TY 2023 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) AARON WONG...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(2) ABEDELRAHIM ASFOUR MD...................................................................... DIRECTOR/CO-VICE CHAIR	50.00 ................. 0.00	X	X	239,588	1,977
(3) ALEJANDRO QUIROGA CHAND MD...................................................................... DIRECTOR/PRESIDENT CHW	1.00 ................. 50.00	X	X	1,022,707	263,693
(4) ALICE RASMUSSEN...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(5) AMEY UPTON...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(6) AMRITA PANT...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(7) ANDREW SHANNON...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(8) ANDREW WIERDA...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(9) ANNA MURPHY...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(10) ANNE MCCAUSLAND...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0
(11) ANNE STEWART...................................................................... DIRECTOR	50.00 ................. 0.00	X		315,866	70,490
(12) ANNICA WAALKES MD...................................................................... DIRECTOR	50.00 ................. 0.00	X		423,163	26,933
(13) ANTHONY STALLION MD...................................................................... DIRECTOR	50.00 ................. 0.00	X		793,519	47,652
(14) ASHOK JAIN MD...................................................................... DIRECTOR	50.00 ................. 1.00	X		300,329	55,550
(15) BARBARA WYNN MD...................................................................... DIRECTOR	1.00 ................. 0.00	X		2,000	0
(16) BENJAMIN GIELDA MD...................................................................... EX-OFFICIO DIRECTOR	50.00 ................. 0.00	X		794,344	24,396
(17) BENJAMIN SCHWARTZ MD...................................................................... DIRECTOR PY/PRESIDENT CHE PY	1.00 ................. 50.00	X	X	2,169,321	84,776

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(18) BERTHA KING........................................................................ DIRECTOR	1.00 .......................0.00	X			2,350	0
(19) BILL PINK........................................................................ DIRECTOR	1.00 .......................0.00	X			23,500	0
(20) BRITTANY GRASLEY........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(21) CANDACE MATTHEWS........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(22) CAREY MARTIN........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(23) CHAD TUTTLE........................................................................ DIRECTOR/PRESIDENT/FMR OFFICER	50.00 .......................1.00	X	X		886,564	166,132
(24) CHARLES GIBSON MD........................................................................ DIRECTOR	50.00 .......................0.00	X			725,577	41,855
(25) CHRISTINA FREESE DECKER........................................................................ DIRECTOR/CEO	1.00 .......................50.00	X	X		5,358,468	1,373,681
(26) CHRISTINE VANLANDINGHAM........................................................................ DIRECTOR/CHAIR	1.00 .......................0.00	X	X		0	0
(27) CHRISTOPHER BLAKE........................................................................ DIRECTOR/CHAIR	1.00 .......................0.00	X	X		40,000	0
(28) CHRISTOPHER FLORES........................................................................ DIRECTOR/TREASURER	50.00 .......................1.00	X	X		563,623	132,903
(29) CHRISTOPHER PORT MD........................................................................ DIRECTOR	1.00 .......................0.00	X			20,000	0
(30) CURTIS VANDERWAAL........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(31) DALE DEHAAN........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(32) DANA WALES........................................................................ DIRECTOR/CHAIR/TREASURER	1.00 .......................0.00	X	X		0	0
(33) DANIEL WASSENHOVE........................................................................ DIRECTOR/TREASURER	50.00 .......................0.00	X	X		163,239	31,524
(34) DARRYL ELMOUCHI MD........................................................................ DIRECTOR/EX-OFFICIO/COO	1.00 .......................50.00	X	X		3,254,660	649,299
(35) DATHAN LUMPKINS........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(36) DAVE EIFLER........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(37) DAVID GRELLMANN MD........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(38) DAVID MEHNEY........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(39) DAVID SCHAFFER........................................................................ DIRECTOR/VICE CHAIR	1.00 .......................0.00	X	X		0	0
(40) DEBORAH BENNETT-BERECZ........................................................................ DIRECTOR/CHAIR	1.00 .......................0.00	X	X		0	0
(41) DEBRA JOHNSON........................................................................ DIRECTOR/SECRETARY	50.00 .......................0.00	X	X		240,666	26,945
(42) DENNIS SZYMANSKI MD........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(43) DIANE YOUNG........................................................................ DIRECTOR	1.00 .......................0.00	X			2,000	0
(44) DONALD HANEY........................................................................ DIRECTOR	1.00 .......................0.00	X			3,500	0
(45) DONNALEE HOLTON........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(46) ERIKA LOZANO-BUHL........................................................................ DIRECTOR	1.00 .......................0.00	X			2,000	0
(47) FAYE NELSON........................................................................ DIRECTOR	1.00 .......................0.00	X			24,000	0
(48) GEORGE HEENAN MD........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(49) GLORIA LARA........................................................................ DIRECTOR	1.00 .......................0.00	X			20,000	0
(50) GREGORY KELLOGG........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(51) HEATHER LALLO........................................................................ DIRECTOR/TREASURER	50.00 .......................1.00	X	X		420,425	47,119
(52) JAMES CLEVER........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(53) JANE MEILNER........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(54) JANET NISBETT........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(55) JANICE PETROVICH........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(56) JEFFREY BENNETT........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(57) JEFFREY POSTMA DO........................................................................ EX-OFFICIO DIRECTOR	50.00 .......................0.00	X			652,004	46,745
(58) JERRY FRENCH........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(59) JOAN SECCHIA........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(60) JOHANNIE TORRES........................................................................ DIRECTOR	50.00 .......................0.00	X			112,942	30,538
(61) JOHN BUCKLEY........................................................................ DIRECTOR	1.00 .......................0.00	X			24,000	0
(62) JOHN BYRNE........................................................................ DIRECTOR	1.00 .......................0.00	X			4,000	0
(63) JOHN NEMES........................................................................ DIRECTOR/SECRETARY/TREASURER	1.00 .......................0.00	X	X		0	0
(64) KAREN PAKKALA........................................................................ DIRECTOR/PRESIDENT	50.00 .......................0.00	X	X		424,455	60,634
(65) KATHERINE CURTIS........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(66) KELLI SADLER........................................................................ DIRECTOR	50.00 .......................0.00	X			520,203	100,228
(67) KELLY DYER........................................................................ DIRECTOR/PRESIDENT	50.00 .......................0.00	X	X		493,680	83,221
(68) KENNETH O'NEILL MD........................................................................ DIRECTOR/SECRETARY	1.00 .......................0.00	X	X		0	0
(69) KYLE KOOYERS........................................................................ DIRECTOR	1.00 .......................0.00	X			2,000	0
(70) LENORE BECKER........................................................................ DIRECTOR/VICE CHAIR	1.00 .......................0.00	X	X		0	0
(71) LINDA LITTLE........................................................................ DIRECTOR	1.00 .......................0.00	X			24,000	0
(72) LISA KUEHNLE........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(73) LOREN B HAMEL MD........................................................................ DIRECTOR/PRESIDENT CHS/EX-OFFICIO	1.00 .......................50.00	X	X		1,744,617	145,393
(74) LOWELL HAMEL MD........................................................................ DIRECTOR/EX-OFFICIO/FORMER OFFICER	50.00 .......................0.00	X			753,492	42,026
(75) LYNNETTE FERRELL-ROBINSON........................................................................ DIRECTOR/CHAIR	1.00 .......................0.00	X	X		40,000	0
(76) MARGARET LIGHTNER........................................................................ DIRECTOR/PRESIDENT/SECRETARY	25.00 .......................0.00	X	X		247,718	30,494
(77) MARGE POTTER........................................................................ DIRECTOR/CHAIR	1.00 .......................0.00	X	X		0	0
(78) MARIA DEVOS........................................................................ DIRECTOR/VICE CHAIR	1.00 .......................0.00	X	X		0	0
(79) MARK ODLAND........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(80) MARK WEBER........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(81) MARK WILSON........................................................................ DIRECTOR/TREASURER	1.00 .......................0.00	X	X		24,000	0
(82) MARY BETH MEIJER........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(83) MARY DOORNBOS........................................................................ DIRECTOR	1.00 .......................0.00	X			20,000	0
(84) MELINDA GRUBER........................................................................ DIRECTOR/PRESIDENT/CHAIR/FMR OFFICER	50.00 .......................0.00	X	X		338,272	67,748
(85) MELISSA PONCE - RODAS........................................................................ DIRECTOR	0.00 .......................0.00	X			2,512	4
(86) MICHAEL ELLIS........................................................................ DIRECTOR/TREASURER	1.00 .......................0.00	X	X		0	0
(87) MICHAEL WEBB MD........................................................................ EX-OFFICIO DIRECTOR	50.00 .......................0.00	X			496,412	55,962
(88) MIKE BIRKHOLM........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(89) MONA MAKKI........................................................................ DIRECTOR	1.00 .......................0.00	X			15,500	0
(90) NANCY HANENBURG........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(91) NANCY HAYNES........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(92) NANCY SUSICK........................................................................ DIRECTOR/SECRETARY/FMR KEY	50.00 .......................1.00	X	X		1,194,101	236,948
(93) OLIVIA STARKS - SCHAUL........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(94) PAMELA GARMON-JOHNSON........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(95) PAOLO MARCIANO MD........................................................................ DIRECTOR/PRESIDENT/FMR KEY EMPLOYEE	50.00 .......................0.00	X	X		920,018	225,725
(96) PATRICIA BETZ........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(97) PATRICK MILES........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(98) PRAVEEN THADANI........................................................................ DIRECTOR	1.00 .......................50.00	X			2,618,588	577,316
(99) RANDY HENDRIXSON........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(100) RICHARD ANTONINI........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(101) RICHARD WARNER........................................................................ DIRECTOR/TREASURER/SECRETARY	1.00 .......................0.00	X	X		0	0
(102) ROBERT FITZGERALD MD........................................................................ DIRECTOR	50.00 .......................0.00	X			581,223	46,059
(103) ROBERT WELSH MD........................................................................ DIRECTOR/CO-VICE CHAIR	0.00 .......................0.00	X	X		32,791	7,231
(104) ROBERT WILLIAMS MD........................................................................ DIRECTOR	1.00 .......................0.00	X			45,500	0
(105) ROBIN CURTIS........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(106) RODRIGO CORREA........................................................................ DIRECTOR/VICE CHAIR	1.00 .......................0.00	X	X		0	0
(107) RONALD ALVESTEFFER........................................................................ DIRECTOR/SECRETARY	1.00 .......................0.00	X	X		0	0
(108) RONALD HOFMAN MD........................................................................ DIRECTOR	1.00 .......................0.00	X			19,000	0
(109) RYAN COFFEY-HOAG........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(110) RYAN COOK........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(111) SAM WATSON........................................................................ DIRECTOR/VICE CHAIR	1.00 .......................0.00	X	X		24,000	0
(112) SCOTT GEIK........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(113) SCOTT ROBINSON........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(114) SCOTT SMITH........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(115) SETH GRIFFIN........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(116) SHANE SHIDLER........................................................................ DIRECTOR/VICE CHAIR	1.00 .......................0.00	X	X		0	0
(117) SHANNON COHEN........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(118) SIMIN BEG MD........................................................................ DIRECTOR/CHAIR	50.00 .......................0.00	X	X		344,295	47,929
(119) STEPHANIE TIMMER........................................................................ DIRECTOR/SECRETARY	1.00 .......................0.00	X	X		0	0
(120) SURENDER RAJASEKARAN MD........................................................................ DIRECTOR	50.00 .......................0.00	X			413,550	52,120
(121) TALAWNDA BRAGG MD........................................................................ DIRECTOR	50.00 .......................0.00	X			340,440	46,166
(122) TAMARA PHILLIPPE........................................................................ DIRECTOR/SECRETARY	1.00 .......................0.00	X	X		0	0
(123) TERRENCE ALLEN........................................................................ DIRECTOR PY	1.00 .......................0.00	X			0	0
(124) ULRICA BOWEN........................................................................ DIRECTOR	1.00 .......................0.00	X			17,000	0
(125) WARREN ROSE........................................................................ DIRECTOR	1.00 .......................0.00	X			24,500	0
(126) WENDY EDWARDS........................................................................ DIRECTOR	50.00 .......................0.00	X			41	0
(127) ANDREA LESLIE........................................................................ REGIONAL PRESIDENT	50.00 .......................1.00		X		610,291	166,145
(128) ROBERT HOEFER........................................................................ REGIONAL PRESIDENT	50.00 .......................1.00		X		541,201	88,682
(129) CARA JANSMA........................................................................ SECRETARY	50.00 .......................0.00		X		424,668	81,443
(130) DREW DOSTAL........................................................................ REGIONAL PRESIDENT	50.00 .......................0.00		X		520,341	83,426
(131) KEVIN SMITH........................................................................ TREASURER PY/SECRETARY PY	25.00 .......................0.00		X		95,384	6,620
(132) MARTHA BOONSTRA........................................................................ SECRETARY PY	25.00 .......................0.00		X		694,600	125,904
(133) MATTHEW COX........................................................................ CFO	1.00 .......................50.00		X		2,614,072	569,199
(134) SOROYA PIERRE-VANARTSEN........................................................................ PRESIDENT	50.00 .......................0.00		X		279,236	64,204
(135) ANGELA DITMAR........................................................................ FORMER OFFICER	0.00 .......................0.00			X	265,044	0
(136) BRIAN BRASSER........................................................................ FORMER OFFICER	50.00 .......................0.00			X	732,682	234,850
(137) BRIAN PHILLIPS MD........................................................................ FORMER OFFICER	50.00 .......................0.00			X	385,315	46,084
(138) JASON SLAIKEU........................................................................ FORMER OFFICER	50.00 .......................0.00			X	925,242	50,920
(139) JOHN SCHUEN........................................................................ FORMER OFFICER	50.00 .......................0.00			X	404,441	64,162
(140) MYRON LEWIS........................................................................ FORMER OFFICER	0.00 .......................0.00			X	482,255	0
(141) RAY CRUSE........................................................................ FORMER OFFICER	0.00 .......................0.00			X	255,618	0
(142) BARBARA DUCATMAN MD........................................................................ FORMER KEY EMPLOYEE	50.00 .......................0.00			X	732,975	112,164
(143) DANIEL FRATTARELLI........................................................................ FORMER KEY EMPLOYEE	50.00 .......................0.00			X	942,779	70,991
(144) DOMINIC SANFILIPPO MD........................................................................ FORMER KEY EMPLOYEE	50.00 .......................0.00			X	672,452	85,048
(145) HOSSAIN MARANDI MD........................................................................ FORMER KEY EMPLOYEE	15.00 .......................0.00			X	1,014,176	86,198
(146) JODIE RAPPE MD........................................................................ FORMER KEY EMPLOYEE	50.00 .......................0.00			X	413,523	57,954
(147) JONATHAN KAPER MD........................................................................ FORMER KEY EMPLOYEE	50.00 .......................0.00			X	251,679	29,834
(148) KASSEM CHARARA MD........................................................................ FORMER KEY EMPLOYEE	50.00 .......................0.00			X	291,969	72,019
(149) KRISTINE DONAHUE........................................................................ FORMER KEY EMPLOYEE	50.00 .......................0.00			X	539,009	75,125
(150) LEE ANN ODOM........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00			X	498,374	0
(151) LISA OUELLETTE........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00			X	182,064	0
(152) MICHAEL KHOURY MD........................................................................ FORMER KEY EMPLOYEE	50.00 .......................0.00			X	283,473	62,955
(153) MICHAEL REBOCK DO........................................................................ FORMER KEY EMPLOYEE	25.00 .......................0.00			X	185,695	10,065
(154) NICHOLAS GILPIN DO........................................................................ FORMER KEY EMPLOYEE	50.00 .......................0.00			X	392,666	44,725
(155) CHARLES SHERRY DO........................................................................ FORMER HIGHEST COMPENSATED	50.00 .......................0.00			X	1,432,035	51,940
(156) KONGKRIT CHAIYASATE MD........................................................................ FORMER HIGHEST COMPENSATED	50.00 .......................0.00			X	3,178,187	56,733
(157) MOHAMAD ALSIBAE MD........................................................................ FORMER HIGHEST COMPENSATED	50.00 .......................0.00			X	1,720,235	57,895
(158) MOHAMMAD CHISTI MD........................................................................ FORMER HIGHEST COMPENSATED	50.00 .......................0.00			X	3,094,729	52,602
(159) MUHAMMAD AZRAK MD........................................................................ FORMER HIGHEST COMPENSATED	50.00 .......................0.00			X	1,535,088	67,907

(A) Name and business address	(B) Description of services	(C) Compensation
THE CHRISTMAN COMPANY 801 BROADWAY AVE NW SUITE 300 GRAND RAPIDS,MI49504	CONSTRUCTION SERVICES	113,194,784
NORTHSTAR ANESTHESIA OF MICHIGAN III PLL PO BOX 224928 DALLAS,TX75222	ANESTHESIA SERVICES	57,146,583
AMN HEALTHCARE INC 2999 OLYMPUS BLVD SUITE 500 DALLAS,TX75019	STAFFING SERVICES	38,941,449
PIONEER CONSTRUCTION 550 KIRTLAND ST SW GRAND RAPIDS,MI49507	CONSTRUCTION SERVICES	29,600,452
AYA HEALTHCARE INC PO BOX 123519 DALLAS,TX75312	STAFFING SERVICES	21,968,450
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 495

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

COREWELL HEALTH GROUP RETURN

Employer identification number

61-1740292

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ............................... 9

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 10 above (see instructions))	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) WILLIAM BEAUMONT HOSPITAL	381459362	3	Yes		0	0
(B) OAKWOOD HEALTHCARE INC	381405141	3	Yes		0	0
(C) BOTSFORD GENERAL HOSPITAL	381426919	3	Yes		0	0
(D) LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC	382156872	3	Yes		0	0
(E) LAKELAND COMMUNITY HOSPITAL WATERVLIET	381368745	3	Yes		0	0
(F) MERCY-MEMORIAL HEALTH SERVICES INCORPORATED	382748035	10	Yes		0	0
(G) LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER	383452303	3	Yes		0	0
(H) LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH	382539929	7	Yes		0	0
(I) HOSPICE AT HOME INC	382416086	7	Yes		0	0
Total 9					0	0

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2023

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	26,461,716	28,739,251	31,210,325	28,492,369	81,172,931	196,076,592
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3	26,461,716	28,739,251	31,210,325	28,492,369	81,172,931	196,076,592
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..						45,742,751
6	Public support. Subtract line 5 from line 4.						150,333,841

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
7	Amounts from line 4..	26,461,716	28,739,251	31,210,325	28,492,369	81,172,931	196,076,592
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	1,895,014	6,142,269	2,588,154	4,370,235	67,772,421	82,768,093
9	Net income from unrelated business activities, whether or not the business is regularly carried on..					7,627,496	7,627,496
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..	1,811,813	4,011,107	2,948,980	1,882,303	54,377,968	65,032,171
11	Total support. Add lines 7 through 10						351,504,352

Gross receipts from related activities, etc. (see instructions) ..................

7,284,179,210

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) .........

42.770 %

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

66.980 %

16a

33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2023

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2023

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2023

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2023

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
Schedule A, Part II, Line 10, Explanation of Other Income:	MISCELLANEOUS REVENUE - 2019 Amount: $ 0. 2020 Amount: $ 263,836. 2021 Amount: $ 388,687. 2022 Amount: $ 0. 2023 Amount: $ 4,975,090. SPECIAL EVENTS - 2019 Amount: $ 349,971. 2020 Amount: $ 747,200. 2021 Amount: $ 253,207. 2022 Amount: $ 1,882,303. 2023 Amount: $ 1,630,996. ADMIN REIMBURSEMENT - 2019 Amount: $ 1,461,842. 2020 Amount: $ 3,000,071. 2021 Amount: $ 2,307,086. 2022 Amount: $ 0. 2023 Amount: $ 13,415,568. CAFETERIA REVENUE - 2019 Amount: $ 0. 2020 Amount: $ 0. 2021 Amount: $ 0. 2022 Amount: $ 0. 2023 Amount: $ 34,356,314.
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 ORGANIZATIONS IDENTIFIED BELOW HAVE A PUBLIC CHARITY STATUS DESCRIBED IN 170(B)(1)(A)(VI). COREWELL HEALTH FOUNDATION WEST MICHIGAN (EIN 38-2752328) HOSPICE AT HOME INC (EIN 38-2416086) LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ST JOSEPH (EIN 38-2539929) 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 SUPORT 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, INC. (EIN 38-2609624) THE ORGANIZATION IDENTIFIED BELOW HAVE A PUBLIC CHARITY STATUS DESCRIBED IN 509(A)(3) AS TYPE I SUPPORTING ORGANIZATION. OAKWOOD UNITED HOSPITALS, INC. (EIN 38-2837961)
PART II - SUPPORT MEASUREMENT	FOR THE FOLLOWING SUBORDINATES: SPECTRUM HEALTH CONTINUING CARE (EIN 38-3242232) SPECTRUM HEALTH CONTINUING CARE CENTER (EIN 38-2415333) SPECTRUM HEALTH WORTH SERVICES (EIN 38-2786617) VISITING NURSE SERVICES OF WESTERN MICHIGAN (EIN 38-1359195) SPECTRUM HEALTH - LEFFINGWELL AVENUE (EIN 85-4390483) MERCY MEMORIAL HEALTH SERVICES, INC. (EIN 38-2748035) TAX YEAR 2019 WAS A SHORT YEAR (7/1/19 - 12/31/19)
PART III - SUPPORT MEASUREMENT	FOR THE FOLLOWING SUBORDINATES: COREWELL HEALTH FOUNDATION WEST MICHIGAN (EIN 38-2752328) HOSPICE AT HOME INC (EIN 38-2416086) LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ST JOSEPH (EIN 38-2539929) SPECTRUM HEALTH HOSPTIALS (38-1360529) TAX YEAR 2019 WAS A SHORT YEAR (7/1/19 - 12/31/19)
PART III - SUPPORT MEASUREMENT	SUPPORT SCHEDULE FOR 509(A)(2) SECTION A. PUBLIC SUPPORT CALENDAR YEAR (A) 2019 LINE 1 130,691 LINE 2 49,406,347 LINE 3 20,507 LINE 4 0 LINE 5 0 LINE 6 49,557,545 LINE 7A 0 LINE 7B 0 LINE 7C 0 SECTION B. TOTAL SUPPORT CALENDAR YEAR (A) 2019 LINE 9 49,557,545 LINE 10A 3,755 LINE 10B 0 LINE 10C 3,755 LINE 11 0 LINE 12 NONE LINE 13 49,561,300 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 NONE 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 NONE 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 NONE 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 NONE LINE 13 373,980,616 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (F) TOTAL LINE 1 6,990,947 LINE 2 965,332,470 LINE 3 404,715 LINE 4 0 LINE 5 0 LINE 6 972,728,132 LINE 7A 0 LINE 7B 0 LINE 7C 0 LINE 8 972,728,132 SECTION B. TOTAL SUPPORT CALENDAR YEAR (F) TOTAL LINE 9 972,728,132 LINE 10A 11,175,520 LINE 10B 0 LINE 10C 11,175,520 LINE 11 0 LINE 12 NONE LINE 13 983,903,653 LINE 15 PUBLIC SUPPORT PERCENTAGE FOR 2023 98.86% LINE 16 PUBLIC SUPPORT PERCENTAGE FOR 2022 99.82% LINE 17 INVESTMENT INCOME PERCENTAGE FOR 2023 1.14% LINE 18 INVESTMENT INCOME PERCENTAGE FOR 2022 0.18% LINE 19A X - THE ORGANIZATION MEETS AND QUALIFIES FOR THE 33 1/3% SUPPORT TEST.

Schedule A (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Name of the organization

COREWELL HEALTH GROUP RETURN

Employer identification number

61-1740292

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization COREWELL HEALTH GROUP RETURN

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization COREWELL HEALTH GROUP RETURN		Employer identification number 61-1740292

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization COREWELL HEALTH GROUP RETURN			Employer identification number 61-1740292
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

COREWELL HEALTH GROUP RETURN

Employer identification number

61-1740292

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2022

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2022

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

29,047

Total. Add lines 1c through 1i ....................................................................................................

29,047

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Part II-B, Line 1:	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.

Schedule C (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

COREWELL HEALTH GROUP RETURN

Employer identification number

61-1740292

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

$ 3,538,785

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c	82,302
d	Additions during the year ............................	1d	323,301
e	Distributions during the year ..........................	1e	349,532
f	Ending balance ................................	1f	56,071

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	121,370,317	145,110,232	130,255,451	97,349,298	81,070,443
b	Contributions ...	5,198,884	2,092,487	4,122,097	25,703,447	12,717,518
c	Net investment earnings, gains, and losses	15,907,963	-21,415,391	15,215,729	11,573,893	5,317,813
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	5,510,837	4,417,011	4,483,045	4,371,187	1,756,476
f	Administrative expenses ....
g	End of year balance ......	136,966,327	121,370,317	145,110,232	130,255,451	97,349,298

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

20.758 %

Permanent endowment right arrow

79.242 %

Term endowment right arrow

0 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	212,178,359		212,178,359
b	Buildings ....	4,188,257,025	1,447,421,032	2,740,835,993
c	Leasehold improvements	64,942,438	55,486,181	9,456,257
d	Equipment ....	1,540,247,654	1,123,646,753	416,600,901
e	Other .....	858,338,483	338,518,260	519,820,223
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				3,898,891,733

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
DUE TO AFFILIATES	395,752,666
LEASE LIABILITIES	228,983,540
THIRD PARTY SETTLEMENT	150,143,139
OTHER LIABILITIES	42,045,912
OTHER POST EMPLOYMENT BENEFITS	12,431,143
NON-QUALIFIED BENEFIT PLAN LIABILITIES	123,715,393
FUNDS HELD ON BEHALF OF OTHERS	1,665,445
LONG TERM PENSION LIABILITY	225,154,852

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	1,179,892,090
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2022

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Part III, Line 4:	VARIOUS ART PIECES ARE HELD BY SUBORDINATES FOR PUBLIC EXHIBTION TO CREATE A HEALING ENVIRONMENT FOR PATIENTS, VISITORS, AND STAFF.
Part IV, Line 1b:	AGENT, TRUSTEE, CUSTODIAN, OR OTHER INTERMEDIARY ARRANGEMENT 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:	INTENDED USES OF ENDOWMENT FUNDS COREWELL HEALTH FOUNDATION WEST MICHIGAN, LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ST JOSEPH, AND HOSPICE AT HOME INC HOLD ENDOWMENT FUNDS TO PROVIDE PERPETUAL SUPPORT OF LIFE SAVING PROGRAMS AND SERVICES TO ORGANIZATIONS THROUGHOUT COREWELL HEALTH.

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right arrow

Attach to Form 990. Right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization
COREWELL HEALTH GROUP RETURN

Employer identification number

61-1740292

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region	(f) Total expenditures for and investments in the region
	Central America and the Caribbean	0	0	INVESTMENTS	CAPTIVE INSURANCE	120,000
















3a	Sub-total ....	0	0			120,000
b	Total from continuation sheets to Part I ...	0	0			0
c	Totals (add lines 3a and 3b)	0	0			120,000

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2023

Schedule F (Form 990) 2023

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2023

Schedule F (Form 990) 2023Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2023

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2023

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
PART IV - FOREIGN FORMS	CERTAIN SUBORDINATE ORGANIZATIONS RESPOND WITH A YES ANSWER TO LINES 1, 3, 4, AND 5.

Schedule F (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization
COREWELL HEALTH GROUP RETURN

Employer identification number

61-1740292

Part I

Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990) 2023

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 2023 GALA DINNER WEST (event type)	(b) Event #2 2023 GALA DINNER SOUTH (event type)	(c) Other events 23 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	1,397,425	205,496	1,186,015	2,788,936
2	Less: Contributions . . . .	1,145,050	36,250		1,181,300
3	Gross income (line 1 minus line 2) . . . . . .	252,375	169,246	1,186,015	1,607,636

4	Cash prizes . . . . .
5	Noncash prizes . . . .		2,665		2,665
6	Rent/facility costs . . . .	244,847	39,117		283,964
7	Food and beverages . . .	328,617	53,076		381,693
8	Entertainment . . . .		3,850		3,850
9	Other direct expenses . . .	420,800	7,626	308,970	737,396
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				1,409,568
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				198,068

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990) 2023

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

COREWELL HEALTH GROUP RETURN

Employer identification number

61-1740292

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 25000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	95,273,270	65,981,034	29,292,236	0.290 %
b	Medicaid (from Worksheet 3, column a) . . . . .	1,867,737,489	1,652,135,720	215,601,769	2.110 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	1,963,010,759	1,718,116,754	244,894,005	2.400 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	19,615,903	4,752,846	14,863,057	0.150 %
f	Health professions education (from Worksheet 5) . . .	226,858,360	76,522,709	150,335,651	1.470 %
g	Subsidized health services (from Worksheet 6) . . . .	907,817,169	811,030,381	96,786,788	0.950 %
h	Research (from Worksheet 7) .	36,700,493	26,584,823	10,115,670	0.100 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	4,102,799		4,102,799	0.040 %
j	Total. Other Benefits . .	1,195,094,724	918,890,759	276,203,965	2.710 %
k	Total. Add lines 7d and 7j .	3,158,105,483	2,637,007,513	521,097,970	5.110 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing			0	0
2	Economic development			438	0	438	0 %
3	Community support			29,830	6,000	23,830	0 %
4	Environmental improvements			1,547	0	1,547	0 %
5	Leadership development and training for community members			0	0
6	Coalition building			66,786	0	66,786	0 %
7	Community health improvement advocacy			55,635	0	55,635	0 %
8	Workforce development			611,318	9,030	602,288	0.010 %
9	Other			0	0
10	Total			765,554	15,030	750,524	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

134,585,811

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

3,415,173,410

Enter Medicare allowable costs of care relating to payments on line 5.....

3,729,093,883

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-313,920,473

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 OAKWOOD ACCOUNTABLE CARE ORGANIZATION LLC	REDUCE HEALTHCARE COSTS AND MANAGE POPULATION WELL	49.000 %	0 %	50.000 %
22 GREATER MICHIGAN LITHOTRIPSY LLC	TREATMENT OF KIDNEY STONES	21.220 %	0 %	17.700 %
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2023

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?21Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)									Other (describe)	Facility reporting group
1	CH GRAND RAPIDS HOSP-BUTTERWORTH HOSP 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 www.corewellhealth.org 1060000021 381360529	X	X	X	X		X	X	FKA SPECTRUM HEALTH BUTTERWORTH	A
2	CH WILLIAM BEAUMONT UNIVERSITY HOSP 3601 W 13 MILE RD ROYAL OAK,MI48073 www.corewellhealth.org 1060000061 381459362	X	X	X	X		X	X	FKA BEAUMONT HOSPITAL, ROYAL OAK	B
3	CH BEAUMONT TROY HOSPITAL 44201 DEQUINDRE RD TROY,MI48085 www.corewellhealth.org 1060000101 381459362	X	X		X			X	FKA BEAUMONT HOSPITAL, TROY	B
4	CH DEARBORN HOSPITAL 18101 OAKWOOD BLVD DEARBORN,MI48124 www.corewellhealth.org 1060000009 381405141	X	X		X		X	X	FKA BEAUMONT HOSPITAL, DEARBORN	B
5	CH GRAND RAPIDS HOSP-BLODGETT HOSP 1840 WEALTHY ST SE GRAND RAPIDS,MI49506 www.corewellhealth.org 1060000016 381360529	X	X		X		X	X	FKA SPECTRUM HEALTH BLODGETT	A
6	CH FARMINGTON HILLS HOSPITAL 28050 GRAND RIVER AVE FARMINGTON HILLS,MI48336 www.corewellhealth.org 1060000070 381426919	X	X		X			X	FKA BEAUMONT HOSPITAL, FARMINGTON HILLS	B
7	CH LAKELAND HOSPITALS-ST JOSEPH HOSP 1234 NAPIER AVE ST JOSEPH,MI49085 www.corewellhealth.org 1060000010 382156872	X	X		X			X	FKA LAKELAND HOSPITALS AT ST. JOSEPH	A
8	CH BEAUMONT GROSSE POINTE HOSPITAL 468 CADIEUX RD GROSSE POINTE,MI48230 www.corewellhealth.org 1060000043 381459362	X	X		X			X	FKA BEAUMONT HOSPITAL, GROSSE POINTE	B
9	CH TRENTON HOSPITAL 5450 FORT ST TRENTON,MI48183 www.corewellhealth.org 1060000075 381405141	X	X		X			X	FKA BEAUMONT HOSPITAL, TRENTON	B
10	CH TAYLOR HOSPITAL 10000 TELEGRAPH RD TAYLOR,MI48180 www.corewellhealth.org 1060000102 381405141	X	X		X			X	FKA BEAUMONT HOSPITAL, TAYLOR	B
11	CH WAYNE HOSPITAL 33155 ANNAPOLIS ST WAYNE,MI48184 www.corewellhealth.org 1060000067 381405141	X	X		X			X	FKA BEAUMONT HOSPITAL, WAYNE	B
12	CH GREENVILLE HOSPITAL 615 S BOWER ST GREENVILLE,MI48838 www.corewellhealth.org 1060000018 381358412	X	X					X	FKA SPECTRUM HEALTH UNITED	B
13	CH LAKELAND HOSPITALS-NILES HOSP 31 N ST JOSEPH AVE NILES,MI49120 www.corewellhealth.org 1060000065 382156872	X	X		X			X	FKA LAKELAND HOSPITALS AT NILES	A
14	CH GERBER HOSPITAL 212 S SULLIVAN ST FREMONT,MI49412 www.corewellhealth.org 1060000054 381359517	X	X			X		X	FKA SPECTRUM HEALTH GERBER MEMORIAL	B
15	CH LUDINGTON HOSPITAL 1 N ATKINSON DR LUDINGTON,MI49431 www.corewellhealth.org 1060000056 381359266	X	X					X	FKA SPECTRUM HEALTH LUDINGTON	B
16	CH ZEELAND HOSPITAL 8333 FELCH ST ZEELAND,MI49464 www.corewellhealth.org 1060000002 381411184	X	X					X	FKA SPECTRUM HEALTH ZEELAND	A
17	CH PENNOCK HOSPITAL 1009 W GREEN ST HASTINGS,MI49058 www.corewellhealth.org 1060000022 381360562	X	X			X		X	FKA SPECTRUM HEALTH PENNOCK	B
18	CH BIG RAPIDS HOSPITAL 605 OAK ST BIG RAPIDS,MI49307 www.corewellhealth.org 1060000045 381368744	X	X					X	FKA SPECTRUM HEALTH BIG RAPIDS	B
19	CH REED CITY HOSPITAL 300 N PATTERSON RD REED CITY,MI49677 www.corewellhealth.org 1060000157 382770076	X				X		X	FKA SPECTRUM HEALTH REED CITY	B
20	CH WATERVLIET HOSPITAL 400 MEDICAL PARK DR WATERVLIET,MI49098 www.corewellhealth.org 1060000039 381368745	X	X					X	FKA LAKELAND COMMUNITY HOSPITAL WATERVLIET	A
21	CH KELSEY HOSPITAL 419 WASHINGTON AVE LAKEVIEW,MI48840 www.corewellhealth.org 1060000147 381297435	X	X			X		X	FKA SPECTRUM HEALTH KELSEY	B

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Facility Reporting Group - A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

In conducting its most recent CHNA, did the hospital facility take into account 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? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	Facility Reporting Group - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000%
and FPG family income limit for eligibility for discounted care of %

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	Facility Reporting Group - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	Facility Reporting Group - A
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Facility Reporting Group - B
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	Facility Reporting Group - B
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000%
and FPG family income limit for eligibility for discounted care of %

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	Facility Reporting Group - B
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	Facility Reporting Group - B
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
NAMING CONVENTIONS:	DUE TO CHARACTER LIMITATIONS IN OUR REPORTING SYSTEM, WE HAVE ABBREVIATED THE NAMES OF SOME FACILITIES IN PART V, SECTION A AND C. REFER TO SCHEDULE H NAMING CONVENTION DISCLOSURE FOR THE COMPLETE NAMES OF THE LISTED FACILITIES.FOR QUESTIONS IN PART V, SECTION B, FACILITY NAMES HAVE BEEN RECENTLY CHANGED DUE TO THE INTEGRATION OF SPECTRUM HEALTH AND BEAUMONT HEALTH TO FORM COREWELL HEALTH, AS FOLLOWS.COREWELL HEALTH GRAND RAPIDS HOSPITALS - BUTTERWORTH HOSPITAL (FKA SPECTRUM HEALTH BUTTERWORTH)COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL (FKA BEAUMONT HOSPITAL, ROYAL OAK)COREWELL HEALTH BEAUMONT TROY HOSPITAL (FKA BEAUMONT HOSPITAL, TROY)COREWELL HEALTH DEARBORN HOSPITAL (FKA BEAUMONT HOSPITAL, DEARBORN)COREWELL HEALTH GRAND RAPIDS HOSPITALS - BLODGETT HOSPITAL (FKA SPECTRUM HEALTH BLODGETT)COREWELL HEALTH FARMINGTON HILLS HOSPITAL (FKA BEAUMONT HOSPITAL, FARMINGTON HILLS)COREWELL HEALTH LAKELAND HOSPITALS - ST. JOSEPH HOSPITAL (FKA LAKELAND HOSPITALS AT ST. JOSEPH)COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL (FKA BEAUMONT HOSPITAL, GROSSE POINTE)COREWELL HEALTH TRENTON HOSPITAL (FKA BEAUMONT HOSPITAL, TRENTON)COREWELL HEALTH TAYLOR HOSPITAL (FKA BEAUMONT HOSPITAL, TAYLOR)COREWELL HEALTH WAYNE HOSPITAL (FKA BEAUMONT HOSPITAL, WAYNE)COREWELL HEALTH GREENVILLE HOSPITAL (FKA SPECTRUM HEALTH UNITED)COREWELL HEALTH LAKELAND HOSPITALS - NILES HOSPITAL (FKA LAKELAND HOSPITALS AT NILES)COREWELL HEALTH GERBER HOSPITAL (FKA SPECTRUM HEALTH GERBER MEMORIAL)COREWELL HEALTH LUDINGTON HOSPITAL (FKA SPECTRUM HEALTH LUDINGTON)COREWELL HEALTH ZEELAND HOSPITAL (FKA SPECTRUM HEALTH ZEELAND)COREWELL HEALTH PENNOCK HOSPITAL (FKA SPECTRUM HEALTH PENNOCK)COREWELL HEALTH BIG RAPIDS HOSPITAL (FKA SPECTRUM HEALTH BIG RAPIDS)COREWELL HEALTH REED CITY HOSPITAL (FKA SPECTRUM HEALTH REED CITY)COREWELL HEALTH WATERVLIET HOSPITAL (FKA LAKELAND COMMUNITY HOSPITAL WATERVLIET)COREWELL HEALTH KELSEY HOSPITAL (FKA SPECTRUM HEALTH KELSEY)FACILITY REPORTING GROUPS A/BA/B - IN 2022, COREWELL HEALTH GROUP RETURN WAS EXPANDED WITH THE INTEGRATION OF TWO OF MICHIGAN'S LARGEST HEALTHCARE SYSTEMS (SPECTRUM HEALTH AND BEAUMONT HEALTH). NAME CHANGES HAVE OCCURRED AS PART OF THE INTEGRATION DURING THE TAX YEAR. CONTENT CONTAINED IN SCH H SPECIFIC TO CHNA'S AND IMPLEMENTATION PLANS MAY REFERENCE NAME STRUCTURES PRIOR TO INTEGRATION.PART V, SECTION B, LINE 5INPUT 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:THE DATA COLLECTION PROCESS INVOLVED COMMUNITY SURVEYS, COMMUNITY-LED FOCUS GROUPS, A BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEY, LOCAL, STATE, AND NATIONAL SECONDARY SOURCES, AND PRIORITIZATION MEETINGS WITH STAKEHOLDERS. EACH OF THESE METHODS ARE DESCRIBED IN DETAIL ALONG WITH THE QUESTIONS USED IN THE KENT COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT.THE COMMUNITY SURVEY WAS ADMINISTERED IN AN ONLINE AND PAPER-BASED FORMAT IN BOTH ENGLISH AND SPANISH TO INDIVIDUALS WHO LIVE OR WORK IN KENT COUNTY. NEARLY 1,700 RESIDENTS RESPONDED TO THE SURVEY WHICH CONTAINED 54 QUESTIONS RELATED TO COVID-19, STRESS AND SOCIAL SUPPORT, NEIGHBORHOOD CHARACTERISTICS, AND BARRIERS TO HEALTH SERVICES. RESPONDENTS WERE ALSO ASKED TO IDENTIFY THE TOP FIVE HEALTH CONDITIONS AND SOCIAL DETERMINANTS OF HEALTH THAT HAD THE GREATEST IMPACT ON THEM. FOCUS GROUPS WERE ANOTHER METHOD OF DATA COLLECTION WHICH WAS USED TO COLLECT INPUT FROM COMMUNITY PARTNER ORGANIZATIONS. THIS PROCESS WAS INSTRUMENTAL IN DETERMINING THE KEY CHARACTERISTICS OF A HEALTHY COMMUNITY, THE MOST IMPORTANT ISSUES THAT NEEDED TO BE ADDRESSED, AND STRENGTHS AND ASSETS OF THE COMMUNITY.THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEY WAS ABLE TO COLLECT FEEDBACK FROM NEARLY 1,400 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. A 'FORCES OF CHANGE' ASSESSMENT WAS PERFORMED IN PARTNERSHIP WITH GRAND VALLEY STATE UNIVERSITY MASTER OF PUBLIC ADMINISTRATION STUDENTS TO COLLECT INPUT ON CURRENT AND EMERGING ISSUES IN KENT COUNTY FROM LOCAL STAKEHOLDERS AND ORGANIZATIONS. THE TOP FORCES AND OTHER THEMES WERE INCLUDED IN THE CHNA DOCUMENT THROUGHOUT.INPUT ON SIGNIFICANT HEALTH NEEDS WAS GATHERED FROM OVER 54 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. PLEASE SEE APPENDIX A OF THE KENT COUNTY CHNA FOR 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, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND THE MICHIGAN PROFILE FOR HEALTHY YOUTH SURVEY ALONG WITH MANY OTHERS.FACILITY NAME:COREWELL HEALTH GREENVILLE HOSPITAL, COREWELL HEALTH KELSEY HOSPITAL, COREWELL HEALTH GERBER HOSPITAL, COREWELL HEALTH REED CITY HOSPITAL, COREWELL HEALTH BIG RAPIDS HOSPITAL, COREWELL HEALTH LUDINGTON HOSPITAL, COREWELL HEALTH PENNOCK HOSPITALDESCRIPTION: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. FOR A LISTING OF THE TITLES OF INDIVIDUALS AND SOURCES CONSULTED, SEE THE CHNA APPENDIX.
PART V, SECTION B, LINE 5 CONTINUED	FACILITY NAME:COREWELL HEALTH ZEELAND HOSPITALDESCRIPTION: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. NEARLY 350 RESIDENTS COMPLETED THIS SURVEY. HEALTH CARE PROFESSIONALS AND OTHER COMMUNITY LEADERS, KNOWN AS KEY STAKEHOLDERS AND KEY INFORMANTS, PROVIDED IN-DEPTH TELEPHONE INTERVIEWS AND AN ONLINE SURVEY. THE BEHAVIORAL RISK FACTOR SURVEILLANCE (BRFS) SURVEY WAS UTILIZED TO COLLECT FEEDBACK FROM 1,200 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. 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. FOR A LISTING OF THE TITLES OF INDIVIDUALS AND SOURCES CONSULTED, SEE THE CHNA APPENDIX.FACILITY NAME:COREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITALTHE CHNA WAS INFORMED BY DATA COLLECTED THROUGH MULTIPLE METHODS. PRIMARY SOURCE DATA (FIRSTHAND INFORMATION COLLECTED DIRECTLY FROM COMMUNITY MEMBERS) WAS COLLECTED THROUGH SURVEYS, PHOTOVOICE, AND INTERVIEWS, WITH A FOCUS ON GATHERING INPUT FROM NEIGHBORHOODS EXPERIENCING THE POOREST HEALTH OUTCOMES (I.E., HIGHEST MORTALITY RATES AND LOWEST LIFE EXPECTANCY). ADDITIONAL INFORMATION (SECONDARY DATE) WAS GATHERED THROUGH SCIENTIFIC LITERATURE, POLICY BRIEFS, AND OTHER ORGANIZATIONAL DOCUMENTS. GOVERNMENT DATASETS (E.G., EMPLOYMENT, INCOME, AGRICULTURE, HOUSING, TRANSPORTATION, HEALTHCARE RESOURCES, CIVIL ENGAGEMENT, AND RECREATION) WERE ALSO UTILIZED.THE SURVEY WAS ADMINISTERED IN ELECTRONIC AND PAPER FORMATS TO GOVERNMENT BODIES, LOCAL BUSINESSES, K-12 SCHOOLS, 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. SURVEY RESPONSES WERE RECEIVED FROM NEARLY 2,000 PEOPLE. PHOTOVOICE WAS USED TO CAPTURE RESPONSES TO THE SURVEY QUESTIONS FROM MORE THAN 100 AREA YOUTH. WHILE GATHERING COMMUNITY INPUT, EFFORTS WERE MADE TO ENSURE THAT THE DEMOGRAPHICS OF RESPONDENTS REFLECTED THE DEMOGRAPHICS OF BERRIEN COUNTY. 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 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.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 HOSPITALA COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN 2022 FOR EACH OF THE BEAUMONT HEALTH HOSPITALS WITH THE GOAL OF IMPROVING THE HEALTH OF THOSE IN SOUTHEASTERN MICHIGAN. BEAUMONT HAS LONG CONSIDERED COMMUNITY NEED A CORE COMPONENT OF THEIR MISSION OF SERVICE TO LOCAL COMMUNITIES. 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 PERCENT OF THE HOSPITAL'S ADMITTED PATIENTS ORIGINATE. THE COMBINED PRIMARY SERVICE AREAS OF THE EIGHT BEAUMONT SERVICE AREAS INCLUDES 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 TO INCLUDE. THESE CRITERIA INCLUDED DISPARITIES BETWEEN POPULATION GROUPS, RATES TRENDING WORSE OVER TIME, THE BEAUMONT 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 BEAUMONT.ORG/CHNA. 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 BEAUMONT 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 COREWELL HEALTH 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 BEAUMONT HEALTH 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. FOR A COMPLETE LISTING OF PARTICIPANTS PLEASE VISIT BEAUMONT.ORG/CHNA.
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:METRO HEALTH - UNIVERSITY OF MICHIGAN HEALTHPINE RESTMARY FREE BED REHABILITATION HOSPITALMERCY HEALTHFACILITY NAME:COREWELL HEALTH BIG RAPIDS HOSPITAL, COREWELL HEALTH REED CITY HOSPITAL, COREWELL HEALTH GERBER HOSPITAL, COREWELL HEALTH LUDINGTON HOSPITALDESCRIPTION:CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENTDISTRICT HEALTH DEPARTMENT #10MCLAREN HEALTH CAREMUNSON HEALTHCAREFACILITY NAME:COREWELL HEALTH KELSEY HOSPITAL AND COREWELL HEALTH GREENVILLE HOSPITAL DESCRIPTION:SHERIDAN COMMUNITY HOSPITAL SPARROW CARSON HOSPITALFACILITY NAME:COREWELL HEALTH ZEELAND HOSPITALDESCRIPTION:HOLLAND HOSPITALNORTH OTTAWA COMMUNITY HEALTH SYSTEMFACILITY NAME:COREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITALDESCRIPTION:THESE FACILITIES DID NOT CONDUCT THE CHNA WITH ONE OR MORE OTHER HOSPITAL FACILITIES. 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:THESE FACILITIES DID NOT CONDUCT THE CHNA WITH ONE OR MORE OTHER HOSPITAL FACILITIES. PART 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, SPECTRUM HEALTH, SPECTRUM 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 & 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: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 HOSPITAL AND COREWELL HEALTH KELSEY 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 - 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.ORG.CHNA WEBSITE ADDRESSES:COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL AND COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITAL:https://www.spectrumhealth.org/healthier-communities/grand-rapids-hospitals-community-health-needs-assessmentCOREWELL HEALTH GREENVILLE HOSPITAL:https://www.spectrumhealth.org/healthier-communities/united-hospital-community-health-needs-assessmentCOREWELL HEALTH GERBER HOSPITAL:https://www.spectrumhealth.org/healthier-communities/gerber-memorial-community-health-needs-assessmentCOREWELL HEALTH LUDINGTON HOSPITAL:https://www.spectrumhealth.org/healthier-communities/ludington-hospital-community-health-needs-assessmentCOREWELL HEALTH BIG RAPIDS HOSPITAL:https://www.spectrumhealth.org/healthier-communities/big-rapids-hospital-community-health-needs-assessmentCOREWELL HEALTH REED CITY HOSPITAL:https://www.spectrumhealth.org/healthier-communities/reed-city-hospital-community-health-needs-assessmentCOREWELL HEALTH ZEELAND HOSPITAL:https://www.spectrumhealth.org/healthier-communities/zeeland-hospital-community-health-needs-assessmentCOREWELL HEALTH KELSEY HOSPITAL:https://www.spectrumhealth.org/healthier-communities/united-hospital-community-health-needs-assessmentCOREWELL HEALTH PENNOCK HOSPITAL:https://www.spectrumhealth.org/healthier-communities/pennock-community-health-needs-assessmentCOREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITAL AND COREWELL HEALTH WATERVLIET HOSPITAL:https://www.spectrumhealthlakeland.org/population-health/get-facts/community-health-needs-assessmentCOREWELL 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:https://www.beaumont.org/community/community-health-needs-assessmentPART V, SECTION B, LINE 7 - LINE 7DIN PERSON INQURIES ARE DIRECTED TO THE ORGANIZATION'S WEBSITE LINK, PAPER COPIES ARE AVAILABLE UPON REQUEST AT FACILITY.PART V, SECTION B, LINE 10STEP-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.ORG.IMPLEMENTATION STRATEGY WEBSITE ADDRESS:COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL:https://www.spectrumhealth.org/healthier-communities/grand-rapids-hospitals-community-health-needs-assessmentCOREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITAL:https://www.spectrumhealth.org/healthier-communities/grand-rapids-hospitals-community-health-needs-assessmentCOREWELL HEALTH GREENVILLE HOSPITAL:https://www.spectrumhealth.org/healthier-communities/united-hospital-community-health-needs-assessmentCOREWELL HEALTH GERBER HOSPITAL:https://www.spectrumhealth.org/healthier-communities/gerber-memorial-community-health-needs-assessmentCOREWELL HEALTH LUDINGTON HOSPITAL:https://www.spectrumhealth.org/healthier-communities/ludington-hospitalcommunity-health-needs-assessmentCOREWELL HEALTH BIG RAPIDS HOSPITAL:https://www.spectrumhealth.org/healthier-communities/big-rapids-hospital-community-health-needs-assessmentCOREWELL HEALTH REED CITY HOSPITAL:https://www.spectrumhealth.org/healthier-communities/reed-city-hospitalcommunity-health-needs-assessmentCOREWELL HEALTH ZEELAND HOSPITAL:https://www.spectrumhealth.org/healthier-communities/zeeland-hospital-community-health-needs-assessmentCOREWELL HEALTH KELSEY HOSPITAL:https://www.spectrumhealth.org/healthier-communities/united-hospital-community-health-needs-assessmentCOREWELL HEALTH PENNOCK HOSPITAL:https://www.spectrumhealth.org/healthier-communities/pennock-community-health-needs-assessmentCOREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL, AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITAL:https://www.spectrumhealthlakeland.org/docs/default-source/community-health-needs-assessment chna_report_2022-2024_final.pdf?sfvrsn=a6b71422_2COREWELL 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:https://www.beaumont.org/community/community-health-needs-assessment
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 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE MENTAL HEALTH, ECONOMIC SECURITY, ACCESS TO CARE, AND DISCRIMINATION AND RACIAL INEQUITY. ALL OF THE IDENTIFIED NEEDS WERE SELECTED TO BE ADDRESSED IN THE 2022-2024 IMPLEMENTATION STRATEGY REPORT.AS PART OF THE MENTAL HEALTH NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GRAND RAPIDS HOSPITALS' SERVICE AREA. THE THREE STRATEGIES ARE: THE SCHOOL BEHAVIORAL HEALTH TELEMEDICINE CLINIC, SCHOOL FACULTY SUICIDE RESPONSE PROGRAM, AND TRANSITIONAL AGE YOUTH BEHAVIORAL HEALTH CLINIC. THE GOAL OF THESE THREE STRATEGIES IS TO PROMOTE AND RESTORE RESILIENCE AMONG YOUTH AND YOUNG ADULTS IN KENT COUNTY BY INCREASING BEHAVIORAL HEALTH SERVICE OPPORTUNITIES IN AND OUT OF THE SCHOOL SETTING.AS PART OF THE ECONOMIC SECURITY NEED, THERE ARE FIVE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GRAND RAPIDS HOSPITALS' SERVICE AREA. THE FIVE STRATEGIES ARE: AFFORDABLE HOUSING, THE CLIENT ASSISTANCE FUND, FINANCIALS SERVICES/SUPPORT OUTREACH, ENGLISH PROFICIENCY WORKFORCE DEVELOPMENT PROGRAM, AND SUPPLY CHAIN DIVERSITY. THE GOAL OF THESE FIVE STRATEGIES IS TO CREATE OPPORTUNITIES FOR ALL PEOPLE TO LIVE AND WORK IN KENT COUNTY WITH DIGNITY AND ACHIEVE THEIR FULL POTENTIAL.AS PART OF THE ACCESS TO CARE NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GRAND RAPIDS HOSPITALS' SERVICE AREA. THE TWO STRATEGIES ARE: AMPLIFY GR AND VIRTUAL HEALTHCARE ACCESS. THE GOAL OF THESE TWO STRATEGIES IS TO OFFER COMPASSIONATE, LOCAL, AND EQUITABLE CARE IN KENT COUNTY.AS PART OF THE DISCRIMINATION AND RACIAL INEQUITY NEED, THERE ARE FIVE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE GRAND RAPIDS HOSPITALS' SERVICE AREA. THE FIVE STRATEGIES ARE: #123 FOR EQUITY PLEDGE, ACADEMY OF HEALTH SCIENCE AND TECHNOLOGY, INCLUSIVE, LOCAL HIRING STRATEGY: OUTSIDE-IN AND INSIDE-UP, INCLUSIVE COMMUNICATION PRACTICES, AND RACISM AS A PUBLIC HEALTH ISSUE. THE GOAL OF THESE STRATEGIES IS THAT SPECTRUM HEALTH WILL REVOLUTIONIZE HEALTHCARE BY CREATING A CULTURE WHERE STAFF CAN BE THEIR AUTHENTIC SELVES AND OFFER PATIENTS CARE THAT RESPECTS THEIR AUTHENTIC SELVES. FACILITY NAME:COREWELL HEALTH ZEELAND HOSPITALDESCRIPTION:THE SIGNFICANT HEALTH NEEDS IDENTIFIED IN THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDE MENTAL HEALTH, ACCESS TO CARE, OBESITY, COVID-19, AFFORDABLE HOUSING, SUBSTANCE USE, CHRONIC DISEASE, RISK BEHAVIORS, BIOPSYCHOSOCIAL, AND HEALTH DISPARITIES. SEVEN OF THESE NEEDS - COVID-19, AFFORDABLE HOUSING, SUBSTANCE USE, CHRONIC DISEASE, RISK BEHAVIORS, BIOPSYCHOSOCIAL, AND HEALTH DISPARITIES WILL NOT BE ADDRESSED DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE FOLLOWING SIGNFICANT HEALTH NEEDS: MENTAL HEALTH, ACCESS TO CARE, AND OBESITY.AS PART OF THE MENTAL HEALTH NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE ZEELAND COMMUNITY HOSPITAL'S SERVICE AREA. THESE STRATEGIES ARE THE SCHOOL BLUE ENVELOPE PROGRAM AND MENTAL HEALTH FIRST AID CLASSES. THE GOAL OF THESE STRATEGIES IS TO INCREASE CAPACITY OF RESIDENTS OF THE COMMUNITY TO RESPOND TO INDIVIDUALS EXPRESSING SUICIDAL IDEATION AND PROCEED WITH EVIDENCE-BASED ACTION PLAN.AS PART OF THE ACCESS TO CARE NEED, THERE ARE TWO STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE ZEELAND COMMUNITY HOSPITAL'SSERVICE AREA. THESE STRATEGIES ARE OTTAWA PATHWAYS TO BETTER HEALTH COMMUNITY HEALTH WORKER PROGRAM AND OTTAWA COUNTY BROADBAND ACCESS STUDY. THE GOAL OF THESE STRATEGIES IS TO INCREASE ACCESS TO HEALTH CARE BY EXPANDING REFERRALS TO THE OTTAWA PATHWAYS TO BETTER HEALTH COMMUNITY HEALTH WORKER PROGRAM AND PROVIDING FINANCIAL SUPPORT TO THE OTTAWA COUNTY BROADBAND ACCESS STUDY.AS PART OF THE OBESITY NEED, THERE ARE THREE STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE ZEELAND COMMUNITY HOSPITAL'S SERVICE AREA. THESE STRATEGIES ARE THE COORDINATED APPROACH TO CHILD HEALTH PROGRAM, FIT AND HEALTHY FAMILIES EDUCATIONAL SERIES, AND THE YMCA MOBILE VEGGIE VAN. THE GOAL OF THESE STRATEGIES IS TO DECREASE THE RATES OF OBESITY AMONG RESIDENTS OF OTTAWA COUNTY.FACILITY NAME:COREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL, AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITALDESCRIPTION:SINCE THE DEVELOPMENT OF THE 2019 CHNA, SPECTRUM HEALTH LAKELAND HAS COMMITTED TO ADDRESSING THE PREVIOUSLY IDENTIFIED PUBLIC HEALTH NEEDS ("PHN"), SPECIFICALLY THOSE WHICH WERE DETERMINED TO HAVE BEEN THE MOST IMPACTED BY THE COVID-19 PANDEMIC, SOCIAL COHESION, MENTAL HEALTH, FOOD ENVIRONMENT, AND HEALTHCARE ACCESS). THE RESEARCH CONDUCTED BY THE POPULATION HEALTH DEPARTMENT OVER THE PAST TWO YEARS NOT ONLY REINFORCED THAT THOSE NEEDS WERE STILL IMPORTANT, BUT OFFERED EVEN GREATER UNDERSTANDING INTO THE NUANCE AND COMPLEXITY OF WORKING TO ADDRESS THESE CRITICAL COMMUNITY ISSUES IN A PERIOD WHERE SO MANY HAVE EXPERIENCED LOSS, GRIEF, AND TRAUMA.THEREFORE, THE DECISION WAS MADE TO RETAIN FOUR OF THE PREVIOUSLY IDENTIFIED PHN (MENTAL HEALTH, SOCIAL COHESION, HEALTHCARE ACCESS, AND NUTRITION ENVIRONMENT) AND TO ADOPT A NEW PRIORITY HEALTH NEED WHICH ROSE TO PROMINENCE DURING COVID-19: SAFETY. IN AN EFFORT TO FOCUS RESOURCES TO A NUMBER OF PRIORITY HEALTH NEEDS, THE ORGANIZATION WILL PLAY A MORE SUPPORTIVE ROLE TO COMMUNITY ORGANIZATIONS THAT ARE RESPONDING TO THE PRIORITY HEALTH NEEDS OF RECREATION ENVIRONMENT AND THE PHYSICAL ENVIRONMENT, RATHER THAN TAKE THE LEAD IN ADDRESSING THEM.MENTAL HEALTH PROGRAMMING: POP-UP ART & WELLNESS CENTER, MENTAL HEALTH TRAUMA INFORMED CARE WORKSHOPS, MENTAL HEALTH SERVICES AT THE CENTER FOR BETTER HEALTH, 31N SCHOOL MENTAL HEALTH, AND MINDFUL MOVEMENT.SOCIAL COHESION:COMMUNITY ENGAGED RESEARCH, COMMUNITY GRAND ROUNDS AND BRAVE TALKS, COORDINATED SCHOOL HEALTH, GROWTH INTERNSHIP, BLOCK PARTIES, AND LAUNCHPAD 022. FOOD ENVIRONMENT: PRESCRIPTION FOR HEALTH AND COMMUNITY KITCHEN CLUB TRAINING.HEALTHCARE ACCESS: AMERICAN MEDICAL ASSOCIATION M.A.P. BLOOD PRESSURE PROGRAM, CDC VACCINATION GRANT - VACCINE NAVIGATORS, HEALTHCARE CAREERS PRE-APPRENTICESHIP, INSPIRE: A HOME BLOOD PRESSURE MONITORING PROGRAM, MATTERS OF THE HEART, NURSING SERVICES AT THE CENTER FOR BETTER HEALTH, SOCIAL NAVIGATION SERVICES AT THE CENTER FOR BETTER HEALTH, AND NEIGHBORHOOD BASED HEALTH HOMES (NBHH).SAFETY:CPR EDUCATION/TRAINING, REAL AND SOGI DATA COLLECTION AND USE.
PART V, SECTION B, LINE 11 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:THE 2022 CHNA IDENTIFIED THREE PRIORITY HEALTH NEEDS TO BE ADDRESSED. THE IMPLEMENTATION STRATEGY FOR EACH HOSPITAL FOCUSES ON PRIORITY HEALTH NEEDS INCLUDING BEHAVIORAL HEALTH, HEALTH EDUCATION, AND ACCESS TO CARE. INCOME/POVERTY AND TRANSPORTATION WERE NOT ADDRESSED AS THEY DID NOT FALL WITHIN THE PRIORITIZATION PROCESS CRITERIA. COREWELL HEALTH EAST HAS FOCUSED ON THE PRIORITY NEEDS IN MULTIPLE WAYS. THE GOAL FOR BEHAVIORAL HEALTH IS TO ADDRESS BEHAVIORAL HEALTH NEEDS, INCLUDING MENTAL WELL-BEING AND SUBSTANCE USE DISORDERS. STRATEGIES TO MEET THIS GOAL INCLUDE INCREASING OUTPATIENT ACCESS TO BEHAVIORAL HEALTH SERVICES, REMOVING BARRIERS TO TO MENTAL HEALTH CARE, PROVIDING MENTAL HEALTH FIRST AID TRAINING, OFFERING SMOKING CESSATION CLASSES, PARTICIPATING IN MEDICATION TAKE BACK DAYS ANNUALLY, AND MORE.THE GOALS FOR HEALTH EDUCATION ARE TO INCREASE KNOWLEDGE ON HEALTH AND SOCIAL RESOURCES TO IMPROVE COMMUNITY WELLNESS FOR GENERAL COMMUNITY MEMBERS AND TO INCREASE THE NUMBER OF YOUTH WHO RECEIVE HEALTH EDUCATION IN THE SCHOOLS AND COMMUNITY. STRATEGIES TO MEET THESE GOALS INCLUDED PROVIDING EDUCATION ON OVERT DISCRIMINATION AND IMPLICIT BIAS, INCREASING AWARENESS OF RESOURCES IN THE COMMUNITY, ESTABLISHING A CHILD PASSENGER SAFETY TRAINING MODEL, INCREASING ENROLLMENT IN CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMS DIABETES PREVENTION PROGRAM, HBP CONTROL PROGRAM, DIABETES PATH, CHRONIC PAIN PATH, PROVIDING EVIDENCED BASED HEALTH EDUCATION INSIDE SCHOOLS AND COMMUNITIES, AND MORE. THE GOALS FOR ACCESS TO CARE ARE TO ENHANCE ACCESS TO AND COORDINATION OF CARE THROUGH COMMUNITY-BASED EFFORTS AND TO INCREASE THE NUMBER OF HIGH-RISK YOUTH WHO RECEIVED MEDICAL, MENTAL HEALTH, AND PREVENTION SERVICES INSIDE TEEN HEALTH CENTERS/SCHOOL-BASED HEALTH CENTERS. STRATEGIES TO MEET THESE GOALS INCLUDED IMPROVING SUPPORT TO NAVIGATE THE HEALTHCARE SYSTEM THROUGH COMMUNITY HEALTH WORKERS BEGINNING IN 2023, INCREASING THE USE OF THE COMMUNITY RESOURCE NETWORK (A HEALTH RELATES SOCIAL NEEDS PLATFORM), REVIEWING STRUCTURAL BARRIERS TO IMPROVE NAVIGATION, INCREASING ACCESS TO SCHOOL FOOD PANTRIES, AND MORE.A SUMMARY OF IMPLEMENTATION PLAN ACTIONS AND PROGRESS TOWARD ADDRESSING SELECTED HEALTH PRIORITIES IS AS FOLLOWS:PRIORITY 1: BEHAVIORAL HEALTHCOREWELL HEALTH EAST CONTINUED ITS EXTENSIVE EXPANSION OF BEHAVIORAL HEALTH SERVICES THROUGH THE NEW BEHAVIORAL HEALTH HOSPITAL. IN ADDITION, PARTNERSHIPS WITH LOCAL HUMAN SERVICE ORGANIZATIONS WERE VETTED AND PURSUED TO EXPAND THE SERVICES AVAILABLE TO THE COMMUNITY. THE CONTINUUM OF CARE STRATEGIC PLAN CONTINUES TO EVOLVE IN 2023 AND INCLUDES PROPOSED EXPANSION OF INPATIENT AND OUTPATIENT SERVICES TO BETTER MEET THE NEEDS OF COMMUNITY MEMBERS ACROSS THE LIFESPAN.COREWELL HEALTH BEAUMONT TROY HOSPITAL CONTINUED PARTNERSHIP THE STAGE NATURE CENTER TO IMPLEMENT A THREE-YEAR MINDFULNESS PROGRAM. THIS PROGRAM IS TO HELP PEOPLE EXPERIENCING ISOLATION AND DEPRESSION, ANXIETY, OR STRESS TO COPE WITH MENTAL HEALTH CHALLENGES DUE TO THE PANDEMIC AND HELP THEIR WELL-BEING BY IMMERSING THEM IN NATURE. IN THE LAST FEW YEARS, THE PROGRAM HAS BEEN OFFERED SEVERAL TIMES A WEEK WITH OVER 600 PARTICIPANTS.COREWELL HEALTH EAST HAS PARTNERED WITH MOOD LIFTERS TO BRING EVIDENCE BASED MENTAL HEALTH CARE TO THE COREWELL HEALTH EASTSERVICE AREA. MOOD LIFTERS PROVIDED WEEKLY GROUP MEETINGS IN WHICH PEER LEADERS TAUGHT A SERIES OF SCIENCE-BASED STRATEGIES THAT IMPROVE MOOD, RELATIONSHIPS, AND WELL-BEING. AT THE END OF THE PROGRAM, PARTICIPANTS KNOW WHICH STRATEGIES WORK BEST FOR THEM AND HOW TO APPLY THEM TO THEIR UNIQUE SITUATION. FIFTY INDIVIDUALS PARTICIPATED AND COMPLETED THE 15-WEEK PROGRAM.COREWELL HEALTH HOSPITALS DEARBORN, WAYNE AND FARMINGTON HILLS PROVIDE PHYSICAL AND MENTAL HEALTH SERVICES TO YOUTH IN THE COMMUNITIES AT THE TAYLOR, INKSTER, REDFORD, RIVER ROUGE AND ROMULUS TEEN HEALTH CENTERS AND THROUGH A WELLNESS PROGRAM AT TAYLOR HIGH SCHOOL. OVER 3,100 UNIQUE YOUTH RECEIVED SERVICES THROUGH THESE PROGRAMS, INCLUDING OVER 4,300 CLINIC VISITS, OVER 6,200 MENTAL HEALTH VISITS, AND OVER 600 TELEHEALTH VISITS. A TOTAL OF 11,269 VISITS OF OUR 12 CLINICS.A SIX-WEEK SUMMER ARTS & PREVENTION ACADEMY ON SUBSTANCE ABUSE -RELATED PRESSURES, PROBLEMS, AND REFUSAL SKILLS TO TAYLOR ELEMENTARY AND MIDDLE AND HIGH SCHOOL STUDENTS, USING DIFFERENT ART MODALITIES (FINE ART, DANCE, DRAMA, AND MUSIC) WAS PROVIDED IN 2022. THE ACADEMY REACHED JUST OVER 140 HIGH RISK YOUTH AND CONTINUES TO GROW. COREWELL HEALTH EAST OFFERED MENTAL HEALTH FIRST AID TRAINING. BOTH ADULT AND YOUTH COURSES WERE TAUGHT TO COREWELL STAFF WITH A TOTAL OF 14 PARTICIPANTS COMPLETING THE COURSES. EIGHTTEEN HEALTH CENTER STAFF COMPLETED YOUTH MENTAL HEALTH FIRST AID TRAINING. MOST OF THE COMMUNITY HEALTH AND HEALTH EQUITY DEPARTMENT STAFF AT COREWELL HEALTH EAST WERE TRAINED IN ADULT MENTAL HEALTH FIRST AID. NETWORKING AND OUTREACH WERE COMPLETED WITH MANY ORGANIZATIONS WHO WERE INTERESTED IN HOSTING ADULT AND YOUTH MENTAL HEALTH FIRST AID COURSES.PRIORITY 2: HEALTH EDUCATIONTO BEST ADDRESS THE CONDITIONS, BEHAVIORS, SOCIOECONOMIC AND ENVIRONMENTAL FACTORS THAT DRIVE HEALTH, COREWELL HEALTH EAST PARTICIPATES IN MULTI-SECTOR COALITIONS THAT RANGE FROM 10-75 ACTIVE MEMBERS, TAKING PART TO PROMOTE HEALTHY EATING AND ACTIVE LIVING TO ADDRESS CARDIOVASCULAR DISEASE, DIABETES, AND OBESITY. COALITION MEMBERS INCLUDE LOCAL GOVERNMENT LEADERSHIP, COMMUNITY RESIDENTS, THE LOCAL SCHOOL SYSTEM, BUSINESSES, NONPROFIT ORGANIZATIONS, FAITH-BASED ORGANIZATIONS, MEDICAL PROVIDERS, INSURANCE PROVIDERS, AND THOSE REPRESENTING CHRONIC DISEASE ORGANIZATIONS. ADDITIONALLY, THE COALITIONS MAINTAIN MULTIPLE WORKGROUPS AND LIST-SERVES, SOME OF WHICH HAVE UPWARDS OF 500 MEMBERS. THE STUDENT HEART CHECK PROGRAM IS TARGETED TO HIGH SCHOOL STUDENTS, AGES 13-18, TO DETECT ABNORMAL HEART STRUCTURE OR ABNORMAL RHYTHMS AND PREVENT SUDDEN CARDIAC ARREST. TEST RESULTS ARE REVIEWED WITH PARENTS AND, IF INDICATED, FOLLOW UP IS SUGGESTED. IN 2023, 867 STUDENTS WERE SCREENED FOR HEART ABNORMALITIES. DIABETES PREVENTION AND EDUCATIONAL PROGRAMS ARE KEY INITIATIVES OFFERED TO SUPPORT PREVENTION AND MANAGEMENT IN THE COMMUNITY. THE NATIONAL DIABETES PREVENTION PROGRAM (DPP) WAS PROVIDED THROUGH PARTNERSHIPS WITH COMMUNITY CENTERS, SENIOR CENTERS, AND OTHER COMMUNITY ORGANIZATIONS. THE 12-MONTH LIFESTYLE CHANGE PROGRAM FOCUSES ON WEIGHT LOSS STRATEGIES AND INCREASED PHYSICAL ACTIVITY TO PREVENT THE ONSET OF TYPE 2 DIABETES IN THOSE AT RISK. PARTICIPANTS ATTEND CLASS ONCE A WEEK FOR THE FIRST 16 WEEKS OF THE PROGRAM, TRANSITIONING TO BIMONTHLY AND MONTHLY SESSIONS FOR THE FINAL SIX MONTHS. DURING 2023, THERE WERE OVER 340 PARTICIPANTS IN THE DPP PROGRAM AND 16 NEW DPP COURSES STARTED WITH PARTICIPANTS CUTTING THEIR RISK OF TYPE 2 DIABETES BY UP TO 58%.ANOTHER PROGRAM IMPLEMENTED IS THE DIABETES PATH PROGRAM, A NATIONAL EVIDENCE-BASED PROGRAM FOR THOSE WITH TYPE 2 DIABETES AND THEIR CAREGIVERS. THE PROGRAM IS DESIGNED TO ENHANCE PATIENT CONFIDENCE IN THEIR ABILITY TO MANAGE THEIR DISEASE AND TO WORK MORE EFFECTIVELY WITH HEALTH CARE PROVIDERS. IN PARTNERSHIP WITH LIBRARIES, SENIOR CENTERS AND COMMUNITY ORGANIZATIONS THE DIABETES PERSONAL ACTION TOWARD HEALTH (DPATH) PROGRAM HELPS PEOPLE LIVING WITH (OR AT HIGH-RISK) OF TYPE 2 DIABETES. THE PROGRAM INCLUDES SIX-WEEK WORKSHOP IN WHICH PARTICIPANTS LEARN SELF-MANAGEMENT INCLUDING ACTION PLAN DEVELOPMENT, THE IMPORTANCE OF BALANCING AND MONITORING THEIR BLOOD SUGAR, COMMUNICATION WITH FAMILY/CAREGIVERS AND HEALTH PROVIDER AND MANAGING STRESS TO INCREASE THEIR OVERALL HEALTH. OUTCOME DATA INDICATED A HIGH LEVEL OF PARTICIPANTS WERE MORE CONFIDENT ABOUT HANDLING THEIR HEALTH CONDITION AFTER TAKING THE WORKSHOP AND SHOWED SIGNIFICANT IMPROVEMENTS IN TESTING BLOOD SUGAR SEVEN DAYS A WEEK AND REPORTED EXERCISING MORE THAN 150 MINUTES PER WEEK.CHRONIC PAIN PERSONAL ACTION TOWARD HEALTH (CPPATH) IS A SIX-WEEK WORKSHOP WHICH MEETS WEEKLY. THE CP-PATH PROGRAM IS FOR PEOPLE LIVING WITH CHRONIC PAIN TO HELP THEM LEARN TECHNIQUES AND STRATEGIES FOR DAY-TO-DAY PAIN MANAGEMENT. IN 2023, CHE AND NKFM CONTINUED TO WORK TOGETHER TO OFFER THESE TWO PROGRAMS TO THE COMMUNITY. WITH 12 WORKSHOPS TOTAL OF THE DIABETES PATH AND CHRONIC PAIN PROGRAMS, 106 PARTICIPANTS WERE SERVED.
PART V, SECTION B, LINE 11 CONTINUED	THE HYPERTENSION SELF-MANAGEMENT PROGRAM IS AN EIGHT-WEEK EVIDENCE-BASED WORKSHOP DESIGNED TO PROVIDE THE INDIVIDUAL WITH INFORMATION, TIPS, AND TOOLS TO HELP TAKE CONTROL OF HIGH BLOOD PRESSURE. PARTICIPANTS LEARN ABOUT THE BASICS OF HYPERTENSION, STRESS MANAGEMENT, THE IMPORTANCE OF NUTRITION, AND INCORPORATING PHYSICAL ACTIVITY. CHE OFFERED 12 WORKSHOPS FOR THE HBP CONTROL PROGRAM AND HOSTED A HEALTH COACH TRAINING. OVER 100 PARTICIPANTS ENROLLED IN THE PROGRAM AND MANY PROGRAM PARTICIPANTS CHANGED THEIR BEHAVIOR. CHE OFFERED THE FIRST IN-PERSON CLASSES FOR HBP CONTROL SINCE THIS PROGRAM STARTED DURING THE PUBLIC HEALTH EMERGENCY. IT WAS A HUGE SUCCESS WITH 3 IN-PERSON CLASSES THAT WERE HOSTED IN FARMINGTON HILLS, SOUTHFIELD, AND OAK PARK.THE WALK WITH EASE (WWE) PROGRAM, AN EVIDENCE-BASED PROGRAM, REACHED 32 PARTICIPANTS. THE WWE PROGRAM WAS DESIGNED FOR ADULTS WITH ARTHRITIS AND OLDER ADULTS. THE PROGRAM TEACHES PARTICIPANTS HOW TO SAFELY MAKE PHYSICAL ACTIVITY PART OF THEIR EVERYDAY LIFE. PARTICIPANTS WALK ON THEIR OWN SCHEDULE AT THEIR OWN PACE WITH A GOAL OF BUILDING TO 30 MINUTES OF WALKING AT LEAST THREE TIMES WEEKLY.ADDITIONAL WALKING PROGRAMS OCCURRED ACROSS THE SYSTEM. THE FARMINGTON FARMERS MARKET WALKING GROUP, FORMERLY KNOWN AS THE "WALKABOUTS", CONTINUED TO GROW AND BECOME A PREMIERE EVENT THROUGHOUT THE 2023 MARKET SEASON. THE WALKABOUTS ARE BOTH FUN AND EDUCATIONAL OPPORTUNITIES TO TALK ABOUT HEALTH AND WELLNESS TOPICS SUCH AS HEALTHY EATING, DIABETES PREVENTION, AND INJURY PREVENTION. BETWEEN MAY AND OCTOBER 2023, OVER 750 PEOPLE PARTICIPATED IN THE WALKABOUTS, WITH 50 WALKERS COMPLETING 5 MILES AND 30 WALKERS COMPLETING OVER 10 MILES.PRIORITY 3: ACCESS TO CARESUPPORTING THE SOCIAL NEEDS OF OUR COMMUNITIES WAS A BIG FOCUS DURING THE YEAR. THE BEAUMONT COMMUNITY RESOURCE NETWORK (BCRN) A BRANDED SEARCH AND REFERRAL SOCIAL SERVICE ORGANIZATION PLATFORM FROM AUNT BERTHA/FIND HELP IS USED TO SUPPORT COMMUNITIES' IDENTIFICATION OF NEED. THE FREE ONLINE PLATFORM HELPS INDIVIDUALS FIND RESOURCES FOR BASIC NEEDS SUCH AS FOOD, UTILITIES, TRANSPORTATION, JOB TRAINING, LEGAL AID, AND CHILDCARE. COREWELL HEALTH EAST SAW AN INCREASE IN USERS OF 13% FOR 2023. THE BCRN SERVED 10,236 USERS THAT LEVERAGED THE PLATFORM TO PERFORM 40,428 SEARCHES THAT RESULTED IN 25,352 INTERACTIONS, 3,215 CONNECTIONS, AND 672 REFERRALS TO COMMUNITY RESOURCES. THE TOP SEARCHES IN WERE "HOUSING", "FOOD AND "TRANSPORTATION". THE TOP CITIES SEARCHING FOR RESOURCES INCLUDED DETROIT, TAYLOR, WESTLAND AND WARREN.A NEW PROGRAM FOR 2023 IS THE SCHOOL FOOD PANTRY AND HYGIENE CLOSET PROGRAM. THIS PROGRAM IS DESIGNED TO HELP EXPAND EQUITABLE CARE AND IMPROVE HEALTH OUTCOMES FOR CHILDREN IN UNDERSERVED AND VULNERABLE NEIGHBORHOODS IN WAYNE COUNTY. WITH CHILDREN SPENDING MUCH OF THEIR TIME AT SCHOOL, SCHOOL PANTRIES AND HYGIENE CLOSETS ARE AN EFFECTIVE WAY TO MEET THE NEEDS OF CHILDREN AND THEIR FAMILIES, WHILE ALSO PROMOTING NUTRITION AND WELLNESS THROUGH EDUCATION AND SUPPORT SERVICES.FOCUSING ON THE WHOLE CHILD, THIS PROGRAM HAS A UNIQUE APPROACH TO PROVIDING FOOD ACCESS IN SCHOOLS, WHILE ALSO PROVIDING ACCESS TO BASIC NEEDS AND WRAP-AROUND SERVICES TO YOUTH AND FAMILIES. SCHOOLS CAN OFFER NONPERISHABLE SNACK ITEMS THAT STUDENTS CAN GRAB-AND-GO DURING THE DAY, BACKPACK ITEMS STUDENTS CAN TAKE HOME TO PREPARE, AND BASIC HYGIENE ITEMS (TOOTHBRUSH/PASTE, BODY WASH, DEODORANT, ETC.). SCHOOL STAFF ARE TRAINED ON THE BEAUMONT COMMUNITY RESOURCE NETWORK (BCRN) TO FURTHER CONNECT FAMILIES WITH ADDITIONAL SERVICES SUCH AS HOUSING, EMPLOYMENT, EDUCATION, AND TRANSPORTATION. SOME HIGHLIGHTS FOR 2023 INCLUDE:9 SCHOOLS, WAYNE-WESTLAND DISTRICT7 COREWELL HEALTH EAST TEEN HEALTH CENTERS HYGIENE PRODUCTS ONLY5 SCHOOLS, WESTWOOD DISTRICT5 SCHOOLS, DEARBORN DISTRICT3 SCHOOLS, TAYLOR DISTRICT2 SCHOOLS, DEARBORN HEIGHTS DISTRICTFACILITY NAME:COREWELL HEALTH GERBER HOSPITAL DESCRIPTION: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. THESE THREE STRATEGIES ARE: QUESTION, PERSUADE, REFER SUICIDE PREVENTION TRAINING, ACCESS TO BEHAVIORAL HEALTH SERVICES AND SUICIDE PREVENTION EDUCATION, AND THE STIGMA REDUCTION CAMPAIGN. THE 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: VAPING/MARIJUANA PREVENTION IN SCHOOLS, POLICY, SYSTEM, AND ENVIRONMENTAL SUPPORT FOR WORKSITES, AND COORDINATION OF PHYSICAL ACTIVITY AND FOOD RESOURCES. THE 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: 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.FACILITY NAME:COREWELL HEALTH LUDINGTON HOSPITAL DESCRIPTION: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: INTERCONNECTED SYSTEMS FRAMEWORK FOR BEHAVIORAL HEALTH, MENTAL HEALTH FIRST AID, AND BLUE ENVELOPE ZERO SUICIDE TRAINING. THE 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: EXPAND COUNTYWIDE PUBLIC TRANSPORTATION TO SUPPORT INCREASED ACCESS TO CARE AND PILOT MOBILE PRIMARY CARE OUTREACH. THE 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: COORDINATED APPROACH TO CHILDHOOD HEALTH AND INCREASED VAPING/MARIJUANA/TOBACCO/NICOTINE PREVENTION IN SCHOOLS. THE 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 DISEASE.
PART V, SECTION B, LINE 11 CONTINUED	FACILITY NAME:COREWELL HEALTH PENNOCK HOSPITAL DESCRIPTION: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: SCHOOL BLUE ENVELOPE PROGRAM AND OUTPATIENT BEHAVIORAL HEALTH CONSULTS. THE GOAL OF THESE STRATEGIES IS TO INCREASE ACCESS TO MENTAL HEALTH RESOURCES.AS 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: PERSONAL ACTION TOWARD HEALTH FOR DIABETES (PATH), COORDINATED APPROACH TO CHILDHOOD HEALTH (CATCH), AND YOUTH BEHAVIORAL HEALTH CLINICS. THE 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: MEDICATION AND NEEDLE TAKEBACK ACCESS AND EDUCATION AND SCRIPT AND TOBACCO/NICOTINE TREATMENT PROGRAM. THE 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 HOSPITAL DESCRIPTION: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: K-12 MENTAL HEALTH AWARENESS/EDUCATION, AWARENESS/STIGMA REDUCTION CAMPAIGN, AND THE VIRTUAL BEHAVIORAL HEALTH ACCESS PROGRAM. THE 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 FOUR STRATEGIES THAT WILL BE UTILIZED TO ADDRESS THE NEED IN THE BIG RAPIDS AND REED CITY HOSPITALS' SERVICE AREA. THESE FOUR STRATEGIES ARE: COORDINATED APPROACH TO CHILD HEALTH, WEIGHT MANAGEMENT PROGRAM, AND HEALTHY LIFESTYLES. THE GOAL OF THESE STRATEGIES IS THAT SPECTRUM 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: COMMUNITY CONNECTIONS PROGRAM. THE 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 HOSPITAL AND COREWELL HEALTH KELSEY 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 AND KELSEY HOSPITALS' SERVICE AREA. THIS STRATEGY IS: COMMUNITY COALITION, ASSESSMENT AND ACTION PLANNING. THE 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 AND KELSEY HOSPITALS' SERVICE AREA. THESE STRATEGIES ARE PRESCRIPTION FOR HEALTH, NUTRITION LABELING IN FOOD PANTRIES, AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S CREATING HEALTHY HOSPITAL ENVIRONMENTS. THE 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 AND KELSEY HOSPITALS' SERVICE AREA. THESE STRATEGIES ARE THE STIGMA REDUCTION CAMPAIGN, QUESTION, PERSUADE, REFER TRAINING, AND PSYCHIATRIC CONSULTATION AVAILABLE TO PHYSICIANS. THE 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 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 13HOTHER 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 16J	OTHER 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 WILL OFFER 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. PATIENTS WILL BE 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.

Schedule H (Form 990) 2023

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?261
Name and address		Type of Facility (describe)
1	1 - CH WBU HOSPITAL CARE CTR 3535 W 13 MILE RD ROYAL OAK,MI48073	AMBULATORY/PHYSICIAN CLINIC
2	2 - CH REHAB & NURSING CTR - FULLER 750 FULLER AVE GRAND RAPIDS,MI49503	SKILLED NURSING
3	3 - CH GR HOSPITALS L-H CANCER PAVILION 145 MICHIGAN ST GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
4	4 - CH CARE CTR - 35 MICHIGAN ST 35 MICHIGAN ST GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
5	5 - CH CARE CTR - 4700 SCHAEFFER RD 4700 SCHAEFER RD DEARBORN,MI48126	ASC/GENERAL MEDICAL
6	6 - CH TROY HOSPITAL FAMILY MEDICINE 44250 DEQUINDRE DR STERLING HEIGHTS,MI48314	AMBULATORY/PHYSICIAN CLINIC
7	7 - CH CARE CTR - 25 MICHIGAN ST 25 MICHIGAN ST GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
8	8 - CH CARE CTR - GRAND HAVEN 15100 WHITTAKER WAY GRAND HAVEN,MI49417	AMBULATORY/PHYSICIAN CLINIC
9	9 - CH CT 4100 LAKE DRIVE GRAND RAPIDS,MI49546	ASC/GENERAL MEDICAL
10	10 - CH CARE CTR - LAKE DRIVE 4069 LAKE DRIVE GRAND RAPIDS,MI49546	ASC/GENERAL MEDICAL
11	11 - CH WBU HOSPITAL CARE CTR 4949 COOLIDGE AVE ROYAL OAK,MI48073	AMBULATORY/PHYSICIAN CLINIC
12	12 - CH CARE CTR - E BELTLINE 2750 E BELTLINE GRAND RAPIDS,MI49525	AMBULATORY/PHYSICIAN CLINIC
13	13 - CH REHAB & NURSING CTR - KENTRIDGE 4118 KALAMAZOO AVE GRAND RAPIDS,MI49508	SKILLED NURSING
14	14 - CH CARE CTR - ROYALTON 3950 HOLLYWOOD RD ST JOSEPH,MI49085	AMBULATORY/PHYSICIAN CLINIC
15	15 - CH WBU HOSPITAL IMAGING CTR 3581 W 13 MILE RD ROYAL OAK,MI48073	AMBULATORY/PHYSICIAN CLINIC
16	16 - CH CARE CTR - OAKWOOD BLVD 18100 OAKWOOD BLVD DEARBORN,MI48124	ASC/GENERAL MEDICAL
17	17 - CH WBU HOSPITAL ROSE CANCER CTR 3577 W 13 MILE RD ROYAL OAK,MI48073	AMBULATORY/PHYSICIAN CLINIC
18	18 - CH WBU HOSPITAL NEUROSCIENCE CTR 3555 W 13 MILE RD ROYAL OAK,MI48073	AMBULATORY/PHYSICIAN CLINIC
19	19 - CHMG SLEEP MEDICINE & PULMONARY 80 68TH ST GRAND RAPIDS,MI49548	ASC/GENERAL MEDICAL
20	20 - CH CARE CETNER 18181 OAKWOOD BLVD DEARBORN,MI48124	AMBULATORY/PHYSICIAN CLINIC
21	21 - CH SPINE & PAIN MANAGEMENT 1900 WEALTHY EAST GRAND RAPIDS,MI49503	ADMIN-AMBULATORY
22	22 - CH CARE CTR - BRADFORD 2900 BRADFORD GRAND RAPIDS,MI49525	AMBULATORY/PHYSICIAN CLINIC
23	23 - CH TROY HOSPITAL - DEQUINDRE DR 44199 DEQUINDRE DR TROY,MI48085	AMBULATORY/PHYSICIAN CLINIC
24	24 - CH WBU HOSPITAL CARE CTR 6900 ORCHARD LAKE RD WEST BLOOMFIELD,MI48322	AMBULATORY/PHYSICIAN CLINIC
25	25 - CH REHAB & NURSING CTR - LEFFINGWELL 1001 LEFFINGWELL GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
26	26 - CH TROY HOSPITAL CARE CTR - S BLVD EAST 1555 SOUTH BOULEVARD EAST ROCHESTER HILLS,MI48307	AMBULATORY/PHYSICIAN CLINIC
27	27 - CH LUDINGTON HOSPITAL MULTISPECIALTY CTR 7 ATKINSON DR LUDINGTON,MI49431	AMBULATORY/PHYSICIAN CLINIC
28	28 - CH GR HOSPITALS PT - FREEMONT 1401 W MAIN FREMONT,MI49412	REHAB CENTER
29	29 - CH REHAB & NURSING CTR - COMMONS DEARBORN 16391 ROTUNDA DR DEARBORN,MI48124	REHAB & SKILLED NURSING
30	30 - CHMG OBGYN & CARDIOVASCULAR MEDICINE 221 MICHIGAN ST GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
31	31 - CH CARE CTR - ROYALTON - ST JOSEPH 3900 HOLLYWOOD RD ST JOSEPH,MI49085	ASC/GENERAL MEDICAL
32	32 - CH FH HOSPITAL CARE CTR 39000 SEVEN MILE RD LIVONIA,MI48152	AMBULATORY/PHYSICIAN CLINIC
33	33 - CH GP HOSPITAL CARE CTR - LENOX TWP 36555 26 MILE RD LENOX TWP,MI48048	AMBULATORY/PHYSICIAN CLINIC
34	34 - CH GR HOSPITALS PEDIATRICS 330 BARCLAY GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
35	35 - CH REHAB & NURSING CTR - PINE RIDGE 4368 S CLEVELAND AVE STEVENSVILLE,MI49127	SKILLED NURSING
36	36 - CH TROY HOSPITAL CARE CTR - HALL RD 15979 HALL RD MACOMB TWP,MI48044	AMBULATORY/PHYSICIAN CLINIC
37	37 - CH CARE CTR - LAKEWOOD 588 E LAKEWOOD HOLLAND,MI49423	AMBULATORY/PHYSICIAN CLINIC
38	38 - CH PRIMARY CARE CTR - WYOMING 6105 WILSON WYOMING,MI49418	AMBULATORY/PHYSICIAN CLINIC
39	39 - CH PENNOCK HOSPITAL 1005 W GREEN ST A HASTINGS,MI49058	AMBULATORY/PHYSICIAN CLINIC
40	40 - CH FH HOSPITAL CARDIOLOGY - GRAND RVR AVE 28080 GRAND RIVER AVE FARMINGTON HILLS,MI48336	AMBULATORY/PHYSICIAN CLINIC
41	41 - CH TROY HOSPITAL CARE CTR - STERL HGHTS 44300 DEQUINDRE RD STERLING HEIGHTS,MI48314	REHAB & DIALYSIS
42	42 - CH MUSCULOSKELETAL CTR 230 MICHIGAN ST GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
43	43 - CH REHAB & NURSING CTR - COMMONS FH 21450 ARCHWOOD CIRCLE FARMINGTON HILLS,MI48336	SKILLED NURSING
44	44 - CH CARE CTR - FORT ST SURGERY 5452 FORT ST TRENTON,MI48183	AMBULATORY/PHYSICIAN CLINIC
45	45 - CH CARE CTR - NORTHLINE RD 15777 NORTHLINE RD SOUTHGATE,MI48195	AMBULATORY/PHYSICIAN CLINIC
46	46 - CH PENNOCK POB 1005 W GREEN ST HASTINGS,MI49058	AMBULATORY/PHYSICIAN CLINIC
47	47 - CH NILES MOB 42 N ST JOSEPH AVE NILES,MI49120	AMBULATORY/PHYSICIAN CLINIC
48	48 - CH GERBER HOSPITAL 230 W OAK ST FREMONT,MI49412	AMBULATORY/PHYSICIAN CLINIC
49	49 - CH GP HOSPITAL CARE CTR - E JEFFERSON AVE 16815 E JEFFERSON AVE GROSSE POINTE,MI48203	AMBULATORY/PHYSICIAN CLINIC
50	50 - CH FH HOSPITAL FAMILY MED - GRAND RVR AVE 28100 GRAND RIVER AVE FARMINGTON HILLS,MI48336	AMBULATORY/PHYSICIAN CLINIC
51	51 - CH CARE CTR - DEQUINDRE RD 44344 DEQUINDRE RD STERLING HEIGHTS,MI48134	AMBULATORY/PHYSICIAN CLINIC
52	52 - CH CARE CTR - MI STREET NE 426 MICHIGAN ST GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
53	53 - CH ZEELAND HOSPITAL 8333 FELCH ZEELAND,MI49464	AMBULATORY/PHYSICIAN CLINIC
54	54 - CH CARE CTR - LITTLE MACK AVE 25631 LITTLE MACK AVE ST CLAIR SHORES,MI48080	AMBULATORY/PHYSICIAN CLINIC
55	55 - CH LAKELAND MARIE YEAGER CANCER CTR 3900 HOLLYWOOD RD ST JOSEPH,MI49085	AMBULATORY/PHYSICIAN CLINIC
56	56 - CH FH HOSPITAL CANCER CARE CTR 27900 GRAND RIVER AVE FARMINGTON HILLS,MI48336	AMBULATORY/PHYSICIAN CLINIC
57	57 - CH CARE CTR - 2009 HOLTON RD 2009 HOLTON RD MUSKEGON,MI49445	AMBULATORY/PHYSICIAN CLINIC
58	58 - CH CARE CTR - ROCKFORD 8501 MEADOW CREEK ROCKFORD,MI49341	AMBULATORY/PHYSICIAN CLINIC
59	59 - CH FAMILY MEDICINE 4600 BRETON RD KENTWOOD,MI49508	AMBULATORY/PHYSICIAN CLINIC
60	60 - CH DEARBORN HOSPITAL PEDIATRIC CARE CTR 18501 ROTUNDA DR DEARBORN,MI48124	ADMIN-AMBULATORY
61	61 - CH HOME INFUSION - ROYAL OAK 31157 WOODWARD AVE ROYAL OAK,MI48073	AMBULATORY/PHYSICIAN CLINIC
62	62 - CH PRIMARY CARE - HOLLYWOOD AVE 3950 HOLLYWOOD RD UNIT 1 ST JOSEPH,MI49085	AMBULATORY/PHYSICIAN CLINIC
63	63 - CH TROY HOSPITAL CARE CTR - HALL RD 15959 HALL RD MACOMB TWP,MI48044	AMBULATORY/PHYSICIAN CLINIC
64	64 - CH BR HOSPITAL FAMILY MEDICINE - 215 AVE 650 LINDEN ST BIG RAPIDS,MI49307	AMBULATORY/PHYSICIAN CLINIC
65	65 - CHMG PSYCHIATRY & BEHAVIORAL MEDICINE 75 SHELDON BLVD GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
66	66 - CH KAREN WILSON SMITHBAUER CARE CTR 5400 FORT ST TRENTON,MI48183	AMBULATORY/PHYSICIAN CLINIC
67	67 - CH CARE CTR - ADA 7128 FULTON ST SE ADA,MI49355	AMBULATORY/PHYSICIAN CLINIC
68	68 - CH CARE CTR - CANTON 7330 CANTON CENTER RD CANTON,MI48184	AMBULATORY/PHYSICIAN CLINIC
69	69 - CH GREENVILLE FAMILY MEDICINE 1202 W OAK ST GREENVILLE,MI48838	AMBULATORY/PHYSICIAN CLINIC
70	70 - CH REED CITY REGIONAL CANCER CTR 4499 220TH ST REED CITY,MI49677	AMBULATORY/PHYSICIAN CLINIC
71	71 - CH CARE CTR - ST CLAIR SHORES 21400 E 11 MILE RD ST CLAIR SHORES,MI48081	AMBULATORY/PHYSICIAN CLINIC
72	72 - CH FAMILY MEDICINE - GARDEN CITY 29150 FORD RD GARDEN CITY,MI48135	AMBULATORY/PHYSICIAN CLINIC
73	73 - CH WBU HOSPITAL CARE CTR - COMMON RD 8545 COMMON RD WARREN,MI48093	AMBULATORY/PHYSICIAN CLINIC
74	74 - CH TROY HOSPITAL CARE CTR - LAKE ORION 1455 S LAPEER RD LAKE ORION,MI48360	AMBULATORY/PHYSICIAN CLINIC
75	75 - CH DEARBORN HOSPITAL INTERNAL MEDICINE 17000 HUBBARD DR DEARBORN,MI48126	AMBULATORY/PHYSICIAN CLINIC
76	76 - CH MERLIN & CAROLYN HANSON HOSPICE CTR 4382 CLEVELAND AVE STEVENSVILLE,MI49127	AMBULATORY/PHYSICIAN CLINIC
77	77 - CH CARE CTR - WESTLAND 2001 S MERRIMAN WESTLAND,MI48136	AMBULATORY/PHYSICIAN CLINIC
78	78 - CH DEARBORN HOSPITAL HEART & VASCULAR CTR 22060 BEECH ST DEARBORN,MI48124	AMBULATORY/PHYSICIAN CLINIC
79	79 - CH GREENVILLE HOSPITAL CARE CTR 705 S GREENVILLE W DR GREENVILLE,MI48838	AMBULATORY/PHYSICIAN CLINIC
80	80 - CH SOUTHWESTERN MEDICAL CLINIC 5515 CLEVELAND AVE STEVENSVILLE,MI49127	AMBULATORY/PHYSICIAN CLINIC
81	81 - CH CARE CTR - BIDDLE AVE 1700 BIDDLE AVE WYANDOTTE,MI48192	AMBULATORY/PHYSICIAN CLINIC
82	82 - CH GREENVILLE HOSPITAL MULTISPECIALTY CTR 707 S GREENVILLE W DR GREENVILLE,MI48838	AMBULATORY/PHYSICIAN CLINIC
83	83 - CH FAMILY MEDICINE - FREMONT 204 W MAIN ST FREMONT,MI49412	AMBULATORY/PHYSICIAN CLINIC
84	84 - CH WBU HOSPITAL CARDIOLOGY 27901 WOODWARD AVE BERKLEY,MI48072	AMBULATORY/PHYSICIAN CLINIC
85	85 - CH FAMILY MEDICINE - CANADIAN LAKES 8354 100TH AVE CANADIAN LAKES,MI49346	AMBULATORY/PHYSICIAN CLINIC
86	86 - CH FAMILY MEDICINE - 14 MILE RD 29645 W 14 MILE RD FARMINGTON HILLS,MI48334	AMBULATORY/PHYSICIAN CLINIC
87	87 - CH GR HOSPITALS LAB - KALAMAZOO 4444 KALAMAZOO AVE KENTWOOD,MI49508	AMBULATORY/PHYSICIAN CLINIC
88	88 - CH FAMILY MEDICINE - BYRON CTR 7751 BYRON CENTER BYRON CENTER,MI49315	AMBULATORY/PHYSICIAN CLINIC
89	89 - CH CARE CTR - NILES 2002 S 11TH ST NILES,MI49120	AMBULATORY/PHYSICIAN CLINIC
90	90 - CH PENNOCK HOSPITAL FAMILY MEDICINE 1108 W STATE ST HASTINGS,MI49058	AMBULATORY/PHYSICIAN CLINIC
91	91 - CH FAMILY MEDICINE - GEORGETOWN 3158 PORT SHELDON HUDSONVILLE,MI49426	AMBULATORY/PHYSICIAN CLINIC
92	92 - CH CARE CTR - BERRIEN SPRINGS 9045 US 31 BERRIEN SPRINGS,MI49104	AMBULATORY/PHYSICIAN CLINIC
93	93 - CH WAYNE HOSPITAL IMAGING 7300 CANTON CENTER RD CANTON,MI48187	AMBULATORY/PHYSICIAN CLINIC
94	94 - CH FAMILY MEDICINE - BELLEVILLE 201 THIRD ST BELLEVILLE,MI48111	AMBULATORY/PHYSICIAN CLINIC
95	95 - CH TROY HOSPITAL RADIATION ONCOLOGY 44378 DEQUINDRE AVE STERLING HEIGHTS,MI48314	AMBULATORY/PHYSICIAN CLINIC
96	96 - CH WEIGHT CONTROL CTR 6300 N HAGGERTY RD CANTON TWSHP,MI48187	AMBULATORY/PHYSICIAN CLINIC
97	97 - CH CTR FOR HUMAN DEVELOPMENT 30503 GREENFIELD RD SOUTHFIELD,MI40876	AMBULATORY/PHYSICIAN CLINIC
98	98 - SECCHIA CTR 15 MICHIGAN ST GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
99	99 - CH FAMILY MEDICINE - SPARTA 2111 12 MILE RD SPARTA,MI49345	AMBULATORY/PHYSICIAN CLINIC
100	100 - CH CARE CTR - N ROCHESTER RD 6700 N ROCHESTER RD ROCHESTER HILLS,MI48306	AMBULATORY/PHYSICIAN CLINIC
101	101 - CH FAMILY MEDICINE - N HAGGERTY RD 2050 HAGGERTY RD CANTON,MI48187	AMBULATORY/PHYSICIAN CLINIC
102	102 - CH DEARBORN HOSPITAL CARE CTR - FORD RD 25045 FORD RD DEARBORN,MI48128	AMBULATORY/PHYSICIAN CLINIC
103	103 - HDCH PEDIATRIC CTR - LANSING 3220 DISCOVERY DRIVE LANSING,MI48910	AMBULATORY/PHYSICIAN CLINIC
104	104 - CH ADVANCED PRIMARY CARE - ALPINE 2332 ALPINE AVE WALKER,MI49544	AMBULATORY/PHYSICIAN CLINIC
105	105 - CH CARE CTR - BEECH DALY RD 15540 BEECH DALY REDFORD TWP,MI48239	AMBULATORY/PHYSICIAN CLINIC
106	106 - CH PEDIATRICS - 68TH ST SE 1545 68TH ST GRAND RAPIDS,MI49508	AMBULATORY/PHYSICIAN CLINIC
107	107 - CH WBU HOSPITAL WOMEN'S HEALTH CTR 17400 W 13 MILE RD BEVERLY HILLS,MI48025	AMBULATORY/PHYSICIAN CLINIC
108	108 - CH SPLEEP CTR 16310 TWELVE MILE RD SOUTHFIELD,MI48076	AMBULATORY/PHYSICIAN CLINIC
109	109 - CH RHEUMATOLOGY - SUMMIT PARK 3271 CLEAR VISTA CT GRAND RAPIDS,MI49525	AMBULATORY/PHYSICIAN CLINIC
110	110 - CH CARE CTR - LITTLE MACK AVE 23715 LITTLE MACK ST CLAIR SHORES,MI48080	REHAB
111	111 - CH PENNOCK MULTISPECIALTY CTR - IONIA 2776 S STATE RD IONIA,MI48846	AMBULATORY/PHYSICIAN CLINIC
112	112 - CHMG CARDIOVASCULAR MEDICINE - HOLLAND 602 MICHIGAN AVE HOLLAND,MI49423	AMBULATORY/PHYSICIAN CLINIC
113	113 - CH UROLOGY 815 ST JOSPEH DR ST JOSPEH,MI49085	AMBULATORY/PHYSICIAN CLINIC
114	114 - CH GASTROENTEROLOGY - ST JOSEPH 3903 HOLLYWOOD RD ST JOSEPH,MI49085	AMBULATORY/PHYSICIAN CLINIC
115	115 - CH PRIMARY CARE LONGMEADOW 4 LONGMEADOW VILLAGE DR NILES,MI49120	AMBULATORY/PHYSICIAN CLINIC
116	116 - CH ORTHOPEDICS LONGMEADOW 6 LONGMEADOW VILLAGE DR NILES,MI49120	AMBULATORY/PHYSICIAN CLINIC
117	117 - CH GERBER FAMILY MEDICINE - NEWAYGO 211 W PINE LAKE DR NEWAYGO,MI49337	REHAB
118	118 - CH GREENVILLE FAMILY MEDICINE - BELDING 1227 W STATE ST BELDING,MI48809	AMBULATORY/PHYSICIAN CLINIC
119	119 - CH CARE CTR - BRIDGEMAN 9625 RED ARROW HWY BRIDGEMAN,MI49106	AMBULATORY/PHYSICIAN CLINIC
120	120 - CH GREENVILLE LIFESTYLES 701 S GREENVILLE W DR GREENVILLE,MI48838	AMBULATORY/PHYSICIAN CLINIC
121	121 - CH PEDIATRICS - ORCHARD LAKE RD 23133 ORCHARD LAKE RD FARMINGTON,MI48336	AMBULATORY/PHYSICIAN CLINIC
122	122 - CH FAMILY MEDICINE - DIX TOLEDO HWY 14319 DIX TOLEDO RD SOUTHGATE,MI48195	AMBULATORY/PHYSICIAN CLINIC
123	123 - CHMG OBGYN 3800 LAKE MICHIGAN DR WALKER,MI49534	AMBULATORY/PHYSICIAN CLINIC
124	124 - CH FH FAMILY MEDICINE - W 12 MILE ROAD 44130 W 12 MILE RD NOVI,MI48377	AMBULATORY/PHYSICIAN CLINIC
125	125 - CH FAMILY MEDICINE - E 11 MILE RD 309 E ELEVEN MILE RD ROYAL OAK,MI48067	AMBULATORY/PHYSICIAN CLINIC
126	126 - CH FAMILY MEDICINE - CAMPUSTOWNE 4868 LAKE MICHIGAN DR 2 ALLENDALE,MI49401	AMBULATORY/PHYSICIAN CLINIC
127	127 - CH LAKELAND HEART & VASCULAR - NILES 61 N ST JOSEPH AVE NILES,MI49120	AMBULATORY/PHYSICIAN CLINIC
128	128 - CH INTERNAL MEDICINE - E 10 MILE ROAD 18325 E 10 MILE RD ROSEVILLE,MI48066	AMBULATORY/PHYSICIAN CLINIC
129	129 - CH WATERVLIET HOSPITAL - WATERVLIET 450 MEDICAL PARK DR WATERVLIET,MI49098	AMBULATORY/PHYSICIAN CLINIC
130	130 - CH DERM & PLASTIC SURGERY - ROYALTON 3901 STONEGATE PARK ST JOSEPH,MI49085	AMBULATORY/PHYSICIAN CLINIC
131	131 - CH OCCUPATIONAL HEALTH - ST JOSEPH 2500 NILES RD ST JOSEPH,MI49085	AMBULATORY/PHYSICIAN CLINIC
132	132 - CH WATERVILET HOSPITAL REHAB - COLOMA 7040 RED ARROW HWY COLOMA,MI49038	REHAB
133	133 - CH PENNOCK ORTHOPEDICS & PAIN MGMT CTR 840 COOK RD HASTINGS,MI49058	AMBULATORY/PHYSICIAN CLINIC
134	134 - CH FAMILY MEDICINE - PLAZA SOUTH DR 15100 S PLAZA DR TAYLOR,MI48180	AMBULATORY/PHYSICIAN CLINIC
135	135 - CH FAMILY MEDICINE - LITTLE MACK AVE 30695 LITTLE MACK AVE ROSEVILLE,MI48066	AMBULATORY/PHYSICIAN CLINIC
136	136 - CH DEARBORN HOSPTIAL CARE CTR - ALLEN RD 19725 ALLEN RD BROWNSTOWN,MI48183	AMBULATORY/PHYSICIAN CLINIC
137	137 - CH LAKELAND HEART & VASCULAR - COLOMA 6559 PAW PAW AVE COLOMA,MI49038	AMBULATORY/PHYSICIAN CLINIC
138	138 - CH LAKELAND HOSPITALS REHAB - NILES 905 N FRONT ST NILES,MI49120	AMBULATORY/PHYSICIAN CLINIC
139	139 - CH PHYSICAL MED & REHAB - ANNAPOLIS ST 33000 ANNAPOLIS ST WAYNE,MI48184	AMBULATORY/PHYSICIAN CLINIC
140	140 - CH FAMILY MEDICINE - N MAIN STREET 950 970 N MAIN ST ROYAL OAK,MI48067	AMBULATORY/PHYSICIAN CLINIC
141	141 - CH FAMILY MEDICINE - 9 MILE RD 22646 NINE MILE RD ST CLAIR SHORES,MI48081	AMBULATORY/PHYSICIAN CLINIC
142	142 - CH WBU HOSPITAL INTERNAL MEDICINE 1949 W 12 MILE RD BERKLEY,MI48072	AMBULATORY/PHYSICIAN CLINIC
143	143 - CH FAMILY MED INTERNAL MED & PEDIATRICS 3185 MACATAWA DRIVE GRANDVILLE,MI49418	AMBULATORY/PHYSICIAN CLINIC
144	144 - CH REED CITY SPECIALTY CLINIC 225 N STATE ST REED CITY,MI49677	AMBULATORY/PHYSICIAN CLINIC
145	145 - CH BIG RAPIDS HOSPITAL - POB 705 OAK ST BIG RAPIDS,MI49307	AMBULATORY/PHYSICIAN CLINIC
146	146 - CH BIG RAPIDS FAMILY MEDICINE - EVART 5591 95TH AVE EVART,MI49631	AMBULATORY/PHYSICIAN CLINIC
147	147 - CH FAMILY MEDICINE - PARKSIDE 25 S WASHINGTON OXFORD,MI48371	AMBULATORY/PHYSICIAN CLINIC
148	148 - CH FAMILY MEDICINE - CALEDONIA 9090 S RODGERS CT SE CALEDONIA,MI49316	AMBULATORY/PHYSICIAN CLINIC
149	149 - CH PENNOCK FAMILY MEDICINE - LAKE ODESSA 4294 LAUREL DR LAKE ODESSA,MI48849	AMBULATORY/PHYSICIAN CLINIC
150	150 - CH FAMILY MEDICINE - NEWPORT 3132 NEWPORT RD NEWPORT,MI48166	AMBULATORY/PHYSICIAN CLINIC
151	151 - CH FAMILY MEDICINE - GASLIGHT 2249 WEALTHY EAST GRAND RAPIDS,MI49506	AMBULATORY/PHYSICIAN CLINIC
152	152 - CH FAMILY MEDICINE - CAMPUSTOWNE 4868 LAKE MICHIGAN DR 1 ALLENDALE,MI49401	AMBULATORY/PHYSICIAN CLINIC
153	153 - CH OBGYN - LEWIS DR 39475 LEWIS DR NOVI,MI48377	AMBULATORY/PHYSICIAN CLINIC
154	154 - CH TRENTON HOSPITAL REHAB - JEFFERSON AVE 2707 W JEFFERSON RD TRENTON,MI48183	REHAB
155	155 - CH WATERVILET PRIMARY CARE - HARTFORD 525 S CENTER ST HARTFORD,MI49057	AMBULATORY/PHYSICIAN CLINIC
156	156 - CH LAKELAND HOSPITALS HOMECARE - NILES 60 N ST JOSEPH AVE NILES,MI49120	AMBULATORY/PHYSICIAN CLINIC
157	157 - CH PHYSICIANS & SURGEONS - KERCHEVAL AVE 17000 KERCHEVAL AVE GROSSE POINTE,MI48230	AMBULATORY/PHYSICIAN CLINIC
158	158 - CH INTERNAL MEDICINE - TOWN CTR DR 130 TOWN CENTER DR TROY,MI48084	AMBULATORY/PHYSICIAN CLINIC
159	159 - CH TEEN CTR - TAYLOR 26650 EUREKA RD TAYLOR,MI48180	AMBULATORY/PHYSICIAN CLINIC
160	160 - CH WBU HOSPITAL PT - COOLIDGE HWY 2160 COOLIDGE HWY BERKLEY,MI48072	AMBULATORY/PHYSICIAN CLINIC
161	161 - CH FH HOSPITAL CARDIOLOGY - 8 MILE RD 28711 W 8 MILE RD LIVONIA,MI48152	AMBULATORY/PHYSICIAN CLINIC
162	162 - CH OBGYN - PARKWAY PLACE 4249 PARKWAY PLACE DR GRANDVILLE,MI49418	AMBULATORY/PHYSICIAN CLINIC
163	163 - CH GR HOSPITALS MRI 3264 N EVERGREEN DR GRAND RAPIDS,MI49525	AMBULATORY/PHYSICIAN CLINIC
164	164 - CH SPECIALTY CARE - HOLTON RD 1845 HOLTON RD MUSKEGON,MI49445	AMBULATORY/PHYSICIAN CLINIC
165	165 - CH PRIMARY CARE - KERCHEVAL AVE 15200 KERCHEVAL AVE GROSSE POINTE PARK,MI48230	AMBULATORY/PHYSICIAN CLINIC
166	166 - CH GR HOSPITALS PEDIATRIC CARE CTR 360 LAFAYETTE GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
167	167 - CH FAMILY MEDICINE - WALTON BLVD 1202 WALTON BLVD ROCHESTER HILLS,MI48307	AMBULATORY
168	168 - CH LUDINGTON FAMILY MEDICINE - GRANT 230 S MAPLE ST GRANT,MI49327	AMBULATORY/PHYSICIAN CLINIC
169	169 - CH PENNOCK FAMILY MEDICINE - GUN LAKE 179 HIGHWAY WEST M WAYLAND,MI49348	AMBULATORY/PHYSICIAN CLINIC
170	170 - CH FAMILY MEDICINE - COOPERSVILLE 25 CONRAN COOPERSVILLE,MI49404	AMBULATORY/PHYSICIAN CLINIC
171	171 - CH ADVANCED PRIMARY CARE - MUSKEGON 2558 HENRY ST MUSKEGON,MI49441	AMBULATORY/PHYSICIAN CLINIC
172	172 - CH GREENVILLE HOSPITAL OUTPATIENT PT 6896 S GREENVILLE RD GREENVILLE,MI48838	AMBULATORY/PHYSICIAN CLINIC
173	173 - LAKEVIEW MEDICAL SPECIALITY CTR 420 LINCOLN AVE LAKEVIEW,MI48850	AMBULATORY/PHYSICIAN CLINIC
174	174 - CH GR HOSPITALS IMAGING - FOREMOST 5800 FOREMOST GRAND RAPIDS,MI49546	AMBULATORY/PHYSICIAN CLINIC
175	175 - CH LUDINGTON FAMILY MEDICINE - HART 2481 N 72ND AVE HART,MI49420	AMBULATORY/PHYSICIAN CLINIC
176	176 - CH FAMILY MEDICINE - RYAN RD 29245 RYAN RD WARREN,MI48092	AMBULATORY/PHYSICIAN CLINIC
177	177 - CH FH HOSPITAL INTERNAL MEDICINE 20317 FARMINGTON RD LIVONIA,MI48152	AMBULATORY/PHYSICIAN CLINIC
178	178 - CH TAYLOR HOSPITAL PT 4121 S CANTON CENTER RD CANTON,MI48188	AMBULATORY/PHYSICIAN CLINIC
179	179 - CH LUDINGTON CLININC & PRIMARY CARE 922 LAWNDALE LUDINGTON,MI494311928	AMBULATORY/PHYSICIAN CLINIC
180	180 - CH FAMILY MEDICINE - GRAND RVR AVE 32754 GRAND RIVER AVE FARMINGTON,MI48336	AMBULATORY/PHYSICIAN CLINIC
181	181 - CH DEARBORN HOSPITAL SLEEP CTR 14031 PENNSYLVANIA RD RIVERVIEW,MI48193	AMBULATORY/PHYSICIAN CLINIC
182	182 - CH GR HOSPITALS PT - ROCKFORD 515 E DIVISION ROCKFORD,MI49341	AMBULATORY/PHYSICIAN CLINIC
183	183 - CH GR HOSPITALS PT - BELTLINE 2830 E BELTLINE GRAND RAPIDS,MI49525	AMBULATORY/PHYSICIAN CLINIC
184	184 - CH INTERNAL MEDICINE - MIDWAY 555 BARCLAY CIRCLE ROCHERSTER HILLS,MI48307	AMBULATORY/PHYSICIAN CLINIC
185	185 - CH FAMILY MEDICINE - NORTHSIDE 14001 GREENFIELD RD DETROIT,MI48227	AMBULATORY/PHYSICIAN CLINIC
186	186 - CH INTERNAL MEDICINE - DEQUINDRE RD 38865 DEQUINDRE RD TROY,MI48083	AMBULATORY/PHYSICIAN CLINIC
187	187 - CH BIG RAPIDS HOSPITAL REHAB - 220TH ST 4393 220TH ST REED CITY,MI49677	AMBULATORY/PHYSICIAN CLINIC
188	188 - CH CARE CTR - BELTLINE 550 MUNSON AVE TRAVERSE CITY,MI49684	AMBULATORY/PHYSICIAN CLINIC
189	189 - CHMG SOUTH AUDIOLOGY - ST JOSEPH 2680 S CLEVELAND AVE ST JOSEPH,MI49085	AMBULATORY/PHYSICIAN CLINIC
190	190 - CH FAMILY MEDICINE - TELEGRAPH RD 9340 TELEGRAPH RD TAYLOR,MI48180	AMBULATORY/PHYSICIAN CLINIC
191	191 - CH WBU HOSPITAL WOUND TREATMENT CLINIC 28905 WOODWARD AVE BERKLEY,MI48072	AMBULATORY/PHYSICIAN CLINIC
192	192 - CH PENNOCK FAMILY MEDICINE 490 EDWARD ST MIDDLEVILLE,MI49333	AMBULATORY/PHYSICIAN CLINIC
193	193 - CH FAMILY MEDICINE - GEORGETOWN 3152 PORT SHELDON HUDSONVILLE,MI49426	AMBULATORY/PHYSICIAN CLINIC
194	194 - CH SLEEP - FORD RD 42180 FORD RD CANTON,MI48187	AMBULATORY/PHYSICIAN CLINIC
195	195 - CH LAKELAND HOMECARE - MEADOWBROOK 2550 MEADOWBROOK RD BENTON HARBOR,MI49022	AMBULATORY/PHYSICIAN CLINIC
196	196 - CH WBU HOSPITAL CARDIOLOGY - 10 MILE RD 39500 10 MILE RD NOVI,MI48375	AMBULATORY/PHYSICIAN CLINIC
197	197 - CH LIFESTYLE MEDICINE 435 IONIA AVE SW GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
198	198 - CH LUDINGTON HOSPITAL PEDIATRICS 907 TINKHAM AVE LUDINGTON,MI49431	AMBULATORY/PHYSICIAN CLINIC
199	199 - CH INTERNAL MEDICINE - WESTLAND 35180 NANKIN BLVD WESTLAND,MI48185	AMBULATORY/PHYSICIAN CLINIC
200	200 - CH GR HOSPITALS PEDIATRIC PT 400 S STATE ST ZEELAND,MI49464	AMBULATORY/PHYSICIAN CLINIC
201	201 - CH WAYNE BREAST CARE CTR - ANNAPOLIS ST 4491 VENOY AVE WAYNE,MI48184	AMBULATORY/PHYSICIAN CLINIC
202	202 - CH GP HOSPITAL VEIN CTR - KERCHEVAL AVE 87 KERCHEVAL GROSSE POINTE FARMS,MI48236	AMBULATORY/PHYSICIAN CLINIC
203	203 - CH HOUGH CTR FOR ADOLESCENT HEALTH 1777 AXTELL RD TROY,MI48084	AMBULATORY/PHYSICIAN CLINIC
204	204 - CH LUDINGTON FAMILY MEDICINE - HESPERIA 78 N DIVISION ST HESPERIA,MI49421	AMBULATORY/PHYSICIAN CLINIC
205	205 - CH DEARBORN HOSPITAL LAB - MONROE ST 1331 MONROE ST DEARBORN,MI48124	AMBULATORY/PHYSICIAN CLINIC
206	206 - CH WBU HOSPITAL MAMMOGRAPHY 35046 WOODWARD AVE BIRMINGHAM,MI48012	AMBULATORY/PHYSICIAN CLINIC
207	207 - CH FAMILY MEDICINE - CHESTERFIELD 50630 CHESTERFIELD RD CHESTERFIELD TWNSP,MI48051	AMBULATORY/PHYSICIAN CLINIC
208	208 - CH CARDIOVASCULAR SERVICES - SOUTH HAVEN 749 PHILLIPS ST SOUTH HAVEN,MI49090	AMBULATORY/PHYSICIAN CLINIC
209	209 - CREEKSIDE II 8075 CREEKSIDE DR PORTAGE,MI49024	AMBULATORY/PHYSICIAN CLINIC
210	210 - CH TAYLOR HOSPITAL PT - MONROE ST 2552 MONROE ST DEARBORN,MI48124	AMBULATORY/PHYSICIAN CLINIC
211	211 - CH CTR FOR BETTER HEALTH & WELLNESS 100 W MAIN ST BENTON HARBOR,MI49022	AMBULATORY/PHYSICIAN CLINIC
212	212 - CH GR HOSPITALS HEALTHIER COMMUNITIES 1357 GRANDVILLE AVE SW GRAND RAPIDS,MI49507	AMBULATORY/PHYSICIAN CLINIC
213	213 - CH GR HOSPITALS PT - VISTA SPRINGS 2420 COIT AVE NE GRAND RAPIDS,MI49505	AMBULATORY/PHYSICIAN CLINIC
214	214 - CH GR HOSPITALS LAB - PARIS AVE 1000 EAST PARIS GRAND RAPIDS,MI49546	AMBULATORY/PHYSICIAN CLINIC
215	215 - CH GR HOSPITALS PT 3540 FAIRLANES GRANDVILLE,MI49418	AMBULATORY/PHYSICIAN CLINIC
216	216 - CH GR HOSPITALS PT - BELDING 1320 W STATE ST BELDING,MI48809	AMBULATORY/PHYSICIAN CLINIC
217	217 - CH WBU HOSPITAL CARDIOLOGY - 12 MILE RD 16800 W 12 MILE RD SOUTHFIELD,MI48076	AMBULATORY/PHYSICIAN CLINIC
218	218 - CH WBU HOSPITAL VASCULAR SURGERY 31700 TELEGRAPH RD BINGHAM FARMS,MI48025	AMBULATORY/PHYSICIAN CLINIC
219	219 - CH INTERNAL MEDICINE - NANKIN BLVD 35330 NANKIN BLVD WESTLAND,MI48185	AMBULATORY/PHYSICIAN CLINIC
220	220 - CH TROY HOSPITAL PT - BLOSSOM RIDGE 3145 LILY TRAIL OAKLAND TOWNSHIP,MI48366	AMBULATORY/PHYSICIAN CLINIC
221	221 - CH WBU HOSPITAL LAB - W BIG BEAVER RD 3290 W BIG BEAVER TROY,MI48084	AMBULATORY/PHYSICIAN CLINIC
222	222 - CH FH HOSPITAL LAB - FARMINGTON RD 27555 FARMINGTON RD FARMINGTON HILLS,MI48336	AMBULATORY/PHYSICIAN CLINIC
223	223 - CH WALK-IN CLINIC - WYOMING MEIJER 5500 CLYDE PARK AVE SW WYOMING,MI49509	AMBULATORY/PHYSICIAN CLINIC
224	224 - CH DEARBORN HOSPITAL LAB - SOUTHFIELD RD 15101 SOUTHFIELD RD ALLEN PARK,MI48101	AMBULATORY/PHYSICIAN CLINIC
225	225 - CH PEDIATRIC CARDIOLOGY - OWOSSO 802 W KING ST OWOSSO,MI48867	AMBULATORY/PHYSICIAN CLINIC
226	226 - CH WALK-IN CLINIC - HUDSONVILLE MEIJER 4075 32nd AVE HUDSONVILLE,MI49426	AMBULATORY/PHYSICIAN CLINIC
227	227 - WOMEN'S HEALTH CTR 555 MIDTOWNE GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
228	228 - NILES COMMUNITY HEALTH CTR 1951 OAK ST NILES,MI49120	AMBULATORY/PHYSICIAN CLINIC
229	229 - FREMONT TEEN HEALTH CTR 5421 WARNER AVE FREMONT,MI49412	TELEMEDICINE CLINIC
230	230 - GREENVILLE TEEN HEALTH CTR 111 N HILLCREST ST GREENVILLE,MI48838	TELEMEDICINE CLINIC
231	231 - CH LAKELAND HOSPITALS LAB 261 M62 CASSOPOLIS,MI49031	AMBULATORY/PHYSICIAN CLINIC
232	232 - CENTRAL MONTCALM MIDDLE- TEEN HEALTH CTR 1480 S SHERIDAN STANTON,MI48888	TELEMEDICINE CLINIC
233	233 - HESPERIA TEEN HEALTH CTR 96 S DIVISION HESPERIA,MI49421	TELEMEDICINE CLINIC
234	234 - VESTABURG TEEN HEALTH CTR 7188 AVENUE B VESTABURG,MI48891	TELEMEDICINE CLINIC
235	235 - TRI COUNTY TEEN HEALTH CTR 21338 KENDAVILLE RD HOWARD CITY,MI49329	TELEMEDICINE CLINIC
236	236 - MONTABELLA TEEN HEALTH CTR 1324 N COUNTY LINE RD BLANCHARD,MI49310	TELEMEDICINE CLINIC
237	237 - EVART TEEN HEALTH CTR 6221 95TH AVE EVART,MI49631	TELEMEDICINE CLINIC
238	238 - SHELDON MEADOWS ASSISTED LIVING CTR 4482 PORT SHELDON HUDSONVILLE,MI49426	AMBULATORY/PHYSICIAN CLINIC
239	239 - DELTON KELLOGG TEEN HEALTH CTR 10425 PANTHER PRIDE DR DELTON,MI49046	TELEMEDICINE CLINIC
240	240 - CH DEARBORRN HOSPITAL LAB - HALL RD 25000 HALL RD WOODHAVEN,MI48183	AMBULATORY/PHYSICIAN CLINIC
241	241 - ZEELAND WEST TEEN HEALTH CTR 3390 100th AVE ZEELAND,MI49464	AMBULATORY/PHYSICIAN CLINIC
242	242 - SPARTA TEEN HEALTH CTR 475 W SPARTAN DR SPARTA,MI49345	TELEMEDICINE CLINIC
243	243 - BIG RAPIDS TEEN HEALTH CTR 21175 15 MILE RD BIG RAPIDS,MI49307	TELEMEDICINE CLINIC
244	244 - LAKEVIEW TEEN HEALTH CTR 602 WASHINGTON ST LAKEVIEW,MI48850	TELEMEDICINE CLINIC
245	245 - EAST KENTWOOD TEEN HEALTH CTR 6230 KALAMAZOO AVE KENTWOOD,MI49508	TELEMEDICINE CLINIC
246	246 - WYOMING TEEN HEALTH CTR 1350 PRAIRE PARKWAY SW WYOMING,MI49509	TELEMEDICINE CLINIC
247	247 - EAST KENTWOOD TEEN HEALTH CTR 6170 VALLEY LANE DRIVE SE KENTWOOD,MI49508	TELEMEDICINE CLINIC
248	248 - HASTINGS TEEN HEALTH CTR 520 W SOUTH ST HASTINGS,MI49058	TELEMEDICINE CLINIC
249	249 - CARSON CITY-CRYSTAL TEEN HEALTH CTR 213 E SHERMAN ST CARSON CITY,MI48811	TELEMEDICINE CLINIC
250	250 - HDCH ORTHOPEDICS - GRAND BLANC 8203 S SAGINAW ST GRAND BLANC,MI48430	AMBULATORY/PHYSICIAN CLINIC
251	251 - MASON COUNTRY CENTRAL TEEN HEALTH CTR 210 W BROADWAY SCOTTSVILLE,MI49464	TELEMEDICINE CLINIC
252	252 - THORNAPPLE KELLOGG TEEN HEALTH CTR 3885 BENDER RD MIDDLEVILLE,MI49333	TELEMEDICINE CLINIC
253	253 - REED CITY TEEN HEALTH CTR 225 W CHURCH ST REED CITY,MI49677	TELEMEDICINE CLINIC
254	254 - CH BIG RAPIDS OBGYN & UROLOGY 722 LOCUST BIG RAPIDS,MI49307	AMBULATORY/PHYSICIAN CLINIC
255	255 - TOMLINSON MIDDLE SCHOOL TEEN HEALTH CTR 25912 ANNAPOLIS ST INKSTER,MI48141	AMBULATORY/PHYSICIAN CLINIC
256	256 - ANNAPOLIS TEEN HEALTH CTR 4650 CLIPPERT ST DEARBORN HEIGHTS,MI48125	AMBULATORY/PHYSICIAN CLINIC
257	257 - WAYNE WESTLAND TEEN HEALTH CTR 36745 MARQUETTE WESTLAND,MI48185	AMBULATORY/PHYSICIAN CLINIC
258	258 - PIERCE MIDDLE SCHOOL TEEN HEALTH CTR 25605 ORANGELAWN AVE REDFORD,MI48239	AMBULATORY/PHYSICIAN CLINIC
259	259 - DETROIT EDISON TEEN HEALTH CTR 1903 WILKINS DETROIT,MI48207	AMBULATORY/PHYSICIAN CLINIC
260	260 - CH PEDIATRIC NEPHROLOGY - KALAMAZOO 1000 OAKLAND DR KALAMAZOO,MI49008	AMBULATORY/PHYSICIAN CLINIC
261	261 - HDCH CHILDREN'S HEART CTR - MOUNT PLEASANT 1205 S MISSION DR MT PLEASANT,MI48858	AMBULATORY/PHYSICIAN CLINIC

Schedule H (Form 990) 2023

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates 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.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
SCH H - PART VI	FOR QUESTIONS IN PART VI, FACILITY NAMES HAVE BEEN RECENTLY CHANGED DUE TO THE INTEGRATION OF SPECTRUM HEALTH AND BEAUMONT HEALTH TO FORM COREWELL HEALTH, AS FOLLOWS.COREWELL HEALTH GRAND RAPIDS HOSPITALS - BUTTERWORTH HOSPITAL (FKA SPECTRUM HEALTH BUTTERWORTH)COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL (FKA BEAUMONT HOSPITAL, ROYAL OAK)COREWELL HEALTH BEAUMONT TROY HOSPITAL (FKA BEAUMONT HOSPITAL, TROY)COREWELL HEALTH DEARBORN HOSPITAL (FKA BEAUMONT HOSPITAL, DEARBORN)COREWELL HEALTH GRAND RAPIDS HOSPITALS - BLODGETT HOSPITAL (FKA SPECTRUM HEALTH BLODGETT)COREWELL HEALTH FARMINGTON HILLS HOSPITAL (FKA BEAUMONT HOSPITAL, FARMINGTON HILLS)COREWELL HEALTH LAKELAND HOSPITALS - ST. JOSEPH HOSPITAL (FKA LAKELAND HOSPITALS AT ST. JOSEPH)COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL (FKA BEAUMONT HOSPITAL, GROSSE POINTE)COREWELL HEALTH TRENTON HOSPITAL (FKA BEAUMONT HOSPITAL, TRENTON)COREWELL HEALTH TAYLOR HOSPITAL (FKA BEAUMONT HOSPITAL, TAYLOR)COREWELL HEALTH WAYNE HOSPITAL (FKA BEAUMONT HOSPITAL, WAYNE)COREWELL HEALTH GREENVILLE HOSPITAL (FKA SPECTRUM HEALTH UNITED)COREWELL HEALTH LAKELAND HOSPITALS - NILES HOSPITAL (FKA LAKELAND HOSPITALS AT NILES)COREWELL HEALTH GERBER HOSPITAL (FKA SPECTRUM HEALTH GERBER MEMORIAL)COREWELL HEALTH LUDINGTON HOSPITAL (FKA SPECTRUM HEALTH LUDINGTON)COREWELL HEALTH ZEELAND HOSPITAL (FKA SPECTRUM HEALTH ZEELAND)COREWELL HEALTH PENNOCK HOSPITAL (FKA SPECTRUM HEALTH PENNOCK)COREWELL HEALTH BIG RAPIDS HOSPITAL (FKA SPECTRUM HEALTH BIG RAPIDS)COREWELL HEALTH REED CITY HOSPITAL (FKA SPECTRUM HEALTH REED CITY)COREWELL HEALTH WATERVLIET HOSPITAL (FKA LAKELAND COMMUNITY HOSPITAL WATERVLIET)COREWELL HEALTH KELSEY HOSPITAL (FKA SPECTRUM HEALTH KELSEY)PART I, LINE 6ANAME OF RELATED ORGANIZATION THAT PREPARED COMMUNITY BENEFIT REPORTCOREWELL HEALTH 38-3382353COREWELL HEALTH PUBLISHES A CONSOLIDATED COMMUNITY BENEFIT REPORT ONITS WEBSITE.COREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITAL:COREWELL HEALTH LAKELAND HOSPITALS PRESENTS THE ANNUAL COMMUNITY BENEFITS REPORT TO THE POPULATION HEALTH COMMITTEE (SUB-COMMITTEE OF THE BOARD), AND TO THE LAKELAND BOARD OF DIRECTORS. ONE OF THE ACTION ITEMS INCLUDED IN THE IMPLEMENTATION STRATEGY IS TO RE-ENGINEER THE COMMUNITY BENEFIT AFFORDABLE CARE ACT TO ALIGN HEALTH SYSTEMS' ALLOCATIONS OF COMMUNITY BENEFITS WITH HEALTH NEEDS IDENTIFIED IN THE CHNA.PART I, LINE 7EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLETHE 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, COL (F)	BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION $134,585,811.
PART II	DESCRIBE HOW COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITYCOREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL, COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITAL, COREWELL HEALTH GREENVILLE HOSPITAL, COREWELL HEALTH GERBER HOSPITAL, COREWELL HEALTH LUDINGTON HOSPITAL, COREWELL HEALTH BIG RAPIDS HOSPITAL, COREWELL HEALTH REED CITY HOSPITAL, COREWELL HEALTH ZEELAND HOSPITAL, COREWELL HEALTH KELSEY HOSPITAL, COREWELL HEALTH PENNOCK HOSPITAL: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. THE HOSPITALS CONTRIBUTE FUNDING AND PARTNER WITH COMMUNITY CLINICS SUCH AS CHERRY HEALTH SERVICES, CATHERINE'S HEALTH CENTER, AND EXALTA HEALTH TO PROVIDE MEDICAL SERVICES TO IMPROVE THE HEALTH OF ADULTS MANAGING CHRONIC DISEASE, IMPROVING CHILDREN'S HEALTH, AND REDUCING INFANT MORTALITY. AS THE NEED FOR MENTAL HEALTH SERVICES AND SUBSTANCE USE DISORDERS CONTINUE TO RISE, WE FUND ORGANIZATIONS SUCH AS ARBOR CIRCLE AND THE GRAND RAPIDS RED PROJECT. AS WE RECOGNIZE THAT HEALTHCARE IS NOT THE SOLE CONTRIBUTOR TO IMPROVING HEALTH, WE ALSO SUPPORT ORGANIZATIONS THAT ADDRESS THE SOCIAL DETERMINANTS OF HEALTH (THAT INCLUDE BUT ARE NOT LIMITED TO) EDUCATION, EMPLOYMENT, HOUSING, AND FOOD INSECURITY. IN THE HEALTH SCIENCES SCHOOL PARTNERSHIP, THE REGION'S PREMIER SPECIALTY HIGH SCHOOL, FOCUS IS ON PREPARING STUDENTS FOR COLLEGE AND TECHNICAL CAREER PATHWAYS IN THE WIDE-RANGING HEALTH CARE INDUSTRY. OUR FOOD INSECURITY ALLIANCE INCLUDES PARTNERING WITH ORGANIZATIONS SUCH AS ACCESS OF WEST MICHIGAN, THE COMMUNITY FOOD CLUB, URBAN ROOTS AND WELLHOUSE. TO REDUCE HOUSING INSECURITY, WE PARTNER WITH KINGDOM LIFE MINISTRIES TO HOUSE PREGNANT MOTHERS AND FAMILIES AND SUPPORT 3:11 HOUSING WHICH HOUSES HOMELESS YOUTH. WE ARE ALSO PART OF A COLLABORATIVE PARTNERSHIP WITH THE ROBERT WOOD JOHNSON FOUNDATION AND REINVESTMENT FUND CALLED INVEST HEALTH. IT FOCUSES ON INCREASING EQUITABLE OUTCOMES BY REDUCING INFANT MORTALITY, LEAD EXPOSURES AND INCREASING FOOD SECURITY IN HISTORICALLY LOW-INCOME TARGETED CENSUS TRACT AREAS. THE INVEST HEALTH GRAND RAPIDS TEAM WILL ACHIEVE THIS THROUGH SCALING WORKFORCE MODELS AND HOUSING SUPPLY WITH ALIGNED INFANT MORTALITY, LEAD AND FOOD PROGRAMMING IN THE TARGETED CENSUS TRACTS. ADDITIONALLY, THE HOSPITALS HOST A MULTITUDE OF FREE COMMUNITY EDUCATION SEMINARS AND HEALTH SCREENINGS, HEALTH FAIRS AND SUPPORT GROUPS.COREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITAL:COMMUNITY BUILDING ACTIVITIES - PROGRAMS AND SERVICES THAT WHILE NOT DIRECTLY RELATED TO HEALTH CARE, ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS SUCH AS POVERTY, CRIME, AND ENVIRONMENTAL ISSUES. EXAMPLES ARE PHYSICAL IMPROVEMENTS, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, COALITION BUILDING, COMMUNITY HEALTH IMPROVEMENT ADVOCACY, AND WORKFORCE DEVELOPMENT ACTIVITIES.https://www.spectrumhealthlakeland.org/population-health/get-facts/community-health-needs-assessmentCOMMUNITY BUILDING ACTIVITIES/PHYSICAL IMPROVEMENTS - DEVELOPMENT OR MAINTENANCE OF PARKS AND PLAYGROUNDS TO PROMOTE PHYSICAL ACTIVITIESCOREWELL HEALTH WATERVLIET HOSPITAL PAR COURSE - IS MAINTAINED BY HOSPITAL ASSOCIATES TO PROVIDE COMMUNITY MEMBERS A SAFE AND SECURE PLACE TO EXERCISE. IT IS ALSO USED BY WATERVLIET HIGH SCHOOL STUDENTS DURING GYM CLASSES.THE GROWTH (GUIDED REAL-WORLD ORIENTATION AND WORK TRAINING AT THE HOSPITAL) INTERNSHIP PROGRAM LAUNCHED IN 2020 AND CONTINUED IN 2021, IN RESPONSE TO THE SHORTAGE OF AFRICAN AMERICAN AND HISPANIC/LATINX TEAM MEMBERS. THE PROGRAM CREATES A CAREER PIPELINE BETWEEN BENTON HARBOR AREA YOUTH AND COREWELL HEALTH LAKELAND AND OFFERS AN INCLUSIVE CULTURE OF LOVE AND RESPECT WHILE HELPING STUDENTS DEVELOP A DIVERSE SET OF SKILLS FOR THE WORKFORCE. THE PROGRAM INCLUDED A COMBINATION OF GUIDED REAL-WORLD EXPERIENCE AND WORK TRAINING AT THE HOSPITAL.
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 REASONABLECOLLECTION 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 20-24 OF COREWELL HEALTH'S CONSOLIDATED AUDITED FINANANCIAL STATEMENTS.
PART III, LINE 8	DESCRIBE EXTENT ANY SHORTFALL FROM LINE 7 TREATED AS COMMUNITY BENEFIT AND COSTING METHOD USED: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	NEEDS ASSESSMENTDESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, IN ADDITION TO ANY CHNA'S REPORTED IN PART V, SECTION B: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	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEDESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES 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:ALL FACILITIES LISTED IN SCHEDULE H, PART V, SECTION A.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	COMMUNITY INFORMATIONDESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES: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. GRAND RAPIDS IS THE COUNTY SEAT AND IS 30 MILES FROM LAKE MICHIGAN AND IS THE SECOND LARGEST CITY IN THE STATE. THE HEALTH CARE RESOURCES IN KENT COUNTY INCLUDECOREWELL 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://www.spectrumhealth.org/healthier-communities/grand-rapids-hospitals-community-health-needs-assessmentCOREWELL HEALTH GREENVILLE HOSPITAL:COREWELL HEALTH GREENVILLE HOSPITAL SERVES THE MEDICAL NEEDS OF THE RESIDENTS OF GREENVILLE, MI. THE PRIMARY SERVICE AREA IS COMPRISED 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 COREWELL HEALTH KELSEY HOSPITAL (FORMERLY SPECTRUM HEALTH KELSEY), 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://www.spectrumhealth.org/healthier-communities/united-hospital-community-health-needs-assessmentCOREWELL 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://www.spectrumhealth.org/healthier-communities/gerber-memorial-community-health-needs-assessmentCOREWELL 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://www.spectrumhealth.org/healthier-communities/ludington-hospitalcommunity-health-needs-assessmentCOREWELL HEALTH BIG RAPIDS HOSPITAL:COREWELL HEALTH BIG RAPIDS IS LOCATED IN THE MID-WESTERN PORTION OF THE STATE OF MICHIGAN. IT SERVES THE MEDICAL NEEDS OF THE RESIDENTS OF BIG RAPIDS, MI. THE PRIMARY SERVICE AREA IS COMPRISED 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 THE US CENSUS FROM 2016 TO 2020 THESE COUNTIES AVERAGED BETWEEN 12 AND 19 PERCENT 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://www.spectrumhealth.org/healthier-communities/big-rapids-hospital-community-health-needs-assessmentCOREWELL 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://www.spectrumhealth.org/healthier-communities/reed-city-hospitalcommunity-health-needs-assessmentCOREWELL 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 299,000.THE HEALTHCARE RESOURCES IN OTTAWA COUNTY INCLUDE ZEELAND HOSPITAL, HOLLAND HOSPITAL, AND NORTH OTTAWA COMMUNITY HEALTH SYSTEM. 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://www.spectrumhealth.org/healthier-communities/zeeland-hospital-community-health-needs-assessmentCOREWELL HEALTH KELSEY HOSPITAL:COREWELL HEALTH KELSEY HOSPITAL IS A CRITICAL ACCESS FACILITY THAT SERVES THE MEDICAL NEEDS OF THE RESIDENTS OF LAKEVIEW, MI AND THE FAR-NORTHERN PORTION OF A PRIMARY SERVICE AREA SHARED WITH COREWELL HEALTH GREENVILLE HOSPITAL, A RELATED ORGANIZATION 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 KELSEY HOSPITAL.THE HEALTHCARE RESOURCES IN KELSEY HOSPITAL'S SERVICE AREA INCLUDE COREWELL HEALTH GREENVILLE HOSPITAL, SPARROW CARSON HOSPITAL, AND 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://www.spectrumhealth.org/healthier-communities/united-hospital-community-health-needs-assessment
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 COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AThttps://www.spectrumhealth.org/healthier-communities/pennock-community-health-needs-assessmentCOREWELL HEALTH WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITAL:THE SYSTEM SERVES APPROXIMATELY 280,000 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 PERCENT 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. THE 2021 CHNA IDENTIFIES THE HEALTH NEEDS OF BERRIEN COUNTY.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AThttps://www.spectrumhealthlakeland.org/population-health/get-facts/community-health-needs-assessmentCOREWELL 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 COMMUNITY IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. AREAS SERVED INCLUDE OAKLAND, MACOMB, AND WAYNE COUNTIES. POPULATION IN THE AREA IS EXPECTED TO GROW 1 PERCENT 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 PERCENT. THE UNDER 18 POPULATION WILL DECREASE BY 1.3 PERCENT, WHILE THE 45-64 AGE GROUP WILL DECREASE BY 4.65 PERCENT. THE POPULATION IS 62.28% PERCENT WHITE, 24.16 PERCENT BLACK AND 5.48 PERCENT ASIAN PACIFIC ISLANDER, HOWEVER THERE ARE LARGE VARIANCES IN THESE PERCENTAGES ACROSS THE SERVICE REGION. THE COMMUNITY IS EXPECTED TO BECOME INCREASINGLY DIVERSE.FOR SPECIFIC POPULATION AND INCOME/POVERTY STATISTICS SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT ACCESSIBLE AThttps://www.beaumont.org/community/community-health-needs-assessmentCOREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. THE AREAS SERVED INCLUDE OAKLAND, MACOMB, AND WAYNE COUNTIES. IT IS THE MOST HEAVILY POPULATED AMONG THE BEAUMONT COMMUNITIES AND THE AGE COMPOSITION OF THE COMMUNITY IS SIMILAR TO THE STATE OF MICHIGAN AND THE COUNTY. THE COHORT AGED 65+ MAKES UP THE SMALLEST SEGMENT OF THE POPULATION (18.53 PERCENT) BUT IS EXPECTED TO EXPERIENCE GROWTH IN THE NEXT FIVE YEARS. THIS AGE GROUP WILL INCREASE 14.7 PERCENT WHILE THE 18 TO 44 AGE COHORT WILL GROW MUCH SLOWER. THE 45 TO 64 POPULATION WILL EXPERIENCE THE LARGEST DECREASE. THE WILLIAM BEAUMONT UNIVERSITY HOSPITAL POPULATION IS PREDOMINANTLY WHITE (64.93 PERCENT) AND THE COMMUNITY IS HOME TO A LARGE ARAB POPULATION MOSTLY CONCENTRATED IN STERLING HEIGHTS. IT IS EXPECTED TO BECOME INCREASINGLY DIVERSE AS ALL MINORITY GROUPS ARE PROJECTED TO INCREASE. THE ASIAN PACIFIC ISLANDER AND MULTIRACIAL & OTHER POPULATION WILL EXPERIENCE THE MOST GROWTH.THE COREWELL HEALTH BEAUMONT TROY HOSPITAL COMMUNITY IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. AREAS SERVED INCLUDE OAKLAND, MACOMB, AND WAYNE COUNTIES. POPULATION IN THE BEAUMONT TROY AREA IS EXPECTED TO GROW 2.8 PERCENT IN THE NEXT FIVE YEARS. THE 18 TO 44 AGE GROUP MAKES UP THE LARGEST PORTION OF THE POPULATION AND IS EXPECTED TO INCREASE BY 2.6 PERCENT. SIMILAR TO THE PATTERN ACROSS THE BEAUMONT COMMUNITIES THE 65+ GROUP WILL EXPERIENCE THE GREATEST GROWTH AND IS PROJECTED TO INCREASE BY 17.1 PERCENT. THE UNDER 18 POPULATION WILL DECREASE BY 1.1 PERCENT. THE COMMUNITY POPULATION IS 78.96 PERCENT WHITE, 6.41 PERCENT BLACK AND 8.62 PERCENT ASIAN PACIFIC ISLANDER. THE COMMUNITY IS ALSO HOME TO A RELATIVELY LARGE ARAB POPULATION. THE COMMUNITY IS EXPECTED TO BECOME INCREASINGLY DIVERSE.THE COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. THE POPULATION SERVED IS EXPECTED TO DECREASE LESS THAN 1 PERCENT, WITH HARRISON TOWNSHIP, CLINTON TOWNSHIP AND ROSEVILLE EXPERIENCING SLIGHT GROWTH AND THE SURROUNDING DETROIT AREA EXPERIENCING A CONTRACTION. THE COHORT AGED 65+ MAKES UP THE SMALLEST SEGMENT OF THE POPULATION (17.64 PERCENT) BUT IS EXPECTED TO EXPERIENCE THE MOST GROWTH OVER THE NEXT FIVE YEARS. THIS AGE GROUP IS EXPECTED TO INCREASE 13 PERCENT WHILE THE OTHER AGE GROUPS ARE EXPECTED TO DECREASE. THE POPULATION SERVED IS PRIMARILY WHITE (46.37 PERCENT) AND BLACK (46.25 PERCENT). ASIAN PACIFIC ISLANDERS AND MULTIRACIAL & OTHER POPULATIONS ARE EXPECTED TO INCREASE, WITH THE ASIAN PACIFIC ISLANDERS GROUP EXPERIENCING THE MOST GROWTH.COREWELL HEALTH DEARBORN HOSPITAL IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. THE AREAS SERVED INCLUDE OAKLAND, MACOMB, AND WAYNE COUNTIES. THE POPULATION IN THE COMMUNITIES SERVED BY DEARBORN HOSPITAL IS EXPECTED TO DECREASE BY LESS THAN 1 PERCENT OVER THE NEXT FIVE YEARS. MOST CITIES WILL SEE DECREASES, WITHTHE EXCEPTION OF ROMULUS, FLAT ROCK, AND NEW BOSTON, WHICH WILL HAVE SLIGHT INCREASES. THE AGE COMPOSITION OF DEARBORN IS REPRESENTATIVE OF THAT IN THE STATE OF MICHIGAN AND THE COUNTY. THE COHORT AGED 65 YEARS AND OLDER MAKES UP THE SMALLEST SEGMENT OF THE POPULATION (15.95 PERCENT) BUT IS EXPECTED TO EXPERIENCE THE MOST GROWTH OVER THE NEXT FIVE YEARS. THIS AGE GROUP IS EXPECTED TO INCREASE 11.6 PERCENT WHILE THE OTHER AGE GROUPS ARE EXPECTED TO DECREASE 0.5 TO 6 PERCENT. THE COMMUNITY IS PRIMARILY WHITE (64.16 PERCENT) AND BLACK (18.25 PERCENT). THE CITY OF DEARBORN ALSO HAS THE HIGHEST PROPORTION OF ARAB AMERICANS IN THE COUNTRY. THE ARAB POPULATION IS MOST HIGHLY CONCENTRATED IN DEARBORN (ZIP CODES 48126 AND 48120) AND DEARBORN HEIGHTS (ZIP CODE 48127). THE COMMUNITY IS EXPECTED TO BECOME INCREASINGLY DIVERSE OVER THE NEXT FIVE YEARS. COREWELL HEALTH TRENTON HOSPITAL IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. IN THE NEXT FIVE YEARS, TRENTON HOSPITAL'S POPULATION IS EXPECTED TO INCREASE BY 1.3 PERCENT. NEWPORT, ROCKWOOD, AND NEW BOSTON ARE EXPECTED TO SEE THE MOST GROWTH. THE AGE COMPOSITION OF THE COMMUNITY IS SIMILAR TO THE STATE OF MICHIGAN AND THE COUNTRY. THE COHORT AGED 65+ MAKES UP THE SMALLEST SEGMENT OF THE POPULATION (19.15 PERCENT). THIS GROUP IS EXPECTED TO INCREASE BY 14.4 PERCENT. TRENTON HOSPITAL'S POPULATION IS 81.46 PERCENT WHITE. THE OTHER, ASIAN, AND THE MULTIRACIAL GROUPS WILL EXPERIENCE SLIGHT GROWTH IN THE NEXT 5 YEARS.COREWELL HEALTH WAYNE HOSPITAL IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. IN CONTRAST TO OTHER AREAS IN COREWELL HEALTH EAST'S (FORMERLY BEAUMONT) OVERALL COMMUNITY, WAYNE HOSPITAL'S POPULATION WILL INCREASE ABOUT 1 PERCENT OVER THE NEXT FIVE YEARS. THE AGE COMPOSITION OF THE COMMUNITY IS SIMILAR TO THE STATE OF MICHIGAN AND THE COUNTY. THE COHORT AGED 65+ MAKES UP THE SMALLEST SEGMENT OF THE POPULATION (16.02 PERCENT) BUT IS EXPECTED TO EXPERIENCE THE LARGEST GROWTH (15.6 PERCENT). THE MAJORITY OF WAYNE HOSPITAL'S POPULATION IS WHITE (63.65 PERCENT). COMPARED TO THE STATE AND NATIONAL LEVELS AND OTHER BEAUMONT COMMUNITIES, THIS POPULATION IS MORE DIVERSE. TWENTY PERCENT OF BEAUMONT WAYNE'S POPULATION IS BLACK, AND 8.26 PERCENT IS ASIAN PACIFIC ISLANDER. THE OTHER, ASIAN, AND MULTIRACIAL COMMUNITIES IN WAYNE ARE PROJECTED TO INCREASE IN THE NEXT FIVE YEARS.
PART VI, LINE 4 CONTINUED	COREWELL HEALTH TAYLOR HOSPITAL IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. THE POPULATION SERVED BY BEAUMONT HOSPITAL TAYLOR IS PROJECTED TO REMAIN STABLE IN FIVE YEARS. THE 65 AND OLDER COHORT MAKES UP THE SMALLEST SEGMENT OF THE TAYLOR POPULATION (17.32 PERCENT); HOWEVER, IT IS THE ONLY AGE GROUP EXPECTED TO EXPERIENCE AN INCREASE IN THE NEXT FIVE YEARS. BEAUMONT TAYLOR'S POPULATION IS PRIMARILY WHITE (73.9 PERCENT) AND BLACK (13.12 PERCENT). THE COMMUNITY SERVED ALSO INCLUDES THE CITY OF TAYLOR, WHICH HAS THE HIGHEST CONCENTRATION OF ARAB AMERICANS IN THE COUNTRY. THE OTHER AND ASIAN COMMUNITIES ARE PROJECTED TO INCREASE IN THE NEXT FIVE YEARS.COREWELL HEALTH FARMINGTON HILLS HOSPITAL IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF THE INPATIENT DISCHARGES. THE POPULATION SERVED BY FARMINGTON HILLS HOSPITAL IS PROJECTED TO INCREASE LESS THAN 1 PERCENT OVER THE NEXT FIVE YEARS. WHILE THE POPULATION OF 64 AND UNDER IS PROJECTED TO DECREASE, THE 65 AND OLDER COHORT IS EXPECTED TO EXPERIENCE AN INCREASE IN THE NEXT FIVE YEARS. FARMINGTON HILLS HOSPITAL'S POPULATION IS PRIMARILY WHITE (48.75 PERCENT) AND BLACK (39.26 PERCENT), HOWEVER BOTH OF THESE GROUPS ARE EXPECTED TO DECREASE OVER THE NEXT FIVE YEARS, WHILE ASIAN PACIFIC ISLANDERS INCREASING BY 16.69 PERCENT.
PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTHPROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G., OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.):COREWELL HEALTH GRAND RAPIDS HOSPITALS BUTTERWORTH HOSPITAL, COREWELL HEALTH GRAND RAPIDS HOSPITALS BLODGETT HOSPITAL, COREWELL HEALTH GREENVILLE HOSPITAL, COREWELL HEALTH GERBER HOSPITAL, COREWELL HEALTH LUDINGTON HOSPITAL, COREWELL HEALTH BIG RAPIDS HOSPITAL, COREWELL HEALTH REED CITY HOSPITAL, COREWELL HEALTH ZEELAND HOSPITAL, COREWELL HEALTH KELSEY HOSPITAL, AND COREWELL HEALTH PENNOCK HOSPITAL: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. THE HOSPITAL IS FURTHER SUPPORTED BY THE COREWELL HEALTH WEST MICHIGAN BOARD, WHICH IS THE GOVERNING BOARD OF THE HOSPITAL AND ALL OTHER HOSPITALS, POST-ACUTE CARE AND THE MEDICAL GROUP IN WEST MICHIGAN. ALL HOSPITALS ALSO EXTEND MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.COREWELL HEALTH INVESTS NET EARNINGS IN IMPROVING PATIENT CARE, BUILDING AND RENOVATING FACILITIES, PURCHASING NEW TECHNOLOGY, PROVIDING HEALTH EDUCATION AND FUNDING COMMUNITY PROGRAMS.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 WATERVLIET HOSPITAL, COREWELL HEALTH LAKELAND HOSPITALS ST. JOSEPH HOSPITAL AND COREWELL HEALTH LAKELAND HOSPITALS NILES HOSPITAL:COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS REPRESENTS ACTIVITIES THAT HELP IMPROVE THE HEALTH AND QUALITY OF LIFE FOR PEOPLE IN THE COMMUNITY.COMMUNITY BUILDING ACTIVITIES - PROMOTED THE HEALTH OF THE COMMUNITIES.HEALTH PROFESSIONS EDUCATION - COREWELL HEALTH PREPARES HEALTH CARE PROFESSIONALS FOR THE FUTURE BY PROVIDING A VARIETY OF TRAINING PROGRAMS AND EDUCATIONAL EXPERIENCES IN CLINICAL SETTINGS FOR UNDERGRADUATE AND GRADUATE STUDENTS, MEDICAL RESIDENTS, AND NURSING AND OTHER ALLIED HEALTH PROFESSIONALS.CASH & IN-KIND DONATIONS TO COMMUNITY GROUPS - CASH CONTRIBUTIONS AND IN-KIND DONATIONS ARE DESIGNATED FOR HEALTH CARE RELATED ACTIVITIES PROVIDED BY SOCIAL SERVICE AND COMMUNITY AGENCIES, SUCH AS MEDICAL SUPPORT FOR COMMUNITY EVENTS AND PARTNERS WHO SERVE THE MOST VULNERABLE POPULATIONS. THIS AMOUNT ALSO INCLUDES LEADERSHIP INVOLVEMENT ON COMMUNITY BOARDS THAT SUPPORT ORGANIZATIONS AND THEIR EFFORTS ON BEHALF OF VULNERABLE POPULATIONS.RESEARCH - COREWELL HEALTH SOUTH IS COMMITTED TO INNOVATION BY OFFERING THE MOST ADVANCED, HIGH-QUALITY TREATMENTS AND HEALTH AND HEALING SERVICES TO THE COMMUNITY. AS A RESULT, COREWELL HEALTH SOUTH SPONSORS CLINICAL AND COMMUNITY HEALTH RESEARCH, AS WELL AS STUDIES ON HEALTH CARE DELIVERY. FINANCIAL ASSISTANCE - FREE OR DISCOUNTED CARE THAT COREWELL HEALTH SOUTH OFFERS TO PEOPLE WHO ARE UNABLE TO PAY FOR THEIR OWN CARE AND NOT ELIGIBLE FOR PUBLIC PROGRAMS. FINANCIAL ASSISTANCE DOES NOT INCLUDE THE BAD DEBT COST.UNREIMBURSED MEDICAID - REPRESENTS THE COST OF CARING FOR PEOPLE COVERED BY MEDICAID MINUS THE AMOUNT COREWELL HEALTH SOUTH RECEIVES FROM THOSE PROGRAMS.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 HOSPITAL:IN ORDER TO PROMOTE THE HEALTH OF THE COMMUNITIES SERVED, WE HAVE RESPONDED TO THE NEEDS OF THE COMMUNITIES AND INVESTED IN PROGRAMS TO IMPROVE THE HEALTH AND WELL-BEING OF THE NEIGHBORHOODS IN WHICH IT LIVES AND SERVES. BUILDING ON A NATIONAL REPUTATION FOR CLINICAL EXCELLENCE, WE ARE COMMITTED TO ENHANCING PUBLIC AWARENESS THROUGH A VARIETY OF COMMUNITY OUTREACH ACTIVITIES AND INITIATIVES THAT RELATE TO THE FOLLOWING:HEALTH PROMOTION, WELLNESS, AND DISEASE PREVENTIONEVENTS THAT SUPPORT COMMUNITY ENGAGEMENT EDUCATION, DIVERSITY, AND CULTURAL ARTS RELATING TO IMPROVING THE PATIENT EXPERIENCE AT COREWELL HEALTH EAST (FORMERLY BEAUMONT HEALTH) EIGHT HOSPITAL LOCATIONS.EVENTS AND ORGANIZATIONS THAT HELP US ATTAIN COMMUNITY HEALTH NEEDS ASSESSMENT GOALS.WE HAVE A STRONG TRADITION OF BEING A PART OF OUR COMMUNITIES WITH SHARED VISION OF CREATING HEALTH AND WELLNESS FOR ALL AND CONTINUING TO EXPAND THAT OUTREACH WITH EVERY PASSING YEAR.MANY OF OUR EXECUTIVES, MANAGERS, AND OTHER EMPLOYEES SERVE AS LEAD VOLUNTEERS OR BOARD DIRECTORS AND OFFICERS FOR KEY NON-PROFIT AGENCIES AND GOVERNMENT COMMISSIONS IN THE REGION. THESE INCLUDE ORGANIZATIONS AND AUTHORITIES ASSOCIATED WITH HEALTH CARE SOCIAL SERVICES, EDUCATION, MUNICIPAL GOVERNANCE, INDUSTRY, AND TRADE GROUPS, AS WELL AS SERVICE ORGANIZATIONS AND CHAMBERS OF COMMERCE.WE HAVE AN OPEN MEDICAL STAFF MODEL AND A NATIONALLY RENOWNED MEDICAL EDUCATION PROGRAM OFFERING 20 DIFFERENT SPECIALTIES.
PART VI, LINE 6	DESCRIPTION OF AFFILIATED GROUP:THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN ARE PART OF A GROUP OF HEALTHCARE ENTIITIES 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 ON 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:IF APPLICABLE, IDENTIFY ALL STATES WITH WHICH THE ORGANIZATION, OR A RELATED ORGANIZATION, FILES A 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 H (Form 990) 2023

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
COREWELL HEALTH GROUP RETURN

Employer identification number
61-1740292

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) MENTAL HEALTH CLINICIANS OF COLOR IN GRAND RAPIDS 1345 MONROE AVE NW STE 335 GRAND RAPIDS,MI49505	85-2787460	501(c)(3)	261,125	TO SUPPORT EXPEMPT PURPOSE
(2) THRESHOLDS INC 160 68TH STREET SW 130 GRAND RAPIDS,MI49548	38-2063018	501(c)(3)	200,000	TO SUPPORT EXPEMPT PURPOSE
(3) BARRY COMMUNITY FOUNDATION 231 SOUTH BROADWAY HASTINGS,MI49058	38-3246131	501(c)(3)	200,000	TO SUPPORT EXPEMPT PURPOSE
(4) GRAND RAPIDS PUBLIC SCHOOLS 1331 MARTIN LUTHER KING JR ST SE GRAND RAPIDS,MI49506	38-6002019	GOVT	174,583	TO SUPPORT SCHOOL HEALTH AND WELLNESS
(5) EXALTA HEALTH 2060 DIVISION AVE S GRAND RAPIDS,MI49507	38-3273825	501(c)(3)	162,500	TO SUPPORT EXPEMPT PURPOSE
(6) COMMUNITY FOOD CLUBS 1100 S DIVISION AVE GRAND RAPIDS,MI49507	82-2265189	501(c)(3)	160,000	TO SUPPORT EXPEMPT PURPOSE
(7) CHERRY STREET SERVICES INC 100 CHERRY STREET SE GRAND RAPIDS,MI49503	38-2853534	501(c)(3)	128,150	TO SUPPORT EXPEMPT PURPOSE
(8) REALISM IS LOYALTY 601 MARTIN LUTHER KING JR ST SE GRAND RAPIDS,MI49507	46-5225488	501(c)(3)	120,000	TO SUPPORT EXPEMPT PURPOSE
(9) PUERTAS ABIERTAS INC 1345 MONROE AVE NW SUITE 208 GRAND RAPIDS,MI49505	84-3751469	501(c)(3)	96,000	TO SUPPORT EXPEMPT PURPOSE
(10) UNITED METHODIST COMMUNITY HOUSE 904 SHELDON AVE SE GRAND RAPIDS,MI49507	38-1360555	501(c)(3)	90,000	TO SUPPORT EXPEMPT PURPOSE
(11) A GLIMPSE OF AFRICA 2025 E BELTLINE AVE SE STE 402 GRAND RAPIDS,MI49546	84-4904373	501(c)(3)	79,500	TO SUPPORT EXPEMPT PURPOSE
(12) ARBOR CIRCLE CORPORATION 1115 BALL NE GRAND RAPIDS,MI49505	38-3263853	501(c)(3)	78,727	TO SUPPORT EXPEMPT PURPOSE
(13) FAMILY PROMISE OF GRAND RAPIDS 516 CHERRY ST SE GRAND RAPIDS,MI49503	38-3357709	501(c)(3)	75,000	TO SUPPORT EXPEMPT PURPOSE
(14) CALVIN UNIVERSITY 1800 EAST BELTLINE SE GRAND RAPIDS,MI49546	38-3071514	501(c)(3)	74,995	TO SUPPORT EXPEMPT PURPOSE
(15) CATHERINES HEALTH CENTER 1211 LAFAYETTE AVE NE GRAND RAPIDS,MI49505	20-3572418	501(c)(3)	70,000	TO SUPPORT EXPEMPT PURPOSE
(16) FAMILY OUTREACH CENTER INC 1939 S DIVISION AVE S GRAND RAPIDS,MI49507	38-2272711	501(c)(3)	65,500	TO SUPPORT EXPEMPT PURPOSE
(17) HEALTH NET OF WEST MICHIGAN 1550 LEONARD ST NE GRAND RAPIDS,MI49505	38-3609504	501(c)(3)	50,000	TO SUPPORT EXPEMPT PURPOSE
(18) HOAP INC PO BOX 8473 GRAND RAPIDS,MI49518	46-2795794	501(c)(3)	45,000	TO SUPPORT EXPEMPT PURPOSE
(19) HISPANIC CENTER OF WESTERN MICHIGAN INC 1204 CESAR E CHAVEZ AVE SW GRAND RAPIDS,MI49503	38-2265825	501(c)(3)	41,000	TO SUPPORT EXPEMPT PURPOSE
(20) FITKIDS360 1550 LEONARD ST NE GRAND RAPIDS,MI49505	85-0653931	501(c)(3)	40,342	TO SUPPORT EXPEMPT PURPOSE
(21) NEW CITY KIDS INC 936 ALPINE AVE NW GRAND RAPIDS,MI49504	22-3529691	501(c)(3)	40,000	TO SUPPORT EXPEMPT PURPOSE
(22) DWELLING PLACE OF GRAND RAPIDS 101 SHELDON BLVD SE SUITE 300 GRAND RAPIDS,MI49503	38-2313832	501(c)(3)	38,500	TO SUPPORT EXPEMPT PURPOSE
(23) YOUNG MEN'S CHRISTIAN ASSN - TRI - CITIES MICHIGAN 1 Y DRIVE GRAND HAVEN,MI49417	38-1717502	501(c)(3)	37,500	TO SUPPORT EXPEMPT PURPOSE
(24) WEST MICHIGAN CENTER FOR ARTS & TECHNOLOGY 614 FIRST ST NW SUITE 300 GRAND RAPIDS,MI49504	74-3120354	501(c)(3)	37,500	TO SUPPORT EXPEMPT PURPOSE
(25) LOYOLA WORK EXPERIENCE PROGRAM 15325 PINEHURST DETROIT,MI48238	30-0219392	501(c)(3)	20,000	TO SUPPORT EXPEMPT PURPOSE
(26) MONTCALM COMMUNITY COLLEGE FOUNDATION 2800 COLLEGE DRIVE SIDNEY,MI48885	38-2371295	501(c)(3)	20,000	TO SUPPORT EXPEMPT PURPOSE
(27) NOTTAWASEPPI HURON BAND OF THE POTAWATOMI 1485 MNO-BMADZEWEN WAY FULTON,MI49052	38-2142598	7871	10,650	TO SUPPORT EXPEMPT PURPOSE
(28) LAKESHORE ADVANTAGE CORP 201 WEST WASHINGTON AVE SUITE 410 ZEELAND,MI49464	06-1708014	501(c)(6)	10,000	TO SUPPORT EXPEMPT PURPOSE
(29) CROSSROADS RECREATION CONNECTION 10697 E 64TH STREET REED CITY,MI49677	87-4398829	501(c)(3)	10,000	TO SUPPORT EXPEMPT PURPOSE
(30) WILLIAM BEAUMONT HOSPITAL 26901 BEAUMONT BLVD SOUTHFIELD,MI48033	38-1459362	501(c)(3)	9,290	TO SUPPORT EXPEMPT PURPOSE
(31) PROVINCE OF ST JOSEPH OF THE CAPUCHIN ORDER INC 62460 MT VERNON WASHINGTON,MI48094	38-1525161	501(c)(3)	8,265	TO SUPPORT EXPEMPT PURPOSE
(32) AUNT BERTHA A PUBLIC BENEFIT CORP 3429 EXECUTIVE CENTER DR AUSTIN,TX78731	27-3354421	PUBLIC BENEFIT CORP	8,000	TO SUPPORT EXPEMPT PURPOSE
(33) MICHIGAN ADVOCACY PROGRAM 15 S WASHINGTON ST YPSILANTI,MI48197	38-1845444	501(c)(3)	7,500	TO SUPPORT EXPEMPT PURPOSE

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2023

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) RESIDENT STIPENDS	1416	2,792,463	N/A	N/A
(2) PATIENT TRANSPORTATION		604,458	N/A	N/A
(3) EDUCATION ASSISTANCE	3	7,100	N/A	N/A
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
Part I, Line 2:	THE FILING ORGANIZATION PROVIDES GRANTS TO ORGANIZATIONS THAT CLOSELY ALIGN WITH ITS OWN MISSION AND VALUES. THE FILING ORGANIZATION PROVIDES GRANTS TO ORGANIZATIONS THAT IMPROVE THE HEALTH OF THE UNDERSERVED IN THE COMMUNITY AND/OR ORGANIZATIONS THAT INCREASE ACCESS TO HEALTH CARE.

Schedule I (Form 990) 2023

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

COREWELL HEALTH GROUP RETURN

Employer identification number

61-1740292

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2023

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1CHRISTINA FREESE DECKER DIRECTOR/CEO	(i) (ii)	0 ------------- 2,319,878	0 ------------- 2,835,338	0 ------------- 203,252	0 ------------- 1,345,273	0 ------------- 28,408	0 ------------- 6,732,149	0 ------------- 1,411,341
2DARRYL ELMOUCHI MD DIRECTOR/EX-OFFICIO/COO	(i) (ii)	0 ------------- 1,704,153	0 ------------- 1,458,248	0 ------------- 92,259	0 ------------- 618,080	0 ------------- 31,219	0 ------------- 3,903,959	0 ------------- 461,727
3KONGKRIT CHAIYASATE MD FORMER HIGHEST COMPENSATED	(i) (ii)	0 ------------- 3,174,823	0 ------------- 0	0 ------------- 3,364	0 ------------- 22,600	0 ------------- 34,133	0 ------------- 3,234,920	0 ------------- 0
4PRAVEEN THADANI DIRECTOR	(i) (ii)	0 ------------- 1,218,900	0 ------------- 1,291,995	0 ------------- 107,693	0 ------------- 550,170	0 ------------- 27,146	0 ------------- 3,195,904	0 ------------- 322,002
5MATTHEW COX CFO	(i) (ii)	0 ------------- 1,165,187	0 ------------- 1,364,836	0 ------------- 84,049	0 ------------- 540,264	0 ------------- 28,935	0 ------------- 3,183,271	0 ------------- 421,370
6MOHAMMAD CHISTI MD FORMER HIGHEST COMPENSATED	(i) (ii)	0 ------------- 3,090,769	0 ------------- 2,250	0 ------------- 1,710	0 ------------- 15,250	0 ------------- 37,352	0 ------------- 3,147,331	0 ------------- 0
7BENJAMIN SCHWARTZ MD DIRECTOR PY/PRESIDENT CHE PY	(i) (ii)	0 ------------- 856,483	0 ------------- 622,691	0 ------------- 690,147	0 ------------- 60,455	0 ------------- 24,321	0 ------------- 2,254,097	0 ------------- 242,361
8LOREN B HAMEL MD DIRECTOR/PRESIDENT CHS/EX-OFFICIO	(i) (ii)	0 ------------- 746,607	0 ------------- 772,884	0 ------------- 225,126	0 ------------- 115,872	0 ------------- 29,521	0 ------------- 1,890,010	0 ------------- 341,991
9MOHAMAD ALSIBAE MD FORMER HIGHEST COMPENSATED	(i) (ii)	0 ------------- 1,716,871	0 ------------- 0	0 ------------- 3,364	0 ------------- 22,600	0 ------------- 35,295	0 ------------- 1,778,130	0 ------------- 0
10MUHAMMAD AZRAK MD FORMER HIGHEST COMPENSATED	(i) (ii)	0 ------------- 1,505,756	0 ------------- 0	0 ------------- 29,332	0 ------------- 21,350	0 ------------- 46,557	0 ------------- 1,602,995	0 ------------- 23,950
11CHARLES SHERRY DO FORMER HIGHEST COMPENSATED	(i) (ii)	0 ------------- 1,378,169	0 ------------- 50,356	0 ------------- 3,510	0 ------------- 18,900	0 ------------- 33,040	0 ------------- 1,483,975	0 ------------- 0
12NANCY SUSICK DIRECTOR/SECRETARY/FMR KEY	(i) (ii)	0 ------------- 720,521	0 ------------- 337,395	0 ------------- 136,185	0 ------------- 209,050	0 ------------- 27,898	0 ------------- 1,431,049	0 ------------- 274,353
13ALEJANDRO QUIROGA CHAND MD DIRECTOR/PRESIDENT CHW	(i) (ii)	0 ------------- 746,771	0 ------------- 213,604	0 ------------- 62,332	0 ------------- 236,893	0 ------------- 26,800	0 ------------- 1,286,400	0 ------------- 0
14PAOLO MARCIANO MD DIRECTOR/PRESIDENT/FMR KEY EMPLOYEE	(i) (ii)	0 ------------- 680,381	0 ------------- 237,015	0 ------------- 2,622	0 ------------- 201,651	0 ------------- 24,074	0 ------------- 1,145,743	0 ------------- 193,592
15HOSSAIN MARANDI MD FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 221,768	0 ------------- 205,639	0 ------------- 586,769	0 ------------- 77,586	0 ------------- 8,612	0 ------------- 1,100,374	0 ------------- 0
16CHAD TUTTLE DIRECTOR/PRESIDENT/FMR OFFICER	(i) (ii)	0 ------------- 650,045	0 ------------- 187,306	0 ------------- 49,213	0 ------------- 138,149	0 ------------- 27,983	0 ------------- 1,052,696	0 ------------- 0
17DANIEL FRATTARELLI FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 662,493	0 ------------- 275,278	0 ------------- 5,008	0 ------------- 32,683	0 ------------- 38,308	0 ------------- 1,013,770	0 ------------- 155,882
18JASON SLAIKEU FORMER OFFICER	(i) (ii)	0 ------------- 700,703	0 ------------- 216,229	0 ------------- 8,310	0 ------------- 26,400	0 ------------- 24,520	0 ------------- 976,162	0 ------------- 0
19BRIAN BRASSER FORMER OFFICER	(i) (ii)	0 ------------- 519,650	0 ------------- 157,375	0 ------------- 55,657	0 ------------- 207,794	0 ------------- 27,056	0 ------------- 967,532	0 ------------- 0
20BARBARA DUCATMAN MD FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 611,236	0 ------------- 105,673	0 ------------- 16,066	0 ------------- 80,001	0 ------------- 32,163	0 ------------- 845,139	0 ------------- 105,673
21ANTHONY STALLION MD DIRECTOR	(i) (ii)	0 ------------- 778,075	0 ------------- 0	0 ------------- 15,444	0 ------------- 15,250	0 ------------- 32,402	0 ------------- 841,171	0 ------------- 0
22MARTHA BOONSTRA SECRETARY PY	(i) (ii)	0 ------------- 285,365	0 ------------- 144,195	0 ------------- 265,040	0 ------------- 123,675	0 ------------- 2,229	0 ------------- 820,504	0 ------------- 0
23BENJAMIN GIELDA MD EX-OFFICIO DIRECTOR	(i) (ii)	0 ------------- 793,204	0 ------------- 0	0 ------------- 1,140	0 ------------- 16,500	0 ------------- 7,896	0 ------------- 818,740	0 ------------- 0
24LOWELL HAMEL MD DIRECTOR/EX-OFFICIO/FORMER OFFICER	(i) (ii)	0 ------------- 529,691	0 ------------- 110,799	0 ------------- 113,002	0 ------------- 19,126	0 ------------- 22,900	0 ------------- 795,518	0 ------------- 46,166
25ANDREA LESLIE REGIONAL PRESIDENT	(i) (ii)	0 ------------- 436,615	0 ------------- 135,174	0 ------------- 38,502	0 ------------- 139,347	0 ------------- 26,798	0 ------------- 776,436	0 ------------- 0
26CHARLES GIBSON MD DIRECTOR	(i) (ii)	0 ------------- 645,494	0 ------------- 79,389	0 ------------- 694	0 ------------- 16,500	0 ------------- 25,355	0 ------------- 767,432	0 ------------- 0
27DOMINIC SANFILIPPO MD FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 518,991	0 ------------- 132,383	0 ------------- 21,078	0 ------------- 60,890	0 ------------- 24,158	0 ------------- 757,500	0 ------------- 0
28JEFFREY POSTMA DO EX-OFFICIO DIRECTOR	(i) (ii)	0 ------------- 596,977	0 ------------- 50,000	0 ------------- 5,027	0 ------------- 19,800	0 ------------- 26,945	0 ------------- 698,749	0 ------------- 0
29CHRISTOPHER FLORES DIRECTOR/TREASURER	(i) (ii)	0 ------------- 411,669	0 ------------- 148,559	0 ------------- 3,395	0 ------------- 115,270	0 ------------- 17,633	0 ------------- 696,526	0 ------------- 148,559
30ROBERT HOEFER REGIONAL PRESIDENT	(i) (ii)	0 ------------- 388,458	0 ------------- 130,821	0 ------------- 21,922	0 ------------- 57,975	0 ------------- 30,707	0 ------------- 629,883	0 ------------- 0
31ROBERT FITZGERALD MD DIRECTOR	(i) (ii)	0 ------------- 516,559	0 ------------- 55,464	0 ------------- 9,200	0 ------------- 26,400	0 ------------- 19,659	0 ------------- 627,282	0 ------------- 0
32KELLI SADLER DIRECTOR	(i) (ii)	0 ------------- 404,000	0 ------------- 100,000	0 ------------- 16,203	0 ------------- 78,252	0 ------------- 21,976	0 ------------- 620,431	0 ------------- 0
33KRISTINE DONAHUE FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 438,641	0 ------------- 96,001	0 ------------- 4,367	0 ------------- 70,375	0 ------------- 4,750	0 ------------- 614,134	0 ------------- 96,001
34DREW DOSTAL REGIONAL PRESIDENT	(i) (ii)	0 ------------- 357,492	0 ------------- 121,283	0 ------------- 41,566	0 ------------- 54,710	0 ------------- 28,716	0 ------------- 603,767	0 ------------- 0
35KELLY DYER DIRECTOR/PRESIDENT	(i) (ii)	0 ------------- 349,580	0 ------------- 118,365	0 ------------- 25,735	0 ------------- 53,712	0 ------------- 29,509	0 ------------- 576,901	0 ------------- 0
36MICHAEL WEBB MD EX-OFFICIO DIRECTOR	(i) (ii)	0 ------------- 450,800	0 ------------- 32,000	0 ------------- 13,612	0 ------------- 30,042	0 ------------- 25,920	0 ------------- 552,374	0 ------------- 0
37CARA JANSMA SECRETARY	(i) (ii)	0 ------------- 312,671	0 ------------- 84,645	0 ------------- 27,352	0 ------------- 50,844	0 ------------- 30,599	0 ------------- 506,111	0 ------------- 0
38LEE ANN ODOM FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 498,374	0 ------------- 0	0 ------------- 0	0 ------------- 498,374	0 ------------- 0
39KAREN PAKKALA DIRECTOR/PRESIDENT	(i) (ii)	0 ------------- 315,911	0 ------------- 100,667	0 ------------- 7,877	0 ------------- 53,944	0 ------------- 6,690	0 ------------- 485,089	0 ------------- 0
40MYRON LEWIS FORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 482,255	0 ------------- 0	0 ------------- 0	0 ------------- 482,255	0 ------------- 482,255
41JODIE RAPPE MD FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 372,653	0 ------------- 38,400	0 ------------- 2,470	0 ------------- 51,927	0 ------------- 6,027	0 ------------- 471,477	0 ------------- 38,400
42JOHN SCHUEN FORMER OFFICER	(i) (ii)	0 ------------- 334,037	0 ------------- 43,256	0 ------------- 27,148	0 ------------- 34,200	0 ------------- 29,962	0 ------------- 468,603	0 ------------- 0
43HEATHER LALLO DIRECTOR/TREASURER	(i) (ii)	0 ------------- 320,739	0 ------------- 73,561	0 ------------- 26,125	0 ------------- 19,372	0 ------------- 27,747	0 ------------- 467,544	0 ------------- 0
44SURENDER RAJASEKARAN MD DIRECTOR	(i) (ii)	0 ------------- 402,977	0 ------------- 0	0 ------------- 10,573	0 ------------- 26,400	0 ------------- 25,720	0 ------------- 465,670	0 ------------- 0
45ANNICA WAALKES MD DIRECTOR	(i) (ii)	0 ------------- 372,358	0 ------------- 42,240	0 ------------- 8,565	0 ------------- 25,509	0 ------------- 1,424	0 ------------- 450,096	0 ------------- 0
46NICHOLAS GILPIN DO FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 391,431	0 ------------- 0	0 ------------- 1,235	0 ------------- 21,049	0 ------------- 23,676	0 ------------- 437,391	0 ------------- 0
47BRIAN PHILLIPS MD FORMER OFFICER	(i) (ii)	0 ------------- 347,273	0 ------------- 22,952	0 ------------- 15,090	0 ------------- 25,229	0 ------------- 20,855	0 ------------- 431,399	0 ------------- 0
48MELINDA GRUBER DIRECTOR/PRESIDENT/CHAIR/FMR OFFICER	(i) (ii)	0 ------------- 252,818	0 ------------- 60,384	0 ------------- 25,070	0 ------------- 45,713	0 ------------- 22,035	0 ------------- 406,020	0 ------------- 0
49SIMIN BEG MD DIRECTOR/CHAIR	(i) (ii)	0 ------------- 298,030	0 ------------- 34,915	0 ------------- 11,350	0 ------------- 23,179	0 ------------- 24,750	0 ------------- 392,224	0 ------------- 0
50TALAWNDA BRAGG MD DIRECTOR	(i) (ii)	0 ------------- 332,714	0 ------------- 0	0 ------------- 7,726	0 ------------- 25,284	0 ------------- 20,882	0 ------------- 386,606	0 ------------- 0
51ANNE STEWART DIRECTOR	(i) (ii)	0 ------------- 261,809	0 ------------- 50,379	0 ------------- 3,678	0 ------------- 45,679	0 ------------- 24,811	0 ------------- 386,356	0 ------------- 50,379
52KASSEM CHARARA MD FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 260,251	0 ------------- 29,644	0 ------------- 2,074	0 ------------- 40,463	0 ------------- 31,556	0 ------------- 363,988	0 ------------- 29,644
53ASHOK JAIN MD DIRECTOR	(i) (ii)	0 ------------- 264,910	0 ------------- 29,644	0 ------------- 5,775	0 ------------- 29,277	0 ------------- 26,273	0 ------------- 355,879	0 ------------- 29,644
54MICHAEL KHOURY MD FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 233,379	0 ------------- 47,602	0 ------------- 2,492	0 ------------- 42,716	0 ------------- 20,239	0 ------------- 346,428	0 ------------- 47,602
55SOROYA PIERRE-VANARTSEN PRESIDENT	(i) (ii)	0 ------------- 228,275	0 ------------- 50,432	0 ------------- 529	0 ------------- 35,187	0 ------------- 29,017	0 ------------- 343,440	0 ------------- 0
56JONATHAN KAPER MD FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 221,311	0 ------------- 29,644	0 ------------- 724	0 ------------- 28,422	0 ------------- 1,412	0 ------------- 281,513	0 ------------- 29,644
57MARGARET LIGHTNER DIRECTOR/PRESIDENT/SECRETARY	(i) (ii)	0 ------------- 200,268	0 ------------- 44,537	0 ------------- 2,913	0 ------------- 13,590	0 ------------- 16,904	0 ------------- 278,212	0 ------------- 44,537
58DEBRA JOHNSON DIRECTOR/SECRETARY	(i) (ii)	0 ------------- 196,660	0 ------------- 37,639	0 ------------- 6,367	0 ------------- 10,967	0 ------------- 15,978	0 ------------- 267,611	0 ------------- 0
59ANGELA DITMAR FORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 265,044	0 ------------- 0	0 ------------- 0	0 ------------- 265,044	0 ------------- 0
60RAY CRUSE FORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 255,618	0 ------------- 0	0 ------------- 0	0 ------------- 255,618	0 ------------- 0
61ABEDELRAHIM ASFOUR MD DIRECTOR/CO-VICE CHAIR	(i) (ii)	0 ------------- 239,588	0 ------------- 0	0 ------------- 0	0 ------------- 1,977	0 ------------- 0	0 ------------- 241,565	0 ------------- 0
62MICHAEL REBOCK DO FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 140,702	0 ------------- 43,610	0 ------------- 1,383	0 ------------- 9,150	0 ------------- 915	0 ------------- 195,760	0 ------------- 43,610
63DANIEL WASSENHOVE DIRECTOR/TREASURER	(i) (ii)	0 ------------- 133,530	0 ------------- 26,304	0 ------------- 3,405	0 ------------- 9,224	0 ------------- 22,300	0 ------------- 194,763	0 ------------- 0
64LISA OUELLETTE FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 182,064	0 ------------- 0	0 ------------- 0	0 ------------- 182,064	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

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: GALLAGHER: 2022 NATIONAL HEALTHCARE LEADERSHIP COMPENSATION SURVEY MERCER: 2023 IHN HEALTHCARE COMPENSATION SURVEY MERCER: 2023 IHP HEALTH PLAN COMPENSATION SURVEY SULLIVANCOTTER, INC: 2023 HEALTH CARE MANAGEMENT AND EXECUTIVE COMPENSATION SURVEY IN ADDITION, TWO GENERAL INDUSTRY SURVEYS WERE REFERENCED FOR SELECT POSITIONS: MERCER: 2023 US EXECUTIVE REMUNERATION SUITE WILLIS TOWERS WATSON: 2023 EXECUTIVE COMPENSATION SURVEY IN ADDITION TO THE ABOVE DATA SOURCES, THE COMPENSATION COMMITTEE APPROVED THE CREATION OF A CUSTOM PEER GROUP OF HIGH PERFORMING INTEGRATED HEALTH SYSTEMS TO ENSURE ROBUST DATA AND A RELEVANT COMPARATOR MARKET. THE PEER GROUP ORGANIZATIONS ARE APPROVED BY THE COMPENSATION COMMITTEE AND CONSISTS OF HEALTHCARE SYSTEMS SIMILAR IN REVENUE SIZE, TALENT MARKET COMPETITORS, HIGH PERFORMERS, FINANCIALLY STABLE AS INDICATED BY BOND RATING AND THAT FOLLOW A SIMILAR STRATEGY (MULTI-SITE SYSTEMS, HEALTH PLANS). COMPARABLE 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. CASH COMPENSATION DATA RELIED UPON BY THE COMPENSATION COMMITTEE IS NATIONAL AND REFLECTS THE 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 REFLECT 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) AND COMPLYING WITH THE POTENTIAL COREWELL HEALTH EXCESS BENEFIT TRANSACTION POLICY FOR THOSE INDIVIDUALS IN THE GROUP WHO ARE DISQUALIFIED PERSONS. 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: ANGELA DITMAR $265,044 BENJAMIN SCHWARTZ MD $353,077 HOSSAIN MARANDI MD $388,396 LEE ANN ODOM $498,374 LISA OUELLETTE $182,064 MARTHA BOONSTRA $213,183 RAY CRUSE $255,618 THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: ANNE STEWART $50,379 ASHOK JAIN MD $29,644 BARBARA DUCATMAN MD $105,673 BENJAMIN SCHWARTZ MD $242,361 CHRISTINA FREESE DECKER $1,411,341 CHRISTOPHER FLORES $148,559 DANIEL FRATTARELLI $155,882 DARRYL ELMOUCHI MD $461,727 JODIE RAPPE MD $38,400 JONATHAN KAPER MD $29,644 KASSEM CHARARA MD $29,644 KRISTINE DONAHUE $96,001 LOREN B. HAMEL MD $524,640 LOWELL HAMEL MD $46,166 MARGARET LIGHTNER $44,537 MATTHEW COX $421,370 MICHAEL KHOURY MD $47,602 MICHAEL REBOCK DO $43,610 MUHAMMAD AZRAK MD $23,950 MYRON LEWIS $482,255 NANCY SUSICK $274,353 PAOLO MARCIANO MD $193,592 PRAVEEN THADANI $322,002 PART I, 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. 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.

Schedule J (Form 990) 2023

Additional Data

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
COREWELL HEALTH GROUP RETURN

Employer identification number
61-1740292

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MICHIGAN FINANCE AUTHORITY	80-0596186	59447THE3	02-04-2016	323,514,381	FACILITY ACQUISITION, CONSTRUCTION, AND RENOVATION		X		X		X
B	MICHIGAN FINANCE AUTHORITY	80-0596186	59447T3W1	05-12-2022	964,174,661	2022AB HOSPITAL REFUNDING BONDS		X		X		X
C	HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MI)	38-3151499	790678CC8	12-17-2003	41,525,000	REFUNDED BONDS ISSUED 1/13/1994 AND FACTILITY CONSTRUCTION AND IMPROVEMENTS		X		X		X
D	HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MI)	38-3151499	790678CD6	01-26-2006	50,000,000	FACILITY CONSTRUCTION AND IMPROVEMENTS		X		X		X
	HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MI)	38-3151499	NONEAVAIL	09-06-2012	8,500,000	NEW FACILITY CONSTRUCTION		X		X		X
	KENT HOSPITAL FINANCE AUTHORITY (2008A & 2008B)	38-2350002	490580CW5	04-15-2008	471,211,001	2001B, 2007A, & 2007B REFUNDING BOND		X		X		X
	KENT HOSPITAL FINANCE AUTHORITY (2011AB)	38-2350002	490580DQ7	06-22-2011	212,859,639	2005B & 2008B1 REVENUE REFUNDING BONDS		X		X		X
	KENT HOSPITAL FINANCE AUTHORITY (2012A)	38-2350002	NONEAVAIL	10-24-2018	56,490,000	2012A REV REFUNDING BONDS-REISSUED (2008A1&2008B2 REVENUE REFUNDING BONDS)		X		X		X
	KENT HOSPITAL FINANCE AUTHORITY (2014AB)	38-2350002	NONEAVAIL	01-15-2014	111,850,000	2008A2 ZCH 2010 GERBER 2002&2007 REVENUE REFUNDING BONDS		X		X	X
	KENT HOSPITAL FINANCE AUTHORITY (2015A)	38-2350002	490580EG8	01-13-2015	78,400,000	REVENUE REFUNDING BONDS		X		X		X
	KENT HOSPITAL FINANCE AUTHORITY (2017A)	38-2350002	NONEAVAIL	03-21-2019	56,490,000	REVENUE REFUNDING BONDS (2017A REISSUANCE)		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	2,470,000		84,140,000		41,643,043		52,613,405
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	323,514,381		964,174,661		41,643,043		52,613,405
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............			13,556,465
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	2,557,952		2,528,820		193,091		467,500
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............					31,392,506		1,012,738
10 Capital expenditures from proceeds .............	320,956,429				10,057,446		51,133,167
11 Other spent proceeds .............	111,605,000		964,174,661		161,500,000		56,490,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2019		2022		2004		2007
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X	X		X			X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2023

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X			X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X	X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X		X
b Exception to rebate? ........		X		X	X			X
c No rebate due? .........	X			X		X	X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X	X		X

Schedule K (Form 990) 2023

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X	X		X
b Name of provider ..........					UBS AG		UBS AG
c Term of hedge .........					2800.0000000000 %		2890.0000000000 %
d Was the hedge superintegrated? ......						X		X
e Was the hedge terminated? ........						X		X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X	X
b Name of provider ..........							CITIGROUP GLOBAL MA
c Term of GIC .........							270.0000000000 %
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........							X
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X			X		X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
SCHEDULE K PART VI - ENTITY 1 BOND A	THE PROCEEDS OF THE BOND WERE USED FOR THE FINANCING OR REFINANCING OF THE COSTS OF ACQUIRING, CONSTRUCTING, AND RENOVATING CERTAIN HOSPITAL AND HEALTH FACILITIES INCLUDING, AMONG OTHER PROJECTS: EMERGENCY CENTER EXPANSION AT BEAUMONT, ROYAL OAK, THE MATTER FACILITY EXPANSION AND RENOVATION PLAN AT BEAUMONT, FARMINGTON HILLS, AND THE RENOVATIONS OF THE 1ST FLOOR OPERATING ROOM AT BEAUMONT, TROY. ENTITY 1 BOND A: PART IV, LINE 2: DATE OF REBATE COMPUTATION: 1/26/2021
ENTITY 1, BOND C & D - PART II, LINE 3:	ENTITY 1, BOND C & D - THE DIFFERENCE BETWEEN THE LINE 3 AND SCHEDULE K, PART I, COLUMN (E) AMOUNTS REPRESENTS INVESTMENT EARNINGS.
ENTITY 2, BOND A:	THE $8.5 MILLION BOND ISSUE WAS A DIRECT PURCHASE BOND BY J.P. MORGAN CHASE. BOND PROCEEDS WERE DRAWN DURING CONSTRUCTION PERIOD TO BUILD A NEW FACILITY.
ENTITY 2 BOND B, C, & D PART IV, LINE 2C:	ENTITY 2, BOND B - DATE OF REBATE COMPUTATION WAS 7/15/2009 ENTITY 2, BOND C - DATE OF REBATE COMPUTATION WAS 8/13/2012 ENTITY 2, BOND D - DATE OF REBATE COMPUTATION WAS 8/13/2012
ENTITY 3, BOND A, B, & C. PART IV, LINE 2C:	ENTITY 3, BOND A - DATE OF REBATE COMPUTATION WAS 6/18/2014 ENTITY 3, BOND B - DATE OF REBATE COMPUTATION WAS 6/3/2015 ENTITY 3, BOND C - DATE OF REBATE COMPUTATION WAS 12/22/2017

Schedule K (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
COREWELL HEALTH GROUP RETURN

Employer identification number
61-1740292

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MICHIGAN FINANCE AUTHORITY	80-0596186	59447THE3	02-04-2016	323,514,381	FACILITY ACQUISITION, CONSTRUCTION, AND RENOVATION		X		X		X
B	MICHIGAN FINANCE AUTHORITY	80-0596186	59447T3W1	05-12-2022	964,174,661	2022AB HOSPITAL REFUNDING BONDS		X		X		X
C	HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MI)	38-3151499	790678CC8	12-17-2003	41,525,000	REFUNDED BONDS ISSUED 1/13/1994 AND FACTILITY CONSTRUCTION AND IMPROVEMENTS		X		X		X
D	HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MI)	38-3151499	790678CD6	01-26-2006	50,000,000	FACILITY CONSTRUCTION AND IMPROVEMENTS		X		X		X
	HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MI)	38-3151499	NONEAVAIL	09-06-2012	8,500,000	NEW FACILITY CONSTRUCTION		X		X		X
	KENT HOSPITAL FINANCE AUTHORITY (2008A & 2008B)	38-2350002	490580CW5	04-15-2008	471,211,001	2001B, 2007A, & 2007B REFUNDING BOND		X		X		X
	KENT HOSPITAL FINANCE AUTHORITY (2011AB)	38-2350002	490580DQ7	06-22-2011	212,859,639	2005B & 2008B1 REVENUE REFUNDING BONDS		X		X		X
	KENT HOSPITAL FINANCE AUTHORITY (2012A)	38-2350002	NONEAVAIL	10-24-2018	56,490,000	2012A REV REFUNDING BONDS-REISSUED (2008A1&2008B2 REVENUE REFUNDING BONDS)		X		X		X
	KENT HOSPITAL FINANCE AUTHORITY (2014AB)	38-2350002	NONEAVAIL	01-15-2014	111,850,000	2008A2 ZCH 2010 GERBER 2002&2007 REVENUE REFUNDING BONDS		X		X	X
	KENT HOSPITAL FINANCE AUTHORITY (2015A)	38-2350002	490580EG8	01-13-2015	78,400,000	REVENUE REFUNDING BONDS		X		X		X
	KENT HOSPITAL FINANCE AUTHORITY (2017A)	38-2350002	NONEAVAIL	03-21-2019	56,490,000	REVENUE REFUNDING BONDS (2017A REISSUANCE)		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	2,470,000		84,140,000		41,643,043		52,613,405
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	323,514,381		964,174,661		41,643,043		52,613,405
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............			13,556,465
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	2,557,952		2,528,820		193,091		467,500
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............					31,392,506		1,012,738
10 Capital expenditures from proceeds .............	320,956,429				10,057,446		51,133,167
11 Other spent proceeds .............	111,605,000		964,174,661		161,500,000		56,490,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2019		2022		2004		2007
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X	X		X			X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2023

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X			X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X	X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X		X
b Exception to rebate? ........		X		X	X			X
c No rebate due? .........	X			X		X	X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X	X		X

Schedule K (Form 990) 2023

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X	X		X
b Name of provider ..........					UBS AG		UBS AG
c Term of hedge .........					2800.0000000000 %		2890.0000000000 %
d Was the hedge superintegrated? ......						X		X
e Was the hedge terminated? ........						X		X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X	X
b Name of provider ..........							CITIGROUP GLOBAL MA
c Term of GIC .........							270.0000000000 %
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........							X
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X			X		X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
SCHEDULE K PART VI - ENTITY 1 BOND A	THE PROCEEDS OF THE BOND WERE USED FOR THE FINANCING OR REFINANCING OF THE COSTS OF ACQUIRING, CONSTRUCTING, AND RENOVATING CERTAIN HOSPITAL AND HEALTH FACILITIES INCLUDING, AMONG OTHER PROJECTS: EMERGENCY CENTER EXPANSION AT BEAUMONT, ROYAL OAK, THE MATTER FACILITY EXPANSION AND RENOVATION PLAN AT BEAUMONT, FARMINGTON HILLS, AND THE RENOVATIONS OF THE 1ST FLOOR OPERATING ROOM AT BEAUMONT, TROY. ENTITY 1 BOND A: PART IV, LINE 2: DATE OF REBATE COMPUTATION: 1/26/2021
ENTITY 1, BOND C & D - PART II, LINE 3:	ENTITY 1, BOND C & D - THE DIFFERENCE BETWEEN THE LINE 3 AND SCHEDULE K, PART I, COLUMN (E) AMOUNTS REPRESENTS INVESTMENT EARNINGS.
ENTITY 2, BOND A:	THE $8.5 MILLION BOND ISSUE WAS A DIRECT PURCHASE BOND BY J.P. MORGAN CHASE. BOND PROCEEDS WERE DRAWN DURING CONSTRUCTION PERIOD TO BUILD A NEW FACILITY.
ENTITY 2 BOND B, C, & D PART IV, LINE 2C:	ENTITY 2, BOND B - DATE OF REBATE COMPUTATION WAS 7/15/2009 ENTITY 2, BOND C - DATE OF REBATE COMPUTATION WAS 8/13/2012 ENTITY 2, BOND D - DATE OF REBATE COMPUTATION WAS 8/13/2012
ENTITY 3, BOND A, B, & C. PART IV, LINE 2C:	ENTITY 3, BOND A - DATE OF REBATE COMPUTATION WAS 6/18/2014 ENTITY 3, BOND B - DATE OF REBATE COMPUTATION WAS 6/3/2015 ENTITY 3, BOND C - DATE OF REBATE COMPUTATION WAS 12/22/2017

Schedule K (Form 990) 2023

Additional Data

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
COREWELL HEALTH GROUP RETURN

Employer identification number
61-1740292

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MICHIGAN FINANCE AUTHORITY	80-0596186	59447THE3	02-04-2016	323,514,381	FACILITY ACQUISITION, CONSTRUCTION, AND RENOVATION		X		X		X
B	MICHIGAN FINANCE AUTHORITY	80-0596186	59447T3W1	05-12-2022	964,174,661	2022AB HOSPITAL REFUNDING BONDS		X		X		X
C	HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MI)	38-3151499	790678CC8	12-17-2003	41,525,000	REFUNDED BONDS ISSUED 1/13/1994 AND FACTILITY CONSTRUCTION AND IMPROVEMENTS		X		X		X
D	HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MI)	38-3151499	790678CD6	01-26-2006	50,000,000	FACILITY CONSTRUCTION AND IMPROVEMENTS		X		X		X
	HOSPITAL AUTHORITY OF THE CITY OF ST JOSEPH (MI)	38-3151499	NONEAVAIL	09-06-2012	8,500,000	NEW FACILITY CONSTRUCTION		X		X		X
	KENT HOSPITAL FINANCE AUTHORITY (2008A & 2008B)	38-2350002	490580CW5	04-15-2008	471,211,001	2001B, 2007A, & 2007B REFUNDING BOND		X		X		X
	KENT HOSPITAL FINANCE AUTHORITY (2011AB)	38-2350002	490580DQ7	06-22-2011	212,859,639	2005B & 2008B1 REVENUE REFUNDING BONDS		X		X		X
	KENT HOSPITAL FINANCE AUTHORITY (2012A)	38-2350002	NONEAVAIL	10-24-2018	56,490,000	2012A REV REFUNDING BONDS-REISSUED (2008A1&2008B2 REVENUE REFUNDING BONDS)		X		X		X
	KENT HOSPITAL FINANCE AUTHORITY (2014AB)	38-2350002	NONEAVAIL	01-15-2014	111,850,000	2008A2 ZCH 2010 GERBER 2002&2007 REVENUE REFUNDING BONDS		X		X	X
	KENT HOSPITAL FINANCE AUTHORITY (2015A)	38-2350002	490580EG8	01-13-2015	78,400,000	REVENUE REFUNDING BONDS		X		X		X
	KENT HOSPITAL FINANCE AUTHORITY (2017A)	38-2350002	NONEAVAIL	03-21-2019	56,490,000	REVENUE REFUNDING BONDS (2017A REISSUANCE)		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	2,470,000		84,140,000		41,643,043		52,613,405
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	323,514,381		964,174,661		41,643,043		52,613,405
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............			13,556,465
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	2,557,952		2,528,820		193,091		467,500
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............					31,392,506		1,012,738
10 Capital expenditures from proceeds .............	320,956,429				10,057,446		51,133,167
11 Other spent proceeds .............	111,605,000		964,174,661		161,500,000		56,490,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2019		2022		2004		2007
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X	X		X			X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2023

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X			X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X	X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X		X
b Exception to rebate? ........		X		X	X			X
c No rebate due? .........	X			X		X	X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X	X		X

Schedule K (Form 990) 2023

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X	X		X
b Name of provider ..........					UBS AG		UBS AG
c Term of hedge .........					2800.0000000000 %		2890.0000000000 %
d Was the hedge superintegrated? ......						X		X
e Was the hedge terminated? ........						X		X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X	X
b Name of provider ..........							CITIGROUP GLOBAL MA
c Term of GIC .........							270.0000000000 %
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........							X
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X			X		X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
SCHEDULE K PART VI - ENTITY 1 BOND A	THE PROCEEDS OF THE BOND WERE USED FOR THE FINANCING OR REFINANCING OF THE COSTS OF ACQUIRING, CONSTRUCTING, AND RENOVATING CERTAIN HOSPITAL AND HEALTH FACILITIES INCLUDING, AMONG OTHER PROJECTS: EMERGENCY CENTER EXPANSION AT BEAUMONT, ROYAL OAK, THE MATTER FACILITY EXPANSION AND RENOVATION PLAN AT BEAUMONT, FARMINGTON HILLS, AND THE RENOVATIONS OF THE 1ST FLOOR OPERATING ROOM AT BEAUMONT, TROY. ENTITY 1 BOND A: PART IV, LINE 2: DATE OF REBATE COMPUTATION: 1/26/2021
ENTITY 1, BOND C & D - PART II, LINE 3:	ENTITY 1, BOND C & D - THE DIFFERENCE BETWEEN THE LINE 3 AND SCHEDULE K, PART I, COLUMN (E) AMOUNTS REPRESENTS INVESTMENT EARNINGS.
ENTITY 2, BOND A:	THE $8.5 MILLION BOND ISSUE WAS A DIRECT PURCHASE BOND BY J.P. MORGAN CHASE. BOND PROCEEDS WERE DRAWN DURING CONSTRUCTION PERIOD TO BUILD A NEW FACILITY.
ENTITY 2 BOND B, C, & D PART IV, LINE 2C:	ENTITY 2, BOND B - DATE OF REBATE COMPUTATION WAS 7/15/2009 ENTITY 2, BOND C - DATE OF REBATE COMPUTATION WAS 8/13/2012 ENTITY 2, BOND D - DATE OF REBATE COMPUTATION WAS 8/13/2012
ENTITY 3, BOND A, B, & C. PART IV, LINE 2C:	ENTITY 3, BOND A - DATE OF REBATE COMPUTATION WAS 6/18/2014 ENTITY 3, BOND B - DATE OF REBATE COMPUTATION WAS 6/3/2015 ENTITY 3, BOND C - DATE OF REBATE COMPUTATION WAS 12/22/2017

Schedule K (Form 990) 2023

Additional Data

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Software Version:

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

COREWELL HEALTH GROUP RETURN

Employer identification number

61-1740292

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No




Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) 2023

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) ELLIS PARKING COMPANY	ENTITY OWNED > 35% BY DIRECTOR MICHAEL ELLIS	2,470,365	SERVICES		No
(2) HELEN NOW LLC	ENTITY OWNED > 35% BY DIRECTOR JEFFREY BENNETT	613,803	SERVICES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) 2023

Additional Data

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SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

COREWELL HEALTH GROUP RETURN

Employer identification number

61-1740292

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..	X		13,974	Market Value
5 Clothing and household goods .......	X		5,087	Market Value
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	10	207,059	Market Value
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...	X	19	36,263	Market Value
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( MISCELLANEOUS )	X	260	241,352	Market Value
26 Other ( TOYS )	X	78	39,791	Market Value
27 Other ( CERTIFICATES/EVENTS )	X	13	10,175	Market Value
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2023)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE M, PART I	EXPLANATIONS OF REPORTING METHOD FOR NUMBER OF CONTRIBUTIONS. FOOD INVENTORY - NUMBER OF CONTRIBUTIONS OTHER - MISCELLANEOUS - NUMBER OF CONTRIBUTIONS OTHER - CERTIFICATES/EVENTS - NUMBER OF CONTRIBUTIONS OTHER - TOYS - NUMBER OF CONTRIBUTIONS SECURITIES - PUBLICLY TRADED - NUMBER OF CONTRIBUTIONS

Schedule M (Form 990) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

COREWELL HEALTH GROUP RETURN

Employer identification number

61-1740292

Return Reference	Explanation
Form 990, Part VI, Section A, line 2	FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS: DANIEL WASSENHOVE 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. DEBRA JOHNSON HEATHER LALLO MELINDA GRUBER HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF FOUR FLAGS PROPERTIES, INC., LAKELAND HEALTH ENTERPRISES, INC, LAKELAND HEALTH VENTURES, INC., LAKELAND PERSONAL CARE SERVICES, INC., AND THE PHARMACY SHOPPE, INC. WHICH ARE RELATED TAXABLE ENTITIES. HEATHER LALLO LOREN B. HAMEL MD LOWELL HAMEL MD HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF LAKELAND CARE, INC. A RELATED TAXABLE ENTITY. LOREN B. HAMEL MD LOWELL HAMEL MD HAVE A FAMILY RELATIONSHIP. ASHOK JAIN MD CHRISTOPHER FLORES PAOLO MARCIANO MD HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF OAKWOOD ACCOUNTABLE CARE ORGANIZATION, LLC A RELATED TAXABLE ENTITY. CHRISTINA FREESE DECKER MATTHEW COX 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 CARA JANSMA HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF WMHTC A RELATED TAXABLE ENTITY.
Form 990, Part VI, Section A, line 4	FOR QUESTION PART VI, SECTION A, LINE 4, LEGAL ENTITY NAMES ARE BEING USED: MEMORIAL MEDICAL CENTER OF WEST MICHIGAN, MECOSTA COUNTY MEDICAL CENTER, NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION, REED CITY HOSPITAL CORPORATION, SPECTRUM HEALTH CONTINUING CARE, SPECTRUM HEALTH HOSPITALS, PENNOCK HEALTH SERVICES, SPECTRUM HEALTH UNITED, ZEELAND COMMUNITY HOSPITAL, SPECTRUM HEALTH PRIMARY CARE PARTNERS. THE BYLAWS WERE AMENDED AND RESTATED FOR THE COREWELL HEALTH ENTITY NAME CHANGES, AS STATED ABOVE, AND TO BRING THEIR FORM INTO ALIGNMENT WITH OTHER ORGANIZATIONAL FORMS. MATERIAL CHANGES INCLUDE A) MODIFYING THE BOARD OF DIRECTORS TERM OF OFFICE, B) MODIFYING THE CHAIR OF THE BOARD OF DIRECTORS TERM OF OFFICE, C) MODIFYING COMMITTEE MEMBERS WHO ARE ALSO BOARD MEMBERS TERMS OF OFFICE, D) MODIFYING APPROVAL AND AUTHORITY MEASURES FOR CAPITAL EXPENDITURES, LOANS TO NON COREWELL HEALTH ENTITIES, DEBT, CAPITAL INVESTMENTS, AND SWAPS AND OTHER FINANCIAL ARRANGEMENTS DEPENDING ON EXPENDITURE AMOUNTS. LAKELAND REGIONAL HEALTH SYSTEM THE BYLAWS WERE AMENDED AND RESTATED FOR THE COREWELL HEALTH ENTITY NAME CHANGES, AS STATED ABOVE, AND TO BRING THEIR FORM INTO ALIGNMENT WITH OTHER ORGANIZATIONAL FORMS. MATERIAL CHANGES INCLUDE A) MODIFYING THE BOARD OF DIRECTORS COMPOSITION AND TERM OF OFFICE, B) MODIFYING THE CHAIR OF THE BOARD OF DIRECTORS TERM OF OFFICE, C) MODIFYING APPROVAL AND AUTHORITY MEASURES FOR CAPITAL EXPENDITURES, LOANS TO NON COREWELL HEALTH ENTITIES, DEBT, CAPITAL INVESTMENTS, AND SWAPS AND OTHER FINANCIAL ARRANGEMENTS DEPENDING ON EXPENDITURE AMOUNTS. BEAUMONT HEALTH THE BYLAWS WERE AMENDED AND RESTATED FOR THE COREWELL HEALTH ENTITY NAME CHANGES, AS STATED ABOVE, AND TO BRING THEIR FORM INTO ALIGNMENT WITH OTHER ORGANIZATIONAL FORMS. MATERIAL CHANGES INCLUDE A) MODIFYING THE BOARD OF DIRECTORS COMPOSITION AND TERM OF OFFICE, B) MODIFYING THE CHAIR OF THE BOARD OF DIRECTORS TERM OF OFFICE, C) ADDING OF THE JOINT CONFERENCE COMMITTEE TO OVERSEE MEDICAL STAFF MEMBERSHIP AND PRIVILEGES AT THE HOSPITALS, D) MODIFYING APPROVAL AND AUTHORITY MEASURES FOR CAPITAL EXPENDITURES, LOANS TO NON COREWELL HEALTH ENTITIES, DEBT, CAPITAL INVESTMENTS, AND SWAPS AND OTHER FINANCIAL ARRANGEMENTS DEPENDING ON EXPENDITURE AMOUNTS.
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 REVIEW PROCESS FOR THIS FORM 990 IS AS FOLLOWS: PREPARATION OF THE RETURN IS SUPERVISED AND REVIEWED BY THE ORGANIZATION'S CORPORATE TAX MANAGER AND VP TAX. A SECOND REVIEW IS PERFORMED BY AN EXTERNAL CPA FIRM WITH EXPERTISE IN TAX-EXEMPT RETURN PREPARATION. THE RETURN IS REVIEWED BY THE ORGANIZATION'S FINANCE AND LEGAL DEPARTMENTS (INCLUDING THE CHIEF FINANCIAL OFFICER, CHIEF LEGAL OFFICER AND CORPORATE CONTROLLER) AND SHARED WITH THE MEMBERS OF THE FINANCE AND AUDIT COMMITTEE AND BOARD OF DIRECTORS. THE ORGANIZATION'S CHIEF FINANCIAL OFFICER REVIEWS COMMENTS OR QUESTIONS RECEIVED FROM MEMBERS OF THE BOARD OF DIRECTORS, IF ANY, TO ADDRESS OR TO INCORPORATE, AS APPROPRIATE, INTO THE RETURN PRIOR TO FILING.
Form 990, Part VI, Section B, line 12c	CONFLICT OF INTEREST POLICY BOARD OF DIRECTORS 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) COMPLETE 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	REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC 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 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 KAREN PAKKALA: BOTSFORD CONTINUING CARE CORPORATION: DIRECTOR/PRESIDENT/SECRETARY OAKWOOD HEALTH PROMOTIONS, INC.: DIRECTOR/PRESIDENT/SECRETARY SPECTRUM HEALTH - LEFFINGWELL AVENUE: TREASURER/SECRETARY SPECTRUM HEALTH CONTINUING CARE: FORMER OFFICER SPECTRUM HEALTH CONTINUING CARE CENTER, INC.: TREASURER/SECRETARY SPECTRUM HEALTH WORTH SERVICES: TREASURER/SECRETARY VISITING NURSE SERVICES OF WESTERN MICHIGAN: TREASURER/SECRETARY LOWELL HAMEL MD: HOSPICE AT HOME, INC.: DIRECTOR LAKELAND COMMUNITY HOSPITAL, WATERVLIET: EX-OFFICIO LAKELAND HOSPITALS AT NILES AND ST. JOSEPH, INC.: FORMER OFFICER LAKELAND REGIONAL HEALTH SYSTEM: FORMER OFFICER MELINDA GRUBER: HOSPICE AT HOME, INC.: DIRECTOR/PRESIDENT LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ST. JOSEPH: DIRECTOR LAKELAND HOSPITALS AT NILES AND ST. JOSEPH, INC.: FORMER OFFICER LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER: DIRECTOR/CHAIR MERCY MEMORIAL HEALTH SERVICES, INCORPORATED: DIRECTOR/CHAIR 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 830,842,570. Management and general expenses 159,459,003. Fundraising expenses 0. Total expenses 990,301,573. CLINICAL PURCHASED SERVICES: Program service expenses 206,023,050. Management and general expenses 21,715,230. Fundraising expenses 0. Total expenses 227,738,280. NONCLINICAL PURCHASED SERVICES: Program service expenses 164,932,520. Management and general expenses 18,939,671. Fundraising expenses 50,355. Total expenses 183,922,546. OTHER FEES FOR SERVICES: Program service expenses 93,477,764. Management and general expenses 19,938,553. Fundraising expenses 123,530. Total expenses 113,539,847.
Form 990, Part XI, line 9:	RETAINED EARNINGS TRANSFERS -855,456,229. PENSION RELATED CHANGES TO OTHER THAN NET PERIODIC PENSION COSTS -70,921,644. PLEDGE WRITE OFFS 114,528. OTHER NET ASSET ACTIVITY 453,680. TRANSFERS TO AFFILIATES FROM FOUNDATION 5,855,856. ADD ASSETS OF GROUP ADDITIONS 9,062,209. NET INVESTMENT ACTIVITY FROM RESTRICTED NET ASSETS 16,353,074. CHANGE IN INTEREST IN FUNKE TRUST -34,107.
Form 990, Part XII, Line 2c:	NO CHANGE IN OVERSIGHT FROM PRIOR YEAR
SCHEDULE B SPECIAL RULES	THE FOLLOWING SUBORDINATES IN THE GROUP RETURN ARE COVERED UNDER SCHEDULE B SPECIAL RULE REPORTING AS MEET THE 33 1/3% SUPPORT TEST OF THE REGULATIONS UNDER SECTIONS 509(A)(1) AND 170(B)(1)(A)(VI) PER SCHEDULE A. COREWELL HEALTH FOUNDATION WEST MICHIGAN HOSPICE AT HOME INC LAKELAND HEALTH FOUNDATION BENTON HARBOR/ST JOSEPH OAKWOOD HEALTHCARE INC SPECTRUM HEALTH HOSPITALS WILLIAM BEAUMONT HOSPITAL

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

COREWELL HEALTH GROUP RETURN

Employer identification number

61-1740292

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) DEARBORN REAL ESTATE DEVELOPMENT LLC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 20-2328998	PROPERTY MANAGEMENT/RENTAL	MI	3,637,902	11,090,901	OAKWOOD HEALTHCARE INC
(2) LENOX SURGERY CENTER LLC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 32-0609267	AMBULATORY SURGERY CENTER	MI	0	3,842,173	OAKWOOD HEALTHCARE INC
(3) LIVONIA SURGERY CENTER LLC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 35-2671617	AMBULATORY SURGERY CENTER	MI	0	9,277,076	OAKWOOD HEALTHCARE INC
(4) OAKWOOD AMBULATORY LLC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-3593303	AMBULATORY MEDICAL SERVICES	MI	0	0	OAKWOOD HEALTHCARE INC
(5) OAKWOOD HEALTHCARE GROUP III LLC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-3513234	AMBULATORY MEDICAL SERVICES	MI	0	0	OAKWOOD HEALTHCARE INC
(6) OAKWOOD INFUSION SERVICES LLC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 31-1552387	AMBULATORY MEDICAL SERVICES	MI	0	0	OAKWOOD HEALTHCARE INC
(7) OAKWOOD MEDICAL PRACTICES PLLC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 32-0072212	AMBULATORY MEDICAL SERVICES	MI	0	0	OAKWOOD HEALTHCARE INC
(8) OAKWOOD PROFESSIONAL BILLING LLC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-3532227	AMBULATORY MEDICAL SERVICES	MI	0	0	OAKWOOD HEALTHCARE INC
(9) OAKWOOD TEEN CENTERS LLC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-3513233	AMBULATORY MEDICAL SERVICES	MI	0	0	OAKWOOD HEALTHCARE INC
(10) ROYAL OAK SURGERY CENTER LLC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 61-1944011	AMBULATORY SURGERY CENTER	MI	0	0	OAKWOOD HEALTHCARE INC
(11) SOUTHSHORE REAL ESTATE DEVELOPMENT LLC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 20-2329055	PROPERTY MANAGEMENT/RENTAL	MI	0	6,163,956	OAKWOOD HEALTHCARE INC

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)BEAUMONT MEDICAL TRANSPORTATION SERVICES INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 26-0203703	MEDICAL TRANSPORTATIONAL SERVICES	MI	501(c)(3)	Line 10	BH GRAND RIVER SOUTHFIELD INC		No
(2)BH GRAND RIVER SOUTHFIELD INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2410823	EMERGENCY MEDICAL SERVICES	MI	501(c)(3)	Line 10	BOTSFORD GENERAL HOSPITAL	Yes
(3)COREWELL HEALTH 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-3382353	SUPPORTING ORGANIZATION	MI	501(c)(3)	Line 12c, III-FI	N/A		No
(4)KENT COMMUNITY HEALTH FOUNDATION 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-3607110	PHILANTHROPY	MI	501(c)(3)	Line 12c, III-FI	SPECTRUM HEALTH HOSPITALS	Yes
(5)LAKESHORE AREA RADIATION ONCOLOGY CENTER 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-3067954	RADIATION SERVICES	MI	501(c)(3)	Line 3	SPECTRUM HEALTH HOSPITALS	Yes
(6)MICHIGAN MOBILE PET IMAGING 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 33-1086165	MOBILE PET SCANNING	MI	501(c)(3)	Line 12a, I	OAKWOOD HEALTHCARE INC	Yes
(7)OAKWOOD HOME CARE SERVICES 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2877338	HOME HEALTH SERVICES	MI	501(c)(3)	Line 10	OAKWOOD HEALTHCARE INC	Yes
(8)PRIORITY HEALTH 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2715520	HMO MANAGEMENT	MI	501(c)(4)		COREWELL HEALTH		No
(9)PRIORITY HEALTH CHOICE INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 32-0016523	HMO MANAGEMENT	MI	501(c)(3)	Line 10	PRIORITY HEALTH		No
(10)SPECTRUM HEALTH - MSU ALLIANCE CORPORATION 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 76-0845329	RESEARCH	MI	501(c)(3)	Line 12a, I	SPECTRUM HEALTH HOSPITALS	Yes
(11)TOTAL HEALTH CARE USA INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-3240485	HMO MANAGEMENT	MI	501(c)(4)		TOTAL HEALTH CARE INC		No
(12)TOTAL HEALTH CARE INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2018957	HMO MANAGEMENT	MI	501(c)(4)		PRIORITY HEALTH		No
(13)TRINITY HEALTH PLANS 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2663747	HOLDING COMPANY	MI	501(c)(4)		PRIORITY HEALTH		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2023

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) CHCC TAYLOR LLC 2355 E CAMELBACK RD STE 700 PHOENIX,AZ85016 92-3588577	MANAGEMENT	MI	N/A	N/A				No			No
(2) CHCC TROY LLC 2355 E CAMELBACK RD STE 700 PHOENIX,AZ85016 92-3960104	MANAGEMENT	MI	N/A	N/A				No			No
(3) CHEC 1 LLC 2355 E CAMELBACK RD STE 700 PHOENIX,AZ85016 99-0525515	MANAGEMENT	MI	N/A	N/A				No			No
(4) DEARBORN SCHAEFFER OFFICE CO LLC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 26-2448025	REAL ESTATE	MI	OAKWOOD HEALTHCARE INC	RELATED	2,059,527	26,309,339		No	2,059,527		No	99.000 %
(5) OAKMED LLC 1938 WOODSLEE DRIVE TROY,MI48084 46-1459737	PRIVATE DUTY NURSING	MI	OAKWOOD HEALTHCARE INC	RELATED	346,137	807,344		No			No	60.000 %
(6) SPECTRUM ATLAS JV LLC 2355 E CAMELBACK RD STE 700 PHOENIX,AZ85016 87-4265336	MANAGEMENT	MI	N/A	N/A				No			No
(7) WEST MICHIGAN ACCOUNTABLE CARE ORGANIZATION LLC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 83-3153113	ACCOUNTABLE CARE ORGANIZATION	MI	N/A	N/A				No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) 1697 MICHIGAN STREET PROPERTY 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 83-1721239	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C		4,357,344	100.000 %	Yes
(2) 25 MICHIGAN STREET CONDOMINIUM ASSOCIATION 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 16-1734157	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	711,755	705,994	82.540 %	Yes
(3) 35 MICHIGAN STREET CONDOMINIUM ASSOCIATION 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 27-2193084	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	1,108,512	128,678	100.000 %	Yes
(4) BEAUMONT NURSING HOME SERVICES INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2799842	ASSISTED CARE LIVING	MI	WILLIAM BEAUMONT HOSPITAL	C	892		100.000 %	Yes
(5) BH SOUTHFIELD BILLING INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2755982	MANAGEMENT AND DISPATCH SERVICES	MI	BH GRAND RIVER SOUTHFIELD INC	C					No
(6) BLUE STAR PROFESSIONAL BUILDING CONDOMINIUM ASSOCIATION 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 20-8313519	PROPERTY MANAGEMENT	MI	HOSPICE AT HOME INC	C	5,996	3,961	61.340 %	Yes
(7) BOTSFORD COMMONS PROPERTY ASSOCIATION 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-3203663	PROPERTY MANAGEMENT	MI	BOTSFORD CONTINUING CARE CORPORATION	C	554,256	810,084	100.000 %	Yes
(8) COREWELL HEALTH INDEMNITY COMPANY LTD 23 LIME TREE BAY AVENUE GRAND CAYMAN CJ 98-0512415	PREMIUM DEPOSITS	CJ	COREWELL HEALTH	C					No
(9) COREWELL HEALTH PHYSICIANS INSURANCE COMPANY 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 27-4261262	PROFESSIONAL INSURANCE	MI	COREWELL HEALTH	C					No
(10) FOUR FLAGS PROPERTIES INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 36-4501639	PROPERTY MANAGEMENT	MI	LAKELAND HEALTH VENTURES INC	C					No
(11) GRAND RIVER ABSOLUTE RETURN FUND LTD PO BOX 852 GRAND CAYMAN KY1-1103 CJ	POOLED INVESTMENT FUND	CJ	COREWELL HEALTH						No
(12) HELEN DE VOS WOMEN AND CHILDREN'S HEALTH PAVILION ASSOCIATION 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-3264184	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	407,178	640,800	87.470 %	Yes
(13) LAKELAND HEALTH ENTERPRISES INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2669798	ACCOUNTING AND BILLING	MI	LAKELAND REGIONAL HEALTH SYSTEM INC	C	82,101,420	73,274,534	100.000 %	Yes
(14) LAKELAND HEALTH VENTURES INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 27-2313790	HOLDING COMPANY	MI	LAKELAND HEALTH ENTERPRISES INC	C					No
(15) LAKELAND MEDICAL PRACTICES 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 27-0381199	MEDICAL ADMINISTRATIVE SERVICES	MI	LAKELAND HEALTH ENTERPRISES INC	C					No
(16) LAKELAND PERSONAL CARE SERVICES INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 27-2990797	HEALTHCARE SERVICES	MI	LAKELAND HEALTH VENTURES INC	C					No
(17) LAKELAND PHYSICIAN CARE NETWORK 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 20-8513031	HEALTHCARE SERVICES	MI	LAKELAND HEALTH ENTERPRISES INC	C					No
(18) LEMMEN-HOLTON CANCER PAVILION CONDOMINIUM ASSOCIATION 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 16-1734150	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	2,449,661	1,006,850	82.980 %	Yes
(19) MICHIGAN STREET PARKING CONDOMINIUM ASSOCIATION 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 16-1734145	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	371,486	1,150,046	69.140 %	Yes
(20) MICHIGAN STREET PROJECT CONDOMINIUM ASSOCIATION 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 36-4873152	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	146,006	95,055	80.000 %	Yes
(21) MIDWEST MEDICAL CENTER 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 26-3683446	PHYSICIANS OFFICE	MI	OAKWOOD AFFILIATED VENTURES INC	C					No
(22) MUSCULO-SKELETAL CENTER CONDOMINIUM ASSOCIATION 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-3180086	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	199,535	295,067	89.540 %	Yes
(23) OAKWOOD AFFILIATED VENTURES INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 37-1753159	HOLDING COMPANY	MI	OAKWOOD HEALTHCARE INC	C	10,196,591	96,513,924	100.000 %	Yes
(24) OAKWOOD ENTERPRISES INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2601930	PROPERTY MANAGEMENT	MI	OAKWOOD AFFILIATED VENTURES INC	C					No
(25) PENNOCK PROFESSIONAL BUILDING CONDOMINIUM ASSOCIATION 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-4056359	PROPERTY MANAGEMENT	MI	PENNOCK HOSPITAL	C	134,489	77,326	89.290 %	Yes
(26) PENNOCK VENTURES INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2712819	PROPERTY MANAGEMENT	MI	PENNOCK HOSPITAL	C	911,539	960,131	100.000 %	Yes
(27) PRIORITY HEALTH INSURANCE COMPANY 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 20-1529553	INSURANCE	MI	PRIORITY HEALTH	C					No
(28) PRIORITY HEALTH MANAGED BENEFITS INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-3085182	THIRD PARTY ADMINISTRATOR	MI	COREWELL HEALTH	C					No
(29) SOUTHWESTERN MEDICAL CLINIC PHYSICIANS INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 27-2589359	PHYSICIANS OFFICE	MI	LAKELAND HEALTH ENTERPRISES INC	C					No
(30) SPECTRUM HEALTH PHYSICIAN ALLIANCE 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 37-1655728	PHYSICIANS OFFICE	MI	COREWELL HEALTH	C					No
(31) THE PHARMACY SHOPPE INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2929090	PHARMACEUTICALS	MI	LAKELAND HEALTH VENTURES INC	C					No
(32) WMHTC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2125186	PHYSICIANS	MI	COREWELL HEALTH	C	216,382	6,487,796	100.000 %		No

Schedule R (Form 990) 2023

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

Yes

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

Yes

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) COREWELL HEALTH	B	3,635,335,320	GAAP
(2) BEAUMONT HEALTH	B	2,847,938,122	GAAP
(3) OAKWOOD HEALTHCARE INC	B	4,345,096	GAAP
(4) OAKMED LLC	B	993,822	GAAP
(5) SPECTRUM HEALTH HOSPITALS	B	773,388	GAAP
(6) SPECTRUM HEALTH CONTINUING CARE	B	511,215	GAAP
(7) LEMMEN-HOLTON CANCER PAVILION CONDOMINIUM ASSOCIATION	B	199,710	GAAP
(8) BOTSFORD CONTINUING CARE CORPORATION	B	175,641	GAAP
(9) VISITING NURSE SERVICES OF WESTERN MICHIGAN	B	158,010	GAAP
(10) 25 MICHIGAN STREET CONDOMINIUM ASSOCIATION	B	125,674	GAAP
(11) SPECTRUM HEALTH CONTINUING CARE CENTER INC	B	121,950	GAAP
(12) 35 MICHIGAN STREET CONDOMINIUM ASSOCIATION	B	88,761	GAAP
(13) WILLIAM BEAUMONT HOSPITAL	C	1,857,474,795	GAAP
(14) OAKWOOD HEALTHCARE INC	C	709,963,063	GAAP
(15) BOTSFORD GENERAL HOSPITAL	C	184,420,839	GAAP
(16) COREWELL HEALTH	C	175,538,073	GAAP
(17) BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES	C	64,790,165	GAAP
(18) BEAUMONT MEDICAL GROUP-HOSPITAL-BASED SERVICES	C	31,289,260	GAAP
(19) DEARBORN SCHAEFFER OFFICE CO LLC	C	16,203,094	GAAP
(20) KENT COMMUNITY HEALTH FOUNDATION	C	8,942,614	GAAP
(21) OAKWOOD HEALTH PROMOTIONS INC	C	4,345,096	GAAP
(22) COREWELL HEALTH FOUNDATION WEST MICHIGAN	C	773,388	GAAP
(23) PENNOCK VENTURES INC	C	306,556	GAAP
(24) VISITING NURSE SERVICES OF WESTERN MICHIGAN	C	282,542	GAAP
(25) SPECTRUM HEALTH CONTINUING CARE	C	279,960	GAAP
(26) SPECTRUM HEALTH CONTINUING CARE CENTER	C	228,673	GAAP
(27) BOTSFORD GENERAL HOSPITAL	C	175,641	GAAP
(28) LAKESHORE AREA RADIATION ONCOLOGY CENTER	F	721,000	GAAP
(29) COREWELL HEALTH	J	333,713	GAAP
(30) SPECTRUM HEALTH CONTINUING CARE	J	214,379	GAAP
(31) DEARBORN SCHAEFFER OFFICE CO LLC	K	6,916,087	GAAP
(32) MICHIGAN MOBILE PET IMAGING	K	2,446,720	GAAP
(33) LEMMEN-HOLTON CANCER PAVILION CONDOMINIUM ASSOCIATION	K	2,430,156	GAAP
(34) 35 MICHIGAN STREET CONDOMINIUM ASSOCIATION	K	1,108,512	GAAP
(35) 25 MICHIGAN STREET CONDOMINIUM ASSOCIATION	K	710,909	GAAP
(36) HELEN DE VOS WOMEN AND CHILDREN'S HEALTH PAVILION ASSOCIATION	K	437,674	GAAP
(37) PENNOCK VENTURES INC	K	394,111	GAAP
(38) MICHIGAN STREET PARKING CONDOMINIUM ASSOCIATION	K	351,678	GAAP
(39) VISITING NURSE SERVICES OF WESTERN MICHIGAN	K	214,379	GAAP
(40) MUSCULO-SKELETAL CENTER CONDOMINIUM ASSOCIATION	K	177,480	GAAP
(41) LAKESHORE AREA RADIATION ONCOLOGY CENTER	L	82,023	GAAP
(42) COREWELL HEALTH	M	619,852,260	GAAP
(43) MICHIGAN MOBILE PET IMAGING	M	513,482	GAAP
(44) COREWELL HEALTH	P	3,775,893	GAAP
(45) SPECTRUM HEALTH KELSEY	P	54,450	GAAP
(46) COREWELL HEALTH	Q	163,683	GAAP
(47) LEMMEN-HOLTON CANCER PAVILION CONDOMINIUM ASSOCIATION	Q	73,725	GAAP
(48) SPECTRUM HEALTH UNITED	Q	54,450	GAAP
(49) COREWELL HEALTH	R	4,076,121	GAAP

Schedule R (Form 990) 2023

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2023

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

TY 2023 AffiliateListing

Name:

COREWELL HEALTH GROUP RETURN

EIN:

61-1740292

Name	Address	EIN	Name control
SPECTRUM HEALTH HOSPITALS	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-1360529	CORE
VISITING NURSE SERVICES OF WESTERN MICHIGAN	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-1359195	CORE
NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-1359517	CORE
SPECTRUM HEALTH - LEFFINGWELL AVENUE	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	85-4390483	CORE
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-1359266	CORE
SPECTRUM HEALTH PRIMARY CARE PARTNERS	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-1358164	CORE
MECOSTA COUNTY MEDICAL CENTER	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-1368744	CORE
COREWELL HEALTH FOUNDATION WEST MICHIGAN	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-2752328	CORE
REED CITY HOSPITAL CORPORATION	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-2770076	CORE
LAKELAND REGIONAL HEALTH SYSTEM	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-2609624	CORE
PENNOCK HOSPITAL	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-1360562	CORE
LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-2156872	CORE
SPECTRUM HEALTH UNITED	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-1358412	CORE
LAKELAND COMMUNITY HOSPITAL WATERVLIET	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-1368745	CORE
SPECTRUM HEALTH KELSEY	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-1297435	CORE
LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-2539929	CORE
ZEELAND COMMUNITY HOSPITAL	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-1411184	CORE
LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-3452303	CORE
SPECTRUM HEALTH CONTINUING CARE	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-3242232	CORE
MERCY-MEMORIAL HEALTH SERVICES INCORPORATED	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-2748035	CORE
SPECTRUM HEALTH CONTINUING CARE CENTER INC	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-2415333	CORE
HOSPICE AT HOME INC	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-2416086	CORE
SPECTRUM HEALTH WORTH SERVICES	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-2786617	CORE
BEAUMONT HEALTH	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	46-5718220	CORE
BEAUMONT MEDICAL GROUP-HOSPITAL-BASED SERVICES	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	82-2768899	CORE
BEAUMONT MEDICAL GROUP-PRIMARY CARE SERVICES	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	82-2796539	CORE
BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	82-2784244	CORE
BOTSFORD GENERAL HOSPITAL	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-1426919	CORE
OAKWOOD HEALTHCARE INC	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-1405141	CORE
OAKWOOD UNITED HOSPITALS INC	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-2837961	CORE
WILLIAM BEAUMONT HOSPITAL	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-1459362	CORE
BOTSFORD CONTINUING CARE CORPORATION	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-2549505	CORE
OAKWOOD HEALTH PROMOTIONS INC	100 COREWELL DR NW MC6481 ATTN CORP TAX GRAND RAPIDS, MI 49503	38-2601965	CORE

1	Briefly describe the organization’s mission or most significant activities: TO IMPROVE HEALTH, INSTILL HUMANITY AND INSPIRE HOPE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	421
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	253
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	3,546
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	71,462,606
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	8,189,615

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	176,737,204	82,215,574
9	Program service revenue (Part VIII, line 2g) .........	9,378,174,305	10,143,479,227
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	44,616,243	69,209,713
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	73,664,754	79,344,632
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	9,673,192,506	10,374,249,146
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	59,764,120	5,976,567
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	5,057,197,321	5,024,745,940
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 2,466,610
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	4,366,560,058	5,198,865,253
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	9,483,521,499	10,229,587,760
19	Revenue less expenses. Subtract line 18 from line 12.......	189,671,007	144,661,386
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	10,007,679,811	8,720,835,664
21	Total liabilities (Part X, line 26).............	4,313,147,173	3,474,735,743
22	Net assets or fund balances. Subtract line 21 from line 20.....	5,694,532,638	5,246,099,921

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 9,727,337,578 including grants of $ 5,976,567 ) (Revenue $ 10,136,071,929 )
	SEE SCHEDULE OIN FEBRUARY 2022 COREWELL HEALTH WAS FORMED BY THE MERGER OF THE BEAUMONT AND SPECTRUM HEALTH SYSTEMS. COREWELL HEALTH BROUGHT TWO OF MICHIGAN'S MOST RESPECTED HEALTH SYSTEMS TOGETHER IN PURSUIT OF BETTER HEALTH. WE PUT OUR HEALTH AND WELLNESS AT OUR CORE BECAUSE WHEN PEOPLE ARE HEALTHIER, THEY LIVE BETTER. THE ORGANIZATION'S WEBSITE IS COREWELLHEALTH.ORG.COREWELL 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 21 HOSPITALS, MORE THAN 300 OUTPATIENT LOCATIONS AND POST-ACUTE CARE FACILITIES. IT HAS OVER 65,000 EMPLOYEES INCLUDING MORE THAN 12,000 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS.DURING THE YEAR ENDED DECEMBER 31, 2023, THE COREWELL HEALTH INTEGRATED HEALTH SYSTEM PROVIDED OVER $1 BILLION IN COMMUNITY BENEFIT PROGRAMS IN MICHIGAN. THE COMMUNITY BENEFIT ACTIVITIES INCLUDED HEALTH CLINICS, RESEARCH, DONATIONS, CHARITY CARE, BAD DEBTS RELATED TO CARING FOR THE UNINSURED AND UNDERINSURED, COSTS FOR GOVERNMENT PROGRAM PATIENTS, COMMUNITY PARTNERSHIP PROGRAMS, HEALTH PROFESSION EDUCATION, AND DISCOUNTED CARE UNDER HEALTHY MICHIGAN PLAN (UNDER 250% FEDERAL POVERTY LEVEL).THERE ARE 33 SUBORDINATE ORGANIZATIONS FROM THE COREWELL HEALTH AFFILIATED GROUP THAT ARE PART OF THIS GROUP RETURN. OPERATIONS INCLUDE HOSPITAL FACILITIES, NUMEROUS CLINICAL FACILITIES AND 2 FUNDRAISING FOUNDATIONS.THE SUBORDINATES PROVIDE CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. FINANCIAL ASSISTANCE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY 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: U.S. NEWS & WORLD REPORT INCLUDED COREWELL HEALTH REHABILITATION AND CONTINUING CARE, FARMINGTON HILLS AND COREWELL HEALTH REHAB AND NURSING - FULLER IN ITS BEST NURSING HOMES, 2022-2023 LIST.NEWSWEEK INCLUDED THREE COREWELL HEALTH REHABILITATION AND NURSING FACILITIES ON ITS LIST OF THE NATION'S BEST NURSING HOMES OF 2023.HELEN DEVOS CHILDREN'S HOSPITAL CONNECTED TO THE UNITED NETWORK OF ORGAN SHARING (UNOS)'S NATIONAL TRANSPLANT LIST FOR PEDIATRIC HEART TRANSPLANTS, WITH THE FIRST TRANSPLANT EXPECTED BY SPRING 2023.COREWELL HEALTH EARNED 2022 DISTINCTION THROUGH THE TREE CAMPUS HEALTHCARE PROGRAM FOR THE FOURTH CONSECUTIVE YEAR, AWARDED IN 2023.ZEELAND AND GREENVILLE HOSPITALS AWARDED 14TH STRAIGHT 'A' HOSPITAL SAFTEY GRADE.COREWELL HEALTH WAS NAMED TO NEWSWEEK'S 2023 LIST OF BEST MATERNITY CARE HOSPITALS IN THE COUNTRY.COREWELL HEALTH AND MICHIGAN STATE UNIVERSITY INVENT SUCCESSFUL TREATMENT IN 15 MONTHS FOR CHILDREN WHO HAVE AN ULTRA-RARE DISEASE CALLED BACHMANN-BUPP SYNDROME. U.S. NEWS AND WORLD REPORT HAS RECGONIZED HELEN DEVOS CHILDREN'S HOSPITAL IN ITS 2023-2024 BEST CHILDREN'S HOSPITALS RANKINGS IN TWO SPECIALTY AREAS. THEY RANKED AMOUNG BEST NATIONALLY IN PEDIATRICS: CANCER AND PEDIATRICS: NEUROLOGY AND NEUROSURGERY. HELEN DEVOS CHILDREN'S HOSPITAL HAS BEEN RECONGIZED FOR THE 12TH YEAR IN A ROW.CORWELL HEALTH'S STRUCTRUAL HEART AND VALVE CENTER AT BUTTERWORTH HOSPITAL HAS RECEIVED NATIONAL REACCREDIATION FROM THE AMERICAN COLLEGE OF CARDIOLOGY (ACC) FOR ITS TAVR PROGRAM. COREWELL HEALTH WAS THE ONLY HEALTHCARE SYSTEM IN THE STATE TO ACHIEVE THREE ACC ACCREDIATIONS.THE CENTERS FOR MEDICARE AND MEDICAID SERVICES AWARDS A FIVE STAR RATING TO BUTTERWORTH AND BLODGETT HOSPITALS FOR STRONG PERFORMANCE IN KEY QUALITY MEASURES INCLUDING MORTALITY AND READMISSION RATES. BUTTERWORTH AND BLODGETT HOSPITALS WERE IN THE TOP 15% NATIONWIDE TO RECEIVE THIS FIVE STAR RATING. THE CENTERS FOR MEDICARE AND MEDICAID SERVICES AWARDS A FIVE STAR RATING TO ZEELAND COMMUNITY HOSPITAL FOR STRONG PERFORMANCE IN KEY QUALITY MEASURES INCLUDING READMISISON RATES AND SAFETY OF CARE.THE CENTERS FOR MEDICARE AND MEDICAID SERVICES AWARDS A FIVE STAR RATING TO GERBER HOSPITAL FOR STRONG PERFORMANCE IN KEY QUALITY MEASURES INCLUDING MORTALITY AND READMISISON RATES.U.S. NEWS & WORLD REPORT HAS 12 COREWELL HEALTH HOSPITALS AS BEST NATIONALLY RECOGNIZED HOSPITALS IN THE STATE. AMERICAN HEART ASSOCATION AWARDED COREWELL HEALTH RESEARCH TEAM A $400,000 GRANT FOR ITS STUDY TO BETTER UNDERSTAND HOW DIFFERENCES IN PEOPLE'S CELLS IMPACT ILLNESS AND RECOVERY FROM A NUMBER OF CARDIOVASCULAR DISEASES.COREWELL HEALTH HOSPTIALS BUTTERWORTH, BLODGETT, HELEN DEVOS CHILDREN'S, GROSSE POINTE, ROYAL OAK, TROY, FARMINGTON HILLS, TAYLOR AND TRENTON HOSPITALS HAVE EARNED THE PRESTIGIOUS MAGNET DESIGNATION FOR EXCEPTIONAL NURSING. THIS IS THE HIGHEST INTERNATIONAL DISTINCTION A HEALTH CARE ORGANIZATION CAN RECEIVE FOR NURSING EXCELLENCE AND OUTSTANDING PATIENT CARE.COREWELL HEALTH WAS NAMED TO PROFESSIONAL SERVICES AND RESEARCH FIRM SERAMOUNT'S 2023 TOP 75 COMPANIES FOR EXECUTIVE WOMEN. THIS RECONGINTION CELEBRATES COMPANIES THAT CHAMPION WOMEN'S ACHIEVEMENTS, WITH A FOCUS ON SUCCESSION PLANNING, PROFIT AND LOSS ROLES, GENDER-PAY PARITY, SUPPORT AND FLEXIBILITY PROGRAMS.COREWELL HEALTH'S GRAND RAPIDS HOSPITALS BUTTERWORTH AND BLODGETT HAVE RECEIVED THE 2023 RISING STAR AWARD FROM VIZIENT. THE AWARD RECOGNIZES THE HOSPITALS FOR MAKING SIGNIFICANT IMPROVEMENT IN THEIR YEAR-OVER-YEAR RANKINGS AND SCORING IN THE TOP QUARTILE IN THE VIZIENT QUALITY AND ACCOUNTABILITY RANKING.VIZIENT, INC., DESIGNATED COREWELL HEALTH ZEELAND HOSPITALS TOP PERFORMERS IN THE 2023 BERNARD A. BIRNBAUM, MD, QUALITY LEADERSHIP RANKING. THE HOSPITAL RANKED 7TH OUT OF 333 COMMUNITY HOSPTIAL MEMBERS OF VIZIENT AND WAS RECOGNIZED FOR DEMOSTRATING EXCELLENCE IN HIGH QUALITY CARE. BEAUMONT HOSPITAL: GROSSE POINT, LAKELAND HOSPITALS: ST. JOSEPH HOSPITAL & NILES HOSPITAL, AND COREWELL HEALTH HOSPITALS: BIG RAPIDS, GREENVILLE, LUDINGTON & ZEELAND EARNED AN 'A' HOSPITAL SAFETY GRADE FOR FALL 2023 FROM THE LEAPFROG GROUP, A NATIONAL NONPROFIT WATCHDOG THAT SETS STANDARDS FOR EXCELLENCE IN PATIENT CARE.COREWELL HEALTH WAS NAMED TO PROFESSIONAL SERVICES AND RESEARCH FIRM SERAMOUNT'S 2023 INCLUSION INDEX. THIS RECONGNITION CELEBRATES COMPANIES THROUGH THREE KEY AREAS OF AN ORGANIZATION: BEST PRACTICES IN THE RECRUITMENT, RETENTION AND ADVANCEMENT OF PEOPLE FROM HISTORICALLY MARGINALIZED GROUPS WOMEN, RACIAL/ETHNIC GROUPS, PEOPLE WITH DISABILITIES AND LGBTQIA+ PEOPLE; INCLUSIVE COMPANY CULTURE; AND DEMOGRAPHIC DIVERSITY.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses9,727,337,578

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	0	56,917,761	7,523,206

1a	Federated campaigns..		1a	2,159,846
b	Membership dues..		1b
c	Fundraising events..		1c	1,181,300
d	Related organizations		1d	27,504,290
e	Government grants (contributions)		1e	43,719,403

f	All other contributions, gifts, grants, and similar amounts not included above		1f	7,650,735

g	Noncash contributions included in lines 1a - 1f:$		1g	553,701

h Total. Add lines 1a-1f.......		82,215,574

		Business Code
2a	PATIENT CARE	622110	9,847,085,086	9,778,229,581	68,855,505
b	PHARMACY	440000	234,070,105	232,395,720	1,674,385
c	QUALITY CARE	900099	16,604,204	16,604,204
d	BILLED SERVICES	900099	15,831,517	15,812,788	18,729
e	EDUCATION	900099	10,090,085	10,090,085
f	All other program service revenue.		19,798,230	19,798,230
g	Total. Add lines 2a–2f .....		10,143,479,227

3 Investment income (including dividends, interest, and othersimilar amounts) ......			73,713,196		785,509	72,927,687
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	26,432,788
b	Less: rental expenses	6b	10,450,905
c	Rental income or (loss)	6c	15,981,883
d	Net rental income or (loss).......			15,981,883			15,853,405
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	166,221,797	1,113,309
b	Less: cost or other basis and sales expenses	7b	169,949,835	1,888,754
c	Gain or (loss)	7c	-3,728,038	-775,445
d	Net gain or (loss).........			-4,503,483			-4,503,483
8a	Gross income from fundraising events (not including $ 1,181,300of contributions reported on line 1c). See Part IV, line 18 ....
			8a	1,630,996
b	Less: direct expenses ...		8b	1,409,568
c	Net income or (loss) from fundraising events..			221,428			221,428
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	CAFETERIA		722514	41,024,345	41,024,345
b	EMPLOYEE SERVICES		900099	14,537,061	14,537,061
c	MISCELLANEOUS		900099	6,887,004	6,887,004
d	All other revenue ....			692,911	692,911
e	Total. Add lines 11a–11d ......			63,141,321
12	Total revenue. See instructions.....			10,374,249,146	10,136,071,929	71,462,606	84,499,037

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	2,572,546	2,572,546
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	3,404,021	3,404,021
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	4,089,796,054	4,002,649,274	85,716,322	1,430,458
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	108,541,137	104,765,513	3,748,788	26,836
9	Other employee benefits .......	549,850,683	542,475,896	7,099,911	274,876
10	Payroll taxes ...........	276,558,066	270,543,234	5,917,195	97,637
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	3,468,459		3,468,459
c	Accounting ...........	618,928		618,928
d	Lobbying ...........	29,047	29,047
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	36,175,359		36,175,359
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	1,515,502,246	1,295,275,904	220,052,457	173,885
12	Advertising and promotion ....	3,753,320	2,471,725	1,266,516	15,079
13	Office expenses .......	165,018,238	163,382,040	1,409,289	226,909
14	Information technology ......	45,645,159	37,658,240	7,986,919
15	Royalties ..
16	Occupancy ...........	264,755,122	240,409,480	24,190,920	154,722
17	Travel ............	10,351,879	9,911,425	439,006	1,448
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	9,300,106	9,078,677	218,656	2,773
20	Interest ...........	73,278,914	61,537,298	11,741,616
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	427,965,154	361,453,931	66,449,236	61,987
23	Insurance ...	98,140,861	74,856,866	23,283,995
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	1,797,825,876	1,797,825,876
b	BAD DEBT	448,970,389	448,970,389
c	PROVIDER TAX	286,186,761	286,186,761
d	UNRELATED BUS INC TAX	2,247,201	2,247,201
e	All other expenses	9,632,234	9,632,234
25	Total functional expenses. Add lines 1 through 24e	10,229,587,760	9,727,337,578	499,783,572	2,466,610
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			24,835,823	1	214,301
2	Savings and temporary cash investments .........			1,967,898,987	2	105,446,497
3	Pledges and grants receivable, net ......			35,377,021	3	42,023,517
4	Accounts receivable, net .............			1,199,678,237	4	1,049,346,284
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7	604,016
8	Inventories for sale or use ............			194,524,417	8	117,658,963
9	Prepaid expenses and deferred charges ......			109,806,271	9	439,491,465
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	6,863,963,959
b	Less: accumulated depreciation	10b	2,965,072,226	3,658,169,647	10c	3,898,891,733
11	Investments—publicly traded securities .			2,135,154,362	11	2,677,729,529
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			68,610,273	13	31,415,929
14	Intangible assets ...............			146,731,873	14	33,973,907
15	Other assets. See Part IV, line 11 ...........			466,892,900	15	324,039,523
16	Total assets. Add lines 1 through 15 (must equal line 33)...			10,007,679,811	16	8,720,835,664

17	Accounts payable and accrued expenses .....	987,279,962	17	615,039,287
18	Grants payable ...		18
19	Deferred revenue .........	42,359,870	19	35,174,837
20	Tax-exempt bond liabilities .........	1,698,047,397	20	1,634,985,576
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..	56,617,317	24	9,643,953
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	1,528,842,627	25	1,179,892,090
26	Total liabilities. Add lines 17 through 25..	4,313,147,173	26	3,474,735,743

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	5,507,277,736	27	5,045,165,159
28	Net assets with donor restrictions ...........	187,254,902	28	200,934,762
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	5,694,532,638	32	5,246,099,921
33	Total liabilities and net assets/fund balances ........	10,007,679,811	33	8,720,835,664

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No