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          <USAddress>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>MN</StateAbbreviationCd>
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      <ContractorCompensationGrp>
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          <USAddress>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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      </CostingMethodologyUsedGrp>
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        <BusinessName>
          <BusinessNameLine1Txt>HELEN NEWBERRY JOY HOSPITAL</BusinessNameLine1Txt>
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          <AddressLine1Txt>502 W HARRIE STREET</AddressLine1Txt>
          <CityNm>NEWBERRY</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>49868</ZIPCd>
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        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
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        <OwnWebsiteURLTxt>www.hnjh.org</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
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        <StrategyWebsiteURLTxt>www.hnjh.org</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
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        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
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        <FAPAvailableOnWebsiteURLTxt>https://hnjh.org/financial-assistance/</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>https://hnjh.org/financial-assistance/</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>https://hnjh.org/financial-assistance/</FAPSummaryOnWebsiteURLTxt>
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        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
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        <CollectionActivitiesInd>false</CollectionActivitiesInd>
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        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>The significant health needs of the community were identified through the community health needs assessment and were prioritized in an effort to better serve the community inhabitants. The top 4 needs identified included expensive health insurance, drug abuse, lack of health insurance, and unemployment. The hospital implemented a financial assistance policy to help meet the identified need for cost assistance. Our policy outlines qualification criteria and provides care regardless of the patient's ability to pay. This is an example of how the hospital is meeting a community need. Additional examples include the hiring of a behavioral health counselor who sees patients that have a history of drug abuse or are demonstrating a mental health disorder and should have access to a mental health professional and counseling. Finally, the hospital offers assistance to uninsured patients the help they need to submit applications for discounted insurance plans through the Community Health Access Coalition which was formed as an avenue to fill the community's identified need for access to health insurance, and cheaper insurance.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - HELEN NEWBERRY HOY HOSPITAL. Western UP Health Department: the regional community health department led the initiative to collect the data from roughly 24,000 households in the upper peninsula, including collaboration through web-based and in-person meetings through the development of the assessment. Superior Health Foundation: the foundation awards grants to facilities and focuses on the upper peninsula and its inhabitants. Michigan Technological University: the educational institution assisted with data collection, survey development, and distribution. Northern Michigan Center for Rural Health: organization was involved with education and health improvement.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - HELEN NEWBERRY JOY HOSPITAL. Luce Mackinac Alger Schoolcraft District Health Department Munising Memorial Hospital/Baycare Medical Center Pathways Community Mental Health Mackinac Straits Health System Marquette County Health Department Michigan Department of Health &amp; Human Services MyMichigan Medical Center - Sault Schoolcraft Memorial Hospital Upper Peninsula Health Plan War Memorial Hospital UP Health Systems Great Lakes Recovery Center Chippewa County Health Department</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - HELEN NEWBERRY JOY HOSPITAL. BCBS Foundation of Michigan Portage Health Foundation Northpointe Behavioral Health Systems Western UP Planning &amp; Development Region Public Health of Delta &amp; Menominee Counties Keweenaw Bay Indian Community</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - HELEN NEWBERRY JOY HOSPITAL. The significant health needs of the community were identified through the community health needs assessment and were prioritized in an effort to better serve the community inhabitants. The top 4 needs identified included expensive health insurance, drug abuse, lack of health insurance, and unemployment. The hospital implemented a financial assistance policy to help meet the identified need for cost assistance. Our policy outlines qualification criteria and provides care regardless of the patient's ability to pay. This is an example of how the hospital is meeting a community need. Additional examples include the hiring of a behavioral health counselor who sees patients that have a history of drug abuse or are demonstrating a mental health disorder and should have access to a mental health professional and counseling. Finally, the hospital offers assistance to uninsured patients the help they need to submit applications for discounted insurance plans through the Community Health Access Coalition which was formed as an avenue to fill the community's identified need for access to health insurance, and cheaper insurance.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>4</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Golden Leaves Living Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>502 W Harrie Street</AddressLine1Txt>
            <CityNm>Newberry</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49868</ZIPCd>
          </USAddress>
          <FacilityTxt>long term care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Manistique Lakes Family Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>W17530 Main Street</AddressLine1Txt>
            <CityNm>Curtis</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49820</ZIPCd>
          </USAddress>
          <FacilityTxt>rural health clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>West Mackinac Health Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>W14034 Melville Street</AddressLine1Txt>
            <CityNm>Engadine</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49827</ZIPCd>
          </USAddress>
          <FacilityTxt>rural health clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Eckerman Health Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>32040 State Highway M-28</AddressLine1Txt>
            <CityNm>Eckerman</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>49728</ZIPCd>
          </USAddress>
          <FacilityTxt>rural health clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c DISCOUNTED CARE EXCEPTIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE PART V, SECTION B, LINE 13 FOR THE LIST OF FACTORS USED IN THE ELIGIBILITY CRITERIA EXPLAINED IN THE FAP FOR PROVIDING FREE AND DISCOUNT CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g Subsidized Health Services</FormAndLineReferenceDesc>
        <ExplanationTxt>NO PHYSICIAN CLINIC COSTS ARE INCLUDED IN THE COMMUNITY BENEFIT EXPENSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A AND 7B WERE DETERMINED USING THE COST-TO-CHARGE RATIO DERIVED FROM THE WORKSHEETS FOR SCHEDULE H. LINES 7E, 7F, AND 7I ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>Healthcare services were provided regardless of the patient's ability to pay. The hospital's adopted financial assistance policy designates the methodology used to determine eligibility for assistance. Once designated eligible, a patient's financial class is updated in the medical record and their bill was adjusted according to the amounts generally billed method. The software system maps the discounted care to general ledger accounts build for the gap between billed and discounted care, which results in a total amount for discounted care at year end.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>The hospital's financial assistance policy outlines criteria for patients that qualify for free or discounted care. If a patient was qualified for discounted care, the entire cost of their care was recorded on a separate general ledger account so the facility could keep track of this dollar amount and report it as a community benefit. As was identified by the facility's adopted community health needs assessment, more than 45% of households in the county were below the poverty threshold and the Household Survival Budget. Thus, the cost of care for those individuals were considered a community benefit expense as identified by the organization's adopted community health needs assessment.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad debt expense in the organization is primarily from residents of the hospital's service area, most of whom are insured under third party payor agreements. The hospital bills third-party payors on the patient's behalf, or if a patient is uninsured, the patient is billed directly. Once claims are settled with the primary payor, any secondary insurance is billed, and patients are billed for copay and deductible amounts that are the patient's responsibility. For receivables associated with self-pay patients accounts, the hospital records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between these amounts actually collected after all reasonable collection efforts have been exhausted is charged off again the allowance for uncollectible accounts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>The hospital would consider 100% of shortfall between the cost of care provided and the payment (or non-payment) of the services as community benefit as the general demographics of the population are unable to afford healthcare.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization determine eligibility on a presumptive basis, reviewing qualification for programs such as subsidized school lunch programs, subsidized prescription programs, low-income subsidized housing programs or homelessness, subsidized food assistance and certain other state or local assistance programs. Eligible patients will not be charged more than the Amount Generally Billed to individuals who have insurance for emergency and other medically necessary care. The organization determines the Amount Generally Billed using a lookback method as described by Internal Revenue Service regulations. If you are uninsured, our billing practice is to send you a statement every 30 days and you have 120 days to pay before your account would be deemed uncollectible. The payments you make have to meet parameters listed on the back of our statements which indicate if your bill is $1,199.99 or less, you can pay 10% of the starting balance for a term of up to 10 months. If your bill is $1,200.00 or greater, you can set up a payment plan of 5% of the starting balance and pay for a term of up to 20 months. These billing and collection practices apply generally across all coverage types.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - HELEN NEWBERRY JOY HOSPITAL: Line 16a URL: https://hnjh.org/financial-assistance/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - HELEN NEWBERRY JOY HOSPITAL: Line 16b URL: https://hnjh.org/financial-assistance/;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - HELEN NEWBERRY JOY HOSPITAL: Line 16c URL: https://hnjh.org/financial-assistance/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's leadership team works closely with area organizations that are also focused on community health, needs assistance and the success of it's population. Local health department officials are consulted regularly. We are active participants in Human Services Collaborative Body, Suspected Child Abuse and Neglect, Advance Directive Education, Luce County Communities That Care, Luce Mackinac Alger Schoolcraft District Health Department, God's Country Cooperative Ministries and many more.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Our patient accounts advocates are educated on assistance programs. They work directly with patients to educate, offer options, assists with document preparation as well as offering verbal collaboration with necessary programs to ensure eligibility and qualification criteria are met.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>Luce county has about 900 square miles of land area and is the 13th largest county in Michigan by total area. Population hovers around 5,000 with the total median household income being approximately $54,000. Nineteen percent of the population is college educated, possessing a bachelor's degree or higher. There is an employment rate of 37.3%. Of the current population, around 5% are uninsured. Single parent households make up 20% of the population. Leading causes of death in the area are cancer, heart disease and chronic lower respiratory disease.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>The hospital participates in and organizes a plethora of activities during the year. Many of these events are centered around needs of the community such as women's health and veteran's health. We also host a resource fair for the county in which we reside which addresses teen and single mom needs. The hospital hosts 12 blood drives per year. The hospital offers CPR and First Aid classes for the betterment of the community. A provider on the hospital staff leads a program for continuing technical education for high school seniors, where students that are interested in healthcare industry can learn the flow of patient care within the hospital setting and develop skills that are essential in healthcare. Several support groups meet on the facilities grounds, including cancer support group, Parkinson's support group and diabetes support group. The facility is provided free of charge to the group participants. The organization holds an annual flu clinic, open to the public in October each year, and serves approximately 300 people. Prior to schools returning to session after summer break, our clinic offers free sports physicals to students. The hospital also participates in Human Services Collaborative Body, Suspected Child Abuse &amp; Neglect work group, Dig Pink Breast Cancer fundraising, supports local food trucks and spends time and materials on many other initiatives that meet needs in the community. The hospital encourages continued education in the medical industry by reimbursing employees for their efforts to stay abreast of developments in healthcare. Hospital staff is supported through funding for conferences, licenses and tuition. Scholarships are also awarded to select students enrolled in a healthcare related program of study at higher learning institutions.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>MI</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
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        <ExplanationTxt>CONTRACTED MEDICAL SERVICES - Total Expense: 6275975, Program Service Expense: 6275975, Management and General Expenses: 0, Fundraising Expenses: 0; OTHER PROFESSIONAL FEES - Total Expense: 1968679, Program Service Expense: 1669046, Management and General Expenses: 299633, Fundraising Expenses: 0; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;</ExplanationTxt>
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        <ExplanationTxt>OTHER CHANGES IN NET ASSETS - -135835; Total - -135835;</ExplanationTxt>
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      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>