2025-11-17T08:20:04-06:00 2024-12-31 920460586 PWC US TAX LLP 655 NEW YORK AVENUE NW SUITE 1100 WASHINGTON DC 20001 990 2024-01-01 383382353 COREWELL HEALTH CORE 8669897999 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 MATTHEW E COX CFO 8669897999 2025-11-17 1 1 MICHAEL D HOFFMAN P01345551 2024141000 2024 2025-03-06 01:10:19Z X CHRISTINA FREESE DECKER 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 3271699222 0 5981 X WWW.COREWELLHEALTH.ORG X 1997 MI TO IMPROVE HEALTH, INSTILL HUMANITY AND INSPIRE HOPE. 15 9 85088 9 1008445 1475651 7350370 4704666 1220338673 1667215278 68466728 285129201 936677 699970 1297092448 1957749115 4133600 4700220 0 0 656277168 930541530 0 0 0 488817063 723258748 1149227831 1658500498 147864617 299248617 4906691932 7099856155 1876124076 3509546034 3030567856 3590310121 TO IMPROVE HEALTH, INSTILL HUMANITY AND INSPIRE HOPE. 0 0 1629524284 4700220 1666015931 COREWELL HEALTH PROVIDES COMMON MANAGEMENT OF THE NOT-FOR-PROFIT HEALTH CARE SYSTEM ACTIVITIES PERFORMED BY SUPPORTED ORGANIZATIONS. THE SUPPORTED ORGANIZATIONS INCLUDE 20 HOSPITAL FACILITIES, MORE THAN 300 AMBULATORY AND SERVICE SITES, AND OVER 6,000 LICENSED BEDS SYSTEM-WIDE WITH FACILITIES THAT INCLUDE MEDICAL CENTERS, REGIONAL COMMUNITY HOSPITALS, A DEDICATED CHILDREN'S HOSPITAL, MULTISPECIALTY MEDICAL GROUPS, AFFILIATED PHYSICIANS AND A NATIONALLY RECOGNIZED PROVIDER-SPONSORED HEALTH PLAN WITH MORE THAN 1.3 MILLION MEMBERS. 1629524284 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 1 0 0 0 0 0 1 0 1 1 0 0 0 1 0 0 0 0 1 1 0 0 0 0 1 1 1 1 1 0 1 2750 0 1 85088 1 1 1 1 CJ 0 0 0 0 0 0 0 0 1 0 X 15 9 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MI X CORPORATE TAX 8669897999 100 COREWELL DR NW ATTN TAX GRAND RAPIDS MI 49503 CHRISTINA FREESE DECKER DIRECTOR/PRESIDENT 50.00 1.00 X X 5453830 0 1498970 MARIJA GRAHOVAC MD DIRECTOR 1.00 50.00 X 140047 0 0 JULIE FREAM DIRECTOR 1.00 0.00 X 45500 0 0 SEAN WELSH DIRECTOR/CHAIR 1.00 0.00 X X 57000 0 0 MARK DAVIDOFF DIRECTOR 1.00 0.00 X 48500 0 0 RONALD HALL JR DIRECTOR 1.00 0.00 X 45500 0 0 WILLIAM PAYNE DIRECTOR 1.00 0.00 X 45000 0 0 THOMAS SAELI DIRECTOR 1.00 0.00 X 33601 0 0 TIMOTHY O'BRIEN DIRECTOR 1.00 0.00 X 36500 0 0 PHILOMENA MANTELLA DIRECTOR 1.00 0.00 X 35500 0 0 MICHAEL TODMAN DIRECTOR/VICE CHAIR 1.00 0.00 X X 36000 0 0 DANIELLE BROWN DIRECTOR 1.00 0.00 X 0 0 0 DOUGLAS DEVOS DIRECTOR 1.00 0.00 X 0 0 0 JOSEPH FIFER DIRECTOR 1.00 0.00 X 29250 0 0 ROBERT WILLIAMS MD DIRECTOR 1.00 0.00 X 28750 0 0 MATTHEW E COX TREASURER 50.00 1.00 X 2523615 0 558135 DAVID LEONARD SECRETARY 50.00 1.00 X 1447356 0 386540 DARRYL ELMOUCHI MD CHIEF OPERATING OFFICER PY 50.00 1.00 X 3007016 0 456952 PRAVEEN THADANI PRESIDENT PRIORITY HEALTH 1.00 50.00 X 2602705 0 551045 LOREN B HAMEL MD PRESIDENT CHS PY 1.00 50.00 X 1492259 0 34022 JASON JOSEPH CHIEF DIGITAL AND INFO OFFICER 50.00 1.00 X 1418808 0 381853 TRACIE MORRIS CHIEF PEOPLE OFFICER 50.00 1.00 X 1581002 0 353335 JEREMY HARPER CHIEF STRATEGY AND MKT OFFICER 50.00 1.00 X 1233830 0 341749 ALEJANDRO QUIROGA CHAND MD PRESIDENT CHW PY 1.00 50.00 X 1276102 0 270114 CARLOS CUBIA CHIEF COM AND HLTH BELONGING OFFICER 50.00 1.00 X 1033362 0 263335 CHAD TUTTLE INTERIM CHIEF OPERATING OFFICER PY 50.00 1.00 X 987580 0 172970 JAMES MOSES MD CHIEF CLINICAL OFFICER 50.00 1.00 X 798589 0 199815 JOSHUA KOOISTRA DO INTERIM PRESIDENT CHW PY 1.00 50.00 X 853724 0 146823 LAMONT YODER PRESIDENT CHE PY 1.00 50.00 X 798668 0 161733 NATALIE BAGGIO PRESIDENT CHS PY 1.00 50.00 X 590543 0 82856 KONGKRIT CHAIYASATE MD PHYSICIAN 0.00 50.00 X 3517598 0 54752 MOHAMMAD CHISTI MD PHYSICIAN 0.00 50.00 X 2738859 0 41593 SARA RIAZ MD PHYSICIAN 0.00 50.00 X 2159047 0 45683 LAITH JAMIL MD PHYSICIAN 0.00 50.00 X 1780497 0 52132 PAUL MAZARIS MD PHYSICIAN 0.00 50.00 X 1535098 0 54246 BENJAMIN SCHWARTZ MD FORMER KEY EMPLOYEE 0.00 0.00 X 1518565 0 0 PAMELA RIES FORMER KEY EMPLOYEE 0.00 0.00 X 250591 0 0 41180392 0 6108653 10410 1 1 0 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 INFORMATION SERVICES 43622635 ROCKFORD CONSTRUCTION CO INC 601 FIRST STREET NW GRAND RAPIDS MI 49504 CONSTRUCTION SERVICES 30400153 CSI HCIT 7720 BAYMEADOWS RD E JACKSONVILLE FL 32256 CONSULTING SERVICES 17297165 RISE INTERACTIVE MEDIA & ANALYTICS LLC N61 W23044 HARRYS WAY SUSSEX WI 53089 CONSULTING SERVICES 15065513 MEDUIT LLC 8085 KNEU RD INDIANAPOLIS IN 46250 REVENUE CYCLE SERVICES 11410402 414 1000000 2014213 1690453 4704666 SHARED SERVICES 561000 1653083768 1653083768 EDUCATION 624110 6250612 6250612 AFFILIATE PHYS. PROG. 561000 2591226 2591226 CONTRACTUAL ALLOWANCES 561000 2267658 2267658 MEDICAL RECORDS 541611 1334884 1334884 1687130 28251 1658879 1667215278 193680795 -650434 194331229 240438 0 240438 240438 240438 1405177940 220573 1313666864 283243 91511076 -62670 91448406 91448406 MISC INCOME 900099 305541 305541 ESCHEATMENT 523991 153991 153991 459532 1957749115 1666015931 1008445 286020073 4625245 4625245 74975 74975 33540385 33540385 4527979 4527979 735491436 735491436 72053448 72053448 25879806 25879806 59048476 59048476 10874632 10874632 2663361 2663361 891439 891439 4642994 4642994 158577712 143139491 15438221 28017280 28017280 36635332 36635332 286611879 286611879 53553668 53553668 5297352 5297352 1083271 1083271 85466514 85466514 43634507 43634507 -4254692 -4254692 UNRELATED BUS. INC. TAX 256357 256357 DUES AND SUBSCRIPTIONS 5913824 5913824 STAFF RECOGNITION 2631363 2631363 BAD DEBT 372378 372378 389577 389577 1658500498 1629524284 28976214 0 51131 962995396 393874502 145228 797778 2192086 27096778 17634135 26047105 47410259 54547254 101363333 139815306 1004854673 410850130 343866362 594004543 2625019147 5346192724 4394199 5213424 4071863 3257490 797599924 508958120 4906691932 7099856155 669843429 724571111 283353 1178354 1524427635 586229453 608173750 619767841 651195184 1876124076 3509546034 X 3030567856 3590310121 3030567856 3590310121 4906691932 7099856155 X 299248617 156368529 104125119 X X 0 1 X 1 0 X X 24 BEAUMONT HEALTH FOUNDATION 364852171 7 1 0 0 BEAUMONT MEDICAL GROUP- HOSPITAL BASED SERVICES 822768899 10 1 0 0 BEAUMONT MEDICAL GROUP- PRIMARY CARE SERVICES 822796539 10 1 0 0 BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES 822784244 10 1 0 0 BOTSFORD GENERAL HOSPITAL 381426919 3 1 0 0 COREWELL HEALTH FOUNDATION WEST MICHIGAN 382752328 7 1 0 0 HOSPICE AT HOME INC 382416086 7 1 0 0 LAKELAND COMMUNITY HOSPITAL WATERVLIET 381368745 3 1 0 0 LAKELAND HEALTH FOUNDATION BENTON HARBORST JOSEPH 382539929 7 1 0 0 LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC 382156872 3 1 0 0 LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER 383452303 3 1 0 0 MECOSTA COUNTY MEDICAL CENTER 381368744 3 1 0 0 MEMORIAL MEDICAL CENTER OF WEST MICHIGAN 381359266 3 1 0 0 MERCY MEMORIAL HEALTH SERVICES INCORPORATED 382748035 10 1 0 0 NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION 381359517 3 1 0 0 OAKWOOD HEALTHCARE INC 381405141 3 1 0 0 PENNOCK HOSPITAL 381360562 3 1 0 0 REED CITY HOSPITAL CORPORATION 382770076 3 1 0 0 SPECTRUM HEALTH CONTINUING CARE 383242232 10 1 0 0 SPECTRUM HEALTH HOSPITALS 381360529 3 1 0 0 SPECTRUM HEALTH PRIMARY CARE PARTNERS 381358164 3 1 0 0 SPECTRUM HEALTH UNITED 381358412 3 1 0 0 WILLIAM BEAUMONT HOSPITAL 381459362 3 1 0 0 ZEELAND COMMUNITY HOSPITAL 381411184 3 1 0 0 24 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 SCHEDULE A, PART IV, SECTION A, LINE 1 COREWELL HEALTH IS THE PARENT ORGANIZATION AND SUPPORTING ORGANIZATION TO THE HEALTH SYSTEM. THE PURPOSES OF THIS ORGANIZATION, AS DEFINED IN THE ARTICLES OF INCORPORATION, ARE AS FOLLOWS: PURPOSES 2.1 NOTWITHSTANDING ANYTHING TO THE CONTRARY IN THESE ARTICLES, THE CORPORATION IS ORGANIZED AND AT ALL TIMES SHALL BE OPERATED EXCLUSIVELY FOR PURPOSES THAT ARE CHARITABLE, EDUCATIONAL, AND/OR SCIENTIFIC WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR THE CORRESPONDING PROVISIONS OF ANY FUTURE INTERNAL REVENUE LAW OF THE UNITED STATES OF AMERICA (THE "CODE"). 2.2 NOTWITHSTANDING ANYTHING TO THE CONTRARY IN THESE ARTICLES, THE CORPORATION IS ORGANIZED AND AT ALL TIMES SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF AND TO CARRY OUT ALL OF THE PURPOSES OF (I) MECOSTA COUNTY MEDICAL CENTER, MEMORIAL MEDICAL CENTER OF WEST MICHIGAN, NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION, PENNOCK HOSPITAL, LAKELAND HOSPITALS AT NILES & ST. JOSEPH, INC., LAKELAND COMMUNITY HOSPITAL - WATERVLIET, LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER, LAKELAND HEALTH FOUNDATION, BENTON HARBOR/ST. JOSEPH, HOSPICE AT HOME, INC., MERCY MEMORIAL HEALTH SERVICES, INCORPORATED, REED CITY HOSPITAL CORPORATION, SPECTRUM HEALTH CONTINUING CARE, COREWELL HEALTH FOUNDATION WEST MICHIGAN (FKA SPECTRUM HEALTH FOUNDATION), SPECTRUM HEALTH HOSPITALS, SPECTRUM HEALTH PRIMARY CARE PARTNERS, SPECTRUM HEALTH UNITED, ZEELAND COMMUNITY HOSPITAL, WILLIAM BEAUMONT HOSPITAL, BOTSFORD GENERAL HOSPITAL, BEAUMONT MEDICAL GROUP - PRIMARY CARE SERVICES, BEAUMONT MEDICAL GROUP - SPECIALTY SERVICES, BEAUMONT MEDICAL GROUP - HOSPITAL-BASED SERVICES, OAKWOOD HEALTHCARE, INC., AND BEAUMONT HEALTH FOUNDATION ALL OF WHICH ARE DESCRIBED IN SECTION 501(C)(3) AND EITHER SECTION 509(A)(L) OR SECTION 509(A)(2) OF THE CODE AND (II) EACH OTHER ORGANIZATION RECOGNIZED AS A PUBLIC CHARITY UNDER SECTION 509(A)(L) OF THE CODE THAT IS DIRECTLY OR INDIRECTLY CONTROLLED (I.E., MORE THAN 50% OWNERSHIP OR CONTROL) BY THE CORPORATION (COLLECTIVELY, (I) AND (II), THE "SUPPORTED ORGANIZATIONS"). 2.3 SUBJECT TO AND IN FURTHERANCE OF THE FOREGOING, THE SPECIFIC OBJECTIVES AND PURPOSES OF THE CORPORATION SHALL INCLUDE BUT NOT BE LIMITED TO THE FOLLOWING: 2.3.1 TO FORMULATE AND IMPLEMENT POLICIES AND PROGRAMS DESIGNED TO ENABLE AND/OR CAUSE THE SUPPORTED ORGANIZATIONS TO FUNCTION AS A COORDINATED HEALTH CARE DELIVERY SYSTEM, TO PROVIDE DIRECTION AND MANAGEMENT TO THE SUPPORTED ORGANIZATIONS, AND TO ACT AND/OR MAKE DECISIONS FOR THE BENEFIT OF SUCH SUPPORTED ORGANIZATIONS. 2.3.2 TO ESTABLISH AND MAINTAIN, EITHER DIRECTLY, THROUGH RELATED ORGANIZATIONS OR IN COOPERATION WITH OTHER ORGANIZATIONS, SUCH FACILITIES, AND SERVICES FOR THE CARE OF PERSONS SUFFERING FROM ILLNESS, INJURY OR DISABILITY, THE ELDERLY AND THE INDIGENT AND FOR THE PRESERVATION AND IMPROVEMENT OF HEALTH AS THE BOARD OF DIRECTORS MAY DETERMINE, INCLUDING, WITHOUT LIMITATION: (A) HOSPITALS FOR THE INPATIENT OR OUTPATIENT CARE OF PERSONS SUFFERING FROM ILLNESS, INJURY, AND DISABILITY, FOR THE PREVENTION OF ILLNESS, INJURY AND DISABILITY AND FOR THE MAINTENANCE OF HEALTH. (B) FACILITIES PROVIDING AMBULATORY CARE, NURSING CARE, REHABILITATION, AND OTHER SERVICES. (C) CLINICS THROUGH WHICH PHYSICIANS AND OTHER PROVIDERS RENDER PROFESSIONAL MEDICAL SERVICES. (D) OTHER ACTIVITIES AND PROGRAMS DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. 2.3.3 TO PROMOTE AND CARRY ON SUCH SCIENTIFIC RESEARCH AS THE BOARD OF DIRECTORS MAY DETERMINE WITH RESPECT TO THE CAUSE, TREATMENT AND PREVENTION OF ILLNESS AND INJURY, THE IMPROVEMENT OF PUBLIC HEALTH AND OTHER MATTERS. 2.3.4 TO PARTICIPATE IN AND TO CARRY ON SUCH ACTIVITIES AS THE BOARD OF DIRECTORS MAY DETERMINE FOR THE EDUCATION OF PHYSICIANS, NURSES, OTHER PROFESSIONAL AND PARAPROFESSIONAL PERSONNEL, AND THE PUBLIC ABOUT RENDERING CARE TO THE SICK, INJURED AND DISABLED, ABOUT PREVENTION OF ILLNESS AND INJURY AND ABOUT THE PROMOTION OF HEALTH. 2.3.5 TO CONDUCT ACTIVITIES, EITHER DIRECTLY, THROUGH RELATED ORGANIZATIONS OR IN COOPERATION WITH ORGANIZATIONS EXEMPT FROM TAX UNDER SECTION 501(C)(3) OF THE CODE OR COMPARABLE PROVISIONS OF SUBSEQUENT LEGISLATION IN ORDER TO RAISE FUNDS TO FURTHER THE PURPOSES OF THE CORPORATION, SUBJECT, HOWEVER, TO ALL LIMITATIONS ON THE NATURE OR EXTENT OF SUCH ACTIVITIES APPLICABLE, FROM TIME TO TIME, TO ORGANIZATIONS DESCRIBED IN SECTIONS 501(C)(3) AND 509(A)(3) OF THE CODE. 2.3.6 TO LEASE, ACQUIRE, TO OWN, TO DISPOSE OF AND TO DEAL WITH REAL AND PERSONAL PROPERTY AND INTERESTS THEREIN AND TO APPLY GIFTS, GRANTS, BEQUESTS AND DEVISES AND THE PROCEEDS THEREOF IN FURTHERANCE OF THE PURPOSES OF THE CORPORATION. 2.3.7 TO DEAL WITH AND DISTRIBUTE THE CORPORATION'S INCOME AND ASSETS IN SUCH MANNER AS IN THE JUDGMENT OF THE BOARD OF DIRECTORS WILL BEST PROMOTE ITS OBJECTIVES AND PURPOSES, WITHOUT LIMITATION EXCEPT SUCH, IF ANY, AS MAY BE CONTAINED IN INSTRUMENTS UNDER WHICH SUCH PROPERTY IS CONVEYED TO THE CORPORATION. 2.3.8 TO DO SUCH THINGS AND TO PERFORM SUCH ACTS TO ACCOMPLISH ITS PURPOSES AS ARE PERMITTED BY SECTIONS 501(C)(3) AND 509(A)(3) OF THE CODE, WITH ALL THE POWERS CONFERRED ON NONPROFIT CORPORATIONS BY THE LAWS OF THE STATE OF MICHIGAN. SCHEDULE A, PART IV, SECTION A, LINE 6 COREWELL HEALTH PROVIDES SERVICES AND SUPPORT TO ORGANIZATIONS WITHIN THE INTEGRATED HEALTH CARE SYSTEM THAT ARE OUTSIDE OF COREWELL HEALTH'S SUPPORTED ORGANIZATIONS. THE OTHER ORGANIZATIONS COREWELL HEALTH PROVIDES SERVICES AND SUPPORT TO ARE RELATED ORGANIZATIONS REPORTED ON SCHEDULE R. SCHEDULE A, PART IV, SECTION D, LINE 2 COREWELL HEALTH MAINTAINS A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH ITS SUPPORTED ORGANIZATIONS THROUGH INTEGRATED POLICIES AND PROCEDURES AND UNIFIED LEADERSHIP. AS DESCRIBED IN SCHEDULE A, PART IV, SECTION E, LINE 3A, COREWELL HEALTH IS THE PARENT TO ALL SUPPORTED ORGANIZATIONS AND AS SUCH HAS THE POWER TO APPOINT/ELECT A MAJORITY OF THE DIRECTORS/TRUSTEES OF EACH OF THE SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION D, LINE 3 SUPPORTED ORGANIZATIONS HAVE SIGNIFICANT VOICE 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 ORGANIZATION'S INCOME OR ASSETS. SCHEDULE A, PART IV, SECTION E, LINE 3A 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 ORGANIZATION'S BOARD OF DIRECTORS PURSUANT TO THE NOMINATION, ELECTION AND REMOVAL PROCESSES; -ELECTION AND/OR REMOVAL OF THE SUPPORTED ORGANIZATION'S CHAIRPERSON OF THE BOARD OF DIRECTORS; AND -HIRING, DISCHARGE, AND EVALUATION OF THE SUPPORTED ORGANIZATION'S PRESIDENT AS DELEGATED BY THE SUPPORTING ORGANIZATION'S BOARD OF DIRECTORS TO THE SUPPORTING ORGANIZATION'S CHIEF EXECUTIVE OFFICER (OR DESIGNEE). SCHEDULE A, PART IV, SECTION E, LINE 3B 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 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 468968 0 1 422471 891439 0 Part II-B, Line 1: AMOUNT REFLECTS PORTION OF SYSTEM GOVERNMENT AFFAIRS STAFF AND MULTI-CLIENT LOBBYIST'S SALARY AND EXPENSES FOR STATE AND FEDERAL DIRECT LOBBYING ACTIVITY AS REFLECTED IN OUR STATE AND FEDERAL LOBBYING REPORTS. 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. 27126388 27126388 378452826 55287326 323165500 3890131 3678880 211251 155371537 96700765 58670772 440013791 255183159 184830632 594004543 NONQUALIFIED BENEFIT PLAN 233494929 DUE FROM AFFILIATES 167110023 OTHER LONG TERM ASSETS 59526010 SAAS 20850140 LONG TERM PREPAID PENSION ASSET 19828061 DUE FROM NON-CONSOLIDATED ENTITY 8148957 508958120 2800000 PROFESSIONAL LIABILITY ACCRUAL 274966543 NON-QUALIFIED BENEFIT PLAN 232998118 DUE TO AFFILIATES 50060205 OPERATING LEASE LIABILITY 42042628 SWAP MARKET VALUE 22314239 WORKERS COMP RESERVE 15007334 OTHER LIABILITIES 11006117 651195184 0 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 391100000 0 0 0 0 0 0 391100000 0 391100000 NORTH AMERICA MEDICAL SUPPLY DONATIONS 0 N/A 74975 MEDICAL SUPPLIES FMV 1 0 1 0 1 0 1 0 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. 1 A GLIMPSE OF AFRICA 2025 E BELTLINE AVE SE STE 402 GRAND RAPIDS MI 49546 844904373 501(c)(3) 29500 0 TO SUPPORT EXEMPT PURPOSE CALVIN UNIVERSITY 1800 EAST BELTLINE SE GRAND RAPIDS MI 49546 383071514 501(c)(3) 7000 0 TO SUPPORT EXEMPT PURPOSE CATHERINES HEALTH CENTER 1211 LAFAYETTE AVE NE GRAND RAPIDS MI 49505 203572418 501(c)(3) 30000 0 TO SUPPORT EXEMPT PURPOSE CHERRY STREET SERVICES FDN 100 CHERRY STREET SE GRAND RAPIDS MI 49503 383308516 501(c)(3) 10000 0 TO SUPPORT EXEMPT PURPOSE COMMUNITY FOOD CLUBS 1100 S DIVISION AVE GRAND RAPIDS MI 49507 822265189 501(c)(3) 60000 0 TO SUPPORT EXEMPT PURPOSE DWELLING PLACE OF GRAND RAPIDS 101 SHELDON BLVD SE SUITE 300 GRAND RAPIDS MI 49503 382313832 501(c)(3) 38500 0 TO SUPPORT EXEMPT PURPOSE EXALTA HEALTH 2060 DIVISION AVE S GRAND RAPIDS MI 49507 383273825 501(c)(3) 62500 0 TO SUPPORT EXEMPT PURPOSE FAMILY OUTREACH CENTER INC 1939 S DIVISION AVE S GRAND RAPIDS MI 49507 382272711 501(c)(3) 22500 0 TO SUPPORT EXEMPT PURPOSE FAMILY PROMISE OF GRAND RAPIDS 516 CHERRY ST SE GRAND RAPIDS MI 49503 383357709 501(c)(3) 25000 0 TO SUPPORT EXEMPT PURPOSE FIND YOUR ANCHOR 2225 E 28TH STREET 512 SIGNAL HILL CA 90755 824979889 501(c)(3) 6879 0 TO SUPPORT EXEMPT PURPOSE FITKIDS360 1550 LEONARD ST NE GRAND RAPIDS MI 49505 850653931 501(c)(3) 40342 0 TO SUPPORT EXEMPT PURPOSE GRAND RAPIDS PUBLIC SCHOOLS 1331 MLK JR ST SE GRAND RAPIDS MI 49506 386002019 SECTION 115 179821 0 TO SUPPORT SCHOOL HEALTH AND WELLNESS GRAND VALLEY STATE UNIVERSITY 1 CAMPUS DRIVE ALLENDALE MI 49401 381684280 501(c)(3) 3205030 0 TO SUPPORT EXEMPT PURPOSE HELPING HANDS 1105 S ENSLEY PO BOX 532 HOWARD CITY MI 49329 382909148 501(c)(3) 6514 0 TO SUPPORT EXEMPT PURPOSE HISPANIC CENTER OF WESTERN MICHIGAN 1204 CESAR E CHAVEZ AVE SW GRAND RAPIDS MI 49503 382265825 501(c)(3) 145213 0 TO SUPPORT EXEMPT PURPOSE HOAP INC PO BOX 8473 GRAND RAPIDS MI 49518 462795794 501(c)(3) 15000 0 TO SUPPORT EXEMPT PURPOSE INFORUM 400 RENAISSANCE CENTER 2155 DETROIT MI 48243 300101343 501(c)(3) 84000 0 TO SUPPORT EXEMPT PURPOSE LEAHS PANTRY INC 3019 MISSION STREET SAN FRANCISCO CA 94110 205512442 501(c)(3) 6250 0 TO SUPPORT EXEMPT PURPOSE MENTAL HEALTH CLINICIANS OF COLOR IN GRAND RAPIDS 1345 MONROE AVE NW SUITE 335 GRAND RAPIDS MI 49505 852787460 501(c)(3) 163203 0 TO SUPPORT EXEMPT PURPOSE MID MICHIGAN DISTRICT HEALTH 615 NORTH STATE STREET SUITE 2 STANTON MI 48888 381808049 501(c)(3) 12500 0 TO SUPPORT EXEMPT PURPOSE NATIONAL COUNCIL FOR BEHAVIORAL HEALTH 1400 K STREET NW 1050 WASHINGTON DC 20005 237092671 501(c)(3) 33292 0 TO SUPPORT EXEMPT PURPOSE NORTH MICHIGAN HEALTH CONSORTIUM 220 W GARFIELD AVENUE CHARLEVOIX MI 49720 824279556 501(c)(3) 20000 0 TO SUPPORT EXEMPT PURPOSE NOTTAWASEPPI HURON BAND OF THE POTAWATOMI 1485 MNO-BMADZEWEN WAY FULTON MI 49052 382142598 SECTION 7871 10650 0 TO SUPPORT EXEMPT PURPOSE PUERTAS ABIERTAS INC 1345 MONROE AVE NW SUITE 128 GRAND RAPIDS MI 49505 843751469 501(c)(3) 36000 0 TO SUPPORT EXEMPT PURPOSE REALISM IS LOYALTY 601 MLK JR ST SE GRAND RAPIDS MI 49507 465225488 501(c)(3) 45000 0 TO SUPPORT EXEMPT PURPOSE STRATEGIC WORKFORCE SOLUTIONS 215 STRAIGHT AVE NW GRAND RAPIDS MI 49504 862930596 501(c)(3) 75000 0 TO SUPPORT EXEMPT PURPOSE TEEN STREET SKILLS 1551 ROSA PARKS BLVD DETROIT MI 48216 814788535 501(c)(3) 10000 0 TO SUPPORT EXEMPT PURPOSE URBAN CORE COLLECTIVE 413 HALL ST SW GRAND RAPIDS MI 49507 465227869 501(c)(3) 45000 0 TO SUPPORT EXEMPT PURPOSE WEST MICHIGAN CTR ARTS & TECHNOLOGY 614 FIRST ST NW SUITE 300 GRAND RAPIDS MI 49504 743120354 501(c)(3) 39000 0 TO SUPPORT EXEMPT PURPOSE YOUNG MENS CHRISTIAN ASSN - TRI CITIES MICHIGAN 1 Y DRIVE GRAND HAVEN MI 49417 381717502 501(c)(3) 82561 0 TO SUPPORT EXEMPT PURPOSE 30 0 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. X X X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 CHRISTINA FREESE DECKER DIRECTOR/PRESIDENT 2489108 0 2726865 0 237857 0 1462145 0 36825 0 6952800 0 1439610 0 KONGKRIT CHAIYASATE MD PHYSICIAN 3515888 0 0 0 1710 0 23850 0 30902 0 3572350 0 0 0 DARRYL ELMOUCHI MD CHIEF OPERATING OFFICER PY 1525444 0 1374225 0 107347 0 418200 0 38752 0 3463968 0 538007 0 PRAVEEN THADANI PRESIDENT PRIORITY HEALTH 1254753 0 1230454 0 117498 0 517393 0 33652 0 3153750 0 508365 0 MATTHEW E COX TREASURER 1237492 0 1186309 0 99814 0 520376 0 37759 0 3081750 0 468516 0 MOHAMMAD CHISTI MD PHYSICIAN 2737149 0 0 0 1710 0 16500 0 25093 0 2780452 0 0 0 SARA RIAZ MD PHYSICIAN 2157907 0 0 0 1140 0 16500 0 29183 0 2204730 0 0 0 TRACIE MORRIS CHIEF PEOPLE OFFICER 809030 0 746596 0 25376 0 334921 0 18414 0 1934337 0 118213 0 DAVID LEONARD SECRETARY 802931 0 564495 0 79930 0 350150 0 36390 0 1833896 0 313206 0 LAITH JAMIL MD PHYSICIAN 1774945 0 0 0 5552 0 16500 0 35632 0 1832629 0 0 0 JASON JOSEPH CHIEF DIGITAL AND INFO OFFICER 795397 0 559098 0 64313 0 346704 0 35149 0 1800661 0 306928 0 PAUL MAZARIS MD PHYSICIAN 1483550 0 40629 0 10919 0 24150 0 30096 0 1589344 0 0 0 JEREMY HARPER CHIEF STRATEGY AND MKT OFFICER 711121 0 473717 0 48992 0 305690 0 36059 0 1575579 0 238083 0 ALEJANDRO QUIROGA CHAND MD PRESIDENT CHW PY 846228 0 353633 0 76241 0 232700 0 37414 0 1546216 0 65920 0 LOREN B HAMEL MD PRESIDENT CHS PY 405436 0 511611 0 575212 0 17231 0 16791 0 1526281 0 438838 0 BENJAMIN SCHWARTZ MD FORMER KEY EMPLOYEE 0 0 294565 0 1224000 0 0 0 0 0 1518565 0 0 0 CARLOS CUBIA CHIEF COM AND HLTH BELONGING OFFICER 507688 0 496125 0 29549 0 221816 0 41519 0 1296697 0 103625 0 CHAD TUTTLE INTERIM CHIEF OPERATING OFFICER PY 758254 0 168314 0 61012 0 132356 0 40614 0 1160550 0 55669 0 JOSHUA KOOISTRA DO INTERIM PRESIDENT CHW PY 639278 0 142337 0 72109 0 111674 0 35149 0 1000547 0 68690 0 JAMES MOSES MD CHIEF CLINICAL OFFICER 606866 0 135107 0 56616 0 163817 0 35998 0 998404 0 51818 0 LAMONT YODER PRESIDENT CHE PY 515373 0 200000 0 83295 0 139274 0 22459 0 960401 0 0 0 NATALIE BAGGIO PRESIDENT CHS PY 462477 0 49545 0 78521 0 67792 0 15064 0 673399 0 37686 0 PAMELA RIES FORMER KEY EMPLOYEE 0 0 0 0 250591 0 0 0 0 0 250591 0 110108 0 Part I, Line 1a THE ORGANIZATION HAS PROVIDED FIRST CLASS TRAVEL AND/OR CHARTER TRAVEL FOR CERTAIN EXECUTIVE EMPLOYEES AND/OR BOARD MEMBERS IN LIMITED SITUATIONS. FIRST CLASS AND/OR CHARTER TRAVEL IS UTILIZED WHEN COMMERCIAL AIR TRAVEL WAS NOT AVAILABLE FOR A DESTINATION, OR NOT EFFICIENT DUE TO SCHEDULES AND/OR CONNECTIONS, AND ALSO FOR ANNUAL BOARD RETREAT TRAVEL. FIRST CLASS TRAVEL IS ALSO UTILIZED BY SENIOR EXECUTIVE LEADERS WHEN TRAVELING INTERNATIONALLY. TO THE EXTENT THE BENEFIT IS DEEMED REPORTABLE, IT IS TREATED AS TAXABLE COMPENSATION IN A 1099 OR W-2 TO THE RECIPIENT. THE ORGANIZATION HAS PROVIDED TRAVEL FOR COMPANIONS FOR CERTAIN EXECUTIVE EMPLOYEES AND/OR BOARD MEMBERS IN LIMITED SITUATIONS. TO THE EXTENT THE BENEFIT IS DEEMED REPORTABLE, IT IS TREATED AS TAXABLE COMPENSATION IN A 1099 OR W-2 TO THE RECIPIENT. THE ORGANIZATION HAS PROVIDED TAX INDEMNIFICATION AND GROSS-UP PAYMENTS FOR CERTAIN EXECUTIVE EMPLOYEES AND/OR BOARD MEMBERS IN LIMITED SITUATIONS. TO THE EXTENT THE BENEFIT IS DEEMED REPORTABLE, IT IS TREATED AS TAXABLE COMPENSATION IN A 1099 OR W-2 TO THE RECIPIENT. THE ORGANIZATION HAS PROVIDED HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE FOR CERTAIN SENIOR EXECUTIVE LEADERS. TO THE EXTENT THE BENEFIT IS DEEMED REPORTABLE, IT IS TREATED AS TAXABLE COMPENSATION IN A W-2 TO THE RECIPIENT. Part I, Lines 4a-b THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: BENJAMIN SCHWARTZ MD $1,224,000 LOREN B. HAMEL MD $353,548 PAMELA RIES $140,483 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 CARLOS CUBIA $104,841 CHAD TUTTLE $55,946 CHRISTINA FREESE DECKER $1,449,979 DARRYL ELMOUCHI MD $538,007 DAVID LEONARD $313,984 JAMES MOSES MD $54,769 JASON JOSEPH $308,471 JEREMY HARPER $238,496 JOSHUA KOOISTRA DO $70,214 LOREN B. HAMEL MD $438,838 MATTHEW E. COX $470,111 NATALIE BAGGIO $40,227 PAMELA RIES $187 PRAVEEN THADANI $513,652 TRACIE MORRIS $119,078 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 THE COMPENSATION REPORTED FOR EMPLOYEES OF THE ORGANIZATION IS NOT FOR SERVICES IN THEIR CAPACITY AS MEMBERS OF THE BOARD OF DIRECTORS BUT FOR SERVICES AS EMPLOYEES 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. A MICHIGAN FINANCE AUTHORITY (2016A) 800596186 59447THE3 2016-02-04 323514381 SEE PART VI 0 0 0 B MICHIGAN FINANCE AUTHORITY (2022AB) 800596186 59447T3W1 2022-05-12 941246212 SEE PART VI 0 0 0 C KENT HOSPITAL FINANCE AUTHORITY (2008A & 2008B) 382350002 490580CW5 2008-04-15 471211001 SEE PART VI 0 0 0 D KENT HOSPITAL FINANCE AUTHORITY (2011AB) 382350002 490580DQ7 2011-06-22 212859639 SEE PART VI 0 0 0 A 323514381 2557952 320956429 2019 0 0 1 1 B 130465000 941246212 941246212 2022 1 0 1 1 C 415485000 471211001 2528820 468682181 2008 1 0 1 1 D 103770000 212859639 1359065 50000574 161500000 2011 1 0 1 1 A 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 0 1 1 0 0 0 1 D 0 0 0 1 1 0 0 0 1 A 1 B 1 C 1 D 1 Date Rebate Computation Performed Issuer Name: MICHIGAN FINANCE AUTHORITY (2016A) Date the Rebate Computation was Performed: 01/26/2021 Issuer Name: KENT HOSPITAL FINANCE AUTHORITY (2008A & 2008B) Date the Rebate Computation was Performed: 07/15/2009 Issuer Name: KENT HOSPITAL FINANCE AUTHORITY (2011AB) Date the Rebate Computation was Performed: 08/13/2012 Issuer Name: KENT HOSPITAL FINANCE AUTHORITY (2014AB) Date the Rebate Computation was Performed: 06/18/2014 Issuer Name: KENT HOSPITAL FINANCE AUTHORITY (2015A) Date the Rebate Computation was Performed: 06/03/2015 PART I, COLUMN F, ENTITY 1 BOND A: THE PURPOSE OF THE ISSUE WAS TO REFUND SERIES 2007AB, ISSUED ON 6/20/2007, AND SERIES 2011B, ISSUES ON 10/11/2001 PART I, COLUMN F, ENTITY 1 BOND B: 2022AB HOSPITAL REFUNDING BONDS PART I, COLUMN F, ENTITY 1 BOND C: 2001B, 2007A & 2007B REFUNDING BONDS PART I, COLUMN F, ENTITY 1 BOND D: 2005B & 2008B1 REVENUE REFUNDING BONDS PART I, COLUMN F, ENTITY 2 BOND A: 2012A REVENUE REFUNDING BONDS-REISSUED (2008A1 & 2008B2 REVENUE REFUNDING BONDS) PART I, COLUMN F, ENTITY 2 BOND B: 2008A2 ZCH 2010 GERBER 2002&2007 REVENUE REFUNDING BONDS PART I, COLUMN F, ENTITY 2 BOND C: REVENUE REFUNDING BONDS PART I, COLUMN F, ENTITY 2 BOND D: REVENUE REFUNDING BONDS (2017A REISSUANCE) PART I, ENTITY 1 BOND B: THE FULL AMOUNT OF THE MICHIGAN FINANCE AUTHORITY (2022AB) BOND ISSUE PROCEEDS IS $964,174,661. COREWELL HEALTH (EIN: 38-3382353) HAS REDUCED THE MICHIGAN FINANCE AUTHORITY (2022AB) BOND ISSUE PROCEEDS BY $22,928,449 TO REPORT THE ALLOCATED PROCEEDS TO SUBSIDIARIES IN THE COREWELL HEALTH GROUP RETURN (EIN: 61-1740292) FILING. A KENT HOSPITAL FINANCE AUTHORITY (2012A) 382350002 NONEAVAIL 2018-10-24 56490000 SEE PART VI 0 0 0 B KENT HOSPITAL FINANCE AUTHORITY (2014AB) 382350002 NONEAVAIL 2014-01-15 111850000 SEE PART VI 0 0 1 C KENT HOSPITAL FINANCE AUTHORITY (2015A) 382350002 490580EG8 2015-01-13 78400000 SEE PART VI 0 0 0 D KENT HOSPITAL FINANCE AUTHORITY (2017A) 382350002 NONEAVAIL 2019-03-21 56490000 SEE PART VI 0 0 0 A 56490000 56490000 2018 1 0 1 1 B 19100000 111850000 245000 111605000 2014 1 0 1 1 C 2615000 78400000 880000 77520000 2015 1 0 1 1 D 56490000 56490000 2017 1 0 1 1 A 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 0 1 1 0 0 0 1 D 0 0 1 0 1 0 0 0 1 A 1 B 1 C 1 D 1 DENNIS DISCH MD SPOUSE OF KEY EMPLOYEE NATALIE BAGGIO EXCESS COMPENSATION 1 10144 ANDREW COOPER FAMILY MEMBER OF KEY EMPLOYEE LOREN HAMEL MD 42381 EMPLOYMENT 0 ANNE MILLER FAMILY MEMBER OF KEY EMPLOYEE JAMES MOSES MD 24059 EMPLOYMENT 0 BRETT BARAZOTO FAMILY MEMBER OF OFFICER MATTHEW E. COX 42800 EMPLOYMENT 0 DENNIS DISCH MD FAMILY MEMBER OF KEY EMPLOYEE NATALIE BAGGIO 101250 EMPLOYMENT 0 ELLA TUTTLE FAMILY MEMBER OF KEY EMPLOYEE CHAD TUTTLE 29178 EMPLOYMENT 0 LOWELL HAMEL MD FAMILY MEMBER OF KEY EMPLOYEE LOREN HAMEL MD 672898 EMPLOYMENT 0 LYNN TODMAN FAMILY MEMBER OF DIRECTOR/VICE CHAIR MICHAEL TODMAN 514177 EMPLOYMENT 0 NATALIE PAYNE MD FAMILY MEMBER OF DIRECTORS SEAN WELSH AND WILLIAM PAYNE 32850 EMPLOYMENT 0 NATHAN DIXON FAMILY MEMBER OF DIRECTOR JOSEPH FIFER 116350 EMPLOYMENT 0 PHILIP COOPER FAMILY MEMBER OF KEY EMPLOYEE LOREN HAMEL MD 165436 EMPLOYMENT 0 SARAH FIFER FAMILY MEMBER OF DIRECTOR JOSEPH FIFER 140856 EMPLOYMENT 0 TIMOTHY JOSEPH MD FAMILY MEMBER OF KEY EMPLOYEE JASON JOSEPH 649934 EMPLOYMENT 0 Form 990, Part VI, Section A, line 2 CHRISTINA FREESE DECKER, DARRYL ELMOUCHI MD, JAMES MOSES MD, AND MATTHEW E. COX HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF COREWELL HEALTH INDEMNITY COMPANY, LTD, A RELATED TAXABLE ENTITY. DARRYL ELMOUCHI MD, JAMES MOSES MD, AND MARIJA GRAHOVAC MD HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER OR DIRECTOR OF COREWELL HEALTH PHYSICIANS INSURANCE COMPANY, A RELATED TAXABLE ENTITY. CHRISTINA FREESE DECKER, MATTHEW E. 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. 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, COMPENSATION, AND LEGAL DEPARTMENTS. A COPY OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE 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 B, line 15 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). 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. THE CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE. Form 990, Part XI, line 9: TRANSFERS OF CAPITAL FROM AFFILIATES 96,714,832. MINIMUM PENSION LIABILITY 5,159,981. INTERCOMPANY BALANCE SHEET SUSPENSE 2,244,276. SWAP TRANSFER 6,030. Form 990, Part XII, Line 2c: NO CHANGE IN OVERSIGHT FROM PRIOR YEAR. 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