ALLENDALE — An annual report from Grand Valley State University analyzing health care trends in West Michigan was released Friday, Jan. 8.The report, "Health Check 2021: Analyzing Trends in West Michigan," is the 12th annual report from GVSU compiling data from Kent, Ottawa, Muskegon and Allegan counties, referred to as KOMA in the report.Much of the trend data in this year’s report comes from 2018, with some 2019 data available in certain areas and limited 2020 data used in