2018-11-15T09:11:20-06:00 2017-12-31 861065772 DELOITTE TAX LLP 200 RENAISSANCE CENTER SUITE 3900 DETROIT MI 48243 990 2017-01-01 381405141 OAKWOOD HEALTHCARE INC OAKW 9475221051 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 CHRISTOPHER HARRISON SVP FINANCE - BEAUMONT HEALTH 9475221051 2018-11-14 1 LORI BOYCE P00121981 3133963000 68.55.79.84 2018-11-14 19:05:21 ES P 7E530C01EC0DBF1FFF79A5BAD1379F9D370DED1E B1F6754162BA34960FF6E5961467431CD3790A95 2017 2019-02-21 02:37:17Z X JOHN T FOX 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 1285998771 0 X WWW.BEAUMONT.ORG X 1948 MI PROVIDE EXCELLENCE IN CARE, HEALING AND HEALTH TO THE INDIVIDUALS AND COMMUNITIES WE SERVE. 17 14 12819 886 9772384 62273 9559516 7218949 1220766509 1217043233 24117423 4705619 53983841 57030970 1308427289 1285998771 18723912 15960084 0 0 657442087 698155283 0 0 0 506049390 460304789 1182215389 1174420156 126211900 111578615 1094356341 1107861470 657997880 445330658 436358461 662530812 X PROVIDE EXCELLENCE IN CARE, HEALING AND HEALTH TO THE INDIVIDUALS AND COMMUNITIES WE SERVE. 0 0 529061711 7911449 641207838 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 195-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 189-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 1,109 LICENSED BEDS. IN 2017, THE OAKWOOD SYSTEM REGISTERED 55,688 ADMISSIONS AND 33,125 TOTAL SURGERIES. 426934963 6352270 484433666 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. 114012370 1696365 129367314 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 228,215 INDIVIDUALS IN ITS EMERGENCY CENTERS IN 2017. 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. 1070009044 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 0 0 1 12819 1 1 1 0 0 0 0 0 0 0 0 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 CHRISTOPHER BLAKE DIRECTOR 2.00 8.00 X 0 0 0 GERSON COOPER VICE-CHAIRPERSON 2.00 10.00 X 0 0 0 WILLIAM GOLDSMITH START 317 DIRECTOR 2.00 8.00 X 0 0 0 RONALD HALL START 217 DIRECTOR 2.00 8.00 X 0 0 0 MALCOLM HENOCH MD DIRECTOR 2.00 48.00 X 841699 0 229061 STEPHEN HOWARD VICE-CHAIRPERSON 2.00 8.00 X 0 0 0 JOHN LEWIS CHAIRPERSON 2.00 8.00 X 0 0 0 HARRIS MAINSTER DO DIRECTOR 2.00 8.00 X 0 0 0 TIMOTHY O'BRIEN DIRECTOR 2.00 8.00 X 0 0 0 ALICIA BOLER DAVISSTART 217 DIRECTOR 2.00 8.00 X 0 0 0 GEOFFREY HOCKMANSTART 217 DIRECTOR 2.00 10.00 X 0 0 0 MARTHA QUAY DIRECTOR 2.00 8.00 X 0 0 0 THOMAS SAELI DIRECTOR 2.00 8.00 X 0 0 0 EVAN WEINER THRU 217 DIRECTOR 0.00 2.00 X 0 0 0 DAVID WOOD MD EVP & CHIEF MEDICAL OFFICER 2.00 48.00 X 0 1159934 475658 JOHN FOX PRESIDENT & CEO 2.00 48.00 X X 0 3931050 1743792 JULIE FREAM SECRETARY 2.00 8.00 X X 0 0 0 JOHN NEMES TREASURER 2.00 8.00 X X 0 0 0 JOHN KERNDL EVP & CHIEF FINANCIAL OFFICER 2.00 48.00 X 0 870979 395973 J PAUL CONWAY SVP & CHIEF HR OFFICER 2.00 48.00 X 725737 0 184688 KASSEM CHARARA CMO - TAYLOR 50.00 0.00 X 294798 0 58450 DAVID CLAEYS PRESIDENT - DEARBORN 50.00 0.00 X 298837 0 134692 ASHOK JAIN CMO-WAYNE 50.00 0.00 X 243311 0 58651 JONATHAN KAPER CMO-TRENTON 50.00 0.00 X 181938 0 32849 PAULO MARCIANO CMO-DEARBORN 50.00 0.00 X 189596 0 64800 LEE ANN ODOM PRESIDENT TAYLOR 50.00 0.00 X 357195 0 137325 CHRISTINE STESNEY-RIDENOUR PRESIDENT TRENTON 50.00 0.00 X 387217 0 124343 ERIC WIDNER PRESIDENT WAYNE 50.00 0.00 X 366008 0 125328 WILLIAM ISENSTEIN SVP MANAGED CARE 50.00 0.00 X 632694 0 31403 KELLY SMITH SVP & PRESIDENT 50.00 0.00 X 539793 0 17076 SAMIR DABBOUS PHYSICIAN 50.00 0.00 X 1270847 0 11043 SAMER ELFALLAL PHYSICIAN 50.00 0.00 X 1069910 0 33540 J ANTHONY RAKOWSKI PHYSICIAN 50.00 0.00 X 959198 0 22704 MUHAMMAD AZRAK PHYSICIAN 50.00 0.00 X 845462 0 34090 MOHAMMED OGAILY PHYSICIAN 50.00 0.00 X 832986 0 33907 BRIAN CONNOLLY FORMER KEY EMPLOYEE 0.00 0.00 X 2183083 0 1400 DAVID CAMPBELL FORMER KEY EMPLOYEE 0.00 0.00 X 250210 0 0 BARBARA MEDVEC FORMER KEY EMPLOYEE 0.00 0.00 X 138244 0 0 CARLA O'MALLEY FORMER KEY EMPLOYEE 0.00 0.00 X 476805 0 9855 JOHN KEUTEN FORMER OFFICER 0.00 0.00 X 924993 0 0 EUGENE MICHALSKI FORMER OFFICER 0.00 0.00 X 0 421236 0 14010561 6383199 3960628 846 1 1 0 0 3504435 2142859 1571655 7218949 INPATIENT 900099 600367854 600367854 OUTPATIENT 621500 482048124 472275740 9772384 EMERGENCY 900099 128730259 128730259 TEACHING REVENUE 900099 5896996 5896996 1217043233 4674706 4674706 9293001 0 9293001 9293001 9293001 30913 0 30913 30913 30913 ADMINISTRATION REVENUE 900099 18533803 18533803 OP PHARMACY REVENUE 446110 14690583 14690583 MEDICAID HER REVENUE 900099 3029132 3029132 11484451 11484451 47737969 1285998771 1255008818 9772384 13998620 18624 18624 15941460 15941460 5058823 2043606 3015217 3984590 3984590 534816635 488181514 46635121 16939645 12947238 3992407 98249288 88468436 9780852 39106302 35100002 4006300 2119590 2119590 545750 545750 33381 33381 891411 891411 61015259 46183131 14832128 7616727 4062915 3553812 6558455 5343105 1215350 1441557 214541 1227016 53643974 49620677 4023297 710209 397783 312426 983672 970245 13427 9854463 9854463 50844455 46265666 4578789 7107072 6893864 213208 MEDICAL SUPPLIES 206759960 206759960 MAINTENANCE AND REPAIRS 6706429 6706429 DUES AND LICENSES 4132512 4132512 UBI TAX PROVISION 21173 21173 39318740 35005699 4313041 1174420156 1070009044 104411112 0 4671497 3570656 441504744 106847172 148072138 175002406 14261559 14052512 8157788 5067785 1440048142 1050347537 326580244 389700605 0 385265390 8716209 8716209 142392162 19638735 1094356341 1107861470 160504641 54058821 5197183 5568244 196082580 263162332 44345865 251867611 122541261 657997880 445330658 X 436244642 662416993 113819 113819 436358461 662530812 1094356341 1107861470 X 111578615 20639901 93953835 X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 33381 33381 0 PART II-B, LINE 1: OAKWOOD HEALTHCARE, INC. ENGAGES OUTSIDE CONSULTANTS TO CONDUCT STATE AND FEDERAL LOBBYING ACTIVITIES ON MATTERS PERTAINING TO NON-PROFIT HEALTHCARE. ALSO, THE COMPANY (ALONG WITH THE VAST MAJORITY OF HOSPITALS LOCATED IN THE STATE OF MICHIGAN) PAYS ANNUAL DUES TO THE MICHIGAN HEALTH AND HOSPITAL ASSOCIATION, A PORTION OF WHICH PERTAINS TO LOBBYING ACTIVITIES CONDUCTED BY THAT ORGANIZATION. 41749949 41749949 43616706 1140069 2008844 197880 4817790 41749949 45555675 232199 -303321 201914 1665933 43616706 23959382 20773944 939920 214261 -96690 45555675 19695737 792571 3310579 184576 -345071 23959382 0 1 1 22714431 22714431 706319663 497738242 208581421 24105707 17698246 6407461 421322117 352799771 68522346 265586224 182111278 83474946 389700605 CLAIMS LIABILITY 20435871 ASSET RETIREMENT OBLIGATION 480787 ACCRUED PENSION 34681181 DUE TO THIRD PARTY PAYORS 21988889 INTERCOMPANY DEBT TO WILLIAM BEAUMONT HOSPITAL 44954533 122541261 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. 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. EFFECTIVE 7/1/2017, OAKWOOD HEALTHCARE FOUNDATION, INC., WAS MERGED INTO BEAUMONT HEALTH FOUNDATION, INC., AND BEAUMONT HEALTH FOUNDATION IS THE SURVIVING CORPORATION. 1 1 X 1 X 1 X 0 1 0 1 1 10231699 10231699 0.00870 311094900 316728258 0 0.00000 321326599 316728258 10231699 0.00870 5129760 5129760 0.00440 48791723 22465871 26325852 0.02240 48584 48584 0.00000 952008 273314 678694 0.00060 529 529 0.00000 54922604 22739185 32183419 0.02740 376249203 339467443 42415118 0.03610 1 59983000 0 459625000 390316555 69308445 X 1 1 1 OAKWOOD ACCOUNTABLE CARE ORGANIZATION LLC REDUCE HEALTHCARE COSTS AND MANAGE POPULATION WELL 0.49000 0.00580 0.50000 4 1 OAKWOOD HOSPITAL DEARBORN 18101 OAKWOOD BLVD DEARBORN MI 481244089 WWW.OAKWOOD.ORG L2280773 X X X X X A 2 OAKWOOD HOSPITAL TRENTON 5450 FORT STREET TRENTON MI 481834625 WWW.OAKWOOD.ORG L2307184 X X X X A 3 OAKWOOD HOSPITAL WAYNE 33155 ANNAPOLIS WAYNE MI 481842493 WWW.OAKWOOD.ORG L2554579 X X X X A 4 OAKWOOD HOSPITAL TAYLOR 10000 TELEGRAPH TAYLOR MI 481803349 WWW.OAKWOOD.ORG L2558464 X X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X X 16 1 1 0 1 X SEE PART V, SECTION C X X 1 17 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 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: OAKWOOD HOSPITAL, DEARBORN, - FACILITY 2: OAKWOOD HOSPITAL, TRENTON, - FACILITY 3: OAKWOOD HOSPITAL, WAYNE, - FACILITY 4: OAKWOOD HOSPITAL, TAYLOR GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL, DEARBORN PART V, SECTION B, LINE 3J: A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN 2016 FOR EACH OF THE BEAUMONT HEALTH HOSPITALS WITH THE GOAL OF IMPROVING THE HEALTH OF RESIDENTS IN SOUTHEASTERN MICHIGAN. BEAUMONT HAS LONG CONSIDERED COMMUNITY NEED A CORE COMPONENT OF THEIR MISSION OF SERVICE TO LOCAL COMMUNITIES.1.AN INTERNAL STEERING COMMITTEE WAS CONVENED TO GUIDE THE PROCESS AND ASSIST IN THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR EACH HOSPITAL. THE PRIMARY SERVICE AREA FOR BEAUMONT HOSPITAL DEARBORN WAS DEFINED BY THE CONTIGUOUS ZIP CODES WHERE 80 PERCENT OF THE HOSPITALS ADMITTED PATIENTS ORIGINATE. THE COMBINED PRIMARY SERVICE AREAS OF THE EIGHT BEAUMONT SERVICE AREAS INCLUDES MACOMB, OAKLAND AND WAYNE COUNTIES IN SOUTHEAST MICHIGAN. TRUVEN HEALTH ANALYTICS WERE RETAINED TO ASSIST IN THE QUANTITATIVE AND QUALITATIVE DATA. MORE THAN 100 PUBLIC HEALTH INDICATORS WERE EVALUATED FOR THE QUANTITATIVE ANALYSIS. COMMUNITY NEEDS WERE IDENTIFIED BY COMPARING EACH COMMUNITYS VALUE FOR EACH HEALTH INDICATOR TO THAT OF THE STATE AND NATION. WHERE THE COMMUNITY VALUE WAS WORSE THAN THE STATE, THE INDICATOR WAS IDENTIFIED AS A COMMUNITY HEALTH NEED. AFTER INITIAL COMMUNITY NEEDS WERE IDENTIFIED, AN INDEX OF MAGNITUDE ANALYSIS WAS CONDUCTED TO DETERMINE RELATIVE SEVERITY. FOCUS GROUPS AND INTERVIEWS PROVIDED QUALITIATIVE INFORMATION FOR THE CHNA. PARTICIPANTS INCLUDED COMMUNITY LEADERS, PUBLIC HEALTH EXPERTS, COMMUNITY MEMBERS, AND THOSE REPRESENTING THE NEEDS OF INDIVIDUALS WITH CHRONIC DISEASES, MINORITY, UNDERSERVED AND INDIGENT POPULATIONS. BEAUMONT PHYSICIANS, NURSES, HOSPITAL LEADERSHIP AND CHRONIC DISEASE EXPERTS PARTICIPANTED IN THE INTERVIEW AND FOCUS GROUP PROCESS. FOR A COMPLETE LISTING OF PARTICIPANTS PLEASE VISIT BEAUMONT.ORG/CHNA. THE OUTCOMES OF THE QUANTITATIVE AND QUALITATIVE ANALYSIS WERE ALIGNED TO CREATE A COMPREHENSIVE LIST OF HEALTH NEEDS FOR EACH COMMUNITY. THE HEALTH NEEDS WERE THEN COMPILED INTO A HEALTH NEEDS MATRIX FOR THE COMMUNITY TO ILLUSTRATE WHERE THE QUALITATIVE DATA CORRESPONDS AND DIFFER. THE CHNA STEERING COMMITTEE SELECTED CRITERIA TO BE USED FOR THE PRIORITIZATION WORKGROUP TO IDENTIFY THE MOST SIGNIFICANT NEEDS FOR EACH COMMUNITY. THE CRITERIA UTILIZED WAS: IMPORTANCE OF THE PROBLEM TO THE COMMUNITY, ALIGNMENT WITH THE HEALTH SYSTEMS STRENGTHS, RESOURCES AVAILABLE TO ADDRESS THE HEALTH NEED, THE MAGNATUDE OF THE NUMBER OF PEOPLE AFFECTED EITHER ACTUALLY OR POTENTIALLY AND THE IMPACT OF THE HEALTH NEED ON VULNERABLE POPULATIONS. THROUGH THE PRIORITIZATION PROCESS, THREE SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED IN THE BEAUMONT HOSPITAL DEARBORN IMPLEMENTATION STRATEGY: CARDIOVASCULAR DISEASE, DIABETES AND OBESITY. ALL OTHER SIGNIFICANT NEEDS WERE NOT CHOSEN FOR A COMBINATION OF THE FOLLOWING REASONS: THE NEED WAS NOT WELL-ALIGNED WITH ORGANIZATIONAL STRENGTHS, THERE WAS NOT ENOUGH EXISTING ORGANIZATIONAL RESOURCES TO ADEQUATELY ADDRESS THE NEED, IMPLEMENTATION EFFORTS WOULD NOT IMPACT AS MANY COMMUNITY RESIDENTS AS THOSE THAT WERE CHOSEN, OR THE CHOSEN NEEDS MORE SIGNIFICANTLY IMPACT VULNERABLE POPULATIONS.IMPLEMENTATION PLANS WERE DEVELOPED FOR EACH BEAUMONT HOSPITAL WITH THE PRIORITIZED NEEDS OF OBESITY, CARDIOVASCULAR DISEASE, AND DIABETES. CURRENT PROGRAMMING WAS IDENTIFIED ALONG WITH NEW PROGRAMS TO BE IMPLEMENTED. THE CHNA AND IMPLEMENTATION STRATEGIES WERE SHARED WITH ALL ORGANIZATIONS AND PARTICIPANTS WHO PARTICIPATED IN THE INTERVIEWS AND FOCUS GROUPS, SHARED WITH COMMUNITY COALITIONS AND POSTED ON THE BEAUMONT HEALTH WEBSITE. COPIES ARE AVAILABLE UPON REQUEST. 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 QUALITIATIVE 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 PARTICIPANTED IN THE INTERVIEW AND FOCUS GROUP PROCESS. FOR A COMPLETE LISTING OF PARTICIPANTS PLEASE VISIT BEAUMONT.ORG/CHNA. GROUP A-FACILITY 1 -- OAKWOOD 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 -- OAKWOOD 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 -- OAKWOOD HOSPITAL, DEARBORN PART V, SECTION B, LINE 11: THE 2016 CHNA FOR BEAUMONT HOSPITAL DEARBORN IDENTIFIED THREE PRIORITY HEALTH NEEDS TO BE ADDRESSED. THE IMPLEMENTATION STRATEGY FOR BEAUMONT HOSPITAL DEARBORN 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 DEARBORN FORMED HEALTHY DEARBORN, A MULTI-SECTOR COALITION THAT CURRENTLY HAS OVER 300 INDIVIDUALS PARTICIPATING TO PROMOTE HEALTHY EATING AND ACTIVE LIVING TO ADDRESS CARDIOVASCULAR DISEASE, DIABETES AND OBESITY. COALITION MEMBERS INCLUDE LOCAL GOVERNMENT LEADERSHIP, MULITPLE 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.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 2017 INCLUDE A WEEKLY WALKING PROGRAM WITH OVER 500 PARTICIPANTS, THE IMPLEMENTATION OF A BIKE SHARING PROGRAM FOR THE COMMUNITY, A PHYSICAL FITNESS PROGRAM IN CITY PARKS WITH OVER 350 PARTICIPANTS, WEEKLY BIKE RIDES IN THE COMMUNITY OF OVER 750 PARTICIPANTS, AND THE DEVELOPMENT OF HEALTHY NUTRITION EDUCATION CURRICULUM FOR DEARBORN SCHOOLS ALONG WITH SCHOOL WELLNESS POLICIES.IN 2017, BEAUMONT HOSPITAL DEARBORN PROVIDED 2,609 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 STRENGTHS 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, PROVIDING 294 UNITS OF EDUCATION. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 97% (VERY GOOD). AND, OUTCOME DATA INDICATED AN AGGREGATE INCREASE IN KNOWLEDGE OF 22% INCLUDING SIGNIFICANT IMPROVEMENT USING NUTRITION FACTS ON FOOD LABELS AND CONFIDENCE BUYING HEALTHY FOODS FOR THEIR FAMILY ON A BUDGET. BEAUMONT HOSPITAL DEARBORN 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 26 INDIVIDUALS IN THE DEARBORN SERVICE AREA WITH 409 UNITS OF EDUCATION AND SUPPORT. PARTICIPANTS WHO ATTENDED THE MONTHLY MAINTENANCE SESSIONS FOLLOWING THE CORE COURSE AVERAGED A WEIGHT LOSS OF 5.8% OF INITIAL BODY WEIGHT (MEETING TARGET). BEAUMONT HOSPITAL DEARBORN PROVIDED 15 INDIVIDUALS WITH 105 UNITS OF DIABETES PATH (PERSONAL ACTION TOWARD HEALTH). PATH IS A NATIONAL EVIDENCE-BASED PROGRAM FOR THOSE WITH TYPE 2 DIABETES AND THEIR CAREGIVERS. THE PROGRAM IS DESIGNED TO ENHANCE PATIENT CONFIDENCE IN THEIR ABILITY TO MANAGE THEIR DISEASE AND TO WORK MORE EFFECTIVELY WITH THEIR HEALTH CARE PROVIDERS. OUTCOME DATA INDICATED 89% OF PARTICIPANTS WERE MORE CONFIDENT ABOUT HANDLING THEIR HEALTH CONDITION AFTER TAKING THE WORKSHOP, AND SHOWED SIGNIFICANT IMPROVEMENTS IN TESTING BLOOD SUGAR SEVEN DAYS A WEEK AND EXERCISING MORE THAN 150 MINUTES PER WEEK. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 91% (VERY GOOD). MANAGING YOUR DIABETES EDUCATION WAS PROVIDED BY BEAUMONT DEARBORN TO 122 INDIVIDUALS IN THE COMMUNITY. BEAUMONT DEARBORN PROVIDED DIABETES SCREENING AS PART OF THE HEART HEALTH SCREENING PROGRAM IN THE COMMUNITY TO 757 UNDUPLICATED INDIVIDUALS.PRIORITY 3: OBESITYIN THE BEAUMONT DEARBORN SERVICE AREA, 780 CHILDREN WERE PROVIDED CATCH (COORDINATED APPROACH TO CHILD HEALTH) KIDS CLUB PROGRAM IN AFTER-SCHOOL AND SUMMER PROGRAMS. THE TOTAL NUMER OF UNITS OF SERVICE FOR THESE CHILDREN WAS 55,640. 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. STUDENT OUTCOME DATA INDICATED IMPROVEMENTS IN MULTIPLE MEASURES INCLUDING A 40% INCREASE IN THE CONSUMPTION OF FRUITS AND VEGETABLES, AND INCREASE IN EXERCISE OR PARTICIPATION IN SPORTS ACTIVITIES FOR AT LEAST 20 MINUTES. AND, 96% OF STUDENTS REPORTED THEY ALMOST ALWAYS OR ALWAYS READ NUTRITION LABELS ON PACKAGES AFTER PARTICIPATING IN CATCH KIDS CLUB FOR A SCHOOL YEAR. BEAUMONT HOSPITAL DEARBORN PROVIDES PHYSICAL AND MENTAL HEALTH SERVICES TO YOUTH IN THE COMMUNITY AT THE TAYLOR TEEN HEALTH CENTER, THE BEAUMONT SCHOOL WELLNESS PROGRAM AT TRUMAN HIGH SCHOOL AND THE RIVER ROUGE TEEN HEALTH CENTER IN THE RIVER ROUGE HIGH SCHOOL. OBESITY PREVENTION AND NUTRITION COUNSELING ARE PROVIDED TO THROUGH THESE HEALTH CENTERS. IN 2017, 1,500 YOUTH RECEIVED SERVICES THROUGH THESE COMMUNITY SITES.BEAUMONT HOSPITAL DEARBORN PROVIDES NUTRITION EDUCATION AND HANDS-ON COOKING CLASSES THROUGH A PARTNERSHIP WITH GLEANERS FOOD BANK OF SOUTHEASTERN MICHIGAN TO OFFER COOKING MATTERS IN THE COMMUNITY AND COOKING MATTERS AT THE STORE. COOKING MATTERS EQUIPS FAMILIES WITH THE SKILLS THEY NEED TO STRETCH THEIR FOOD DOLLARS AND PREPARE HEALTHY MEALS ON A BUDGET. THESE POPULAR CLASSES HAVE BEEN ATTENDED BY 226 INDIVIDUALS, WITH 729 UNITS OF SERVICE PROVIDED. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 97% (VERY GOOD). AND, OUTCOME DATA INDICATED AN AGGREGATE INCREASE IN KNOWLEDGE OF 22% INCLUDING SIGNIFICANT IMPROVEMENT USING NUTRITION. FACTS ON FOOD LABELS AND CONFIDENCE BUYING HEALTHY FOODS FOR THEIR FAMILY ON A BUDGET. BEAUMONT HOSPITAL DEARBORN SPONSORS THE DEARBORN FARMERS MARKET, PROVIDING ACCESS OF FRESH FRUITS AND VEGETABLES TO THE COMMUNITY. THE POWER OF PRODUCE PROGRAM IS PROVIDED TO CHILDREN AT THE MARKET TO EDUCATE CHILDREN IN MAKING HEALTHY EATING CHOICES. THIS PROGRAM ALLOWS CHILDREN TO TASTE NEW FRUITS AND VEGETABLES, ENGAGE IN ACTIVITIES TO UNDERSTAND WHERE THEIR FOOD COMES FROM AND GIVES CHILDREN $2 TO SPEND ON FRESH PRODUCE EVERY TIME THEY VISIT THE MARKET. IN 2017 900 CHILDREN PARTICIPATED IN THE POWER OF PRODUCE PROGRAM. IN ADDITION, 300 ADULTS WERE PROVIDED NUTRITIONAL INFORMATION AT THE DEARBORN FARMERS MARKET. GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL, TRENTON PART V, SECTION B, LINE 3J: A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN 2016 FOR EACH OF THE BEAUMONT HEALTH HOSPITALS WITH THE GOAL OF IMPROVING THE HEALTH OF RESIDENTS IN SOUTHEASTERN MICHIGAN. BEAUMONT HAS LONG CONSIDERED COMMUNITY NEED A CORE COMPONENT OF THEIR MISSION OF SERVICE TO LOCAL COMMUNITIES.AN INTERNAL STEERING COMMITTEE WAS CONVENED TO GUIDE THE PROCESS AND ASSIST IN THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR EACH HOSPITAL. THE PRIMARY SERVICE AREA FOR BEAUMONT HOSPITAL TRENTON WAS DEFINED BY THE CONTIGUOUS ZIP CODES WHERE 80 PERCENT OF THE HOSPITALS ADMITTED PATIENTS ORIGINATE. THE COMBINED PRIMARY SERVICE AREAS OF THE EIGHT BEAUMONT SERVICE AREAS INCLUDES MACOMB, OAKLAND AND WAYNE COUNTIES IN SOUTHEAST MICHIGAN. TRUVEN HEALTH ANALYTICS WERE RETAINED TO ASSIST IN THE QUANTITATIVE AND QUALITATIVE DATA. MORE THAN 100 PUBLIC HEALTH INDICATORS WERE EVALUATED FOR THE QUANTITATIVE ANALYSIS. COMMUNITY NEEDS WERE IDENTIFIED BY COMPARING EACH COMMUNITYS VALUE FOR EACH HEALTH INDICATOR TO THAT OF THE STATE AND NATION. WHERE THE COMMUNITY VALUE WAS WORSE THAN THE STATE, THE INDICATOR WAS IDENTIFIED AS A COMMUNITY HEALTH NEED. AFTER INITIAL COMMUNITY NEEDS WERE IDENTIFIED, AN INDEX OF MAGNITUDE ANALYSIS WAS CONDUCTED TO DETERMINE RELATIVE SEVERITY. FOCUS GROUPS AND INTERVIEWS PROVIDED QUALITIATIVE 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. BEAUMONT PHYSICIANS, NURSES, HOSPITAL LEADERSHIP AND CHRONIC DISEASE EXPERTS PARTICIPANTED IN THE INTERVIEW AND FOCUS GROUP PROCESS. FOR A COMPLETE LISTING OF PARTICIPANTS PLEASE VISIT BEAUMONT.ORG/CHNA. THE OUTCOMES OF THE QUANTITATIVE AND QUALITATIVE ANALYSIS WERE ALIGNED TO CREATE A COMPREHENSIVE LIST OF HEALTH NEEDS FOR EACH COMMUNITY. THE HEALTH NEEDS WERE THEN COMPILED INTO A HEALTH NEEDS MATRIX FOR THE COMMUNITY TO ILLUSTRATE WHERE THE QUALITATIVE DATA CORRESPONDS AND DIFFER. THE CHNA STEERING COMMITTEE SELECTED CRITERIA TO BE USED FOR THE PRIORITIZATION WORKGROUP TO IDENTIFY THE MOST SIGNIFICANT NEEDS FOR EACH COMMUNITY. THE CRITERIA UTILIZED WAS: IMPORTANCE OF THE PROBLEM TO THE COMMUNITY, ALIGNMENT WITH THE HEALTH SYSTEMS STRENGTHS, RESOURCES AVAILABLE TO ADDRESS THE HEALTH NEED, THE MAGNATUDE OF THE NUMBER OF PEOPLE AFFECTED EITHER ACTUALLY OR POTENTIALLY AND THE IMPACT OF THE HEALTH NEED ON VULNERABLE POPULATIONS. THROUGH THE PRIORITIZATION PROCESS, THREE SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED IN THE BEAUMONT HOSPITAL TRENTON IMPLEMENTATION STRATEGY: OBESITY, CARDIOVASCULAR DISEASE AND OBESITY. ALL OTHER SIGNIFICANT NEEDS WERE NOT CHOSEN FOR A COMBINATION OF THE FOLLOWING REASONS: THE NEED WAS NOT WELL-ALIGNED WITH ORGANIZATIONAL STRENGTHS, THERE WAS NOT ENOUGH EXISTING ORGANIZATIONAL RESOURCES TO ADEQUATELY ADDRESS THE NEED, IMPLEMENTATION EFFORTS WOULD NOT IMPACT AS MANY COMMUNITY RESIDENTS AS THOSE THAT WERE CHOSEN, OR THE CHOSEN NEEDS MORE SIGNIFICANTLY IMPACT VULNERABLE POPULATIONS.IMPLEMENTATION PLANS WERE DEVELOPED FOR EACH BEAUMONT HOSPITAL WITH THE PRIORITIZED NEEDS OF OBESITY, CARDIOVASCULAR DISEASE, AND DIABETES. CURRENT PROGRAMMING WAS IDENTIFIED ALONG WITH NEW PROGRAMS TO BE IMPLEMENTED. THE CHNA AND IMPLEMENTATION STRATEGIES WERE SHARED WITH ALL ORGANIZATIONS AND PARTICIPANTS WHO PARTICIPATED IN THE INTERVIEWS AND FOCUS GROUPS, SHARED WITH COMMUNITY COALITIONS AND POSTED ON THE BEAUMONT HEALTH WEBSITE. COPIES ARE AVAILABLE UPON REQUEST. GROUP A-FACILITY 2 -- OAKWOOD 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 QUALITIATIVE 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 PARTICIPANTED IN THE INTERVIEW AND FOCUS GROUP PROCESS. FOR A COMPLETE LISTING OF PARTICIPANTS PLEASE VISIT BEAUMONT.ORG/CHNA. GROUP A-FACILITY 2 -- OAKWOOD 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 -- OAKWOOD 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 -- OAKWOOD HOSPITAL, TRENTON PART V, SECTION B, LINE 11: THE 2016 CHNA FOR BEAUMONT HOSPITAL 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 OVER 125 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 TRENTON IN 2017 INCLUDE A WEEKLY WALKING PROGRAM WITH OVER 521 PARTICIPANTS, THE INSTALLATION OF 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 STROLL & ROLL WEEKLY WALK & BIKE MEET-UP THAT ENCOURAGES INDIVIDUALS TO WALK/RIDE WEEKLY. BEAMONT 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 ALSO PARTICIPATES IN THE TRENTON FARMERS MARKET WITH NUTRITION ACTIVITIES AND INFORMATION. A RESTAURANT RECOGNITION PROGRAM WAS BEGUN IN 2017 TO RECOGNIZE RESTAURANTS THAT PROVIDE HEALTHY MEALS TO THE COMMUNITY. IN 2017, BEAUMONT HOSPITAL TRENTON PROVIDED 890 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 TRENTON PROVIDES SHARE OUR STRENGTHS 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 33 INDIVIDUALS, PROVIDING 198 UNITS OF EDUCATION. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 97% (VERY GOOD). AND, OUTCOME DATA INDICATED AN AGGREGATE INCREASE IN KNOWLEDGE OF 22% INCLUDING SIGNIFICANT IMPROVEMENT USING NUTRITION FACTS ON FOOD LABELS AND CONFIDENCE BUYING HEALTHY FOODS FOR THEIR FAMILY ON A BUDGET. BEAUMONT 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 15 INDIVIDUALS IN THE TRENTON SERVICE AREA WITH 207 UNITS OF EDUCATION AND SUPPORT. PARTICIPANTS WHO ATTENDED THE MONTHLY MAINTENANCE SESSIONS FOLLOWING THE CORE COURSE AVERAGED A WEIGHT LOSS OF 4.9% OF INITIAL BODY WEIGHT (MEETING TARGET) AND AVERAGED 115 PHYSICAL ACTIVITY MINUTES PER WEEK. BEAUMONT HOSPITAL TRENTON PROVIDED 11 INDIVIDUALS WITH 48 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 91% 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). BEAUMONT HOSPITAL TRENTON PROVIDED DIABETES SCREENING AS PART OF THE HEART HEALTH SCREENING PROGRAM IN THE COMMUNITY TO 600 UNDUPLICATED INDIVIDUALS WITH 890 SCREENINGS.PRIORITY 3: OBESITYBEAUMONT HOSPITAL TRENTON LAUNCHED BEAUMONT GETS WALKING IN 2017. 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. 137 WALKING GROUPS WERE FORMED WITH 521 INDIVIDUALS PARTICIPATING.COOKING MATTERS FOR TEENS WAS OFFERED TO THE COMMUNITY BY BEAUMONT HOSPITAL TRENTON. THIS SIX-WEEK CURRICULUM TEACHES TEENAGERS HOW TO MAKE HEALTHY FOOD CHOICES AND PREPARE HEALTHY MEALS AND SNACKS. TEENS TAKE HOME A BAG OF GROCERIES AFTER EACH CLASS SO THEY CAN PRACTICE THE RECIPES TAUGHT DURING THE CLASS.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. THESE POPULAR CLASSES HAVE BEEN ATTENDED BY 226 INDIVIDUALS, WITH 729 UNITS OF SERVICE PROVIDED. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 97% (VERY GOOD). AND, OUTCOME DATA INDICATED AN AGGREGATE INCREASE IN KNOWLEDGE OF 22% INCLUDING SIGNIFICANT IMPROVEMENT USING NUTRITION. FACTS ON FOOD LABELS AND CONFIDENCE BUYING HEALTHY FOODS FOR THEIR FAMILY ON A BUDGET. IN THE BEAUMONT TRENTON SERVICE AREA, 190 CHILDREN WERE PROVIDED CATCH (COORDINATED APPROACH TO CHILD HEALTH) KIDS CLUB PROGRAM IN AFTER-SCHOOL AND SUMMER PROGRAMS. THE TOTAL NUMER OF UNITS OF SERVICE FOR THESE CHILDREN WAS 6,652. 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. AGGRAGATED STUDENT OUTCOME DATA INDICATED IMPROVEMENTS IN MULTIPLE MEASURES INCLUDING A 40% INCREASE IN THE CONSUMPTION OF FRUITS AND VEGETABLES, AND INCREASE IN EXERCISE OR PARTICIPATION IN SPORTS ACTIVITIES FOR AT LEAST 20 MINUTES. AND, 96% OF STUDENTS REPORTED THEY ALMOST ALWAYS OR ALWAYS READ NUTRITION LABELS ON PACKAGES AFTER PARTICIPATING IN CATCH KIDS CLUB FOR A SCHOOL YEAR. GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL, WAYNE PART V, SECTION B, LINE 3J: A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN 2016 FOR EACH OF THE BEAUMONT HEALTH HOSPITALS WITH THE GOAL OF IMPROVING THE HEALTH OF RESIDENTS IN SOUTHEASTERN MICHIGAN. BEAUMONT HAS LONG CONSIDERED COMMUNITY NEED A CORE COMPONENT OF THEIR MISSION OF SERVICE TO LOCAL COMMUNITIES.AN INTERNAL STEERING COMMITTEE WAS CONVENED TO GUIDE THE PROCESS AND ASSIST IN THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR EACH HOSPITAL. THE PRIMARY SERVICE AREA FOR BEAUMONT HOSPITAL WAYNE WAS DEFINED BY THE CONTIGUOUS ZIP CODES WHERE 80 PERCENT OF THE HOSPITALS ADMITTED PATIENTS ORIGINATE. THE COMBINED PRIMARY SERVICE AREAS OF THE EIGHT BEAUMONT SERVICE AREAS INCLUDES MACOMB, OAKLAND AND WAYNE COUNTIES IN SOUTHEAST MICHIGAN. TRUVEN HEALTH ANALYTICS WERE RETAINED TO ASSIST IN THE QUANTITATIVE AND QUALITATIVE DATA. MORE THAN 100 PUBLIC HEALTH INDICATORS WERE EVALUATED FOR THE QUANTITATIVE ANALYSIS. COMMUNITY NEEDS WERE IDENTIFIED BY COMPARING EACH COMMUNITYS VALUE FOR EACH HEALTH INDICATOR TO THAT OF THE STATE AND NATION. WHERE THE COMMUNITY VALUE WAS WORSE THAN THE STATE, THE INDICATOR WAS IDENTIFIED AS A COMMUNITY HEALTH NEED. AFTER INITIAL COMMUNITY NEEDS WERE IDENTIFIED, AN INDEX OF MAGNITUDE ANALYSIS WAS CONDUCTED TO DETERMINE RELATIVE SEVERITY. FOCUS GROUPS AND INTERVIEWS PROVIDED QUALITIATIVE 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. BEAUMONT PHYSICIANS, NURSES, HOSPITAL LEADERSHIP AND CHRONIC DISEASE EXPERTS PARTICIPANTED IN THE INTERVIEW AND FOCUS GROUP PROCESS. FOR A COMPLETE LISTING OF PARTICIPANTS PLEASE VISIT BEAUMONT.ORG/CHNA. THE OUTCOMES OF THE QUANTITATIVE AND QUALITATIVE ANALYSIS WERE ALIGNED TO CREATE A COMPREHENSIVE LIST OF HEALTH NEEDS FOR EACH COMMUNITY. THE HEALTH NEEDS WERE THEN COMPILED INTO A HEALTH NEEDS MATRIX FOR THE COMMUNITY TO ILLUSTRATE WHERE THE QUALITATIVE DATA CORRESPONDS AND DIFFER. THE CHNA STEERING COMMITTEE SELECTED CRITERIA TO BE USED FOR THE PRIORITIZATION WORKGROUP TO IDENTIFY THE MOST SIGNIFICANT NEEDS FOR EACH COMMUNITY. THE CRITERIA UTILIZED WAS: IMPORTANCE OF THE PROBLEM TO THE COMMUNITY, ALIGNMENT WITH THE HEALTH SYSTEMS STRENGTHS, RESOURCES AVAILABLE TO ADDRESS THE HEALTH NEED, THE MAGNATUDE OF THE NUMBER OF PEOPLE AFFECTED EITHER ACTUALLY OR POTENTIALLY AND THE IMPACT OF THE HEALTH NEED ON VULNERABLE POPULATIONS. THROUGH THE PRIORITIZATION PROCESS, THREE SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED IN THE BEAUMONT HOSPITAL WAYNE IMPLEMENTATION STRATEGY: OBESITY, CARDIOVASCULAR DISEASE AND OBESITY. ALL OTHER SIGNIFICANT NEEDS WERE NOT CHOSEN FOR A COMBINATION OF THE FOLLOWING REASONS: THE NEED WAS NOT WELL-ALIGNED WITH ORGANIZATIONAL STRENGTHS, THERE WAS NOT ENOUGH EXISTING ORGANIZATIONAL RESOURCES TO ADEQUATELY ADDRESS THE NEED, IMPLEMENTATION EFFORTS WOULD NOT IMPACT AS MANY COMMUNITY RESIDENTS AS THOSE THAT WERE CHOSEN, OR THE CHOSEN NEEDS MORE SIGNIFICANTLY IMPACT VULNERABLE POPULATIONS.IMPLEMENTATION PLANS WERE DEVELOPED FOR EACH BEAUMONT HOSPITAL WITH THE PRIORITIZED NEEDS OF OBESITY, CARDIOVASCULAR DISEASE, AND DIABETES. CURRENT PROGRAMMING WAS IDENTIFIED ALONG WITH NEW PROGRAMS TO BE IMPLEMENTED. THE CHNA AND IMPLEMENTATION STRATEGIES WERE SHARED WITH ALL ORGANIZATIONS AND PARTICIPANTS WHO PARTICIPATED IN THE INTERVIEWS AND FOCUS GROUPS, SHARED WITH COMMUNITY COALITIONS AND POSTED ON THE BEAUMONT HEALTH WEBSITE. COPIES ARE AVAILABLE UPON REQUEST. GROUP A-FACILITY 3 -- OAKWOOD 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 QUALITIATIVE 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 PARTICIPANTED IN THE INTERVIEW AND FOCUS GROUP PROCESS. FOR A COMPLETE LISTING OF PARTICIPANTS PLEASE VISIT BEAUMONT.ORG/CHNA. GROUP A-FACILITY 3 -- OAKWOOD 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 -- OAKWOOD 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 -- OAKWOOD HOSPITAL, WAYNE PART V, SECTION B, LINE 11: THE 2016 CHNA FOR 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 HAS OVER 80 INDIVIDUALS PARTICIPATING TO PROMOTE HEALTHY EATING AND ACTIVE LIVING TO ADDRESS CARDIOVASCULAR DISEASE, DIABETES AND OBESITY. COALITION MEMBERS INCLUDE LOCAL GOVERNMENT LEADERSHIP, COMMUNITY RESIDENTS, THE LOCAL SCHOOL SYSTEM, NONPROFIT ORGANIZATIONS, FAITH BASED ORGANIZATIONS, MEDICAL PROVIDERS, INSURANCE PROVIDERS, AND THOSE REPRESENTING CHRONIC DISEASE ORGANIZATIONS. ACTION TEAMS IN THIS COALITION INCLUDE HEALTHY EATING, HEALTHY ACTIVE LIVING, HEALTHY WORKSITES, HEALTHY SCHOOLS 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 CPR AND FIRST AID TRAINING TO 24 COMMUNITY MEMBERS THOUGH THE BEAUMONT WESTLAND (ADAMS) CHILD & ADOLESCENT HEALTH CENTERAND THE BEAUMONT TEEN HEALTH CENTERS IN ROMULUS AND INKSTER. BEAUMONT COMMUNITY HEALTH PROVIDED 622 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 WAYNE PROVIDES SHARE OUR STRENGTHS 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 68 INDIVIDUALS, PROVIDING 330 UNITS OF EDUCATION. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 97% (VERY GOOD). AND, OUTCOME DATA INDICATED AN AGGREGATE INCREASE IN KNOWLEDGE OF 22% INCLUDING SIGNIFICANT IMPROVEMENT USING NUTRITION FACTS ON FOOD LABELS AND CONFIDENCE BUYING HEALTHY FOODS FOR THEIR FAMILY ON A BUDGET. 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 10 INDIVIDUALS IN THE WAYNE SERVICE AREA WITH 207 UNITS OF EDUCATION AND SUPPORT. PARTICIPANTS WHO ATTENDED THE MONTHLY MAINTENANCE SESSIONS FOLLOWING THE CORE COURSE AVERAGED A WEIGHT LOSS OF 4.9% OF INITIAL BODY WEIGHT (MEETING TARGET) AND AVERAGED 115 PHYSICAL ACTIVITY MINUTES PER WEEK. BEAUMONT HOSPITAL WAYNE PROVIDED 11 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 91% 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). BEAUMONT HOSPITAL WAYNE PROVIDED DIABETES SCREENING AS PART OF THE HEART HEALTH SCREENING PROGRAM IN THE COMMUNITY TO 373 UNDUPLICATED INDIVIDUALS WITH 622 SCREENINGS.PRIORITY 3: OBESITYBEAUMONT HOSPITAL WAYNE LAUNCHED NEIGHBORHOOD WALKING GROUPS IN 2017. 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. 96 WALKING GROUPS WERE FORMED WITH 310 INDIVIDUALS PARTICIPATING.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 57 INDIVIDUALS, WITH 342 UNITS OF SERVICE PROVIDED. AGGRAGATE PARTICIPANT SATISFACTION WITH THE CLASSES WAS 97% (VERY GOOD). AND, OUTCOME DATA INDICATED AN AGGREGATE INCREASE IN KNOWLEDGE OF 22% INCLUDING SIGNIFICANT IMPROVEMENT USING NUTRITION. FACTS ON FOOD LABELS AND CONFIDENCE BUYING HEALTHY FOODS FOR THEIR FAMILY ON A BUDGET. IN ADDITION, 57 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.IN THE BEAUMONT WAYNE SERVICE AREA, 190 CHILDREN WERE PROVIDED CATCH (COORDINATED APPROACH TO CHILD HEALTH) KIDS CLUB PROGRAM IN AFTER-SCHOOL AND SUMMER PROGRAMS. THE TOTAL NUMER OF UNITS OF SERVICE FOR THESE CHILDREN WAS 6,652. 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. AGGRAGATED STUDENT OUTCOME DATA INDICATED IMPROVEMENTS IN MULTIPLE MEASURES INCLUDING A 40% INCREASE IN THE CONSUMPTION OF FRUITS AND VEGETABLES, AND INCREASE IN EXERCISE OR PARTICIPATION IN SPORTS ACTIVITIES FOR AT LEAST 20 MINUTES. AND, 96% OF STUDENTS REPORTED THEY ALMOST ALWAYS OR ALWAYS READ NUTRITION LABELS ON PACKAGES AFTER PARTICIPATING IN CATCH KIDS CLUB FOR A SCHOOL YEAR. GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL, TAYLOR PART V, SECTION B, LINE 3J: A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN 2016 FOR EACH OF THE BEAUMONT HEALTH HOSPITALS WITH THE GOAL OF IMPROVING THE HEALTH OF RESIDENTS IN SOUTHEASTERN MICHIGAN. BEAUMONT HAS LONG CONSIDERED COMMUNITY NEED A CORE COMPONENT OF THEIR MISSION OF SERVICE TO LOCAL COMMUNITIES.AN INTERNAL STEERING COMMITTEE WAS CONVENED TO GUIDE THE PROCESS AND ASSIST IN THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR EACH HOSPITAL. THE PRIMARY SERVICE AREA FOR BEAUMONT HOSPITAL TAYLOR WAS DEFINED BY THE CONTIGUOUS ZIP CODES WHERE 80 PERCENT OF THE HOSPITALS ADMITTED PATIENTS ORIGINATE. THE COMBINED PRIMARY SERVICE AREAS OF THE EIGHT BEAUMONT SERVICE AREAS INCLUDES MACOMB, OAKLAND AND WAYNE COUNTIES IN SOUTHEAST MICHIGAN. TRUVEN HEALTH ANALYTICS WERE RETAINED TO ASSIST IN THE QUANTITATIVE AND QUALITATIVE DATA. MORE THAN 100 PUBLIC HEALTH INDICATORS WERE EVALUATED FOR THE QUANTITATIVE ANALYSIS. COMMUNITY NEEDS WERE IDENTIFIED BY COMPARING EACH COMMUNITYS VALUE FOR EACH HEALTH INDICATOR TO THAT OF THE STATE AND NATION. WHERE THE COMMUNITY VALUE WAS WORSE THAN THE STATE, THE INDICATOR WAS IDENTIFIED AS A COMMUNITY HEALTH NEED. AFTER INITIAL COMMUNITY NEEDS WERE IDENTIFIED, AN INDEX OF MAGNITUDE ANALYSIS WAS CONDUCTED TO DETERMINE RELATIVE SEVERITY. FOCUS GROUPS AND INTERVIEWS PROVIDED QUALITIATIVE 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. BEAUMONT PHYSICIANS, NURSES, HOSPITAL LEADERSHIP AND CHRONIC DISEASE EXPERTS PARTICIPANTED IN THE INTERVIEW AND FOCUS GROUP PROCESS. FOR A COMPLETE LISTING OF PARTICIPANTS PLEASE VISIT BEAUMONT.ORG/CHNA. THE OUTCOMES OF THE QUANTITATIVE AND QUALITATIVE ANALYSIS WERE ALIGNED TO CREATE A COMPREHENSIVE LIST OF HEALTH NEEDS FOR EACH COMMUNITY. THE HEALTH NEEDS WERE THEN COMPILED INTO A HEALTH NEEDS MATRIX FOR THE COMMUNITY TO ILLUSTRATE WHERE THE QUALITATIVE DATA CORRESPONDS AND DIFFER. THE CHNA STEERING COMMITTEE SELECTED CRITERIA TO BE USED FOR THE PRIORITIZATION WORKGROUP TO IDENTIFY THE MOST SIGNIFICANT NEEDS FOR EACH COMMUNITY. THE CRITERIA UTILIZED WAS: IMPORTANCE OF THE PROBLEM TO THE COMMUNITY, ALIGNMENT WITH THE HEALTH SYSTEMS STRENGTHS, RESOURCES AVAILABLE TO ADDRESS THE HEALTH NEED, THE MAGNATUDE OF THE NUMBER OF PEOPLE AFFECTED EITHER ACTUALLY OR POTENTIALLY AND THE IMPACT OF THE HEALTH NEED ON VULNERABLE POPULATIONS. THROUGH THE PRIORITIZATION PROCESS, THREE SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED IN THE BEAUMONT HOSPITAL TAYLOR IMPLEMENTATION STRATEGY: OBESITY, CARDIOVASCULAR DISEASE AND OBESITY. ALL OTHER SIGNIFICANT NEEDS WERE NOT CHOSEN FOR A COMBINATION OF THE FOLLOWING REASONS: THE NEED WAS NOT WELL-ALIGNED WITH ORGANIZATIONAL STRENGTHS, THERE WAS NOT ENOUGH EXISTING ORGANIZATIONAL RESOURCES TO ADEQUATELY ADDRESS THE NEED, IMPLEMENTATION EFFORTS WOULD NOT IMPACT AS MANY COMMUNITY RESIDENTS AS THOSE THAT WERE CHOSEN, OR THE CHOSEN NEEDS MORE SIGNIFICANTLY IMPACT VULNERABLE POPULATIONS.IMPLEMENTATION PLANS WERE DEVELOPED FOR EACH BEAUMONT HOSPITAL WITH THE PRIORITIZED NEEDS OF OBESITY, CARDIOVASCULAR DISEASE, AND DIABETES. CURRENT PROGRAMMING WAS IDENTIFIED ALONG WITH NEW PROGRAMS TO BE IMPLEMENTED. THE CHNA AND IMPLEMENTATION STRATEGIES WERE SHARED WITH ALL ORGANIZATIONS AND PARTICIPANTS WHO PARTICIPATED IN THE INTERVIEWS AND FOCUS GROUPS, SHARED WITH COMMUNITY COALITIONS AND POSTED ON THE BEAUMONT HEALTH WEBSITE. COPIES ARE AVAILABLE UPON REQUEST. GROUP A-FACILITY 4 -- OAKWOOD 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 QUALITIATIVE 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 PARTICIPANTED IN THE INTERVIEW AND FOCUS GROUP PROCESS. FOR A COMPLETE LISTING OF PARTICIPANTS PLEASE VISIT BEAUMONT.ORG/CHNA. GROUP A-FACILITY 4 -- OAKWOOD 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 -- OAKWOOD 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 -- OAKWOOD HOSPITAL, TAYLOR PART V, SECTION B, LINE 11: THE 2016 CHNA FOR BEAUMONT HOSPITAL 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 112 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 HOSPITAL TAYLOR TO ADDRESS CARDIOVASCULAR DISEASE INCLUDE HEART HEALTH SCREENINGS TO 629 UNDUPLICATED INDIVIDUALS WITH A TOTAL OF 1,652 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 POST SCREENING TO ASSESS AND ENCOURAGE FOLLOW-UP. 98% OF INDIVIDUALS SCREENED INDICATED GOOD OR VERY GOOD UNDERSTANDING OF THEIR SCREENING RESULTS AND 97% INDICATED THEY HAD A GOOD/VERY GOOD UNDERSTANDING OF THE STEPS THEY NEED TO TAKE TO KEEP THEIR HEART HEALTHY. CPR AND FIRST AID TRAINING TO 35 YOUTH THOUGH THE BEAUMONT TEEN HEALTH CENTERS. PRIORITY 2: DIABETESIN PARTNERSHIP WITH GLEANERS COMMUNITY FOOD BANK OF SOUTHEASTERN MICHIGAN, BEAUMONT HOSPITAL TAYLOR PROVIDES SHARE OUR STRENGTHS COOKING MATTERS FOR ADULTS EXTRA FOR DIABETES. THIS SIX WEEK CLASS INCLUDES THE COOKING MATTERS FOR ADULTS CURRICULA AS DESCRIBED BELOW ALONG WITH SPECIALIZED INFORMATION THROUGHOUT THE COURSE FOR ADULTS LIVING WITH DIABETES, CARETAKERS OF ADULTS LIVING WITH DIABETES, OR PRE-DIABETIC ADULTS. THESE CLASSES WERE ATTENDED BY 21 INDIVIDUALS, PROVIDING 126 UNITS OF EDUCATION. PARTICIPANT SATISFACTION WITH THE CLASSES WAS 90% (VERY GOOD). OUTCOME DATA INDICATED AN AGGREGATE INCREASE IN KNOWLEDGE OF 21% INCLUDING SIGNIFICANT IMPROVEMENT USING NUTRITION FACTS ON FOOD LABELS 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 15 INDIVIDUALS WITH 69 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 91% OF PARTICIPANTS WERE MORE CONFIDENT ABOUT HANDLING THEIR HEALTH CONDITION AFTER TAKING THE WORKSHOP, 42% REPORTED TESTING THEIR BLOOD SUGAR 7 DAYS PER WEEK COMPARED TO 29% AT THE START OF THE PROGRAM. AT THE POST-TEST, 31% REPORTED EXERCISING MORE THAN 150 MINUTES PER WEEK COMPARED TO 11% 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 13 INDIVIDUALS IN THE COMMUNITY WITH 155 UNITS OF SERVICE. 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. PARTICIPANTS WHO ATTENDED THE MONTHLY MAINTENANCE SESSIONS FOLLOWING THE CORE COURSE AVERAGED A WEIGHT LOSS OF 2.82% OF INITIAL BODY WEIGHT (MEETING TARGET) AND AVERAGED 95 PHYSICAL ACTIVITY MINUTES PER WEEK. BEAUMONT HOSPITAL TAYLOR PROVIDED DIABETES SCREENING AS PART OF THE HEART HEALTH SCREENING IN THE COMMUNITY TO 629 UNDUPLICATED INDIVIDUALS WITH 1,652 SCREENINGS.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 EQUIPS FAMILIES WITH THE SKILLS THEY NEED TO STRETCH THEIR FOOD DOLLARS AND PREPARE HEALTHY MEALS ON A BUDGET. 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 104 INDIVIDUALS WITH 343 UNITS OF SERVICE PROVIDED. AGGRAGATE OUTCOME DATA FOR THE COOKING MATTERS PROGRAM INDICATED 90% SATISFACTION WITH THE CLASSES, 21% IMPROVEMENT IN CHOOSING THE BEST-PRICED FORM OF FRUITS AND VEGETABLES, 31% INCREASE IN USING NUTRITION FACTS ON LABELS, 19% IMPROVEMENT IN ADJUSTING MEALS TO BE MORE HEALTHY, 21% IMPROVEMENT IN CHOOSING HEALTHIER FOODS WHEN DINING OUT AND A 23% IMPROVEMENT IN BUYING HEALTHY FOODS ON A BUDGET.THE BEAUMONT TAYLOR TEEN HEALTH CENTER PROVIDED NUTRITION COUNSELING BY A REGISTERED DIETICIAN TO 29 STUDENTS WITH 79 VISITS. OUTCOME DATA INDICATED A 32% INCREASE IN THE CONSUMPTION OF FRESH FRUITS AND VEGETABLES AND A 44% DECREASE IN THE CONSUMPION OF SUGARY BEVERAGES BY YOUTH.BEAUMONT HEALTHY TAYLOR IN PARTNERSHIP WITH THE CITY OF TAYLOR PARKS AND RECREATION LAUNCHED BEAUMONT GETS WALKING IN 2017 TO PROMOTE PHYSICAL ACTIVITY IN THE COMMUNITY FOR ALL AGES. PARTICIPANTS WHO WALK ARE PROVIDED A TOOLKIT WITH A PEDOMETER, LANYARD AND WALKING LOG ALONG WITH TIP SHEETS. LOGS ARE TURNED IN FOR INCENTIVES AND INDIVIDUALS RECEIVE ONGOING ENCOURAGEMENT, TIPS AND INFORMATION ABOUT UPCOMING ACTIVITIES RELATED TO WALKING. THE PROGRAM REGISTERED 164 WALKING GROUPS WITH 648 PARTICIPANTS.THROUGH BEAUMONT HOSPITAL TAYLOR AND HEALTHY TAYLOR, WALK WITH A DOC WAS ALSO PROVIDED TO INDIVIDUALS IN THE COMMUNITY. THIS NATIONALLY RECOGNIZED PROGRAM INCLUDES PHYSICIAN PRESENTATIONS ON VARIOUS TOPICS RELATED TO OBESITY, HEART DISEASE AND DIABETES FOLLOWED BY THE PHYSICIAN LEADING A WALK. IN 2017, THEIR WERE 19 WALKS WITH 175 PARTICIPANTS.OTHER EVENTS PROVIDED BY BEAUMONT HEALTHY TAYLOR INCLUDE A PARTNERSHIP WITH THE YMCA THAT OFFERED A FREE SWIM PROGRAM FOR 40 TAYLOR SCHOOL STUDENTS, A PARTNERSHIP WITH THE NATIONAL KIDNEY FOUNDATION TO PROVIDE A WORKSITE WELLNESS PROGRAM TO WAYNE COUNTY COMMUNITY COLLEGE IN TAYLOR, A PARTNERSHIP WITH THE TAYLOR ROTARY ON TURN OFF THE VIOLENCE WHICH HAD PHYSICAL ACTIVITY AND HEALTH RELATED LEARNING ACTIVITIES. AN ESTIMATED 1,000 PEOPLE ATTENDED THIS EVENT. BEAUMONT HOSPITAL TAYLOR ALSO PROVIDED FITNESS EDUCATION TO 50 ADULTS AND 5 DISABLED CHILDREN WITH COMMUNITY SEMINARS AND LESSONS.BEAUMONT HOSPITAL TAYLOR ALSO SPONSORED THEY TAYLOR FARMERS MARKET AND OFFERED THE POWER OF PRODUCE PROGRAM (POP) A NATIONALLY RECOGNIZED PROGRAM FOR CHILDREN WHICH EMPOWERS THEM TO MAKE HEALTHY FOOD CHOICES AND INTRODUCING THEM TO THE ORIGINS OF THEIR FOOD. DURING THE COURSE OF THE SUMMER, 153 CHILDREN REGISTERED AND PARTICIPATED IN THIS PROGRAM. PART V, LINES 7 AND 10 BEAUMONT HOSPITAL, DEARBORN'S CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL ON THE HOSPITAL SYSTEM'S WEBSITE:WWW.BEAUMONT.ORG/ABOUT-US/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:WWW.BEAUMONT.ORG/ABOUT-US/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:WWW.BEAUMONT.ORG/ABOUT-US/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:WWW.BEAUMONT.ORG/ABOUT-US/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, LINE 16 A, 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:HTTP://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:HTTP://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:HTTP://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:HTTP://WWW.BEAUMONT.ORG/PATIENTS-FAMILIES/BILLING/FINANCIAL-ASSISTANCE 70 1 - OAKWOOD DEARBORN MEDICAL PARK 18100 OAKWOOD BLVD DEARBORN MI 48124 O/P PHYS/CARDIAC CLINICS, BREAST CARE/DIALYSIS CTR,O/P IMAGING,LAB DRAW SITE 2 - OAKWOOD SOUTHSHORE SURGERY CENTER 5452 FORT STREET TRENTON MI 48183 O/P SURGICAL SERVICES, REHAB. CLINIC (PT & OT), ORTHOPEDIC CTR OF EXCELLENCE 3 - OAKWOOD HEALTH CARE CENTER-CANTON 7300 CANTON CENTER ROAD CANTON MI 48187 EMERGENCY ROOM, RADIOLOGY, OUTPATIENT IMAGING, LAB DRAW SITE 4 - OAKWOOD MEDICAL OFFICES-DEARBORN 18181 OAKWOOD BLVD DEARBORN MI 48124 OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE 5 - OAKWOOD HEALTH CARE CENTER-SOUTHGATE 15777 NORTHLINE ROAD SOUTHGATE MI 48195 O/P CLINIC, CANCER CTR, URGENT CARE, RADIOLOGY, REHAB - PT, LAB DRAW SITE 6 - OAKWOOD MIDWEST SURGERY CENTER 4700 SCHAEFER ROAD DEARBORN MI 48126 O/P PHYS CLINIC, O/P SURG SERVICES, O/P IMAGING 7 - OAKWOOD HERITAGE HOSPITAL REHAB SCVS 9870 TELEGRAPH TAYLOR MI 48180 REHAB. CLINIC - PT 8 - OAKDALE MEDICAL VILLAGE 25045 FORD ROAD DEARBORN MI 48128 OUTPATIENT IMAGING, LAB DRAW SITE 9 - HAGGERTY MEDICAL BUILDING-CANTON 2050 NORTH HAGGERTY ROAD CANTON MI 48188 OUTPATIENT PHYSICIAN CLINIC, OUTPATIENT IMAGING 10 - OAKWOOD BREAST CARE CENTER 4491 VENOY ROAD WAYNE MI 48184 BREAST CARE CENTER 11 - OAKWOOD SOUTHSHORE PHYS MED REHAB 2707 W JEFFERSON TRENTON MI 48183 REHAB. CLINIC - PT, OT AND ST 12 - OAKWOOD MEDICAL OFFICES-WAYNE 33000 ANNAPOLIS AVENUE WAYNE MI 48184 OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT, OT AND ST 13 - OAKWOOD TRAINING & DEVELOPMENT CENTER 18501 ROTUNDA DRIVE DEARBORN MI 48124 OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC 14 - OAKWOOD HEALTH CARE CENTER-MERCURY DR 4900 MERCURY DRIVE DEARBORN MI 48126 OUTPATIENT PHYSICIAN CLINIC 15 - OAKWOOD MEDICAL OFFICE BLDG-CANTON 7330 CANTON CENTER ROAD CANTON MI 48187 OUTPATIENT PHYSICIAN CLINIC 16 - OAKWOOD SPORTS MEDICINE-DEARBORN 2552 MONROE DEARBORN MI 48124 REHAB. CLINIC - PT 17 - OAKWOOD REHAB THERAPY SVCS-W DEARBORN 22731 NEWMAN ROAD DEARBORN MI 48124 REHAB. CLINIC - PT 18 - OAKWOOD OUTPATIENT IMAGING 1676 FORT STREET TRENTON MI 48183 OUTPATIENT IMAGING 19 - OAKWOOD HEALTH CARE CENTER-WESTLAND 2001 SOUTH MERRIMAN WESTLAND MI 48186 OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE 20 - INTERNAL MEDICINE WYANDOTTE 1700 BIDDLE AVENUE WYANDOTTE MI 48192 OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE 21 - OAKWOOD HEALTH CARE CENTER-BELLEVILLE 201 THIRD STREET BELLEVILLE MI 48111 OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT 22 - OAKWOOD HEALTH CARE CENTER-ALLEN PARK 15915 SOUTHFIELD ALLEN PARK MI 48101 OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT 23 - OAKWOOD PHYSICAL THERAPY CENTER 4111 S CANTON CENTER ROAD CANTON MI 48188 REHAB. CLINIC - PT 24 - OAKLANE MEDICAL SUITES 17000 HUBBARD DEARBORN MI 48126 OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT 25 - OAKWOOD MEDICAL OFFICES-TRENTON 5400 FORT STREET TRENTON MI 48183 OUTPATIENT PHYSICIAN CLINIC, CARDIAC REHAB. CLINIC, LAB DRAW SITE 26 - OAKWOOD CARDIAC CENTER 22060 BEECH ROAD DEARBORN MI 48124 CARDIAC CENTER 27 - OAKWOOD VENOY PATIENT SERVICE CENTER 4020 VENOY SUITE 200A WAYNE MI 48184 OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE 28 - OAKWOOD MEDICAL OFF BLDG-GARDEN CITY 29150 FORD ROAD GARDEN CITY MI 48135 OUTPATIENT PHYSICIAN CLINIC, URGENT CARE 29 - OAKWOOD IMAGING CENTER TAYLOR 8850 S TELEGRAPH ROAD TAYLOR MI 48180 OUTPATIENT IMAGING 30 - OAKWOOD HEALTH CARE CENTER-TB CLINIC 2001 SOUTH MERRIMAN WESTLAND MI 48186 OUTPATIENT PHYSICIAN CLINIC (TB CLINIC) 31 - OAKWOOD TAYLOR TEEN CENTER 26650 EUREKA ROAD SUITE B TAYLOR MI 48180 OUTPATIENT PHYSICIAN CLINIC 32 - OAKWOOD BLANZY CLINIC 14319 DIX TOLEDO ROAD SOUTHGATE MI 48195 OUTPATIENT PHYSICIAN CLINIC 33 - ONCOLOGY DOWNRIVER 19725 ALLEN ROAD SUITE 101 BROWNSTOWN MI 48183 OUTPATIENT PHYSICIAN CLINIC, ONCOLOGY, O/P IMAGING, LAB DRAW SITE 34 - ATHENS CLINIC 15100 S PLAZA DRIVE TAYLOR MI 48180 OUTPATIENT PHYSICIAN CLINIC 35 - EVERINGHAM FAMILY MEDICINE 12100 HURON RIVER DRIVE ROMULUS MI 48174 OUTPATIENT PHYSICIAN CLINIC 37 - NAJAR OBGYN 2142 MONROE STREET SUITE A DEARBORN MI 48124 OUTPATIENT PHYSICIAN CLINIC 38 - TAYLOR CLINIC 9340 S TELEGRAPH ROAD TAYLOR MI 48180 OUTPATIENT PHYSICIAN CLINIC 38 - OAKWOOD INTERNAL MEDICINE-ALLEN PARK 7804 ALLEN ROAD ALLEN PARK MI 48101 OUTPATIENT PHYSICIAN CLINIC 39 - OAKWOOD HEALTHCARE CENTER-NEWPORT 3132 NEWPORT ROAD NEWPORT MI 48166 OUTPATIENT PHYSICIAN CLINIC 40 - HENRY FORD VILLAGE GERIATRICS 15101 FORD ROAD 1ST FLOOR DEARBORN MI 48126 OUTPATIENT PHYSICIAN CLINIC 41 - OAKMAN MEDICAL GROUP 15120 MICHIGAN AVENUE DEARBORN MI 48126 OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE 42 - ADULT MEDICAL CARE PLLC 35330 NANKIN BLVD SUITE 701 WESTLAND MI 48185 OUTPATIENT PHYSICIAN CLINIC 43 - OAKWOOD PT & WELLNESS CENTER 17101 ROTUNDA BLVD DEARBORN MI 48124 REHAB. CLINIC - PT 44 - OAKWOOD INFUSION SERVICES 1633 FAIRLANE CIRCLE SUITE 165 ALLEN PARK MI 48101 OUTPATIENT INFUSION SERVICES 45 - PRECISION ORTHOPEDICS 25755 TELEGRAPH ROAD BROWNSTOWN MI 48134 OUTPATIENT PHYSICIAN CLINIC 46 - OAKWOOD URGENT CARE WYANDOTTE 211 EUREKA ROAD WYANDOTTE MI 48192 URGENT CARE 47 - LINCOLN-ADAMS CHILDADOLESCENT HC CTR 33475 PALMER WESTLAND MI 48186 OUTPATIENT PHYSICIAN CLINIC 48 - ALLIED MEDICAL GROUP 35180 NANKIN BLVD WESTLAND MI 48185 OUTPATIENT PHYSICIAN CLINIC 49 - SOUTH CANTON INTERNAL MEDICINE 42287 CHEERY HILL RD SUITE D CANTON MI 48188 OUTPATIENT PHYSICIAN CLINIC 50 - TRENTON OBGYN 3290 WEST ROAD TRENTON MI 48183 OUTPATIENT PHYSICIAN CLINIC 51 - LAB AT WOODHAVEN 25000 HALL ROAD WOODHAVEN MI 48183 LAB DRAW SITE 52 - INKSTER TEEN HEALTH CENTER 3250 MIDDLEBELT INKSTER MI 48141 OUTPATIENT PHYSICIAN CLINIC 53 - OAKWOOD HEALTHCARE FLAT ROCK 29100 GATEWAY BLVD FLAT ROCK MI 48134 OUTPATIENT PHYSICIAN CLINIC 54 - GENERAL SURGICAL SERVICES 3851 WEST ROAD SUITE 3 TRENTON MI 48183 OUTPATIENT PHYSICIAN CLINIC 55 - TRUMAN HIGH SCHOOL 11211 BEECH DALY ROAD TAYLOR MI 48180 OUTPATIENT PHYSICIAN CLINIC 56 - OAKWOOD WYANDOTTE SPECIALTY 1848 BIDDLE WYANDOTTE MI 48192 OUTPATIENT PHYSICIAN CLINIC 57 - INKSTER TEEN HEALTH CENTER 25912 ANNAPOLIS STREET INKSTER MI 48141 OUTPATIENT PHYSICIAN CLINIC 58 - DEARBORN FAMILY CLINIC 3133 S TELEGRAPH ROAD DEARBORN MI 48124 OUTPATIENT PHYSICIAN CLINIC 59 - LAB AT FAMILY HEALTH RIVERVIEW CENTER 19020 FORT STREET RIVERVIEW MI 48192 LAB DRAW SITE 60 - OAKWOOD HEALTH CARE CENTER-BROWNSTOWN 17000 KING ROAD BROWNSTOWN MI 48183 OUTPATIENT PHYSICIAN CLINIC 61 - OAKWOOD LABORATORY-HAMLET BLDG 1331 MONROE STREET DEARBORN MI 48124 LAB DRAW SITE, RESPIRATORY CARE 62 - OAKWOOD HOME MEDICAL EQUIPMENT 1633 FAIRLANE CIRCLE DEARBORN MI 48124 DURABLE MEDICAL EQUIPMENT 63 - LAB AT DEARBORN FAMILY PRACTICE 23870 MICHIGAN AVENUE DEARBORN MI 48124 LAB DRAW SITE 64 - INTERNAL MEDICINE MONROE STREET 1611 MONROE STREET DEARBORN MI 48124 OUTPATIENT PHYSICIAN CLINIC 65 - INTERNAL MEDICINE DETROIT 18300 W MCNICHOLS ROAD DETROIT MI 48219 OUTPATIENT PHYSICIAN CLINIC 66 - OAKWOOD YMCA SOUTHGATE PT 16777 NORTHLINE ROAD SOUTHGATE MI 48195 OUTPATIENT PHYSICIAN CLINIC 67 - ROMULUS TEEN HEALTH CENTER 9650 SOUTH WAYNE ROAD ROMULUS MI 48074 OUTPATIENT PHYSICIAN CLINIC 68 - OAKWOOD GERIATRIC ASSOCIATION 16351 ROTUNDA DEARBORN MI 48120 ADULT CARE CENTER 69 - ORTHOPEDIC PROF PRACTICE-WATERWORKS 24031 MICHIGAN AVENUE DEARBORN MI 48124 OUTPATIENT PHYSICIAN CLINIC 70 - METABOLIC NUTRITIONAL DISORDER 6300 N HAGGERTY ROAD SUITE 110 CANTON MI 48187 OUTPATIENT PHYSICIAN CLINIC PART I, LINE 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 HOSPITALS ESTIMATE FOR ITS ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED ON MANAGEMENTS 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: BEAUMONT HEALTHS (SYSTEM) HOSPITAL GENERATED PATIENT ACCOUNTS RECEIVABLE (OF WHICH THE FILING ENTITY IS A SUBSIDIARY WITH HOSPITALS IN ROYAL OAK, TROY AND GROSSE POINTE) ARE REDUCED BY AN ALLOWANCE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE. THE SYSTEMS ESTIMATE FOR ITS PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENTS ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTION BY PAYOR. THE SYSTEM UPDATES THE HISTORICAL COLLECTION RATES QUARTERLY FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE USED TO ESTIMATE THE PROVISION FOR BAD DEBTS AND CONTRACTUAL ALLOWANCES. MANAGEMENT PERFORMS AN ANALYSIS ON A QUARTERLY BASIS TO EVALUATE THE SUFFICIENCY OF THE PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES A PROVISION FOR BAD DEBTS (WHICH INCLUDES UNCOLLECTIBLE DEDUCTIBLES AND CO-PAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY AND INSURED PATIENTS, THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS DURING THE YEAR OF SERVICE BASED ON EXPERIENCE. AT DECEMBER 31, 2017, THE SYSTEM FULLY RESERVED ALL ACCOUNTS AGED AT GREATER THAN 365 DAYS. PART III, LINE 8: THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS THE HOSPITALS MEDICARE COST REPORT.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 AFTER INSURANCE REIMBURSEMENT ADDITIONAL ASSISTANCE IS NEEDED, ALL PATIENTS MAY OBTAIN FINANCIAL ASSISTANCE IF THE INCOME CRITERIA ARE MET.ALL FINANCIAL ASSISTANCE APPLICATIONS ARE BASED ON POLICY GUIDELINES. UNINSURED PATIENTS ARE REQUIRED TO PROVIDE DOCUMENTATION AND A COMPLETED APPLICATION. IF APPROVED, THE ADJUSTMENT IS APPLIED TO THE 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 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 COALTIONS 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'S 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 UNDERINSURED 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 UNDERINSURED.- 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 CONTINGUOUS 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 CONTINGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. IN THE NEXT FIVE YEARS, BEAUMONT TRENTONS POPULATON 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 TRENTONS 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 CONTINGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. IN CONTRAST TO OTHER AREAS IN BEAUMONTS OVERALL COMMUNITY, BEAUMONT WAYNES POPULATION WILL DECREASE LESS THAN 1 PERCENT OVER THE NEXT FIVE YEARS. THE COMMUNITY HAS A LOWER PECENTAGE 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 WAYNES 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 WAYNES POPULATION IS BLACK AND 7 PERCENT IS ASIAN PACIFIC ISLANDER. THE OTHER, ASISAN 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 COMMUNITYS POPULATION BEING HISPANIC. THIS POPULATION IS EXPECTED TO GROW SLIGHTLY OVER THE NEXT FIVE YEARS.BEAUMONT HOSPITAL TAYLOR IS DEFINED AS THE CONTINGUOUS 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 ROUMULUS 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 TAYLORS POPULATION IS PRIMARILY WHITE (73 PERCENT) AND BLACK (20 PERCENT). THE BLACK POPULATION IS PROPORTIONALLLY 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 INSUREANCE 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 AUTISIM 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 BASEDCLINICS 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 WORKGROUPS, COMMITTEES AND BOARDS ASSOCIATED WITH COMMUNITY PROGRAMS.MANY OF OUR EXECUTIVES, MANAGERS AND OTHER EMPLOYEES SERVE AS LEAD VOLUNTEERS OR BOARD DIRECTORS AND OFFICERS FOR KEY NON-PROFIT AGENCIES AND GOVERNMENT COMMISSIONS IN THE REGION. THESE INCLUDE ORGANIZATIONS AND AUTHORITIES ASSOCIATED WITH HEALTH CARE, SOCIAL SERVICES, EDUCATION, MUNICIPAL GOVERNANCE, INDUSTRY AND TRADE GROUPS AS WELL AS SERVICE ORGANIZATIONS AND CHAMBERS OF COMMERCE. MANY OAKWOOD EMPLOYEES ALSO OFFER AD-HOC CONSULTING ADVICE. OAKWOOD HAS ALSO MAINTAINED LONG STANDING, DEMONSTRATED PARTNERSHIPS WITH VITAL COMMUNITY AGENCIES SUCH AS ACCESS (SERVING THE ARAB AMERICAN COMMUNITY AND OTHERS WITH HEALTH AND SOCIAL SERVICES AS WELL AS EMPLOYMENT PROGRAMS); SOUTHWEST SOLUTIONS (SOCIAL SERVICES AND HOUSING AGENCY); STARFISH FAMILY SERVICES (SOCIAL SERVICES); CABRINI, MAPI AND HOPE CLINICS (FREE MEDICAL CLINICS); FIRST STEP (DOMESTIC VIOLENCE AND SEXUAL ASSAULT RESPONSE AGENCY); AND WESTERN WAYNE FAMILY HEALTH CENTERS (FQHC'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 ABROAD RANGE OF TOPICS. OUR ARTS FOR THE SPIRIT PROGRAM PRESENTS HEALING ART AND MUSIC PROGRAMS IN OUR HOSPITALS THAT ARE FREE AND OPEN TO THE PUBLIC. WE HAVE A STRONG TRADITION OF BEING A PART OF OUR COMMUNITY, WITH SHARED VISION OF CREATING HEALTH AND WELLNESS FOR ALL AND CONTINUE TO EXPAND THAT OUTREACH WITH EVERY PASSING YEAR. PART VI, LINE 6: BEAUMONT HEALTH ("THE SYSTEM") IS A MICHIGAN NONPROFIT CORPORATION HEALTH CARE NETWORK THAT WAS FORMED IN 1955, AND IS MICHIGAN'S LARGEST HEALTH CARE SYSTEM, BASED ON INPATIENT ADMISSIONS AND NET PATIENT REVENUE. IN 2017, 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 2017, THE SYSTEM HAD $4.4 BILLION IN NET REVENUE WITH 175,688 INPATIENT ADMISSIONS, 17,789 BIRTHS, AND 574,591 EMERGENCY VISITS. THIS IS MADE POSSIBLE BY THE NEARLY 5,000 PHYSICIANS AND 42,538 EMPLOYEES THAT WORK FOR THE SYSTEM, AND THE 3,154 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 1 MEDICAL RESIDENT STIPENDS 260 15941460 PART I, LINE 2: OAKWOOD HEALTHCARE SYSTEM MAKES CONTRIBUTIONS PRIMARILY TO ORGANIZATIONS THAT HAVE BEEN RECOGNIZED BY THE IRS AS TAX-EXEMPT CHARITABLE ORGANIZATIONS UNDER IRC SECTION 501(C)(3). GOVERNMENT GRANTS RECEIVED BY OAKWOOD HEALTHCARE SYSTEM ARE MONITORED BY THEIR RESPECTIVE DEPARTMENTS. OAKWOOD HEALTHCARE, INC. FOLLOWS THESE GUIDELINES AND IS SUBJECT TO AN A-133 AUDIT ANNUALLY UPON MEETING THE EXPENDITURE THRESHOLD. OAKWOOD HEALTHCARE SYSTEM AWARDS SCHOLARSHIPS ANNUALLY TO EMPLOYEES, FAMILY MEMBERS AND STUDENT VOLUNTEERS. THE EMPLOYEES APPLY AND APPLICATIONS ARE REVIEWED BY AN IMPARTIAL SELECTION COMMITTEE. THE COMMITTEE IS COMPRISED OF REPRESENTATIVES FROM HUMAN RESOURCES, NURSING/ALLIED HEALTH, VOLUNTEER SERVICES, FINANCE AND THE FOUNDATION. APPLICANTS ARE SCORED USING SEVERAL KEY CRITERIA, THEN RANKED ACCORDINGLY. OAKWOOD HEALTHCARE SYSTEM ALSO PROVIDES GRANTS TO EMPLOYEES IN THEIR GREATEST TIME OF NEED AS A RESULT OF PERSONAL CRISIS OR CATASTROPHIC EVENT THROUGH THE HELPING HANDS FUND. THE HELPING HANDS FUND IS ADMINISTERED THROUGH HUMAN RESOURCES AND A COMMITTEE HAS BEEN ESTABLISHED TO REVIEW REQUESTS AND MAKE RECOMMENDATIONS. ELIGIBILITY CRITERIA HAS BEEN ESTABLISHED WITH A MAXIMUM PAYMENT. IN CONJUNCTION WITH THE ORGANIZATION'S GRADUATE MEDICAL EDUCATION PROGRAM SUMMARIZED IN PROGRAM SERVICE ACCOMPLISHMENTS, OAKWOOD HEALTHCARE, INC. PAID MEDICAL RESIDENT STIPENDS IN THE AMOUNT OF $15,941,460 DURING 2017. OAKWOOD HEALTHCARE SYSTEM'S PAYROLL AND HUMAN RESOURCES DEPARTMENT HAS OVERSIGHT OVER THE USE OF GRANT FUNDS FOR SCHOLARSHIPS AND THE HELPING HANDS PROGRAM. X X X X X 1 1 0 1 1 0 0 0 0 MALCOLM HENOCH MD DIRECTOR 469322 0 361297 0 11080 0 214311 0 14750 0 1070760 0 0 0 DAVID WOOD MD EVP & CHIEF MEDICAL OFFICER 0 708426 0 423904 0 27604 0 459312 0 16346 0 1635592 0 0 JOHN FOX PRESIDENT & CEO 0 1767133 0 2101487 0 62430 0 1728945 0 14847 0 5674842 0 0 JOHN KERNDL EVP & CHIEF FINANCIAL OFFICER 0 666977 0 200000 0 4002 0 376747 0 19226 0 1266952 0 0 J PAUL CONWAY SVP & CHIEF HR OFFICER 434390 0 272311 0 19036 0 171708 0 12980 0 910425 0 0 0 KASSEM CHARARA CMO - TAYLOR 274155 0 20357 0 286 0 42113 0 16337 0 353248 0 0 0 DAVID CLAEYS PRESIDENT - DEARBORN 248886 0 49190 0 761 0 121182 0 13510 0 433529 0 0 0 ASHOK JAIN CMO-WAYNE 186489 0 54398 0 2424 0 57740 0 911 0 301962 0 0 0 JONATHAN KAPER CMO-TRENTON 152703 0 29111 0 124 0 32765 0 84 0 214787 0 0 0 PAULO MARCIANO CMO-DEARBORN 189201 0 0 0 395 0 64800 0 0 0 254396 0 0 0 LEE ANN ODOM PRESIDENT TAYLOR 265673 0 90631 0 891 0 130227 0 7098 0 494520 0 0 0 CHRISTINE STESNEY-RIDENOUR PRESIDENT TRENTON 272952 0 93484 0 20781 0 106580 0 17763 0 511560 0 0 0 ERIC WIDNER PRESIDENT WAYNE 278585 0 85915 0 1508 0 106915 0 18413 0 491336 0 0 0 WILLIAM ISENSTEIN SVP MANAGED CARE 241456 0 198356 0 192882 0 17344 0 14059 0 664097 0 0 0 KELLY SMITH SVP & PRESIDENT 193786 0 339914 0 6093 0 16061 0 1015 0 556869 0 0 0 SAMIR DABBOUS PHYSICIAN 1259972 0 0 0 10875 0 8100 0 2943 0 1281890 0 0 0 SAMER ELFALLAL PHYSICIAN 1044884 0 0 0 25026 0 14725 0 18815 0 1103450 0 0 0 J ANTHONY RAKOWSKI PHYSICIAN 940172 0 0 0 19026 0 14725 0 7979 0 981902 0 0 0 MUHAMMAD AZRAK PHYSICIAN 633713 0 183909 0 27840 0 14575 0 19515 0 879552 0 0 0 MOHAMMED OGAILY PHYSICIAN 437124 0 387345 0 8517 0 14575 0 19332 0 866893 0 0 0 BRIAN CONNOLLY FORMER KEY EMPLOYEE 0 0 813452 0 1369631 0 0 0 1400 0 2184483 0 0 0 DAVID CAMPBELL FORMER KEY EMPLOYEE 0 0 152729 0 97481 0 0 0 0 0 250210 0 0 0 BARBARA MEDVEC FORMER KEY EMPLOYEE 0 0 66484 0 71760 0 0 0 0 0 138244 0 0 0 CARLA O'MALLEY FORMER KEY EMPLOYEE 354654 0 50432 0 71719 0 0 0 9855 0 486660 0 0 0 JOHN KEUTEN FORMER OFFICER 0 0 334231 0 590762 0 0 0 0 0 924993 0 0 0 EUGENE MICHALSKI FORMER OFFICER 0 0 0 0 0 421236 0 0 0 0 0 421236 0 0 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 2017 INCLUDE PAYMENTS TO THE FOLLOWING INDIVIDUALS: - BRIAN CONNOLLY, SEVERANCE PAYMENT: $850,013 - JOHN KEUTEN, SEVERANCE PAYMENT: $590,762 - WILLIAM ISENSTEIN, SEVERANCE PAYMENT: $73,594 - DAVID CAMPBELL, SEVERANCE PAYMENT: $97,481 - BARBARA MEDVEC, SEVERANCE PAYMENT: $71,760 - CARLA OMALLEY, SEVERANCE PAYMENT: $50,288 - EUGENE MICHALSKI, SEVERANCE PAYMENT: $417,426 PART I, LINE 4B: OAKWOOD HEALTHCARE, INC. PROVIDES 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 ORGANIZATION. BRIAN CONNOLLY, NON-QUALIFIED PLAN DISTRIBUTION, SERP 457(F): $462,929 WILLIAM ISENSTEIN, NON-QUALIFIED PLAN DISTRIBUTION, SERP 457(F): $101,846 PART I, LINE 5A: OAKWOOD HEALTHCARE, INC. HAS SHORT-TERM AND LONG-TERM INCENTIVE PLANS FOR EXECUTIVES. INCENTIVE AWARDS ARE CALCULATED BASED ON THE ACHIEVEMENT OF MULTIPLE TARGETS, INCLUDING THE ATTAINMENT OF OPERATING REVENUE TARGETS. PART I, LINE 5B: OAKWOOD HEALTHCARE, INC.'S OPERATING REVENUE TARGETS, USED FOR PURPOSES OF DETERMINING SHORT-TERM AND LONG-TERM INCENTIVE AWARDS FOR EXECUTIVES, INCLUDE THE REVENUES OF OAKWOOD HEALTHCARE, INC. AND ITS AFFILIATE ORGANIZATIONS. A MICHIGAN 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 22550000 161691855 1687398 25289969 134714488 1 1 1 1 B 53999789 667921 53331869 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0 0 0 A 0 0 1 0 0 0 0 0 0 B 0 1 0 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, 12/1/2002. AND 11/13/2003. REFUNDING OF BONDS ISSUED 4/7/1998. 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: (A) ISSUER NAME: MICHIGAN FINANCE AUTHORITY (F) DESCRIPTION OF PURPOSE: FIN. HOSP./PARTIAL REF OF BONDS ISSUED 4/7/1998, 12/10/2002, & 11/13/2003 REFUNDING OF BONDS ISSUED 4/7/1998 DIFFERENCES BETWEEN THE ISSUE PRICE (PART I, COLUMN (E)) AND TOTAL PROCEEDS OF ISSUE (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS. SEE PART V SEE PART V 103116 SEE PART V 0 SCHEDULE L, PART IV (A) NAME OF INTERESTED PERSON: MICHELE RUPPAL(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: MICHELE RUPPAL IS A FAMILY MEMBER OF BARBARA MEDVEC (FORMER KEY EMPLOYEE).(C) AMOUNT OF TRANSACTION: $103,116(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION'S REVENUE: NO 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 PAUL LACASSE, DO GERSON COOPER JOHN NEMES DAVID WOOD, MD SAMUEL FLANDERS, 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 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 18,605,264. NET ASSETS RELEASED FROM RESTRICTION 918,798. OTHER TRANSFERS TO AFFILIATES -7,795,992. ALL OTHER, NET 82,225,765. 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