TY 2023 Form 990

- 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.
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Attach to Form 990.
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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

LAKELAND POST-RETIREMENT MEDICAL TRUST

Employer identification number

46-2332843

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

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
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

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 ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

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

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

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 .....
b	Buildings ....
c	Leasehold improvements
d	Equipment ....
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..		0

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









Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)
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	2,931,967
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	1,995,250
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d	475,398
e	Add lines 2a through 2d .....................			2e	2,470,648
3	Subtract line 2e from line 1..................			3	461,319
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	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	461,319

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	528,152
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	475,398
e	Add lines 2a through 2d....................			2e	475,398
3	Subtract line 2e from line 1...................			3	52,754
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	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	52,754

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 XI, LINE 2D - OTHER ADJUSTMENTS:	EMPLOYER CONTRIBUTIONS $475,398
PART XII, LINE 2D - OTHER ADJUSTMENTS:	CLAIMS PAID $475,398

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

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

LAKELAND POST-RETIREMENT MEDICAL TRUST

Employer identification number

46-2332843

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? .............

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

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)
1LINDA MACDONALD TRUSTEE	(i) (ii)	0 ------------- 422,298	0 ------------- 120,098	0 ------------- 48,889	0 ------------- 100,802	0 ------------- 21,940	0 ------------- 714,027	0 ------------- 0
2CELESTE MCINTYRE TRUSTEE	(i) (ii)	0 ------------- 395,982	0 ------------- 116,721	0 ------------- 30,993	0 ------------- 129,077	0 ------------- 28,050	0 ------------- 700,823	0 ------------- 0
3HEATHER LALLO TRUSTEE	(i) (ii)	0 ------------- 320,739	0 ------------- 73,561	0 ------------- 26,125	0 ------------- 19,372	0 ------------- 27,747	0 ------------- 467,544	0 ------------- 0
4STEPHANIE OSTRANDER TRUSTEE	(i) (ii)	0 ------------- 286,238	0 ------------- 63,589	0 ------------- 1,315	0 ------------- 17,202	0 ------------- 29,624	0 ------------- 397,968	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).

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).

Schedule J (Form 990) 2023

Additional Data

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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

LAKELAND POST-RETIREMENT MEDICAL TRUST

Employer identification number

46-2332843

Return Reference	Explanation
Form 990, Part VI, Section A, line 8b	THE TRUST DOES NOT HAVE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
Form 990, Part VI, Section B, line 11b	THE FORM 990 IS PREPARED BY COREWELL HEALTH CORPORATE TAX. THE TAX RETURN IS REVIEWED BY THE CORPORATE TAX MANAGER, VP TAX, AND THE TRUST PRINCIPAL OFFICER.
Form 990, Part VI, Section C, line 19	GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part IX, line 11g	ACTUARY FEES 29,911.

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

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

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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

LAKELAND POST-RETIREMENT MEDICAL TRUST

Employer identification number

46-2332843

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

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 HEALTH 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 46-5718220	SUPPORTING ORGANIZATION	MI	501(c)(3)	Line 12c, III-FI	COREWELL HEALTH		No
(2)BEAUMONT HEALTH FOUNDATION 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 36-4852171	FUNDRAISING FOUNDATION	MI	501(c)(3)	Line 7	BEAUMONT HEALTH		No
(3)BEAUMONT MEDICAL GROUP-HOSPITAL-BASED SERVICES 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 82-2768899	PHYSICIAN SUPPORT SERVICES	MI	501(c)(3)	Line 10	BEAUMONT HEALTH		No
(4)BEAUMONT MEDICAL GROUP-PRIMARY CARE SERVICES 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 82-2796539	PHYSICIAN SUPPORT SERVICES	MI	501(c)(3)	Line 10	BEAUMONT HEALTH		No
(5)BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 82-2784244	PHYSICIAN SUPPORT SERVICES	MI	501(c)(3)	Line 10	BEAUMONT HEALTH		No
(6)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
(7)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		No
(8)BOTSFORD CONTINUING CARE CORPORATION 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2549505	REHABILITATION & NURSING CENTER	MI	501(c)(3)	Line 10	BOTSFORD GENERAL HOSPITAL		No
(9)BOTSFORD GENERAL HOSPITAL 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-1426919	HOSPITAL	MI	501(c)(3)	Line 3	BEAUMONT HEALTH		No
(10)COREWELL HEALTH 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-3382353	SUPPORTING ORGANIZATION	MI	501(c)(3)	Line 12c, III-FI	N/A		No
(11)COREWELL HEALTH FOUNDATION WEST MICHIGAN 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2752328	FUNDRAISING FOUNDATION	MI	501(c)(3)	Line 7	SPECTRUM HEALTH HOSPITALS		No
(12)HOSPICE AT HOME INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2416086	HOSPICE AND PALLIATIVE CARE	MI	501(c)(3)	Line 7	LAKELAND REGIONAL HEALTH SYSTEM		No
(13)LAKELAND COMMUNITY HOSPITAL WATERVLIET 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-1368745	HOSPITAL	MI	501(c)(3)	Line 3	LAKELAND REGIONAL HEALTH SYSTEM		No
(14)LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2539929	FUNDRAISING FOUNDATION	MI	501(c)(3)	Line 7	LAKELAND REGIONAL HEALTH SYSTEM		No
(15)LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2156872	HOSPITAL	MI	501(c)(3)	Line 3	LAKELAND REGIONAL HEALTH SYSTEM		No
(16)LAKELAND REGIONAL HEALTH SYSTEM 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2609624	SUPPORTING ORGANIZATION	MI	501(c)(3)	Line 12c, III-FI	COREWELL HEALTH		No
(17)LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-3452303	FACILITY LEASING	MI	501(c)(3)	Line 3	LAKELAND REGIONAL HEALTH SYSTEM		No
(18)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		No
(19)MECOSTA COUNTY MEDICAL CENTER 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-1368744	HOSPITAL	MI	501(c)(3)	Line 3	COREWELL HEALTH		No
(20)MEMORIAL MEDICAL CENTER OF WEST MICHIGAN 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-1359266	HOSPITAL	MI	501(c)(3)	Line 3	COREWELL HEALTH		No
(21)MERCY-MEMORIAL HEALTH SERVICES INCORPORATED 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2748035	REHABILITATION & NURSING CENTER	MI	501(c)(3)	Line 10	LAKELAND REGIONAL HEALTH SYSTEM		No
(22)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		No
(23)NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-1359517	HOSPITAL	MI	501(c)(3)	Line 3	COREWELL HEALTH		No
(24)OAKWOOD HEALTH PROMOTIONS INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2601965	REHABILITATION & NURSING CENTER	MI	501(c)(3)	Line 10	OAKWOOD HEALTHCARE INC		No
(25)OAKWOOD HEALTHCARE INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-1405141	HOSPITAL	MI	501(c)(3)	Line 3	BEAUMONT HEALTH		No
(26)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		No
(27)OAKWOOD UNITED HOSPITALS INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2837961	FACILITY LEASING	MI	501(c)(3)	Line 12a, I	OAKWOOD HEALTHCARE INC		No
(28)PENNOCK HOSPITAL 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-1360562	HOSPITAL	MI	501(c)(3)	Line 3	COREWELL HEALTH		No
(29)PRIORITY HEALTH 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2715520	HMO MANAGEMENT	MI	501(c)(4)		COREWELL HEALTH		No
(30)PRIORITY HEALTH CHOICE INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 32-0016523	HMO MANAGEMENT	MI	501(c)(3)	Line 10	PRIORITY HEALTH		No
(31)REED CITY HOSPITAL CORPORATION 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2770076	HOSPITAL	MI	501(c)(3)	Line 3	COREWELL HEALTH		No
(32)SPECTRUM HEALTH - LEFFINGWELL AVENUE 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 85-4390483	REHABILITATION & NURSING CENTER	MI	501(c)(3)	Line 10	SPECTRUM HEALTH CONTINUING CARE		No
(33)SPECTRUM HEALTH CONTINUING CARE 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-3242232	HOSPICE AND PALLIATIVE CARE	MI	501(c)(3)	Line 10	COREWELL HEALTH		No
(34)SPECTRUM HEALTH CONTINUING CARE CENTER INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2415333	REHABILITATION & NURSING CENTER	MI	501(c)(3)	Line 10	SPECTRUM HEALTH CONTINUING CARE		No
(35)SPECTRUM HEALTH HOSPITALS 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-1360529	HOSPITAL	MI	501(c)(3)	Line 3	COREWELL HEALTH		No
(36)SPECTRUM HEALTH KELSEY 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-1297435	HOSPITAL	MI	501(c)(3)	Line 3	SPECTRUM HEALTH UNITED		No
(37)SPECTRUM HEALTH PRIMARY CARE PARTNERS 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-1358164	PHYSICIAN SUPPORT SERVICES	MI	501(c)(3)	Line 3	COREWELL HEALTH		No
(38)SPECTRUM HEALTH UNITED 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-1358412	HOSPITAL	MI	501(c)(3)	Line 3	COREWELL HEALTH		No
(39)SPECTRUM HEALTH WORTH SERVICES 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2786617	REHABILITATION SERVICES	MI	501(c)(3)	Line 10	SPECTRUM HEALTH CONTINUING CARE		No
(40)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
(41)TOTAL HEALTH CARE INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2018957	HMO MANAGEMENT	MI	501(c)(4)		PRIORITY HEALTH		No
(42)TRINITY HEALTH PLANS 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2663747	HOLDING COMPANY	MI	501(c)(4)		PRIORITY HEALTH		No
(43)VISITING NURSE SERVICES OF WESTERN MICHIGAN 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-1359195	HOME HEALTH SERVICES	MI	501(c)(3)	Line 10	SPECTRUM HEALTH CONTINUING CARE		No
(44)WILLIAM BEAUMONT HOSPITAL 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-1459362	HOSPITAL	MI	501(c)(3)	Line 3	BEAUMONT HEALTH		No
(45)ZEELAND COMMUNITY HOSPITAL 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-1411184	HOSPITAL	MI	501(c)(3)	Line 3	COREWELL 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	N/A	N/A				No			No
(5) OAKMED LLC 1938 WOODSLEE DRIVE TROY,MI48084 46-1459737	PRIVATE DUTY NURSING	MI	N/A	N/A				No			No
(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					No
(2) 25 MICHIGAN STREET CONDOMINIUM ASSOCIATION 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 16-1734157	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C					No
(3) 35 MICHIGAN STREET CONDOMINIUM ASSOCIATION 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 27-2193084	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C					No
(4) BEAUMONT NURSING HOME SERVICES INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2799842	ASSISTED CARE LIVING	MI	WILLIAM BEAUMONT HOSPITAL	C					No
(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					No
(7) BOTSFORD COMMONS PROPERTY ASSOCIATION 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-3203663	PROPERTY MANAGEMENT	MI	BOTSFORD CONTINUING CARE CORPORATION	C					No
(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					No
(13) LAKELAND HEALTH ENTERPRISES INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2669798	ACCOUNTING AND BILLING	MI	LAKELAND REGIONAL HEALTH SYSTEM INC	C					No
(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					No
(19) MICHIGAN STREET PARKING CONDOMINIUM ASSOCIATION 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 16-1734145	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C					No
(20) MICHIGAN STREET PROJECT CONDOMINIUM ASSOCIATION 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 36-4873152	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C					No
(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					No
(23) OAKWOOD AFFILIATED VENTURES INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 37-1753159	HOLDING COMPANY	MI	OAKWOOD HEALTHCARE INC	C					No
(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					No
(26) PENNOCK VENTURES INC 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 38-2712819	PROPERTY MANAGEMENT	MI	PENNOCK HOSPITAL	C					No
(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					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 .....................

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

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

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) ............................

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

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

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

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

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

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

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

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 ............................

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

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

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

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

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:

1	Briefly describe the organization’s mission or most significant activities: TO FUND THE POSTRETIREMENT OBLIGATION OF LAKELAND REGIONAL HEALTH SYSTEM.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	4
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	0
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	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	0	0
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	335,204	461,319
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	335,204	461,319
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
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)	0	0
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	79,296	52,754
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	79,296	52,754
19	Revenue less expenses. Subtract line 18 from line 12.......	255,908	408,565
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	15,883,794	18,287,609
21	Total liabilities (Part X, line 26).............	0	0
22	Net assets or fund balances. Subtract line 21 from line 20.....	15,883,794	18,287,609

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	PAYMENT OF STIPEND TO ELIGIBLE RETIREES TOWARDS THE PURCHASE OF HEALTH INSURANCE OR TO PURCHASE THEIR OWN MEDICARE STOP LOSS INSURANCE COVERAGE. NUMBER OF ACTIVE MEMBERS IN THE PLAN IS 456. TOTAL EMPLOYEES THAT COULD BECOME ELIGIBLE TO RECIEVE FUTURE BENEFITS UPON RETIREMENT IS 410.

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 expenses

(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)	(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) CELESTE MCINTYRE...................................................................... TRUSTEE	1.00 ................. 50.00	X	0	543,696	157,127
(2) HEATHER LALLO...................................................................... TRUSTEE	1.00 ................. 50.00	X	0	420,425	47,119
(3) STEPHANIE OSTRANDER...................................................................... TRUSTEE	1.00 ................. 50.00	X	0	351,142	46,826
(4) LINDA MACDONALD...................................................................... TRUSTEE	1.00 ................. 50.00	X	0	591,285	122,742

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	0	1,906,548	373,814

(A) Name and business address	(B) Description of services	(C) Compensation





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 0

1a	Federated campaigns..	1a
b	Membership dues..	1b
c	Fundraising events..	1c
d	Related organizations	1d
e	Government grants (contributions)	1e

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

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

h Total. Add lines 1a-1f.......

		Business Code
2a
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....

3 Investment income (including dividends, interest, and othersimilar amounts) ......			453,739			453,739
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	638,776
b	Less: cost or other basis and sales expenses	7b	631,196
c	Gain or (loss)	7c	7,580
d	Net gain or (loss).........			7,580			7,580
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
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
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			461,319	0	0	461,319

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
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........
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........	2,000
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	20,843
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	29,911
12	Advertising and promotion ....
13	Office expenses .......
14	Information technology ......
15	Royalties ..
16	Occupancy ...........
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..
23	Insurance ...
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
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	52,754
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 ........		2,228,159	1
2	Savings and temporary cash investments .........			2	3,132,558
3	Pledges and grants receivable, net ......			3
4	Accounts receivable, net .............			4
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
8	Inventories for sale or use ............			8
9	Prepaid expenses and deferred charges ......			9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation	10b		10c
11	Investments—publicly traded securities .		13,655,635	11	14,477,889
12	Investments—other securities. See Part IV, line 11 .....			12	677,162
13	Investments—program-related. See Part IV, line 11 ..			13
14	Intangible assets ...............			14
15	Other assets. See Part IV, line 11 ...........			15
16	Total assets. Add lines 1 through 15 (must equal line 33)...		15,883,794	16	18,287,609

17	Accounts payable and accrued expenses .....		17
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
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 ..		24
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		25
26	Total liabilities. Add lines 17 through 25..	0	26	0

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	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 .....	0	29	0
30	Paid-in or capital surplus, or land, building or equipment fund ...	0	30	0
31	Retained earnings, endowment, accumulated income, or other funds	15,883,794	31	18,287,609
32	Total net assets or fund balances ...........	15,883,794	32	18,287,609
33	Total liabilities and net assets/fund balances ........	15,883,794	33	18,287,609