2016-11-14T20:55:27-06:00 2015-12-31 861065772 DELOITTE TAX LLP 200 RENAISSANCE CENTER SUITE 3900 DETROIT MI 48243 990 2015-01-01 381405141 OAKWOOD HEALTHCARE INC OAKW 3135865052 15500 LUNDY PARKWAY DEARBORN MI 48126 JOHN T FOX PRESIDENT & CEO - BEAUMONT HEALTH 3135865052 2016-11-14 1 SHAWNA M JIMENEZ P01222873 3133963000 2015 2017-02-10 21:41:12Z JOHN T FOX 15500 LUNDY PARKWAY DEARBORN MI 48126 1420903276 0 X WWW.OAKWOOD.ORG X 1948 MI PROVIDE EXCELLENCE IN CARE, HEALING AND HEALTH TO THE INDIVIDUALS AND COMMUNITIES WE SERVE. 14 10 10789 1101 13526088 526094 5820090 8125831 1172419901 1165419117 39072074 21126558 3740192 4943900 1221052257 1199615406 37539797 17900694 0 0 558161323 595179696 0 0 496991 571871407 571059750 1167572527 1184140140 53479730 15475266 1154330269 1156166856 696167478 690689497 458162791 465477359 X PROVIDE EXCELLENCE IN CARE, HEALING AND HEALTH TO THE INDIVIDUALS AND COMMUNITIES WE SERVE. 0 0 499009812 3383835 834051346 PATIENT CARE SERVICES: OAKWOOD HEALTHCARE SYSTEM (OHS) OPERATES 4 ACUTE CARE HOSPITALS AND 68 OUTPATIENT CARE SITES SERVING 30 COMMUNITIES. WITH 1,229 LICENSED ACUTE CARE BEDS, OAKWOOD CARED FOR APPROXIMATELY 55,369 ADMISSIONS AND AVERAGED A DAILY INPATIENT CENSUS OF 736 PATIENTS IN 2015. OHS PERFORMED ABOUT 14,720 INPATIENT SURGERIES AND 32,765 OUTPATIENT SURGERIES (EXCLUDING ENDOSCOPY) OF WHICH 358 WERE OPEN HEART. WITH ALMOST 218,550 EMERGENCY ROOM VISITS ACROSS FIVE LOCATIONS AND 253,270 ACUTE CARE OUTPATIENT REGISTRATIONS, OHS OFFERS A COMPREHENSIVE MENU OF SERVICES ACROSS THE CONTINUUM OF CARE, INCLUDING TRAUMA, ACUTE CARE, REHABILITATION AND MENTAL HEALTH SERVICES. OHS' PRIMARY SERVICE AREA COVERS 500 SQUARE MILES SERVING A POPULATION OF ALMOST 950 THOUSAND PEOPLE. OHS CLINICIANS DELIVER EVIDENCE BASED CARE USING PROTOCOLS AND STANDARD ORDER SETS, AND WAS THE FIRST SYSTEM IN SOUTHEASTERN MICHIGAN TO VOLUNTARILY PROVIDE QUALITY AND PRICING INFORMATION ON ITS WEBSITE. OHS HAS DEVELOPED A SET OF KEY SERVICE LINES THAT REPRESENT NEARLY 44.5% OF THE INPATIENT ADMISSIONS. THE SERVICE LINES FOCUS ON HEART AND VASCULAR SERVICES, WOMEN'S HEALTH, ORTHOPEDICS, NEUROSCIENCES AND CANCER CARE. 76459398 14516859 42353643 GRADUATE MEDICAL EDUCATION:OAKWOOD HEALTHCARE SYSTEM (OHS) OFFERS ALLOPATHIC, OSTEOPATHIC AND PODIATRIC MEDICAL RESIDENCY PROGRAMS TO ENHANCE THE DELIVERY OF PATIENT CARE. THERE ARE APPROXIMATELY 75 FACULTY AND 286 MEDICAL RESIDENTS COVERING 26 PROGRAMS. PROGRAMS INCLUDE PRIMARY CARE SPECIALTIES, OB/GYN, GERIATRICS, RADIOLOGY, PODIATRY, TRANSITIONAL EDUCATION, OPHTHALMOLOGY AND OTHERS. OHS PARTICIPATES IN WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE (WSU SOM) SPONSORED PROGRAMS INCLUDING OTOLARYNGOLOGY, UROLOGY, DERMATOLOGY, PHYSICAL MEDICINE AND REHABILITATION AND ORTHOPEDIC RESIDENCY PROGRAMS. ALL OF THE ALLOPATHIC RESIDENCY PROGRAMS ARE AFFILIATED WITH THE NATIONALLY RANKED WSU SOM. THE OSTEOPATHIC PROGRAMS ARE AFFILIATED WITH MICHIGAN STATE UNIVERSITY'S COLLEGE OF OSTEOPATHIC MEDICINE. THE RESIDENCY PROGRAMS HAVE FILLED NEARLY 100% OF THEIR SLOTS OFFERED IN THE MATCH OVER THE LAST 3 YEARS AND HAVE GRADUATING CLASSES WITH NEAR 100% BOARD PASS RATES. THE SYSTEM PARTICIPATED IN APPROXIMATELY 100 CLINICAL TRIALS AND WAS ACTIVE IN ORIGINAL RESEARCH. OHS' MEDICAL EDUCATION PROGRAMS ARE ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION AND THE AMERICAN OSTEOPATHIC ASSOCIATION. 322634296 240701582 UNCOMPENSATED AND UNDER-COMPENSATED CARE SERVICES:OAKWOOD HEALTHCARE SYSTEM'S (OHS) UNCOMPENSATED CARE FOR OUR COMMUNITIES IS EXEMPLIFIED BY CARE PROVIDED TO PERSONS NEEDING EMERGENCY AND INPATIENT CARE AS WELL AS OTHER SERVICES. OHS DELIVERED PATIENT CARE SERVICES TO OUR COMMUNITY'S UNINSURED AND UNDERINSURED THROUGH OUR CHARITY CARE PROGRAM. OAKWOOD WROTE OFF APPROXIMATELY 6,100 CASES AT AN ESTIMATED $27.4 MILLION IN CHARGES AT A COST OF $7.6 MILLION TO CHARITY CARE IN 2015. FEDERAL POVERTY GUIDELINES, ABSENCE OF ASSETS, CREDIT SCORES AND A NUMBER OF OTHER CRITERIA ARE USED TO ENSURE THAT OHS PROVIDES CARE TO THE MOST DESERVING OF OUR POPULATION. ANOTHER COMPONENT TO OHS' TOTAL UNCOMPENSATED CARE IS COMPRISED OF BAD DEBT AND LOSSES INCURRED ON OUR MEDICAID BOOK OF BUSINESS. IN 2015, OHS WROTE OFF APPROXIMATELY $113.2 MILLION IN BAD DEBT (ADJUSTED FOR PATIENT DISCOUNTS) AT A COST OF APPROXIMATELY $30.1 MILLION. IN ADDITION, 23.2% OF OHS' PATIENT REVENUE IS FROM THE MEDICAID PROGRAMS. UNFORTUNATELY, MEDICAID REIMBURSEMENT IS INSUFFICIENT TO COVER COSTS OF THE CARE AND FALLS ABOUT $43.9 MILLION SHORT. IN TOTAL, OHS PROVIDED ALMOST $322.6 MILLION (GROSS CHARGES) IN UNCOMPENSATED CARE IN 2015. 898103506 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 X 892 0 1 10789 1 1 1 1 CJ 0 0 0 0 0 0 0 0 X 14 10 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MI X SHARON BAYLISS 3135865052 15500 LUNDY PARKWAY DEARBORN MI 48126 LEWIS JOHN CHAIRPERSON 2.00 6.00 X X 0 0 0 JUDD LEON CHAIRPERSON (END 2015) 2.00 2.00 X X 0 0 0 COOPER GERSON VICE CHAIRPERSON (BEG 2015) 2.00 12.00 X X 0 0 0 HOWARD STEPHEN R VICE CHAIRPERSON (BEG 2015) 2.00 6.00 X X 0 0 0 KEUTEN JOHN SEC. & TREAS./EVP & CFO (END 2015) 2.00 58.00 X X 879465 0 268893 FOX JOHN T DIRECTOR/PRES. & CEO (BEG 2015) 2.00 56.00 X X 0 1951887 364015 ARDISANA LIZABETH DIRECTOR (END 2015) 2.00 0.00 X 0 0 0 BLAKE CHRISTOPHER J DIRECTOR (BEG 2015) 2.00 6.00 X 0 0 0 FREAM JULIE DIRECTOR 2.00 8.00 X 0 0 0 HALL RONALD JR DIRECTOR (END 2015) 2.00 0.00 X 0 0 0 HENOCH MALCOLM MD DIRECTOR 50.00 8.00 X 735079 0 190964 KRAMER ROBERT DIRECTOR (END 2015) 2.00 2.00 X 0 0 0 KUMAR NEELAM MD DIRECTOR (END 2015) 2.00 2.00 X 1606 0 0 MAINSTER HARRIS DO DIRECTOR (BEG 2015) 2.00 8.00 X 0 9151 0 MULLOY MARTIN DIRECTOR (END 2015) 2.00 0.00 X 0 0 0 NEMES JOHN DIRECTOR (BEG 2015) 2.00 10.00 X 0 0 0 NORCIA JERRY DIRECTOR (END 2015) 2.00 0.00 X 0 0 0 O'BRIEN TIMOTHY DIRECTOR 2.00 6.00 X 0 0 0 PRASAD PINNAMANENI MD DIRECTOR (END 2015) 2.00 0.00 X 0 0 0 QUAY MARTHA JAMES DIRECTOR (BEG 2015) 2.00 6.00 X 0 0 0 RASHID CARL DIRECTOR (END 2015) 2.00 0.00 X 0 0 0 ROSOWSKI ROBERT DIRECTOR (END 2015) 2.00 2.00 X 0 0 0 SAELI THOMAS DIRECTOR 2.00 6.00 X 0 0 0 SCRIBNER EDGAR DIRECTOR (END 2015) 2.00 0.00 X 0 0 0 WEINER S EVAN DIRECTOR (BEG 2015) 2.00 6.00 X 0 0 0 WOOD DAVID MD DIRECTOR (BEG 2015) 2.00 56.00 X 0 716248 255484 CONWAY J PAUL SVP HUMAN RESOURCES 2.00 54.00 X 516041 0 210599 CAMPBELL DAVID EVP OPS. SYS. STRAT. & GROWTH 50.00 2.00 X 789367 0 111034 D'AGOSTINO MAUREEN SVP ORGANIZATIONAL EXCELLENCE 50.00 0.00 X 345665 0 114930 GEHEB MICHAEL MD EVP PHYS. PLAN & OPS. 50.00 0.00 X 766393 0 189069 HUGHES EDITH DIVISIONAL PRESIDENT 50.00 0.00 X 382119 0 52002 ISENSTEIN WILLIAM SVP MANAGED CARE 50.00 0.00 X 499696 0 97262 MEDVEC BARBARA RN CHIEF NURSING OFFICER 50.00 0.00 X 406567 0 103382 ODOM LEE ANN DIVISIONAL PRESIDENT 50.00 0.00 X 333081 0 38989 O'MALLEY CARLA VP OPERATIONS & SPECIAL PROGRAMS 50.00 2.00 X 378901 0 118090 SMITH KELLY SVP & DIVISIONAL PRESIDENT 50.00 0.00 X 603597 0 185508 SMITH PAULA SVP & CIO (END 2015) 50.00 0.00 X 563898 0 283586 WIDNER ERIC DIVISIONAL PRESIDENT 50.00 0.00 X 364026 0 52331 ZATINA MARY SVP GOVERNMENT RELATIONS 50.00 0.00 X 379997 0 128004 AZRAK MUHAMMAD STAFF PHYSICIAN 50.00 0.00 X 826620 0 28967 DABBOUS SAMIR A STAFF PHYSICIAN 50.00 2.00 X 1332145 0 16546 ELFALLAL SAMER M STAFF PHYSICIAN 50.00 0.00 X 963433 0 22091 JUNN FREDRICK SONG CHUN STAFF PHYSICIAN 50.00 0.00 X 1185172 0 46766 SPRAGUE KEVIN JOSEPH STAFF PHYSICIAN 50.00 0.00 X 797029 0 6060 CONNOLLY BRIAN FORMER OFFICER (END 2014) 2.00 52.00 X 2296749 0 554296 LLOYD SETH FORMER OFFICER (END 2014) 50.00 0.00 X 387014 0 121127 WELDAY DOUGLAS FORMER OFFICER (END 2014) 0.00 0.00 X 432690 0 103564 16166350 2677286 3663559 623 1 1 0 DELL USA LP 500 FIRST AVENUE PITTSBURGH PA 15222 BILLING SOLUTIONS/OFFICE MANAGEMENT 27227230 CARETECH SOLUTIONS INC PO BOX 674271 DETROIT MI 482674271 INFORMATION TECHNOLOGY SERVICES 14746958 KASCO INC 226 E HUDSON ROYAL OAK MI 48067 CONSTRUCTION MANAGEMENT 12812822 CATAMARAN INC PO BOX 27275 NEW YORK NY 10087 PRESCRIPTION SERVICE 9055147 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 303682289 FOOD/RETAIL SERVICES 8845670 228 6061406 767175 1297250 8125831 PATIENT CARE SERVICES 622110 1123065474 1071847879 13470068 37747527 GRADUATE MEDICAL EDU. 900099 42353643 42353643 1165419117 12551939 38646 12513293 1072603 1112183 -39580 -39580 -56954 17374 227495081 1255225 219947284 228403 7547797 1026822 8574619 8574619 CAFETERIA REVENUE 722514 1100597 1100597 GIFT SHOP 900099 836820 836820 INSURANCE REIMBURSED 900099 487774 487774 2558289 2474229 84060 4983480 1199615406 1117106571 13526088 60856916 3181916 3181916 14718778 14718778 10051471 287198 9267282 496991 3895440 3895440 492349705 394409437 97940268 20895794 16022557 4873237 32987423 25402645 7584778 34999863 26837329 8162534 10798823 2213945 8584878 2028180 2028180 310650 310650 96303 96303 1536555 1536555 112709571 79366196 33343375 2415642 236475 2179167 17491647 4808880 12682767 18112299 9625239 8487060 39259472 33324706 5934766 1386931 619691 767240 771847 531010 240837 13170618 13170618 57051596 35989829 21061767 16475693 15189284 1286409 MEDICAL SUPPLIES 119817821 119817821 PHARMACEUTICALS 59266233 59266233 EQUIP. RENTAL & MAIN. 31175112 17701684 13473428 UBI TAXES 268000 268000 66916757 25114035 41802722 1184140140 898103506 285539643 496991 7028479 2759679 22149769 73498595 99090981 135029119 9352592 471064 12282001 13074752 10692065 12723172 1165271504 831255301 333918196 334016203 401911063 361304530 29062517 320493 15597470 15597470 213245136 207371779 1154330269 1156166856 136236381 149620565 4656317 5122000 271303732 189906372 20984291 13578401 262986757 332462159 696167478 690689497 X 458162791 465477359 458162791 465477359 1154330269 1156166856 X 15475266 -29340294 21179596 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 44845 0 1 51458 96303 0 PART II-B, LINE 1: OAKWOOD HEALTHCARE, INC. ENGAGES OUTSIDE CONSULTANTS TO CONDUCT STATE AND FEDERAL LOBBYING ACTIVITIES ON MATTERS PERTAINING TO NON-PROFIT HEALTHCARE. ALSO, THE COMPANY (ALONG WITH THE VAST MAJORITY OF HOSPITALS LOCATED IN THE STATE OF MICHIGAN) PAYS ANNUAL DUES TO THE MICHIGAN HEALTH AND HOSPITAL ASSOCIATION, A PORTION OF WHICH PERTAINS TO LOBBYING ACTIVITIES CONDUCTED BY THAT ORGANIZATION. 45555675 232199 -303321 201914 1665933 43616706 23959382 20773944 939920 214261 -96690 45555675 19695737 792571 3310579 184576 -345071 23959382 16445484 795005 1723128 138317 -870437 19695737 15028139 877025 150293 123936 -513963 16445484 0.61000 0.39000 0.00000 0 1 1 27563168 27563168 326496622 236034860 90461762 18448381 11448082 7000299 590928317 445112553 145815764 201835016 138659806 63175210 334016203 DEFERRED BOND ISSUE COSTS 2273022 DUE FROM (TO) AFFILIATES 152564873 MISCELLANEOUS RECEIVABLES 5203081 PROFESSIONAL LIABILITY EXCESS 2886642 CAPITAL LEASE 43423376 INTERCOMPANY RECEIVABLES 1020785 207371779 104740 ACCRUED COMPENSATION 13123852 CLAIMS LIABILITY 65025655 WORKERS COMPENSATION 4288842 ASSET RETIREMENT OBLIGATION 19312 ACCRUED PENSION 77022868 DUE TO THIRD PARTY PAYORS 42223364 INTERCOMPANY DEBT TO WILLIAM BEAUMONT HOSPITAL 73289488 OTHER 57364038 332462159 PART V, LINE 4: OAKWOOD HEALTHCARE FOUNDATION MAINTAINS ENDOWMENT FUNDS ON BEHALF OF OAKWOOD HEALTHCARE, INC. THE INTENDED USE OF OAKWOOD HEALTHCARE FOUNDATION'S ENDOWMENT FUNDS IS TO PROVIDE FUNDS TO SUPPORT THE MISSION AND VISION OF OAKWOOD HEALTHCARE SYSTEM. OAKWOOD HEALTHCARE FOUNDATION PROVIDES FUNDING FOR ONGOING CAPITAL AND OPERATIONAL NEEDS, COMMUNITY OUTREACH PROGRAMS, SCHOLARSHIPS AND EDUCATION. CENTRAL AMERICA & THE CARIBBEAN INVESTMENTS 120000 0 0 0 0 0 0 120000 0 120000 0 0 1 0 0 0 1 1 X 1 X 1 X 1 1 0 1 1 6118 4805 7977255 713169 7264086 0.00590 392256 197808 284557951 240701582 43856369 0.03560 398374 202613 292535206 241414751 51120455 0.04150 748 92148 7147179 3574679 3572500 0.00290 26 2247 78903090 42353643 36549447 0.02960 8873477 5588084 3285393 0.00270 1005419 288648 716771 0.00060 306870 0 306870 0.00020 774 94395 96236035 51805054 44430981 0.03600 399148 297008 388771241 293219805 95551436 0.07750 4 82 439462 216288 223174 0.00020 4 82 439462 216288 223174 0.00020 1 30099090 140341 441730193 480066571 -38336378 X 1 1 1 OAKWOOD ACCOUNTABLE CARE ORGANIZATION LLC REDUCE HEALTHCARE COSTS AND MANAGE POPULATION WELLNESS 0.49000 0.00580 0.51000 4 1 OAKWOOD HOSPITAL - DEARBORN 18101 OAKWOOD BLVD DEARBORN MI 481244089 WWW.OAKWOOD.ORG L2280773 X X X X X A 2 OAKWOOD HOSPITAL - SOUTHSHORE 5450 FORT STREET TRENTON MI 481834625 WWW.OAKWOOD.ORG L2307184 X X X X A 3 OAKWOOD HOSPITAL - WAYNE 33155 ANNAPOLIS WAYNE MI 481842493 WWW.OAKWOOD.ORG L2554579 X X X X A 4 OAKWOOD HOSPITAL - TAYLOR 10000 TELEGRAPH TAYLOR MI 481803349 WWW.OAKWOOD.ORG L2558464 X X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X X 13 1 1 0 1 X SEE PART V, SECTION C X X 1 13 1 SEE PART V, SECTION C 0 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X 1 X 0 X X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: OAKWOOD HOSPITAL - DEARBORN, - FACILITY 2: OAKWOOD HOSPITAL - SOUTHSHORE, - FACILITY 3: OAKWOOD HOSPITAL - WAYNE, - FACILITY 4: OAKWOOD HOSPITAL - TAYLOR GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 3J: CHNA REGULATION REQUIRES EACH HOSPITAL TO DEFINE THEIR "COMMUNITY SERVED" FOR THE PURPOSES OF THE ASSESSMENT. THE OAKWOOD HEALTHCARE HOSPITAL COMMUNITIES ARE DEFINED AS ZIP CODES THAT COMPRISE 80% OF INPATIENT DISCHARGES AND ARE CONTIGUOUS. THE OVERALL OAKWOOD HEALTHCARE COMMUNITY IS THE AGGREGATE OF EACH HOSPITAL'S COMMUNITY. IT IS IMPORTANT TO NOTE THAT INDIVIDUAL HOSPITAL COMMUNITIES OVERLAP. OAKWOOD HEALTHCARE HOSPITALS ARE LOCATED IN WAYNE COUNTY, MICHIGAN, AND THE COMMUNITY THEY SERVE CONSISTS OF ZIP CODES IN WAYNE COUNTY WITH SOME OVERLAP INTO NORTHEASTERN MONROE COUNTY, MICHIGAN. OAKWOOD HEALTHCARE, INC. APPROACHED THE CHNA PROCESS AS A COLLABORATIVE EFFORT BETWEEN THEIR HOSPITALS BUT HAVE ALSO INCLUDED INFORMATION SPECIFIC TO EACH HOSPITAL COMMUNITY WHERE THE DATA COLLECTION WAS ABLE TO PROVIDE HOSPITAL COMMUNITY SPECIFIC INFORMATION.TO ASSESS HEALTH NEEDS OF THE OAKWOOD HEALTHCARE COMMUNITIES, A QUANTITATIVE AND QUALITATIVE APPROACH WAS USED. IN ADDITION TO COLLECTING DATA FROM A NUMBER OF PUBLIC SOURCES AND TRUVEN HEALTH PROPRIETARY SOURCES, INTERVIEWS (BOTH IN-PERSON AND TELEPHONE) AND FOCUS GROUPS WERE CONDUCTED WITH INDIVIDUALS REPRESENTING COMMUNITY LEADERS/GROUPS, PUBLIC ORGANIZATIONS, PATIENTS, PROVIDERS, AND OAKWOOD HEALTHCARE, INC. REPRESENTATIVES FROM THE HOSPITAL AND CORPORATE LEVELS. IN ADDITION TO THE QUALITATIVE FEEDBACK, QUANTITATIVE HEALTH INDICATORS WERE COLLECTED AND ANALYZED TO ASSESS COMMUNITY HEALTH NEEDS. ONE HUNDRED-SIX INDICATORS WERE EVALUATED FOR EACH OF THE COUNTIES OR TOWNS (DEPENDING ON LEVEL OF DATA AVAILABLE) IN THE OAKWOOD HEALTHCARE COMMUNITY SERVED.SUPPLEMENTED HEALTH INDICATOR DATA WITH ZIP CODE ESTIMATES (COMMUNITY NEEDS INDEX) WERE USED TO IDENTIFY SPECIFIC POPULATIONS WITHIN A COMMUNITY WHERE HEALTH NEEDS MAY BE GREATER. GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 5: TO TAKE INTO ACCOUNT THE INPUT OF PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INTERVIEWS (BOTH ONE-ON-ONE AND IN SMALL GROUPS) AS WELL AS FOCUS GROUPS WERE CONDUCTED. THE INTERVIEW QUESTIONNAIRE WAS DESIGNED TO UNDERSTAND HOW PARTICIPANTS FEEL ABOUT THE GENERAL HEALTH STATUS OF THE COMMUNITY AND THE VARIOUS DRIVERS CONTRIBUTING TO HEALTH ISSUES. PARTICIPANTS INCLUDED REPRESENTATIVES FROM THE WAYNE DEPARTMENT OF PUBLIC HEALTH, WAYNE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, MICHIGAN DEPARTMENT OF COMMUNITY HEALTH, WAYNE COUNTY HEALTH AUTHORITY, CITY OF DETROIT DEPARTMENT OF HEALTH AND WELLNESS PROMOTION, SEMCA, FAITH-BASED ORGANIZATIONS, MENTAL HEALTH ORGANIZATIONS, EARLY CHILDHOOD ORGANIZATIONS, FQHC, UNIVERSITY OF MICHIGAN DEARBORN, WORKFORCE DEVELOPMENT ORGANIZATIONS, LOCAL GOVERNMENT REPRESENTATIVES, CHRONIC DISEASE MANAGEMENT ORGANIZATIONS, NONPROFIT ORGANIZATIONS SERVING VULNERABLE POPULATIONS, PHYSICIAN PRACTICES, AND OAKWOOD HEALTHCARE, INC. REPRESENTATIVES. GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 6A: OAKWOOD HOSPITAL - DEARBORN'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:OAKWOOD HOSPITAL - WAYNEOAKWOOD HOSPITAL - TAYLOROAKWOOD HOSPITAL - SOUTHSHORE GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 7D: THE CHNA WAS DISTRIBUTED TO THOSE WHO PARTICIPATED IN THE INTERVIEWS AND FOCUS GROUPS AND TO COMMUNITY ORGANIZATIONS IN THE OAKWOOD SERVICE AREA IN ADDITION TO BEING ON THE WEBSITE AND AVAILABLE IN PRINTED FORM. GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 11: THE IMPLEMENTATION STRATEGY FOR FISCAL YEARS 2014-2016 FOCUSED ON FOUR PRIORITY HEALTH NEEDS: ACCESS TO CARE, CARDIOVASCULAR DISEASE, DIABETES AND OBESITY. PRIORITY 1: ACCESS TO CAREA SIGNIFICANT ACCOMPLISHMENT IN THE 2014-2016 IMPLEMENTATION STRATEGY BY OAKWOOD WAS THE CREATION OF FOUR MULTI-SECTOR COALITIONS USING A COLLECTIVE IMPACT MODEL. A HEALTHY COMMUNITIES LEADERSHIP COALITION WAS CREATED WITH 125 KEY LEADERS FROM ACROSS THE REGION TO DEVELOP A STRATEGIC PLAN TARGETING THE PRIORITY HEALTH NEEDS. FOUR "HEALTHY COMMUNITY" COALITIONS WERE FORMED UNDER THIS UMBRELLA IN PARTNERSHIP WITH MUNICIPALITIES, SCHOOL DISTRICTS, COMMUNITY RESIDENTS AND COMMUNITY PARTNER ORGANIZATIONS (DEARBORN, TAYLOR, TRENTON AND WAYNE). HEALTHY DEARBORN IS A MULTI-SECTOR COALITION THAT WAS FORMED AND CURRENTLY HAS OVER 200 INDIVIDUALS PARTICIPATING TO PROMOTE ACCESS TO CARE, HEALTHY EATING AND ACTIVE LIVING. OAKWOOD PROVIDES "BACKBONE SUPPORT" TO THESE COALITIONS, PROVIDING STAFF, CONSULTANTS AND ACCESS TO A WIDE RANGE OF RESOURCES INCLUDING EVIDENCE-BASED PROGRAMMING AND DATA COLLECTION.TO SUPPORT ENROLLMENT IN THE HEALTH INSURANCE MARKETPLACE, OAKWOOD PARTNERED WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AND BECAME A CHAMPION FOR COVERAGE AND EMPLOYED HEALTH INSURANCE NAVIGATORS TO ASSIST THOSE IN THE COMMUNITY WITH INFORMATION AND ENROLLMENT. NAVIGATORS PROVIDED COMMUNITY-BASED ASSISTANCE IN DEARBORN FOR 1,342 INDIVIDUALS WITH INFORMATION AND ENROLLMENT INTO HEALTH INSURANCE PLANS. OAKASSIST FINANCIAL COUNSELORS AT OAKWOOD PROVIDED 6,110 INDIVIDUALS WITH INFORMATION AND ENROLLMENT ASSISTANCE. TO PROVIDE ACCESS TO CARE FOR ADOLESCENTS, OAKWOOD OPENED A TEEN HEALTH CENTER IN RIVER ROUGE HIGH SCHOOL IN 2015. THIS HEALTH CENTER, SUPPORTED BY THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES AND THE MICHIGAN DEPARTMENT OF EDUCATION, PROVIDES PRIMARY CARE, PREVENTATIVE CARE, COMPREHENSIVE HEALTH ASSESSMENTS, CO-MANAGEMENT OF CHRONIC CONDITIONS, HEALTH EDUCATION AND MENTAL HEALTH CARE TO STUDENTS IN RIVER ROUGE AND THE SURROUNDING COMMUNITIES. IN THE FIRST YEAR, 254 STUDENTS WERE SERVED WITH 767 VISITS. THE TEEN HEALTH CENTERS ALSO PROVIDES FAMILIES WITH ASSISTANCE TO ENROLL IN MEDICAID AND HEALTHY MICHIGAN.OAKWOOD PROVIDED FREE TRANSPORTATION OF 2,264 ROUND TRIPS FOR INDIVIDUALS. PRIORITY 2: CARDIOVASCULAR DISEASEOAKWOOD PROVIDED HEART HEALTH SCREENING IN THE COMMUNITY TO 6,162 UNDUPLICATED INDIVIDUALS WITH 11,499 SCREENINGS AND PERSONALIZED COUNSELING. ON AVERAGE 40% OF INDIVIDUALS SCREENED WERE REFERRED FOR FURTHER FOLLOW-UP CARE DUE TO HIGH-RISK RESULTS. AND, 98% OF SURVEY RESPONDENTS INDICATED GOOD/VERY GOOD UNDERSTANDING OF THEIR SCREENING RESULTS AND UNDERSTANDING OF THE STEPS NEEDED TO KEEP THEIR HEARTS HEALTHY. OAKWOOD PROVIDED SMOKING CESSATION COUNSELING AND QUIT KITS TO 360 INDIVIDUALS.OAKWOOD HAS PROVIDED 536 CARDIAC REHABILITATION SESSIONS FREE OF CHARGE TO INDIVIDUALS FROM THE COMMUNITY.PRIORITY 3: DIABETESIN PARTNERSHIP WITH GLEANERS COMMUNITY FOOD BANK OF SOUTHEASTERN MICHIGAN, OAKWOOD PROVIDES SHARE OUR STRENGTH'S COOKING MATTERS FOR ADULTS EXTRA FOR DIABETES. THIS SIX WEEK CLASS INCLUDES THE COOKING MATTERS FOR ADULTS CURRICULA AS DESCRIBED BELOW ALONG WITH SPECIALIZED INFORMATION THROUGHOUT THE COURSE FOR ADULTS LIVING WITH DIABETES, CARETAKERS OF ADULTS LIVING WITH DIABETES, OR PRE-DIABETIC ADULTS. THESE CLASSES WERE ATTENDED BY 21 INDIVIDUALS, PROVIDING 100 UNITS OF EDUCATION. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 97% (VERY GOOD). AND, OUTCOME DATA INDICATED AN AGGREGATE INCREASE IN KNOWLEDGE OF 22% INCLUDING SIGNIFICANT IMPROVEMENT USING NUTRITION FACTS ON FOOD LABELS AND CONFIDENCE BUYING HEALTHY FOODS FOR THEIR FAMILY ON A BUDGET.IN PARTNERSHIP WITH THE NATIONAL KIDNEY FOUNDATION OF MICHIGAN, OAKWOOD PROVIDES THE MY CHOICE MY HEALTH DIABETES PREVENTION PROGRAM (DPP). THIS NATIONAL EVIDENCE-BASED PROGRAM FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) IS SUPPORTED AND PROMOTED BY THE AMERICAN MEDICAL ASSOCIATION AS ONE OF THE MOST EFFECTIVE WAYS TO HELP PHYSICIANS PREVENT OR DELAY TYPE 2 DIABETES IN HIGH-RISK PATIENTS. THIS YEAR-LONG PROGRAM FOR THOSE WITH PRE-DIABETES WAS PROVIDED TO 25 INDIVIDUALS WITH 317 UNITS OF EDUCATION AND SUPPORT. PARTICIPANTS WHO ATTENDED THE MONTHLY MAINTENANCE SESSIONS FOLLOWING THE CORE COURSE AVERAGED 363 MINUTES OF PHYSICAL ACTIVITY PER WEEK (2.5 TIMES HIGHER THAN THE CDC BENCHMARK) AND THEY LOST AN AVERAGE OF 5.3% OF INITIAL BODY WEIGHT (MEETING TARGET). IN PARTNERSHIP WITH THE NATIONAL KIDNEY FOUNDATION OF MICHIGAN, OAKWOOD PROVIDED 11 INDIVIDUALS WITH 49 UNITS OF DIABETES PATH (PERSONAL ACTION TOWARD HEALTH). PATH IS A NATIONAL EVIDENCE-BASED PROGRAM FOR THOSE WITH TYPE 2 DIABETES AND THEIR CAREGIVERS. THE PROGRAM IS DESIGNED TO ENHANCE PATIENT CONFIDENCE IN THEIR ABILITY TO MANAGE THEIR DISEASE AND TO WORK MORE EFFECTIVELY WITH THEIR HEALTH CARE PROVIDERS. OUTCOME DATA INDICATED 89% OF PARTICIPANTS WERE MORE CONFIDENT ABOUT HANDLING THEIR HEALTH CONDITION AFTER TAKING THE WORKSHOP, AND SHOWED SIGNIFICANT IMPROVEMENTS IN TESTING BLOOD SUGAR SEVEN DAYS A WEEK AND EXERCISING MORE THAN 150 MINUTES PER WEEK. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 91% (VERY GOOD). OAKWOOD PROVIDED A DIABETES SUPPORT GROUP FOR 151 INDIVIDUALS IN THE COMMUNITY.MANAGING YOUR DIABETES EDUCATION WAS PROVIDED BY OAKWOOD TO 443 INDIVIDUALS IN THE COMMUNITY.OAKWOOD PROVIDED DIABETES SCREENING AS PART OF THE HEART HEALTH SCREENING PROGRAM IN THE COMMUNITY TO 6,162 UNDUPLICATED INDIVIDUALS WITH 11,499 SCREENINGS.PRIORITY 4: OBESITYIN THE OAKWOOD SERVICE AREA, 2,141 CHILDREN PARTICIPATED IN THE CATCH (COORDINATED APPROACH TO CHILD HEALTH) KIDS CLUB PROGRAM IN AFTER-SCHOOL AND SUMMER PROGRAMS. CATCH KIDS CLUB CREATES BEHAVIOR CHANGE BY ENABLING CHILDREN TO IDENTIFY HEALTHY FOODS, AND BY INCREASING THE AMOUNT OF MODERATE TO VIGOROUS PHYSICAL ACTIVITY CHILDREN ENGAGE IN EACH DAY. CATCH KIDS CLUB IS BASED ON THE CDC WHOLE SCHOOL, WHOLE COMMUNITY, WHOLE CHILD MODEL IN WHICH HEALTH EDUCATION, SCHOOL ENVIRONMENT, AND FAMILY/COMMUNITY INVOLVEMENT WORK TOGETHER TO SUPPORT YOUTH IN A HEALTHY LIFESTYLE. EVALUATION RESULTS SHOW A 40% INCREASE IN THE CONSUMPTION OF FRUITS AND VEGETABLES FOR YOUTH IN THE PROGRAM. STUDENT OUTCOME DATA INDICATED IMPROVEMENTS IN MULTIPLE MEASURES INCLUDING A 40% INCREASE IN THE CONSUMPTION OF FRUITS AND VEGETABLES, AND INCREASE IN EXERCISE OR PARTICIPATION IN SPORTS ACTIVITIES FOR AT LEAST 20 MINUTES. AND, 96% OF STUDENTS REPORTED THEY ALMOST ALWAYS OR ALWAYS READ NUTRITION LABELS ON PACKAGES AFTER PARTICIPATING IN CATCH KIDS CLUB FOR A SCHOOL YEAR (UP FROM 4%).OAKWOOD PROVIDES NUTRITION EDUCATION AND "HANDS-ON" COOKING CLASSES THROUGH A PARTNERSHIP WITH GLEANERS FOOD BANK OF SOUTHEASTERN MICHIGAN TO OFFER COOKING MATTERS IN THE COMMUNITY AND COOKING MATTERS AT THE STORE. COOKING MATTERS EQUIPS FAMILIES WITH THE SKILLS THEY NEED TO STRETCH THEIR FOOD DOLLARS AND PREPARE HEALTHY MEALS ON A BUDGET. THESE POPULAR CLASSES HAVE BEEN ATTENDED BY 194 INDIVIDUALS, WITH 747 UNITS OF SERVICE PROVIDED. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 97% (VERY GOOD). AND, OUTCOME DATA INDICATED AN AGGREGATE INCREASE IN KNOWLEDGE OF 22% INCLUDING SIGNIFICANT IMPROVEMENT USING NUTRITION FACTS ON FOOD LABELS AND CONFIDENCE BUYING HEALTHY FOODS FOR THEIR FAMILY ON A BUDGET.OAKWOOD SPONSORS THE DEARBORN FARMERS MARKET, PROVIDING ACCESS OF FRESH FRUITS AND VEGETABLES TO THE COMMUNITY. THE POWER OF PRODUCE PROGRAM IS PROVIDED TO CHILDREN AT THE MARKET TO EDUCATE CHILDREN IN MAKING HEALTHY EATING CHOICES. THIS PROGRAM ALLOWS CHILDREN TO TASTE NEW FRUITS AND VEGETABLES, ENGAGE IN ACTIVITIES TO UNDERSTAND WHERE THEIR FOOD COMES FROM AND GIVES CHILDREN $2 TO SPEND ON FRESH PRODUCE EVERY TIME THEY VISIT THE MARKET. IN 2016, 569 CHILDREN HAVE PARTICIPATED TO DATE IN THE POWER OF PRODUCE PROGRAM.NEEDS THAT WERE NOT ADDRESSED INCLUDE MENTAL HEALTH, MATERNAL HEALTH, ENVIRONMENT AND SOCIOECONOMIC FACTORS. WHILE EACH OF THESE HEALTH NEEDS ARE IMPORTANT AND ARE BEING ADDRESSED BY PROGRAMS AND INITIATIVES OF OAKWOOD HEALTHCARE, INC., ALLOCATING SIGNIFICANT RESOURCES TO THE FOUR PRIORITY NEEDS PREVENTED THE INCLUSION OF ALL HEALTH NEEDS IN THE OAKWOOD IMPLEMENTATION PLANS. GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 20E: THE HOSPITAL ROUTES ALL SELF PAY INPATIENTS AND EMERGENCY PATIENTS TO OUR OAKASSIST FINANCIAL COUNSELORS WHO ASSESS THE PATIENTS FOR ELIGIBILITY UNDER OUR FINANCIAL ASSISTANCE POLICY. IN ADDITION, SELF PAY PATIENTS, SCHEDULED THROUGH OUR CENTRAL SCHEDULING DEPARTMENT, ARE ALSO ROUTED THROUGH OUR FINANCIAL CLEARANCE CENTER AND, IF DEEMED ELIGIBLE OR A DETERMINATION CANNOT BE MADE, THE PATIENT IS ROUTED TO OUR OAKASSIST FINANCIAL COUNSELORS FOR FURTHER SCREENING. PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THEIR INPATIENT STAY THROUGH A SECTION OF THE ADMISSION PACKET WHERE PATIENTS WHO ARE CONCERNED ABOUT THEIR FINANCIAL RESPONSIBILITY CAN SPEAK TO FINANCIAL COUNSELORS FOR OPTIONS TO ASSIST THEM WITH PAYMENTS. THERE ARE POSTINGS IN THE EMERGENCY DEPARTMENTS AND MAIN REGISTRATION/PATIENT ACCESS AREAS INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE. PATIENTS ARE ALSO PROVIDED INFORMATION ABOUT HOW TO ACCESS INFORMATION ON OAKWOOD'S PROGRAMS AND HOW TO CONTACT OUR FINANCIAL COUNSELORS FOR MORE INFORMATION AND ASSISTANCE. PATIENTS ARE ALSO NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ON THE MONTHLY PATIENT STATEMENTS WHICH INCLUDES WEBSITE AND TELEPHONE CONTACT INFORMATION. GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 3J: CHNA REGULATION REQUIRES EACH HOSPITAL TO DEFINE THEIR "COMMUNITY SERVED" FOR THE PURPOSES OF THE ASSESSMENT. THE OAKWOOD HEALTHCARE HOSPITAL COMMUNITIES ARE DEFINED AS ZIP CODES THAT COMPRISE 80% OF INPATIENT DISCHARGES AND ARE CONTIGUOUS. THE OVERALL OAKWOOD HEALTHCARE COMMUNITY IS THE AGGREGATE OF EACH HOSPITAL'S COMMUNITY. IT IS IMPORTANT TO NOTE THAT INDIVIDUAL HOSPITAL COMMUNITIES OVERLAP. OAKWOOD HEALTHCARE HOSPITALS ARE LOCATED IN WAYNE COUNTY, MICHIGAN, AND THE COMMUNITY THEY SERVE CONSISTS OF ZIP CODES IN WAYNE COUNTY WITH SOME OVERLAP INTO NORTHEASTERN MONROE COUNTY, MICHIGAN. OAKWOOD HEALTHCARE, INC. APPROACHED THE CHNA PROCESS AS A COLLABORATIVE EFFORT BETWEEN THEIR HOSPITALS BUT HAVE ALSO INCLUDED INFORMATION SPECIFIC TO EACH HOSPITAL COMMUNITY WHERE THE DATA COLLECTION WAS ABLE TO PROVIDE HOSPITAL COMMUNITY SPECIFIC INFORMATION.TO ASSESS HEALTH NEEDS OF THE OAKWOOD HEALTHCARE COMMUNITIES, A QUANTITATIVE AND QUALITATIVE APPROACH WAS USED. IN ADDITION TO COLLECTING DATA FROM A NUMBER OF PUBLIC SOURCES AND TRUVEN HEALTH PROPRIETARY SOURCES, INTERVIEWS (BOTH IN-PERSON AND TELEPHONE) AND FOCUS GROUPS WERE CONDUCTED WITH INDIVIDUALS REPRESENTING COMMUNITY LEADERS/GROUPS, PUBLIC ORGANIZATIONS, PATIENTS, PROVIDERS, AND OAKWOOD HEALTHCARE, INC. REPRESENTATIVES FROM THE HOSPITAL AND CORPORATE LEVELS. IN ADDITION TO THE QUALITATIVE FEEDBACK, QUANTITATIVE HEALTH INDICATORS WERE COLLECTED AND ANALYZED TO ASSESS COMMUNITY HEALTH NEEDS. ONE HUNDRED-SIX INDICATORS WERE EVALUATED FOR EACH OF THE COUNTIES OR TOWNS (DEPENDING ON LEVEL OF DATA AVAILABLE) IN THE OAKWOOD HEALTHCARE COMMUNITY SERVED.SUPPLEMENTED HEALTH INDICATOR DATA WITH ZIP CODE ESTIMATES (COMMUNITY NEEDS INDEX) WERE USED TO IDENTIFY SPECIFIC POPULATIONS WITHIN A COMMUNITY WHERE HEALTH NEEDS MAY BE GREATER. GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 5: TO TAKE INTO ACCOUNT THE INPUT OF PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INTERVIEWS (BOTH ONE-ON-ONE AND IN SMALL GROUPS) AS WELL AS FOCUS GROUPS WERE CONDUCTED. THE INTERVIEW QUESTIONNAIRE WAS DESIGNED TO UNDERSTAND HOW PARTICIPANTS FEEL ABOUT THE GENERAL HEALTH STATUS OF THE COMMUNITY AND THE VARIOUS DRIVERS CONTRIBUTING TO HEALTH ISSUES. PARTICIPANTS INCLUDED REPRESENTATIVES FROM THE WAYNE DEPARTMENT OF PUBLIC HEALTH, WAYNE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, MICHIGAN DEPARTMENT OF COMMUNITY HEALTH, WAYNE COUNTY HEALTH AUTHORITY, CITY OF DETROIT DEPARTMENT OF HEALTH AND WELLNESS PROMOTION, SEMCA, FAITH-BASED ORGANIZATIONS, MENTAL HEALTH ORGANIZATIONS, EARLY CHILDHOOD ORGANIZATIONS, FQHC, UNIVERSITY OF MICHIGAN DEARBORN, WORKFORCE DEVELOPMENT ORGANIZATIONS, LOCAL GOVERNMENT REPRESENTATIVES, CHRONIC DISEASE MANAGEMENT ORGANIZATIONS, NONPROFIT ORGANIZATIONS SERVING VULNERABLE POPULATIONS, PHYSICIAN PRACTICES, AND OAKWOOD HEALTHCARE, INC. REPRESENTATIVES. GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 6A: OAKWOOD HOSPITAL - SOUTHSHORE'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:OAKWOOD HOSPITAL - DEARBORNOAKWOOD HOSPITAL - TAYLOROAKWOOD HOSPITAL - WAYNE GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 7D: THE CHNA WAS DISTRIBUTED TO THOSE WHO PARTICIPATED IN THE INTERVIEWS AND FOCUS GROUPS AND TO COMMUNITY ORGANIZATIONS IN THE OAKWOOD SERVICE AREA IN ADDITION TO BEING ON THE WEBSITE AND AVAILABLE IN PRINTED FORM. GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 11: THE IMPLEMENTATION STRATEGY FOR FISCAL YEARS 2014-2016 FOCUSED ON FOUR PRIORITY HEALTH NEEDS: ACCESS TO CARE, CARDIOVASCULAR DISEASE, DIABETES AND OBESITY. PRIORITY 1: ACCESS TO CAREA SIGNIFICANT ACCOMPLISHMENT IN THE 2014-2016 IMPLEMENTATION STRATEGY BY OAKWOOD WAS THE CREATION OF FOUR MULTI-SECTOR COALITIONS USING A COLLECTIVE IMPACT MODEL. A HEALTHY COMMUNITIES LEADERSHIP COALITION WAS CREATED WITH 125 KEY LEADERS FROM ACROSS THE REGION TO DEVELOP A STRATEGIC PLAN TARGETING THE PRIORITY HEALTH NEEDS. FOUR "HEALTHY COMMUNITY" COALITIONS WERE FORMED UNDER THIS UMBRELLA IN PARTNERSHIP WITH MUNICIPALITIES, SCHOOL DISTRICTS, COMMUNITY RESIDENTS AND COMMUNITY PARTNER ORGANIZATIONS (DEARBORN, TAYLOR, TRENTON AND WAYNE). HEALTHY TRENTON IS A MULTI-SECTOR COALITION THAT WAS FORMED AND CURRENTLY HAS 102 MEMBERS PARTICIPATING TO PROMOTE ACCESS TO CARE, HEALTHY EATING AND ACTIVE LIVING. OAKWOOD PROVIDES "BACKBONE SUPPORT" TO THESE COALITIONS, PROVIDING STAFF, CONSULTANTS AND ACCESS TO A WIDE RANGE OF RESOURCES INCLUDING EVIDENCE-BASED PROGRAMMING AND DATA COLLECTION.TO SUPPORT ENROLLMENT IN THE HEALTH INSURANCE MARKETPLACE, OAKWOOD PARTNERED WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AND BECAME A CHAMPION FOR COVERAGE EMPLOYING HEALTH INSURANCE NAVIGATORS TO ASSIST THOSE IN THE COMMUNITY WITH INFORMATION AND ENROLLMENT. NAVIGATORS PROVIDED COMMUNITY-BASED ASSISTANCE IN TRENTON FOR 287 INDIVIDUALS, INCLUDING INFORMATION AND ENROLLMENT INTO HEALTH INSURANCE PLANS. OAKASSIST FINANCIAL COUNSELORS AT OAKWOOD PROVIDED 1,397 INDIVIDUALS WITH INFORMATION AND ENROLLMENT ASSISTANCE. PRIORITY 2: CARDIOVASCULAR DISEASEOAKWOOD PROVIDED HEART HEALTH SCREENING IN THE COMMUNITY TO 1,858 UNDUPLICATED INDIVIDUALS WITH 2,546 SCREENINGS AND PERSONALIZED COUNSELING. ON AVERAGE 40% OF INDIVIDUALS SCREENED WERE REFERRED FOR FURTHER FOLLOW-UP CARE DUE TO HIGH-RISK RESULTS. AND, 98% OF SURVEY RESPONDENTS INDICATED GOOD/VERY GOOD UNDERSTANDING OF THEIR SCREENING RESULTS AND UNDERSTANDING OF THE STEPS NEEDED TO KEEP THEIR HEARTS HEALTHY. OAKWOOD PROVIDED SMOKING CESSATION COUNSELING AND QUIT KITS TO 806 INDIVIDUALS.OAKWOOD PROVIDED 485 FREE CARDIAC REHABILITATION SESSIONS FOR THE UNINSURED AND UNDERINSURED.PRIORITY 3: DIABETESIN PARTNERSHIP WITH GLEANERS COMMUNITY FOOD BANK OF SOUTHEASTERN MICHIGAN, OAKWOOD PROVIDES SHARE OUR STRENGTH'S COOKING MATTERS FOR ADULTS EXTRA FOR DIABETES. THIS SIX WEEK CLASS INCLUDES THE COOKING MATTERS FOR ADULTS CURRICULA AS DESCRIBED BELOW ALONG WITH SPECIALIZED INFORMATION THROUGHOUT THE COURSE FOR ADULTS LIVING WITH DIABETES, CARETAKERS OF ADULTS LIVING WITH DIABETES, OR PRE-DIABETIC ADULTS. THESE CLASSES WERE ATTENDED BY 52 INDIVIDUALS, PROVIDING 264 UNITS OF EDUCATION. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 97% (VERY GOOD). AND, OUTCOME DATA INDICATED AN AGGREGATE INCREASE IN KNOWLEDGE OF 22% INCLUDING SIGNIFICANT IMPROVEMENT USING NUTRITION FACTS ON FOOD LABELS AND CONFIDENCE BUYING HEALTHY FOODS FOR THEIR FAMILY ON A BUDGET.IN PARTNERSHIP WITH THE NATIONAL KIDNEY FOUNDATION OF MICHIGAN, OAKWOOD PROVIDED 34 INDIVIDUALS WITH 158 UNITS OF DIABETES PATH (PERSONAL ACTION TOWARD HEALTH). PATH IS A NATIONAL EVIDENCE-BASED PROGRAM FOR THOSE WITH TYPE 2 DIABETES AND THEIR CAREGIVERS. THE PROGRAM IS DESIGNED TO ENHANCE PATIENT CONFIDENCE IN THEIR ABILITY TO MANAGE THEIR DISEASE AND TO WORK MORE EFFECTIVELY WITH THEIR HEALTH CARE PROVIDERS. OUTCOME DATA INDICATED 89% OF PARTICIPANTS WERE MORE CONFIDENT ABOUT HANDLING THEIR HEALTH CONDITION AFTER TAKING THE WORKSHOP, AND SHOWED SIGNIFICANT IMPROVEMENTS IN TESTING BLOOD SUGAR SEVEN DAYS A WEEK AND EXERCISING MORE THAN 150 MINUTES PER WEEK. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 91% (VERY GOOD). MANAGING YOUR DIABETES, A FREE EDUCATION SEMINAR THAT DISCUSSES DIABETES AND THE VASCULAR COMPLICATIONS RELATED TO THE DISEASE, WAS PROVIDED TO 54 INDIVIDUALS IN THE COMMUNITY. OAKWOOD PROVIDED DIABETES EDUCATION TO 586 INDIVIDUALS IN THE COMMUNITY.OAKWOOD PROVIDED DIABETES SCREENING AS PART OF THE HEART HEALTH SCREENING PROGRAM IN THE COMMUNITY TO 1,858 UNDUPLICATED INDIVIDUALS WITH 2,546 SCREENINGS.PRIORITY 4: OBESITYOAKWOOD PROVIDES NUTRITION EDUCATION AND "HANDS-ON" COOKING CLASSES THROUGH A PARTNERSHIP WITH GLEANERS FOOD BANK OF SOUTHEASTERN MICHIGAN TO OFFER COOKING MATTERS IN THE COMMUNITY. COOKING MATTERS EQUIPS FAMILIES WITH THE SKILLS THEY NEED TO STRETCH THEIR FOOD DOLLARS AND PREPARE HEALTHY MEALS ON A BUDGET. THESE POPULAR CLASSES HAVE BEEN ATTENDED BY 103 INDIVIDUALS, WITH 548 UNITS OF SERVICE PROVIDED. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 97% (VERY GOOD). AND, OUTCOME DATA INDICATED AN AGGREGATE INCREASE IN KNOWLEDGE OF 22% INCLUDING SIGNIFICANT IMPROVEMENT USING NUTRITION FACTS ON FOOD LABELS AND CONFIDENCE BUYING HEALTHY FOODS FOR THEIR FAMILY ON A BUDGET.THE COOKING MATTERS PROGRAM WAS ADAPTED TO PROVIDE NUTRITION EDUCATION TO 24 SPECIAL NEEDS STUDENTS IN TRENTON FROM NINE SCHOOL DISTRICTS. IN THE OAKWOOD SERVICE AREA, 324 CHILDREN PARTICIPATED IN THE CATCH (COORDINATED APPROACH TO CHILD HEALTH) KIDS CLUB PROGRAM IN AFTER-SCHOOL AND SUMMER PROGRAMS BEGINNING IN THE 2016-2017 ACADEMIC YEAR. CATCH KIDS CLUB CREATES BEHAVIOR CHANGE BY ENABLING CHILDREN TO IDENTIFY HEALTHY FOODS, AND BY INCREASING THE AMOUNT OF MODERATE TO VIGOROUS PHYSICAL ACTIVITY CHILDREN ENGAGE IN EACH DAY. CATCH KIDS CLUB IS BASED ON THE CDC WHOLE SCHOOL, WHOLE COMMUNITY, WHOLE CHILD MODEL IN WHICH HEALTH EDUCATION, SCHOOL ENVIRONMENT, AND FAMILY/COMMUNITY INVOLVEMENT WORK TOGETHER TO SUPPORT YOUTH IN A HEALTHY LIFESTYLE. OAKWOOD PROVIDED NUTRITION EDUCATION IN THE COMMUNITY TO 1,114 INDIVIDUALS, WHO RECEIVED 1,443 UNITS OF EDUCATION.NEEDS THAT WERE NOT ADDRESSED INCLUDE MENTAL HEALTH, MATERNAL HEALTH, ENVIRONMENT AND SOCIOECONOMIC FACTORS. WHILE EACH OF THESE HEALTH NEEDS ARE IMPORTANT AND ARE BEING ADDRESSED BY PROGRAMS AND INITIATIVES OF OAKWOOD HEALTHCARE, INC., ALLOCATING SIGNIFICANT RESOURCES TO THE FOUR PRIORITY NEEDS PREVENTED THE INCLUSION OF ALL HEALTH NEEDS IN THE OAKWOOD IMPLEMENTATION PLANS. GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 20E: THE HOSPITAL ROUTES ALL SELF PAY INPATIENTS AND EMERGENCY PATIENTS TO OUR OAKASSIST FINANCIAL COUNSELORS WHO ASSESS THE PATIENTS FOR ELIGIBILITY UNDER OUR FINANCIAL ASSISTANCE POLICY. IN ADDITION, SELF PAY PATIENTS, SCHEDULED THROUGH OUR CENTRAL SCHEDULING DEPARTMENT, ARE ALSO ROUTED THROUGH OUR FINANCIAL CLEARANCE CENTER AND, IF DEEMED ELIGIBLE OR A DETERMINATION CANNOT BE MADE, THE PATIENT IS ROUTED TO OUR OAKASSIST FINANCIAL COUNSELORS FOR FURTHER SCREENING. PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THEIR INPATIENT STAY THROUGH A SECTION OF THE ADMISSION PACKET WHERE PATIENTS WHO ARE CONCERNED ABOUT THEIR FINANCIAL RESPONSIBILITY CAN SPEAK TO FINANCIAL COUNSELORS FOR OPTIONS TO ASSIST THEM WITH PAYMENTS. THERE ARE POSTINGS IN THE EMERGENCY DEPARTMENTS AND MAIN REGISTRATION/PATIENT ACCESS AREAS INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE. PATIENTS ARE ALSO PROVIDED INFORMATION ABOUT HOW TO ACCESS INFORMATION ON OAKWOOD'S PROGRAMS AND HOW TO CONTACT OUR FINANCIAL COUNSELORS FOR MORE INFORMATION AND ASSISTANCE. PATIENTS ARE ALSO NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ON THE MONTHLY PATIENT STATEMENTS WHICH INCLUDES WEBSITE AND TELEPHONE CONTACT INFORMATION. GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 3J: CHNA REGULATION REQUIRES EACH HOSPITAL TO DEFINE THEIR "COMMUNITY SERVED" FOR THE PURPOSES OF THE ASSESSMENT. THE OAKWOOD HEALTHCARE HOSPITAL COMMUNITIES ARE DEFINED AS ZIP CODES THAT COMPRISE 80% OF INPATIENT DISCHARGES AND ARE CONTIGUOUS. THE OVERALL OAKWOOD HEALTHCARE COMMUNITY IS THE AGGREGATE OF EACH HOSPITAL'S COMMUNITY. IT IS IMPORTANT TO NOTE THAT INDIVIDUAL HOSPITAL COMMUNITIES OVERLAP. OAKWOOD HEALTHCARE HOSPITALS ARE LOCATED IN WAYNE COUNTY, MICHIGAN, AND THE COMMUNITY THEY SERVE CONSISTS OF ZIP CODES IN WAYNE COUNTY WITH SOME OVERLAP INTO NORTHEASTERN MONROE COUNTY, MICHIGAN. OAKWOOD HEALTHCARE, INC. APPROACHED THE CHNA PROCESS AS A COLLABORATIVE EFFORT BETWEEN THEIR HOSPITALS BUT HAVE ALSO INCLUDED INFORMATION SPECIFIC TO EACH HOSPITAL COMMUNITY WHERE THE DATA COLLECTION WAS ABLE TO PROVIDE HOSPITAL COMMUNITY SPECIFIC INFORMATION.TO ASSESS HEALTH NEEDS OF THE OAKWOOD HEALTHCARE COMMUNITIES, A QUANTITATIVE AND QUALITATIVE APPROACH WAS USED. IN ADDITION TO COLLECTING DATA FROM A NUMBER OF PUBLIC SOURCES AND TRUVEN HEALTH PROPRIETARY SOURCES, INTERVIEWS (BOTH IN-PERSON AND TELEPHONE) AND FOCUS GROUPS WERE CONDUCTED WITH INDIVIDUALS REPRESENTING COMMUNITY LEADERS/GROUPS, PUBLIC ORGANIZATIONS, PATIENTS, PROVIDERS, AND OAKWOOD HEALTHCARE, INC. REPRESENTATIVES FROM THE HOSPITAL AND CORPORATE LEVELS. IN ADDITION TO THE QUALITATIVE FEEDBACK, QUANTITATIVE HEALTH INDICATORS WERE COLLECTED AND ANALYZED TO ASSESS COMMUNITY HEALTH NEEDS. ONE HUNDRED-SIX INDICATORS WERE EVALUATED FOR EACH OF THE COUNTIES OR TOWNS (DEPENDING ON LEVEL OF DATA AVAILABLE) IN THE OAKWOOD HEALTHCARE COMMUNITY SERVED.SUPPLEMENTED HEALTH INDICATOR DATA WITH ZIP CODE ESTIMATES (COMMUNITY NEEDS INDEX) WERE USED TO IDENTIFY SPECIFIC POPULATIONS WITHIN A COMMUNITY WHERE HEALTH NEEDS MAY BE GREATER. GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 5: TO TAKE INTO ACCOUNT THE INPUT OF PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INTERVIEWS (BOTH ONE-ON-ONE AND IN SMALL GROUPS) AS WELL AS FOCUS GROUPS WERE CONDUCTED. THE INTERVIEW QUESTIONNAIRE WAS DESIGNED TO UNDERSTAND HOW PARTICIPANTS FEEL ABOUT THE GENERAL HEALTH STATUS OF THE COMMUNITY AND THE VARIOUS DRIVERS CONTRIBUTING TO HEALTH ISSUES. PARTICIPANTS INCLUDED REPRESENTATIVES FROM THE WAYNE DEPARTMENT OF PUBLIC HEALTH, WAYNE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, MICHIGAN DEPARTMENT OF COMMUNITY HEALTH, WAYNE COUNTY HEALTH AUTHORITY, CITY OF DETROIT DEPARTMENT OF HEALTH AND WELLNESS PROMOTION, SEMCA, FAITH-BASED ORGANIZATIONS, MENTAL HEALTH ORGANIZATIONS, EARLY CHILDHOOD ORGANIZATIONS, FQHC, UNIVERSITY OF MICHIGAN DEARBORN, WORKFORCE DEVELOPMENT ORGANIZATIONS, LOCAL GOVERNMENT REPRESENTATIVES, CHRONIC DISEASE MANAGEMENT ORGANIZATIONS, NONPROFIT ORGANIZATIONS SERVING VULNERABLE POPULATIONS, PHYSICIAN PRACTICES, AND OAKWOOD HEALTHCARE, INC. REPRESENTATIVES. GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 6A: OAKWOOD HOSPITAL - WAYNE'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:OAKWOOD HOSPITAL - DEARBORNOAKWOOD HOSPITAL - TAYLOROAKWOOD HOSPITAL - SOUTHSHORE GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 7D: THE CHNA WAS DISTRIBUTED TO THOSE WHO PARTICIPATED IN THE INTERVIEWS AND FOCUS GROUPS AND TO COMMUNITY ORGANIZATIONS IN THE OAKWOOD SERVICE AREA IN ADDITION TO BEING ON THE WEBSITE AND AVAILABLE IN PRINTED FORM. GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 11: THE IMPLEMENTATION STRATEGY FOR FISCAL YEARS 2014-2016 FOCUSED ON FOUR PRIORITY HEALTH NEEDS: ACCESS TO CARE, CARDIOVASCULAR DISEASE, DIABETES AND OBESITY. PROGRESS TO DATE IS SUMMARIZED BELOW THROUGH THE SECOND QUARTER IN 2016. PRIORITY 1: ACCESS TO CAREA SIGNIFICANT ACCOMPLISHMENT IN THE 2014-2016 IMPLEMENTATION STRATEGY BY OAKWOOD WAS THE CREATION OF FOUR MULTI-SECTOR COALITIONS USING A COLLECTIVE IMPACT MODEL. A HEALTHY COMMUNITIES LEADERSHIP COALITION WAS CREATED WITH 125 KEY LEADERS FROM ACROSS THE REGION TO DEVELOP A STRATEGIC PLAN TARGETING THE PRIORITY HEALTH NEEDS. FOUR "HEALTHY COMMUNITY" COALITIONS WERE FORMED UNDER THIS UMBRELLA IN PARTNERSHIP WITH MUNICIPALITIES, SCHOOL DISTRICTS, COMMUNITY RESIDENTS AND COMMUNITY PARTNER ORGANIZATIONS (DEARBORN, TAYLOR, TRENTON AND WAYNE). HEALTHY WAYNE IS A MULTI-SECTOR COALITION THAT WAS FORMED AND CURRENTLY HAS 102 MEMBERS PARTICIPATING TO PROMOTE ACCESS TO CARE, HEALTHY EATING AND ACTIVE LIVING. OAKWOOD PROVIDES "BACKBONE SUPPORT" TO THESE COALITIONS, PROVIDING STAFF, CONSULTANTS AND ACCESS TO A WIDE RANGE OF RESOURCES INCLUDING EVIDENCE-BASED PROGRAMMING AND DATA COLLECTION.TO SUPPORT ENROLLMENT IN THE HEALTH INSURANCE MARKETPLACE, OAKWOOD PARTNERED WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AND BECAME A CHAMPION FOR COVERAGE, EMPLOYING HEALTH INSURANCE NAVIGATORS TO ASSIST THOSE IN THE COMMUNITY WITH INFORMATION AND ENROLLMENT. NAVIGATORS PROVIDED COMMUNITY-BASED ASSISTANCE IN OAKWOOD COMMUNITIES FOR 740 INDIVIDUALS, INCLUDING INFORMATION AND ENROLLMENT INTO HEALTH INSURANCE PLANS. OAKASSIST FINANCIAL COUNSELORS AT OAKWOOD PROVIDED 5,062 INDIVIDUALS WITH INFORMATION AND ENROLLMENT ASSISTANCE. TO INCREASE ACCESS TO CARE, IN MARCH OF 2016 OAKWOOD PARTNERED WITH THE WAYNE COUNTY DEPARTMENT OF HEALTH, VETERANS AND COMMUNITY WELLNESS TO OPEN A FEDERALLY-QUALIFIED HEALTH CENTER IN WAYNE. OAKWOOD PHYSICIANS AND HEALTH CARE PROFESSIONALS PROVIDE SUPPORT TO THE CLINIC. WAYNE HEALTH CENTER IS OPEN TO ALL INDIVIDUALS BUT PRIMARILY SERVES RESIDENTS IN THE CITIES OF WAYNE, WESTLAND, ROMULUS AND INKSTER.TO PROVIDE ACCESS TO CARE FOR ADOLESCENTS, OAKWOOD PARTNERED WITH THE WESTWOOD SCHOOL DISTRICT TO OPEN A TEEN HEALTH CENTER AT TOMLINSON MIDDLE SCHOOL IN INKSTER. THIS HEALTH CENTER, SUPPORTED BY THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES AND THE MICHIGAN DEPARTMENT OF EDUCATION, SERVES APPROXIMATELY 500 YOUTH IN THE WESTWOOD SCHOOL DISTRICT AND THE SURROUNDING COMMUNITIES WITH PRIMARY CARE, PREVENTATIVE CARE, COMPREHENSIVE HEALTH ASSESSMENTS, CO-MANAGEMENT OF CHRONIC CONDITIONS, HEALTH EDUCATION AND MENTAL HEALTH CARE. THE TEEN HEALTH CENTER ALSO PROVIDES FAMILIES WITH ASSISTANCE TO ENROLL IN MEDICAID AND HEALTHY MICHIGAN.TO PROVIDE ACCESS TO CARE FOR ADOLESCENTS, OAKWOOD OPENED A TEEN HEALTH CENTER IN ROMULUS HIGH SCHOOL IN 2015. THIS HEALTH CENTER, SUPPORTED BY THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES AND THE MICHIGAN DEPARTMENT OF EDUCATION, PROVIDES PRIMARY CARE, PREVENTATIVE CARE, COMPREHENSIVE HEALTH ASSESSMENTS, CO-MANAGEMENT OF CHRONIC CONDITIONS, HEALTH EDUCATION AND MENTAL HEALTH CARE TO STUDENTS IN ROMULUS AND THE SURROUNDING COMMUNITIES. IN THE FIRST YEAR, 365 STUDENTS WERE SERVED WITH 1,097 VISITS. THE TEEN HEALTH CENTER ALSO PROVIDES FAMILIES WITH ASSISTANCE TO ENROLL IN MEDICAID AND HEALTHY MICHIGAN.OAKWOOD OPERATES THE ADAMS CHILD AND ADOLESCENT HEALTH CENTER IN WESTLAND IN PARTNERSHIP WITH THE WAYNE-WESTLAND SCHOOL DISTRICT. THE HEALTH CENTER PROVIDES PRIMARY CARE, PREVENTATIVE CARE, COMPREHENSIVE HEALTH ASSESSMENTS, CO-MANAGEMENT OF CHRONIC CONDITIONS, HEALTH EDUCATION AND MENTAL HEALTH CARE TO OVER 500 STUDENTS ANNUALLY. THE CHILD AND ADOLESCENT HEALTH CENTER ALSO PROVIDES FAMILIES WITH ASSISTANCE TO ENROLL IN MEDICAID AND HEALTHY MICHIGAN.PRIORITY 2: CARDIOVASCULAR DISEASEOAKWOOD HAS PROVIDED 559 FREE CARDIAC REHABILITATION SESSIONS FOR THE UNINSURED OR UNDERINSURED.OAKWOOD PROVIDED HEART HEALTH SCREENING IN THE COMMUNITY TO 2,963 INDIVIDUALS WHO RECEIVED 5,836 SCREENINGS AND PERSONALIZED COUNSELING. ON AVERAGE 40% OF INDIVIDUALS SCREENED WERE REFERRED FOR FURTHER FOLLOW-UP CARE DUE TO HIGH-RISK RESULTS. AND, 98% OF SURVEY RESPONDENTS INDICATED GOOD/VERY GOOD UNDERSTANDING OF THEIR SCREENING RESULTS AND UNDERSTANDING OF THE STEPS NEEDED TO KEEP THEIR HEARTS HEALTHY. SMOKING CESSATION COUNSELING AND QUIT KITS WERE PROVIDE TO 3,561 INDIVIDUALS.PRIORITY 3: DIABETESIN PARTNERSHIP WITH GLEANERS COMMUNITY FOOD BANK OF SOUTHEASTERN MICHIGAN, OAKWOOD OFFERS SHARE OUR STRENGTH'S COOKING MATTERS FOR ADULTS EXTRA FOR DIABETES. THIS SIX WEEK CLASS INCLUDES THE COOKING MATTERS FOR ADULTS CURRICULA AS DESCRIBED BELOW ALONG WITH AN ADDENDUM THAT OFFERS SPECIALIZED INFORMATION THROUGHOUT THE COURSE FOR ADULTS LIVING WITH DIABETES, CARETAKERS OF ADULTS LIVING WITH DIABETES, OR PRE-DIABETIC ADULTS. THESE CLASSES WERE ATTENDED BY 36 INDIVIDUALS FOR A TOTAL OF 196 UNITS OF SERVICE PROVIDED. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 97% (VERY GOOD). AND, OUTCOME DATA INDICATED AN AGGREGATE INCREASE IN KNOWLEDGE OF 22% INCLUDING SIGNIFICANT IMPROVEMENT USING NUTRITION FACTS ON FOOD LABELS AND CONFIDENCE BUYING HEALTHY FOODS FOR THEIR FAMILY ON A BUDGET.IN PARTNERSHIP WITH THE NATIONAL KIDNEY FOUNDATION OF MICHIGAN, OAKWOOD PROVIDES THE MY CHOICE MY HEALTH DIABETES PREVENTION PROGRAM (DPP). THIS NATIONAL EVIDENCE-BASED PROGRAM FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) IS SUPPORTED AND PROMOTED BY THE AMERICAN MEDICAL ASSOCIATION AS ONE OF THE MOST EFFECTIVE WAYS TO HELP PHYSICIANS PREVENT OR DELAY TYPE 2 DIABETES IN HIGH-RISK PATIENTS. THIS YEAR-LONG PROGRAM FOR THOSE WITH PRE-DIABETES WAS PROVIDED TO 17 INDIVIDUALS WITH 82 UNITS OF EDUCATION AND SUPPORT. PARTICIPANTS WHO ATTENDED THE MONTHLY MAINTENANCE SESSIONS FOLLOWING THE CORE COURSE AVERAGED 363 MINUTES OF PHYSICAL ACTIVITY PER WEEK (2.5 TIMES HIGHER THAN THE CDC BENCHMARK) AND THEY LOST AN AVERAGE OF 5.3% OF INITIAL BODY WEIGHT (MEETING TARGET). IN PARTNERSHIP WITH THE NATIONAL KIDNEY FOUNDATION OF MICHIGAN, OAKWOOD PROVIDED 15 INDIVIDUALS WITH 81 UNITS OF DIABETES PATH (PERSONAL ACTION TOWARD HEALTH). DIABETES PATH IS A NATIONAL EVIDENCE-BASED PROGRAM FOR THOSE WITH TYPE 2 DIABETES AND THEIR CAREGIVERS DESIGNED TO ENHANCE PATIENT CONFIDENCE IN THEIR ABILITY TO MANAGE THEIR DISEASE AND TO WORK MORE EFFECTIVELY WITH THEIR HEALTH CARE PROVIDERS. OUTCOME DATA INDICATED 89% OF PARTICIPANTS WERE MORE CONFIDENT ABOUT HANDLING THEIR HEALTH CONDITION AFTER TAKING THE WORKSHOP, AND SHOWED SIGNIFICANT IMPROVEMENTS IN TESTING BLOOD SUGAR SEVEN DAYS A WEEK AND EXERCISING MORE THAN 150 MINUTES PER WEEK. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 91% (VERY GOOD). MANAGING YOUR DIABETES, A FREE EDUCATION SEMINAR THAT DISCUSSES DIABETES AND THE VASCULAR COMPLICATIONS RELATED TO THE DISEASE WAS PROVIDED TO 70 INDIVIDUALS IN THE COMMUNITY.OAKWOOD PROVIDED DIABETES SCREENING AS PART OF THE HEART HEALTH SCREENING PROGRAM IN THE COMMUNITY TO 2,963 INDIVIDUALS WHO RECEIVED 5,836 SCREENINGS.PRIORITY 4: OBESITYOAKWOOD PROVIDED THE CATCH (COORDINATED APPROACH TO CHILD HEALTH) KIDS CLUB PROGRAM TO 312 CHILDREN IN AFTER-SCHOOL PROGRAMS. CATCH KIDS CLUB CREATES BEHAVIOR CHANGE BY ENABLING CHILDREN TO IDENTIFY HEALTHY FOODS, AND BY INCREASING THE AMOUNT OF MODERATE TO VIGOROUS PHYSICAL ACTIVITY CHILDREN ENGAGE IN EACH DAY. CATCH KIDS CLUB IS BASED ON THE CDC WHOLE SCHOOL, WHOLE COMMUNITY, WHOLE CHILD MODEL IN WHICH HEALTH EDUCATION, SCHOOL ENVIRONMENT, AND FAMILY/COMMUNITY INVOLVEMENT WORK TOGETHER TO SUPPORT YOUTH WITH HEALTHY LIFESTYLES. STUDENT OUTCOME DATA INDICATED IMPROVEMENTS IN MULTIPLE MEASURES INCLUDING VEGETABLE AND FRUIT CONSUMPTION, AND EXERCISE OR PARTICIPATION IN SPORTS ACTIVITIES FOR AT LEAST 20 MINUTES. AND, 96% OF STUDENTS REPORTED THEY ALMOST ALWAYS OR ALWAYS READ NUTRITION LABELS ON PACKAGES AFTER PARTICIPATING IN CATCH KIDS CLUB FOR A SCHOOL YEAR (UP FROM 4%).A REGISTERED DIETITIAN AT BEAUMONT WESTWOOD TEEN HEALTH CENTER PROVIDES INDIVIDUAL NUTRITION COUNSELING TO STUDENTS WITH A BMI AT OR ABOVE 85%. PATIENTS ALSO RECEIVE SMALL GROUP SESSIONS FOCUSING ON HEALTHY NUTRITION, COOKING ON A BUDGET AND MAKING HEALTHY CHOICES. NUTRITION EDUCATION AND FITNESS COUNSELING WERE PROVIDED TO 293 STUDENTS.OAKWOOD PROVIDED NUTRITION EDUCATION IN THE COMMUNITY TO 944 INDIVIDUALS.OAKWOOD PROVIDES NUTRITION EDUCATION AND "HANDS-ON" COOKING CLASSES THROUGH A PARTNERSHIP WITH GLEANERS FOOD BANK OF SOUTHEASTERN MICHIGAN TO OFFER COOKING MATTERS AND COOKING MATTERS AT THE STORE IN THE COMMUNITY. COOKING MATTERS EQUIPS FAMILIES WITH THE SKILLS THEY NEED TO STRETCH THEIR FOOD DOLLARS AND PREPARE HEALTHY MEALS ON A BUDGET. COOKING MATTERS AT THE STORE, HELD AT LOCAL GROCERY STORES, TEACHES COMPARISON SHOPPING AND UNDERSTANDING NUTRITION LABELS. THESE POPULAR CLASSES HAVE BEEN ATTENDED BY 139 INDIVIDUALS, WITH 635 UNITS OF SERVICE PROVIDED. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 97% (VERY GOOD). AND, O GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 20E: THE HOSPITAL ROUTES ALL SELF PAY INPATIENTS AND EMERGENCY PATIENTS TO OUR OAKASSIST FINANCIAL COUNSELORS WHO ASSESS THE PATIENTS FOR ELIGIBILITY UNDER OUR FINANCIAL ASSISTANCE POLICY. IN ADDITION, SELF PAY PATIENTS, SCHEDULED THROUGH OUR CENTRAL SCHEDULING DEPARTMENT, ARE ALSO ROUTED THROUGH OUR FINANCIAL CLEARANCE CENTER AND, IF DEEMED ELIGIBLE OR A DETERMINATION CANNOT BE MADE, THE PATIENT IS ROUTED TO OUR OAKASSIST FINANCIAL COUNSELORS FOR FURTHER SCREENING. PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THEIR INPATIENT STAY THROUGH A SECTION OF THE ADMISSION PACKET WHERE PATIENTS WHO ARE CONCERNED ABOUT THEIR FINANCIAL RESPONSIBILITY CAN SPEAK TO FINANCIAL COUNSELORS FOR OPTIONS TO ASSIST THEM WITH PAYMENTS. THERE ARE POSTINGS IN THE EMERGENCY DEPARTMENTS AND MAIN REGISTRATION/PATIENT ACCESS AREAS INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE. PATIENTS ARE ALSO PROVIDED INFORMATION ABOUT HOW TO ACCESS INFORMATION ON OAKWOOD'S PROGRAMS AND HOW TO CONTACT OUR FINANCIAL COUNSELORS FOR MORE INFORMATION AND ASSISTANCE. PATIENTS ARE ALSO NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ON THE MONTHLY PATIENT STATEMENTS WHICH INCLUDES WEBSITE AND TELEPHONE CONTACT INFORMATION. GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 3J: CHNA REGULATION REQUIRES EACH HOSPITAL TO DEFINE THEIR "COMMUNITY SERVED" FOR THE PURPOSES OF THE ASSESSMENT. THE OAKWOOD HEALTHCARE HOSPITAL COMMUNITIES ARE DEFINED AS ZIP CODES THAT COMPRISE 80% OF INPATIENT DISCHARGES AND ARE CONTIGUOUS. THE OVERALL OAKWOOD HEALTHCARE COMMUNITY IS THE AGGREGATE OF EACH HOSPITAL'S COMMUNITY. IT IS IMPORTANT TO NOTE THAT INDIVIDUAL HOSPITAL COMMUNITIES OVERLAP. OAKWOOD HEALTHCARE HOSPITALS ARE LOCATED IN WAYNE COUNTY, MICHIGAN, AND THE COMMUNITY THEY SERVE CONSISTS OF ZIP CODES IN WAYNE COUNTY WITH SOME OVERLAP INTO NORTHEASTERN MONROE COUNTY, MICHIGAN. OAKWOOD HEALTHCARE, INC. APPROACHED THE CHNA PROCESS AS A COLLABORATIVE EFFORT BETWEEN THEIR HOSPITALS BUT HAVE ALSO INCLUDED INFORMATION SPECIFIC TO EACH HOSPITAL COMMUNITY WHERE THE DATA COLLECTION WAS ABLE TO PROVIDE HOSPITAL COMMUNITY SPECIFIC INFORMATION.TO ASSESS HEALTH NEEDS OF THE OAKWOOD HEALTHCARE COMMUNITIES, A QUANTITATIVE AND QUALITATIVE APPROACH WAS USED. IN ADDITION TO COLLECTING DATA FROM A NUMBER OF PUBLIC SOURCES AND TRUVEN HEALTH PROPRIETARY SOURCES, INTERVIEWS (BOTH IN-PERSON AND TELEPHONE) AND FOCUS GROUPS WERE CONDUCTED WITH INDIVIDUALS REPRESENTING COMMUNITY LEADERS/GROUPS, PUBLIC ORGANIZATIONS, PATIENTS, PROVIDERS, AND OAKWOOD HEALTHCARE, INC. REPRESENTATIVES FROM THE HOSPITAL AND CORPORATE LEVELS. IN ADDITION TO THE QUALITATIVE FEEDBACK, QUANTITATIVE HEALTH INDICATORS WERE COLLECTED AND ANALYZED TO ASSESS COMMUNITY HEALTH NEEDS. ONE HUNDRED-SIX INDICATORS WERE EVALUATED FOR EACH OF THE COUNTIES OR TOWNS (DEPENDING ON LEVEL OF DATA AVAILABLE) IN THE OAKWOOD HEALTHCARE COMMUNITY SERVED.SUPPLEMENTED HEALTH INDICATOR DATA WITH ZIP CODE ESTIMATES (COMMUNITY NEEDS INDEX) WERE USED TO IDENTIFY SPECIFIC POPULATIONS WITHIN A COMMUNITY WHERE HEALTH NEEDS MAY BE GREATER. GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 5: TO TAKE INTO ACCOUNT THE INPUT OF PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INTERVIEWS (BOTH ONE-ON-ONE AND IN SMALL GROUPS) AS WELL AS FOCUS GROUPS WERE CONDUCTED. THE INTERVIEW QUESTIONNAIRE WAS DESIGNED TO UNDERSTAND HOW PARTICIPANTS FEEL ABOUT THE GENERAL HEALTH STATUS OF THE COMMUNITY AND THE VARIOUS DRIVERS CONTRIBUTING TO HEALTH ISSUES. PARTICIPANTS INCLUDED REPRESENTATIVES FROM THE WAYNE DEPARTMENT OF PUBLIC HEALTH, WAYNE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, MICHIGAN DEPARTMENT OF COMMUNITY HEALTH, WAYNE COUNTY HEALTH AUTHORITY, CITY OF DETROIT DEPARTMENT OF HEALTH AND WELLNESS PROMOTION, SEMCA, FAITH-BASED ORGANIZATIONS, MENTAL HEALTH ORGANIZATIONS, EARLY CHILDHOOD ORGANIZATIONS, FQHC, UNIVERSITY OF MICHIGAN DEARBORN, WORKFORCE DEVELOPMENT ORGANIZATIONS, LOCAL GOVERNMENT REPRESENTATIVES, CHRONIC DISEASE MANAGEMENT ORGANIZATIONS, NONPROFIT ORGANIZATIONS SERVING VULNERABLE POPULATIONS, PHYSICIAN PRACTICES, AND OAKWOOD HEALTHCARE, INC. REPRESENTATIVES. GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 6A: OAKWOOD HOSPITAL - TAYLOR'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:OAKWOOD HOSPITAL - DEARBORNOAKWOOD HOSPITAL - WAYNEOAKWOOD HOSPITAL - SOUTHSHORE GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 7D: THE CHNA WAS DISTRIBUTED TO THOSE WHO PARTICIPATED IN THE INTERVIEWS AND FOCUS GROUPS AND TO COMMUNITY ORGANIZATIONS IN THE OAKWOOD SERVICE AREA IN ADDITION TO BEING ON THE WEBSITE AND AVAILABLE IN PRINTED FORM. GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 11: THE IMPLEMENTATION STRATEGY FOR FISCAL YEARS 2014-2016 FOCUSED ON FOUR PRIORITY HEALTH NEEDS: ACCESS TO CARE, CARDIOVASCULAR DISEASE, DIABETES AND OBESITY. PROGRESS TO DATE IS SUMMARIZED BELOW THROUGH THE SECOND QUARTER IN 2016. PRIORITY 1: ACCESS TO CAREA SIGNIFICANT ACCOMPLISHMENT IN THE 2014-2016 IMPLEMENTATION STRATEGY BY OAKWOOD WAS THE CREATION OF FOUR MULTI-SECTOR COALITIONS USING A COLLECTIVE IMPACT MODEL. COLLECTIVE IMPACT OCCURS WHEN ORGANIZATIONS FROM DIFFERENT ORGANIZATIONS AGREE TO SOLVE A SPECIAL SOCIAL PROBLEM USING A COMMON AGENDA, ALIGNING THEIR EFFORTS, AND USING COMMON MEASURES OF SUCCESS. A HEALTHY COMMUNITIES LEADERSHIP COALITION WAS CREATED WITH 125 KEY LEADERS FROM ACROSS THE REGION TO DEVELOP A STRATEGIC PLAN TARGETING THE PRIORITY HEALTH NEEDS. FOUR "HEALTHY COMMUNITY" COALITIONS WERE FORMED UNDER THIS UMBRELLA IN PARTNERSHIP WITH MUNICIPALITIES, SCHOOL DISTRICTS, COMMUNITY RESIDENTS AND COMMUNITY PARTNER ORGANIZATIONS (DEARBORN, TAYLOR, TRENTON AND WAYNE). HEALTHY TAYLOR IS A MULTI-SECTOR COALITION THAT WAS FORMED AND CURRENTLY HAS 116 INDIVIDUALS PARTICIPATING TO PROMOTE ACCESS TO CARE, HEALTHY EATING AND ACTIVE LIVING. OAKWOOD PROVIDES "BACKBONE SUPPORT" TO THESE COALITIONS, PROVIDING STAFF, CONSULTANTS, ACCESS TO A WIDE RANGE OF RESOURCES INCLUDING EVIDENCE-BASED PROGRAMMING AND DATA COLLECTION.TO SUPPORT ENROLLMENT IN THE HEALTH INSURANCE MARKETPLACE, OAKWOOD PARTNERED WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AND BECAME A CHAMPION FOR COVERAGE AND EMPLOYED HEALTH INSURANCE NAVIGATORS TO ASSIST THOSE IN THE COMMUNITY WITH INFORMATION AND ENROLLMENT. NAVIGATORS PROVIDED COMMUNITY-BASED ASSISTANCE IN TAYLOR FOR 369 INDIVIDUALS WITH INFORMATION AND ENROLLMENT INTO HEALTH INSURANCE PLANS. OAKASSIST FINANCIAL COUNSELORS AT OAKWOOD PROVIDED 2,996 INDIVIDUALS WITH INFORMATION AND ENROLLMENT ASSISTANCE. TO PROVIDE ACCESS TO CARE FOR ADOLESCENTS, OAKWOOD OPERATES A SCHOOL WELLNESS PROGRAM IN TRUMAN HIGH SCHOOL IN WHICH 1,454 STUDENTS RECEIVED A TOTAL OF 8,674 SERVICES THROUGH THE PROGRAM. 100% OF STUDENTS SEEN IN THE SCHOOL WELLNESS PROGRAM WERE SCREENED FOR BEHAVIORAL HEALTH NEEDS WITH 372 (2014-2015) RECEIVING MENTAL HEALTH TREATMENT. MEDICAID OUTREACH AND EDUCATION WERE PROVIDED TO 3,744 INDIVIDUALS WITH THE SCHOOL AND COMMUNITY.THE BEAUMONT TAYLOR TEEN HEALTH CENTER MAKES A DIFFERENCE IN THE LIVES OF THOUSANDS OF YOUNG PEOPLE EACH YEAR THROUGH A VARIETY OF SCHOOL-BASED AND SCHOOL-LINKED PROGRAMS. SERVING THOSE AGES 10-21, THE HEALTH CENTER PROVIDES PRIMARY HEALTHCARE, IMMUNIZATIONS, FAMILY PLANNING SERVICES, PREVENTION AND HEALTH EDUCATION AND SOCIAL WORK SERVICES. DURING THE PERIOD OF THIS IMPLEMENTATION STRATEGY, 2,168 YOUTH HAVE BEEN SERVED WITH 4,749 VISITS.PRIORITY 2: CARDIOVASCULAR DISEASEOAKWOOD PROVIDED HEART HEALTH SCREENING IN THE COMMUNITY TO 734 UNDUPLICATED INDIVIDUALS WITH 1,964 SCREENINGS AND PERSONALIZED COUNSELING. ON AVERAGE 40% OF INDIVIDUALS SCREENED WERE REFERRED FOR FURTHER FOLLOW-UP CARE DUE TO HIGH-RISK RESULTS. AND, 98% OF SURVEY RESPONDENTS INDICATED GOOD/VERY GOOD UNDERSTANDING OF THEIR SCREENING RESULTS AND UNDERSTANDING OF THE STEPS NEEDED TO KEEP THEIR HEARTS HEALTHY. PRIORITY 3: DIABETESIN PARTNERSHIP WITH GLEANERS COMMUNITY FOOD BANK OF SOUTHEASTERN MICHIGAN, OAKWOOD OFFERS SHARE OUR STRENGTH'S COOKING MATTERS FOR ADULTS EXTRA FOR DIABETES. THIS SIX WEEK CLASS INCLUDES THE COOKING MATTERS FOR ADULTS CURRICULA AS DESCRIBED BELOW ALONG WITH AN ADDENDUM THAT OFFERS SPECIALIZED INFORMATION THROUGHOUT THE COURSE FOR ADULTS LIVING WITH DIABETES, CARETAKERS OF ADULTS LIVING WITH DIABETES, OR PRE-DIABETIC ADULTS. THESE CLASSES WERE ATTENDED BY 61 INDIVIDUALS, PROVIDING 309 UNITS OF EDUCATION. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 97% (VERY GOOD). AND, OUTCOME DATA INDICATED AN AGGREGATE INCREASE IN KNOWLEDGE OF 22% INCLUDING SIGNIFICANT IMPROVEMENT USING NUTRITION FACTS ON FOOD LABELS AND CONFIDENCE BUYING HEALTHY FOODS FOR THEIR FAMILY ON A BUDGET.IN PARTNERSHIP WITH THE NATIONAL KIDNEY FOUNDATION OF MICHIGAN, OAKWOOD PROVIDES THE MY CHOICE MY HEALTH DIABETES PREVENTION PROGRAM (DPP). THIS NATIONAL EVIDENCE-BASED PROGRAM FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) IS SUPPORTED AND PROMOTED BY THE AMERICAN MEDICAL ASSOCIATION AS ONE OF THE MOST EFFECTIVE WAYS TO HELP PHYSICIANS PREVENT OR DELAY TYPE 2 DIABETES IN HIGH-RISK PATIENTS. THIS YEAR-LONG PROGRAM FOR THOSE WITH PRE-DIABETES PROVIDED 24 INDIVIDUALS WITH 169 UNITS OF EDUCATION AND SUPPORT. PARTICIPANTS WHO ATTENDED THE MONTHLY MAINTENANCE SESSIONS FOLLOWING THE CORE COURSE AVERAGED 363 MINUTES OF PHYSICAL ACTIVITY PER WEEK (2.5 TIMES HIGHER THAN THE CDC BENCHMARK) AND THEY LOST AN AVERAGE OF 5.3% OF INITIAL BODY WEIGHT (MEETING TARGET). IN PARTNERSHIP WITH THE NATIONAL KIDNEY FOUNDATION OF MICHIGAN, OAKWOOD PROVIDED 62 SESSIONS OF DIABETES PATH (PERSONAL ACTION TOWARD HEALTH). PATH IS A NATIONAL EVIDENCE-BASED PROGRAM DIABETES PATH IS FOR THOSE WITH TYPE 2 DIABETES AND THEIR CAREGIVERS DESIGNED TO ENHANCE PATIENT CONFIDENCE IN THEIR ABILITY TO MANAGE THEIR DISEASE AND TO WORK MORE EFFECTIVELY WITH THEIR HEALTH CARE PROVIDERS. OUTCOME DATA INDICATED 89% OF PARTICIPANTS WERE MORE CONFIDENT ABOUT HANDLING THEIR HEALTH CONDITION AFTER TAKING THE WORKSHOP, AND SHOWED SIGNIFICANT IMPROVEMENTS IN TESTING BLOOD SUGAR SEVEN DAYS A WEEK AND EXERCISING MORE THAN 150 MINUTES PER WEEK. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 91% (VERY GOOD). MANAGING YOUR DIABETES, A FREE EDUCATION SEMINAR THAT DISCUSSES DIABETES AND THE VASCULAR COMPLICATIONS RELATED TO THE DISEASE WAS PROVIDED TO 22 INDIVIDUALS IN THE COMMUNITY. DIABETES EDUCATION WAS PROVIDED TO 133 INDIVIDUALS IN THE COMMUNITY AT HEALTH FAIRS OR NONPROFIT PARTNER EVENTS.OAKWOOD PROVIDED DIABETES SCREENING AS PART OF THE HEART HEALTH SCREENING PROGRAM IN THE COMMUNITY TO 734 UNDUPLICATED INDIVIDUALS WITH 1,964 SCREENINGS.PRIORITY 4: OBESITYOAKWOOD PROVIDES NUTRITION EDUCATION AND "HANDS-ON" COOKING CLASSES THROUGH A PARTNERSHIP WITH GLEANERS FOOD BANK OF SOUTHEASTERN MICHIGAN TO OFFER COOKING MATTERS AND COOKING MATTERS AT THE STORE IN THE COMMUNITY. COOKING MATTERS EQUIPS FAMILIES WITH THE SKILLS THEY NEED TO STRETCH THEIR FOOD DOLLARS AND PREPARE HEALTHY MEALS ON A BUDGET. COOKING MATTERS AT THE STORE, HELD AT LOCAL GROCERY STORES, TEACHES COMPARISON SHOPPING AND UNDERSTAND NUTRITION LABELS. THESE POPULAR CLASSES HAVE BEEN ATTENDED BY 144 INDIVIDUALS, WITH 564 UNITS OF SERVICE PROVIDED. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 97% (VERY GOOD). AND, OUTCOME DATA INDICATED AN AGGREGATE INCREASE IN KNOWLEDGE OF 22% INCLUDING SIGNIFICANT IMPROVEMENT USING NUTRITION FACTS ON FOOD LABELS AND CONFIDENCE BUYING HEALTHY FOODS FOR THEIR FAMILY ON A BUDGET.TO PROMOTE HEALTHY EATING, OAKWOOD SPONSORS THE TAYLOR FARMERS MARKET. THE FARMERS MARKET BRINGS FRESH FRUIT AND VEGETABLES TO THOSE IN THE COMMUNITY. WEEKLY ACTIVITIES TO PROMOTE HEALTH ARE CONDUCTED AT THE MARKET INCLUDING "HARVEST OF THE MONTH" ALONG WITH HEALTH SCREENINGS AND CHRONIC DISEASE MANAGEMENT EDUCATION.OAKWOOD PROVIDED NUTRITION EDUCATION AND COUNSELING TO 364 INDIVIDUALS AT COMMUNITY EVENTS SUCH AS HEALTH FAIRS AND NON-PROFIT PARTNER EVENTS. GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 20E: THE HOSPITAL ROUTES ALL SELF PAY INPATIENTS AND EMERGENCY PATIENTS TO OUR OAKASSIST FINANCIAL COUNSELORS WHO ASSESS THE PATIENTS FOR ELIGIBILITY UNDER OUR FINANCIAL ASSISTANCE POLICY. IN ADDITION, SELF PAY PATIENTS, SCHEDULED THROUGH OUR CENTRAL SCHEDULING DEPARTMENT, ARE ALSO ROUTED THROUGH OUR FINANCIAL CLEARANCE CENTER AND, IF DEEMED ELIGIBLE OR A DETERMINATION CANNOT BE MADE, THE PATIENT IS ROUTED TO OUR OAKASSIST FINANCIAL COUNSELORS FOR FURTHER SCREENING. PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THEIR INPATIENT STAY THROUGH A SECTION OF THE ADMISSION PACKET WHERE PATIENTS WHO ARE CONCERNED ABOUT THEIR FINANCIAL RESPONSIBILITY CAN SPEAK TO FINANCIAL COUNSELORS FOR OPTIONS TO ASSIST THEM WITH PAYMENTS. THERE ARE POSTINGS IN THE EMERGENCY DEPARTMENTS AND MAIN REGISTRATION/PATIENT ACCESS AREAS INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE. PATIENTS ARE ALSO PROVIDED INFORMATION ABOUT HOW TO ACCESS INFORMATION ON OAKWOOD'S PROGRAMS AND HOW TO CONTACT OUR FINANCIAL COUNSELORS FOR MORE INFORMATION AND ASSISTANCE. PATIENTS ARE ALSO NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ON THE MONTHLY PATIENT STATEMENTS WHICH INCLUDES WEBSITE AND TELEPHONE CONTACT INFORMATION. PART V, SECTION B, LINE 7A AND 10A OAKWOOD HOSPITAL - DEARBORN'S CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL ON THE HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.BEAUMONT.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTOAKWOOD HOSPITAL - SOUTHSHORE'S CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL ON THE HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.BEAUMONT.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTOAKWOOD HOSPITAL - WAYNE'S CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL ON THE HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.BEAUMONT.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTOAKWOOD HOSPITAL - TAYLOR'S CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL ON THE HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.BEAUMONT.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, SECTION B, LINES 16A, B, AND C: OAKWOOD HOSPITAL - DEARBORN'S FAP, FAP APPLICATION FORM AND PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND AT THE FOLLOWING URL ON THE HOSPITAL SYSTEM'S WEBSITE:HTTP://WWW.BEAUMONT.ORG/PATIENTS-FAMILIES/BILLING/FINANCIAL-ASSISTANCEOAKWOOD HOSPITAL - SOUTHSHORE'S FAP, FAP APPLICATION FORM AND PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND AT THE FOLLOWING URL ON THE HOSPITAL SYSTEM'S WEBSITE:HTTP://WWW.BEAUMONT.ORG/PATIENTS-FAMILIES/BILLING/FINANCIAL-ASSISTANCEOAKWOOD HOSPITAL - WAYNE'S FAP, FAP APPLICATION FORM AND PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND AT THE FOLLOWING URL ON THE HOSPITAL SYSTEM'S WEBSITE:HTTP://WWW.BEAUMONT.ORG/PATIENTS-FAMILIES/BILLING/FINANCIAL-ASSISTANCEOAKWOOD HOSPITAL - TAYLOR'S FAP, FAP APPLICATION FORM AND PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND AT THE FOLLOWING URL ON THE HOSPITAL SYSTEM'S WEBSITE:HTTP://WWW.BEAUMONT.ORG/PATIENTS-FAMILIES/BILLING/FINANCIAL-ASSISTANCE 70 1 - OAKWOOD DEARBORN MEDICAL PARK 18100 OAKWOOD BLVD DEARBORN MI 48124 O/P PHYS/CARDIAC CLINICS, BREAST CARE/DIALYSIS CTR,O/P IMAGING,LAB DRAW SITE 2 - OAKWOOD SOUTHSHORE SURGERY CENTER 5452 FORT STREET TRENTON MI 48183 O/P SURGICAL SERVICES, REHAB. CLINIC (PT & OT), ORTHOPEDIC CTR OF EXCELLENCE 3 - OAKWOOD HEALTH CARE CENTER-CANTON 7300 CANTON CENTER ROAD CANTON MI 48187 EMERGENCY ROOM, RADIOLOGY, OUTPATIENT IMAGING, LAB DRAW SITE 4 - OAKWOOD MEDICAL OFFICES-DEARBORN 18181 OAKWOOD BLVD DEARBORN MI 48124 OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE 5 - OAKWOOD HEALTH CARE CENTER-SOUTHGATE 15777 NORTHLINE ROAD SOUTHGATE MI 48195 O/P CLINIC, CANCER CTR, URGENT CARE, RADIOLOGY, REHAB - PT, LAB DRAW SITE 6 - OAKWOOD MIDWEST SURGERY CENTER 4700 SCHAEFER ROAD DEARBORN MI 48126 O/P PHYS CLINIC, O/P SURG SERVICES, O/P IMAGING 7 - OAKWOOD HERITAGE HOSPITAL REHAB SCVS 9870 TELEGRAPH TAYLOR MI 48180 REHAB. CLINIC - PT 8 - OAKDALE MEDICAL VILLAGE 25045 FORD ROAD DEARBORN MI 48128 OUTPATIENT IMAGING, LAB DRAW SITE 9 - HAGGERTY MEDICAL BUILDING-CANTON 2050 NORTH HAGGERTY ROAD CANTON MI 48188 OUTPATIENT PHYSICIAN CLINIC, OUTPATIENT IMAGING 10 - OAKWOOD BREAST CARE CENTER 4491 VENOY ROAD WAYNE MI 48184 BREAST CARE CENTER 11 - OAKWOOD SOUTHSHORE PHYS MED REHAB 2707 W JEFFERSON TRENTON MI 48183 REHAB. CLINIC - PT, OT AND ST 12 - OAKWOOD MEDICAL OFFICES-WAYNE 33000 ANNAPOLIS AVENUE WAYNE MI 48184 OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT, OT AND ST 13 - OAKWOOD TRAINING & DEVELOPMENT CENTER 18501 ROTUNDA DRIVE DEARBORN MI 48124 OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC 14 - OAKWOOD HEALTH CARE CENTER-MERCURY DR 4900 MERCURY DRIVE DEARBORN MI 48126 OUTPATIENT PHYSICIAN CLINIC 15 - OAKWOOD MEDICAL OFFICE BLDG-CANTON 7330 CANTON CENTER ROAD CANTON MI 48187 OUTPATIENT PHYSICIAN CLINIC 16 - OAKWOOD SPORTS MEDICINE-DEARBORN 2552 MONROE DEARBORN MI 48124 REHAB. CLINIC - PT 17 - OAKWOOD REHAB THERAPY SVCS-W DEARBORN 22731 NEWMAN ROAD DEARBORN MI 48124 REHAB. CLINIC - PT 18 - OAKWOOD OUTPATIENT IMAGING 1676 FORT STREET TRENTON MI 48183 OUTPATIENT IMAGING 19 - OAKWOOD HEALTH CARE CENTER-WESTLAND 2001 SOUTH MERRIMAN WESTLAND MI 48186 OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE 20 - INTERNAL MEDICINE WYANDOTTE 1700 BIDDLE AVENUE WYANDOTTE MI 48192 OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE 21 - OAKWOOD HEALTH CARE CENTER-BELLEVILLE 201 THIRD STREET BELLEVILLE MI 48111 OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT 22 - OAKWOOD HEALTH CARE CENTER-ALLEN PARK 15915 SOUTHFIELD ALLEN PARK MI 48101 OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT 23 - OAKWOOD PHYSICAL THERAPY CENTER 4111 S CANTON CENTER ROAD CANTON MI 48188 REHAB. CLINIC - PT 24 - OAKLANE MEDICAL SUITES 17000 HUBBARD DEARBORN MI 48126 OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT 25 - OAKWOOD MEDICAL OFFICES-TRENTON 5400 FORT STREET TRENTON MI 48183 OUTPATIENT PHYSICIAN CLINIC, CARDIAC REHAB. CLINIC, LAB DRAW SITE 26 - OAKWOOD CARDIAC CENTER 22060 BEECH ROAD DEARBORN MI 48124 CARDIAC CENTER 27 - OAKWOOD VENOY PATIENT SERVICE CENTER 4020 VENOY SUITE 200A WAYNE MI 48184 OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE 28 - OAKWOOD MEDICAL OFF BLDG-GARDEN CITY 29150 FORD ROAD GARDEN CITY MI 48135 OUTPATIENT PHYSICIAN CLINIC, URGENT CARE 29 - OAKWOOD IMAGING CENTER TAYLOR 8850 S TELEGRAPH ROAD TAYLOR MI 48180 OUTPATIENT IMAGING 30 - OAKWOOD HEALTH CARE CENTER-TB CLINIC 2001 SOUTH MERRIMAN WESTLAND MI 48186 OUTPATIENT PHYSICIAN CLINIC (TB CLINIC) 31 - OAKWOOD TAYLOR TEEN CENTER 26650 EUREKA ROAD SUITE B TAYLOR MI 48180 OUTPATIENT PHYSICIAN CLINIC 32 - OAKWOOD BLANZY CLINIC 14319 DIX TOLEDO ROAD SOUTHGATE MI 48195 OUTPATIENT PHYSICIAN CLINIC 33 - ONCOLOGY DOWNRIVER 19725 ALLEN ROAD SUITE 101 BROWNSTOWN MI 48183 OUTPATIENT PHYSICIAN CLINIC, ONCOLOGY, O/P IMAGING, LAB DRAW SITE 34 - ATHENS CLINIC 15100 S PLAZA DRIVE TAYLOR MI 48180 OUTPATIENT PHYSICIAN CLINIC 35 - EVERINGHAM FAMILY MEDICINE 12100 HURON RIVER DRIVE ROMULUS MI 48174 OUTPATIENT PHYSICIAN CLINIC 37 - NAJAR OBGYN 2142 MONROE STREET SUITE A DEARBORN MI 48124 OUTPATIENT PHYSICIAN CLINIC 38 - TAYLOR CLINIC 9340 S TELEGRAPH ROAD TAYLOR MI 48180 OUTPATIENT PHYSICIAN CLINIC 38 - OAKWOOD INTERNAL MEDICINE-ALLEN PARK 7804 ALLEN ROAD ALLEN PARK MI 48101 OUTPATIENT PHYSICIAN CLINIC 39 - OAKWOOD HEALTHCARE CENTER-NEWPORT 3132 NEWPORT ROAD NEWPORT MI 48166 OUTPATIENT PHYSICIAN CLINIC 40 - HENRY FORD VILLAGE GERIATRICS 15101 FORD ROAD 1ST FLOOR DEARBORN MI 48126 OUTPATIENT PHYSICIAN CLINIC 41 - OAKMAN MEDICAL GROUP 15120 MICHIGAN AVENUE DEARBORN MI 48126 OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE 42 - ADULT MEDICAL CARE PLLC 35330 NANKIN BLVD SUITE 701 WESTLAND MI 48185 OUTPATIENT PHYSICIAN CLINIC 43 - OAKWOOD PT & WELLNESS CENTER 17101 ROTUNDA BLVD DEARBORN MI 48124 REHAB. CLINIC - PT 44 - OAKWOOD INFUSION SERVICES 1633 FAIRLANE CIRCLE SUITE 165 ALLEN PARK MI 48101 OUTPATIENT INFUSION SERVICES 45 - PRECISION ORTHOPEDICS 25755 TELEGRAPH ROAD BROWNSTOWN MI 48134 OUTPATIENT PHYSICIAN CLINIC 46 - OAKWOOD URGENT CARE WYANDOTTE 211 EUREKA ROAD WYANDOTTE MI 48192 URGENT CARE 47 - LINCOLN-ADAMS CHILDADOLESCENT HC CTR 33475 PALMER WESTLAND MI 48186 OUTPATIENT PHYSICIAN CLINIC 48 - ALLIED MEDICAL GROUP 35180 NANKIN BLVD WESTLAND MI 48185 OUTPATIENT PHYSICIAN CLINIC 49 - SOUTH CANTON INTERNAL MEDICINE 42287 CHEERY HILL RD SUITE D CANTON MI 48188 OUTPATIENT PHYSICIAN CLINIC 50 - TRENTON OBGYN 3290 WEST ROAD TRENTON MI 48183 OUTPATIENT PHYSICIAN CLINIC 51 - LAB AT WOODHAVEN 25000 HALL ROAD WOODHAVEN MI 48183 LAB DRAW SITE 52 - INKSTER TEEN HEALTH CENTER 3250 MIDDLEBELT INKSTER MI 48141 OUTPATIENT PHYSICIAN CLINIC 53 - OAKWOOD HEALTHCARE FLAT ROCK 29100 GATEWAY BLVD FLAT ROCK MI 48134 OUTPATIENT PHYSICIAN CLINIC 54 - GENERAL SURGICAL SERVICES 3851 WEST ROAD SUITE 3 TRENTON MI 48183 OUTPATIENT PHYSICIAN CLINIC 55 - TRUMAN HIGH SCHOOL 11211 BEECH DALY ROAD TAYLOR MI 48180 OUTPATIENT PHYSICIAN CLINIC 56 - OAKWOOD WYANDOTTE SPECIALTY 1848 BIDDLE WYANDOTTE MI 48192 OUTPATIENT PHYSICIAN CLINIC 57 - INKSTER TEEN HEALTH CENTER 25912 ANNAPOLIS STREET INKSTER MI 48141 OUTPATIENT PHYSICIAN CLINIC 58 - DEARBORN FAMILY CLINIC 3133 S TELEGRAPH ROAD DEARBORN MI 48124 OUTPATIENT PHYSICIAN CLINIC 59 - LAB AT FAMILY HEALTH RIVERVIEW CENTER 19020 FORT STREET RIVERVIEW MI 48192 LAB DRAW SITE 60 - OAKWOOD HEALTH CARE CENTER-BROWNSTOWN 17000 KING ROAD BROWNSTOWN MI 48183 OUTPATIENT PHYSICIAN CLINIC 61 - OAKWOOD LABORATORY-HAMLET BLDG 1331 MONROE STREET DEARBORN MI 48124 LAB DRAW SITE, RESPIRATORY CARE 62 - OAKWOOD HOME MEDICAL EQUIPMENT 1633 FAIRLANE CIRCLE DEARBORN MI 48124 DURABLE MEDICAL EQUIPMENT 63 - LAB AT DEARBORN FAMILY PRACTICE 23870 MICHIGAN AVENUE DEARBORN MI 48124 LAB DRAW SITE 64 - INTERNAL MEDICINE MONROE STREET 1611 MONROE STREET DEARBORN MI 48124 OUTPATIENT PHYSICIAN CLINIC 65 - INTERNAL MEDICINE DETROIT 18300 W MCNICHOLS ROAD DETROIT MI 48219 OUTPATIENT PHYSICIAN CLINIC 66 - OAKWOOD YMCA SOUTHGATE PT 16777 NORTHLINE ROAD SOUTHGATE MI 48195 OUTPATIENT PHYSICIAN CLINIC 67 - ROMULUS TEEN HEALTH CENTER 9650 SOUTH WAYNE ROAD ROMULUS MI 48074 OUTPATIENT PHYSICIAN CLINIC 68 - OAKWOOD GERIATRIC ASSOCIATION 16351 ROTUNDA DEARBORN MI 48120 ADULT CARE CENTER 69 - ORTHOPEDIC PROF PRACTICE-WATERWORKS 24031 MICHIGAN AVENUE DEARBORN MI 48124 OUTPATIENT PHYSICIAN CLINIC 70 - METABOLIC NUTRITIONAL DISORDER 6300 N HAGGERTY ROAD SUITE 110 CANTON MI 48187 OUTPATIENT PHYSICIAN CLINIC PART I, LINE 3C: OAKASSIST FINANCIAL COUNSELORS GATHER INFORMATION ON THE PATIENT'S OVERALL FINANCIAL SITUATION. DETERMINATION AS TO WHETHER OR NOT A PATIENT QUALIFIES FOR FREE OR DISCOUNTED CARE, ABOVE THE 55% SELF PAY DISCOUNT FOR THE UNINSURED, AND THE AMOUNT OF THE DISCOUNT TO BE PROVIDED ARE BASED UPON:1) FEDERAL POVERTY GUIDELINES/INCOME LEVEL2) EARNING CAPACITY3) EMPLOYMENT STATUS 4) ASSETS5) INSURANCE STATUS AND THE POSSIBILITY OF QUALIFYING FOR SOME FORM OF GOVERNMENT ASSISTANCE OR SOURCE OF COVERAGE FOR UNINSURED PATIENT6) THE LEVEL OF SELF PAY DISCOUNTING CURRENTLY BEING OFFERED THROUGH THE FINANCIAL ASSISTANCE POLICYTHE DISCOUNT OF 55 PERCENT WAS DERIVED BY CALCULATING AN AVERAGE OF OUR COMMERCIAL DISCOUNTS. PART I, LINE 7: CHARITY CARE (LINE A) USED A COST TO CHARGE RATIO SPECIFIC TO EACH ACUTE CARE BUSINESS UNIT. MEDICAID (LINE B) ALSO USED A BUSINESS UNIT-SPECIFIC COST TO CHARGE RATIO. HEALTH PROFESSIONS EDUCATION (LINE F) USED A COMBINATION OF EXPENSES REPORTED IN THE GENERAL LEDGER AND ALLOCATIONS FOR SPECIFIC EXPENSES FROM OTHER COST CENTERS TO THE MEDICAL EDUCATION PROGRAM. SUBSIDIZED HEALTH SERVICES (LINE G) USED A COST ACCOUNTING SYSTEM THAT INCLUDES ALL ACUTE CARE FACILITY ACTIVITY. PART II, COMMUNITY BUILDING ACTIVITIES: AN OUTCOME OF THE 2013 CHNA WAS THE CREATION OF FOUR MULTI-SECTOR COALITIONS USING A COLLECTIVE IMPACT MODEL. A HEALTHY COMMUNITIES LEADERSHIP COALITION WAS CREATED WITH 125 KEY LEADERS FROM ACROSS THE REGION TO DEVELOP A STRATEGIC PLAN TARGETING THE PRIORITY HEALTH NEEDS. FOUR "HEALTHY COMMUNITY" COALITIONS WERE FORMED UNDER THIS UMBRELLA IN PARTNERSHIP WITH MUNICIPALITIES, SCHOOL DISTRICTS, COMMUNITY RESIDENTS AND COMMUNITY PARTNER ORGANIZATIONS (DEARBORN, TAYLOR, TRENTON AND WAYNE). THESE MULTI-SECTOR COALITIONS THAT WERE FORMED CURRENTLY ARE COMPRISED OF OVER 600 INDIVIDUALS PARTICIPATING TO PROMOTE ACCESS TO CARE, HEALTHY EATING AND ACTIVE LIVING. BEAUMONT HEALTH, THE SOLE MEMBER OF OAKWOOD HEALTHCARE, INC., PROVIDES "BACKBONE SUPPORT" TO THESE COALITIONS, PROVIDING STAFF, CONSULTANTS AND ACCESS TO A WIDE RANGE OF RESOURCES INCLUDING EVIDENCE-BASED PROGRAMMING AND DATA COLLECTION. PART III, LINE 2: THE ESTIMATED BAD DEBT FOR THE ORGANIZATION IS CALCULATED BY USING GROSS CHARGES MULTIPLIED BY THE COST TO CHARGE RATIO. PART III, LINE 3: THE PORTION OF BAD DEBT THAT IS CONSIDERED TO BE A COMMUNITY BENEFIT IS DETERMINED BY THE BAD DEBTS UNDER $100 FOR PATIENTS WITHOUT INSURANCE THAT WOULD HAVE BEEN ELIGIBLE FOR CHARITY CARE. THE ORGANIZATION CONSIDERS BAD DEBT EXPENSE TO BE A COMMUNITY BENEFIT SINCE THE COSTS OF PROVIDING UNCOMPENSATED SERVICES TO PATIENTS IMPEDES THE ORGANIZATION'S ABILITY TO PROVIDE OTHER CHARITY CARE AND COMMUNITY BENEFIT SERVICES. ALSO, THE PROVISION OF UNCOMPENSATED CARE TO PATIENTS WITHOUT INSURANCE POSITIVELY IMPACTS THE HEALTH OF THE SOUTHEASTERN MICHIGAN COMMUNITIES IN WHICH WE SERVE. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE. THE SYSTEM'S ESTIMATE FOR ITS PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTION BY PAYOR. THE SYSTEM UPDATES, ON A QUARTERLY BASIS, THE HISTORICAL COLLECTION RATES FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE USED TO ESTIMATE THE PROVISION FOR BAD DEBTS AND CONTRACTUAL ALLOWANCES. MANAGEMENT PERFORMS AN ANALYSIS ON A MONTHLY BASIS TO EVALUATE THE SUFFICIENCY OF THE PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES A PROVISION FOR BAD DEBTS (WHICH INCLUDES UNCOLLECTIBLE DEDUCTIBLES AND CO-PAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS DURING THE YEAR OF SERVICE BASED ON EXPERIENCE. PART III, LINE 8: THE COST OF MEDICARE SERVICES WAS DETERMINED USING A COST ACCOUNTING SYSTEM THAT INCLUDED ALL ACUTE CARE FACILITY ACTIVITY. THE COST ACCOUNTING SYSTEM ASSIGNS DIRECT AND INDIRECT COST AT A CHARGE CODE LEVEL BASED ON RELATIVE VALUE UNITS AND OTHER ALLOCATION METHODLOGIES. NET REVENUE AT A PATIENT ACCOUNT LEVEL IS BASED ON ACTUAL PAYMENTS WHERE AVAILABLE, AND MODELED REVENUE WHERE PAYMENT HAS YET TO BE RECEIVED. PATIENTS ARE THEN GROUPED BY PAYOR TO ARRIVE AT SUMMARIZED REVENUE AND COSTS.THE ORGANIZATION CONSIDERS THE MEDICARE SHORTFALL TO BE A COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: 1) SINCE THERE IS AN EXCESS OF EXPENSES OVER MEDICARE REIMBURSEMENT, OAKWOOD HEALTHCARE, INC. MUST COVER THE SHORTFALL. AS A RESULT, THE AMOUNT NEEDED TO COVER THE SHORTFALL IS NOT AVAILABLE FOR OTHER CHARITY CARE AND COMMUNITY BENEFIT SERVICES, 2) A SIGNIFICANT PORTION OF SERVICES PROVIDED TO MEDICARE BENEFICIARIES WOULD LIKELY QUALIFY FOR CHARITY CARE ABSENT INSURANCE COVERAGE UNDER THE MEDICARE PROGRAM, AND 3) THE PROVISION OF UNDER COMPENSATED PATIENT CARE TO MEDICARE BENEFICIARES POSITIVELY IMPACTS THE HEALTH OF THE SOUTHEASTERN MICHIGAN COMMUNITIES IN WHICH WE SERVE. PART III, LINE 9B: HOSPITAL PATIENTS PRESENTING OR SCHEDULING FOR SERVICES WITHOUT INSURANCE ARE IDENTIFIED AS "SELF-PAY" PATIENTS. THESE PATIENTS ARE ASSESSED BY FINANCIAL COUNSELING STAFF, WITHIN THE ORGANIZATION'S "OAKASSIST PROGRAM" TO: A) DETERMINE IF SOME TYPE OF INSURANCE COVERAGE MAY EXIST, B) ASSESS ELIGIBILITY FOR A GOVERNMENT SPONSORED INSURANCE PROGRAM, OR C) ASSESS ELIGIBILITY FOR A FULL OR PARTIAL CHARITY CARE, CATASTROPHIC MEDICAL EXPENSE OR SELF-PAY DISCOUNT. THIS PROCESS IS INITIATED AT THE TIME OF SCHEDULING OR AS CLOSE TO THE DATE OF SERVICE AS POSSIBLE. IF THE DETERMINATION OF DISCOUNTING OR OTHER COVERAGE IS NOT FOUND, THE PATIENT WILL RECEIVE A BILLING STATEMENT WITH DIRECTION TO CONTACT AN OAKWOOD CUSTOMER SERVICE REPRESENTATIVE OR OAKASSIST FINANCIAL COUNSELOR FOR FINANCIAL ASSISTANCE OR IF EXTENDED PAYMENT ARRANGEMENTS ARE NEEDED TO HELP SATISFY THE DEBT. THE PATIENT RECEIVES A MINIMUM OF FOUR (4) STATEMENTS NOTIFYING THEM OF THE AVAILABILITY OF FINANCIAL ASSISTANCE PRIOR TO FORWARDING ACCOUNTS TO A THIRD-PARTY COLLECTION AGENCY. IN ADDITION, PRIOR TO FORWARDING ACCOUNTS TO A COLLECTION AGENCY, THE ACCOUNTS ARE SCORED TO DETERMINE THE PATIENT'S ABILITY TO PAY AND DEEMED EITHER CHARITY OR BAD DEBT. ACCOUNTS ELIGIBLE FOR CHARITY CARE, PURSUANT TO THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, ARE WRITTEN-OFF TO A CHARITY CARE CODE AND NO FURTHER COLLECTION ACTIVITY IS PURSUED. IN CASES WHERE THE ORGANIZATION EXPECTS PAYMENT BUT IS UNABLE TO COLLECT, THE ACCOUNTS ARE CLASSIFIED AS BAD DEBT AND FORWARDED FOR FURTHER COLLECTION ACTIVITY. PART VI, LINE 2: IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, OAKWOOD CONDUCTS AN ANNUAL ENVIRONMENTAL SCAN OF THE COMMUNITIES SERVED EACH YEAR AS PART OF THE STRATEGIC PLANNING PROCESS WHICH INCLUDES KEY INFORMATION FROM THE COMMUNITIES SERVED INCLUDING ACCESS TO CARE, DEMOGRAPHICS, HEALTH NEEDS, INTERNAL HOSPITAL DATA, AND IDENTIFYING GAPS IN SERVICES. THE COMMUNITY OUTREACH DEPARTMENT DIRECTS SERVICES AND PROGRAMS TARGETING VULNERABLE POPULATIONS AND SERVICES TO IMPROVE THE GENERAL HEALTH OF THE COMMUNITIES SERVED. NUMEROUS PHYSICIANS AND EMPLOYEES OF OAKWOOD SERVE ON LOCAL COMMITTEES, TASK FORCES, COALITIONS, AND BOARDS THAT ARE RELATED TO HEALTH AND HEALTH NEEDS. THIS INFORMATION IS USED TO ASSIST IN THE DEVELOPMENT OF PROGRAMS AND SERVICES IN THE COMMUNITIES, COLLABORATE ON HEALTH NEEDS AND REDUCE ANY DUPLICATION OF SERVICES TO MAXIMIZE RESOURCES. NUMEROUS DATA SOURCES ARE UTILIZED TO ASSESS HEALTH NEEDS OF THE COMMUNITIES INCLUDING MICHIGAN DEPARTMENT OF COMMUNITY HEALTH DATA, TRUVEN HEALTH DATA, CDC DATA SETS, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, CENSUS DATA, PUBLIC HEALTH DATA FOR WAYNE COUNTY, ETC. PART VI, LINE 3: OUR FINANCIAL ADVISORY TEAM, OAKASSIST, PROVIDES PRE-SERVICE AND POST-SERVICE SUPPORT TO OUR PATIENTS AND THEIR FAMILIES IN DETERMINING ELIGIBILITY OPTIONS FOR HEALTH CARE COVERAGE. PATIENTS IDENTIFIED WITHOUT INSURANCE COVERAGE ARE ASSESSED AT MOST ACCESS POINTS, INCLUDING THE EMERGENCY DEPARTMENT AND OUTPATIENT DIAGNOSTIC SCHEDULING, PRIOR TO ELECTIVE PROCEDURES, AND PHYSICIAN OFFICE REFERRALS. PATIENTS ARE PROVIDED INFORMATION OR ASSISTANCE IN REGARD TO ELIGIBILITY WITH THE ORGANIZATION'S CHARITY CARE POLICY OR OTHER FORMS OF FINANCIAL ASSISTANCE AVAILABLE (MEDICAID, ADULT BENEFIT WAIVER, COBRA COVERAGE, VICTIMS OF CRIME, ETC.). POSTERS IDENTIFYING THE FINANCIAL ADVISORY TEAM, OAKASSIST, AND THE AVAILABILITY OF CHARITY CARE ARE VISIBLE IN HIGH TRAFFIC AREAS, SUCH AS THE EMERGENCY DEPARTMENT, OUTPATIENT REGISTRATION AREAS, AND ON THE OAKWOOD.ORG WEBSITE. DOCUMENTATION IS ALSO PRINTED ON THE PATIENT BILLING STATEMENT INCLUDING CONTACT INFORMATION SHOULD A PATIENT REQUIRE ASSISTANCE POST SERVICE. PART VI, LINE 4: LOCATED IN SOUTHEAST MICHIGAN, OAKWOOD HEALTHCARE SYSTEM (OHS) SERVES MORETHAN 931,000 RESIDENTS IN 36 COMMUNITIES STRETCHING ACROSS A 500 SQUARE MILE AREA OF WESTERN WAYNE COUNTY. THIS AREA IS RICHLY VARIED BY RACE ANDETHNICITY (AFRICAN AMERICAN 16.4%, HISPANIC 9.4%, ASIAN 3.2%, MULTI-RACIAL2.4%, WHITE 68.2%, AND OTHER .4%). IN THE CITY OF DEARBORN, 46.8% OF THEPOPULATION IS ARABIC. ONE OF THE MOST CULTURALLY DIVERSE AREAS INMICHIGAN, OVER 17.5% OF RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH WITHSOME COMMUNITIES FAR EXCEEDING THE NATIONAL AVERAGE: DEARBORN (46.8%),SOUTHWEST DETROIT (49.4%), AND MELVINDALE (26.5%). IN THE OHS SERVICE AREA, 86% ARE UNDER THE AGE OF 65, WITH 62% BETWEEN THE AGES OF 18 AND 64 AND 25% UNDER THE AGE OF 18.ONE OF THE REGIONS HARDEST HIT BY THE RECESSION, SOUTHEASTERN MICHIGANRESIDENTS CONTINUE TO STRUGGLE WITH HIGH RATES OF POVERTY (APPROX. 13%)AND UNEMPLOYMENT (6%). FOR MANY IN MICHIGAN, RACIAL AND ETHNICDISPARITIES, POVERTY AND LACK OF INSURANCE HAVE LED TO LIMITED ACCESS TOPROVIDERS AND PREVENTIVE CARE. WAYNE COUNTY WAS RANKED HIGHEST IN MICHIGANFOR MORTALITY AND MORBIDITY BY THE ROBERT WOOD JOHNSON FOUNDATION COUNTYHEALTH RANKINGS. PART VI, LINE 5: OAKWOOD HEALTHCARE SYSTEM AND ITS EMPLOYEES, BOARD MEMBERS, PHYSICIANS AND VOLUNTEERS ARE PROUD TO BE INVOLVED IN MAKING OUR COMMUNITY A HEALTHIER PLACE TO LIVE, WORK, AND PLAY. OUR GOVERNING BOARDS ARE COMPRISED OF BUSINESS, CIVIC AND COMMUNITY LEADERS WHO WORK AND/OR LIVE IN THE AREA AND HAVE A STAKE IN COMMUNITY HEALTH IMPROVEMENT. BOARD MEMBERS ARE ACTIVELY ENGAGED IN OAKWOOD'S MISSION TO PROVIDE EXCELLENCE IN CARE, HEALING AND HEALTH TO THE INDIVIDUALS AND COMMUNITIES WE SERVE. A GOVERNING BOARD STRATEGIC PLANNING COMMITTEE AND MEDICAL STAFF STRATEGIC PLANNING COMMITTEE INTEGRATE THEIR PERSPECTIVES INTO BOTH SHORT AND LONG TERM VISIONING AND PLANNING GEARED TOWARD FULFILLING OUR MISSION.EACH OF OUR FOUR ACUTE CARE SITES FEATURES AN OPEN MEDICAL STAFF, WITH ELECTED LEADERSHIP AND ACTIVE COMMITTEE STRUCTURE. TO PROMOTE HEALTH IN THE COMMUNITIES, OAKWOOD PROVIDES AFTERSCHOOL NUTRITION AND PHYSICAL EDUCATION IN 24 AREA SCHOOLS, OPERATES A WELLNESS PROGRAM IN TAYLOR, MICHIGAN, OPERATES A SCHOOL-BASED HEALTH CLINIC IN WESTLAND, AND OPERATES ADOLESCENT HEALTH CENTERS IN THE CITIES OF TAYLOR, INKSTER, ROMULUS, AND RIVER ROUGE. COMMUNITY BENEFIT PROGRAMS OFFERED INCLUDE COMMUNITY SCREENINGS INCLUDING BLOOD PRESSURE, CHOLESTEROL (TOTAL AND HDL) AND GLUCOSE TESTING AND HEALTH EDUCATION. NUTRITIONAL SEMINARS ARE OFFERED FOR ALL AGE GROUPS IN THE COMMUNITY. DIABETES PREVENTION PROGRAMS, CHRONIC DISEASE MANAGEMENT, NUTRITION AND HEALTHY COOKING CLASSES ARE ALSO CONDUCTED. SMOKING CESSATION HOTLINE AND INFORMATION ARE PROVIDED TO ASSIST COMMUNITY MEMBERS IN THEIR EFFORTS TO STOP SMOKING. OAKWOOD ALSO OPERATES A HIV/AIDS PROGRAM AND TB CLINIC FOR THOSE IN NEED OF THESE SPECIALIZED SERVICES.A SIGNIFICANT PORTION OF THE OAKWOOD HEALTHCARE SYSTEM SERVICE AREA CONSISTS OF FEDERAL MEDICALLY UNDERSERVED AREAS AS DESIGNATED BY HRSA (HEALTH RESOURCES AND SERVICES ADMINISTRATION). MULTI-LEVEL PARTNERSHIPS AND COLLABORATIONS WITH FEDERALLY QUALIFIED HEALTH CENTERS AND OTHER COMMUNITY BASED CLINICS ARE IN PLACE. OAKWOOD MAINTAINS STRONG COLLABORATIVE RELATIONSHIP WITH LOCAL FQHC AND OTHER LOW COST AND FREE HEALTH CLINICS THAT SERVE OUR UNINSURED AND UNDERINSURED COMMUNITY MEMBERS. WE ALSO ACTIVELY PARTICIPATE IN WORKGROUPS, COMMITTEES AND BOARDS ASSOCIATED WITH COMMUNITY PROGRAMS.MANY OF OUR EXECUTIVES, MANAGERS AND OTHER EMPLOYEES SERVE AS LEAD VOLUNTEERS OR BOARD DIRECTORS AND OFFICERS FOR KEY NON-PROFIT AGENCIES AND GOVERNMENT COMMISSIONS IN THE REGION. THESE INCLUDE ORGANIZATIONS AND AUTHORITIES ASSOCIATED WITH HEALTH CARE, SOCIAL SERVICES, EDUCATION, MUNICIPAL GOVERNANCE, INDUSTRY AND TRADE GROUPS AS WELL AS SERVICE ORGANIZATIONS AND CHAMBERS OF COMMERCE. MANY OAKWOOD EMPLOYEES ALSO OFFER AD-HOC CONSULTING ADVICE.OAKWOOD HAS ALSO MAINTAINED LONG STANDING, DEMONSTRATED PARTNERSHIPS WITH VITAL COMMUNITY AGENCIES SUCH AS ACCESS (SERVING THE ARAB AMERICAN COMMUNITY AND OTHERS WITH HEALTH AND SOCIAL SERVICES AS WELL AS EMPLOYMENT PROGRAMS); SOUTHWEST SOLUTIONS (SOCIAL SERVICES AND HOUSING AGENCY); STARFISH FAMILY SERVICES (SOCIAL SERVICES); CABRINI, MAPI AND HOPE CLINICS (FREE MEDICAL CLINICS); FIRST STEP (DOMESTIC VIOLENCE AND SEXUAL ASSAULT RESPONSE AGENCY); AND WESTERN WAYNE FAMILY HEALTH CENTERS (FQHC), AND THE WAYNE COUNTY HEALTH, VETERANS & COMMUNITY WELLNESS FQHC IN OAKWOOD PROVIDES PHYSICIAN SUPPORT. WE OFFER THESE AGENCIES PROGRAMS AND SERVICES, IN KIND OR DISCOUNTED FEES FOR LAB SERVICES, AND COLLABORATE IN VARIOUS GRANT APPLICATIONS AND COLLABORATIVE PROGRAMS. PARTNERSHIPS ARE ALSO IN PLACE FOR REGIONAL WORKFORCE DEVELOPMENT AND HEALTH INFORMATION TECHNOLOGY. OAKWOOD STAFF ASSISTS IN COMMUNITY JOB FAIRS, GIVING JOB ADVICE, REVIEWING RESUMES, AND CONDUCTING MOCK INTERVIEWS, ALONG WITH PROVIDING INTERNSHIPS FOR STUDENTS ATTENDING COLLEGES AND UNIVERSITIES.A WELL-DEVELOPED SPEAKER'S BUREAU THAT OFFERS VOLUNTEER OAKWOOD SPEAKERS TO TALK TO COMMUNITY AND OTHER GROUPS ABOUT A BROAD RANGE OF TOPICS. OUR ARTS FOR THE SPIRIT PROGRAM PRESENTS HEALING ART AND MUSIC PROGRAMS IN OUR HOSPITALS THAT ARE FREE AND OPEN TO THE PUBLIC. WE HAVE A STRONG TRADITION OF BEING A PART OF OUR COMMUNITY, WITH SHARED VISION OF CREATING HEALTH AND WELLNESS FOR ALL AND CONTINUE TO EXPAND THAT OUTREACH WITH EVERY PASSING YEAR. PART VI, LINE 6: BEAUMONT HEALTH ("THE SYSTEM") IS A MICHIGAN NONPROFIT CORPORATION HEALTH CARE NETWORK THAT WAS FORMED IN 1955, AND IS MICHIGAN'S LARGEST HEALTH CARE SYSTEM, BASED ON INPATIENT ADMISSIONS AND NET PATIENT REVENUE. IN 2015, THE SYSTEM WAS COMPRISED OF 3,337 LICENSED BEDS AND OVER 150 OTHER AMBULATORY PATIENT CARE SITES, DEDICATED TO ADVANCING QUALITY OF CARE AND ACCESS TO CARE THROUGHOUT WAYNE, OAKLAND AND MACOMB COUNTIES IN SOUTHEAST MICHIGAN.THE SYSTEM PROVIDES A CONTINUUM OF CARE AS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM'S SERVICES INCLUDE INPATIENT AND OUTPATIENT SERVICES, LONG-TERM CARE, SENIOR AND ASSISTED LIVING, REHABILITATION SERVICES, HOME-HEALTH CARE, AND OTHER HEALTH-RELATED ACTIVITIES. THE SYSTEM OWNS AND OPERATES EIGHT NONPROFIT ACUTE CARE HOSPITALS, INCLUDING ASSISTED AND INDEPENDENT LIVING CENTERS, NURSING HOMES, CERTIFIED HOME HEALTH AGENCIES, AMBULATORY CARE FACILITIES, A FOR-PROFIT COMPANY ENGAGED IN HEALTH-RELATED BUSINESSES, AND VARIOUS OTHER HEALTH CARE ENTITIES. ALL SUBSIDIARIES ARE GOVERNED AND RELATED THROUGH COMMON CONTROL. SUBSTANTIALLY, ALL EXPENSES OF THE SYSTEM ARE RELATED TO PROVIDING HEALTH CARE SERVICES. THE SYSTEM'S MEMBERS INCLUDE WILLIAM BEAUMONT HOSPITAL, OAKWOOD HEALTHCARE, INC., AND BOTSFORD GENERAL HOSPITAL.IN ADDITION, THE SYSTEM OPERATES THREE CAPTIVE INSURANCE COMPANIES, TWO OF WHICH ARE OFFSHORE AND ONE ONSHORE, ALL OF WHICH ARE WHOLLY OWNED SUBSIDIARIES OF THE SYSTEM AND PROVIDE PROFESSIONAL AND GENERAL LIABILITY COVERAGE TO THE SYSTEM, ITS AFFILIATES, AND VOLUNTARY MEDICAL STAFF.IN 2015, THE SYSTEM HAD $4.1 BILLION IN NET REVENUE WITH 177,934 INPATIENT ADMISSIONS, 17,151 BIRTHS, AND 530,860 EMERGENCY VISITS. THIS IS MADE POSSIBLE BY THE NEARLY 5,000 PHYSICIANS AND 35,000 EMPLOYEES THAT WORK FOR THE SYSTEM, AND THE 3,500 VOLUNTEERS THAT DONATE THEIR TIME TO THE SYSTEM.IN ORDER TO PROMOTE THE HEALTH OF THE COMMUNITIES SERVED, THE SYSTEM HAS RESPONDED TO THE NEEDS OF THE COMMUNITIES AND INVESTED IN PROGRAMS TO IMPROVE THE HEALTH AND WELL-BEING OF THE NEIGHBORHOODS IN WHICH IT LIVES AND SERVES. BUILDING ON A NATIONAL REPUTATION FOR CLINICAL EXCELLENCE, THE SYSTEM IS COMMITTED TO ENHANCING PUBLIC AWARENESS THROUGH A VARIETY OF COMMUNITY OUTREACH ACTIVITIES AND INITIATIVES THAT RELATE TO THE FOLLOWING:- HEALTH PROMOTION, WELLNESS, AND DISEASE PREVENTION- EVENTS THAT SUPPORT COMMUNITY ENGAGEMENT, EDUCATION, DIVERSITY, AND CULTURAL ARTS RELATING TO IMPROVING THE PATIENT EXPERIENCE AT THE SYSTEM'S EIGHT HOSPITAL LOCATIONS- EVENTS AND ORGANIZATIONS THAT HELP THE SYSTEM ATTAIN COMMUNITY HEALTH NEEDS ASSESSMENT GOALSTHE SYSTEM HAS A DEEP COMMITMENT TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL OF ITS PATIENTS SAFELY, EFFECTIVELY AND COMPASSIONATELY, REGARDLESS OF WHERE THEY LIVE OR THEIR FINANCIAL CIRCUMSTANCES. SOME OUTREACH PROGRAMS IN THE COMMUNITIES IT SERVES ARE BEREAVEMENT SUPPORT GROUPS, CAR SEAT SAFETY CHECKS, GUIDED MEDITATION, COOKING CLASSES FOR KIDS, AND CONCERTS FOR "THE ART OF HEALING", AS WELL AS SPONSORSHIP OF WALKS FOR EASTER SEALS WALK WITH ME AND AIDS WALK DETROIT. PART VI, LINE 7, REPORTS FILED WITH STATES MI 1 OAKWOOD HEALTHCARE FOUNDATION 15500 LUNDY PARKWAY DEARBORN MI 48126 383432073 501(C)(3) 2915045 0 SUPPORT THE MISSION AND OPERATION OF OAKWOOD HEALTH SYSTEM EASTERN MARKET CORPORATION 2934 RUSSELL DETROIT MI 48207 320030432 501(C)(3) 16000 0 COMMUNITY SUPPORT EDSEL & ELEANOR FORD HOUSE 1100 LAKE SHORE ROAD GROSSE POINTE SHORES MI 48236 382218274 501(C)(3) 21988 0 COMMUNITY SUPPORT FOUNDATION OF MI ASSOC OF PHYSICIANS OF INDIAN ORIGIN 28235 SOUTHFIELD ROAD LATHRUP VILLAGE MI 48076 383032459 501(C)(3) 15000 0 COMMUNITY SUPPORT LEBANESE AMERICAN HERITAGE CLUB 835 MASON STREET SUITE A-160 DEARBORN MI 48124 383081799 501(C)(3) 6750 0 COMMUNITY SUPPORT MICHIGAN STATE UNIVERSITY A308 EAST FEE HALL EAST LANSING MI 48824 386005984 501(C)(3) 5800 0 COMMUNITY SUPPORT OAKLAND UNIVERSITY FOUNDATION 3053 HUMAN HEALTH BLDG ROCHESTER MI 48309 386078765 501(C)(3) 22960 0 COMMUNITY SUPPORT THE REGENTS OF THE UNIVERSITY OF MICHIGAN 4901 EVERGREEN RD DEARBORN MI 48128 386006309 501(C)(3) 100000 0 COMMUNITY SUPPORT 8 0 HELPING HANDS - NEEDY EMPLOYEE ASSISTANCE 37 60520 0 EMPLOYEE SCHOLARSHIPS 91 111374 0 NATHAN GRANT 2 20000 0 MUIRHEAD SCHOLARSHIP 1 10020 0 MEDICAL RESIDENT STIPENDS 275 14516859 0 PART I, LINE 2: OAKWOOD HEALTHCARE SYSTEM MAKES CONTRIBUTIONS PRIMARILY TO ORGANIZATIONS THAT HAVE BEEN RECOGNIZED BY THE IRS AS TAX-EXEMPT CHARITABLE ORGANIZATIONS UNDER IRC SECTION 501(C)(3). GOVERNMENT GRANTS RECEIVED BY OAKWOOD HEALTHCARE SYSTEM ARE MONITORED BY THEIR RESPECTIVE DEPARTMENTS. OAKWOOD HEALTHCARE, INC. FOLLOWS THESE GUIDELINES AND IS SUBJECT TO AN A-133 AUDIT ANNUALLY UPON MEETING THE EXPENDITURE THRESHOLD. OAKWOOD HEALTHCARE SYSTEM AWARDS SCHOLARSHIPS ANNUALLY TO EMPLOYEES, FAMILY MEMBERS AND STUDENT VOLUNTEERS. THE EMPLOYEES APPLY AND APPLICATIONS ARE REVIEWED BY AN IMPARTIAL SELECTION COMMITTEE. THE COMMITTEE IS COMPRISED OF REPRESENTATIVES FROM HUMAN RESOURCES, NURSING/ALLIED HEALTH, VOLUNTEER SERVICES, FINANCE AND THE FOUNDATION. APPLICANTS ARE SCORED USING SEVERAL KEY CRITERIA, THEN RANKED ACCORDINGLY. OAKWOOD HEALTHCARE SYSTEM ALSO PROVIDES GRANTS TO EMPLOYEES IN THEIR GREATEST TIME OF NEED AS A RESULT OF PERSONAL CRISIS OR CATASTROPHIC EVENT THROUGH THE HELPING HANDS FUND. THE HELPING HANDS FUND IS ADMINISTERED THROUGH HUMAN RESOURCES AND A COMMITTEE HAS BEEN ESTABLISHED TO REVIEW REQUESTS AND MAKE RECOMMENDATIONS. ELIGIBILITY CRITERIA HAS BEEN ESTABLISHED WITH A MAXIMUM PAYMENT. IN CONJUNCTION WITH THE ORGANIZATION'S GRADUATE MEDICAL EDUCATION PROGRAM SUMMARIZED IN PROGRAM SERVICE ACCOMPLISHMENTS, OAKWOOD HEALTHCARE, INC. PAID MEDICAL RESIDENT STIPENDS IN THE AMOUNT OF $14,516,859 DURING 2015. OAKWOOD HEALTHCARE SYSTEM'S PAYROLL AND HUMAN RESOURCES DEPARTMENT HAS OVERSIGHT OVER THE USE OF GRANT FUNDS FOR SCHOLARSHIPS AND THE HELPING HANDS PROGRAM. X X X X 1 1 X X X X X 1 1 0 1 1 0 0 0 0 KEUTEN JOHN SEC. & TREAS./EVP & CFO (END 2015) 549959 0 282736 0 46770 0 245253 0 23640 0 1148358 0 116538 0 FOX JOHN T DIRECTOR/PRES. & CEO (BEG 2015) 0 1298411 0 250000 0 403476 0 346753 0 17262 0 2315902 0 0 HENOCH MALCOLM MD DIRECTOR 442622 0 261960 0 30497 0 171333 0 19631 0 926043 0 114250 0 WOOD DAVID MD DIRECTOR (BEG 2015) 0 680318 0 3120 0 32810 0 243269 0 12215 0 971732 0 0 CONWAY J PAUL SVP HUMAN RESOURCES 341057 0 141610 0 33374 0 187247 0 23352 0 726640 0 70246 0 CAMPBELL DAVID EVP OPS. SYS. STRAT. & GROWTH 318746 0 287978 0 182643 0 97025 0 14009 0 900401 0 167057 0 D'AGOSTINO MAUREEN SVP ORGANIZATIONAL EXCELLENCE 217028 0 112785 0 15852 0 86181 0 28749 0 460595 0 47779 0 GEHEB MICHAEL MD EVP PHYS. PLAN & OPS. 290698 0 298255 0 177440 0 171037 0 18032 0 955462 0 127059 0 HUGHES EDITH DIVISIONAL PRESIDENT 267564 0 88991 0 25564 0 32362 0 19640 0 434121 0 0 0 ISENSTEIN WILLIAM SVP MANAGED CARE 318209 0 152491 0 28996 0 71976 0 25286 0 596958 0 0 0 MEDVEC BARBARA RN CHIEF NURSING OFFICER 176187 0 135998 0 94382 0 100135 0 3247 0 509949 0 71054 0 ODOM LEE ANN DIVISIONAL PRESIDENT 239789 0 83602 0 9690 0 32967 0 6022 0 372070 0 0 0 O'MALLEY CARLA VP OPERATIONS & SPECIAL PROGRAMS 154202 0 120917 0 103782 0 107845 0 10245 0 496991 0 54319 0 SMITH KELLY SVP & DIVISIONAL PRESIDENT 382927 0 188728 0 31942 0 181132 0 4376 0 789105 0 114250 0 SMITH PAULA SVP & CIO (END 2015) 194547 0 279908 0 89443 0 264349 0 19237 0 847484 0 76448 0 WIDNER ERIC DIVISIONAL PRESIDENT 258208 0 98390 0 7428 0 29519 0 22812 0 416357 0 0 0 ZATINA MARY SVP GOVERNMENT RELATIONS 210908 0 130172 0 38917 0 105523 0 22481 0 508001 0 64471 0 AZRAK MUHAMMAD STAFF PHYSICIAN 508844 0 283936 0 33840 0 5913 0 23054 0 855587 0 0 0 DABBOUS SAMIR A STAFF PHYSICIAN 1302967 0 0 0 29178 0 0 0 16546 0 1348691 0 0 0 ELFALLAL SAMER M STAFF PHYSICIAN 882776 0 50000 0 30657 0 5300 0 16791 0 985524 0 0 0 JUNN FREDRICK SONG CHUN STAFF PHYSICIAN 975488 0 145158 0 64526 0 23900 0 22866 0 1231938 0 0 0 SPRAGUE KEVIN JOSEPH STAFF PHYSICIAN 215999 0 559704 0 21326 0 3975 0 2085 0 803089 0 0 0 CONNOLLY BRIAN FORMER OFFICER (END 2014) 849554 0 775058 0 672137 0 503271 0 51025 0 2851045 0 388452 0 LLOYD SETH FORMER OFFICER (END 2014) 11504 0 119970 0 255540 0 120584 0 543 0 508141 0 0 0 WELDAY DOUGLAS FORMER OFFICER (END 2014) 0 0 103564 0 329126 0 103564 0 0 0 536254 0 14646 0 PART I, LINE 1A OAKWOOD HEALTHCARE, INC. HAS A FORMAL EXPENSE REIMBURSEMENT POLICY, WHICH APPLIES TO ALL TYPES OF REIMBURSEMENT. OAKWOOD HEALTHCARE, INC. DOES NOT HAVE A SPECIFIC POLICY REGARDING THE PROVISION OF TAX GROSS-UP PAYMENTS. HOWEVER, CERTAIN CORPORATE POLICIES (E.G. "EMPLOYEE RECOGNITION AWARDS") PROVIDE FOR TAX GROSS-UP PAYMENTS. ALSO, EXECUTIVE EMPLOYMENT AGREEMENTS PROVIDE FOR TAX GROSS-UP PAYMENTS AND DISCRETIONARY CHARITABLE SPENDING ACCOUNTS IN LIMITED INSTANCES. THE ORGANIZATION'S PAYROLL DEPARTMENT DETERMINED TAX GROSS-UP PAYMENTS WERE APPROPRIATE IN LIMITED INSTANCES, WHERE AN INDIVIDUAL DID NOT HAVE A NET PAYMENT DUE TO THEM (E.G. TAXABLE VALUE OF GUEST TRAVEL) IN THE TAX YEAR AND THE FINANCIAL IMPACT WAS MINOR. THE FOLLOWING BENEFITS WERE PROVIDED TO CERTAIN OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES LISTED IN FORM 990, PART VII: TRAVEL FOR COMPANIONS, TAX INDEMNIFICATION AND GROSS-UP PAYMENTS, DISCRETIONARY SPENDING, AND HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES. TRAVEL FOR COMPANIONS: DURING 2015, TWO OFFICERS, THREE DIRECTORS, AND TWO KEY EMPLOYEES RECEIVED PAYMENTS FOR COMPANION TRAVEL. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE ONLY PAID TO INDIVIDUALS IN LIMITED CIRCUMSTANCES AND MUST BE APPROVED IN ACCORDANCE WITH THE OAKWOOD HEALTHCARE, INC. POLICIES GOVERNING THESE TYPES OF PAYMENTS. AT LEAST ANNUALLY, THE EXPENSES INCURRED BY ALL EMPLOYEES ARE REVIEWED TO ENSURE APPROPRIATE TAXATION AND REPORTING. DURING 2015, ONE OFFICER RECEIVED TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. DISCRETIONARY SPENDING ACCOUNT: DURING 2015, ONE OFFICER AND ONE KEY EMPLOYEE RECEIVED PAYMENTS FOR DISCRETIONARY SPENDING. HEALTH AND SOCIAL CLUB DUES OR INITIATION FEES: DURING 2015, TWENTY-FIVE KEY EMPLOYEES RECEIVED PAYMENTS FOR HEALTH AND SOCIAL CLUB DUES OR INITIATION FEES. ALL PAYMENTS FOR THE ABOVE BENEFITS WERE TREATED AS TAXABLE COMPENSATION TO ALL PERSONS RECEIVING SUCH BENEFITS. PART I, LINE 4A: FOR SOME INDIVIDUALS, THE EMPLOYMENT AGREEMENT MAY PROVIDE THAT IF THE EMPLOYER TERMINATES THE AGREEMENT AND THE PARTIES SEPARATE OTHER THAN FOR CAUSE, THE EMPLOYEE MAY BE ENTITLED TO SEVERANCE PAY. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM THE COMPANY. SEVERANCE PAYMENTS MADE BY OAKWOOD HEALTHCARE, INC. DURING 2015 INCLUDE PAYMENTS TO THE FOLLOWING: SETH LLOYD - $254,302 DOUGLAS WELDAY - $329,126 DAVID CAMPBELL - $148,097 MICHAEL GEHEB, M.D. - $135,166 BARBARA MEDVEC, R.N. - $54,538 CARLA O'MALLEY - $68,574 PAULA SMITH - $51,572 PART I, LINE 4B: OAKWOOD HEALTHCARE, INC. HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) THAT IS LIMITED TO THE FOLLOWING PARTICIPANT: BRIAN CONNOLLY, FORMER PRESIDENT & CEO. DURING 2015, MR. CONNOLLY RECEIVED A PAYMENT OF $599,757 PURSUANT TO THE PLAN PROVISIONS. PART I, LINE 5A: OAKWOOD HEALTHCARE, INC. HAS SHORT-TERM AND LONG-TERM INCENTIVE PLANS FOR EXECUTIVES. INCENTIVE AWARDS ARE CALCULATED BASED ON THE ACHIEVEMENT OF MULTIPLE TARGETS, INCLUDING THE ATTAINMENT OF OPERATING REVENUE TARGETS. PART I, LINE 5B: OAKWOOD HEALTHCARE, INC.'S OPERATING REVENUE TARGETS, USED FOR PURPOSES OF DETERMINING SHORT-TERM AND LONG-TERM INCENTIVE AWARDS FOR EXECUTIVES, INCLUDE THE REVENUES OF OAKWOOD HEALTHCARE, INC. AND ITS AFFILIATE ORGANIZATIONS. A MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 382889417 59465HGA8 2007-04-24 110209925 FIN. HOSPITAL/PARTIAL REF OF BONDS ISSUED 1/27/1994 AND 6/6/1995 1 0 0 B MICHIGAN FINANCE AUTHORITY 800596186 59447PLJ8 2012-05-01 161691656 FIN. HOSP./PARTIAL REF OF BONDS ISSUED 4/7/1998, 12/10/2002, & 11/13/2003 0 0 0 C MICHIGAN FINANCE AUTHORITY 800596186 59447PUT6 2013-04-25 53999789 REFUNDING OF BONDS ISSUED 4/7/1998 0 0 0 A 30300000 66750000 110640578 8638468 901276 25436310 76601313 2008 1 0 1 1 B 13430000 161691855 1687398 25289969 134714488 2013 1 1 1 1 C 53999789 667921 53331869 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 C 0 1 0 0 0 0 0 0 0 A 0 B 0 C 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN STATE HOSPITAL FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/19/2012 PART II, LINE 4: THE AMOUNTS SHOWN HERE CONSIST OF AMOUNTS IN BOTH DEBT SERVICE RESERVE FUNDS AND DEBT SERVICE FUND DEPOSITS. FOR COLUMNS A, B, AND C RESPECTIVELY, THE AMOUNTS IN DEBT SERVICE RESERVE FUNDS ARE $8,076,519; ZERO; AND ZERO. THE AMOUNTS OF DEBT SERVICE FUND DEPOSITS ARE $561,949; ZERO; AND ZERO RESPECTIVELY. FORM 990, SCHEDULE K, PART II: DIFFERENCES BETWEEN THE ISSUE PRICE (PART I, COLUMN (E)) AND TOTAL PROCEEDS OF ISSUE (PART II, LINE 3 (B)) ARE DUE TO INVESTMENT EARNINGS. PART IV, LINE 6, COLUMN B: THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS. SEE PART V SEE PART V 79862 SEE PART V 0 SEE PART V SEE PART V 13812 SEE PART V 0 SCHEDULE L, PART IV (A) NAME OF INTERESTED PERSON: MICHELE RUPPAL(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: MICHELE RUPPAL IS A FAMILY MEMBER OF BARBARA MEDVEC (KEY EMPLOYEE).(C) AMOUNT OF TRANSACTION: $79,862(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION'S REVENUE: NO(A) NAME OF INTERESTED PERSON: SURENDRA KUMAR, M.D.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SURENDRA KUMAR, M.D. IS A FAMILY MEMBER OF NEELAM KUMAR, M.D. (DIRECTOR).(C) AMOUNT OF TRANSACTION: $13,812(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION'S REVENUE: NO FORM 990, PART IV, LINE 24A: OAKWOOD HEALTHCARE, INC. HAS A SEPARATE LEGACY TAX-EXEMPT BOND ISSUE WITH AN OUTSTANDING PRINCIPAL AMOUNT OF $189,906,372, WHICH IS REFLECTED ON PART X, LINE 20. THE QUESTIONS ON LINES 24B - 24D BELOW HAVE BEEN ANSWERED WITH RESPECT TO THIS BOND ISSUE, AND SCHEDULE K HAS BEEN COMPLETED TO DISCLOSE THE REQUIRED INFORMATION REGARDING THIS BOND ISSUE. 2015 AND BEYOND BOND ISSUANCES ARE BEING/WILL BE REPORTED BY WILLIAM BEAUMONT HOSPITAL; HOWEVER, BONDS ISSUED PRIOR TO 2015 WILL REMAIN ON THE SEPARATE BOOKS AND RECORDS OF OAKWOOD HEALTHCARE, INC. OAKWOOD HEALTHCARE, INC. IS A HEALTH FACILITY THAT IS AN AFFILIATE OF BEAUMONT HEALTH SYSTEM. OAKWOOD HEALTHCARE, INC. HOLDS AN INTERCOMPANY NOTE PAYABLE TO WILLIAM BEAUMONT HOSPITAL, WHICH IS ALSO AN AFFILIATE OF BEAUMONT HEALTH SYSTEM. THE NOTE PAYABLE REPRESENTS OAKWOOD HEALTHCARE, INC.'S PORTION OF TAX-EXEMPT BONDS ISSUED BY WILLIAM BEAUMONT HOSPITAL. FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE BOARD MEMBERS OR SHARED OFFICERS OF A TAXABLE ENTITY WITHIN THE BEAUMONT HEALTH SYSTEM: GERSON COOPER JOHN NEMES ADDITIONALLY, THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP BECAUSE THEY SERVE TOGETHER AS BOARD MEMBERS OF A TAXABLE ENTITY: MALCOLM HENOCH JOHN KEUTEN FORM 990, PART VI, SECTION A, LINE 3 OAKWOOD HEALTHCARE, INC. HAS OUTSOURCED THE MANAGEMENT DUTIES OF DIETARY SERVICES, CLINICAL ENGINEERING, FACILITY SERVICES, ENVIRONMENTAL SERVICES, LAUNDRY SERVICES AND NON-CLINICAL SERVICES WITHIN THE COMPANY'S PHYSICIAN PRACTICE DIVISION. ALL COMPANIES ENGAGED TO PROVIDE MANAGERIAL SERVICES FOR THE ORGANIZATION REPORT DIRECTLY TO SITE ADMINISTRATORS AND/OR CORPORATE DIRECTORS EMPLOYED BY OAKWOOD HEALTHCARE, INC. FORM 990, PART VI, SECTION A, LINE 6 BEAUMONT HEALTH IS THE CORPORATE MEMBER OF OAKWOOD HEALTHCARE, INC. FORM 990, PART VI, SECTION A, LINE 7A BEAUMONT HEALTH IS THE CORPORATE MEMBER OF OAKWOOD HEALTHCARE, INC., WITH THE RIGHT TO ELECT ONE OR MORE MEMBERS OF OAKWOOD HEALTHCARE, INC.'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B BEAUMONT HEALTH, AS THE CORPORATE MEMBER OF OAKWOOD HEALTHCARE, INC., HAS RESERVED POWERS OVER OAKWOOD HEALTHCARE INC.'S OPERATIONS, INCLUDING BUT NOT LIMITED TO BUDGET, ACQUISITIONS, CAPITAL PROJECTS AND PARTICIPATION IN JOINT VENTURES. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S PROCESS FOR PREPARATION AND REVIEW OF FORM 990 INCLUDES PREPARATION BY AN OUTSIDE ACCOUNTING FIRM AND REVIEW BY LEADERSHIP WITHIN THE FINANCE DEPARTMENT. A COPY OF THE FINAL VERSION OF THE FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY FOR THEIR REVIEW BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C OAKWOOD HEALTHCARE, INC. ANNUALLY REQUIRES ITS BOARD MEMBERS, EXECUTIVE LEADERSHIP (INCLUDING OFFICERS AND KEY EMPLOYEES) AND CERTAIN INDEPENDENT CONTRACTORS TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. CONFLICTS EDUCATION IS PROVIDED ANNUALLY TO BOARD MEMBERS AND OTHER PERSONS WHO ATTEND THE BOARD MEETING WHERE SUCH EDUCATION IS PROVIDED. BOARD MEMBERS, EXECUTIVE LEADERS AND KEY INDEPENDENT CONTRACTORS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST ON AN ANNUAL BASIS BY COMPLETING A WRITTEN QUESTIONNAIRE. OAKWOOD HEALTHCARE, INC.'S DIRECTOR OF BOARD RELATIONS IS RESPONSIBLE FOR ENSURING COMPLIANCE WITH THE DISCLOSURE PROCESS AND ANY POTENTIAL CONFLICT IS CLEARED BY THE DIRECTOR OF BOARD RELATIONS PURSUANT TO THE CONFLICT OF INTEREST POLICY. FAILURE TO COMPLY WITH THE REQUEST FOR DISCLOSURE COULD RESULT IN REMOVAL FROM THE BOARD. ANNUAL CONFLICT DISCLOSURE STATEMENTS, INCLUDING RESPONSES REQUIRED FOR FORM 990 DISCLOSURE PURPOSES, ARE REVIEWED BY THE OAKWOOD HEALTHCARE, INC. BUSINESS PRACTICES OFFICER (COMPLIANCE OFFICER), THE DIRECTOR OF BOARD RELATIONS, THE SENIOR VP OF ORGANIZATIONAL EXCELLENCE, ACCREDITATION & COMPLIANCE, THE PRESIDENT & CEO, THE BOARD CHAIRPERSONS AND GENERAL COUNSEL. PERSONS REVIEWING THE DISCLOSURES ADDRESS ANY QUESTIONS TO THE RESPONDENT TO ENSURE COMPLETENESS OF RESPONSE. BOARD MEMBERS, EXECUTIVES, OTHER EMPLOYEES AND PARTIES INVOLVED IN TRANSACTIONS WITH THE REPORTING ORGANIZATION ARE REQUIRED TO DECLARE POTENTIAL CONFLICTS VIA WRITTEN RESPONSE. IF A POTENTIAL CONFLICT ARISES AFTER SUBMISSION OF THE WRITTEN RESPONSE, THE PARTY MUST AFFIRMATIVELY DISCLOSE SUCH POTENTIAL AS OUTLINED IN THE CONFLICTS STATEMENT. THIS POLICY IS OUTLINED IN THE COVER LETTER THAT IS SENT WITH THE REQUEST FOR WRITTEN RESPONSE TO THE CONFLICT OF INTEREST POLICY. THE RECIPIENT IS DIRECTED TO REPORT A CONFLICT THAT ARISES AT ANY TIME IMMEDIATELY TO THE PRESIDENT AND CEO OR DIRECTOR OF BOARD RELATIONS. IN THE EVENT A POTENTIAL CONFLICT IS RAISED IN THE WRITTEN RESPONSE AND THE INDIVIDUAL HAS NOT PREVIOUSLY RAISED THE POTENTIAL CONFLICT WITH APPROPRIATE PERSONS, THE POTENTIAL CONFLICT WILL BE RAISED EITHER BY THE BOARD CHAIR, GENERAL COUNSEL, THE DIRECTOR OF BOARD RELATIONS OR ANY OTHER MEMBER OR MEETING PARTICIPANT. IN THE EVENT IT IS DETERMINED THAT A CONFLICT IN FACT EXISTS, THE CONFLICTED PARTY IS RESTRICTED TO COMMUNICATING FACTUAL INFORMATION REGARDING THE TRANSACTION OR DECISION AND IS NOT PERMITTED TO PARTICIPATE IN BOARD DELIBERATIONS OR VOTING ON THAT MATTER. POTENTIAL AND ACTUAL CONFLICTS THAT ARE REPORTED AS PART OF THE ANNUAL WRITTEN STATEMENT OR OTHERWISE BROUGHT TO THE BOARD'S ATTENTION ARE RECORDED IN THE BOARD MINUTES, ALONG WITH THE BOARD'S ACTION TAKEN IN RESPONSE TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 OAKWOOD HEALTHCARE, INC., AS THE EMPLOYER, DETERMINES OR APPROVES THE COMPENSATION OF ALL OFFICERS, TRUSTEES, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES. ON AN ANNUAL BASIS, AN INDEPENDENT CONSULTANT IS ENGAGED BY THE EXECUTIVE COMMITTEE OF THE BOARD AND EVALUATES THE COMPENSATION PACKAGES OF THE PRESIDENT, CEO AND OTHER SENIOR EXECUTIVES. THE CONSULTANT REVIEWS THE COMPETITIVENESS OF THESE EXECUTIVES' COMPENSATION RELATIVE TO MARKET COMPENSATION LEVELS AND ENSURES THAT SHORT- AND LONG-TERM INCENTIVE PLAN PAYMENTS ARE COMMENSURATE WITH ACTUAL BUSINESS PERFORMANCE. IN ITS ANNUAL REVIEWS, THE CONSULTANT UTILIZES MULTIPLE PUBLISHED COMPENSATION SURVEYS TO COMPARE THE BASE SALARY LEVELS AND SHORT- AND LONG-TERM INCENTIVE AWARD OPPORTUNITIES OF THE PRESIDENT AND CEO AND OTHER SENIOR EXECUTIVES RELATIVE TO COMPARABLE EXECUTIVE POSITIONS AT OTHER HEALTHCARE ORGANIZATIONS ACROSS THE COUNTRY WITH APPROXIMATELY $1.0B IN ANNUAL NET REVENUE. THE ANNUAL REVIEW MEETS THE REQUIREMENTS FOR OBTAINING AN INDEPENDENT COMPENSATION STUDY FOR PURPOSES OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR EXECUTIVE COMPENSATION. IN GATHERING RELEVANT MARKET COMPENSATION DATA FOR ITS EVALUATION, THE CONSULTANT FOLLOWS ITS STANDARD AND GENERALLY ACCEPTED METHODOLOGY FOR STUDIES OF EXECUTIVE COMPENSATION IN TAX EXEMPT ORGANIZATIONS, INCLUDING THE FOLLOWING STEPS: A) RESEARCHING THE FACTS AND CIRCUMSTANCES SPECIFIC TO OAKWOOD HEALTHCARE, INC. AND SUBSIDIARIES (I.E., ORGANIZATIONAL STRUCTURE, BUSINESS GOALS, FINANCIAL PERFORMANCE, AND OTHER RELEVANT FACTORS ABOUT THE ORGANIZATION); B) UNDERSTANDING THE DUTIES AND SCOPE OF RESPONSIBILITIES OF THE EXECUTIVE POSITIONS IN ORDER TO MATCH THE POSITIONS TO SIMILAR POSITIONS USING RELEVANT SURVEY SOURCES; AND C) ANALYZING MARKET DATA TO DERIVE AN ASSESSMENT OF THE COMPETITIVE RANGE OF MARKET PRACTICE FOR TOTAL COMPENSATION FOR EACH EXECUTIVE POSITION. FOLLOWING THE COMPLETION OF ITS ANNUAL COMPENSATION EVALUATIONS, THE CONSULTANT CONSULTS WITH THE PRESIDENT AND CEO REGARDING THE COMPENSATION OF OTHER SENIOR EXECUTIVES. SIMILARLY, THE CONSULTANT CONSULTS DIRECTLY WITH OAKWOOD HEALTHCARE, INC.'S EXECUTIVE COMMITTEE OF THE BOARD TO DEVELOP RECOMMENDATIONS REGARDING THE COMPENSATION OF THE PRESIDENT AND CEO, ABSENT THE PRESENCE OF THE PRESIDENT AND CEO FOR THESE DISCUSSIONS. IN SUMMARY, OAKWOOD HEALTHCARE, INC. AND THE CONSULTANT FOLLOWS THESE GUIDELINES IN REVIEWING AND FINALIZING THE PAY OF SENIOR EXECUTIVES: A) THE COMPENSATION ARRANGEMENTS ARE APPROVED BY THE INDEPENDENT MEMBERS OF THE BOARD EXECUTIVE COMMITTEE; B) THE EXECUTIVE COMMITTEE OBTAINS AND RELIES UPON APPROPRIATE DATA AS TO COMPARABILITY (I.E., COMPENSATION PAID BY SIMILARLY-SITUATED ORGANIZATIONS FOR POSITIONS WITH SIMILAR SCOPES OF RESPONSIBILITY); AND C) THE COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS (I.E., THE RECORDS INCLUDE THE ELEMENTS OF COMPENSATION CONSIDERED, THE DECISIONS MADE, AND THE RATIONALE FOR THE DECISIONS). FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION TO THE PUBLIC UPON REQUEST FORM 990, PART XI, LINE 9: PENSION & POST RETIREMENT LIAB ADJ. 21,979,679. INTEREST RATE SWAP -800,000. WRITE-OFF OF INTERCOMPANY TRANSFERS -83. FORM 990, PART XII, LINE 2C IN 2015, BEAUMONT HEALTH, THE PARENT ORGANIZATION AND SOLE MEMBER OF OAKWOOD HEALTHCARE, INC., RESOLVED TO SELECT ONE INDEPENDENT ACCOUNTING FIRM FOR THE SYSTEM, AND PUT THE WORK OUT TO BID WITH SEVERAL QUALIFIED FIRMS. AFTER REVIEW OF THE FIRMS' PROPOSALS AND CONSIDERATION OF THE QUALIFICATIONS OF EACH, THE FINAL DECISION WAS MADE BY THE GOVERNING BODY OF BEAUMONT HEALTH. 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