2019-11-15T09:45:54-06:00 2018-12-31 861065772 DELOITTE TAX LLP 200 RENAISSANCE CENTER SUITE 3900 DETROIT MI 482431313 990 2018-01-01 381405141 OAKWOOD HEALTHCARE INC OAKW 9475221051 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 JOHN PEETZ VP OF TREASURY 9475221051 2019-11-15 1 LORI BOYCE P00121981 3133963000 167.219.88.228 2019-11-15 08:51:48 ES P BB12664BE1E3D4BC08488640412F20C0F7A39D48 2B300E1FC09CCA321063079848B1E489E0A7BF4B 2018 2020-03-31 21:24:44Z BEAUMONT HOSPITAL DEARBORN JOHN T FOX 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 1342988270 0 X WWW.BEAUMONT.ORG X 1948 MI PROVIDE EXCELLENCE IN CARE, HEALING AND HEALTH TO THE INDIVIDUALS AND COMMUNITIES WE SERVE. 17 14 13385 841 24064502 1442642 7218949 7630828 1217043233 1295413172 4705619 1709619 57030970 37427703 1285998771 1342181322 15960084 18025785 0 0 698155283 666797486 0 0 0 460304789 555528239 1174420156 1240351510 111578615 101829812 1107861470 1162366707 445330658 444352301 662530812 718014406 X PROVIDE EXCELLENCE IN CARE, HEALING AND HEALTH TO THE INDIVIDUALS AND COMMUNITIES WE SERVE. 0 0 566792590 9007559 663033332 INPATIENT SERVICES:OAKWOOD HEALTHCARE, INC., ("OAKWOOD SYSTEM"), A WHOLLY OWNED SUBSIDIARY OF BEAUMONT HEALTH, IS A MICHIGAN NON-PROFIT CORPORATION ORIGINALLY INCORPORATED IN 1948.BEAUMONT HOSPITAL, DEARBORN (FORMERLY OAKWOOD HOSPITAL - DEARBORN) HAS PROUDLY SERVED RESIDENTS ACROSS SOUTHEASTERN MICHIGAN SINCE 1953. WITH 632 BEDS, BEAUMONT HOSPITAL, DEARBORN IS A MAJOR TEACHING AND RESEARCH HOSPITAL AND HOME TO THREE MEDICAL RESIDENCY PROGRAMS IN PARTNERSHIP WITH WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE. BEAUMONT HOSPITAL, DEARBORN IS VERIFIED AS A LEVEL II TRAUMA CENTER AND HAS BEEN ACCREDITED BY THE JOINT COMMISSION AS A PRIMARY STROKE CENTER. THE HOSPITAL IS ALSO KNOWN FOR CLINICAL EXCELLENCE AND INNOVATION IN THE FIELDS OF ORTHOPEDICS, NEUROSCIENCES, WOMEN'S HEALTH, AND HEART AND VASCULAR AS WELL AS CANCER CARE.BEAUMONT HOSPITAL, WAYNE (FORMERLY OAKWOOD ANNAPOLIS HOSPITAL) OPENED ITS DOORS TO WESTERN WAYNE COMMUNITIES IN 1957. THIS 185-BED, FULL-SERVICE HOSPITAL IS THE ONLY HOSPITAL IN THE WAYNE, WESTLAND, GARDEN CITY, CANTON, INKSTER AND ROMULUS AREA VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS AS A LEVEL III TRAUMA CENTER. THE HOSPITAL HAS A LONG-STANDING PARTNERSHIP WITH DETROIT METRO AIRPORT AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION TO HANDLE A WIDE VARIETY OF HEALTH AND COMMUNICABLE DISEASE CONCERNS INCLUDING MASS TRAUMA AND EMERGENCY PATIENTS.BEAUMONT HOSPITAL, TRENTON (FORMERLY OAKWOOD HOSPITAL - SOUTHSHORE) IS A 193-BED ACUTE CARE TEACHING HOSPITAL THAT SPONSORS NINE UNIVERSITY-AFFILIATED RESIDENCY PROGRAMS. THE HOSPITAL OPENED ITS DOORS TO TRENTON AND ITS SURROUNDING COMMUNITIES IN 1961.BEAUMONT HOSPITAL, TAYLOR (FORMERLY OAKWOOD HERITAGE HOSPITAL), IS A 180-BED HOSPITAL THAT IS A RECOGNIZED HEALTH CARE LEADER IN THE DETROIT METRO REGION. IT HAS PROUDLY SERVED TAYLOR AND SURROUNDING COMMUNITIES SINCE 1977 WITH SPECIALTY SERVICES THAT INCLUDE 24-HOUR EMERGENCY CARE, HYPERBARIC AND WOUND CARE, A SURGICAL PAVILION, A PAIN MANAGEMENT CLINIC, ORTHOPEDIC SURGERY, A MENTAL HEALTH FACILITY, INPATIENT PHYSICAL MEDICINE AND REHABILITATION AND FULL-SERVICE RADIOLOGY, INCLUDING ADVANCED CT AND MRI. OAKWOOD ALSO INCLUDES OVER 60 OUTPATIENT SITES, AND A RETIREMENT COMMUNITY AND REHABILITATION SKILLED NURSING CENTER KNOWN AS OAKWOOD COMMON, TO SERVE THE PEOPLE AND DIVERSE COMMUNITIES OF WESTERN WAYNE COUNTY.AT ITS CORE, THE OAKWOOD SYSTEM'S FOCUS IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES SAFELY, EFFECTIVELY AND COMPASSIONATELY TO ALL PATIENTS IRRESPECTIVE OF THEIR ABILITY TO PAY. THE SYSTEM'S FOUR HOSPITALS HAVE 1,190 LICENSED BEDS. IN 2018, THE OAKWOOD SYSTEM REGISTERED 56,985 ADMISSIONS AND 32,816 TOTAL SURGERIES. 451019311 7167671 502844813 OUTPATIENT AND OTHER SERVICES:THE OAKWOOD SYSTEM'S MISSION EXTENDS BEYOND ITS CAMPUSES WHERE IT IS A LEADER IN PROVIDING OUTPATIENT HEALTH CARE SERVICES TO ALL MEMBERS OF THE COMMUNITY, INCLUDING MEDICAID PATIENTS, UNDERINSURED PATIENTS AND PATIENTS WITH NO INSURANCE AT ALL.THE OAKWOOD SYSTEM ALSO INCLUDES NUMEROUS COMMUNITY-BASED MEDICAL CENTERS IN THE COMMUNITIES. ALL OF THESE OUTPATIENT SERVICES ARE PROVIDED TO PATIENTS ON A NON-DISCRIMINATORY BASIS AND IRRESPECTIVE OF ABILITY TO PAY. 116444541 1850555 136216692 EMERGENCY SERVICES:THE EMERGENCY CARE CENTERS AT THE FOUR HOSPITALS IN THE OAKWOOD SYSTEM ARE STAFFED AND EQUIPPED TO HANDLE THE MOST SEVERE ILLNESSES AND INJURIES AS WELL AS MINOR TRAUMAS THAT REQUIRE MEDICAL ATTENTION.BEAUMONT HOSPITAL, DEARBORN IS A VERIFIED LEVEL II TRAUMA CENTER THAT ENSURES ADVANCED LIFE-SAVING PROCEDURES ARE READILY AVAILABLE 24/7 FOR PATIENTS WITH TRAUMATIC INJURIES. AN 89-BED FULL-SERVICE EMERGENCY CENTER PROVIDES RAPID ASSESSMENT AND EMERGENCY CARE WITH RESPONSE TIMES BELOW THE NATIONAL AVERAGE FOR THOSE REQUIRING A HEART OR STROKE INTERVENTION.BEAUMONT HOSPITAL, WAYNE HAS BOARD-CERTIFIED EMERGENCY MEDICINE PHYSICIANS, FAST TRACK SERVICE FOR RAPID ASSESSMENT AND CARE FOR LESS URGENT CONDITIONS, AND ADVANCED LIFE-SAVING PROCEDURES.BEAUMONT HOSPITAL, TRENTON HAS ACHIEVED TWO-MINUTE "DOOR-TO-EVALUATION AND A "DOOR-TO-BALLOON" TIME OF LESS THAN 56 MINUTES FOR THOSE REQUIRING A HEART INTERVENTION WHICH IS WELL BELOW THE NATIONAL AVERAGE. BEAUMONT HOSPITAL, TRENTON IS THE ONLY VERIFIED LEVEL II TRAUMA CENTER SERVING THE DOWNRIVER COMMUNITY. THIS IMPORTANT DISTINCTION MEANS THAT ADVANCED LIFE-SAVING PROCEDURES ARE READILY AVAILABLE 24/7 FOR PATIENTS WITH TRAUMATIC INJURIES.BEAUMONT HOSPITAL, TAYLOR IS THE ONLY EMERGENCY ROOM IN TAYLOR OFFERING 24/7 CARE.THE OAKWOOD SYSTEM TREATED 226,137 INDIVIDUALS IN ITS EMERGENCY CENTERS IN 2018. THE OAKWOOD SYSTEM PROVIDES THESE MEDICAL SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY AND PROVIDES MEDICAL TREATMENT TO EVERYONE ENTERING THE OAKWOOD SYSTEM REGARDLESS OF THEIR FINANCIAL CIRCUMSTANCES. 1134256442 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 X 0 0 13385 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 17 14 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MI X JOSEPH STOKES 9475221529 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 X ALICIA BOLER DAVIS DIRECTOR 2.00 8.00 X 0 0 0 CHRISTOPHER BLAKE DIRECTOR 2.00 8.00 X 0 0 0 DAVID WOOD DIRECTOR 2.00 56.00 X 0 1910312 463484 GEOFFREY HOCKMAN DIRECTOR 2.00 10.00 X 0 0 0 GERSON COOPER DIRECTOR 2.00 10.00 X 0 0 0 HARRIS MAINSTER DO DIRECTOR 2.00 8.00 X 0 0 0 JOHN FOX PRESIDENT & CEO 2.00 58.00 X X 0 4260149 1672732 JOHN LEWIS CHAIRPERSON 2.00 8.00 X 0 0 0 JOHN NEMES SECRETARY / TREASURER 2.00 8.00 X X 0 0 0 JULIE FREAM VICE CHAIRPERSON 2.00 8.00 X X 0 0 0 MALCOLM HENOCH MD DIRECTOR (END 12/31/18) 2.00 62.00 X 800498 0 224077 MARTHA QUAY DIRECTOR 2.00 8.00 X 0 0 0 RONALD HALL JR DIRECTOR 2.00 8.00 X 0 0 0 STEPHEN HOWARD VICE CHAIRPERSON 2.00 8.00 X 0 0 0 THOMAS SAELI DIRECTOR 2.00 8.00 X 0 0 0 TIMOTHY O'BRIEN DIRECTOR 2.00 8.00 X 0 0 0 WILLIAM GOLDSMITH DIRECTOR 2.00 8.00 X 0 0 0 JOHN KERNDL EVP & CHIEF FINANCIAL OFFICER 2.00 56.00 X 0 952634 413192 ASHOK JAIN CMO-WAYNE 50.00 0.00 X 235239 0 59634 CHRISTINE STESNEY-RIDENOUR PRESIDENT TRENTON 50.00 0.00 X 390549 0 130872 DAVID CLAEYS PRESIDENT - DEARBORN 50.00 0.00 X 408513 0 140220 ERIC WIDNER END 212018 PRESIDENT WAYNE 50.00 0.00 X 366258 0 125114 JONATHAN KAPER CMO-TRENTON 50.00 0.00 X 182312 0 32979 KASSEM CHARARA CMO - TAYLOR 50.00 0.00 X 253431 0 56719 LEE ANN ODOM PRESIDENT TAYLOR 50.00 0.00 X 386850 0 133667 PAULO MARCIANO CMO-DEARBORN 50.00 0.00 X 257302 0 59856 FAISAL MUSA STAFF PHYSICIAN 50.00 0.00 X 938636 0 24300 GARY GUSTAFSON STAFF PHYSICIAN 50.00 0.00 X 1216180 0 33706 KONGKRIT CHAIYASATE STAFF PHYSICIAN 50.00 0.00 X 2419358 0 39505 SAMER ELFALLAL STAFF PHYSICIAN 50.00 0.00 X 2058568 0 37533 SAMIR DABBOUS STAFF PHYSICIAN 50.00 0.00 X 1293750 0 10854 J PAUL CONWAY FORMER KEY EMPLOYEE (END 2017) 0.00 0.00 X 286462 0 0 JOHN KEUTEN FORMER OFFICER (END 2016) 0.00 0.00 X 137410 0 0 WILLIAM ISENSTEIN FORMER KEY EMPLOYEE (END 2017) 0.00 0.00 X 672134 0 17751 BRIAN CONNOLLY FORMER KEY EMPLOYEE (END 2014) 0.00 0.00 X 1420614 0 178 13724064 7123095 3676373 886 1 1 0 0 5678200 1950828 1800 7630828 INPATIENT 622110 644485320 644485320 OUTPATIENT 622110 512842493 488777991 24064502 EMERGENCY 622110 132406101 132406101 TEACHING REVENUE 900099 5679258 5679258 1295413172 56704 56704 6681536 0 6681536 6681536 6681536 2459863 806948 1652915 1652915 1652915 OP PHARMACY REVENUE 446110 16089553 16089553 MEDICAID HER REVENUE 900099 3004811 3004811 ADMINISTRATION REVENUE 900099 530937 530937 11120866 11120866 30746167 1342181322 1302094837 24064502 8391155 8600 8600 18017185 18017185 4244090 1714479 2529611 510732631 466197595 44535036 18603558 14218993 4384565 95973701 86419387 9554314 37243506 33428043 3815463 24986 24986 28665 28665 54336069 41127577 13208492 700887 373867 327020 6049347 4928340 1121007 227898 33917 193981 38801167 35891080 2910087 689683 386287 303396 754359 744062 10297 7778513 7778513 34896060 31753501 3142559 12923160 12535473 387687 MEDICAL SUPPLIES 215508906 215508906 UBI TAX PROVISION 21115 21115 CORPORATE ALLOCATION 81885217 81885217 SHARED SERVICE 55574792 55574792 45327415 25709513 19617902 1240351510 1134256442 106095068 0 3570656 0 106847172 92444943 175002406 227884744 14052512 14213112 5067785 1923131 1154585908 811087695 389700605 343498213 385265390 0 0 390068581 8716209 8716209 19638735 83617774 1107861470 1162366707 54058821 36925237 5568244 5287428 263162332 247597055 122541261 154542581 445330658 444352301 X 662416993 717900587 113819 113819 662530812 718014406 1107861470 1162366707 X 101829812 -46346218 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 28665 28665 0 PART II-B, LINE 1: OAKWOOD HEALTHCARE, INC. ENGAGES OUTSIDE CONSULTANTS TO CONDUCT STATE AND FEDERAL LOBBYING ACTIVITIES ON MATTERS PERTAINING TO NON-PROFIT HEALTHCARE. ALSO, THE COMPANY (ALONG WIH THE VAST MAJORITY OF HOSPITALS LOCATED IN THE STATE OF MICHIGAN) PAYS ANNUAL DUES TO THE MICHIGAN HEALTH AND HOSPITAL ASSOCIATION, A PORTION OF WHICH PERTAINS TO LOBBYING ACTIVITIES CONDUCTED BY THAT ORGANIZATION. DUES PAID TO MICHIGAN HOSPITAL ASSOCIATION FOR 2018 AMOUNT TO $201,864. PER MICHIGAN HOSPITAL ASSOCIATION, 14.20% OF THEIR BUDGET SUPPORTS LOBBYING ACTIVITIES. TOTAL OF $28,665. 44432780 3610435 -977328 74470 3058982 43932435 41749949 3898416 532473 1748058 44432780 43616706 1140069 2008844 197880 4817790 41749949 45555675 232199 -303321 201914 1665933 43616706 23959382 20773944 939920 214261 -96690 45555675 0.44830 0.46170 0.09000 0 1 1 9640275 9640275 671618224 480798506 190819718 16083912 13750270 2333642 337724314 277366208 60358106 119519183 39172711 80346472 343498213 CASH EQUIVALENT 51156343 F EQUITY 80466244 F AGENCY 473999 F ASSET BACKED 10158925 F CMO 5566082 F CORPORATE 25680631 F MORTGAGE PASS-THROUGH 7217755 F MUNICIPAL 3278410 F US TREASURY 10485687 F YANKEE 8128912 F COMMINGLED FUND 65925200 F HEDGE FUNDS 88646923 F REAL ESTATE 10520047 F PRIVATE CAPITAL 12214994 F DERIVATIVES 1578515 F MUTUAL FUND 8569914 F 390068581 DUE FROM (TO) AFFILIATES 72767693 INSURANCE RECOVERABLES 10846501 ALL OTHER, NET 3580 83617774 CLAIMS LIABILITY 28083564 ASSET RETIREMENT OBLIGATION 480787 ACCRUED PENSION 61671487 DUE TO THIRD PARTY PAYORS 22167012 INTERCOMPANY DEBT TO WILLIAM BEAUMONT HOSPITAL 42139731 154542581 PART V, LINE 4: THE INTENDED USE OF BEAUMONT HEALTH FOUNDATION'S ENDOWMENT FUNDS IS TO PROVIDE FUNDS TO SUPPORT THE MISSION AND VISION OF BEAUMONT HEALTH SYSTEM. BEAUMONT HEALTH FOUNDATION PROVIDES FUNDING FOR ONGOING CAPITAL AND OPERATIONAL NEEDS, COMMUNITY OUTREACH PROGRAMS, AND SCHOLARSHIPS AND EDUCATION. PART V, LINE 1E: THE RESTRICTED ASSETS THAT WERE RECEIVED AND MAINTAINED BY OAKWOOD HEALTHCARE, INC. HAVE BEEN TRANSFERRED TO BEAUMONT HEALTH FOUNDATION, A RELATED PARTY, AS PART OF THE CENTRALIZATION OF THE HEALTH SYSTEM'S ENDOWMENT INTO A SINGLE FOUNDATION. 1 1 X 1 X 1 X 0 1 0 1 1 6490215 0 6490215 0.00520 251958293 220881859 31076434 0.02510 0 0 258448508 220881859 37566649 0.03030 10085481 0 10085481 0.00810 52419692 23231565 29188127 0.02350 275612836 265329110 10283726 0.00830 1005453 288658 716795 0.00060 0 339123462 288849333 50274129 0.04050 597571970 509731192 87840778 0.07080 1 54372173 0 471972569 485703592 -13731023 X 1 1 1 OAKWOOD ACCOUNTABLE CARE REDUCE HEALTHCARE COSTS 0.49000 0.00580 0.50000 2 ORGANIZATION LLC AND MANAGE POPULATION WELL 4 1 BEAUMONT HOSPITAL DEARBORN 18101 OAKWOOD BLVD DEARBORN MI 481244089 WWW.OAKWOOD.ORG L2280773 X X X X X A 2 BEAUMONT HOSPITAL TRENTON 5450 FORT STREET TRENTON MI 481834625 WWW.OAKWOOD.ORG L2307184 X X X X A 3 BEAUMONT HOSPITAL WAYNE 33155 ANNAPOLIS WAYNE MI 481842493 WWW.OAKWOOD.ORG L2554579 X X X X A 4 BEAUMONT HOSPITAL TAYLOR 10000 TELEGRAPH TAYLOR MI 481803349 WWW.OAKWOOD.ORG L2558464 X X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 16 1 1 0 1 X SEE PART V, SECTION C X X 1 16 1 SEE PART V, SECTION C 0 1 X 200.000000000000 300.000000000000 X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 SCHEDULE H, PART V, SECTION B. FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: BEAUMONT HOSPITAL, DEARBORN- FACILITY 2: BEAUMONT HOSPITAL, TRENTON- FACILITY 3: BEAUMOUNT HOSPITAL, WAYNE- FACILITY 4: BEAUMONT HOSPITAL, TAYLOR GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL, DEARBORN PART V, SECTION B, LINE 5: THE 2016 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.THE FOLLOWING CONTRIBUTED TO THE CHNA PROCESS AS COMMUNITY PARTNERS:GLEANERS COMMUNITY FOOD BANK OF SE MICHIGAN DEARBORN PUBLIC SCHOOLS HEALTHY DEARBORN COALITION CITY OF DEARBORN RIVER ROUGE SCHOOL DISTRICT CITY OF DEARBORN AND RECREATION AMERICAN HEART ASSOCIATION NATIONAL KIDNEY FOUNDATION OF MICHIGAN TAYLOR SCHOOL DISTRICT HEALTHY TAYLOR COALITION CITY OF TAYLOR CITY OF TAYLOR PARKS AND RECREATION DOWNRIVER FAMILY YMCA CITY OF TRENTON PARKS AND RECREATION TRENTON PUBLIC SCHOOLS HEALTHY TRENTON COALITION CITY OF TRENTON WAYNE COUNTY PARKS TRAFFIC SAFETY COMMISSION WESTWOOD COMMUNITY SCHOOL DISTRICT HEALTHY WAYNE COALITION WAYNE-WESTLAND COMMUNITY SCHOOLS CITY OF WAYNE WAYNE CHAMBER OF COMMERCE ROMULUS COMMUNITY SCHOOLS EDSEL & ELEANOR FORD HOUSE, GROSSE POINTE SHORESCITY OF ROYAL OAK MEMORIAL PARKORION TOWNSHIP COMMUNITY CENTER UNITED SHORE PROFESSIONAL BASEBALL LEAGUE CITY OF STERLING HEIGHTS TROY SCHOOL DISTRICT FARMINGTON FARMERS MARKET CITY OF FARMINGTON HILLS CITY OF FARMINGTON HILLS PARKS COMMUNITY ORGANIZATIONS FARMINGTON PUBLIC SCHOOLS FARMINGTON HILLS FIRE DEPARTMENT GROUP A-FACILITY 1 -- BEAUMONT HOSPITAL, DEARBORN 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). GROUP A-FACILITY 1 -- BEAUMONT HOSPITAL, DEARBORN 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. GROUP A-FACILITY 1 -- BEAUMONT HOSPITAL, DEARBORN PART V, SECTION B, LINE 11: THE 2016 CHNA FOR BEAUMONT HOSPITAL DEARBORN (BEAUMONT DEARBORN) IDENTIFIED THREE PRIORITY HEALTH NEEDS TO BE ADDRESSED IN ITS IMPLEMENTATION STRATEGY FOR BEAUMONT HOSPITAL DEARBORN: CARDIOVASCULAR DISEASE, DIABETES AND OBESITY. THE HEALTH NEEDS OF SUBSTANCE ABUSE, MENTAL HEALTH, ACCESS TO CARE, AND PREVENTION CARE OF SCREENINGS AND VACCINATIONS WERE NOT ADDRESSED AS THEY DID NOT MEET THE CRITERIA ESTABLISHED FOR THE PRIORITIZATION PROCESS (RESOURCES, PARTNERSHIPS, INFRASTRUCTURE, AND FUNDING AVAILABLE).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 400 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 RECOGNITION OF ITS PROMOTION AND IMPLEMENTATION OF PHYSICAL ACTIVITIES TO PREVENT CHRONIC DISEASE, HEALTHY DEARBORN RECEIVED THE STATE OF MICHIGAN GOVERNOR'S 2018 FITNESS AWARD FOR "ACTIVE COMMUNITIES".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 2018 INCLUDED A WEEKLY "WALK 'N ROLL" WALKING AND BICYCLING PROGRAM WITH OVER 1,000 PARTICIPANTS FROM MAY THROUGH OCTOBER. ADDITIONALLY, HEALTHY DEARBORN IMPLEMENTED A BIKE SHARING PROGRAM FOR THE COMMUNITY. IN THE BIKE SHARE PROGRAM, 735 NEW MEMBERS JOINED, TAKING 1,927 TRIPS, GENERATING 1,244 HOURS OF NEW BIKE RIDING, BURNING 622,100 CALORIES. A PHYSICAL FITNESS PROGRAM IN CITY PARKS HAD MORE THAN 500 REGISTRANTS, WITH OVER 350 PARTICIPANTS WHO COMPLETED THE WORKOUT SESSIONS. THREE COMMUNITY-WIDE BIKE RIDES NETTED MORE THAN 750 PARTICIPANTS. IN 2018, BEAUMONT HOSPITAL DEARBORN PROVIDED 2,000 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 TO PARTICIPANTS FOR FOLLOW-UP CARE.PRIORITY 2: DIABETESIN PARTNERSHIP WITH GLEANERS COMMUNITY FOOD BANK OF SOUTHEASTERN MICHIGAN, BEAUMONT HOSPITAL DEARBORN 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 49 INDIVIDUALS. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 95% (VERY GOOD). BEAUMONT 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 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 15 INDIVIDUALS IN THE DEARBORN SERVICE AREA. PARTICIPANTS WHO ATTENDED THE MONTHLY MAINTENANCE SESSIONS FOLLOWING THE CORE COURSE AVERAGED A WEIGHT LOSS OF 2.9% OF INITIAL BODY WEIGHT AND AVERAGED 256 PHYSICAL ACTIVITY MINUTES.BEAUMONT HOSPITAL, DEARBORN PROVIDED 41 INDIVIDUALS WITH 175 UNITS OF DIABETES PATH (PERSONAL ACTION TOWARD HEALTH) AT TWO COMMUNITY LOCATIONS: HENRY FORD CENTENNIAL LIBRARY AND COOGAN TERRACE. PATH IS A NATIONAL EVIDENCE-BASED PROGRAM FOR THOSE WITH TYPE 2 DIABETES AND THEIR CAREGIVERS. THE PROGRAM IS DESIGNED TO ENHANCE PATIENT CONFIDENCE IN THEIR ABILITY TO MANAGE THEIR DISEASE AND TO WORK MORE EFFECTIVELY WITH THEIR HEALTH CARE PROVIDERS. OUTCOME DATA INDICATED 89% OF PARTICIPANTS WERE MORE CONFIDENT ABOUT HANDLING THEIR HEALTH CONDITION AFTER TAKING THE WORKSHOP, AND SHOWED SIGNIFICANT IMPROVEMENTS IN TESTING BLOOD SUGAR SEVEN DAYS A WEEK AND EXERCISING MORE THAN 150 MINUTES PER WEEK. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 91% (VERY GOOD). MANAGING YOUR DIABETES EDUCATION WAS PROVIDED BY BEAUMONT DEARBORN TO 201 INDIVIDUALS IN THE COMMUNITY. BEAUMONT DEARBORN PROVIDED DIABETES SCREENING AS PART OF THE HEART HEALTH SCREENING PROGRAM IN THE COMMUNITY TO 711 UNDUPLICATED INDIVIDUALS.PRIORITY 3: OBESITYIN THE BEAUMONT DEARBORN AND DOWNRIVER SERVICE AREA, CATCH KIDS CLUB, AN EVIDENCE-BASED PROGRAM, REACHED MORE THAN 280 CHILDREN. 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 OBESITY.CATCH KIDS CLUB (CKC) IS A PHYSICAL ACTIVITY AND NUTRITION PROGRAM DESIGNED FOR ELEMENTARY AND MIDDLE SCHOOL AGED CHILDREN IN AFTER SCHOOL 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 OBESITY. IN 2018, BEAUMONT HEALTH CATCH KIDS CLUB MET ITS TARGET GOAL OF HAVING 100% OF PARTICIPANTS AGREEING ABOUT THE IMPORTANCE OF FRUITS AND VEGETABLES (COMPARED TO PRE-TEST OF 0%) AND 96% OF ITS PARTICIPANTS REPORTING INCREASED PHYSICAL ACTIVITY ON A DAILY BASIS.IN DEARBORN, CATCH KIDS CLUB CONTINUED OPERATING IN LONG ELEMENTARY SCHOOL, ONE OF DEARBORN PUBLIC SCHOOLS. IT HAS OPERATED AT THIS SITE SINCE 2012. A NEW SITE IN 2018 CKC IMPACTED MORE THAN 280 CHILDREN.IN TOTAL, CHILDREN BENEFITED NEARLY 13,513 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 RIVER ROUGE, 539 STUDENTS RECEIVED PRIMARY CARE AND 129 STUDENTS RECEIVED BEHAVIORAL HEALTH SERVICES. AT TAYLOR TEEN HEALTH CENTER, 578 STUDENTS RECEIVED PRIMARY CARE AND 112 STUDENTS RECEIVED BEHAVIORAL HEALTH SERVICES. AT TRUMAN HIGH SCHOOL, 543 STUDENTS RECEIVED PRIMARY CARE AND 217 STUDENTS RECEIVED BEHAVIORAL HEALTH SERVICES. GROUP A - FACILITY 2 - BEAUMONT HOSPITAL, TRENTON PART V, SECTION B, LINE 5: THE 2016 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.THE FOLLOWING CONTRIBUTED TO THE CHNA PROCESS AS COMMUNITY PARTNERS:GLEANERS COMMUNITY FOOD BANK OF SE MICHIGAN DEARBORN PUBLIC SCHOOLS HEALTHY DEARBORN COALITION CITY OF DEARBORN RIVER ROUGE SCHOOL DISTRICT CITY OF DEARBORN AND RECREATION AMERICAN HEART ASSOCIATION NATIONAL KIDNEY FOUNDATION OF MICHIGAN TAYLOR SCHOOL DISTRICT HEALTHY TAYLOR COALITION CITY OF TAYLOR CITY OF TAYLOR PARKS AND RECREATION DOWNRIVER FAMILY YMCA CITY OF TRENTON PARKS AND RECREATION TRENTON PUBLIC SCHOOLS HEALTHY TRENTON COALITION CITY OF TRENTON WAYNE COUNTY PARKS TRAFFIC SAFETY COMMISSION WESTWOOD COMMUNITY SCHOOL DISTRICT HEALTHY WAYNE COALITION WAYNE-WESTLAND COMMUNITY SCHOOLS CITY OF WAYNE WAYNE CHAMBER OF COMMERCE ROMULUS COMMUNITY SCHOOLS EDSEL & ELEANOR FORD HOUSE, GROSSE POINTE SHORESCITY OF ROYAL OAK MEMORIAL PARKORION TOWNSHIP COMMUNITY CENTER UNITED SHORE PROFESSIONAL BASEBALL LEAGUE CITY OF STERLING HEIGHTS TROY SCHOOL DISTRICT FARMINGTON FARMERS MARKET CITY OF FARMINGTON HILLS CITY OF FARMINGTON HILLS PARKS COMMUNITY ORGANIZATIONS FARMINGTON PUBLIC SCHOOLS FARMINGTON HILLS FIRE DEPARTMENT GROUP A - FACILITY 2 - BEAUMONT HOSPITAL, TRENTON 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). GROUP A - FACILITY 2 - BEAUMONT HOSPITAL, TRENTON 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. GROUP A - FACILITY 2 - BEAUMONT HOSPITAL, TRENTON PART V, SECTION B, LINE 11: THE 2016 CHNA FOR BEAUMONT HOSPITAL TRENTON (BEAUMONT TRENTON) IDENTIFIED THREE PRIORITY HEALTH NEEDS TO BE ADDRESSED. THE IMPLEMENTATION STRATEGY FOR BEAUMONT HOSPITAL TRENTON FOCUSED ON THE PRIORITY HEALTH NEEDS OF CARDIOVASCULAR DISEASE, DIABETES AND OBESITY. THE HEALTH NEEDS OF SUBSTANCE ABUSE, MENTAL HEALTH, ACCESS TO CARE, AND PREVENTION 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).TO BEST ADDRESS THE CONDITIONS, BEHAVIORS, AND SOCIOECONOMIC AND ENVIRONMENTAL FACTORS THAT DRIVE HEALTH, BEAUMONT HOSPITAL TRENTON FORMED HEALTHY TRENTON, A MULTI-SECTOR COALITION THAT CURRENTLY HAS 120 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, BUSINESSES, 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 2018 INCLUDE A THREE TIMES PER WEEK WALKING PROGRAM THAT HOSTED 230 WALKS AND HAD OVER 2,000 PARTICIPANTS IN 2018, THE INSTALLATION OF 18 BIKE RACKS IN THE COMMUNITY TO PROMOTE BIKE RIDING, A HEALTHY TRENTON 5K RUN AND WELLNESS EXPO HELD IN CONJUNCTION WITH ST. PAUL LUTHERAN CHURCH WITH 300 PARTICIPANTS, 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 2018, 40 GROUPS AND 115 INDIVIDUALS REGISTERED AS A NEIGHBORHOOD WALKING GROUP AND 76 INDIVIDUALS 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 2018. IN 2018, BEAUMONT HOSPITAL TRENTON PROVIDED 537 PEOPLE WITH 838 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 147 PERSONS REPRESENTING 822 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 10 INDIVIDUALS IN THE TRENTON SERVICE AREA. SINCE THIS COHORT HAS NOT COMPLETED THE PROGRAM, UNITS OF EDUCATION AND SUPPORT AS WELL AS OUTCOME DATA WILL BE INCLUDED IN THE 2019 REPORT. BEAUMONT HOSPITAL TRENTON PROVIDED DIABETES SCREENING AS PART OF THE HEART HEALTH SCREENING PROGRAM IN THE COMMUNITY TO 537 UNDUPLICATED INDIVIDUALS WITH 838 SCREENINGS. IN ADDITION, 69 INDIVIDUALS RECEIVED DIABETES EDUCATION AT LOCAL EVENTS.PRIORITY 3: OBESITYBEAUMONT HOSPITAL, TRENTON LAUNCHED "BEAUMONT GETS WALKING" IN 2017 AND WAS CONTINUED THROUGHOUT 2018. 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 2018, 40 GROUPS AND 115 INDIVIDUALS WERE FORMED BRINGING THE CUMULATIVE TOTAL TO 177 GROUPS AND 636 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 20 INDIVIDUALS, WITH 74 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, 280 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 13,513 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 36% 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 178 INDIVIDUALS THAT RECEIVED OBESITY RELATED NUTRITIONAL INFORMATION AT COMMUNITY EVENTS AND 938 INDIVIDUALS RECEIVED INFORMATION ABOUT LOCAL ACTIVITY OPTIONS. GROUP A - FACILITY 3 - BEAUMONT HOSPITAL, WAYNE PART V, SECTION B, LINE 5: THE 2016 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.THE FOLLOWING CONTRIBUTED TO THE CHNA PROCESS AS COMMUNITY PARTNERS:GLEANERS COMMUNITY FOOD BANK OF SE MICHIGAN DEARBORN PUBLIC SCHOOLS HEALTHY DEARBORN COALITION CITY OF DEARBORN RIVER ROUGE SCHOOL DISTRICT CITY OF DEARBORN AND RECREATION AMERICAN HEART ASSOCIATION NATIONAL KIDNEY FOUNDATION OF MICHIGAN TAYLOR SCHOOL DISTRICT HEALTHY TAYLOR COALITION CITY OF TAYLOR CITY OF TAYLOR PARKS AND RECREATION DOWNRIVER FAMILY YMCA CITY OF TRENTON PARKS AND RECREATION TRENTON PUBLIC SCHOOLS HEALTHY TRENTON COALITION CITY OF TRENTON WAYNE COUNTY PARKS TRAFFIC SAFETY COMMISSION WESTWOOD COMMUNITY SCHOOL DISTRICT HEALTHY WAYNE COALITION WAYNE-WESTLAND COMMUNITY SCHOOLS CITY OF WAYNE WAYNE CHAMBER OF COMMERCE ROMULUS COMMUNITY SCHOOLS EDSEL & ELEANOR FORD HOUSE, GROSSE POINTE SHORESCITY OF ROYAL OAK MEMORIAL PARKORION TOWNSHIP COMMUNITY CENTER UNITED SHORE PROFESSIONAL BASEBALL LEAGUE CITY OF STERLING HEIGHTS TROY SCHOOL DISTRICT FARMINGTON FARMERS MARKET CITY OF FARMINGTON HILLS CITY OF FARMINGTON HILLS PARKS COMMUNITY ORGANIZATIONS FARMINGTON PUBLIC SCHOOLS FARMINGTON HILLS FIRE DEPARTMENT GROUP A - FACILITY 3 - BEAUMONT HOSPITAL, WAYNE 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). GROUP A - FACILITY 3 - BEAUMONT HOSPITAL, WAYNE 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. GROUP A - FACILITY 3 - BEAUMONT HOSPITAL, WAYNE PART V, SECTION B, LINE 11: THE 2016 CHNA FOR BEAUMONT HOSPITAL WAYNE (BEAUMONT WAYNE) IDENTIFIED THREE PRIORITY HEALTH NEEDS TO BE ADDRESSED. THE IMPLEMENTATION STRATEGY FOR BEAUMONT HOSPITAL WAYNE FOCUSED ON THE PRIORITY HEALTH NEEDS OF CARDIOVASCULAR DISEASE, DIABETES AND OBESITY. THE HEALTH NEEDS OF SUBSTANCE ABUSE, MENTAL HEALTH, ACCESS TO CARE, AND PREVENTION 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).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 WORK SITES, 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 PROVIDED 885 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 2018, 157 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. THERE WERE 308 SCREENINGS PROVIDED IN 2018.PRIORITY 2: DIABETESIN PARTNERSHIP WITH GLEANERS COMMUNITY FOOD BANK OF SOUTHEASTERN MICHIGAN, BEAUMONT HOSPITAL WAYNE 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 48 INDIVIDUALS, PROVIDING 213 UNITS OF EDUCATION. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 98% (VERY GOOD). AND, OUTCOME DATA INDICATED AN AGGREGATE INCREASE IN KNOWLEDGE OF 29% INCLUDING SIGNIFICANT IMPROVEMENT USING NUTRITION FACTS ON FOOD LABELS AND CONFIDENCE BUYING HEALTHY FOODS FOR THEIR FAMILY ON A BUDGET. BEAUMONT 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 15 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 PARTICIPANTS WHO ATTENDED THE MONTHLY MAINTENANCE SESSIONS WILL BE REPORTED IN 2019 SINCE THIS CLASS JUST BEGAN IN 2018. ADDITIONALLY 180 PEOPLE WERE REACHED THROUGH DIABETES EDUCATION PRESENTATIONS.BEAUMONT HOSPITAL WAYNE PROVIDED 10 INDIVIDUALS WITH UNITS OF DIABETES PATH (PERSONAL ACTION TOWARD HEALTH). PATH IS A NATIONAL EVIDENCE-BASED PROGRAM FOR THOSE WITH TYPE 2 DIABETES AND THEIR CAREGIVERS. THE PROGRAM IS DESIGNED TO ENHANCE PATIENT CONFIDENCE IN THEIR ABILITY TO MANAGE THEIR DISEASE AND TO WORK MORE EFFECTIVELY WITH THEIR HEALTH CARE PROVIDERS. OUTCOME DATA INDICATED 96% OF PARTICIPANTS WERE MORE CONFIDENT ABOUT HANDLING THEIR HEALTH CONDITION AFTER TAKING THE WORKSHOP, AND 37% SHOWED SIGNIFICANT IMPROVEMENTS IN TESTING BLOOD SUGAR SEVEN DAYS A WEEK AND 24% REPORTED EXERCISING MORE THAN 150 MINUTES PER WEEK. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 97.4% (VERY GOOD). BEAUMONT HOSPITAL WAYNE PROVIDED DIABETES SCREENING AS PART OF THE HEART HEALTH SCREENING PROGRAM IN THE COMMUNITY TO 434 INDIVIDUALS WITH GLUCOSE SCREENINGS.PRIORITY 3: OBESITYBEAUMONT HOSPITAL WAYNE LAUNCHED NEIGHBORHOOD WALKING GROUPS IN 2017 AND CONTINUED IN 2018. 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. 52 NEW WALKING GROUPS WERE FORMED WITH 185 NEW INDIVIDUALS PARTICIPATING. THE WAYNE WALKING CLUBS NOW CONSIST OF 148 WALKING CLUBS WITH 455 WALKERS. THE BEAUMONT GETS WALKING CARROT APP PROGRAM LAUNCHED IN 2018 AND WAS DESIGNED TO ENCOURAGE PHYSICAL ACTIVITY BY OFFERING REWARDS. 113 PARTICIPANTS WERE RECRUITED FROM THE BEAUMONT HOSPITAL WAYNE AREA. A RESTAURANT RECOGNITION PROGRAM BEGAN 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 2018. 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 108 ADULTS AND 19 MIDDLE SCHOOL STUDENTS. HEALTHY WESTLAND IN THEIR SECOND YEAR AS A HEALTHY COMMUNITY IN THE WAYNE HOSPITAL AREA CONTINUED TO WORK TOWARD BUILDING A CULTURE OF HEALTH BY ADDRESSING THE HEALTH PRIORITIES ESTABLISHED IN 2016 BY THE CHNA. AN OUTDOOR FITNESS PROGRAM WHICH BECAME KNOWN AS "TRAINING THURSDAYS" KICKED OFF AT TATTAN PARK IN WESTLAND REACHING 54 PARTICIPANTS OVER THREE SUCCESSIVE WEEKS. RESIDENTS EXERCISED ALONGSIDE FIRST RESPONDERS IN AN UPBEAT, FUN, INCLUSIVE ENVIRONMENT. A CROSS SECTION OF ACTION TEAMS FROM HEALTHY WESTLAND'S COALITION WORKED TO PLAN AND IMPLEMENT THE FIRST ANNUAL HEALTHY WESTLAND FALL FITNESS FESTIVAL. THIS FREE FESTIVAL HELD AT TATTAN PARK SHOWCASED A VARIETY OF FITNESS VENDORS AND HEALTH SERVICES FROM THROUGHOUT THE WAYNE HOSPITAL AREA TO PROMOTE HEALTHY ACTIVE LIVING. THIS FREE FITNESS FESTIVAL WAS ATTENDED BY OVER 150 PARTICIPANTS. OVER 22 VENDORS REPRESENTED MAJOR FITNESS STUDIOS, INCLUDING PLANET FITNESS, CRUNCH FITNESS, HYPE RECREATION CENTER, FORUM, DANCE ACADEMY, WAYNE-WESTLAND SOCCER LEAGUE, NORWAYNE BOXING GYM, AND A VARIETY OF HEALTH SERVICES INCLUDING BEAUMONT HEALTH PHYSICAL THERAPISTS AND REHABILITATION DEPARTMENT. GLEANERS COMMUNITY FOOD BANK, HOPE CLINIC (FEDERALLY QUALIFIED HEALTH CENTER), WAYNE COUNTY HEALTH DEPARTMENT AND FQHC, THE VITAMIN SHOPPE, THE SENIOR ALLIANCE, WESTLAND SENIOR SERVICES AND WAYNE-WESTLAND COMMUNITY SCHOOL DISTRICT FAMILY RESOURCE CENTERS WERE ADDITIONAL VENDORS ON SITE SHARING RESOURCES, INFORMATION AND DONATING PRIZES FOR CONTEST WINNERS. A VARIETY OF FREE WORKOUT CLASSES WERE OFFERED TO PEOPLE OF ALL AGES, ALONG WITH HEALTHY SAMPLES FROM VENDORS, AND SPEAKERS SHARING THEIR EXPERTISE. 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 AND COOKING MATTERS AT THE STORE. COOKING MATTERS EQUIPS FAMILIES WITH THE SKILLS THEY NEED TO STRETCH THEIR FOOD DOLLARS AND PREPARE HEALTHY MEALS ON A BUDGET. THESE POPULAR CLASSES WERE ATTENDED BY 86 INDIVIDUALS, WITH 344 UNITS OF SERVICE PROVIDED. AGGREGATE PARTICIPANT SATISFACTION WITH THE CLASSES WAS 98% (VERY GOOD). IN ADDITION, 61 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 265 INDIVIDUALS VISITED NUTRITION EDUCATION TABLES AT A VARIETY OF EVENTS IN WAYNE IN 2018. THE WESTLAND FARMERS MARKET SPONSORED BY BEAUMONT HEALTH IN 2018 INTRODUCED THE POWER OF PRODUCE (P.O.P.) PROGRAM FOR CHILDREN AGES 4-12 ALONG WITH NUTRITION EDUCATION IN THE BEAUMONT WAYNE SERVICE AREA. THE P.O.P. PROGRAM REGISTERED YOUTH AND WEEKLY OFFERED THEM TWO ONE DOLLAR COINS TO BE USED FOR THE PURCHASE OF ANY FRUIT, VEGETABLE OR PRODUCE PLANT OF THEIR CHOICE FROM LOCAL VENDORS. A UNIVERSITY OF MICHIGAN DEARBORN SUMMER INTERN FROM HEALTHY WESTLAND CREATED FUN, INTERACTIVE HEALTHY EATING ACTIVITIES FOR THE P.O.P. YOUTH TO INCREASE THEIR FRUIT AND VEGETABLE INTAKE AND ENCOURAGE MAKING HEALTHY CHOICES. AS A RESULT 288 YOUTH JOINED AND PARTICIPATED IN THE P.O.P. PROGRAM FROM THE WAYNE AREA IN 2018. ADDITIONAL SERVICES OFFERED AT THE WESTLAND FARMERS MARKET INCLUDED HEART HEALTH SCREENINGS AND DIABETES EDUCATION. GROUP A - FACILITY 4 - BEAUMONT HOSPITAL, TAYLOR PART V, SECTION B, LINE 5: THE 2016 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.THE FOLLOWING CONTRIBUTED TO THE CHNA PROCESS AS COMMUNITY PARTNERS:GLEANERS COMMUNITY FOOD BANK OF SE MICHIGAN DEARBORN PUBLIC SCHOOLS HEALTHY DEARBORN COALITION CITY OF DEARBORN RIVER ROUGE SCHOOL DISTRICT CITY OF DEARBORN AND RECREATION AMERICAN HEART ASSOCIATION NATIONAL KIDNEY FOUNDATION OF MICHIGAN TAYLOR SCHOOL DISTRICT HEALTHY TAYLOR COALITION CITY OF TAYLOR CITY OF TAYLOR PARKS AND RECREATION DOWNRIVER FAMILY YMCA CITY OF TRENTON PARKS AND RECREATION TRENTON PUBLIC SCHOOLS HEALTHY TRENTON COALITION CITY OF TRENTON WAYNE COUNTY PARKS TRAFFIC SAFETY COMMISSION WESTWOOD COMMUNITY SCHOOL DISTRICT HEALTHY WAYNE COALITION WAYNE-WESTLAND COMMUNITY SCHOOLS CITY OF WAYNE WAYNE CHAMBER OF COMMERCE ROMULUS COMMUNITY SCHOOLS EDSEL & ELEANOR FORD HOUSE, GROSSE POINTE SHORESCITY OF ROYAL OAK MEMORIAL PARKORION TOWNSHIP COMMUNITY CENTER UNITED SHORE PROFESSIONAL BASEBALL LEAGUE CITY OF STERLING HEIGHTS TROY SCHOOL DISTRICT FARMINGTON FARMERS MARKET CITY OF FARMINGTON HILLS CITY OF FARMINGTON HILLS PARKS COMMUNITY ORGANIZATIONS FARMINGTON PUBLIC SCHOOLS FARMINGTON HILLS FIRE DEPARTMENT GROUP A - FACILITY 4 - BEAUMONT HOSPITAL, TAYLOR 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). GROUP A - FACILITY 4 - BEAUMONT HOSPITAL, TAYLOR 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. GROUP A - FACILITY 4 - BEAUMONT HOSPITAL, TAYLOR PART V, SECTION B, LINE 11: THE 2016 CHNA FOR BEAUMONT HOSPITAL TAYLOR (BEAUMONT TAYLOR) IDENTIFIED THREE PRIORITY HEALTH NEEDS TO BE ADDRESSED. THE IMPLEMENTATION STRATEGY FOR BEAUMONT HOSPITAL TAYLOR FOCUSED ON THE PRIORITY HEALTH NEEDS OF CARDIOVASCULAR DISEASE, DIABETES AND OBESITY. THE HEALTH NEEDS OF SUBSTANCE ABUSE, MENTAL HEALTH, ACCESS TO CARE, AND PREVENTION 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). 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 2018 INCLUDE A WEEKLY WALKING PROGRAM AT THE FARMERS MARKET DURING THE MARKET SEASON THAT HOSTED 7 WALKS AND 61 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 2018, 62 GROUPS AND 204 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 236 UNDUPLICATED INDIVIDUALS WITH A TOTAL OF 500 SCREENINGS AND PERSONALIZED COUNSELING PROVIDED. SCREENINGS MEASURED BLOOD PRESSURE, CHOLESTEROL AND GLUCOSE LEVELS AS WELL AS STROKE ASSESSMENT AND BMI ASSESSMENT. ON AVERAGE, 51% OF INDIVIDUALS SCREENED WERE REFERRED FOR FURTHER FOLLOW-UP CARE DUE TO HIGH RISK RESULTS. THESE INDIVIDUALS WERE ALSO FOLLOWED UP WITH POST SCREENING TO ASSESS AND ENCOURAGE FOLLOW-UP. 99% OF INDIVIDUALS SCREENED INDICATED GOOD OR VERY GOOD UNDERSTANDING OF THEIR SCREENING RESULTS AND 99% INDICATED THEY HAD A GOOD/VERY GOOD UNDERSTANDING OF THE STEPS THEY NEED TO TAKE TO KEEP THEIR HEART HEALTHY.NEW IN 2018, DUE TO COALITION WORK, THE CITY OF TAYLOR HAS SIGNED ON WITH THE AMERICAN HEART ASSOCIATION'S CHOOSE HEALTH PROGRAM WHICH CONSISTS OF MY LIFE SIMPLE 7 AND MONTHLY WELLNESS ENGAGEMENT OPPORTUNITIES. AT THEIR KICK-OFF EVENT IN NOVEMBER, OVER 120 EMPLOYEES SIGNED ON FOR MY LIFE SIMPLE 7 WHICH FOCUSES ON MANAGING BLOOD PRESSURE AND CONTROLLING CHOLESTEROL ALONG WITH 5 OTHER HEALTHY LIFESTYLE PRIORITIES.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 31 INDIVIDUALS, PROVIDING 141 UNITS OF EDUCATION. PARTICIPANT SATISFACTION WITH THE COOKING MATTERS 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. BEAUMONT HOSPITAL TAYLOR PARTNERED WITH THE NATIONAL KIDNEY FOUNDATION OF MICHIGAN AND THE SENIOR ALLIANCE TO PROVIDE DIABETES PATH (PERSONAL ACTION TOWARD HEALTH) EDUCATION TO 23 INDIVIDUALS WITH 83 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 96% OF 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 IN PARTNERSHIP WITH THE NATIONAL KIDNEY FOUNDATION OF MICHIGAN PROVIDED THE NATIONAL DIABETES PREVENTION PROGRAM TO 15 INDIVIDUALS IN THE COMMUNITY IN 2018. SINCE THESE COHORTS HAVE NOT COMPLETED THE PROGRAM, UNITS OF EDUCATION AND SUPPORT AS WELL AS OUTCOME DATA WILL BE INCLUDED IN THE 2019 REPORT. IN ADDITION, 7 PARTICIPANTS CONCLUDED THEIR TRAINING THAT WAS INITIATED IN JULY 2017. THE AVERAGE WEIGHT LOSS WAS 7.1% OF BODY WEIGHT AND THEY AVERAGED 210 PHYSICAL ACTIVITY MINUTES. 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 PROVIDED DIABETES SCREENING AS PART OF THE HEART HEALTH SCREENING IN THE COMMUNITY TO 236 UNDUPLICATED INDIVIDUALS WITH 500 SCREENING SERVICES. ADDITIONALLY, 84 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 47 INDIVIDUALS IN THE BEAUMONT HOSPITAL TAYLOR SERVICE AREA IN 2018 AND AN ADDITIONAL 174 INDIVIDUALS RECEIVED NUTRITIONAL EDUCATION AND INFORMATION AT LOCAL EVENTS. THE BEAUMONT TAYLOR TEEN HEALTH CENTER PROVIDED 30 NUTRITIONAL COUNSELING SESSIONS BY A REGISTERED DIETITIAN AND 128 STUDENTS (DUPLICATED COUNT) RECEIVED MYPLATE HEALTH EDUCATION SESSIONS. OUTCOME DATA INDICATED THAT 5% OF STUDENTS REPORTED INCREASE IN THE CONSUMPTION OF FRUITS AND VEGETABLES, 7% REPORTED AN INCREASE IN CONSUMPTION OF WATER AND 27% REPORTED AN INCREASE IN PHYSICAL ACTIVITY.BEAUMONT HEALTHY TAYLOR IN PARTNERSHIP WITH THE CITY OF TAYLOR PARKS AND RECREATION CONTINUED IT'S "BEAUMONT GETS WALKING" PROGRAMMING IN 2018 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 REGISTERED 62 NEIGHBORHOOD WALKING GROUPS WITH 204 PARTICIPANTS IN 2018.TWO NEW FITNESS OPPORTUNITIES WERE OFFERED THIS YEAR IN THE BEAUMONT HOSPITAL TAYLOR SERVICE AREA. A FREE WEEKLY YOGA SERIES WAS LAUNCHED AND A TOTAL OF 184 PERSONS (DUPLICATED COUNT) PARTICIPATED. ALSO NEW IN 2018 WAS A WEEKLY FITNESS SERIES WHICH INCLUDED ZUMBA, BOOT CAMP AND FIT CAMP IN THE MONTH OF JULY. A TOTAL OF 6 SESSIONS WERE PROVIDED AND 135 PERSONS (DUPLICATED COUNT) PARTICIPATED IN THE SESSIONS. OTHER EVENTS PROVIDED BY BEAUMONT HEALTHY TAYLOR INCLUDE A PARTNERSHIP WITH THE YMCA THAT OFFERED A FREE SWIM PROGRAM FOR 12 TAYLOR SCHOOL SPECIAL NEEDS STUDENTS AND A BUDDY SOCCER PROGRAM FOR 20 AUTISTIC YOUTH; A PARTNERSHIP WITH THE TAYLOR ROTARY ON "FAMILY FUN DAY" WHICH HAD PHYSICAL ACTIVITY AND HEALTH RELATED LEARNING ACTIVITIES FOR AN ESTIMATED 1,500 PEOPLE IN ATTENDANCE; WEEKLY PROGRAMMING AND EDUCATIONAL MATERIALS AT THE TAYLOR FARMERS MARKET AND 595 INDIVIDUALS RECEIVED INFORMATION ABOUT LOCAL ACTIVITY OPTIONS.BEAUMONT HOSPITAL TAYLOR ALSO SPONSORED THE TAYLOR FARMER'S MARKET AND OFFERED THE POWER OF PRODUCE PROGRAM (POP) A NATIONALLY RECOGNIZED PROGRAM FOR CHILDREN WHICH EMPOWERS THEM TO MAKE HEALTHY FOOD CHOICES AND INTRODUCES THEM TO THE ORIGINS OF THEIR FOOD. DURING THE COURSE OF THE SUMMER, THERE WERE 231 CHILDREN (DUPLICATED COUNT) VISITING THE POWER OF PRODUCE AREA AND PARTICIPATING IN THE TASTE SAMPLING AND ACTIVITIES. IN 2018, HEALTHY TAYLOR PARTNERED WITH THE AMERICAN HEART ASSOCIATION ON THEIR "RETHINK YOUR DRINK" CAMPAIGN. 437 NUTRITION COUNSELING SESSIONS WERE PROVIDED IN CONJUNCTION WITH THE BEAUMONT TEEN CENTERS, A TOTAL OF 395 PLEDGES WERE SIGNED TO REDUCE THE CONSUMPTION OF SUGARY DRINKS AND 1,415 PEOPLE WERE EXPOSED TO INFORMATION AND FRUIT INFUSED WATER SAMPLES. PART V, SECTION B, LINES 7 & 10: 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 PART V, SECTION B, LINES 16A, B, & C: 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 45 1 - BEAUMONT MEDICAL PARK-DEARBORN 18100 OAKWOOD BOULEVARD DEARBORN MI 481244085 ASC/ GENERAL MEDICAL 2 - INTERNAL MEDICINE RESIDENT-MIDWEST DBRN 4700 SCHAEFER ROAD DEARBORN MI 481263698 ASC/ GENERAL MEDICAL 3 - BEAUMONT COMMONS-DEARBORN 16351 AND 16391 ROTUNDA DRIVE DEARBORN MI 48120 ASSISTED LIVING, SKILLED NURSING FACILITY 4 - BEAUMONT CHILDRENS CENTER-DEARBORN 18501 ROTUNDA DRIVE DEARBORN MI 481243882 GENERAL MEDICAL & NON-MEDICAL 5 - BEAUMONT TEEN HEALTH CENTER-RIVER ROUGE 1460 COOLIDGE HIGHWAY RIVER ROUGE MI 482181118 GENERAL MEDICAL & NON-MEDICAL 6 - PATIENT SERVICES CENTER-ALLEN PARK 15101 SOUTHFIELD ROAD ALLEN PARK MI 481012697 GENERAL MEDICAL/ PHYSICIAN OFFICE 7 - BEAUMONT MEDICAL CENTER-BELLEVILLE 201 3RD STREET BELLEVILLE MI 481112605 GENERAL MEDICAL/ PHYSICIAN OFFICE 8 - BEAUMONT MEDICAL CENTER-BROWNSTOWN 19725 ALLEN ROAD BROWNSTOWN TWP MI 481831090 GENERAL MEDICAL/ PHYSICIAN OFFICE 9 - BEAUMONT MEDICAL CENTER-CANTON 7300 AND 7330 NORTH CANTON CENTER ROAD CANTON MI 48187 GENERAL MEDICAL/ PHYSICIAN OFFICE 10 - BEAUMONT WEIGHT CONTROL CENTER-CANTON 6300 NORTH HAGGERTY ROAD CANTON MI 481874472 GENERAL MEDICAL/ PHYSICIAN OFFICE 11 - BEAUMONT SLEEP APNEA CENTER-CANTON 42180 FORD ROAD CANTON MI 481873673 GENERAL MEDICAL/ PHYSICIAN OFFICE 12 - BEAUMONT IMAGING CENTER-CANTON 2050 NORTH HAGGERTY ROAD CANTON MI 481873795 GENERAL MEDICAL/ PHYSICIAN OFFICE 13 - BEAUMONT LAB-HAMLET 1331 MONROE STREET DEARBORN MI 481242888 GENERAL MEDICAL/ PHYSICIAN OFFICE 14 - BEAUMONT GERIATRIC CTR-HENRY FORD VILL 15101 FORD ROAD DEARBORN MI 481264611 GENERAL MEDICAL/ PHYSICIAN OFFICE 15 - BEAUMONT MEDICAL CENTER-DEARBORN 17000 HUBBARD DRIVE DEARBORN MI 481264258 GENERAL MEDICAL/ PHYSICIAN OFFICE 16 - BEAUMONT OBGYN WEST 2142 MONROE STREET DEARBORN MI 481243057 GENERAL MEDICAL/ PHYSICIAN OFFICE 17 - BEAUMONT HEART & VASCULAR-DEARBORN 22060 BEECH STREET DEARBORN MI 481242847 GENERAL MEDICAL/ PHYSICIAN OFFICE 18 - BEAUMONT MEDICAL BLDG-DEARBORN WEST 25045 FORD ROAD DEARBORN MI 481281088 GENERAL MEDICAL/ PHYSICIAN OFFICE 19 - BEAUMONT MEDICAL SERV-DEARBORN 4900 MERCURY DRIVE DEARBORN MI 481262947 GENERAL MEDICAL/ PHYSICIAN OFFICE 20 - BEAUMONT MEDICAL CENTER-GARDEN CITY 29150 FORD ROAD GARDEN CITY MI 481352848 GENERAL MEDICAL/ PHYSICIAN OFFICE 21 - BEAUMONT TEEN HEALTH CENTER-WESTWOOD 25912 ANNAPOLIS STREET INKSTER MI 481413201 GENERAL MEDICAL/ PHYSICIAN OFFICE 22 - BEAUMONT FAMILY MEDICINE-NEWPORT 3132 NEWPORT ROAD NEWPORT MI 481666100 GENERAL MEDICAL/ PHYSICIAN OFFICE 23 - BEAUMONT SLEEP APNEA CENTER-RIVERVIEW 14031 PENNSYLVANIA ROAD RIVERVIEW MI 48193 GENERAL MEDICAL/ PHYSICIAN OFFICE 24 - BEAUMONT EVERINGHAM FAMILY MEDICINE 12100 SOUTH HURON RIVER DRIVE ROMULUS MI 481741119 GENERAL MEDICAL/ PHYSICIAN OFFICE 25 - BEAUMONT TEEN HEALTH CTR-ROMULUS 9650 WAYNE ROAD ROMULUS MI 481741500 GENERAL MEDICAL/ PHYSICIAN OFFICE 26 - BEAUMONT BLANZY CLINIC 14319 DIX TOLEDO ROAD SOUTHGATE MI 481952592 GENERAL MEDICAL/ PHYSICIAN OFFICE 27 - BEAUMONT MEDICAL CENTER-SOUTHGATE 15777 NORTHLINE ROAD SOUTHGATE MI 481952385 GENERAL MEDICAL/ PHYSICIAN OFFICE 28 - BEAUMONT SCHOOL WELLNESS PROGRAM-TRUMAN 11211 BEECH DALY ROAD TAYLOR MI 481803942 GENERAL MEDICAL/ PHYSICIAN OFFICE 29 - BEAUMONT ATHENS CLINIC 15100 SOUTH PLAZA DRIVE TAYLOR MI 481805203 GENERAL MEDICAL/ PHYSICIAN OFFICE 30 - MIDWEST TAYLOR 8790 TELEGRAPH ROAD TAYLOR MI 481802491 GENERAL MEDICAL/ PHYSICIAN OFFICE 31 - BEAUMONT PHYSICAL THERAPY-TAYLOR 8850 TELEGRAPH ROAD TAYLOR MI 481802316 GENERAL MEDICAL/ PHYSICIAN OFFICE 32 - BEAUMONT FAMILY MEDICINE CTR-TAYLOR 9340 TELEGRAPH ROAD TAYLOR MI 481803362 GENERAL MEDICAL/ PHYSICIAN OFFICE 33 - BEAUMONT IMAGING CENTER-TRENTON 1676 FORT STREET TRENTON MI 481832003 GENERAL MEDICAL/ PHYSICIAN OFFICE 34 - BEAUMONT MEDICAL BLDG-WAYNE 33000 ANNAPOLIS STREET WAYNE MI 481842917 GENERAL MEDICAL/ PHYSICIAN OFFICE 35 - BEAUMONT BREAST CARE CENTER-WAYNE 4491 VENOY ROAD WAYNE MI 481842530 GENERAL MEDICAL/ PHYSICIAN OFFICE 36 - BEAUMONT MEDICAL CENTER-WESTLAND 2001 SOUTH MERRIMAN ROAD WESTLAND MI 481865539 GENERAL MEDICAL/ PHYSICIAN OFFICE 37 - BEAUMONT CHILD & ADOLESCENT HEALTH CARE 33475 PALMER ROAD WESTLAND MI 481864614 GENERAL MEDICAL/ PHYSICIAN OFFICE 38 - BEAUMONT ALLIED MEDICAL GROUP 35180 NANKIN BOULEVARD WESTLAND MI 481852092 GENERAL MEDICAL/ PHYSICIAN OFFICE 39 - ADULT MEDICAL CARE 35330 NANKIN BOULEVARD WESTLAND MI 481857223 GENERAL MEDICAL/ PHYSICIAN OFFICE 40 - BEAUMONT MAIN STREET INT MED-WOODHAVEN 25000 HALL ROAD WOODHAVEN MI 481835112 GENERAL MEDICAL/ PHYSICIAN OFFICE 41 - BEAUMONT MEDICAL BUILDING-WYANDOTTE 1700 BIDDLE AVENUE WYANDOTTE MI 481927205 GENERAL MEDICAL/ PHYSICIAN OFFICE 42 - BEAUMONT CARDIOLOGY CENTER - FLAT ROCK 29100 GATEWAY BOULEVARD FLAT ROCK MI 481342764 CARDIOLOGY CENTER 43 - BEAUMONT TEEN HEALTH CTR-TAYLOR 26650 EUREKA ROAD TAYLOR MI 481804835 HEALTH CENTER 44 - BEAUMONT PHYSICAL THERAPY-SOUTHGATE YMCA 16777 NORTHLINE ROAD SOUTHGATE MI 481952789 PT CLINIC 45 - BEAUMONT PHYSICAL THERAPY-CANTON 4121 SOUTH CANTON CENTER ROAD CANTON MI 481882489 REHAB PART I, LINE 3C: 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. PART I, LINE 6A: BEAUMONT HEALTH - 46-5718220 PART I, LINE 7: 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. PART III, LINE 2: 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. PART III, LINE 3: 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. PART III, LINE 4: SEE PAGES 11, 12 AND 20 OF THE AUDITED FINANCIAL STATEMENTS FOR YEAR END 2018. PART III, LINE 8: THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS THE HOSPITALS 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. PART III, LINE 9B: 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 APTER 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 PATIENTS ACCOUNT, FOR PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, PAYMENT PLANS ARE AVAILABLE. PART VI, LINE 2: 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. PART VI, LINE 3: 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. PART VI, LINE 4: BEAUMONT HOSPITAL DEARBORN IS DEFINED AS THE CONTIGUOUS 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 2 PERCENT OVER THE NEXT FIVE YEARS. THE DECREASE WILL PRIMARILY IMPACT ZIP CODES AROUND DETROIT. 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 (14 PERCENT) BUT IS EXPECTED TO EXPERIENCE THE MOST GROWTH OVER THE NEXT FIVE YEARS. THIS AGE GROUP IS EXPECTED TO INCREASE 11 PERCENT WHILE THE OTHER AGE GROUPS ARE EXPECTED TO DECREASE 4 TO 5 PERCENT. THE COMMUNITY IS PRIMARILY WHITE (71 PERCENT) AND BLACK (19 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 CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. IN THE NEXT FIVE YEARS, BEAUMONT TRENTON'S POPULATION IS EXPECTED TO DECREASE BY 1 PERCENT. 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 (15 PERCENT) BUT IS THE ONLY AGE GROUP EXPECTED TO GROW OVER THE NEXT FIVE YEARS. THIS GROUP IS EXPECTED TO INCREASE BY 15 PERCENT WHILE THE OTHER AGE GROUPS ARE EXPECTED TO DECREASE LESS THAN 5 PERCENT. BEAUMONT TRENTON HAS A MUCH HIGHER CONCENTRATION OF WHITES COMPARED TO BOTH THE STATE AND NATIONAL LEVEL, AS WELL AS OTHER AREAS IN THE OVERALL BEAUMONT COMMUNITY. BEAUMONT TRENTON'S POPULATION IS 87 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 2020.BEAUMONT HOSPITAL WAYNE IS DEFINED AS THE CONTIGUOUS 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 (+18 PERCENT). THE MAJORITY OF BEAUMONT WAYNE'S POPULATION IS WHITE (66 PERCENT). COMPARED TO THE STATE AND NATIONAL LEVERS AND OTHER BEAUMONT COMMUNITIES, THIS POPULATION IS MORE DIVERSE. TWENTY-TWO PERCENT OF BEAUMONT WAYNE'S POPULATION IS BLACK AND 7 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 ONLY 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 CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. THE POPULATION SERVED BY BEAUMONT HOSPITAL TAYLOR IS PROJECTED TO DECREASE 2 PERCENT IN FIVE YEARS. DETROIT ZIP CODE 48228 AND TAYLOR ZIP CODE 48180 ARE THE TWO MOST POPULATED AREAS SERVED AND WILL EXPERIENCE THE GREATEST DECREASE IN POPULATION, WHILE BELLEVILLE AND ROMULUS WILL INCREASE SLIGHTLY. THE 65 AND OLDER COHORT MAKES UP THE SMALLEST SEGMENT OF THE TAYLOR POPULATION (14 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 (73 PERCENT) AND BLACK (20 PERCENT). THE BLACK POPULATION IS PROPORTIONALLY HIGHER IN TAYLOR THAN IN MICHIGAN AND THE NATION. 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. PART VI, LINE 5: OAKWOOD HEALTHCARE SYSTEM AND ITS EMPLOYEES BOARD MEMBERS PHYSICIANS AND VOLUNTEERS ARE PROUD TO BE INVOLVED IN MAKING OUR COMMUNITY A HEALTHIER PLACE TO LIVE, WORK AND PLAY, OUR GOVERNING 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. PART VI, LINE 6: BEAUMONT HEALTH ("THE SYSTEM"), THE SOLE MEMBER OF OAKWOOD HEALTHCARE, INC., IS A MICHIGAN NONPROFIT CORPORATION HEALTH CARE NETWORK THAT WAS FORMED IN 1955, AND IS MICHIGAN'S LARGEST HEALTH CARE SYSTEM BASED ON INPATIENT ADMISSIONS AND NET PATIENT REVENUE. IN 2018, THE SYSTEM WAS COMPRISED OF 3,429 LICENSED BEDS AND 174 OTHER AMBULATORY PATIENT CARE SITES, DEDICATED TO ADVANCING QUALITY OF CARE AND ACCESS TO CARE THROUGHOUT WAYNE, OAKLAND, AND MACOMB COUNTIES IN SOUTHEAST MICHIGAN.THE SYSTEM PROVIDES A CONTINUUM OF CARE AS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE SYSTEM'S SERVICES INCLUDE INPATIENT AND OUTPATIENT SERVICES, LONG-TERM CARE, SENIOR AND ASSISTED LIVING, REHABILITATION SERVICES, HOME-HEALTH CARE, AND OTHER HEALTH-RELATED ACTIVITIES. THE SYSTEM OWNS AND OPERATES EIGHT NONPROFIT ACUTE CARE HOSPITALS, INCLUDING ASSISTED AND INDEPENDENT LIVING CENTERS, NURSING HOMES, CERTIFIED HOME HEALTH AGENCIES, AMBULATORY CARE FACILITIES, A FOR PROFIT COMPANY ENGAGED IN HEALTH-RELATED BUSINESSES, AND VARIOUS OTHER HEALTH CARE ENTITIES. ALL SUBSIDIARIES ARE GOVERNED AND RELATED THROUGH COMMON CONTROL. SUBSTANTIALLY ALL EXPENSES OF THE SYSTEM ARE RELATED TO PROVIDING HEALTH CARE SERVICES. THE SYSTEM'S MEMBERS INCLUDE WILLIAM BEAUMONT HOSPITAL, OAKWOOD HEALTHCARE, INC., AND BOTSFORD GENERAL HOSPITAL.IN ADDITION, THE SYSTEM OPERATES ONE OFFSHORE CAPTIVE INSURANCE COMPANY, WHICH IS A WHOLLY-OWNED SUBSIDIARY OF THE SYSTEM AND PROVIDES PROFESSIONAL AND GENERAL LIABILITY COVERAGE TO THE SYSTEM, ITS AFFILIATES, AND VOLUNTARY MEDICAL STAFF.IN 2018, THE SYSTEM HAD $4.4 BILLION IN NET REVENUE WITH 178,094 INPATIENT ADMISSIONS, 17,799 BIRTHS, AND 572,582 EMERGENCY VISITS. THIS IS MADE POSSIBLE BY THE NEARLY 5,000 PHYSICIANS AND 43,582 EMPLOYEES THAT WORK FOR THE SYSTEM, AND THE 3,499 VOLUNTEERS THAT DONATE THEIR TIME TO THE SYSTEM.IN ORDER TO PROMOTE THE HEALTH OF THE COMMUNITIES SERVED, THE SYSTEM HAS RESPONDED TO THE NEEDS OF THE COMMUNITIES AND INVESTED IN PROGRAMS TO IMPROVE THE HEALTH AND WELL-BEING OF THE NEIGHBORHOODS IN WHICH IT LIVES AND SERVES. BUILDING ON A NATIONAL REPUTATION FOR CLINICAL EXCELLENCE, THE SYSTEM IS COMMITTED TO ENHANCING PUBLIC AWARENESS THROUGH A VARIETY OF COMMUNITY OUTREACH ACTIVITIES AND INITIATIVES THAT RELATE TO THE FOLLOWING:- HEALTH PROMOTION, WELLNESS, AND DISEASE PREVENTION, - EVENTS THAT SUPPORT COMMUNITY ENGAGEMENT EDUCATION, DIVERSITY, AND CULTURAL ARTS RELATING TO IMPROVING THE PATIENT EXPERIENCE AT THE SYSTEM'S EIGHT HOSPITAL LOCATIONS, AND - EVENTS AND ORGANIZATIONS THAT HELP THE SYSTEM ATTAIN COMMUNITY HEALTH NEEDS ASSESSMENT GOALS.THE SYSTEM HAS A DEEP COMMITMENT TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL OF ITS PATIENTS SAFELY, EFFECTIVELY, AND COMPASSIONATELY, REGARDLESS OF WHERE THEY LIVE OR THEIR FINANCIAL CIRCUMSTANCES. SOME OUTREACH PROGRAMS IN THE COMMUNITIES IT SERVES ARE BEREAVEMENT SUPPORT GROUPS, CAR SEAT SAFETY CHECKS, GUIDED MEDITATION, COOKING CLASSES FOR KIDS, AND CONCERTS FOR "THE ART OF HEALING", AS WELL AS SPONSORSHIP OF WALKS FOR EASTER SEALS, WALK WITH ME, AND AIDS WALK DETROIT. PART VI, LINE 7, REPORTS FILED WITH STATES MI 1 0 0 MEDICAL RESIDENT STIPENDS 254 18017185 PART I, LINE 2: OAKWOOD HEALTHCARE SYSTEM MAKES CONTRIBUTIONS PRIMARILY TO ORGANIZATIONS THAT HAVE BEEN RECOGNIZED BY THE IRS AS TAX-EXEMPT CHARITABLE ORGANIZATIONS UNDER IRC SECTION 501(C)(3). GOVERNMENT GRANTS RECEIVED BY OAKWOOD HEALTHCARE SYSTEM ARE MONITORED BY THEIR RESPECTIVE DEPARTMENTS. OAKWOOD HEALTHCARE, INC. FOLLOWS THESE GUIDELINES AND IS SUBJECT TO AN A-133 AUDIT ANNUALLY UPON MEETING THE EXPENDITURE THRESHOLD. OAKWOOD HEALTHCARE SYSTEM AWARDS SCHOLARSHIPS ANNUALLY TO EMPLOYEES, FAMILY MEMBERS AND STUDENT VOLUNTEERS. THE EMPLOYEES APPLY AND APPLICATIONS ARE REVIEWED BY AN IMPARTIAL SELECTION COMMITTEE. THE COMMITTEE IS COMPRISED OF REPRESENTATIVES FROM HUMAN RESOURCES, NURSING/ALLIED HEALTH, VOLUNTEER SERVICES, FINANCE AND THE FOUNDATION. APPLICANTS ARE SCORED USING SEVERAL KEY CRITERIA, THEN RANKED ACCORDINGLY. 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 $18,017,185 DURING 2018. X 1 1 X X X X X 1 1 0 1 1 0 0 0 0 DAVID WOOD DIRECTOR 0 719271 0 496904 0 694137 0 442451 0 21033 0 2373796 0 439187 JOHN FOX PRESIDENT & CEO 0 1848289 0 1601798 0 810062 0 1657430 0 15302 0 5932881 0 1708820 MALCOLM HENOCH MD DIRECTOR (END 12/31/18) 495401 0 293318 0 11779 0 208662 0 15415 0 1024575 0 183866 0 JOHN KERNDL EVP & CHIEF FINANCIAL OFFICER 0 662907 0 282245 0 7482 0 393430 0 19762 0 1365826 0 282245 ASHOK JAIN CMO-WAYNE 180071 0 50424 0 4744 0 58723 0 911 0 294873 0 50424 0 CHRISTINE STESNEY-RIDENOUR PRESIDENT TRENTON 278230 0 89455 0 22864 0 111605 0 19267 0 521421 0 89455 0 DAVID CLAEYS PRESIDENT - DEARBORN 304734 0 102750 0 1029 0 125942 0 14278 0 548733 0 102750 0 ERIC WIDNER END 212018 PRESIDENT WAYNE 283558 0 81234 0 1466 0 105154 0 19960 0 491372 0 81234 0 JONATHAN KAPER CMO-TRENTON 154879 0 27307 0 126 0 32895 0 84 0 215291 0 27307 0 KASSEM CHARARA CMO - TAYLOR 220972 0 32174 0 285 0 42030 0 14689 0 310150 0 32174 0 LEE ANN ODOM PRESIDENT TAYLOR 285220 0 100682 0 948 0 131531 0 2136 0 520517 0 100682 0 PAULO MARCIANO CMO-DEARBORN 191900 0 64800 0 602 0 58886 0 970 0 317158 0 64800 0 FAISAL MUSA STAFF PHYSICIAN 938129 0 0 0 507 0 5400 0 18900 0 962936 0 0 0 GARY GUSTAFSON STAFF PHYSICIAN 640158 0 34742 0 541280 0 19150 0 14556 0 1249886 0 0 0 KONGKRIT CHAIYASATE STAFF PHYSICIAN 1507067 0 891451 0 20840 0 19150 0 20355 0 2458863 0 0 0 SAMER ELFALLAL STAFF PHYSICIAN 1058273 0 980769 0 19526 0 17220 0 20313 0 2096101 0 0 0 SAMIR DABBOUS STAFF PHYSICIAN 1266279 0 0 0 27471 0 8100 0 2754 0 1304604 0 0 0 J PAUL CONWAY FORMER KEY EMPLOYEE (END 2017) 0 0 286462 0 0 0 0 0 0 0 286462 0 0 0 JOHN KEUTEN FORMER OFFICER (END 2016) 0 0 69245 0 68165 0 0 0 0 0 137410 0 0 0 WILLIAM ISENSTEIN FORMER KEY EMPLOYEE (END 2017) 0 0 379634 0 292500 0 0 0 17751 0 689885 0 0 0 BRIAN CONNOLLY FORMER KEY EMPLOYEE (END 2014) 0 0 1304985 0 115629 0 0 0 178 0 1420792 0 0 0 PART I, LINE 1A BRIAN CONNELLY HAS A DISCRETIONARY SPENDING ACCOUNT WHICH WAS TREATED AS TAXABLE COMPENSATION. PART I, LINE 4A: 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 2018 INCLUDE PAYMENTS TO THE FOLLOWING INDIVIDUALS: BRIAN CONNOLLY, SEVERANCE PAYMENT: $107,886 JOHN KEUTEN, SEVERANCE PAYMENT: $68,165 WILLIAM ISENSTEIN, SEVERANCE PAYMENT: $292,500 PART I, LINE 4B: 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. DAVID WOOD, NON-QUALIFIED PLAN DISTRIBUTION, SERP 457(F): $663,430 JOHN FOX, NON-QUALIFIED PLAN DISTRIBUTION, SERP 457(F): $749,965 GARY GUSTAFSON, NON-QUALIFIED PLAN DISTRIBUTION, SERP 457(F): $515,256 PART I, LINE 5A: OAKWOOD HEALTHCARE, INC. HAS SHORT-TERM AND LONG-TERM INCENTIVE PLANS FOR EXECUTIVES. INCENTIVE AWARDS ARE CALCULATED BASED ON THE ACHIEVEMENT OF MULTIPLE TARGETS, INCLUDING THE ATTAINMENT OF OPERATING REVENUE TARGETS. PART I, LINE 5B: OAKWOOD HEALTHCARE, INC'S OPERATING REVENUE TARGETS, USED FOR PURPOSES OF DETERMINING SHORT-TERM AND LONG-TERM INCENTIVE AWARDS FOR EXECUTIVES, INCLUDE THE REVENUES OF OAKWOOD HEALTHCARE, INC. AND ITS AFFILIATE ORGANIZATIONS. PART II: 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 TOP 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 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' 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 FINANCIAL METRICS. - PERFORMANCE METRICS ARE TIED TO KEY STRATEGIC OBJECTIVES - A LARGE PORTION 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 (I-III), 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. 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 COMMITTEE ALSO RECEIVES SUPPORT FROM OUTSIDE ADVISORS WITH EXPERTISE IN HEALTH CARE ORGANIZATIONS AND EXECUTIVE COMPENSATION. A MICHIGAN FINANCE AUTHORITY 800596186 59447PLJ8 2012-05-01 161691656 SEE PART VI 0 0 0 B MICHIGAN FINANCE AUTHORITY 800596186 59447PUT6 2013-04-25 53999789 SEE PART VI 0 0 0 A 26320000 161691855 1687398 25289969 134714488 2013 1 1 1 1 B 53999789 667921 53331869 1 0 1 1 A 0 0 1 1 0 0 0 0 A 0 0 1 0 0 0 0 0 0 B 0 0 1 0 0 0 0 0 0 A 0 B 0 PART I, LINE A, COLUMN F, DESCRIPTION OF PURPOSE: FINANCE HOSPITAL/PARTIAL REFUND OF BONDS ISSUED 4/7/1998, 12/10/2002, AND 11/13/2003. PART IV, LINE 6, COLUMN A: THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS. SCHEDULE K, PART I, BOND ISSUES: DIFFERENCES BETWEEN THE ISSUE PRICE (PART I, COLUMN (E)) AND TOTAL PROCEEDS OF ISSUE (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS. FORM 990, PART I, ITEM C DBA: BEAUMONT HOSPITAL, TRENTON DBA: BEAUMONT HOSPITAL, WAYNE DBA: BEAUMONT HOSPITAL, TAYLOR FORM 990, PART IV, LINE 10: 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. FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE BOARD MEMBERS OR SHARED OFFICERS OF A TAXABLE ENTITY WITHIN THE BEAUMONT HEALTH SYSTEM: JOHN FOX JOHN KERNDL GERSON COOPER JOHN NEMES DAVID WOOD, MD ASHOK JAIN, MD FORM 990, PART VI, SECTION A, LINE 3 OAKWOOD HEALTHCARE, INC. HAS OUTSOURCED THE MANAGEMENT DUTIES OF DIETARY SERVICES, CLINICAL ENGINEERING, FACILITY SERVICES, ENVIRONMENTAL SERVICES, LAUNDRY SERVICES AND NON-CLINICAL SERVICES WITHIN THE COMPANY'S PHYSICIAN PRACTICE DIVISION. ALL COMPANIES ENGAGED TO PROVIDE MANAGERIAL SERVICES FOR THE ORGANIZATION REPORT DIRECTLY TO SITE ADMINISTRATORS AND/OR CORPORATE DIRECTORS EMPLOYED BY OAKWOOD HEALTHCARE, INC. FORM 990, PART VI, SECTION A, LINE 6 BEAUMONT HEALTH IS THE SOLE CORPORATE MEMBER OF OAKWOOD HEALTHCARE, INC. FORM 990, PART VI, SECTION A, LINE 7A BEAUMONT HEALTH IS THE CORPORATE MEMBER OF OAKWOOD HEALTHCARE, INC., WITH THE RIGHT TO ELECT ONE OR MORE MEMBERS OF OAKWOOD HEALTHCARE, INC.'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B BEAUMONT HEALTH, AS THE CORPORATE MEMBER OF OAKWOOD HEALTHCARE, INC., HAS RESERVED POWERS OVER OAKWOOD HEALTHCARE, INC.'S OPERATIONS, INCLUDING BUT NOT LIMITED TO BUDGET, ACQUISITIONS, CAPITAL PROJECTS AND PARTICIPATION IN JOINT VENTURES. FORM 990, PART VI, SECTION B, LINE 11B 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. FORM 990, PART VI, SECTION B, LINE 12C 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. FORM 990, PART VI, SECTION B, LINE 15 BEAUMONT HEALTHS 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 MANAGEMENTS 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 COMMITTEES 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. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, LINE 16: THE ORGANIZATION EXERCISES DUE DILIGENCE IN THE OVERSIGHT OF ANY NEW JOINT VENTURES AND ROUTINELY CONSULTS WITH TAX CONSULTANTS ON THE MATTER, IF APPLICABLE. FORM 990, PART VII, SECTION B, LINE 1: THE HEALTH SYSTEM HAS A CENTRALIZED ACCOUNTS PAYABLE FUNCTION AND, AS SUCH, ALL 1099'S ARE ISSUED BY BEAUMONT HEALTH. FORM 990, PART XI, LINE 9: PENSION AND SUPPLEMENTAL PENSION ADJUSTMENT -20,433,946. NET ASSETS RELEASED FROM RESTRICTION 709,274. OPERATING CASH TRANSFERRED TO/FROM PARENT - BEAUMONT HEALTH -16,058,931. OTHER TRANSFERS TO AFFILIATES -10,562,957. ALL OTHER, NET 342. MICHIGAN BONE & JOINT-OAKWOOD SOUTHSHORE MEDICAL CENTER PLLC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 383582590 AMBULATORY MEDICAL SERVICES MI 0 0 OAKWOOD HEALTHCARE INC MIDWEST SURGERY CENTER 1 PARKLANE BLVD SUITE 1000E DEARBORN MI 48126 453771730 AMBULATORY MEDICAL SERVICES MI 0 0 OAKWOOD HEALTHCARE INC NEUROSCIENCE LLC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 383532220 AMBULATORY MEDICAL SERVICES MI 0 0 OAKWOOD HEALTHCARE INC OAKWOOD MEDICAL PRACTICES PLLC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 320072212 AMBULATORY MEDICAL SERVICES MI 0 0 OAKWOOD HEALTHCARE INC OAKWOOD GROUP VIII LLC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 300326803 AMBULATORY MEDICAL SERVICES MI 0 0 OAKWOOD HEALTHCARE INC OAKWOOD GROUP VII LLC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 300326800 AMBULATORY MEDICAL SERVICES MI 0 0 OAKWOOD HEALTHCARE INC OAKWOOD HEALTHCARE GROUP III LLC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 383513234 AMBULATORY MEDICAL SERVICES MI 0 0 OAKWOOD HEALTHCARE INC OAKWOOD YOUTH PROGRAMS LLC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 383532225 AMBULATORY MEDICAL SERVICES MI 0 0 OAKWOOD HEALTHCARE INC OAKWOOD GROUP IX LLC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 383593302 AMBULATORY MEDICAL SERVICES MI 0 0 OAKWOOD HEALTHCARE INC OAKWOOD AMBULATORY LLC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 383593303 AMBULATORY MEDICAL SERVICES MI 0 0 OAKWOOD HEALTHCARE INC OAKWOOD TEEN CENTERS LLC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 383513233 AMBULATORY MEDICAL SERVICES MI 0 0 OAKWOOD HEALTHCARE INC OAKWOOD PROFESSIONAL BILLING LLC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 383532227 AMBULATORY MEDICAL SERVICES MI 0 0 OAKWOOD HEALTHCARE INC OAKWOOD HEALTHCARE GROUP I LLC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 383513232 AMBULATORY MEDICAL SERVICES MI 0 0 OAKWOOD HEALTHCARE INC OAKWOOD INFUSION SERVICES LLC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 311552387 HOME INFUSION SERVICES MI 700 28637 OAKWOOD HEALTHCARE INC OAKWOOD SOUTHSHORE SURGERY CENTER 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 141839341 OUTPATIENT SURGERY CENTER MI 0 0 OAKWOOD HEALTHCARE INC OAKWOOD GROUP X LLC 23400 MICHIGAN AVE DEARBORN MI 48124 801338329 AMBULATORY MEDICAL SERVICES MI 0 0 OAKWOOD HEALTHCARE INC DEARBORN REAL ESTATE DEVELOPMENT LLC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 801206830 REAL ESTATE - MEDICAL FACILITY MI 4285943 3393872 OAKWOOD HEALTHCARE INC SOUTHSHORE REAL ESTATE DEVELOPMENT LLC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 801206958 REAL ESTATE - MEDICAL FACILITY MI 0 0 OAKWOOD HEALTHCARE INC BEAUMONT HEALTH 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 465718220 PARENT COMPANY OF THE HEALTH SYSTEM MI 501(C)(3) 12C, III-FI N/A 0 BEAUMONT MEDICAL TRANSPORTATION SERVICE 950 W MAPLE SUITE C TROY MI 48084 260203703 MEDICAL TRANSPORTATION SERVICES MI 501(C)(3) 10 BEAUMONT HEALTH 1 BOTSFORD CONTINUING CARE CORPORATION 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 382549505 LONG TERM NURSING CARE MI 501(C)(3) 10 BOTSFORD GENERAL HOSPITAL 1 BOTSFORD GENERAL HOSPITAL 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 381426919 HOSPITAL MI 501(C)(3) 3 BEAUMONT HEALTH 1 COMMUNITY EMERGENCY MEDICAL SERVICE INC 25400 W EIGHT MILE ROAD SOUTHFIELD MI 48033 382410823 EMERGENCY MEDICAL SERVICES MI 501(C)(3) 10 BOTSFORD GENERAL HOSPITAL 1 MICHIGAN MOBILE PET IMAGING 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 331086165 MOBILE PET SCANNING MI 501(C)(3) 12A, I OAKWOOD HEALTHCARE INC 1 OAKWOOD UNITED HOSPITALS INC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 382837961 FACILITY LEASING MI 501(C)(3) 12A, I OAKWOOD HEALTHCARE INC 1 OAKWOOD HOME CARE SERVICES 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 382877338 HOME HEALTH SERVICES MI 501(C)(3) 10 OAKWOOD HEALTHCARE INC 1 OAKWOOD HEALTH PROMOTIONS INC 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 382601965 ASSISTED AND RESIDENT CARE FACILITIES MI 501(C)(3) 10 OAKWOOD HEALTHCARE INC 1 WILLIAM BEAUMONT HOSPITAL 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 381459362 HOSPITAL MI 501(C)(3) 3 BEAUMONT HEALTH 1 BEAUMONT HEALTH FOUNDATION 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 364852171 FOUNDATION MI 501(C)(3) 7 BEAUMONT HEALTH 1 BEAUMONT MEDICAL GROUP-HOSPITAL BASED SERVICES 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 822768899 PHYSICIAN SUPPORT SERVICES MI 501(C)(3) 10 BEAUMONT HEALTH 1 BEAUMONT MEDICAL GROUP-PRIMARY CARE SERVICES 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 822796539 PHYSICIAN SUPPORT SERVICES MI 501(C)(3) 10 BEAUMONT HEALTH 1 BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 822784244 PHYSICIAN SUPPORT SERVICES MI 501(C)(3) 10 BEAUMONT HEALTH 1 BEAUMONT KIDNEY SPECIALTY SERVICES LLC 26400 WEST TWELVE MILE ROAD SOUTHFIELD MI 48034 262200439 DIALYSIS SERVICES MI N/A BOTSFORD CARE PARTNERS LLC 28050 GRAND RIVER AVENUE FARMINGTON HILLS MI 48336 454854213 HEALTHCARE SERVICES MI N/A DEARBORN SCHAEFFER OFFICE COMPANY LLC ONE TOWN SQUARE SUITE 1600 SOUTHFIELD MI 48076 262448025 REAL ESTATE MI OAKWOOD HEALTHCARE INC RELATED 833989 36353779 0 0 0.99000 OAKMED LLC 1938 WOODSLEE DRIVE TROY MI 48083 461459737 PRIVATE DUTY NURSING MI OAKWOOD HEALTHCARE INC RELATED 701840 1725211 0 0 0.60000 BEAUMONT INDEMNITY COMPANY LTD 23 LIME TREE BAY AVENUE GRAND CAYMAN GRAND CAYMAN CJ 980512415 PREMIUM DEPOSITS CJ N/A C 1 BEAUMONT NURSING HOME SERVICES INC 26935 NORTHWESTERN HIGHWAY SOUTHFIELD MI 48033 382799842 ASSISTED CARE LIVING MI N/A C 1 BEAUMONT PHYSICIANS INSURANCE COMPANY INC 26935 NORTHWESTERN HIGHWAY SOUTHFIELD MI 48033 274261262 PROFESSIONAL INSURANCE MI N/A C 1 BOTSFORD COMMONS PROPERTY ASSOCATION 28050 GRAND RIVER AVENUE FARMINGTON HILLS MI 48336 383203663 PROPERTY MANAGEMENT MI N/A C 1 OAKWOOD AFFILIATED VENTURES INC AND SUBSIDIARIES 15500 LUNDY PARKWAY DEARBORN MI 48126 371753159 OFFICE OF PHYSICIANS/NON-RESIDENTAL MI OAKWOOD HEALTHCARE INC C 10424065 52343097 1.00000 1 PARASTAR EMERGENCY SYSTEMS INC 28050 GRAND RIVER AVENUE FARMINGTON HILLS MI 48336 382755982 MANAGEMENT DISPATCH SERVICES MI N/A C 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 BEAUMONT HEALTH Q 118893733 FMV BEAUMONT HEALTH P 134952664 FMV OAKWOOD UNITED HOSPITALS INC R 18161538 FMV BEAUMONT HEALTH FOUNDATION S 8295252 FMV OAKWOOD HOME CARE SERVICES S 19302700 FMV BEAUMONT HEALTH FOUNDATION C 5678200 FMV BEAUMONT HEALTH E 66944826 FMV