2011-11-14T15:01:29-06:00 2010-12-31 DELOITTE TAX LLP 600 RENAISSANCE CENTER SUITE 900 DETROIT MI 482431895 990 2010-01-01 381405141 OAKWOOD HEALTHCARE INC OAKW 3135865052 15500 LUNDY PARKWAY DEARBORN MI 48126 DOUGLAS WELDAY 3135865052 2011-11-14 1 3133963000 2010 2016-03-07 17:11:31Z X DOUGLAS WELDAY 15500 LUNDY PARKWAY DEARBORN MI 48126 1414952004 0 X WWW.OAKWOOD.ORG X 1948 MI PROVIDE EXCELLENCE IN CARE, HEALING AND HEALTH TO THE INDIVIDUALS AND COMMUNITIES WE SERVE. 16 13 9619 1056 13655688 1257250 6724287 6500809 983829730 1039313369 2370751 21848521 4075230 3973257 996999998 1071635956 10413115 10420364 0 0 473520365 493798683 0 0 3228748 502768569 521177822 986702049 1025396869 10297949 46239087 887015660 977794295 618209173 668886326 268806487 308907969 X PROVIDE EXCELLENCE IN CARE, HEALING AND HEALTH TO THE INDIVIDUALS AND COMMUNITIES WE SERVE. 0 0 670790021 319878 968433525 PATIENT CARE SERVICESOAKWOOD HEALTHCARE SYSTEM (OHS) OPERATES FOUR ACUTE CARE HOSPITALS AND 40 PRIMARY CARE/SPECIALTY CARE SITES. WITH A TOTAL OF 1,281 LICENSED ACUTE CARE BEDS, OAKWOOD CARED FOR APPROXIMATELY 58,000 ADMISSIONS AND AVERAGED A DAILY INPATIENT CENSUS OF 785 PATIENTS IN 2010. WITH ALMOST 189,000 EMERGENCY ROOM VISITS ACROSS FIVE LOCATIONS AND 199,800 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 37% OF THE INPATIENT MARKET SHARE IN A PRIMARY SERVICE AREA COVERING 500 SQUARE MILES SERVING A POPULATION OF ALMOST 1 MILLION 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 48% OF THE INPATIENT ADMISSIONS. THE SERVICE LINES FOCUS ON HEART AND VASCULAR SERVICES, WOMENS HEALTH, ORTHOPAEDICS, NEUROSCIENCES AND CANCER CARE. 59794615 10100486 32676449 GRADUATE MEDICAL EDUCATIONOAKWOOD OFFERS ALLOPATHIC, OSTEOPATHIC AND PODIATRIC MEDICAL RESIDENCY PROGRAMS TO ENHANCE THE DELIVERY OF PATIENT CARE. THERE ARE APPROXIMATELY 90 FACULTY AND OVER 200 MEDICAL RESIDENTS COVERING 21 PROGRAMS. PROGRAMS INCLUDE PRIMARY CARE SPECIALTIES, OB/GYN, GERIATRICS, RADIOLOGY, PODIATRY, TRANSITIONAL EDUCATION AND OTHERS. OAKWOOD PARTICIPATES IN WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE (WSU SOM) SPONSORED PROGRAMS INCLUDING OTOLARYNGOLOGY, UROLOGY, PHYSICAL MEDICINE AND REHABILITATION AND ORTHOPAEDICS 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 90% BOARD PASS RATES OVER THE LAST 3 YEARS AS WELL. THE SYSTEM PARTICIPATES IN APPROXIMATELY 15 CLINICAL TRIALS AND IS ACTIVE IN ORIGINAL RESEARCH. OAKWOOD'S MEDICAL EDUCATION PROGRAMS ARE ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION AND THE AMERICAN OSTEOPATHIC ASSOCIATION. 95274347 UNCOMPENSATED AND UNDER-COMPENSATED CARE SERVICESOAKWOOD'S UNCOMPENSATED CARE FOR OUR COMMUNITIES IS EXEMPLIFIED BY CARE PROVIDED TO NEEDY 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 (OAKASSIST) PROGRAM. OAKWOOD WROTE OFF OVER 14,700 CASES AT AN ESTIMATED $70 MILLION IN CHARGES AT A COST OF APPROXIMATELY $22 MILLION TO CHARITY CARE IN 2010. 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 MADE UP OF BAD DEBT AND LOSSES INCURRED ON MEDICAID BUSINESS. IN 2010, OAKWOOD WROTE OFF APPROXIMATELY $76.7 MILLION IN BAD DEBT AT A COST OF APPROXIMATELY $25.2 MILLION. IN ADDITION, 17% TO 18% OF OAKWOOD'S PATIENT REVENUE IS FROM THE MEDICAID PROGRAMS. UNFORTUNATELY, MEDICAID REIMBURSEMENT IS INSUFFICIENT TO COVER COSTS OF THE CARE AND FALLS SHORT BY APPROXIMATELY $48.9 MILLION. IN TOTAL, OAKWOOD PROVIDED ALMOST $95.3 MILLION IN UNCOMPENSATED CARE IN 2010 AS WE LIVE UP TO OUR MISSION OF PROVIDING EXCELLENCE IN HEALTH AND HEALING TO ALL THOSE IN THE COMMUNITIES WE SERVE. 825858983 1 1 0 1 0 0 0 0 1 1 0 0 1 1 1 0 1 0 1 1 0 0 0 0 0 1 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 802 0 9619 1 1 1 1 CJ 0 0 0 0 0 0 X 16 13 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MI X MATT ELSEY 3135865052 15500 LUNDY PARKWAY DEARBORN MI 48126 LIZABETH ARDISANA 1.00 X 0 0 0 BRIAN CONNOLLY 40.00 X X 1252810 0 429016 SAMIR DABBOUS MD 40.00 X 244054 0 0 MALCOLM HENOCH 40.00 X X 515865 0 132317 LEON JUDD 1.00 X 0 0 0 ROBERT KRAMER 1.00 X 0 0 0 RICHARD KUGHN 1.00 X 0 0 0 MARTIN MULLOY 1.00 X 0 0 0 JERRY NORCIA 1.00 X 0 0 0 TIMOTHY O'BRIEN 1.00 X 0 0 0 LESTER ROBINSON 1.00 X 0 0 0 ROBERT ROSOWSKI 1.00 X 0 0 0 BALA SETTY 1.00 X 0 0 0 JOHN LEWIS 1.00 X 0 0 0 EDGAR SCRIBNER 1.00 X 0 0 0 THOMAS SAELI 1.00 X 0 0 0 SETH LLOYD 40.00 X 256961 0 8778 DOUGLAS WELDAY 40.00 X 641835 0 201953 JOSEPH DIEDERICH 40.00 X 714137 0 221716 PAUL CONWAY 40.00 X 322157 0 93773 MAUREEN D'AGOSTINO 40.00 X 219260 0 41732 MICHAEL GEHEB 40.00 X 629266 0 178256 EDITH HUGHES 40.00 X 327390 0 33796 BARBARA MEDVEC 40.00 X 307133 0 78602 CARLA O'MALLEY 1.00 X 322483 0 113863 PAULA SMITH 40.00 X 286351 0 110484 MARY ZATINA 40.00 X 253234 0 87998 ERIC WIDNER 40.00 X 306137 0 23683 BRYCE ROSCHE 40.00 X 265189 0 27066 JOHN KEUTEN 40.00 X 322771 0 28404 BILL ISENSTEIN 40.00 X 390508 0 29705 MARK BUSTAMANTE 40.00 X 326017 0 39612 KEVIN JOSEPH SPRAGUE 40.00 X 930061 0 22987 FREDERICK SONG CHUN JUNN 40.00 X 895645 0 32201 JOHN JOSEPH FATH 40.00 X 677003 0 24593 TEJPAUL SINGH PANNU 40.00 X 551930 0 31456 ARTHUR L RIBA 40.00 X 626064 0 35227 11584261 0 2027218 481 0 1 0 CARETECH SOLUTIONS INC 901 WILSHIRE DR SUITE 250 TROY MI 48084 INFORMATION TECHNOLOGY SERVICES 25035967 PEROT SYSTEMS CORP ARS 12020 COLLECTIONS CNTR DR CHICAGO IL 60693 BILLING SOLUTIONS/OFFICE MANAGEMENT 10912823 DEARBORN SURGERY CENTER LLC 1870 MOMENTUM PLACE CHICAGO IL 60689 OUTPATIENT SURGERY SERVICES 7221887 MORRISON MANAGEMENT SPECIALISTS INC 5801 PEACHTREE DUNWOODY RD ATLANTA GA 30342 FOOD/RETAIL SERVICES 6392051 WAYNE STATE UNIVERSITY 540 E CANFIELD DETROIT MI 48201 CONTRACT PHYS SERVICES 4336373 148 4881175 1619634 6500809 PATIENT CARE SERVICES 900099 1006636920 965941703 13622835 27072382 GRADUATE MEDICAL EDU. 900099 32676449 32676449 1039313369 10860247 10860247 1034721 1035285 -564 -564 -23148 22584 352943331 325706 342099940 180823 10843391 144883 10988274 10988274 GIFT SHOP 900099 1163513 1163513 CAFETERIA REVENUE 624410 984662 984662 CHILD CARE 453220 655537 655537 1170109 10269 1159840 3973821 1071635956 998595004 13655688 52884455 192341 192341 10228023 10228023 9760669 206783 9117540 436346 85838 85838 406745462 323320228 83425234 19332632 15104456 4228176 28188640 22092954 6095686 29685442 23193037 6492405 7454261 2457290 4996971 1951624 1951624 426900 426900 81217 81217 1096087 1096087 87999347 59066298 28933049 3239680 383912 2855768 11193594 4099987 7093607 13059001 6901956 6157045 27202553 21542361 5660192 1132742 304367 828375 718858 495610 223248 17608738 17608738 54538112 40126750 14411362 18744025 17663218 1080807 MEDICAL SUPPLIES 103554750 103534580 20170 0 BAD DEBT 76724457 76724457 0 0 PHARMACEUTICALS 39910126 39910126 0 0 EQUIPMENT RENTAL & MAIN 28736318 18164988 10571330 0 0 0 0 0 25805432 22536523 476507 2792402 1025396869 825858983 196309138 3228748 -4190938 -1148700 44334228 41101219 84060339 88724809 1330969 2331288 14196166 13599949 10606947 7110319 914269858 619542001 319842577 294727857 313648611 346689245 34746888 39579162 6362778 15010461 62077095 130068686 887015660 977794295 92489198 106896226 532308 495437 343310067 329021835 3090 8037096 5852429 173837414 226620399 618209173 668886326 X 268806487 308907969 268806487 308907969 887015660 977794295 X 46239087 -6137605 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 0 0 1 500 0 0 1 28897 0 1 51820 81217 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: OAKWOOD HEALTHCARE INC. ENGAGES OUTSIDE CONSULTANTS TO CONDUCT STATE AND FEDERAL LOBBYING ACTIVITIES ON MATTERS PERTAINING TO NONPROFIT HEALTHCARE. THE FIRMS, SERVICES AND COSTS PROVIDED DURING 2010 PERTAINING TO LOBBYING ARE DISCLOSED ABOVE. 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. 0 0 13622220 252570 1283026 94773 219299 14843744 11979183 253884 1954301 109800 455348 13622220 14924119 550373 -2920938 54000 520371 11979183 0.65000 0.35000 0 1 1 17179966 17179966 284098697 181950669 102148028 12178516 6838144 5340372 474566738 344241279 130325459 126245941 86511909 39734032 294727857 DEFERRED BOND ISSUE COSTS 1890561 DUE FROM (TO) AFFILIATES 72996196 MISC RECEIVABLES 4541475 CAPITAL LEASE 50640454 130068686 ACCRUED COMPENSATION 19015988 CLAIMS LIABILITY 46194624 WORKERS COMPENSATION 3060165 ASSET RETIREMENT OBLIGATION 2460508 ACCRUED PENSION 93017209 DUE TO THIRD PARTY PAYORS 62871905 226620399 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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. SCHEDULE D, PART XIV, FIN 48 DISCLOSURE: THE COMPANY HAS ADOPTED FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES (FIN 48) (CODIFIED IN 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 0 1 INVESTMENTS N/A 1 0 1 0 0 0 0 0 1 0 0 0 PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.: SCHEDULE F, PART I, LINE 2: N/A 1 1 X 1 X 1 X 1 1 1 0 1 1 14796 11292 22156218 105479 22050738 0.02320 277911 136986 182657790 134775296 47882494 0.05050 292707 148278 204814008 134880775 69933232 0.07370 2374 100242 6660843 1316437 5344406 0.00560 28 1659 60357636 32676449 27681187 0.02920 922 973 3654582 2603266 1051316 0.00110 1 400 755255 168796 586459 0.00060 115 6162 209656 209656 0.00020 3440 109436 71637972 36764948 34873024 0.03670 296147 257714 276451980 171645723 104806256 0.11040 4745 4745 0.00000 4745 4745 1 25235635 109433 388356580 394224274 -5867694 X 1 1 1 APEX BEHAVORIAL HEALTH PLLC OUTPATIENT BEHAVIORAL HEALTH SERVICES 0.25000 0.66250 2 SLEEP APNEA SPECIALTY CENTER-RIVERVIEW SLEEP APNEA TESTING AND TREATMENT 0.30580 0.61160 3 OAKLANE MEDICAL SUITES MEDICAL FACILITY 0.33440 0.23900 4 1 OAKWOOD HOSPITAL & MEDICAL CENTER

18101 OAKWOOD BLVD DEARBORN MI 48124

X X X X X 2 OAKWOOD ANNAPOLIS HOSPITAL

33155 ANNAPOLIS WAYNE MI 481842493

X X X X 3 OAKWOOD SOUTHSHORE MEDICAL CENTER

5450 FORT STREET TRENTON MI 481834625

X X X X 4 OAKWOOD HERITAGE HOSPITAL

10000 TELEGRAPH TAYLOR MI 481803349

X X X X NOT REQUIRED 1 NOT REQUIRED 2 NOT REQUIRED 3 NOT REQUIRED 4 48 OAKWOOD HEALTH CARE CTR - ALLEN PARK

15915 SOUTHFIELD ALLEN PARK MI 48101

OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT LAB AT FAMILY HEALTH RIVERVIEW CENTER

19020 FORT STREET RIVERVIEW MI 48192

LAB DRAW SITE OAKDALE MEDICAL VILLAGE

25045 FORD RD DEARBORN MI 48128

OUTPATIENT IMAGING, LAB DRAW SITE OAKWOOD CARDIAC CENTER

22060 BEECH RD DEARBORN MI 48124

CARDIAC CENTER OAKWOOD HEALTH CARE CTR - BELLEVILLE

201 THIRD ST BELLEVILLE MI 48111

OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT OAKWOOD HEALTH CARE CTR - BROWNSTOWN

17000 KING ROAD BROWNSTOWN MI 48183

OUTPATIENT PHYSICIAN CLINIC OAKWOOD HEALTH CARE CTR - CANTON

7300 CANTON CENTER ROAD CANTON MI 48187

EMERGENCY ROOM, RADIOLOGY, OUTPATIENT IMAGING, LAB DRAW SITE OAKWOOD HEALTH CARE CTR - MERCURY DR

4900 MERCURY DRIVE DEARBORN MI 48126

OUTPATIENT PHYSICIAN CLINIC OAKWOOD HEALTH CARE CTR - SOUTHGATE

15777 NORTHLINE ROAD SOUTHGATE MI 48195

O/P CLINIC; CANCER CENTER; RADIOLOGY; REHAB. CLINIC - PT; LAB DRAW SITE OAKWOOD HEALTH CARE CTR - WESTLAND

2001 SOUTH MERRIMAN WESTLAND MI 48186

OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE OAKWOOD MEDICAL OFFICES - DEARBORN

18181 OAKWOOD BLVD DEARBORN MI 48124

OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE OAKWOOD MEDICAL OFFICES - TRENTON

5400 FORT STREET TRENTON MI 48183

OUTPATIENT PHYSICIAN CLINIC, CARDIAC REHAB. CLINIC, LAB DRAW SITE OAKWOOD MEDICAL OFFICES - WAYNE

33000 ANNAPOLIS AVE WAYNE MI 48184

OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC-PT, OT AND ST OAKWOOD SPORTS MEDICINE - DEARBORN

2552 MONROE DEARBORN MI 48124

REHAB. CLINIC-PT ADOLESCENT HEALTH CENTER - ROMULUS

9650 SOUTH WAYNE ROMULUS MI 48074

OUTPATIENT PHYSICIAN CLINIC (TEEN CENTER) OAKWOOD HEALTH CARE CTR - TB CLINIC

2001 SOUTH MERRIMAN WESTLAND MI 48186

OUTPATIENT PHYSICIAN CLINIC (TB CLINIC) OAKWOOD MEDICAL OFF BLDG GARDEN CITY

29150 FORD RD GARDEN CITY MI 481350000

OUTPATIENT PHYSICIAN CLINIC, URGENT CARE OAKWOOD MEDICAL OFFICE BLDG CANTON

7330 CANTON CENTER RD CANTON MI 481870000

OUTPATIENT PHYSICIAN CLINIC OAKWOOD LABORATORY - HAMLET BLDG

1331 MONROE ST DEARBORN MI 48124

LAB DRAW SITE OAKWOOD HOME MEDICAL EQUIP & OIS

1633 FAIRLANE CIRCLE ALLEN PARK MI 481010000

DURABLE MEDICAL EQUIPMENT, INFUSION SERVICES OAKWOOD SOUTHSHORE SURGERY CENTER

5452 FORT STREET TRENTON MI 48183

O/P SURGICAL SERVICES, REHAB. CLINIC (PT/OT), ORTHO. CTR OF EXCELLENCE OAKWOOD DEARBORN MEDICAL PARK

18100 OAKWOOD BLVD DEARBORN MI 48124

O/P PHYS. CLINIC, BREAST CARE & DIALYSIS CENTER, O/P IMAGING, LAB DRAW SITE SOUTHSHORE PHYSICAL MEDICAL REHAB

2707 W JEFFERSON TRENTON MI 48183

REHAB. CLINIC-PT, OT AND ST OAKWOOD HEALTHCARE FLATROCK

29100 GATEWAY BLVD FLATROCK MI 48134

OUTPATIENT PHYSICIAN CLINIC INKSTER TEEN CENTER

3250 MIDDLEBELT INKSTER MI 48141

OUTPATIENT PHYSICIAN CLINIC OAKLANE MEDICAL SUITES

17000 HUBBARD DEARBRON MI 48126

OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT JEFFERSON-BARNS CLINIC - WESTLAND

32150 DORSEY STREET WESTLAND MI 48186

OUTPATIENT PHYSICIAN CLINIC SOUTH CANTON INTERNAL MEDICINE

42287 CHERRY HILL ROAD SUITE D CANTON MI 48188

OUTPATIENT PHYSICIAN CLINIC HAGGERTY MEDICAL BLDG - CANTON

2050 NORTH HAGGERTY RD CANTON MI 48188

OUTPATIENT PHYSICIAN CLINIC, OUTPATIENT IMAGERY OAKWOOD HEALTHCARE CENTER NEWPORT

3132 NEWPORT ROAD NEWPORT MI 48166

OUTPATIENT PHYSICIAN CLINIC OAKWOOD ANNAPOLIS BREAST CARE CENTER

4491 VENOY WAYNE MI 48184

BREAST CARE CENTER OAKWOOD TRAINING & DEVELOPMENT

18501 ROTUNDA DRIVE DEARBORN MI 48124

OUTPATIENT PHYSICIAN CLINIC OAKWOOD REHAB THERAPY SERVICES

27731 NEWMAN ROAD DEARBORN MI 48124

REHAB. CLINIC-PT OAKWOOD VENOY PATIENT SERVICE CENTER

4020 VENOY SUITE 200A WAYNE MI 48184

OUTPATIENT PHYSICIAN CLINIC; LAB DRAW SITE OAKWOOD PHYSICAL THERAPY CENTER

4111 S CANTON CENTER ROAD CANTON MI 48188

REHAB. CLINIC-PT LAB AT DEARBORN FAMILY PRACTICE

23870 MICHIGAN AVE DEARBORN MI 48124

LAB DRAW SITE ONCOLOGY DOWNRIVER

19725 ALLEN ROAD SUITE 101 BROWNSTOWN MI 48183

OUTPATIENT PHYSICIAN CLINIC; ONCOLOGY; OP IMAGING; LAB DRAW SITE OAKMAN MEDICAL GROUP

15120 MICHIGAN AVE DEARBORN MI 48126

OUTPATIENT PHYSICIAN CLINIC; LAB DRAW SITE NAJAR OBGYN

2142 MONROE STREET SUITE A DEARBORN MI 48124

OUTPATIENT PHYSICIAN CLINIC ADULT MEDICAL CARE PLCC

35330 NANKIN BLVD SUITE 701 WESTLAND MI 48185

OUTPATIENT PHYSICIAN CLINIC LAB AT WOODHAVEN

25000 HALL ROAD WOODHAVEN MI 48183

LAB DRAW SITE DEARBORN TOWN CENTER

4700 SCHAEFER ROAD DEARBORN MI 48126

OUTPATIENT PHYSICIAN CLINIC; LAB DRAW SITE TAYLOR TEEN CENTER

19275 NORTHLINE ROAD SOUTHGATE MI 48195

OUTPATIENT PHYSICIAN CLINIC (TEEN CENTER) CHASE MEDICAL CLINIC

6211 CHASE ROAD DEARBORN MI 48126

OUTPATIENT PHYSICIAN CLINIC ALLIED MEDICAL GROUP

35180 NANKIN BLVD WESTLANDM MI 48185

OUTPATIENT PHYSICIAN CLINIC INTERNAL MEDICINE WYANDOTTE

1700 BIDDLE AVE WYANDOTTE MI 48192

OUTPATIENT PHYSICIAN CLINIC INTERNAL MEDICINE BROWNSTOWN

23050 WEST ROAD BROWNSTOWN MI 48183

OUTPATIENT PHYSICIAN CLINIC HF VILLAGE GERIATRICS

15101 FORD ROAD 1ST FLOOR DEARBORN MI 48126

OUTPATIENT PHYSICIAN CLINIC PART I, LINE 3C: N/A PART I, LINE 6A: N/A 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, LINE 7G: N/A PART I, L7 COL(F): BAD DEBT IN THE AMOUNT OF $877,078 WAS REMOVED FROM THE EXPENSES COUNTED IN THE MEDICAL RESIDENT EDUCATION PORTION OF HEALTH PROFESSIONS EDUCATION. BAD DEBT EXPENSE OF $76,724,457 WAS EXCLUDED FROM TOTAL EXPENSES WHEN COMPUTING THE COST TO CHARGE RATIOS. A FULL COPY OF THE COMMUNITY BENEFIT REPORT CAN BE FOUND AT HTTP://WWW.OAKWOOD.ORG/REPORT-TO-OUR-COMMUNITY OTHER COMMUNITY BENEFIT INFORMATION PART I THE OAKWOOD HEALTHCARE SYSTEM FOUNDATION PROVIDES SIGNIFICANT ASSISTANCE TO STRENGTHEN OAKWOOD'S COMMUNITY BENEFIT PROGRAMS AND SERVICES. IN ADDITION TO PROVIDING THE FUNDS FOR MANY PROGRAMS AND SERVICES, IT EXPENDS OVER $1.7 MILLION DOLLARS TO COVER THE COSTS OF FUND RAISING AND GRANT WRITING THAT IS DIRECTLY ASSOCIATED WITH COMMUNITY BENEFIT PROGRAMMING. TWO LARGE EVENTS WERE HELD IN 2010 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 GRANT REQUESTS 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 OAKWOODS SCHOOL BASED/SCHOOL LINKED HEALTH CENTERS, PREVENTION PROGRAMS, RYAN WHITE CLINIC FOR HIV CARE, THE CENTER FOR EXCEPTIONAL FAMILIES AND OTHER PROGRAMS THAT BENEFIT OUR COMMUNITY. PART II: 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 AND PROFESSIONAL ORGANIZATIONS. WHAT IS REPORTED IN THE SECTION REGARDING COMMUNITY BUILDING ACTIVITIES ARE THOSE WHERE A DIRECT OUTLAY OF CASH OR STAFF/FACILITY RESOURCES WERE EXPENDED. ACTIVITIES THAT ARE COVERED IN THIS SECTION INCLUDE DUES TO VARIOUS CHAMBERS OF COMMERCE INCLUDING: GREATER DETROIT CHAMBER OF COMMERCE; SOUTHERN WAYNE COUNTY CHAMBER; CANTON AND DEARBORN CHAMBERS OF COMMERCE; AND THE AMERICAN ARAB CHAMBER OF COMMERCE. ALSO INCLUDED ARE COSTS RELATED TO THE COORDINATION AND OFFERING OF COMMUNITY BLOOD DONOR DRIVES (DONE IN PARTNERSHIP WITH THE AMERICAN RED CROSS) AT OUR LOCATIONS THAT ARE TARGETED TO BOTH OUR EMPLOYEES AND MEMBERS OF THE PUBLIC. PART III, LINE 4: THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING: BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE AND CURRENT MARKET CONDITIONS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE COMPANY FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES.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 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: PATIENTS PRESENTING FOR SERVICES WITHOUT INSURANCE COVERAGE ARE IDENTIFIED AS SELF PAY PATIENTS. FINANCIAL COUNSELING STAFF, IN THE ORGANIZATION'S "OAKASSIST" PROGRAM, ASSESS THIS POPULATION TO DETERMINE IF SOME TYPE OF INSURANCE COVERAGE MAY EXIST, SUCH AS A GOVERNMENTAL SPONSORED INSURANCE PROGRAM, OR IF A SELF PAY DISCOUNT OR CHARITY CARE COVERAGE IS APPROPRIATE. THIS PROCESS IS INITIATED AS CLOSE TO THE DATE OF SERVICE OR PRE-SERVICE AS POSSIBLE. IF THE DETERMINATION OF DISCOUNTING OR OTHER COVERAGE IS NOT FOUND WITHIN AN AVERAGE OF 15 DAYS POST-SERVICE, THE PATIENT WILL RECEIVE A BILLING STATEMENT WITH DIRECTION TO CONTACT AN OAKWOOD REPRESENTATIVE IF FINANCIAL ASSISTANCE OF ANY KIND IS NEEDED. PRIOR TO FORWARDING ACCOUNTS TO A THIRD-PARTY COLLECTION AGENCY, THE ACCOUNTS ARE SCORED TO DETERMINE THE PATIENT'S ABILITY TO PAY AND EITHER DEEMED CHARITY OR BAD DEBT. ACCOUNTS ELIGIBLE FOR CHARITY CARE, PURSUANT TO THE ORGANIZATION'S 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: OAKWOOD HEALTHCARE SYSTEM USES AN ANNUAL ENVIRONMENTAL ASSESSMENT AS A BASELINE FOR THE DECISION MAKING IN BOTH COMMUNITY BENEFIT PROGRAMMING AND BUSINESS PLANNING. THE COMPREHENSIVE DOCUMENT IS PRODUCED EACH YEAR IN JUNE BY THE STRATEGIC PLANNING DEPARTMENT AFTER FOUR TO SIX MONTHS OF RESEARCH, DATA ANALYSIS AND PREPARATION. KEY LEADERS IN THE ORGANIZATION WHO REPRESENT COMMUNITY BENEFIT AND PATIENT FINANCIAL ASSISTANCE PROGRAMS ARE CONSULTED AS PART OF THE PREPARATION PROCESS. FINDINGS IN EACH YEAR'S REPORT ARE NOT NECESSARILY TIME LIMITED AND CAN BE APPLIED TO OTHER YEARS IN A 2-3 YEAR BUSINESS CYCLE.KEY FEATURES OF THE 2008-2009 DOCUMENT INCLUDED IDENTIFICATION OF AN OPPORTUNITY TO ADDRESS THE EPIDEMIC TYPE 2 DIABETES DIAGNOSIS TREND IN CHILDREN AND ITS RELATION TO INCREASING OBESITY TRENDS. PROGRAMMING RELATED TO CHILDHOOD FITNESS AND FAMILY NUTRITION HAS BEEN EXPANDED AND CREATED TO RESPOND TO THE TRENDS IN BOTH PEDIATRIC AND ADULT POPULATIONS. IN 2009-2010, A KEY RECOMMENDATION FOCUSED ON THE VALUE OF PREVENTATIVE CARE AS SO MANY OF THE LEADING CAUSES OF MORBIDITY AND MORTALITY IN OUR REGION ARE DIRECTLY ATTRIBUTABLE TO CONDITIONS THAT ARE HIGHLY EFFECTED BY DIET, EXERCISE LEVEL, SMOKING STATUS AND OBESITY. POPULATION TRENDS IN THE OAKWOOD HEALTHCARE SYSTEM SERVICE AREA WERE PRESENTED AND ANALYZED. THESE TRENDS SHOWED A SHARP INCREASE IN THE POPULATION OVER 65 YEARS OLD AND DECLINES IN OTHER GROUPS (FOR INSTANCE FEMALES IN THEIR CHILD BEARING YEARS).IMPLICATIONS RELATED TO THE HIGH PROPORTION OF BABY BOOMERS MANAGING MORE THAN ONE CHRONIC CONDITION (INCLUDING HEART DISEASE) AS WELL AS OBESITY AND DIABETES WERE APPLIED TO COMMUNITY BENEFIT PLANNING. DIABETES WAS ALSO SHOWN TO BE MORE PREVALENT IN OUR DIVERSE POPULATIONS OF AFRICAN AMERICANS, HISPANIC AMERICANS, AND IN PEOPLE OF EASTERN INDIAN ORIGIN. THESE NUMBERS, ALONG WITH THE FACT THAT HEART DISEASE, STROKE AND DIABETES ARE CONSISTENTLY AMONG THE TOP DIAGNOSES SEEN IN THE RANKING OF HEALTH STATUS INDICATORS FOR OUR COMMUNITIES, PROVIDE THE BASIS FOR ONE OF OUR LARGEST COMMUNITY OUTREACH PROGRAMS. OAKWOOD'S HEART HEALTH SCREENING AND EDUCATION OUTREACH IS COMPRISED OF BLOOD PRESSURE, TOTAL AND HDL CHOLESTEROL, AND GLUCOSE TESTING, AS WELL AS STROKE SCREENING INSTRUMENTS THAT ARE OFFERED IN CUSTOM PACKAGES TO COMMUNITY, SCHOOL, FAITH COMMUNITY AND OTHER GROUPS. ALL SCREENINGS ARE ACCOMPANIED BY BASIC COUNSELING ABOUT (EACH INDIVIDUAL'S) SCREENING RESULTS AND HOW HE OR SHE CAN MAKE POSITIVE BEHAVIOR CHOICES AND LIFESTYLE ADAPTATIONS TO KEEP THEIR RESULTS IN THE NORMAL RANGE OR TO BRING THEM INTO A LOWER, MORE HEALTHFUL RESULT. DATA FROM BOTH THE WAYNE COUNTY HEALTH DEPARTMENT AND THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH INDICATE THAT OUR SERVICE AREA HAS HIGHER RATES OF HEART DISEASE THAN WHAT IS SEEN IN THE REST OF THE STATE AND ACROSS THE NATION AS A WHOLE.OAKWOOD'S HEART HEALTH OUTREACH AND SCREENING PROGRAMS HAVE BEEN CONSISTENTLY HIGH VOLUME PROGRAMS FOR OVER 20 YEARS AND ARE UTILIZED BY MANY GROUPS, INCLUDING THE COUNTY HEALTH DEPARTMENT. DATA FROM THE ENVIRONMENTAL ASSESSMENT SUPPORT THE NEED FOR THIS PROGRAM YEAR AFTER YEAR, AS THERE HAS BEEN NO SIGNIFICANT SHIFT IN THE LEADING CAUSES OF DEATH IN OUR SERVICE AREA, COUNTY AND STATE. DATA FROM THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH IN 2009 CONFIRMS THAT OUR AREA CONTINUES TO EXHIBIT HIGHER RATES OF ADULT OBESITY, ADULT TOBACCO USE AND HEART DISEASE IN THOSE AGED 18 YEARS OR OLDER AS WELL AS A HIGHER RATE OF DIABETES PREVALENCE AND RELATED DEATHS.DATA PERTAINING TO UNEMPLOYMENT RATES, POVERTY INCIDENCE AND RATES OF INSURANCE COVERAGE ARE ALSO KEY TO OUR YEARLY ENVIRONMENTAL ASSESSMENT. OFFICIAL UNEMPLOYMENT RATES CONTINUED TO INCREASE IN WAYNE COUNTY, SOUTHEASTERN MICHIGAN AND THE STATE IN 2009, WITH WAYNE COUNTY EXHIBITING THE HIGHEST UNEMPLOYMENT RATE IN SOUTHEASTERN MICHIGAN. STATE MEDICAID CASELOADS ARE AT HISTORICALLY HIGH LEVELS, WITH THE NUMBER OF MICHIGAN CITIZENS RELYING ON MEDICAID FOR HEALTH CARE 61% HIGHER THAN IN 1999. THIS FIGURE CONTINUES TO GROW, WITH ONE OUT OF SEVEN MICHIGAN RESIDENTS NOW RELYING ON MEDICAID FOR HEALTH CARE COVERAGE. HOWEVER, STATE LEVEL FUNDING HAS BEEN SLASHED BY MORE THAN $850 MILLION SINCE 1996. THE RATES FOR "TOTALLY UNINSURED" AND THOSE CONSIDERED "UNDERINSURED" ALSO SHOW INCREASES. THIS DATA APPLIES DIRECTLY TO OUR UNCOMPENSATED CARE EXPENDITURES. A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE CAN BE TRACED DIRECTLY TO THE RECESSION AND TO A GROWING NUMBER OF PATIENTS WITH NO HEALTH INSURANCE WHO ARE SEEKING TREATMENT IN THE EMERGENCY DEPARTMENT.DATA USED IN THE OAKWOOD HEALTHCARE SYSTEM ENVIRONMENTAL ASSESSMENT IS COLLECTED FROM A VARIETY OF SOURCES INCLUDING THE WAYNE COUNTY HEALTH DEPARTMENT AND MICHIGAN DEPARTMENT OF COMMUNITY HEALTH; TRADE ORGANIZATIONS SUCH AS THE AMERICAN HOSPITAL ASSOCIATION AND MICHIGAN HEALTH & HOSPITAL ASSOCIATION; THE CENSUS BUREAU; AGENCIES SUCH AS CLARITAS AND THOMSON REUTERS; AND FROM OTHER STATE AND FEDERAL AGENCIES. 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 ALL ACCESS POINTS, 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 ORGANIZATIONS 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 SERVES MORE THAN 900,000 RESIDENTS IN 35 COMMUNITIES STRETCHING ACROSS A 500 SQUARE MILE AREA OF WESTERN WAYNE COUNTY. 75% OF THE OHS SERVICE AREA IS UNDER THE AGE OF 55, WITH 57% BETWEEN THE AGES OF 18 AND 54. WHILE CENSUS NUMBERS TELL US THAT 73% OF OUR SERVICE POPULATION IS CAUCASIAN, THERE ARE SEVERAL CONCENTRATIONS OF AFRICAN AMERICAN, HISPANIC AND ASIAN POPULATIONS. ANCESTRAL BACKGROUND, HOWEVER, IS ONE OF OUR SERVICE AREAS MOST REMARKABLE FEATURES, WITH SOUTHEAST MICHIGAN BEING HOME TO THE LARGEST ARAB POPULATION OUTSIDE OF THE MIDDLE EAST. WHILE THIS POPULATION IS ESTIMATED TO BE WELL IN EXCESS OF 300,000, CENSUS DATA DOES NOT CAPTURE THIS INFORMATION, AS ARAB-AMERICAN IS CONSIDERED AN ANCESTRY.DIVERSITY IN OUR COMMUNITIES IS NOT LIMITED TO CULTURAL/ETHNIC BACKGROUND, WITH POVERTY, UNEMPLOYMENT AND HEALTH-INSURED RATES VARYING WIDELY. OAKWOOD HEALTHCARE SYSTEM COMMUNITY POVERTY RATES RANGE FROM 2% TO 32%, WITH SOME INDIVIDUAL NEIGHBORHOODS OVER 70%. (THESE RATES COMPARE TO A 16.2% RATE FOR OUR STATE.) THE HEALTH UNINSURED RATE IS APPROXIMATELY 18.7% IN OUR GREATER DEARBORN REGION AND AVERAGES 15% ACROSS OUR SERVICE AREA. EMPLOYMENT IN OUR SERVICE AREA HAS BEEN DOMINATED BY THE AUTOMOTIVE INDUSTRY, WITH FORD MOTOR COMPANY OUR SERVICE AREAS LARGEST EMPLOYER AND OAKWOOD HEALTHCARE SYSTEM RANKING SECOND. OUR SERVICE AREA AND STATE CONTINUE TO FEEL THE EFFECTS OF A SUFFERING ECONOMY. AS THE AUTOMOTIVE INDUSTRY, ITS RELATED SUPPLIERS AND OTHER INDUSTRIES CONTINUE TO MAKE ECONOMIC ADJUSTMENTS, FORECLOSURE RATES IN OUR STATE CONTINUE TO REMAIN AMONGST THE HIGHEST IN THE NATION. WHILE MICHIGAN UNEMPLOYMENT RATES ARE AT 10.7%, (COMPARED TO 9.8% NATIONALLY), SOUTHEAST MICHIGAN RATES ARE HIGHER RATE THAN BOTH THE STATE AND NATION, WITH WAYNE COUNTY EXISTING AS ONE OF OUR STATE'S MOST UNEMPLOYED COUNTIES. WHILE THE LEADING CAUSES OF DEATH (I.E. HEART DISEASE, CANCER, STROKE) ARE THE SAME FOR OUR SERVICE AREA, STATE AND THE NATION, OUR SERVICE POPULATION EXHIBITS HIGHER LEVELS OF NEGATIVE RISK FACTORS AND BEHAVIORS (E.G. SMOKING, OBESITY) THAN THE STATE OR NATION. AND WHILE SOUTHEAST MICHIGAN IS BLESSED WITH NUMEROUS QUALITY HEALTHCARE PROVIDERS, MANY COMMUNITY MEMBERS FACE CHALLENGES (E.G. LACK OF EDUCATION, POOR BASIC HEALTH AWARENESS, LACK OF TRANSPORTATION, NO INSURANCE, LAYOFFS, WORKING POOR FAMILIES, AND HIGH RATES OF CRIME, VIOLENCE AND DRUG USE) THAT IMPACT ACCESS TO HEALTHCARE AND/OR AFFECT QUALITY OF LIFE. THE COMMUNITY INITIATIVES HIGHLIGHTED IN THIS NARRATIVE WERE DEVELOPED TO ADDRESS IDENTIFIED CHALLENGES FACED BY SPECIFIC COMMUNITIES AND POPULATIONS. PART VI, LINE 6: 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 TO FULFILLING OUR MISSION.EACH OF OUR FOUR ACUTE CARE SITES FEATURES AN OPEN MEDICAL STAFF, WITH ELECTED LEADERSHIP AND ACTIVE COMMITTEE STRUCTURE. IN 2009, THE MEDICAL STAFF AT ONE OAKWOOD SITE EXEMPLIFIED ITS COMMITMENT TO COMMUNITY HEALTH IMPROVEMENT BY OPENING A FREE CLINIC TO SERVE THE PRIMARY CARE MEDICAL NEEDS OF ADULTS WHO WERE LAID OFF FROM FORD MOTOR COMPANY AND VISTEON AND, AS A RESULT, LOST THEIR HEALTH CARE COVERAGE. THE CLINIC IS STAFFED ON A VOLUNTEER BASIS, WITH IN-KIND DONATION OF SPACE AND CLINIC INFRASTRUCTURE COMING FROM OAKWOOD.A SIGNIFICANT PORTION OF THE OAKWOOD HEALTHCARE SYSTEM SERVICE AREA CONSISTS OF FEDERALLY 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. DURING THE MID 2000'S, OAKWOOD WAS THE DRIVING FORCE BEHIND THE FIRST SUCCESSFUL FQHC (FEDERALLY QUALIFIED HEALTH CENTER) APPLICATION IN OUT-WAYNE COUNTY. OAKWOOD HAS MAINTAINED A STRONG COLLABORATIVE RELATIONSHIP WITH THAT AGENCY, WHICH NOW HAS TWO LOCATIONS TO BETTER MEET THE PRIMARY CARE NEEDS OF OUR UNINSURED AND UNDERINSURED COMMUNITY MEMBERS. WE ALSO ACTIVELY PARTICIPATE IN WORKGROUPS, COMMITTEES AND BOARDS ASSOCIATED WITH COMMUNITY PROGRAMS SUCH AS THE DETROIT WAYNE COUNTY HEALTH AUTHORITY AND THE VOICES OF DETROIT INITIATIVE-BOTH DEDICATED TO COLLABORATIVE, COMMUNITY BASED SOLUTIONS TO THE CHALLENGES OF THE UNINSURED. INITIATIVES ADDRESS THE NEED FOR ACCESS TO PRIMARY HEALTH CARE AS WELL AS DEVELOPMENT OF A BROAD BASED RESPONSE TO THE NEED FOR EMERGENCY DEPARTMENT DIVERSION FOR PATIENTS IDEALLY SERVED IN A PRIMARY CARE SETTING.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 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); CABRINI, MAPI AND HOPE CLINICS (FREE MEDICAL CLINICS); FIRST STEP (DOMESTIC VIOLENCE AND SEXUAL ASSAULT RESPONSE AGENCY); AND WESTERN WAYNE FAMILY HEALTH CENTER (FQHC). 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, AND GIVE JOB ADVICE, RESUME REVIEW AND CONDUCT MOCK INTERVIEWS.OTHER EXAMPLES INCLUDE OUR FOCUSED WORK AND COOPERATION WITH GIFT OF LIFE-MICHIGAN TO SUPPORT ORGAN DONATION AND A WELL DEVELOPED AND EXTENSIVE SPEAKERS 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 OFFERS ART GALLERY SPACES AVAILABLE TO ALL, 24 HOURS A DAY IN OUR ACUTE CARE SITES AS WELL AS ART ACTIVITY SUCH AS COMMUNITY CREATIVE WRITING WORKSHOPS (WITH PUBLICATION OF A YEARLY JOURNAL) AS WELL AS HANDS-ON ART ACTIVITY CLASSES FOR ALL. 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 7: OAKWOOD HEALTHCARE SYSTEM ACTIVELY SUPPORTS THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH THE OAKWOOD FOUNDATION; EXAMPLES INCLUDE THE LINCOLN/JEFFERSON-BARNS SCHOOL HEALTHCARE CENTER; CHILD AND ADOLESCENT HEALTH CENTERS IN TAYLOR, ROMULUS, AND INKSTER; AN INFECTIOUS DISEASE CLINIC OFFERING CARE FOR BOTH HIV AND TB; THE CENTER FOR EXCEPTIONAL FAMILIES; AND, THE HEALTHY HEARTS FOR WOMEN PROGRAM. THESE AREAS OF FOCUS ARE BASED ON COMMUNITY INTEREST, AS IDENTIFIED THROUGH DESIGNATION OF DONATIONS, AND BASED ON COMMUNITY NEEDS IDENTIFIED IN THE ENVIRONMENTAL ASSESSMENT.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 COLLABORATED WITH THE WAYNE COUNTY HEALTH AUTHORITY TO SUPPORT DEVELOPMENT OF A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). THE FQHC OPENED IN 2006 IN THE CITY OF INKSTER TO SERVE THE UNINSURED AND UNDERINSURED POPULATION. THE WESTERN WAYNE FAMILY HEALTH CENTER IS THE RESULT OF A PARTNERSHIP BETWEEN OAKWOOD HEALTHCARE SYSTEM, STARFISH FAMILY SERVICES AND COMMUNITY LEADERS. THE FQHC PROVIDES PRIMARY CARE, MENTAL HEALTH SERVICES, AND DENTAL CARE. THIS PROVED TO BE SO BENEFICIAL TO THE COMMUNITY THAT A SECOND FQHC OPENED IN 2009 IN THE CITY OF TAYLOR THROUGH A PARTNERSHIP WITH THE WAYNE COUNTY HEALTH DEPARTMENT, COMMUNITY CARE SERVICES, AND THE CITY OF TAYLOR. RELATIONSHIPS WITH OTHER AREA FQHCS AND FREE CLINICS ARE ALSO IN PLACE TO SUPPORT SAFETY NET SERVICES TO 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, PARISH NURSING, AND THE BRAVO! RECOGNITION PROGRAM. CURRENT COMMUNITY SUPPORT ACTIVITIES INCLUDE: A FINANCIAL COMMITMENT TO CHARITY CARE, COMMUNITY HEALTH, THE OAKWOOD 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 BENEFIT 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. A UNIT OF SERVICE IS DEFINED AS: RECEIPT OF A SCREENING TEST (SUCH AS A CHOLESTEROL OR BLOOD PRESSURE MEASUREMENT); PARTICIPATION IN A SINGLE SESSION OF A LECTURE OR CLASS; HAVING A ONE TIME FACE-TO-FACE ENCOUNTER WITH A HEALTH EDUCATOR ABOUT USE OF CAR SEATS; OR A CAR SEAT INSTALLATION INSPECTION. ON SOME OCCASIONS A USER MAY RECEIVE MORE THAN ONE SERVICE AT THE SAME ENCOUNTER. 51,500 UNITS OF SERVICE WERE DELIVERED IN 2010. OAKWOODS SCHOOL BASED/SCHOOL LINKED HEALTH CENTERS SERVED OVER 1100 YOUTH IN 2010, WITH HUNDREDS OF FAMILIES RECEIVING OUTREACH INFORMATION ABOUT MEDICAID AND HEALTHY KIDS INSURANCE COVERAGE AS WELL AS ENROLLMENT ASSISTANCE. ALMOST 10,000 CONTACTS WERE MADE WITH YOUTH FOR SUBSTANCE ABUSE AND VIOLENCE PREVENTION INFORMATION. REPORTS FILED WITH STATES PART VI, LINE 7 MI 1 CITY OF DEARBORN PO BOX 4000 DEARBORN MI 48126 386004605 GOVERNMENT 24000 COMMUNITY SUPPORT CITY OF TAYLOR 22805 GODDARD RD TAYLOR MI 48180 386006926 GOVERNMENT 10000 COMMUNITY SUPPORT DETROIT ECONOMIC CLUB 211 W FORT ST SUITE 505 DETROIT MI 48226 380508823 501(C)(3) 8300 COMMUNITY SUPPORT DETROIT MEDICAL SOCIETY 19545 SHREWSBURY RD DETROIT MI 48221 382254803 N/A 8000 COMMUNITY SUPPORT DETROIT REGIONAL CHAMBER-CITIZENS FOR SMART FUTURE 21 KERCHEVAL ST 355 GROSSE POINTE FARMS MI 48236 272715107 501(C)(6) 6400 COMMUNITY SUPPORT FIRST STEP 44567 PINETREE DR PLYMOUTH MI 48170 382208980 501(C)(3) 6416 COMMUNITY SUPPORT FOUND OF MICH ASSN OF PHYS OF INDIAN ORG (MAPI) 28230 ORCHARD LAKE RD SUITE 203 FARMINGTON HILLS MI 48334 383032459 501(C)(3) 10000 COMMUNITY SUPPORT GREATER DETROIT AREA HEALTH COUNCIL 333 W FORT STREET DETROIT MI 48226 381360904 501(C)(3) 11825 COMMUNITY SUPPORT METROPOLITAN AFFAIRS COALITION 535 GRISWOLD ST SUITE 300 DETROIT MI 48226 381602801 501(C)(3) 5000 COMMUNITY SUPPORT MICHIGAN STATE UNIVERSITY-COLLEGE OF OSTEOPATHIC MEDICINE A308 EAST FEE HALL E LANSING MI 48824 386005984 501(C)(3) 9000 COMMUNITY SUPPORT NAMI MICHIGAN 921 N WASHINGTON LANSING MI 48906 382643038 501(C)(3) 20000 COMMUNITY SUPPORT 9 2 HELPING HANDS - NEEDY EMPLOYEE ASSISTANCE 46 38763 EMPLOYEE SCHOLARSHIPS 80 88774 MEDICAL RESIDENTS STIPENDS 231 10100486 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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. 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 EVENTS 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 HAVE 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 $10,100,486 DURING 2010. 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 0 1 0 0 0 0 0 0 0 BRIAN CONNOLLY 647887 0 297531 0 307392 0 419337 0 9679 0 1681826 0 101897 0 SAMIR DABBOUS MD 243608 0 0 0 446 0 0 0 0 0 244054 0 0 0 MALCOLM HENOCH 328793 0 135300 0 51772 0 115002 0 17315 0 648182 0 67696 0 SETH LLOYD 246164 0 0 0 10797 0 6145 0 2633 0 265739 0 0 0 DOUGLAS WELDAY 364172 0 174379 0 103284 0 179050 0 22903 0 843788 0 74254 0 JOSEPH DIEDERICH 435635 0 237107 0 41395 0 218193 0 3523 0 935853 0 105313 0 PAUL CONWAY 190301 0 81850 0 50006 0 74988 0 18785 0 415930 0 37495 0 MAUREEN D'AGOSTINO 169939 0 33955 0 15366 0 19745 0 21987 0 260992 0 0 0 MICHAEL GEHEB 387448 0 189196 0 52622 0 160325 0 17931 0 807522 0 83077 0 EDITH HUGHES 230582 0 56074 0 40734 0 17478 0 16318 0 361186 0 0 0 BARBARA MEDVEC 196323 0 80729 0 30081 0 74691 0 3911 0 385735 0 39046 0 CARLA O'MALLEY 184599 0 77664 0 60220 0 96534 0 17329 0 436346 0 34415 0 PAULA SMITH 189551 0 61934 0 34866 0 96492 0 13992 0 396835 0 19875 0 MARY ZATINA 145094 0 68761 0 39379 0 69388 0 18610 0 341232 0 27497 0 ERIC WIDNER 234085 0 30261 0 41791 0 15235 0 8448 0 329820 0 0 0 BRYCE ROSCHE 190853 0 41659 0 32677 0 10023 0 17043 0 292255 0 0 0 JOHN KEUTEN 243214 0 49597 0 29960 0 11687 0 16717 0 351175 0 0 0 BILL ISENSTEIN 317794 0 23546 0 49168 0 11354 0 18351 0 420213 0 0 0 MARK BUSTAMANTE 267100 0 35517 0 23400 0 16633 0 22979 0 365629 0 0 0 KEVIN JOSEPH SPRAGUE 192828 0 688432 0 48801 0 11785 0 11202 0 953048 0 0 0 FREDERICK SONG CHUN JUNN 731178 0 89807 0 74660 0 12456 0 19745 0 927846 0 0 0 JOHN JOSEPH FATH 580755 0 87500 0 8748 0 11668 0 12925 0 701596 0 0 0 TEJPAUL SINGH PANNU 541289 0 0 0 10641 0 12361 0 19095 0 583386 0 0 0 ARTHUR L RIBA 430515 0 151718 0 43831 0 34142 0 1085 0 661291 0 0 0 PART I, LINE 1A OAKWOOD HEALTHCARE, INC. HAS A FORMAL EXPENSE REIMBURSMENT 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 COPORATE 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. PART I, LINE 4B OAKWOOD HEALTHCARE, INC. HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) THAT IS LIMITED TO THE FOLLOWING PARTICIPANTS: BRIAN CONNOLLY, PRESIDENT AND CEO; J. JOSEPH DIEDERICH, EVP AND COO; DOUGLAS WELDAY, EVP AND CFO; AND MICHAEL GEHEB, SITE PRESIDENT - OAKWOOD HOSPITAL AND MEDICAL CENTER. DURING 2010, MR. CONNOLLY RECEIVED A PAYMENT OF $217,552 AND MR. WELDAY RECEIVED A PAYMENT OF $35,118 PURSUANT TO THE PLAN PROVISIONS. SUPPLEMENTAL INFORMATION PART III 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 GROSS REVENUE TARGETS. PART I, LINE 5B: OAKWOOD HEALTHCARE, INC.'S GROSS 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. MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 382889417 59465E5E9 2003-11-13 138465000 REFUNDING 1993 0 0 0 MICHIGAN STATE HOSPITAL FINANCE AUTHORITY 382889417 59465HGA8 2007-04-24 106875000 FIN. HOSPITAL/PARTIAL REFUNDING 1994/1995 0 0 0 55670000 138465000 13846500 1172186 1 0 1 1 9460000 107305653 7701679 906933 25000000 2008 1 0 1 1 0 0 1 0 1 1 0 0 1 0 1 1 0 0 0 NA 1 CITIGROUP GBL MKTS INC GIC #45041811 10.000000000000 1 0 0 0 0 0 NA 0 NA 0 0 FORM 990, SCHEDULE K, PART 1 & PART II DIFFERENCES BETWEEN THE ISSUE PRICE (PART I, COLUMN (E)) AND TOTAL PROCEEDS OF ISSURE (PART II, LINE 3 (B)) ARE DUE TO INVESTMENT EARNINGS. 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 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. THE FORM 990 WAS THEN PRESENTED TO THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE. FINALLY, 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. PERIODIC (ONCE A YEAR) CONFLICTS EDUCATION IS PROVIDED 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 100% 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, OUTSIDE GENERAL COUNSEL, THE DIRECTOR OF BOARD RELATIONS OR ANY OTHER MEMBER OR MEETING PARTICIPANT BASED ON THEIR REVIEW OF THE ANNUAL DISCLOSURE STATEMENTS. 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. 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 (E.G., 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 FOLLOW THE FOLLOWING 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; E.G., 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 13,391,655. PRIOR PERIOD ADJUSTMENTS: 6. WRITE DOWN OF SOFTWARE IMPLEMENTATION -6,417,686. INTERUNIT TRANSFERS 3,204,157. PENSION & POSTRETIREMENT LIAB ADJ -16,315,737. TOTAL TO FORM 990, PART XI, LINE 5: -6,137,605. HOURS DEVOTED TO RELATED ORGANIZATIONS: FORM 990, PART VII: IN ADDITION TO THE HOURS DEVOTED TO OAKWOOD HEALTHCARE, INC., LIZABETH ARDISANA, MARK ANTHONY BUSTAMANTE, BRIAN CONNOLLOY, PAUL CONWAY, SAMIR DABBOUS, MAUREEN D'AGOSTINO, JOSEPH DIEDERICH, MICHEL GEHEB, MALCOM HENOCH, EDITH HUGHES, BILL ISENSTEIN, LEON JUDD, JOHN KEUTEN, ROBERT KRAMER, RICHARD KUGHN, JOHN LEWIS, SETH LLOYD, BARBARA MEDVEC, MARTIN MULLOY, JERRY NORCIA, TIMOTHY O'BRIEN, CARLA O'MALLEY, LESTER ROBINSON, BRYCE ROSCHE, ROBERT ROSOWSKI, THOMAS SAELI, EDGAR SCRIBNER, BALA SETTY, PAULA SMITH, DOUGLAS WELDAY, ERIC WIDNER, MARY ZATINA, DEVOTE TIME WEEKLY TO SEVERAL ORGANIZATIONS. THEIR TIME IS SPLIT AS FOLLOWS: LIZABETH ARDISANA DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. MARK ANTHONY BUSTAMANTE DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. BRIAN CONNOLLY DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES; 1 HOUR TO OAKWOOD UNITED HOSPITALS, INC.; 4 HOURS TO OAKWOOD HEALTH FOUNDATION; AND 1 HOUR TO OAKWOOD MEDICAL ENTERPRISES, INC. & SUBS. PAUL CONWAY DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. SAMIR DABBOUS DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. MAUREEN D'AGOSTINO DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. JOSEPH DIEDERICH DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES; 1 HOUR TO OAKWOOD UNITED HOSPITALS, INC.; 4 HOURS TO OAKWOOD HEALTH FOUNDATION, AND 2 HOURS TO OAKWOOD HEALTH PROMOTIONS. MICHAEL GEHEB DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES; AND 1 HOUR TO OAKWOOD UNITED HOSPITAL, INC. MALCOM HENOCH DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. EDITH HUGHES DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. BILL ISENSTEIN DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. LEON JUDD DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES; AND 1 HOUR TO OAKWOOD UNITED HOSPITALS, INC. ROBERT KRAMER DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES;AND 1 HOUR TO OAKWOOD HEALTH FOUNDATION. RICHARD KUGHN DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES; 1 HOUR TO OAKWOOD HEALTH CARE SERVICES; AND 1 HOUR TO OAKWOOD HEALTH FOUNDATION. JOHN LEWIS DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. SETH LLOYD DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES; 1 HOUR TO OAKWOOD UNITED HOSPITALS, INC.; 1 HOUR TO OAKWOOD MEDICAL ENTERPRISES, INC. & SUBS.; AND 1 HOUR TO MIDWEST MEDICAL CENTER. BARBARA MEDVEC DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. MARTIN MULLOY DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. JERRY NORCIA DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. TIMOTHY O'BRIEN DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. CARLA O'MALLEY DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES; AND 40 HOURS TO OAKWOOD HEALTH FOUNDATION. LESTER ROBINSON DEVOTES APPROXIMAATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. BRYCE ROSCHE DEVOTES APPROXIMAATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. ROBERT ROSOWSKI DEVOTES APPROXIMATELY 1HOUR TO OAKWOOD HOME CARE SERVICES; AND 1 HOUR TO OAKWOOD HEALTH FOUNDATION. THOMAS SAELI DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. EDGAR SCRIBNER DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. BALA SETTY DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. PAULA SMITH DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. DOUGLS WELDAY DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES; 1 HOUR TO OAKWOOD UNITED HOSPITALS, INC.; 2 HOURS TO OAKWOOD HEALTH PROMOTIONS; 20 HOURS TO OAKWOOD MEDICAL ENTERPRISES, INC. & SUBS,; AND 5 HOURS TO MIDWEST MEDICAL CENTER. MARY ZATINA DEVOTES APPROXIMATELY 1 HOUR TO OAKWOOD HOME CARE SERVICES. PRIVATE BUSINESS USE: SCHEDULE K, PART III, LINE 3C: OAKWOOD HEALTHCARE SYSTEM ROUTINELY ENGAGES IN-HOUSE COUNSEL TO REVIEW MANAGEMENT AND SERVICE CONTRACTS. AMBULATORY MEDICAL CLINICS PLLC 15500 LUNDY PARKWAY DEARBORN MI 48126 320072212 AMBULATORY MEDICAL SERVICES MI N/A OAKWOOD GROUP VIII LLC 15500 LUNDY PARKWAY DEARBORN MI 48126 300326803 AMBULATORY MEDICAL SERVICES MI N/A OAKWOOD GROUP VII LLC 15500 LUNDY PARKWAY DEARBORN MI 48126 300326800 AMBULATORY MEDICAL SERVICES MI N/A OAKWOOD CRITICAL CARE LLC 15500 LUNDY PARKWAY DEARBORN MI 48126 383582590 AMBULATORY MEDICAL SERVICES MI N/A OAKWOOD HEALTHCARE GROUP III LLC 15500 LUNDY PARKWAY DEARBORN MI 48126 383513234 AMBULATORY MEDICAL SERVICES MI N/A OAKWOOD YOUTH PROGRAMS LLC 15500 LUNDY PARKWAY DEARBORN MI 48126 383532225 AMBULATORY MEDICAL SERVICES MI N/A NEUROSOURCE LLC 15500 LUNDY PARKWAY DEARBORN MI 48126 383532220 AMBULATORY MEDICAL SERVICES MI N/A OAKWOOD GROUP IX LLC 15500 LUNDY PARKWAY DEARBORN MI 48126 383593302 AMBULATORY MEDICAL SERVICES MI N/A OAKWOOD AMBULATORY LLC 15500 LUNDY PARKWAY DEARBORN MI 48126 383593303 AMBULATORY MEDICAL SERVICES MI N/A OAKWOOD HEALTHCARE GROUP II LLC 15500 LUNDY PARKWAY DEARBORN MI 48126 383513233 AMBULATORY MEDICAL SERVICES MI N/A OAKWOOD PROFESSIONAL BILLING 15500 LUNDY PARKWAY DEARBORN MI 48126 383532227 AMBULATORY MEDICAL SERVICES MI N/A OAKWOOD CANTON IMAGING LLC 15500 LUNDY PARKWAY DEARBORN MI 48126 260120158 RADIOLOGY SERVICES MI N/A OAKWOOD INFUSION SERVICES LLC 1633 FAIRLANE CIRCLE SUITE 165 ALLEN PARK MI 48101 311552387 HOME INFUSION SERVICES MI 226524 1271659 N/A OAKWOOD HEALTHCARE GROUP I LLC 15500 LUNDY PARKWAY DEARBORN MI 48126 383513232 AMBULATORY MEDICAL SERVICES MI N/A OAKWOOD ACCOUNTABLE CARE ORGANIZATION LLC 15500 LUNDY PARKWAY DEARBORN MI 48126 274627368 HEALTHCARE MANAGEMENT MI OAKWOOD UNITED HOSPITALS INC 15500 LUNDY PARKWAY DEARBORN MI 48126 382837961 PROVIDE FACILITIES FOR OAKWOOD HEALTHCARE INC. 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