TY 2024 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) CHRISTINA FREESE DECKER...................................................................... DIRECTOR/CEO	1.00 ................. 50.00	X	X	5,453,830	1,498,970
(2) DARRYL ELMOUCHI MD...................................................................... DIRECTOR PY/PRESIDENT PY/FMR OFFCR	1.00 ................. 50.00	X	X	3,007,016	456,952
(3) PRAVEEN THADANI...................................................................... DIRECTOR	1.00 ................. 50.00	X		2,602,705	551,045
(4) ALEJANDRO QUIROGA CHAND MD...................................................................... DIRECTOR PY/PRESIDENT PY	50.00 ................. 1.00	X	X	1,276,102	270,114
(5) LOREN B HAMEL MD...................................................................... DIRECTOR PY/PRESIDENT PY	50.00 ................. 1.00	X	X	1,492,259	34,022
(6) CHAD TUTTLE...................................................................... DIRECTOR/PRESIDENT/FORMER OFFICER	1.00 ................. 50.00	X	X	987,580	172,970
(7) JOSHUA KOOISTRA DO...................................................................... DIRECTOR PY/INTERIM PRESIDENT PY	50.00 ................. 1.00	X	X	853,724	146,823
(8) LAMONT YODER...................................................................... DIRECTOR PY/PRESIDENT PY	50.00 ................. 1.00	X	X	798,668	161,733
(9) ANTHONY STALLION MD...................................................................... DIRECTOR	50.00 ................. 0.00	X		904,856	46,063
(10) NANCY SUSICK...................................................................... DIRECTOR/SECRETARY/FMR KEY EMPLOYEE	50.00 ................. 1.00	X	X	872,069	53,813
(11) PAOLO MARCIANO MD...................................................................... DIRECTOR/PRESIDENT/FMR KEY EMPLOYEE	50.00 ................. 0.00	X	X	789,723	123,298
(12) BENJAMIN GIELDA MD...................................................................... DIRECTOR	50.00 ................. 0.00	X		849,691	32,688
(13) CHARLES GIBSON MD...................................................................... DIRECTOR	50.00 ................. 0.00	X		746,515	49,041
(14) JEFFREY POSTMA DO...................................................................... DIRECTOR	50.00 ................. 0.00	X		632,717	54,136
(15) LOWELL HAMEL MD...................................................................... DIRECTOR PY/FORMER OFFICER	50.00 ................. 0.00	X		672,897	1,881
(16) NATALIE BAGGIO...................................................................... DIRECTOR PY/PRESIDENT PY	50.00 ................. 1.00	X	X	590,543	82,856
(17) KELLI SADLER...................................................................... DIRECTOR	50.00 ................. 0.00	X		553,595	105,871

(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) MICHAEL WEBB MD........................................................................ DIRECTOR	50.00 .......................0.00	X			536,558	68,688
(19) CHRISTOPHER FLORES........................................................................ DIRECTOR/TREASURER	50.00 .......................1.00	X	X		489,257	49,251
(20) KAREN PAKKALA........................................................................ DIR/PRES/TREAS/SECY/FMR OFFICER	50.00 .......................0.00	X	X		455,174	28,570
(21) ANNICA WAALKES MD........................................................................ DIRECTOR	50.00 .......................0.00	X			443,071	29,997
(22) HEATHER LALLO........................................................................ DIRECTOR/TREASURER	50.00 .......................1.00	X	X		395,176	51,871
(23) TALAWNDA BRAGG MD........................................................................ DIRECTOR	50.00 .......................0.00	X			360,368	49,437
(24) SIMIN BEG MD........................................................................ DIRECTOR/CHAIR	50.00 .......................0.00	X	X		345,086	50,245
(25) MELINDA GRUBER........................................................................ DIRECTOR/PRESIDENT	50.00 .......................0.00	X	X		324,432	41,011
(26) DEBRA JOHNSON........................................................................ DIRECTOR/SECRETARY	50.00 .......................0.00	X	X		226,562	24,392
(27) DANIEL WASSENHOVE........................................................................ DIRECTOR/TREASURER	50.00 .......................0.00	X	X		160,851	34,379
(28) COSTA ANDREOU MD........................................................................ DIRECTOR/PRESIDENT	50.00 .......................1.00	X	X		165,752	14,023
(29) ASHOK JAIN MD........................................................................ DIRECTOR	50.00 .......................1.00	X			136,475	15,980
(30) JOHANNIE TORRES........................................................................ DIRECTOR	50.00 .......................0.00	X			107,831	37,259
(31) ABEDELRAHIM ASFOUR MD........................................................................ DIRECTOR	50.00 .......................0.00	X			113,473	6,715
(32) CHRISTOPHER BLAKE........................................................................ DIRECTOR/CHAIR	1.00 .......................0.00	X	X		40,000	0
(33) FAYE NELSON........................................................................ DIRECTOR/TREASURER	1.00 .......................0.00	X	X		36,000	0
(34) LINDA LITTLE........................................................................ DIRECTOR/SECRETARY	1.00 .......................0.00	X	X		36,000	0
(35) SHANE O'DONNELL........................................................................ DIRECTOR	1.00 .......................0.00	X			31,000	0
(36) LYNNETTE FERRELL-ROBINSON........................................................................ DIRECTOR/CHAIR	1.00 .......................0.00	X	X		30,000	0
(37) ROBERT WELSH MD........................................................................ DIRECTOR/VICE CHAIR	1.00 .......................0.00	X	X		26,500	0
(38) MONA MAKKI........................................................................ DIRECTOR	1.00 .......................0.00	X			25,500	0
(39) WARREN ROSE........................................................................ DIRECTOR	1.00 .......................0.00	X			20,000	0
(40) MARK WILSON........................................................................ DIRECTOR/TREASURER	1.00 .......................0.00	X	X		18,000	0
(41) BARBARA PILARSKI........................................................................ DIRECTOR	1.00 .......................0.00	X			17,000	0
(42) JOHN BUCKLEY........................................................................ DIRECTOR	1.00 .......................0.00	X			17,000	0
(43) BILLY PINK........................................................................ DIRECTOR	1.00 .......................0.00	X			16,500	0
(44) SAM WATSON........................................................................ DIRECTOR/VICE CHAIR	1.00 .......................0.00	X	X		16,500	0
(45) CHRISTOPHER PORT MD........................................................................ DIRECTOR	1.00 .......................0.00	X			15,000	0
(46) MARY MOLEWYK DOORNBOS........................................................................ DIRECTOR	1.00 .......................0.00	X			15,000	0
(47) RONALD HOFMAN MD........................................................................ DIRECTOR	1.00 .......................0.00	X			14,500	0
(48) JOHN BYRNE........................................................................ DIRECTOR	1.00 .......................0.00	X			3,000	0
(49) BERTHA KING........................................................................ DIRECTOR	1.00 .......................0.00	X			2,850	0
(50) DONALD HANEY........................................................................ DIRECTOR	1.00 .......................0.00	X			2,500	0
(51) CHRISTY PAYNE........................................................................ DIRECTOR	1.00 .......................0.00	X			2,000	0
(52) BARBARA WYNN MD........................................................................ DIRECTOR	1.00 .......................0.00	X			1,500	0
(53) KYLE KOOYERS........................................................................ DIRECTOR	1.00 .......................0.00	X			1,500	0
(54) ALICE RASMUSSEN........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(55) AMEY UPTON........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(56) ANNE MCCAUSLAND........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(57) CAREY MARTIN........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(58) CHRISTINE VANLANDINGHAM........................................................................ DIRECTOR/CHAIR	1.00 .......................0.00	X	X		0	0
(59) CURTIS VANDERWAAL........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(60) DANA WALES........................................................................ DIRECTOR/TREASURER	1.00 .......................0.00	X	X		0	0
(61) DAVID GRELLMANN MD........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(62) DAVID SCHAFFER........................................................................ DIRECTOR/VICE CHAIR	1.00 .......................0.00	X	X		0	0
(63) DEBORAH BENNETT-BERECZ........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(64) DIANE YOUNG........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(65) GEORGE HEENAN MD........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(66) JERRY FRENCH........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(67) JOAN HILLEBRANDS........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(68) KENNETH O'NEILL MD........................................................................ DIRECTOR/SECRETARY	1.00 .......................0.00	X	X		0	0
(69) LENORE BECKER........................................................................ DIRECTOR/VICE CHAIR	1.00 .......................0.00	X	X		0	0
(70) LISA KUEHNLE........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(71) MARK ODLAND........................................................................ DIRECTOR/SECRETARY	1.00 .......................0.00	X	X		0	0
(72) MELISSA PONCE - RODAS........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(73) NANCY HAYNES........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(74) OLIVIA STARKS - SCHAUL........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(75) PAMELA GARMON-JOHNSON........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(76) RICHARD WARNER........................................................................ DIRECTOR/TREASURER/SECRETARY	1.00 .......................0.00	X	X		0	0
(77) RODRIGO CORREA........................................................................ DIRECTOR/CHAIR	1.00 .......................0.00	X	X		0	0
(78) RYAN COFFEY-HOAG........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(79) SCOTT SMITH........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(80) SETH GRIFFIN........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(81) STEPHANIE TIMMER........................................................................ DIRECTOR/VICE CHAIR	1.00 .......................0.00	X	X		0	0
(82) STEPHEN HEMPEL MD........................................................................ DIRECTOR	1.00 .......................0.00	X			0	0
(83) MATTHEW E COX........................................................................ CFO	1.00 .......................50.00		X		2,523,615	558,135
(84) ANDREA LESLIE........................................................................ REGIONAL PRESIDENT PY	50.00 .......................1.00		X		657,863	154,992
(85) DREW DOSTAL........................................................................ REGIONAL PRESIDENT	50.00 .......................0.00		X		554,184	48,091
(86) ROBERT HOEFER........................................................................ REGIONAL PRESIDENT	50.00 .......................0.00		X		543,653	47,292
(87) CARA JANSMA........................................................................ SECRETARY	1.00 .......................50.00		X		417,173	48,889
(88) BENJAMIN SCHWARTZ MD........................................................................ FORMER OFFICER	0.00 .......................0.00			X	1,518,565	0
(89) BRIAN BRASSER........................................................................ FORMER OFFICER	1.00 .......................50.00			X	819,111	213,631
(90) JASON SLAIKEU........................................................................ FORMER OFFICER	50.00 .......................0.00			X	892,777	56,101
(91) ROBERT FITZGERALD MD........................................................................ FORMER OFFICER	50.00 .......................0.00			X	671,147	45,342
(92) MARTHA BOONSTRA........................................................................ FORMER OFFICER	0.00 .......................0.00			X	709,239	0
(93) JOHN SCHUEN MD........................................................................ FORMER OFFICER	50.00 .......................0.00			X	400,276	54,562
(94) PAUL KONOPACKI........................................................................ FORMER OFFICER	0.00 .......................0.00			X	448,033	0
(95) BRIAN PHILLIPS MD........................................................................ FORMER OFFICER	50.00 .......................0.00			X	373,626	50,110
(96) ANNE STEWART........................................................................ FORMER OFFICER	50.00 .......................0.00			X	298,711	45,926
(97) LESLIE FLAKE........................................................................ FORMER OFFICER	0.00 .......................0.00			X	286,616	0
(98) DANIEL FRATTARELLI........................................................................ FORMER KEY EMPLOYEE	50.00 .......................0.00			X	770,033	0
(99) DOMINIC SANFILIPPO MD........................................................................ FORMER KEY EMPLOYEE	50.00 .......................0.00			X	662,392	100,247
(100) BARBARA DUCATMAN MD........................................................................ FORMER KEY EMPLOYEE	50.00 .......................0.00			X	647,650	43,918
(101) JODIE RAPPE MD........................................................................ FORMER KEY EMPLOYEE	50.00 .......................0.00			X	397,329	52,012
(102) NICHOLAS GILPIN DO........................................................................ FORMER KEY EMPLOYEE	50.00 .......................0.00			X	383,709	48,363
(103) MICHAEL KHOURY MD........................................................................ FORMER KEY EMPLOYEE	50.00 .......................0.00			X	173,799	22,173
(104) HOSSAIN MARANDI MD........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00			X	176,544	0
(105) KASSEM CHARARA MD........................................................................ FORMER KEY EMPLOYEE	50.00 .......................0.00			X	114,594	15,839
(106) JONATHAN KAPER MD........................................................................ FORMER KEY EMPLOYEE	50.00 .......................0.00			X	112,385	8,085
(107) KONGKRIT CHAIYASATE MD........................................................................ FORMER HIGHEST COMPENSATED	50.00 .......................0.00			X	3,517,598	54,752
(108) MOHAMMAD CHISTI MD........................................................................ FORMER HIGHEST COMPENSATED	50.00 .......................0.00			X	2,738,859	41,593
(109) PAUL MAZARIS MD........................................................................ FORMER HIGHEST COMPENSATED	50.00 .......................0.00			X	1,535,098	54,246
(110) CHARLES SHERRY DO........................................................................ FORMER HIGHEST COMPENSATED	50.00 .......................0.00			X	1,486,696	53,811
(111) MUHAMMAD AZRAK MD........................................................................ FORMER HIGHEST COMPENSATED	50.00 .......................0.00			X	1,324,194	57,448

(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	85,128,106
NORTHSTAR ANESTHESIA OF MICHIGAN III PLL PO BOX 224928 DALLAS,TX75222	ANESTHESIA SERVICES	71,862,667
WHITING-TURNER CONTRACTING COMPANY 300 EAST JOPPA ROAD BALTIMORE,MD21286	CONSTRUCTION SERVICES	34,860,327
AMN HEALTHCARE INC 2999 OLYMPUS BLVD SUITE 500 COPPELL,TX75019	STAFFING SERVICES	14,358,786
EV CONSTRUCTION 86 E 6TH ST HOLLAND,MI49423	CONSTRUCTION SERVICES	13,874,219
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 528

- 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.
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

2024

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) BOTSFORD GENERAL HOSPITAL	381426919	3	Yes		0	0
(B) HOSPICE AT HOME INC	382416086	7	Yes		0	0
(C) LAKELAND COMMUNITY HOSPITAL WATERVLIET	381368745	3	Yes		0	0
(D) LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH	382539929	7	Yes		0	0
(E) LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC	382156872	3	Yes		0	0
(F) LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER	383452303	3	Yes		0	0
(G) MERCY-MEMORIAL HEALTH SERVICES INCORPORATED	382748035	10	Yes		0	0
(H) OAKWOOD HEALTHCARE INC	381405141	3	Yes		0	0
(I) WILLIAM BEAUMONT HOSPITAL	381459362	3	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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	28,739,251	31,210,325	28,492,369	81,172,931	56,489,193	226,104,069
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	28,739,251	31,210,325	28,492,369	81,172,931	56,489,193	226,104,069
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) ..						4,965,304
6	Public support. Subtract line 5 from line 4.						221,138,765

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..	28,739,251	31,210,325	28,492,369	81,172,931	56,489,193	226,104,069
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	6,142,269	2,588,154	4,370,235	67,772,421	29,881,644	110,754,723
9	Net income from unrelated business activities, whether or not the business is regularly carried on..				7,627,496	4,375,209	12,002,705
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..	4,011,107	2,948,980	1,882,303	54,377,968	42,963,855	106,184,213
11	Total support. Add lines 7 through 10						455,045,710

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

15,495,977,350

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 2024 (line 6, column (f) divided by line 11, column (f)) .........

48.600 %

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

42.770 %

16a

33 1/3% support test—2024. 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—2023. 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—2024. 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—2023. 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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. 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—2023. 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) 2024

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) 2024

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) 2024

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) 2024

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 2024 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-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

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

Schedule A (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

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

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 ......... Right Arrow

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization COREWELL HEALTH GROUP RETURN

Part I	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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

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

2024

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) 2024

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) 2021	(b) 2022	(c) 2023	(d) 2024	(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) 2024

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

(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

36,481

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

36,481

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) 2024

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

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

$ 785,389

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) (Rev. 1-2025)

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	56,071
d	Additions during the year ............................	1d	304,466
e	Distributions during the year ..........................	1e	310,076
f	Ending balance ................................	1f	50,461

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

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 .....	212,667,068		212,667,068
b	Buildings ....	3,911,468,060	1,380,778,686	2,530,689,374
c	Leasehold improvements	59,105,805	49,436,732	9,669,073
d	Equipment ....	1,909,188,280	1,274,714,830	634,473,450
e	Other .....	745,870,610	395,534,114	350,336,496
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				3,737,835,461

Schedule D (Form 990) (Rev. 1-2025)

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)INVESTMENTS HELD BY FOUNDATIONS				305,411,027
(2)NONQUALIFIED BENEFIT PLAN				149,306,069
(3)LONG TERM PREPAID PENSION ASSET				20,184,993
(4)DUE FROM AFFILIATES				7,365,087
(5)OTHER LONG TERM ASSETS				4,517,161
(6)POST RETIREMENT BENEFITS				4,465,913
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				491,250,250

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

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	632,318,692
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) (Rev. 1-2025)

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

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)
(Rev. January 2025)

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

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) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)Page 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) (Rev. 1-2025)

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990)
(Rev. January 2025)

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

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) (Rev. 1-2025)

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 2024 RUN WALK ROCK (event type)	(b) Event #2 2024 HARBOR WINE TASTING (event type)	(c) Other events 0 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	72,208	55,480		127,688
2	Less: Contributions . . . .	59,644			59,644
3	Gross income (line 1 minus line 2) . . . . . .	12,564	55,480		68,044

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .
7	Food and beverages . . .
8	Entertainment . . . .
9	Other direct expenses . . .	17,758	17,758
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .		17,758
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .		50,286

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) (Rev. 1-2025)

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) (Rev. 1-2025)

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

2024

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

Yes

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

Yes

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) . . .	215,714,440	161,635,330	54,079,110	0.510 %
b	Medicaid (from Worksheet 3, column a) . . . . .	799,210,420	764,411,393	34,799,027	0.330 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	1,014,924,860	926,046,723	88,878,137	0.840 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	38,600,199	15,945,117	22,655,082	0.210 %
f	Health professions education (from Worksheet 5) . . .	246,962,342	82,931,228	164,031,114	1.550 %
g	Subsidized health services (from Worksheet 6) . . . .	1,008,892,764	927,389,799	81,502,965	0.770 %
h	Research (from Worksheet 7) .	43,912,038	30,750,954	13,161,084	0.120 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	2,907,190		2,907,190	0.030 %
j	Total. Other Benefits . .	1,341,274,533	1,057,017,098	284,257,435	2.680 %
k	Total. Add lines 7d and 7j .	2,356,199,393	1,983,063,821	373,135,572	3.520 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

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			0	0
3	Community support			44,043	7,200	36,843	0 %
4	Environmental improvements			37,331	0	37,331	0 %
5	Leadership development and training for community members			508	0	508	0 %
6	Coalition building			157,650	28,334	129,316	0 %
7	Community health improvement advocacy			844,189	0	844,189	0.010 %
8	Workforce development			414,804	0	414,804	0 %
9	Other
10	Total			1,498,525	35,534	1,462,991	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. ......

158,520,350

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).....

3,579,264,314

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

4,221,489,820

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

-642,225,506

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	ACCOUNTABLE CARE ORGANIZATION	49.000 %	0.060 %	47.820 %
22 GREATER MICHIGAN LITHOTRIPSY LLC	HEALTHCARE SERVICES	21.270 %	0 %	50.270 %
33 DEARBORN SURGERY CENTER	HEALTHCARE SERVICES	49.380 %	0 %	46.250 %
44 LDBH LLC	HEALTHCARE SERVICES	20.000 %	0 %	20.000 %
55 LIBERTY DIALYSIS - LAKELAND LLC	HEALTHCARE SERVICES	20.000 %	0 %	20.000 %
66 LAKELAND CARE	HEALTHCARE SERVICES	50.000 %	0.590 %	49.390 %
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

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?20Name, 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)									Facility reporting group
1	CH GRAND RAPIDS HOSP-BUTTERWORTH HOSP 100 MICHIGAN ST NE GRAND RAPIDS,MI49503 WWW.COREWELLHEALTH.ORG 1060000021 SPECTRUM HEALTH HOSPITALS 381360529	X	X	X	X		X	X	A
2	CH WILLIAM BEAUMONT UNIVERSITY HOSP 3601 W 13 MILE RD ROYAL OAK,MI48073 WWW.COREWELLHEALTH.ORG 1060000061 WILLIAM BEAUMONT HOSPITAL 381459362	X	X	X	X		X	X	B
3	CH BEAUMONT TROY HOSPITAL 44201 DEQUINDRE RD TROY,MI48085 WWW.COREWELLHEALTH.ORG 1060000101 WILLIAM BEAUMONT HOSPITAL 381459362	X	X		X			X	B
4	CH DEARBORN HOSPITAL 18101 OAKWOOD BLVD DEARBORN,MI48124 WWW.COREWELLHEALTH.ORG 1060000009 OAKWOOD HEALTHCARE INC 381405141	X	X		X		X	X	B
5	CH GRAND RAPIDS HOSP-BLODGETT HOSP 1840 WEALTHY ST SE GRAND RAPIDS,MI49506 WWW.COREWELLHEALTH.ORG 1060000016 SPECTRUM HEALTH HOSPITALS 381360529	X	X		X		X	X	A
6	CH FARMINGTON HILLS HOSPITAL 28050 GRAND RIVER AVE FARMINGTON HILLS,MI48336 WWW.COREWELLHEALTH.ORG 1060000070 BOTSFORD GENERAL HOSPITAL 381426919	X	X		X			X	B
7	CH LAKELAND HOSPITALS-ST JOSEPH HOSP 1234 NAPIER AVE ST JOSEPH,MI49085 WWW.COREWELLHEALTH.ORG 1060000010 LAKELAND HOSPITALS AT NILES & ST JOSEPH 382156872	X	X		X			X	A
8	CH BEAUMONT GROSSE POINTE HOSPITAL 468 CADIEUX RD GROSSE POINTE,MI48230 WWW.COREWELLHEALTH.ORG 1060000043 WILLIAM BEAUMONT HOSPITAL 381459362	X	X		X			X	B
9	CH TRENTON HOSPITAL 5450 FORT ST TRENTON,MI48183 WWW.COREWELLHEALTH.ORG 1060000075 OAKWOOD HEALTHCARE INC 381405141	X	X		X			X	B
10	CH TAYLOR HOSPITAL 10000 TELEGRAPH RD TAYLOR,MI48180 WWW.COREWELLHEALTH.ORG 1060000102 OAKWOOD HEALTHCARE INC 381405141	X	X		X			X	B
11	CH WAYNE HOSPITAL 33155 ANNAPOLIS ST WAYNE,MI48184 WWW.COREWELLHEALTH.ORG 1060000067 OAKWOOD HEALTHCARE INC 381405141	X	X		X			X	B
12	CH GREENVILLE HOSPITAL 615 S BOWER ST GREENVILLE,MI48838 WWW.COREWELLHEALTH.ORG 1060000018 SPECTRUM HEALTH UNITED 381358412	X	X					X	B
13	CH LAKELAND HOSPITALS-NILES HOSP 31 N ST JOSEPH AVE NILES,MI49120 WWW.COREWELLHEALTH.ORG 1060000065 LAKELAND HOSPITALS AT NILES & ST JOSEPH 382156872	X	X		X			X	A
14	CH GERBER HOSPITAL 212 S SULLIVAN ST FREMONT,MI49412 WWW.COREWELLHEALTH.ORG 1060000054 NEWAYGO COUNTY GENERAL HOSPITAL ASS 381359517	X	X			X		X	B
15	CH LUDINGTON HOSPITAL 1 N ATKINSON DR LUDINGTON,MI49431 WWW.COREWELLHEALTH.ORG 1060000056 MEMORIAL MEDICAL CENTER OF WEST MICHIGAN 381359266	X	X					X	B
16	CH ZEELAND HOSPITAL 8333 FELCH ST ZEELAND,MI49464 WWW.COREWELLHEALTH.ORG 1060000002 ZEELAND COMMUNITY HOSPITAL 381411184	X	X					X	A
17	CH PENNOCK HOSPITAL 1009 W GREEN ST HASTINGS,MI49058 WWW.COREWELLHEALTH.ORG 1060000022 PENNOCK HOSPITAL 381360562	X	X			X		X	B
18	CH BIG RAPIDS HOSPITAL 605 OAK ST BIG RAPIDS,MI49307 WWW.COREWELLHEALTH.ORG 1060000045 MECOSTA COUNTY MEDICAL CENTER 381368744	X	X					X	B
19	CH REED CITY HOSPITAL 300 N PATTERSON RD REED CITY,MI49677 WWW.COREWELLHEALTH.ORG 1060000157 REED CITY HOSPITAL CORPORATION 382770076	X				X		X	B
20	CH WATERVLIET HOSPITAL 400 MEDICAL PARK DR WATERVLIET,MI49098 WWW.COREWELLHEALTH.ORG 1060000039 LAKELAND COMMUNITY HOSPITAL WATERVLIET 381368745	X	X					X	A

Schedule H (Form 990) 2024

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 24

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 24

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) 2024

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) 2024

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) 2024

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) 2024

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) 2024

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) 2024

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) 2024

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) 2024

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

Schedule H (Form 990) 2024

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?269
Name and address		Type of Facility (describe)
1	1 - CH CARE CTR - 275 MICHIGAN ST NE 275 MICHIGAN ST NE GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
2	2 - CH WBU CARE CTR - 3535 W 13 MILE RD 3535 W 13 MILE RD ROYAL OAK,MI48073	AMBULATORY/PHYSICIAN CLINIC
3	3 - CH GR HOSPITALS L-H CANCER PAVILION 145 MICHIGAN ST NE GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
4	4 - CH CARE CTR - 35 MICHIGAN ST 35 MICHIGAN ST NE 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 NE 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 CARE CTR - 4100 LAKE DR 4100 LAKE DR SE GRAND RAPIDS,MI49546	ASC/GENERAL MEDICAL
10	10 - CH CARE CTR - 4069 LAKE DR 4069 LAKE DR SE GRAND RAPIDS,MI49546	ASC/GENERAL MEDICAL
11	11 - CH WBU HOSPITAL CARE CTR - COOLIDGE 4949 COOLIDGE HWY ROYAL OAK,MI48073	AMBULATORY/PHYSICIAN CLINIC
12	12 - CH CARE CTR - E BELTLINE 2750 E BELTLINE AVE NE GRAND RAPIDS,MI49525	AMBULATORY/PHYSICIAN CLINIC
13	13 - CH REHAB & NURSING CTR - KENTRIDGE 4118 KALAMAZOO AVE SE 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 REHAB & NURSING CTR - CEDAR ST 1226 CEDAR ST NE GRAND RAPIDS,MI49504	AMBULATORY/PHYSICIAN CLINIC
17	17 - CH REHAB & NURSING CTR - COMMONS FH 21450 ARCHWOOD CIRCLE FARMINGTON HILLS,MI48336	SKILLED NURSING
18	18 - CH CARE CTR - OAKWOOD BLVD 18100 OAKWOOD BLVD DEARBORN,MI48124	ASC/GENERAL MEDICAL
19	19 - CH WBU HOSPITAL ROSE CANCER CTR 3577 W 13 MILE RD ROYAL OAK,MI48073	AMBULATORY/PHYSICIAN CLINIC
20	20 - CH ORTHOPEDIC CENTER - E BELTLINE 2770 E BELTLINE AVE NE GRAND RAPIDS,MI49525	ASC/GENERAL MEDICAL
21	21 - CH WBU HOSPITAL NEUROSCIENCE CTR 3555 W 13 MILE RD ROYAL OAK,MI48073	AMBULATORY/PHYSICIAN CLINIC
22	22 - CHMG SLEEP MEDICINE & PULMONARY 80 68TH ST SE GRAND RAPIDS,MI49548	ASC/GENERAL MEDICAL
23	23 - CH DEARBORN HOSPITAL 18181 OAKWOOD BLVD DEARBORN,MI48124	AMBULATORY/PHYSICIAN CLINIC
24	24 - CH SPINE & PAIN MANAGEMENT 1900 WEALTHY ST SE EAST GRAND RAPIDS,MI49503	ADMIN-AMBULATORY
25	25 - CH CARE CTR - BRADFORD 2900 BRADFORD ST NE GRAND RAPIDS,MI49525	AMBULATORY/PHYSICIAN CLINIC
26	26 - CH TROY HOSPITAL - DEQUINDRE DR 44199 DEQUINDRE RD TROY,MI48085	AMBULATORY/PHYSICIAN CLINIC
27	27 - CH WBU CARE CTR - ORCHARD LAKE 6900 ORCHARD LAKE RD WEST BLOOMFIELD,MI48322	AMBULATORY/PHYSICIAN CLINIC
28	28 - CH CARE CTR - ROYALTON - ST JOSEPH 3900 HOLLYWOOD RD ST JOSEPH,MI49085	ASC/GENERAL MEDICAL
29	29 - CH REHAB & NURSING CTR - LEFFINGWELL 1001 LEFFINGWELL AVE NE GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
30	30 - CH TROY HOSPITAL CARE CTR - S BLVD 1555 SOUTH BOULEVARD E ROCHESTER HILLS,MI48307	AMBULATORY/PHYSICIAN CLINIC
31	31 - CH LUDINGTON HOSPITAL MULTI-SPEC CTR 7 ATKINSON DR LUDINGTON,MI49431	AMBULATORY/PHYSICIAN CLINIC
32	32 - CH GR HOSPITALS PT - FREEMONT 1401 W MAIN ST FREMONT,MI49412	REHAB CENTER
33	33 - CH REHAB & NURSING CTR - DEARBORN 16391 ROTUNDA DR DEARBORN,MI48124	REHAB & SKILLED NURSING
34	34 - CHMG OBGYNCARDIOVASCULAR MEDICINE 221 MICHIGAN ST NE GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
35	35 - CH FH HOSPITAL CARE CTR 39000 7 MILE RD LIVONIA,MI48152	AMBULATORY/PHYSICIAN CLINIC
36	36 - CH GP HOSPITAL CARE CTR - LENOX TWP 36555 26 MILE RD LENOX TWP,MI48048	AMBULATORY/PHYSICIAN CLINIC
37	37 - CH LAKELAND HOMECARE - MEADOWBROOK 2550 MEADOWBROOK RD BENTON HARBOR,MI49022	AMBULATORY/PHYSICIAN CLINIC
38	38 - CH REHAB & NURSING CTR - PINE RIDGE 4368 S CLEVELAND AVE STEVENSVILLE,MI49127	SKILLED NURSING
39	39 - CH GR HOSPITALS PEDIATRICS 330 BARCLAY AVE NE GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
40	40 - CH TROY HOSPITAL CARE CTR - HALL RD 15979 HALL RD MACOMB TWP,MI48044	AMBULATORY/PHYSICIAN CLINIC
41	41 - CH CARE CTR - LAKEWOOD 588 E LAKEWOOD BLVD HOLLAND,MI49423	AMBULATORY/PHYSICIAN CLINIC
42	42 - CH PRIMARY CARE CTR - WYOMING 6105 WILSON AVE SW WYOMING,MI49418	AMBULATORY/PHYSICIAN CLINIC
43	43 - CH PENNOCK MEDICAL ARTS BUILDING 1005 W GREEN ST HASTINGS,MI49058	AMBULATORY/PHYSICIAN CLINIC
44	44 - CH FH HOSPITAL CARDIOLOGY 28080 GRAND RIVER AVE FARMINGTON HILLS,MI48336	AMBULATORY/PHYSICIAN CLINIC
45	45 - CH TROY HOSPITAL CARE CTR - STERLING 44300 DEQUINDRE RD STERLING HEIGHTS,MI48314	REHAB & DIALYSIS
46	46 - CH MUSCULOSKELETAL CTR 230 MICHIGAN ST GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
47	47 - CH CARE CTR - FORT ST SURGERY 5452 FORT ST TRENTON,MI48183	AMBULATORY/PHYSICIAN CLINIC
48	48 - CH CARE CTR - NORTHLINE RD 15777 NORTHLINE RD SOUTHGATE,MI48195	AMBULATORY/PHYSICIAN CLINIC
49	49 - CH PENNOCK POB 1005 W GREEN ST HASTINGS,MI49058	AMBULATORY/PHYSICIAN CLINIC
50	50 - CH CARE CTR - NILES 42 N ST JOSEPH AVE NILES,MI49120	AMBULATORY/PHYSICIAN CLINIC
51	51 - CH GERBER HOSPITAL 230 W OAK ST FREMONT,MI49412	AMBULATORY/PHYSICIAN CLINIC
52	52 - CH GP HOSPITAL CARE CTR - JEFFERSON 16815 E JEFFERSON AVE GROSSE POINTE,MI48230	AMBULATORY/PHYSICIAN CLINIC
53	53 - CH FH HOSPITAL FAMILY MED 28100 GRAND RIVER AVE FARMINGTON HILLS,MI48336	AMBULATORY/PHYSICIAN CLINIC
54	54 - CH CARE CTR - DEQUINDRE RD 44344 DEQUINDRE RD STERLING HEIGHTS,MI48314	AMBULATORY/PHYSICIAN CLINIC
55	55 - CH CARE CTR - MI STREET NE 426 MICHIGAN ST GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
56	56 - CH ZEELAND HOSPITAL MEDICAL OFFICE 8333 FELCH ST ZEELAND,MI49464	AMBULATORY/PHYSICIAN CLINIC
57	57 - CH CARE CTR - 25631 LITTLE MACK AVE 25631 LITTLE MACK AVE ST CLAIR SHORES,MI48081	AMBULATORY/PHYSICIAN CLINIC
58	58 - CH BR HOSPITAL CARE CTR - 215TH AVE 14755 215TH AVE BIG RAPIDS,MI49307	AMBULATORY/PHYSICIAN CLINIC
59	59 - CH LAKELAND MARIE YEAGER CANCER CTR 3900 HOLLYWOOD RD ST JOSEPH,MI49085	ASC/GENERAL MEDICAL
60	60 - CH FH HOSPITAL CANCER CARE CTR 27900 GRAND RIVER AVE FARMINGTON HILLS,MI48336	AMBULATORY/PHYSICIAN CLINIC
61	61 - CH CARE CTR - 2009 HOLTON RD 2009 HOLTON RD MUSKEGON,MI49445	AMBULATORY/PHYSICIAN CLINIC
62	62 - CH CARE CTR - ROCKFORD 8501 MEADOW CREEK ROCKFORD,MI49341	AMBULATORY/PHYSICIAN CLINIC
63	63 - CH FAMILY MEDICINE - BRETON 4600 BRETON RD SE KENTWOOD,MI49508	AMBULATORY/PHYSICIAN CLINIC
64	64 - CH DEARBORN HOSPITAL PEDIATRIC CARE 18501 ROTUNDA DR DEARBORN,MI48124	ADMIN-AMBULATORY
65	65 - CH LAKELAND PRIMARY CARE - HOLLYWOOD 3950 HOLLYWOOD RD ST JOSEPH,MI49085	AMBULATORY/PHYSICIAN CLINIC
66	66 - CH HOME INFUSION - ROYAL OAK 31157 WOODWARD AVE ROYAL OAK,MI48073	AMBULATORY/PHYSICIAN CLINIC
67	67 - CH TROY HOSPITAL CARE CTR - HALL RD 15959 HALL RD MACOMB TWP,MI48044	AMBULATORY/PHYSICIAN CLINIC
68	68 - CHMG PSYCHIATRYBEHAVIORAL MEDICINE 75 SHELDON BLVD GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
69	69 - CH KAREN WILSON SMITHBAUER CARE CTR 5400 FORT ST TRENTON,MI48183	AMBULATORY/PHYSICIAN CLINIC
70	70 - CH CARE CTR - ADA 7128 FULTON ST SE ADA,MI49355	AMBULATORY/PHYSICIAN CLINIC
71	71 - CH BIG RAPIDS HOSPITAL - POB 705 OAK ST BIG RAPIDS,MI49307	AMBULATORY/PHYSICIAN CLINIC
72	72 - CH LAKELAND ICC 2002 S 11TH ST NILES,MI49120	AMBULATORY/PHYSICIAN CLINIC
73	73 - CH CARE CTR - CANTON 7330 CANTON CENTER RD CANTON,MI48184	AMBULATORY/PHYSICIAN CLINIC
74	74 - CH GREENVILLE FAMILY MEDICINE 1202 W OAK ST GREENVILLE,MI48838	AMBULATORY/PHYSICIAN CLINIC
75	75 - CH REED CITY REGIONAL CANCER CTR 4499 220TH AVE REED CITY,MI49677	AMBULATORY/PHYSICIAN CLINIC
76	76 - CH CARE CTR - ST CLAIR SHORES 21400 E 11 MILE RD ST CLAIR SHORES,MI48081	AMBULATORY/PHYSICIAN CLINIC
77	77 - CH FAMILY MEDICINE - GARDEN CITY 29150 FORD RD GARDEN CITY,MI48135	AMBULATORY/PHYSICIAN CLINIC
78	78 - THE COMMONS CH - OAK COURT DEARBORN 16351 ROTUNDA DR DEARBORN,MI48120	AMBULATORY/PHYSICIAN CLINIC
79	79 - CH WBU HOSPITAL CARE CTR - COMMON RD 8545 COMMON RD WARREN,MI48093	AMBULATORY/PHYSICIAN CLINIC
80	80 - CH WBU CARDIOLOGY & HEART RHYTHM 4550/4600 INVESTMENT DR TROY,MI48098	AMBULATORY/PHYSICIAN CLINIC
81	81 - CH TROY HOSPITAL CARE CTR - ORION 1455 S LAPEER RD LAKE ORION,MI48360	AMBULATORY/PHYSICIAN CLINIC
82	82 - CH DEARBORN HOSPITAL INTERNAL MED 17000 HUBBARD DR DEARBORN,MI48126	AMBULATORY/PHYSICIAN CLINIC
83	83 - CH MERLINCAROLYN HANSON HOSPICE CTR 4382 CLEVELAND AVE STEVENSVILLE,MI49127	AMBULATORY/PHYSICIAN CLINIC
84	84 - CH CARE CTR - WESTLAND 2001 S MERRIMAN RD WESTLAND,MI48186	AMBULATORY/PHYSICIAN CLINIC
85	85 - CH DEARBORN HOSPITAL HEARTVASCULAR 22060 BEECH ST DEARBORN,MI48124	AMBULATORY/PHYSICIAN CLINIC
86	86 - CH GREENVILLE HOSPITAL CARE CTR 705 S GREENVILLE W DR GREENVILLE,MI48838	AMBULATORY/PHYSICIAN CLINIC
87	87 - CH CARE CTR - BIDDLE AVE 1700 BIDDLE AVE WYANDOTTE,MI48192	AMBULATORY/PHYSICIAN CLINIC
88	88 - CH GREENVILLE MULTI-SPEC CTR 707 S GREENVILLE W DR GREENVILLE,MI48838	AMBULATORY/PHYSICIAN CLINIC
89	89 - CH FAMILY MEDICINE - CAMPUSTOWNE 4868 LAKE MICHIGAN DR ALLENDALE,MI49401	AMBULATORY/PHYSICIAN CLINIC
90	90 - CH FAMILY MEDICINE - FREMONT 204 W MAIN ST FREMONT,MI49412	AMBULATORY/PHYSICIAN CLINIC
91	91 - CH WBU HOSPITAL CARDIOLOGY 27901 WOODWARD AVE BERKLEY,MI48072	AMBULATORY/PHYSICIAN CLINIC
92	92 - CH FAMILY MEDICINE - CANADIAN LAKES 8354 100TH AVE CANADIAN LAKES,MI49346	AMBULATORY/PHYSICIAN CLINIC
93	93 - CH CARE CTR - LAKEVIEW 8650 HOWARD CITY EDMORE RD LAKEVIEW,MI48850	AMBULATORY/PHYSICIAN CLINIC
94	94 - CH FAMILY MEDICINE - 14 MILE RD 29645 W 14 MILE RD FARMINGTON HILLS,MI48334	AMBULATORY/PHYSICIAN CLINIC
95	95 - CH GR HOSPITALS LAB - KALAMAZOO 4444 KALAMAZOO AVE SE KENTWOOD,MI49508	AMBULATORY/PHYSICIAN CLINIC
96	96 - CH FAMILY MEDICINE - BYRON CTR 7751 BYRON CENTER AVE SW BYRON CENTER,MI49315	AMBULATORY/PHYSICIAN CLINIC
97	97 - CH PENNOCK HOSPITAL FAMILY MEDICINE 1108 W STATE ST HASTINGS,MI49058	AMBULATORY/PHYSICIAN CLINIC
98	98 - CH SOUTHWESTERN MEDICAL CLINIC 5515 CLEVELAND AVE STEVENSVILLE,MI49127	AMBULATORY/PHYSICIAN CLINIC
99	99 - CH FAMILY MEDICINE - GEORGETOWN S 3158 PORT SHELDON HUDSONVILLE,MI49426	AMBULATORY/PHYSICIAN CLINIC
100	100 - CH CARE CTR - BERRIEN SPRINGS 9045 US 31 BERRIEN SPRINGS,MI49104	AMBULATORY/PHYSICIAN CLINIC
101	101 - CH WAYNE HOSPITAL IMAGING 7300 CANTON CENTER RD CANTON,MI48187	AMBULATORY/PHYSICIAN CLINIC
102	102 - CH FAMILY MEDICINE - BELLEVILLE 201 THIRD ST BELLEVILLE,MI48111	AMBULATORY/PHYSICIAN CLINIC
103	103 - CH TROY HOSPITAL RADIATION ONCOLOGY 44378 DEQUINDRE AVE STERLING HEIGHTS,MI48314	AMBULATORY/PHYSICIAN CLINIC
104	104 - CH WEIGHT CONTROL CTR 6300 N HAGGERTY RD CANTON TWP,MI48187	AMBULATORY/PHYSICIAN CLINIC
105	105 - CH CTR FOR HUMAN DEVELOPMENT 30503 GREENFIELD RD SOUTHFIELD,MI48076	AMBULATORY/PHYSICIAN CLINIC
106	106 - CH FAMILY MEDICINE - SPARTA 2111 12 MILE RD NW SPARTA,MI49345	AMBULATORY/PHYSICIAN CLINIC
107	107 - CH CARE CTR - N ROCHESTER RD 6700 N ROCHESTER RD ROCHESTER HILLS,MI48306	AMBULATORY/PHYSICIAN CLINIC
108	108 - CH FAMILY MEDICINE - N HAGGERTY RD 2050 HAGGERTY RD CANTON,MI48187	AMBULATORY/PHYSICIAN CLINIC
109	109 - CH GP HOSPITALS PT - WATERLOO 17150 WATERLOO ST GROSSE POINTE,MI48230	REHAB
110	110 - HDCH PEDIATRIC CTR - LANSING 3220 DISCOVERY DRIVE LANSING,MI48910	AMBULATORY/PHYSICIAN CLINIC
111	111 - CH ADVANCED PRIMARY CARE - ALPINE 2332 ALPINE AVE NW WALKER,MI49544	AMBULATORY/PHYSICIAN CLINIC
112	112 - CH CARE CTR - BEECH DALY RD 15540 BEECH DALY RD REDFORD TWP,MI48239	AMBULATORY/PHYSICIAN CLINIC
113	113 - CH PEDIATRICS - 68TH ST SE 1545 68TH ST SE GRAND RAPIDS,MI49508	AMBULATORY/PHYSICIAN CLINIC
114	114 - CH SLEEP CENTER 16310 W 12 MILE RD SOUTHFIELD,MI48076	AMBULATORY/PHYSICIAN CLINIC
115	115 - CH RHEUMATOLOGY - SUMMIT PARK 3271 CLEAR VISTA CT NE GRAND RAPIDS,MI49525	AMBULATORY/PHYSICIAN CLINIC
116	116 - CH CARE CTR - 23715 LITTLE MACK AVE 23715 LITTLE MACK AVE ST CLAIR SHORES,MI48080	REHAB
117	117 - CH PENNOCK MULTI-SPEC CTR - IONIA 2776 S STATE RD IONIA,MI48846	AMBULATORY/PHYSICIAN CLINIC
118	118 - CH INTERNAL MEDICINE - NORTHWESTERN 29355 NORTHWESTERN HWY SOUTHFIELD,MI48034	AMBULATORY/PHYSICIAN CLINIC
119	119 - CH LAKELAND CENTER FOR WELLNESS 133 W MAIN ST BENTON HARBOR,MI49022	AMBULATORY/PHYSICIAN CLINIC
120	120 - CHMG CARDIOVASCULAR MED - HOLLAND 602 MICHIGAN AVE HOLLAND,MI49423	AMBULATORY/PHYSICIAN CLINIC
121	121 - CH LAKELAND UROLOGY 815 ST JOSPEH DR ST JOSEPH,MI49085	AMBULATORY/PHYSICIAN CLINIC
122	122 - CH CARE CTR - BRIDGEMAN 9625 RED ARROW HWY BRIDGEMAN,MI49106	AMBULATORY/PHYSICIAN CLINIC
123	123 - CH GASTROENTEROLOGY - ST JOSEPH 3903 HOLLYWOOD RD ST JOSEPH,MI49085	AMBULATORY/PHYSICIAN CLINIC
124	124 - HDCH PEDIATRIC CTR - 35 MICHIGAN ST 35 MICHIGAN ST GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
125	125 - CH PRIMARY CARE LONGMEADOW 4 LONGMEADOW VILLAGE DR NILES,MI49120	AMBULATORY/PHYSICIAN CLINIC
126	126 - CH ORTHOPEDICS LONGMEADOW 6 LONGMEADOW VILLAGE DR NILES,MI49120	AMBULATORY/PHYSICIAN CLINIC
127	127 - CH PRIMARY CARE - DOWAGIAC 520 MAIN ST DOWAGIC,MI49047	AMBULATORY/PHYSICIAN CLINIC
128	128 - CH GERBER FAMILY MEDICINE - NEWAYGO 211 W PINE LAKE DR NEWAYGO,MI49337	REHAB
129	129 - CH GREENVILLE FAMILY MED - BELDING 1227 W STATE ST BELDING,MI48809	AMBULATORY/PHYSICIAN CLINIC
130	130 - CH FH PEDIATRICS - ORCHARD LAKE RD 23133 ORCHARD LAKE RD FARMINGTON,MI48336	AMBULATORY/PHYSICIAN CLINIC
131	131 - CH FAMILY MEDICINE - DIX TOLEDO 14319 DIX TOLEDO RD SOUTHGATE,MI48195	AMBULATORY/PHYSICIAN CLINIC
132	132 - CHMG OBGYN 3800 LAKE MICHIGAN DR NW GRAND RAPIDS,MI49534	AMBULATORY/PHYSICIAN CLINIC
133	133 - CH FH FAMILY MEDICINE - W 12 MILE RD 44130 W 12 MILE RD NOVI,MI48377	AMBULATORY/PHYSICIAN CLINIC
134	134 - CH FAMILY MEDICINE - E 11 MILE RD 309 E 11 MILE RD ROYAL OAK,MI48067	AMBULATORY/PHYSICIAN CLINIC
135	135 - CH LAKELAND HEART & VASCULAR - NILES 61 N ST JOSEPH AVE NILES,MI49120	AMBULATORY/PHYSICIAN CLINIC
136	136 - CH INTERNAL MEDICINE - E 10 MILE RD 18325 E 10 MILE RD ROSEVILLE,MI48066	AMBULATORY/PHYSICIAN CLINIC
137	137 - CH FAMILY MEDICINE - W WARREN ST 27031 W WARREN ST DEARBORN HEIGHTS,MI48127	AMBULATORY/PHYSICIAN CLINIC
138	138 - CH WATERVLIET HOSPITAL - WATERVLIET 450 MEDICAL PARK DR WATERVLIET,MI49098	AMBULATORY/PHYSICIAN CLINIC
139	139 - CH DEARBORN HOSPITAL CARE CTR - FORD 25045 FORD RD DEARBORN,MI48128	AMBULATORY/PHYSICIAN CLINIC
140	140 - CHMG SOUTH AUDIOLOGY - ST JOSEPH 2680 S CLEVELAND AVE ST JOSEPH,MI49085	AMBULATORY/PHYSICIAN CLINIC
141	141 - CH WATERVLIET REHAB - COLOMA 7040 RED ARROW HWY COLOMA,MI49038	REHAB
142	142 - CH PENNOCK ORTHOPEDICSPAIN MGMT CTR 840 COOK RD HASTINGS,MI49058	AMBULATORY/PHYSICIAN CLINIC
143	143 - CH FAMILY MEDICINE - PLAZA SOUTH DR 15100 S PLAZA DR TAYLOR,MI48180	AMBULATORY/PHYSICIAN CLINIC
144	144 - CH GR HOSPITALS MRI 3264 N EVERGREEN DR NE GRAND RAPIDS,MI49525	AMBULATORY/PHYSICIAN CLINIC
145	145 - CH FAMILY MEDICINE - LITTLE MACK AVE 30695 LITTLE MACK AVE ROSEVILLE,MI48066	AMBULATORY/PHYSICIAN CLINIC
146	146 - CH DEARBORN CARE CTR - ALLEN 19725 ALLEN RD BROWNSTOWN,MI48183	AMBULATORY/PHYSICIAN CLINIC
147	147 - CH LAKELAND HEARTVASCULAR - COLOMA 6559 PAW PAW AVE COLOMA,MI49038	AMBULATORY/PHYSICIAN CLINIC
148	148 - CH LAKELAND HOSPITALS REHAB - NILES 905 N FRONT ST NILES,MI49120	AMBULATORY/PHYSICIAN CLINIC
149	149 - CH PHYSICAL MED & REHAB - ANNAPOLIS 33000 ANNAPOLIS ST WAYNE,MI48184	AMBULATORY/PHYSICIAN CLINIC
150	150 - CH FAMILY MEDICINE - N MAIN STREET 950 970 N MAIN ST ROYAL OAK,MI48067	AMBULATORY/PHYSICIAN CLINIC
151	151 - CH FAMILY MEDICINE - 9 MILE RD 22646 E 9 MILE RD ST CLAIR SHORES,MI48080	AMBULATORY/PHYSICIAN CLINIC
152	152 - CH WBU HOSPITAL INTERNAL MEDICINE 1949 W 12 MILE RD BERKLEY,MI48072	AMBULATORY/PHYSICIAN CLINIC
153	153 - CH FAMILY MEDICINE - MACATAWA 3185 MACATAWA DRIVE SW GRANDVILLE,MI49418	AMBULATORY/PHYSICIAN CLINIC
154	154 - CH REED CITY SPECIALTY CLINIC 225 N STATE ST REED CITY,MI49677	AMBULATORY/PHYSICIAN CLINIC
155	155 - CH BR FAMILY MEDICINE - EVART 5991 95TH AVE EVART,MI49631	AMBULATORY/PHYSICIAN CLINIC
156	156 - CH FAMILY MEDICINE - PARKSIDE 25 S WASHINGTON ST OXFORD,MI48371	AMBULATORY/PHYSICIAN CLINIC
157	157 - CH FAMILY MEDICINE - CALEDONIA 9090 S RODGERS CT SE CALEDONIA,MI49316	AMBULATORY/PHYSICIAN CLINIC
158	158 - CH PENNOCK FAMILY MEDICINE - ODESSA 4294 LAUREL DR LAKE ODESSA,MI48849	AMBULATORY/PHYSICIAN CLINIC
159	159 - CH DERM & PLASTIC SURGERY - ROYALTON 3901 STONEGATE PARK ST JOSEPH,MI49085	AMBULATORY/PHYSICIAN CLINIC
160	160 - CH FAMILY MEDICINE - NEWPORT 3132 NEWPORT RD NEWPORT,MI48166	AMBULATORY/PHYSICIAN CLINIC
161	161 - CH FAMILY MEDICINE - GASLIGHT 2249 WEALTHY ST SE EAST GRAND RAPIDS,MI49506	AMBULATORY/PHYSICIAN CLINIC
162	162 - CH FH OBGYN - LEWIS DR 39475 LEWIS DR NOVI,MI48377	AMBULATORY/PHYSICIAN CLINIC
163	163 - CH WBU HOSPITAL WOMEN'S HEALTH CTR 17400 W 13 MILE RD BEVERLY HILLS,MI48025	AMBULATORY/PHYSICIAN CLINIC
164	164 - CHMG GASTRO CLINIC 1179 EAST PARIS AVE SE GRAND RAPIDS,MI49546	AMBULATORY/PHYSICIAN CLINIC
165	165 - CH TRENTON REHAB - JEFFERSON 2707 W JEFFERSON RD TRENTON,MI48183	REHAB
166	166 - CH WATERVLIET PRIM CARE - HARTFORD 525 S CENTER ST HARTFORD,MI49057	AMBULATORY/PHYSICIAN CLINIC
167	167 - CH LH HOMECARE - NILES 60 N ST JOSEPH AVE NILES,MI49120	AMBULATORY/PHYSICIAN CLINIC
168	168 - CH PHYSICIANS & SURGEONS - KERCHEVAL 17000 KERCHEVAL AVE GROSSE POINTE,MI48230	AMBULATORY/PHYSICIAN CLINIC
169	169 - CH INTERNAL MEDICINE - TOWN CTR DR 130 TOWN CENTER DR TROY,MI48084	AMBULATORY/PHYSICIAN CLINIC
170	170 - TAYLOR TEEN HEALTH CTR 20352 EUREKA RD TAYLOR,MI48180	AMBULATORY/PHYSICIAN CLINIC
171	171 - CH PRIMARY CARE - BOSTON SQUARE 1534 KALAMAZOO AVE SE GRAND RAPIDS,MI49507	AMBULATORY/PHYSICIAN CLINIC
172	172 - CH WBU HOSPITAL PT - COOLIDGE HWY 2160 COOLIDGE HWY BERKLEY,MI48072	AMBULATORY/PHYSICIAN CLINIC
173	173 - CH FH HOSPITAL CARDIOLOGY - 8 MILE 28711 W 8 MILE RD LIVONIA,MI48152	AMBULATORY/PHYSICIAN CLINIC
174	174 - CH OBGYN - PARKWAY PLACE 4249 PARKWAY PLACE SW GRANDVILLE,MI49418	AMBULATORY/PHYSICIAN CLINIC
175	175 - CH SPECIALTY CARE - HOLTON RD 1845 HOLTON RD MUSKEGON,MI49445	AMBULATORY/PHYSICIAN CLINIC
176	176 - CH PRIMARY CARE - KERCHEVAL AVE 15200 KERCHEVAL AVE GROSSE POINTE PARK,MI48230	AMBULATORY/PHYSICIAN CLINIC
177	177 - CH GR HOSPITALS PEDIATRIC CARE CTR 360 LAFAYETTE AVE SE GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
178	178 - CH FAMILY MEDICINE - WALTON BLVD 1202 WALTON BLVD ROCHESTER HILLS,MI48307	AMBULATORY/PHYSICIAN CLINIC
179	179 - CH LUDINGTON FAMILY MEDICINE - GRANT 230 S MAPLE ST GRANT,MI49327	AMBULATORY/PHYSICIAN CLINIC
180	180 - CH PENNOCK FAMILY MED - GUN LAKE 12851 W M 179 HWY WAYLAND,MI49348	AMBULATORY/PHYSICIAN CLINIC
181	181 - HDCH PEDIATRIC CTR - TRAVERSE CITY 880 MUNSON AVE TRAVERSE CITY,MI49686	AMBULATORY/PHYSICIAN CLINIC
182	182 - CH FAMILY MEDICINE - COOPERSVILLE 25 CONRAN DR COOPERSVILLE,MI49404	AMBULATORY/PHYSICIAN CLINIC
183	183 - CH ADVANCED PRIMARY CARE - MUSKEGON 2558 HENRY ST MUSKEGON,MI49441	AMBULATORY/PHYSICIAN CLINIC
184	184 - CH GREENVILLE HOSPITAL OUTPATIENT PT 6896 S GREENVILLE RD GREENVILLE,MI48838	AMBULATORY/PHYSICIAN CLINIC
185	185 - CH LIFESTYLE MEDICINE 435 IONIA AVE SW GRAND RAPIDS,MI49503	AMBULATORY/PHYSICIAN CLINIC
186	186 - CH GR HOSPITALS IMAGING - FOREMOST 5800 FOREMOST DR SE GRAND RAPIDS,MI49546	AMBULATORY/PHYSICIAN CLINIC
187	187 - CH LUDINGTON FAMILY MEDICINE - HART 2481 N 72ND AVE HART,MI49420	AMBULATORY/PHYSICIAN CLINIC
188	188 - CH URGENT CARE - FARMINGTON HILLS 27810 GRAND RIVER AVE FARMINGTON HILLS,MI48336	AMBULATORY/PHYSICIAN CLINIC
189	189 - CH FAMILY MEDICINE - RYAN RD 29245 RYAN RD WARREN,MI48092	AMBULATORY/PHYSICIAN CLINIC
190	190 - CH FH HOSPITAL INTERNAL MEDICINE 20317 FARMINGTON RD LIVONIA,MI48152	AMBULATORY/PHYSICIAN CLINIC
191	191 - CH TAYLOR HOSPITAL PT 4121 S CANTON CENTER RD CANTON,MI48188	AMBULATORY/PHYSICIAN CLINIC
192	192 - CH LUDINGTON CLININC & PRIMARY CARE 922 LAWNDALE ST LUDINGTON,MI494311928	AMBULATORY/PHYSICIAN CLINIC
193	193 - CH TAYLOR HOSPITAL REHAB - TELEGRAPH 9870 TELEGRAPH RD TAYLOR,MI48180	AMBULATORY/PHYSICIAN CLINIC
194	194 - CH FAMILY MEDICINE - GRAND RVR AVE 32754 GRAND RIVER AVE FARMINGTON,MI48336	AMBULATORY/PHYSICIAN CLINIC
195	195 - CH DEARBORN HOSPITAL SLEEP CTR 14031 PENNSYLVANIA RD RIVERVIEW,MI48193	AMBULATORY/PHYSICIAN CLINIC
196	196 - CH GR HOSPITALS PT - ROCKFORD 515 E DIVISION ST ROCKFORD,MI49341	AMBULATORY/PHYSICIAN CLINIC
197	197 - CH GR HOSPITALS PT - BELTLINE 2830 E BELTLINE AVE NE GRAND RAPIDS,MI49525	AMBULATORY/PHYSICIAN CLINIC
198	198 - CH INTERNAL MEDICINE - MIDWAY 555 BARCLAY CIRCLE ROCHESTER HILLS,MI48307	AMBULATORY/PHYSICIAN CLINIC
199	199 - CH FAMILY MEDICINE - NORTHSIDE 14001 GREENFIELD RD DETROIT,MI48227	AMBULATORY/PHYSICIAN CLINIC
200	200 - CH INTERNAL MEDICINE - DEQUINDRE RD 38865 DEQUINDRE RD TROY,MI48083	AMBULATORY/PHYSICIAN CLINIC
201	201 - CH BIG RAPIDS HOSPITAL REHAB - 220TH 4393 220TH AVE REED CITY,MI49677	AMBULATORY/PHYSICIAN CLINIC
202	202 - CH FAMILY MEDICINE - TELEGRAPH RD 9340 TELEGRAPH RD TAYLOR,MI48180	AMBULATORY/PHYSICIAN CLINIC
203	203 - CH PENNOCK FAMILY MEDICINE 490 EDWARD ST MIDDLEVILLE,MI49333	AMBULATORY/PHYSICIAN CLINIC
204	204 - CH FAMILY MEDICINE - GEORGETOWN N 3152 PORT SHELDON HUDSONVILLE,MI49426	AMBULATORY/PHYSICIAN CLINIC
205	205 - CH SLEEP - FORD RD 42180 FORD RD CANTON,MI48187	AMBULATORY/PHYSICIAN CLINIC
206	206 - CH WBU HOSPITAL CARDIOLOGY - 10 MILE 39500 W 10 MILE RD NOVI,MI48375	AMBULATORY/PHYSICIAN CLINIC
207	207 - CH LUDINGTON HOSPITAL PEDIATRICS 907 E TINKHAM AVE LUDINGTON,MI49431	AMBULATORY/PHYSICIAN CLINIC
208	208 - CH INTERNAL MEDICINE - WESTLAND 35180 NANKIN BLVD WESTLAND,MI48185	AMBULATORY/PHYSICIAN CLINIC
209	209 - CH INTERNAL MEDICINE - W 13 MILE RD 17392 W 13 MILE RD BEVERLY HILLS,MI48025	AMBULATORY/PHYSICIAN CLINIC
210	210 - CH WAYNE BREAST CARE CTR - ANNAPOLIS 4491 VENOY AVE WAYNE,MI48184	AMBULATORY/PHYSICIAN CLINIC
211	211 - CH GP HOSPITAL VEIN CTR - KERCHEVAL 87 KERCHEVAL AVE GROSSE POINTE FARMS,MI48236	AMBULATORY/PHYSICIAN CLINIC
212	212 - CH LUDINGTON FAMILY MED - HESPERIA 78 N DIVISION ST HESPERIA,MI49421	AMBULATORY/PHYSICIAN CLINIC
213	213 - CH DEARBORN HOSPITAL LAB - MONROE ST 1331 MONROE ST DEARBORN,MI48124	AMBULATORY/PHYSICIAN CLINIC
214	214 - CH WBU HOSPITAL MAMMOGRAPHY 35046 WOODWARD AVE BIRMINGHAM,MI48009	AMBULATORY/PHYSICIAN CLINIC
215	215 - CH FAMILY MEDICINE - CHESTERFIELD 50630 CHESTERFIELD RD CHESTERFIELD TOWNSHI,MI48051	AMBULATORY/PHYSICIAN CLINIC
216	216 - CH CARDIOVASCULAR SERVICES - S HAVEN 749 PHILLIPS ST SOUTH HAVEN,MI49090	AMBULATORY/PHYSICIAN CLINIC
217	217 - CH TAYLOR HOSPITAL PT - MONROE ST 2552 MONROE ST DEARBORN,MI48124	AMBULATORY/PHYSICIAN CLINIC
218	218 - CH GR HOSPITALS HEALTHIER COMMUNITIY 1357 CESAR E CHAVEZ AVE SW GRAND RAPIDS,MI49507	AMBULATORY/PHYSICIAN CLINIC
219	219 - CH OCCUPATIONAL HEALTH - ST JOSEPH 2500 NILES RD ST JOSEPH,MI49085	AMBULATORY/PHYSICIAN CLINIC
220	220 - CH ENDOCRINE CLINIC 17412 W 13 MILE RD BEVERLY HILLS,MI48025	AMBULATORY/PHYSICIAN CLINIC
221	221 - CH GR HOSPITALS PT - VISTA SPRINGS 2420 COIT AVE NE GRAND RAPIDS,MI49505	AMBULATORY/PHYSICIAN CLINIC
222	222 - CH GR HOSPITALS LAB - E PARIS AVE 1000 EAST PARIS AVE SE GRAND RAPIDS,MI49546	AMBULATORY/PHYSICIAN CLINIC
223	223 - CH GR HOSPITALS PT - FAIRLANES 3540 FAIRLANES AVE SW GRANDVILLE,MI49418	AMBULATORY/PHYSICIAN CLINIC
224	224 - CH GR HOSPITALS PT - BELDING 1320 W STATE ST BELDING,MI48809	AMBULATORY/PHYSICIAN CLINIC
225	225 - CH WBU HOSPITAL CARDIOLOGY - 12 MILE 16800 W 12 MILE RD SOUTHFIELD,MI48076	AMBULATORY/PHYSICIAN CLINIC
226	226 - CH INTERNAL MEDICINE - NANKIN BLVD 35330 NANKIN BLVD WESTLAND,MI48185	AMBULATORY/PHYSICIAN CLINIC
227	227 - WAYNE MEMORIAL TEEN HEALTH CTR 3001 4TH ST WAYNE,MI48184	TELEMEDICINE CLINIC
228	228 - CH WBU HOSPITAL LAB - W BIG BEAVER 3290 W BIG BEAVER RD TROY,MI48084	AMBULATORY/PHYSICIAN CLINIC
229	229 - CH FH HOSPITAL LAB - FARMINGTON RD 27555 FARMINGTON RD FARMINGTON HILLS,MI48336	AMBULATORY/PHYSICIAN CLINIC
230	230 - CH WALK-IN CLINIC - WYOMING MEIJER 5500 CLYDE PARK AVE SW WYOMING,MI49509	AMBULATORY/PHYSICIAN CLINIC
231	231 - CH DEARBORN LAB - SOUTHFIELD 15101 SOUTHFIELD RD ALLEN PARK,MI48101	AMBULATORY/PHYSICIAN CLINIC
232	232 - CH PEDIATRIC CARDIOLOGY - OWOSSO 802 W KING ST OWOSSO,MI48867	AMBULATORY/PHYSICIAN CLINIC
233	233 - CH GR HOSPITALS PEDIATRIC PT 400 S STATE ST ZEELAND,MI49464	AMBULATORY/PHYSICIAN CLINIC
234	234 - CH WALK-IN CLINIC - HUDSONVILLE 4075 32ND AVE HUDSONVILLE,MI49426	AMBULATORY/PHYSICIAN CLINIC
235	235 - CH GR HOSPITALS LAB - WOMENS HEALTH 555 MIDTOWNE ST NE GRAND RAPIDS,MI49503	LABORATORY
236	236 - CH LAKELAND HOSPITALS LAB - OAK ST 1951 OAK ST NILES,MI49120	AMBULATORY/PHYSICIAN CLINIC
237	237 - FREMONT TEEN HEALTH CTR 5421 WARNER AVE FREMONT,MI49412	TELEMEDICINE CLINIC
238	238 - GREENVILLE TEEN HEALTH CTR 111 N HILLCREST ST GREENVILLE,MI48838	TELEMEDICINE CLINIC
239	239 - CH LAKELAND HOSPITALS LAB - M62 261 M62 CASSOPOLIS,MI49031	AMBULATORY/PHYSICIAN CLINIC
240	240 - CENTRAL MONTCALM - TEEN HEALTH CTR 1480 S SHERIDAN STANTON,MI48888	TELEMEDICINE CLINIC
241	241 - HESPERIA TEEN HEALTH CTR 96 S DIVISION HESPERIA,MI49421	TELEMEDICINE CLINIC
242	242 - MONTABELLA TEEN HEALTH CTR 1324 N COUNTY LINE RD BLANCHARD,MI49310	TELEMEDICINE CLINIC
243	243 - TRI COUNTY TEEN HEALTH CTR 21338 KENDAVILLE RD HOWARD CITY,MI49329	TELEMEDICINE CLINIC
244	244 - EVART TEEN HEALTH CTR 6221 95TH AVE EVART,MI49631	TELEMEDICINE CLINIC
245	245 - CHMG GERIATRIC CARE 4482 PORT SHELDON HUDSONVILLE,MI49426	AMBULATORY/PHYSICIAN CLINIC
246	246 - CH GREENVILLE LIFESTYLES 701 S GREENVILLE W DR GREENVILLE,MI48838	AMBULATORY/PHYSICIAN CLINIC
247	247 - CH DEARBORRN HOSPITAL LAB - HALL RD 25000 HALL RD WOODHAVEN,MI48183	AMBULATORY/PHYSICIAN CLINIC
248	248 - HDCH ORTHOPEDICS - GRAND BLANC 8203 S SAGINAW ST GRAND BLANC,MI48439	AMBULATORY/PHYSICIAN CLINIC
249	249 - CH BIG RAPIDS OBGYN & UROLOGY 722 LOCUST ST BIG RAPIDS,MI49307	AMBULATORY/PHYSICIAN CLINIC
250	250 - CH PEDIATRIC NEPHROLOGY - KALAMAZOO 1000 OAKLAND DR KALAMAZOO,MI49008	AMBULATORY/PHYSICIAN CLINIC
251	251 - HDCH PEDIATRIC UROLOGY - TRAVERSE 106 S MADISON ST TRAVERSE CITY,MI49684	AMBULATORY/PHYSICIAN CLINIC
252	252 - HDCH HEART CENTER - MT PLEASANT 1205 S MISSION ST MT PLEASANT,MI48858	AMBULATORY/PHYSICIAN CLINIC
253	253 - ZEELAND WEST TEEN HEALTH CTR 3390 100TH AVE ZEELAND,MI49464	TELEMEDICINE CLINIC
254	254 - SPARTA TEEN HEALTH CTR 475 W SPARTAN DR SPARTA,MI49345	TELEMEDICINE CLINIC
255	255 - BIG RAPIDS TEEN HEALTH CTR 21175 15 MILE RD BIG RAPIDS,MI49307	TELEMEDICINE CLINIC
256	256 - EAST KENTWOOD HS TEEN HEALTH CTR 6230 KALAMAZOO AVE KENTWOOD,MI49508	TELEMEDICINE CLINIC
257	257 - LAKEVIEW TEEN HEALTH CTR 602 WASHINGTON ST LAKEVIEW,MI48850	TELEMEDICINE CLINIC
258	258 - WYOMING TEEN HEALTH CTR 1350 PRAIRE PARKWAY SW WYOMING,MI49509	TELEMEDICINE CLINIC
259	259 - EAST KENTWOOD FR TEEN HEALTH CTR 6170 VALLEY LANE DRIVE SE KENTWOOD,MI49508	TELEMEDICINE CLINIC
260	260 - HASTINGS TEEN HEALTH CTR 520 W SOUTH ST HASTINGS,MI49058	TELEMEDICINE CLINIC
261	261 - CARSON CITY-CRYSTAL TEEN HEALTH CTR 213 E SHERMAN ST CARSON CITY,MI48811	TELEMEDICINE CLINIC
262	262 - MASON COUNTRY TEEN HEALTH CTR 210 W BROADWAY SCOTTSVILLE,MI49464	TELEMEDICINE CLINIC
263	263 - THORNAPPLE KELLOGG TEEN HEALTH CTR 3885 BENDER RD MIDDLEVILLE,MI49333	TELEMEDICINE CLINIC
264	264 - ZEELAND EAST TEEN HEALTH CTR 3333 96TH AVE ZEELAND,MI49464	TELEMEDICINE CLINIC
265	265 - ANNAPOLIS TEEN HEALTH CTR 4650 CLIPPERT ST DEARBORN HEIGHTS,MI48125	TELEMEDICINE CLINIC
266	266 - DETROIT EDISON TEEN HEALTH CTR 1903 WILKINS ST DETROIT,MI48207	TELEMEDICINE CLINIC
267	267 - PIERCE MIDDLE SCHOOL TEEN HEALTH CTR 25605 ORANGELAWN ST REDFORD,MI48239	TELEMEDICINE CLINIC
268	268 - TOMLINSON MIDDLE TEEN HEALTH CTR 25912 ANNAPOLIS ST INKSTER,MI48141	TELEMEDICINE CLINIC
269	269 - WAYNE WESTLAND TEEN HEALTH CTR 36745 MARQUETTE WESTLAND,MI48185	TELEMEDICINE CLINIC

Schedule H (Form 990) 2024

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

Schedule H (Form 990) 2024

Additional Data

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

Schedule I
(Form 990)
(Rev. January 2025)

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 instructions and the latest information.

OMB No. 1545-0047

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) CITY OF LUDINGTON 400 SOUTH HARRISON ST LUDINGTON,MI49431	38-6004706	GOVERNMENT	17,500	K9 FUND
(2) COREWELL HEALTH FOUNDATION WEST MICHIGAN 100 COREWELL DR NW GRAND RAPIDS,MI49503	38-2752328	501(C)(3)	134,147	TRANSFER OF GIFT SHOP PROFITS TO SUPPORT EXEMPT PURPOSE OF FOUNDATION
(3) MONTCALM COMMUNITY COLLEGE FOUNDATION 2800 COLLEGE DR SIDNEY,MI48885	38-2371295	501(C)(3)	20,000	TO SUPPORT EXEMPT 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) Rev. 1-2025

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	1430	2,778,110	N/A	N/A
(2) PATIENT ASSISTANCE	1	29,919	N/A	N/A
(2)
(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 ISSUES GRANTS TO ORGANIZATIONS OR PROGRAMS WHOSE GOALS ALIGN WITH OUR ORGANIZATION. GRANT APPLICATIONS ARE REVIEWED AND PRIORITIZED BASED UPON ALIGNMENT IN SUPPORT OF THE ORGANIZATION'S MISSION. SINGLE YEAR OPERATIONAL AND/OR PROGRAM GRANTS ARE NOT MONITORED AFTER AWARD. LARGER MULTI-YEAR AND/OR CAPITAL GRANTS ARE MONITORED FOR ACHIEVEMENT WITHIN THE GRANT AGREEMENT.

Schedule I (Form 990) Rev. 1-2025

Additional Data

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Schedule J
(Form 990)
(Rev. January 2025)

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

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) (Rev. 1-2025)

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 ------------- 2,489,108	0 ------------- 2,726,865	0 ------------- 237,857	0 ------------- 1,462,145	0 ------------- 36,825	0 ------------- 6,952,800	0 ------------- 1,439,610
2KONGKRIT CHAIYASATE MD FORMER HIGHEST COMPENSATED	(i) (ii)	0 ------------- 3,515,888	0 ------------- 0	0 ------------- 1,710	0 ------------- 23,850	0 ------------- 30,902	0 ------------- 3,572,350	0 ------------- 0
3DARRYL ELMOUCHI MD DIRECTOR PY/PRESIDENT PY/FMR OFFCR	(i) (ii)	0 ------------- 1,525,444	0 ------------- 1,374,225	0 ------------- 107,347	0 ------------- 418,200	0 ------------- 38,752	0 ------------- 3,463,968	0 ------------- 538,007
4PRAVEEN THADANI DIRECTOR	(i) (ii)	0 ------------- 1,254,753	0 ------------- 1,230,454	0 ------------- 117,498	0 ------------- 517,393	0 ------------- 33,652	0 ------------- 3,153,750	0 ------------- 508,365
5MATTHEW E COX CFO	(i) (ii)	0 ------------- 1,237,492	0 ------------- 1,186,309	0 ------------- 99,814	0 ------------- 520,376	0 ------------- 37,759	0 ------------- 3,081,750	0 ------------- 468,516
6MOHAMMAD CHISTI MD FORMER HIGHEST COMPENSATED	(i) (ii)	0 ------------- 2,737,149	0 ------------- 0	0 ------------- 1,710	0 ------------- 16,500	0 ------------- 25,093	0 ------------- 2,780,452	0 ------------- 0
7PAUL MAZARIS MD FORMER HIGHEST COMPENSATED	(i) (ii)	0 ------------- 1,483,550	0 ------------- 40,629	0 ------------- 10,919	0 ------------- 24,150	0 ------------- 30,096	0 ------------- 1,589,344	0 ------------- 0
8ALEJANDRO QUIROGA CHAND MD DIRECTOR PY/PRESIDENT PY	(i) (ii)	0 ------------- 846,228	0 ------------- 353,633	0 ------------- 76,241	0 ------------- 232,700	0 ------------- 37,414	0 ------------- 1,546,216	0 ------------- 65,920
9CHARLES SHERRY DO FORMER HIGHEST COMPENSATED	(i) (ii)	0 ------------- 1,444,743	0 ------------- 30,799	0 ------------- 11,154	0 ------------- 19,346	0 ------------- 34,465	0 ------------- 1,540,507	0 ------------- 0
10LOREN B HAMEL MD DIRECTOR PY/PRESIDENT PY	(i) (ii)	0 ------------- 405,436	0 ------------- 511,611	0 ------------- 575,212	0 ------------- 17,231	0 ------------- 16,791	0 ------------- 1,526,281	0 ------------- 438,838
11BENJAMIN SCHWARTZ MD FORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 294,565	0 ------------- 1,224,000	0 ------------- 0	0 ------------- 0	0 ------------- 1,518,565	0 ------------- 0
12MUHAMMAD AZRAK MD FORMER HIGHEST COMPENSATED	(i) (ii)	0 ------------- 1,318,224	0 ------------- 0	0 ------------- 5,970	0 ------------- 23,850	0 ------------- 33,598	0 ------------- 1,381,642	0 ------------- 0
13CHAD TUTTLE DIRECTOR/PRESIDENT/FORMER OFFICER	(i) (ii)	0 ------------- 758,254	0 ------------- 168,314	0 ------------- 61,012	0 ------------- 132,356	0 ------------- 40,614	0 ------------- 1,160,550	0 ------------- 55,669
14BRIAN BRASSER FORMER OFFICER	(i) (ii)	0 ------------- 567,764	0 ------------- 189,614	0 ------------- 61,733	0 ------------- 176,494	0 ------------- 37,137	0 ------------- 1,032,742	0 ------------- 51,490
15JOSHUA KOOISTRA DO DIRECTOR PY/INTERIM PRESIDENT PY	(i) (ii)	0 ------------- 639,278	0 ------------- 142,337	0 ------------- 72,109	0 ------------- 111,674	0 ------------- 35,149	0 ------------- 1,000,547	0 ------------- 68,690
16LAMONT YODER DIRECTOR PY/PRESIDENT PY	(i) (ii)	0 ------------- 515,373	0 ------------- 200,000	0 ------------- 83,295	0 ------------- 139,274	0 ------------- 22,459	0 ------------- 960,401	0 ------------- 0
17ANTHONY STALLION MD DIRECTOR	(i) (ii)	0 ------------- 852,332	0 ------------- 45,000	0 ------------- 7,524	0 ------------- 16,500	0 ------------- 29,563	0 ------------- 950,919	0 ------------- 0
18JASON SLAIKEU FORMER OFFICER	(i) (ii)	0 ------------- 723,058	0 ------------- 161,070	0 ------------- 8,649	0 ------------- 27,600	0 ------------- 28,501	0 ------------- 948,878	0 ------------- 0
19NANCY SUSICK DIRECTOR/SECRETARY/FMR KEY EMPLOYEE	(i) (ii)	0 ------------- 670,841	0 ------------- 98,927	0 ------------- 102,301	0 ------------- 23,850	0 ------------- 29,963	0 ------------- 925,882	0 ------------- 174,157
20PAOLO MARCIANO MD DIRECTOR/PRESIDENT/FMR KEY EMPLOYEE	(i) (ii)	0 ------------- 274,490	0 ------------- 87,501	0 ------------- 427,732	0 ------------- 114,900	0 ------------- 8,398	0 ------------- 913,021	0 ------------- 87,501
21BENJAMIN GIELDA MD DIRECTOR	(i) (ii)	0 ------------- 841,436	0 ------------- 7,115	0 ------------- 1,140	0 ------------- 20,700	0 ------------- 11,988	0 ------------- 882,379	0 ------------- 0
22ANDREA LESLIE REGIONAL PRESIDENT PY	(i) (ii)	0 ------------- 498,242	0 ------------- 112,500	0 ------------- 47,121	0 ------------- 118,870	0 ------------- 36,122	0 ------------- 812,855	0 ------------- 39,514
23CHARLES GIBSON MD DIRECTOR	(i) (ii)	0 ------------- 638,624	0 ------------- 106,757	0 ------------- 1,134	0 ------------- 17,250	0 ------------- 31,791	0 ------------- 795,556	0 ------------- 0
24DANIEL FRATTARELLI FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 25,772	0 ------------- 99,961	0 ------------- 644,300	0 ------------- 0	0 ------------- 0	0 ------------- 770,033	0 ------------- 0
25DOMINIC SANFILIPPO MD FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 537,126	0 ------------- 94,882	0 ------------- 30,384	0 ------------- 73,892	0 ------------- 26,355	0 ------------- 762,639	0 ------------- 0
26ROBERT FITZGERALD MD FORMER OFFICER	(i) (ii)	0 ------------- 581,238	0 ------------- 85,007	0 ------------- 4,902	0 ------------- 20,700	0 ------------- 24,642	0 ------------- 716,489	0 ------------- 0
27MARTHA BOONSTRA FORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 53,564	0 ------------- 655,675	0 ------------- 0	0 ------------- 0	0 ------------- 709,239	0 ------------- 0
28BARBARA DUCATMAN MD FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 568,552	0 ------------- 64,751	0 ------------- 14,347	0 ------------- 16,500	0 ------------- 27,418	0 ------------- 691,568	0 ------------- 64,751
29JEFFREY POSTMA DO DIRECTOR	(i) (ii)	0 ------------- 575,043	0 ------------- 50,000	0 ------------- 7,674	0 ------------- 20,700	0 ------------- 33,436	0 ------------- 686,853	0 ------------- 0
30LOWELL HAMEL MD DIRECTOR PY/FORMER OFFICER	(i) (ii)	0 ------------- 137,879	0 ------------- 59,330	0 ------------- 475,688	0 ------------- 463	0 ------------- 1,418	0 ------------- 674,778	0 ------------- 0
31NATALIE BAGGIO DIRECTOR PY/PRESIDENT PY	(i) (ii)	0 ------------- 462,477	0 ------------- 49,545	0 ------------- 78,521	0 ------------- 67,792	0 ------------- 15,064	0 ------------- 673,399	0 ------------- 37,686
32KELLI SADLER DIRECTOR	(i) (ii)	0 ------------- 491,258	0 ------------- 57,168	0 ------------- 5,169	0 ------------- 81,122	0 ------------- 24,749	0 ------------- 659,466	0 ------------- 57,168
33MICHAEL WEBB MD DIRECTOR	(i) (ii)	0 ------------- 510,476	0 ------------- 7,115	0 ------------- 18,967	0 ------------- 36,066	0 ------------- 32,622	0 ------------- 605,246	0 ------------- 0
34DREW DOSTAL REGIONAL PRESIDENT	(i) (ii)	0 ------------- 411,061	0 ------------- 96,019	0 ------------- 47,104	0 ------------- 13,800	0 ------------- 34,291	0 ------------- 602,275	0 ------------- 33,713
35ROBERT HOEFER REGIONAL PRESIDENT	(i) (ii)	0 ------------- 408,306	0 ------------- 93,254	0 ------------- 42,093	0 ------------- 13,800	0 ------------- 33,492	0 ------------- 590,945	0 ------------- 36,396
36CHRISTOPHER FLORES DIRECTOR/TREASURER	(i) (ii)	0 ------------- 383,237	0 ------------- 102,821	0 ------------- 3,199	0 ------------- 16,500	0 ------------- 32,751	0 ------------- 538,508	0 ------------- 102,821
37KAREN PAKKALA DIR/PRES/TREAS/SECY/FMR OFFICER	(i) (ii)	0 ------------- 362,884	0 ------------- 80,895	0 ------------- 11,395	0 ------------- 20,700	0 ------------- 7,870	0 ------------- 483,744	0 ------------- 0
38ANNICA WAALKES MD DIRECTOR	(i) (ii)	0 ------------- 383,448	0 ------------- 50,591	0 ------------- 9,032	0 ------------- 27,600	0 ------------- 2,397	0 ------------- 473,068	0 ------------- 0
39CARA JANSMA SECRETARY	(i) (ii)	0 ------------- 319,619	0 ------------- 64,876	0 ------------- 32,678	0 ------------- 14,109	0 ------------- 34,780	0 ------------- 466,062	0 ------------- 28,693
40JOHN SCHUEN MD FORMER OFFICER	(i) (ii)	0 ------------- 348,425	0 ------------- 31,023	0 ------------- 20,828	0 ------------- 26,900	0 ------------- 27,662	0 ------------- 454,838	0 ------------- 0
41JODIE RAPPE MD FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 356,743	0 ------------- 36,677	0 ------------- 3,909	0 ------------- 16,500	0 ------------- 35,512	0 ------------- 449,341	0 ------------- 36,677
42PAUL KONOPACKI FORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 448,033	0 ------------- 0	0 ------------- 0	0 ------------- 448,033	0 ------------- 310,335
43HEATHER LALLO DIRECTOR/TREASURER	(i) (ii)	0 ------------- 327,681	0 ------------- 63,037	0 ------------- 4,458	0 ------------- 19,759	0 ------------- 32,112	0 ------------- 447,047	0 ------------- 0
44NICHOLAS GILPIN DO FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 382,808	0 ------------- 0	0 ------------- 901	0 ------------- 23,850	0 ------------- 24,513	0 ------------- 432,072	0 ------------- 0
45BRIAN PHILLIPS MD FORMER OFFICER	(i) (ii)	0 ------------- 342,955	0 ------------- 13,349	0 ------------- 17,322	0 ------------- 26,781	0 ------------- 23,329	0 ------------- 423,736	0 ------------- 0
46TALAWNDA BRAGG MD DIRECTOR	(i) (ii)	0 ------------- 337,866	0 ------------- 14,629	0 ------------- 7,873	0 ------------- 26,142	0 ------------- 23,295	0 ------------- 409,805	0 ------------- 0
47SIMIN BEG MD DIRECTOR/CHAIR	(i) (ii)	0 ------------- 308,025	0 ------------- 25,286	0 ------------- 11,775	0 ------------- 23,967	0 ------------- 26,278	0 ------------- 395,331	0 ------------- 0
48MELINDA GRUBER DIRECTOR/PRESIDENT	(i) (ii)	0 ------------- 264,898	0 ------------- 33,256	0 ------------- 26,278	0 ------------- 17,235	0 ------------- 23,776	0 ------------- 365,443	0 ------------- 23,368
49ANNE STEWART FORMER OFFICER	(i) (ii)	0 ------------- 267,712	0 ------------- 26,766	0 ------------- 4,233	0 ------------- 20,105	0 ------------- 25,821	0 ------------- 344,637	0 ------------- 26,766
50LESLIE FLAKE FORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 286,616	0 ------------- 0	0 ------------- 0	0 ------------- 286,616	0 ------------- 261,232
51DEBRA JOHNSON DIRECTOR/SECRETARY	(i) (ii)	0 ------------- 200,758	0 ------------- 20,172	0 ------------- 5,632	0 ------------- 10,652	0 ------------- 13,740	0 ------------- 250,954	0 ------------- 0
52MICHAEL KHOURY MD FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 148,296	0 ------------- 24,793	0 ------------- 710	0 ------------- 5,797	0 ------------- 16,376	0 ------------- 195,972	0 ------------- 24,793
53DANIEL WASSENHOVE DIRECTOR/TREASURER	(i) (ii)	0 ------------- 141,875	0 ------------- 14,591	0 ------------- 4,385	0 ------------- 9,384	0 ------------- 24,995	0 ------------- 195,230	0 ------------- 0
54COSTA ANDREOU MD DIRECTOR/PRESIDENT	(i) (ii)	0 ------------- 132,121	0 ------------- 0	0 ------------- 33,631	0 ------------- 7,875	0 ------------- 6,148	0 ------------- 179,775	0 ------------- 0
55HOSSAIN MARANDI MD FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 176,544	0 ------------- 0	0 ------------- 0	0 ------------- 176,544	0 ------------- 0
56ASHOK JAIN MD DIRECTOR	(i) (ii)	0 ------------- 112,206	0 ------------- 22,129	0 ------------- 2,140	0 ------------- 8,659	0 ------------- 7,321	0 ------------- 152,455	0 ------------- 22,129
57KASSEM CHARARA MD FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 91,230	0 ------------- 22,566	0 ------------- 798	0 ------------- 5,061	0 ------------- 10,778	0 ------------- 130,433	0 ------------- 22,566
58JONATHAN KAPER MD FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 89,392	0 ------------- 22,566	0 ------------- 427	0 ------------- 7,572	0 ------------- 513	0 ------------- 120,470	0 ------------- 22,566

Schedule J (Form 990) (Rev. 1-2025)

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

Schedule J (Form 990) (Rev. 1-2025)

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

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 (2022AB)	80-0596186	59447T3W1	05-12-2022	22,928,449	2022AB HOSPITAL REFUNDING BONDS		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	22,928,449
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............
11 Other spent proceeds .............	22,928,449
12 Other unspent proceeds .............
13 Year of substantial completion .............	2022
	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
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
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

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

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

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
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	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
c Are there any research agreements that may result in private business use of bond-financed property? .............	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
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 %
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 %
6 Total of lines 4 and 5 .............	0 %
7 Does the bond issue meet the private security or payment test? ...		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
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

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
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X
b Exception to rebate? ........	X
c No rebate due? .........		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

Schedule K (Form 990) (Rev. 1-2025)

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
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	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

Part Ⅵ

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

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

Schedule K (Form 990) (Rev. 1-2025)

Additional Data

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Schedule L
(Form 990)
(Rev. January 2025)

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

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) (Rev. 1-2025)

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) HAGGERTY PROFESSIONAL PLAZA	ENTITY OWNED > 35% BY DIRECTOR ASHOK JAIN MD	433,619	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) (Rev. 1-2025)

Additional Data

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SCHEDULE O
(Form 990)
(Rev. January 2025)
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 instructions and the latest information.

OMB No. 1545-0047

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

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

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

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

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 COREWELL DR NW GRAND RAPIDS,MI49503 20-2328998	PROPERTY MANAGEMENT/RENTAL	MI	3,162,006	9,922,899	OAKWOOD HEALTHCARE INC
(2) LENOX SURGERY CENTER LLC 100 COREWELL DR NW GRAND RAPIDS,MI49503 32-0609267	AMBULATORY SURGERY CENTER	MI	335,831	3,739,063	OAKWOOD HEALTHCARE INC
(3) LIVONIA SURGERY CENTER LLC 100 COREWELL DR NW GRAND RAPIDS,MI49503 35-2671617	AMBULATORY SURGERY CENTER	MI	0	7,543,588	OAKWOOD HEALTHCARE INC
(4) OAKWOOD AMBULATORY LLC 100 COREWELL DR NW GRAND RAPIDS,MI49503 38-3593303	AMBULATORY MEDICAL SERVICES	MI	0	0	OAKWOOD HEALTHCARE INC
(5) OAKWOOD INFUSION SERVICES LLC 100 COREWELL DR NW GRAND RAPIDS,MI49503 31-1552387	AMBULATORY MEDICAL SERVICES	MI	0	0	OAKWOOD HEALTHCARE INC
(6) OAKWOOD TEEN CENTERS LLC 100 COREWELL DR NW GRAND RAPIDS,MI49503 38-3513233	AMBULATORY MEDICAL SERVICES	MI	0	0	OAKWOOD HEALTHCARE INC
(7) ROYAL OAK SURGERY CENTER LLC 100 COREWELL DR NW GRAND RAPIDS,MI49503 61-1944011	AMBULATORY SURGERY CENTER	MI	0	0	OAKWOOD HEALTHCARE INC
(8) SOUTHSHORE REAL ESTATE DEVELOPMENT LLC 100 COREWELL DR NW GRAND RAPIDS,MI49503 20-2329055	PROPERTY MANAGEMENT/RENTAL	MI	0	5,923,702	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 COREWELL DR NW 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 COREWELL DR NW GRAND RAPIDS,MI49503 38-2410823	EMERGENCY MEDICAL SERVICES	MI	501(C)(3)	LINE 10	BOTSFORD GENERAL HOSPITAL	Yes
(3)COREWELL HEALTH 100 COREWELL DR NW GRAND RAPIDS,MI49503 38-3382353	SUPPORTING ORGANIZATION	MI	501(C)(3)	LINE 12C, III-FI	N/A		No
(4)KENT COMMUNITY HEALTH FOUNDATION 100 COREWELL DR NW 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 COREWELL DR NW GRAND RAPIDS,MI49503 38-3067954	RADIATION SERVICES	MI	501(C)(3)	LINE 3	SPECTRUM HEALTH HOSPITALS	Yes
(6)MICHIGAN MOBILE PET IMAGING 100 COREWELL DR NW GRAND RAPIDS,MI49503 33-1086165	MOBILE PET SCANNING	MI	501(C)(3)	LINE 12A, I	OAKWOOD HEALTHCARE INC	Yes
(7)PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA INC 1700 MAGNAVOX WAY STE 201 FORT WAYNE,IN46804 31-1069321	HMO MANAGEMENT	IN	501(C)(4)		PRIORITY HEALTH		No
(8)PRIORITY HEALTH 100 COREWELL DR NW GRAND RAPIDS,MI49503 38-2715520	HMO MANAGEMENT	MI	501(C)(4)		COREWELL HEALTH		No
(9)PRIORITY HEALTH CHOICE INC 100 COREWELL DR NW GRAND RAPIDS,MI49503 32-0016523	HMO MANAGEMENT	MI	501(C)(3)	LINE 10	PRIORITY HEALTH		No
(10)SPECTRUM HEALTH - MSU ALLIANCE CORPORATION 100 COREWELL DR NW GRAND RAPIDS,MI49503 76-0845329	RESEARCH	MI	501(C)(3)	LINE 12A, I	SPECTRUM HEALTH HOSPITALS	Yes
(11)TOTAL HEALTH CARE USA INC 100 COREWELL DR NW GRAND RAPIDS,MI49503 38-3240485	HMO MANAGEMENT	MI	501(C)(4)		TOTAL HEALTH CARE INC		No
(12)TOTAL HEALTH CARE INC 100 COREWELL DR NW GRAND RAPIDS,MI49503 38-2018957	HMO MANAGEMENT	MI	501(C)(4)		PRIORITY HEALTH		No
(13)TRINITY HEALTH PLANS 100 COREWELL DR NW 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) (Rev. 1-2025)

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) CHEC 2 LLC 2355 E CAMELBACK RD STE 700 PHOENIX,AZ85016 99-0647116	MANAGEMENT	MI	N/A	N/A				No			No
(5) CHSC ROYAL OAK LLC 2355 E CAMELBACK RD STE 700 PHOENIX,AZ85016 99-1134940	MANAGEMENT	MI	N/A	N/A				No			No
(6) DEARBORN SCHAEFFER OFFICE CO LLC 100 COREWELL DR NW GRAND RAPIDS,MI49503 26-2448025	REAL ESTATE	MI	OAKWOOD HEALTHCARE INC	RELATED	2,038,299	25,287,121		No	114,319		No	99.000 %
(7) OAKMED LLC 1938 WOODSLEE DRIVE TROY,MI48084 46-1459737	PRIVATE DUTY NURSING	MI	OAKWOOD HEALTHCARE INC	RELATED	-7,396	799,948		No			No	60.000 %
(8) SPECTRUM ATLAS JV LLC 2355 E CAMELBACK RD STE 700 PHOENIX,AZ85016 87-4265336	MANAGEMENT	MI	N/A	N/A				No			No
(9) WEST MICHIGAN ACCOUNTABLE CARE ORGANIZATION LLC 100 COREWELL DR NW 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 COREWELL DR NW GRAND RAPIDS,MI49503 83-1721239	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	-120,595	4,357,344	100.000 %	Yes
(2) 25 MICHIGAN STREET CONDOMINIUM ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS,MI49503 16-1734157	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	9,205	846,197	82.540 %	Yes
(3) 35 MICHIGAN STREET CONDOMINIUM ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS,MI49503 27-2193084	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	-154,151	121,859	100.000 %	Yes
(4) BH SOUTHFIELD BILLING INC 100 COREWELL DR NW GRAND RAPIDS,MI49503 38-2755982	MANAGEMENT AND DISPATCH SERVICES	MI	BH GRAND RIVER SOUTHFIELD INC	C					No
(5) BLUE STAR PROFESSIONAL BUILDING CONDOMINIUM ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS,MI49503 20-8313519	PROPERTY MANAGEMENT	MI	HOSPICE AT HOME INC	C	-3,231	2,902	61.340 %	Yes
(6) BOTSFORD COMMONS PROPERTY ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS,MI49503 38-3203663	PROPERTY MANAGEMENT	MI	BOTSFORD CONTINUING CARE CORPORATION	C	75,823	1,509,480	100.000 %	Yes
(7) COREWELL HEALTH INDEMNITY COMPANY LTD 23 LIME TREE BAY AVENUE GRAND CAYMAN CJ 98-0512415	PREMIUM DEPOSITS	CJ	COREWELL HEALTH						No
(8) COREWELL HEALTH PHYSICIANS INSURANCE COMPANY 100 COREWELL DR NW GRAND RAPIDS,MI49503 27-4261262	PROFESSIONAL INSURANCE	MI	COREWELL HEALTH	C					No
(9) FOUR FLAGS PROPERTIES INC 100 COREWELL DR NW GRAND RAPIDS,MI49503 36-4501639	PROPERTY MANAGEMENT	MI	LAKELAND HEALTH VENTURES INC	C					No
(10) GRAND RIVER ABSOLUTE RETURN FUND LTD PO BOX 852 GRAND CAYMAN KY1-1103 CJ	POOLED INVESTMENT FUND	CJ	COREWELL HEALTH						No
(11) HELEN DE VOS WOMEN AND CHILDREN'S HEALTH PAVILION ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS,MI49503 38-3264184	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	-22,773	756,258	87.470 %	Yes
(12) INNOVATIVE HEALTHCARE STRATEGIES INC 1700 MAGNAVOX WAY STE 201 FORT WAYNE,IN46804 47-4139320	NETWORK NEGOTIATIONS	IN	PHP MANAGEMENT SYSTEMS INC	C					No
(13) LAKELAND HEALTH ENTERPRISES INC 100 COREWELL DR NW GRAND RAPIDS,MI49503 38-2669798	ACCOUNTING AND BILLING	MI	LAKELAND REGIONAL HEALTH SYSTEM INC	C	84,808,617	71,687,595	100.000 %	Yes
(14) LAKELAND HEALTH VENTURES INC 100 COREWELL DR NW GRAND RAPIDS,MI49503 27-2313790	HOLDING COMPANY	MI	LAKELAND HEALTH ENTERPRISES INC	C					No
(15) LAKELAND MEDICAL PRACTICES 100 COREWELL DR NW GRAND RAPIDS,MI49503 27-0381199	MEDICAL ADMINISTRATIVE SERVICES	MI	LAKELAND HEALTH ENTERPRISES INC	C					No
(16) LAKELAND PERSONAL CARE SERVICES INC 100 COREWELL DR NW GRAND RAPIDS,MI49503 27-2990797	HEALTHCARE SERVICES	MI	LAKELAND HEALTH VENTURES INC	C					No
(17) LAKELAND PHYSICIAN CARE NETWORK 100 COREWELL DR NW GRAND RAPIDS,MI49503 20-8513031	HEALTHCARE SERVICES	MI	LAKELAND HEALTH ENTERPRISES INC	C					No
(18) LEMMEN-HOLTON CANCER PAVILION CONDOMINIUM ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS,MI49503 16-1734150	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	23,837	1,183,945	100.000 %	Yes
(19) LIONTECH INC 1700 MAGNAVOX WAY STE 201 FORT WAYNE,IN46804 30-0319874	CLAIMS SOFTWARE	IN	PHP MANAGEMENT SYSTEMS INC	C					No
(20) MICHIGAN STREET PARKING CONDOMINIUM ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS,MI49503 16-1734145	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	6,292	1,763,673	69.140 %	Yes
(21) MICHIGAN STREET PROJECT CONDOMINIUM ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS,MI49503 36-4873152	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	10,408	45,006	80.000 %	Yes
(22) MUSCULO-SKELETAL CENTER CONDOMINIUM ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS,MI49503 38-3180086	PROPERTY MANAGEMENT	MI	SPECTRUM HEALTH HOSPITALS	C	-23,074	286,091	89.540 %	Yes
(23) NILES PROFESSIONAL SERVICES INC 100 COREWELL DR NW GRAND RAPIDS,MI49503 38-2633419	HEALTHCARE SERVICES	MI	LAKELAND HEALTH VENTURES INC	C					No
(24) OAKWOOD AFFILIATED VENTURES INC 100 COREWELL DR NW GRAND RAPIDS,MI49503 37-1753159	HOLDING COMPANY	MI	OAKWOOD HEALTHCARE INC	C	28,033,834	139,457,373	100.000 %	Yes
(25) OAKWOOD ENTERPRISES INC 100 COREWELL DR NW GRAND RAPIDS,MI49503 38-2601930	PROPERTY MANAGEMENT	MI	OAKWOOD AFFILIATED VENTURES INC	C					No
(26) PENNOCK PROFESSIONAL BUILDING CONDOMINIUM ASSOCIATION 100 COREWELL DR NW GRAND RAPIDS,MI49503 38-4056359	PROPERTY MANAGEMENT	MI	PENNOCK HOSPITAL	C	1,552	77,049	89.290 %	Yes
(27) PENNOCK VENTURES INC 100 COREWELL DR NW GRAND RAPIDS,MI49503 38-2712819	PROPERTY MANAGEMENT	MI	PENNOCK HOSPITAL	C	147,764	1,086,092	100.000 %	Yes
(28) PHP HOLDING COMPANY 1700 MAGNAVOX WAY STE 201 FORT WAYNE,IN46804 20-8074365	HOLDING COMPANY	IN	PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA INC	C					No
(29) PHP INSURANCE COMPANY OF INDIANA INC 1700 MAGNAVOX WAY STE 201 FORT WAYNE,IN46804 20-3064284	STOP LOSS REI	IN	PHP HOLDING COMPANY	C					No
(30) PHP MANAGEMENT SYSTEMS INC 1700 MAGNAVOX WAY STE 201 FORT WAYNE,IN46804 35-1826719	THIRD PARTY ADMINISTRATOR	IN	PHP HOLDING COMPANY	C					No
(31) PRIORITY HEALTH INSURANCE COMPANY 100 COREWELL DR NW GRAND RAPIDS,MI49503 20-1529553	INSURANCE	MI	PRIORITY HEALTH	C					No
(32) PRIORITY HEALTH MANAGED BENEFITS INC 100 COREWELL DR NW GRAND RAPIDS,MI49503 38-3085182	THIRD PARTY ADMINISTRATOR	MI	COREWELL HEALTH	C					No
(33) PRO-CLAIM PLUS INC 1700 MAGNAVOX WAY STE 201 FORT WAYNE,IN46804 35-1938551	THIRD PARTY ADMINISTRATOR	IN	PHP MANAGEMENT SYSTEMS INC	C					No
(34) SOUTHWESTERN MEDICAL CLINIC PHYSICIANS INC 100 COREWELL DR NW GRAND RAPIDS,MI49503 27-2589359	PHYSICIANS OFFICE	MI	LAKELAND HEALTH ENTERPRISES INC	C					No
(35) SPECTRUM HEALTH PHYSICIAN ALLIANCE 100 COREWELL DR NW GRAND RAPIDS,MI49503 37-1655728	PHYSICIANS OFFICE	MI	COREWELL HEALTH	C					No
(36) THE PHARMACY SHOPPE INC 100 COREWELL DR NW GRAND RAPIDS,MI49503 38-2929090	PHARMACEUTICALS	MI	LAKELAND HEALTH VENTURES INC	C					No
(37) WMHTC 100 COREWELL DR NW GRAND RAPIDS,MI49503 38-2125186	PHYSICIANS	MI	COREWELL HEALTH	C					No

Schedule R (Form 990) (Rev. 1-2025)

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

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	4,505,123,787	GAAP
(2) BEAUMONT HEALTH	B	4,418,600,817	GAAP
(3) OAKWOOD HEALTHCARE INC	B	13,204,020	GAAP
(4) SPECTRUM HEALTH CONTINUING CARE	B	307,832	GAAP
(5) VISITING NURSE SERVICES OF WESTERN MICHIGAN	B	79,881	GAAP
(6) BOTSFORD GENERAL HOSPITAL	B	79,843	GAAP
(7) WILLIAM BEAUMONT HOSPITAL	C	2,771,475,845	GAAP
(8) OAKWOOD HEALTHCARE INC	C	1,384,806,661	GAAP
(9) COREWELL HEALTH	C	581,712,914	GAAP
(10) BOTSFORD GENERAL HOSPITAL	C	141,562,706	GAAP
(11) BEAUMONT MEDICAL GROUP - SPECIALTY SERVICES	C	120,755,605	GAAP
(12) OAKWOOD HEALTH PROMOTIONS INC	C	13,204,020	GAAP
(13) KENT COMMUNITY HEALTH FOUNDATION	C	903,388	GAAP
(14) SPECTRUM HEALTH CONTINUING CARE CENTER INC	C	307,832	GAAP
(15) SPECTRUM HEALTH CONTINUING CARE	C	79,881	GAAP
(16) BOTSFORD CONTINUING CARE CORPORATION	C	79,843	GAAP
(17) SPECTRUM HEALTH CONTINUING CARE	J	172,887	GAAP
(18) DEARBORN SCHAEFFER OFFICE CO LLC	K	6,749,379	GAAP
(19) LEMMEN-HOLTON CANCER PAVILION CONDOMINIUM ASSOCIATION	K	2,469,132	GAAP
(20) MICHIGAN MOBILE PET IMAGING	K	2,448,040	GAAP
(21) 35 MICHIGAN STREET CONDOMINIUM ASSOCIATION	K	1,108,512	GAAP
(22) 25 MICHIGAN STREET CONDOMINIUM ASSOCIATION	K	735,420	GAAP
(23) HELEN DE VOS WOMEN AND CHILDREN'S HEALTH PAVILION ASSOCIATION	K	438,756	GAAP
(24) PENNOCK VENTURES INC	K	394,111	GAAP
(25) MICHIGAN STREET PARKING CONDOMINIUM ASSOCIATION	K	379,344	GAAP
(26) MUSCULO-SKELETAL CENTER CONDOMINIUM ASSOCIATION	K	177,480	GAAP
(27) VISITING NURSE SERVICES OF WESTERN MICHIGAN	K	172,887	GAAP
(28) LAKESHORE AREA RADIATION ONCOLOGY CENTER	L	84,392	GAAP
(29) COREWELL HEALTH	M	683,072,911	GAAP
(30) COREWELL HEALTH	P	4,555,800	GAAP
(31) LAKESHORE AREA RADIATION ONCOLOGY CENTER	P	147,149	GAAP
(32) COREWELL HEALTH FOUNDATION WEST MICHIGAN	P	72,607	GAAP
(33) MICHIGAN MOBILE PET IMAGING	Q	634,473	GAAP
(34) COREWELL HEALTH	Q	555,247	GAAP
(35) COREWELL HEALTH	R	39,189,723	GAAP
(36) LAKESHORE AREA RADIATION ONCOLOGY CENTER	S	1,565,600	GAAP

Schedule R (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

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) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

TY 2024 AffiliateListing

Name:

COREWELL HEALTH GROUP RETURN

EIN:

61-1740292

Name	Address	EIN	Name control
BEAUMONT HEALTH	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	46-5718220	CORE
BEAUMONT MEDICAL GROUP - HOSPITAL BASED SERVICES	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	82-2768899	CORE
BEAUMONT MEDICAL GROUP - PRIMARY CARE SERVICES	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	82-2796539	CORE
BEAUMONT MEDICAL GROUP - SPECIALTY SERVICES	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	82-2784244	CORE
BOTSFORD CONTINUING CARE CORPORATION	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-2549505	CORE
BOTSFORD GENERAL HOSPITAL	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-1426919	CORE
HOSPICE AT HOME INC	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-2416086	CORE
LAKELAND COMMUNITY HOSPITAL WATERVLIET	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-1368745	CORE
LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-2156872	CORE
LAKELAND REGIONAL HEALTH SYSTEM INC	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-2609624	CORE
LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-3452303	CORE
MECOSTA COUNTY MEDICAL CENTER	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-1368744	CORE
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-1359266	CORE
MERCY MEMORIAL HEALTH SERVICES INC	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-2748035	CORE
NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-1359517	CORE
OAKWOOD HEALTH PROMOTIONS INC	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-2601965	CORE
OAKWOOD HEALTHCARE INC	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-1405141	CORE
OAKWOOD UNITED HOSPITALS INC	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-2837961	CORE
PENNOCK HOSPITAL	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-1360562	CORE
REED CITY HOSPITAL CORPORATION	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-2770076	CORE
SPECTRUM HEALTH CONTINUING CARE	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-3242232	CORE
SPECTRUM HEALTH CONTINUING CARE CENTER	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-2415333	CORE
SPECTRUM HEALTH HOSPITALS	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-1360529	CORE
SPECTRUM HEALTH KELSEY	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-1297435	CORE
SPECTRUM HEALTH PRIMARY CARE PARTNERS	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-1358164	CORE
SPECTRUM HEALTH UNITED	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-1358412	CORE
SPECTRUM HEALTH WORTH SERVICES	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-2786617	CORE
SPECTRUM HEALTH-LEFFINGWELL AVENUE	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	85-4390483	CORE
VISITING NURSE SERVICES OF WESTERN MICHIGAN	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-1359195	CORE
WILLIAM BEAUMONT HOSPITAL	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-1459362	CORE
ZEELAND COMMUNITY HOSPITAL	100 COREWELL DR NW ATTN TAX GRAND RAPIDS, MI 49503	38-1411184	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	357
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	193
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	3,916
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	54,697,869
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	5,335,236

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	82,215,574	69,671,515
9	Program service revenue (Part VIII, line 2g) .........	10,143,479,227	11,210,999,152
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	69,209,713	148,095,765
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	79,344,632	62,509,017
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	10,374,249,146	11,491,275,449
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	5,976,567	2,988,745
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)	5,024,745,940	5,135,479,988
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 2,015,656
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	5,198,865,253	6,082,906,073
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	10,229,587,760	11,221,374,806
19	Revenue less expenses. Subtract line 18 from line 12.......	144,661,386	269,900,643
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	8,720,835,664	6,785,966,188
21	Total liabilities (Part X, line 26).............	3,474,735,743	1,210,761,433
22	Net assets or fund balances. Subtract line 21 from line 20.....	5,246,099,921	5,575,204,755

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 10,747,716,185 including grants of $ 2,988,745 ) (Revenue $ 11,167,845,255 )
	SEE SCHEDULE OCOREWELL HEALTH IS AN INTEGRATED HEALTH CARE SYSTEM IN MICHIGAN. COREWELL HEALTH IS DRIVEN BY ITS MISSION TO IMPROVE HEALTH, INSTILL HUMANITY AND INSPIRE HOPE. OUR VISION IS A FUTURE WHERE HEALTH IS SIMPLE, AFFORDABLE, EQUITABLE AND EXCEPTIONAL AND INSPIRED BY OUR VALUES OF COMPASSION, COLLABORATION, CLARITY, CURIOSITY AND COURAGE. AT OUR CORE, WE ARE HERE TO HELP PEOPLE BE WELL SO THEY CAN LIVE THEIR HEALTHIEST LIFE POSSIBLE.THE INTEGRATED HEALTH SYSTEM HAS 20 HOSPITALS, MORE THAN 300 OUTPATIENTLOCATIONS AND POST-ACUTE CARE FACILITIES, AND OVER 65,000 EMPLOYEES INCLUDING MORE THAN 12,000 PHYSICIANS, MORE THAN 15,000 NURSES, AND ADVANCED PRACTICE PROVIDERS. DURING THE YEAR ENDED DECEMBER 31, 2024, THE COREWELL HEALTH INTEGRATEDHEALTH SYSTEM PROVIDED OVER $1.3 BILLION IN COMMUNITY BENEFIT PROGRAMS IN MICHIGAN. THE COMMUNITY BENEFIT ACTIVITIES INCLUDED HEALTHCLINICS, RESEARCH, DONATIONS, CHARITY CARE, BAD DEBTS RELATED TO CARINGFOR THE UNINSURED AND UNDERINSURED, COSTS FOR GOVERNMENT PROGRAMPATIENTS, COMMUNITY PARTNERSHIP PROGRAMS, HEALTH PROFESSION EDUCATION, AND DISCOUNTED CARE UNDER HEALTHY MICHIGAN PLAN (UNDER 250% FEDERALPOVERTY LEVEL).THERE ARE 31 SUBORDINATE ORGANIZATIONS FROM THE COREWELL HEALTHAFFILIATED GROUP THAT ARE PART OF THIS GROUP RETURN. OPERATIONS INCLUDEHOSPITAL FACILITIES AND NUMEROUS CLINICAL FACILITIES.THE SUBORDINATES PROVIDE CARE TO INDIVIDUALS COVERED BY GOVERNMENTALPROGRAMS. FINANCIAL ASSISTANCE IS ALSO PROVIDED FOR PATIENTS THAT AREFINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED.IN ADDITION, OUR TEAMS GO THE EXTRA MILE FOR OUR PATIENTS AND COMMUNITIES - AND THIS DEDICATION AND COMMITMENT RESULTS IN EXTERNAL RECOGNITION, AWARDS AND HONORS. NOTABLE HIGHLIGHTS FOR THE YEAR (IN CHRONOLOGICAL ORDER) INCLUDED: THE NATIONAL BLOOD CLOT ALLIANCE (NBCA) NAMED BUTTERWORTH HOSPITAL THE CENTER OF EXCELLENCE IN THE UNITED STATES. THIS DESIGNATION IS REWARDED ON EXCELLENCE DEMONSTRATED ON PERFORMANCE WITH PATIENT EDUCATION AND POST-HOSPITALIZATION PATIENT CARE FOR DEEP VEIN THROMBOSIS AND PULMONARY EMBOLISM. THE AMERICAN MEDICAL GROUP ASSOCIATION (AMGA) RECOGNIZED COREWELL HEALTH AS A 2024 ACCLAIM AWARD RECIPIENT FOR BRINGING THEIR ORGANIZATION CLOSER TO THE IDEAL MEDICAL GROUP AND HEALTH SYSTEM AS THEY MOVED TOWARD VALUE BASED CARE BY IMPROVING PATIENT CARE EXPERIENCE, IMPROVING HEALTH OF POPULATIONS WITH A FOCUS ON QUALITY OUTCOMES, REDUCING PER CAPITA COST OF HEALTHCARE, AND EMPHASIZING WORKPLACE WELLNESS. SERAMOUNT, A STRATEGIC PROFESSIONAL SERVICE AND RESEARCH FIRM RECOGNIZED COREWELL HEALTH AS ONE OF THE BEST 80 COMPANIES FOR MULTICULTURAL WOMEN IN THE UNITED STATES.COREWELL HEALTH WILLIAM BEAUMONT HOSPITAL WAS RECOGNIZED AS THE TOP HOSPITAL IN MICHIGAN BY U.S. NEWS AND WORLD REPORT'S. COREWELL HEALTH'S BLODGETT, BUTTERWORTH, BEAUMONT, TROY, DEARBORN, GROSSE POINTE, AND LAKELAND HOSPITALS WERE ALL IN THE TOP 15. COREWELL HEALTH HAS BEEN RECOGNIZED BY THE DISABILITY EQUALITY INDEX AS A TOP SCORER FOR DISABILITY WORKPLACE INCLUSION.COREWELL HEALTH BEAUMONT GROSSE POINTE HOSPITAL WAS AWARDED THE GET WITH THE GUIDELINES STROKE GOLD PLUS AWARD BY THE AMERICAN HEART ASSOCIATION FOR THEIR PROVEN DEDICATION TO PROVIDE ALL STROKE PATIENTS WITH ACCESS TO LIFESAVING CARE AND TREATMENT.COREWELL HEALTH WAS THE BRONZE WINNER OF THE AMERICAN HOSPITAL ASSOCIATION EXCELLENCE AWARD FOR HEALTH CARE WORKER'S WELL BEING.COREWELL HEALTH BIG RAPIDS, LUDINGTON, PENNOCK, AND LAKELAND HOSPITALS WERE AWARDED THE MATERNITY CARE OF EXCELLENCE AWARD FROM THE ECONOMIC ALLIANCE FOR MICHIGAN. COREWELL HEALTH SOUTHEAST LIVER TRANSPLANT PROGRAM HAS BEEN RECOGNIZED BY THE SCIENTIFIC REGISTRY OF TRANSPLANT RECIPIENTS AS HAVING THE BEST ONE YEAR SURVIVAL RATES IN THE STATE OF MICHIGAN AND SECOND BEST ONE YEAR GRAFT SURVIVAL RATES IN THE NATION.COREWELL HEALTH HELEN DEVOS CHILDREN'S HOSPITAL HAS BEEN RECOGNIZED BY U.S. NEWS AND WORLD REPORT AS ONE OF THE BEST CHILDREN HOSPITAL'S IN THE NATION RANKING IN THE TOP 50 FOR CANCER, ENDOCRINOLOGY, NEUROSCIENCES, NEPHROLOGY, AND PULMONOLOGY.COREWELL HEALTH RICHARD DEVOS HEART & LUNG TRANSPLANT PROGRAM HAS BEEN RECOGNIZED BY THE SCIENTIFIC REGISTRY OF TRANSPLANT RECIPENTS AS ONE OF THE BEST IN THE NATION FOR HAVING THE BEST ONE YEAR LUNG TRANSPLANT GRAFT SURVIVAL RATE IN THE NATION, TYING FOR THE BEST ONE YEAR PATIENT SURVIVAL RATE IN THE NATION, AND BEING TOP FIVE IN THE NATION FOR THREE YEAR PATIENT AND GRAFT SURVIVAL RATES.THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AWARDED COREWELL HEALTH BLODGETT, BUTTERWORTH, HELEN DEVOS CHILDREN'S HOSPITAL, AND MEIJER HEART CENTER WITH A 5 STAR RATING. COREWELL HEALTH BEAUMONT GROSSE POINTE, BIG RAPIDS, GREENVILLE, LAKELAND, LUDINGTON, AND PENNOCK HOSPITAL ALL RECEIVED 4 STARS. COREWELL HEALTH RECEIVED A 2024 HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY DAVIES AWARD OF EXCELLENCE FOR THE USE OF HEALTH INFORMATION AND TECHNOLOGY TO IMPROVE PATIENT OUTCOMES. COREWELL HEALTH ZEELAND, LUDINGTON, GREENVILLE, BEAUMONT GROSSE POINTE, BIG RAPIDS HOSPITAL, AND LAKELAND HOSPITALS ST. JOSEPH ALL EARNED AN "A" HOSPITAL SAFETY GRADE FROM THE LEAPFROG GROUP AWARDS. COREWELL HEALTH BUTTERWORTH, BLODGETT, GERBER, BIG RAPIDS, DEARBORN, FARMINGTON HILLS, BEAUMONT TROY, AND TRENTON HOSPITAL HAVE ALL BEEN NAMED TO U.S. NEWS AND WORLD REPORT 2024-2025 BEST HOSPITALS FOR MATERNITY CARE.COREWELL HEALTH LAKELAND HOSPITALS RECEIVED MULTIPLE AWARDS FROM HEALTHGRADES, INCLUDING AMERICA'S 250 BEST HOSPITAL AWARD, AMERICA'S 100 BEST HOSPITALS FOR GASTROINTESTINAL SURGERY, AND CRITICAL CARE EXCELLENCE.

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 expenses10,747,716,185

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	0	52,887,875	6,219,652

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	59,644
d	Related organizations		1d	33,875,313
e	Government grants (contributions)		1e	35,331,576

f	All other contributions, gifts, grants, and similar amounts not included above		1f	404,982

g	Noncash contributions included in lines 1a - 1f:$		1g	8,345

h Total. Add lines 1a-1f.......		69,671,515

		Business Code
2a	PATIENT CARE	620000	11,168,495,890	11,115,274,450	53,221,440
b	QUALITY CARE	620000	19,474,795	19,474,795
c	EDUCATION	624110	9,732,142	9,732,142
d	FITNESS CENTER	713940	3,614,149	3,614,149
e	GIFT SHOP	459420	2,910,262	2,910,262
f	All other program service revenue.		6,771,914	6,750,733	21,181
g	Total. Add lines 2a–2f .....		11,210,999,152

3 Investment income (including dividends, interest, and othersimilar amounts) ......			37,593,692		1,323,686	36,270,006
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	23,118,006
b	Less: rental expenses	6b	15,348,081
c	Rental income or (loss)	6c	7,769,925
d	Net rental income or (loss).......			7,769,925			7,638,363
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	1,696,442,797	1,181,226
b	Less: cost or other basis and sales expenses	7b	1,585,963,333	1,158,617
c	Gain or (loss)	7c	110,479,464	22,609
d	Net gain or (loss).........			110,502,073			110,502,073
8a	Gross income from fundraising events (not including $ 59,644of contributions reported on line 1c). See Part IV, line 18 ....
			8a	71,984
b	Less: direct expenses ...		8b	17,758
c	Net income or (loss) from fundraising events..			54,226			54,226
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	44,596,142			44,596,142
b	MISCELLANEOUS		900099	5,692,066	5,692,066
c	EMPLOYEE SERVICES		900099	2,489,236	2,489,236
d	All other revenue ....			1,907,422	1,907,422
e	Total. Add lines 11a–11d ......			54,684,866
12	Total revenue. See instructions.....			11,491,275,449	11,167,845,255	54,697,869	199,060,810

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	180,716	180,716
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	2,808,029	2,808,029
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 ...........	30,921,474	7,393,327	23,519,664	8,483
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........	4,188,496,072	4,101,121,359	86,133,320	1,241,393
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	66,843,488	64,509,390	2,328,940	5,158
9	Other employee benefits .......	574,547,599	567,662,887	6,614,442	270,270
10	Payroll taxes ...........	274,671,355	269,775,084	4,794,235	102,036
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	2,594,466		2,594,466
c	Accounting ...........	15,791		15,791
d	Lobbying ...........	36,481	36,481
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	1,947,050		1,947,050
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	1,879,421,270	1,621,625,563	257,537,561	258,146
12	Advertising and promotion ....	1,891,124	1,402,818	485,552	2,754
13	Office expenses .......	144,407,691	139,288,417	5,083,539	35,735
14	Information technology ......	23,131,603	21,114,598	2,015,149	1,856
15	Royalties ..
16	Occupancy ...........	307,602,494	305,774,655	1,801,163	26,676
17	Travel ............	10,733,425	10,254,460	464,221	14,744
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	10,627,050	10,559,886	61,786	5,378
20	Interest ...........	91,085,890	90,844,188	241,702
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	335,505,942	282,978,563	52,486,180	41,199
23	Insurance ...	88,669,578	65,157,151	23,510,599	1,828
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	2,041,460,267	2,041,460,267
b	BAD DEBT	651,643,742	651,636,137	7,605
c	PROVIDER TAX	449,583,973	449,583,973
d	UNRELATED BUS INC TAX	1,771,942	1,771,942
e	All other expenses	40,776,294	40,776,294
25	Total functional expenses. Add lines 1 through 24e	11,221,374,806	10,747,716,185	471,642,965	2,015,656
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 ........			214,301	1	186,711
2	Savings and temporary cash investments .........			105,446,497	2	42,350,343
3	Pledges and grants receivable, net ......			42,023,517	3	21,517,999
4	Accounts receivable, net .............			1,049,346,284	4	1,275,199,661
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 ...........			604,016	7	611,022
8	Inventories for sale or use ............			117,658,963	8	125,177,656
9	Prepaid expenses and deferred charges ......			439,491,465	9	381,710,695
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	6,838,299,823
b	Less: accumulated depreciation	10b	3,100,464,362	3,898,891,733	10c	3,737,835,461
11	Investments—publicly traded securities .			2,677,729,529	11	630,516,636
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			31,415,929	13	46,096,996
14	Intangible assets ...............			33,973,907	14	33,512,758
15	Other assets. See Part IV, line 11 ...........			324,039,523	15	491,250,250
16	Total assets. Add lines 1 through 15 (must equal line 33)...			8,720,835,664	16	6,785,966,188

17	Accounts payable and accrued expenses .....	615,039,287	17	515,938,948
18	Grants payable ...		18
19	Deferred revenue .........	35,174,837	19	30,953,107
20	Tax-exempt bond liabilities .........	1,634,985,576	20	22,204,226
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 ..	0	23	9,346,460
24	Unsecured notes and loans payable to unrelated third parties ..	9,643,953	24	0
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	1,179,892,090	25	632,318,692
26	Total liabilities. Add lines 17 through 25..	3,474,735,743	26	1,210,761,433

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	5,045,165,159	27	5,256,403,385
28	Net assets with donor restrictions ...........	200,934,762	28	318,801,370
	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 ...........	5,246,099,921	32	5,575,204,755
33	Total liabilities and net assets/fund balances ........	8,720,835,664	33	6,785,966,188

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