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        <PersonNm>Christine Stesney-Ridenour</PersonNm>
        <TitleTxt>Pres. Trenton,Taylor &amp; Wayne (End 8/19)</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Paulo Marciano</PersonNm>
        <TitleTxt>CMO-Dearborn</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Ashok Jain</PersonNm>
        <TitleTxt>CMO-Wayne</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kassem Charara</PersonNm>
        <TitleTxt>CMO - Taylor</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jonathan Kaper</PersonNm>
        <TitleTxt>CMO-Trenton</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Harris Mainster DO</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>114488</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Alicia Boler Davis</PersonNm>
        <TitleTxt>Director (End 3/28/19)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Christopher Blake</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Geoffrey Hockman</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Gerson Cooper</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John Lewis</PersonNm>
        <TitleTxt>Chairman</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John Nemes</PersonNm>
        <TitleTxt>Secretary/Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Julie Fream</PersonNm>
        <TitleTxt>Vice Chairperson</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Martha Quay</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Williams MD</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Ronald Hall Jr</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Stephen Howard</PersonNm>
        <TitleTxt>Vice-Chairman</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas Saeli</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Timothy O'Brien</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>William Goldsmith</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>131500463</RelatedOrExemptFuncIncomeAmt>
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        <BusinessCd>900099</BusinessCd>
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      <RentalIncomeOrLossGrp>
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      <NetRentalIncomeOrLossGrp>
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        <ExclusionAmt>3435067</ExclusionAmt>
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      <LessCostOthBasisSalesExpnssGrp>
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      <GainOrLossGrp>
        <OtherAmt>729516</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>729516</TotalRevenueColumnAmt>
        <ExclusionAmt>729516</ExclusionAmt>
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        <Desc>OP Pharmacy Revenue</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>36347083</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>36347083</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Medicaid HER Revenue</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2646104</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2646104</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Administration Revenue</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>371646</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>371646</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>3990599</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3990599</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>10274590</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>4239124</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>21500</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>13954598</TotalAmt>
        <ProgramServicesAmt>13954598</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>1211368</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1787301</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>461320305</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44069117</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>5309788</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>82621555</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9134435</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>33830064</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3861349</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>12884</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>30824</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>252149</ProgramServicesAmt>
        <ManagementAndGeneralAmt>220554</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>9437175</ProgramServicesAmt>
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        <ProgramServicesAmt>48392</ProgramServicesAmt>
        <ManagementAndGeneralAmt>276769</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>36086456</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2925928</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>418358</ProgramServicesAmt>
        <ManagementAndGeneralAmt>328585</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>709928</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9825</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>7555936</ProgramServicesAmt>
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        <ProgramServicesAmt>32878724</ProgramServicesAmt>
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        <ProgramServicesAmt>10722318</ProgramServicesAmt>
        <ManagementAndGeneralAmt>331611</ManagementAndGeneralAmt>
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        <TotalAmt>218627213</TotalAmt>
        <ProgramServicesAmt>218627213</ProgramServicesAmt>
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        <ProgramServicesAmt>103855801</ProgramServicesAmt>
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        <TotalAmt>35017</TotalAmt>
        <ProgramServicesAmt>35017</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Shared Service</Desc>
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        <ProgramServicesAmt>50250874</ProgramServicesAmt>
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        <TotalAmt>64342531</TotalAmt>
        <ProgramServicesAmt>53496114</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10846417</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1167372554</ProgramServicesAmt>
        <ManagementAndGeneralAmt>95086097</ManagementAndGeneralAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>1221557</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>218526715</EOYAmt>
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        <EOYAmt>23404652</EOYAmt>
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        <EOYAmt>1528230</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>1206945357</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>857521168</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>349424189</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>0</EOYAmt>
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        <BOYAmt>390068581</BOYAmt>
        <EOYAmt>439778585</EOYAmt>
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      <IntangibleAssetsGrp>
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        <OwnWebsiteURLTxt>See Part V, Page 8</OwnWebsiteURLTxt>
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        <StrategyWebsiteURLTxt>See Part V, Page 8</StrategyWebsiteURLTxt>
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        <FAPAvailableOnWebsiteURLTxt>See Part V, Page 8</FAPAvailableOnWebsiteURLTxt>
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        <FAPAppAvailableOnWebsiteURLTxt>See Part V, Page 8</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>See Part V, Page 8</FAPSummaryOnWebsiteURLTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B. Facility Reporting Group A</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility Reporting Group A consists of:- Facility 1: Beaumont Hospital, Dearborn- Facility 2: Beaumont Hospital, Trenton- Facility 3: Beaumont Hospital, Wayne- Facility 4: Beaumont Hospital, Taylor</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 1 -- Beaumont Hospital, Dearborn</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, line 5: The 2019 CHNA took into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health. Interviews and focus groups were conducted for each of the Beaumont Health hospital communities to provide qualitative information for the CHNA. Participants included community leaders, public health experts and those representing the needs of individuals with chronic diseases, minority, underserved and indigent populations. In addition, Beaumont physicians, nurses, hospital leadership and chronic disease experts participated in the interview and focus group process. For a complete listing of participants please visit beaumont.org/chna.The following contributed to the CHNA process as community partners:Gleaners Community Food Bank of SE MichiganDearborn Public SchoolsHealthy Dearborn CoalitionCity of DearbornRiver Rouge School DistrictCity of Dearborn and RecreationAmerican Heart AssociationNational Kidney Foundation of MichiganTaylor School DistrictHealthy Taylor CoalitionCity of TaylorCity of Taylor Parks and RecreationDownriver Family YMCACity of Trenton Parks and RecreationTrenton Public SchoolsHealthy Trenton CoalitionCity of TrentonWayne County ParksTraffic Safety CommissionWestwood Community School DistrictHealthy Wayne CoalitionWayne-Westland Community SchoolsCity of WayneWayne Chamber of CommerceRomulus Community SchoolsEdsel &amp; Eleanor Ford House, Grosse Pointe ShoresCity of Royal Oak Memorial ParkOrion Township Community CenterUnited Shore Professional Baseball LeagueCity of Sterling HeightsTroy School DistrictFarmington Farmers MarketCity of Farmington HillsCity of Farmington Hills ParksCommunity OrganizationsFarmington Public SchoolsFarmington Hills Fire Department</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 1 -- Beaumont Hospital, Dearborn</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, line 6a: Beaumont Health conducted the CHNA for the communities served by Beaumont Hospital Dearborn (formerly Oakwood Hospital Dearborn), Beaumont Hospital Farmington Hills (formerly Botsford General Hospital), Beaumont Hospital Grosse Pointe (formerly Beaumont Grosse Pointe), Beaumont Hospital Royal Oak (formerly Beaumont Royal Oak), Beaumont Hospital Taylor (formerly Oakwood Hospital Taylor), Beaumont Hospital Trenton (formerly Oakwood Hospital Trenton), Beaumont Hospital Troy (formerly Beaumont Troy), and Beaumont Hospital Wayne (formerly Oakwood Hospital Wayne).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 1 -- Beaumont Hospital, Dearborn</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, line 7d: In addition to the Hospital website, the CHNA was sent to all the participants of the focus groups and those interviewed, distributed internally to Beaumont leaders and various staff, given to the Beaumont Board of Directors, Beaumont community advisory boards, and to the community members who are engaged in the community coalitions of Beaumont.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 1 -- Beaumont Hospital, Dearborn</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, line 11: The 2019 CHNA for Beaumont Hospital Dearborn identified two priority health needs to be addressed. The Implementation Strategy for Beaumont Hospital Dearborn focused on the priority health needs of chronic disease management (cardiovascular disease, diabetes, and obesity) and mental health. The health needs of substance abuse, access to care, and preventive care of screenings and vaccinations were not addressed as they did not fall within the criteria of the prioritization process (resources, partnerships, infrastructure, and funding available).The Community Health Needs Assessment (CHNA) was conducted in 2019 for each of the Beaumont Health hospitals but it was not adopted until the end of the year and we are listing what was done in 2019 based on the 2016 CHNA.Based on available research and evidence, it was determined that in order to effectively address the social, economic and community determinants of individual and community health, Beaumont Hospital Dearborn would implement a "healthy community", formally known as "Healthy Dearborn". Healthy Dearborn is a diverse, multi-sector coalition that currently has over 500 individuals participating to promote healthy eating and active living to address cardiovascular disease, diabetes and obesity. Coalition members include local government leadership, multiple universities including University of Michigan-Ann Arbor, University of Michigan- Dearborn, Wayne State and Henry Ford College. Other members include community residents, the local school system, nonprofit organizations, faith-based organizations, medical providers, insurance providers, and those representing chronic disease organizations. Beaumont provides "backbone support" to this coalition - providing staff, consultants and access to a wide range of resources including evidence-based programming and data collection. Healthy Dearborn also has a research team comprised of university professors and researchers from Wayne State University, University of Michigan-Ann Arbor and University of Michigan-Dearborn. The research team is engaged in collecting qualitative data at the census tract level in order to better identify social determinants of health and interventions to address barriers to access.In 2019, Healthy Dearborn received a $63,000 KABOOM! grant to construct a new mini-soccer park in Dearborn to further engage residents in physical activities to prevent chronic disease. Beaumont Health provided staff to help facilitate the project, grant writing assistance and financial management of the initiative.In recognition for building a healthy and equitable Dearborn, Healthy Dearborn was awarded the 2019 Hometown Health Hero award from the Michigan Public Health Partnership.A summary of the progress on the actions to address the priority health needs selected is as follows:Priority 1: Cardiovascular DiseaseActivities of Beaumont Healthy Dearborn in 2019 included a weekly "Walk 'n Roll" walking and bicycling program with more than 750 participants from May through October. Additionally, Healthy Dearborn implemented an eight-week walking program, with over 100 participants completing 16,892 miles. A physical fitness program in partnership with a social service organization, LAHC, provided free fitness classes for women.In 2019, Beaumont Hospital Dearborn provided 1,506 heart health screenings in the community. The screenings consisted of blood pressure, cholesterol, glucose, stroke risk assessments and BMI. All participants were provided with counseling and information on blood pressure, cholesterol and glucose. All participants with high-risk results were followed up with by a phone call and letter for follow-up care.Priority 2: DiabetesBeaumont Hospital Dearborn provides the national Diabetes Prevention Program (DPP) for the community. DPP is a free, research-based program for those who want to prevent Type 2 diabetes. The program focuses on lifestyle changes related to healthy eating and physical activity, as well as problem solving and coping skills. The Diabetes Prevention Program has been proven to be twice as effective as medication alone at preventing Type 2 diabetes. This program consists of 16 weekly sessions, followed by monthly maintenance sessions. This year-long program for those with pre-diabetes was provided to 85 individuals in the Dearborn service area. Managing your diabetes education was provided by Beaumont Dearborn to 74 individuals in the community. Priority 3: ObesityIn 2019, the Catch Kids Club, an evidence-based program, reached 126 children in Dearborn. It is one of the coordinated school health programs selected by the Centers for Disease Control and Prevention as part of their "Whole School, Whole Community, Whole Child" (WSCC) model. CATCH has been found effective in improving physical activity, nutrition knowledge and health behaviors and in reducing overweight and obesity.CATCH Kids Club (CKC) is a physical activity and nutrition program designed for elementary and middle school aged children in afterschool and summer settings. CKC is composed of 3 elements: -Educational lessons related to nutrition, physical activity, and screen time reduction -Hands-on snack preparation -Structured physical activities provided in a CKC physical activity box Similar to the CATCH program on which it is modeled, CKC has been found effective in improving physical activity, nutrition knowledge and health behaviors and in reducing overweight and obesity. In 2019, children benefited nearly 8,115 times from various teaching units in CKC.Beaumont Hospital Dearborn provides physical and mental health services to youth in the community at the Taylor, River Rouge Teen Health Centers and through a wellness program at Truman High School. At Taylor Teen Health Center, 4,274 students received services and at Truman High School, 6,978 students received services (primary care and/or behavioral health services).Beaumont Hospital Dearborn provides nutrition education and "hands-on" cooking classes through a partnership with Gleaners Food Bank of Southeastern Michigan to offer Cooking Matters in the Community and Cooking Matters at the Store. Cooking Matters equips families with the skills they need to stretch their food dollars and prepare healthy meals on a budget. In 2019, these classes were attended by 72 individuals. Beaumont Hospital Dearborn sponsors the Dearborn Farmers Market, providing access of fresh fruits and vegetables to the community. The Power of Produce program is provided to children at the market to educate children in making healthy eating choices. This program allows children to taste new fruits and vegetables, engage in activities to understand where their food comes from and gives children $2 to spend on fresh produce every time they visit the market. In 2019, 16 Power of Produce events were held, reaching 1,366 children. Beaumont Hospital Dearborn has an active Speakers Bureau; health professionals including physicians and registered dietitians provide education in the community. In 2019, health professionals provided a total of 19 hours of health-related information on cardiovascular disease, diabetes, obesity risk factors and prevention services.Healthy Dearborn received a grant from the Michigan Health Endowment Fund to implement a comprehensive nutrition and physical education program to impact obesity risk factors among K-8 students in eight public schools. The following activities were provided to students and their families in the eight participating schools since 2018: new school gardens; new nutrition education curricula tied to garden learning; new physical education curricula aimed at increasing levels of moderate to vigorous physical activity among K-8 students; new physical education equipment; Go Noodle plus curricula to increase minutes of physical activity during regular classroom periods; family nights with physical activities and nutrition education aimed at families of students in the eight participating schools in order to reinforce healthy behaviors at home and schools; and, after-school physical activity clubs. Changes have resulted in improved physical education instruction yielding increases in moderate/vigorous physical activity among K-8 students, classroom activity breaks totaling more than 100,000 minutes, and hands-on nutrition education.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 2 -- Beaumont Hospital, Trenton</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, line 5: The 2019 CHNA took into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health. Interviews and focus groups were conducted for each of the Beaumont Health hospital communities to provide qualitative information for the CHNA. Participants included community leaders, public health experts and those representing the needs of individuals with chronic diseases, minority, underserved and indigent populations. In addition, Beaumont physicians, nurses, hospital leadership and chronic disease experts participated in the interview and focus group process. For a complete listing of participants please visit beaumont.org/chna. The following contributed to the CHNA process as community partners:Gleaners Community Food Bank of SE MichiganDearborn Public SchoolsHealthy Dearborn CoalitionCity of DearbornRiver Rouge School DistrictCity of Dearborn and RecreationAmerican Heart AssociationNational Kidney Foundation of MichiganTaylor School DistrictHealthy Taylor CoalitionCity of TaylorCity of Taylor Parks and RecreationDownriver Family YMCACity of Trenton Parks and RecreationTrenton Public SchoolsHealthy Trenton CoalitionCity of TrentonWayne County ParksTraffic Safety CommissionWestwood Community School DistrictHealthy Wayne CoalitionWayne-Westland Community SchoolsCity of WayneWayne Chamber of CommerceRomulus Community SchoolsEdsel &amp; Eleanor Ford House, Grosse Pointe ShoresCity of Royal Oak Memorial ParkOrion Township Community CenterUnited Shore Professional Baseball LeagueCity of Sterling HeightsTroy School DistrictFarmington Farmers MarketCity of Farmington HillsCity of Farmington Hills ParksCommunity OrganizationsFarmington Public SchoolsFarmington Hills Fire Department</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 2 -- Beaumont Hospital, Trenton</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, line 6a: Beaumont Health conducted the CHNA for the communities served by Beaumont Hospital Dearborn (formerly Oakwood Hospital Dearborn), Beaumont Hospital Farmington Hills (formerly Botsford General Hospital), Beaumont Hospital Grosse Pointe (formerly Beaumont Grosse Pointe), Beaumont Hospital Royal Oak (formerly Beaumont Royal Oak), Beaumont Hospital Taylor (formerly Oakwood Hospital Taylor), Beaumont Hospital Trenton (formerly Oakwood Hospital Trenton), Beaumont Hospital Troy (formerly Beaumont Troy), and Beaumont Hospital Wayne (formerly Oakwood Hospital Wayne).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 2 -- Beaumont Hospital, Trenton</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, line 7d: In addition to the Hospital website, the CHNA was sent to all the participants of the focus groups and those interviewed, distributed internally to Beaumont leaders and various staff, given to the Beaumont Board of Directors, Beaumont community advisory boards, and to the community members who are engaged in the community coalitions of Beaumont.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 2 -- Beaumont Hospital, Trenton</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, line 11: The 2019 CHNA for Beaumont Hospital Trenton identified two priority health needs to be addressed. The Implementation Strategy for Beaumont Hospital Trenton focused on the priority health needs of chronic disease management (cardiovascular disease, diabetes, and obesity) and mental health. The health needs of substance abuse, access to care, and preventive care of screenings and vaccinations were not addressed as they did not fall within the criteria of the prioritization process (resources, partnerships, infrastructure, and funding available).The Community Health Needs Assessment (CHNA) was conducted in 2019 for each of the Beaumont Health hospitals but it was not adopted until the end of the year and we are listing what was done in 2019 based on the 2016 CHNA.To best address the conditions, behaviors, and socioeconomic and environmental factors that drive health, Beaumont Hospital Trenton formed Healthy Trenton, a multi-sector coalition created to promote healthy eating and active living to address cardiovascular disease, diabetes and obesity. Coalition members include local government leadership, community residents, the local school system, nonprofit organizations, faith-based organizations, medical providers, insurance providers, and those representing chronic disease organizations. Beaumont provides "backbone support" to this coalition - providing staff, consultants and access to a wide range of resources including evidence-based programming and data collection.A summary of the progress on the actions to address the priority health needs selected is as follows:Priority 1: Cardiovascular DiseaseActivities of Beaumont Healthy Trenton in 2019 include a weekly walking program at the farmers market during the market season that hosted walks and walkers, continued a neighborhood walking groups program to encourage individuals to walk with others, and promotion of a walking app that incentivizes individuals to reach daily walking goals. In 2019, groups and individuals registered as neighborhood walking groups and signed onto the walking app under the Beaumont Gets Walking group. Beaumont Hospital Trenton also sponsors and participates in the Trenton summer festival - a 3 day event with health screenings and nutrition education and events. Beaumont Healthy Trenton launched a healthy restaurant initiative to recognize restaurants that provide healthy meals meeting heart healthy criteria to the community and three local restaurants were acknowledged at the gold level in 2019. In 2019, Beaumont Hospital Trenton provided 525 people with 806 heart health screening services in the community. The screenings consisted of blood pressure, cholesterol, glucose, stroke risk assessments and BMI. All participants were provided with counseling and information on blood pressure, cholesterol and glucose. All participants with high-risk results were followed up with by a phone call and letter to participants for follow-up care. In addition, Beaumont Hospital Trenton offered the 7 for $70 comprehensive heart and vascular disease screening to 132 persons representing 759 different tests including blood pressure, BMI, electrocardiogram, abdominal aortic aneurysm ultrasound, PAD screening and cholesterol measures.Priority 2: DiabetesBeaumont Hospital, Trenton provides the National Diabetes Prevention Program for the community. This national evidence-based program from the Centers for Disease Control and Prevention (CDC) is supported and promoted by the American Medical Association as one of the most effective ways to help physicians prevent or delay Type 2 diabetes in high-risk patients. This year-long program for those with pre-diabetes was provided to 12 individuals in the Trenton service area. Beaumont Hospital Trenton provided diabetes screening as part of the heart health screening program in the community to 525 unduplicated individuals with 806 screenings. In addition, 67 individuals received diabetes education at local events.Priority 3: ObesityBeaumont Hospital, Trenton launched "Beaumont Gets Walking" in 2017 and was continued throughout 2019. Walking groups were provided toolkits to support their walking consisting of pedometers, lanyards and walking logs for each member along with tip sheets. Logs are turned in for incentive prizes and members receive ongoing encouragement, tips, and information on activities related to walking. In 2019, 42 groups and 135 individuals were formed bringing the cumulative total to 219 groups and 771 individuals in Trenton and immediately surrounding communities.Beaumont Hospital, Trenton provides nutrition education and "hands-on" cooking classes through a partnership with Gleaners Food Bank of Southeastern Michigan to offer Cooking Matters in the Community and Cooking Matters at the Store. Cooking Matters equips families with the skills they need to stretch their food dollars and prepare healthy meals on a budget. There was one class of Cooking Matters offered in the Trenton area that was attended by 18 individuals, with 72 units of service provided. Participant satisfaction with the classes was 98% (very good). And, outcome data indicated an aggregate increase in knowledge of 25% including significant improvement using nutrition facts on food labels, adjusting meals to be healthier and confidence buying healthy foods for their family on a budget.In the Beaumont Trenton service area, 265 children were provided CATCH (Coordinated Approach to Child Health) Kids Club program in after-school and summer programs. The total number of units of service for these children was 12,217 which is a combination of physical activity and nutrition education. CATCH Kids Club creates behavior change by enabling children to identify healthy foods, and by increasing the amount of moderate to vigorous physical activity children engage in each day. CATCH Kids Club is based on the CDC Whole School, Whole Community, Whole Child model in which health education, school environment, and family/community involvement work together to support youth in a healthy lifestyle. Aggregate student outcome data indicated improvements in multiple measures including a 38% increase in the consumption of fruits and vegetables, and a small increase in exercise or participation in sports activities for at least 20 minutes. And, 100% of students reported they almost always or always read nutrition labels on packages after participating in CATCH Kids Club for a school year.In addition to the above activity, there were 135 individuals that received obesity related nutritional information at community events and 856 individuals received information about local activity options.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 3 -- Beaumont Hospital, Wayne</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, line 5: The 2019 CHNA took into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health. Interviews and focus groups were conducted for each of the Beaumont Health hospital communities to provide qualitative information for the CHNA. Participants included community leaders, public health experts and those representing the needs of individuals with chronic diseases, minority, underserved and indigent populations. In addition, Beaumont physicians, nurses, hospital leadership and chronic disease experts participated in the interview and focus group process. For a complete listing of participants please visit beaumont.org/chna. The following contributed to the CHNA process as community partners:Gleaners Community Food Bank of SE MichiganDearborn Public SchoolsHealthy Dearborn CoalitionCity of DearbornRiver Rouge School DistrictCity of Dearborn and RecreationAmerican Heart AssociationNational Kidney Foundation of MichiganTaylor School DistrictHealthy Taylor CoalitionCity of TaylorCity of Taylor Parks and RecreationDownriver Family YMCACity of Trenton Parks and RecreationTrenton Public SchoolsHealthy Trenton CoalitionCity of TrentonWayne County ParksTraffic Safety CommissionWestwood Community School DistrictHealthy Wayne CoalitionWayne-Westland Community SchoolsCity of WayneWayne Chamber of CommerceRomulus Community SchoolsEdsel &amp; Eleanor Ford House, Grosse Pointe ShoresCity of Royal Oak Memorial ParkOrion Township Community CenterUnited Shore Professional Baseball LeagueCity of Sterling HeightsTroy School DistrictFarmington Farmers MarketCity of Farmington HillsCity of Farmington Hills ParksCommunity OrganizationsFarmington Public SchoolsFarmington Hills Fire Department</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 3 -- Beaumont Hospital, Wayne</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, line 6a: Beaumont Health conducted the CHNA for the communities served by Beaumont Hospital Dearborn (formerly Oakwood Hospital Dearborn), Beaumont Hospital Farmington Hills (formerly Botsford General Hospital), Beaumont Hospital Grosse Pointe (formerly Beaumont Grosse Pointe), Beaumont Hospital Royal Oak (formerly Beaumont Royal Oak), Beaumont Hospital Taylor (formerly Oakwood Hospital Taylor), Beaumont Hospital Trenton (formerly Oakwood Hospital Trenton), Beaumont Hospital Troy (formerly Beaumont Troy), and Beaumont Hospital Wayne (formerly Oakwood Hospital Wayne).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 3 -- Beaumont Hospital, Wayne</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, line 7d: In addition to the Hospital website, the CHNA was sent to all the participants of the focus groups and those interviewed, distributed internally to Beaumont leaders and various staff, given to the Beaumont Board of Directors, Beaumont community advisory boards, and to the community members who are engaged in the community coalitions of Beaumont.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 3 -- Beaumont Hospital, Wayne</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, line 11: The 2019 CHNA for Beaumont Hospital Wayne identified two priority health needs to be addressed. The Implementation Strategy for Beaumont Hospital Wayne focused on the priority health needs of chronic disease management (cardiovascular disease, diabetes, and obesity) and mental health. The health needs of substance abuse, access to care, and preventive care of screenings and vaccinations were not addressed as they did not fall within the criteria of the prioritization process (resources, partnerships, infrastructure, and funding available).The Community Health Needs Assessment (CHNA) was conducted in 2019 for each of the Beaumont Health hospitals but it was not adopted until the end of the year and we are listing what was done in 2019 based on the 2016 CHNA.To best address the conditions, behaviors, and socioeconomic and environmental factors that drive health, Beaumont Hospital Wayne formed Healthy Wayne and Healthy Westland, multi-sector coalitions that currently have over 145 individuals participating to promote healthy eating and active living to address cardiovascular disease, diabetes and obesity. Coalition members include local government leadership, community residents, the local school system, nonprofit organizations, faith-based organizations, medical providers, insurance providers, and those representing chronic disease organizations. Action teams in this coalition include healthy eating, healthy active living, healthy worksites, healthy schools, community engagement and awareness, and healthy built environment. Beaumont provides "backbone support" to these coalitions- providing staff, consultants and access to a wide range of resources including evidence-based programming and data collection.A summary of the progress on the actions to address the priority health needs selected is as follows:Priority 1: Cardiovascular DiseaseActivities of Beaumont Wayne to address cardiovascular disease include heart health screenings. Beaumont Community Health reached 360 participants and provided 1,175 heart health screenings in the community. The screenings consisted of blood pressure, blood cholesterol, blood glucose, stroke risk assessments and body mass index (BMI). All participants were provided with counseling and information on blood pressure, cholesterol and glucose. All participants with high-risk results were followed up with by a phone call and letter to participants for follow-up care. Beaumont Wayne offers the student heart check to high school students, ages 13-18, in an effort to detect abnormal heart structure or abnormal rhythms and prevent sudden cardiac arrest. Test results are reviewed with parents and, if indicated, follow up is suggested. During 2019, 5 students were screened for heart abnormalities in the Wayne hospital service area. Beaumont Wayne offers 7 for $70 heart and vascular screenings for adults to identify risk factors in cardiovascular disease. Seven tests are offered for $70 including blood tests, artery testing, EKG and life style are examined to recommend a course of action for improved heart and vascular health. Priority 2: DiabetesBeaumont Hospital Wayne provides the National Diabetes Prevention Program for the community. This national evidence-based program from the Centers for Disease Control and Prevention (CDC) is supported and promoted by the American Medical Association as one of the most effective ways to help physicians prevent or delay Type 2 diabetes in high-risk patients. This year-long program for those with pre-diabetes was provided to 16 individuals in the Wayne service area. The units of education and support, average weight loss following the course and average physical activity minutes per week for additional people were reached through diabetes education presentations.Beaumont Hospital Wayne provided 27 individuals with 117 units of diabetes PATH (Personal Action Toward Health) through two cohorts. PATH is a national evidence-based program for those with Type 2 diabetes and their caregivers. The program is designed to enhance patient confidence in their ability to manage their disease and to work more effectively with their health care providers. Outcome data indicated a high level of participants were more confident about handling their health condition after taking the workshop and showed significant improvements in testing blood sugar seven days a week and reported exercising more than 150 minutes per week. Participant satisfaction with the classes was very good. Beaumont Hospital Wayne provided diabetes screening as part of the heart health screening program in the community to individuals with glucose screenings.Priority 3: ObesityBeaumont Hospital Wayne launched neighborhood walking groups in 2017 and continued in 2019. Participants were provided toolkits to support their walking consisting of pedometers, lanyards and walking logs for each member along with tip sheets. Logs are turned in for incentive prizes and members receive ongoing encouragement, tips, and information on activities related to walking. New walking groups were formed with new individuals participating. The Wayne walking clubs now consist of walking clubs with walkers. The Beaumont Gets Walking CARROT app program launched in 2018 was designed to encourage physical activity by offering rewards. Participants were recruited from the Beaumont Hospital Wayne area. A restaurant recognition program was begun in 2018 to recognize restaurants that provide healthy meals to the community. Free yoga opportunities were offered in Wayne courtesy of Healthy Wayne partners from Lifetime Fitness Center of Canton in 2019. Several series of free yoga classes were conducted in Goudy Park, at the Wayne Public Library, Wayne Historical Museum and at Franklin Middle School. These community physical activity classes reached 70 middle school students. Behavioral shifts were reported by the principal who observed students exhibiting a greater ability to focus and improved interactions with others from those participants involved in the course.At Wayne Memorial High School, a drop in free four-week yoga class was held in February and March at the request of the assistant principal for teachers, staff and opened to the community for the first time serving 29 participants. In the spring quarter, Healthy Wayne coalition organizations participated in the Franklin Middle School Heart Health Day for students and parents as well as career day activities offering information and resources. In addition, at the opening of the fall session Healthy Wayne provided information as a vendor at Franklin Middle School's open house. Also, in the fall Healthy Wayne was asked to offer free yoga for the girls' basketball varsity and jr. varsity teams at Wayne Memorial H.S. The classes were held for four weeks serving 57 students. Immediately following, Healthy Wayne partnered with Michigan State University extension program to deliver a 6 session nutrition series for the girls' basketball team athletes. Included in the program were key nutritional guidelines, the importance of hydration and the American Heart Association's Rethink Your Drink Sugary Drinks education, as well as the significance of healthy snacks and balanced meals for athletic performance with an average attendance of 30 students and their coaches per session.The fourth annual Healthy Wayne community walk was held on August 14, 2019 at Attwood Park and led by Mayor John Rhaesa. Representatives from over 30 partner organizations walked from Wayne Westland community schools district, the City of Wayne, Beaumont Wayne hospital staff, and residents. This year a new partnership with Wayne Historical Society was formed. This organization participated in several planning meetings and shared community resources as vendors at the walk. Other vendors at the event included Wayne Library, Oakstreet Health, and the National Kidney Foundation of Michigan along with Healthy Wayne. The Healthy Wayne healthy worksites team identified a need at the Senior Alliance for Support to develop a walking club. At the invitation of their human resources manager, a presentation was made to 27 staff about the benefits of walking. The result was the development of a 24-member worksite walking team. Additional walking initiative promotions implemented at City of Wayne concerts in the park, Beaumont Wayne Family Safety and Awareness Day and other events resulted in registering 39 new walking clubs and 151 new walkers for a total of 187 walking clubs.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>The healthy eating team continued to work in collaboration with the sole</FormAndLineReferenceDesc>
        <ExplanationTxt>full-service grocery store in Wayne Fresh Choice Market to promote through the Healthy Wayne Facebook page selections of healthy choices from their circular of specials. Attention was paid to local grocery store healthy options available for those managing Type 2 diabetes, and to pairing them with recipes. Additionally, the healthy eating team met and worked closely with the Beaumont Hospital Wayne clinical dietician to refine the healthy restaurant guidelines and locate new sites for the restaurant initiative. Restaurant owners were identified and meetings were held with US 12, Nick's Coney Island, Tropical Smoothie Cafe, and Billy's Shwarma. All four of their menus were reviewed by the dietician and the team, and each owner was given a list of potential menu items which might eventually meet the criteria for bronze, silver or gold level healthy restaurant status. Currently of those who agreed to participate in the program US 12 has submitted recipes for analysis by the dietician. Additional follow up will be conducted in 2020 to explore the feasibility of new restaurant certifications in Wayne by the coalition. The second annual Healthy Westland Fall Fitness Festival, which has become a signature program for the coalition gained significant community involvement and support from both the community engagement team and physical activity teams. Planning for the festival began in March with the securing of the location at the city's premiere park site, Tattan Park and a financial commitment for $1,800 to provide food for all the event participants free of charge. The 2nd annual Healthy Westland Fall Fitness Festival reached over 225 participants and over 35 businesses at the September event. Some highlights of the day included a visit from Mayor Wild and several city councilmen and press coverage by WLND Cable T.V. with a live recording for the City's Facebook page. Vendor support was gained from Beaumont Hospital Wayne physical therapy staff, Beaumont diabetes community educators, City of Westland Library, National Kidney Foundation of Michigan, Blue Cross Complete of Michigan, Wayne County Health, Planet Fitness, Hope Clinic, YMCA of Livonia, The Gymnastics Academy, a massage therapist giving free massages, Wayne Westland Community Schools Family Resource Center, Ford Career Tech Center student volunteers, Reggie of Reggie's Rainbow, and comfort dog Murphy among many other supporters. Adding to the festivities, a D.J. hosted the day's events with music and free workouts provided by The Dance Academy and Forum Fitness. Beaumont Hospital Wayne provides nutrition education and "hands-on" cooking classes through a partnership with Gleaners Food Bank of Southeastern Michigan to offer Cooking Matters in the Community, Cooking Matters at the Store and Cooking Matters for Teens. Cooking Matters equips families with the skills they need to stretch their food dollars and prepare healthy meals on a budget. These popular classes were attended by 44 individuals, in addition, 35 teens participated in the teen program and 52 individuals participated in Cooking Matters at the Store in which attendees visit a grocery store with a health educator to learn how to select low-cost nutritious foods. An additional 154 individuals visited nutrition education tables at a variety of events in Wayne in 2019. Over the summer Gethsemane Church in Westland received two Cooking Matters classes serving kids from ages 8 to 18. From the two classes 21 graduated. In another activity, a mobile food pantry was offered during the summer at Jefferson Barnes Community Vitality Center, a first for the location. The mobile pantry was able to serve over 90 families from the Westland community. The Healthy Westland healthy eating team efforts were also given support from the Westland Public Library who agreed to create a seed library for the community. Free seeds were donated by Barsons Garden Shop of Westland and the Library. A description of how the seed library worked was displayed on take home cards along with gardening how-to books available at the library for check out. In the late summer and fall two youth walking groups were begun in Westland over the 2019 year. To support the Jefferson Barnes Community Vitality Center free summer youth camp Healthy Westland provided a Benefits of Walking presentation to the campers and registered over 30 youth in the walking club. The campers were led on weekly walks by Beaumont teen center staff. Upon completion of their walking goals program finishers received incentives of fanny packs and Beaumont Gets Walking t-shirts for their efforts. A second youth walking group was established following a request for support by Gateway Family Worship Center for their Healthy You and Me 10-week group. 30 kids joined the Gateway Worship Center walking club in October with 26 of them completing 111 laps at their final turkey trot walk. At the conclusion of the series, the pastor reported the youth group faithfully wore their pedometers every week and took their walking commitment seriously.Michigan Harvest of the Month is a nutrition education program used at farmer's market that encourages local healthy eating choices through fresh fruit and vegetable education and food tastings. In 2019, 154 individuals participated in the program.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 4 -- Beaumont Hospital, Taylor</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, line 5: The 2019 CHNA took into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health. Interviews and focus groups were conducted for each of the Beaumont Health hospital communities to provide qualitative information for the CHNA. Participants included community leaders, public health experts and those representing the needs of individuals with chronic diseases, minority, underserved and indigent populations. In addition, Beaumont physicians, nurses, hospital leadership and chronic disease experts participated in the interview and focus group process. For a complete listing of participants please visit beaumont.org/chna. The following contributed to the CHNA process as community partners:Gleaners Community Food Bank of SE MichiganDearborn Public SchoolsHealthy Dearborn CoalitionCity of DearbornRiver Rouge School DistrictCity of Dearborn and RecreationAmerican Heart AssociationNational Kidney Foundation of MichiganTaylor School DistrictHealthy Taylor CoalitionCity of TaylorCity of Taylor Parks and RecreationDownriver Family YMCACity of Trenton Parks and RecreationTrenton Public SchoolsHealthy Trenton CoalitionCity of TrentonWayne County ParksTraffic Safety CommissionWestwood Community School DistrictHealthy Wayne CoalitionWayne-Westland Community SchoolsCity of WayneWayne Chamber of CommerceRomulus Community SchoolsEdsel &amp; Eleanor Ford House, Grosse Pointe ShoresCity of Royal Oak Memorial ParkOrion Township Community CenterUnited Shore Professional Baseball LeagueCity of Sterling HeightsTroy School DistrictFarmington Farmers MarketCity of Farmington HillsCity of Farmington Hills ParksCommunity OrganizationsFarmington Public SchoolsFarmington Hills Fire Department</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 4 -- Beaumont Hospital, Taylor</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, line 6a: Beaumont Health conducted the CHNA for the communities served by Beaumont Hospital Dearborn (formerly Oakwood Hospital Dearborn), Beaumont Hospital Farmington Hills (formerly Botsford General Hospital), Beaumont Hospital Grosse Pointe (formerly Beaumont Grosse Pointe), Beaumont Hospital Royal Oak (formerly Beaumont Royal Oak), Beaumont Hospital Taylor (formerly Oakwood Hospital Taylor), Beaumont Hospital Trenton (formerly Oakwood Hospital Trenton), Beaumont Hospital Troy (formerly Beaumont Troy), and Beaumont Hospital Wayne (formerly Oakwood Hospital Wayne).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 4 -- Beaumont Hospital, Taylor</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, line 7d: In addition to the Hospital website, the CHNA was sent to all the participants of the focus groups and those interviewed, distributed internally to Beaumont leaders and various staff, given to the Beaumont Board of Directors, Beaumont community advisory boards, and to the community members who are engaged in the community coalitions of Beaumont.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 4 -- Beaumont Hospital, Taylor</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, line 11: The 2019 CHNA for Beaumont Hospital Taylor identified two priority health needs to be addressed. The Implementation Strategy for Beaumont Hospital Taylor focused on the priority health needs of chronic disease management (cardiovascular disease, diabetes, and obesity) and mental health. The health needs of substance abuse, access to care, and preventive care of screenings and vaccinations were not addressed as they did not fall within the criteria of the prioritization process (resources, partnerships, infrastructure, and funding available).The Community Health Needs Assessment (CHNA) was conducted in 2019 for each of the Beaumont Health hospitals but it was not adopted until the end of the year and we are listing what was done in 2019 based on the 2016 CHNA. To best address the conditions, behaviors, and socioeconomic and environmental factors that drive health, Beaumont Hospital Taylor formed Healthy Taylor, a multi-sector coalition that currently has 133 individuals participating to promote healthy eating and active living to address cardiovascular disease, diabetes and obesity. Coalition members include local government leadership, community residents, the local school system, nonprofit organizations, faith-based organizations, medical providers, insurance providers, and those representing chronic disease organizations. Beaumont provides "backbone support" to this coalition - providing staff, consultants and access to a wide range of resources including evidence-based programming and data collection.A summary of the progress on the actions to address the priority health needs selected is as follows:Priority 1: Cardiovascular DiseaseActivities of Beaumont Healthy Taylor in 2019 include a weekly walking program at the farmers market during the market season that hosted walks and walkers, continued a neighborhood walking groups program to encourage individuals to walk with others, and promotion of a walking app that incentivizes individuals to reach daily walking goals. In 2019, groups and individuals registered as a neighborhood walking group and 64 individuals signed onto the walking app under the Beaumont Gets Walking group. Activities of Beaumont Hospital Taylor to address cardiovascular disease include heart health screenings to 110 unduplicated individuals with a total of 230 screenings and personalized counseling provided. Screenings measured blood pressure, cholesterol and glucose levels as well as stroke assessment and BMI assessment. Priority 2: DiabetesIn partnership with Gleaners Community Food Bank of Southeastern Michigan, Beaumont Hospital Taylor provides Share our Strength's Cooking Matters for Adults Extra for Diabetes. This six-week class includes the Cooking Matters for Adults curricula as described below along with specialized information throughout the course for adults living with diabetes, caretakers of adults living with diabetes, or pre-diabetic adults. These classes were attended by 11 individuals. Beaumont Hospital Taylor provided the Diabetes PATH (Personal Action Toward Health) education to individuals with units of service in the Taylor service area. This six-week workshop is an evidence-based program for those with Type 2 diabetes and their caregivers. It is designed to enhance patient confidence in their ability to manage their disease and to work more effectively with their health care providers. Outcome data indicated participants were more confident about handling their health condition after taking the workshop, 37% reported testing their blood sugar 7 days per week compared to 31% at the start of the program. At the post-test, 24% reported exercising more than 150 minutes per week compared to 12% at the start of the program.Beaumont Hospital Taylor provided the National Diabetes Prevention Program to 12 individuals in the community in 2019 through 2 cohorts. Beaumont Health's program has received full recognition status. This national evidence-based program from the Centers for Disease Control and Prevention (CDC) is supported and promoted by the American Medical Association as one of the most effective ways to help physicians prevent or delay Type 2 diabetes in high-risk patients. Beaumont Hospital Taylor implemented one Diabetes PATH (Personal Action Toward Health) cohort. PATH is a national evidence-based program for those with Type 2 diabetes and their caregivers. The program is designed to enhance patient confidence in their ability to manage their disease and to work more effectively with their health care providers. Outcome data indicated a high level of participants were more confident about handling their health condition after taking the workshop and showed significant improvements in testing blood sugar seven days a week and reported exercising more than 150 minutes per week. Participant satisfaction with the classes was very good. Beaumont Hospital Trenton provided diabetes screening as part of the heart health screening program in the community to individuals with glucose screenings.Beaumont Hospital Taylor provided diabetes screening as part of the heart health screening in the community to 110 unduplicated individuals with 230 screening services. Additionally, individuals in the Beaumont Hospital Taylor service area received diabetes education at local events.Priority 3: ObesityBeaumont Hospital Taylor provides nutrition education and "hands-on" cooking through a partnership with Gleaners Food Bank of Southeastern Michigan to offer Cooking Matters for Adults, Cooking Matters for Teens and Cooking Matters at the Store in the community. Cooking Matters at the Store are held at local grocery stores and WIC (women, infants and children) clinics with a focus on comparison shopping and how to understand nutrition labels. These classes were attended by 11 individuals in the Beaumont Hospital Taylor service area in 2019 with additional individuals receiving nutritional education and information at the Beaumont Taylor Teen Health Center. These individuals were provided nutritional counseling sessions by a registered dietician and students (duplicated count) received MyPlate health education sessions. Outcome data indicated that of students reported there was an increase in the consumption of fruits and vegetables, an increase in consumption of water and an increase in physical activity.Beaumont Healthy Taylor in partnership with the City of Taylor Parks and Recreation continued its "Beaumont Gets Walking" programming in 2019 to promote physical activity in the community for all ages. Participants who registered were provided a toolkit with a pedometer, lanyard and walking log along with tip sheets. Logs were turned in for incentives and individuals received ongoing encouragement, tips and information about upcoming activities related to walking. The program launched 226 groups and 761 walkers. Two new fitness opportunities were offered this year in the Beaumont Hospital Taylor service area. In 2019, a free weekly yoga series was launched as well as a new weekly fitness series which included Zumba, boot camp and fit camp in the month of July. A total of 6 sessions were provided. Power of Produce is a nationally recognized program offered through the Farmers Market Coalition. Funding was secured from the Taylor Rotary for this program, which was extended into 2019 with carryover funding. The Power of Produce (POP) club started at the Taylor farmers market in June 2017 to empower kids to make healthy food choices and introducing them to where their food comes from. Kids twelve and under engage in a food related fun activity, receive tokens at each visit to purchase fruits and vegetables, and try a featured fruit or vegetable of the week. In the seven weeks that we operated the program, we had 238 visits and distributed 476 tokens. Several parents related that they came to the farmers market specifically because of the children's activities and there was a noticeable drop-off in market numbers when the program concluded. The post surveys were all positive.Rotary Family Day is an event that Healthy Taylor does in conjunction with the Taylor Rotary with an emphasis on encouraging young people to reduce screen time and becoming more active. Healthy Taylor spotlights various coalition members and health related groups. There were a total of 32 tables at the event in 2019 including 15 activity stations coordinated through Healthy Taylor, most of which had an interactive component such as a physical activity or health-related learning activity. The evening ended with two fitness opportunities: Zumba, Tiny Tumblers. An estimated 1,500 people attended the event in 2019, 422 interactions were recorded at the Healthy Taylor booths and the final activities had over 50 participants in each session.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>A drop-in weekly yoga series was introduced in Taylor in 2018 and continued</FormAndLineReferenceDesc>
        <ExplanationTxt>into 2019 in conjunction with two coalition members Western Wayne Family Health Center and Downriver Church. This series was initially planned just for the summer but continued into 2019 with a short break during the months of April through August. While the group is relatively small (approximately 10 persons/session), there was a strong expressed desire to continue the series. The Church provides the space, WWFHC supplies the instructor and Healthy Taylor conducts the registration and sign-in. This year, there were 201 participants in these sessions (duplicated count), a 9% increase over last year.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Section B, Lines 7 &amp; 10:</FormAndLineReferenceDesc>
        <ExplanationTxt>Beaumont Hospital, Dearborn's CHNA and Implementation Strategy can be found at the following URL on the Hospital System's website:https://www.beaumont.org/community/community-health-needs-assessmentBeaumont Hospital, Trenton's CHNA and Implementation Strategy can be found at the following URL on the Hospital System's website:https://www.beaumont.org/community/community-health-needs-assessmentBeaumont Hospital, Wayne's CHNA and Implementation Strategy can be found at the following URL on the Hospital System's website:https://www.beaumont.org/community/community-health-needs-assessmentBeaumont Hospital, Taylor's CHNA and Implementation Strategy can be found at the following URL on the Hospital System's website:https://www.beaumont.org/community/community-health-needs-assessment</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Section B, Lines 16a, b, &amp; c</FormAndLineReferenceDesc>
        <ExplanationTxt>Beaumont Hospital, Dearborn's FAP, FAP application form and plain language summary of the FAP can be found at the following URL on the Hospital System's website:https://www.beaumont.org/patients-families/billing/financial-assistanceBeaumont Hospital, Trenton's FAP, FAP application form and plain language summary of the FAP can be found at the following URL on the Hospital System's website:https://www.beaumont.org/patients-families/billing/financial-assistanceBeaumont Hospital, Wayne's FAP, FAP application form and plain language summary of the FAP can be found at the following URL on the Hospital System's website:https://www.beaumont.org/patients-families/billing/financial-assistanceBeaumont Hospital, Taylor's FAP, FAP application form and plain language summary of the FAP can be found at the following URL on the Hospital System's website:https://www.beaumont.org/patients-families/billing/financial-assistance</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>42</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - Beaumont Medical Park-Dearborn</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>18100 Oakwood Boulevard</AddressLine1Txt>
            <CityNm>Dearborn</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481244085</ZIPCd>
          </USAddress>
          <FacilityTxt>ASC/ General Medical</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - Internal Medicine Resident-Midwest Dbrn</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4700 Schaefer Road</AddressLine1Txt>
            <CityNm>Dearborn</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481263698</ZIPCd>
          </USAddress>
          <FacilityTxt>ASC/ General Medical</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - Beaumont Commons-Dearborn</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>16351 and 16391 Rotunda Drive</AddressLine1Txt>
            <CityNm>Dearborn</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48120</ZIPCd>
          </USAddress>
          <FacilityTxt>Assisted Living, Skilled Nursing Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - Beaumont Medical Center-Southgate</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15777 Northline Road</AddressLine1Txt>
            <CityNm>Southgate</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481952385</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - Beaumont Medical Center-Canton</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7300 and 7330 North Canton Center</AddressLine1Txt>
            <AddressLine2Txt>Road</AddressLine2Txt>
            <CityNm>Canton</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48187</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - Beaumont Medical Center-Dearborn</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>17000 Hubbard Drive</AddressLine1Txt>
            <CityNm>Dearborn</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481264258</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - Beaumont Medical Center-Westland</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2001 South Merriman Road</AddressLine1Txt>
            <CityNm>Westland</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481865539</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - Beaumont Medical Bldg-Wayne</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>33000 Annapolis Street</AddressLine1Txt>
            <CityNm>Wayne</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481842917</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - Beaumont Heart &amp; Vascular-Dearborn</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>22060 Beech Street</AddressLine1Txt>
            <CityNm>Dearborn</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481242847</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - Beaumont Medical Serv-Dearborn</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4900 Mercury Drive</AddressLine1Txt>
            <CityNm>Dearborn</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481262947</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - Beaumont Medical Building-Wyandotte</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1700 Biddle Avenue</AddressLine1Txt>
            <CityNm>Wyandotte</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481927205</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>12 - Beaumont Medical Center-Belleville</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>201 3rd Street</AddressLine1Txt>
            <CityNm>Belleville</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481112605</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>13 - Beaumont Weight Control Center-Canton</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6300 North Haggerty Road</AddressLine1Txt>
            <CityNm>Canton</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481874472</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>14 - Beaumont Medical Bldg-Dearborn West</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>25045 Ford Road</AddressLine1Txt>
            <CityNm>Dearborn</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481281088</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>15 - Beaumont Medical Center-Garden City</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>29150 Ford Road</AddressLine1Txt>
            <CityNm>Garden City</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481352848</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>16 - Beaumont Imaging Center-Canton</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2050 North Haggerty Road</AddressLine1Txt>
            <CityNm>Canton</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481873795</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>17 - Beaumont Blanzy Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>14319 Dix Toledo Road</AddressLine1Txt>
            <CityNm>Southgate</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481952592</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>18 - Beaumont Athens Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15100 South Plaza Drive</AddressLine1Txt>
            <CityNm>Taylor</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481805203</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>19 - Midwest Taylor</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8790 Telegraph Road</AddressLine1Txt>
            <CityNm>Taylor</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481802491</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>20 - Beaumont Family Medicine-Newport</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3132 Newport Road</AddressLine1Txt>
            <CityNm>Newport</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481666100</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>21 - Beaumont OBGYN West</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2142 Monroe Street</AddressLine1Txt>
            <CityNm>Dearborn</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481243057</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>22 - Beaumont Physical Therapy-Canton</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4121 South Canton Center Road</AddressLine1Txt>
            <CityNm>Canton</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481882489</ZIPCd>
          </USAddress>
          <FacilityTxt>Rehab</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>23 - Beaumont Everingham Family Medicine</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>12100 South Huron River Drive</AddressLine1Txt>
            <CityNm>Romulus</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481741119</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>24 - Beaumont Sleep Apnea Center-Riverview</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>14031 Pennsylvania Road</AddressLine1Txt>
            <CityNm>Riverview</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48193</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>25 - Beaumont Family Medicine Ctr-Taylor</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9340 Telegraph Road</AddressLine1Txt>
            <CityNm>Taylor</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481803362</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>26 - Beaumont Physical Therapy-Taylor</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8850 Telegraph Road</AddressLine1Txt>
            <CityNm>Taylor</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481802316</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>27 - Beaumont Sleep Apnea Center-Canton</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>42180 Ford Road</AddressLine1Txt>
            <CityNm>Canton</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481873673</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>28 - Beaumont Imaging Center-Trenton</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1676 Fort Street</AddressLine1Txt>
            <CityNm>Trenton</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481832003</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>29 - Beaumont Medical Center-Brownstown</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>19725 Allen Road</AddressLine1Txt>
            <CityNm>Brownstown Twp</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481831090</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>30 - Beaumont Breast Care Center-Wayne</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4491 Venoy Road</AddressLine1Txt>
            <CityNm>Wayne</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481842530</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>31 - Beaumont Lab-Hamlet</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1331 Monroe Street</AddressLine1Txt>
            <CityNm>Dearborn</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481242888</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>32 - Beaumont Teen Health Center-Westwood</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>25912 Annapolis Street</AddressLine1Txt>
            <CityNm>Inkster</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481413201</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>33 - Beaumont Geriatric Ctr-Henry Ford Vill</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15101 Ford Road</AddressLine1Txt>
            <CityNm>Dearborn</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481264611</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>34 - Beaumont Allied Medical Group</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>35180 Nankin Boulevard</AddressLine1Txt>
            <CityNm>Westland</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481852092</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>35 - Beaumont Teen Health Ctr-Romulus</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9650 Wayne Road</AddressLine1Txt>
            <CityNm>Romulus</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481741500</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>36 - Adult Medical Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>35330 Nankin Boulevard</AddressLine1Txt>
            <CityNm>Westland</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481857223</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>37 - Beaumont Teen Health Center-River Rouge</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1460 Coolidge Highway</AddressLine1Txt>
            <CityNm>River Rouge</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>482181118</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical &amp; Non-medical</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>38 - Patient Services Center-Allen Park</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15101 Southfield Road</AddressLine1Txt>
            <CityNm>Allen Park</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481012697</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>39 - Beaumont Main Street Int Med-Woodhaven</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>25000 Hall Road</AddressLine1Txt>
            <CityNm>Woodhaven</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481835112</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>40 - Beaumont School Wellness Program-Truman</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>11211 Beech Daly Road</AddressLine1Txt>
            <CityNm>Taylor</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481803942</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>41 - Beaumont Child &amp; Adolescent Health Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>33475 Palmer Road</AddressLine1Txt>
            <CityNm>Westland</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481864614</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical/ Physician Office</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>42 - Beaumont Childrens Center-Dearborn</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>18501 Rotunda Drive</AddressLine1Txt>
            <CityNm>Dearborn</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>481243882</ZIPCd>
          </USAddress>
          <FacilityTxt>General Medical &amp; Non-medical</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3c:</FormAndLineReferenceDesc>
        <ExplanationTxt>Oakwood Healthcare, Inc. uses Federal Poverty Guidelines (FPG) to determine eligibility for free or reduced care for low income and medically indigent individuals. In addition to the Federal Poverty Guidelines, Oakwood Healthcare, Inc. uses residency to determine eligibility for financial assistance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 6a:</FormAndLineReferenceDesc>
        <ExplanationTxt>Beaumont Health - 46-5718220</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>Oakwood Healthcare, Inc. calculated the cost of charity care and means-tested government programs, using the cost-to-charge ratio derived from Schedule H, Worksheet 2 "Ratio of Patient Care Cost-to-Charges". Other benefit amounts reported on Line 7 were calculated using costs charged directly to the individual programs via the financial accounting system, an indirect cost allocation factor for shared services is also calculated and included in applicable programs listed in other benefits.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Patient accounts receivable are reduced by an allowance for amounts that could become uncollectible in the future. The Hospital's estimate for its allowance for uncollectible accounts is based on management's assessment of historical and expected net collection by payor. The Hospital updates, on a quarterly basis, the historical collection rates for each of its major payor sources of revenue used to estimate the allowance for doubtful accounts and contractual allowances. Management performs an analysis on a monthly basis to evaluate the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts (which includes uncollectible deductibles and co-payments on accounts for which the third-party payor has not yet been paid or for payors who are known to be having financial difficulties). For receivables associated with self-pay patients, the Hospital records a significant provision for bad debts in the period of service based on experience.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital is not reporting an amount on Part III, Line 3 because the Organization believes that none or very little of their bad debt expense relates to patients who would qualify for financial assistance under the Hospital's policies.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>See pages 11, 12 and 20 of the audited financial statements for year end 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>The source used to determine the amount reported on Line 6 is the Hospital's Medicare cost report.The Medicare cost report is the costing methodology system used to determine the amount reported on Part III, Lines 5 and 6. The Hospital utilizes Worksheet 6 found in the Form 990 instructions for Schedule H to calculate its subsidized services. The instructions state that "The financial loss is measured after removing losses, measured by cost, associated with bad debt, charity care, Medicaid, and other means-tested government programs." Given that Worksheet 6 doesn't suggest removing losses associated with Medicare, a portion of Medicare is included in the Hospital's subsidized service calculations. So as not to double count Medicare values in Part III, Section B, Lines 5 and 6, the portion of Medicare shortfall included in our subsidized services calculations has been subtracted from the Medicare revenue and costs derived from the Medicare cost report. The values indicated in Part III, Lines 5 and 6 are therefore what remains after the Medicare revenue and costs included in the subsidized services calculations have been subtracted out. Given this, the resulting values Part III, Lines 5, 6 and 7) would need to be combined with the Medicare revenue/costs included in our subsidized services to get the full overview of Medicare revenue, costs and any remaining shortfall or surplus. We agree with the current subsidized services calculation methodology that allows the inclusion of Medicare dollars as the Medicare population comprises an important segment of those receiving subsidized services care. The Hospital treats all Medicare patients equally and does not discriminate against lower-margin yielding services.The Organization treats its Medicare shortfall as community benefit for the following reasons: 1) since there is an excess of expenses over Medicare reimbursement the Hospital 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 under compensated patient care to Medicare beneficiaries positively impacts the health of the Michigan community in which we serve.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Financial assistance is granted to those patients unable to pay all or a portion of their bill and who are unable to qualify for assistance through federal and state government assistance programs. If after insurance reimbursement additional assistance is needed, all patients may obtain financial assistance if the income criteria are met. All financial assistance applications are based on policy guidelines. Uninsured patients are required to provide documentation and a completed application, if approved, the adjustment is applied to the patient's account, for patients who do not qualify for charity care or financial assistance, payment plans are available.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to the Community Health Needs Assessment, Beaumont Health, the sole member of Oakwood Healthcare, Inc., conducts an annual environmental scan of the communities served each year as part of the strategic planning process which includes key information including access to care, demographics, health needs, internal hospital data, and identifying gaps in services. Beaumont Health partners with the Wayne, Oakland and Macomb County Health Departments along with the City of Detroit Health Department to work collaboratively on health needs and the social determinants of health. The community outreach department within Beaumont directs services and programs targeting vulnerable populations and services to improve the general health of the communities served. Using the Patient and Family Centered Care model community members engage in inclusive community coalitions that guide the health programs and services needed in the community. 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, and public health data for Wayne, Oakland and Macomb counties.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>Beaumont Health's (Beaumont's), the sole member of Oakwood Healthcare, Inc., mission is to provide the highest quality health care services to all of our patients efficiently, effectively and compassionately, regardless of where they live or their financial circumstances. Beaumont also strives to educate and inform all uninsured and under insured patients about the availability of financial assistance and charity care for health care services throughout the course of their treatment and beyond. Therefore, when a patient schedules or registers for an appointment or presents themselves for care at a Beaumont facility, all uninsured individuals are appraised of options available for government medical coverage, the availability of financial assistance, no-interest payment plans and the existence of charity care in a number of ways. Interpretative services are also made available for any patient for whom English is a second language, information made available to patients includes:- Information and an application from the Michigan Department of Health and Human Services (DHS) related to Medicaid.- Access to an online application service with the Michigan Department of Community Health.- Pamphlets in patient waiting areas in various locations describing the availability of free or discounted care for the uninsured and under insured.- Contracts with Advomas, an outside company, to assist uninsured individuals in the application process and to search for any form of financial assistance through other programs.- Assistance for the uninsured and underinsured relating to the application process by Beaumont patient financial services representatives. They are available prior to receiving care before or after a patient statement is received or to help any individual request a payment. Contact information is provided to all patients.- Notice of the availability of financial assistance, discounted care, or free care (if the person is unable to afford care) provided on all patient statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>Beaumont Hospital Dearborn is defined as the continuous zip codes that comprise 80 percent of inpatient discharges. The areas served include Oakland, Macomb and Wayne counties. The population in the communities served by Beaumont Dearborn is expected to decrease by 1.7 percent over the next five years. The decrease will impact all cities except Romulus, Flat Rock, and New Boston which expect small increases. The age composition of Dearborn is representative of that in the state of Michigan and the county as a whole. The cohort aged 65 years and older makes up the smallest segment of the population (16.2 percent) but is expected to experience the most growth over the next five years. This age group is expected to increase 12.7 percent while the other age groups are expected to decrease 3 to 6 percent. The community is primarily White (71.7 percent) and Black (18.3 percent). The City of Dearborn also has the highest proportion of Arab Americans in the country. Persons of Arab ancestry make up 8.5 percent of the Beaumont Dearborn population. The Arab population is most highly concentrated in Dearborn (zip codes 48126 and 48120) and Dearborn Heights (zip code 48127), with more than 76 percent of the Arab population residing in these three zip codes. The community is expected to become increasingly diverse over the next five years.Beaumont Hospital Trenton is defined as the continuous zip codes that comprise 80 percent of inpatient discharges. In the next five years, Beaumont Trenton's population is expected to decrease by 0.1 percent. Romulus, Flat Rock, Rockwood, Newport, and New Boston are expected to grow slightly. The age composition of the community is similar to the State of Michigan and the country. The cohort aged 65+ makes up the smallest segment of the population (19.7 percent) but is the only age group expected to grow over the next five years. This group is expected to increase by 16.1 percent while the other age groups are expected to decrease 7 percent or less. Beaumont Trenton has a much higher concentration of Whites compared to state and national levels, as well as other areas in the overall Beaumont community. Beaumont Trenton's population is 86.1 percent White; however, this number is expected to decrease slightly in the upcoming years. The other, Asian Pacific Islander and the multiracial groups will experience slight growth by 2023.Beaumont Hospital Wayne is defined as the continuous zip codes that comprise 80 percent of inpatient discharges. In contrast to other areas in Beaumont's overall community, Beaumont Wayne's population will decrease less than 1 percent over the next five years. The community has a lower percentage of people who are 65+ compared to the state and national levels, however, this group is the only one which is expected to grow in the next five years (+17.2 percent). The majority of Beaumont Wayne's population is White (67.6 percent). Compared to the state and national levers and other Beaumont communities, this population is more diverse. Twenty percent of Beaumont Wayne's population is Black and 7.5 percent is Asian Pacific Islander. The other, Asian Pacific Islander and multiracial communities in Wayne are projected to increase in the next five years. Beaumont Wayne is largely non-Hispanic with approximately 4 percent of the community's population being Hispanic. This population is expected to grow slightly over the next five years.Beaumont Hospital Taylor is defined as the continuous zip codes that comprise 80 percent of inpatient discharges. The population served by Beaumont Hospital Taylor is projected to decrease by 1.2 percent in five years. Lincoln Park zip code 48146 and Taylor zip code 48180 are the two most populated areas served and will experience the greatest decrease in population, while Flat Rock, Rockwood and Romulus will increase slightly. The 65 and older cohort makes up the smallest segment of the Taylor population (17.9 percent); however, it is the only age group expected to experience an increase in the next five years. Beaumont Taylor's population is primarily White (79.5 percent) and Black (12.9 percent). The community served also includes the City of Dearborn, which has the highest concentration of Arab Americans in the country. The overall racial composition of the community will remain relatively stable over the next five years.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 and advisory 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, in alignment with the ACA to promote health in the communities and address the identified health priorities in the community, Oakwood launched a healthy communities initiative in partnership with the cities and school districts of Dearborn, Trenton, Taylor, Wayne and Westland along with a leadership coalition to support the work, community coalitions were formed that consist of over 600 community members from various sectors along with community residents. Health communities is an integrated framework which coordinates primary healthcare public health and community interventions; and emphasizes a shared responsibility for community health while encouraging residents to take active roles in their own health. The coordinated collective approach taken by each coalition allows individual members to have a greater influence on the health of their community than they would achieve by acting individually, programs and services are provided at no cost to the community and include after school nutrition and physical education in 23 area schools, a school wellness program in Taylor, Michigan, school-based health clinics in Westland, River Rouge, Romulus, Taylor and Inkster, other community benefit programs offered include community health 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, fitness programs are offered in the community for those of all ages including walking programs for those of all ages, a bike sharing initiative was implemented in the Dearborn community, community-based health insurance assistors are available for enrollment into the health insurance marketplace and Medicaid, diabetes prevention programs, chronic disease management, nutrition and healthy cooking classes are also conducted, grocery store tours are provided by a registered dietitian for nutrition education. Smoking cessation hotline and information are provided to assist community members in their efforts to stop smoking, Oakwood also operates an HIV/AIDS program and TB clinic for those in need of these specialized services, a prescription for health program was initiated in 2017 for food insecure patients with chronic disease to obtain $20. 00 worth of fresh fruits and vegetables weekly at local grocery stores.The Center for Exceptional Families and the University of Michigan-Dearborn collaborated to bring a new autism center to the community which includes an autism-focused cross training program for students, health providers and educators, 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 relationships with local FQHC's and other low cost and free health clinics that serve our uninsured and underinsured community members, Oakwood also partnered with Wayne County to open a FQHC in Wayne, Michigan, Oakwood provides physicians and supplies to the FQHC, we also actively participate in work groups committees and boards associated with community programs.Many of our executives, managers and other employees serve as lead volunteers or board directors and officers for key non-profit agencies and government commissions in the region, these include organizations and authorities associated with health care social services, education, municipal governance, industry and trade groups as well as service organizations and chambers of commerce, many Oakwood employees also offer ad-hoc consulting advice, Oakwood has also maintained long standing, demonstrated partnerships with vital community agencies such as Access (serving the Arab American community and others with health and social services as well as employment programs); Southwest Solutions (social services and housing agency); Starfish Family Services (social services); Cabrini, MAPI and Hope clinics (free medical clinics); First Step (domestic violence and sexual assault response agency); and Western Wayne Family Health Centers (FQHC'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, the community health department partners with U of M Public Health and Wayne State offering large numbers of internships each year, 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>Beaumont Health ("the System"), the sole member of Oakwood Healthcare, Inc., is Michigan's largest health care system (based on inpatient admissions and net patient revenue) formed in 2014 by William Beaumont Hospital, Botsford General Hospital and Oakwood Healthcare to provide patients with compassionate, extraordinary care, no matter where they live in southeast Michigan. Our culture of caring partnerships and care delivery model of patient and family-centered care demonstrates our commitment to engaging our patients, their family, and our community to promote continuous health care improvements. With eight hospitals, 145 health centers, nearly 5,000 physicians and 38,000 employees, Beaumont Health contributes to the health and well-being of residents throughout southeast Michigan and beyond. In 2019, Beaumont had 178,796 inpatient discharges, 577,398 emergency visits and 17,653 births. The outpatient sites include emergency and urgent care centers, medical centers, laboratory centers, pharmacies, rehabilitation centers, imaging centers, senior living and nursing homes, wellness and fitness centers and home care and hospice. Beaumont is committed to education and has medical affiliations with Oakland University William Beaumont School of Medicine, Michigan State University School of Medicine and Wayne State University School of Medicine. Beaumont provides graduate medical education to 955 residents and fellows and had 105 residency and fellowship programs.Beaumont has eight trauma centers consisting of Beaumont Hospital Farmington Hills (Level 2), Beaumont Hospital Dearborn (Level 2), Beaumont Hospital Grosse Pointe (Level 3), Beaumont Hospital Royal Oak (Level 1), Beaumont Hospital Trenton (Level 2), Beaumont Hospital Taylor (Level 4), Beaumont Hospital Wayne (Level 2) and Beaumont Troy (Level 2). Beaumont operates emergency centers at each of its eight hospitals, including the newly expanded center at Royal Oak. Beaumont operates the only 24/7 emergency room in Canton Township, a community of about 80,000 in western Wayne County. In addition, Beaumont leads and participates in emergency and disaster planning to protect the health and safety of the southeast Michigan community. Further, Beaumont has been an innovator in green practices to improve environmental and community health through its "green teams and energy management teams that continually work on reducing the carbon footprint across the system. Patient and Family Centered Care (PFCC) is embedded in all that we do at Beaumont. This involves the planning, delivery, and evaluation of health care built on mutually beneficial partnerships among patients, families, and providers shaped by patient preference. PFCC is about working with patients and families as partners in care rather than doing to and for them. This approach is also used by Beaumont in the communities we serve. To most effectively design and implement community health programming, community members, city and school leaders, nonprofit organizations, business, faith-based organizations and others all come together in community coalitions to assist with the Community Health Needs Assessment (CHNA) and create action teams that coordinate services, programs and events to maximize resources and reduce duplication of efforts.Beaumont furthers its exempt purpose by promoting the promotion of community health in the communities served. To move the needle on health priorities identified in the CHNA, Beaumont supports multi-sector coalitions involving community residents, public health, city and school leaders, business, faith organizations, nonprofits and others to work together to improve health. In 2019, over 800 community members sit on these coalitions with action teams targeting healthy eating, healthy schools, healthy at work, health environments and diversity and inclusion. These coalitions guide our work in the community in the delivery of programs, services and events targeting health and wellness that are provided at no charge to community members. Other services provided to the community are the certified application counselors to assist in enrollment in the health insurance marketplace and Medicaid, numerous free health screenings, diabetes prevention programs, nutrition programs, school nutrition and activity programs in over 30 sites, community health education, participation in the gift of life program, hosting family/community safety days that enhance the health of our communities, sponsorships to community organizations, financial and in-kind support to community health clinics that provide free or reduced healthcare to vulnerable populations, a free app and walking programs in the community to promote active living, 7 for $70 cardiovascular screening, support to community organizations with Beaumont leaders sitting on many nonprofit boards, career days, job shadowing and internships with local schools, medical outreach to homeless populations, a medical library open to the public, free heart screenings for youth, free mammograms for those in need, and a Stop the Bleed training program for the community. Numerous physicians, nurses, residents and employees of Beaumont volunteer in the community in addition to serving on local committees, task forces, coalitions, and boards that are related to health and health needs. This tax return reflects the activities of Oakwood Healthcare Inc. In addition to the activities above, the four hospitals as part of Beaumont Health (formerly Oakwood Healthcare Inc) provide a wealth of programs and services that support community health. Community health staff conduct their health promotion activities community coalitions to ensure community engagement and involvement in services, programs and events that promote health and wellness in their communities. The Center for Exceptional Families provides a wide range of health services for children with multiple disabilities and their families. A TB clinic and Ryan White clinic also provide valuable services to community members that need this access to care. Seven child and adolescent health clinics located right in the community and in schools provide physical and mental health care to youth who would otherwise have difficulties in accessing care.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 7, Reports Filed With States</FormAndLineReferenceDesc>
        <ExplanationTxt>MI</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Oakwood Healthcare System makes contributions primarily to organizations that have been recognized by the IRS as tax-exempt charitable organizations under IRC Section 501(c)(3). Government grants received by Oakwood Healthcare System are monitored by their respective departments. Oakwood Healthcare, Inc. follows these guidelines and is subject to an A-133 audit annually upon meeting the expenditure threshold. Oakwood Healthcare System awards scholarships annually to employees, family members and student volunteers. The employees apply and applications are reviewed by an impartial selection committee. The committee is comprised of representatives from human resources, nursing/allied health, volunteer services, finance and the foundation. Applicants are scored using several key criteria, then ranked accordingly. 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 $13,954,598.46 during 2019.</ExplanationTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>92455</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>22255</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14111</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>331976</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>92455</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Paulo Marciano</PersonNm>
        <TitleTxt>CMO-Dearborn</TitleTxt>
        <BaseCompensationFilingOrgAmt>192993</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>58886</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>605</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>57080</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1116</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>310680</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>58886</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ashok Jain</PersonNm>
        <TitleTxt>CMO-Wayne</TitleTxt>
        <BaseCompensationFilingOrgAmt>172787</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>49874</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2834</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>47171</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15320</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>287986</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>49874</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kassem Charara</PersonNm>
        <TitleTxt>CMO - Taylor</TitleTxt>
        <BaseCompensationFilingOrgAmt>180304</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>31565</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>287</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>38843</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19705</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>270704</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>31565</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jonathan Kaper</PersonNm>
        <TitleTxt>CMO-Trenton</TitleTxt>
        <BaseCompensationFilingOrgAmt>155761</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>28222</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>191</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>23349</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>87</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>207610</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>28222</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4a:</FormAndLineReferenceDesc>
        <ExplanationTxt>For some individuals, the employment agreement may provide 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 2019 include payments to the following individuals: Eric Widner, severance payment: $252,468</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Oakwood Healthcare, Inc. and its related organizations (the System) provide certain supplemental retirement benefits to certain officers, key employees and physicians. These benefits are provided through a non-qualified deferred compensation plan, under which the benefits being earned are subject to a substantial risk of forfeiture. To become entitled to the benefits being provided, each covered employee must meet specified requirements relating to further employment. Until those requirements are satisfied, the employee is not entitled to these amounts. If the employee were to have terminated employment voluntarily in the year to which this return applies, those supplemental retirement benefits would not have been paid out. It should be noted that these supplemental retirement benefits are part of a retirement program that provides retirement income for all years of service that the employee provides to the organization. Any retirement benefits should be viewed as applying to the entire length of the employee's service to the System. John Fox, non-qualified plan distribution, SERP 457(F): $749,996</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 5a:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 5b:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III:</FormAndLineReferenceDesc>
        <ExplanationTxt>Executive Compensation at Beaumont Health Background Beaumont Health's executive compensation philosophy and program aligns with our strategic objectives, which contribute to the health and well-being of the residents throughout the communities we serve. As Beaumont looks to retain strong talent in both executive and non-executive positions across the organization, similar philosophies are utilized, which align with our organizational values of compassion, respect, integrity, teamwork, and excellence. To successfully lead such a large, complex organization like Beaumont Health, highly talented executive leadership is essential. Successful recruiting, retention and motivation of leaders requires nationally competitive compensation and benefits. Beaumont also considers recruiting executive leaders who could choose positions in industry sectors other than health care. Based on a rigorous objective methodology, including review of an independent consultant's Written Reasonableness Assessment Opinion and their national market data from other health systems, assessment of job responsibilities, evaluation of qualifications, and review and approval by a board committee comprised of independent and disinterested directors, Beaumont Health is confident that our executives' 2019 compensation is both competitive and reasonable. Philosophy Our executive compensation programs are based on the following key attributes: - Programs are aligned to the market - Beaumont provides market competitive compensation and benefits that are commonly provided by health systems of our size and complexity. Beaumont executive compensation is also aligned with the performance of the organization. For example, when the organization achieved upper-quartile performance, the intent is to have executive pay aligned with market pay in the upper-quartile. Lower levels of performance results in lower levels of executive pay, including no incentive pay if the organization does not meet certain metrics. - Performance metrics are tied to key strategic objectives - most of an executive's compensation at Beaumont is dependent on how the organization performs on key goals and metrics including patient safety, quality of care, and patient experience and satisfaction. As such, a substantial portion of an executive's pay is 'at-risk' (not guaranteed) based on organizational performance. Some of the 'at risk' pay is awarded over a multi-year period and there are no guarantees the entire amount will be paid. The executive's actual take home pay in any given year might be less than the total compensation as reported on the 990 if the organization's objectives over multiple years are not achieved. Further, Column E of Schedule J of the 990 can be easily misinterpreted and is often overstated due to counting compensation accrued in a given year, but not yet vested. To avoid inadvertently "double counting" compensation the best reflection of a single year's compensation is Schedule J Column B totaling Columns (i) through (iii) for 2019, which contains the most accurate source of information related to an executive's paid compensation in any given year. Year to year, an executive's total compensation will vary based on organizational performance as well as the scheduled timing of payments of amounts earned but not vested in earlier years. - General health and welfare programs are consistent with non-executives - in an effort to drive consistency, transparency, and fairness, Beaumont executives participate in the same health and welfare programs as other non-executive employees. Governance of Executive Compensation Beaumont is committed to maintaining high standards of corporate governance. Our corporate governance process is compliant, transparent and ensures compensation is administered in a fair and equitable manner consistent with IRS guidelines. Executive compensation is governed by the Organization and Compensation Committee (OCC) of the Board of Directors of Beaumont Health, the parent organization of a multi-entity health system. The Committee is comprised of independent board members who have no conflicts of interest as it relates to the organization's executive compensation. The Committee is responsible for: - Reviewing, validating and approving performance goals and metrics related to the executive's at-risk compensation plans. - Reviewing, validating and approving performance achieved on the executive at-risk compensation plans. - Reviewing and approving compensation for each member of the organization's senior leadership team. - Ensuring compensation is reasonable and appropriate based on performance achieved and the organization's mission. The independent Committee also receives support from outside advisors with expertise in health care organizations and executive compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Michigan Finance Authority</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>800596186</BondIssuerEIN>
        <CUSIPNum>59447PLJ8</CUSIPNum>
        <BondIssuedDt>2012-05-01</BondIssuedDt>
        <IssuePriceAmt>161691656</IssuePriceAmt>
        <PurposeDesc>See Part VI</PurposeDesc>
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        <BondIssuedDt>2013-04-25</BondIssuedDt>
        <IssuePriceAmt>53999789</IssuePriceAmt>
        <PurposeDesc>See Part VI</PurposeDesc>
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        <BondReferenceCd>A</BondReferenceCd>
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        <CapitalExpendituresAmt>25289969</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>134714488</OtherSpentProceedsAmt>
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        <RefundingTaxableBondsInd>1</RefundingTaxableBondsInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
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        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
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        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
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        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Bond Issues:</FormAndLineReferenceDesc>
        <ExplanationTxt>Differences between the issue price (Part I, Column (E)) and total proceeds of issue ( Part II, Line 3) are due to investment earnings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line A, Column F:</FormAndLineReferenceDesc>
        <ExplanationTxt>Description of Purpose: Finance hospital/partial refund of bonds issued 4/7/1998, 12/10/2002, and 11/13/2003.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line B, Column F:</FormAndLineReferenceDesc>
        <ExplanationTxt>Description of Purpose: Refunding of bonds issued 4/7/1998.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV, Line 6, Column A:</FormAndLineReferenceDesc>
        <ExplanationTxt>This question is being answered without regard to a yield-restricted advance refunding escrow financed with proceeds of the bonds.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Item C</FormAndLineReferenceDesc>
        <ExplanationTxt>DBA: Beaumont Hospital, Trenton DBA: Beaumont Hospital, Wayne DBA: Beaumont Hospital, Taylor</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV, Line 10:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Taxpayer is a member of a health system, the parent of which is Beaumont Health. During the year, Beaumont Health Foundation received funds from other entities in the System, of which a portion is attributable to restricted contributions. Please see the Form 990, Schedule D of Beaumont Health Foundation for information regarding this endowment fund.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The following individuals have a business relationship because they are board members or shared officers of a taxable entity within the Beaumont Health System: John Fox John Kerndl Gerson Cooper John Nemes David Wood, MD Ashok Jain, MD</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Beaumont Health is the sole corporate member of Oakwood Healthcare, Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Beaumont Health is the corporate member of Oakwood Healthcare, Inc., with the right to elect one or more members of Oakwood Healthcare, Inc.'s governing body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 was subjected to a multi-step review process prior to filing with the government by the statutory due date. Form 990 is prepared by Beaumont Health Treasury Administration, reviewed by that department's management, and subsequently reviewed by the filing entity's paid preparer. As the final step in this review process, a copy of the final filing version of Form 990 is provided to each voting member of the filing entity's governing body for their review prior to the form being filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Beaumont Health, the parent corporation and sole member of Oakwood Healthcare, Inc., recognizes that it has an obligation to its patients, its payors, its designees and the communities it serves to observe the highest level of integrity to ensure clinical, business and academic decision making is not compromised by financial or other relationships with industry. The Corporate Compliance Office, with the assistance of human resources and specific individual departments, will coordinate upon hire and each calendar year thereafter, a process of obtaining conflict of interest/disclosure of remuneration statements. All areas of the institution will follow the human resources hiring process protocol to assure compliance with the conflict of interest program. At any time when a designee becomes involved in a relationship that is or may be perceived to be a conflict of interest, the designee must complete the conflict of interest/disclosure of remuneration statement and forward to the Corporate Compliance Officer. A conflict of interest or need to disclose remuneration may exist if a Beaumont designee or any member of their immediate family receives compensation in any form for services rendered in any capacity to any organization or individual that has any past, present or prospective business dealings with Beaumont, if such compensation might be reasonably construed as tending to prevent the designee from acting solely and wholly in the best interest of Beaumont Health.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Beaumont Health's Board of Directors, of which Oakwood Healthcare, Inc. is affiliated, has duly appointed an Organization and Compensation Committee (the "Committee"), which is responsible for the review and approval of compensation and benefits provided to Beaumont and its affiliated members executive management's teams. The Committee has adopted a written executive compensation philosophy statement governing the work and review process of the Committee. The Committee follows the procedures described in the philosophy statement when it reviews and approves the compensation and employee benefits provided to senior management, including the Chief Executive Officer and other officers. The Committee reviews all aspects of compensation, including current and deferred compensation, and benefits, including qualified and non-qualified benefits. The Committee meets four times a year, and approves compensation and benefits only to the extent that the Committee has concluded that the compensation and benefits constitute no more than reasonable compensation for each executive. The Committee consists of six members, all of whom are disinterested members of the Board of Directors. The Committee works with an independent compensation consultant to prepare and review in advance comprehensive data showing the compensation provided by similarly situated organizations for functionally similar positions. The Committee also prepares a timely and thorough written record of its deliberations and conclusions. As a result, the Committee's review process is designed to satisfy the procedural criteria necessary to qualify for the rebuttable presumption of reasonableness under the federal income tax law intermediate sanctions rules. The Committee has expressly determined that the total compensation provided is reasonable, based on the review of the market data presented by the independent compensation consultant and on the review of all other relevant facts and circumstances.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization will provide any documents that are required to be open for public inspection to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 16b:</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization exercises due diligence in the oversight of any new joint ventures and routinely consults with tax consultants on the matter, if applicable.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section B, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>The health system has a centralized accounts payable function and, as such, all 1099's are issued by Beaumont Health.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Pension and Supplemental Pension Adjustment -7,004,077. Net Assets Released From Restriction 1,933,165. Other Transfers to Affiliates -138,331,732.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Michigan Bone &amp; Joint-Oakwood Southshore Medical Center PLLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26901 Beaumont Blvd</AddressLine1Txt>
          <CityNm>Southfield</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
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