COREWELL HEALTH: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: COREWELL HEALTH (EIN 61-1740292)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-17
IRS object ID: 202533219349303983
Schema version: 2024v5.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R
Affiliate Listing

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-17T09:10:59-06:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	920460586	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PWC US TAX LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	655 NEW YORK AVENUE NW SUITE 1100	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20001	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	611740292	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COREWELL HEALTH GROUP RETURN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CORE	BusinessNameControlTxt
Phone	8669897999	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 COREWELL DR NW ATTN TAX	AddressLine1Txt
City	GRAND RAPIDS	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49503	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MATTHEW E COX	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8669897999	PhoneNum
Signature	2025-11-17	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL D HOFFMAN	PreparerPersonNm
PTIN	P01345551	PTIN
Phone	2024141000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	CHRISTINA FREESE DECKER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 COREWELL DR NW ATTN TAX	AddressLine1Txt
City	GRAND RAPIDS	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49503	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$13,093,763,238	GrossReceiptsAmt
Group Return For Affiliates	Yes (1)	GroupReturnForAffiliatesInd
All Affiliates Included	0	AllAffiliatesIncludedInd
Group Exemption	5981	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.COREWELLHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	TO IMPROVE HEALTH, INSTILL HUMANITY AND INSPIRE HOPE.	ActivityOrMissionDesc
Voting Members Governing Body	357	VotingMembersGoverningBodyCnt
Voting Members Independent	193	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	3916	TotalVolunteersCnt
Total Gross UBI	$54,697,869	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$5,335,236	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$82,215,574	PYContributionsGrantsAmt
CY Contributions Grants	$69,671,515	CYContributionsGrantsAmt
PY Program Service Revenue	$10,143,479,227	PYProgramServiceRevenueAmt
CY Program Service Revenue	$11,210,999,152	CYProgramServiceRevenueAmt
PY Investment Income	$69,209,713	PYInvestmentIncomeAmt
CY Investment Income	$148,095,765	CYInvestmentIncomeAmt
PY Other Revenue	$79,344,632	PYOtherRevenueAmt
CY Other Revenue	$62,509,017	CYOtherRevenueAmt
PY Total Revenue	$10,374,249,146	PYTotalRevenueAmt
CY Total Revenue	$11,491,275,449	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,976,567	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,988,745	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$5,024,745,940	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$5,135,479,988	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,015,656	CYTotalFundraisingExpenseAmt
PY Other Expenses	$5,198,865,253	PYOtherExpensesAmt
CY Other Expenses	$6,082,906,073	CYOtherExpensesAmt
PY Total Expenses	$10,229,587,760	PYTotalExpensesAmt
CY Total Expenses	$11,221,374,806	CYTotalExpensesAmt
PY Revenues Less Expenses	$144,661,386	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$269,900,643	CYRevenuesLessExpensesAmt
Total Assets BOY	$8,720,835,664	TotalAssetsBOYAmt
Total Assets EOY	$6,785,966,188	TotalAssetsEOYAmt
Total Liabilities BOY	$3,474,735,743	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,210,761,433	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$5,246,099,921	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$5,575,204,755	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE HEALTH, INSTILL HUMANITY AND INSPIRE HOPE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$10,747,716,185	ExpenseAmt
Grant	$2,988,745	GrantAmt
Revenue	$11,167,845,255	RevenueAmt
Desc	SEE SCHEDULE OCOREWELL HEALTH IS AN INTEGRATED HEALTH CARE SYSTEM IN MICHIGAN. COREWELL HEALTH IS DRIVEN BY ITS MISSION TO IMPROVE HEALTH, INSTILL HUMANITY AND INSPIRE HOPE. OUR VISION IS A FUTURE WHERE HEALTH IS SIMPLE, AFFORDABLE, EQUITABLE AND EXCEPTIONAL AND INSPIRED BY OUR VALUES OF COMPASSION, COLLABORATION, CLARITY, CURIOSITY AND COURAGE. AT OUR CORE, WE ARE HERE TO HELP PEOPLE BE WELL SO THEY CAN LIVE THEIR HEALTHIEST LIFE POSSIBLE.THE INTEGRATED HEALTH SYSTEM HAS 20 HOSPITALS, MORE THAN 300 OUTPATIENTLOCATIONS AND POST-ACUTE CARE FACILITIES, AND OVER 65,000 EMPLOYEES INCLUDING MORE THAN 12,000 PHYSICIANS, MORE THAN 15,000 NURSES, AND ADVANCED PRACTICE PROVIDERS. DURING THE YEAR ENDED DECEMBER 31, 2024, THE COREWELL HEALTH INTEGRATEDHEALTH SYSTEM PROVIDED OVER $1.3 BILLION IN COMMUNITY BENEFIT PROGRAMS IN MICHIGAN. THE COMMUNITY BENEFIT ACTIVITIES INCLUDED HEALTHCLINICS, RESEARCH, DONATIONS, CHARITY CARE, BAD DEBTS RELATED TO CARINGFOR THE UNINSURED AND UNDERINSURED, COSTS FOR GOVERNMENT PROGRAMPATIENTS, COMMUNITY PARTNERSHIP PROGRAMS, HEALTH PROFESSION EDUCATION, AND DISCOUNTED CARE UNDER HEALTHY MICHIGAN PLAN (UNDER 250% FEDERALPOVERTY LEVEL).THERE ARE 31 SUBORDINATE ORGANIZATIONS FROM THE COREWELL HEALTHAFFILIATED GROUP THAT ARE PART OF THIS GROUP RETURN. OPERATIONS INCLUDEHOSPITAL FACILITIES AND NUMEROUS CLINICAL FACILITIES.THE SUBORDINATES PROVIDE CARE TO INDIVIDUALS COVERED BY GOVERNMENTALPROGRAMS. FINANCIAL ASSISTANCE IS ALSO PROVIDED FOR PATIENTS THAT AREFINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED.IN ADDITION, OUR TEAMS GO THE EXTRA MILE FOR OUR PATIENTS AND COMMUNITIES - AND THIS DEDICATION AND COMMITMENT RESULTS IN EXTERNAL RECOGNITION, AWARDS AND HONORS. NOTABLE HIGHLIGHTS FOR THE YEAR (IN CHRONOLOGICAL ORDER) INCLUDED: THE NATIONAL BLOOD CLOT ALLIANCE (NBCA) NAMED BUTTERWORTH HOSPITAL THE CENTER OF EXCELLENCE IN THE UNITED STATES. THIS DESIGNATION IS REWARDED ON EXCELLENCE DEMONSTRATED ON PERFORMANCE WITH PATIENT EDUCATION AND POST-HOSPITALIZATION PATIENT CARE FOR DEEP VEIN THROMBOSIS AND PULMONARY EMBOLISM. THE AMERICAN MEDICAL GROUP ASSOCIATION (AMGA) RECOGNIZED COREWELL HEALTH AS A 2024 ACCLAIM AWARD RECIPIENT FOR BRINGING THEIR ORGANIZATION CLOSER TO THE IDEAL MEDICAL GROUP AND HEALTH SYSTEM AS THEY MOVED TOWARD VALUE BASED CARE BY IMPROVING PATIENT CARE EXPERIENCE, IMPROVING HEALTH OF POPULATIONS WITH A FOCUS ON QUALITY OUTCOMES, REDUCING PER CAPITA COST OF HEALTHCARE, AND EMPHASIZING WORKPLACE WELLNESS. SERAMOUNT, A STRATEGIC PROFESSIONAL SERVICE AND RESEARCH FIRM RECOGNIZED COREWELL HEALTH AS ONE OF THE BEST 80 COMPANIES FOR MULTICULTURAL WOMEN IN THE UNITED STATES.COREWELL HEALTH WILLIAM BEAUMONT HOSPITAL WAS RECOGNIZED AS THE TOP HOSPITAL IN MICHIGAN BY U.S. NEWS AND WORLD REPORT'S. COREWELL HEALTH'S BLODGETT, BUTTERWORTH, BEAUMONT, TROY, DEARBORN, GROSSE POINTE, AND LAKELAND HOSPITALS WERE ALL IN THE TOP 15. COREWELL HEALTH HAS BEEN RECOGNIZED BY THE DISABILITY EQUALITY INDEX AS A TOP SCORER FOR DISABILITY WORKPLACE INCLUSION.COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL WAS AWARDED THE GET WITH THE GUIDELINES STROKE GOLD PLUS AWARD BY THE AMERICAN HEART ASSOCIATION FOR THEIR PROVEN DEDICATION TO PROVIDE ALL STROKE PATIENTS WITH ACCESS TO LIFESAVING CARE AND TREATMENT.COREWELL HEALTH WAS THE BRONZE WINNER OF THE AMERICAN HOSPITAL ASSOCIATION EXCELLENCE AWARD FOR HEALTH CARE WORKER'S WELL BEING.COREWELL HEALTH BIG RAPIDS, LUDINGTON, PENNOCK, AND LAKELAND HOSPITALS WERE AWARDED THE MATERNITY CARE OF EXCELLENCE AWARD FROM THE ECONOMIC ALLIANCE FOR MICHIGAN. COREWELL HEALTH SOUTHEAST LIVER TRANSPLANT PROGRAM HAS BEEN RECOGNIZED BY THE SCIENTIFIC REGISTRY OF TRANSPLANT RECIPIENTS AS HAVING THE BEST ONE YEAR SURVIVAL RATES IN THE STATE OF MICHIGAN AND SECOND BEST ONE YEAR GRAFT SURVIVAL RATES IN THE NATION.COREWELL HEALTH HELEN DEVOS CHILDREN'S HOSPITAL HAS BEEN RECOGNIZED BY U.S. NEWS AND WORLD REPORT AS ONE OF THE BEST CHILDREN HOSPITAL'S IN THE NATION RANKING IN THE TOP 50 FOR CANCER, ENDOCRINOLOGY, NEUROSCIENCES, NEPHROLOGY, AND PULMONOLOGY.COREWELL HEALTH RICHARD DEVOS HEART & LUNG TRANSPLANT PROGRAM HAS BEEN RECOGNIZED BY THE SCIENTIFIC REGISTRY OF TRANSPLANT RECIPENTS AS ONE OF THE BEST IN THE NATION FOR HAVING THE BEST ONE YEAR LUNG TRANSPLANT GRAFT SURVIVAL RATE IN THE NATION, TYING FOR THE BEST ONE YEAR PATIENT SURVIVAL RATE IN THE NATION, AND BEING TOP FIVE IN THE NATION FOR THREE YEAR PATIENT AND GRAFT SURVIVAL RATES.THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AWARDED COREWELL HEALTH BLODGETT, BUTTERWORTH, HELEN DEVOS CHILDREN'S HOSPITAL, AND MEIJER HEART CENTER WITH A 5 STAR RATING. COREWELL HEALTH BEAUMONT GROSSE POINTE, BIG RAPIDS, GREENVILLE, LAKELAND, LUDINGTON, AND PENNOCK HOSPITAL ALL RECEIVED 4 STARS. COREWELL HEALTH RECEIVED A 2024 HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY DAVIES AWARD OF EXCELLENCE FOR THE USE OF HEALTH INFORMATION AND TECHNOLOGY TO IMPROVE PATIENT OUTCOMES. COREWELL HEALTH ZEELAND, LUDINGTON, GREENVILLE, BEAUMONT GROSSE POINTE, BIG RAPIDS HOSPITAL, AND LAKELAND HOSPITALS ST. JOSEPH ALL EARNED AN "A" HOSPITAL SAFETY GRADE FROM THE LEAPFROG GROUP AWARDS. COREWELL HEALTH BUTTERWORTH, BLODGETT, GERBER, BIG RAPIDS, DEARBORN, FARMINGTON HILLS, BEAUMONT TROY, AND TRENTON HOSPITAL HAVE ALL BEEN NAMED TO U.S. NEWS AND WORLD REPORT 2024-2025 BEST HOSPITALS FOR MATERNITY CARE.COREWELL HEALTH LAKELAND HOSPITALS RECEIVED MULTIPLE AWARDS FROM HEALTHGRADES, INCLUDING AMERICA'S 250 BEST HOSPITAL AWARD, AMERICA'S 100 BEST HOSPITALS FOR GASTROINTESTINAL SURGERY, AND CRITICAL CARE EXCELLENCE.	Desc
Total Program Service Expenses	$10,747,716,185	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	Yes (1)	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	357	GoverningBodyVotingMembersCnt
Independent Voting Member	193	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CORPORATE TAX	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8669897999	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 COREWELL DR NW ATTN TAX	AddressLine1Txt
City	GRAND RAPIDS	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49503	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (111 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHRISTINA FREESE DECKER
DIRECTOR/CEO	1.00	50.00	Yes (X)	Yes (X)	$0	$5,453,830	$1,498,970
DARRYL ELMOUCHI MD
DIRECTOR PY/PRESIDENT PY/FMR OFFCR	1.00	50.00	Yes (X)	Yes (X)	$0	$3,007,016	$456,952
PRAVEEN THADANI
DIRECTOR	1.00	50.00	Yes (X)		$0	$2,602,705	$551,045
ALEJANDRO QUIROGA CHAND MD
DIRECTOR PY/PRESIDENT PY	50.00	1.00	Yes (X)	Yes (X)	$0	$1,276,102	$270,114
LOREN B HAMEL MD
DIRECTOR PY/PRESIDENT PY	50.00	1.00	Yes (X)	Yes (X)	$0	$1,492,259	$34,022
CHAD TUTTLE
DIRECTOR/PRESIDENT/FORMER OFFICER	1.00	50.00	Yes (X)	Yes (X)	$0	$987,580	$172,970
JOSHUA KOOISTRA DO
DIRECTOR PY/INTERIM PRESIDENT PY	50.00	1.00	Yes (X)	Yes (X)	$0	$853,724	$146,823
LAMONT YODER
DIRECTOR PY/PRESIDENT PY	50.00	1.00	Yes (X)	Yes (X)	$0	$798,668	$161,733
ANTHONY STALLION MD
DIRECTOR	50.00	0.00	Yes (X)		$0	$904,856	$46,063
NANCY SUSICK
DIRECTOR/SECRETARY/FMR KEY EMPLOYEE	50.00	1.00	Yes (X)	Yes (X)	$0	$872,069	$53,813
PAOLO MARCIANO MD
DIRECTOR/PRESIDENT/FMR KEY EMPLOYEE	50.00	0.00	Yes (X)	Yes (X)	$0	$789,723	$123,298
BENJAMIN GIELDA MD
DIRECTOR	50.00	0.00	Yes (X)		$0	$849,691	$32,688
CHARLES GIBSON MD
DIRECTOR	50.00	0.00	Yes (X)		$0	$746,515	$49,041
JEFFREY POSTMA DO
DIRECTOR	50.00	0.00	Yes (X)		$0	$632,717	$54,136
LOWELL HAMEL MD
DIRECTOR PY/FORMER OFFICER	50.00	0.00	Yes (X)		$0	$672,897	$1,881
NATALIE BAGGIO
DIRECTOR PY/PRESIDENT PY	50.00	1.00	Yes (X)	Yes (X)	$0	$590,543	$82,856
KELLI SADLER
DIRECTOR	50.00	0.00	Yes (X)		$0	$553,595	$105,871
MICHAEL WEBB MD
DIRECTOR	50.00	0.00	Yes (X)		$0	$536,558	$68,688
CHRISTOPHER FLORES
DIRECTOR/TREASURER	50.00	1.00	Yes (X)	Yes (X)	$0	$489,257	$49,251
KAREN PAKKALA
DIR/PRES/TREAS/SECY/FMR OFFICER	50.00	0.00	Yes (X)	Yes (X)	$0	$455,174	$28,570
ANNICA WAALKES MD
DIRECTOR	50.00	0.00	Yes (X)		$0	$443,071	$29,997
HEATHER LALLO
DIRECTOR/TREASURER	50.00	1.00	Yes (X)	Yes (X)	$0	$395,176	$51,871
TALAWNDA BRAGG MD
DIRECTOR	50.00	0.00	Yes (X)		$0	$360,368	$49,437
SIMIN BEG MD
DIRECTOR/CHAIR	50.00	0.00	Yes (X)	Yes (X)	$0	$345,086	$50,245
MELINDA GRUBER
DIRECTOR/PRESIDENT	50.00	0.00	Yes (X)	Yes (X)	$0	$324,432	$41,011
DEBRA JOHNSON
DIRECTOR/SECRETARY	50.00	0.00	Yes (X)	Yes (X)	$0	$226,562	$24,392
DANIEL WASSENHOVE
DIRECTOR/TREASURER	50.00	0.00	Yes (X)	Yes (X)	$0	$160,851	$34,379
COSTA ANDREOU MD
DIRECTOR/PRESIDENT	50.00	1.00	Yes (X)	Yes (X)	$0	$165,752	$14,023
ASHOK JAIN MD
DIRECTOR	50.00	1.00	Yes (X)		$0	$136,475	$15,980
JOHANNIE TORRES
DIRECTOR	50.00	0.00	Yes (X)		$0	$107,831	$37,259
ABEDELRAHIM ASFOUR MD
DIRECTOR	50.00	0.00	Yes (X)		$0	$113,473	$6,715
CHRISTOPHER BLAKE
DIRECTOR/CHAIR	1.00	0.00	Yes (X)	Yes (X)	$0	$40,000	$0
FAYE NELSON
DIRECTOR/TREASURER	1.00	0.00	Yes (X)	Yes (X)	$0	$36,000	$0
LINDA LITTLE
DIRECTOR/SECRETARY	1.00	0.00	Yes (X)	Yes (X)	$0	$36,000	$0
SHANE O'DONNELL
DIRECTOR	1.00	0.00	Yes (X)		$0	$31,000	$0
LYNNETTE FERRELL-ROBINSON
DIRECTOR/CHAIR	1.00	0.00	Yes (X)	Yes (X)	$0	$30,000	$0
ROBERT WELSH MD
DIRECTOR/VICE CHAIR	1.00	0.00	Yes (X)	Yes (X)	$0	$26,500	$0
MONA MAKKI
DIRECTOR	1.00	0.00	Yes (X)		$0	$25,500	$0
WARREN ROSE
DIRECTOR	1.00	0.00	Yes (X)		$0	$20,000	$0
MARK WILSON
DIRECTOR/TREASURER	1.00	0.00	Yes (X)	Yes (X)	$0	$18,000	$0
BARBARA PILARSKI
DIRECTOR	1.00	0.00	Yes (X)		$0	$17,000	$0
JOHN BUCKLEY
DIRECTOR	1.00	0.00	Yes (X)		$0	$17,000	$0
BILLY PINK
DIRECTOR	1.00	0.00	Yes (X)		$0	$16,500	$0
SAM WATSON
DIRECTOR/VICE CHAIR	1.00	0.00	Yes (X)	Yes (X)	$0	$16,500	$0
CHRISTOPHER PORT MD
DIRECTOR	1.00	0.00	Yes (X)		$0	$15,000	$0
MARY MOLEWYK DOORNBOS
DIRECTOR	1.00	0.00	Yes (X)		$0	$15,000	$0
RONALD HOFMAN MD
DIRECTOR	1.00	0.00	Yes (X)		$0	$14,500	$0
JOHN BYRNE
DIRECTOR	1.00	0.00	Yes (X)		$0	$3,000	$0
BERTHA KING
DIRECTOR	1.00	0.00	Yes (X)		$0	$2,850	$0
DONALD HANEY
DIRECTOR	1.00	0.00	Yes (X)		$0	$2,500	$0
CHRISTY PAYNE
DIRECTOR	1.00	0.00	Yes (X)		$0	$2,000	$0
BARBARA WYNN MD
DIRECTOR	1.00	0.00	Yes (X)		$0	$1,500	$0
KYLE KOOYERS
DIRECTOR	1.00	0.00	Yes (X)		$0	$1,500	$0
ALICE RASMUSSEN
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
AMEY UPTON
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
ANNE MCCAUSLAND
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
CAREY MARTIN
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
CHRISTINE VANLANDINGHAM
DIRECTOR/CHAIR	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
CURTIS VANDERWAAL
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
DANA WALES
DIRECTOR/TREASURER	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
DAVID GRELLMANN MD
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
DAVID SCHAFFER
DIRECTOR/VICE CHAIR	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
DEBORAH BENNETT-BERECZ
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
DIANE YOUNG
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
GEORGE HEENAN MD
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
JERRY FRENCH
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
JOAN HILLEBRANDS
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
KENNETH O'NEILL MD
DIRECTOR/SECRETARY	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
LENORE BECKER
DIRECTOR/VICE CHAIR	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
LISA KUEHNLE
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
MARK ODLAND
DIRECTOR/SECRETARY	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
MELISSA PONCE - RODAS
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
NANCY HAYNES
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
OLIVIA STARKS - SCHAUL
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
PAMELA GARMON-JOHNSON
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
RICHARD WARNER
DIRECTOR/TREASURER/SECRETARY	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
RODRIGO CORREA
DIRECTOR/CHAIR	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
RYAN COFFEY-HOAG
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
SCOTT SMITH
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
SETH GRIFFIN
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
STEPHANIE TIMMER
DIRECTOR/VICE CHAIR	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
STEPHEN HEMPEL MD
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
MATTHEW E COX
CFO	1.00	50.00		Yes (X)	$0	$2,523,615	$558,135
ANDREA LESLIE
REGIONAL PRESIDENT PY	50.00	1.00		Yes (X)	$0	$657,863	$154,992
DREW DOSTAL
REGIONAL PRESIDENT	50.00	0.00		Yes (X)	$0	$554,184	$48,091
ROBERT HOEFER
REGIONAL PRESIDENT	50.00	0.00		Yes (X)	$0	$543,653	$47,292
CARA JANSMA
SECRETARY	1.00	50.00		Yes (X)	$0	$417,173	$48,889
BENJAMIN SCHWARTZ MD
FORMER OFFICER	0.00	0.00			$0	$1,518,565	$0	Yes (X)
BRIAN BRASSER
FORMER OFFICER	1.00	50.00			$0	$819,111	$213,631	Yes (X)
JASON SLAIKEU
FORMER OFFICER	50.00	0.00			$0	$892,777	$56,101	Yes (X)
ROBERT FITZGERALD MD
FORMER OFFICER	50.00	0.00			$0	$671,147	$45,342	Yes (X)
MARTHA BOONSTRA
FORMER OFFICER	0.00	0.00			$0	$709,239	$0	Yes (X)
JOHN SCHUEN MD
FORMER OFFICER	50.00	0.00			$0	$400,276	$54,562	Yes (X)
PAUL KONOPACKI
FORMER OFFICER	0.00	0.00			$0	$448,033	$0	Yes (X)
BRIAN PHILLIPS MD
FORMER OFFICER	50.00	0.00			$0	$373,626	$50,110	Yes (X)
ANNE STEWART
FORMER OFFICER	50.00	0.00			$0	$298,711	$45,926	Yes (X)
LESLIE FLAKE
FORMER OFFICER	0.00	0.00			$0	$286,616	$0	Yes (X)
DANIEL FRATTARELLI
FORMER KEY EMPLOYEE	50.00	0.00			$0	$770,033	$0	Yes (X)
DOMINIC SANFILIPPO MD
FORMER KEY EMPLOYEE	50.00	0.00			$0	$662,392	$100,247	Yes (X)
BARBARA DUCATMAN MD
FORMER KEY EMPLOYEE	50.00	0.00			$0	$647,650	$43,918	Yes (X)
JODIE RAPPE MD
FORMER KEY EMPLOYEE	50.00	0.00			$0	$397,329	$52,012	Yes (X)
NICHOLAS GILPIN DO
FORMER KEY EMPLOYEE	50.00	0.00			$0	$383,709	$48,363	Yes (X)
MICHAEL KHOURY MD
FORMER KEY EMPLOYEE	50.00	0.00			$0	$173,799	$22,173	Yes (X)
HOSSAIN MARANDI MD
FORMER KEY EMPLOYEE	0.00	0.00			$0	$176,544	$0	Yes (X)
KASSEM CHARARA MD
FORMER KEY EMPLOYEE	50.00	0.00			$0	$114,594	$15,839	Yes (X)
JONATHAN KAPER MD
FORMER KEY EMPLOYEE	50.00	0.00			$0	$112,385	$8,085	Yes (X)
KONGKRIT CHAIYASATE MD
FORMER HIGHEST COMPENSATED	50.00	0.00			$0	$3,517,598	$54,752	Yes (X)
MOHAMMAD CHISTI MD
FORMER HIGHEST COMPENSATED	50.00	0.00			$0	$2,738,859	$41,593	Yes (X)
PAUL MAZARIS MD
FORMER HIGHEST COMPENSATED	50.00	0.00			$0	$1,535,098	$54,246	Yes (X)
CHARLES SHERRY DO
FORMER HIGHEST COMPENSATED	50.00	0.00			$0	$1,486,696	$53,811	Yes (X)
MUHAMMAD AZRAK MD
FORMER HIGHEST COMPENSATED	50.00	0.00			$0	$1,324,194	$57,448	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$52,887,875	TotReportableCompRltdOrgAmt
Total Other Compensation	$6,219,652	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
THE CHRISTMAN COMPANY
801 BROADWAY AVE NW SUITE 300	GRAND RAPIDS	MI	49504	CONSTRUCTION SERVICES	$85,128,106
NORTHSTAR ANESTHESIA OF MICHIGAN III PLL
PO BOX 224928	DALLAS	TX	75222	ANESTHESIA SERVICES	$71,862,667
WHITING-TURNER CONTRACTING COMPANY
300 EAST JOPPA ROAD	BALTIMORE	MD	21286	CONSTRUCTION SERVICES	$34,860,327
AMN HEALTHCARE INC
2999 OLYMPUS BLVD SUITE 500	COPPELL	TX	75019	STAFFING SERVICES	$14,358,786
EV CONSTRUCTION
86 E 6TH ST	HOLLAND	MI	49423	CONSTRUCTION SERVICES	$13,874,219

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	528	CntrctRcvdGreaterThan100KCnt
Fundraising	$59,644	FundraisingAmt
Related Organizations	$33,875,313	RelatedOrganizationsAmt
Government Grants	$35,331,576	GovernmentGrantsAmt
All Other Contributions	$404,982	AllOtherContributionsAmt
Noncash Contributions	$8,345	NoncashContributionsAmt
Total Contributions	$69,671,515	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT CARE	620000	$11,168,495,890	$11,115,274,450	$53,221,440
QUALITY CARE	620000	$19,474,795	$19,474,795
EDUCATION	624110	$9,732,142	$9,732,142
FITNESS CENTER	713940	$3,614,149	$3,614,149
GIFT SHOP	459420	$2,910,262	$2,910,262

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,771,914	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,750,733	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$21,181	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$11,210,999,152	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,593,692	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,323,686	UnrelatedBusinessRevenueAmt
Exclusion	$36,270,006	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$23,118,006	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$15,348,081	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$7,769,925	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,769,925	TotalRevenueColumnAmt
Unrelated Business Revenue	$131,562	UnrelatedBusinessRevenueAmt
Exclusion	$7,638,363	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,696,442,797	SecuritiesAmt
Other	$1,181,226	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,585,963,333	SecuritiesAmt
Other	$1,158,617	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$110,479,464	SecuritiesAmt
Other	$22,609	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$110,502,073	TotalRevenueColumnAmt
Exclusion	$110,502,073	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$71,984	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$59,644	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$17,758	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$54,226	TotalRevenueColumnAmt
Exclusion	$54,226	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA	722514	$44,596,142	$44,596,142
MISCELLANEOUS	900099	$5,692,066		$5,692,066
EMPLOYEE SERVICES	900099	$2,489,236		$2,489,236

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,907,422	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,907,422	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$54,684,866	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,491,275,449	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,167,845,255	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$54,697,869	UnrelatedBusinessRevenueAmt
Exclusion	$199,060,810	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$180,716	TotalAmt
Program Services	$180,716	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$2,808,029	TotalAmt
Program Services	$2,808,029	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$30,921,474	TotalAmt
Program Services	$7,393,327	ProgramServicesAmt
Management And General	$23,519,664	ManagementAndGeneralAmt
Fundraising	$8,483	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$4,188,496,072	TotalAmt
Program Services	$4,101,121,359	ProgramServicesAmt
Management And General	$86,133,320	ManagementAndGeneralAmt
Fundraising	$1,241,393	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$66,843,488	TotalAmt
Program Services	$64,509,390	ProgramServicesAmt
Management And General	$2,328,940	ManagementAndGeneralAmt
Fundraising	$5,158	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$574,547,599	TotalAmt
Program Services	$567,662,887	ProgramServicesAmt
Management And General	$6,614,442	ManagementAndGeneralAmt
Fundraising	$270,270	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$274,671,355	TotalAmt
Program Services	$269,775,084	ProgramServicesAmt
Management And General	$4,794,235	ManagementAndGeneralAmt
Fundraising	$102,036	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,594,466	TotalAmt
Management And General	$2,594,466	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$15,791	TotalAmt
Management And General	$15,791	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$36,481	TotalAmt
Program Services	$36,481	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,947,050	TotalAmt
Management And General	$1,947,050	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,879,421,270	TotalAmt
Program Services	$1,621,625,563	ProgramServicesAmt
Management And General	$257,537,561	ManagementAndGeneralAmt
Fundraising	$258,146	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,891,124	TotalAmt
Program Services	$1,402,818	ProgramServicesAmt
Management And General	$485,552	ManagementAndGeneralAmt
Fundraising	$2,754	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$144,407,691	TotalAmt
Program Services	$139,288,417	ProgramServicesAmt
Management And General	$5,083,539	ManagementAndGeneralAmt
Fundraising	$35,735	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$23,131,603	TotalAmt
Program Services	$21,114,598	ProgramServicesAmt
Management And General	$2,015,149	ManagementAndGeneralAmt
Fundraising	$1,856	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$307,602,494	TotalAmt
Program Services	$305,774,655	ProgramServicesAmt
Management And General	$1,801,163	ManagementAndGeneralAmt
Fundraising	$26,676	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$10,733,425	TotalAmt
Program Services	$10,254,460	ProgramServicesAmt
Management And General	$464,221	ManagementAndGeneralAmt
Fundraising	$14,744	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$10,627,050	TotalAmt
Program Services	$10,559,886	ProgramServicesAmt
Management And General	$61,786	ManagementAndGeneralAmt
Fundraising	$5,378	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$91,085,890	TotalAmt
Program Services	$90,844,188	ProgramServicesAmt
Management And General	$241,702	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$335,505,942	TotalAmt
Program Services	$282,978,563	ProgramServicesAmt
Management And General	$52,486,180	ManagementAndGeneralAmt
Fundraising	$41,199	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$88,669,578	TotalAmt
Program Services	$65,157,151	ProgramServicesAmt
Management And General	$23,510,599	ManagementAndGeneralAmt
Fundraising	$1,828	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$2,041,460,267	$2,041,460,267
BAD DEBT	$651,643,742	$651,636,137	$7,605
PROVIDER TAX	$449,583,973	$449,583,973
UNRELATED BUS INC TAX	$1,771,942	$1,771,942

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$40,776,294	TotalAmt
Program Services	$40,776,294	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,221,374,806	TotalAmt
Program Services	$10,747,716,185	ProgramServicesAmt
Management And General	$471,642,965	ManagementAndGeneralAmt
Fundraising	$2,015,656	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$214,301	BOYAmt
EOY	$186,711	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$105,446,497	BOYAmt
EOY	$42,350,343	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$42,023,517	BOYAmt
EOY	$21,517,999	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,049,346,284	BOYAmt
EOY	$1,275,199,661	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$604,016	BOYAmt
EOY	$611,022	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$117,658,963	BOYAmt
EOY	$125,177,656	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$439,491,465	BOYAmt
EOY	$381,710,695	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$6,838,299,823	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$3,100,464,362	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$3,898,891,733	BOYAmt
EOY	$3,737,835,461	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,677,729,529	BOYAmt
EOY	$630,516,636	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$31,415,929	BOYAmt
EOY	$46,096,996	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$33,973,907	BOYAmt
EOY	$33,512,758	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$324,039,523	BOYAmt
EOY	$491,250,250	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,720,835,664	BOYAmt
EOY	$6,785,966,188	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$615,039,287	BOYAmt
EOY	$515,938,948	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$35,174,837	BOYAmt
EOY	$30,953,107	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,634,985,576	BOYAmt
EOY	$22,204,226	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$9,346,460	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$9,643,953	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,179,892,090	BOYAmt
EOY	$632,318,692	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,474,735,743	BOYAmt
EOY	$1,210,761,433	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,045,165,159	BOYAmt
EOY	$5,256,403,385	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$200,934,762	BOYAmt
EOY	$318,801,370	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,246,099,921	BOYAmt
EOY	$5,575,204,755	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$8,720,835,664	BOYAmt
EOY	$6,785,966,188	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$269,900,643	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$113,512,309	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$54,308,118	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd
Supported Organizations	9	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (9 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
BOTSFORD GENERAL HOSPITAL
381426919	3	Yes (1)	$0	$0
HOSPICE AT HOME INC
382416086	7	Yes (1)	$0	$0
LAKELAND COMMUNITY HOSPITAL WATERVLIET
381368745	3	Yes (1)	$0	$0
LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH
382539929	7	Yes (1)	$0	$0
LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC
382156872	3	Yes (1)	$0	$0
LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER
383452303	3	Yes (1)	$0	$0
MERCY-MEMORIAL HEALTH SERVICES INCORPORATED
382748035	10	Yes (1)	$0	$0
OAKWOOD HEALTHCARE INC
381405141	3	Yes (1)	$0	$0
WILLIAM BEAUMONT HOSPITAL
381459362	3	Yes (1)	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	9	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$28,739,251	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$31,210,325	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$28,492,369	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$81,172,931	CurrentTaxYearMinus1YearAmt
Current Tax Year	$56,489,193	CurrentTaxYearAmt
Total	$226,104,069	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$28,739,251	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$31,210,325	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$28,492,369	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$81,172,931	CurrentTaxYearMinus1YearAmt
Current Tax Year	$56,489,193	CurrentTaxYearAmt
Total	$226,104,069	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$4,965,304	SubstantialContributorsTotAmt
Public Support Total170	$221,138,765	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,142,269	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,588,154	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,370,235	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$67,772,421	CurrentTaxYearMinus1YearAmt
Current Tax Year	$29,881,644	CurrentTaxYearAmt
Total	$110,754,723	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	$7,627,496	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,375,209	CurrentTaxYearAmt
Total	$12,002,705	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,011,107	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,948,980	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,882,303	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$54,377,968	CurrentTaxYearMinus1YearAmt
Current Tax Year	$42,963,855	CurrentTaxYearAmt
Total	$106,184,213	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$455,045,710	TotalSupportAmt
Gross Receipts Rltd Activities	$15,495,977,350	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.48600	PublicSupportCY170Pct
Public Support PY170	0.42770	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	MISCELLANEOUS REVENUE - 2020 AMOUNT: $ 263,836. 2021 AMOUNT: $ 388,687. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 4,975,090. 2024 AMOUNT: $ 3,343,367. SPECIAL EVENTS - 2020 AMOUNT: $ 747,200. 2021 AMOUNT: $ 253,207. 2022 AMOUNT: $ 1,882,303. 2023 AMOUNT: $ 1,630,996. 2024 AMOUNT: $ 54,226. ADMIN REIMBURSEMENT - 2020 AMOUNT: $ 3,000,071. 2021 AMOUNT: $ 2,307,086. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 13,415,568. 2024 AMOUNT: $ 2,181,626. CAFETERIA REVENUE - 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 34,356,314. 2024 AMOUNT: $ 37,384,636.
PART I - REASON FOR PUBLIC CHARITY STATUS	THE PUBLIC CHARITY STATUS, A HOSPITAL OR COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III), CHECKED IN PART I REFLECTS THE PUBLIC CHARITY STATUS OF THE LARGEST NUMBER OF SUBORDINATES INCLUDED IN THE GROUP RETURN. THE SUBORDINATES IDENTIFIED BELOW HAVE A PUBLIC CHARITY STATUS DESCRIBED IN 509(A)(2). BEAUMONT MEDICAL GROUP - SPECIALTY SERVICES (EIN 82-2784244) BEAUMONT MEDICAL GROUP - HOSPITAL BASED SERVICES (EIN 82-2768899) BEAUMONT MEDICAL GROUP - PRIMARY CARE SERVICES (EIN 82-2796539) BOTSFORD CONTINUING CARE CORPORATION (EIN 38-2549505) MERCY MEMORIAL HEALTH SERVICES, INC. (EIN 38-2748035) OAKWOOD HEALTH PROMOTIONS, INC. (EIN 38-2601965) SPECTRUM HEALTH CONTINUING CARE (EIN 38-3242232) SPECTRUM HEALTH CONTINUING CARE CENTER (EIN 38-2415333) SPECTRUM HEALTH - LEFFINGWELL AVENUE (EIN 85-4390483) SPECTRUM HEALTH WORTH SERVICES (EIN 38-2786617) VISITING NURSE SERVICES OF WESTERN MICHIGAN (EIN 38-1358412) THE ORGANIZATION IDENTIFIED BELOW HAS A PUBLIC CHARITY STATUS DESCRIBED IN 170(B)(1)(A)(VI). HOSPICE AT HOME, INC. (EIN 38-2416086) THE ORGANIZATIONS IDENTIFIED BELOW HAVE A PUBLIC CHARITY STATUS DESCRIBED IN 170(B)(1)(A)(III) AS HOSPITALS, AND ARE INCLUDED IN PART II OF SCH A AS THEY ALSO MEET THE PUBLIC SUPPORT TEST UNDER SECTION 170(B)(1)(A)(VI). OAKWOOD HEALTHCARE, INC. (38-1405141) SPECTRUM HEALTH HOSPITALS (38-1360529) WILLIAM BEAUMONT HOSPITAL (38-1459362) THE ORGANIZATIONS IDENTIFIED BELOW HAVE A PUBLIC CHARITY STATUS DESCRIBED IN 509(A)(3) AS TYPE III SUPPORTING ORGANIZATION. BEAUMONT HEALTH (EIN 46-5718220) LAKELAND REGIONAL HEALTH SYSTEM (EIN 38-2609624) THE ORGANIZATION IDENTIFIED BELOW HAS A PUBLIC CHARITY STATUS DESCRIBED IN 509(A)(3) AS TYPE I SUPPORTING ORGANIZATION. OAKWOOD UNITED HOSPITALS, INC. (EIN 38-2837961)
PART III - SUPPORT MEASUREMENT	SUPPORT SCHEDULE FOR 509(A)(2) SECTION A. PUBLIC SUPPORT CALENDAR YEAR (B) 2020 LINE 1 16,924 LINE 2 108,063,427 LINE 3 36,675 LINE 4 0 LINE 5 0 LINE 6 108,117,026 LINE 7A 0 LINE 7B 0 LINE 7C 0 SECTION B. TOTAL SUPPORT CALENDAR YEAR (B) 2020 LINE 9 108,117,026 LINE 10A 17,720 LINE 10B 0 LINE 10C 17,720 LINE 11 0 LINE 12 0 LINE 13 108,134,746 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (C) 2021 LINE 1 727,279 LINE 2 98,592,408 LINE 3 15,012 LINE 4 0 LINE 5 0 LINE 6 99,334,699 LINE 7A 0 LINE 7B 0 LINE 7C 0 SECTION B. TOTAL SUPPORT CALENDAR YEAR (C) 2021 LINE 9 99,334,699 LINE 10A 29,009 LINE 10B 0 LINE 10C 29,009 LINE 11 0 LINE 12 0 LINE 13 99,363,708 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (D) 2022 LINE 1 4,201,636 LINE 2 347,479,065 LINE 3 11,073 LINE 4 0 LINE 5 0 LINE 6 351,691,774 LINE 7A 0 LINE 7B 0 LINE 7C 0 SECTION B. TOTAL SUPPORT CALENDAR YEAR (D) 2022 LINE 9 351,691,774 LINE 10A 1,171,509 LINE 10B 0 LINE 10C 1,171,509 LINE 11 0 LINE 12 0 LINE 13 352,863,283 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (E) 2023 LINE 1 1,914,417 LINE 2 361,791,223 LINE 3 321,449 LINE 4 0 LINE 5 0 LINE 6 364,027,089 LINE 7A 0 LINE 7B 0 LINE 7C 0 SECTION B. TOTAL SUPPORT CALENDAR YEAR (E) 2023 LINE 9 364,027,089 LINE 10A 9,953,527 LINE 10B 0 LINE 10C 9,953,527 LINE 11 0 LINE 12 0 LINE 13 373,980,616 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (E) 2024 LINE 1 3,026,778 LINE 2 408,255,813 LINE 3 636,683 LINE 4 0 LINE 5 0 LINE 6 411,919,274 LINE 7A 0 LINE 7B 0 LINE 7C 0 SECTION B. TOTAL SUPPORT CALENDAR YEAR (E) 2024 LINE 9 411,919,274 LINE 10A 11,165,982 LINE 10B 0 LINE 10C 11,165,982 LINE 11 0 LINE 12 0 LINE 13 423,085,256 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (F) TOTAL LINE 1 9,887,035 LINE 2 1,324,181,936 LINE 3 1,020,892 LINE 4 0 LINE 5 0 LINE 6 1,335,089,863 LINE 7A 0 LINE 7B 0 LINE 7C 0 LINE 8 1,335,089,863 SECTION B. TOTAL SUPPORT CALENDAR YEAR (F) TOTAL LINE 9 1,335,089,863 LINE 10A 22,337,748 LINE 10B 0 LINE 10C 22,337,748 LINE 11 0 LINE 12 0 LINE 13 1,357,427,611 LINE 15 PUBLIC SUPPORT PERCENTAGE FOR 2024 98.35% LINE 16 PUBLIC SUPPORT PERCENTAGE FOR 2023 98.86% LINE 17 INVESTMENT INCOME PERCENTAGE FOR 2024 1.65% LINE 18 INVESTMENT INCOME PERCENTAGE FOR 2023 1.14% LINE 19A X - THE ORGANIZATION MEETS AND QUALIFIES FOR THE 33 1/3% SUPPORT TEST.
PART IV SUPPORTING ORGANIZATIONS	THE ORGANIZATIONS IDENTIFIED BELOW HAVE A PUBLIC CHARITY STATUS DESCRIBED IN 509(A)(3) AS TYPE III FUNCTIONALLY INTEGRATED SUPPORTING ORGANIZATIONS. BEAUMONT HEALTH (EIN 46-5718220) LAKELAND REGIONAL HEALTH SYSTEM (EIN 38-2609624) TYPE III FUNCTIONALLY INTEGRATED SUPPORTING ORGANIZATIONS REQUIRE THE COMPLETION OF PART IV SECTIONS A, D, AND E THE ORGANIZATION IDENTIFIED BELOW HAS A PUBLIC CHARITY STATUS DESCRIBED IN 509(A)(3) AS TYPE I SUPPORTING ORGANIZATION. OAKWOOD UNITED HOSPITALS, INC. (EIN 38-2837961) TYPE I SUPPORTING ORGANIZATIONS REQUIRE THE COMPLETION OF PART IV SECTIONS A AND B UNLESS OTHERWISE NOTED IN THE FOLLOWING SECTIONS, BEAUMONT HEALTH, LAKELAND REGIONAL HEALTH SYSTEM AND OAKWOOD UNITED HOSPITALS, INC. HAVE THE SAME RESPONSE FOR ALL QUESTIONS. PART IV SECTION A. ALL SUPPORTING ORGANIZATIONS LINE 1 YES LINE 2 NO LINE 3A NO LINE 4A NO LINE 5A NO LINE 6 BEAUMONT HEALTH AND LAKELAND REGIONAL HEALTH SYSTEM YES BEAUMONT HEALTH AND LAKELAND REGIONAL HEALTH SYSTEM PROVIDE SERVICES AND SUPPORT TO ORGANIZATIONS WITHIN THE INTEGRATED HEALTH CARE SYSTEM THAT ARE OUTSIDE OF THEIR SUPPORTED ORGANIZATIONS. THE OTHER ORGANIZATIONS THEY PROVIDES SERVICES AND SUPPORT TO ARE RELATED ORGANIZATIONS REPORTED ON SCHEDULE R. LINE 6 OAKWOOD UNITED HOSPITALS, INC. NO LINE 7 NO LINE 8 NO LINE 9A NO LINE 9B NO LINE 9C NO LINE 10A NO LINE 11A NO LINE 11B NO LINE 11C NO PART IV SECTION B. TYPE 1 SUPPORTING ORGANIZATIONS LINE 1 YES LINE 2 NO PART IV SECTION D. ALL TYPE III SUPPORTING ORGANIZATIONS LINE 1 YES LINE 2 YES BEAUMONT HEALTH AND LAKELAND REGIONAL HEALTH SYSTEM MAINTAIN A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH ITS SUPPORTED ORGANIZATIONS THROUGH INTEGRATED POLICIES AND PROCEDURES AND UNIFIED LEADERSHIP. LINE 3 YES SUPPORTED ORGANIZATIONS OF BEAUMONT HEALTH AND LAKELAND REGIONAL HEALTH SYSTEM HAVE SIGNIFICANT VOICES IN INVESTMENT POLICIES AS NOTED BELOW, INVESTMENTS OF CASH AND/OR RESERVES, WHETHER ON AN INDIVIDUAL BASIS OR AS PART OF A POOLED INVESTMENT STRATEGY, IS A RESERVED POWER MAINTAINED BY THE SUPPORTING ORGANIZATION. THE CONSOLIDATED TREASURY FUNCTION IS CONSIDERED A SHARED SERVICE FUNCTION PROVIDED BY THE SUPPORTING ORGANIZATION TO EACH SUPPORTED ORGANIZATION. AS PART OF THAT SHARED SERVICE FUNCTION, THE SUPPORTING ORGANIZATION CONTROLS ALL INVESTMENT POLICIES AND DIRECTS ALL INVESTMENT STRATEGIES. THIS PROVIDES MANY BENEFITS INCLUDING REDUCED COSTS AND SUBJECT MATTER EXPERTISE TO YIELD GREATER RESULTS. THE SUPPORTED ORGANIZATIONS HAVE THE ABILITY TO PROVIDE DIRECTION SPECIFICALLY RELATED TO THEIR RESPECTIVE ASSETS AS IT RELATES TO GRANT MAKING AND DIRECTING THE USE OF THE ORGANIZATIONS INCOME OR ASSETS. PART IV SECTION E. TYPE III FUNCTIONALLY INTEGRATED SUPPORTING ORGANIZATIONS LINE 1B THE ORGANIZATION IS THE PARENT OF ITS SUPPORTED ORGANIZATIONS. LINE 3A YES THE ACTIONS LISTED BELOW MAY BE UNILATERALLY CAUSED AND/OR TAKEN BY THE SUPPORTING ORGANIZATION, WITHIN ITS SOLE AND EXCLUSIVE POWER AND DISCRETION, AND SHALL NOT BE DEEMED AUTHORIZED UNLESS AND UNTIL APPROVED BY THE SUPPORTING ORGANIZATION: -ELECTION AND/OR REMOVAL OF THE MEMBERS OF THE SUPPORTED ORGANIZATIONS BOARD OF DIRECTORS; -ELECTION AND/OR REMOVAL OF THE SUPPORTED ORGANIZATIONS CHAIRPERSON OF THE BOARD OF DIRECTORS; AND -HIRING, DISCHARGE, AND EVALUATION OF THE SUPPORTED ORGANIZATIONS PRESIDENT. LINE 3B YES THE ACTIONS LISTED BELOW MAY BE UNILATERALLY CAUSED AND/OR TAKEN BY THE SUPPORTING ORGANIZATION, WITHIN ITS SOLE AND EXCLUSIVE POWER AND DISCRETION, AND SHALL NOT BE DEEMED AUTHORIZED UNLESS AND UNTIL APPROVED BY THE SUPPORTING ORGANIZATION: -AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE SUPPORTED ORGANIZATION; -ADOPTION OF THE SUPPORTED ORGANIZATIONS STRATEGIC PLAN; -ADOPTION OF THE SUPPORTED ORGANIZATIONS ANNUAL OPERATING AND CAPITAL BUDGETS AND ANY AMENDMENTS TO SUCH BUDGETS IN EXCESS OF THE AUTHORITY MATRIX AMOUNT; -ALL CAPITAL EXPENDITURES BY THE SUPPORTED ORGANIZATION IN EXCESS OF THE AMOUNT WHICH WOULD REQUIRE APPROVAL BY THE SUPPORTING ORGANIZATION (THE "AUTHORITY MATRIX AMOUNT"); -ALL BORROWINGS OR GUARANTEES OF INDEBTEDNESS BY THE SUPPORTED ORGANIZATION (OR ANY ENTITY CONTROLLED BY THE SUPPORTED ORGANIZATION THROUGH OWNERSHIP OR MEMBERSHIP INTEREST); -ALL LENDING BY THE SUPPORTED ORGANIZATION (OR ANY SUBSIDIARY) TO PERSONS OTHER THAN THE SUPPORTING ORGANIZATION OR A SUBSIDIARY IN EXCESS OF THE AUTHORITY MATRIX AMOUNT; -THE SUPPORTED ORGANIZATIONS OR ANY SUBSIDIARY'S INVESTMENTS OF CASH AND/OR RESERVES, WHETHER ON AN INDIVIDUAL BASIS OR AS PART OF A POOLED INVESTMENT STRATEGY; -ANY MERGER OR CONSOLIDATION OF THE SUPPORTED ORGANIZATION (OR ANY SUBSIDIARY), OR ANY OTHER CHANGE IN OWNERSHIP PERCENTAGES, CONTROL, OR CAPITAL STRUCTURE; -THE CREATION OF ANY ENTITY CONTROLLED, DIRECTLY OR INDIRECTLY, BY THE SUPPORTED ORGANIZATION; -THE SALE OR TRANSFER OF MORE THAN TEN PERCENT (10%) OF THE ASSETS OF THE SUPPORTED ORGANIZATION (OR ANY SUBSIDIARY) TO ANY PERSON OR ENTITY NOT CONTROLLED BY THE SUPPORTING ORGANIZATION; -DISSOLUTION OF THE SUPPORTED ORGANIZATION OR ANY SUBSIDIARY; -THE SELECTION, RETENTION, AND OVERSIGHT OF THE OUTSIDE AUDITORS FOR THE SUPPORTED ORGANIZATION (OR ANY SUBSIDIARY); AND -ANY OTHER APPROVAL FOR WHICH SUPPORTING ORGANIZATION APPROVAL IS REQUIRED BY LAW. IN ADDITION TO THESE RESERVED POWERS OF THE SUPPORTING ORGANIZATION LISTED ABOVE, THE SUPPORTING ORGANIZATION HAS THE AUTHORITY TO ADOPT SYSTEM-WIDE POLICIES AND PROCEDURES.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$36,481	OtherActivitiesAmt
Total Lobbying Expenditures	$36,481	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	LOBBYING ACTIVITIES INCLUDE CALLS TO OR MEETINGS WITH GOVERNMENT OFFICIALS OR LAWMAKERS, AND ELECTRONIC COMMUNICATIONS SENT TO CONVEY POSITIONS, CONCERNS, AND RECOMMENDATIONS. SUCH FUNCTIONS WERE PERFORMED BY EMPLOYEES AS WELL AS LOBBYING FIRMS AND TRADE ORGANIZATIONS LOBBYING ON OUR BEHALF. THE AMOUNT IN OTHER ACTIVITIES REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

Field	Value	IRS element (for citing)
Assets Included	$785,389	AssetsIncludedAmt

Field	Value	IRS element (for citing)
Collection Used Pub Exhibition	Yes (X)	CollectionUsedPubExhibitionInd
Solicited Assets Sale	0	SolicitedAssetsSaleInd
Agent Trustee Etc	Yes (1)	AgentTrusteeEtcInd
Beginning Balance	$56,071	BeginningBalanceAmt
Additions During Year	$304,466	AdditionsDuringYearAmt
Distributions During Year	$310,076	DistributionsDuringYearAmt
Ending Balance	$50,461	EndingBalanceAmt
Incl Escrow Custodial Acct Liab	0	InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$136,966,327	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$136,966,327	InvestmentEarningsOrLossesAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$121,370,317	BeginningYearBalanceAmt
Contributions	$5,198,884	ContributionsAmt
Investment Earnings Or Losses	$15,907,963	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,510,837	OtherExpendituresAmt
End Year Balance	$136,966,327	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$145,110,232	BeginningYearBalanceAmt
Contributions	$2,092,487	ContributionsAmt
Investment Earnings Or Losses	-$21,415,391	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,417,011	OtherExpendituresAmt
End Year Balance	$121,370,317	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$130,255,451	BeginningYearBalanceAmt
Contributions	$4,122,097	ContributionsAmt
Investment Earnings Or Losses	$15,215,729	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,483,045	OtherExpendituresAmt
End Year Balance	$145,110,232	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$97,349,298	BeginningYearBalanceAmt
Contributions	$25,703,447	ContributionsAmt
Investment Earnings Or Losses	$11,573,893	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,371,187	OtherExpendituresAmt
End Year Balance	$130,255,451	EndYearBalanceAmt

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$212,667,068	OtherCostOrOtherBasisAmt
Book Value	$212,667,068	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,911,468,060	OtherCostOrOtherBasisAmt
Depreciation	$1,380,778,686	DepreciationAmt
Book Value	$2,530,689,374	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$59,105,805	OtherCostOrOtherBasisAmt
Depreciation	$49,436,732	DepreciationAmt
Book Value	$9,669,073	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,909,188,280	OtherCostOrOtherBasisAmt
Depreciation	$1,274,714,830	DepreciationAmt
Book Value	$634,473,450	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$745,870,610	OtherCostOrOtherBasisAmt
Depreciation	$395,534,114	DepreciationAmt
Book Value	$350,336,496	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$3,737,835,461	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENTS HELD BY FOUNDATIONS	$305,411,027
NONQUALIFIED BENEFIT PLAN	$149,306,069
LONG TERM PREPAID PENSION ASSET	$20,184,993
DUE FROM AFFILIATES	$7,365,087
OTHER LONG TERM ASSETS	$4,517,161
POST RETIREMENT BENEFITS	$4,465,913

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$491,250,250	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
LEASE LIABILITIES	$227,392,241
NON-QUALIFIED BENEFIT PLAN LIABILITIES	$149,602,579
THIRD PARTY SETTLEMENT	$146,627,236
DUE TO AFFILIATES	$48,346,105
OTHER LIABILITIES	$37,660,429
OTHER POST EMPLOYMENT BENEFITS	$12,322,224
OTHER LONG TERM LIABILITIES - ARO	$8,661,027
FUNDS HELD ON BEHALF OF OTHERS	$1,706,851

Field	Value	IRS element (for citing)
Total Liability	$632,318,692	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III, LINE 4:	VARIOUS ART PIECES ARE HELD BY SUBORDINATES FOR PUBLIC EXHIBITION TO CREATE A HEALING ENVIRONMENT FOR PATIENTS, VISITORS, AND STAFF.
PART IV, LINE 1B:	COREWELL HEALTH REHABILITATION AND NURSING CENTER - KENTRIDGE AND COREWELL HEALTH REHABILITATION AND NURSING CENTER - PINE RIDGE ACT AS CUSTODIANS OF RESIDENT TRUST BANK ACCOUNTS. THESE BANK ACCOUNTS ARE USED FOR THE RESIDENT'S SPENDING DURING THEIR STAY FOR ITEMS SUCH AS ROOM AND BOARD AND BARBER AND BEAUTY SERVICES. THE FUNDS IN THE BANK ACCOUNTS COME FROM THE SOCIAL SECURITY ADMINISTRATION OR OTHER PERSONAL SOURCES.
PART V, LINE 4:	THE ORGANIZATIONS HOLDING THE ENDOWMENT FUNDS ARE NO LONGER INCLUDED IN THE COREWELL HEALTH GROUP RETURN AND WILL BE FILING SEPARATE TAX RETURNS. THEREFORE, THE COREWELL HEALTH GROUP RETURN HAS ANSWERED "NO" TO FORM 990, PART IV, LINE 10 AND IS NOT REQUIRED TO COMPLETE SCHEDULE D, PART V.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConductedTxt
Specific Services Provided	CAPTIVE INSURANCE	SpecificServicesProvidedTxt
Region Total Expenditures	$120,000	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$120,000	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$120,000	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV - FOREIGN FORMS	FormAndLineReferenceDesc
Explanation	CERTAIN SUBORDINATE ORGANIZATIONS RESPOND WITH A YES ANSWER TO LINES 1, 3, 4, AND 5.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	2024 RUN WALK ROCK	Event1Nm
Gross Receipts Event1	$72,208	GrossReceiptsEvent1Amt
Charitable Contri Event1	$59,644	CharitableContriEvent1Amt
Gross Revenue Event1	$12,564	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$17,758	OtherDirectExpensesEvent1Amt
Event2	2024 HARBOR WINE TASTING	Event2Nm
Gross Receipts Event2	$55,480	GrossReceiptsEvent2Amt
Gross Revenue Event2	$55,480	GrossRevenueEvent2Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$127,688	GrossReceiptsTotalAmt
Charitable Contributions Tot	$59,644	CharitableContributionsTotAmt
Gross Revenue Total Events	$68,044	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$17,758	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$17,758	DirectExpenseSummaryEventsAmt
Net Income Summary	$50,286	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$215,714,440	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$161,635,330	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,079,110	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$799,210,420	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$764,411,393	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,799,027	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,014,924,860	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$926,046,723	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$88,878,137	NetCommunityBenefitExpnsAmt
Total Expense	0.00840	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,600,199	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,945,117	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,655,082	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$246,962,342	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$82,931,228	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$164,031,114	NetCommunityBenefitExpnsAmt
Total Expense	0.01550	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,008,892,764	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$927,389,799	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$81,502,965	NetCommunityBenefitExpnsAmt
Total Expense	0.00770	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,912,038	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,750,954	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,161,084	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,907,190	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,907,190	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,341,274,533	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,057,017,098	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$284,257,435	NetCommunityBenefitExpnsAmt
Total Expense	0.02680	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,356,199,393	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,983,063,821	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$373,135,572	NetCommunityBenefitExpnsAmt
Total Expense	0.03520	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,043	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,200	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,843	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,331	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,331	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$508	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$508	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$157,650	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,334	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$129,316	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$844,189	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$844,189	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$414,804	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$414,804	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,498,525	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,534	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,462,991	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$158,520,350	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$3,579,264,314	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$4,221,489,820	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$642,225,506	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (6 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 OAKWOOD ACCOUNTABLE CARE ORGANIZATION LLC
ACCOUNTABLE CARE ORGANIZATION	0.49000	0.00060	0.47820
2 GREATER MICHIGAN LITHOTRIPSY LLC
HEALTHCARE SERVICES	0.21270	0.00000	0.50270
3 DEARBORN SURGERY CENTER
HEALTHCARE SERVICES	0.49380	0.00000	0.46250
4 LDBH LLC
HEALTHCARE SERVICES	0.20000	0.00000	0.20000
5 LIBERTY DIALYSIS - LAKELAND LLC
HEALTHCARE SERVICES	0.20000	0.00000	0.20000
6 LAKELAND CARE
HEALTHCARE SERVICES	0.50000	0.00590	0.49390

Field	Value	IRS element (for citing)
Hospital Facilities	20	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (20 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Business Name Line1SubordinateHospitalName/BusinessNameLine1Txt	Subordinate Hospital EINSubordinateHospitalEIN	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
CH GRAND RAPIDS HOSP-BUTTERWORTH HOSP
1	100 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	WWW.COREWELLHEALTH.ORG	1060000021	SPECTRUM HEALTH HOSPITALS	381360529	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
CH WILLIAM BEAUMONT UNIVERSITY HOSP
2	3601 W 13 MILE RD	ROYAL OAK	MI	48073	WWW.COREWELLHEALTH.ORG	1060000061	WILLIAM BEAUMONT HOSPITAL	381459362	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	B
CH BEAUMONT TROY HOSPITAL
3	44201 DEQUINDRE RD	TROY	MI	48085	WWW.COREWELLHEALTH.ORG	1060000101	WILLIAM BEAUMONT HOSPITAL	381459362	Yes (X)	Yes (X)		Yes (X)		Yes (X)	B
CH DEARBORN HOSPITAL
4	18101 OAKWOOD BLVD	DEARBORN	MI	48124	WWW.COREWELLHEALTH.ORG	1060000009	OAKWOOD HEALTHCARE INC	381405141	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (X)	B
CH GRAND RAPIDS HOSP-BLODGETT HOSP
5	1840 WEALTHY ST SE	GRAND RAPIDS	MI	49506	WWW.COREWELLHEALTH.ORG	1060000016	SPECTRUM HEALTH HOSPITALS	381360529	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (X)	A
CH FARMINGTON HILLS HOSPITAL
6	28050 GRAND RIVER AVE	FARMINGTON HILLS	MI	48336	WWW.COREWELLHEALTH.ORG	1060000070	BOTSFORD GENERAL HOSPITAL	381426919	Yes (X)	Yes (X)		Yes (X)		Yes (X)	B
CH LAKELAND HOSPITALS-ST JOSEPH HOSP
7	1234 NAPIER AVE	ST JOSEPH	MI	49085	WWW.COREWELLHEALTH.ORG	1060000010	LAKELAND HOSPITALS AT NILES & ST JOSEPH	382156872	Yes (X)	Yes (X)		Yes (X)		Yes (X)	A
CH BEAUMONT GROSSE POINTE HOSPITAL
8	468 CADIEUX RD	GROSSE POINTE	MI	48230	WWW.COREWELLHEALTH.ORG	1060000043	WILLIAM BEAUMONT HOSPITAL	381459362	Yes (X)	Yes (X)		Yes (X)		Yes (X)	B
CH TRENTON HOSPITAL
9	5450 FORT ST	TRENTON	MI	48183	WWW.COREWELLHEALTH.ORG	1060000075	OAKWOOD HEALTHCARE INC	381405141	Yes (X)	Yes (X)		Yes (X)		Yes (X)	B
CH TAYLOR HOSPITAL
10	10000 TELEGRAPH RD	TAYLOR	MI	48180	WWW.COREWELLHEALTH.ORG	1060000102	OAKWOOD HEALTHCARE INC	381405141	Yes (X)	Yes (X)		Yes (X)		Yes (X)	B
CH WAYNE HOSPITAL
11	33155 ANNAPOLIS ST	WAYNE	MI	48184	WWW.COREWELLHEALTH.ORG	1060000067	OAKWOOD HEALTHCARE INC	381405141	Yes (X)	Yes (X)		Yes (X)		Yes (X)	B
CH GREENVILLE HOSPITAL
12	615 S BOWER ST	GREENVILLE	MI	48838	WWW.COREWELLHEALTH.ORG	1060000018	SPECTRUM HEALTH UNITED	381358412	Yes (X)	Yes (X)				Yes (X)	B
CH LAKELAND HOSPITALS-NILES HOSP
13	31 N ST JOSEPH AVE	NILES	MI	49120	WWW.COREWELLHEALTH.ORG	1060000065	LAKELAND HOSPITALS AT NILES & ST JOSEPH	382156872	Yes (X)	Yes (X)		Yes (X)		Yes (X)	A
CH GERBER HOSPITAL
14	212 S SULLIVAN ST	FREMONT	MI	49412	WWW.COREWELLHEALTH.ORG	1060000054	NEWAYGO COUNTY GENERAL HOSPITAL ASS	381359517	Yes (X)	Yes (X)				Yes (X)	B	Yes (X)
CH LUDINGTON HOSPITAL
15	1 N ATKINSON DR	LUDINGTON	MI	49431	WWW.COREWELLHEALTH.ORG	1060000056	MEMORIAL MEDICAL CENTER OF WEST MICHIGAN	381359266	Yes (X)	Yes (X)				Yes (X)	B
CH ZEELAND HOSPITAL
16	8333 FELCH ST	ZEELAND	MI	49464	WWW.COREWELLHEALTH.ORG	1060000002	ZEELAND COMMUNITY HOSPITAL	381411184	Yes (X)	Yes (X)				Yes (X)	A
CH PENNOCK HOSPITAL
17	1009 W GREEN ST	HASTINGS	MI	49058	WWW.COREWELLHEALTH.ORG	1060000022	PENNOCK HOSPITAL	381360562	Yes (X)	Yes (X)				Yes (X)	B	Yes (X)
CH BIG RAPIDS HOSPITAL
18	605 OAK ST	BIG RAPIDS	MI	49307	WWW.COREWELLHEALTH.ORG	1060000045	MECOSTA COUNTY MEDICAL CENTER	381368744	Yes (X)	Yes (X)				Yes (X)	B
CH REED CITY HOSPITAL
19	300 N PATTERSON RD	REED CITY	MI	49677	WWW.COREWELLHEALTH.ORG	1060000157	REED CITY HOSPITAL CORPORATION	382770076	Yes (X)					Yes (X)	B	Yes (X)
CH WATERVLIET HOSPITAL
20	400 MEDICAL PARK DR	WATERVLIET	MI	49098	WWW.COREWELLHEALTH.ORG	1060000039	LAKELAND COMMUNITY HOSPITAL WATERVLIET	381368745	Yes (X)	Yes (X)				Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	Income Level CriteriaIncomeLevelCriteriaInd	Asset Level CriteriaAssetLevelCriteriaInd	Residency CriteriaResidencyCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
FACILITY REPORTING GROUP - A
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	24	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (1)	24	Yes (1)	SEE PART V, SECTION C	0	Yes (1)	Yes (X)	250.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
FACILITY REPORTING GROUP - B
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	22	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (1)	22	Yes (1)	SEE PART V, SECTION C	0	Yes (1)	Yes (X)	250.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5	INPUT FROM PERSONS WHO REPRESENT BROAD INTERESTS OF COMMUNITY SERVEDFACILITY NAME:COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL AND COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITALDESCRIPTION:A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMMENCED IN 2023 AND CONCLUDED IN 2024 FOR COREWELL BUTTERWORTH HOSPITALS AND COREWELL HEALTH BLODGETT HOSPITALS, WITH THE GOAL OF IMPROVING THE HEALTH OF THOSE IN WEST MICHIGAN. THE DATA COLLECTION PROCESS FOR COMMUNITY HEALTH NEEDS ASSESSMENT INVOLVED COMMUNITY SURVEYS, COMMUNITY-LED FOCUS GROUPS, A BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEY, A COLLECTIVE IMPACT ASSESSMENT SURVEY, LOCAL, STATE, AND NATIONAL SECONDARY SOURCES, AND THREE COMMUNITY PRIORITIZATION MEETINGS WITH STAKEHOLDERS. EACH OF THESE METHODS ARE DESCRIBED IN DETAIL ALONG WITH THE QUESTIONS USED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT.THE COMMUNITY SURVEY UTILIZED BOTH A RANDOM SAMPLE AND A CONVENIENCE SAMPLE TO ENSURE COMPREHENSIVE DATA COLLECTION. THE RANDOM SAMPLE INCLUDED A PHONE SURVEY AND A WEB-PANEL SURVEY, WHILE THE CONVENIENCE SAMPLE CONSISTED OF A SELF-ADMINISTERED WEB-BASED AND PAPER SURVEY. TO GATHER RESPONSES FOR THE CONVENIENCE SAMPLE, THE CORE TEAM COLLABORATED WITH THE COMMUNITY HEALTH COUNCIL AND COMMUNITY PARTNERS TO DISTRIBUTE THE SURVEY AND ENCOURAGE PARTICIPATION ACROSS KENT COUNTY. FUNDING WAS PROVIDED TO 12 COMMUNITY PARTNERS TO LEAD THEIR OWN SURVEYING EFFORTS, WITH EACH PARTNER RECEIVING A $2,000 STIPEND AND PROMOTIONAL MATERIALS. THESE PARTNERS WERE RESPONSIBLE FOR ENGAGING RESIDENTS, EDUCATING THEM ON THE SURVEY'S PURPOSE, ENCOURAGING COMPLETION, AND ASSISTING IF NEEDED. THE SURVEY PERIOD LASTED FROM SEPTEMBER 22 TO OCTOBER 31, AND WAS AVAILABLE ONLINE VIA QUALTRICS IN MULTIPLE LANGUAGES, INCLUDING ENGLISH, SPANISH, VIETNAMESE, KINYARWANDA, ARABIC, AND SWAHILI. DURING THE 5-WEEK SURVEY PERIOD, 3,881 RESPONSES WERE COLLECTED WITH 76% OF RESPONSES COMING FROM THE CONVENIENCE SAMPLE AND 24% FROM THE RANDOMIZED SAMPLE. THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEY WAS ABLE TO COLLECT FEEDBACK FROM 1,338 INDIVIDUALS THROUGH A STANDARDIZED SURVEY CONDUCTED VIA TELEPHONE INTERVIEWS OFFERED IN BOTH ENGLISH AND SPANISH. THE BRFSS SURVEYS WERE ESSENTIAL IN COLLECTING INFORMATION FROM A REPRESENTATIVE SAMPLE OF KENT COUNTY RESIDENTS ON SELF-REPORTED DISEASE PREVALENCE AND SELECT RISK FACTORS. TO PROVIDE GENERALIZABLE POPULATION-SPECIFIC RESULTS, HISPANIC/LATINO AND AFRICAN AMERICAN RESIDENTS WERE OVERSAMPLED. THE BRFS DATA INCLUDED IN THE CHNA REPORT IS WEIGHTED TO ADJUST FOR GENDER, AGE, RACE, AND ETHNICITY USING THE 2020 KENT COUNTY CENSUS POPULATION ESTIMATES. SOME STATISTICS WERE COMPILED BY THE UNIVERSITY OF MISSOURI'S DATA TEAM AND ADDITIONAL ANALYSIS OF THE DATASET WAS COMPLETED BY KENT COUNTY HEALTH CONNECT USING SPSS STATISTICAL SOFTWARE. DUE TO THE LARGE, RANDOMLY SELECTED SAMPLE AND WEIGHTED DATA, BRFS RESULTS ARE LIKELY REPRESENTATIVE OF THE KENT COUNTY ADULT POPULATION WHICH ALLOWS FOR GENERALIZABILITY OF THE FINDINGS AND COMPARISON OF TRENDS OVER TIME FOR MOST INDICATORS.TO GET AN IN-DEPTH UNDERSTANDING OF COMMUNITY NEEDS, LIVED EXPERIENCES, ROOT CAUSES OF HEALTH ISSUES, AND POTENTIAL SOLUTIONS, 10 COMMUNITY-LED FOCUS GROUPS WERE CONDUCTED. THE HEALTH DEPARTMENT CONTRACTED WITH 10 COMMUNITY-BASED ORGANIZATIONS AND PROVIDED TRAINING ON FOCUS GROUP RECRUITMENT AND FACILITATION. FOCUS GROUPS WERE CONDUCTED BETWEEN JULY 27 AND SEPTEMBER 29, 2023. SEVEN WERE CONDUCTED IN-PERSON, AND THREE WERE DONE VIRTUALLY. ONE FOCUS GROUP WAS CONDUCTED IN SPANISH, AND THE AUDIO RECORDING WAS INTERPRETED INTO ENGLISH BY THE HOSTING ORGANIZATION, THE OTHERS WERE CONDUCTED IN ENGLISH. OVERALL, 88 PEOPLE PARTICIPATED. THERE WERE TWO YOUTH-ONLY FOCUS GROUPS, WHICH HELPED INCORPORATE THEIR PERSPECTIVES AND EXPERIENCES INTO THE CHNA DUE TO LIMITATIONS OF THE BRFS AND COMMUNITY SURVEY, WHICH WERE ONLY ADMINISTERED TO RESIDENTS AGED 18 AND OLDER. OTHER FOCUS GROUPS ALSO INCLUDED MEMBERS OF THE PRIORITY POPULATIONS, INCLUDING LGBTQ+, BLACK OR AFRICAN AMERICAN, HISPANIC OR LATINO, OLDER ADULTS, IMMIGRANTS AND REFUGEES, AND RESIDENTS LIVING IN RURAL AREAS OF THE COUNTY. INPUT ON SIGNIFICANT HEALTH NEEDS WAS GATHERED FROM 60 COMMUNITY PARTNERS IN THREE SEPARATE PRIORITIZATION MEETINGS. CRITERIA-BASED RANKING WAS USED IN THE MEETINGS FOR PARTICIPANTS TO SCORE HEALTH NEEDS AND RANK THEM BASED ON IMPORTANCE, EXISTING DISPARITIES, AND ABILITY TO ADDRESS THE NEED. THE KENT COUNTY CHNA DESCRIBES THE PRIORITIZATION TOOL USED. ADDITIONALLY, A VARIETY OF EXISTING DATA AND INFORMATIONAL RESOURCES WERE USED TO PROVIDE ADDITIONAL CONTEXT ABOUT THE COMMUNITY INCLUDING INFORMATION FROM THE U.S. CENSUS BUREAU/AMERICAN COMMUNITY SURVEY, THE CENTERS FOR DISEASE CONTROL AND PREVENTION WONDER ONLINE DATABASE, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND THE MICHIGAN PROFILE FOR HEALTHY YOUTH SURVEY ALONG WITH MANY OTHERS.
PART V, SECTION B, LINE 5 CONTINUED	FACILITY NAME:COREWELL HEALTH GREENVILLE HOSPITAL, COREWELL HEALTH GERBER HOSPITAL, COREWELL HEALTH REED CITY HOSPITAL, COREWELL HEALTH BIG RAPIDS HOSPITAL, COREWELL HEALTH LUDINGTON HOSPITAL, COREWELL HEALTH PENNOCK HOSPITALDESCRIPTION:A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN 2022 FOR COREWELL HEALTH GREENVILLE HOSPITAL, COREWELL HEALTH GERBER HOSPITAL, COREWELL HEALTH REED CITY HOSPITAL, COREWELL HEALTH BIG RAPIDS HOSPITAL, COREWELL HEALTH LUDINGTON HOSPITAL, COREWELL HEALTH PENNOCK HOSPITAL, WITH THE GOAL OF IMPROVING THE HEALTH OF THOSE IN WEST MICHIGAN. DATA WAS GATHERED FROM A VARIETY OF SOURCES USING MULTIPLE METHODOLOGIES. COMMUNITY RESIDENT FEEDBACK WAS OBTAINED VIA A PAPER SURVEY DIRECTED TOWARDS VULNERABLE AND UNDERSERVED SUB-POPULATIONS AS WELL AS A TELEPHONE SURVEY. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS AND KEY INFORMANTS, PROVIDED IN-DEPTH TELEPHONE INTERVIEWS OR COMPLETED AN ONLINE SURVEY. SECONDARY DATA WAS DERIVED FROM VARIOUS GOVERNMENT AND HEALTH SOURCES SUCH AS THE U.S. CENSUS, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, COUNTY HEALTH RANKINGS, BUREAU OF LABOR STATISTICS, AND KIDS COUNT DATA CENTER.MANY EXPERTS ON PUBLIC HEALTH WERE CONSULTED AS MEMBERS OF THE CHNA TASK FORCE. ADDITIONALLY, KEY STAKEHOLDERS WHO WERE INTERVIEWED ARE DEFINED AS EXECUTIVE LEVEL COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH AND/OR HUMAN SERVICE ISSUES AND ARE OFTEN INVOLVED IN POLICY DECISION MAKING. KEY INFORMANTS WHO PARTICIPATED IN THE ONLINE SURVEY ARE DEFINED AS COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH ISSUES OR HAVE EXPERIENCE WITH SUB POPULATIONS IMPACTED MOST BY ISSUES IN HEALTH/HEALTH CARE.FACILITY NAME:COREWELL HEALTH ZEELAND HOSPITALDESCRIPTION:A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN 2024 FOR COREWELL HEALTH ZEELAND HOSPITAL. COMMUNITY RESIDENT FEEDBACK WAS OBTAINED VIA A PAPER SURVEY DIRECTED TOWARDS VULNERABLE AND UNDERSERVED SUB-POPULATIONS. 300 RESIDENTS COMPLETED THIS SURVEY. KEY STAKEHOLDERS SUCH AS HOSPITAL DIRECTORS AND CLINIC EXECUTIVE DIRECTORS WERE SURVEYED VIA IN-DEPTH TELEPHONE INTERVIEWS. KEY INFORMANTS SUCH AS PHYSICIANS, NURSES, DENTISTS, PHARMACISTS, AND SOCIAL WORKERS WERE SURVEYED WITH AN ONLINE SURVEY TO OBTAIN KNOWLEDGE OF THE TOP HEALTH NEEDS OF THE COMMUNITY. THE BEHAVIORAL RISK FACTOR SURVEILLANCE (BRFS) SURVEY WAS UTILIZED TO COLLECT FEEDBACK FROM 1,006 INDIVIDUALS THROUGH A STANDARDIZED SURVEY CONDUCTED VIA TELEPHONE INTERVIEWS OFFERED IN BOTH ENGLISH AND SPANISH. THE BRFS WAS ESSENTIAL IN COLLECTING INFORMATION FROM A REPRESENTATIVE SAMPLE OF OTTAWA COUNTY RESIDENTS ON SELF-REPORTED DISEASE PREVALENCE AND SELECT RISK FACTORS. SECONDARY DATA WAS DERIVED FROM VARIOUS GOVERNMENT AND HEALTH SOURCES SUCH AS THE U.S. CENSUS, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, COUNTY HEALTH RANKINGS, BUREAU OF LABOR STATISTICS, AND KIDS COUNT DATA CENTER.MANY PUBLIC HEALTH EXPERTS WERE CONSULTED AS MEMBERS OF THE CHNA TASK FORCE. ADDITIONALLY, KEY STAKEHOLDERS WHO WERE INTERVIEWED ARE DEFINED AS EXECUTIVE LEVEL COMMUNITY LEADERS HAVING EXTENSIVE KNOWLEDGE AND EXPERTISE ON PUBLIC HEALTH AND/OR HUMAN SERVICE ISSUES AND ARE OFTEN INVOLVED IN POLICY DECISION MAKING. FACILITY NAME:COREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITALDESCRIPTION:A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMMENCED IN 2023 AND CONCLUDED IN 2024 FOR COREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITAL. THE CHNA WAS INFORMED BY DATA COLLECTED THROUGH MULTIPLE METHODS. PRIMARY SOURCE DATA (FIRSTHAND INFORMATION COLLECTED DIRECTLY FROM COMMUNITY MEMBERS) WAS COLLECTED THROUGH SURVEYS, FOCUS GROUPS, AND INTERVIEWS, WITH A FOCUS ON GATHERING INPUT FROM NEIGHBORHOODS AND COMMUNITIES EXPERIENCING THE POOREST HEALTH OUTCOMES (I.E., HIGHEST MORTALITY RATES AND LOWEST LIFE EXPECTANCY).ADDITIONAL INFORMATION (SECONDARY DATA) WAS GATHERED THROUGH SCIENTIFIC LITERATURE AND ORGANIZATIONAL DOCUMENTS. GOVERNMENT DATASETS (E.G., EMPLOYMENT, INCOME, AGRICULTURE, HOUSING, TRANSPORTATION, HEALTHCARE RESOURCES, CIVIC ENGAGEMENT, AND RECREATION) WERE ALSO UTILIZED.THE SURVEY WAS ADMINISTERED IN ELECTRONIC AND PAPER FORMATS TO GOVERNMENT BODIES, LOCAL BUSINESSES, HIGHER EDUCATION INSTITUTIONS, AND NON-PROFIT AND OTHER COMMUNITY ORGANIZATIONS. INPUT WAS SOLICITED FROM STAKEHOLDERS WHO WERE DIVERSE BY AGE, ETHNICITY, GENDER IDENTITY, LANGUAGE PROFICIENCY, LITERACY LEVEL, PROFESSION, SEXUAL ORIENTATION, AND SOCIOECONOMIC STATUS. TO ENSURE INPUT WAS RECEIVED FROM COMMUNITY MEMBERS FACED WITH LITERACY CHALLENGES AND LANGUAGE BARRIERS, SURVEY QUESTIONS WERE ADMINISTERED VERBALLY (I.E., INTERVIEWS) AND TRANSLATED INTO SPANISH. PRIMARY DATA WAS RECEIVED FROM OVER 900 PEOPLE. WHILE GATHERING COMMUNITY INPUT, EFFORTS WERE MADE TO ENSURE THAT THE DEMOGRAPHICS OF RESPONDENTS REFLECTED THE DEMOGRAPHICS OF THE SERVICE AREA. MOREOVER, THE CHNA TEAM OVERSAMPLED IN GEOGRAPHIC AREAS WITH THE HIGHEST DEATH RATES AND LOWEST LIFE EXPECTANCIES. THUS, THE TEAM WAS ABLE TO ENSURE INPUT FROM THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, AND FROM INDIVIDUALS AND ORGANIZATIONS WHO SERVE OR REPRESENT THE INTERESTS OF THESE POPULATIONS. DATA WAS ALSO COLLECTED THROUGH REVIEWS OF DOCUMENTS PUBLISHED BY THE BERRIEN COUNTY HEALTH DEPARTMENT, THE SOUTHWEST MICHIGAN PLANNING COMMISSION, AND OTHER BODIES WITH SPECIALIZED KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY.
PART V, SECTION B, LINE 5 CONTINUED	FACILITY NAME:COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL, COREWELL HEALTH BEAUMONT TROY HOSPITAL, COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL, COREWELL HEALTH FARMINGTON HILLS HOSPITAL, COREWELL HEALTH DEARBORN HOSPITAL, COREWELL HEALTH TRENTON HOSPITAL, COREWELL HEALTH TAYLOR HOSPITAL, AND COREWELL HEALTH WAYNE HOSPITALDESCRIPTION:A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN 2022 FOR EACH OF THE BEAUMONT HEALTH, NOW KNOWN AS COREWELL HEALTH EAST (CHE) HOSPITALS, WITH THE GOAL OF IMPROVING THE HEALTH OF THOSE IN SOUTHEASTERN MICHIGAN.A STEERING COMMITTEE COMPRISED OF INTERNAL STAFF AND COMMUNITY PARTNERS WAS CONVENED TO GUIDE THE PROCESS AND ASSIST IN THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR EACH HOSPITAL. THE PRIMARY SERVICE AREA WAS DEFINED BY THE CONTIGUOUS ZIP CODES WHERE 80% OF THE HOSPITAL'S ADMITTED PATIENTS ORIGINATE. THE COMBINED PRIMARY SERVICE AREAS OF THE EIGHT COREWELL HEALTH EAST (CHE) SERVICE AREAS INCLUDE MACOMB, OAKLAND, AND WAYNE COUNTIES IN SOUTHEAST MICHIGAN. MICHIGAN PUBLIC HEALTH INSTITUTE (MPHI) WAS RETAINED TO ASSIST IN THE QUANTITATIVE AND QUALITATIVE DATA. MORE THAN 200 PUBLIC HEALTH INDICATORS WERE EVALUATED FOR THE QUANTITATIVE ANALYSIS. COMMUNITY NEEDS WERE IDENTIFIED BY COMPARING EACH COMMUNITY'S VALUE FOR EACH HEALTH INDICATOR TO THAT OF THE OTHER LOCAL COUNTIES, STATE, OR NATION. DATA WERE COMPILED AND CHECKED AGAINST FIVE CRITERIA TO NARROW DOWN INDICATORS. THESE CRITERIA INCLUDED DISPARITIES BETWEEN POPULATION GROUPS, RATES TRENDING WORSE OVER TIME, THE CHE SERVICE AREA BELOW STATE OR NATIONAL AVERAGES, FALLING SHORT OF GOALS FOR PERFORMANCE, AND CURRENT PERFORMANCE RELATED TO PREVIOUS ORGANIZATION OR CHNA PRIORITIES. COMMUNITY FOCUS GROUPS AND KEY INFORMANT INTERVIEWS PROVIDED QUALITATIVE INFORMATION FOR THE CHNA. FOCUS GROUPS WERE DESIGNED TO CAPTURE MORE CONTEXTUAL INFORMATION FROM COMMUNITY MEMBERS ON HEALTH IN THE COMMUNITY, WITH A SPECIAL INTEREST OF ENGAGING COMMUNITY MEMBERS REPRESENTING IDENTIFIED PRIORITY POPULATIONS. KEY INFORMANT INTERVIEWS INCLUDED COMMUNITY LEADERS, PUBLIC HEALTH EXPERTS, AND THOSE REPRESENTING THE NEEDS OF INDIVIDUALS WITH CHRONIC DISEASES, MINORITY, UNDERSERVED AND INDIGENT POPULATIONS. FOR A COMPLETE LISTING OF PARTICIPANTS PLEASE VISIT HTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS. THE OUTCOMES OF THE QUANTITATIVE AND QUALITATIVE ANALYSIS WERE ALIGNED TO CREATE A COMPREHENSIVE LIST OF HEALTH NEEDS FOR EACH COMMUNITY. THE CHNA STEERING COMMITTEE SELECTED CRITERIA TO BE USED FOR THE PRIORITIZATION WORKGROUP TO IDENTIFY THE MOST SIGNIFICANT NEEDS FOR EACH COMMUNITY. THE CRITERIA UTILIZED WAS DISPARITIES IN HEALTH OUTCOMES, URGENCY, AND FEASIBILITY OF POSSIBLE INTERVENTIONS. THROUGH THE PRIORITIZATION PROCESS, THREE SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED IN THE IMPLEMENTATION STRATEGY: BEHAVIORAL HEALTH (MENTAL HEALTH WELL-BEING, SUBSTANCE MISUSE), HEALTH EDUCATION (CULTURALLY APPROPRIATE HEALTH EDUCATION, COMMUNITY CONNECTEDNESS, EDUCATION ON COMMUNITY INFRASTRUCTURE THAT SUPPORT HEALTH), AND ACCESS TO CARE (DISCRIMINATION AND INEQUITY IN HEALTH CARE, SYSTEM NAVIGATION). ALL OTHER SIGNIFICANT NEEDS WERE NOT CHOSEN FOR A COMBINATION OF THE FOLLOWING REASONS: THE NEED WAS NOT WELL-ALIGNED WITH ORGANIZATIONAL STRENGTHS, THERE WAS NOT ENOUGH EXISTING ORGANIZATIONAL RESOURCES TO ADEQUATELY ADDRESS THE NEED, OTHER FACILITIES OR ORGANIZATIONS IN THE COMMUNITY ARE ADDRESSING THEM, OR A LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS TO ADDRESS THE NEED WERE GIVEN.IMPLEMENTATION PLANS WERE DEVELOPED FOR EACH CHE HOSPITAL WITH THE PRIORITIZED NEEDS OF BEHAVIORAL HEALTH, HEALTH EDUCATION, AND ACCESS TO CARE. CURRENT PROGRAMMING WAS IDENTIFIED ALONG WITH NEW PROGRAMS TO BE IMPLEMENTED. THE CHNA AND IMPLEMENTATION STRATEGIES WERE SHARED WITH ALL ORGANIZATIONS AND PARTICIPANTS WHO PARTICIPATED IN THE INTERVIEWS AND FOCUS GROUPS, SHARED WITH COMMUNITY COALITIONS, AND POSTED ON THE ORGANIZATION'S WEBSITE. COPIES ARE AVAILABLE UPON REQUEST.THE 2022 CHNA CONSIDERED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. INTERVIEWS AND FOCUS GROUPS WERE CONDUCTED FOR EACH OF THE COREWELL HEALTH EAST HOSPITAL COMMUNITIES TO PROVIDE QUALITATIVE INFORMATION FOR THE CHNA. PARTICIPANTS INCLUDED COMMUNITY LEADERS, PUBLIC HEALTH EXPERTS AND THOSE REPRESENTING THE NEEDS OF INDIVIDUALS WITH CHRONIC DISEASES, MINORITY, UNDERSERVED AND INDIGENT POPULATIONS.
PART V, SECTION B, LINE 6A	THE FOLLOWING FACILITIES CONDUCTED THE CHNA WITH ONE OR MORE OTHER HOSPITAL FACILITIES. THE APPLICABLE FACILITIES AND OTHER HOSPITAL FACILITIES ARE DESCRIBED BELOW.FACILITY NAME:COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL AND COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITALDESCRIPTION:UNIVERSITY OF MICHIGAN - HEALTH-WESTPINE RESTMARY FREE BED REHABILITATION HOSPITALTRINITY HEALTH GRAND RAPIDSFACILITY NAME:COREWELL HEALTH BIG RAPIDS HOSPITAL, COREWELL HEALTH REED CITY HOSPITAL, COREWELL HEALTH GERBER HOSPITAL, COREWELL HEALTH LUDINGTON HOSPITALDESCRIPTION:DISTRICT HEALTH DEPARTMENT #10MCLAREN HEALTH CAREMUNSON HEALTHCAREFACILITY NAME:COREWELL HEALTH GREENVILLE HOSPITAL DESCRIPTION:SHERIDAN COMMUNITY HOSPITALSPARROW CARSON HOSPITALFACILITY NAME:COREWELL HEALTH ZEELAND HOSPITALDESCRIPTION:HOLLAND HOSPITALTRINITY HEALTH GRAND HAVEN HOSPITALPART V, SECTION B, LINE 6BTHE FOLLOWING FACILITIES CONDUCTED THE CHNA WITH ONE OR MORE OTHER THAN HOSPITAL FACILITIES. THE APPLICABLE FACILITIES AND OTHER THAN HOSPITAL FACILITIES ARE DESCRIBED BELOW.FACILITY NAME:COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL AND COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITALDESCRIPTION:KENT COUNTY HEALTH DEPARTMENTIN ADDITION, MANY COMMUNITY ORGANIZATIONS PARTICIPATED IN OR SUPPORTED COREWELL HEALTH IN THE CHNA PROCESS. THESE INCLUDED:ALTERNATIVES IN MOTION, AMERICAN HEART ASSOCIATION, ARBOR CIRCLE AREA AGENCY ON AGING OF WEST MICHIGAN, BETHLEHEM INTERGENERATIONAL CENTER, CALVIN UNIVERSITY, CALVIN UNIVERSITY CENTER FOR SOCIAL RESEARCH, CHERRY HEALTH COMMUNITY FOOD CLUB, COMMUNITY MEMBERS-AT-LARGE, DEAF AND HARD OF HEARING SERVICES, DISABILITY ADVOCATES OF KENT COUNTY, DOUBLE UP FOOD, BUCKS FAMILY FUTURES, FAMILY OUTREACH CENTER, FIRST STEPS, KENT FLAT RIVER OUTREACH MINISTRIES, GARFIELD PARK NEIGHBORHOOD ASSOCIATION, GODFREY LEE PUBLIC SCHOOLS, GRAND RAPIDS LGBTQIA+ HEALTHCARE CONSORTIUM, GRAND RAPIDS PRIDE CENTER, GRAND RAPIDS PUBLIC SCHOOLS, GRAND VALLEY STATE UNIVERSITY, GREAT START COLLABORATIVE, HEALTH NET OF WEST MICHIGAN, HEALTHY HOMES OF WEST MICHIGAN, HEART OF WEST MICHIGAN, UNITED WAY, HEARTSIDE MINISTRIES, KENT COUNTY ESSENTIAL NEEDS TASK FORCE (ENTF), KENT COUNTY HEALTH DEPARTMENT, KENT SCHOOL SERVICES NETWORK, KID'S FOOD BASKET, LAKESHORE REGIONAL ENTITY, MARY FREE BED REHABILITATION HOSPITAL, MEL TROTTER MINISTRIES, MENDING HEARTS MINISTRIES, MERCY HEALTH METRO HEALTH: UNIVERSITY OF MICHIGAN, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN ERVICES, MICHIGAN STATE UNIVERSITY, NORTH KENT CONNECT, OUR COMMUNITY'S CHILDREN, PINE REST CHRISTIAN MENTAL HEALTH SERVICES, PRIORITY HEALTH, ROOSEVELT PARK NEIGHBORHOOD ASSOCIATION, SARAHCARE ADULT DAY CARE CENTERS, SENIOR NEIGHBORS, COREWELL HEALTH, COREWELL HEALTH HEALTHIER COMMUNITIES, UNITED CHURCH OUTREACH MINISTRIES, WEST MICHIGAN SUSTAINABLE BUSINESS FORUM, YMCA OF GREATER GRAND RAPIDS.FACILITY NAME:COREWELL HEALTH PENNOCK HOSPITALDESCRIPTION:BARRY-EATON DISTRICT HEALTH DEPARTMENTIN ADDITION, MANY COMMUNITY ORGANIZATIONS PARTICIPATED IN OR SUPPORTED THE CHNA PROCESS. THESE INCLUDED:BARRY COUNTY, BARRY COUNTY COMMUNITY MENTAL HEALTH AUTHORITY, BLUE ZONES, FAMILY PROMISE OF BARRY COUNTY, MANNA'S MARKET STATE OF MICHIGAN, BARRY COUNTY CHAMBER AND ECONOMIC DEVELOPMENT ALLIANCE, BRIGHT START PEDIATRICS COMMUNITY ACTION AGENCY - SOUTH CENTRAL MICHIGAN, FAMILY SUPPORT CENTER, THORNAPPLE MANOR, BARRY COUNTY COMMISSION ON AGING, BARRY COUNTY UNITED WAY, CALHOUN ISD DELTON-KELLOGG SCHOOLS, HEALING IN AMERICA MIDWEST YMCA OF BARRY COUNTY FACILITY NAME:COREWELL HEALTH BIG RAPIDS HOSPITAL, COREWELL HEALTH REED CITY HOSPITAL, COREWELL HEALTH GERBER HOSPITAL, COREWELL HEALTH LUDINGTON HOSPITALDESCRIPTION:DISTRICT HEALTH DEPARTMENT #10CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENTIN ADDITION, MANY COMMUNITY ORGANIZATIONS PARTICIPATED IN OR SUPPORTED THE CHNA PROCESS. THESE INCLUDED:NORTHWEST MICHIGAN COMMUNITY ACTION AGENCY, TRAVERSE HEALTH CENTER, MYMICHIGAN, HEALTH DISTRICT HEALTH DEPARTMENT #2 AND DISTRICT HEALTH DEPARTMENT #4, GOODWILL NORTHERN MICHIGAN, NORTH COUNTY CMH AUTHORITY, MICHIGAN STATE UNIVERSITY, EXTENSION HEALTH DEPARTMENT, GRAND TRAVERSE COUNTY HEALTH DEPARTMENT, NORTHERN MICHIGAN HEALTH CONSORTIUM, BENZIE-LEELANAU DISTRICT HEALTH DEPARTMENT, EVERYDAY LIFE CONSULTING, DISABILITY NETWORK OF NORTHERN MICHIGAN, BENZIE-LEELANAU DISTRICT HEALTH DEPARTMENT AND HEALTH DEPARTMENT OF NORTHWEST MICHIGAN, ABBY REEG, NEWAYGO COUNTY COMMUNITY COLLABORATIVE, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, NORTHEAST MICHIGAN COMMUNITY SERVICE AGENCY, NORTHWEST MICHIGAN COMMUNITY ACTION AGENCYFACILITY NAME:COREWELL HEALTH GREENVILLE HOSPITALDESCRIPTION:MID-MICHIGAN DISTRICT HEALTH DEPARTMENTIN ADDITION, MANY COMMUNITY ORGANIZATIONS PARTICIPATED IN OR SUPPORTED THE CHNA PROCESS. THESE INCLUDED:MONTCALM AREA INTERMEDIATE SCHOOL DISTRICT, MONTCALM CARE NETWORK, MONTCALM PREVENTION COLLABORATIVE, UNITED WAY OF MONTCALM-IONIA COUNTIESFACILITY NAME:COREWELL HEALTH ZEELAND HOSPITALDESCRIPTION:COMMUNITY MENTAL HEALTH - OTTAWA COUNTYOTTAWA DEPARTMENT OF PUBLIC HEALTHFACILITY NAME:COREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITALDESCRIPTION:CHNA DATA WAS COLLECTED THROUGH REVIEWS OF DOCUMENTS PUBLISHED BY THE BERRIEN COUNTY HEALTH DEPARTMENT, THE BERRIEN COUNTY MENTAL HEALTH AUTHORITY (RIVERWOOD CENTER), THE SOUTHWEST MICHIGAN PLANNING COMMISSION, AND OTHER BODIES WITH SPECIALIZED KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY.
PART V, SECTION B, LINE 6B CONTINUED	FACILITY NAME: COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL, COREWELL HEALTH BEAUMONT TROY HOSPITAL, COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL, COREWELL HEALTH FARMINGTON HILLS HOSPITAL, COREWELL HEALTH DEARBORN HOSPITAL, COREWELL HEALTH TRENTON HOSPITAL, COREWELL HEALTH TAYLOR HOSPITAL, AND COREWELL HEALTH WAYNE HOSPITALDESCRIPTION:MANY COMMUNITY ORGANIZATIONS PARTICIPATED IN OR SUPPORTED THE CHNA PROCESS. THESE INCLUDED:ARAB COMMUNITY CENTER FOR ECONOMIC AND SOCIAL SERVICES (ACCESS), COMMUNITY HEALTH AND RESEARCH CENTER (CHRC), AFFIRMATIONS AMERICAN ARAB CHAMBER OF COMMERCE, AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, ARC OF WESTERN WAYNE COUNTY, THE ASSOCIATION OF CHINESE AMERICANS, ASSUMPTION CULTURAL CENTER AUBURN HILLS, DEPARTMENT OF SENIOR SERVICES, BANGLADESHI AMERICAN PUBLIC AFFAIRS COMMISSION, BIKE DEARBORN, BIRMINGHAM FAMILY YMCA, CABRINI CLINIC, CARE OF SOUTHEASTERN MICHIGAN, CARES (COMMUNITY. ACTION. RESOURCES. EMPOWERMENT. SERVICES.) OF FARMINGTON HILLS, CATHOLIC CHARITIES OF SOUTHEAST MICHIGAN, CENTRO MULTICULTURAL, LA FAMILIA CHALDEAN, CHAMBER CHALDEAN COMMUNITY FOUNDATION, CHRIST CHURCH OF GROSSE POINTE, CHURCH OF THE DIVINE CHILD, CLAWSON SENIOR CENTER, DEARBORN AREA CHAMBER OF COMMERCE, DEARBORN LIBRARY, DEARBORN POLICE DEPARTMENT, DEARBORN PUBLIC SCHOOLS, DEARBORN, CITY OF DETROIT, ABLOOM DOWNRIVER CYCLING CLUB, DOWNRIVER FAMILY YMCA, EASTER SEALS OF MICHIGAN, EAST DEARBORN DOWNTOWN DEVELOPMENT AUTHORITY (DDA), ECOLOGY CENTER, FARMINGTON CHAMBER OF COMMERCE, FARMINGTON COMMUNITY LIBRARY, FARMINGTON FAMILY YMCA, FARMINGTON FARMERS MARKET, FARMINGTON HILLS, FARMINGTON HILLS CHURCH OF GOD, FARMINGTON HILLS LIBRARY, FARMINGTON HILLS NATURE CENTER, FARMINGTON HILLS POLICE DEPT, FARMINGTON HILLS, CITY OF FARMINGTON PUBLIC SCHOOLS, FERNDALE PRIDE, FERNDALE, CITY OF FIRST PRESBYTERIAN CHURCH, FIRSTSTEP FORGOTTEN HARVEST, FULL CIRCLE STARFISH, FAMILY SERVICES STERLING HEIGHTS, CITY OF STERLING HEIGHTS - PARKS AND RECREATION, SUBURBAN MOBILITY AUTHORITY FOR REGIONAL TRANSPORTATION (SMART), TAYLOR LIBRARY, TAYLOR SCHOOL DISTRICT, TAYLOR, CITY OF TRENTON LIBRARY, TRENTON PUBLIC SCHOOLS TRENTON, CITY OF TRI-COMMUNITY COALITION, TROY STAGE NATURE CENTER, TROY CHAMBER OF COMMERCE, TROY FITNESS CENTER, TROY HISTORIC VILLAGE, TROY LIBRARY, TROY SCHOOL DISTRICT, UNITED WAY FOR SOUTHEASTERN MICHIGAN, UNIVERSITY OF MICHIGAN-DEARBORN, WAYNE COUNTY, WAYNE COUNTY COMMUNITY COLLEGE DISTRICT (WCCCD), WAYNE COUNTY DEPARTMENT OF HEALTH, WAYNE METROPOLITAN COMMUNITY ACTION AGENCY, WAYNE METROPOLITAN COMMUNITY ACTION AGENCY, WESTERN WAYNE FAMILY HEALTH CENTERS WESTLAND, CITY OF WOODSIDE BIBLE CHURCH, WYANDOTTE YOUTH ASSISTANCE PROGRAM, YEMEN AMERICAN BENEVOLENTASSN, YMCA, DEPARTMENT OF HEALTH WAYNE, METROPOLITAN COMMUNITY ACTION AGENCY, WAYNE METROPOLITAN COMMUNITY ACTION AGENCY, WESTERN WAYNE FAMILY HEALTH CENTERS, WESTLAND CITY OF WOODSIDE BIBLE CHURCH, WYANDOTTE YOUTH ASSISTANCE PROGRAM, YEMEN AMERICAN BENEVOLENT ASSN YMCA.PART V, SECTION B, LINE 7ASTEP-BY-STEP INSTRUCTIONS TO ACCESS CHNA SITES:(1) VISIT THE CHNA WEBSITE:- LOCATE THE CHNA WEBSITE FOUND ON PART V, SECTION B, LINE 7A BELOW- SELECT THE FACILITY YOU WANT TO VIEW- COPY AND PASTE THE FULL URL TO A WEB BROWSER- NOTE THAT CLICKING THE LINK DIRECTLY MIGHT RESULT IN PAGE ERROR(2) SELECT THE RELEVANT CHNA REPORT:- IN THE CHNA SECTION, YOU WILL FIND A LIST OF AVAILABLE REPORTS- SELECT THE REPORT FOR THE RELEVANT YEAR OR COMMUNITY AREA(3) CONTACT US FOR MORE INFORMATION:- IF YOU HAVE ANY QUESTIONS OR NEED FURTHER ASSISTANCE, PLEASE EMAIL US AT TAX@COREWELLHEALTH.ORGCHNA WEBSITE ADDRESSES:ALL CHNA'S FOR THIS GROUP CAN BE FOUND AT HTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSPART V, SECTION B, LINE 7DIN PERSON INQURIES ARE DIRECTED TO THE ORGANIZATION'S WEBSITE LINK, PAPER COPIES ARE AVAILABLE UPON REQUEST.
PART V, SECTION B, LINE 10	STEP-BY-STEP INSTRUCTIONS TO ACCESS CHNA IMPLEMENTATION STRATEGY WEBSITE ADDRESSES:(1) VISIT THE CHNA WEBSITE:- LOCATE THE CHNA WEBSITE FOUND ON PART V, SECTION B, LINE 10A BELOW- SELECT THE FACILITY YOU WANT TO VIEW- COPY AND PASTE THE FULL URL TO A WEB BROWSER- NOTE THAT CLICKING THE LINK DIRECTLY MIGHT RESULT IN PAGE ERROR(2) SELECT THE RELEVANT IMPLEMENTATION PLAN REPORT:- IN THE IMPLEMENTATION SECTION, YOU WILL FIND A LIST OF AVAILABLE REPORTS- SELECT THE REPORT FOR THE RELEVANT YEAR OR COMMUNITY AREA(3) CONTACT US FOR MORE INFORMATION:- IF YOU HAVE ANY QUESTIONS OR NEED FURTHER ASSISTANCE, PLEASE EMAIL US AT TAX@COREWELLHEALTH.ORGIMPLEMENTATION STRATEGY WEBSITE ADDRESS:ALL IMPLEMENTATION STRATEGIES FOR THIS GROUP CAN BE FOUND AT HTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
PART V, SECTION B, LINE 11	HOW HOSPITAL FACILITY IS ADDRESSING NEEDS IDENTIFIED IN CHNAFACILITY NAME:COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL AND COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITAL:DESCRIPTION:THE SIGNFICANT HEALTH NEEDS IDENTIFIED IN THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE ACCESS TO HEALTH CARE AND MENTAL HEALTH. AS PART OF THE ACCESS TO CARE NEED, THERE ARE FOUR STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GRAND RAPIDS HOSPITALS' SERVICE AREA. THE FOUR STRATEGIES AND THEIR MAIN OBJECTIVES ARE AS FOLLOWS. (1) ACCOMMODATE NEEDS OF COMMUNITY TO IMPROVE ACCESS TO CARE (I.E. CO-LOCATION OF SERVICES WITHIN THE COMMUNITY): LAUNCH COREWELL HEALTH WEST CENTER FOR WELLNESS, LEVERAGE ONDEMAND VIRTUAL URGENT CARE TO IMPROVE PRIMARY CARE PROVIDER ATTRIBUTION, OPTIMIZE SCHOOL NURSING PROGRAM TO CREATE A STANDARDIZED COMMUNITY HEALTH APPROACH(2) PROMOTE CULTURALLY COMPETENT CARE FOR OUR LGBTQIA+ POPULATION: INCREASE SAFE AND AFFIRMING PRIMARY CARE PROVIDERS LISTED ON COREWELL HEALTH AND NATIONALLY AFFILIATED WEBSITES(3) CREATE LINKAGES WITHIN COREWELL HEALTH WEST TO ADDRESS BARRIERS RELATED TO SOCIAL DRIVERS OF HEALTH: ESTABLISH PATHWAYS WITHIN COREWELL HEALTH WEST INTERNAL STRUCTURE THAT SUPPORTS ADDRESSING SOCIAL DRIVERS OF HEALTH, INCREASE AWARENESS AND EXPAND ACCESS TO FINANCIAL COUNSELING SERVICES WITHIN COREWELL HEALTH COMMUNITY PROGRAMS, AMBULATORY SITES AND HOSPITALS(4) ESTABLISH DELIBERATE COMMUNITY CLINICAL PARTNERSHIPS BETWEEN SELECT SERVICE LINES AND COMMUNITY PROGRAMS: EMBED COMMUNITY PROGRAMS INTO CLINICAL PATHWAYSAS PART OF THE MENTAL HEALTH NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GRAND RAPIDS HOSPITALS' SERVICE AREA. THE TWO STRATEGIES AND THEIR MAIN OBJECTIVES ARE:(1) BUILD AND EXPAND SCHOOL AND COMMUNITY MENTAL HEALTH SERVICES PROVIDED BY COREWELL HEALTH WEST TO IMPROVE ACCESS: PROMOTE MENTAL HEALTH INTERVENTIONS BY INCREASING INPATIENT AND OUTPATIENT SERVICES, OPTIMIZE SCHOOL TELEMEDICINE CLINIC, EXPAND SCHOOL BLUE ENVELOPE CLINIC, DEVELOP, PROMOTE, AND IMPLEMENT COLLEGIATE BLUE ENVELOPE PROGRAM, AND PARTNER WITH LOCAL ORGANIZATIONS(2) PROVIDE TRAINING AND EDUCATION TO IMPROVE QUALITY OF CARE: CREATE, ENHANCE AND DISTRIBUTE TRAUMA-INFORMED TRAINING TO CH TEAM MEMBERS, AND CREATE, ENHANCE, AND DISTRIBUTE SUICIDE PREVENTION MATERIALS TO TEAM MEMBERSWE NOTED THE FOLLOWING PROGRESS AS OF MARCH 31, 2024 TOWARDS THE GOALS LISTED ON THE 2021 CHNA PRIOR TO THE ADOPTION OF THE CURRENT CHNA:ACCESS TO CARE:-ESTABLISHED PRIORITY HEALTH PRODUCT: COREWELL HEALTH GRAND RAPIDS HAD DETERMINED THAT A NEW PRODUCT WOULD NOT BE BEST FOR THE POPULATION, INSTEAD OPTING TO OFFER EDUCATION ON HOW TO SIGN UP FOR AND USE INSURANCE- BOSTON SQUARE PRIMARY CARE OFFICE OPENED: COREWELL HEALTH GRAND RAPIDS EXPECTED CONSTRUCTION OF THE OFFICE TO BEGIN IN MAY 2024 AND CONCLUDE IN OCTOBER 2024. THE LOCATION OPENED IN JANUARY 2025DISCRIMINATION AND RACIAL INEQUITY- NUMBER OF COREWELL HEALTH GRAND RAPIDS TEAM MEMBERS WHO HAVE COMPLETED CQ YOUR BIAS TRAINING: 30,008 COREWELL HEALTH GRAND RAPIDS TEAM MEMBERS HAD COMPLETED CQ YOUR BIAS TRAINING- PERCENTAGE OF PATIENTS SEEN IN WHICH NATIONALITY IS DOCUMENTED: COREWELL HEALTH GRAND RAPIDS HAD DOCUMENTED THE NATIONALITY OF 99.6% OF THE PATIENTS SEENECONOMIC SECURITY- NUMBER OF CONTRACTS WITH AFFORDABLE HOUSING ORGANIZATIONS THAT FOCUS ON SUPPORTING LOW-INCOME RESIDENTS IN KENT COUNTY WITH A HISTORY OF UNCONTROLLED DIABETES AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH NEEDS: COREWELL HEALTH HEALTHIER COMMUNITIES HAD ENTERED INTO TWO CONTRACTS WITH AFFORDABLE HOUSING ORGANIZATIONS THAT FOCUS ON SUPPORTING LOW-INCOME RESIDENTS IN KENT COUNTY WITH A HISTORY OF UNCONTROLLED DIABETES AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH NEEDS- FUNDING SECURED THROUGH FUNDRAISING EFFORTS TO SUPPORT THE CLIENT ASSISTANCE FUND: COREWELL HEALTH HEALTHIER COMMUNITIES HAD SECURED $77,000 TO SUPPORT THE CLIENT ASSISTANCE FUND THROUGH FUNDRAISING AND GRANT EFFORTS- DEVELOPMENT OF ANNUAL GOALS RELATED TO THE INCLUSION OF WOMEN- AND MINORITY-OWNED BUSINESSES IN COREWELL HEALTH'S SUPPLIER NETWORK: COREWELL HEALTH GRAND RAPIDS HAD DEVELOPED ANNUAL GOALS RELATED TO THE INCLUSION OF WOMEN- AND MINORITY-OWNED BUSINESSES IN ITS SUPPLIER NETWORKFACILITY NAME:COREWELL HEALTH ZEELAND HOSPITALDESCRIPTION:THE SIGNFICANT HEALTH NEEDS IDENTIFIED IN THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE ACCESS TO HEALTH CARE AND MENTAL HEALTH.AS PART OF THE ACCESS TO CARE NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE ZEELAND HOSPITAL SERVICE AREA. THE THREE STRATEGIES AND THEIR MAIN OBJECTIVES ARE AS FOLLOWS.(1) ENHANCE COLLABORATION OF COMMUNITY HEALTH WORKER SERVICES THROUGHOUT THE COUNTY: ENHANCE COLLABORATION OF COMMUNITY HEALTH WORKER (CHW) SERVICES THROUGHOUT THE COUNTY BY ALIGNING WITH INTERCONNECTED SYSTEMS FRAMEWORK (ISF) GROUP FOR SCHOOL-BASED CHW INTERVENTIONS, TO RESOLVE BARRIERS ASSOCIATED WITH FOOD INSECURITY, HOUSING, UTILITIES, ACCESSING CARE AND OTHER SOCIAL NEEDS. BASELINE: ONE SCHOOL DISTRICT(2) DETERMINE A COMMUNITY-WIDE ACCESS STRATEGY LED BY THE THREE HEALTH SYSTEMS: PARTICIPATE IN THE COUNTY-WIDE MENTAL WELLNESS TASKFORCE, LED BY MOMENTUM CENTER AND COMMUNITY MENTAL HEALTH, TO IMPROVE COMMUNITY INTEGRATED SYSTEMS OF MENTAL HEALTH TREATMENT(3) INCREASE NUMBER OF APPROVED FINANCIAL ASSISTANCE APPLICATIONS TO HELP FOSTER BETTER ACCESS TO HEALTH CARE SERVICES: PARTNER WITH FINANCIAL COUNSELING ON INCREASING NUMBER OF APPROVED FINANCIAL ASSISTANCE APPLICATIONS FOR PATIENTS WHO MEET THE FEDERAL POVERTY LEVEL OF 250% OR LESS (SELF-REPORTED ON THE APPLICATION; 250% OR LESS = POVERTY GUIDELINES)AS PART OF THE MENTAL HEALTH NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE ZEELAND HOSPITAL SERVICE AREA. THE THREE STRATEGIES AND THEIR MAIN OBJECTIVES ARE:(1) IMPLEMENT MATERNAL INFANT HEALTH AND POSTPARTUM DEPRESSION INTERVENTION: INCREASE PERCENTAGE OF INDIVIDUALS WHO WERE REFERRED TO MIHP AND ENROLL WITH MIHP FOR MEDICAID POSTPARTUM PERSONS WITH AN EDINBURGH SCORE OF 10 OR GREATER AND/OR POSITIVE FOR THOUGHTS OF HARMING THEMSELVES(2) ENHANCE INTERCONNECTED SYSTEMS FRAMEWORK INVOLVEMENT: ZEELAND HOSPITAL WILL WORK WITH THE ISF GROUP TO DEVELOP A STRATEGY TO BEST ADDRESS MENTAL AND BEHAVIORAL HEALTH INTERVENTIONS TO STUDENTS WITHIN THE COUNTY. THIS INCLUDES OUR SCHOOL-BASED TELE-BEHAVIORAL CLINICS(3) DEVELOP A SUICIDE PREVENTION PROGRAM SPECIFIC TO VETERANS: EXPLORE PARTNERSHIPS AND INTERVENTIONS TO THOSE WHO MOST CARRY THE BURDEN OF SUICIDEFACILITY NAME:COREWELL HEALTH GERBER HOSPITALDESCRIPTION:THE SIGNFICANT HEALTH NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE BEHAVIORAL HEALTH, CHRONIC DISEASE, ACCESS TO HEALTH CARE, AND ECONOMIC SECURITY. ONE OF THESE NEEDS - ECONOMIC SECURITY, WILL NOT BE ADDRESSED DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE FOLLOWING SIGNFICANT HEALTH NEEDS: BEHAVIORAL HEALTH, CHRONIC DISEASES, AND ACCESS TO HEALTH CARE.AS PART OF THE BEHAVIORAL HEALTH NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GERBER HOSPITAL'S SERVICE AREA. THE THREE STRATEGIES AND THEIR MAIN OBJECTIVES ARE:(1) QUESTION, PERSUADE, REFER SUICIDE PREVENTION TRAINING(2) ACCESS TO BEHAVIORAL HEALTH SERVICES AND SUICIDE PREVENTION EDUCATION(3) THE STIGMA REDUCTION CAMPAIGNTHE GOAL OF THESE STRATEGIES IS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES AND BREAK DOWN BARRIERS, SUCH AS STIGMA, WHICH IMPEDE NAVIGATION OF AVAILABLE TREATMENT.AS PART OF THE CHRONIC DISEASE HEALTH NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GERBER HOSPITAL'S SERVICE AREA. THESE THREE STRATEGIES ARE:(1) VAPING/MARIJUANA PREVENTION IN SCHOOLS(2) ENVIRONMENTAL SUPPORT FOR WORKSITES(3) COORDINATION OF PHYSICAL ACTIVITY AND FOOD RESOURCESTHE GOAL OF THESE STRATEGIES IS TO INCREASE AWARENESS OF EXISTING RESOURCES THAT PROMOTE HEALTH AND HELP TREAT AND PREVENT CHRONIC DISEASE.AS PART OF THE ACCESS TO HEALTH CARE HEALTH NEED, THERE IS ONE STRATEGY THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GERBER HOSPITAL'S SERVICE AREA. THE STRATEGY IS:(1) TAMARAC (MOMENTUM, HEALTH COACHING, FINANCIAL ASSISTANCE)THE GOAL OF THIS STRATEGY IS TO INCREASE ACCESS TO CARE BY EXPANDING REFERRALS THROUGH THE MOMENTUM AND HEALTH COACHING INTERVENTIONS AT TAMARAC AND OFFER FINANCIAL ASSISTANCE TO INDIVIDUALS AND FAMILIES TO REDUCE BARRIERS.
PART V, SECTION B, LINE 11 CONTINUED	FACILITY NAME:COREWELL HEALTH LUDINGTON HOSPITALDESCRIPTION:THE SIGNFICANT HEALTH NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE BEHAVIORAL HEALTH, CHRONIC DISEASE, ACCESS TO HEALTH CARE, AND ECONOMIC SECURITY. ONE OF THESE NEEDS - ECONOMIC SECURITY, WILL NOT BE ADDRESSED DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE FOLLOWING SIGNFICANT HEALTH NEEDS: BEHAVIORAL HEALTH, CHRONIC DISEASES, AND ACCESS TO HEALTH CARE.AS PART OF THE BEHAVIORAL HEALTH NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE LUDINGTON HOSPITAL'S SERVICE AREA. THESE THREE STRATEGIES ARE:(1) INTERCONNECTED SYSTEMS FRAMEWORK FOR BEHAVIORAL HEALTH(2) MENTAL HEALTH FIRST AID (3) BLUE ENVELOPE ZERO SUICIDE TRAININGTHE GOAL OF THESE STRATEGIES IS TO ENHANCE COLLABORATION WITH KEY AREA STAKEHOLDERS AND LEADERS TO ADOPT AN INTERCONNECTED SYSTEMS FRAMEWORK APPROACH TO ADDRESS BEHAVIORAL HEALTH IN BOTH SCHOOL-AGE AND ADULT POPULATIONS. THIS INCLUDES IMPLEMENTATION OF EVIDENCE-BASED INTERVENTIONS FOR SUICIDAL IDEATION IN ADDITION TO PROACTIVE MEASURES OF MENTAL HEALTH INTERVENTION AND STIGMA REDUCTION.AS PART OF THE ACCESS TO HEALTH CARE HEALTH NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE LUDINGTON HOSPITAL'S SERVICE AREA. THESE TWO STRATEGIES ARE:(1) EXPAND COUNTYWIDE PUBLIC TRANSPORTATION TO SUPPORT INCREASED ACCESS TO CARE (2) PILOT MOBILE PRIMARY CARE OUTREACHTHE GOAL OF THESE STRATEGIES IS TO SUPPORT AND COLLABORATE WITH LOCAL CITY, COUNTY AND AREA PARTNERS TO INCREASE ACCESS TO LOCAL CARE BY ENHANCING COUNTYWIDE PUBLIC TRANSPORTATION.AS PART OF THE CHRONIC DISEASE NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE LUDINGTON HOSPITAL'S SERVICE AREA. THE STRATEGIES ARE: (1) COORDINATED APPROACH TO CHILDHOOD HEALTH(2) INCREASED VAPING/MARIJUANA/TOBACCO/NICOTINE PREVENTION IN SCHOOLSTHE GOAL OF THESE STRATEGIES IS THAT THEY WILL FOSTER EVIDENCE BASED HEALTHY LIFESTYLE CHOICES TO PREVENT CHRONIC DISEASE MANIFESTATIONS AND INCREASE AWARENESS OF EXISTING RESOURCES THAT PROMOTE HEALTH AND HELP TREAT AND PREVENT CHRONIC DISEASEFACILITY NAME:COREWELL HEALTH PENNOCK HOSPITALDESCRIPTION:THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE MENTAL HEALTH NEEDS AND ACCESS, HEALTH CARE ACCESS AND QUALITY, SUBSTANCE MISUSE, AFFORDABLE HOUSING, AND SOCIAL CONNECTION AND COHESION. TWO OF THESE NEEDS - AFFORDABLE HOUSING AND SOCIAL CONNECTION/COHESION WILL NOT BE ADDRESSED DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE FOLLOWING SIGNIFICANT HEALTH NEEDS: MENTAL HEALTH NEEDS AND ACCESS, HEALTH CARE ACCESS AND QUALITY, AND SUBSTANCE MISUSE.AS PART OF THE MENTAL HEALTH NEEDS AND ACCESS NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE PENNOCK HOSPITAL'S SERVICE AREA. THESE TWO STRATEGIES ARE:(1) SCHOOL BLUE ENVELOPE PROGRAM(2) OUTPATIENT BEHAVIORAL HEALTH CONSULTSTHE GOAL OF THESE STRATEGIES IS TO INCREASE ACCESS TO MENTAL HEALTH RESOURCESAS PART OF THE HEALTH CARE ACCESS AND QUALITY NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE PENNOCK HOSPITAL'S SERVICE AREA. THESE THREE STRATEGIES ARE:(1) PERSONAL ACTION TOWARD HEALTH FOR DIABETES (PATH)(2) COORDINATED APPROACH TO CHILDHOOD HEALTH (CATCH)(3) AND YOUTH BEHAVIORAL HEALTH CLINICSTHE GOAL OF THESE STRATEGIES IS TO INCREASE ACCESS TO HEALTH CARE FOR BARRY COUNTY RESIDENTS WITH DIABETES OR WHO ARE PREDIABETIC, AND FOR ADOLESCENTS WITH BEHAVIORAL HEALTH ISSUES.AS PART OF THE SUBSTANCE MISUSE NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE PENNOCK HOSPITAL'S SERVICE AREA. THESE TWO STRATEGIES ARE:(1) MEDICATION AND NEEDLE TAKEBACK ACCESS AND EDUCATION(2) SCRIPT AND TOBACCO/NICOTINE TREATMENT PROGRAMTHE GOAL OF THESE STRATEGIES IS TO INCREASE RESOURCES TO HELP ADDRESS THE ISSUE OF SUBSTANCE MISUSE AND PROPER DISPOSAL OF MEDICATIONS AND SYRINGES FOR BARRY COUNTY RESIDENTS.FACILITY NAME:COREWELL HEALTH BIG RAPIDS HOSPITAL AND COREWELL HEALTH REED CITY HOSPITALDESCRIPTION:THE SIGNFICANT HEALTH NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE BEHAVIORAL HEALTH, CHRONIC DISEASE, ACCESS TO HEALTH CARE, AND ECONOMIC SECURITY. ONE OF THESE NEEDS - ECONOMIC SECURITY, WILL NOT BE ADDRESSED DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE FOLLOWING SIGNFICANT HEALTH NEEDS: BEHAVIORAL HEALTH, CHRONIC DISEASES, AND ACCESS TO HEALTH CARE.AS PART OF THE BEHAVIORAL HEALTH NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE BIG RAPIDS AND REED CITY HOSPITALS' SERVICE AREA. THESE THREE STRATEGIES ARE:(1) K-12 MENTAL HEALTH AWARENESS/EDUCATION(2) AWARENESS/STIGMA REDUCTION CAMPAIGN(3) THE VIRTUAL BEHAVIORAL HEALTH ACCESS PROGRAMTHE GOAL OF THESE STRATEGIES IS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES AND BREAK DOWN BARRIERS, SUCH AS STIGMA, WHICH IMPEDE NAVIGATION OF AVAILABLE TREATMENT.AS PART OF THE CHRONIC DISEASE HEALTH NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE BIG RAPIDS AND REED CITY HOSPITALS' SERVICE AREA. THESE THREE STRATEGIES ARE:(1) COORDINATED APPROACH TO CHILD HEALTH(2) WEIGHT MANAGEMENT PROGRAM(3) HEALTHY LIFESTYLESTHE GOAL OF THESE STRATEGIES IS THAT COREWELL HEALTH BIG RAPIDS AND REED CITY HOSPITALS WILL FOSTER EVIDENCE-BASED HEALTHY LIFESTYLE CHOICES TO PREVENT CHRONIC DISEASE MANIFESTATIONS AND INCREASE AWARENESS OF EXISTING RESOURCES THAT PROMOTE HEALTH AND HELP TREAT AND PREVENT CHRONIC DISEASE.AS PART OF THE ACCESS TO HEALTH CARE HEALTH NEED, THERE IS ONE STRATEGY THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE BIG RAPIDS AND REED CITY HOSPITALS' SERVICE AREA. THE STRATEGY IS:(1) COMMUNITY CONNECTIONS PROGRAMTHE GOAL OF THIS STRATEGY IS TO INCREASE ACCESS TO CARE BY REENGAGING WITH THE NORTH CENTRAL COMMUNITY HEALTH INNOVATION REGION BY RELAUNCHING THE SOCIAL DETERMINANTS OF HEALTH REFERRAL PROCESS TO THE COMMUNITY CONNECTIONS PROGRAM.FACILITY NAME:COREWELL HEALTH GREENVILLE HOSPITALDESCRIPTION:THE SIGNFICANT HEALTH NEEDS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE FINANCIAL SECURITY/ECONOMIC STABILITY, HEALTHY LIFESTYLES, MENTAL HEALTH, TRANSPORTATION, AND SUBSTANCE USE DISORDER. TWO OF THESE NEEDS - SUBSTANCE USE DISORDER AND TRANSPORTATION WILL NOT BE ADDRESSED DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE FOLLOWING SIGNFICANT HEALTH NEEDS: FINANCIAL SECURITY/ECONOMIC STABILITY, HEALTHY LIFESTYLES, AND MENTAL HEALTH.AS PART OF THE FINANCIAL SECURITY/ECONOMIC STABILITY NEED, THERE IS ONE STRATEGY THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GREENVILLE HOSPITAL'S SERVICE AREA. THIS STRATEGY IS:(1) COMMUNITY COALITION, ASSESSMENT AND ACTION PLANNINGTHE GOAL OF THIS STRATEGY IS TO INCREASE FINANCIAL SECURITY AND ECONOMIC STABILITY FOR INDIVIDUALS WITH LOW INCOME WHO ARE SEEKING MEDICAL CARE AND DO NOT HAVE HEALTH INSURANCE.AS PART OF THE HEALTHY LIFESTYLES NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GREENVILLE HOSPITAL'S SERVICE AREA. THESE STRATEGIES ARE:(1) PRESCRIPTION FOR HEALTH(2) NUTRITION LABELING IN FOOD PANTRIES(3) THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S CREATING HEALTHY HOSPITAL ENVIRONMENTSTHE GOAL OF THESE STRATEGIES IS TO INCREASE ACCESS TO FRUITS AND VEGETABLES; PROVIDE EDUCATION ALONG WITH ENVIRONMENTAL AND POLICY SUPPORTS ENCOURAGING INDIVIDUALS TO MAKE HEALTHY NUTRITION CHOICES AND BE PHYSICALLY ACTIVE.AS PART OF THE MENTAL HEALTH NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GREENVILLE HOSPITAL'S SERVICE AREA. THESE STRATEGIES ARE:(1) THE STIGMA REDUCTION CAMPAIGN(2) QUESTION, PERSUADE, REFER TRAINING(3) PSYCHIATRIC CONSULTATION AVAILABLE TO PHYSICIANSTHE GOAL OF THESE STRATEGIES IS TO INCREASE THE CAPACITY OF PHYSICIANS AND ADULTS IN THE COMMUNITY TO RESPOND TO INDIVIDUALS EXPERIENCING A MENTAL HEALTH CRISIS AND REDUCE THE STIGMA ASSOCIATED WITH SEEKING MENTAL HEALTH SERVICES
PART V, SECTION B, LINE 11 CONTINUED	FACILITY NAME:COREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL, AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITALDESCRIPTION:THE SIGNIFICANT HEALTH NEEDS IN THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE MENTAL HEALTH, HEALTH CARE ACCESS, ECONOMIC AND EMPLOYMENT CONDITIONS, NUTRITION ENVIRONMENT, AND SOCIAL COHESION. WITH THE EXCEPTION OF ECONOMIC AND EMPLOYMENT CONDITIONS WHICH REPLACES SAFETY AS A PRIORITY HEALTH NEED (PHN), THESE PHN ARE THE SAME AS THOSE IDENTIFIED IN THE PREVIOUS CHNA. ONE OF THESE NEEDS - ECONOMIC AND EMPLOYMENT CONDITIONS, WILL NOT BE ADDRESSED DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE PREVIOUSLY MENTIONED PHNS.AS PART OF THE MENTAL HEALTH NEED, THERE ARE FOUR STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE SOUTHWEST MICHIGAN AREA. THE STRATEGIES ARE:(1) INCREASE AWARENESS OF MENTAL HEALTH AND WELLNESS AND DECREASE THE STIGMA OF MENTAL HEALTH: WORK WITH COMMUNITY PARTNERS TO HOST POP-UP PUBLIC INTERACTIVE ART AND WELLNESS EXHIBITS(2) MENTAL WELLNESS WORKSHOPS: HOST THE COMMUNITY RESILIENCY MODEL (CRM), YOUTH AND ADULT MENTAL HEALTH FIRST AID, AND TRAUMA AND MENTAL HEALTH 101(3) INTRODUCE MENTAL HEALTH SERVICES TO THE COREWELL HEALTH CENTER FOR WELLNESS: EXPANDING IN-PERSON AND VIRTUAL OPTIONS(4) PROVIDE MINDFUL MOVEMENT TRAINING: ADDRESSING NEEDS AND SYMPTOMS ASSOCIATED WITH TRAUMA IN YOGA AND PILATES CLASSESAS PART OF THE ACCESS TO CARE NEED, THERE ARE NINE STRATEGIES THAT WILL BE UTILIZED TO ADDRES THE NEED IN THE SOUTHWEST MICHIGAN AREA. THE NINE STRATEGIES AND THEIR MAIN OBJECTIVES ARE AS FOLLOWS.(1) TO ADOPT THE AMERICAN MEDICAL ASSOCIATION (AMA) MAP BLOOD PRESSURE PROGRAM: HELP TEAMS CHOOSE THE BEST CARE FOR PATIENTS WITH HYPERTENSION AND IMPROVE BLOOD PRESSURE CONTROL OUTCOMES(2) ENCOURAGE VACCINATION AND INCREASE PROTECTION AGAINST COVID-19: EDUCATION ON BENEFITS AND CONCERNS, ADDRESSING AND REDUCING BARRIERS TO ATTEND VACCINATION APPOINTMENTS(3) HEALTHCARE CAREER PRE-APPRENTICESHIPS: PROVIDE EQUITABLE OPPORTUNITIES FOR CAREERS IN HEALTHCARE(4) GROWTH INTERNSHIPS: SUPPORT A DIVERSE WORKFORCE THROUGH HIRING PAID INTERNS TO GAIN EXPERIENCE, PROVIDE MENTORSHIP OPPORTUNITIES, AND INCREASE PREPAREDNESS FOR FUTURE CAREERS(5) HYPERTENSION MONITORING PROGRAMS: INCREASE HYPERTENSION MANAGEMENT THROUGH HOME MONITORING PROGRAMS(6) MATTERS OF THE HEART: PROVIDE INFORMATIONAL VIDEOS ON LOCAL CONCERNS ON HEART HEALTH TO BETTER INFORM THE PUBLIC(7) PREVENTIVE HEALTH CARE SERVICES AT THE COREWELL HEALTH CENTER FOR WELLNESS: PROVIDE PREVENTIVE SCREENINGS, VACCINATIONS, AND EDUCATION TO COMMUNITY MEMBERS AND PATIENTS IN CLOSER PROXIMITY TO PATIENT NEIGHORHOODS(8) SOCIAL NAVIGATION SERVICES AT THE COREWELL HEALTH CENTER FOR WELLNESS: PROVIDE NO-COST NAVIGATION SERVICES FOR HOUSING AND UTILITY ASSISTANCE, EMPLOYMENT/INCOME NEEDS, FOOD INSECURITY, AND CARE AND SAFETY ITEMS FOR FAMILIES WITH YOUNG CHILDREN(9) NEIGHBERHOOD-BASED HEALTH HOMES: ENHANCE PATIENT RELATIONSHIPS AND ACCESS TO PREVENTITVE HEALTH CARE THROUGH COMMUNITY BUILDING, HEALTH SCREENINGS, AND COACHINGAS PART OF THE NUTRITION ENVRIONMENT NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE SOUTHWEST MICHIGAN AREA. THE TWO STRATEGIES AND THEIR MAIN OBJECTIVES ARE AS FOLLOWS.(1) PRESCRIPTION FOR HEALTH: INCREASE ACCESS TO NUTRITIOUS AND AFFORDABLE FOODS WITH PARTICIPIENTS RECEIVING A WEEKLY STIPEND TO SPEND ON FRUITS AND VEGTABLES(2) COMMUNITY KITCHEN CLUB: SUPPORT COMMUNITY-BASED ORGANIZATIONS BY PROVIDING COMMUNITY-BUILDING ACTIVITIES AND EDUCATION INCLUDING TEACHING GENERAL COOKING SKILLS, NUTRITIONAL MEAL PREPERATION, AND COOKING SAFETYAS PART OF THE SOCIAL COHESION NEED, THERE ARE FIVE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE SOUTHWEST MICHIGAN AREA. THE FIVE STRATEGIES AND THEIR MAIN OBJECTIVES ARE AS FOLLOWS.(1) COMMUNITY ENGAGED RESEARCH: SUPPORT THE DEVELOPMENT OF SOCIAL COHESION, COLLECTIVE COMMUNITY, AND STAKEHOLDER ACTION(2) COMMUNITY GRAND ROUNDS AND BRAVE TALKS: PROMOTE CHANGE IN NARRATIVE THINKING, BEHAVIOR AROUND THE ISSUES OF RACISM AND HEALTH, AND INTEGRATION OF BRAVE TALKS INTO K-12 EDUCATION(3) WHOLE CHILD COUNTY COLLABORATIVE: PROMOTE HEALTH AND WELL-BEING IN SCHOOLS, INCREASE EDUCATOR TRAINING IN MENTAL HEALTH, AND BUILD EDUCATOR CAPACITY AROUND FOSTERING BELONGING AND ENGAGEMENT(4) COMMUNITY EVENTS: COMMUNITY BRUNCHES FOCUSING ON MENTAL HEALTH, THE BREAKING BREAD PROGRAM WORKING TO DEVELOP COMMUNITY RELATIONSHIPS WHILE PARTICIPATING IN MEANINGFUL CULTURAL PRACTICES, AND THE AGORA PROGRAM SEEKING TO CAPTURE INFORMATION AND CONNECT NEIGHBORHOODS TO SHARE IDEAS(5) LAUNCHPAD 022: FOSTER INNOVATIVE ACTIVITIES FOR YOUTH BY INCORPORATING LIFE SKILLS, MENTAL HEALTH, AND PHYSICAL WELL-BEING INTO TRADITIONAL STEAM (SCIENCE, TECHNOLOGY, ENGINEERING, ARTS, AND MATHMATICS) COURSESFACILITY NAME:COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL, COREWELL HEALTH BEAUMONT TROY HOSPITAL, COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL, COREWELL HEALTH FARMINGTON HILLS HOSPITAL, COREWELL HEALTH DEARBORN HOSPITAL, COREWELL HEALTH TRENTON HOSPITAL, COREWELL HEALTH TAYLOR HOSPITAL, AND COREWELL HEALTH WAYNE HOSPITALDESCRIPTION:THE SIGNIFICANT HEALTH NEEDS IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE BEHAVIORAL HEALTH, HEALTH EDUCATION, ACCESS TO CARE, INCOME/POVERTY, AND TRANSPORTATION. INCOME/POVERTY AND TRANSPORTATION WERE NOT ADDRESSED AS THEY DID NOT FALL WITHIN THE PRIORITIZATION PROCESS CRITERIA.AS PART OF THE BEHAVIORAL HEALTH NEED, THERE ARE SEVEN STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE SOUTHEAST MICHIGAN AREA. THE STRATEGIES ARE AS FOLLOWS.(1) CREATE SUPPORT GROUPS BASED ON NEED AVAILABLE TO THE COMMUNITY(2) CREATE EDUCATION SESSIONS ON BEHAVIORAL HEALTH STRATEGIES FOR THE COMMUNITY(3) ESTABLISH A NALOXONE DISTRIBUTION PROGRAM WITHIN THE EMERGENCY CENTER(4) IN COLLABORATION WITH COMMUNITY PARTNERS, PARTICIPATE/HOST MEDICATION TAKE BACK DAYS ANNUALLY FROM 2023-2025(5) PROVIDE MENTAL HEALTH FIRST AID EDUCATION TO 250 COMMUNITY LEADERS/MEMBERS ANNUALLY(6) TEEN HEALTH CENTER/SWP/E3 LMSW'S/LPC WILL PROVIDE MENTAL HEALTH COUNSELING SERVICES TO A MINIMUM OF 50 UNDUPLICATED USERS/STUDENTS AND 500 MENTAL HEALTH VISITS PER YEAR PER SITE(7) OFFER QUARTERLY VIRTUAL SMOKING CESSATION CLASSES AT NO-COST TO COMMUNITY MEMBERSTHE GOAL OF THESE STRATEGIES IS TO ADDRESS BEHAVIORAL HEALTH NEEDS, INCLUDING MENTLA WELL-BEING AND SUBSTANCE USE DISORDERS.AS PART OF THE HEALTH EDUCATION NEED, THERE ARE FIVE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE SOUTHEAST MICHIGAN AREA. THE STRATEGIES ARE AS FOLLOWS.(1) CONDUCT AN ASSESSMENT/REVIEW AND UPDATE THE CURRENT STATE OF CULTURAL COMPETENCY EDUCATION WITHIN THE DEARBORN HOSPITAL(2) IMPROVE RELATIONSHIPS WITH COMMUNITY ORGANIZATIONS(3) INCREASE ENROLLMENT IN CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMS BY 15% BY 2025(4) EMPLOY A COMMUNITY HEALTH WORKER MODEL TO SUPPORT COMMUNITY CONNECTEDNESS AND HEALTH EDUCATION BY 2024(5) ESTABLISH A CHILD PASSENGER SAFETY TECHNICIAN TRAINING MODEL BY JUNE 2023THE GOAL OF THESE STRATEGIES IS TO INCREASE KNOWLEDGE ON HEALTH AND SOCIAL RESORUCES TO IMPROVE COMMUNITY WELLNESS AND INCREASE THE NUMBER OF YOUTHS WHO RECEIVE HEALTH EDUCATION IN THE SCHOOLS AND COMMUNITY.AS PART OF THE ACCESS TO CARE NEED, THERE ARE SEVEN STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE SOUTHEAST MICHIGAN AREA. THE STRATEGIES ARE AS FOLLOWS.(1) CONDUCT AN ASSESSMENT/REVIEW AND UPDATE THE CURRENT STATE OF CULTURAL COMPETENCY EDUCATION WITHIN THE DEARBORN HOSPITA(2) CREATE AWARENESS OF EXISTING RESOURCES AND HOW TO USE THEM TO IMPROVE NAVIGATING THE HEALTHCARE SYSTEM(3) INCREASE PATIENT SATISFACTION SCORES(4) INCREASE THE PERCENT OF STUDENTS WITH ACCESS TO SCHOOL FOOD PANTRIES(5) INCREASE USE OF BEAUMONT COMMUNITY RESOURCE NETWORK (BCRN) IN THE COMMUNITY BY 25%(6) INCREASE COMMUNITY BASED ORGANIZATION CLAIM RATE ON BCRN BY 50%(7) INCREASE THE NUMBER OF STAFF WHO USE BCRNTHE GOAL OF THESE STRATEGIES IS TO ENHANCE ACCESS TO AND COORDINATION OF CARE THROUGH COMMUNITY-BASED EFFORTS.
PART V, SECTION B, LINE 11 CONTINUED	PART V, SECTION B, LINE 13BINCOME LEVEL OTHER THAN FPGFACILITY NAME: ALL FACILITIES LISTED IN SCHEDULE H, PART V, SECTION ADESCRIPTION:COREWELL HEALTH ACKNOWLEDGES THAT SIGNIFICANT HEALTH EVENTS MAY RESULT IN CATASTROPHIC FINANCIAL BURDEN TO A PATIENT AND FAMILY, AS SUCH COREWELL HEALTH RESERVES THE RIGHT TO REVIEW CATASTROPHIC CASES ON AN INDIVIDUAL BASIS. CONSIDERATION FOR A REDUCED FINANCIAL OBLIGATION WILL BE MADE FACTORING MEDICAL BILLS ACCUMULATED WITHIN THE LAST 240 DAYS, AS WELL AS THOSE ANTICIPATED TO OCCUR WITHIN THE NEXT 90 DAYS. A CATASTROPHIC FINANCIAL BURDEN IS ONE WHICH RESULTS IN A FINANCIAL BURDEN OF 25% OF ANNUAL HOUSEHOLD INCOME OR GREATER.
PART V, SECTION B, LINE 13H	OTHER ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCEFACILITY NAME: ALL FACILITIES LISTED IN SCHEDULE H, PART V, SECTION ADESCRIPTION:THE ORGANIZATION USES FPG TO DETERMINE ELIGIBILITY FOR FREE CARE. PART V, SECTION B, LINE 16A AND BFAP APPLICATION FORM WEBSITEFACILITY NAME AND DESCRIPTION: SEE PART V, SECTION B, LINE 16CPART V, SECTION B, LINE 16CPLAIN LANGUAGE FAP WEBSITEFACILITY NAME: ALL FACILITIES LISTED IN SCHEDULE H, PART V, SECTION AHTTPS://COREWELLHEALTH.ORG/BILLING/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16JOTHER WAYS HOSPITAL PUBLICIZED FINANCIAL ASSISTANCE POLICYFACILITY NAME: ALL FACILITIES LISTED IN SCHEDULE H, PART V, SECTION ADESCRIPTION:COREWELL HEALTH HAS IMPLEMENTED MEASURES TO WIDELY PUBLICIZE COMMUNICATIONS TO PATIENTS AND THE PUBLIC REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. COMMUNICATION METHODS INCLUDE BUT ARE NOT LIMITED TO SIGNAGE IN EACH HOSPITAL EMERGENCY DEPARTMENT, HOSPITAL ADMISSIONS OFFICE(S) AND OTHER PUBLIC LOCATIONS WITHIN THE HOSPITAL, INFORMATION ON THE COREWELL HEALTH WEBSITE, THE COREWELL HEALTH PATIENT HANDBOOK, VARIOUS INFORMATIONAL BROCHURES, UPON REQUEST BY ANY PATIENT, GUARANTOR OR COMMUNITY MEMBER, WORD OF MOUTH VIA FINANCIAL COUNSELORS AND OTHERS, AND THROUGH COMMUNITY PUBLICATIONS AND OUTREACH EVENTS. IN ADDITION, COREWELL HEALTH OFFERS A PLAIN LANGUAGE SUMMARY OF ITS FINANCIAL ASSISTANCE ELIGIBILITY POLICY AS PART OF THE PATIENT INTAKE AND/OR DISCHARGE PROCESS, AS WELL AS PROVIDE INDIVIDUALS WITH ASSISTANCE IN COMPLETING THE APPLICATION PROCESS. THE ABOVE-MENTIONED COMMUNICATIONS AND PLAIN LANGUAGE SUMMARIES OF FINANCIAL ASSISTANCE POLICIES ARE OFFERED IN THE FOLLOWING LANGUAGES: ENGLISH, ALBANIAN, ARABIC, BENGALI, BOSNIAN, BURMESE, CHINESE, KAREN, KINYARWANDA, KOREAN, NEPALI, SPANISH, SWAHILI, AND VIETNAMESE.PATIENTS ARE NOTIFIED OF THE FINANCIAL ASSISTANCE ELIGIBILITY POLICY FOR A PERIOD OF AT LEAST 120 DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. PATIENT BALANCES WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE EVALUATION FOR AT LEAST 240 DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT ("APPLICATION PERIOD"). IF COREWELL HEALTH RECEIVES A FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, WHETHER THE APPLICATION IS COMPLETE OR INCOMPLETE, IT WILL SUSPEND ANY COLLECTION EFFORTS UNTIL A DETERMINATION REGARDING FINANCIAL ASSISTANCE IS MADE.

Field	Value	IRS element (for citing)
Facility	269	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (269 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - CH CARE CTR - 275 MICHIGAN ST NE
275 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	AMBULATORY/PHYSICIAN CLINIC
2 - CH WBU CARE CTR - 3535 W 13 MILE RD
3535 W 13 MILE RD	ROYAL OAK	MI	48073	AMBULATORY/PHYSICIAN CLINIC
3 - CH GR HOSPITALS L-H CANCER PAVILION
145 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	AMBULATORY/PHYSICIAN CLINIC
4 - CH CARE CTR - 35 MICHIGAN ST
35 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	AMBULATORY/PHYSICIAN CLINIC
5 - CH CARE CTR - 4700 SCHAEFFER RD
4700 SCHAEFER RD	DEARBORN	MI	48126	ASC/GENERAL MEDICAL
6 - CH TROY HOSPITAL FAMILY MEDICINE
44250 DEQUINDRE DR	STERLING HEIGHTS	MI	48314	AMBULATORY/PHYSICIAN CLINIC
7 - CH CARE CTR - 25 MICHIGAN ST
25 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	AMBULATORY/PHYSICIAN CLINIC
8 - CH CARE CTR - GRAND HAVEN
15100 WHITTAKER WAY	GRAND HAVEN	MI	49417	AMBULATORY/PHYSICIAN CLINIC
9 - CH CARE CTR - 4100 LAKE DR
4100 LAKE DR SE	GRAND RAPIDS	MI	49546	ASC/GENERAL MEDICAL
10 - CH CARE CTR - 4069 LAKE DR
4069 LAKE DR SE	GRAND RAPIDS	MI	49546	ASC/GENERAL MEDICAL
11 - CH WBU HOSPITAL CARE CTR - COOLIDGE
4949 COOLIDGE HWY	ROYAL OAK	MI	48073	AMBULATORY/PHYSICIAN CLINIC
12 - CH CARE CTR - E BELTLINE
2750 E BELTLINE AVE NE	GRAND RAPIDS	MI	49525	AMBULATORY/PHYSICIAN CLINIC
13 - CH REHAB & NURSING CTR - KENTRIDGE
4118 KALAMAZOO AVE SE	GRAND RAPIDS	MI	49508	SKILLED NURSING
14 - CH CARE CTR - ROYALTON
3950 HOLLYWOOD RD	ST JOSEPH	MI	49085	AMBULATORY/PHYSICIAN CLINIC
15 - CH WBU HOSPITAL IMAGING CTR
3581 W 13 MILE RD	ROYAL OAK	MI	48073	AMBULATORY/PHYSICIAN CLINIC
16 - CH REHAB & NURSING CTR - CEDAR ST
1226 CEDAR ST NE	GRAND RAPIDS	MI	49504	AMBULATORY/PHYSICIAN CLINIC
17 - CH REHAB & NURSING CTR - COMMONS FH
21450 ARCHWOOD CIRCLE	FARMINGTON HILLS	MI	48336	SKILLED NURSING
18 - CH CARE CTR - OAKWOOD BLVD
18100 OAKWOOD BLVD	DEARBORN	MI	48124	ASC/GENERAL MEDICAL
19 - CH WBU HOSPITAL ROSE CANCER CTR
3577 W 13 MILE RD	ROYAL OAK	MI	48073	AMBULATORY/PHYSICIAN CLINIC
20 - CH ORTHOPEDIC CENTER - E BELTLINE
2770 E BELTLINE AVE NE	GRAND RAPIDS	MI	49525	ASC/GENERAL MEDICAL
21 - CH WBU HOSPITAL NEUROSCIENCE CTR
3555 W 13 MILE RD	ROYAL OAK	MI	48073	AMBULATORY/PHYSICIAN CLINIC
22 - CHMG SLEEP MEDICINE & PULMONARY
80 68TH ST SE	GRAND RAPIDS	MI	49548	ASC/GENERAL MEDICAL
23 - CH DEARBORN HOSPITAL
18181 OAKWOOD BLVD	DEARBORN	MI	48124	AMBULATORY/PHYSICIAN CLINIC
24 - CH SPINE & PAIN MANAGEMENT
1900 WEALTHY ST SE	EAST GRAND RAPIDS	MI	49503	ADMIN-AMBULATORY
25 - CH CARE CTR - BRADFORD
2900 BRADFORD ST NE	GRAND RAPIDS	MI	49525	AMBULATORY/PHYSICIAN CLINIC
26 - CH TROY HOSPITAL - DEQUINDRE DR
44199 DEQUINDRE RD	TROY	MI	48085	AMBULATORY/PHYSICIAN CLINIC
27 - CH WBU CARE CTR - ORCHARD LAKE
6900 ORCHARD LAKE RD	WEST BLOOMFIELD	MI	48322	AMBULATORY/PHYSICIAN CLINIC
28 - CH CARE CTR - ROYALTON - ST JOSEPH
3900 HOLLYWOOD RD	ST JOSEPH	MI	49085	ASC/GENERAL MEDICAL
29 - CH REHAB & NURSING CTR - LEFFINGWELL
1001 LEFFINGWELL AVE NE	GRAND RAPIDS	MI	49503	AMBULATORY/PHYSICIAN CLINIC
30 - CH TROY HOSPITAL CARE CTR - S BLVD
1555 SOUTH BOULEVARD E	ROCHESTER HILLS	MI	48307	AMBULATORY/PHYSICIAN CLINIC
31 - CH LUDINGTON HOSPITAL MULTI-SPEC CTR
7 ATKINSON DR	LUDINGTON	MI	49431	AMBULATORY/PHYSICIAN CLINIC
32 - CH GR HOSPITALS PT - FREEMONT
1401 W MAIN ST	FREMONT	MI	49412	REHAB CENTER
33 - CH REHAB & NURSING CTR - DEARBORN
16391 ROTUNDA DR	DEARBORN	MI	48124	REHAB & SKILLED NURSING
34 - CHMG OBGYNCARDIOVASCULAR MEDICINE
221 MICHIGAN ST NE	GRAND RAPIDS	MI	49503	AMBULATORY/PHYSICIAN CLINIC
35 - CH FH HOSPITAL CARE CTR
39000 7 MILE RD	LIVONIA	MI	48152	AMBULATORY/PHYSICIAN CLINIC
36 - CH GP HOSPITAL CARE CTR - LENOX TWP
36555 26 MILE RD	LENOX TWP	MI	48048	AMBULATORY/PHYSICIAN CLINIC
37 - CH LAKELAND HOMECARE - MEADOWBROOK
2550 MEADOWBROOK RD	BENTON HARBOR	MI	49022	AMBULATORY/PHYSICIAN CLINIC
38 - CH REHAB & NURSING CTR - PINE RIDGE
4368 S CLEVELAND AVE	STEVENSVILLE	MI	49127	SKILLED NURSING
39 - CH GR HOSPITALS PEDIATRICS
330 BARCLAY AVE NE	GRAND RAPIDS	MI	49503	AMBULATORY/PHYSICIAN CLINIC
40 - CH TROY HOSPITAL CARE CTR - HALL RD
15979 HALL RD	MACOMB TWP	MI	48044	AMBULATORY/PHYSICIAN CLINIC
41 - CH CARE CTR - LAKEWOOD
588 E LAKEWOOD BLVD	HOLLAND	MI	49423	AMBULATORY/PHYSICIAN CLINIC
42 - CH PRIMARY CARE CTR - WYOMING
6105 WILSON AVE SW	WYOMING	MI	49418	AMBULATORY/PHYSICIAN CLINIC
43 - CH PENNOCK MEDICAL ARTS BUILDING
1005 W GREEN ST	HASTINGS	MI	49058	AMBULATORY/PHYSICIAN CLINIC
44 - CH FH HOSPITAL CARDIOLOGY
28080 GRAND RIVER AVE	FARMINGTON HILLS	MI	48336	AMBULATORY/PHYSICIAN CLINIC
45 - CH TROY HOSPITAL CARE CTR - STERLING
44300 DEQUINDRE RD	STERLING HEIGHTS	MI	48314	REHAB & DIALYSIS
46 - CH MUSCULOSKELETAL CTR
230 MICHIGAN ST	GRAND RAPIDS	MI	49503	AMBULATORY/PHYSICIAN CLINIC
47 - CH CARE CTR - FORT ST SURGERY
5452 FORT ST	TRENTON	MI	48183	AMBULATORY/PHYSICIAN CLINIC
48 - CH CARE CTR - NORTHLINE RD
15777 NORTHLINE RD	SOUTHGATE	MI	48195	AMBULATORY/PHYSICIAN CLINIC
49 - CH PENNOCK POB
1005 W GREEN ST	HASTINGS	MI	49058	AMBULATORY/PHYSICIAN CLINIC
50 - CH CARE CTR - NILES
42 N ST JOSEPH AVE	NILES	MI	49120	AMBULATORY/PHYSICIAN CLINIC
51 - CH GERBER HOSPITAL
230 W OAK ST	FREMONT	MI	49412	AMBULATORY/PHYSICIAN CLINIC
52 - CH GP HOSPITAL CARE CTR - JEFFERSON
16815 E JEFFERSON AVE	GROSSE POINTE	MI	48230	AMBULATORY/PHYSICIAN CLINIC
53 - CH FH HOSPITAL FAMILY MED
28100 GRAND RIVER AVE	FARMINGTON HILLS	MI	48336	AMBULATORY/PHYSICIAN CLINIC
54 - CH CARE CTR - DEQUINDRE RD
44344 DEQUINDRE RD	STERLING HEIGHTS	MI	48314	AMBULATORY/PHYSICIAN CLINIC
55 - CH CARE CTR - MI STREET NE
426 MICHIGAN ST	GRAND RAPIDS	MI	49503	AMBULATORY/PHYSICIAN CLINIC
56 - CH ZEELAND HOSPITAL MEDICAL OFFICE
8333 FELCH ST	ZEELAND	MI	49464	AMBULATORY/PHYSICIAN CLINIC
57 - CH CARE CTR - 25631 LITTLE MACK AVE
25631 LITTLE MACK AVE	ST CLAIR SHORES	MI	48081	AMBULATORY/PHYSICIAN CLINIC
58 - CH BR HOSPITAL CARE CTR - 215TH AVE
14755 215TH AVE	BIG RAPIDS	MI	49307	AMBULATORY/PHYSICIAN CLINIC
59 - CH LAKELAND MARIE YEAGER CANCER CTR
3900 HOLLYWOOD RD	ST JOSEPH	MI	49085	ASC/GENERAL MEDICAL
60 - CH FH HOSPITAL CANCER CARE CTR
27900 GRAND RIVER AVE	FARMINGTON HILLS	MI	48336	AMBULATORY/PHYSICIAN CLINIC
61 - CH CARE CTR - 2009 HOLTON RD
2009 HOLTON RD	MUSKEGON	MI	49445	AMBULATORY/PHYSICIAN CLINIC
62 - CH CARE CTR - ROCKFORD
8501 MEADOW CREEK	ROCKFORD	MI	49341	AMBULATORY/PHYSICIAN CLINIC
63 - CH FAMILY MEDICINE - BRETON
4600 BRETON RD SE	KENTWOOD	MI	49508	AMBULATORY/PHYSICIAN CLINIC
64 - CH DEARBORN HOSPITAL PEDIATRIC CARE
18501 ROTUNDA DR	DEARBORN	MI	48124	ADMIN-AMBULATORY
65 - CH LAKELAND PRIMARY CARE - HOLLYWOOD
3950 HOLLYWOOD RD	ST JOSEPH	MI	49085	AMBULATORY/PHYSICIAN CLINIC
66 - CH HOME INFUSION - ROYAL OAK
31157 WOODWARD AVE	ROYAL OAK	MI	48073	AMBULATORY/PHYSICIAN CLINIC
67 - CH TROY HOSPITAL CARE CTR - HALL RD
15959 HALL RD	MACOMB TWP	MI	48044	AMBULATORY/PHYSICIAN CLINIC
68 - CHMG PSYCHIATRYBEHAVIORAL MEDICINE
75 SHELDON BLVD	GRAND RAPIDS	MI	49503	AMBULATORY/PHYSICIAN CLINIC
69 - CH KAREN WILSON SMITHBAUER CARE CTR
5400 FORT ST	TRENTON	MI	48183	AMBULATORY/PHYSICIAN CLINIC
70 - CH CARE CTR - ADA
7128 FULTON ST SE	ADA	MI	49355	AMBULATORY/PHYSICIAN CLINIC
71 - CH BIG RAPIDS HOSPITAL - POB
705 OAK ST	BIG RAPIDS	MI	49307	AMBULATORY/PHYSICIAN CLINIC
72 - CH LAKELAND ICC
2002 S 11TH ST	NILES	MI	49120	AMBULATORY/PHYSICIAN CLINIC
73 - CH CARE CTR - CANTON
7330 CANTON CENTER RD	CANTON	MI	48184	AMBULATORY/PHYSICIAN CLINIC
74 - CH GREENVILLE FAMILY MEDICINE
1202 W OAK ST	GREENVILLE	MI	48838	AMBULATORY/PHYSICIAN CLINIC
75 - CH REED CITY REGIONAL CANCER CTR
4499 220TH AVE	REED CITY	MI	49677	AMBULATORY/PHYSICIAN CLINIC
76 - CH CARE CTR - ST CLAIR SHORES
21400 E 11 MILE RD	ST CLAIR SHORES	MI	48081	AMBULATORY/PHYSICIAN CLINIC
77 - CH FAMILY MEDICINE - GARDEN CITY
29150 FORD RD	GARDEN CITY	MI	48135	AMBULATORY/PHYSICIAN CLINIC
78 - THE COMMONS CH - OAK COURT DEARBORN
16351 ROTUNDA DR	DEARBORN	MI	48120	AMBULATORY/PHYSICIAN CLINIC
79 - CH WBU HOSPITAL CARE CTR - COMMON RD
8545 COMMON RD	WARREN	MI	48093	AMBULATORY/PHYSICIAN CLINIC
80 - CH WBU CARDIOLOGY & HEART RHYTHM
4550/4600 INVESTMENT DR	TROY	MI	48098	AMBULATORY/PHYSICIAN CLINIC
81 - CH TROY HOSPITAL CARE CTR - ORION
1455 S LAPEER RD	LAKE ORION	MI	48360	AMBULATORY/PHYSICIAN CLINIC
82 - CH DEARBORN HOSPITAL INTERNAL MED
17000 HUBBARD DR	DEARBORN	MI	48126	AMBULATORY/PHYSICIAN CLINIC
83 - CH MERLINCAROLYN HANSON HOSPICE CTR
4382 CLEVELAND AVE	STEVENSVILLE	MI	49127	AMBULATORY/PHYSICIAN CLINIC
84 - CH CARE CTR - WESTLAND
2001 S MERRIMAN RD	WESTLAND	MI	48186	AMBULATORY/PHYSICIAN CLINIC
85 - CH DEARBORN HOSPITAL HEARTVASCULAR
22060 BEECH ST	DEARBORN	MI	48124	AMBULATORY/PHYSICIAN CLINIC
86 - CH GREENVILLE HOSPITAL CARE CTR
705 S GREENVILLE W DR	GREENVILLE	MI	48838	AMBULATORY/PHYSICIAN CLINIC
87 - CH CARE CTR - BIDDLE AVE
1700 BIDDLE AVE	WYANDOTTE	MI	48192	AMBULATORY/PHYSICIAN CLINIC
88 - CH GREENVILLE MULTI-SPEC CTR
707 S GREENVILLE W DR	GREENVILLE	MI	48838	AMBULATORY/PHYSICIAN CLINIC
89 - CH FAMILY MEDICINE - CAMPUSTOWNE
4868 LAKE MICHIGAN DR	ALLENDALE	MI	49401	AMBULATORY/PHYSICIAN CLINIC
90 - CH FAMILY MEDICINE - FREMONT
204 W MAIN ST	FREMONT	MI	49412	AMBULATORY/PHYSICIAN CLINIC
91 - CH WBU HOSPITAL CARDIOLOGY
27901 WOODWARD AVE	BERKLEY	MI	48072	AMBULATORY/PHYSICIAN CLINIC
92 - CH FAMILY MEDICINE - CANADIAN LAKES
8354 100TH AVE	CANADIAN LAKES	MI	49346	AMBULATORY/PHYSICIAN CLINIC
93 - CH CARE CTR - LAKEVIEW
8650 HOWARD CITY EDMORE RD	LAKEVIEW	MI	48850	AMBULATORY/PHYSICIAN CLINIC
94 - CH FAMILY MEDICINE - 14 MILE RD
29645 W 14 MILE RD	FARMINGTON HILLS	MI	48334	AMBULATORY/PHYSICIAN CLINIC
95 - CH GR HOSPITALS LAB - KALAMAZOO
4444 KALAMAZOO AVE SE	KENTWOOD	MI	49508	AMBULATORY/PHYSICIAN CLINIC
96 - CH FAMILY MEDICINE - BYRON CTR
7751 BYRON CENTER AVE SW	BYRON CENTER	MI	49315	AMBULATORY/PHYSICIAN CLINIC
97 - CH PENNOCK HOSPITAL FAMILY MEDICINE
1108 W STATE ST	HASTINGS	MI	49058	AMBULATORY/PHYSICIAN CLINIC
98 - CH SOUTHWESTERN MEDICAL CLINIC
5515 CLEVELAND AVE	STEVENSVILLE	MI	49127	AMBULATORY/PHYSICIAN CLINIC
99 - CH FAMILY MEDICINE - GEORGETOWN S
3158 PORT SHELDON	HUDSONVILLE	MI	49426	AMBULATORY/PHYSICIAN CLINIC
100 - CH CARE CTR - BERRIEN SPRINGS
9045 US 31	BERRIEN SPRINGS	MI	49104	AMBULATORY/PHYSICIAN CLINIC
101 - CH WAYNE HOSPITAL IMAGING
7300 CANTON CENTER RD	CANTON	MI	48187	AMBULATORY/PHYSICIAN CLINIC
102 - CH FAMILY MEDICINE - BELLEVILLE
201 THIRD ST	BELLEVILLE	MI	48111	AMBULATORY/PHYSICIAN CLINIC
103 - CH TROY HOSPITAL RADIATION ONCOLOGY
44378 DEQUINDRE AVE	STERLING HEIGHTS	MI	48314	AMBULATORY/PHYSICIAN CLINIC
104 - CH WEIGHT CONTROL CTR
6300 N HAGGERTY RD	CANTON TWP	MI	48187	AMBULATORY/PHYSICIAN CLINIC
105 - CH CTR FOR HUMAN DEVELOPMENT
30503 GREENFIELD RD	SOUTHFIELD	MI	48076	AMBULATORY/PHYSICIAN CLINIC
106 - CH FAMILY MEDICINE - SPARTA
2111 12 MILE RD NW	SPARTA	MI	49345	AMBULATORY/PHYSICIAN CLINIC
107 - CH CARE CTR - N ROCHESTER RD
6700 N ROCHESTER RD	ROCHESTER HILLS	MI	48306	AMBULATORY/PHYSICIAN CLINIC
108 - CH FAMILY MEDICINE - N HAGGERTY RD
2050 HAGGERTY RD	CANTON	MI	48187	AMBULATORY/PHYSICIAN CLINIC
109 - CH GP HOSPITALS PT - WATERLOO
17150 WATERLOO ST	GROSSE POINTE	MI	48230	REHAB
110 - HDCH PEDIATRIC CTR - LANSING
3220 DISCOVERY DRIVE	LANSING	MI	48910	AMBULATORY/PHYSICIAN CLINIC
111 - CH ADVANCED PRIMARY CARE - ALPINE
2332 ALPINE AVE NW	WALKER	MI	49544	AMBULATORY/PHYSICIAN CLINIC
112 - CH CARE CTR - BEECH DALY RD
15540 BEECH DALY RD	REDFORD TWP	MI	48239	AMBULATORY/PHYSICIAN CLINIC
113 - CH PEDIATRICS - 68TH ST SE
1545 68TH ST SE	GRAND RAPIDS	MI	49508	AMBULATORY/PHYSICIAN CLINIC
114 - CH SLEEP CENTER
16310 W 12 MILE RD	SOUTHFIELD	MI	48076	AMBULATORY/PHYSICIAN CLINIC
115 - CH RHEUMATOLOGY - SUMMIT PARK
3271 CLEAR VISTA CT NE	GRAND RAPIDS	MI	49525	AMBULATORY/PHYSICIAN CLINIC
116 - CH CARE CTR - 23715 LITTLE MACK AVE
23715 LITTLE MACK AVE	ST CLAIR SHORES	MI	48080	REHAB
117 - CH PENNOCK MULTI-SPEC CTR - IONIA
2776 S STATE RD	IONIA	MI	48846	AMBULATORY/PHYSICIAN CLINIC
118 - CH INTERNAL MEDICINE - NORTHWESTERN
29355 NORTHWESTERN HWY	SOUTHFIELD	MI	48034	AMBULATORY/PHYSICIAN CLINIC
119 - CH LAKELAND CENTER FOR WELLNESS
133 W MAIN ST	BENTON HARBOR	MI	49022	AMBULATORY/PHYSICIAN CLINIC
120 - CHMG CARDIOVASCULAR MED - HOLLAND
602 MICHIGAN AVE	HOLLAND	MI	49423	AMBULATORY/PHYSICIAN CLINIC
121 - CH LAKELAND UROLOGY
815 ST JOSPEH DR	ST JOSEPH	MI	49085	AMBULATORY/PHYSICIAN CLINIC
122 - CH CARE CTR - BRIDGEMAN
9625 RED ARROW HWY	BRIDGEMAN	MI	49106	AMBULATORY/PHYSICIAN CLINIC
123 - CH GASTROENTEROLOGY - ST JOSEPH
3903 HOLLYWOOD RD	ST JOSEPH	MI	49085	AMBULATORY/PHYSICIAN CLINIC
124 - HDCH PEDIATRIC CTR - 35 MICHIGAN ST
35 MICHIGAN ST	GRAND RAPIDS	MI	49503	AMBULATORY/PHYSICIAN CLINIC
125 - CH PRIMARY CARE LONGMEADOW
4 LONGMEADOW VILLAGE DR	NILES	MI	49120	AMBULATORY/PHYSICIAN CLINIC
126 - CH ORTHOPEDICS LONGMEADOW
6 LONGMEADOW VILLAGE DR	NILES	MI	49120	AMBULATORY/PHYSICIAN CLINIC
127 - CH PRIMARY CARE - DOWAGIAC
520 MAIN ST	DOWAGIC	MI	49047	AMBULATORY/PHYSICIAN CLINIC
128 - CH GERBER FAMILY MEDICINE - NEWAYGO
211 W PINE LAKE DR	NEWAYGO	MI	49337	REHAB
129 - CH GREENVILLE FAMILY MED - BELDING
1227 W STATE ST	BELDING	MI	48809	AMBULATORY/PHYSICIAN CLINIC
130 - CH FH PEDIATRICS - ORCHARD LAKE RD
23133 ORCHARD LAKE RD	FARMINGTON	MI	48336	AMBULATORY/PHYSICIAN CLINIC
131 - CH FAMILY MEDICINE - DIX TOLEDO
14319 DIX TOLEDO RD	SOUTHGATE	MI	48195	AMBULATORY/PHYSICIAN CLINIC
132 - CHMG OBGYN
3800 LAKE MICHIGAN DR NW	GRAND RAPIDS	MI	49534	AMBULATORY/PHYSICIAN CLINIC
133 - CH FH FAMILY MEDICINE - W 12 MILE RD
44130 W 12 MILE RD	NOVI	MI	48377	AMBULATORY/PHYSICIAN CLINIC
134 - CH FAMILY MEDICINE - E 11 MILE RD
309 E 11 MILE RD	ROYAL OAK	MI	48067	AMBULATORY/PHYSICIAN CLINIC
135 - CH LAKELAND HEART & VASCULAR - NILES
61 N ST JOSEPH AVE	NILES	MI	49120	AMBULATORY/PHYSICIAN CLINIC
136 - CH INTERNAL MEDICINE - E 10 MILE RD
18325 E 10 MILE RD	ROSEVILLE	MI	48066	AMBULATORY/PHYSICIAN CLINIC
137 - CH FAMILY MEDICINE - W WARREN ST
27031 W WARREN ST	DEARBORN HEIGHTS	MI	48127	AMBULATORY/PHYSICIAN CLINIC
138 - CH WATERVLIET HOSPITAL - WATERVLIET
450 MEDICAL PARK DR	WATERVLIET	MI	49098	AMBULATORY/PHYSICIAN CLINIC
139 - CH DEARBORN HOSPITAL CARE CTR - FORD
25045 FORD RD	DEARBORN	MI	48128	AMBULATORY/PHYSICIAN CLINIC
140 - CHMG SOUTH AUDIOLOGY - ST JOSEPH
2680 S CLEVELAND AVE	ST JOSEPH	MI	49085	AMBULATORY/PHYSICIAN CLINIC
141 - CH WATERVLIET REHAB - COLOMA
7040 RED ARROW HWY	COLOMA	MI	49038	REHAB
142 - CH PENNOCK ORTHOPEDICSPAIN MGMT CTR
840 COOK RD	HASTINGS	MI	49058	AMBULATORY/PHYSICIAN CLINIC
143 - CH FAMILY MEDICINE - PLAZA SOUTH DR
15100 S PLAZA DR	TAYLOR	MI	48180	AMBULATORY/PHYSICIAN CLINIC
144 - CH GR HOSPITALS MRI
3264 N EVERGREEN DR NE	GRAND RAPIDS	MI	49525	AMBULATORY/PHYSICIAN CLINIC
145 - CH FAMILY MEDICINE - LITTLE MACK AVE
30695 LITTLE MACK AVE	ROSEVILLE	MI	48066	AMBULATORY/PHYSICIAN CLINIC
146 - CH DEARBORN CARE CTR - ALLEN
19725 ALLEN RD	BROWNSTOWN	MI	48183	AMBULATORY/PHYSICIAN CLINIC
147 - CH LAKELAND HEARTVASCULAR - COLOMA
6559 PAW PAW AVE	COLOMA	MI	49038	AMBULATORY/PHYSICIAN CLINIC
148 - CH LAKELAND HOSPITALS REHAB - NILES
905 N FRONT ST	NILES	MI	49120	AMBULATORY/PHYSICIAN CLINIC
149 - CH PHYSICAL MED & REHAB - ANNAPOLIS
33000 ANNAPOLIS ST	WAYNE	MI	48184	AMBULATORY/PHYSICIAN CLINIC
150 - CH FAMILY MEDICINE - N MAIN STREET
950 970 N MAIN ST	ROYAL OAK	MI	48067	AMBULATORY/PHYSICIAN CLINIC
151 - CH FAMILY MEDICINE - 9 MILE RD
22646 E 9 MILE RD	ST CLAIR SHORES	MI	48080	AMBULATORY/PHYSICIAN CLINIC
152 - CH WBU HOSPITAL INTERNAL MEDICINE
1949 W 12 MILE RD	BERKLEY	MI	48072	AMBULATORY/PHYSICIAN CLINIC
153 - CH FAMILY MEDICINE - MACATAWA
3185 MACATAWA DRIVE SW	GRANDVILLE	MI	49418	AMBULATORY/PHYSICIAN CLINIC
154 - CH REED CITY SPECIALTY CLINIC
225 N STATE ST	REED CITY	MI	49677	AMBULATORY/PHYSICIAN CLINIC
155 - CH BR FAMILY MEDICINE - EVART
5991 95TH AVE	EVART	MI	49631	AMBULATORY/PHYSICIAN CLINIC
156 - CH FAMILY MEDICINE - PARKSIDE
25 S WASHINGTON ST	OXFORD	MI	48371	AMBULATORY/PHYSICIAN CLINIC
157 - CH FAMILY MEDICINE - CALEDONIA
9090 S RODGERS CT SE	CALEDONIA	MI	49316	AMBULATORY/PHYSICIAN CLINIC
158 - CH PENNOCK FAMILY MEDICINE - ODESSA
4294 LAUREL DR	LAKE ODESSA	MI	48849	AMBULATORY/PHYSICIAN CLINIC
159 - CH DERM & PLASTIC SURGERY - ROYALTON
3901 STONEGATE PARK	ST JOSEPH	MI	49085	AMBULATORY/PHYSICIAN CLINIC
160 - CH FAMILY MEDICINE - NEWPORT
3132 NEWPORT RD	NEWPORT	MI	48166	AMBULATORY/PHYSICIAN CLINIC
161 - CH FAMILY MEDICINE - GASLIGHT
2249 WEALTHY ST SE	EAST GRAND RAPIDS	MI	49506	AMBULATORY/PHYSICIAN CLINIC
162 - CH FH OBGYN - LEWIS DR
39475 LEWIS DR	NOVI	MI	48377	AMBULATORY/PHYSICIAN CLINIC
163 - CH WBU HOSPITAL WOMEN'S HEALTH CTR
17400 W 13 MILE RD	BEVERLY HILLS	MI	48025	AMBULATORY/PHYSICIAN CLINIC
164 - CHMG GASTRO CLINIC
1179 EAST PARIS AVE SE	GRAND RAPIDS	MI	49546	AMBULATORY/PHYSICIAN CLINIC
165 - CH TRENTON REHAB - JEFFERSON
2707 W JEFFERSON RD	TRENTON	MI	48183	REHAB
166 - CH WATERVLIET PRIM CARE - HARTFORD
525 S CENTER ST	HARTFORD	MI	49057	AMBULATORY/PHYSICIAN CLINIC
167 - CH LH HOMECARE - NILES
60 N ST JOSEPH AVE	NILES	MI	49120	AMBULATORY/PHYSICIAN CLINIC
168 - CH PHYSICIANS & SURGEONS - KERCHEVAL
17000 KERCHEVAL AVE	GROSSE POINTE	MI	48230	AMBULATORY/PHYSICIAN CLINIC
169 - CH INTERNAL MEDICINE - TOWN CTR DR
130 TOWN CENTER DR	TROY	MI	48084	AMBULATORY/PHYSICIAN CLINIC
170 - TAYLOR TEEN HEALTH CTR
20352 EUREKA RD	TAYLOR	MI	48180	AMBULATORY/PHYSICIAN CLINIC
171 - CH PRIMARY CARE - BOSTON SQUARE
1534 KALAMAZOO AVE SE	GRAND RAPIDS	MI	49507	AMBULATORY/PHYSICIAN CLINIC
172 - CH WBU HOSPITAL PT - COOLIDGE HWY
2160 COOLIDGE HWY	BERKLEY	MI	48072	AMBULATORY/PHYSICIAN CLINIC
173 - CH FH HOSPITAL CARDIOLOGY - 8 MILE
28711 W 8 MILE RD	LIVONIA	MI	48152	AMBULATORY/PHYSICIAN CLINIC
174 - CH OBGYN - PARKWAY PLACE
4249 PARKWAY PLACE SW	GRANDVILLE	MI	49418	AMBULATORY/PHYSICIAN CLINIC
175 - CH SPECIALTY CARE - HOLTON RD
1845 HOLTON RD	MUSKEGON	MI	49445	AMBULATORY/PHYSICIAN CLINIC
176 - CH PRIMARY CARE - KERCHEVAL AVE
15200 KERCHEVAL AVE	GROSSE POINTE PARK	MI	48230	AMBULATORY/PHYSICIAN CLINIC
177 - CH GR HOSPITALS PEDIATRIC CARE CTR
360 LAFAYETTE AVE SE	GRAND RAPIDS	MI	49503	AMBULATORY/PHYSICIAN CLINIC
178 - CH FAMILY MEDICINE - WALTON BLVD
1202 WALTON BLVD	ROCHESTER HILLS	MI	48307	AMBULATORY/PHYSICIAN CLINIC
179 - CH LUDINGTON FAMILY MEDICINE - GRANT
230 S MAPLE ST	GRANT	MI	49327	AMBULATORY/PHYSICIAN CLINIC
180 - CH PENNOCK FAMILY MED - GUN LAKE
12851 W M 179 HWY	WAYLAND	MI	49348	AMBULATORY/PHYSICIAN CLINIC
181 - HDCH PEDIATRIC CTR - TRAVERSE CITY
880 MUNSON AVE	TRAVERSE CITY	MI	49686	AMBULATORY/PHYSICIAN CLINIC
182 - CH FAMILY MEDICINE - COOPERSVILLE
25 CONRAN DR	COOPERSVILLE	MI	49404	AMBULATORY/PHYSICIAN CLINIC
183 - CH ADVANCED PRIMARY CARE - MUSKEGON
2558 HENRY ST	MUSKEGON	MI	49441	AMBULATORY/PHYSICIAN CLINIC
184 - CH GREENVILLE HOSPITAL OUTPATIENT PT
6896 S GREENVILLE RD	GREENVILLE	MI	48838	AMBULATORY/PHYSICIAN CLINIC
185 - CH LIFESTYLE MEDICINE
435 IONIA AVE SW	GRAND RAPIDS	MI	49503	AMBULATORY/PHYSICIAN CLINIC
186 - CH GR HOSPITALS IMAGING - FOREMOST
5800 FOREMOST DR SE	GRAND RAPIDS	MI	49546	AMBULATORY/PHYSICIAN CLINIC
187 - CH LUDINGTON FAMILY MEDICINE - HART
2481 N 72ND AVE	HART	MI	49420	AMBULATORY/PHYSICIAN CLINIC
188 - CH URGENT CARE - FARMINGTON HILLS
27810 GRAND RIVER AVE	FARMINGTON HILLS	MI	48336	AMBULATORY/PHYSICIAN CLINIC
189 - CH FAMILY MEDICINE - RYAN RD
29245 RYAN RD	WARREN	MI	48092	AMBULATORY/PHYSICIAN CLINIC
190 - CH FH HOSPITAL INTERNAL MEDICINE
20317 FARMINGTON RD	LIVONIA	MI	48152	AMBULATORY/PHYSICIAN CLINIC
191 - CH TAYLOR HOSPITAL PT
4121 S CANTON CENTER RD	CANTON	MI	48188	AMBULATORY/PHYSICIAN CLINIC
192 - CH LUDINGTON CLININC & PRIMARY CARE
922 LAWNDALE ST	LUDINGTON	MI	494311928	AMBULATORY/PHYSICIAN CLINIC
193 - CH TAYLOR HOSPITAL REHAB - TELEGRAPH
9870 TELEGRAPH RD	TAYLOR	MI	48180	AMBULATORY/PHYSICIAN CLINIC
194 - CH FAMILY MEDICINE - GRAND RVR AVE
32754 GRAND RIVER AVE	FARMINGTON	MI	48336	AMBULATORY/PHYSICIAN CLINIC
195 - CH DEARBORN HOSPITAL SLEEP CTR
14031 PENNSYLVANIA RD	RIVERVIEW	MI	48193	AMBULATORY/PHYSICIAN CLINIC
196 - CH GR HOSPITALS PT - ROCKFORD
515 E DIVISION ST	ROCKFORD	MI	49341	AMBULATORY/PHYSICIAN CLINIC
197 - CH GR HOSPITALS PT - BELTLINE
2830 E BELTLINE AVE NE	GRAND RAPIDS	MI	49525	AMBULATORY/PHYSICIAN CLINIC
198 - CH INTERNAL MEDICINE - MIDWAY
555 BARCLAY CIRCLE	ROCHESTER HILLS	MI	48307	AMBULATORY/PHYSICIAN CLINIC
199 - CH FAMILY MEDICINE - NORTHSIDE
14001 GREENFIELD RD	DETROIT	MI	48227	AMBULATORY/PHYSICIAN CLINIC
200 - CH INTERNAL MEDICINE - DEQUINDRE RD
38865 DEQUINDRE RD	TROY	MI	48083	AMBULATORY/PHYSICIAN CLINIC
201 - CH BIG RAPIDS HOSPITAL REHAB - 220TH
4393 220TH AVE	REED CITY	MI	49677	AMBULATORY/PHYSICIAN CLINIC
202 - CH FAMILY MEDICINE - TELEGRAPH RD
9340 TELEGRAPH RD	TAYLOR	MI	48180	AMBULATORY/PHYSICIAN CLINIC
203 - CH PENNOCK FAMILY MEDICINE
490 EDWARD ST	MIDDLEVILLE	MI	49333	AMBULATORY/PHYSICIAN CLINIC
204 - CH FAMILY MEDICINE - GEORGETOWN N
3152 PORT SHELDON	HUDSONVILLE	MI	49426	AMBULATORY/PHYSICIAN CLINIC
205 - CH SLEEP - FORD RD
42180 FORD RD	CANTON	MI	48187	AMBULATORY/PHYSICIAN CLINIC
206 - CH WBU HOSPITAL CARDIOLOGY - 10 MILE
39500 W 10 MILE RD	NOVI	MI	48375	AMBULATORY/PHYSICIAN CLINIC
207 - CH LUDINGTON HOSPITAL PEDIATRICS
907 E TINKHAM AVE	LUDINGTON	MI	49431	AMBULATORY/PHYSICIAN CLINIC
208 - CH INTERNAL MEDICINE - WESTLAND
35180 NANKIN BLVD	WESTLAND	MI	48185	AMBULATORY/PHYSICIAN CLINIC
209 - CH INTERNAL MEDICINE - W 13 MILE RD
17392 W 13 MILE RD	BEVERLY HILLS	MI	48025	AMBULATORY/PHYSICIAN CLINIC
210 - CH WAYNE BREAST CARE CTR - ANNAPOLIS
4491 VENOY AVE	WAYNE	MI	48184	AMBULATORY/PHYSICIAN CLINIC
211 - CH GP HOSPITAL VEIN CTR - KERCHEVAL
87 KERCHEVAL AVE	GROSSE POINTE FARMS	MI	48236	AMBULATORY/PHYSICIAN CLINIC
212 - CH LUDINGTON FAMILY MED - HESPERIA
78 N DIVISION ST	HESPERIA	MI	49421	AMBULATORY/PHYSICIAN CLINIC
213 - CH DEARBORN HOSPITAL LAB - MONROE ST
1331 MONROE ST	DEARBORN	MI	48124	AMBULATORY/PHYSICIAN CLINIC
214 - CH WBU HOSPITAL MAMMOGRAPHY
35046 WOODWARD AVE	BIRMINGHAM	MI	48009	AMBULATORY/PHYSICIAN CLINIC
215 - CH FAMILY MEDICINE - CHESTERFIELD
50630 CHESTERFIELD RD	CHESTERFIELD TOWNSHI	MI	48051	AMBULATORY/PHYSICIAN CLINIC
216 - CH CARDIOVASCULAR SERVICES - S HAVEN
749 PHILLIPS ST	SOUTH HAVEN	MI	49090	AMBULATORY/PHYSICIAN CLINIC
217 - CH TAYLOR HOSPITAL PT - MONROE ST
2552 MONROE ST	DEARBORN	MI	48124	AMBULATORY/PHYSICIAN CLINIC
218 - CH GR HOSPITALS HEALTHIER COMMUNITIY
1357 CESAR E CHAVEZ AVE SW	GRAND RAPIDS	MI	49507	AMBULATORY/PHYSICIAN CLINIC
219 - CH OCCUPATIONAL HEALTH - ST JOSEPH
2500 NILES RD	ST JOSEPH	MI	49085	AMBULATORY/PHYSICIAN CLINIC
220 - CH ENDOCRINE CLINIC
17412 W 13 MILE RD	BEVERLY HILLS	MI	48025	AMBULATORY/PHYSICIAN CLINIC
221 - CH GR HOSPITALS PT - VISTA SPRINGS
2420 COIT AVE NE	GRAND RAPIDS	MI	49505	AMBULATORY/PHYSICIAN CLINIC
222 - CH GR HOSPITALS LAB - E PARIS AVE
1000 EAST PARIS AVE SE	GRAND RAPIDS	MI	49546	AMBULATORY/PHYSICIAN CLINIC
223 - CH GR HOSPITALS PT - FAIRLANES
3540 FAIRLANES AVE SW	GRANDVILLE	MI	49418	AMBULATORY/PHYSICIAN CLINIC
224 - CH GR HOSPITALS PT - BELDING
1320 W STATE ST	BELDING	MI	48809	AMBULATORY/PHYSICIAN CLINIC
225 - CH WBU HOSPITAL CARDIOLOGY - 12 MILE
16800 W 12 MILE RD	SOUTHFIELD	MI	48076	AMBULATORY/PHYSICIAN CLINIC
226 - CH INTERNAL MEDICINE - NANKIN BLVD
35330 NANKIN BLVD	WESTLAND	MI	48185	AMBULATORY/PHYSICIAN CLINIC
227 - WAYNE MEMORIAL TEEN HEALTH CTR
3001 4TH ST	WAYNE	MI	48184	TELEMEDICINE CLINIC
228 - CH WBU HOSPITAL LAB - W BIG BEAVER
3290 W BIG BEAVER RD	TROY	MI	48084	AMBULATORY/PHYSICIAN CLINIC
229 - CH FH HOSPITAL LAB - FARMINGTON RD
27555 FARMINGTON RD	FARMINGTON HILLS	MI	48336	AMBULATORY/PHYSICIAN CLINIC
230 - CH WALK-IN CLINIC - WYOMING MEIJER
5500 CLYDE PARK AVE SW	WYOMING	MI	49509	AMBULATORY/PHYSICIAN CLINIC
231 - CH DEARBORN LAB - SOUTHFIELD
15101 SOUTHFIELD RD	ALLEN PARK	MI	48101	AMBULATORY/PHYSICIAN CLINIC
232 - CH PEDIATRIC CARDIOLOGY - OWOSSO
802 W KING ST	OWOSSO	MI	48867	AMBULATORY/PHYSICIAN CLINIC
233 - CH GR HOSPITALS PEDIATRIC PT
400 S STATE ST	ZEELAND	MI	49464	AMBULATORY/PHYSICIAN CLINIC
234 - CH WALK-IN CLINIC - HUDSONVILLE
4075 32ND AVE	HUDSONVILLE	MI	49426	AMBULATORY/PHYSICIAN CLINIC
235 - CH GR HOSPITALS LAB - WOMENS HEALTH
555 MIDTOWNE ST NE	GRAND RAPIDS	MI	49503	LABORATORY
236 - CH LAKELAND HOSPITALS LAB - OAK ST
1951 OAK ST	NILES	MI	49120	AMBULATORY/PHYSICIAN CLINIC
237 - FREMONT TEEN HEALTH CTR
5421 WARNER AVE	FREMONT	MI	49412	TELEMEDICINE CLINIC
238 - GREENVILLE TEEN HEALTH CTR
111 N HILLCREST ST	GREENVILLE	MI	48838	TELEMEDICINE CLINIC
239 - CH LAKELAND HOSPITALS LAB - M62
261 M62	CASSOPOLIS	MI	49031	AMBULATORY/PHYSICIAN CLINIC
240 - CENTRAL MONTCALM - TEEN HEALTH CTR
1480 S SHERIDAN	STANTON	MI	48888	TELEMEDICINE CLINIC
241 - HESPERIA TEEN HEALTH CTR
96 S DIVISION	HESPERIA	MI	49421	TELEMEDICINE CLINIC
242 - MONTABELLA TEEN HEALTH CTR
1324 N COUNTY LINE RD	BLANCHARD	MI	49310	TELEMEDICINE CLINIC
243 - TRI COUNTY TEEN HEALTH CTR
21338 KENDAVILLE RD	HOWARD CITY	MI	49329	TELEMEDICINE CLINIC
244 - EVART TEEN HEALTH CTR
6221 95TH AVE	EVART	MI	49631	TELEMEDICINE CLINIC
245 - CHMG GERIATRIC CARE
4482 PORT SHELDON	HUDSONVILLE	MI	49426	AMBULATORY/PHYSICIAN CLINIC
246 - CH GREENVILLE LIFESTYLES
701 S GREENVILLE W DR	GREENVILLE	MI	48838	AMBULATORY/PHYSICIAN CLINIC
247 - CH DEARBORRN HOSPITAL LAB - HALL RD
25000 HALL RD	WOODHAVEN	MI	48183	AMBULATORY/PHYSICIAN CLINIC
248 - HDCH ORTHOPEDICS - GRAND BLANC
8203 S SAGINAW ST	GRAND BLANC	MI	48439	AMBULATORY/PHYSICIAN CLINIC
249 - CH BIG RAPIDS OBGYN & UROLOGY
722 LOCUST ST	BIG RAPIDS	MI	49307	AMBULATORY/PHYSICIAN CLINIC
250 - CH PEDIATRIC NEPHROLOGY - KALAMAZOO
1000 OAKLAND DR	KALAMAZOO	MI	49008	AMBULATORY/PHYSICIAN CLINIC
251 - HDCH PEDIATRIC UROLOGY - TRAVERSE
106 S MADISON ST	TRAVERSE CITY	MI	49684	AMBULATORY/PHYSICIAN CLINIC
252 - HDCH HEART CENTER - MT PLEASANT
1205 S MISSION ST	MT PLEASANT	MI	48858	AMBULATORY/PHYSICIAN CLINIC
253 - ZEELAND WEST TEEN HEALTH CTR
3390 100TH AVE	ZEELAND	MI	49464	TELEMEDICINE CLINIC
254 - SPARTA TEEN HEALTH CTR
475 W SPARTAN DR	SPARTA	MI	49345	TELEMEDICINE CLINIC
255 - BIG RAPIDS TEEN HEALTH CTR
21175 15 MILE RD	BIG RAPIDS	MI	49307	TELEMEDICINE CLINIC
256 - EAST KENTWOOD HS TEEN HEALTH CTR
6230 KALAMAZOO AVE	KENTWOOD	MI	49508	TELEMEDICINE CLINIC
257 - LAKEVIEW TEEN HEALTH CTR
602 WASHINGTON ST	LAKEVIEW	MI	48850	TELEMEDICINE CLINIC
258 - WYOMING TEEN HEALTH CTR
1350 PRAIRE PARKWAY SW	WYOMING	MI	49509	TELEMEDICINE CLINIC
259 - EAST KENTWOOD FR TEEN HEALTH CTR
6170 VALLEY LANE DRIVE SE	KENTWOOD	MI	49508	TELEMEDICINE CLINIC
260 - HASTINGS TEEN HEALTH CTR
520 W SOUTH ST	HASTINGS	MI	49058	TELEMEDICINE CLINIC
261 - CARSON CITY-CRYSTAL TEEN HEALTH CTR
213 E SHERMAN ST	CARSON CITY	MI	48811	TELEMEDICINE CLINIC
262 - MASON COUNTRY TEEN HEALTH CTR
210 W BROADWAY	SCOTTSVILLE	MI	49464	TELEMEDICINE CLINIC
263 - THORNAPPLE KELLOGG TEEN HEALTH CTR
3885 BENDER RD	MIDDLEVILLE	MI	49333	TELEMEDICINE CLINIC
264 - ZEELAND EAST TEEN HEALTH CTR
3333 96TH AVE	ZEELAND	MI	49464	TELEMEDICINE CLINIC
265 - ANNAPOLIS TEEN HEALTH CTR
4650 CLIPPERT ST	DEARBORN HEIGHTS	MI	48125	TELEMEDICINE CLINIC
266 - DETROIT EDISON TEEN HEALTH CTR
1903 WILKINS ST	DETROIT	MI	48207	TELEMEDICINE CLINIC
267 - PIERCE MIDDLE SCHOOL TEEN HEALTH CTR
25605 ORANGELAWN ST	REDFORD	MI	48239	TELEMEDICINE CLINIC
268 - TOMLINSON MIDDLE TEEN HEALTH CTR
25912 ANNAPOLIS ST	INKSTER	MI	48141	TELEMEDICINE CLINIC
269 - WAYNE WESTLAND TEEN HEALTH CTR
36745 MARQUETTE	WESTLAND	MI	48185	TELEMEDICINE CLINIC

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	COREWELL HEALTH (PARENT) 38-3382353 IS THE RELATED ORGANIZATION THAT PREPARED THE 2024 COMMUNITY BENEFIT REPORT. COREWELL HEALTH PUBLISHES A CONSOLIDATED COMMUNITY BENEFIT REPORT ON ITS WEBSITE.
PART I, LINE 7:	THE ORGANIZATION CALCULATES AN OVERALL COST-TO-CHARGE RATIO DERIVED BY USING THE IRS WORKSHEET 2 FORMAT, RATIO OF PATIENT CARE COST-TO-CHARGES. ALL PATIENT SEGMENTS AND PAYERS ARE USED IN THE CALCULATION.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 651,643,743.
PART II, COMMUNITY BUILDING ACTIVITIES:	OUR HOSPITAL FACILITIES ARE DEDICATED TO THE COMMUNITIES THEY SERVE. THE HOSPITALS WORK TO ADDRESS THE PRESSING HEALTH ISSUES OF THE COMMUNITIES THEY SERVE BY PROMOTING AND ADVOCATING FOR OVERALL COMMUNITY HEALTH IMPROVEMENT.
PART III, LINE 2:	METHODOLOGY USED TO ESTIMATE BAD DEBT:THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ACCOUNTS RECEIVABLE, PAYOR COMPOSITION AND AGING, AND HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTED ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR THIRD-PARTY PAYORS, THE PROVISION IS DETERMINED BY ANALYZING CONTRACTUALLY DUE AMOUNTS FROM PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES. FOR SELF-PAY PATIENTS, THE PROVISION IS BASED ON AN ANALYSIS OF PAST EXPERIENCE RELATED TO PATIENTS UNWILLING TO PAY STANDARD RATES CHARGED. THE DIFFERENCE BETWEEN THAT STANDARD RATE CHARGED (LESS THE NEGOTIATED DISCOUNTED RATE) AND THE AMOUNT ACTUALLY COLLECTED AFTER THE REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.BAD DEBT IS CALCULATED AT COST FOR 990 REPORTING PURPOSES.
PART III, LINE 3:	FAP ELIGIBLE PATIENT BAD DEBT CALCULATION METHODOLOGY:THE HOSPITAL FACILITIES ARE UNABLE TO ESTIMATE ACCURATELY THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY. ALTHOUGH A PORTION OF BAD DEBT EXPENSES MAY RELATE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE, A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED. THE HOSPITAL FACILITIES HAVE IMPLEMENTED A PROPENSITY TO PAY EVALUATION TOOL THAT PROACTIVELY ASSESSES ONE'S ABILITY AND LIKELIHOOD TO PAY. THIS TOOL HAS PROVIDED A HIGHER DEGREE OF FOCUSED FINANCIAL COUNSELING EFFORTS, RESULTING IN A SUBSTANTIAL REDUCTION OF BAD DEBT AND HIGHER RATE OF IDENTIFICATION OF CHARITY ACCOUNTS.
PART III, LINE 4:	FOOTNOTE IN ORGANIZATION'S FINANCIAL STATEMENTS DESCRIBING BAD DEBT:FOOTNOTES RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS CAN BE FOUND ON PAGES 19-24 OF COREWELL HEALTH'S CONSOLIDATED AUDITED FINANANCIAL STATEMENTS.
PART III, LINE 8:	THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT ARE:(1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS;(2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS;(3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND(4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS.IN DETERMINING MEDICARE SHORTFALLS, THE ORGANIZATION USES A RATIO OF COST-TO-CHARGES. IN DETERMINING THE RATIO OF COST-TO-CHARGES THE ORGANIZATION ADJUSTS FOR BAD DEBT EXPENSES, NON-PATIENT CARE ACTIVITIES, MEDICAID PROVIDER TAXES AND COMMUNITY BENEFITS ACCOUNTED FOR, AND OR REPORTED, ELSEWHERE. THE RATIO OF COST-TO-CHARGES IS APPLIED TO MEDICARE CHARGES TO DETERMINE SHORTFALLS IN MEDICARE REIMBURSEMENTS.
PART III, LINE 9B:	DID COLLECTION POLICY CONTAIN PROVISIONS ON COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR ASSISTANCE:PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE ELIGIBLE FOR FREE CARE, AND THUS NO COLLECTION ACTION IS TAKEN. IF FINANCIAL ASSISTANCE ELIGIBILITY WOULD BE DISCOVERED AFTER COMMENCEMENT OF A COLLECTION ACTION, THEN SUCH COLLECTION ACTION WOULD BE SUSPENDED OR REVERSED.
PART VI, LINE 2:	THE CHNA DATA PROVIDES A LEVEL FOUNDATION ON WHICH TO PLAN, DEVELOP, AND IMPLEMENT NEW PROGRAMS AND SERVICES TO MEET THE NEEDS OF OUR COMMUNITY. OPERATIONAL SERVICES IDENTIFIED BY THE CHNA.
PART VI, LINE 3:	THE FACILITIES INFORM AND EDUCATE PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY THROUGH PRODUCING INFORMATION CARDS AND BROCHURES FOR THE UNINSURED, COMMUNITY OUTREACH PROGRAMS, CONSUMER INFORMATION CLASSES, OUR WEBSITES PERSONAL FINANCIAL COUNSELING AND BY PROVIDING ASSISTANCE IN THE ACTUAL ENROLLMENT OF SUCH PROGRAMS.EACH FACILITY HAS A DEPARTMENT OF FINANCIAL COUNSELORS WHO WORK WITH PATIENTS THAT EXPRESS ANY LEVEL OF CONCERN WITH PAYING THEIR BILL. IN ADDITION, FINANCIAL COUNSELORS PROACTIVELY IDENTIFY PATIENTS WHO HAVE QUALIFYING FACTORS FOR GOVERNMENTAL ASSISTANCE. COREWELL HEALTH ALSO PARTNERS WITH ORGANIZATIONS THAT SPECIALIZE IN THE QUALIFICATION PROCESS. IF A PATIENT'S NEED FOR ASSISTANCE IS NOT IDENTIFIED PRIOR TO BILLING, ANY CONCERNS AS A RESULT OF RECEIVING A BILL ARE ADDRESSED BY FINANCIAL COUNSELORS AT THAT TIME. COREWELL HEALTH WIDELY PUBLICIZES COMMUNICATIONS TO PATIENTS AND THE PUBLIC ON THE AVAILABILITY OF FINANCIAL ASSISTANCE. THIS IS ACHIEVED THROUGH VARIOUS METHODS INCLUDING, BUT NOT LIMITED TO, THE PATIENT HANDBOOK, VARIOUS INFORMATIONAL BROCHURES, SIGNAGE IN EACH HOSPITAL EMERGENCY DEPARTMENT, ADMISSIONS OFFICES, AND OTHER PUBLIC LOCATIONS, UPON REQUEST BY ANY PATIENT, GUARANTOR OR COMMUNITY MEMBER, WORD OF MOUTH VIA FINANCIAL COUNSELORS AND OTHERS, AND THROUGH COMMUNITY PUBLICATIONS AND OUTREACH EVENTS. IN ADDITION, COREWELL HEALTH LISTS OPTIONS FOR THE UNINSURED AND UNDERINSURED ON ITS WEBSITE, ALONG WITH A COPY OF THE FINANCIAL ASSISTANCE ELIGIBILITY POLICY ON RESPECTIVE WEBSITES.
PART VI, LINE 4	COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL AND COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITAL: COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL AND COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITAL ARE LOCATED IN THE SAME COMMUNITY. THEY HAVE IDENTIFIED A PRIMARY SERVICE AREA OF ONE AND A HALF COUNTIES, INCLUDING KENT COUNTY AND PART OF EASTERN OTTAWA COUNTY. THE OVERALL SERVICE AREA TOTALS THIRTEEN COUNTIES, INCLUDING GRAND RAPIDS, MICHIGAN, THE SECOND LARGEST CITY IN THE STATE. OVERALL, THESE COUNTIES HAVE A TOTAL POPULATION OF OVER 1,600,000 RESIDENTS.KENT COUNTY IS LOCATED IN WESTERN MICHIGAN AND IS THE FOURTH LARGEST POPULATION CENTER IN THE STATE. THE COUNTY IS COMPOSED OF TWENTY-ONE TOWNSHIPS, FIVE VILLAGES, AND NINE CITIES COVERING 846 SQUARE MILES.THE HEALTH CARE RESOURCES IN KENT COUNTY INCLUDE: COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL, COREWELL HEALTH GRAND RAPIDS HOSPITALS, BLODGETT HOSPITAL, METRO HEALTH - UNIVERSITY OF MICHIGAN HEALTH, SAINT MARY'S HEALTH CARE, PINE REST, AND MARY FREE BED REHABILITATION HOSPITAL. IN ADDITION, THE HEALTH DEPARTMENT OPERATES FOUR PUBLIC HEALTH CLINICS THROUGHOUT THE COUNTY THAT OFFER PERSONAL HEALTH SERVICES. THE GRAND RAPIDS HOME FOR VETERANS AND THE VETERANS AFFAIRS OUTPATIENT CLINIC PROVIDE SERVICES FOR VETERANS. IN ADDITION TO MAJOR HEALTH CENTERS AND PUBLICLY FUNDED SERVICES, KENT COUNTY OFFERS NUMEROUS HEALTH-RELATED SERVICES THROUGH NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS. FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE ATHTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSCOREWELL HEALTH GREENVILLE HOSPITAL:COREWELL HEALTH GREENVILLE HOSPITAL SERVES THE MEDICAL NEEDS OF THE RESIDENTS OF GREENVILLE, MI. THE PRIMARY SERVICE AREA IS COMPRISED OF WHERE GREENVILLE HOSPITAL IS LOCATED AND INCLUDES MONTCALM COUNTY AND PORTIONS OF ADJACENT COUNTIES (IONIA AND GRATIOT) SUPPORTING A POPULATION OF OVER 173,000 RESIDENTS. RESIDENTS OF KENT COUNTY MAY ALSO SEEK CARE AT GREENVILLE HOSPITAL.THE HEALTHCARE RESOURCES IN GREENVILLE HOSPITAL'S SERVICE AREA INCLUDE, SPARROW CARSON HOSPITAL, SHERIDAN COMMUNITY HOSPITAL, THE MID-MICHIGAN DISTRICT HEALTH DEPARTMENT, AND CHERRY STREET - MONTCALM AREA HEALTH CENTER.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE ATHTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSCOREWELL HEALTH GERBER HOSPITAL:COREWELL HEALTH GERBER HOSPITAL IS A CRITICAL ACCESS FACILITY THAT HAS IDENTIFIED A PRIMARY SERVICE AREA OF SEVERAL COUNTIES INCLUDING NEWAYGO COUNTY, EASTERN OCEANA COUNTY AND EASTERN MUSKEGON COUNTY AS PRIMARY AND NORTHERN KENT COUNTY AND SOUTHERN LAKE COUNTY AS SECONDARY. THE PRIMARY SERVICE AREA SUPPORTS A POPULATION OF OVER 253,000 RESIDENTS. GERBER HOSPITAL IS THE ONLY MAJOR MEDICAL FACILITY IN THE FACILITY'S PRIMARY SERVICE AREA.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE ATHTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSCOREWELL HEALTH LUDINGTON HOSPITAL:COREWELL HEALTH LUDINGTON HOSPITAL SERVES A RURAL COMMUNITY LOCATED ON THE COAST OF LAKE MICHIGAN SERVING MASON AND PORTIONS OF OCEANA AND LAKE COUNTIES. THE PRIMARY SERVICE AREA SUPPORTS A POPULATION OF OVER 68,000 RESIDENTS, HOWEVER AS THE COMMUNITY IS A SEASONAL TOURIST DESTINATION, THE POPULATION OF THE COMMUNITY SIGNIFICANTLY CHANGES WITH THE SEASONS. A SEASONAL MIGRANT POPULATION IS PRESENT DUE TO AGRICULTURAL EMPLOYMENT OPPORTUNITIES IN THE COMMUNITY. A LARGE PORTION OF THE HOSPITALS PATIENTS ARE COVERED BY EITHER MEDICARE OR MEDICAID.LUDINGTON HOSPITAL IS THE ONLY MAJOR MEDICAL FACILITY IN THE FACILITY'S SERVICE AREA.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE ATHTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSCOREWELL HEALTH BIG RAPIDS HOSPITAL:COREWELL HEALTH BIG RAPIDS IS LOCATED IN THE MIDWESTERN PORTION OF THE STATE OF MICHIGAN. IT SERVES THE MEDICAL NEEDS OF THE RESIDENTS OF BIG RAPIDS, MI. THE PRIMARY SERVICE AREA IS COMPRISED OF WHERE BIG RAPIDS HOSPITAL IS LOCATED AND INCLUDES MECOSTA COUNTY AND PORTIONS OF ADJACENT COUNTIES. THESE ADJACENT COUNTIES INCLUDE NEWAYGO, ISABELLA, OSCEOLA, AND LAKE COUNTIES. OVERALL, THESE COUNTIES HAVE A TOTAL POPULATION OF OVER 190,000 RESIDENTS. ACCORDING TO 2024 MICHIGAN POVERTY AND WELL-BEING MAP THESE COUNTIES AVERAGED BETWEEN 12% AND 19% OF THEIR POPULATION LIVING BELOW THE POVERTY LINE.BIG RAPIDS HOSPITAL IS THE ONLY MAJOR MEDICAL FACILITY LOCATED IN THE FACILITY'S SERVICE AREA.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE ATHTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSCOREWELL HEALTH REED CITY HOSPITAL:COREWELL HEALTH REED CITY HOSPITAL IS A CRITICAL ACCESS FACILITY SERVES THE MEDICAL NEEDS OF THE RESIDENTS OF REED CITY, MI AND THE FAR-NORTHERN PORTION OF A PRIMARY SERVICE AREA SHARED WITH COREWELL HEALTH BIG RAPIDS HOSPITAL (FORMERLY SPECTRUM HEALTH BIG RAPIDS), A RELATED ORGANIZATION. THE PRIMARY SERVICE AREA IS COMPRISED OF OSCEOLA COUNTY AND PORTIONS OF ADJACENT COUNTIES. THESE ADJACENT COUNTIES INCLUDE MECOSTA, LAKE, AND CLARE COUNTIES. OVERALL, THESE COUNTIES HAVE A TOTAL POPULATION OF OVER 106,000 RESIDENTS.OSCEOLA COUNTY IS LOCATED IN NORTHERN MICHIGAN APPROXIMATELY 80 MILES NORTH OF GRAND RAPIDS. THE RURAL COUNTY IS COMPOSED OF SIXTEEN TOWNSHIPS, FOUR VILLAGES, AND TWO CITIES COVERING 566 SQUARE MILES. REED CITY IS THE COUNTY SEAT. THE ONLY MAJOR MEDICAL FACILITY IN OSCEOLA COUNTY IS REED CITY HOSPITAL. IN ADDITION, THE HEALTH DEPARTMENT IS A BRANCH OFFICE OF THE CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT. LOCATED WEST OF OSCEOLA COUNTY, LAKE COUNTY IS COMPOSED OF FIFTEEN TOWNSHIPS AND TWO VILLAGES COVERING 567 SQUARE MILES. BALDWIN IS THE COUNTY SEAT. THERE ARE NO MAJOR MEDICAL FACILITIES IN LAKE COUNTY.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE ATHTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSCOREWELL HEALTH ZEELAND HOSPITAL:COREWELL HEALTH ZEELAND HOSPITAL HAS IDENTIFIED A PRIMARY SERVICE AREA INCLUSIVE OF MUCH OF OTTAWA COUNTY AND THE SURROUNDING LAKESHORE REGION. OVERALL, THE SERVICE AREA OF ZEELAND HOSPITAL HAS A POPULATION OF OVER 299,000THE HEALTHCARE RESOURCES IN OTTAWA COUNTY INCLUDE ZEELAND HOSPITAL, HOLLAND HOSPITAL, AND TRINITY HEALTH GRAND HAVEN. OTTAWA COUNTY OFFERS NUMEROUS HEALTH RELATED SERVICES INCLUDING FOUR FREE MEDICAL CLINICS AND A VARIETY OF SERVICES THROUGH NON-PROFIT AGENCIES SUCH AS THE OTTAWA COUNTY HEALTH DEPARTMENT AND OTTAWA COUNTY COMMUNITY MENTAL HEALTH.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE ATHTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
PART VI, LINE 4 CONTINUED	COREWELL HEALTH PENNOCK HOSPITAL:COREWELL HEALTH PENNOCK HOSPITAL IS A CRITICAL ACCESS FACILITY LOCATED IN BARRY COUNTY AND IS UNIQUELY LOCATED IN THE MIDDLE OF FOUR (4) LARGER METROPOLITAN AREAS: GRAND RAPIDS, LANSING, KALAMAZOO, AND BATTLE CREEK. THE PRIMARY SERVICE AREA IS IDENTIFIED AS BARRY COUNTY AND SUPPORTS A POPULATION OF RESIDENTS OVER 62,000.PENNOCK HOSPITAL IS THE ONLY HOSPITAL WITHIN A 35 MILE RADIUS SERVICING RESIDENTS OF THE COMMUNITY. OTHER HEALTHCARE RESOURCES AVAILABLE IN THE COMMUNITY INCLUDE BOTH INDEPENDENT AND PENNOCK EMPLOYED PHYSICIAN OFFICES, CHERRY HEALTH - BARRY COMMUNITY HEALTH CENTER, AND PENNOCK URGENT CARE CENTER.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITYHEALTH NEEDS ASSESSMENT ACCESSIBLE ATHTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSCOREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITAL:THE SYSTEM SERVES APPROXIMATELY 240,000 RESIDENTS IN BERRIEN COUNTY AND SURROUNDING AREAS. LAKELAND SERVES ALL OF BERRIEN COUNTY, AND PARTS OF VAN BUREN AND CASS COUNTIES WITH 13% TO 15% OF THE POPULATION IN THESE COUNTIES LIVING BELOW THE POVERTY LEVEL. ALL THREE COUNTIES ARE LOCATED IN THE SOUTHWEST CORNER OF MICHIGAN. THIS SERVICE AREA IS DETERMINED BY THE LOCATION OF LAKELAND'S FACILITIES AND PATIENTS' PLACES OF RESIDENCE.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE ATHTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSCOREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL, COREWELL HEALTH BEAUMONT TROY HOSPITAL, COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL, COREWELL HEALTH FARMINGTON HILLS HOSPITAL, COREWELL HEALTH DEARBORN HOSPITAL, COREWELL HEALTH TRENTON HOSPITAL, COREWELL HEALTH TAYLOR HOSPITAL, AND COREWELL HEALTH WAYNE HOSPITAL:THE COREWELL HEALTH EAST (CHE) HOSPITAL COMMUNITY IS DEFINED BY THE CONTIGUOUS ZIP CODES WHERE 80% OF THE HOSPITAL'S ADMISSIONS ORIGINATE. THE COMBINED PRIMARY SERVICE AREAS OF THE EIGHT HOSPITALS PRINCIPALLY INCLUDE MACOMB, OAKLAND, AND WAYNE COUNTIES IN SOUTHEAST MICHIGAN. IN 2022, THE TOTAL POPULATION OF THE COMMUNITY SERVED WAS ESTIMATED TO BE 3.9 MILLION PEOPLE. POPULATION IN THE AREA IS EXPECTED TO GROW 1% IN THE NEXT FIVE YEARS. THE 18 TO 44 AGE GROUP MAKES UP THE LARGEST PORTION OF THE POPULATION, HOWEVER, IS EXPECTED TO STAY THE SAME OVER THE NEXT FIVE YEARS. THE 65+ GROUP WILL EXPERIENCE THE GREATEST GROWTH AND IS PROJECTED TO INCREASE BY 14%. THE UNDER 18 POPULATION WILL DECREASE BY 1.3%, WHILE THE 45-64 AGE GROUP WILL DECREASE BY 4.65%. THE POPULATION IS 67% WHITE, 25% BLACK AND 8% ASIAN PACIFIC ISLANDER AND OTHER. HOWEVER, THERE ARE LARGE VARIANCES IN THESE PERCENTAGES ACROSS THE SERVICE REGION.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE ATHTTPS://COREWELLHEALTH.ORG/ABOUT/HEALTHIER-COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
PART VI, LINE 5	THE COMMUNITY BOARD OF EACH FACILITY ON PART V, SECTION A IS SUBSTANTIALLY COMPOSED OF INDEPENDENT COMMUNITY MEMBERS THAT RESIDE IN THE PRIMARY SERVICE AREA OF THE HOSPITAL THEY SERVE AND PROVIDE ADVICE TO THAT HOSPITAL'S LEADERSHIP TEAM. ALL COREWELL HEALTH HOSPITALS ALSO EXTEND MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. PEOPLE THROUGHOUT THE COMMUNITY CAN COUNT ON ALL COREWELL HEALTH HOSPITAL FACILITIES TO BE STANDING BY WITH EMERGENCY CARE 24 HOURS A DAY, 365 DAYS A YEAR. THE EMERGENCY DEPARTMENTS ARE STAFFED WITH BOARD-CERTIFIED EMERGENCY CARE PHYSICIANS AND A NURSING STAFF THAT IS TRAINED AND EXPERIENCED IN EMERGENCY CARE. FURTHERMORE, NO PATIENT IS DENIED TREATMENT, REGARDLESS OF THEIR ABILITY TO PAY. COREWELL HEALTH INVESTS NET EARNINGS IN IMPROVING PATIENT CARE, BUILDING AND RENOVATING FACILITIES, PURCHASING NEW TECHNOLOGY, PROVIDING HEALTH EDUCATION AND FUNDING COMMUNITY PROGRAMS AS SHOWN BELOW. IN 2024, OUR COMMUNITIES NAVIGATED PROFOUND CHANGES DURING A TIME OF EVOLVING HEALTHCARE NEEDS AND HEIGHTENED INEQUITIES. COREWELL HEALTH'S COMMITMENT TO PROVIDING ACCESSIBLE, COMPASSIONATE AND EQUITABLE HEALTHCARE HAS NEVER BEEN MORE URGENT. GUIDED BY OUR MISSION TO IMPROVE LIVES THROUGH BETTER HEALTH AND GREATER HUMANITY, WE ARE ACTIVELY DISMANTLING INEQUITIES IN INTERNAL PROCESSES, BRIDGING COMMUNITY HEALTH AND CLINICAL FUNCTIONS, AND ADDRESSING WIDENING HEALTH GAPS WITH ACTIONABLE SOLUTIONS. THIS IS OUR LABOR OF LOVE.ACHIEVING COMMUNITY HEALTH REQUIRES AN ORGANIZATIONAL COMMITMENT EMBEDDED IN LEADERSHIP AND VISION. ALTHOUGH OUR STRATEGIES PROVIDE A SOLID FOUNDATION, OUR TAILORED REGIONAL PROGRAMMING FOR MATERNAL-INFANT HEALTH - WITH A FOCUS ON MENTAL HEALTH AND CARDIOVASCULAR DISEASE PREVENTION AND MANAGEMENT PREPARE US TO EFFECTIVELY RESPOND TO THE UNIQUE NEEDS OF OUR DIVERSE COMMUNITIES AND TRANSLATE OUR STRATEGIES INTO IMPACT. COMMUNITY HEALTH IS GAINING MOMENTUM AT COREWELL HEALTH, ATTRACTING LEADERS AND TEAM MEMBERS EAGER TO BETTER SERVE PATIENTS, COMMUNITIES, AND PLAN MEMBERS. TO DEEPEN THIS COMMITMENT, WE MUST SHOW EQUITY IN PRACTICE - NOT ALWAYS IN LARGE-SCALE CHANGES OR NEW PROGRAMS BUT MORE OFTEN IN SMALL, MANAGEABLE STEPS THAT REFINE PROCESSES AND TEST NEW APPROACHES. THESE EFFORTS CAN DISPEL MYTHS ABOUT EQUITY BEING TOO ABSTRACT OR UNACHIEVABLE AND SUPPORT THE THRIVING, CULTURE OF EQUITY ACROSS OUR ORGANIZATION. WE PARTNERED WITH TRUSTED COMMUNITY LEADERS AND LEVERAGED COLLABORATIVE EXPERTISE TO STRENGTHEN OUR PROGRAMMING AND ALIGN EACH INITIATIVE WITH OUR EQUITY GOALS. WHAT WE KNOW FOR SURE IS THAT COMMUNITY HEALTH ISN'T JUST AN ASPIRATION, IT'S A CONCRETE COMMITMENT TO ENSURING ALL COMMUNITIES HAVE AN EQUAL OPPORTUNITY TO ACHIEVE THEIR OPTIMAL HEALTH. IN 2024, WE ADOPTED A PORTFOLIO-BASED APPROACH TO ACTUALIZING COMMUNITY HEALTH, MOVING FROM SILOED PROGRAMS TO UNIFIED, ORGANIZATION-WIDE STRATEGIES. TO DO THIS WE ADOPTED THE TRANSFORMATION COMPASS TO GUIDE OUR DESIGN OF PORTFOLIOS THAT ADDRESS INEQUITIES ACROSS FOUR INTERCONNECTED LEVELS:INDIVIDUAL: INITIATIVES SUCH AS HEALTH EDUCATION AND CHRONIC DISEASE MANAGEMENT. ORGANIZATIONAL: EQUITY-FOCUSED PRACTICES IN HEALTH CARE DELIVERY, EMPLOYMENT AND CONTRACTING.COMMUNITY: ADDRESSING SOCIAL DETERMINANTS LIKE FOOD ACCESS AND TRANSPORTATION. SOCIAL STRUCTURES: ADVOCACY FOR POLICY REFORMS TO ADVANCE SYSTEMIC JUSTICE.THIS SHIFT, POWERED BY A ROBUST EVALUATION OF OUR EXISTING INITIATIVES, ENSURES OUR RESOURCES ARE STRATEGICALLY ALLOCATED. IT REFLECTS AN INTEGRATED, MULTI-LEVEL STRATEGY THAT CULTIVATES COLLABORATION ACROSS TEAMS AND STAKEHOLDERS TO CREATE LASTING, SYSTEMIC CHANGE, ENSURING THAT COMMUNITY HEALTH REMAINS CENTRAL TO OUR MISSION. THE TRANSFORMATION COMPASS OFFERS A WAY TO PLAN HOW WE TACKLE INEQUITIES THROUGH ESTABLISHING BALANCED PORTFOLIOS MADE UP OF MUTUALLY SUPPORTIVE INVESTMENTS ACROSS ALL FOUR LEVELS. APPLYING A PORTFOLIO-BASED APPROACH REFLECTS AN IMPORTANT SHIFT IN HOW COREWELL HEALTH IS APPROACHING COMMUNITY HEALTH. THE INTENT BEHIND THIS IS TWO-FOLD; FIRST IT ENSURES WE ARE FOCUSED IN OUR USE OF RESOURCES TO ACHIEVE OUR GOALS, AND SECOND ACKNOWLEDGES THE REALITY THAT IMPACT WILL COME THROUGH A COLLECTION OF INITIATIVES AS WE WORK TOWARDS THOSE GOALS. BETWEEN JANUARY AND JUNE 2024, THE COMMUNITY HEALTH EVALUATION, ANALYTICS AND ASSESSMENT TEAM (HEEAAT) ASSESSED 34 HEALTHIER COMMUNITIES PROGRAMS ACROSS EACH OF OUR THREE REGIONS USING A TOOL CALLED THE PORTFOLIO ALIGNMENT RUBRIC (PAR) TO BETTER UNDERSTAND OUR PORTFOLIOS. THIS EVALUATION MEASURED EACH PROGRAM'S ALIGNMENT WITH OUR STRATEGIC GOALS AND THE TRANSFORMATION COMPASS FRAMEWORK, REVEALING SIGNIFICANT ACHIEVEMENTS:MEDIAN AGE OF COMMUNITY HEALTH PROGRAMS IS FOUR YEARS. MORE THAN HALF OF THESE PROGRAMS DRIVE POLICY CHANGE AT LOCAL, STATE OR NATIONAL LEVELS. 183,700+ INDIVIDUALS WERE SERVED ANNUALLY THROUGH COMMUNITY HEALTH PROGRAMS.THE RESULTS REVEALED THAT MOST INITIATIVES ARE CONCENTRATED AT THE INDIVIDUAL BEHAVIOR LEVEL OF THE TRANSFORMATION COMPASS. IN AUGUST, THE COMMUNITY HEALTH LEADERSHIP TEAM SET RESOURCE ALLOCATION TARGETS FOR EACH LEVEL OF TRANSFORMATION TO CREATE A BALANCED PORTFOLIO AND GUIDE PROGRESS OVER THE NEXT THREE TO FIVE YEARS. MOVING INTO 2025, WE'LL FOCUS ON SHIFTING OUR SPENDING TO BETTER ALIGN WITH THESE TARGETS.PORTFOLIO INVESTMENT TARGETS10% INDIVIDUAL35% ORGANIZATIONAL35% COMMUNITY20% SOCIAL STRUCTURESEACH OF OUR COMMUNITY HEALTH INITIATIVES IS AN INVESTMENT AND THE STRENGTH OF OUR PORTFOLIOS RELIES ON THE QUALITY OF THOSE INDIVIDUAL INVESTMENTS. HEEAAT'S EVALUATION OF EACH PROGRAMS' COMMUNITY HEALTH ALIGNMENT AND EFFICACY ENHANCED OUR ANALYTICAL FRAMEWORKS TO REFINE IMPACT AND SUPPORT ONGOING IMPROVEMENT, CONNECTING ON-THE-GROUND INSIGHTS TO LONG-TERM DECISION-MAKING. COLLABORATION WITH FRONTLINE TEAM MEMBERS ENSURES OUR COMMUNITY HEALTH EFFORTS REMAIN GROUNDED IN THE REAL EXPERIENCES OF OUR PATIENTS AND COMMUNITIES, DRIVING VALUE AND EXPANDING THEIR OPPORTUNITIES TO LIVE THE HEALTHIEST LIVES POSSIBLE.RESTRUCTURING FOR THE FUTURE REGULATIONS SET BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AND THE JOINT COMMISSION HAVE BEEN PIVOTAL IN SHAPING COREWELL HEALTH'S APPROACH TO COMMUNITY HEALTH. THESE MANDATES REQUIRE HOSPITALS TO APPOINT DEDICATED LEADERS, COLLECT AND ANALYZE PATIENT DEMOGRAPHICS AND SOCIAL NEEDS AND IMPLEMENT STRATEGIES TO IDENTIFY AND ADDRESS INEQUITIES. IN 2024, CMS INTRODUCED REGULATIONS REQUIRING HOSPITALS TO SCREEN ALL ADMITTED PATIENTS FOR HEALTH-RELATED SOCIAL NEEDS. THESE MEASURES NOT ONLY ENHANCE OUR UNDERSTANDING OF HOW SOCIAL DETERMINANTS EFFECT HEALTH INEQUITIES BUT ARE ALSO ESSENTIAL FOR HOSPITALS TO MAINTAIN ACCREDITATION AND RECEIVE REIMBURSEMENTS.OUTLINING MATERNAL-INFANT HEALTH INEQUITIES IN MICHIGAN, PRETERM AND LOW BIRTH WEIGHT BABIES ACCOUNT FOR 41% OF INFANT DEATHS AND FACE INCREASED RISKS OF DEVELOPMENTAL DELAYS AND CHRONIC HEALTH CONDITIONS. SINCE JANUARY 2023, 13.8% OF BABIES BORN AT COREWELL HEALTH WERE DELIVERED PRETERM, EXCEEDING THE STATE AVERAGE OF 10.3%. THESE OUTCOMES LOOK DIFFERENT WHEN WE STRATIFY BY RACE/ ETHNICITY.WE USE A PORTFOLIO-BASED APPROACH TO ADDRESS THE RACIAL, ETHNIC, GEOGRAPHIC, AND SOCIOECONOMIC INEQUITIES THAT CONTRIBUTE TO POOR MATERNAL AND INFANT HEALTH OUTCOMES. THIS MEANS WE FOCUS ON REDUCING INEQUITIES BY ADDRESSING MULTIPLE DETERMINANTS OF HEALTH, TARGETING KEY CLINICAL RISK FACTORS SUCH AS HYPERTENSION, PREECLAMPSIA, ANXIETY AND DEPRESSION, AND REFORMING CLINICAL PRACTICES, POLICIES AND CARE DELIVERY MODELS TO BETTER IDENTIFY AND RESPOND TO SOCIAL STRESSORS. BEYOND THE WALLS OF OUR HEALTH SYSTEM, WE INVEST IN INITIATIVES THAT IMPROVE COMMUNITY CONDITIONS INFLUENCING HEALTH OUTCOMES.UNDERSTANDING THE IMPACT OF CARDIOVASCULAR AND MATERNAL MENTAL HEALTH RESEARCH SHOWS A CLEAR LINK BETWEEN MATERNAL MENTAL HEALTH, CARDIOVASCULAR DISEASE, AND ADVERSE BIRTH OUTCOMES. RESEARCH SHOWS THAT PEOPLE WHO EXPERIENCE DEPRESSION, ANXIETY AND CHRONIC STRESS DURING PREGNANCY ARE AT HIGHER RISK OF DELIVERING LOW-BIRTHWEIGHT BABIES. THESE ADVERSE BIRTH OUTCOMES CAN ALSO INCREASE THE LIKELIHOOD OF PEOPLE EXPERIENCING POSTPARTUM DEPRESSION. BETWEEN JANUARY OF 2023 AND JUNE OF 2024, APPROXIMATELY ONE IN FOUR PREGNANT INDIVIDUALS CARED FOR AT COREWELL HEALTH WERE AT MEDIUM OR HIGH RISK FOR POSTPARTUM DEPRESSION. BLACK AND HISPANIC WOMEN WERE DISPROPORTIONALLY AT RISK COMPARED TO OTHER RACIAL AND ETHNIC GROUPS. MATERNAL MENTAL HEALTH, WHICH ENCOMPASSES EMOTIONAL, SOCIAL AND PSYCHOLOGICAL WELL-BEING, IS A CRUCIAL FACTOR IN PREGNANCY AND POSTPARTUM OUTCOMES. DEPRESSION AND ANXIETY ARE LEADING CONTRIBUTORS TO MATERNAL MORBIDITY AND MORTALITY, YET NEARLY HALF OF ALL WOMEN WITH POSTPARTUM DEPRESSION GO UNTREATED. LATINO PATIENTS ARE MOST LIKELY TO BE AT MEDIUM OR HIGH RISK FOR POSTPARTUM DEPRESSION, FOLLOWED BY BLACK AND NATIVE AMERICAN PATIENTS.
PART VI, LINE 5 CONTINUED	CARDIOVASCULAR DISEASE IS THE LEADING CAUSE OF DEATH AMONG WOMEN, RESPONSIBLE FOR ONE IN THREE LIVES LOST ANNUALLY - EQUIVALENT TO ONE WOMAN DYING EVERY 80 SECONDS. PREGNANCY COMPLICATIONS LIKE PREECLAMPSIA OR GESTATIONAL DIABETES SIGNIFICANTLY INCREASE A WOMAN'S RISK OF DEVELOPING CARDIOVASCULAR DISEASE LATER IN LIFE. FOR EXAMPLE, WOMEN WITH TWO OR MORE COMPLICATED PREGNANCIES FACE DOUBLE THE RISK OF STROKE BEFORE AGE 45 COMPARED TO WOMEN WITHOUT SERIOUS COMPLICATIONS. THE LINK BETWEEN CARDIOVASCULAR HEALTH AND HEALTHY BIRTHS IS WELL-DOCUMENTED. PATIENTS WHO EXPERIENCE HYPERTENSION AND DIABETES, BOTH RISK FACTORS FOR CARDIOVASCULAR DISEASE, ARE MORE LIKELY TO EXPERIENCE A PRETERM BIRTH COMPARED TO PATIENTS WITHOUT THESE CONDITIONS. OUR SOLUTION TARGETS TWO OF THE PRIMARY DRIVERS OF MATERNAL MORBIDITY AND MORTALITY: MENTAL WELL-BEING AND CARDIOVASCULAR HEALTH. BY FOCUSING ON THESE CRITICAL AREAS, WE'RE REDUCING INEQUITIES AND IMPROVING OUTCOMES FOR BIRTHING PEOPLE AND INFANTS ACROSS MICHIGAN.COREWELL HEALTH'S REGIONAL PROGRAMS, LED BY OUR HEALTHIER COMMUNITIES TEAMS, DEMONSTRATE OUR COMMITMENT TO ADDRESSING HEALTH INEQUITIES WHERE THEY ARE MOST ACUTE. GROUNDED IN THE UNIQUE NEEDS IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA), WE'RE CREATING LOCALLY TAILORED PATHWAYS TO COMMUNITY HEALTH THAT RESONATE AND DELIVER MEASURABLE IMPACT.COREWELL HEALTH IN WEST MICHIGANTHE COREWELL HEALTH HEALTHIER COMMUNITIES IN WEST MICHIGAN TEAM SERVES URBAN AND RURAL COMMUNITIES ACROSS WEST MICHIGAN, DEVELOPING STRATEGIES TO PRIORITIZE HEALTH NEEDS IDENTIFIED FROM THE CHNA. THEY WORK CLOSELY WITH LOCAL LEADERS TO DEFINE WHAT MATTERS MOST AND GUIDE IMPACTFUL INITIATIVES THAT ADDRESS INEQUITIES.BECAUSE WE VALUE MATERNAL HEALTH AS A CORNERSTONE OF COMMUNITY WELL-BEING, COREWELL HEALTH IN WEST MICHIGAN IS TACKLING INEQUITIES FOR BIRTHING INDIVIDUALS AND THEIR INFANTS WITH A COMPREHENSIVE APPROACH DESIGNED TO IMPROVE LIFE EXPECTANCY AND REDUCE PREVENTABLE RISKS. BY BREAKING DOWN BARRIERS WITH CULTURALLY RESPONSIVE CARE, EXPANDING ACCESS TO MENTAL HEALTH SUPPORT AND LEVERAGING PARTNERSHIPS TO DISMANTLE SYSTEMIC INEQUITIES, THE HEALTHIER COMMUNITIES WEST TEAM AIMS TO MEET FAMILIES WHERE THEY ARE - AT HOME, IN CLINICS, THROUGH VIRTUAL EDUCATION - TO ENSURE HEALTHIER BEGINNINGS FOR CHILDREN AND CLOSE COMMUNITY HEALTH GAPS.IMPROVING MATERNAL-INFANT HEALTH FOR PATIENTS AND COMMUNITIESTHE HEALTHIER COMMUNITIES TEAM INVESTED $300,000 IN OUR MENTAL HEALTH COLLECTIVE TO STRENGTHEN ACCESS TO CULTURALLY RELEVANT MENTAL HEALTH CARE AND INTEGRATE BEHAVIORAL HEALTH SERVICES TO IMPROVE CARE FOR PREGNANT INDIVIDUALS. THIS PARTNERSHIP IS A SIGNIFICANT STEP TOWARD CONNECTING COREWELL HEALTH CLIENTS WITH CULTURALLY DIVERSE THERAPISTS TO PROVIDE INCLUSIVE MENTAL HEALTH CARE AND STAY RESPONSIVE TO DIVERSE NEEDS. SINCE ITS LAUNCH IN JULY 2024, 21 REFERRALS HAVE BEEN MADE AND THE INITIATIVE REPRESENTS A GROWING COLLABORATION THAT BUILDS MEANINGFUL RELATIONSHIPS WITH THERAPISTS AND EXPANDS ACCESS TO EQUITABLE CARE. WHILE STILL IN ITS EARLY STAGES, THIS PARTNERSHIP LAYS THE FOUNDATION FOR LONG-TERM IMPACT FOR OUR PATIENTS AND COMMUNITIES BY FOSTERING A MORE INCLUSIVE APPROACH TO MENTAL HEALTH SERVICES. COREWELL HEALTH USES THE EDINBURGH POSTNATAL DEPRESSION SCALE TO ASSESS PREGNANT INDIVIDUALS AND NEW PARENTS. THE RESULTS HELP US CONNECT PATIENTS WITH VITAL SUPPORT SERVICES, INCLUDING FREE THERAPY SESSIONS THROUGH PARTNERSHIPS WITH ARBOR CIRCLE AND OUR MENTAL HEALTH COLLECTIVE, AS WELL AS REFERRALS TO COREWELL HEALTH'S MATERNAL-INFANT HEALTH PROGRAM (MIHP). THE EDINBURGH SCREENING ALSO IDENTIFIES BREASTFEEDING CHALLENGES AND CONNECTS PATIENTS TO SUPPORT GROUPS FOR ADDITIONAL HELP.OVER SIX QUARTERS, AN AVERAGE OF 28.4% PREGNANT PEOPLE WERE SCREENED WITH MEDIUM TO HIGH RISK OF POSTPARTUM (PP) DEPRESSION IN ALL RACES AT COREWELL HEALTH IN WEST MICHIGAN.RESEARCH SHOWS THAT SOCIAL SUPPORT REDUCES MATERNAL ANXIETY AND DEPRESSION, IMPROVES BIRTH WEIGHT, AND ENHANCES IMMUNE FACTORS IN BREAST MILK. COREWELL HEALTH'S PRENATAL EDUCATION PROGRAM COMBINES EVIDENCE-BASED PRACTICES, PEER SUPPORT AND CULTURAL RESPONSIVENESS TO MEET PRENATAL AND POSTPARTUM NEEDS. CLASSES ARE OFFERED BOTH IN PERSON AND ONLINE, COVERING 18 TOPICS ACROSS SIX CATEGORIES WITH AN EMPHASIS ON INFANT HEALTH, CARE AND SAFETY TO REDUCE INEQUITIES AND IMPROVE OUTCOMES FOR PREGNANT WOMEN AND THEIR BABIES. COREWELL HEALTH IN WEST MICHIGAN ALSO CONNECTS NEW MOTHERS TO BREASTFEEDING SUPPORT GROUPS THROUGH PRENATAL EDUCATION CLASSES OFFERED THREE TIMES A WEEK. THESE CLASSES PROVIDE EDUCATION AND SKILLS TO HELP BREASTFEEDING INDIVIDUALS SUCCEED.FROM JANUARY TO DECEMBER 2024, OVER 8,000 REPEAT PARTICIPANTS ATTENDED, INCLUDING NEW MOMS, BABIES AND MEMBERS OF THEIR SUPPORT NETWORK. THE CLASSES ARE A SPACE FOR PEOPLE TO FOSTER CONNECTION, BUILD BONDS AND DEVELOP SUPPORT NETWORKS THAT CAN IMPROVE MENTAL HEALTH OUTCOMES AFTER DELIVERY.EMBEDDING COMMUNITY HEALTH BY TRANSFORMING CLINICAL CAREA MULTIDISCIPLINARY TEAM AT COREWELL HEALTH IN WEST MICHIGAN INITIATED A PLAN TO SUPPORT PATIENTS WHO RELIED ON THE EMERGENCY DEPARTMENT AS THEIR PRIMARY HEALTH CARE SOURCE, OFTEN BECAUSE OF COMPLEX SOCIAL DETERMINANTS. AN ENVIRONMENTAL SCAN IDENTIFIED COREWELL HEALTH LUDINGTON HOSPITAL AS AN OPTIMAL LOCATION TO PILOT THE PLACEMENT OF A COMMUNITY HEALTH WORKER IN THE EMERGENCY DEPARTMENT TO SUPPORT PATIENTS WITH COMPLEX NEEDS. THE PILOT SITE LAUNCHED IN APRIL 2024 WITH A FOCUS ON DEVELOPING FOUNDATIONAL ELEMENTS, INCLUDING NEW PATHWAYS IN EPIC, STANDARD WORKFLOWS, TEAM MEMBERS TRAINING AND COLLECTING BETTER DATA ABOUT PATIENT NEEDS. 71 PATIENTS WERE REFERRED FOR A SOCIAL NEED FROM APRIL TO OCTOBER OF 2024. OF THOSE 71, 51 PATIENTS ENROLLED AND RECEIVED SERVICES. THIS COLLABORATIVE EFFORT INCLUDES COMMUNITY HEALTH LEADERSHIP, CLINICAL LEADERS, FINANCE TEAMS AND PUBLIC HEALTH PARTNERS. THE PROGRAM PLANS TO EXPAND TO FIVE DAYS PER WEEK IN LUDINGTON AND LAUNCH AT COREWELL HEALTH PENNOCK HOSPITAL IN EARLY 2025, WHERE A PATIENT COHORT WILL HELP EVALUATE OUTCOMES AND COST SAVINGS FROM THESE INTERVENTIONS. COREWELL HEALTH ALSO RECOGNIZED A GAP IN OUR COMMUNITIES FOR DELIVERING SICKLE CELL CARE TO PATIENTS. THE COREWELL HEALTH SICKLE CELL EXPERT IMPROVEMENT TEAM (EIT) WAS CREATED AND IT EXCEEDED ITS GOAL FOR IMPROVING PATIENT PERCEPTIONS OF PAIN MANAGEMENT SURPASSING THE TARGET OF 60.2% BY ACHIEVING 72.6% OF PATIENTS WHO REPORTED THEIR PAIN WAS BEING MANAGED EFFECTIVELY. THIS IMPROVEMENT WAS DRIVEN BY COLLABORATION BETWEEN HEALTH CARE TEAMS, PATIENTS AND CAREGIVERS, INCLUDING THE DEVELOPMENT OF A STANDARDIZED EMERGENCY DEPARTMENT SICKLE CELL CRISIS PATHWAY AND AN INPATIENT ACTION PLAN WITHIN EPIC. IN ADDITION, AN UPDATED SICKLE CELL ORDER SET AND IMPROVED EDUCATION ON PATIENT-CONTROLLED ANALGESIA PUMPS CONTRIBUTED TO POSITIVE OUTCOMES.
PART VI, LINE 5 CONTINUED	STRENGTHENING COMMUNITY PARTNERSHIPS LOCAL PARTNERSHIPS TO ADDRESS FOOD INSECURITIESACCESS TO HEALTHY FOOD REMAINS A SIGNIFICANT CHALLENGE FOR LOW-INCOME INDIVIDUALS, CONTRIBUTING TO CHRONIC CONDITIONS SUCH AS OBESITY, DIABETES AND HEART DISEASE. IN FEBRUARY 2024, COREWELL HEALTH IN WEST MICHIGAN PARTNERED WITH THE AMERICAN HEART ASSOCIATION (AHA) TO INVEST $40,000 INTO ENHANCING FOOD OPTIONS AT MONTCALM COUNTY FOOD PANTRIES. IN THIS COLLABORATIVE PARTNERSHIP, COREWELL HEALTH IS EXPANDING ACCESS TO NUTRITIOUS FOOD AND PROMOTING HEALTHIER EATING HABITS IN THE COMMUNITY. A REGISTERED DIETICIAN IS CENTRAL TO THIS INITIATIVE TO ENHANCE PANTRY INFRASTRUCTURE, PROMOTE HEALTH-FOCUSED FOOD POLICIES AND PROVIDE NUTRITION EDUCATION. ANOTHER TANGIBLE OUTCOME OF THIS PARTNERSHIP WAS THE INSTALLATION OF A NEW REFRIGERATOR/FREEZER COMBO UNIT AT A PARTICIPATING PANTRY, ENABLING TEAM MEMBERS TO STOCK FRESH AND FROZEN PRODUCE MORE EFFECTIVELY. THIS UPGRADE NOT ONLY INCREASES THE AVAILABILITY OF FRUITS AND VEGETABLES BUT ALSO REDUCES UTILITY COSTS, SUPPORTING BOTH HEALTH AND SUSTAINABILITY GOALS. BY WORKING WITH FIVE ESTABLISHED FOOD PANTRIES AND EXPLORING A SIXTH PARTNERSHIP, COREWELL HEALTH IS BUILDING A FOUNDATION FOR IMPACTFUL, HEALTH-FOCUSED FOOD POLICIES TO IMPROVE COMMUNITY NUTRITION BY DECEMBER 2025.MORE LIFE MS VIDA THROUGH CANCER SCREENINGSIN PARTNERSHIP WITH CANCER CARE SERVICES, COREWELL HEALTH'S MORE LIFE MS VIDA HAS WORKED TO REDUCE CANCER INEQUITIES BY INCREASING ACCESS TO PREVENTION, SCREENINGS AND EQUITABLE CARE FOR UNINSURED OR UNDERINSURED INDIVIDUALS. THIS COLLABORATION PROVIDED ACCESS TO FREE OR LOW-COST CANCER SCREENING RESOURCES, INCLUDING EARLY DETECTION MAMMOGRAMS, COLON CANCER AT-HOME KITS, HPV VACCINATIONS AND CERVICAL CANCER SCREENINGS.THESE SERVICES WERE MADE POSSIBLE WITH PHILANTHROPIC FUNDS FROM CANCER CARE SERVICES AS WELL AS THE MDHHS BREAST AND CERVICAL CANCER NAVIGATION PROGRAM (BC3NP), WHICH PROVIDES CERVICAL CANCER SCREENINGS FOR INDIVIDUALS AGED 21 TO 64 AND BREAST CANCER SCREENINGS FOR INDIVIDUALS AGED 40 TO 64 (OR 21+ FOR DIAGNOSTIC MAMMOGRAMS) WHO MEET INCOME ELIGIBILITY.COMMUNITY HEALTH WORKERS ARE INTEGRAL TO THE PROGRAM, ADDRESSING SOCIAL DETERMINANTS AND PROVIDING FOLLOW-UP CARE, FINANCIAL COUNSELING AND PATIENT ASSISTANCE. SINCE ITS INCEPTION IN 2023, THE COMMUNITY-DRIVEN PROGRAM HAS HOSTED TWO CANCER SCREENINGS, DISTRIBUTED 10 COLON CANCER SCREENING KITS, ADMINISTERED 26 HPV VACCINATIONS AND COMPLETED 105 MAMMOGRAMS.ASPEN INSTITUTE'S JUSTICE AND GOVERNANCE PARTNERSHIPLAUNCHED IN 2023, A JUST GR IS GUIDED BY A DIVERSE LEADERSHIP COUNCIL (55% BLACK/AFRICAN AMERICAN, 35% WHITE) AND 60% HOLDING GRADUATE DEGREES WITH REPRESENTATION FROM LAW ENFORCEMENT AND PUBLIC SAFETY, EDUCATION, LOCAL GOVERNMENT AND NONPROFITS. ROOTED IN LISTENING, EMBRACING COMPLEXITY AND DATA-DRIVEN DECISION-MAKING, THE INITIATIVE ACKNOWLEDGES HISTORICAL INEQUITIES AND WORKS TOWARD EQUITABLE OUTCOMES. ITS MISSION IS TO ENHANCE SAFETY AND OPPORTUNITY FOR ALL WHILE SERVING AS A NATIONAL MODEL FOR JUSTICE REFORM.THE COREWELL HEALTH HEALTHIER COMMUNITIES TEAM IN WEST MICHIGAN WAS SELECTED AND FUNDED TO LEAD THIS EFFORT THROUGH 2027, POSITIONING GRAND RAPIDS AS THE FIRST PILOT CITY IN THE NATION. POWERED BY THE ASPEN INSTITUTE'S JUSTICE AND GOVERNANCE PARTNERSHIP, A JUST GR IS A GROUNDBREAKING INITIATIVE PROMOTING EQUITY-CENTERED PUBLIC SAFETY AND JUSTICE IN GRAND RAPIDS. THIS FIRST-OF-ITS-KIND PROJECT BRINGS TOGETHER COMMUNITY VOICES TO CREATE A SHARED VISION FOR JUSTICE AND SAFETY, PRIORITIZING CROSS-SECTOR COLLABORATION TO TACKLE SYSTEMIC INEQUITIES WHILE FOSTERING COMMUNITY LEADERSHIP AND OWNERSHIP.OUR COREWELL HEALTH HOSPITALS IN WEST MICHIGAN ARE RESPONDING TO EMERGING THE JOINT COMMISSION REQUIREMENTS BY IMPLEMENTING COMMUNITY HEALTH ACTION PLANS. THESE HOSPITALS ARE ANALYZING SOCIAL DETERMINANTS AND STRATIFYING DATA TO BETTER UNDERSTAND PATIENT OUTCOMES AND LAUNCH PROJECTS TO ADDRESS POSTPARTUM DEPRESSION SPECIFICALLY AT COREWELL HEALTH ZEELAND AND GREENVILLE HOSPITALS AND IN THE COMMUNITIES WE SERVE.ZEELAND HOSPITAL: WE FOCUSED ON POSTPARTUM PATIENTS AT MEDIUM-HIGH RISK OF PPD. IN 2023, 59% OF MIHP CLIENTS WHO WERE PREGNANT SAID THEY EXPERIENCED STRESS AND DEPRESSION, WHILE 69% OF CLIENTS WHO HAD AN INFANT REPORTED THESE EXPERIENCES.WE FOCUSED ON INCREASING REFERRALS OF PREGNANT PEOPLE AT RISK OF PPD INTO THE MIHP FROM 9% TO A TARGET REFERRAL RATE OF 30% BY 6/2025. AND WE INCREASED THE PROVISION OF EDUCATIONAL MATERIALS TO THESE PATIENTS FROM 41% TO 95% IN THE SAME TIME FRAME.WE ALSO INCREASED REFERRAL RATES FOR MIHP TO 33% BY DECEMBER 2024 AND DELIVERY OF EDUCATIONAL RESOURCES HAD INCREASED TO 60% BY DECEMBER 2024.AT GREENVILLE HOSPITAL, WE FOCUSED ON POSTPARTUM PATIENTS WHO ARE HIGH RISK FOR DEPRESSION. THE RATIO OF MENTAL HEALTH PROVIDERS TO RESIDENTS IN THE COMMUNITY IS 1:477. ADULTS AGED 18 - 34 ARE TWICE AS LIKELY TO EXPERIENCE MENTAL DISTRESS, AND 75% OF MOMS WHO GIVE BIRTH AT GREENVILLE HOSPITAL FALL WITHIN THIS AGE GROUP.NO REFERRALS WERE BEING MADE INTO SUPPORTIVE PROGRAMS WHICH INCLUDED THE WELCOME BABY PROGRAM AND THE MIHP. WE SET A TARGET TO INCREASE REFERRALS FROM 0% TO 10% BY DECEMBER 2024 AND EXCEEDED THE TARGET BY INCREASING REFERRALS TO 100% OF ALL ELIGIBLE PATIENTS. THE OB TEAM HAS ADOPTED NEW WORKFLOWS TO MAINTAIN THE REFERRAL PATHWAY.WE FOCUSED ON TOBACCO CESSATION AT COREWELL HEALTH BIG RAPIDS, REED CITY AND LUDINGTON HOSPITALS.AT BIG RAPIDS AND REED CITY HOSPITALS WE FOCUSED ON ADMITTED PATIENTS BETWEEN AGE 18-65 AT HIGH RISK OF TOBACCO USE. IN 2023 21.2% AND 30.2% OF THESE PATIENTS ADMITTED TO BIG RAPIDS AND REED CITY HOSPITALS WERE AT HIGH RISK FOR TOBACCO USE, RESPECTIVELY. ONLY A FRACTION OF THOSE PATIENTS WERE REFERRED TO THE TOBACCO CESSATION PROGRAM. WE INCREASED REFERRALS TO THE TOBACCO CESSATION PROGRAM TO ABOVE 85% BY DECEMBER 2024.AT LUDINGTON HOSPITAL, WE FOCUSED ON ADMITTED MALE PATIENTS AT HIGH RISK OF TOBACCO USE. MALE PATIENTS BETWEEN 25 - 55 HAD AN 8% HIGHER RISK OF TOBACCO USE.WE FOCUSED ON INCREASING REFERRALS FOR MALE PATIENTS BETWEEN THE AGE OF 35 - 55 WHO WERE AT HIGH RISK OF TOBACCO USE INTO THE TOBACCO CESSATION PROGRAM FROM 0% TO 50% BY JULY 2025. WE EXCEEDED THE TARGET BY NOVEMBER 2024 WITH 60% OF TARGET PATIENTS BEING REFERRED TO THE PROGRAM.WE ALSO FOCUSED ON TOBACCO CESSATION AT COREWELL HEALTH GERBER HOSPITAL. WE FOCUSED ON WHITE PATIENTS BETWEEN THE AGES OF 50 - 80 IN THE MEDICAL SURGERY UNIT AND ICU AT HIGH RISK OF TOBACCO USE. CARDIOVASCULAR DISEASE WAS A LEADING CAUSE OF DEATH IN NEWAYGO COUNTY IN 2023. WE FOCUSED ON INCREASING REFERRALS OF THE TARGET PATIENT POPULATION TO TOBACCO SPECIALIST FROM 0% TO 50% BY DECEMBER 2024. WE INCREASED REFERRALS TO 60%, AND INCREASED CONTACT RATE WITH PATIENTS AT HIGH RISK OF TOBACCO USE TO 86% BY A TOBACCO SPECIALIST.WE ADDRESSED FOOD INSECURITY AT COREWELL HEALTH PENNOCK HOSPITAL. WE FOCUSED ON PATIENTS BETWEEN THE AGES OF 51 - 70 WHO SCREENED POSITIVE FOR FOOD INSECURITY. PATIENTS IN THE MEDICAL SURGERY AND ICU UNITS HAD THE HIGHEST NEEDS. WE FOCUSED ON INCREASING REFERRALS TO THE FRESH FOOD INITIATIVES PRIOR TO PATIENT DISCHARGE FROM 0% TO 40% MAY 2025. WE INCREASED REFERRALS TO THE FRESH FOOD INITIATIVE TO 66% BY NOVEMBER 2024 WITH 40% OF THOSE BEING REFERRED ATTENDING THE PROGRAM.
PART VI, LINE 5 CONTINUED	COREWELL HEALTH IN SOUTHWEST MICHIGAN.THE KEY TO IMPROVING MATERNAL AND INFANT HEALTH OUTCOMES AT COREWELL HEALTH IN SOUTHWEST MICHIGAN BEGINS WHEN WE EARN THE TRUST OF FAMILIES. IN MARCH 2024, THE COREWELL HEALTH CENTER FOR WELLNESS EXPANDED ITS COMMUNITY REACH BY MOVING INTO A NEW AND SIGNIFICANTLY LARGER LOCATION IN DOWNTOWN BENTON HARBOR. AT THE COREWELL HEALTH CENTER FOR WELLNESS, THE COREWELL HEALTH HEALTHIER COMMUNITIES TEAM HAS CREATED A COHESIVE PORTFOLIO OF PROGRAMMING THAT CENTERS AROUND MATERNAL-INFANT HEALTH, CARDIOVASCULAR HEALTH, AND MENTAL WELLNESS IN AN EASY-TO-ACCESS LOCATION.ADDRESSING THE COMPLEX MATERNAL AND INFANT HEALTH INEQUITIES IN OUR COMMUNITIES REQUIRES A MULTI-FACETED APPROACH. AT THE CENTER, FAMILIES CAN ACCESS A PORTFOLIO OF PROGRAMS DESIGNED TO HAVE A LASTING IMPACT AND IMPROVE OUTCOMES DURING SOME OF THE MOST CRITICAL YEARS OF THEIR LIVES.IN 2024, THE COREWELL HEALTH CENTER FOR WELLNESS SERVED NEARLY 1,500 CLIENTS ACROSS MORE THAN 8,000 VISITS.ENGAGEMENT THROUGH COMMUNITY DIAPER DISTRIBUTIONIN 2024, THE COREWELL HEALTH CENTER FOR WELLNESS DISTRIBUTED MORE THAN 165,000 DIAPERS TO FAMILIES IN BERRIEN COUNTY. BY ALLEVIATING A CRITICAL HOUSEHOLD EXPENSE, THE PROGRAM HELPS REDUCE FAMILY STRESS AND BUILDS TRUST BETWEEN CAREGIVERS AND TEAM MEMBERS. INTERACTIONS ALSO CREATE OPPORTUNITIES TO CONNECT FAMILIES WITH ADDITIONAL SERVICES AND FOSTER LONG-TERM ENGAGEMENT.PEOPLE WHO RECEIVED DIAPERS REPORTED93% COULD CARE FOR THEIR CHILDREN IN NEW WAYS92% FELT HAPPIER90% WERE ABLE TO PAY FOR OTHER NECESSITIES82% REPORTED FEELING LESS STRESSED OR ANXIOUS80% FELT AN INCREASED CONNECTION TO OTHERSBRIDGING COMMUNITY AND CLINICAL CARE FOR HOLISTIC WELLNESSTHE COREWELL HEALTH CENTER FOR WELLNESS IS REDEFINING PRIMARY CARE BY INTEGRATING INNOVATIVE STAFFING, RECRUITMENT AND CARE MODELS. WHILE AWAITING AN EPIC BUILD, THE CENTER HAS COLLABORATED WITH THE MEDICAL GROUP TO INCLUDE OFFERINGS SUCH AS COOKING CLASSES, MENTAL HEALTH SUPPORT AND LIFESTYLE MEDICINE AS PART OF ITS CARE FRAMEWORK. PARTNERSHIPS WITH INTERCARE, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), FURTHER ALIGN OUR EFFORTS TO CREATE A COHESIVE, COMMUNITY-FOCUSED SYSTEM.THE COREWELL HEALTH CENTER FOR WELLNESS ALSO OFFERS THE INSPIRE AND CONNECT PROGRAMS THAT JOINTLY CREATE A SEAMLESS CONNECTION BETWEEN COMMUNITY AND CLINICAL CARE. INSPIRE COMBINES LIFESTYLE INTERVENTIONS AND HOME BLOOD PRESSURE MONITORING TO SUPPORT HYPERTENSION MANAGEMENT; CONNECT ENHANCES BLOOD PRESSURE CONTROL BY PROVIDING IN-HOME EDUCATION AND RESOURCE NAVIGATION TO HELP PATIENTS OVERCOME SOCIAL AND STRUCTURAL BARRIERS. ADDITIONALLY, CENTERED: COOKING FOR BETTER HEALTH, IS A FOOD FOCUSED INITIATIVE DESIGNED TO EMPOWER PATIENTS TO MANAGE HYPERTENSION BY PROVIDING HANDS-ON CULINARY INSTRUCTION FOCUSED ON PREPARING LOW-SALT, PLANT-BASED MEALS. THIS COLLABORATION EXTENDS CARE BEYOND TRADITIONAL MEDICAL TREATMENTS, FOSTERING A DEEPER CONNECTION BETWEEN NUTRITION EDUCATION AND CHRONIC DISEASE MANAGEMENT.PARTICIPANTS REPORT HIGH LEVELS OF SATISFACTION WITH THE PROGRAM, WITH 90% EXPRESSING THAT THEY "LEARNED A LOT" ABOUT HEALTHY EATING FOR HYPERTENSION AND APPRECIATED BEING TREATED WITH RESPECT THROUGHOUT THE CLASSES. THE PROGRAM EQUIPS INDIVIDUALS WITH PRACTICAL SKILLS, SUCH AS PREPARING NUTRITIOUS MEALS AND ORDERING LOW-SALT OPTIONS WHEN DINING OUT. MANY PARTICIPANTS HAVE ALREADY APPLIED THESE NEW RECIPES AND TECHNIQUES AT HOME, ENHANCING THEIR DAILY LIVES.ADDITIONALLY, 80% OF PARTICIPANTS GAINED A BETTER UNDERSTANDING OF HOW UNTREATED HYPERTENSION AFFECTS THEIR HEALTH AND HOW NUTRITION CAN REDUCE ITS IMPACT. THE PROGRAM ALSO NURTURES A SENSE OF COMMUNITY, WITH 80% FEELING CONNECTED TO FELLOW PARTICIPANTS, FURTHER REINFORCING THE IMPORTANCE OF SHARED SUPPORT IN MAKING LASTING LIFESTYLE CHANGES. THIS PARTNERSHIP HIGHLIGHTS THE TRANSFORMATIVE IMPACT OF INTEGRATING CLINICAL REFERRALS WITH COMMUNITY-BASED EDUCATION TO PROMOTE HEALTHIER LIVING AND WE CONTINUE TO BE ELECTRIFIED AROUND DEVELOPING SIMILAR COMMUNITY-SERVING PARTNERSHIPS.PROVIDING CARE FOR THE WHOLE PERSONTHE HOPE PROGRAM PROVIDES MEDICAL CARE AND EDUCATION FOR PREGNANT PATIENTS WITH HYPERTENSION OR PREECLAMPSIA, INCLUDING UP TO 12 VISITS WITH A COMMUNITY HEALTH NURSE FOCUSED ON HEART HEALTH. SINCE LAUNCHING IN AUGUST 2023, HOPE HAS SUPPORTED MORE THAN 20 EXPECTING FAMILIES, HELPING THEM IMPROVE HEART HEALTH FOR SAFER DELIVERIES.IN 2024, COREWELL HEALTH IN SOUTHWEST MICHIGAN LAUNCHED LABOR OF LOVE, A SERIES OF CHILDBIRTH AND BREASTFEEDING EDUCATION CLASSES DESIGNED TO ENSURE EQUITABLE ACCESS TO PRENATAL AND POSTNATAL CARE. FUNDED BY A GRANT FROM THE SOUTHWESTERN MICHIGAN PERINATAL QUALITY COLLABORATIVE, THE PROGRAM'S GOAL IS TO EDUCATE 250 PARTICIPANTS ANNUALLY ON PREGNANCY-RELATED CONDITIONS, RISKS AND RESOURCES. IN ITS INAUGURAL YEAR, A FIVE-COHORT SERIES ENROLLED AND SUPPORTED 59 PARTICIPANTS WITH A 100% RETENTION RATE. FAMILIES CONSISTENTLY REPORTED IMPROVED BIRTHING EXPERIENCES COMPARED TO PREVIOUS PREGNANCIES AND CONTINUED SEEKING ADDITIONAL RESOURCES BEYOND PREGNANCY AND BREASTFEEDING SUPPORT.HIGHLIGHTS OF THE CHILDBIRTH AND BREASTFEEDING CLASS FROM JUNE TO DECEMBER 2024.17 SUPPORT PARTNERS AND CHILDREN ATTENDED.14 CAR SEATS INSTALLED.100% BREASTFEEDING INITIATION.5 COHORT SERIES (JUNE 2024 TO SEPTEMBER 2024) 20 CLASSES TOTAL.72% CONTINUE TO EXCLUSIVELY BREASTFEED (EXCLUSIVE BREASTFEEDING MEANS ONLY BREASTMILK IS FED TO NEW BABIES) AT TWO WEEKS COMPARED TO NATIONAL AVERAGE OF 59% (NIH STUDY).AFTER BIRTH, THE CENTER PROVIDES FREE ESSENTIALS LIKE DIAPERS, WIPES AND CAR SEATS. THESE SERVICES ARE AN ENTRY POINT FOR BUILDING TRUSTING RELATIONSHIPS AND CONNECTING PATIENTS TO ADDITIONAL RESOURCES, INCLUDING PARENTING SUPPORT THROUGH TRIPLE P (POSITIVE PARENTING PROGRAM), A COMMUNITY-CENTERED INTERVENTION THAT EQUIPS NEW PARENTS WITH TOOLS TO MANAGE STRESS, BUILD STRONGER FAMILY RELATIONSHIPS AND FOSTER POSITIVE BEHAVIORS IN CHILDREN. BY OFFERING THESE SERVICES WITHIN AN ACCESSIBLE AND SUPPORTIVE COMMUNITY FRAMEWORK, TRIPLE P PROVIDES FAMILIES WITH "GUARDRAILS" TO STRENGTHEN RESILIENCE AND DISMANTLE TOXIC STRESS, A CONTRIBUTOR TO HYPERTENSION AND HEART DISEASE.ENHANCING COMMUNITY-CENTERED OB CARE COREWELL HEALTH IN SOUTHWEST MICHIGAN IS TRANSFORMING ITS OBSTETRIC CARE MODEL TO PRIORITIZE COMMUNITY HEALTH AND ADDRESS GAPS IN LOCAL SERVICES. A KEY ADVANCEMENT IS THE ESTABLISHMENT OF A LEVEL 2 NURSERY, ENABLING FAMILIES WITH PRETERM BIRTHS TO RECEIVE SPECIALIZED CARE CLOSE TO HOME. TO FURTHER REDUCE INEQUITIES, WE LAUNCHED A DEDICATED OB EMERGENCY DEPARTMENT (OBED), ENSURING PREGNANT PATIENTS RECEIVE IMMEDIATE, SPECIALIZED CARE UPON ARRIVAL. TOGETHER, THE OBED AND LEVEL 2 NURSERY ENHANCE EQUITABLE ACCESS WHILE SUPPORTING THE HOSPITAL'S STRATEGIC GOALS, ILLUSTRATING A COMMITMENT TO VALUE-BASED CARE THAT ALIGNS PATIENT NEEDS WITH SUSTAINABLE GROWTH.
PART VI, LINE 5 CONTINUED	INVESTING IN COMMUNITY PARTNERSHIPS PARTNERSHIPS LIKE THE ONES WE'VE DEVELOPED WITH BIRTHMARK DOULA AND THE MICHIGAN BREASTFEEDING NETWORK PROVIDE BENTON HARBOR FAMILIES WITH CULTURALLY RELEVANT CHILDBIRTH EDUCATION AND BREASTFEEDING SUPPORT. COLLABORATING WITH PROVIDERS WHO HAVE LIVED EXPERIENCE AND DEEP COMMUNITY TIES ENSURES SERVICES ARE BOTH MEDICALLY SOUND AND CULTURALLY SENSITIVE, WHICH IS CRUCIAL FOR DELIVERING EQUITABLE AND ACCESSIBLE CARE.SOCIAL DETERMINANTS SUCH AS ECONOMIC STABILITY, EDUCATION, HEALTHCARE ACCESS AND SOCIAL CONNECTIONS SIGNIFICANTLY AFFECT CARDIOVASCULAR HEALTH. THE ACHIEVING BIRTH EQUITY THROUGH SYSTEM TRANSFORMATION (ABEST) TASKFORCE, A COALITION OF COMMUNITY PARTNERS INCLUDING COREWELL HEALTH HEALTHIER COMMUNITIES IN SOUTHWEST MICHIGAN, IS ADDRESSING THE ROOT CAUSES AND LONG-TERM RISKS OF CARDIOVASCULAR DISEASE BY FOCUSING ON BIRTH EQUITY AND MATERNAL HEALTH. IN BENTON HARBOR, WHERE DISTRUST IN THE HEALTH CARE SYSTEM IS ROOTED IN HISTORIC DISINVESTMENT, THE TASKFORCE BRIDGES THE GAP BETWEEN FAMILIES AND HEALTHCARE PROVIDERS, PROMOTING EARLY AND REGULAR CARE TO PREVENT, DETECT AND MANAGE CARDIOVASCULAR DISEASE. BY CONFRONTING RACISM AS A ROOT CAUSE OF INEQUITY AND ADVOCATING FOR BETTER ACCESS TO CARE, PARTICULARLY FOR BLACK AND NATIVE AMERICAN PEOPLE, THE TASKFORCE REDUCES THE STRESS BURDEN THESE COMMUNITIES FACE.IMPROVING YOUTH MENTAL HEALTH THROUGH SCHOOL AND COMMUNITY ENGAGEMENT THE BERRIEN WHOLE CHILD COUNTY COLLABORATIVE, CO-LED BY BERRIEN RESA AND COREWELL HEALTH IN SOUTHWEST MICHIGAN, FOSTERS BELONGING AND ENGAGEMENT IN SCHOOLS USING THE WHOLE SCHOOL, WHOLE COMMUNITY, WHOLE CHILD FRAMEWORK. THE COLLABORATIVE OFFERS SHARED SERVICES LIKE YOUTH MENTAL HEALTH FIRST AID AND COMMUNITY RESILIENCY MODEL TRAINING, ALREADY IMPLEMENTED BY EIGHT DISTRICTS WITH TWO MORE TRAININGS SCHEDULED IN 2025. IN 2024 TEAM MEMBERS FOR BERRIEN REGIONAL EDUCATION SERVICES AGENCY AND COMMUNITY PROGRAMS AT COREWELL HEALTH IN SOUTHWEST MICHIGAN PRESENTED AT THE AMERICAN HOSPITAL ASSOCIATION'S ACCELERATING COMMUNITY HEALTH CONFERENCE ABOUT THE PARTNERSHIP BETWEEN THE HEALTH SYSTEM AND LOCAL SCHOOLS TO ADVANCE A WHOLE CHILD MODEL WITH A FOCUS ON ADDRESSING MENTAL HEALTH. THE TEAM MEMBERS WERE ALSO INVITED TO PRESENT AT THE COLLABORATIVE FOR ACADEMIC, SOCIAL AND EMOTIONAL LEARNING (CASEL) EXCHANGE NATIONAL CONFERENCE. THIS WORK HIGHLIGHTS THE IMPORTANCE OF AUTHENTIC PARTNERSHIPS BETWEEN EDUCATION SYSTEMS AND HEALTH CARE TO IMPROVE THE MENTAL WELLNESS OF YOUNG PEOPLE.COREWELL HEALTH IN SOUTHEAST MICHIGANADVANCING WELL-BEINGCOREWELL HEALTH IN SOUTHEAST MICHIGAN TEAM COVERS THE DETROIT METRO AREA OF WAYNE, OAKLAND, AND MACOMB COUNTIES. THEIR COMMUNITY HEALTH EFFORTS ADVANCE MATERNAL-INFANT HEALTH, ADDRESS CHRONIC DISEASE AND SUPPORT STUDENTS AND THEIR FAMILIES THROUGH THEIR NETWORK OF 17 SCHOOL-BASED CLINICS. WITH A FOCUS ON BUILDING LOCAL PARTNERSHIPS, THE COREWELL HEALTH HEALTHIER COMMUNITIES IN SOUTHEAST MICHIGAN TEAM HAS BEEN REVAMPING THEIR PORTFOLIO OF COMMUNITY HEALTH AND COMMUNITY HEALTH INVESTMENTS TO DRIVE IMPACT AND OUTCOMES FOR PATIENTS, COMMUNITIES, TEAM, AND PLAN MEMBERS.TACKLING SYSTEMS CHANGE WITH CDC REACH FUNDINGACCORDING TO THE 2023 COUNTY HEALTH RANKINGS AND ROADMAPS, WAYNE COUNTY IS MICHIGAN'S LEAST HEALTHY COUNTY, RANKING LAST FOR HEALTH OUTCOMES AND FACTORS SUCH AS BEHAVIORS, SOCIOECONOMIC CONDITIONS AND PHYSICAL ENVIRONMENT. TO SUPPORT PROGRAMMING IN COMMUNITIES EXPERIENCING THESE HEALTH GAPS, COREWELL HEALTH IN SOUTHEAST MICHIGAN HAS RECEIVED A $3.4 MILLION CDC REACH GRANT. THIS FUNDING WILL PROMOTE BREASTFEEDING, PHYSICAL ACTIVITY, HEALTHY FOOD ACCESS AND FOOD SERVICE GUIDELINES TO LOW-INCOME BLACK/AFRICAN AMERICAN FAMILIES IN WAYNE COUNTY OVER THE NEXT FIVE YEARS.THE REACH GRANT IS SIGNIFICANT AS ONE OF THE FEW HEALTH SYSTEM-BASED AWARDS IN THE PROGRAM AND COREWELL HEALTH WILL LEVERAGE IT TO COLLABORATE WITH A CROSS-SECTOR NETWORK OF COMMUNITY PARTNERS TO TACKLE KEY HEALTH INEQUITIES AND IMPLEMENT PROVEN PUBLIC HEALTH PROGRAMS FOCUSED ON PHYSICAL ACTIVITY, ACCESS TO NUTRITION AND HEALTHY FOODS AND BREASTFEEDING CONTINUITY OF CARE. DURING THE CDC TEAM'S SITE VISIT IN SUMMER 2024, MUCH OF THE DISCUSSION CENTERED ON THE POTENTIAL OF IMPLEMENTING THE REACH MODEL THROUGH A HEALTHCARE SYSTEM, HIGHLIGHTING THE NOVELTY OF THIS APPROACH. THIS OPPORTUNITY POSITIONS COREWELL HEALTH IN SOUTHEAST MICHIGAN AT THE FOREFRONT OF ADVANCING EQUITABLE COMMUNITY HEALTH. BUILDING RESILIENCY FOR HEALTHIER FAMILIESCOREWELL HEALTH'S RAISING RESILIENT CHILDREN (RRC) PROGRAM IN SOUTHEAST MICHIGAN HELPS PARENTS BUILD PRACTICAL SKILLS FOR MANAGING CHILDREN'S BEHAVIOR WHILE FOSTERING PEER SUPPORT AND CONNECTIONS WITH OTHER CAREGIVERS. ROOTED IN THE TRIPLE P SYSTEM, RRC COMBINES STRUCTURED GUIDANCE, COLLABORATIVE LEARNING AND FREE ONLINE ACCESS TO RESOURCES FOR FAMILIES IN WAYNE, OAKLAND, AND MACOMB COUNTIES. IN SEPTEMBER, THE PROGRAM EXPANDED ITS REACH WITH A WEBSITE OFFERING FREE ACCESS TO EXPERT TOOLS FOR 1,000 FAMILIES, ENSURING PARENTS HAVE THE SUPPORT THEY NEED TO CREATE NURTURING, RESILIENT ENVIRONMENTS FOR THEIR CHILDREN.INCREASING COMMUNITY ENGAGEMENT THROUGH PARTNERSHIPSCOREWELL HEALTH IN SOUTHEAST MICHIGAN SIGNED ON AS A COMMUNITY PARTNER TO BLACK BIRTHING PEOPLE BREASTFEEDING ASSOCIATION'S $4.8 MILLION TRIPLE CROWN INITIATIVE, FUNDED THROUGH THE OFFICE OF MINORITY HEALTH. AS A PARTNER ON THIS GRANT, COREWELL HEALTH IN SOUTHEAST MICHIGAN HAS COMMITTED TO TRANSFORMING INTERNAL PROCESSES AND PRACTICES TO BETTER SUPPORT AND IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES FOR BLACK BIRTHING FAMILIES IN METRO DETROIT.SINCE 2014, COREWELL HEALTH IN SOUTHEAST MICHIGAN HAS PARTNERED WITH THE NATIONAL KIDNEY FOUNDATION OF MICHIGAN (NKFM) TO PROVIDE EVIDENCE-BASED WORKSHOPS, INCLUDING DIABETES PATH AND CHRONIC PAIN PATH. FACILITATED BY NKFM STAFF, THESE PROGRAMS HAVE REACHED HUNDREDS OF COMMUNITY MEMBERS WITH TYPE 2 DIABETES OR CHRONIC PAIN. COREWELL HEALTH IN SOUTHEAST MICHIGAN FURTHER STRENGTHENS COMMUNITY HEALTH BY CONNECTING LOCAL PATIENTS AND RESIDENTS TO THESE VALUABLE RESOURCES THROUGH COLLABORATION.IN MARCH 2024, COREWELL HEALTH IN SOUTHEAST MICHIGAN WAS AWARDED A $100,000 GRANT FROM THE CHILDREN'S MIRACLE NETWORK THAT WILL SUPPORT PROGRAMMING AND TRAINING TO ENHANCE CARE AND OUTCOMES FOR CHILDREN IN THE REGION.EMBEDDING COMMUNITY HEALTHPROJECTS SUCH AS MATERNAL HYPERTENSION PATHWAYS (HYPERPATH) ILLUSTRATE HOW INTERNAL COLLABORATIONS DRIVE EQUITY-FOCUSED CARE. THIS INITIATIVE, SUPPORTED BY THE MICHIGAN MATERNAL MORTALITY SURVEILLANCE MINI AWARD, ADDRESSES PREGNANCY-RELATED HYPERTENSIVE DISORDERS, SOCIAL DETERMINANTS SCREENINGS, POSTPARTUM FOLLOW-UPS AND EDUCATIONAL RESOURCES FOR PATIENTS AND PROVIDERS. THROUGH SUSTAINABLE, SYSTEMIC SOLUTIONS, THE PROJECT REDUCES INEQUITIES AND IMPROVES MATERNAL OUTCOMES FOR UNDERSERVED COMMUNITIES IN WAYNE, OAKLAND, AND MACOMB COUNTIES.IN TANDEM, COREWELL HEALTH IN SOUTHEAST MICHIGAN STRENGTHENED ITS COMMITMENT TO COMMUNITY HEALTH VIA THE CONVENING OF COALITIONS ADDRESSING CRITICAL NEEDS LIKE SUBSTANCE ABUSE PREVENTION, YOUTH MENTAL HEALTH AND FOOD INSECURITY. KEY INITIATIVES INCLUDE THE DOWNRIVER IGNITING YOUTH COALITION'S WORK WITH LGBTQ+ YOUTH AND THE WESTERN WAYNE FOOD POLICY COUNCIL'S ADVOCACY TO COMBAT FOOD DESERTS. THESE PARTNERSHIPS AMPLIFY THE ORGANIZATION'S COMMUNITY HEALTH MISSION BY UNITING COMMUNITY VOICES, ALIGNING LOCAL EFFORTS WITH CLINICAL PRIORITIES AND DRIVING IMPACTFUL POLICY CHANGES.IMPROVING ACCESS BY MEETING FAMILIES WHERE THEY ARECOREWELL HEALTH IN SOUTHEAST MICHIGAN HAS BEEN PROVIDING CHILD AND ADOLESCENT HEALTH CENTER (CAHC) PROGRAMS IN METRO DETROIT SCHOOLS FOR MORE THAN 30 YEARS, STARTING WITH THE TAYLOR TEEN HEALTH CENTER IN 1988. THESE CLINICS ARE MADE POSSIBLE THROUGH PARTNERSHIPS WITH SCHOOLS THAT PROVIDE SPACE AND INVITE COREWELL HEALTH IN SOUTHEAST MICHIGAN IN TO SERVE STUDENTS. FULLY FUNDED BY GRANTS FROM THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, COREWELL HEALTH IN SOUTHEAST MICHIGAN OPERATES 17 TOTAL CLINICS - EIGHT DEDICATED EXCLUSIVELY TO MENTAL HEALTH SERVICES - AND SERVED MORE THAN 3,000 PATIENTS IN 2024.
PART VI, LINE 5 CONTINUED	THESE CLINICS PROVIDE MEDICAL CARE, MENTAL HEALTH SUPPORT AND HEALTH EDUCATION, SPECIFICALLY TARGETING HIGH-RISK, UNDERSERVED YOUTH. LOCATED IN REGIONS WITH HEALTHCARE PROVIDER SHORTAGES, THEY OFFER CONVENIENT ACCESS FOR STUDENTS AND THEIR FAMILIES. SERVICES ARE AVAILABLE TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY. THE CLINICS ACCEPT ALL INSURANCE TYPES, PROVIDE THE SAME RANGE AND QUALITY OF SERVICES TO UNINSURED INDIVIDUALS AND ENSURE FAMILIES NEVER RECEIVE A BILL.ON JAN. 12, 2024, COREWELL HEALTH IN SOUTHEAST MICHIGAN OPENED ITS FIRST SCHOOL-BASED CLINIC IN DETROIT AT THE DETROIT EDISON PUBLIC SCHOOL ACADEMY (DEPSA), A PUBLIC CHARTER SCHOOL SERVING 1,425 PRE-K THROUGH 12TH-GRADE STUDENTS, WITH 72% FROM LOW-INCOME HOUSEHOLDS AND 98% IDENTIFYING AS BLACK.AS THE FIRST CHARTER SCHOOL IN MICHIGAN TO ACHIEVE BLUE RIBBON STATUS, DEPSA EMPHASIZES ACADEMIC EXCELLENCE IN A SUPPORTIVE ENVIRONMENT, BOLSTERED BY STRONG FAMILY, TEAM MEMBERS AND COMMUNITY PARTNERSHIPS. THE COREWELL HEALTH IN SOUTHEAST MICHIGAN CLINIC IS STAFFED WITH A NURSE PRACTITIONER, MEDICAL ASSISTANT AND SOCIAL WORK THERAPIST TO PROVIDE MEDICAL SERVICES, MENTAL HEALTH COUNSELING, SPORTS PHYSICALS, IMMUNIZATIONS AND HEALTH EDUCATION. ADDITIONALLY, IT'S A SPACE WHERE STUDENTS HAVE THE OPPORTUNITY TO LEARN MORE ABOUT MEDICAL AND SOCIAL SERVICES CAREERS. THE SCHOOL PRIORITIZES THE HEALTH AND WELL-BEING OF ITS STUDENTS, UNDERSTANDING THAT HEALTHY STUDENTS ARE MORE LIKELY TO SUCCEED ACADEMICALLY, CONTRIBUTE TO THEIR COMMUNITY AND BECOME GLOBAL CITIZENS AND LIFELONG LEARNERS. EXPANDING HIV PREVENTION ACCESS FOR YOUTH AFTER YEARS OF PREPARATION, THE TAYLOR TEEN CENTER'S REPRODUCTIVE HEALTH CLINIC HAS OFFICIALLY LAUNCHED HIV PRE-EXPOSURE PROPHYLAXIS (PREP) SERVICES TO ADDRESS A CRITICAL NEED IN THE DOWNRIVER AREA SOUTH OF DETROIT, IDENTIFIED IN 2018 AS A PREP DESERT. A HIGHLY EFFECTIVE PREVENTATIVE MEDICATION, PREP REDUCES THE RISK OF CONTRACTING HIV FROM SEXUAL TRANSMISSION BY UP TO 99% AND AT LEAST 74% FROM INJECTION DRUG USE. TITLE X FUNDING HAS BEEN INSTRUMENTAL IN LAUNCHING PREP SERVICES, ENABLING AFFORDABLE AND CONFIDENTIAL REPRODUCTIVE HEALTH CARE FOR ADOLESCENTS WITHOUT REQUIRING PARENTAL CONSENT. THE FAMILY PLANNING PROGRAM FURTHER EXPANDS ACCESS TO BIRTH CONTROL, STI TESTING AND TREATMENT. WITH DECREASING COSTS OF PREP, THE CLINIC AIMS TO COMBAT HEALTH INEQUITIES IN BLACK AND LATINO COMMUNITIES DISPROPORTIONATELY AFFECTED BY HIV IN MICHIGAN.COREWELL HEALTHAS A SYSTEM, COREWELL HEALTH IS TAKING CRITICAL STEPS TO ADVANCE KEY FOCUS AREAS OF OUR COMMUNITY HEALTH STRATEGY. OUR ACCOMPLISHMENTS IN 2024 MANY OF THEM HIGHLIGHTED BELOW, ILLUSTRATE HOW COMMUNITY HEALTH IS BEING OPERATIONALIZED WITHIN THE ORGANIZATION.COMMUNITY HEALTH NEEDS ASSESSMENTSBRIDGING COMMUNITY HEALTH AND CLINICAL TEAMS' IMPLEMENTATION STRATEGIES THE CHNA AND IMPLEMENTATION STRATEGY (IS) ARE ESSENTIAL TO IDENTIFYING AND ADDRESSING HEALTH INEQUITIES IN THE COMMUNITIES THAT WE SERVE. THROUGH A DATA-DRIVEN PROCESS THAT INCLUDES COMMUNITY INPUT AND ANALYSIS OF PUBLIC HEALTH DATA, THE CHNA REVEALS THE HEALTH NEEDS OF EACH COMMUNITY TO GUIDE FUTURE INITIATIVES AND STRATEGIES. ALTHOUGH EACH REGION HAS ITS OWN CHNA AND IS PROCESS, OUR GOAL IS TO ESTABLISH A SYSTEMWIDE FRAMEWORK THAT ALLOWS FOR REGIONAL FLEXIBILITY AND HOSPITAL-LEVEL AUTONOMY. ULTIMATELY, THE CHNA BRIDGES COMMUNITY HEALTH AND CLINICAL FUNCTIONS, EDUCATES STAKEHOLDERS AND FOSTERS PARTNERSHIPS TO SUSTAIN THE IMPACT OF CLINICAL AND COMMUNITY HEALTH INTERVENTIONS. IN 2024, WE MADE SIGNIFICANT STRIDES IN ALIGNING THE CHNA PROCESS WITH COMMUNITY HEALTH AND CLINICAL PRIORITIES. FOR INSTANCE, THE MATERNAL INFANT HEALTH PROGRAM WAS ADDED TO THE GRAND RAPIDS AND ZEELAND HOSPITALS IS REPORTS AND WE ESTABLISHED REFERRAL PATHWAYS BETWEEN COMMUNITY HEALTH PROGRAMS AND CLINICAL SERVICE LINES, WHICH WERE PREVIOUSLY LACKING. ADDITIONALLY, THE INTEGRATION OF THE HEALTHBEGINS TRANSFORMATION COMPASS INTO IS REPORTS HELPED FOSTER MEANINGFUL DISCUSSIONS AROUND THE CONTINUUM OF HEALTH INTERVENTIONS - FROM INDIVIDUAL BEHAVIOR TO SOCIAL STRUCTURES - GUIDING THE DEVELOPMENT OF TARGETED IMPLEMENTATION STRATEGIES. TRACKING PARTNERSHIPS AND IMPACT THE 2024 CHNA PROCESS ALSO SAW THE CONTINUATION AND EXPANSION OF PARTNERSHIPS ACROSS THE SYSTEM. COREWELL HEALTH IN SOUTHEAST MICHIGAN ISSUED A REQUEST FOR PROPOSALS (RFP) TO IDENTIFY CHNA CONTRACTORS AND FOCUS ON LOCAL COLLABORATIONS WITH HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS. COREWELL HEALTH IN WEST MICHIGAN MAINTAINED LONG-STANDING PARTNERSHIPS WITH KENT AND OTTAWA COUNTY HEALTH DEPARTMENTS, WHILE COREWELL HEALTH IN SOUTHWEST MICHIGAN WORKED CLOSELY WITH THE BERRIEN COUNTY HEALTH DEPARTMENT TO WRITE THE MORTALITY STATISTICS CHAPTER FOR THE 2025 TO 2027 CHNA. SOUTHWEST MICHIGAN ALSO ENGAGED ITS COMMUNITY HEALTH (HE) COMMITTEE IN PRIORITIZING AND RANKING COMMUNITY HEALTH NEEDS. IN PARALLEL TO THE CHNA REPORTS, OUR WORK CONTINUED TO ASSESS THE IMPACT OF ONGOING IS INITIATIVES. IN WEST MICHIGAN, DATA COLLECTION OCCURRED QUARTERLY TO TRACK THE PROGRESS OF INTERVENTIONS, SUCH AS SUPPORTING TELEHEALTH THERAPY IN KENT COUNTY SCHOOL DISTRICTS AND EXPANDING THE SCHOOL BLUE ENVELOPE PROGRAM IN OTTAWA COUNTY. THIS DATA WAS COMPILED INTO SUMMARY DOCUMENTS AND PRESENTED AT QUARTERLY COMMUNITY BOARD MEETINGS FOR DISCUSSION AND FEEDBACK.BUILDING AWARENESS AND BUY-INADVANCING HEALTHY BIRTHS THROUGH STORIES AND ACTIONTHE 2024 MICHIGAN MATERNAL AND INFANT HEALTH SUMMIT BROUGHT NATIONAL AND STATE STAKEHOLDERS TOGETHER TO EXAMINE INEQUITIES, CHALLENGE SYSTEMIC BARRIERS, AND CREATE ACTIONABLE SOLUTIONS. THIS INCLUSIVE EVENT EMPHASIZED COLLABORATION AND POSITIONED FAMILIES AS CHANGEMAKERS IN MATERNAL AND INFANT HEALTH.AS A PREMIER SPONSOR, COREWELL HEALTH HAD THE OPPORTUNITY TO SHOWCASE ITS VISION FOR A MATERNAL HEALTH CARE CONTINUUM GROUNDED IN COMMUNITY-BASED INNOVATIONS AND HOLISTIC CARE. PRESENTATIONS HIGHLIGHTED ADVANCEMENTS IN MATERNAL-FETAL MEDICINE, HOME VISITING PROGRAMS AND COMMUNITY HEALTH PARTNERSHIPS, REINFORCING THE IDEA THAT HEALTHY PREGNANCIES BEGIN IN HOMES AND NEIGHBORHOODS.GALVANIZING BOARD MEMBERS THROUGH COMMUNITY HEALTH EDUCATION IN SUMMER 2024, ALL 15 MEMBERS OF THE COMMUNITY HEALTH COMMITTEE OF THE SYSTEM BOARD OF DIRECTORS TOURED THE COREWELL HEALTH CENTER FOR WELLNESS IN BENTON HARBOR, EXPLORING ITS FUNDING MODEL, PROGRAMS AND IMPACT ON THE COMMUNITY. IN AUGUST, THE COMMITTEE TOURED THE SCHOOL HEALTH CLINICS AT DETROIT EDISON PUBLIC SCHOOL ACADEMY, FOLLOWED BY A PRESENTATION ABOUT SCHOOL HEALTH PROGRAMS' RESPONSE TO HEALTH CARE ACCESS, A NEED HIGHLIGHTED IN ALL NINE HOSPITAL CHNAS ACROSS COREWELL HEALTH'S SERVICE AREA.COREWELL HEALTH IN SOUTHEAST MICHIGAN BOARD OF DIRECTORS SYMPOSIUM FEATURED A PRESENTATION ON THE COREWELL HEALTH IN SOUTHEAST MICHIGAN COMMUNITY HEALTH STRATEGY AND PROGRAMMING; A COMMUNITY HEALTH COMMITTEE FOR THE BOARD IS CURRENTLY IN DEVELOPMENT. THE COREWELL HEALTH IN WEST MICHIGAN BOARD OF DIRECTORS ALSO RECEIVED A PRESENTATION ON THE CHNA AND ITS IMPLEMENTATION STRATEGY AND A COMMUNITY HEALTH COMMITTEE FOR THAT BOARD IS CURRENTLY IN DEVELOPMENT AS WELL. THE COMMUNITY HEALTH COMMITTEE OF THE COREWELL HEALTH IN SOUTHWEST MICHIGAN BOARD OF DIRECTORS REGULARLY MEETS TO DISCUSS KEY COMMUNITY HEALTH PROJECTS, PROGRAMS, INITIATIVES AND EVENTS.INTRODUCING TRANSFORMATIVE THINKING THROUGH COMMUNITY GRAND ROUNDSIN OCTOBER 2024, RISHI MANCHANDA, DR, CEO OF HEALTHBEGINS, DELIVERED AN INSIGHTFUL PRESENTATION ON COMMUNITY HEALTH AT THE COMMUNITY GRAND ROUNDS EVENT HOSTED BY COREWELL HEALTH. SPEAKING TO NEARLY 200 IN-PERSON AND VIRTUAL ATTENDEES ACROSS ALL THREE REGIONS, DR. MANCHANDA HIGHLIGHTED THE IMPORTANCE OF A "BALANCED PORTFOLIO" APPROACH TO COMMUNITY HEALTH, COVERING MEDICAL INTERVENTIONS, POLICY REFORMS, SOCIAL DETERMINANTS OF HEALTH AND ADVOCACY FOR KEY POLICY CHANGES.MONITORING, ASSESSING AND SUSTAINING COMMUNITY HEALTHASSESSING COMMUNITY BENEFITS TO SUSTAIN COMMUNITY HEALTH COMMUNITY BENEFITS INVESTMENTS ARE DEFINED BY THE CATHOLIC HEALTH ASSOCIATION (CHA) AS "ACTIVITIES OR PROGRAMS THAT PROVIDE TREATMENT AND PROMOTE HEALTH AND HEALING IN RESPONSE TO IDENTIFIED NEEDS." FOR COREWELL HEALTH, THEY ARE AN IMPORTANT MECHANISM FOR INTENTIONALLY ALLOCATING RESOURCES TO COMMUNITY NEEDS.
PART VI, LINE 5 CONTINUED	WE HAVE IMPLEMENTED INNOVATIVE STRATEGIES TO EVALUATE AND ENHANCE COMMUNITY HEALTH INVESTMENTS SYSTEMWIDE. A RECENT OUTCOMES STATEMENT ANALYSIS REVIEWED 27 COMMUNITY PROGRAM LOGIC MODELS ENCOMPASSING 422 OUTCOMES ACROSS THREE REGIONS TO ASSESS THEIR ALIGNMENT WITH COMMUNITY HEALTH PRIORITIES. THIS ANALYSIS REVEALED THAT 81% OF THE OUTCOMES FOCUSED ON INDIVIDUAL-LEVEL CHANGE, WHILE INSTITUTIONAL (8%), COMMUNITY (8%) AND POLICY (3%) CHANGES ACCOUNTED FOR THE REMAINING OUTCOMES. THESE FINDINGS WILL GUIDE FUTURE INVESTMENTS IN MATERNAL-INFANT HEALTH, CHRONIC DISEASE PREVENTION, BEHAVIORAL HEALTH AND OTHER PRIORITIES. ESTABLISHING COMMUNITY HEALTH METRICS TO MONITOR AND ASSESS PROGRESS IN JULY 2024, THE ENTERPRISE COMMUNITY HEALTH COUNCIL APPROVED A GOVERNANCE STRUCTURE TO DEVELOP AND IMPLEMENT ORGANIZATION-WIDE COMMUNITY HEALTH METRICS, INCLUDING A WORKING GROUP TO COLLECT AND VISUALIZE DATA, A SUBJECT MATTER EXPERT GROUP OF CLINICAL AND COMMUNITY HEALTH LEADERS AND THE COUNCIL ITSELF, WHICH MONITORS AND APPROVES THE METRICS. THIS FRAMEWORK ENSURES ACCOUNTABILITY IN PRIORITIZING OUR INDICATORS, MEASURING OUR INEQUITIES AND SETTING BENCHMARKS ACROSS OUR ORGANIZATION. THE COMMUNITY HEALTH METRICS WILL SERVE AS A GUIDING "NORTH STAR" FOR COREWELL HEALTH TO ALIGN EFFORTS ACROSS TEAMS.FUTURE GOALS AND VISIONAS WE MOVE FORWARD, OUR COREWELL COMMUNITY HEALTH, EVALUATION AND ANALYTICS ASSESSMENT TEAM (HEEAAT) WILL CONTINUE REFINING AND SUPPORTING INITIATIVES ACROSS OUR REGIONS, ENSURING THAT THE VOICES AND INSIGHTS OF FRONTLINE TEAM MEMBERS ARE INTEGRATED INTO OUR STRATEGIC DECISION-MAKING. GROUNDED IN THE LIVED EXPERIENCES OF PATIENTS, COMMUNITIES, TEAMS AND PLAN MEMBERS, THESE EFFORTS WILL DRIVE MEANINGFUL INVESTMENTS AND BUILD HIGH-PERFORMING PORTFOLIOS WITH LASTING IMPACT. IN 2025, WE'LL DEEPEN THIS COLLABORATIVE APPROACH, LEVERAGING ORGANIZATION-WIDE INSIGHTS AND RIGOROUS DATA ANALYSIS TO CREATE SYSTEMIC CHANGE. BY ADVANCING COMMUNITY HEALTH AT EVERY LEVEL, WE'LL EXPAND OPPORTUNITIES FOR ALL TO THRIVE AND MOVE CLOSER TO OUR VISION OF OPTIMAL HEALTH FOR EVERYONE.PRIORITIZING METRICS AND ADDRESSING INEQUITIES IN 2024, THE ENTERPRISE COMMUNITY HEALTH COUNCIL AND AN ASSOCIATED GROUP OF SUBJECT MATTER EXPERTS MADE UP OF CLINICIANS AND COMMUNITY HEALTH LEADERS WORKED TO ESTABLISH 13 KEY COMMUNITY HEALTH METRICS FOR 2025. THEY WERE SELECTED BASED ON THEIR POTENTIAL TO ADDRESS SIGNIFICANT INEQUITIES, ALIGNMENT WITH EXISTING ORGANIZATIONAL STRATEGIES, AND THEIR ACTIONABILITY FOR TEAMS. THESE 12 METRICS WILL FORM THE FOUNDATION FOR SETTING SPECIFIC TARGETS AND BENCHMARKS IN 2025 AND QUALITATIVE INVESTIGATIONS WILL EXPLORE THE ROOT CAUSES OF INEQUITIES. ESTABLISHING THESE METRICS IS A STEP TOWARD FORMALIZING COMMUNITY HEALTH WORK AT COREWELL HEALTH BY CREATING A WAY TO MEASURE AND REPORT PROGRESS, WHILE HIGHLIGHTING CRITICAL INEQUITIES IN HEALTH OUTCOMES THAT ARE EXPERIENCED BY OUR PATIENTS. THE PROCESS FOR DEVELOPING THESE METRICS BROUGHT TOGETHER CLINICAL AND COMMUNITY HEALTH EXPERTS TO ENSURE DIVERSE PERSPECTIVES CONTRIBUTED TO THE DECISION MAKING PROCESS. THE METRICS OFFER AN ORGANIZING FRAMEWORK FOR COMMUNITY HEALTH EFFORTS AND A SET OF TOP-LINE OUTCOMES THAT CAN INFORM THE DESIGN AND DEVELOPMENT OF OUR PORTFOLIOS MOVING FORWARD. IMPROVING DATA TO UNCOVER HEALTH INEQUITIES CAPTURING COMPREHENSIVE PATIENT DEMOGRAPHIC DATA INCLUDING SEXUAL ORIENTATION GENDER IDENTITY (SOGI) AND RACE, ETHNICITY, PREFERRED LANGUAGE AND SEX (REALS)IS ESSENTIAL TO UNDERSTAND HOW DIFFERENT POPULATIONS EXPERIENCE HEALTH INEQUITIES. ALTHOUGH COREWELL HEALTH'S ENTERPRISE-WIDE CAPTURE RATES FOR REALS ARE STRONG, WITH MORE THAN 80 TO 90% COMPLETION FOR MOST METRICS, SOGI CAPTURE RATES REMAIN UNDER 15%. IN 2025, IMPROVING THE CAPTURE OF THESE CRITICAL METRICS WILL ENABLE US TO DISAGGREGATE DATA ACROSS A BROADER RANGE OF DEMOGRAPHIC GROUPS AND IDENTIFY AND ADDRESS INEQUITIES THAT WERE PREVIOUSLY DIFFICULT TO PINPOINT. THIS EFFORT WILL ENRICH OUR UNDERSTANDING OF PATIENT NEEDS TO DRIVE OUR TARGETED INTERVENTIONS. MAKING COMMUNITY HEALTH REAL TO REAL PEOPLE OUR IMPACT AS AN AGENT OF CHANGE AND A TRUSTED SOURCE OF EQUITABLE HEALTH CARE IS NOT JUST MEASURED BY METRICS. IT'S DEFINED BY THE LIVES WE TOUCH AND THE BARRIERS WE DISMANTLE. IMPACT IS A PERSON PREPARING TO GIVE BIRTH WHO FEELS LESS WORRIED AND UNCERTAIN KNOWING THERE'S A QUALIFIED DOULA READY TO GUIDE THEM THROUGH DELIVERY. IMPACT IS A CHILD WHO THRIVES BECAUSE THEIR FAMILY RECEIVED TIMELY NUTRITIONAL SUPPORT IN THEIR MOST FORMIDABLE YEARS. IMPACT IS COMMUNITIES OF COLOR THAT FEEL LISTENED TO, CARED ABOUT AND EMPOWERED TO VALUE AND INVEST IN THEIR HEALTH.COREWELL HEALTH IS CATALYZING OUR MISSION WITH PROGRAMS TAILORED TO MEET THE UNIQUE NEEDS OF OUR COMMUNITIES. AS WE MOVE INTO 2025, OUR STRATEGY IS CLEAR: BALANCE INVESTMENTS ACROSS ALL LEVELS OF TRANSFORMATION, DEEPEN PARTNERSHIPS AND ADDRESS THE ROOT CAUSES OF HEALTH INEQUITIES. BY LEVERAGING THE STRENGTHS OF EACH REGION ALONGSIDE SYSTEMWIDE INITIATIVES AND COLLABORATIONS, WE'RE MAXIMIZING OUR COLLECTIVE IMPACT. 2024 WAS A YEAR OF PROGRESS. ASSESSMENTS SHOW THAT WE'VE MARKED SUBSTANTIAL SUCCESSES IN INDIVIDUAL BEHAVIOR INTERVENTIONS. TO SUSTAIN THAT ADVANCEMENT INTO THE NEXT YEAR OF UNKNOWNS AS WE LOOK TO 2025, WE'LL BALANCE THESE INVESTMENTS ACROSS ALL LEVELS, WITH A FOCUS ON ADDRESSING THE ROOT CAUSES OF INEQUITIES AND CREATING MORE LASTING CHANGE. WE REMAIN INSPIRED BY THE PROFOUND CONNECTIONS BETWEEN OUR MISSION AND THE COMMUNITIES WE SERVE. TOGETHER, WE'RE NOT JUST MEASURING IMPACT; WE'RE LIVING IT.
PART VI, LINE 6	DESCRIPTION OF AFFILIATED GROUP:THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN ARE PART OF A GROUP OF HEALTHCARE ENTITIES AFFILIATED WITH COREWELL HEALTH. COREWELL HEALTH IS AN INTEGRATED NOT-FOR-PROFIT HEALTH SYSTEM IN MICHIGAN OFFERING A FULL CONTINUUM OF CARE. EACH HOSPITAL FACILITY INCLUDED ON PART V; SECTION A IS A MEMBER OF THE AFFILIATED GROUP OF ENTITIES WITHIN COREWELL HEALTH. EACH HOSPITAL FACILITY IS RESPONSIBLE FOR CREATING VALUE WITHIN ITS RESPECTIVE COMMUNITY. FROM ITS INCEPTION, COREWELL HEALTH HAS BEEN A FAITHFUL STEWARD OF ITS COMMUNITY ASSETS. THE ORGANIZATION INVESTS ITS NET EARNINGS TO IMPROVE PATIENT CARE, BUILD AND RENOVATE FACILITIES, PURCHASE NEW TECHNOLOGY, PROVIDE HEALTH EDUCATION AND FUND LOCAL COMMUNITY PROGRAMS. THE INTEGRATED ORGANIZATION EMPLOYS MORE THAN 65,000 TEAM MEMBERS INCLUDING MORE THAN 15,500 NURSES AND MORE THAN 12,000 AFFILIATED, INDEPENDENT AND EMPLOYED PHYSICIANS, AND ADVANCED PRACTICE PROVIDERS. THE SUBORDINATE ORGANIZATIONS REPORTED ON SCHEDULE H OF THIS GROUP RETURN PROVIDE ONE OR MORE OF THE FOLLOWING SERVICES AT THEIR RESPECTIVE LOCATIONS: MEDICAL EDUCATION, RESEARCH, HOSPITAL AND CLINICAL SERVICES.
PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT:THE STATE OF MICHIGAN DOES NOT REQUIRE A COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE HOWEVER COREWELL HEALTH VOLUNTARILY REPORTS COMMUNITY BENEFIT INFORMATION TO THE MICHIGAN HEALTH AND HOSPITAL ASSOCIATION.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
CITY OF LUDINGTON
400 SOUTH HARRISON ST	LUDINGTON	MI	49431	386004706	GOVERNMENT	$17,500	$0	K9 FUND
COREWELL HEALTH FOUNDATION WEST MICHIGAN
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	382752328	501(C)(3)	$134,147	$0	TRANSFER OF GIFT SHOP PROFITS TO SUPPORT EXEMPT PURPOSE OF FOUNDATION
MONTCALM COMMUNITY COLLEGE FOUNDATION
2800 COLLEGE DR	SIDNEY	MI	48885	382371295	501(C)(3)	$20,000	$0	TO SUPPORT EXEMPT PURPOSE

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
RESIDENT STIPENDS	1430	$2,778,110	N/A	N/A
PATIENT ASSISTANCE	1	$29,919	N/A	N/A

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE FILING ORGANIZATION ISSUES GRANTS TO ORGANIZATIONS OR PROGRAMS WHOSE GOALS ALIGN WITH OUR ORGANIZATION. GRANT APPLICATIONS ARE REVIEWED AND PRIORITIZED BASED UPON ALIGNMENT IN SUPPORT OF THE ORGANIZATION'S MISSION. SINGLE YEAR OPERATIONAL AND/OR PROGRAM GRANTS ARE NOT MONITORED AFTER AWARD. LARGER MULTI-YEAR AND/OR CAPITAL GRANTS ARE MONITORED FOR ACHIEVEMENT WITHIN THE GRANT AGREEMENT.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (58 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRISTINA FREESE DECKER
DIRECTOR/CEO	$0	$2,489,108	$0	$2,726,865	$0	$237,857	$0	$1,462,145	$0	$36,825	$0	$6,952,800	$0	$1,439,610
KONGKRIT CHAIYASATE MD
FORMER HIGHEST COMPENSATED	$0	$3,515,888	$0	$0	$0	$1,710	$0	$23,850	$0	$30,902	$0	$3,572,350	$0	$0
DARRYL ELMOUCHI MD
DIRECTOR PY/PRESIDENT PY/FMR OFFCR	$0	$1,525,444	$0	$1,374,225	$0	$107,347	$0	$418,200	$0	$38,752	$0	$3,463,968	$0	$538,007
PRAVEEN THADANI
DIRECTOR	$0	$1,254,753	$0	$1,230,454	$0	$117,498	$0	$517,393	$0	$33,652	$0	$3,153,750	$0	$508,365
MATTHEW E COX
CFO	$0	$1,237,492	$0	$1,186,309	$0	$99,814	$0	$520,376	$0	$37,759	$0	$3,081,750	$0	$468,516
MOHAMMAD CHISTI MD
FORMER HIGHEST COMPENSATED	$0	$2,737,149	$0	$0	$0	$1,710	$0	$16,500	$0	$25,093	$0	$2,780,452	$0	$0
PAUL MAZARIS MD
FORMER HIGHEST COMPENSATED	$0	$1,483,550	$0	$40,629	$0	$10,919	$0	$24,150	$0	$30,096	$0	$1,589,344	$0	$0
ALEJANDRO QUIROGA CHAND MD
DIRECTOR PY/PRESIDENT PY	$0	$846,228	$0	$353,633	$0	$76,241	$0	$232,700	$0	$37,414	$0	$1,546,216	$0	$65,920
CHARLES SHERRY DO
FORMER HIGHEST COMPENSATED	$0	$1,444,743	$0	$30,799	$0	$11,154	$0	$19,346	$0	$34,465	$0	$1,540,507	$0	$0
LOREN B HAMEL MD
DIRECTOR PY/PRESIDENT PY	$0	$405,436	$0	$511,611	$0	$575,212	$0	$17,231	$0	$16,791	$0	$1,526,281	$0	$438,838
BENJAMIN SCHWARTZ MD
FORMER OFFICER	$0	$0	$0	$294,565	$0	$1,224,000	$0	$0	$0	$0	$0	$1,518,565	$0	$0
MUHAMMAD AZRAK MD
FORMER HIGHEST COMPENSATED	$0	$1,318,224	$0	$0	$0	$5,970	$0	$23,850	$0	$33,598	$0	$1,381,642	$0	$0
CHAD TUTTLE
DIRECTOR/PRESIDENT/FORMER OFFICER	$0	$758,254	$0	$168,314	$0	$61,012	$0	$132,356	$0	$40,614	$0	$1,160,550	$0	$55,669
BRIAN BRASSER
FORMER OFFICER	$0	$567,764	$0	$189,614	$0	$61,733	$0	$176,494	$0	$37,137	$0	$1,032,742	$0	$51,490
JOSHUA KOOISTRA DO
DIRECTOR PY/INTERIM PRESIDENT PY	$0	$639,278	$0	$142,337	$0	$72,109	$0	$111,674	$0	$35,149	$0	$1,000,547	$0	$68,690
LAMONT YODER
DIRECTOR PY/PRESIDENT PY	$0	$515,373	$0	$200,000	$0	$83,295	$0	$139,274	$0	$22,459	$0	$960,401	$0	$0
ANTHONY STALLION MD
DIRECTOR	$0	$852,332	$0	$45,000	$0	$7,524	$0	$16,500	$0	$29,563	$0	$950,919	$0	$0
JASON SLAIKEU
FORMER OFFICER	$0	$723,058	$0	$161,070	$0	$8,649	$0	$27,600	$0	$28,501	$0	$948,878	$0	$0
NANCY SUSICK
DIRECTOR/SECRETARY/FMR KEY EMPLOYEE	$0	$670,841	$0	$98,927	$0	$102,301	$0	$23,850	$0	$29,963	$0	$925,882	$0	$174,157
PAOLO MARCIANO MD
DIRECTOR/PRESIDENT/FMR KEY EMPLOYEE	$0	$274,490	$0	$87,501	$0	$427,732	$0	$114,900	$0	$8,398	$0	$913,021	$0	$87,501
BENJAMIN GIELDA MD
DIRECTOR	$0	$841,436	$0	$7,115	$0	$1,140	$0	$20,700	$0	$11,988	$0	$882,379	$0	$0
ANDREA LESLIE
REGIONAL PRESIDENT PY	$0	$498,242	$0	$112,500	$0	$47,121	$0	$118,870	$0	$36,122	$0	$812,855	$0	$39,514
CHARLES GIBSON MD
DIRECTOR	$0	$638,624	$0	$106,757	$0	$1,134	$0	$17,250	$0	$31,791	$0	$795,556	$0	$0
DANIEL FRATTARELLI
FORMER KEY EMPLOYEE	$0	$25,772	$0	$99,961	$0	$644,300	$0	$0	$0	$0	$0	$770,033	$0	$0
DOMINIC SANFILIPPO MD
FORMER KEY EMPLOYEE	$0	$537,126	$0	$94,882	$0	$30,384	$0	$73,892	$0	$26,355	$0	$762,639	$0	$0
ROBERT FITZGERALD MD
FORMER OFFICER	$0	$581,238	$0	$85,007	$0	$4,902	$0	$20,700	$0	$24,642	$0	$716,489	$0	$0
MARTHA BOONSTRA
FORMER OFFICER	$0	$0	$0	$53,564	$0	$655,675	$0	$0	$0	$0	$0	$709,239	$0	$0
BARBARA DUCATMAN MD
FORMER KEY EMPLOYEE	$0	$568,552	$0	$64,751	$0	$14,347	$0	$16,500	$0	$27,418	$0	$691,568	$0	$64,751
JEFFREY POSTMA DO
DIRECTOR	$0	$575,043	$0	$50,000	$0	$7,674	$0	$20,700	$0	$33,436	$0	$686,853	$0	$0
LOWELL HAMEL MD
DIRECTOR PY/FORMER OFFICER	$0	$137,879	$0	$59,330	$0	$475,688	$0	$463	$0	$1,418	$0	$674,778	$0	$0
NATALIE BAGGIO
DIRECTOR PY/PRESIDENT PY	$0	$462,477	$0	$49,545	$0	$78,521	$0	$67,792	$0	$15,064	$0	$673,399	$0	$37,686
KELLI SADLER
DIRECTOR	$0	$491,258	$0	$57,168	$0	$5,169	$0	$81,122	$0	$24,749	$0	$659,466	$0	$57,168
MICHAEL WEBB MD
DIRECTOR	$0	$510,476	$0	$7,115	$0	$18,967	$0	$36,066	$0	$32,622	$0	$605,246	$0	$0
DREW DOSTAL
REGIONAL PRESIDENT	$0	$411,061	$0	$96,019	$0	$47,104	$0	$13,800	$0	$34,291	$0	$602,275	$0	$33,713
ROBERT HOEFER
REGIONAL PRESIDENT	$0	$408,306	$0	$93,254	$0	$42,093	$0	$13,800	$0	$33,492	$0	$590,945	$0	$36,396
CHRISTOPHER FLORES
DIRECTOR/TREASURER	$0	$383,237	$0	$102,821	$0	$3,199	$0	$16,500	$0	$32,751	$0	$538,508	$0	$102,821
KAREN PAKKALA
DIR/PRES/TREAS/SECY/FMR OFFICER	$0	$362,884	$0	$80,895	$0	$11,395	$0	$20,700	$0	$7,870	$0	$483,744	$0	$0
ANNICA WAALKES MD
DIRECTOR	$0	$383,448	$0	$50,591	$0	$9,032	$0	$27,600	$0	$2,397	$0	$473,068	$0	$0
CARA JANSMA
SECRETARY	$0	$319,619	$0	$64,876	$0	$32,678	$0	$14,109	$0	$34,780	$0	$466,062	$0	$28,693
JOHN SCHUEN MD
FORMER OFFICER	$0	$348,425	$0	$31,023	$0	$20,828	$0	$26,900	$0	$27,662	$0	$454,838	$0	$0
JODIE RAPPE MD
FORMER KEY EMPLOYEE	$0	$356,743	$0	$36,677	$0	$3,909	$0	$16,500	$0	$35,512	$0	$449,341	$0	$36,677
PAUL KONOPACKI
FORMER OFFICER	$0	$0	$0	$0	$0	$448,033	$0	$0	$0	$0	$0	$448,033	$0	$310,335
HEATHER LALLO
DIRECTOR/TREASURER	$0	$327,681	$0	$63,037	$0	$4,458	$0	$19,759	$0	$32,112	$0	$447,047	$0	$0
NICHOLAS GILPIN DO
FORMER KEY EMPLOYEE	$0	$382,808	$0	$0	$0	$901	$0	$23,850	$0	$24,513	$0	$432,072	$0	$0
BRIAN PHILLIPS MD
FORMER OFFICER	$0	$342,955	$0	$13,349	$0	$17,322	$0	$26,781	$0	$23,329	$0	$423,736	$0	$0
TALAWNDA BRAGG MD
DIRECTOR	$0	$337,866	$0	$14,629	$0	$7,873	$0	$26,142	$0	$23,295	$0	$409,805	$0	$0
SIMIN BEG MD
DIRECTOR/CHAIR	$0	$308,025	$0	$25,286	$0	$11,775	$0	$23,967	$0	$26,278	$0	$395,331	$0	$0
MELINDA GRUBER
DIRECTOR/PRESIDENT	$0	$264,898	$0	$33,256	$0	$26,278	$0	$17,235	$0	$23,776	$0	$365,443	$0	$23,368
ANNE STEWART
FORMER OFFICER	$0	$267,712	$0	$26,766	$0	$4,233	$0	$20,105	$0	$25,821	$0	$344,637	$0	$26,766
LESLIE FLAKE
FORMER OFFICER	$0	$0	$0	$0	$0	$286,616	$0	$0	$0	$0	$0	$286,616	$0	$261,232
DEBRA JOHNSON
DIRECTOR/SECRETARY	$0	$200,758	$0	$20,172	$0	$5,632	$0	$10,652	$0	$13,740	$0	$250,954	$0	$0
MICHAEL KHOURY MD
FORMER KEY EMPLOYEE	$0	$148,296	$0	$24,793	$0	$710	$0	$5,797	$0	$16,376	$0	$195,972	$0	$24,793
DANIEL WASSENHOVE
DIRECTOR/TREASURER	$0	$141,875	$0	$14,591	$0	$4,385	$0	$9,384	$0	$24,995	$0	$195,230	$0	$0
COSTA ANDREOU MD
DIRECTOR/PRESIDENT	$0	$132,121	$0	$0	$0	$33,631	$0	$7,875	$0	$6,148	$0	$179,775	$0	$0
HOSSAIN MARANDI MD
FORMER KEY EMPLOYEE	$0	$0	$0	$0	$0	$176,544	$0	$0	$0	$0	$0	$176,544	$0	$0
ASHOK JAIN MD
DIRECTOR	$0	$112,206	$0	$22,129	$0	$2,140	$0	$8,659	$0	$7,321	$0	$152,455	$0	$22,129
KASSEM CHARARA MD
FORMER KEY EMPLOYEE	$0	$91,230	$0	$22,566	$0	$798	$0	$5,061	$0	$10,778	$0	$130,433	$0	$22,566
JONATHAN KAPER MD
FORMER KEY EMPLOYEE	$0	$89,392	$0	$22,566	$0	$427	$0	$7,572	$0	$513	$0	$120,470	$0	$22,566

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	THE FILING ORGANIZATION RELIED UPON A RELATED ORGANIZATION WHO UTILIZED THE FOLLOWING PROCESS IN DETERMINATION OF THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. THE COREWELL HEALTH BOARD OF DIRECTORS (THROUGH ITS COMPENSATION COMMITTEE) USES THE FOLLOWING PROCESS FOR DETERMINING COMPENSATION OF THE TOP MANAGEMENT OFFICIALS, OTHER OFFICERS, AND KEY EMPLOYEES AT COREWELL HEALTH. LABOR MARKET DATA REFLECTING COMPARABLE ORGANIZATIONS AND JOBS (PREPARED BY INDEPENDENT FIRMS) ARE RELIED UPON IN SETTING COMPENSATION LEVELS. COMPETITIVE ASSESSMENT REPORTS ARE PROVIDED TO THE COMPENSATION COMMITTEE IN ADVANCE OF MEETINGS. THE COMPETITIVE ASSESSMENT REPORT IS PREPARED BY A NATIONALLY KNOWN INDEPENDENT EXECUTIVE COMPENSATION FIRM. THE FOLLOWING SURVEYS, PREPARED BY INDEPENDENT FIRMS, WERE THE PRIMARY SOURCES REFERENCED TO OBTAIN COMPARABLE MARKET DATA FOR THE REVIEW: SULLIVANCOTTER, INC: 2024 HEALTH CARE MANAGEMENT AND EXECUTIVE COMPENSATION SURVEY SULLIVANCOTTER, INC: 2024 HEALTH PLAN MANAGEMENT AND EXECUTIVE COMPENSATION SURVEY SULLIVANCOTTER, INC: 2024 MEDICAL GROUP EXECUTIVE COMPENSATION SURVEY MERCER: 2024 IHN HEALTHCARE COMPENSATION SURVEY MERCER: 2024 IHP HEALTH PLAN COMPENSATION SURVEY GALLAGHER: 2023 NATIONAL HEALTHCARE LEADERSHIP COMPENSATION SURVEY IN ADDITION, ONE GENERAL INDUSTRY SURVEY WAS REFERENCED FOR SELECT POSITIONS: MERCER: 2023 US EXECUTIVE REMUNERATION SUITE IN ADDITION TO THE ABOVE DATA SOURCES, THE COMPENSATION COMMITTEE APPROVES A CUSTOM PEER GROUP OF HIGH PERFORMING INTEGRATED HEALTH SYSTEMS TO ENSURE ROBUST DATA AND A RELEVANT COMPARATOR MARKET EACH YEAR. THE PEER GROUP ORGANIZATIONS ARE APPROVED BY THE COMPENSATION COMMITTEE AND CONSISTS OF HEALTHCARE SYSTEMS SIMILAR IN REVENUE SIZE, TALENT MARKET COMPETITION, HIGH PERFORMANCE, FINANCIALLY STABLE AS INDICATED BY BOND RATING, AND THAT FOLLOW A SIMILAR STRATEGY (MULTI-SITE SYSTEMS, HEALTH PLANS). COMPARATIVE DATA FOR THE APPROVED PEER GROUP IS COMPILED BY THE INDEPENDENT EXECUTIVE COMPENSATION CONSULTING FIRM. COMPENSATION ADJUSTMENTS ARE APPROVED BY COMPENSATION COMMITTEE MEMBERS, CONSISTENT WITH THE COREWELL HEALTH COMPENSATION PHILOSOPHY DESCRIBED BELOW. MINUTES OF COMMITTEE DISCUSSIONS AND DECISIONS ARE PREPARED TO MEMORIALIZE COMPENSATION COMMITTEE DECISIONS BASED UPON THE ABOVE DATA. COMPENSATION DATA RELIED UPON BY THE COMPENSATION COMMITTEE IS NATIONAL AND REFLECTS TOTAL COMPENSATION PAID TO EXECUTIVES IN COMPARABLE JOBS IN COMPARABLY SIZED HEALTH CARE AND/OR HEALTH INSURANCE ORGANIZATIONS. COREWELL HEALTH RECRUITS NATIONALLY FOR ITS EXECUTIVES. BENEFITS DATA REFLECTS NATIONAL HEALTH CARE/HEALTH INSURANCE MARKET PRACTICES. THIS PROCESS IS INTENDED TO ASSIST COREWELL HEALTH IN QUALIFYING FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS (INTERMEDIATE SANCTIONS REGULATIONS). THE OPINION SUBMITTED FROM THE THIRD-PARTY INDEPENDENT CONSULTING FIRM IS IN ACCORDANCE WITH THE PROVISIONS OF TREASURY REGULATIONS SECTION 53.4958-6(C)(2) AND IS ALSO INTENDED TO SATISFY THE PROFESSIONAL ADVICE REQUIREMENT OF TREASURY REGULATIONS SECTION 53.4958-1(D)(4)(III).
PART I, LINES 4A-B	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: BENJAMIN SCHWARTZ MD $1,224,000 DANIEL FRATTARELLI $644,300 HOSSAIN MARANDI MD $176,544 LOREN B. HAMEL MD $353,548 LOWELL HAMEL MD $474,633 MARTHA BOONSTRA $653,888 PAOLO MARCIANO MD $426,926 LINE 4B IS ANSWERED YES BECAUSE CERTAIN INDIVIDUALS DO PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN(S). SOME INDIVIDUALS RECEIVED DISTRIBUTIONS DURING THE YEAR (AS REPORTED ON THIS LINE) WHEREAS OTHERS PARTICIPATED IN THE PLAN(S) BUT DID NOT RECEIVE DISTRIBUTIONS. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: ALEJANDRO QUIROGA CHAND MD $70,364 ANDREA LESLIE $42,154 BRIAN BRASSER $54,961 CARA JANSMA $29,187 CHAD TUTTLE $55,946 CHRISTINA FREESE DECKER $1,449,979 DARRYL ELMOUCHI MD $538,007 DREW DOSTAL $35,986 JOSHUA KOOISTRA DO $70,214 LESLIE FLAKE $286,616 LOREN B. HAMEL MD $438,838 MATTHEW E. COX $470,111 MELINDA GRUBER $24,943 NANCY SUSICK $89,407 NATALIE BAGGIO $40,227 PAUL KONOPACKI $448,033 PRAVEEN THADANI $513,652 ROBERT HOEFER $38,346 DISTRIBUTIONS REPORTED ON THIS LINE ARE ALSO INCLUDED IN PART II, COLUMN F AS COMPENSATION REPORTED IN A PRIOR YEAR WHILE ALSO BEING REPORTED IN THE CURRENT 990 AS TOTAL COMPENSATION. THE NONQUALIFIED RETIREMENT PLANS ARE AN INDUSTRY STANDARD AND ARE SUBJECT TO THE FUNDING REQUIREMENTS OF NONQUALIFIED DEFERRED COMPENSATION PLANS UNDER ERISA AND FEDERAL TAX REGULATIONS.
PART II	COMPENSATION REPORTED IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION OR RELATED ORGANIZATIONS OF THE HEALTH SYSTEM. THE USE OF PY IN THE TITLE FOR AN OFFICER, DIRECTOR, TRUSTEE, KEY EMPLOYEE, HIGHEST COMPENSATED EMPLOYEE, OR FORMER INDICATES THAT THIS MEMBER ONLY SERVED IN THEIR CAPACITY FOR PART OF THE YEAR.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	MICHIGAN FINANCE AUTHORITY (2022AB)	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	800596186	BondIssuerEIN
CUSIP	59447T3W1	CUSIPNum
Bond Issued	2022-05-12	BondIssuedDt
Issue Price	$22,928,449	IssuePriceAmt
Purpose	2022AB HOSPITAL REFUNDING BONDS	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$22,928,449	TotalProceedsAmt
Other Spent Proceeds	$22,928,449	OtherSpentProceedsAmt
Substantial Completion	2022	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	Yes (1)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (1)	EngageBondCounselResearchInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	Yes (1)	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, BOND A:	FormAndLineReferenceDesc
Explanation	THE FULL AMOUNT OF THE MICHIGAN FINANCE AUTHORITY (2022AB) BOND ISSUE PROCEEDS IS $964,174,661. COREWELL HEALTH GROUP RETURN (EIN: 61-1740292) IS REPORTING ALLOCATED BOND ISSUE PROCEEDS OF $22,928,449 FROM THEIR PARENT ORGANIZATION, COREWELL HEALTH. THE REMAINING BOND ISSUE PROCEEDS ARE REPORTED ON THE COREWELL HEALTH (EIN: 38-3382353) FILING.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	HAGGERTY PROFESSIONAL PLAZA	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	ENTITY OWNED > 35% BY DIRECTOR ASHOK JAIN MD	RelationshipDescriptionTxt
Transaction	$433,619	TransactionAmt
Transaction	SERVICES	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	DANIEL WASSENHOVE AND MELINDA GRUBER HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF BLUE STAR PROFESSIONAL BUILDING CONDOMINIUM ASSOCIATION, A RELATED TAXABLE ENTITY. CHRISTINA FREESE DECKER, DARRYL ELMOUCHI MD, AND MATTHEW COX HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF COREWELL HEALTH INDEMNITY COMPANY, LTD, A RELATED TAXABLE ENTITY. ASHOK JAIN MD AND DARRYL ELMOUCHI MD HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF COREWELL HEALTH PHYSICIANS INSURANCE COMPANY, A RELATED TAXABLE ENTITY. HEATHER LALLO, LOWELL HAMEL MD, AND NATALIE BAGGIO HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF LAKELAND CARE, INC., A RELATED TAXABLE ENTITY. DEBRA JOHNSON, HEATHER LALLO, AND MELINDA GRUBER HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF LAKELAND HEALTH ENTERPRISES, INC., A RELATED TAXABLE ENTITY. HEATHER LALLO AND MELINDA GRUBER HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF LAKELAND MEDICAL PRACTICES, A RELATED TAXABLE ENTITY. CHRISTINA FREESE DECKER, MATTHEW COX, AND PRAVEEN THADANI HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF PRIORITY HEALTH MANAGED BENEFITS, INC., A RELATED TAXABLE ENTITY. ALEJANDRO QUIROGA CHAND MD AND JOSHUA KOOISTRA DO HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF SPECTRUM HEALTH PHYSICIAN ALLIANCE, A RELATED TAXABLE ENTITY. ALEJANDRO QUIROGA CHAND MD AND CARA JANSMA HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF WMHTC, A RELATED TAXABLE ENTITY. ASHOK JAIN MD, CHRISTOPHER FLORES, AND COSTA ANDREOU MD, HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF OAKWOOD ACCOUNTABLE CARE ORGANIZATION, LLC, A RELATED TAXABLE ENTITY. LOREN HAMEL MD AND LOWELL HAMEL MD HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 4	BEAUMONT HEALTH AMENDED & RESTATED BYLAWS EFFECTIVE DATE: 12/9/2024 4.1 AMENDS LIST OF STANDING COMMITTEES TO MATCH PROPOSED. AMENDS TO HAVE CHAIRPERSON APPOINTING COMMITTEE MEMBERS. AMENDS TO HAVE CHARTERS CONFORM TO STANDARDS ADOPTED BY THE GOVERNANCE COMMITTEE OF THE SYSTEM BOARD, WHICH MAY NOT BE AMENDED IN A NONCONFORMING WAY WITHOUT APPROVAL THEREOF. 4.2-4.8 CONFORMS COMMITTEES TO MATCH NEW CHARTER THE FOLLOWING COREWELL HEALTH WEST ORGANIZATIONS AMENDED & RESTATED BYLAWS: SPECTRUM HEALTH HOSPITALS MECOSTA COUNTY MEDICAL CENTER MEMORIAL MEDICAL CENTER OF WEST MICHIGAN NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION PENNOCK HOSPITAL REED CITY HOSPITAL CORPORAON SPECTRUM HEALTH CONTINUING CARE SPECTRUM HEALTH KELSEY SPECTRUM HEALTH PRIMARY CARE PARTNERS SPECTRUM HEALTH UNITED ZEELAND COMMUNITY HOSPITAL EFFECTIVE DATE: 12/9/2024 7.1 AMENDS LIST OF STANDING COMMITTEES TO MATCH PROPOSED. 7.2 AMENDS TO HAVE CHARTERS CONFORM TO STANDARDS ADOPTED BY THE GOVERNANCE COMMITTEE OF THE SYSTEM BOARD, WHICH MAY NOT BE AMENDED IN A NONCONFORMING WAY WITHOUT APPROVAL THEREOF. LAKELAND REGIONAL HEALTH SYSTEM AMENDED & RESTATED BYLAWS EFFECTIVE DATE: 12/9/2024 6.1 AMENDS LIST OF STANDING COMMITTEES TO MATCH PROPOSED. AMENDS CONFORMING CHARTERS TO STANDARDS ADOPTED BY THE GOVERNANCE COMMITTEE OF THE SYSTEM BOARD, WHICH MAY NOT BE AMENDED IN A NONCONFORMING WAY WITHOUT APPROVAL THEREOF. 6.2 STRIKES EX-OFFICIO BOARD MEMBERSHIP FOR PRESIDENT & CHAIR 6.3-6.7 CONFORMS COMMITTEES TO MATCH NEW CHARTER
FORM 990, PART VI, SECTION A, LINE 6	COREWELL HEALTH, A MICHIGAN NONPROFIT CORPORATION, IS THE ULTIMATE SOLE MEMBER FOR ALL OF THE SUBORDINATES INCLUDED IN THE GROUP FILING.
FORM 990, PART VI, SECTION A, LINE 7A	COREWELL HEALTH, THE ULTIMATE SOLE MEMBER FOR ALL OF THE SUBORDINATES INCLUDED IN THE GROUP FILING, APPOINTS THE MEMBERS OF THE BOARD FOR EACH RESPECTIVE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B	COREWELL HEALTH, AS THE SOLE MEMBER FOR ALL OF THE SUPPORTED ORGANIZATIONS INCLUDED IN THE GROUP FILING, HAS RETAINED CERTAIN RESERVED POWERS IN THE ORGANIZATION EXCLUSIVELY, WHICH SHALL NOT BE DEEMED AUTHORIZED UNLESS AND UNTIL APPROVED BY THE SOLE MEMBER: -AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE SUPPORTED ORGANIZATION; -ELECTION AND/OR REMOVAL OF THE MEMBERS OF THE SUPPORTED ORGANIZATION'S BOARD OF DIRECTORS; -ELECTION AND/OR REMOVAL OF THE SUPPORTED ORGANIZATION'S CHAIRPERSON OF THE BOARD OF DIRECTORS; -HIRING, DISCHARGE, AND EVALUATION OF THE SUPPORTED ORGANIZATION'S PRESIDENT; -ADOPTION OF THE SUPPORTED ORGANIZATION'S STRATEGIC PLAN; -ADOPTION OF THE SUPPORTED ORGANIZATION'S ANNUAL OPERATING AND CAPITAL BUDGETS AND ANY AMENDMENTS TO SUCH BUDGETS IN EXCESS OF THE AUTHORITY MATRIX AMOUNT; -ALL CAPITAL EXPENDITURES BY THE SUPPORTED ORGANIZATION IN EXCESS OF THE AMOUNT WHICH WOULD REQUIRE APPROVAL BY THE SUPPORTING ORGANIZATION (THE "AUTHORITY MATRIX AMOUNT"); -ALL BORROWINGS OR GUARANTEES OF INDEBTEDNESS BY THE SUPPORTED ORGANIZATION (OR ANY ENTITY CONTROLLED BY THE SUPPORTED ORGANIZATION THROUGH OWNERSHIP OR MEMBERSHIP INTEREST); -ALL LENDING BY THE SUPPORTED ORGANIZATION (OR ANY SUBSIDIARY) TO PERSONS OTHER THAN THE SUPPORTING ORGANIZATION OR A SUBSIDIARY IN EXCESS OF THE AUTHORITY MATRIX AMOUNT; -THE SUPPORTED ORGANIZATION'S OR ANY SUBSIDIARY'S INVESTMENTS OF CASH AND/OR RESERVES, WHETHER ON AN INDIVIDUAL BASIS OR AS PART OF A POOLED INVESTMENT STRATEGY; -ANY MERGER OR CONSOLIDATION OF THE SUPPORTED ORGANIZATION (OR ANY SUBSIDIARY), OR ANY OTHER CHANGE IN OWNERSHIP PERCENTAGES, CONTROL, OR CAPITAL STRUCTURE; -THE CREATION OF ANY ENTITY CONTROLLED, DIRECTLY OR INDIRECTLY, BY THE SUPPORTED ORGANIZATION -THE SALE OR TRANSFER OF MORE THAN TEN PERCENT (10%) OF THE ASSETS OF THE SUPPORTED ORGANIZATION (OR ANY SUBSIDIARY) TO ANY PERSON OR ENTITY NOT CONTROLLED BY THE SUPPORTING ORGANIZATION; -DISSOLUTION OF THE SUPPORTED ORGANIZATION OR ANY SUBSIDIARY; -THE SELECTION, RETENTION, AND OVERSIGHT OF THE OUTSIDE AUDITORS FOR THE SUPPORTED ORGANIZATION (OR ANY SUBSIDIARY); AND -ANY OTHER APPROVAL FOR WHICH SUPPORTING ORGANIZATION APPROVAL IS REQUIRED BY LAW. IN ADDITION TO THESE RESERVED POWERS OF THE SUPPORTING ORGANIZATION LISTED ABOVE, THE SUPPORTING ORGANIZATION HAS THE AUTHORITY TO ADOPT SYSTEM-WIDE POLICIES AND PROCEDURES.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY COREWELL HEALTH CORPORATE TAX DEPARTMENT. IT IS REVIEWED BY THE CORPORATE TAX MANAGER, THE DIRECTOR OF TAX, AND THE VP OF TAX. A SECOND REVIEW IS PERFORMED BY AN EXTERNAL CPA FIRM WITH EXPERTISE IN TAX-EXEMPT TAX RETURN PREPARATION. IT IS THEN REVIEWED BY THE ORGANIZATION'S FINANCE AND LEGAL DEPARTMENTS. A COPY OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE CENTRAL ORGANIZATION GOVERNING BODY. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	1. CONFLICTS OF INTEREST MUST BE DISCLOSED, VIA AN ANNUAL ELECTRONIC DISCLOSURE PROCESS AND VERBALLY AT EACH BOARD AND BOARD COMMITTEE MEETING AS PART OF THE DECLARATION OF CONFLICT OF INTEREST PRIOR TO DISCUSSION OF ANY AGENDA ITEMS. 2. A PERSON HAVING A FINANCIAL INTEREST IN A PROPOSED TRANSACTION OR ARRANGEMENT MAY MAKE A PRESENTATION AT A MEETING OF THE BOARD OR COMMITTEE WHICH IS CONSIDERING THAT TRANSACTION OR ARRANGEMENT, BUT AFTER THAT PRESENTATION HE/SHE SHALL LEAVE THE MEETING BEFORE DISCUSSION AND VOTING ON THAT PROPOSED TRANSACTION OR ARRANGEMENT. THE PERSON HAVING THE FINANCIAL INTEREST SHALL NOT BE COUNTED IN DETERMINING WHETHER A QUORUM IS PRESENT. 3. THE CHAIRPERSON OF THE BOARD OR THE COMMITTEE CHAIR SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE (INCLUDING OUTSIDE ADVISORS) TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND TO ADVISE WHETHER THE PROPOSED TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST. 4. THE BOARD OR COMMITTEE SHALL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER THE ORGANIZATION CAN, WITH REASONABLE EFFORTS, OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 5. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS AND MEMBERS WHETHER THE PROPOSED TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. 6. THE MINUTES OF THE MEETINGS OF THE BOARD AND ALL OF THE ORGANIZATION'S COMMITTEES SHALL SET FORTH: A) THE NAMES OF THE PERSONS WHO DISCLOSED A FINANCIAL INTEREST IN A PROPOSED TRANSACTION OR ARRANGEMENT INVOLVING THE ORGANIZATION OR ANY OF ITS SUBSIDIARIES AND THE NATURE OF THE FINANCIAL INTEREST; AND B) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO SUCH TRANSACTION OR ARRANGEMENT, INCLUDING ANY DISCUSSION OF ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION WITH THAT MATTER. THE VOTES OF INDIVIDUAL MEMBERS NEED NOT BE RECORDED UNLESS OTHERWISE DIRECTED BY THE BOARD OF DIRECTORS OR COMMITTEE. 7. THERE IS AN ONGOING REQUIREMENT THAT MEMBERS OF THE BOARD AND BOARD COMMITTEES UPDATE THEIR ANNUAL DISCLOSURE QUESTIONNAIRE AT ANY POINT DURING HIS/HER TENURE ON THE BOARD OF DIRECTORS WHEN A NEW POTENTIAL CONFLICT OF INTEREST ARISES. MANAGEMENT 1. UPON ACCEPTANCE OF AN EMPLOYMENT OFFER, EACH MEMBER OF MANAGEMENT (DIRECTORS AND ABOVE) COMPLETES A CONFLICT-OF-INTEREST DISCLOSURE QUESTIONNAIRE. A COPY OF THE MEMBER OF MANAGEMENT'S DISCLOSURE QUESTIONNAIRE IS SENT TO THE ORGANIZATION'S SYSTEM COMPLIANCE DEPARTMENT. A COPY OF THE MEMBER OF MANAGEMENT'S DISCLOSURE IS REVIEWED BY THE ORGANIZATION'S COMPLIANCE OPERATIONS ANALYST AND ESCALATED TO THE APPROPRIATE EXECUTIVE LEADERSHIP TEAM, IF NECESSARY. 2. ANNUALLY, EACH MEMBER OF MANAGEMENT (DIRECTORS AND ABOVE) COMPLETES AN ANNUAL CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE ELECTRONICALLY. IF THERE IS AN AFFIRMATIVE DISCLOSURE, THE QUESTIONNAIRE IS REVIEWED BY THE APPROPRIATE EXECUTIVE LEADERSHIP TEAM. 3. THERE IS AN ONGOING REQUIREMENT TO UPDATE THE DISCLOSURE QUESTIONNAIRE WHEN A NEW POTENTIAL CONFLICT OF INTEREST ARISES. UPDATED DISCLOSURES FOLLOW THE SAME PROCESS AS INITIAL DISCLOSURES DESCRIBED ABOVE. 4. THE COMPLIANCE OFFICER, IN CONSULTATION WITH EXECUTIVE MANAGEMENT, DETERMINES HOW REPORTED CONFLICTS SHOULD BE MANAGED. MANAGEMENT OF A CONFLICT MAY TAKE A VARIETY OF DIFFERENT FORMS FROM IMPLEMENTATION OF A MANAGEMENT PLAN TO REQUIRING THAT THE MEMBER OF MANAGEMENT CEASE THE ACTIVITY CREATING THE CONFLICT OR, IN EXTREME CASES, LEAVE THE ORGANIZATION'S EMPLOYMENT. MANAGEMENT OF A CONFLICT IS DETERMINED ON AN INDIVIDUAL BASIS BASED UPON THE FACTS AND CIRCUMSTANCES SURROUNDING THE DISCLOSURE. THE PURPOSE OF CONFLICT MANAGEMENT IS TO PROVIDE TRANSPARENCY WITHIN THE ORGANIZATION AND TO ENSURE THAT THE ORGANIZATION'S EMPLOYEES ARE ALWAYS ACTING IN THE BEST INTEREST OF THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S ARTICLES OF INCORPORATION HAVE BEEN PROVIDED TO THE STATE OF MICHIGAN AND ARE AVAILABLE TO THE PUBLIC ON THE STATE'S WEBSITE. THE ORGANIZATION'S BYLAWS AND INTERNAL POLICIES ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC. AUDITED CONSOLIDATED FINANCIAL STATEMENTS ARE ATTACHED TO THIS TAX RETURN.
FORM 990, PART VII, SECTION A	AS NOTED IN THEIR TITLES, CERTAIN INDIVIDUALS REPORTED ON THE COREWELL HEALTH GROUP RETURN ARE CURRENT OFFICERS OR KEY EMPLOYEES OF ONE OR MORE OF THE SUBORDINATES. THE INDIVIDUALS LISTED BELOW ARE ALSO FORMER OFFICERS OR KEY EMPLOYEES OF ONE OR MORE OF THE GROUP ENTITIES. CHAD TUTTLE: SPECTRUM HEALTH - LEFFINGWELL AVENUE: DIRECTOR/PRESIDENT SPECTRUM HEALTH CONTINUING CARE: FORMER OFFICER SPECTRUM HEALTH CONTINUING CARE CENTER, INC.: DIRECTOR/PRESIDENT SPECTRUM HEALTH HOSPITALS: FORMER OFFICER SPECTRUM HEALTH WORTH SERVICES: DIRECTOR/PRESIDENT VISITING NURSE SERVICES OF WESTERN MICHIGAN: DIRECTOR/PRESIDENT DARRYL ELMOUCHI MD: BEAUMONT HEALTH: DIRECTOR PY/PRESIDENT PY BOTSFORD GENERAL HOSPITAL: DIRECTOR PY/PRESIDENT PY LAKELAND HOSPITALS AT NILES AND ST. JOSEPH, INC.: DIRECTOR PY LAKELAND REGIONAL HEALTH SYSTEM: DIRECTOR PY MECOSTA COUNTY MEDICAL CENTER: FORMER OFFICER MEMORIAL MEDICAL CENTER OF WEST MICHIGAN: FORMER OFFICER NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION: FORMER OFFICER OAKWOOD HEALTHCARE, INC. : DIRECTOR PY/PRESIDENT PY OAKWOOD UNITED HOSPITALS, INC. : DIRECTOR PY/PRESIDENT PY PENNOCK HOSPITAL: FORMER OFFICER REED CITY HOSPITAL CORPORATION: FORMER OFFICER SPECTRUM HEALTH CONTINUING CARE: FORMER OFFICER SPECTRUM HEALTH HOSPITALS: FORMER OFFICER SPECTRUM HEALTH KELSEY: FORMER OFFICER SPECTRUM HEALTH PRIMARY CARE PARTNERS: FORMER OFFICER SPECTRUM HEALTH UNITED: FORMER OFFICER WILLIAM BEAUMONT HOSPITAL: DIRECTOR PY/PRESIDENT PY ZEELAND COMMUNITY HOSPITAL: FORMER OFFICER KAREN PAKKALA: BOTSFORD CONTINUING CARE CORPORATION: DIRECTOR/PRESIDENT/SECRETARY OAKWOOD HEALTH PROMOTIONS, INC.: DIRECTOR/PRESIDENT/SECRETARY SPECTRUM HEALTH - LEFFINGWELL AVENUE: DIRECTOR/TREASURER/SECRETARY SPECTRUM HEALTH CONTINUING CARE: FORMER OFFICER SPECTRUM HEALTH CONTINUING CARE CENTER, INC.: DIRECTOR/TREASURER/SECRETARY SPECTRUM HEALTH WORTH SERVICES: DIRECTOR/TREASURER/SECRETARY VISITING NURSE SERVICES OF WESTERN MICHIGAN: DIRECTOR/TREASURER/SECRETARY LOWELL HAMEL MD: LAKELAND COMMUNITY HOSPITAL, WATERVLIET: DIRECTOR PY LAKELAND HOSPITALS AT NILES AND ST. JOSEPH, INC.: FORMER OFFICER LAKELAND REGIONAL HEALTH SYSTEM: FORMER OFFICER NANCY SUSICK: BEAUMONT MEDICAL GROUP-HOSPITAL-BASED SERVICES: DIRECTOR/SECRETARY BEAUMONT MEDICAL GROUP-PRIMARY CARE SERVICES: DIRECTOR/SECRETARY BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES: DIRECTOR/SECRETARY WILLIAM BEAUMONT HOSPITAL: FORMER KEY EMPLOYEE PAOLO MARCIANO MD: BEAUMONT MEDICAL GROUP-HOSPITAL-BASED SERVICES: DIRECTOR/PRESIDENT BEAUMONT MEDICAL GROUP-PRIMARY CARE SERVICES: DIRECTOR/PRESIDENT BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES: DIRECTOR/PRESIDENT OAKWOOD HEALTHCARE, INC.: FORMER KEY EMPLOYEE
FORM 990, PART IX, LINE 11G	SHARED SERVICES: PROGRAM SERVICE EXPENSES 1,248,730,537. MANAGEMENT AND GENERAL EXPENSES 212,235,658. FUNDRAISING EXPENSES 256,270. TOTAL EXPENSES 1,461,222,465. CLINICAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 248,751,745. MANAGEMENT AND GENERAL EXPENSES 26,738,367. FUNDRAISING EXPENSES 1,820. TOTAL EXPENSES 275,491,932. NONCLINICAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 123,917,441. MANAGEMENT AND GENERAL EXPENSES 18,563,536. FUNDRAISING EXPENSES 56. TOTAL EXPENSES 142,481,033. COLLECTION AGENCY FEES: PROGRAM SERVICE EXPENSES 225,840. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 225,840.
FORM 990, PART XI, LINE 9:	TRANSFERS TO AFFILIATES FROM FOUNDATIONS 7,858,304. NET INVESTMENT ACTIVITY FROM RESTRICTED NET ASSETS 2,795,926. TRANSFERS OF FUNDS TO AFFILIATES -166,355,793. MINIMUM PENSION LIABILITY 68,333,709. ASSETS RELEASED FROM RESTRICTIONS -848,388. FASB ASC 958-605 261,098. CHANGE IN NET ASSETS HELD BY FOUNDATIONS 34,550,414. INVESTMENT INCOME FROM DONOR RESTRICTED NET ASSETS -903,388.
FORM 990, PART XII, LINE 2C:	NO CHANGE IN OVERSIGHT FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
DEARBORN REAL ESTATE DEVELOPMENT LLC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	202328998	PROPERTY MANAGEMENT/RENTAL	MI	$3,162,006	$9,922,899	OAKWOOD HEALTHCARE INC
LENOX SURGERY CENTER LLC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	320609267	AMBULATORY SURGERY CENTER	MI	$335,831	$3,739,063	OAKWOOD HEALTHCARE INC
LIVONIA SURGERY CENTER LLC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	352671617	AMBULATORY SURGERY CENTER	MI	$0	$7,543,588	OAKWOOD HEALTHCARE INC
OAKWOOD AMBULATORY LLC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	383593303	AMBULATORY MEDICAL SERVICES	MI	$0	$0	OAKWOOD HEALTHCARE INC
OAKWOOD INFUSION SERVICES LLC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	311552387	AMBULATORY MEDICAL SERVICES	MI	$0	$0	OAKWOOD HEALTHCARE INC
OAKWOOD TEEN CENTERS LLC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	383513233	AMBULATORY MEDICAL SERVICES	MI	$0	$0	OAKWOOD HEALTHCARE INC
ROYAL OAK SURGERY CENTER LLC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	611944011	AMBULATORY SURGERY CENTER	MI	$0	$0	OAKWOOD HEALTHCARE INC
SOUTHSHORE REAL ESTATE DEVELOPMENT LLC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	202329055	PROPERTY MANAGEMENT/RENTAL	MI	$0	$5,923,702	OAKWOOD HEALTHCARE INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
BEAUMONT MEDICAL TRANSPORTATION SERVICES INC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	260203703	MEDICAL TRANSPORTATIONAL SERVICES	MI	501(C)(3)	LINE 10	BH GRAND RIVER SOUTHFIELD INC	0
BH GRAND RIVER SOUTHFIELD INC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	382410823	EMERGENCY MEDICAL SERVICES	MI	501(C)(3)	LINE 10	BOTSFORD GENERAL HOSPITAL	Yes (1)
COREWELL HEALTH
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	383382353	SUPPORTING ORGANIZATION	MI	501(C)(3)	LINE 12C, III-FI		0	N/A
KENT COMMUNITY HEALTH FOUNDATION
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	383607110	PHILANTHROPY	MI	501(C)(3)	LINE 12C, III-FI	SPECTRUM HEALTH HOSPITALS	Yes (1)
LAKESHORE AREA RADIATION ONCOLOGY CENTER
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	383067954	RADIATION SERVICES	MI	501(C)(3)	LINE 3	SPECTRUM HEALTH HOSPITALS	Yes (1)
MICHIGAN MOBILE PET IMAGING
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	331086165	MOBILE PET SCANNING	MI	501(C)(3)	LINE 12A, I	OAKWOOD HEALTHCARE INC	Yes (1)
PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA INC
1700 MAGNAVOX WAY STE 201	FORT WAYNE	IN	46804	311069321	HMO MANAGEMENT	IN	501(C)(4)		PRIORITY HEALTH	0
PRIORITY HEALTH
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	382715520	HMO MANAGEMENT	MI	501(C)(4)		COREWELL HEALTH	0
PRIORITY HEALTH CHOICE INC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	320016523	HMO MANAGEMENT	MI	501(C)(3)	LINE 10	PRIORITY HEALTH	0
SPECTRUM HEALTH - MSU ALLIANCE CORPORATION
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	760845329	RESEARCH	MI	501(C)(3)	LINE 12A, I	SPECTRUM HEALTH HOSPITALS	Yes (1)
TOTAL HEALTH CARE USA INC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	383240485	HMO MANAGEMENT	MI	501(C)(4)		TOTAL HEALTH CARE INC	0
TOTAL HEALTH CARE INC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	382018957	HMO MANAGEMENT	MI	501(C)(4)		PRIORITY HEALTH	0
TRINITY HEALTH PLANS
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	382663747	HOLDING COMPANY	MI	501(C)(4)		PRIORITY HEALTH	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	UBI Code VUBICodeVAmt	OwnershipOwnershipPct
CHCC TAYLOR LLC
2355 E CAMELBACK RD STE 700	PHOENIX	AZ	85016	923588577	MANAGEMENT	MI	N/A	N/A	0	0
CHCC TROY LLC
2355 E CAMELBACK RD STE 700	PHOENIX	AZ	85016	923960104	MANAGEMENT	MI	N/A	N/A	0	0
CHEC 1 LLC
2355 E CAMELBACK RD STE 700	PHOENIX	AZ	85016	990525515	MANAGEMENT	MI	N/A	N/A	0	0
CHEC 2 LLC
2355 E CAMELBACK RD STE 700	PHOENIX	AZ	85016	990647116	MANAGEMENT	MI	N/A	N/A	0	0
CHSC ROYAL OAK LLC
2355 E CAMELBACK RD STE 700	PHOENIX	AZ	85016	991134940	MANAGEMENT	MI	N/A	N/A	0	0
DEARBORN SCHAEFFER OFFICE CO LLC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	262448025	REAL ESTATE	MI		RELATED	0	0	OAKWOOD HEALTHCARE INC	$2,038,299	$25,287,121	$114,319	0.99000
OAKMED LLC
1938 WOODSLEE DRIVE	TROY	MI	48084	461459737	PRIVATE DUTY NURSING	MI		RELATED	0	0	OAKWOOD HEALTHCARE INC	-$7,396	$799,948		0.60000
SPECTRUM ATLAS JV LLC
2355 E CAMELBACK RD STE 700	PHOENIX	AZ	85016	874265336	MANAGEMENT	MI	N/A	N/A	0	0
WEST MICHIGAN ACCOUNTABLE CARE ORGANIZATION LLC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	833153113	ACCOUNTABLE CARE ORGANIZATION	MI	N/A	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (37 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Foreign PostalForeignAddress/ForeignPostalCd
1697 MICHIGAN STREET PROPERTY
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	831721239	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	-$120,595	$4,357,344	1.00000	Yes (1)
25 MICHIGAN STREET CONDOMINIUM ASSOCIATION
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	161734157	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	$9,205	$846,197	0.82540	Yes (1)
35 MICHIGAN STREET CONDOMINIUM ASSOCIATION
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	272193084	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	-$154,151	$121,859	1.00000	Yes (1)
BH SOUTHFIELD BILLING INC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	382755982	MANAGEMENT AND DISPATCH SERVICES	MI	BH GRAND RIVER SOUTHFIELD INC	C				0
BLUE STAR PROFESSIONAL BUILDING CONDOMINIUM ASSOCIATION
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	208313519	PROPERTY MANAGEMENT	MI	HOSPICE AT HOME INC	C	-$3,231	$2,902	0.61340	Yes (1)
BOTSFORD COMMONS PROPERTY ASSOCIATION
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	383203663	PROPERTY MANAGEMENT	MI	BOTSFORD CONTINUING CARE CORPORATION	C	$75,823	$1,509,480	1.00000	Yes (1)
COREWELL HEALTH INDEMNITY COMPANY LTD
				980512415	PREMIUM DEPOSITS		COREWELL HEALTH					0	23 LIME TREE BAY AVENUE	GRAND CAYMAN	CJ	CJ
COREWELL HEALTH PHYSICIANS INSURANCE COMPANY
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	274261262	PROFESSIONAL INSURANCE	MI	COREWELL HEALTH	C				0
FOUR FLAGS PROPERTIES INC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	364501639	PROPERTY MANAGEMENT	MI	LAKELAND HEALTH VENTURES INC	C				0
GRAND RIVER ABSOLUTE RETURN FUND LTD
					POOLED INVESTMENT FUND		COREWELL HEALTH					0	PO BOX 852	GRAND CAYMAN	CJ	CJ	KY1-1103
HELEN DE VOS WOMEN AND CHILDREN'S HEALTH PAVILION ASSOCIATION
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	383264184	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	-$22,773	$756,258	0.87470	Yes (1)
INNOVATIVE HEALTHCARE STRATEGIES INC
1700 MAGNAVOX WAY STE 201	FORT WAYNE	IN	46804	474139320	NETWORK NEGOTIATIONS	IN	PHP MANAGEMENT SYSTEMS INC	C				0
LAKELAND HEALTH ENTERPRISES INC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	382669798	ACCOUNTING AND BILLING	MI	LAKELAND REGIONAL HEALTH SYSTEM INC	C	$84,808,617	$71,687,595	1.00000	Yes (1)
LAKELAND HEALTH VENTURES INC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	272313790	HOLDING COMPANY	MI	LAKELAND HEALTH ENTERPRISES INC	C				0
LAKELAND MEDICAL PRACTICES
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	270381199	MEDICAL ADMINISTRATIVE SERVICES	MI	LAKELAND HEALTH ENTERPRISES INC	C				0
LAKELAND PERSONAL CARE SERVICES INC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	272990797	HEALTHCARE SERVICES	MI	LAKELAND HEALTH VENTURES INC	C				0
LAKELAND PHYSICIAN CARE NETWORK
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	208513031	HEALTHCARE SERVICES	MI	LAKELAND HEALTH ENTERPRISES INC	C				0
LEMMEN-HOLTON CANCER PAVILION CONDOMINIUM ASSOCIATION
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	161734150	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	$23,837	$1,183,945	1.00000	Yes (1)
LIONTECH INC
1700 MAGNAVOX WAY STE 201	FORT WAYNE	IN	46804	300319874	CLAIMS SOFTWARE	IN	PHP MANAGEMENT SYSTEMS INC	C				0
MICHIGAN STREET PARKING CONDOMINIUM ASSOCIATION
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	161734145	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	$6,292	$1,763,673	0.69140	Yes (1)
MICHIGAN STREET PROJECT CONDOMINIUM ASSOCIATION
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	364873152	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	$10,408	$45,006	0.80000	Yes (1)
MUSCULO-SKELETAL CENTER CONDOMINIUM ASSOCIATION
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	383180086	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	-$23,074	$286,091	0.89540	Yes (1)
NILES PROFESSIONAL SERVICES INC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	382633419	HEALTHCARE SERVICES	MI	LAKELAND HEALTH VENTURES INC	C				0
OAKWOOD AFFILIATED VENTURES INC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	371753159	HOLDING COMPANY	MI	OAKWOOD HEALTHCARE INC	C	$28,033,834	$139,457,373	1.00000	Yes (1)
OAKWOOD ENTERPRISES INC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	382601930	PROPERTY MANAGEMENT	MI	OAKWOOD AFFILIATED VENTURES INC	C				0
PENNOCK PROFESSIONAL BUILDING CONDOMINIUM ASSOCIATION
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	384056359	PROPERTY MANAGEMENT	MI	PENNOCK HOSPITAL	C	$1,552	$77,049	0.89290	Yes (1)
PENNOCK VENTURES INC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	382712819	PROPERTY MANAGEMENT	MI	PENNOCK HOSPITAL	C	$147,764	$1,086,092	1.00000	Yes (1)
PHP HOLDING COMPANY
1700 MAGNAVOX WAY STE 201	FORT WAYNE	IN	46804	208074365	HOLDING COMPANY	IN	PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA INC	C				0
PHP INSURANCE COMPANY OF INDIANA INC
1700 MAGNAVOX WAY STE 201	FORT WAYNE	IN	46804	203064284	STOP LOSS REI	IN	PHP HOLDING COMPANY	C				0
PHP MANAGEMENT SYSTEMS INC
1700 MAGNAVOX WAY STE 201	FORT WAYNE	IN	46804	351826719	THIRD PARTY ADMINISTRATOR	IN	PHP HOLDING COMPANY	C				0
PRIORITY HEALTH INSURANCE COMPANY
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	201529553	INSURANCE	MI	PRIORITY HEALTH	C				0
PRIORITY HEALTH MANAGED BENEFITS INC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	383085182	THIRD PARTY ADMINISTRATOR	MI	COREWELL HEALTH	C				0
PRO-CLAIM PLUS INC
1700 MAGNAVOX WAY STE 201	FORT WAYNE	IN	46804	351938551	THIRD PARTY ADMINISTRATOR	IN	PHP MANAGEMENT SYSTEMS INC	C				0
SOUTHWESTERN MEDICAL CLINIC PHYSICIANS INC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	272589359	PHYSICIANS OFFICE	MI	LAKELAND HEALTH ENTERPRISES INC	C				0
SPECTRUM HEALTH PHYSICIAN ALLIANCE
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	371655728	PHYSICIANS OFFICE	MI	COREWELL HEALTH	C				0
THE PHARMACY SHOPPE INC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	382929090	PHARMACEUTICALS	MI	LAKELAND HEALTH VENTURES INC	C				0
WMHTC
100 COREWELL DR NW	GRAND RAPIDS	MI	49503	382125186	PHYSICIANS	MI	COREWELL HEALTH	C				0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	Yes (1)	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (36 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COREWELL HEALTH
B	$4,505,123,787	GAAP
BEAUMONT HEALTH
B	$4,418,600,817	GAAP
OAKWOOD HEALTHCARE INC
B	$13,204,020	GAAP
SPECTRUM HEALTH CONTINUING CARE
B	$307,832	GAAP
VISITING NURSE SERVICES OF WESTERN MICHIGAN
B	$79,881	GAAP
BOTSFORD GENERAL HOSPITAL
B	$79,843	GAAP
WILLIAM BEAUMONT HOSPITAL
C	$2,771,475,845	GAAP
OAKWOOD HEALTHCARE INC
C	$1,384,806,661	GAAP
COREWELL HEALTH
C	$581,712,914	GAAP
BOTSFORD GENERAL HOSPITAL
C	$141,562,706	GAAP
BEAUMONT MEDICAL GROUP - SPECIALTY SERVICES
C	$120,755,605	GAAP
OAKWOOD HEALTH PROMOTIONS INC
C	$13,204,020	GAAP
KENT COMMUNITY HEALTH FOUNDATION
C	$903,388	GAAP
SPECTRUM HEALTH CONTINUING CARE CENTER INC
C	$307,832	GAAP
SPECTRUM HEALTH CONTINUING CARE
C	$79,881	GAAP
BOTSFORD CONTINUING CARE CORPORATION
C	$79,843	GAAP
SPECTRUM HEALTH CONTINUING CARE
J	$172,887	GAAP
DEARBORN SCHAEFFER OFFICE CO LLC
K	$6,749,379	GAAP
LEMMEN-HOLTON CANCER PAVILION CONDOMINIUM ASSOCIATION
K	$2,469,132	GAAP
MICHIGAN MOBILE PET IMAGING
K	$2,448,040	GAAP
35 MICHIGAN STREET CONDOMINIUM ASSOCIATION
K	$1,108,512	GAAP
25 MICHIGAN STREET CONDOMINIUM ASSOCIATION
K	$735,420	GAAP
HELEN DE VOS WOMEN AND CHILDREN'S HEALTH PAVILION ASSOCIATION
K	$438,756	GAAP
PENNOCK VENTURES INC
K	$394,111	GAAP
MICHIGAN STREET PARKING CONDOMINIUM ASSOCIATION
K	$379,344	GAAP
MUSCULO-SKELETAL CENTER CONDOMINIUM ASSOCIATION
K	$177,480	GAAP
VISITING NURSE SERVICES OF WESTERN MICHIGAN
K	$172,887	GAAP
LAKESHORE AREA RADIATION ONCOLOGY CENTER
L	$84,392	GAAP
COREWELL HEALTH
M	$683,072,911	GAAP
COREWELL HEALTH
P	$4,555,800	GAAP
LAKESHORE AREA RADIATION ONCOLOGY CENTER
P	$147,149	GAAP
COREWELL HEALTH FOUNDATION WEST MICHIGAN
P	$72,607	GAAP
MICHIGAN MOBILE PET IMAGING
Q	$634,473	GAAP
COREWELL HEALTH
Q	$555,247	GAAP
COREWELL HEALTH
R	$39,189,723	GAAP
LAKESHORE AREA RADIATION ONCOLOGY CENTER
S	$1,565,600	GAAP

Affiliate Listing AffiliateListing

Affiliate Listing AffiliateListingGrp (31 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Business Name ControlBusinessNameControlTxt
BEAUMONT HEALTH
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	465718220	CORE
BEAUMONT MEDICAL GROUP - HOSPITAL BASED SERVICES
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	822768899	CORE
BEAUMONT MEDICAL GROUP - PRIMARY CARE SERVICES
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	822796539	CORE
BEAUMONT MEDICAL GROUP - SPECIALTY SERVICES
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	822784244	CORE
BOTSFORD CONTINUING CARE CORPORATION
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	382549505	CORE
BOTSFORD GENERAL HOSPITAL
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	381426919	CORE
HOSPICE AT HOME INC
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	382416086	CORE
LAKELAND COMMUNITY HOSPITAL WATERVLIET
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	381368745	CORE
LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	382156872	CORE
LAKELAND REGIONAL HEALTH SYSTEM INC
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	382609624	CORE
LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	383452303	CORE
MECOSTA COUNTY MEDICAL CENTER
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	381368744	CORE
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	381359266	CORE
MERCY MEMORIAL HEALTH SERVICES INC
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	382748035	CORE
NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	381359517	CORE
OAKWOOD HEALTH PROMOTIONS INC
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	382601965	CORE
OAKWOOD HEALTHCARE INC
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	381405141	CORE
OAKWOOD UNITED HOSPITALS INC
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	382837961	CORE
PENNOCK HOSPITAL
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	381360562	CORE
REED CITY HOSPITAL CORPORATION
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	382770076	CORE
SPECTRUM HEALTH CONTINUING CARE
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	383242232	CORE
SPECTRUM HEALTH CONTINUING CARE CENTER
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	382415333	CORE
SPECTRUM HEALTH HOSPITALS
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	381360529	CORE
SPECTRUM HEALTH KELSEY
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	381297435	CORE
SPECTRUM HEALTH PRIMARY CARE PARTNERS
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	381358164	CORE
SPECTRUM HEALTH UNITED
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	381358412	CORE
SPECTRUM HEALTH WORTH SERVICES
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	382786617	CORE
SPECTRUM HEALTH-LEFFINGWELL AVENUE
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	854390483	CORE
VISITING NURSE SERVICES OF WESTERN MICHIGAN
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	381359195	CORE
WILLIAM BEAUMONT HOSPITAL
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	381459362	CORE
ZEELAND COMMUNITY HOSPITAL
100 COREWELL DR NW ATTN TAX	GRAND RAPIDS	MI	49503	381411184	CORE