING CATEGORIES, AS THEY ARE PAST AND CURRENT CHNA ISSUES THAT AROSE BUT WERE NOT PRIORITY RANKED: - ADVANCE CARE DIRECTIVES: MERCY HEALTH MUSKEGON CURRENTLY SUPPORTS THE PROMOTION OF ADVANCE DIRECTIVES BY SUPPORTING COMMUNITY INITIATIVES, AS WELL AS PROMOTING THE USE OF ADVANCE DIRECTIVES WITHIN PRIMARY CARE SETTINGS. THE CHARTED HEALTH CARE PLANNING COLLABORATIVE, FOR WHICH THE HEALTH PROJECT SERVES AS FIDUCIARY, HAS RECEIVED FUNDING FROM MERCY HEALTH FOR TRAINING, MATERIALS, AND EDUCATION EVENTS AND THE HIRE OF A NON-MERCY HEALTH COORDINATOR TO CONTINUE TO COORDINATE THIS WORK ACROSS THE SERVICE REGION. - CHILDCARE AVAILABILITY: WHILE A COMMUNITY TEAM WAS CONVENED OUT OF THE 100-DAY CHALLENGE AND THERE WAS PLANNING WITHIN THE COMMUNITY, MERCY HEALTH DID NOT FUND ANY PROGRAMS IN FY20 TO ASSIST WITH THIS PROGRAM. - SEXUALLY TRANSMITTED INFECTIONS/DISEASES: MERCY HEALTH MUSKEGON MAINTAINS EXTENSIVE SUPPORT OF SEXUALLY TRANSMITTED DISEASE ISSUES THROUGH ITS MCCLEES CLINIC AND THE UPFRONT COALITION.- SPECIAL EDUCATION: MERCY HEALTH MUSKEGON DOES NOT PLAN TO DIRECTLY ADDRESS THIS PARTICULAR NEED BECAUSE THERE ARE EXISTING INITIATIVES TARGETING THIS PRIORITY. FOR EXAMPLE, THERE ARE LOCAL ORGANIZATIONS MHM INDIRECTLY SUPPORTS, SUCH AS THE PLACEMENT OF COMMUNITY HEALTH WORKERS WITHIN TWO SCHOOL DISTRICTS. MERCY HEALTH PARTNERS LAKESHORE CAMPUS PART V, SECTION B, LINE 11: IN FY20, MERCY HEALTH MERCY CAMPUS, MERCY HEALTH HACKLEY CAMPUS, AND MERCY HEALTH LAKESHORE CAMPUS COLLECTIVELY ADDRESSED THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE FY19 CHNA. 1. CHILDCARE - AFFORDABILITY: MHM DEVELOPED A CHILDCARE AFFORDABILITY AND AVAILABILITY SUB-GROUP IN APRIL 2019, SETTING THE FRAMEWORK FOR THE WORKGROUP. THIS WORKGROUP WAS FORMALIZED WITHIN THE COMMUNITY DURING THE 100-DAY CHALLENGE WHEN THE UNITED WAY OF THE LAKESHORE ASKED TO FURTHER FACILITATE THE TEAM. THEY DEVELOPED A STRATEGIC PLAN TO: (1) CREATE A COMMUNITY HUB OR SHARED SERVICES PROGRAM THAT WOULD INCREASE CAPACITY FOR AREA DAYCARE PROVIDERS; (2) INCREASE THE AVAILABILITY OF NEW DAYCARE PROVIDERS IN THE MUSKEGON AREA; AND (3) SEEK OUT ADDITIONAL RESOURCES OR MECHANISMS BY WHICH TO FINANCIALLY SUPPORT DAYCARE ACCESS. MERCY HEALTH PROVIDED A $25,000 COMMUNITY BENEFIT BOARD INITIATIVE (CBBI) GRANT FOR THIS WORK TO CONTINUE. 2. SUBSTANCE USE - OPIOID EDUCATION: MHM IS A MEMBER OF THE OPIATE TASK FORCE, WHICH IS A COMMUNITY-RUN GROUP. THE MEDICATION ASSISTED THERAPY (MAT) TEAM FOR MERCY HEALTH DID NOT FORMALLY CONTINUE AS BOTH THE MEDICAL DIRECTOR AND PHYSICIAN ASSISTANT DEDICATED TO THE PROGRAM LEFT THE ORGANIZATION JUST PRIOR TO THE COVID-19 PANDEMIC. MAT IS PROVIDED IN MUSKEGON BY THREE ORGANIZATIONS WHO WERE ABLE TO ABSORB ANY PATIENTS UTILIZING THE SERVICES. MHM ADDED SIX RECOVERY COACHES ACROSS THE ENTIRE SERVICE AREA. MHM IS THE FIDUCIARY AND HOST FOR THE COALITION OF DRUG-FREE MUSKEGON, WHICH HAS MULTIPLE PREVENTION STRATEGIES AROUND TOBACCO, MARIJUANA, ALCOHOL, PRESCRIPTION DRUGS AND OPIATE USE REDUCTIONS. MERCY HEALTH SUPPORTS A SUSTAINED MEDICATION TAKE BACK AND DISPOSAL PROGRAM CALLED THE MUSKEGON AREA MEDICATION DISPOSAL PROJECT (MAMDP), WHICH COLLECTS MATERIALS FROM EIGHT PHARMACY LOCATIONS, 13 LAW ENFORCEMENT LOCATIONS, AND HAS TWO TAKE BACK EVENTS EVERY YEAR. MHM HAS ALSO BEEN ACTIVELY ENGAGED IN THE INTERNAL OPIOID UTILIZATION REDUCTION (OUR) INITIATIVE, DESIGNED FOR SYSTEM READINESS AND EXPANSION AROUND OPIATE SOURCE REDUCTION. MERCY HEALTH AND THE PHYSICIAN ORGANIZATION FORMALLY ADOPTED NEW PROTOCOLS, PATIENT ATTESTATIONS, AND DEVELOPED PATIENT EDUCATION MATERIALS THAT HAVE SIGNIFICANTLY REDUCED OPIATE PRESCRIBING. 3. EMPLOYMENT: MHM DEVELOPED EMPLOYMENT AND EDUCATION WORKGROUPS DESIGNED TO ADDRESS THE FINDINGS OF THE CURRENT CHNA. THIS TOPIC WAS ALSO RECOGNIZED BY THE 100-DAY CHALLENGE AND TWO WORK TEAMS WERE DEVELOPED, INCLUDING ONE FOR RECORD EXPUNGEMENT FOR PREVIOUS DRUG-RELATED AND NONVIOLENT CRIMES WHICH HELD TWO EXPUNGEMENT CLINICS. MHM STARTED THE ASSESSMENT OF EXISTING WORKFORCE DEVELOPMENT PROGRAMS AVAILABLE WITHIN THE SERVICE AREA. MHM BEGAN EXPANDING THEIR EDUCATIONAL PROGRAM TO ALLOW AND ENGAGE STUDENT INTERNS IN SPECIFIC JOB CLASSIFICATIONS TO CONDUCT EDUCATIONAL REQUIREMENTS ON CAMPUS, ACROSS THE SERVICE REGION. THE JOB CLASSIFICATIONS INCLUDE THOSE WITH POTENTIAL CAREER PATHWAYS INTO THE HEALTH CARE PROFESSION FOR UNDERSERVED POPULATIONS. THIS PROGRAM CONTINUED WITH EXPLORATION OF A CAREER RESOURCE CENTER FOR MUSKEGON. 4. EDUCATION - TRADES AND/OR TECHNICAL TRAINING: MHM DEVELOPED EMPLOYMENT AND EDUCATION WORKGROUPS DESIGNED TO ADDRESS THE FINDINGS OF THE CURRENT CHNA. MHM STARTED THE ASSESSMENT OF EXISTING WORKFORCE DEVELOPMENT PROGRAMS. MH MUSKEGON BEGAN PLANNING FOR THE REUTILIZATION OF THE HACKLEY CAMPUS WHICH WAS SCHEDULED TO CLOSE IN THE FALL OF 2019, BUT THE CLOSING WAS MOVED TO CALENDAR YEAR 2020. IN MARCH, MERCY HEALTH FORMALLY ANNOUNCED THAT SEVERAL ACRES OF THE PROPERTY WOULD BE GIVEN TO MUSKEGON PUBLIC SCHOOLS IN ORDER TO BUILD A NEW MIDDLE SCHOOL. INCLUDED IN THE DESIGNS IS THE DEVELOPMENT OF THE EARLY CAREER TECHNOLOGY EXPLORATION CENTER FOR GRADES 6-10. 5. HOUSING - WHERE TO GET HELP: MHM PROVIDES STAFFING TO MUSKEGON COUNTY HOMELESS CONTINUUM OF CARE NETWORK (MCHCCN). THE COORDINATOR OF MCHCCN IS AN MHM EMPLOYEE WHOSE ROLE WAS EXPANDED IN 2020. MCHCCN IS THE FIDUCIARY FOR THE HUD CONTINUUM OF CARE (COC) PLANNING GRANT AND OUTREACH COMMITTEE. MHM HAS BEEN THE FIDUCIARY FOR THE COC PLANNING GRANT FOR THE LAST FOUR YEARS AND HAS REQUESTED FUNDING FOR FY 2020. MHM HAS CONTRACTS WITH THE LOCAL HOUSING ASSESSMENT AND RESOURCE AGENCY (HARA) IN MUSKEGON TO PLACE COMMUNITY HEALTH WORKERS ONSITE IN THEIR LOCATION. MHM HAS FOUR SUPPLEMENTAL SECURITY INCOME (SSI)/SOCIAL SECURITY DISABILITY (SSDI) OUTREACH, ACCESS, AND RECOVERY (SOAR) CERTIFIED STAFF THAT SECURE INCOME AND INSURANCE FOR HOMELESS INDIVIDUALS THROUGH SOCIAL SECURITY. SOAR IS A PROGRAM DESIGNED TO INCREASE ACCESS TO SSI/SSDI FOR ELIGIBLE ADULTS AND CHILDREN WHO ARE EXPERIENCING, OR ARE AT RISK OF, HOMELESSNESS AND HAVE A SERIOUS MENTAL ILLNESS, MEDICAL IMPAIRMENT, AND/OR A CO-OCCURRING SUBSTANCE USE DISORDER. MHM HOSTS THE POINT IN TIME (PIT) BI-ANNUAL HOMELESSNESS COUNT IN MUSKEGON COUNTY AND PROVIDES STAFF TO ASSIST IN THE PROCESS. THE MUSKEGON COMMUNITY HEALTH PROJECT, THE COMMUNITY BENEFIT DEPARTMENT OF MERCY HEALTH MUSKEGON, HAS COLLEAGUES WORKING WITH THE OCEANA HOME PARTNERSHIP, IDENTIFIED AS THE WEST MICHIGAN HOUSING NETWORK THAT SERVICES OCEANA COUNTY. 6. NUTRITION - COST AND AVAILABILITY OF HEALTHY FOOD: MHM REPLICATED THE NATIONALLY ACCREDITED DIABETES PREVENTION PROGRAM (DPP) IN OCEANA COUNTY. MHM MADE SIGNIFICANT FINANCIAL INVESTMENTS IN FY20 THROUGH TWO GRANT PROGRAMS DESIGNED TO WORK IN RESPONSE TO THE CHNA. MHM INVESTED IN WHITEHALL SCHOOLS - REAL FOOD SEED ACCESS TO HEALTHY FOODS AND OBESITY, AND MONTAGUE AREA PUBLIC SCHOOLS - REAL FOOD SEED PROJECT - ACCESS TO HEALTHY FOOD. THIS PROGRAM HAS NOW BEEN REPLICATED IN TWO ADDITIONAL SCHOOLS, WHITEHALL PUBLIC SCHOOLS AND HOLTON PUBLIC SCHOOLS. AGEWELL SERVICES OF WEST MICHIGAN CONTINUES TO RECEIVE FUNDING TO INCREASE ACCESS TO HEALTHY FOODS, WITH MEALS DELIVERED BY MEALS ON WHEELS TO SENIORS LIVING IN OCEANA AND MUSKEGON COUNTIES, AS WAS THE KIDS' FOOD BASKET SACK SUPPER PROGRAM WHICH IS IN THE THIRD YEAR OF DIRECT INVESTMENT. NEW INVESTMENTS INCLUDED FUNDING FOR THE COALITION FOR COMMUNITY DEVELOPMENT FOR THEIR HEIGHTS GARDEN TO FAMILY TABLE INITIATIVE, SUPPORTING YOUTH EDUCATION AND ACCESS TO FRESH VEGETABLES FOUND IN URBAN COMMUNITY SETTINGS. MERCY HEALTH MUSKEGON ACKNOWLEDGES 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. MERCY HEALTH MUSKEGON WILL CONTINUE TO SUPPORT EFFORTS IN THE FOLLOWING CATEGORIES, AS THEY ARE PAST AND CURRENT CHNA ISSUES THAT AROSE BUT WERE NOT PRIORITY RANKED: - ADVANCE CARE DIRECTIVES: MERCY HEALTH MUSKEGON CURRENTLY SUPPORTS THE PROMOTION OF ADVANCE DIRECTIVES BY SUPPORTING COMMUNITY INITIATIVES, AS WELL AS PROMOTING THE USE OF ADVANCE DIRECTIVES WITHIN PRIMARY CARE SETTINGS. THE CHARTED HEALTH CARE PLANNING COLLABORATIVE, FOR WHICH THE HEALTH PROJECT SERVES AS FIDUCIARY, HAS RECEIVED FUNDING FROM MERCY HEALTH FOR TRAINING, MATERIALS, AND EDUCATION EVENTS AND THE HIRE OF A NON-MERCY HEALTH COORDINATOR TO CONTINUE TO COORDINATE THIS WORK ACROSS THE SERVICE REGION. - CHILDCARE AVAILABILITY: WHILE A COMMUNITY TEAM WAS CONVENED OUT OF THE 100-DAY CHALLENGE AND THERE WAS PLANNING WITHIN THE COMMUNITY, MERCY HEALTH DID NOT FUND ANY PROGRAMS IN FY20 TO ASSIST WITH THIS PROGRAM. - SEXUALLY TRANSMITTED INFECTIONS/DISEASES: MERCY HEALTH MUSKEGON MAINTAINS EXTENSIVE SUPPORT OF SEXUALLY TRANSMITTED DISEASE ISSUES THROUGH ITS MCCLEES CLINIC AND THE UPFRONT COALITION.- SPECIAL EDUCATION: MERCY HEALTH MUSKEGON DOES NOT PLAN TO DIRECTLY ADDRESS THIS PARTICULAR NEED BECAUSE THERE ARE EXISTING INITIATIVES TARGETING THIS PRIORITY. FOR EXAMPLE, THERE ARE LOCAL ORGANIZATIONS MHM INDIRECTLY SUPPORTS, SUCH AS THE PLACEMENT OF COMMUNITY HEALTH WORKERS WITHIN TWO SCHOOL DISTRICTS. MERCY HEALTH PARTNERS HACKLEY CAMPUS PART V, SECTION B, LINE 11: IN FY20, MERCY HEALTH MERCY CAMPUS, MERCY HEALTH HACKLEY CAMPUS, AND MERCY HEALTH LAKESHORE CAMPUS COLLECTIVELY ADDRESSED THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE FY19 CHNA. 1. CHILDCARE - AFFORDABILITY: MHM DEVELOPED A CHILDCARE AFFORDABILITY AND AVAILABILITY SUB-GROUP IN APRIL 2019, SETTING THE FRAMEWORK FOR THE WORKGROUP. THIS WORKGROUP WAS FORMALIZED WITHIN THE COMMUNITY DURING THE 100-DAY CHALLENGE WHEN THE UNITED WAY OF THE LAKESHORE ASKED TO FURTHER FACILITATE THE TEAM. THEY DEVELOPED A STRATEGIC PLAN TO: (1) CREATE A COMMUNITY HUB OR SHARED SERVICES PROGRAM THAT WOULD INCREASE CAPACITY FOR AREA DAYCARE PROVIDERS; (2) INCREASE THE AVAILABILITY OF NEW DAYCARE PROVIDERS IN THE MUSKEGON AREA; AND (3) SEEK OUT ADDITIONAL RESOURCES OR MECHANISMS BY WHICH TO FINANCIALLY SUPPORT DAYCARE ACCESS. MERCY HEALTH PROVIDED A $25,000 COMMUNITY BENEFIT BOARD INITIATIVE (CBBI) GRANT FOR THIS WORK TO CONTINUE. 2. SUBSTANCE USE - OPIOID EDUCATION: MHM IS A MEMBER OF THE OPIATE TASK FORCE, WHICH IS A COMMUNITY-RUN GROUP. THE MEDICATION ASSISTED THERAPY (MAT) TEAM FOR MERCY HEALTH DID NOT FORMALLY CONTINUE AS BOTH THE MEDICAL DIRECTOR AND PHYSICIAN ASSISTANT DEDICATED TO THE PROGRAM LEFT THE ORGANIZATION JUST PRIOR TO THE COVID-19 PANDEMIC. MAT IS PROVIDED IN MUSKEGON BY THREE ORGANIZATIONS WHO WERE ABLE TO ABSORB ANY PATIENTS UTILIZING THE SERVICES. MHM ADDED SIX RECOVERY COACHES ACROSS THE ENTIRE SERVICE AREA. MHM IS THE FIDUCIARY AND HOST FOR THE COALITION OF DRUG-FREE MUSKEGON, WHICH HAS MULTIPLE PREVENTION STRATEGIES AROUND TOBACCO, MARIJUANA, ALCOHOL, PRESCRIPTION DRUGS AND OPIATE USE REDUCTIONS. MERCY HEALTH SUPPORTS A SUSTAINED MEDICATION TAKE BACK AND DISPOSAL PROGRAM CALLED THE MUSKEGON AREA MEDICATION DISPOSAL PROJECT (MAMDP), WHICH COLLECTS MATERIALS FROM EIGHT PHARMACY LOCATIONS, 13 LAW ENFORCEMENT LOCATIONS, AND HAS TWO TAKE BACK EVENTS EVERY YEAR. MHM HAS ALSO BEEN ACTIVELY ENGAGED IN THE INTERNAL OPIOID UTILIZATION REDUCTION (OUR) INITIATIVE, DESIGNED FOR SYSTEM READINESS AND EXPANSION AROUND OPIATE SOURCE REDUCTION. MERCY HEALTH AND THE PHYSICIAN ORGANIZATION FORMALLY ADOPTED NEW PROTOCOLS, PATIENT ATTESTATIONS, AND DEVELOPED PATIENT EDUCATION MATERIALS THAT HAVE SIGNIFICANTLY REDUCED OPIATE PRESCRIBING. 3. EMPLOYMENT: MHM DEVELOPED EMPLOYMENT AND EDUCATION WORKGROUPS DESIGNED TO ADDRESS THE FINDINGS OF THE CURRENT CHNA. THIS TOPIC WAS ALSO RECOGNIZED BY THE 100-DAY CHALLENGE AND TWO WORK TEAMS WERE DEVELOPED, INCLUDING ONE FOR RECORD EXPUNGEMENT FOR PREVIOUS DRUG-RELATED AND NONVIOLENT CRIMES WHICH HELD TWO EXPUNGEMENT CLINICS. MHM STARTED THE ASSESSMENT OF EXISTING WORKFORCE DEVELOPMENT PROGRAMS AVAILABLE WITHIN THE SERVICE AREA. MHM BEGAN EXPANDING THEIR EDUCATIONAL PROGRAM TO ALLOW AND ENGAGE STUDENT INTERNS IN SPECIFIC JOB CLASSIFICATIONS TO CONDUCT EDUCATIONAL REQUIREMENTS ON CAMPUS, ACROSS THE SERVICE REGION. THE JOB CLASSIFICATIONS INCLUDE THOSE WITH POTENTIAL CAREER PATHWAYS INTO THE HEALTH CARE PROFESSION FOR UNDERSERVED POPULATIONS. THIS PROGRAM CONTINUED WITH EXPLORATION OF A CAREER RESOURCE CENTER FOR MUSKEGON. 4. EDUCATION - TRADES AND/OR TECHNICAL TRAINING: MHM DEVELOPED EMPLOYMENT AND EDUCATION WORKGROUPS DESIGNED TO ADDRESS THE FINDINGS OF THE CURRENT CHNA. MHM STARTED THE ASSESSMENT OF EXISTING WORKFORCE DEVELOPMENT PROGRAMS. MH MUSKEGON BEGAN PLANNING FOR THE REUTILIZATION OF THE HACKLEY CAMPUS WHICH WAS SCHEDULED TO CLOSE IN THE FALL OF 2019, BUT THE CLOSING WAS MOVED TO CALENDAR YEAR 2020. IN MARCH, MERCY HEALTH FORMALLY ANNOUNCED THAT SEVERAL ACRES OF THE PROPERTY WOULD BE GIVEN TO MUSKEGON PUBLIC SCHOOLS IN ORDER TO BUILD A NEW MIDDLE SCHOOL. INCLUDED IN THE DESIGNS IS THE DEVELOPMENT OF THE EARLY CAREER TECHNOLOGY EXPLORATION CENTER FOR GRADES 6-10. 5. HOUSING - WHERE TO GET HELP: MHM PROVIDES STAFFING TO MUSKEGON COUNTY HOMELESS CONTINUUM OF CARE NETWORK (MCHCCN). THE COORDINATOR OF MCHCCN IS AN MHM EMPLOYEE WHOSE ROLE WAS EXPANDED IN 2020. MCHCCN IS THE FIDUCIARY FOR THE HUD CONTINUUM OF CARE (COC) PLANNING GRANT AND OUTREACH COMMITTEE. MHM HAS BEEN THE FIDUCIARY FOR THE COC PLANNING GRANT FOR THE LAST FOUR YEARS AND HAS REQUESTED FUNDING FOR FY 2020. MHM HAS CONTRACTS WITH THE LOCAL HOUSING ASSESSMENT AND RESOURCE AGENCY (HARA) IN MUSKEGON TO PLACE COMMUNITY HEALTH WORKERS ONSITE IN THEIR LOCATION. MHM HAS FOUR SUPPLEMENTAL SECURITY INCOME (SSI)/SOCIAL SECURITY DISABILITY (SSDI) OUTREACH, ACCESS, AND RECOVERY (SOAR) CERTIFIED STAFF THAT SECURE INCOME AND INSURANCE FOR HOMELESS INDIVIDUALS THROUGH SOCIAL SECURITY. SOAR IS A PROGRAM DESIGNED TO INCREASE ACCESS TO SSI/SSDI FOR ELIGIBLE ADULTS AND CHILDREN WHO ARE EXPERIENCING, OR ARE AT RISK OF, HOMELESSNESS AND HAVE A SERIOUS MENTAL ILLNESS, MEDICAL IMPAIRMENT, AND/OR A CO-OCCURRING SUBSTANCE USE DISORDER. MHM HOSTS THE POINT IN TIME (PIT) BI-ANNUAL HOMELESSNESS COUNT IN MUSKEGON COUNTY AND PROVIDES STAFF TO ASSIST IN THE PROCESS. THE MUSKEGON COMMUNITY HEALTH PROJECT, THE COMMUNITY BENEFIT DEPARTMENT OF MERCY HEALTH MUSKEGON, HAS COLLEAGUES WORKING WITH THE OCEANA HOME PARTNERSHIP, IDENTIFIED AS THE WEST MICHIGAN HOUSING NETWORK THAT SERVICES OCEANA COUNTY. 6. NUTRITION - COST AND AVAILABILITY OF HEALTHY FOOD: MHM REPLICATED THE NATIONALLY ACCREDITED DIABETES PREVENTION PROGRAM (DPP) IN OCEANA COUNTY. MHM MADE SIGNIFICANT FINANCIAL INVESTMENTS IN FY20 THROUGH TWO GRANT PROGRAMS DESIGNED TO WORK IN RESPONSE TO THE CHNA. MHM INVESTED IN WHITEHALL SCHOOLS - REAL FOOD SEED ACCESS TO HEALTHY FOODS AND OBESITY, AND MONTAGUE AREA PUBLIC SCHOOLS - REAL FOOD SEED PROJECT - ACCESS TO HEALTHY FOOD. THIS PROGRAM HAS NOW BEEN REPLICATED IN TWO ADDITIONAL SCHOOLS, WHITEHALL PUBLIC SCHOOLS AND HOLTON PUBLIC SCHOOLS. AGEWELL SERVICES OF WEST MICHIGAN CONTINUES TO RECEIVE FUNDING TO INCREASE ACCESS TO HEALTHY FOODS, WITH MEALS DELIVERED BY MEALS ON WHEELS TO SENIORS LIVING IN OCEANA AND MUSKEGON COUNTIES, AS WAS THE KIDS' FOOD BASKET SACK SUPPER PROGRAM WHICH IS IN THE THIRD YEAR OF DIRECT INVESTMENT. NEW INVESTMENTS INCLUDED FUNDING FOR THE COALITION FOR COMMUNITY DEVELOPMENT FOR THEIR HEIGHTS GARDEN TO FAMILY TABLE INITIATIVE, SUPPORTING YOUTH EDUCATION AND ACCESS TO FRESH VEGETABLES FOUND IN URBAN COMMUNITY SETTINGS. MERCY HEALTH MUSKEGON ACKNOWLEDGES 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. MERCY HEALTH MUSKEGON WILL CONTINUE TO SUPPORT EFFORTS IN THE FOLLOWING CATEGORIES, AS THEY ARE PAST AND CURRENT CHNA ISSUES THAT AROSE BUT WERE NOT PRIORITY RANKED: - ADVANCE CARE DIRECTIVES: MERCY HEALTH MUSKEGON CURRENTLY SUPPORTS THE PROMOTION OF ADVANCE DIRECTIVES BY SUPPORTING COMMUNITY INITIATIVES, AS WELL AS PROMOTING THE USE OF ADVANCE DIRECTIVES WITHIN PRIMARY CARE SETTINGS. THE CHARTED HEALTH CARE PLANNING COLLABORATIVE, FOR WHICH THE HEALTH PROJECT SERVES AS FIDUCIARY, HAS RECEIVED FUNDING FROM MERCY HEALTH FOR TRAINING, MATERIALS, AND EDUCATION EVENTS AND THE HIRE OF A NON-MERCY HEALTH COORDINATOR TO CONTINUE TO COORDINATE THIS WORK ACROSS THE SERVICE REGION. - CHILDCARE AVAILABILITY: WHILE A COMMUNITY TEAM WAS CONVENED OUT OF THE 100-DAY CHALLENGE AND THERE WAS PLANNING WITHIN THE COMMUNITY, MERCY HEALTH DID NOT FUND ANY PROGRAMS IN FY20 TO ASSIST WITH THIS PROGRAM. - SEXUALLY TRANSMITTED INFECTIONS/DISEASES: MERCY HEALTH MUSKEGON MAINTAINS EXTENSIVE SUPPORT OF SEXUALLY TRANSMITTED DISEASE ISSUES THROUGH ITS MCCLEES CLINIC AND THE UPFRONT COALITION.- SPECIAL EDUCATION: MERCY HEALTH MUSKEGON DOES NOT PLAN TO DIRECTLY ADDRESS THIS PARTICULAR NEED BECAUSE THERE ARE EXISTING INITIATIVES TARGETING THIS PRIORITY. FOR EXAMPLE, THERE ARE LOCAL ORGANIZATIONS MHM INDIRECTLY SUPPORTS, SUCH AS THE PLACEMENT OF COMMUNITY HEALTH WORKERS WITHIN TWO SCHOOL DISTRICTS. MERCY HEALTH PARTNERS MERCY CAMPUS 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 PARTNERS LAKESHORE CAMPUS 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 PARTNERS HACKLEY CAMPUS 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 PARTNERS MERCY CAMPUS - 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 PARTNERS LAKESHORE CAMPUS - 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 PARTNERS HACKLEY CAMPUS - 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 PARTNERS MERCY CAMPUS - PART V, SECTION B, LINE 7A: WWW.MERCYHEALTH.COM/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT MERCY HEALTH PARTNERS LAKESHORE CAMPUS - PART V, SECTION B, LINE 7A: WWW.MERCYHEALTH.COM/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT MERCY HEALTH PARTNERS HACKLEY CAMPUS - PART V, SECTION B, LINE 7A: WWW.MERCYHEALTH.COM/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT MERCY HEALTH PARTNERS MERCY CAMPUS - PART V, SECTION B, LINE 10A WWW.MERCYHEALTH.COM/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT MERCY HEALTH PARTNERS LAKESHORE CAMPUS - PART V, SECTION B, LINE 10A WWW.MERCYHEALTH.COM/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT MERCY HEALTH PARTNERS HACKLEY CAMPUS - PART V, SECTION B, LINE 10A WWW.MERCYHEALTH.COM/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT MERCY HEALTH PARTNERS MERCY CAMPUS - PART V, SECTION B, LINE 7B: WWW.MCHP.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/CURRENT-CHNA MERCY HEALTH PARTNERS LAKESHORE CAMPUS - PART V, SECTION B, LINE 7B: WWW.MCHP.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/CURRENT-CHNA MERCY HEALTH PARTNERS HACKLEY CAMPUS - PART V, SECTION B, LINE 7B: WWW.MCHP.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/CURRENT-CHNA 52 1 - MUSKEGON SURGERY CENTER 1400 MERCY DRIVE SUITE 150 MUSKEGON MI 49444 OUTPATIENT SURGERY 2 - JOHNSON FAMILY CENTER FOR CANCER CARE 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 - NORTON FAMILY PRACTICE 3535 PARK STREET SUITE 110 MUSKEGON MI 49444 PRIMARY CARE PHYSICIAN OFFICE 6 - MERCY MEDI CENTER 1700 OAK AVE MUSKEGON MI 49442 URGENT CARE 7 - LAKES VILLAGE 6401 PRAIRIE STREET NORTON SHORES MI 49444 OUTPATIENT SERVICES, LAB, URGENT CARE, REHAB, IMAGING 8 - WESTSHORE FAMILY MEDICINE 1223 MERCY DRIVE MUSKEGON MI 49444 PRIMARY CARE PHYSICIAN OFFICE 9 - OB GYN ASSOCIATES 1675 LEAHY STREET SUITE 428B MUSKEGON MI 49444 OBSTETRICS / GYNECOLOGY 10 - PAIN CLINIC 1700 CLINTON STREET MUSKEGON MI 49442 PAIN MANAGEMENT 11 - SHORELINE NEUROSURGERY 1675 LEAHY STREET SUITE 401A MUSKEGON MI 49444 NEUROSURGICAL & PHYSIATRY 12 - HARBORWOOD FAMILY MEDICINE 1675 LEAHY STREET SUITE 301A MUSKEGON MI 49442 PRIMARY CARE PHYSICIAN OFFICE 13 - LAKESHORE MEDICAL CENTER - WHITEHALL 905 E COLBY STREET WHITEHALL MI 49461 PRIMARY CARE PHYSICIAN OFFICE 14 - HACKLEY LAKES OB GYN 6401 PRAIRIE STREET SUITE 2100 NORTON SHORES MI 49444 OBSTETRICS / GYNECOLOGY 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 - HARBOUR POINTE MEDICAL ASSOCIATES 3587 HENRY STREET SUITE 200 MUSKEGON MI 49441 PRIMARY CARE PHYSICIAN OFFICE 18 - SLEEP DISORDERS CENTER 1700 OAK AVE MUSKEGON MI 49442 SLEEP MEDICINE 19 - HART FAMILY MEDICAL CENTER 611 E MAIN STREET HART MI 49420 PRIMARY CARE PHYSICIAN OFFICE 20 - MERCY WESTSHORE INTERNAL MEDICINE 1150 E SHERMAN BLVD SUITE 1100 MUSKEGON MI 49444 PRIMARY CARE PHYSICIAN OFFICE 21 - NORTHSHORE FAMILY PRACTICE 1915 HOLTON ROAD MUSKEGON MI 49445 PRIMARY CARE PHYSICIAN OFFICE 22 - FRUITPORT FAMILY MEDICINE 3443 FARR RD FRUITPORT MI 49415 PRIMARY CARE PHYSICIAN OFFICE 23 - MERCY HEART CENTER 1212 E SHERMAN BLVD MUSKEGON MI 49444 WELLNESS & REHABILITATION FACILITY 24 - HART PAVILION 611 E MAIN STREET HART MI 49420 LAB, RADIOLOGY 25 - MERCY GERIATRIC MEDICAL ASSOCIATES 1150 E SHERMAN BLVD SUITE 1175 MUSKEGON MI 49444 GERIATRICS 26 - LAKESHORE FAMILY CARE 601 W SAVIDGE STREET SPRING LAKE MI 49456 PRIMARY CARE PHYSICIAN OFFICE 27 - COMPREHENSIVE WOMEN'S HEALTH 1675 LEAHY STREET SUITE 311A MUSKEGON MI 49444 OBSTETRICS / GYNECOLOGY 28 - HACKLEY LAKES OB GYN 1675 LEAHY STREET SUITE 215A MUSKEGON MI 49444 OBSTETRICS / GYNECOLOGY 29 - BEAR CREEK HEALTH CENTER 1877 N GETTY STREET NORTH MUSKEGON MI 49445 PRIMARY CARE PHYSICIAN OFFICE 30 - LAKES FAMILY MEDICINE 6207 HARVEY STREET MUSKEGON MI 49444 PRIMARY CARE PHYSICIAN OFFICE 31 - ADULT MEDICINE SPECIALIST 6401 PRAIRIE STREET SUITE 2800 MUSKEGON MI 49444 PRIMARY CARE PHYSICIAN OFFICE 32 - HARBOUR VIEW FAMILY MEDICINE 1909 RUDDIMAN DRIVE NORTH MUSKEGON MI 49445 PRIMARY CARE PHYSICIAN OFFICE 33 - OSTEOPATHIC MEDICINE 1150 E SHERMAN BLVD SUITE 1100 MUSKEGON MI 49444 PHYSIATRY 34 - SABLE POINT 300 S RATH AVE SUITE 102 LUDINGTON MI 49431 PRIMARY CARE PHYSICIAN OFFICE 35 - NORRIS CREEK 14 N 3RD AVE FRUITPORT MI 49415 PRIMARY CARE PHYSICIAN OFFICE 36 - WEST VIEW FAMILY MEDICINE 6401 PRAIRIE STREET SUITE 2600 MUSKEGON MI 49444 PRIMARY CARE PHYSICIAN OFFICE 37 - NORTHSIDE FAMILY MEDICINE 420 N WHITEHALL ROAD SUITE 4 NORTH MUSKEGON MI 49445 PRIMARY CARE PHYSICIAN OFFICE 38 - BLADDER CLINIC 6401 PRAIRIE STREET SUITE 1700 NORTON SHORES MI 49444 UROLOGY 39 - PULMONARY MEDICINE 1560 E SHERMAN BLVD SUITE 150 MUSKEGON MI 49444 PULMONARY 40 - INFECTIOUS DISEASE 1700 CLINTON STREET MUSKEGON MI 49442 INFECTIOUS DISEASE 41 - ST MARYS WORKPLACE HLTH DOWNTN 150 JEFFERSON SE GRAND RAPIDS MI 49503 OCC MED 42 - INTERNAL MEDICINE AND SPECIALTY CARE CLI 1675 LEAHY STREET SUITE 201A MUSKEGON MI 49442 PRIMARY CARE PHYSICIAN OFFICE 43 - HACKLEY WORKPLACE NORTH ONE MISCO DRIVE WHITEHALL MI 49461 OCC MED 44 - HEP C CLINIC 1700 CLINTON STREET MUSKEGON MI 49442 HEPATITIS 45 - CHF CLINIC 1212 E SHERMAN BLVD MUSKEGON MI 49444 CARDIOLOGY 46 - WEST MICHIGAN INTERNAL MEDICINE 957 BROOKHAVEN CT STE 3-4 BLDG F MUSKEGON MI 49442 PRIMARY CARE PHYSICIAN OFFICE 47 - MH NORTH OTTAWA FAMILY MEDICINE 1310 WISCONSIN GRAND HAVEN MI 49417 PRIMARY CARE PHYSICIAN OFFICE 48 - WEST OLIVE 15151 STANTON WEST OLIVE MI 49460 PRIMARY CARE PHYSICIAN OFFICE 49 - SHERMAN URGENT CARE WORKPLACE HEALTH 1670 E SHERMAN MUSKEGON MI 49444 URGENT CARE / OCC MED 50 - NORTHSIDE FAMILY MEDICINE 2006 HOLTON ROAD NORTH MUSKEGON MI 49445 PRIMARY CARE / URGENT CARE 51 - NEURODIAGNOSTICS BUILDING 1277 MERCY DR MUSKEGON MI 49444 NEURODIAGNOSTICS 52 - HUDSONVILLE URGENT CARE 3295 32ND AVENUE HUDSONVILLE MI 49426 URGENT CARE, PRIMARY CARE, LAB 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. PART I, LINE 6A: MERCY HEALTH PARTNERS D/B/A MERCY HEALTH MUSKEGON (MHM) 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, MHM 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, $26,717,629, 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 FY20, MERCY HEALTH MUSKEGON ENGAGED IN COMMUNITY BUILDING ACTIVITIES IN THE FOLLOWING WAYS: MERCY CAMPUS ACTIVITIES:COMMUNITY SUPPORT - ACTIVITIES INCLUDE SUPPORT OF 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 OF FUNDS FOR ALL AGENCIES SEEKING HUD AND MSHDA EMERGENCY SOLUTIONS GRANT (ESG) 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.THE HEALTH PROJECT PROVIDED TIME FOR THE HUB MANAGER TO ACT AS THE COORDINATOR FOR THE NETWORK TO ENSURE THAT THE NETWORK IS IN COMPLIANCE. A PORTION OF THE HUB MANAGER'S TIME IS ALLOCATED AS THE IN-KIND MATCH FOR THE HUD PLANNING GRANT TO FACILITATE PARTICIPATION IN NETWORK FUNCTIONS.COALITION BUILDING - WITH 10 COMMUNITY COALITIONS, MERCY HEALTH'S HEALTH PROJECT ACTS AS THE BACKBONE ORGANIZATION PROVIDING STAFF SUPPORT. 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 (CHI) TEAMS. WITH OVER 140 LEADERS CONTRIBUTING TO THESE COALITIONS, MERCY HEALTH LEVERAGES RESOURCES FROM OVER 65 ORGANIZATIONS.COMMUNITY HEALTH IMPROVEMENT (RIDE WITH PRIDE) IS PART OF COALITION BUILDING. MERCY HEALTH SUPPORTS THE RIDE WITH PRIDE (RWP) PROGRAM THAT WAS ADMINISTERED IN EIGHT SCHOOL DISTRICTS IN FY20. 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, PROVIDING ONGOING SUPPORT THROUGHOUT THE SCHOOL YEAR, AND INCENTIVIZING BEHAVIOR WITH FREE PRIZES, INCLUDING A CAR AT THE END OF THE YEAR. ADVOCACY FOR CHI/SAFETY - MERCY HEALTH HOSTED SEVERAL MEETINGS WITH AREA LEGISLATORS TO DISCUSS LEGISLATIVE PRIORITIES, AND OFFERED TOURS OF THE NEW MEDICAL CENTER AND BRIEFINGS ON THE NEW AMBULATORY STRATEGY, COMMUNITY BENEFIT PROGRAMS, AND MAINTAINING THE PROTECTIONS AND HEATH ACCESS FOUND UNDER THE AFFORDABLE CARE ACT. ADDITIONALLY, STAFF ATTENDED SEVERAL COUNTY COMMISSIONS, CITY COUNCIL, AND SCHOOL BOARD MEETINGS TO DISCUSS PREVENTION ISSUES AND/OR ADDRESS OTHER COMMUNITY ISSUES. 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: MHM 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, MHM IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, MHM IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: MHM 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 TWO PERCENT SEQUESTRATION REDUCTION FOR THE PERIOD JULY 1, 2019 THROUGH APRIL 30, 2020. PART III, LINE 8: MHM 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 COLLECTION 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 COLLECTION 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 -MERCY 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 HOSPITAL ALSO USES PRESS-GANEY AND OTHER STANDARD QUALITY MEASURES TO MONITOR PATIENT SATISFACTION AND IMPROVE INPATIENT SERVICES AND QUALITY OF CARE. THE HEALTH PROJECT DEVELOPED AND IMPLEMENTED A SOPHISTICATED INFORMATION SYSTEM THAT PROVIDES PROGRAM UTILIZATION DATA THAT INTEGRATES WITH INDIVIDUAL PATIENT DATA AND CORRELATES WITH VARIOUS SOCIAL DETERMINANTS OF HEALTH. THE SYSTEM, CALLED THE CLARKE INFORMATION SYSTEM, HELPS EVALUATE PROGRAM EFFECTIVENESS AND DIRECT DEPLOYMENT OF COMMUNITY BENEFIT SERVICES WHERE AND TO WHOM MOST NEEDED. EARLY IN 2020, THE HEALTH PROJECT CONTRACTED WITH IBM'S BLUE WOLF TEAM TO HELP ENHANCE CLARKE'S USABILITY IN THE EFFORT TO ENHANCE ENROLLMENT. 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. THESE ISSUES MAY OR MAY NOT BE CITED IN THE CHNA; BUT, IN ANY CASE, 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 COALITION MUSKEGON AREA MEDICATION DISPOSAL PROGRAMALLIANCE FOR MARIJUANA PREVENTION TASKFORCECHARTED COALITION UPFRONT COALITIONOCEANA HEALTHBOUND COALITION ENROLL WEST MICHIGAN COMMUNITY HEALTH INNOVATION REGION (CHIR)SAFE KIDS WEST MICHIGANTHE FOLLOWING ARE THE COMMUNITY COALITIONS SUPPORTED BY MERCY 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 COUNCIL NORTHWEST MICHIGAN CHRONIC DISEASE COALITIONOCEANA'S HOME PARTNERSHIP OCEANA HEALTHBOUNDOCEANA LEADSMUSKEGON-OCEANA COUNTY HEALTH DISPARITIES COALITION (HDC) HEALTHY FAMILIES OF OCEANA COUNTY PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MHM 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. MHM 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. MHM HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. MHM 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: 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, ROUGHLY 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, AN URBAN COMMUNITY OF ALMOST 40,000 RESIDENTS. 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, MERCY HEALTH MUSKEGON, WHICH INCLUDES THE MERCY AND HACKLEY CAMPUSES 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 HAS HAD OVER $1 BILLION IN NEW INVESTMENT OVER THE PAST THREE YEARS, SIGNALING SIGNIFICANT ECONOMIC REVITALIZATION OF THE AREA. IN SPITE OF THIS, THE CHAMBER OF COMMERCE INDICATES THE AREA HAS A WORKFORCE SHORTAGE AND, AT THIS WRITING, THERE ARE APPROXIMATELY 1,000 JOB OPENINGS IN THE AREA. 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 LOCATED 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 TWO CITIES, TWO 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 WERE 23.5% BELOW 18 YEARS OF AGE AND 19.7% AGE 65 AND OLDER. MASON COUNTY IS LOCATED ALONG THE SHORELINE OF LAKE MICHIGAN AND, LIKE MUSKEGON, FEATURES A DEEP-WATER PORT AND CROSS-LAKE FERRY SERVICE TO WISCONSIN. MASON COUNTY'S ECONOMY HAS BEEN DRIVEN BY BOTH AGRICULTURAL AND TOURISM SECTORS. THE COUNTY FEATURES TWO CITIES, FOUR VILLAGES, SIX UNINCORPORATED COMMUNITIES AND 15 TOWNSHIPS. THE POPULATION DENSITY IS 58 PERSONS PER SQUARE MILE. LUDINGTON IS THE LARGEST CITY AND COUNTY SEAT. A PORTION OF MASON COUNTY INCLUDES THE MANISTEE NATIONAL FOREST. MASON COUNTY HAS A COMMUNITY HOSPITAL LOCATED IN LUDINGTON, WHICH IS AFFILIATED WITH THE SPECTRUM HEALTH SYSTEM BASED IN GRAND RAPIDS. THE COUNTY POPULATION AS OF 2018 WAS 28,876, AND THE POPULATION DEMOGRAPHICS OF THE COUNTY WERE 94.4% NON-HISPANIC WHITE, 0.8% NON-HISPANIC AFRICAN AMERICAN, 1.1% AMERICAN INDIAN OR ALASKAN NATIVE, 0.7% ASIAN, AND 4.6% HISPANIC. MASON COUNTY POPULATION IS CONSIDERED 62.7% RURAL, WITH 50.1% FEMALE. AGE DEMOGRAPHICS WERE 20.7% BELOW 18 YEARS OF AGE AND 22.1% AGE 65 AND OLDER. OTTAWA COUNTY IS LOCATED JUST SOUTH OF MUSKEGON COUNTY ON THE SHORELINE OF LAKE MICHIGAN; ITS ECONOMIC BASE INCLUDES MANUFACTURING, TOURISM, AND AGRICULTURE. IT IS HOME TO SEVERAL SMALL PRIVATE COLLEGES AND TO GRAND VALLEY STATE UNIVERSITY, LOCATED IN ALLENDALE. THE COUNTY INCLUDES SIX CITIES, ONE VILLAGE, THREE CENSUS DESIGNATED PLACES, 37 UNINCORPORATED COMMUNITIES, AND 17 TOWNSHIPS. THE LARGEST CITY IS HOLLAND AND THE COUNTY SEAT IS LOCATED IN GRAND HAVEN. POPULATION DENSITY IN THE COUNTY IS 509 INDIVIDUALS PER SQUARE MILE. OTTAWA IS HOME TO THREE COMMUNITY HOSPITALS, TWO OF WHICH, LOCATED IN THE SOUTHERN PART OF THE COUNTY, ARE AFFILIATED WITH THE GRAND RAPIDS-BASED SPECTRUM HEALTH SYSTEM. AS OF THE 2018 COUNTY HEALTH RANKINGS, THERE WERE 282,250 PEOPLE RESIDING IN THE COUNTY. POPULATION DEMOGRAPHICS FOR OTTAWA COUNTY RESIDENTS WERE 84.2% NON-HISPANIC WHITE, 2.9% ASIAN, 1.5% NON-HISPANIC AFRICAN AMERICAN, 0.6% AMERICAN INDIAN OR ALASKAN NATIVE, AND 9.5% HISPANIC. THE POPULATION OF OTTAWA COUNTY WAS CONSIDERED 20.3% RURAL, WITH FEMALES COMPRISING 50.7% OF THE POPULATION. IN ADDITION, THE AGE DEMOGRAPHICS OF OTTAWA COUNTY SHOWED 24.4% BELOW 18 YEARS OF AGE AND 14.0% AGE 65 AND OLDER. NEWAYGO COUNTY IS LOCATED NORTHEAST OF MUSKEGON COUNTY AND NORTH OF THE MUCH LARGER GRAND RAPIDS METROPOLITAN AREA. NEWAYGO ALSO RELIES ON TOURISM AS ITS MAIN ECONOMIC BASE, ALONG WITH AGRICULTURE AND MANUFACTURING. DUE TO ITS PROXIMITY TO MUSKEGON AND GRAND RAPIDS, MANY RESIDENTS OF NEWAYGO COUNTY COMMUTE TO JOBS IN THE LARGER COMMUNITIES. NEWAYGO HAS TWO CITIES, THREE VILLAGES AND 24 TOWNSHIPS; THE COUNTY SEAT IS WHITE CLOUD. POPULATION DENSITY IS APPROXIMATELY 56 PEOPLE PER SQUARE MILE. NEWAYGO IS DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA AND A MEDICALLY UNDERSERVED POPULATION AREA. NEWAYGO IS ALSO SERVED BY GERBER MEMORIAL COMMUNITY HOSPITAL, WHICH IS AFFILIATED WITH GRAND RAPIDS-BASED SPECTRUM HEALTH.AS OF THE 2018 COUNTY HEALTH RANKINGS, THERE WERE 47,938 PEOPLE RESIDING IN THE COUNTY. POPULATION DEMOGRAPHICS FOR NEWAYGO COUNTY RESIDENTS WERE 90.7% NON-HISPANIC WHITE, 0.5% ASIAN, 1.1% NON-HISPANIC AFRICAN AMERICAN, 0.9% AMERICAN INDIAN OR ALASKAN NATIVE, AND 5.6% HISPANIC. THE POPULATION OF NEWAYGO COUNTY WAS CONSIDERED 83.8% RURAL, WITH FEMALES COMPRISING 49.7% OF THE POPULATION. IN ADDITION, THE AGE DEMOGRAPHICS OF NEWAYGO COUNTY SHOWED 22.6% BELOW 18 YEARS OF AGE AND 18.7% AGE 65 AND OLDER. PART VI, LINE 5: OTHER INFORMATION - THE MAJORITY OF THE GOVERNING BODY OF MHM IS PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NOT EMPLOYEES, CONTRACTORS OF THE ORGANIZATION, OR FAMILY MEMBERS. SINCE MHM OPERATES THE ONLY HOSPITALS IN MUSKEGON COUNTY OR 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 RELATIVELY STABLE IN THE REGION. MUSKEGON COUNTY'S RATE OF UNINSURED RESIDENTS IS 6.1%, WHILE OCEANA'S IS 10.4%. MHM'S FOCUS HAS BEEN ON ACCESS TO CARE, ENROLLMENT UNDER THE ACA OR IN MICHIGAN MEDICAID (AS QUALIFIED) AND 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 MHM'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 DESIGN MAKES APPLYING FOR ASSISTANCE EASIER FOR CONSUMERS BY INCLUDING IN A SINGLE FORM ALL INFORMATION DEEMED ESSENTIAL FOR DETERMINING ELIGIBILITY FOR MULTIPLE HEALTH AND HUMAN SERVICES. THE OUTREACH PROGRAM AND ITS TEAM SERVED 967 PERSONS WITHIN THREE COUNTIES AT EIGHT EVENTS FROM JULY 2019 THROUGH JANUARY 2020. THEY PROVIDED BLOOD PRESSURE, BLOOD SUGAR, AND SMOKERLYZER TESTING, ALONG WITH SOME VISION SCREENINGS WHEN POSSIBLE. ADDITIONALLY, OUR OUTREACH TEAM PROVIDED HEALTH AND ENROLLMENT INFORMATION AT 19 COMMUNITY GATHERINGS SERVING 3,791 PERSONS. THE GOALS INCLUDE REDUCING EMERGENCY DEPARTMENT VISITS AND AVOIDABLE HOSPITALIZATIONS BY SCREENING AND ALERTING PATIENTS TO TREATABLE PROBLEMS THAT COULD ESCALATE INTO SERIOUS OR LIFE-THREATENING SITUATIONS. NOTE: DUE TO COVID-19, OUR OUTREACH PROGRAM DID NOT OPERATE DURING THE SPRING AND SUMMER OF 2020 DUE TO FURLOUGHS AND THE COVID-19 PANDEMIC.MERCY HEALTH MUSKEGON'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 DRUGS AT REDUCED PRICES. THIS PROGRAM COLLABORATES WITH A LOCAL FAITH-BASED ORGANIZATION TO PROVIDE LOW-INCOME, UNINSURED 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 MHM'S COMMUNITY BENEFIT FUNDING.IN PARTNERSHIP WITH MERCY HEALTH PHYSICIAN PARTNERS, THE HEALTH PROJECT HAS BEEN OPERATING THE MUSKEGON AREA MEDICATION DISPOSAL PROJECT (MAMDP) SINCE LATE 2010. THE MAMDP FOCUSES ON THE PRESCRIPTION DRUG TAKE-BACK PROGRAM, IMPLEMENTING TWO COMMUNITY EVENTS AS WELL AS PERMANENT COLLECTION SITES AT ALL AREA POLICE STATIONS AND AT EIGHT LOCAL PHARMACIES. TO DATE, THEY HAVE COLLECTED OVER 38,000 POUNDS OF MATERIALS. THE HEALTH PROJECT ADVISORY BOARD OF DIRECTORS AWARDS SEVERAL GRANTS ANNUALLY TO COMMUNITY ORGANIZATIONS WHO ADDRESS THE RANKED HEALTH NEEDS LISTED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. IN JULY OF 2019, THE BOARD AWARDED $150,000 IN GRANTS TO EIGHT ORGANIZATIONS: ALTERNATIVES IN MOTION, ARBOR CIRCLE, COMMUNITY ENCOMPASS, FRESH COAST ALLIANCE, HARBOR HOSPICE, MUSKEGON COMMUNITY COLLEGE, MUSKEGON YOUNG MEN'S ASSOCIATION, AND READ MUSKEGON.MHM'S 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 (CHIP) OR OTHER AVAILABLE HEALTH COVERAGE, FOOD ASSISTANCE PROGRAM, AND FOR THE HOSPITALS' FINANCIAL ASSISTANCE PROGRAM. MHM PARTICIPATES IN THE UNITED WAY DAY OF CARING. THE ANNUAL HEALTHY-U EVENT IS CONDUCTED TO EDUCATE THE COMMUNITY ABOUT HEART HEALTH AND PROVIDES WORKSHOPS AND PROGRAMS AT NO COST. MHM SUPPORTS EVENTS SUCH AS THE AFRICAN-AMERICAN DIABETES CONFERENCE AND THE MEN'S HEALTH FAIR AND SCREENING. THESE EVENTS ARE HELD TO PROVIDE INFORMATION, EDUCATION, AND REFERRAL TO THE GENERAL PUBLIC, TARGETING UNDERSERVED POPULATION SEGMENTS.MHM CONDUCTS EXTENSIVE COMMUNITY-BASED SCREENINGS AT CHURCHES AND OTHER VENUES AROUND THE COMMUNITY. BIRTHING CLASSES ARE OFFERED TO EVERYONE IN THE COMMUNITY. MHM PROVIDES ITS FACILITIES TO NON-PROFIT ORGANIZATIONS FOR MEETINGS AND COMMUNITY ACTIVITIES. MEDICAL AND ADMINISTRATIVE STAFF SIT ON COMMUNITY COALITIONS THAT TARGET AREAS OF COMMUNITY NEED, INCLUDING HIV/AIDS, DIABETES, CHILDHOOD OBESITY, HEALTH DISPARITIES, ASTHMA, ALCOHOL, AND TOBACCO AND SUBSTANCE ABUSE. MHM ALSO GIVES MONEY TO SUPPORT THE COMMUNITY ACCESS LINE OF THE LAKESHORE (CALL 2-1-1) INFORMATION AND REFERRAL PHONE LINE, AND ACCESS HEALTH (A COMMUNITY HEALTH COVERAGE PROGRAM). "SAFE KIDS WEST MICHIGAN" IS A PROGRAM THROUGH MHM'S COMMUNITY DEVELOPMENT DEPARTMENT THAT WORKS WITH PARENTS AND KIDS TO PREVENT ACCIDENTAL INJURY TO CHILDREN AGES 0-14. THE GOAL IS TO REDUCE THE OVERALL RATE OF UNINTENTIONAL INJURIES TO CHILDREN IN WEST MICHIGAN. ANNUAL EARNINGS FROM MHM'S SISTER SIMONE COURTADE ENDOWMENT FUND ARE DIRECTED TO COMMUNITY GROUPS FOR PROJECTS TO IMPROVE THE HEALTH OF THE COMMUNITY. ELEVEN NON-PROFIT COMMUNITY HEALTH AND HUMAN SERVICE ORGANIZATIONS RECEIVED $103,000 TO SUPPORT SERVICE PROGRAMS FROM JULY 1, 2019 THROUGH JUNE 30, 2020. MHM OPERATES A SCHOOL-BASED HEALTH CENTER AT OAKRIDGE SCHOOLS. STUDENTS WHO ARE PRONE TO HIGH-RISK BEHAVIORS AND/OR ARE PRONE TO FUTURE MEDICAL CONDITIONS (HYPERTENSION, DIABETES, ETC.), INCLUDING THEIR FAMILIES, ARE PAIRED WITH A COMMUNITY HEALTH WORKER TO GUIDE THEM THROUGH BEHAVIOR CHANGES AND CARE COORDINATION TO HELP PROMOTE A HEALTHIER OUTCOME IN ADULTHOOD.MHM COLLEAGUES PARTICIPATE AND CHAIR COMMITTEES WITHIN THE MUSKEGON/OCEANA HOMELESS CONTINUUM OF CARE, HELPING TO INSURE THAT MEDICALLY FRAGILE, HOMELESS MEMBERS OF THE COMMUNITY ARE MATCHED WITH APPROPRIATE EMERGENCY, TRANSITIONAL AND PERMANENT HOUSING FOR THEIR MEDICAL AND SOCIAL NEEDS.IN FY20, MERCY HEALTH MUSKEGON CONTINUED TO WORK ON THE HEALTHY VENDING INITIATIVE AS WELL AS TOBACCO 21. ALREADY A SMOKE-FREE CAMPUS, FURTHER WORK WAS DONE TO MAKE SMOKING CESSATION MATERIALS AND SUPPORT AVAILABLE TO EMPLOYEES, PATIENTS, AND COMMUNITY MEMBERS, AND TO OFFER ADDITIONAL CESSATION CLASSES ON EACH HOSPITAL CAMPUS.IN FY18, MERCY HEALTH MUSKEGON BEGAN ROLLING OUT A COMPREHENSIVE SOCIAL INFLUENCER OF HEALTH SURVEY TO BE ADMINISTERED AT ALL PROVIDER OFFICES, EMERGENCY ROOMS, AND COMMUNITY-BASED ORGANIZATIONS. THIS WORK HAS CONTINUED THROUGH FY20, AND TRAININGS WERE DEVELOPED TO SUPPORT EACH OFFICE OR PRACTICE WITH REFERRING PATIENTS TO APPROPRIATE RESOURCES TO ADDRESS ANY SOCIAL INFLUENCERS OF HEALTH NEEDS THAT AROSE. TO DATE OVER 127,000 UNIQUE PATIENTS HAVE BEEN SCREENED. IN JANUARY OF 2020, TRINITY HEALTH IMPLEMENTED THE EPIC ELECTRONIC MEDICAL RECORD (EHR), WHICH ALLOWS BOTH ACUTE AND PRIMARY CARE OFFICES TO PROVIDE SCREENING. MERCY HEALTH LEADERS WORKED WITH EPIC AND TRINITY HEALTH ON SIOH SCREENING CRITERIA AND PROTOCOLS PRIOR TO IMPLEMENTATION TO BE ABLE TO SCREEN ALL PATIENTS AT LEAST ONCE A YEAR. PART VI, LINE 6: MHM IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER HOSPITALS DEFINE - AND ACHIEVE - SPECIFIC COMMUNITY HEALTH AND WELL-BEING GOALS. IN FISCAL YEAR 2020, EVERY TRINITY HEALTH ENTITY FOCUSED ON: 1. REDUCING TOBACCO USE 2. REDUCING OBESITY PREVALENCE3. ADDRESSING AT LEAST ONE SOCIAL INFLUENCER OF HEALTH 4. ADDRESSING AT LEAST ONE SIGNIFICANT HEALTH NEED IDENTIFIED BY THEIR HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENTADDITIONALLY, IN RESPONSE TO COVID-19, TRINITY HEALTH MEMBER HOSPITALS MOBILIZED NATIONAL INFRASTRUCTURE TO ASSESS THE MOST URGENT NEEDS IN THEIR COMMUNITIES. TRINITY HEALTH MEMBER HOSPITALS STRENGTHENED PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS AND COLLABORATED WITH MEDICAL GROUPS AND CLINICALLY INTEGRATED NETWORKS PROVIDING DIRECT PATIENT CARE TO ENSURE THAT PATIENT SOCIAL NEEDS WERE MET IN THE COMMUNITY. LIKEWISE, MEMBER HOSPITALS ACCELERATED THEIR SOCIAL SERVICES RESPONSE BY ESTABLISHING SOCIAL CARE PROGRAMS TO CONNECT PATIENTS, COLLEAGUES AND COMMUNITY MEMBERS TO LOCAL SOCIAL SERVICES SUCH AS: FOOD, HOUSING, FINANCIAL ASSISTANCE AND ACCESS TO HEALTH CARE. FROM MARCH THROUGH JUNE, SOCIAL CARE MADE OVER 103,000 CONNECTIONS, AND TRINITY HEALTH PROVIDED OVER 44,000 MEDICAL SERVICES TO THOSE WHO ARE HOMELESS AND THROUGH COMMUNITY TESTING EVENTS. SOCIAL INFLUENCERS OF HEALTH - SUCH AS ADEQUATE HOUSING, PERSONAL SAFETY AND ACCESS TO FOOD, EDUCATION, INCOME, AND HEALTH COVERAGE - HAVE A SIGNIFICANT IMPACT ON THE HEALTH OF COMMUNITIES. IN AN EFFORT TO ADDRESS SOME OF THESE INFLUENCERS, TRINITY HEALTH INVESTED $3.7 MILLION IN THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), WHICH INITIALLY LAUNCHED IN FISCAL YEAR 2016. TCI IS A SHARED FUNDING MODEL AND TECHNICAL-ASSISTANCE INITIATIVE SUPPORTING EIGHT TRINITY HEALTH HOSPITALS, AND THEIR COMMUNITY PARTNERS, TO IMPLEMENT POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE STRATEGIES TO PREVENT TOBACCO USE AND CHILDHOOD OBESITY, AND TO AFFECT CHANGE RELATED TO THE SOCIAL INFLUENCERS OF HEALTH. IN ADDITION TO TRINITY HEALTH'S INVESTMENT, TCI HAS LEVERAGED OVER $12.4 MILLION IN COMMUNITY MATCH FUNDING TO DATE. IN FISCAL YEAR 2020, IN RESPONSE TO COVID-19, TCI SWIFTLY SHIFTED THEIR FOCUS IN MARCH TO ADDRESSING FOOD INSECURITY, HEALTH CARE WORKER PROTECTIVE EQUIPMENT, SUPPORTING CLOSED SCHOOLS TO EFFECTIVELY REACH CHILDREN, MENTAL HEALTH INTERVENTIONS, AND EMERGENCY AID/FINANCIAL ASSISTANCE DIRECTLY TO INDIVIDUALS IN NEED. OVERALL, TCI COMMUNITIES REDIRECTED NEARLY $520,000 TO SUPPORT COVID-19 RELATED NEEDS.TRINITY HEALTH CONTINUES TO EXPAND THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP) THROUGH THE SUPPORT OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND HELPED 2,374 PARTICIPANTS COLLECTIVELY LOSE 15,382 POUNDS FROM JANUARY 2018 THROUGH SEPTEMBER 2020. IN MARCH 2020, WITH THE SURGE OF COVID-19 SPREADING ACROSS THE COUNTRY, TRINITY HEALTH MEMBER HOSPITALS TRANSITIONED NEARLY 90% OF ALL IN-PERSON NDPP COHORTS TO AN ONLINE VERSION OF THE LIFESTYLE CHANGE PROGRAM.TRINITY HEALTH DEPLOYED $5.1 MILLION IN NEW AND RENEWED LOANS FOR PLACE-BASED INVESTING TO IMPROVE ACCESS TO AFFORDABLE HOUSING, HEALTHY FOODS, EDUCATIONAL SCHOLARSHIPS, AND ECONOMIC DEVELOPMENT. ADDITIONALLY, TRINITY HEALTH WORKED WITH ALL OF ITS BORROWERS THAT HAD LOANS COMING DUE IN THE MIDST OF THE SPRING COVID-19 SURGE TO EXTEND THEIR LOANS FOR SIX MONTHS. THIS ACTION ALLOWED MORE THAN $2.9 MILLION IN INVESTMENTS TO REMAIN IN THE FIELD AND PROVIDED BREATHING ROOM TO OUR COMMUNITY DEVELOPMENT FINANCIAL INSTITUTION PARTNERS THAT WERE SERVING OUR COMMUNITIES DURING THE CRISIS. THE COMMUNITY-INVESTING PROGRAM ALSO HAS OUTSTANDING LOAN COMMITMENTS OF $9.6 MILLION TO COMMUNITY INFRASTRUCTURE PROJECTS, WHICH WILL BE DEPLOYED IN FUTURE YEARS.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 FISCAL YEAR 2020, TRINITY HEALTH INVESTED OVER $1.3 BILLION IN COMMUNITY BENEFIT, SUCH AS INITIATIVES SUPPORTING THOSE WHO ARE POOR AND VULNERABLE, HELPING TO MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, AND MOVING FORWARD POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE. COVID-19 ACCOUNTED FOR NEARLY $4.9 MILLION IN PROGRAMMATIC COMMUNITY BENEFIT EXPENSES AND ACTIVITIES, INCLUDING COMMUNITY TESTING AND EDUCATION, INCIDENT COMMAND CENTERS, SUPPORT FOR LOCAL ORGANIZATIONS (PROVIDING PPE, OTHER SUPPLIES, STAFF TIME), SOCIAL SUPPORTS (FOOD, HOUSING, MENTAL HEALTH, CHILDCARE), AND OTHER COMMUNITY DISASTER PREPAREDNESS EFFORTS.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. 1 HACKLEY COMMUNITY CARE CENTER 255 SEMINOLE SUITE 201A MUSKEGON MI 49444 383014011 501(C)(3) 16724 FAIR MARKET VALUE FORGIVEN INTEREST COMMUNITY BENEFIT MUSKEGON COMMUNITY HEALTH PROJECT 565 W WESTERN AVENUE MUSKEGON MI 49440 911932918 501(C)(3) 3521720 COMMUNITY BENEFIT BOYS & GIRLS CLUB OF MUSKEGON LAKESHORE PO BOX 1018 MUSKEGON MI 49443 617136056 501(C)(3) 6000 COMMUNITY BENEFIT CALL 211 COMMUNITY ACCESS LINE 255 W SHERMAN BLVD MUSKEGON MI 49444 383171086 501(C)(3) 10000 COMMUNITY BENEFIT CATHOLIC CHARITIES WEST MICHIGAN 40 JEFFERSON SE GRAND RAPIDS MI 49503 382012473 501(C)(3) 5500 COMMUNITY BENEFIT COALITION FOR COMMUNITY DEVELOPMENT PO BOX 4618 MUSKEGON MI 49444 753204979 501(C)(3) 6350 COMMUNITY BENEFIT COMMUNITY ENCOMPASS 1105 TERRACE STREET MUSKEGON MI 49442 383279226 501(C)(3) 9000 COMMUNITY BENEFIT COMMUNITY FOUNDATION FOR MUSKEGON 425 WESTERN AVENUE MUSKEGON MI 49440 386114135 501(C)(3) 52500 COMMUNITY BENEFIT HOPE PROJECT 1516 PECK ST MUSKEGON MI 49441 352270341 501(C)(3) 10000 COMMUNITY BENEFIT LATINOS WORKING FOR THE FUTURE 1486 JAMES AVE MUSKEGON MI 49442 383369111 501(C)(3) 7000 COMMUNITY BENEFIT MISSION FOR AREA PEOPLE 2500 JEFFERSON ST MUSKEGON MI 49444 383220964 501(C)(3) 10500 COMMUNITY BENEFIT MT ZION CHURCH OF GOD IN CHRIST 188 W MUSKEGON AVE MUSKEGON MI 49440 383715411 501(C)(3) 9200 COMMUNITY BENEFIT MUSKEGON RESCUE MISSION 1715 PECK ST MUSKEGON MI 49441 383525239 501(C)(3) 5400 COMMUNITY BENEFIT OSTEOPATHIC FOUNDATION OF WEST MICHIGAN 800 E ELLIS ROAD NORTON SHORES MI 49441 382841014 501(C)(3) 95946 COMMUNITY BENEFIT PIONEER RESOURCES INC 601 TERRACE STREET STE 100 MUSKEGON MI 49440 381367329 501(C)(3) 9000 COMMUNITY BENEFIT SENIOR RESOURCES WEST MICHIGAN 560 SEMINOLE ROAD MUSKEGON MI 49444 382048765 501(C)(3) 5000 COMMUNITY BENEFIT 16 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. SCHEDULE I, PART IV: 1 1 0 0 0 0 0 0 0 RICK EDGAR MD NEUROSURGEON 0 1781597 0 0 0 1112 0 12600 0 21546 0 1816855 0 0 ROBERT CASALOU DIRECTOR;PRESIDENT & CEO-MICH REGION 0 961517 0 358655 0 259372 0 16800 0 51619 0 1647963 0 0 ROGER SPOELMAN FORMER OFFICER 0 24635 0 89703 0 811977 0 474981 0 17512 0 1418808 0 0 EDMUND HODGE DIRECTOR; TH EVP, CHRO 0 733527 0 345231 0 19377 0 12600 0 35478 0 1146213 0 0 DAVID BONNEMA MD CARDIOLOGIST 0 871503 0 55356 0 1728 0 12600 0 26026 0 967213 0 0 IONUT ORAVITAN MD CARDIOLOGIST 0 760626 0 49520 0 1330 0 16800 0 23710 0 851986 0 0 MICHAEL GUSHO TREASURER; CFO-MICHIGAN REGION 0 551344 0 115077 0 13795 0 105953 0 35072 0 821241 0 0 CHRISTOPHER MARQUART MD NEUROSURGEON 0 767786 0 0 0 5371 0 12600 0 16584 0 802341 0 0 DANIEL WEST MD CARDIOLOGIST 0 688791 0 41827 0 3452 0 21000 0 21002 0 776072 0 0 GARY ALLORE PRESIDENT, MERCY HEALTH MUSKEGON 0 425699 0 88867 0 84509 0 16800 0 31678 0 647553 0 0 JEFFREY ALEXANDER VP SUBS & STRATEGY THROUGH 11/19 0 247526 0 51475 0 27625 0 271084 0 24548 0 622258 0 0 SALLY GUINDI SECRETARY; GEN COUNSEL-MICHIGAN 0 355826 0 70385 0 71940 0 16800 0 35566 0 550517 0 0 REMINGTON SPRAGUE MD VP & CMO THROUGH 1/20 0 380320 0 73898 0 23273 0 21000 0 51665 0 550156 0 0 MARY BOYD FORMER KE; EVP REGIONAL OPERATIONS 0 412897 0 85035 0 13777 0 21000 0 13404 0 546113 0 0 KRISTEN WOODS MD PRESIDENT MHPP 0 395344 0 41468 0 6626 0 72842 0 14512 0 530792 0 0 CAROL TARNOWSKY FORMER OFFICER; MI DPTY GEN CSL 0 303198 0 59455 0 8811 0 16800 0 12578 0 400842 0 0 KRISTI NAGENGAST VP FINANCE 0 276743 0 53484 0 3923 0 21000 0 25539 0 380689 0 0 KIMBERLY MAGUIRE FORMER KE; VP PATIENT CARE SERVICES 0 266574 0 51115 0 3413 0 21000 0 23336 0 365438 0 0 TOM REYNOLDS VP PHYSICIAN ALIGNMENT THR 1/20 0 268665 0 49442 0 1170 0 21000 0 22192 0 362469 0 0 KEN UGANSKI VP CLINICAL OPERATIONS 0 246989 0 52026 0 3758 0 21000 0 29861 0 353634 0 0 JUSTIN GRILL DO CMO AS OF 2/20 310721 0 0 0 329 0 12600 0 29139 0 352789 0 0 0 JOHN FOSS VP OPERATIONS, MERCY LAKESHORE 198726 0 22027 0 405 0 17068 0 22939 0 261165 0 0 0 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 2019. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JEFFREY ALEXANDER - $20,047 ROGER SPOELMAN - $630,220 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/19: JEFFREY ALEXANDER - $254,284 (PAID IN 2020) ROGER SPOELMAN - $466,363 (PAID IN 2020) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2019. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. BENEFITS FOR PARTICIPANTS VESTED IN A PLAN WERE PAID OUT IN 2019, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2019. THE FOLLOWING PAYOUTS FOR 2019 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: GARY ALLORE - $68,742 MARY BOYD - $0 ROBERT CASALOU - $228,602 SALLY GUINDI - $57,615 EDMUND HODGE - $0 ROGER SPOELMAN - $160,551 THE FOLLOWING ACCRUALS FOR 2019 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: MICHAEL GUSHO - $84,953 KRISTEN BROWN, MD - $56,042 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 ($280,000 FOR 2019). THE FOLLOWING PAYOUTS FOR 2019 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JEFFREY ALEXANDER - $1,319 KIMBERLY MAGUIRE - $1,215 KRISTI NAGENGAST - $86 F. REMINGTON SPRAGUE - $5,487 CAROL TARNOWSKY - $3,152 GREGORY BURNS FAMILY MEMBER OF KEN UGANSKI, KEY EMPLOYEE 68097 EMPLOYMENT ARRANGEMENT 0 CYNTHIA L MEYERING FAMILY MEMBER OF KIMBERLY MAGUIRE, FORMER KEY EMPLOYEE 36104 EMPLOYMENT ARRANGEMENT 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1812559 DONOR PROVIDED GOODS/SERVICES TO MERCY HEALTH PARTNERS 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1480312 DONOR PROVIDED GOODS/SERVICES TO MERCY HEALTH PARTNERS 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 269583 DONOR PROVIDED GOODS/SERVICES TO MERCY HEALTH PARTNERS 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 35615323 DONOR PROVIDED GOODS/SERVICES TO MERCY HEALTH PARTNERS 0 FAMILY MEDICINE SPECIALISTS PC TERRENCE WRIGHT,BOARD MEMBER, IS AN OWNER OF FAMILY MEDICINE SPECIALISTS PC 372229 BUSINESS TRANSACTION 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 144312 DONOR PROVIDED GOODS/SERVICES TO MERCY HEALTH PARTNERS 0 X 2 508302 MEDIAN VAL-TRAN DATE 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF MERCY HEALTH PARTNERS D/B/A MERCY HEALTH MUSKEGON (MHM) 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 MHM. TRINITY HEALTH - MICHIGAN HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF MHM. 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 MHM 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 MHM 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 MHM, 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 MHM 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 INTERNAL LEGAL COUNSEL AND THE INTEGRITY AND COMPLIANCE OFFICER, 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 MHM (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO MHM OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF MHM (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 MHM. 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 CERTAIN OFFICERS AND KEY MANAGEMENT OFFICALS OF MHM IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO, CFO, AND VICE PRESIDENT OF FINANCE COMPENSATION, 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 THE CEO, CFO, AND VICE PRESIDENT OF FINANCE OF MHM 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 MHM 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, MHM INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. MHM'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS TO AFFILIATES -13,358,494. EQUITY GAIN IN UNCONSOLIDATED AFFILIATES 1,843,728. ASSET IMPAIRMENT -15,025,916. FORM 990, PART XII, LINE 2: MHM'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY20 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. FORM 990, PAGE 1, DOING BUSINESS AS NAMES: AFFINIA HEALTH NETWORK - LAKESHORE, BEAR CREEK FAMILY MEDICINE, BEAR CREEK FAMILY PRACTICE, BEAR CREEK HEALTH CENTER, BEAR CREEK MEDICAL GROUP, BEAR CREEK PHYSCIAN PRACTICE, BEAR CREEK PHYSICIAN GROUP, BEAR CREEK PHYSICIANS, HACKLEY CORNERSTONE FOUNDATION, HACKLEY HEALTH MANAGEMENT, 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 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 PHARMACY, 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-ORTHOTICS & PROSTHETICS, MERCY HEALTH PARTNERS-ORTHOTICS AND PROSTHETICS, MERCY HEALTH PARTNERS-WORK PLACE HEALTH, MERCY HEALTH PHARMACY - GLENSIDE, MERCY HEALTH PHARMACY - HACKLEY PROFESSIONAL, MERCY HEALTH PHARMACY - NORTH MUSKEGON, MERCY HEALTH PHARMACY - WESTSHORE PROFESSIONAL, MERCY HEALTH PHARMACY - WOLF LAKE, MERCY HEALTH PHYSICIAN PARTNERS, BEAR CREEK, MERCY HEALTH PHYSICIAN PARTNERS-MUSKEGON, MERCY HEALTH WESTSHORE CARDIOLOGY SERVICES, MERCY SPECIALTY SERVICES, MERCY URGENT CARE, MERCY WOMEN'S HEALTH SERVICES, MHP LIFE COUNSELING, SHELBY FAMILY CARE, THE BOUTIQUE AT MERCY HEALTH, THE BOUTIQUE AT MERCY HEALTH, LAKES VILLAGE, WORKPLACE HEALTH - LUDINGTON, WORKPLACE HEALTH HUDSONVILLE, WORKPLACE HEALTH SAINT MARY'S, WORKPLACE HEALTH WHITEHALL MERCY HEALTH CLINICALLY INTEGRATED NETWORK LLC 1415 LEAHY STREET MUSKEGON MI 49442 472070753 ACCOUNTABLE CARE ORGANIZATION MI 21110035 56899692 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 314228 MERCY HEALTH CLINICALLY INTEGRATED NETWORK LLC ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 245 STATE ST 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 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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 6150 EAST BROAD STREET COLUMBUS OH 43213 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 ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 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 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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 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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 3 TRINITY HEALTH PACE 1 LIFE AT ST FRANCIS HEALTHCARE INC 7TH AND CLAYTON STREETS WILMINGTON DE 19805 452569214 PACE PROGRAM DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL INC 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 3 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HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 0 MERCY HEALTH PLAN ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 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 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD PA 19064 231352099 HOME HEALTH SERVICES PA 501(C)(3) LINE 10 MERCY HOME HEALTH SERVICES 1 MERCY HOME HEALTH SERVICES 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD PA 19064 232325058 MANAGEMENT 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