2015-11-13T17:53:10-06:00 2014-12-31 861065772 DELOITTE TAX LLP 200 RENAISSANCE CENTER SUITE 3900 DETROIT MI 48243 990 2014-01-01 381405141 OAKWOOD HEALTHCARE INC OAKW 3135865052 15500 LUNDY PARKWAY DEARBORN MI 48126 JOHN KEUTEN EVP AND CFO 3135865052 2015-11-13 1 SHAWNA M JIMENEZ P01222873 3133963000 2014 2016-04-25 22:37:26Z JOHN KEUTEN 15500 LUNDY PARKWAY DEARBORN MI 48126 1634559224 0 X WWW.OAKWOOD.ORG X 1948 MI PROVIDE EXCELLENCE IN CARE, HEALING AND HEALTH TO THE INDIVIDUALS AND COMMUNITIES WE SERVE. 17 14 10215 2134 13247074 1609452 5926298 5820090 1155861675 1172419901 22583183 39072074 3410539 3740192 1187781695 1221052257 16286449 37539797 0 0 537407377 558161323 0 0 500113 593108461 571871407 1146802287 1167572527 40979408 53479730 1119730666 1154330269 657044332 696167478 462686334 458162791 X PROVIDE EXCELLENCE IN CARE, HEALING AND HEALTH TO THE INDIVIDUALS AND COMMUNITIES WE SERVE. 0 0 574446932 23471427 881697524 PATIENT CARE SERVICES OAKWOOD HEALTHCARE SYSTEM (OHS) OPERATES 4 ACUTE CARE HOSPITALS AND 65 OUTPATIENT CARE SITES SERVING 30 COMMUNITIES. WITH 1,229 LICENSED ACUTE CARE BEDS, OAKWOOD CARED FOR APPROXIMATELY 56,411 ADMISSIONS AND AVERAGED A DAILY INPATIENT CENSUS OF 747 PATIENTS IN 2014. OHS PERFORMED ABOUT 14,800 INPATIENT SURGERIES AND 44,575 OUTPATIENT SURGERIES OF WHICH 397 WERE OPEN HEART. WITH ALMOST 194,150 EMERGENCY ROOM VISITS ACROSS FIVE LOCATIONS AND 241,170 ACUTE CARE OUTPATIENT REGISTRATIONS, OAKWOOD OFFERS A COMPREHENSIVE MENU OF SERVICES ACROSS THE CONTINUUM, INCLUDING TRAUMA, ACUTE CARE, REHABILITATION AND MENTAL HEALTH SERVICES. OAKWOOD CURRENTLY HOLDS APPROXIMATELY 38.5% OF THE INPATIENT MARKET SHARE IN A PRIMARY SERVICE AREA COVERING 500 SQUARE MILES SERVING A POPULATION OF ALMOST 950 THOUSAND PEOPLE. OAKWOOD 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. OAKWOOD HAS DEVELOPED A SET OF KEY SERVICE LINES THAT REPRESENT NEARLY 44.1% OF THE INPATIENT ADMISSIONS. THE SERVICE LINES FOCUS ON HEART AND VASCULAR SERVICES, WOMEN'S HEALTH, ORTHOPEDICS, NEUROSCIENCES AND CANCER CARE. 71592998 14068370 37788091 GRADUATE MEDICAL EDUCATIONOAKWOOD OFFERS ALLOPATHIC, OSTEOPATHIC AND PODIATRIC MEDICAL RESIDENCY PROGRAMS TO ENHANCE THE DELIVERY OF PATIENT CARE. THERE ARE APPROXIMATELY 65 FACULTY AND OVER 300 MEDICAL RESIDENTS COVERING 19 PROGRAMS. PROGRAMS INCLUDE PRIMARY CARE SPECIALTIES, OB/GYN, GERIATRICS, RADIOLOGY, PODIATRY, TRANSITIONAL EDUCATION, OPHTHALMOLOGY AND OTHERS. OAKWOOD PARTICIPATES IN WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE (WSU SOM) SPONSORED PROGRAMS INCLUDING OTOLARYNGOLOGY, UROLOGY, DERMATOLOGY, PHYSICAL MEDICINE AND REHABILITATION AND ORTHOPEDICS 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. OAKWOOD'S MEDICAL EDUCATION PROGRAMS ARE ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION AND THE AMERICAN OSTEOPATHIC ASSOCIATION. 289679272 198684246 UNCOMPENSATED AND UNDER-COMPENSATED CARE SERVICESOAKWOOD'S UNCOMPENSATED CARE FOR OUR COMMUNITIES IS EXEMPLIFIED BY CARE PROVIDED TO PERSONS NEEDING EMERGENCY AND INPATIENT CARE AS WELL AS OTHER SERVICES. OAKWOOD DELIVERED PATIENT CARE SERVICES TO OUR COMMUNITY'S UN-INSURED AND UNDER-INSURED THROUGH OUR CHARITY CARE (OAK ASSIST) PROGRAM. OAKWOOD WROTE OFF APPROXIMATELY 7,200 CASES AT AN ESTIMATED $35 MILLION IN CHARGES AT A COST OF $8.7 MILLION TO CHARITY CARE IN 2014. FEDERAL POVERTY GUIDELINES, ABSENCE OF ASSETS, CREDIT SCORES AND A NUMBER OF OTHER CRITERIA ARE USED TO ENSURE THAT OAKWOOD PROVIDES THE CARE TO THE MOST DESERVING OF OUR POPULATION. ANOTHER COMPONENT TO OAKWOOD'S TOTAL UNCOMPENSATED CARE IS COMPRISED OF BAD DEBT AND LOSSES INCURRED ON OUR MEDICAID BOOK OF BUSINESS. IN 2014, OAKWOOD WROTE OFF APPROXIMATELY $137.3 MILLION IN BAD DEBT (ADJUSTED FOR PATIENT DISCOUNT) AT A COST OF APPROXIMATELY $36.7 MILLION. IN ADDITION, 20.8% OF OAKWOOD'S PATIENT REVENUE IS FROM THE MEDICAID PROGRAMS. UNFORTUNATELY, MEDICAID REIMBURSEMENT IS INSUFFICIENT TO COVER COSTS OF THE CARE AND FALL ABOUT $45.2 MILLION SHORT. IN TOTAL, OAKWOOD PROVIDED ALMOST $289.7 MILLION (GROSS CHARGES) IN UNCOMPENSATED CARE IN 2014. 935719202 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 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 1 988 0 1 10215 1 1 1 1 CJ 0 0 0 0 0 0 0 0 X 17 14 0 1 1 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 1.00 10.00 X X 0 0 0 CONNOLLY BRIAN PRESIDENT & CEO 40.00 25.00 X X 2510759 0 621981 HENOCH MALCOLM MD SVP & CMO 40.00 15.00 X 652969 0 165199 ARDISANA LIZABETH TRUSTEE 1.00 0.00 X 0 0 0 FREAM JULIE TRUSTEE 1.00 11.00 X 0 0 0 HALL RONALD JR TRUSTEE 1.00 0.00 X 0 0 0 JUDD LEON TRUSTEE 1.00 1.00 X 0 0 0 KRAMER ROBERT TRUSTEE 1.00 1.00 X 0 0 0 KUMAR NEELAM MD TRUSTEE 1.00 1.00 X 9853 0 0 MULLOY MARTIN TRUSTEE 1.00 0.00 X 0 0 0 NORCIA JERRY TRUSTEE 1.00 0.00 X 0 0 0 O'BRIEN TIMOTHY TRUSTEE 1.00 10.00 X 0 0 0 PRASAD PINNAMANENI MD TRUSTEE 1.00 0.00 X 0 0 0 RASHID CARL TRUSTEE 1.00 0.00 X 0 0 0 ROSOWSKI ROBERT TRUSTEE 1.00 1.00 X 0 0 0 SAELI THOMAS TRUSTEE 1.00 0.00 X 0 0 0 SCRIBNER EDGAR TRUSTEE 1.00 0.00 X 0 0 0 LLOYD SETH SECRETARY, SVP & GENERAL COUNSEL 40.00 5.00 X 400352 0 14859 KEUTEN JOHN EVP & CFO 31.00 40.00 X 710582 0 159115 CAMPBELL DAVID EVP OPS. SYS. STRAT. & GROWTH 50.00 2.00 X 679591 0 194519 CONWAY PAUL SVP HUMAN RESOURCES 40.00 15.00 X 416195 0 116084 D'AGOSTINO MAUREEN SVP ORGANIZ. EXCELLENCE 50.00 0.00 X 313937 0 105804 GEHEB MICHAEL MD EVP PHYS. PLAN & OPS. 50.00 1.00 X 726744 0 185758 HUGHES EDITH SITE PRESIDENT 50.00 0.00 X 333337 0 52306 ISENSTEIN BILL SVP MANAGED CARE 50.00 0.00 X 476228 0 45444 MEDVEC BARBARA SVP, CHIEF NURSING OFFICER 45.00 5.00 X 395039 0 104999 ODOM LEE ANN SITE PRESIDENT 50.00 0.00 X 282884 0 34807 O'MALLEY CARLA EXECUTIVE DIRECTOR FOUNDATION 1.00 40.00 X 363531 0 136582 SMITH KELLY SVP & SITE PRESIDENT 50.00 0.00 X 431320 0 156643 SMITH PAULA SVP & CHIEF INFORMATION OFFICER 50.00 0.00 X 408444 0 153379 WELDAY DOUGLAS EVP THRU 3/14 42.00 10.00 X 799054 0 391378 WIDNER ERIC SITE PRESIDENT 50.00 0.00 X 296999 0 46907 ZATINA MARY SVP GOVERNMENT RELATIONS 50.00 0.00 X 355579 0 106901 AZRAK MUHAMMAD STAFF PHYSICIAN 50.00 0.00 X 697168 0 30944 DABBOUS SAMIR STAFF PHYSICIAN 50.00 0.00 X 1344984 0 15028 JUNN FREDRICK SONG CHUN STAFF PHYSICIAN 50.00 0.00 X 1322520 0 44487 PANNU TEJPAUL SINGH STAFF PHYSICIAN 50.00 0.00 X 775645 0 46887 SPRAGUE KEVIN JOSEPH STAFF PHYSICIAN 50.00 0.00 X 839749 0 22009 15543463 0 2952020 623 0 1 0 DELL USA LP 500 FIRST AVENUE PITTSBURGH PA 15222 BILLING SOLUTIONS/OFFICE MANAGEMENT 26881361 CARETECH SOLUTIONS INC PO BOX 674271 DETROIT MI 482674271 INFORMATION TECHNOLOGY SERVICES 22625149 GEORGE MCINTOSH INC 3040 HILTON RD FERNDALE MI 482201019 CONSTRUCTION MANAGEMENT 9351961 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 303682289 FOOD/RETAIL SERVICES 8235350 CATAMARAN INC PO BOX 27275 NEW YORK NY 10087 PRESCRIPTION SERVICE 7480187 228 3987703 843637 988750 5820090 PATIENT CARE SERVICES 622110 1134631810 1078705651 13023909 42902250 GRADUATE MEDICAL EDU. 900099 37788091 37788091 1172419901 14854695 148775 14705920 1079906 1097053 -17147 -17147 -91537 74390 415121835 21505458 400410363 11999551 14711472 9505907 24217379 24217379 CAFETERIA REVENUE 722514 1040656 1040656 INSURANCE REIMBURSMENT 900099 857846 857846 GIFT SHOP 900099 841159 841159 1017678 909810 107868 3757339 1221052257 1118169861 13247074 83815232 X 23257166 23257166 14282631 14282631 13315485 263641 12551731 500113 460525936 372939508 87586428 20042578 15502425 4540153 31353193 24361400 6991793 32924131 25465979 7458152 11561297 2386684 9174613 2234066 2234066 480889 480889 104908 104908 1519795 1519795 117992218 80715552 37276666 3287874 179214 3108660 12382546 4324859 8057687 17802450 9446715 8355735 40931961 34372352 6559609 1348130 479034 869096 1060026 638893 421133 14392202 14392202 56513896 34797359 21716537 6799169 5630029 1169140 MEDICAL SUPPLIES 114152405 114152405 BAD DEBT 65025847 65025847 PHARMACEUTICALS 50703605 50703605 UBI TAXES 641250 641250 52936873 41760452 11176421 1167572527 935719202 231353212 500113 -618432 7028479 24301525 22149769 101681168 99090981 9992502 9352592 12867578 12282001 8153009 10692065 1125291241 791373045 329681234 333918196 381035134 401911063 36802327 29062517 15210461 15597470 200624160 213245136 1119730666 1154330269 117819080 136236381 3846426 4656317 280682932 271303732 31249231 20984291 223446663 262986757 657044332 696167478 X 462686334 458162791 462686334 458162791 1119730666 1154330269 X 53479730 -11328853 -46674420 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 42649 0 1 62259 104908 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. 23959382 20773944 939920 214261 -96690 45555675 19695737 792571 3310579 184576 -345071 23959382 16445484 795005 1723128 138317 -870437 19695737 15028139 877025 150293 123936 -513963 16445484 13622220 252570 1467421 94773 219299 15028139 0.77000 0.23000 0.00000 0 1 1 27563167 27563167 322043559 226313917 95729642 16203853 9901145 6302708 565273572 428149436 137124136 194207090 127008547 67198543 333918196 DEFERRED BOND ISSUE COSTS 2226114 DUE FROM (TO) AFFILIATES 145390947 MISC. RECEIVABLES 7807581 PROFESSIONAL LIABILITY EXCESS 12742438 CAPITAL LEASE 45078056 213245136 ACCRUED COMPENSATION 14382890 CLAIMS LIABILITY 59543069 WORKERS COMPENSATION 2424039 ASSET RETIREMENT OBLIGATION 19312 ACCRUED PENSION 105844736 DUE TO THIRD PARTY PAYORS 15322451 OTHER 45498774 VENDOR ADVANCE 4266124 NOTES PAYABLE 15685362 262986757 X 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 THE OAKWOOD HEALTHCARE SYSTEM. OAKWOOD HEALTHCARE FOUNDATION PROVIDES FUNDING FOR ONGOING CAPITAL AND OPERATIONAL NEEDS, COMMUNITY OUTREACH PROGRAMS, SCHOLARSHIPS AND EDUCATION. PART X, LINE 2: THE COMPANY ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES. ACCORDINGLY, OHI HAS REVIEWED ALL TAX POSITIONS, EVALUATED POTENTIAL EXPOSURE, AND FOUND IT NOT TO BE MATERIAL. 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 7232 6880 11938027 423694 11514333 0.00980 339519 173158 243875515 198684246 45191269 0.03850 0 0 0 0 346751 180038 255813542 199107940 56705602 0.04830 1154 79708 6463204 3053569 3409635 0.00290 52 2249 72923386 37788091 35135295 0.02990 3584777 2362462 1222315 0.00100 1189929 288175 901754 0.00080 120985 0 120985 0.00010 1206 81957 84282281 43492297 40789984 0.03470 347957 261995 340095823 242600237 97495586 0.08300 4 0 281231 180141 101090 0.00010 4 281231 180141 101090 0.00010 1 36709411 138270 416976366 466632683 -49656317 X 1 1 1 OAKWOOD ACCOUNTABLE CARE ORGANIZATION LLC REDUCE HEALTHCARE COSTS AND MANAGE POPULATION WELLNESS 0.49000 0.00150 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 WWW.OAKWOOD.ORG/CHNA X X 1 13 1 HTTP://WWW.OAKWOOD.ORG/CHNA 0 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 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 2: 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 APPROACHED THE CHNA PROCESS AS A COLLABORATIVE EFFORT BETWEEN THEIR HOSPITALS BUT 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 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. THE MAJORITY OF HEALTH INDICATORS ARE ONLY AVAILABLE AT THE COUNTY LEVEL. THIS PRESENTS A NUMBER OF CHALLENGES AS HEALTH INDICATORS WERE EVALUATED ACROSS MULTIPLE COUNTIES. IN EVALUATING DATA FOR ENTIRE COUNTIES VERSUS ZIP CODE LEVEL DATA, IT IS DIFFICULT TO UNDERSTAND THE HEALTH NEEDS FOR SPECIFIC POPULATION POCKETS WITHIN A COUNTY. 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 DEPT. OF HEALTH AND HUMAN SERVICES, MICHIGAN DEPT. 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'S, UNIVERSITY OF MICHIGAN DEARBORN, WORKFORCE DEVELOPMENT ORGANIZATIONS, LOCAL GOVERNMENT REPRESENTATIVES, CHRONIC DISEASE MANAGEMENT ORGANIZATIONS, NONPROFIT ORGANIZATIONS SERVING VULNERABLE POPULATIONS, PHYSICIAN PRACTICES, AND OAKWOOD HEALTHCARE 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 6B: 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. GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 11: FOUR PRIORITY HEALTH NEEDS WERE IDENTIFIED IN THE CHNA: ACCESS TO CARE, DIABETES, OBESITY AND HEART/CARDIOVASCULAR DISEASE. FOR ACCESS TO CARE, THE FOLLOWING KEY INITIATIVES AND OUTCOMES ARE HIGHLIGHTED: TO ASSIST THE UNINSURED, UNDERINSURED AND UNDERSERVED, OAKWOOD PROVIDED CERTIFIED NAVIGATORS TO CONDUCT COMMUNITY-BASED INSURANCE ENROLLMENT AND EDUCATION FOR THE HEALTH INSURANCE MARKETPLACE, MEDICAID AND HEALTHY MICHIGAN. INFORMATION ON THE MEDICAID AND EXPANDED MEDICAID WAS PROVIDED TO 35,818 INDIVIDUALS. NAVIGATORS ENROLLED COMMUNITY MEMBERS IN MEDICAID, HEALTHY MICHIGAN AND THE MARKETPLACE AND ASSISTED THOSE WHO NEEDED A MEDICAL HOME. IN 2014, 2,565 INDIVIDUALS WERE ASSISTED IN APPLYING FOR HEALTH INSURANCE IN ADDITION TO 141 INDIVIDUALS ATTENDING HEALTH INSURANCE 101, AN EDUCATIONAL PROGRAM ON HOW TO USE INSURANCE FOR THE NEWLY INSURED. OAKASSIST SCREENED AND PROVIDED ASSISTANCE TO 26,728 INDIVIDUALS FOR HEALTH COVERAGE ELIGIBILITY. OAKWOOD SCHOOL & COMMUNITY-BASED CHILD AND ADOLESCENT HEALTH CENTERS PROVIDED ACCESS TO CARE FOR 1,226 YOUTH WITH MEDICAL SERVICES. THE CENTER FOR EXCEPTIONAL FAMILIES PROVIDED ACCESS TO CARE FOR 4,011 YOUTH WITH SPECIAL NEEDS MEDICAL SERVICES. THE WESTLAND INFECTIOUS DISEASE CLINIC PROVIDED ACCESS TO CARE WITH 1,310 UNITS OF SERVICE TO 221 INDIVIDUALS WITH HIV. KEY INITIATIVES AND OUTCOMES RELATED TO DIABETES INCLUDE: ADDITION OF SIX NEW COMMUNITY PARTNER ORGANIZATIONS TO PROVIDE DIABETES SCREENING IN THE COMMUNITY. IN 2014, 74 EVENTS WERE HELD IN THE OAKWOOD DEARBORN AREA IN WHICH 2,518 INDIVIDUALS RECEIVED BLOOD PRESSURE, CHOLESTEROL AND GLUCOSE SCREENINGS. FOLLOW-UP CARE WAS RECOMMENDED FOR 755 OF THESE INDIVIDUALS. A PARTNERSHIP WITH THE NATIONAL KIDNEY FOUNDATION PROVIDED COMMUNITY-BASED PROGRAMMING WITH PATH (2 SIX WEEK WORKSHOPS) AND THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP) - A 12-MONTH PROGRAM. POST-TEST FOR PATH SHOWED 63% TESTED THEIR BLOOD SUGAR VS. 41% PRE-TEST. ALSO, 92% WERE EXERCISING MORE THAN 150 MINUTES PER WEEK COMPARED TO 46% AT PRE-TEST. DIABETES SUPPORT GROUPS PROVIDED SCREENING AND EDUCATION SERVICES TO 117 INDIVIDUALS. INTERMEDIATE OUTCOMES FOR NDPP SHOW 98.9% INCREASED THEIR PHYSICAL ACTIVITY MINUTES IN THE CORE PHASE WITH AN AVERAGE WEIGHT LOSS OF 10.5 POUNDS PER PARTICIPANT. A PARTNERSHIP WITH GLEANERS COMMUNITY FOOD BANK RESULTED IN FOUR PILOT PROGRAMS OF COOKING MATTERS FOR DIABETES(TM) OFFERED IN THE COMMUNITY WITH 74 INDIVIDUALS PARTICIPATING. TWENTY OUTCOME MEASURES WERE TRACKED WITH POST-TESTS SHOWING POSITIVE CHANGES IN MOST AREAS.KEY INITIATIVES AND OUTCOMES RELATED TO CARDIOVASCULAR DISEASE INCLUDE: COMMUNITY-BASED SCREENING FOR ELEVATED BLOOD PRESSURE AND CHOLESTEROL LEVELS WERE PROVIDED AT 74 EVENTS IN THE DEARBORN AREA TO 2,518 INDIVIDUALS IN THE COMMUNITY. OF THOSE SCREENED, 755 WERE REFERRED FOR FOLLOW-UP CARE. TO REDUCE CARDIOVASCULAR DISEASE COMPLICATIONS AND SUDDEN DEATH FROM CARDIAC ARREST, OAKWOOD HEALTHCARE PARTNERED WITH THE SENIOR ALLIANCE (TSA) FOR THE CARE TRANSITIONS INTERVENTION PROGRAM. AS OF 2014, THE RATE REDUCTION IN HOSPITAL READMISSIONS FOR ALL PATIENTS IS 15.4%. TO INCREASE KNOWLEDGE AND SKILLS TO RESUSCITATE INFANTS/CHILDREN SUFFERING SUDDEN CARDIAC ARREST, CPR CLASSES WERE PROVIDED TO 95 INDIVIDUALS. KEY INITIATIVES AND OUTCOMES RELATED TO OBESITY INCLUDE: OAKWOOD PROVIDES EDUCATION ON HEALTHY EATING, PHYSICAL ACTIVITY AND WEIGHT MANAGEMENT WITH THE CATCH KIDS CLUB. THE AFTER-SCHOOL ACTIVITY AND NUTRITION PROGRAM IS CONDUCTED IN COLLABORATION WITH SCHOOLS AND THE YMCA OF METRO DETROIT. IN ADDITION TO THE PROGRAM BEING OFFERED IN 11 SCHOOLS, EIGHT ADDITIONAL SITES WERE ADDED IN 2014 IN THE DEARBORN SCHOOL DISTRICT. IN 2014, 1,027 CHILDREN TOOK PART IN THE PROGRAM. MYNUTRATEK, A HEALTH AND WELLNESS APPLICATION AND PROGRAM, WAS OFFERED TO STUDENTS IN ALL DEARBORN SCHOOLS BY OAKWOOD. TO IMPROVE NUTRITION PRACTICES, HEALTHY MEAL PREPARATION AND FOOD BUDGETING KNOWLEDGE, EIGHT PILOT PROGRAMS OF COOKING MATTERS(TM) WERE CONDUCTED IN COLLABORATION WITH GLEANERS COMMUNITY FOOD BANK WITH 134 INDIVIDUALS PARTICIPATING. IN ADDITION, COMMUNITY-BASED EDUCATION ON NUTRITION WAS PRESENTED AT 31 EVENTS REACHING 1,869 INDIVIDUALS.TO HAVE A COLLECTIVE IMPACT AND MOVE THE NEEDLE ON THESE PRIORITY HEALTH NEEDS, OAKWOOD HEALTHCARE ESTABLISHED HEALTHY DEARBORN, A COLLECTIVE IMPACT INITIATIVE IN PARTNERSHIP WITH THE CITY, SCHOOLS, RESIDENTS, NONPROFITS, AND OTHER SECTORS. A COMMUNITY COALITION WILL COORDINATE AND DRIVE INITIATIVES IN THE COMMUNITY TO IMPROVE HEALTH WHILE ADDRESSING PRIORITY HEALTH NEEDS. 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, 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 13B: GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 13H: ALL SELF-PAY PATIENTS ARE BILLED FULL CHARGES AND THEN THE CHARGES ARE REDUCED PER OUR FINANCIAL ASSISTANCE POLICY. ALL SELF-PAY, UNINSURED PATIENTS RECEIVE, AT A MINIMUM, A 55% DISCOUNT OFF OF FULL CHARGES WITHOUT HAVING TO SUBMIT A FORMAL APPLICATION FOR OR INQUIRE ABOUT FINANCIAL ASSISTANCE. THE MAXIMUM DISCOUNT PERCENTAGE IS UPDATED ANNUALLY BASED ON AVERAGE PAYMENT RATES FROM COMMERCIAL PAYORS. OAKWOOD ATTEMPTS TO SCREEN ALL SELF-PAY PATIENTS UPON SCHEDULING THROUGH CENTRAL SCHEDULING, WHILE ACCESSING CARE THROUGH OUR EMERGENCY DEPARTMENTS AND UPON INPATIENT ADMISSION INTO OUR HOSPITALS. OAKASSIST FINANCIAL COUNSELORS GATHER INFORMATION ON THE PATIENT'S OVERALL FINANCIAL SITUATION. PATIENTS APPLYING FOR AN ADDITIONAL LEVEL OF DISCOUNT OR APPLYING FOR A CATASTROPHIC MEDICAL DEBT DISCOUNT NEED TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION FORM OR REQUEST A DETERMINATION AS TO WHETHER OR NOT THEY QUALIFY FOR FREE OR DISCOUNTED CARE; SELF-PAY DISCOUNTS ARE BASED UPON THE FOLLOWING: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 POLICY. GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 15E: GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 16I: THE ORGANIZATION'S WEBSITE DIRECTS PATIENTS TO CONTACT OUR OAKASSIST FINANCIAL COUNSELORS FOR ASSISTANCE AND PROVIDES SUMMARY LEVEL INFORMATION ON THE TYPES AND ELIGIBILITY REQUIREMENTS OF FINANCIAL ASSISTANCE AVAILABLE. FINANCIAL ASSISTANCE INFORMATION IS INCLUDED IN OUR ADMISSION PACKETS AND IS MADE AVAILABLE TO ALL HOSPITAL INPATIENTS THAT CONTAIN THE TELEPHONE NUMBER DIRECTLY TO OAKWOOD'S FINANCIAL COUNSELORS. OUR PATIENT STATEMENTS INCLUDE A BOLD STATEMENT INDICATING "FINANCIAL ASSISTANCE AVAILABLE" AND THERE IS A NOTICE TO PATIENTS, ON THE STATEMENT, AS FOLLOWS: "IF YOU CANNOT PAY THIS BALANCE IN FULL, PLEASE CALL A CUSTOMER SERVICE REPRESENTATIVE AS SOON AS POSSIBLE AT THE NUMBERS LISTED BELOW TO DISCUSS OTHER OPTIONS. MONTHLY PAYMENT OPTIONS AND FINANCIAL ASSISTANCE PROGRAMS ARE AVAILABLE TO THOSE WHO QUALIFY." THE TELEPHONE NUMBER FOR CUSTOMER SERVICE IS LISTED AND OAKWOOD'S WEBSITE ADDRESS. THERE ARE POSTINGS NOTIFYING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE AND THE CONTACT INFORMATION TO OBTAIN FINANCIAL ASSISTANCE IS POSTED IN OUR EMERGENCY DEPARTMENTS AND HOSPITAL REGISTRATION/PATIENT ACCESS AREAS. THE POLICY WAS MADE AVAILABLE TO PATIENTS UPON REQUEST. GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 18D: GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 19D: 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. IN ADDITION, THE UNINSURED ARE PROVIDED A SELF-PAY DISCOUNT BASED ON COMMERCIAL PAYMENT RATES WITHOUT A FORMAL REQUEST FOR FINANCIAL ASSISTANCE. INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS AVAILABLE ON OUR WEBSITE AND TELEPHONE CONTACT DATA REGARDING FINANCIAL ASSISTANCE OPTIONS IS LISTED ON OUR WEBSITE. PRIOR TO SENDING PATIENT PAY ACCOUNTS TO OUR EXTERNAL COLLECTION AGENCY, OUR EXTERNAL CUSTOMER SERVICE VENDOR PROCESSES THE ACCOUNTS THROUGH THEIR PROPRIETARY "PROPENSITY TO PAY" MODEL AND ASSIGNS A "PROPENSITY TO PAY SCORE" ON EACH ACCOUNT. PER OAKWOOD POLICY, THOSE PATIENT ACCOUNTS SCORED AT 650 OR LESS, WITH NO INSURANCE INFORMATION ATTACHED, AN OUTSTANDING BALANCE OF $100.00 OR MORE, AND CONTAINING DEMOGRAPHIC INFORMATION INDICATING MICHIGAN RESIDENCY ARE AUTOMATICALLY ADJUSTED OFF TO CHARITY CARE WITHOUT A FORMAL APPLICATION PROCESS. ALL OF THESE EFFORTS ARE MADE PRIOR TO INITIATING ANY COLLECTION ACTIONS. GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 21C: GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 21D: GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 22D: A DISCOUNT OF 55 PERCENT WAS DERIVED BY CALCULATING AN AVERAGE OF OUR COMMERCIAL DISCOUNTS. GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 23: GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 24: GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 2: 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 APPROACHED THE CHNA PROCESS AS A COLLABORATIVE EFFORT BETWEEN THEIR HOSPITALS BUT 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 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. THE MAJORITY OF HEALTH INDICATORS ARE ONLY AVAILABLE AT THE COUNTY LEVEL. THIS PRESENTS A NUMBER OF CHALLENGES AS HEALTH INDICATORS WERE EVALUATED ACROSS MULTIPLE COUNTIES. IN EVALUATING DATA FOR ENTIRE COUNTIES VERSUS ZIP CODE LEVEL DATA, IT IS DIFFICULT TO UNDERSTAND THE HEALTH NEEDS FOR SPECIFIC POPULATION POCKETS WITHIN A COUNTY. 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 DEPT. OF HEALTH AND HUMAN SERVICES, MICHIGAN DEPT. 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'S, UNIVERSITY OF MICHIGAN DEARBORN, WORKFORCE DEVELOPMENT ORGANIZATIONS, LOCAL GOVERNMENT REPRESENTATIVES, CHRONIC DISEASE MANAGEMENT ORGANIZATIONS, NONPROFIT ORGANIZATIONS SERVING VULNERABLE POPULATIONS, PHYSICIAN PRACTICES, AND OAKWOOD HEALTHCARE 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 6B: 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. GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 11: FOUR PRIORITY HEALTH NEEDS WERE IDENTIFIED IN THE CHNA: ACCESS TO CARE, DIABETES, OBESITY AND HEART/CARDIOVASCULAR DISEASE. FOR ACCESS TO CARE, THE FOLLOWING KEY INITIATIVES AND OUTCOMES ARE HIGHLIGHTED: TO ASSIST THE UNINSURED, UNDERINSURED AND UNDERSERVED, OAKWOOD PROVIDED CERTIFIED NAVIGATORS TO CONDUCT COMMUNITY-BASED INSURANCE ENROLLMENT AND EDUCATION FOR THE HEALTH INSURANCE MARKETPLACE, MEDICAID AND HEALTHY MICHIGAN. INFORMATION ON THE MEDICAID AND EXPANDED MEDICAID WAS PROVIDED TO 35,818 INDIVIDUALS. NAVIGATORS ENROLLED COMMUNITY MEMBERS IN MEDICAID, HEALTHY MICHIGAN AND THE MARKETPLACE AND ASSISTED THOSE WHO NEEDED A MEDICAL HOME. IN 2014, 2,565 INDIVIDUALS WERE ASSISTED IN APPLYING FOR HEALTH INSURANCE IN ADDITION TO 141 INDIVIDUALS ATTENDING HEALTH INSURANCE 101, AN EDUCATIONAL PROGRAM ON HOW TO USE INSURANCE FOR THE NEWLY INSURED. OAKASSIST SCREENED AND PROVIDED ASSISTANCE TO 26,728 INDIVIDUALS FOR HEALTH COVERAGE ELIGIBILITY. OAKWOOD SCHOOL & COMMUNITY-BASED CHILD AND ADOLESCENT HEALTH CENTERS PROVIDED ACCESS TO CARE FOR 1,226 YOUTH WITH MEDICAL SERVICES. THE CENTER FOR EXCEPTIONAL FAMILIES PROVIDED ACCESS TO CARE FOR 4,011 YOUTH WITH SPECIAL NEEDS MEDICAL SERVICES. THE WESTLAND INFECTIOUS DISEASE CLINIC PROVIDED ACCESS TO CARE WITH 1,310 UNITS OF SERVICE TO 221 INDIVIDUALS WITH HIV. KEY INITIATIVES AND OUTCOMES RELATED TO DIABETES INCLUDE: CREATION OF NEW PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS TO PROVIDE DIABETES SCREENING IN THE COMMUNITY. IN 2014, 6 EVENTS WERE HELD IN THE OAKWOOD HOSPITAL SOUTHSHORE AREA IN WHICH 487 INDIVIDUALS RECEIVED BLOOD PRESSURE, CHOLESTEROL AND GLUCOSE SCREENINGS. FOLLOW-UP CARE WAS RECOMMENDED FOR 146 OF THESE INDIVIDUALS. DIABETES EDUCATION WAS PROVIDED AT SIX EVENTS REACHING 324 INDIVIDUALS. A PARTNERSHIP WITH THE NATIONAL KIDNEY FOUNDATION PROVIDED COMMUNITY-BASED PROGRAMMING WITH PATH (2 SIX WEEK WORKSHOPS) AND THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP) - A 12-MONTH PROGRAM. POST-TEST FOR PATH SHOWED 63% TESTED THEIR BLOOD SUGAR VS. 41% PRE-TEST. ALSO, 92% WERE EXERCISING MORE THAN 150 MINUTES PER WEEK COMPARED TO 46% AT PRE-TEST. DIABETES SUPPORT GROUPS PROVIDED SCREENING AND EDUCATION SERVICES TO 117 INDIVIDUALS. INTERMEDIATE OUTCOMES FOR NDPP SHOW 98.9% INCREASED THEIR PHYSICAL ACTIVITY MINUTES IN THE CORE PHASE WITH AN AVERAGE WEIGHT LOSS OF 10.5 POUNDS PER PARTICIPANT. A PARTNERSHIP WITH GLEANERS COMMUNITY FOOD BANK RESULTED IN FOUR PILOT PROGRAMS OF COOKING MATTERS FOR DIABETES(TM) OFFERED IN THE COMMUNITY WITH 74 INDIVIDUALS PARTICIPATING. TWENTY OUTCOME MEASURES WERE TRACKED WITH POST-TESTS SHOWING POSITIVE CHANGES IN MOST AREAS. KEY INITIATIVES AND OUTCOMES RELATED TO CARDIOVASCULAR DISEASE INCLUDE: SCREENING FOR ELEVATED BLOOD PRESSURE AND CHOLESTEROL LEVELS AND EDUCATION SERVICES PROVIDED TO 487 INDIVIDUALS IN THE OAKWOOD SOUTHSHORE COMMUNITY - 146 WERE REFERRED FOR FOLLOW-UP CARE. TO INCREASE KNOWLEDGE AND SKILLS TO RESUSCITATE INFANTS/CHILDREN SUFFERING SUDDEN CARDIAC ARREST, CPR CLASSES WERE PROVIDED TO 95 INDIVIDUALS.KEY INITIATIVES AND OUTCOMES RELATED TO OBESITY INCLUDE: OAKWOOD PROVIDES EDUCATION ON HEALTHY EATING, PHYSICAL ACTIVITY AND WEIGHT MANAGEMENT WITH THE CATCH KIDS CLUB. THE AFTER-SCHOOL ACTIVITY AND NUTRITION PROGRAM IS CONDUCTED IN COLLABORATION WITH SCHOOLS AND THE YMCA OF METRO DETROIT. IN ADDITION TO THE PROGRAM BEING OFFERED IN 11 SCHOOLS, EIGHT ADDITIONAL SITES WERE ADDED IN 2014 IN THE DEARBORN SCHOOL DISTRICT. THE OAKWOOD SOUTHSHORE ELEMENTARY SCHOOLS INCLUDE MONROE ELEMENTARY, JEFFERSON ELEMENTARY AND WASHINGTON ELEMENTARY IN WYANDOTTE. IN 2014, 1,027 CHILDREN TOOK PART IN THE CATCH KIDS CLUB PROGRAM. TO IMPROVE NUTRITION PRACTICES, HEALTHY MEAL PREPARATION AND FOOD BUDGETING KNOWLEDGE, EIGHT PILOT PROGRAMS OF COOKING MATTERS(TM) WERE CONDUCTED IN COLLABORATION WITH GLEANERS COMMUNITY FOOD BANK WITH 134 INDIVIDUALS PARTICIPATING. OUTCOME MEASURES INDICATED POSITIVE CHANGE IN MOST HEALTH BEHAVIORS. IN ADDITION, COMMUNITY-BASED EDUCATION ON NUTRITION WAS PRESENTED AT 31 EVENTS REACHING 1,869 INDIVIDUALS. TO HAVE A COLLECTIVE IMPACT AND MOVE THE NEEDLE ON THESE PRIORITY HEALTH NEEDS, OAKWOOD HEALTHCARE ESTABLISHED HEALTHY TRENTON, A COLLECTIVE IMPACT INITIATIVE IN PARTNERSHIP WITH THE CITY, SCHOOLS, RESIDENTS, NONPROFITS, AND OTHER SECTORS. A COMMUNITY COALITION WILL COORDINATE AND DRIVE INITIATIVES IN THE COMMUNITY TO IMPROVE HEALTH WHILE ADDRESSING PRIORITY HEALTH NEEDS. 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, 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 13B: GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 13H: ALL SELF-PAY PATIENTS ARE BILLED FULL CHARGES AND THEN THE CHARGES ARE REDUCED PER OUR FINANCIAL ASSISTANCE POLICY. ALL SELF-PAY, UNINSURED PATIENTS RECEIVE, AT A MINIMUM, A 55% DISCOUNT OFF OF FULL CHARGES WITHOUT HAVING TO SUBMIT A FORMAL APPLICATION FOR OR INQUIRE ABOUT FINANCIAL ASSISTANCE. THE MAXIMUM DISCOUNT PERCENTAGE IS UPDATED ANNUALLY BASED ON AVERAGE PAYMENT RATES FROM COMMERCIAL PAYORS. OAKWOOD ATTEMPTS TO SCREEN ALL SELF-PAY PATIENTS UPON SCHEDULING THROUGH CENTRAL SCHEDULING, WHILE ACCESSING CARE THROUGH OUR EMERGENCY DEPARTMENTS AND UPON INPATIENT ADMISSION INTO OUR HOSPITALS. OAKASSIST FINANCIAL COUNSELORS GATHER INFORMATION ON THE PATIENT'S OVERALL FINANCIAL SITUATION. PATIENTS APPLYING FOR AN ADDITIONAL LEVEL OF DISCOUNT OR APPLYING FOR A CATASTROPHIC MEDICAL DEBT DISCOUNT NEED TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION FORM OR REQUEST A DETERMINATION AS TO WHETHER OR NOT THEY QUALIFY FOR FREE OR DISCOUNTED CARE; SELF-PAY DISCOUNTS ARE BASED UPON THE FOLLOWING: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 POLICY. GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 15E: GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 16I: THE ORGANIZATION'S WEBSITE DIRECTS PATIENTS TO CONTACT OUR OAKASSIST FINANCIAL COUNSELORS FOR ASSISTANCE AND PROVIDES SUMMARY LEVEL INFORMATION ON THE TYPES AND ELIGIBILITY REQUIREMENTS OF FINANCIAL ASSISTANCE AVAILABLE. FINANCIAL ASSISTANCE INFORMATION IS INCLUDED IN OUR ADMISSION PACKETS AND IS MADE AVAILABLE TO ALL HOSPITAL INPATIENTS THAT CONTAIN THE TELEPHONE NUMBER DIRECTLY TO OAKWOOD'S FINANCIAL COUNSELORS. OUR PATIENT STATEMENTS INCLUDE A BOLD STATEMENT INDICATING "FINANCIAL ASSISTANCE AVAILABLE" AND THERE IS A NOTICE TO PATIENTS, ON THE STATEMENT, AS FOLLOWS: "IF YOU CANNOT PAY THIS BALANCE IN FULL, PLEASE CALL A CUSTOMER SERVICE REPRESENTATIVE AS SOON AS POSSIBLE AT THE NUMBERS LISTED BELOW TO DISCUSS OTHER OPTIONS. MONTHLY PAYMENT OPTIONS AND FINANCIAL ASSISTANCE PROGRAMS ARE AVAILABLE TO THOSE WHO QUALIFY." THE TELEPHONE NUMBER FOR CUSTOMER SERVICE IS LISTED AND OAKWOOD'S WEBSITE ADDRESS. THERE ARE POSTINGS NOTIFYING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE AND THE CONTACT INFORMATION TO OBTAIN FINANCIAL ASSISTANCE IS POSTED IN OUR EMERGENCY DEPARTMENTS AND HOSPITAL REGISTRATION/PATIENT ACCESS AREAS. THE POLICY WAS MADE AVAILABLE TO PATIENTS UPON REQUEST. GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 18D: GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 19D: 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 DEPARTMENT 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. IN ADDITION, THE UNINSURED ARE PROVIDED A SELF-PAY DISCOUNT BASED ON COMMERCIAL PAYMENT RATES WITHOUT A FORMAL REQUEST FOR FINANCIAL ASSISTANCE. INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS AVAILABLE ON OUR WEBSITE AND TELEPHONE CONTACT DATA REGARDING FINANCIAL ASSISTANCE OPTIONS IS LISTED ON OUR WEBSITE. PRIOR TO SENDING PATIENT PAY ACCOUNTS TO OUR EXTERNAL COLLECTION AGENCY, OUR EXTERNAL CUSTOMER SERVICE VENDOR PROCESSES THE ACCOUNTS THROUGH THEIR PROPRIETY "PROPENSITY TO PAY" MODEL AND ASSIGNS A "PROPENSITY TO PAY SCORE" ON EACH ACCOUNT. PER OAKWOOD POLICY, THOSE PATIENT ACCOUNTS SCORED A 650 OR LESS, WITH NO INSURANCE INFORMATION ATTACHED, AN OUTSTANDING BALANCE FOR $100.00 OR MORE, AND CONTAINING DEMOGRAPHIC INFORMATION INDICATING MICHIGAN RESIDENCY ARE AUTOMATICALLY ADJUSTED OFF TO CHARITY CARE WITHOUT A FORMAL APPLICATION PROCESS. ALL OF THESE EFFORTS ARE MADE PRIOR TO INITIATING ANY COLLECTION ACTIONS. GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 21C: GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 21D: GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 22D: A DISCOUNT OF 55 PERCENT WAS DERIVED BY CALCULATING AN AVERAGE OF OUR COMMERCIAL DISCOUNTS. GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 23: GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 24: GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 2: 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 APPROACHED THE CHNA PROCESS AS A COLLABORATIVE EFFORT BETWEEN THEIR HOSPITALS BUT 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 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. THE MAJORITY OF HEALTH INDICATORS ARE ONLY AVAILABLE AT THE COUNTY LEVEL. THIS PRESENTS A NUMBER OF CHALLENGES AS HEALTH INDICATORS WERE EVALUATED ACROSS MULTIPLE COUNTIES. IN EVALUATING DATA FOR ENTIRE COUNTIES VERSUS ZIP CODE LEVEL DATA, IT IS DIFFICULT TO UNDERSTAND THE HEALTH NEEDS FOR SPECIFIC POPULATION POCKETS WITHIN A COUNTY. 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 DEPT. OF HEALTH AND HUMAN SERVICES, MICHIGAN DEPT. 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'S, UNIVERSITY OF MICHIGAN DEARBORN, WORKFORCE DEVELOPMENT ORGANIZATIONS, LOCAL GOVERNMENT REPRESENTATIVES, CHRONIC DISEASE MANAGEMENT ORGANIZATIONS, NONPROFIT ORGANIZATIONS SERVING VULNERABLE POPULATIONS, PHYSICIAN PRACTICES, AND OAKWOOD HEALTHCARE 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 6B: 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. GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 11: FOUR PRIORITY HEALTH NEEDS WERE IDENTIFIED IN THE CHNA: ACCESS TO CARE, DIABETES, OBESITY AND HEART/CARDIOVASCULAR DISEASE. FOR ACCESS TO CARE, THE FOLLOWING KEY INITIATIVES AND OUTCOMES ARE HIGHLIGHTED: OAKWOOD UTILIZED CERTIFIED NAVIGATORS FOR THE HEALTH INSURANCE MARKETPLACE TO CONDUCT COMMUNITY-BASED ENROLLMENT AND EDUCATION FOR THE UNINSURED, UNDERINSURED AND UNDERSERVED. INFORMATION ON THE MEDICAID AND EXPANDED MEDICAID WAS PROVIDED TO 35,818 INDIVIDUALS. NAVIGATORS ENROLLED COMMUNITY MEMBERS IN MEDICAID, HEALTHY MICHIGAN AND THE MARKETPLACE AND ASSISTED THOSE WHO NEEDED A MEDICAL HOME. IN 2014, 2,565 INDIVIDUALS WERE ASSISTED IN APPLYING FOR HEALTH INSURANCE COVERAGE. OAKASSIST SCREENED AND PROVIDED ASSISTANCE TO 26,728 INDIVIDUALS FOR HEALTH COVERAGE ELIGIBILITY. OAKWOOD SCHOOL & COMMUNITY-BASED CHILD AND ADOLESCENT CENTERS PROVIDED 1,226 YOUTH WITH MEDICAL SERVICES. THE CENTER FOR EXCEPTIONAL FAMILIES PROVIDED 4,011 YOUTH WITH SPECIAL NEEDS MEDICAL SERVICES. THE WESTLAND INFECTIOUS DISEASE CLINIC PROVIDED 1,310 UNITS OF SERVICE TO 221 INDIVIDUALS WITH HIV.KEY INITIATIVES AND OUTCOMES RELATED TO DIABETES INCLUDE: BUSINESS DEVELOPMENT FOR THE CREATION OF A METABOLIC AND NUTRITION DISORDERS PROGRAM AT OAKWOOD HOSPITAL WAYNE. IN 2014, SIX NEW COMMUNITY PARTNERS WERE ADDED TO CONDUCT DIABETES SCREENINGS. 59 EVENTS WERE HELD IN OAKWOOD ANNAPOLIS AREA IN WHICH 1,333 INDIVIDUALS RECEIVED BLOOD PRESSURE, CHOLESTEROL AND GLUCOSE SCREENINGS. FOLLOW-UP CARE WAS RECOMMENDED FOR 400 OF THESE INDIVIDUALS. DIABETES EDUCATION WAS PROVIDED AT SIX COMMUNITY EVENTS SERVING A TOTAL OF 324 INDIVIDUALS. A PARTNERSHIP WITH THE NATIONAL KIDNEY FOUNDATION PROVIDED COMMUNITY-BASED PROGRAMMING WITH PATH (2 SIX WEEK WORKSHOPS) AND THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP) - A 12-MONTH PROGRAM. POST-TEST FOR PATH SHOWED 63% TESTED THEIR BLOOD SUGAR VS. 41% PRE-TEST. ALSO, 92% WERE EXERCISING MORE THAN 150 MINUTES PER WEEK COMPARED TO 46% AT PRE-TEST. DIABETES SUPPORT GROUPS PROVIDED SCREENING AND EDUCATION SERVICES TO 117 INDIVIDUALS. INTERMEDIATE OUTCOMES FOR NDPP SHOW 98.9% INCREASED THEIR PHYSICAL ACTIVITY MINUTES IN THE CORE PHASE WITH AN AVERAGE WEIGHT LOSS OF 10.5 POUNDS PER PARTICIPANT. A PARTNERSHIP WITH GLEANERS COMMUNITY FOOD BANK RESULTED IN FOUR PILOT PROGRAMS OF COOKING MATTERS FOR DIABETES(TM) OFFERED IN THE COMMUNITY WITH 74 INDIVIDUALS PARTICIPATING. TWENTY OUTCOME MEASURES WERE TRACKED WITH POST-TESTS SHOWING POSITIVE CHANGES IN MOST AREAS.KEY INITIATIVES AND OUTCOMES RELATED TO CARDIOVASCULAR DISEASE INCLUDE: COMMUNITY-BASED SCREENING FOR ELEVATED BLOOD PRESSURE AND CHOLESTEROL LEVELS AND EDUCATION SERVICES WERE HELD AT 59 EVENTS IN THE OAKWOOD HOSPITAL WAYNE AREA. OF THE 1,333 PARTICIPANTS WHO WERE SCREENED, 400 WERE REFERRED FOR FOLLOW-UP SERVICES. TO REDUCE CARDIOVASCULAR DISEASE COMPLICATIONS AND SUDDEN DEATH FROM CARDIAC ARREST, OAKWOOD HEALTHCARE PARTNERED WITH THE SENIOR ALLIANCE (TSA) FOR THE CARE TRANSITIONS INTERVENTION PROGRAM. AS OF 2014, THE RATE REDUCTION IN HOSPITAL READMISSIONS FOR ALL PATIENTS IS 15.4%. TO INCREASE KNOWLEDGE AND SKILLS TO RESUSCITATE INFANTS/CHILDREN SUFFERING SUDDEN CARDIAC ARREST, CPR CLASSES WERE PROVIDED TO 95 INDIVIDUALS. KEY INITIATIVES AND OUTCOMES RELATED TO OBESITY INCLUDE: INCORPORATING EDUCATION ON HEALTHY EATING, ACTIVE LIVING AND WEIGHT MANAGEMENT AT THE OAKWOOD TEEN HEALTH CENTERS - YOUTH WITH A BMI OVER 85% ARE REFERRED TO THE NUTRITIONIST. OAKWOOD PROVIDES EDUCATION ON HEALTHY EATING, PHYSICAL ACTIVITY AND WEIGHT MANAGEMENT WITH THE CATCH KIDS CLUB. THE AFTER-SCHOOL ACTIVITY AND NUTRITION PROGRAM IS CONDUCTED IN COLLABORATION WITH SCHOOLS AND THE YMCA OF METRO DETROIT. IN ADDITION TO THE PROGRAM BEING OFFERED IN 11 SCHOOLS, EIGHT ADDITIONAL SITES WERE ADDED IN 2014 IN THE DEARBORN SCHOOL DISTRICT. IN 2014, 1,027 CHILDREN TOOK PART IN THE PROGRAM. TO IMPROVE NUTRITION PRACTICES, HEALTHY MEAL PREPARATION AND FOOD BUDGETING KNOWLEDGE, EIGHT PILOT PROGRAMS OF COOKING MATTERS(TM) WERE CONDUCTED IN COLLABORATION WITH GLEANERS COMMUNITY FOOD BANK WITH 134 INDIVIDUALS PARTICIPATING. IN ADDITION, COMMUNITY-BASED EDUCATION ON NUTRITION WAS PRESENTED AT 31 EVENTS REACHING 1,869 INDIVIDUALS.TO HAVE A COLLECTIVE IMPACT AND MOVE THE NEEDLE ON THESE PRIORITY HEALTH NEEDS, OAKWOOD HEALTHCARE ESTABLISHED HEALTHY WAYNE, A COLLECTIVE IMPACT INITIATIVE IN PARTNERSHIP WITH THE CITY, SCHOOLS, RESIDENTS, NONPROFITS, AND OTHER SECTORS. A COMMUNITY COALITION WILL COORDINATE AND DRIVE INITIATIVES IN THE COMMUNITY TO IMPROVE HEALTH WHILE ADDRESSING PRIORITY HEALTH NEEDS. 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, ALLOCATING SIGNIFICANT RESOURCES TO THE FOUR PRIORITY NEEDS PREVENTED THE INCLUSION OF ALL HEALTH NEEDS IN THE OAKWOOD IMPLEMENTATION PLANS. GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 13B: GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 13H: ALL SELF-PAY PATIENTS ARE BILLED FULL CHARGES AND THEN THE CHARGES ARE REDUCED PER OUR FINANCIAL ASSISTANCE POLICY. ALL SELF-PAY, UNINSURED PATIENTS RECEIVE, AT A MINIMUM, A 55% DISCOUNT OFF OF FULL CHARGES WITHOUT HAVING TO SUBMIT A FORMAL APPLICATION FOR OR INQUIRE ABOUT FINANCIAL ASSISTANCE. THE MAXIMUM DISCOUNT PERCENTAGE IS UPDATED ANNUALLY BASED ON AVERAGE PAYMENT RATES FROM COMMERCIAL PAYORS. OAKWOOD ATTEMPTS TO SCREEN ALL SELF-PAY PATIENTS UPON SCHEDULING THROUGH CENTRAL SCHEDULING, WHILE ACCESSING CARE THROUGH OUR EMERGENCY DEPARTMENTS AND UPON INPATIENT ADMISSION INTO OUR HOSPITALS. OAKASSIST FINANCIAL COUNSELORS GATHER INFORMATION ON THE PATIENT'S OVERALL FINANCIAL SITUATION. PATIENTS APPLYING FOR AN ADDITIONAL LEVEL OF DISCOUNT OR APPLYING FOR A CATASTROPHIC MEDICAL DEBT DISCOUNT NEED TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION FORM OR REQUEST A DETERMINATION AS TO WHETHER OR NOT THEY QUALIFY FOR FREE OR DISCOUNTED CARE; SELF-PAY DISCOUNTS ARE BASED UPON THE FOLLOWING: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 POLICY. GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 15E: GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 16I: THE ORGANIZATION'S WEBSITE DIRECTS PATIENTS TO CONTACT OUR OAKASSIST FINANCIAL COUNSELORS FOR ASSISTANCE AND PROVIDES SUMMARY LEVEL INFORMATION ON THE TYPES AND ELIGIBILITY REQUIREMENTS OF FINANCIAL ASSISTANCE AVAILABLE. FINANCIAL ASSISTANCE INFORMATION IS INCLUDED IN OUR ADMISSION PACKETS AND IS MADE AVAILABLE TO ALL HOSPITAL INPATIENTS THAT CONTAIN THE TELEPHONE NUMBER DIRECTLY TO OAKWOOD'S FINANCIAL COUNSELORS. OUR PATIENT STATEMENTS INCLUDE A BOLD STATEMENT INDICATING "FINANCIAL ASSISTANCE AVAILABLE" AND THERE IS A NOTICE TO PATIENTS, ON THE STATEMENT, AS FOLLOWS: "IF YOU CANNOT PAY THIS BALANCE IN FULL, PLEASE CALL A CUSTOMER SERVICE REPRESENTATIVE AS SOON AS POSSIBLE AT THE NUMBERS LISTED BELOW TO DISCUSS OTHER OPTIONS. MONTHLY PAYMENT OPTIONS AND FINANCIAL ASSISTANCE PROGRAMS ARE AVAILABLE TO THOSE WHO QUALIFY." THE TELEPHONE NUMBER FOR CUSTOMER SERVICE IS LISTED AND OAKWOOD'S WEBSITE ADDRESS. THERE ARE POSTINGS NOTIFYING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE AND THE CONTACT INFORMATION TO OBTAIN FINANCIAL ASSISTANCE IS POSTED IN OUR EMERGENCY DEPARTMENTS AND HOSPITAL REGISTRATION/PATIENT ACCESS AREAS. THE POLICY WAS MADE AVAILABLE TO PATIENTS UPON REQUEST. GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 18D: GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 19D: 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 DEPARTMENT 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. IN ADDITION, THE UNINSURED ARE PROVIDED A SELF-PAY DISCOUNT BASED ON COMMERCIAL PAYMENT RATES WITHOUT A FORMAL REQUEST FOR FINANCIAL ASSISTANCE. INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS AVAILABLE ON OUR WEBSITE AND TELEPHONE CONTACT DATA REGARDING FINANCIAL ASSISTANCE OPTIONS IS LISTED ON OUR WEBSITE. PRIOR TO SENDING PATIENT PAY ACCOUNTS TO OUR EXTERNAL COLLECTION AGENCY, OUR EXTERNAL CUSTOMER SERVICE VENDOR PROCESSES THE ACCOUNTS THROUGH THEIR PROPRIETY "PROPENSITY TO PAY" MODEL AND ASSIGNS A "PROPENSITY TO PAY SCORE" ON EACH ACCOUNT. PER OAKWOOD POLICY, THOSE PATIENT ACCOUNTS SCORED A 650 OR LESS, WITH NO INSURANCE INFORMATION ATTACHED, AN OUTSTANDING BALANCE FOR $100.00 OR MORE, AND CONTAINING DEMOGRAPHIC INFORMATION INDICATING MICHIGAN RESIDENCY ARE AUTOMATICALLY ADJUSTED OFF TO CHARITY CARE WITHOUT A FORMAL APPLICATION PROCESS. ALL OF THESE EFFORTS ARE MADE PRIOR TO INITIATING ANY COLLECTION ACTIONS. GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 21C: GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 21D: GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 22D: A DISCOUNT OF 55 PERCENT WAS DERIVED BY CALCULATING AN AVERAGE OF OUR COMMERCIAL DISCOUNTS. GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 23: GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 24: GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 2: 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 APPROACHED THE CHNA PROCESS AS A COLLABORATIVE EFFORT BETWEEN THEIR HOSPITALS BUT 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 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. THE MAJORITY OF HEALTH INDICATORS ARE ONLY AVAILABLE AT THE COUNTY LEVEL. THIS PRESENTS A NUMBER OF CHALLENGES AS HEALTH INDICATORS WERE EVALUATED ACROSS MULTIPLE COUNTIES. IN EVALUATING DATA FOR ENTIRE COUNTIES VERSUS ZIP CODE LEVEL DATA, IT IS DIFFICULT TO UNDERSTAND THE HEALTH NEEDS FOR SPECIFIC POPULATION POCKETS WITHIN A COUNTY. 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 DEPT. OF HEALTH AND HUMAN SERVICES, MICHIGAN DEPT. 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'S, UNIVERSITY OF MICHIGAN DEARBORN, WORKFORCE DEVELOPMENT ORGANIZATIONS, LOCAL GOVERNMENT REPRESENTATIVES, CHRONIC DISEASE MANAGEMENT ORGANIZATIONS, NONPROFIT ORGANIZATIONS SERVING VULNERABLE POPULATIONS, PHYSICIAN PRACTICES, AND OAKWOOD HEALTHCARE 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 6B: 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. GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 11: FOUR PRIORITY HEALTH NEEDS WERE IDENTIFIED IN THE CHNA: ACCESS TO CARE, DIABETES, OBESITY AND HEART/CARDIOVASCULAR DISEASE. FOR ACCESS TO CARE, THE FOLLOWING KEY INITIATIVES AND OUTCOMES ARE HIGHLIGHTED: TO ASSIST THE UNINSURED, UNDERINSURED AND UNDERSERVED, OAKWOOD PROVIDED CERTIFIED NAVIGATORS TO CONDUCT COMMUNITY-BASED INSURANCE ENROLLMENT AND EDUCATION FOR THE HEALTH INSURANCE MARKETPLACE, MEDICAID AND HEALTHY MICHIGAN. INFORMATION ON THE MEDICAID AND EXPANDED MEDICAID WAS PROVIDED TO 35,818 INDIVIDUALS. NAVIGATORS ENROLLED COMMUNITY MEMBERS IN MEDICAID, HEALTHY MICHIGAN AND THE MARKETPLACE AND ASSISTED THOSE WHO NEEDED A MEDICAL HOME. IN 2014, 2,565 INDIVIDUALS WERE ASSISTED IN APPLYING FOR HEALTH INSURANCE IN ADDITION TO 141 INDIVIDUALS ATTENDING HEALTH INSURANCE 101, AN EDUCATIONAL PROGRAM ON HOW TO USE INSURANCE FOR THE NEWLY INSURED. OAKASSIST SCREENED AND PROVIDED ASSISTANCE TO 26,728 INDIVIDUALS FOR HEALTH COVERAGE ELIGIBILITY. IN THE CITY OF TAYLOR, OAKWOOD PROVIDES ACCESS TO INTEGRATED HEALTH CARE FOR CHILDREN AGES 10-21 AT THE TAYLOR TEEN HEALTH CENTER AND WELLNESS SERVICES FOR YOUTH AT TRUMAN HIGH SCHOOL. OAKWOOD SCHOOL & COMMUNITY-BASED CHILD AND ADOLESCENT HEALTH CENTERS PROVIDED ACCESS TO CARE FOR 1,226 YOUTH IN 2014 WITH INTEGRATED MEDICAL SERVICES. THE CENTER FOR EXCEPTIONAL FAMILIES PROVIDED ACCESS TO CARE FOR 4,011 YOUTH WITH SPECIAL NEEDS MEDICAL SERVICES. THE WESTLAND INFECTIOUS DISEASE CLINIC PROVIDED ACCESS TO CARE WITH 1,310 UNITS OF SERVICE TO 221 INDIVIDUALS WITH HIV. KEY INITIATIVES AND OUTCOMES RELATED TO DIABETES INCLUDE: ADDITION OF SIX NEW COMMUNITY PARTNER ORGANIZATIONS TO PROVIDE DIABETES SCREENING IN THE COMMUNITY. IN 2014, 9 EVENTS WERE HELD IN THE OAKWOOD TAYLOR AREA IN WHICH 259 INDIVIDUALS RECEIVED BLOOD PRESSURE, CHOLESTEROL AND GLUCOSE SCREENINGS. FOLLOW-UP CARE WAS RECOMMENDED FOR 78 OF THESE INDIVIDUALS. A PARTNERSHIP WITH THE NATIONAL KIDNEY FOUNDATION PROVIDED COMMUNITY-BASED PROGRAMMING WITH PATH (2 SIX WEEK WORKSHOPS) AND THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP) - A 12-MONTH PROGRAM. POST-TEST FOR PATH SHOWED 63% TESTED THEIR BLOOD SUGAR VS. 41% PRE-TEST. ALSO, 92% WERE EXERCISING MORE THAN 150 MINUTES PER WEEK COMPARED TO 46% AT PRE-TEST. DIABETES SUPPORT GROUPS PROVIDED SCREENING AND EDUCATION SERVICES TO 117 INDIVIDUALS. INTERMEDIATE OUTCOMES FOR NDPP SHOW 98.9% INCREASED THEIR PHYSICAL ACTIVITY MINUTES IN THE CORE PHASE WITH AN AVERAGE WEIGHT LOSS OF 10.5 POUNDS PER PARTICIPANT. A PARTNERSHIP WITH GLEANERS COMMUNITY FOOD BANK RESULTED IN FOUR PILOT PROGRAMS OF COOKING MATTERS FOR DIABETES(TM) OFFERED IN THE COMMUNITY WITH 74 INDIVIDUALS PARTICIPATING. TWENTY OUTCOME MEASURES WERE TRACKED WITH POST-TESTS SHOWING POSITIVE CHANGES IN MOST AREAS.KEY INITIATIVES AND OUTCOMES RELATED TO CARDIOVASCULAR DISEASE INCLUDE: COMMUNITY-BASED SCREENING FOR ELEVATED BLOOD PRESSURE AND CHOLESTEROL LEVELS WERE PROVIDED AT 9 EVENTS IN THE DEARBORN AREA TO 259 INDIVIDUALS IN THE COMMUNITY. OF THOSE SCREENED, 78 WERE REFERRED FOR FOLLOW-UP CARE. TO REDUCE CARDIOVASCULAR DISEASE COMPLICATIONS AND SUDDEN DEATH FROM CARDIAC ARREST, OAKWOOD HEALTHCARE PARTNERED WITH THE SENIOR ALLIANCE (TSA) FOR THE CARE TRANSITIONS INTERVENTION PROGRAM. AS OF 2014, THE RATE REDUCTION IN HOSPITAL READMISSIONS FOR ALL PATIENTS IS 15.4%. TO INCREASE KNOWLEDGE AND SKILLS TO RESUSCITATE INFANTS/CHILDREN SUFFERING SUDDEN CARDIAC ARREST, CPR CLASSES WERE PROVIDED TO 95 INDIVIDUALS. KEY INITIATIVES AND OUTCOMES RELATED TO OBESITY INCLUDE: OAKWOOD PROVIDES EDUCATION ON HEALTHY EATING, PHYSICAL ACTIVITY AND WEIGHT MANAGEMENT WITH THE CATCH KIDS CLUB. THE AFTER-SCHOOL ACTIVITY AND NUTRITION PROGRAM IS CONDUCTED IN COLLABORATION WITH SCHOOLS AND THE YMCA OF METRO DETROIT. IN ADDITION TO THE PROGRAM BEING OFFERED IN 11 SCHOOLS, EIGHT ADDITIONAL SITES WERE ADDED IN 2014 IN THE DEARBORN SCHOOL DISTRICT. IN 2014, 1,027 CHILDREN TOOK PART IN THE PROGRAM. MYNUTRATEK, A HEALTH AND WELLNESS APPLICATION AND PROGRAM, WAS OFFERED TO STUDENTS IN ALL TAYLOR SCHOOLS BY OAKWOOD. TO IMPROVE NUTRITION PRACTICES, HEALTHY MEAL PREPARATION AND FOOD BUDGETING KNOWLEDGE, EIGHT PILOT PROGRAMS OF COOKING MATTERS(TM) WERE CONDUCTED IN COLLABORATION WITH GLEANERS COMMUNITY FOOD BANK WITH 134 INDIVIDUALS PARTICIPATING. IN ADDITION, COMMUNITY-BASED EDUCATION ON NUTRITION WAS PRESENTED AT 31 EVENTS REACHING 1,869 INDIVIDUALS.TO HAVE A COLLECTIVE IMPACT AND MOVE THE NEEDLE ON THESE PRIORITY HEALTH NEEDS, OAKWOOD HEALTHCARE ESTABLISHED HEALTHY TAYLOR, A COLLECTIVE IMPACT INITIATIVE IN PARTNERSHIP WITH THE CITY, SCHOOLS, RESIDENTS, NONPROFITS, AND OTHER SECTORS. A COMMUNITY COALITION WILL COORDINATE AND DRIVE INITIATIVES IN THE COMMUNITY TO IMPROVE HEALTH WHILE ADDRESSING PRIORITY HEALTH NEEDS. 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, ALLOCATING SIGNIFICANT RESOURCES TO THE FOUR PRIORITY NEEDS PREVENTED THE INCLUSION OF ALL HEALTH NEEDS IN THE OAKWOOD IMPLEMENTATION PLANS. GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 13B: GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 13H: ALL SELF-PAY PATIENTS ARE BILLED FULL CHARGES AND THEN THE CHARGES ARE REDUCED PER OUR FINANCIAL ASSISTANCE POLICY. ALL SELF-PAY, UNINSURED PATIENTS RECEIVE, AT A MINIMUM, A 55% DISCOUNT OFF OF FULL CHARGES WITHOUT HAVING TO SUBMIT A FORMAL APPLICATION FOR OR INQUIRE ABOUT FINANCIAL ASSISTANCE. THE MAXIMUM DISCOUNT PERCENTAGE IS UPDATED ANNUALLY BASED ON AVERAGE PAYMENT RATES FROM COMMERCIAL PAYORS. OAKWOOD ATTEMPTS TO SCREEN ALL SELF-PAY PATIENTS UPON SCHEDULING THROUGH CENTRAL SCHEDULING, WHILE ACCESSING CARE THROUGH OUR EMERGENCY DEPARTMENTS AND UPON INPATIENT ADMISSION INTO OUR HOSPITALS. OAKASSIST FINANCIAL COUNSELORS GATHER INFORMATION ON THE PATIENT'S OVERALL FINANCIAL SITUATION. PATIENTS APPLYING FOR AN ADDITIONAL LEVEL OF DISCOUNT OR APPLYING FOR A CATASTROPHIC MEDICAL DEBT DISCOUNT NEED TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION FORM OR REQUEST A DETERMINATION AS TO WHETHER OR NOT THEY QUALIFY FOR FREE OR DISCOUNTED CARE; SELF-PAY DISCOUNTS ARE BASED UPON THE FOLLOWING: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 POLICY. GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 15E: GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 16I: THE ORGANIZATION'S WEBSITE DIRECTS PATIENTS TO CONTACT OUR OAKASSIST FINANCIAL COUNSELORS FOR ASSISTANCE AND PROVIDES SUMMARY LEVEL INFORMATION ON THE TYPES AND ELIGIBILITY REQUIREMENTS OF FINANCIAL ASSISTANCE AVAILABLE. FINANCIAL ASSISTANCE INFORMATION IS INCLUDED IN OUR ADMISSION PACKETS AND IS MADE AVAILABLE TO ALL HOSPITAL INPATIENTS THAT CONTAIN THE TELEPHONE NUMBER DIRECTLY TO OAKWOOD'S FINANCIAL COUNSELORS. OUR PATIENT STATEMENTS INCLUDE A BOLD STATEMENT INDICATING "FINANCIAL ASSISTANCE AVAILABLE" AND THERE IS A NOTICE TO PATIENTS, ON THE STATEMENT, AS FOLLOWS: "IF YOU CANNOT PAY THIS BALANCE IN FULL, PLEASE CALL A CUSTOMER SERVICE REPRESENTATIVE AS SOON AS POSSIBLE AT THE NUMBERS LISTED BELOW TO DISCUSS OTHER OPTIONS. MONTHLY PAYMENT OPTIONS AND FINANCIAL ASSISTANCE PROGRAMS ARE AVAILABLE TO THOSE WHO QUALIFY." THE TELEPHONE NUMBER FOR CUSTOMER SERVICE IS LISTED AND OAKWOOD'S WEBSITE ADDRESS. THERE ARE POSTINGS NOTIFYING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE AND THE CONTACT INFORMATION TO OBTAIN FINANCIAL ASSISTANCE IS POSTED IN OUR EMERGENCY DEPARTMENTS AND HOSPITAL REGISTRATION/PATIENT ACCESS AREAS. THE POLICY WAS MADE AVAILABLE TO PATIENTS UPON REQUEST. GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 18D: GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 19D: 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 DEPARTMENT 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. IN ADDITION, THE UNINSURED ARE PROVIDED A SELF-PAY DISCOUNT BASED ON COMMERCIAL PAYMENT RATES WITHOUT A FORMAL REQUEST FOR FINANCIAL ASSISTANCE. INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS AVAILABLE ON OUR WEBSITE AND TELEPHONE CONTACT DATA REGARDING FINANCIAL ASSISTANCE OPTIONS IS LISTED ON OUR WEBSITE. PRIOR TO SENDING PATIENT PAY ACCOUNTS TO OUR EXTERNAL COLLECTION AGENCY, OUR EXTERNAL CUSTOMER SERVICE VENDOR PROCESSES THE ACCOUNTS THROUGH THEIR PROPRIETY "PROPENSITY TO PAY" MODEL AND ASSIGNS A "PROPENSITY TO PAY SCORE" ON EACH ACCOUNT. PER OAKWOOD POLICY, THOSE PATIENT ACCOUNTS SCORED A 650 OR LESS, WITH NO INSURANCE INFORMATION ATTACHED, AN OUTSTANDING BALANCE FOR $100.00 OR MORE, AND CONTAINING DEMOGRAPHIC INFORMATION INDICATING MICHIGAN RESIDENCY ARE AUTOMATICALLY ADJUSTED OFF TO CHARITY CARE WITHOUT A FORMAL APPLICATION PROCESS. ALL OF THESE EFFORTS ARE MADE PRIOR TO INITIATING ANY COLLECTION ACTIONS. GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 21C: GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 21D: GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 22D: A DISCOUNT OF 55 PERCENT WAS DERIVED BY CALCULATING AN AVERAGE OF OUR COMMERCIAL DISCOUNTS. GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 23: GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 24: 69 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 OAKWOOD SOUTHSHORE SURGERY CENTER 5452 FORT STREET TRENTON MI 48183 O/P SURGICAL SERVICES, REHAB. CLINIC (PT & OT), ORTHOPEDIC CTR OF EXCELLENCE OAKWOOD HEALTH CARE CTR - CANTON 7300 CANTON CENTER ROAD CANTON MI 48187 EMERGENCY ROOM, RADIOLOGY, OUTPATIENT IMAGING, LAB DRAW SITE OAKWOOD MEDICAL OFFICES - DEARBORN 18181 OAKWOOD BLVD DEARBORN MI 48124 OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE OAKWOOD HEALTH CARE CTR - SOUTHGATE 15777 NORTHLINE ROAD SOUTHGATE MI 48195 O/P CLINIC, CANCER CTR, URGENT CARE, RADIOLOGY, REHAB - PT, LAB DRAW SITE OAKWOOD MIDWEST MEDICAL CENTER 4700 SCHAEFFER ROAD DEARBORN MI 48126 O/P PHYS CLINIC, O/P SURG SERVICES, O/P IMAGING OAKWOOD HERITAGE HOSPITAL REHAB SCVS 9870 TELEGRAPH TAYLOR MI 48180 REHAB. CLINIC - PT OAKDALE MEDICAL VILLAGE 25045 FORD ROAD DEARBORN MI 48128 OUTPATIENT IMAGING, LAB DRAW SITE HAGGERTY MEDICAL BLDG - CANTON 2050 NORTH HAGGERTY RD CANTON MI 48188 OUTPATIENT PHYSICIAN CLINIC, OUTPATIENT IMAGING OAKWOOD BREAST CARE CTR 4491 VENOY RD WAYNE MI 48184 BREAST CARE CENTER OAKWOOD SOUTHSHORE PHYS MED REHAB 2707 W JEFFERSON TRENTON MI 48183 REHAB. CLINIC-PT, OT AND ST OAKWOOD MEDICAL OFFICES - WAYNE 33000 ANNAPOLIS AVENUE WAYNE MI 48184 OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC-PT, OT AND ST OAKWOOD TRAINING & DEVELOPMENT CTR 18501 ROTUNDA DRIVE DEARBORN MI 48124 OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC OAKWOOD HEALTH CARE CTR - MERCURY DR 4900 MERCURY DRIVE DEARBORN MI 48126 OUTPATIENT PHYSICIAN CLINIC OAKWOOD MEDICAL OFFICE BLDG - CANTON 7330 CANTON CENTER ROAD CANTON MI 48187 OUTPATIENT PHYSICIAN CLINIC OAKWOOD SPORTS MEDICINE-DEARBORN 2552 MONROE DEARBORN MI 48124 REHAB. CLINIC-PT OAKWOOD REHAB THERAPY SVCS - W DEARBORN 22731 NEWMAN ROAD DEARBORN MI 48124 REHAB. CLINIC - PT OAKWOOD OUTPATIENT IMAGING 1676 FORT STREET TRENTON MI 48183 OUTPATIENT IMAGING OAKWOOD HEALTH CARE CTR - WESTLAND 2001 SOUTH MERRIMAN WESTLAND MI 48186 OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE INTERNAL MEDICINE WYANDOTTE 1700 BIDDLE AVE WYANDOTTE MI 48192 OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE OAKWOOD HEALTH CARE CTR - BELLEVILLE 201 THIRD STREET BELLEVILLE MI 48111 OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK MI 48101 OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT OAKWOOD PHYSICAL THERAPY CENTER 4111 S CANTON CENTER ROAD CANTON MI 48188 REHAB. CLINIC - PT OAKLANE MEDICAL SUITES 17000 HUBBARD DEARBORN MI 48126 OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT OAKWOOD MEDICAL OFFICES - TRENTON 5400 FORT STREET TRENTON MI 48183 OUTPATIENT PHYSICIAN CLINIC, CARDIAC REHAB. CLINIC, LAB DRAW SITE OAKWOOD CARDIAC CENTER 22060 BEECH ROAD DEARBORN MI 48124 CARDIAC CENTER OAKWOOD VENOY PATIENT SERVICE CENTER 4020 VENOY SUITE 200A WAYNE MI 48184 OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE OAKWOOD MEDICAL OFF BLDG-GARDEN CITY 29150 FORD ROAD GARDEN CITY MI 48135 OUTPATIENT PHYSICIAN CLINIC, URGENT CARE OAKWOOD IMAGING CENTER TAYLOR 8850 S TELEGRAPH RD TAYLOR MI 48180 OUTPATIENT IMAGING OAKWOOD HEALTH CARE CTR - TB CLINIC 2001 SOUTH MERRIMAN WESTLAND MI 48186 OUTPATIENT PHYSICIAN CLINIC (TB CLINIC) OAKWOOD TAYLOR TEEN CENTER 26650 EUREKA ROAD SUITE B TAYLOR MI 48180 OUTPATIENT PHYSICIAN CLINIC OAKWOOD BLANZY CLINIC 14319 DIX TOLEDO ROAD SOUTHGATE MI 48195 OUTPATIENT PHYSICIAN CLINIC ONCOLOGY DOWNRIVER 19725 ALLEN ROAD SUITE 101 BROWNSTOWN MI 48183 OUTPATIENT PHYSICIAN CLINIC, ONCOLOGY, O/P IMAGING, LAB DRAW SITE ATHENS CLINIC 15100 S PLAZA DRIVE TAYLOR MI 48180 OUTPATIENT PHYSICIAN CLINIC EVERINGHAM FAMILY MEDICINE 12100 HURON RIVER DRIVE ROMULUS MI 48174 OUTPATIENT PHYSICIAN CLINIC TAYLOR CLINIC 9340 S TELEGRAPH TAYLOR MI 48180 OUTPATIENT PHYSICIAN CLINIC NAJAR OBGYN 2142 MONROE STREET SUITE A DEARBORN MI 48124 OUTPATIENT PHYSICIAN CLINIC OAKWOOD INTERNAL MEDICINE-ALLEN PARK 7804 ALLEN ROAD ALLEN PARK MI 48101 OUTPATIENT PHYSICIAN CLINIC OAKWOOD HEALTHCARE CTR - NEWPORT 3132 NEWPORT RD NEWPORT MI 48166 OUTPATIENT PHYSICIAN CLINIC HENRY FORD VILLAGE GERIATRICS 15101 FORD ROAD 1ST FLOOR DEARBORN MI 48126 OUTPATIENT PHYSICIAN CLINIC OAKMAN MEDICAL GROUP 15120 MICHIGAN AVE DEARBORN MI 48126 OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE ADULT MEDICAL CARE PLCC 35330 NANKIN BLVD SUITE 701 WESTLAND MI 48185 OUTPATIENT PHYSICIAN CLINIC ALLEN PARK CARDIOLOGY 6742 PARK AVE ALLEN PARK MI 48101 CARDIAC REHAB. OAKWOOD PT & WELLNESS CENTER 17101 ROTUNDA BLVD DEARBORN MI 48124 REHAB. CLINIC - PT OAKWOOD INFUSION SERVICES 1633 FAIRLANE CIRCLE SUITE 165 ALLEN PARK MI 48101 OUTPATIENT INFUSION SERVICES PRECISION ORTHOPEDICS 25755 TELEGRAPH RD BROWNSTOWN MI 48134 OUTPATIENT PHYSICIAN CLINIC OAKWOOD URGENT CARE WYANDOTTE 211 EUREKA ROAD WYANDOTTE MI 48192 URGENT CARE LINCOLN-ADAMS CHILDADOLESCENT HC CTR 33475 PALMER WESTLAND MI 48186 OUTPATIENT PHYSICIAN CLINIC ALLIED MEDICAL GROUP 35180 NANKIN BLVD WESTLAND MI 48185 OUTPATIENT PHYSICIAN CLINIC SOUTH CANTON INTERNAL MEDICINE 42287 CHEERY HILL RD SUITE D CANTON MI 48188 OUTPATIENT PHYSICIAN CLINIC TRENTON OBGYN 3290 WEST ROAD TRENTON MI 48183 OUTPATIENT PHYSICIAN CLINIC LAB AT WOODHAVEN 25000 HALL ROAD WOODHAVEN MI 48183 LAB DRAW SITE CHASE MEDICAL CLINIC 6211 CHASE ROAD DEARBORN MI 48126 OUTPATIENT PHYSICIAN CLINIC INKSTER TEEN HEALTH CENTER 3250 MIDDLEBELT INKSTER MI 48141 OUTPATIENT PHYSICIAN CLINIC OAKWOOD HEALTHCARE FLAT ROCK 29100 GATEWAY BLVD FLAT ROCK MI 48134 OUTPATIENT PHYSICIAN CLINIC GENERAL SURGICAL SERVICES 3851 WEST ROAD SUITE 3 TRENTON MI 48183 OUTPATIENT PHYSICIAN CLINIC TRUMAN HIGH SCHOOL 11211 BEECH DALY RD TAYLOR MI 48180 OUTPATIENT PHYSICIAN CLINIC OAKWOOD WYANDOTTE SPECIALTY 1848 BIDDLE WYANDOTTE MI 48192 OUTPATIENT PHYSICIAN CLINIC INKSTER TEEN HEALTH CTR 25912 ANNAPOLIS STREET INKSTER MI 48141 OUTPATIENT PHYSICIAN CLINIC DEARBORN FAMILY CLINIC 3133 SOUTH TELEGRAPH DEARBORN MI 48124 OUTPATIENT PHYSICIAN CLINIC LAB AT FAMILY HEALTH RIVERVIEW CENTER 19020 FORT STREET RIVERVIEW MI 48192 LAB DRAW SITE OAKWOOD HEALTH CARE CTR - BROWNSTOWN 17000 KING ROAD BROWNSTOWN MI 48183 OUTPATIENT PHYSICIAN CLINIC OAKWOOD LABORATORY - HAMLET BLDG 1331 MONROE STREET DEARBORN MI 48124 LAB DRAW SITE, RESPIRATORY CARE OAKWOOD HOME MEDICAL EQUIP 1633 FAIRLANE CIRCLE DEARBORN MI 48124 DURABLE MEDICAL EQUIPMENT LAB AT DEARBORN FAMILY PRACTICE 23870 MICHIGAN AVE DEARBORN MI 48124 LAB DRAW SITE INTERNAL MEDICINE MONROE STREET 1611 MONROE STREET DEARBORN MI 48124 OUTPATIENT PHYSICIAN CLINIC INTERNAL MEDICINE DETROIT 18300 W MCNICHOLS RD DETROIT MI 48219 OUTPATIENT PHYSICIAN CLINIC OAKWOOD YMCA SOUTHGATE PT 16777 NORTHLINE ROAD SOUTHGATE MI 48195 OUTPATIENT PHYSICIAN CLINIC ROMULUS TEEN HEALTH CTR 9650 SOUTH WAYNE RD ROMULUS MI 48074 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 I, LN 7 COL(F): BAD DEBT IN THE AMOUNT OF $450,967 WAS NOT COUNTED AS EXPENSES IN THE MEDICAL RESIDENT EDUCATION PORTION OF HEALTH PROFESSIONS EDUCATION. GROSS BAD DEBT CHARGES OF $137,286,937 WAS EXCLUDED FROM TOTAL EXPENSES (ADJUSTED FOR PATIENT DISCOUNT) WHEN COMPUTING THE COMMUNITY BENEFIT PERCENTAGES. A FULL COPY OF THE COMMUNITY BENEFIT REPORT CAN BE FOUND AT: HTTP://WWW.OAKWOOD.ORG/REPORT-TO-OUR-COMMUNITY PART II, COMMUNITY BUILDING ACTIVITIES: OAKWOOD HEALTHCARE SYSTEM HAS A STRONG CONNECTION TO THE COMMUNITIES IT SERVES. WE EXEMPLIFY THAT WITH WIDE AND EXTENSIVE PARTICIPATION FROM OUR EMPLOYEES AS BOARD MEMBERS AND VOLUNTEERS OF VARIOUS NON-PROFIT, COMMUNITY SERVICE AND PROFESSIONAL ORGANIZATIONS. REPORTED IN THE SECTION REGARDING COMMUNITY BUILDING ACTIVITIES ARE COSTS INCURRED DUE TO A DIRECT OUTLAY OF CASH OR THE USE OF STAFF AND FACILITY RESOURCES. ACTIVITIES THAT ARE COVERED IN THIS SECTION INCLUDE DUES TO VARIOUS CHAMBERS OF COMMERCE INCLUDING: DETROIT REGIONAL CHAMBER OF COMMERCE; SOUTHERN WAYNE COUNTY CHAMBER OF COMMERCE; CANTON, WAYNE, DEARBORN CHAMBERS OF COMMERCE; AND THE AMERICAN ARAB CHAMBER OF COMMERCE. ADDITIONAL ACTIVITIES INCLUDE EFFORTS IN SUPPORT OF THE MICHIGAN FITNESS FOUNDATION, AND THE GOVERNOR'S COUNCIL ON PHYSICAL FITNESS, HEALTH AND SPORTS TO FOSTER HEALTH AND HEALTHY LIFESTYLES OF MICHIGAN CITIZENS. ALSO INCLUDED ARE COSTS RELATED TO THE COORDINATION AND OFFERING OF COMMUNITY BLOOD DONOR DRIVES (DONE IN PARTNERSHIP WITH THE AMERICAN RED CROSS) AND ORGAN AND TISSUE DONOR RECRUITMENT (DONE IN PARTNERSHIP WITH GIFT OF LIFE OF MICHIGAN) AT OUR LOCATIONS AND COMMUNITY EVENTS THAT TARGET OUR EMPLOYEES AND MEMBERS OF THE PUBLIC. OAKWOOD IS ACTIVELY ENGAGED IN BUILDING "HEALTHY COMMUNITIES" WITH THE COMMUNITIES IT SERVES. THIS ENTAILS WORKING WITH THE CITIES, SCHOOLS, NONPROFIT PARTNERS AND COMMUNITY MEMBERS TO IMPROVE HEALTH IN EACH COMMUNITY WITH THE SUPPORT OF COALITIONS IN EACH COMMUNITY. 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: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE COMPANY ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF THE MAJOR PAYOR SOURCES TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THE PROVISION FOR DOUBTFUL ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES IN EVALUATING THE ADEQACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY HEALTH CARE COVERAGE, THE COMPANY ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. EFFECTIVE JANUARY 1, 2012, ALL CHARGES FOR PATIENTS WITHOUT INSURANCE ARE DISCOUNTED TO AN AMOUNT THAT APPROXIMATES THE COMPANY'S LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES. FOR ACCOUNTS RECEIVABLES ASSOCIATED WITH SELF-PAY ACCOUNTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE COMPANY RECORDS A SIGNIFICANT PROVISION FOR DOUBTFUL ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST COLLECTION EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE PROVISION FOR DOUBTFUL ACCOUNTS HAS BEEN REPORTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. 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 METHODOLOGIES. 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, OHI 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 BENEFICIARIES 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 MDCH, 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 MORE THAN 940,000 RESIDENTS IN 36 COMMUNITIES STRETCHING ACROSS A 500 SQUARE MILE AREA OF WESTERN WAYNE COUNTY. THIS AREA IS RICHLY VARIED BY RACE AND ETHNICITY (AFRICAN AMERICAN 16.6%, HISPANIC 9.5%, ASIAN 2.9%, MULTI-RACIAL 2.4%, WHITE 68.1%, AND OTHER .4%). IN THE CITY OF DEARBORN, 41.7% OF THE POPULATION IS ARABIC. ONE OF THE MOST CULTURALLY DIVERSE AREAS IN MICHIGAN, OVER 12.4% OF RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH WITH SOME COMMUNITIES FAR EXCEEDING THE NATIONAL AVERAGE: DEARBORN (43.9%), SOUTHWEST DETROIT (59%), AND MELVINDALE (21.2%). IN THE OHS SERVICE AREA, 87% 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 MICHIGAN RESIDENTS CONTINUE TO STRUGGLE WITH HIGH RATES OF POVERTY (APPROX. 17%) AND UNEMPLOYMENT (8.1%). FOR MANY IN MICHIGAN, RACIAL AND ETHNIC DISPARITIES, POVERTY AND LACK OF INSURANCE HAVE LED TO LIMITED ACCESS TO PROVIDERS AND PREVENTIVE CARE. WAYNE COUNTY WAS RANKED HIGHEST IN MICHIGAN FOR MORTALITY AND MORBIDITY BY THE ROBERT WOOD JOHNSON FOUNDATION COUNTY HEALTH 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 17 AREA SCHOOLS, OPERATES A WELLNESS PROGRAM IN TAYLOR, MI., OPERATES A SCHOOL-BASED HEALTH CLINIC IN WESTLAND, AND OPERATES ADOLESCENT HEALTH CENTERS IN THE CITIES OF TAYLOR AND INKSTER. 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. COMMUNITY-BASED HEALTH INSURANCE NAVIGATORS ASSIST WITH ENROLLMENT IN TO THE HEALTH INSURANCE MARKETPLACE AND MEDICAID. 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'S 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. IN ADDITION TO THE MANY COMMUNITY HEALTH IMPROVEMENT ACTIVITIES PRESENTED BY ITS COMMUNITY HEALTH, MEDICAL EDUCATION, SCHOOL BASED/SCHOOL LINKED HEALTH CENTERS AND OTHER DEPARTMENTS, OAKWOOD PRESENTS A RADIO PROGRAM FEATURING INFORMATION ABOUT PERSONAL AND FAMILY HEALTH PROMOTION. "CHAMPIONS OF CARE" IS BROADCAST EACH WEEK TO ALL COMMUNITIES WE SERVE ON WJR, AN AM RADIO STATION WITH A STRONG GEOGRAPHIC SIGNAL THAT COVERS NOT ONLY OUR IMMEDIATE AREA, BUT ALSO A LARGE PORTION OF THE STATE AND EVEN PARTS OF THE MIDWESTERN REGION.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'S). 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.OTHER EXAMPLES INCLUDE OUR FOCUSED WORK AND COOPERATION WITH GIFT OF LIFE-MICHIGAN TO RAISE AWARENESS AND SUPPORT RECRUITMENT OF ORGAN AND TISSUE DONORS AND 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: OAKWOOD HEALTHCARE SYSTEM ACTIVELY SUPPORTS THE HEALTH OF THE COMMUNITIES THROUGH SPECIFIC INITIATIVES OF EACH HOSPITAL SITE FOR THE COMMUNITIES SERVED IN ADDITION TO THE COMMUNITY OUTREACH DEPARTMENT THAT PROVIDES SERVICES AND PROGRAMS FOR THE ENTIRE SYSTEM. PROGRAMS INCLUDE CHILD AND ADOLESCENT HEALTH CENTERS IN TAYLOR, INKSTER AND WESTLAND; AN INFECTIOUS DISEASE CLINIC OFFERING CARE FOR BOTH HIV AND TB; THE CENTER FOR EXCEPTIONAL FAMILIES (SERVING CHILDREN WITH SPECIAL NEEDS); FREE COMMUNITY HEALTH SCREENINGS, A SPEAKERS BUREAU THAT PROVIDES EDUCATION AND HEALTH INFORMATION, FREE CHRONIC ILLNESS SUPPORT AND PREVENTION CLASSES AND PROGRAMS, HEALTHY COOKING AND EATING CLASSES, AND AFTERSCHOOL NUTRITION AND ACTIVITY PROGRAMS IN 17 SCHOOLS. HEALTHCARE NAVIGATORS ASSISTS COMMUNITY MEMBERS IN ENROLLING IN THE HEALTH INSURANCE MARKETPLACE AND MEDICAID.OAKWOOD HEALTHCARE SYSTEM HAS A PROACTIVE APPROACH AND PLAN TO ASSIST WITH COMMUNITY CONCERNS RELATED TO COMPREHENSIVE DISASTER PLANNING AND PROTOCOLS FOR SUPPORTING THE COMMUNITY IN A TIME OF NEED. IN ADDITION, TRAUMA PROGRAMS AT EACH HOSPITAL REACH OUT TO THEIR SURROUNDING COMMUNITIES TO REDUCE INJURIES AND POSITIVELY IMPACT THE HEALTH OF THE COMMUNITY.OAKWOOD HEALTHCARE SYSTEM PARTICIPATES IN NUMEROUS CIVIC ORGANIZATIONS. SENIOR LEADERS PROMOTE EMPLOYEE PARTICIPATION IN COMMUNITY-BASED ORGANIZATIONS THROUGH STRATEGIES SUCH AS THE CLINICAL ADVANCEMENT PROGRAM AND PARISH NURSING. CURRENT COMMUNITY SUPPORT ACTIVITIES INCLUDE: A FINANCIAL COMMITMENT TO CHARITY CARE, COMMUNITY HEALTH, THE OAKWOOD HEALTHCARE FOUNDATION, PROGRAMS CONDUCTED BY OAKWOOD HEALTHCARE SYSTEM, AND LEADERSHIP AND STAFF PARTICIPATION ON OVER 100 LOCAL, REGIONAL, AND NATIONAL BOARDS AND COMMITTEES.TO TRACK COMMUNITY SUPPORT ACTIVITIES, OAKWOOD HEALTHCARE SYSTEM MAINTAINS A COMMUNITY BENEFITS REPORTING SYSTEM THAT DELINEATES THE PROJECTS IT SUPPORTS, BOTH FROM A VOLUNTEER AND FINANCIAL STANDPOINT. CONTRIBUTIONS TO COMMUNITY HEALTH PROVIDED BY OAKWOOD HEALTHCARE SYSTEM'S COMMUNITY HEALTH DEPARTMENT ARE TRACKED THROUGH A COMPREHENSIVE DATABASE THAT RECORDS HOW MANY UNITS OF SERVICE ARE DELIVERED TO THE COMMUNITY THROUGH VARIOUS OAKWOOD HEALTHCARE SYSTEM PROGRAMS. OAKWOOD HEALTHCARE INC. IS PRIMARILY COMPRISED OF OAKWOOD HEALTHCARE SYSTEM. THE AFFILIATED HEALTHCARE SYSTEM ALSO INCLUDES THE FOLLOWING COMPANIES:OAKWOOD HEALTH PROMOTIONS, INC. - PROVIDES FOUR DIFFERENT LEVELS OF ELDER CARE: INDEPENDENT LIVING, ASSISTED LIVING, ALZHEIMER CARE, AND SKILLED NURSING CARE.OAKWOOD HOME CARE SERVICES - DELIVERS HIGH QUALITY HOME HEALTH CARE SERVICES TO THOUSANDS OF RESIDENTS THROUGHOUT SOUTHEAST MICHIGAN. IN 2014, OAKWOOD HOME CARE SERVICES PROVIDED MEDICAL CARE TO 7,069 HOME-BOUND PATIENTS, WHICH INCLUDED PROFESSIONAL PATIENT CARE VISITS IN EXCESS OF 83,000. ITS DEDICATED STAFF INCLUDES REGISTERED NURSES, PHYSICAL AND OCCUPATIONAL THERAPISTS, SPEECH PATHOLOGISTS, MEDICAL SOCIAL WORKERS, NUTRITIONISTS, AND HOME HEALTH AIDES. OAKWOOD UNITED HOSPITALS, INC. - PROVIDES HEALTH CARE FACILITIES FOR OAKWOOD HEALTHCARE, INC.OAKWOOD HEALTHCARE FOUNDATION - PROVIDES SUPPORT TO ENTITIES THAT COMPRISE OAKWOOD HEALTHCARE INC.'S HEALTH CARE SYSTEM. THE OAKWOOD HEALTHCARE FOUNDATION OPERATES EXCLUSIVELY FOR EDUCATIONAL, SCIENTIFIC, AND CHARITABLE PURPOSES IN SUPPORT OF THE MISSION OF OAKWOOD HEALTHCARE SYSTEM, THE HEALTHCARE DELIVERY SYSTEM OF OAKWOOD HEALTHCARE, INC. OAKWOOD HEALTHCARE FOUNDATION'S PURPOSE IS TO PROMOTE PHILANTHROPIC INVESTMENT OF TIME, TALENT AND TREASURE IN SUPPORT OF OAKWOOD'S NOT-FOR-PROFIT MISSION TO PROVIDE EXCELLENCE IN CARE, HEALING AND HEALTH TO THE INDIVIDUALS AND COMMUNITIES WE SERVE. DURING 2014, OAKWOOD HEALTHCARE FOUNDATION HAD A TOTAL OF 6,488 DONORS AND RAISED TOTAL FUNDS OF $6,981,135. OAKWOOD HEALTHCARE FOUNDATION MADE MORE THAN $4.1 MILLION IN DISBURSEMENTS IN 2014 TO SUPPORT MULTIPLE PROGRAMS AND INITIATIVES.OAKWOOD ENTERPRISES, INC. - OWNS AND MANAGES REAL ESTATE IN SOUTHEAST MICHIGAN, PRIMARILY MEDICAL OFFICE BUILDINGS. ALSO, OPERATES OAKWOOD CARE CONNECTIONS WHICH PROVIDES PRIVATE DUTY NURSING SERVICES, AND INVESTS IN VARIOUS HEALTHCARE RELATED JOINT VENTURES.MIDWEST MEDICAL CENTER - OWNS AND OPERATES SIX PHYSICIAN PRACTICE FACILITIES CONVENIENTLY LOCATED IN SOUTHEASTERN MICHIGAN. MIDWEST HAS OVER 65 PHYSICIANS SPECIALIZING IN 19 DIFFERENT SPECIALTIES. IT ALSO OWNS AND OPERATES A CAP CERTIFIED LABORATORY. IN ADDITION TO CORE PHYSICIAN SERVICES, CENTERS ALSO INCLUDE RADIOLOGY AND REHABILITATION SERVICES.OAKWOOD INFUSION SERVICES - PROVIDES HOME INFUSION SERVICES. OAKWOOD INFUSION CENTERS OFFER ROUTINE OUTPATIENT SERVICES FOR PATIENTS SEEKING TREATMENT FOR CANCER, RHEUMATOID ARTHRITIS, CROHN'S DISEASE, MULTIPLE SCLEROSIS AND OTHER DIAGNOSES PROVIDING SERVICES SUCH AS, IV MEDICATION THERAPY, CHEMOTHERAPY INFUSIONS, REFILL AND MAINTENANCE OF PORT PUMPS, ANTIBIOTIC THERAPY, INTRAMUSCULARLY AND SUBCUTANEOUS INJECTIONS, IV FLUID HYDRATION, VENOUS ACCESS DEVICE IRRIGATION, IMPLANTED VENOUS ACCESS DEVICE DECLOTTING, THERAPEUTIC PHLEBOTOMY AND BLOOD TRANSFUSION.OAKWOOD HEALTHCARE SYSTEM IS A REGIONAL HEALTH CARE NETWORK AND IS ONE OF THE MOST COMPREHENSIVE HEALTH CARE DELIVERY SYSTEMS IN SOUTHEASTERN MICHIGAN, SERVING SOUTHEAST MICHIGAN FOR MORE THAN 60 YEARS. OAKWOOD HEALTHCARE SYSTEM IS A RECOGNIZED LEADER IN CLINICAL QUALITY, SERVICE AND VALUE. OUR EMPLOYEES, PHYSICIANS AND VOLUNTEERS ARE COMMITTED TO PROVIDING EXCELLENT CLINICAL QUALITY AND WORLD-CLASS CUSTOMER SERVICE TO OUR PATIENTS AND THEIR FAMILIES. PART VI, LINE 7, REPORTS FILED WITH STATES MI SCHEDULE H, PART VI, OTHER COMMUNITY BENEFIT INFORMATION: THE OAKWOOD HEALTHCARE FOUNDATION PROVIDES SIGNIFICANT ASSISTANCE TO STRENGTHEN OAKWOOD'S COMMUNITY BENEFIT PROGRAMS AND SERVICES. IN ADDITION TO PROVIDING THE FUNDS FOR MANY COMMUNITY BENEFIT PROGRAMS, SUCH AS ADOLESCENT HEALTH CENTERS, THE CENTER FOR EXCEPTIONAL FAMILIES, NEEDY PATIENT PROGRAMS, ETC., IT EXPENDED OVER $800,000 IN 2014 TO COVER THE COSTS OF FUNDRAISING AND GRANT WRITING THAT IS DIRECTLY ASSOCIATED WITH COMMUNITY BENEFIT PROGRAMMING. TWO LARGE EVENTS WERE HELD IN 2014 THAT WERE SPECIFICALLY PRESENTED TO RAISE FUNDS TO OPERATE THE CENTER FOR EXCEPTIONAL FAMILIES, A MULTIDISCIPLINARY CLINIC FOR CHILDREN WITH PHYSICAL AND COGNITIVE IMPAIRMENTS. MANY OF THE SERVICES PROVIDED BY THE CENTER ARE NOT COVERED BY INSURANCE BUT ARE INTEGRAL TO CARE, WITH OTHER FINANCIAL SUPPORT RAISED FOR OPERATION OF THEIR PHYSICAL LOCATION. NUMEROUS GRANTS TO FEDERAL AND STATE FUNDING SOURCES SUCH AS HRSA AND MICHIGAN DEPARTMENT OF COMMUNITY HEALTH AND OTHER PRIVATE FUNDING SOURCES WERE PREPARED, COMPLETED AND SUBMITTED BY THE FOUNDATION ON BEHALF OF PROGRAMS SUCH AS OAKWOOD'S SCHOOL BASED/SCHOOL LINKED HEALTH CENTERS, PREVENTION PROGRAMS, RYAN WHITE CLINIC FOR HIV CARE, THE CENTER FOR EXCEPTIONAL FAMILIES, NUTRITION EDUCATION AND OTHER PROGRAMS THAT BENEFIT OUR COMMUNITY. 1 ACCESS 2651 SAULINO CT DEARBORN MI 48120 237444497 501(C)(3) 8050 0 COMMUNITY SUPPORT DEARBORN COMMUNITY FUND 15801 MICHIGAN AVE DEARBORN MI 48126 383507205 501(C)(3) 22500 0 COMMUNITY SUPPORT EDSEL & ELEANOR FORD HOUSE 1100 LAKE SHORE RD GROSSE POINTE SHORES MI 48236 382218274 501(C)(3) 15395 0 COMMUNITY SUPPORT WAYNE STATE UNIVERSITY 1369 SCOTT HALL 540 E CANFIELD DETROIT MI 48201 386028429 501(C)(3) 11400 0 COMMUNITY SUPPORT MICHIGAN STATE UNIVERSITY A308 EAST FEE HALL MSU COLLEGE OF OSTEOPATHIC MED E LANSING MI 48824 386005984 501(C)(3) 5800 0 COMMUNITY SUPPORT NEW DETROIT 3011 W GRAND BLVD STE 1200 DETROIT MI 48202 386159215 501(C)(3) 5000 0 COMMUNITY SUPPORT OAKLAND UNIVERSITY 3053 HUMAN HEALTH BUILDING OAKLAND UNIVERSITY SCHOOL OF NURSING ROCHESTER MI 48309 381714400 501(C)(3) 8500 0 COMMUNITY SUPPORT OAKWOOD HEALTHCARE FOUNDATION 15500 LUNDY PKWY DEARBORN MI 48126 383432073 501(C)(3) 23138454 0 SUPPORT THE MISSION AND OPERATION OF OAKWOOD HEALTH SYSTEM TOMORROWS CHILD 612 W LAKE LANSING RD STE 800 E LANSING MI 48823 383193629 501(C)(3) 10000 0 COMMUNITY SUPPORT 9 0 HELPING HANDS - NEEDY EMPLOYEE ASSISTANCE 45 71397 EMPLOYEE SCHOLARSHIPS 108 142864 MEDICAL RESIDENTS STIPENDS 266 14068370 PART I, LINE 2: THE 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 THE OAKWOOD HEALTHCARE SYSTEM ARE MONITORED BY THE RESPECTIVE DEPARTMENTS. OAKWOOD HEALTHCARE, INC. FOLLOWS THE GUIDELINES AND IS SUBJECT TO AN A133 AUDIT ANNUALLY UPON MEETING THE EXPENDITURE THRESHOLD. THE 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. THE 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 $14,068,370 DURING 2014. OAKWOOD HEALTHCARE SYSTEM MONITORS USE OF GRANT FUNDS THROUGH ITS PAYROLL AND HUMAN RESOURCES DEPARTMENTS AS THESE GRANTS ARE GENERALLY MADE IN CONNECTION WITH THE EMPLOYEE'S COMPENSATION. X X X X 1 1 X X X X X 1 1 0 1 1 0 0 0 0 CONNOLLY BRIAN PRESIDENT & CEO 814963 0 1088878 0 606918 0 567248 0 54733 0 3132740 0 349051 0 HENOCH MALCOLM MD SVP & CMO 397352 0 226528 0 29089 0 146491 0 18708 0 818168 0 100654 0 LLOYD SETH SECRETARY, SVP & GENERAL COUNSEL 277359 0 83672 0 39321 0 3799 0 11060 0 415211 0 0 0 KEUTEN JOHN EVP & CFO 405812 0 230190 0 74580 0 138303 0 20812 0 869697 0 97444 0 CAMPBELL DAVID EVP OPS. SYS. STRAT. & GROWTH 444851 0 177528 0 57212 0 172821 0 21698 0 874110 0 0 0 CONWAY PAUL SVP HUMAN RESOURCES 229435 0 133659 0 53101 0 91674 0 24410 0 532279 0 66334 0 D'AGOSTINO MAUREEN SVP ORGANIZ. EXCELLENCE 201078 0 93743 0 19116 0 74932 0 30872 0 419741 0 43018 0 GEHEB MICHAEL MD EVP PHYS. PLAN & OPS. 400351 0 253553 0 72840 0 163208 0 22550 0 912502 0 123513 0 HUGHES EDITH SITE PRESIDENT 243891 0 43719 0 45727 0 31058 0 21248 0 385643 0 0 0 ISENSTEIN BILL SVP MANAGED CARE 286074 0 144942 0 45212 0 21289 0 24155 0 521672 0 0 0 MEDVEC BARBARA SVP, CHIEF NURSING OFFICER 206580 0 128490 0 59969 0 100282 0 4717 0 500038 0 67422 0 ODOM LEE ANN SITE PRESIDENT 213728 0 39416 0 29740 0 28686 0 6121 0 317691 0 0 0 O'MALLEY CARLA EXECUTIVE DIRECTOR FOUNDATION 191066 0 109322 0 63143 0 114772 0 21810 0 500113 0 51513 0 SMITH KELLY SVP & SITE PRESIDENT 337935 0 42759 0 50626 0 152096 0 4547 0 587963 0 0 0 SMITH PAULA SVP & CHIEF INFORMATION OFFICER 215856 0 137826 0 54762 0 129461 0 23918 0 561823 0 72501 0 WELDAY DOUGLAS EVP THRU 3/14 68107 0 276092 0 454855 0 388123 0 3255 0 1190432 0 141389 0 WIDNER ERIC SITE PRESIDENT 231258 0 34233 0 31508 0 23537 0 23370 0 343906 0 0 0 ZATINA MARY SVP GOVERNMENT RELATIONS 178346 0 116241 0 60992 0 83776 0 23125 0 462480 0 61440 0 AZRAK MUHAMMAD STAFF PHYSICIAN 664528 0 0 0 32640 0 5690 0 25254 0 728112 0 0 0 DABBOUS SAMIR STAFF PHYSICIAN 1323057 0 0 0 21927 0 0 0 15028 0 1360012 0 0 0 JUNN FREDRICK SONG CHUN STAFF PHYSICIAN 966049 0 287811 0 68660 0 22747 0 21740 0 1367007 0 0 0 PANNU TEJPAUL SINGH STAFF PHYSICIAN 747390 0 0 0 28255 0 22637 0 24250 0 822532 0 0 0 SPRAGUE KEVIN JOSEPH STAFF PHYSICIAN 193999 0 601924 0 43826 0 20423 0 1586 0 861758 0 0 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, TRUSTEES, 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 2014, 3 OFFICERS, 2 TRUSTEES, AND 10 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 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 2014, 5 KEY EMPLOYEES RECEIVED TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. DISCRETIONARY SPENDING ACCOUNT - DURING 2014, 1 OFFICER AND 2 KEY EMPLOYEES RECEIVED PAYMENTS FOR DISCRETIONARY SPENDING. HEALTH AND SOCIAL CLUB DUES OR INITIATION FEES - DURING 2014, 2 OFFICERS, 1 TRUSTEE, AND 5 KEY EMPLOYEES RECEIVED PAYMENTS FOR HEALTH AND SOCIAL CLUB DUES OR INITIATION FEES. ALL PAYMENTS FOR THE ABOVE BENEFITS WERE TREATED AS TAXABLE 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 2014 INCLUDE PAYMENTS TO THE FOLLOWING: DOUGLAS WELDAY, EVP - $383,981. PART I, LINE 4B: OAKWOOD HEALTHCARE, INC. HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) THAT IS LIMITED TO THE FOLLOWING PARTICIPANT: BRIAN CONNOLLY, PRESIDENT AND CEO. DURING 2014, MR. CONNOLLY RECEIVED A PAYMENT OF $521,387 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 0 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 25725000 110640578 8262943 901276 25436310 76601313 2008 1 0 1 1 B 7635000 161691855 49 1687398 25289969 134714488 2013 1 1 1 1 C 53999789 3 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 $186,424; $49; AND $3 RESPECTIVELY. FORM 990, SCHEDULE K, PART III: 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 85595 SEE PART V 0 SEE PART V SEE PART V 24525 SEE PART V 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: MICHELE RUPPAL(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: MICHELE RUPPAL IS A FAMILY MEMBER OF BARBARA MEDVEC (KEY EMPLOYEE).(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF 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.(TRUSTEE).(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT 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 4 EFFECTIVE SEPTEMBER 1, 2014, WILLIAM BEAUMONT HOSPITAL ("WBH"), OAKWOOD HEALTHCARE, INC. ("OAKWOOD"), AND ZIEGER HEALTHCARE CORPORATION, THE SOLE MEMBER OF BOTSFORD GENERAL HOSPITAL ("BOTSFORD"), CONSUMMATED THEIR AFFILIATION PURSUANT TO WHICH BEAUMONT HEALTH, A MICHIGAN NONPROFIT CORPORATION, WAS CREATED. AS PART OF THE AFFILIATION AGREEMENT, BEAUMONT HEALTH BECAME THE SOLE CORPORATE MEMBER OF WBH, OAKWOOD, AND BOTSFORD AND COMBINED THE OPERATIONS OF WBH, OAKWOOD, AND BOTSFORD, AND THEIR SUBSIDIARIES AND AFFILIATES, UNDER A NEW SYSTEM REFERRED TO AS BEAUMONT HEALTH. THE ARTICLES AND BYLAWS OF OAKWOOD HEALTHCARE, INC. PROVIDE BEAUMONT HEALTH, THE SOLE CORPORATE MEMBER, WITH RESERVED POWERS TO TAKE SPECIFIC ACTIONS WITH RESPECT TO 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 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. ADDITIONALLY, THE FORM 990 WAS REVIEWED AT A REGULARLY SCHEDULED MEETING OF THE ORGANIZATION'S BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS. 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 SR 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 THE 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 IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 6,622,582. MANAGEMENT AND GENERAL EXPENSES 317,930. TOTAL EXPENSES 6,940,512. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 21,013,777. TOTAL EXPENSES 21,013,777. OTHER PURCHASED SVCS & REAL ESTATE COMM: PROGRAM SERVICE EXPENSES 52,085,240. MANAGEMENT AND GENERAL EXPENSES 32,900,285. TOTAL EXPENSES 84,985,525. INTRAOPERATIVE MONITORING SVCS: PROGRAM SERVICE EXPENSES 313,483. TOTAL EXPENSES 313,483. CONTRACTED MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 451,256. MANAGEMENT AND GENERAL EXPENSES 4,042,008. TOTAL EXPENSES 4,493,264. LANGUAGE SERVICES: PROGRAM SERVICE EXPENSES 229,214. MANAGEMENT AND GENERAL EXPENSES 16,443. TOTAL EXPENSES 245,657. FORM 990, PART XI, LINE 9: PENSION & POST RETIREMENT LIAB ADJ. -46,686,864. WRITE-OFF OF INTERCOMPANY TRANSFERS 12,444. MICHIGAN BONE & JOINT-OAKWOOD SOUTHSHORE MEDICAL CENTER PLLC 15500 LUNDY PARKWAY DEARBORN MI 48126 383582590 AMBULATORY MEDICAL SERVICES MI 0 0 OAKWOOD HEALTHCARE INC MIDWEST SURGERY CENTER 1 PARKLANE BLVD SUITE 1000E DEARBORN MI 48126 453771730 AMBULATORY MEDICAL SERVICES MI -2099759 982512 OAKWOOD HEALTHCARE INC NEUROSOURCE LLC 15500 LUNDY PARKWAY DEARBORN MI 48126 383532220 AMBULATORY MEDICAL SERVICES MI 0 0 OAKWOOD HEALTHCARE INC OAKLANE MEDICAL SUITES INC 17000 HUBBARD DRIVE SUITE 800 DEARBORN MI 48126 382995065 REAL ESTATE-MEDICAL FACILITY MI 14180 0 OAKWOOD HEALTHCARE INC OAKWOOD MEDICAL PRACTICES PLLC 15500 LUNDY PARKWAY DEARBORN MI 48126 320072212 AMBULATORY MEDICAL SERVICES MI 0 0 OAKWOOD HEALTHCARE INC OAKWOOD GROUP VIII LLC 15500 LUNDY PARKWAY DEARBORN MI 48126 300326803 AMBULATORY MEDICAL SERVICES MI 0 0 OAKWOOD HEALTHCARE INC OAKWOOD GROUP VII LLC 15500 LUNDY PARKWAY DEARBORN MI 48126 300326800 AMBULATORY MEDICAL SERVICES MI 0 0 OAKWOOD HEALTHCARE INC OAKWOOD HEALTHCARE 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