TY 2014 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) LEWIS JOHN........................................................................ CHAIRPERSON	1.00 .......................10.00	X	X	0	0
(2) CONNOLLY BRIAN........................................................................ PRESIDENT & CEO	40.00 .......................25.00	X	X	2,510,759	621,981
(3) HENOCH MALCOLM MD........................................................................ SVP & CMO	40.00 .......................15.00	X		652,969	165,199
(4) ARDISANA LIZABETH........................................................................ TRUSTEE	1.00 .......................0.00	X		0	0
(5) FREAM JULIE........................................................................ TRUSTEE	1.00 .......................11.00	X		0	0
(6) HALL RONALD JR........................................................................ TRUSTEE	1.00 .......................0.00	X		0	0
(7) JUDD LEON........................................................................ TRUSTEE	1.00 .......................1.00	X		0	0
(8) KRAMER ROBERT........................................................................ TRUSTEE	1.00 .......................1.00	X		0	0
(9) KUMAR NEELAM MD........................................................................ TRUSTEE	1.00 .......................1.00	X		9,853	0
(10) MULLOY MARTIN........................................................................ TRUSTEE	1.00 .......................0.00	X		0	0
(11) NORCIA JERRY........................................................................ TRUSTEE	1.00 .......................0.00	X		0	0
(12) O'BRIEN TIMOTHY........................................................................ TRUSTEE	1.00 .......................10.00	X		0	0
(13) PRASAD PINNAMANENI MD........................................................................ TRUSTEE	1.00 .......................0.00	X		0	0
(14) RASHID CARL........................................................................ TRUSTEE	1.00 .......................0.00	X		0	0
(15) ROSOWSKI ROBERT........................................................................ TRUSTEE	1.00 .......................1.00	X		0	0
(16) SAELI THOMAS........................................................................ TRUSTEE	1.00 .......................0.00	X		0	0
(17) SCRIBNER EDGAR........................................................................ TRUSTEE	1.00 .......................0.00	X		0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) LLOYD SETH........................................................................ SECRETARY, SVP & GENERAL COUNSEL	40.00 .......................5.00	X			400,352	14,859
(19) KEUTEN JOHN........................................................................ EVP & CFO	31.00 .......................40.00	X			710,582	159,115
(20) CAMPBELL DAVID........................................................................ EVP OPS. SYS. STRAT. & GROWTH	50.00 .......................2.00		X		679,591	194,519
(21) CONWAY PAUL........................................................................ SVP HUMAN RESOURCES	40.00 .......................15.00		X		416,195	116,084
(22) D'AGOSTINO MAUREEN........................................................................ SVP ORGANIZ. EXCELLENCE	50.00 .......................0.00		X		313,937	105,804
(23) GEHEB MICHAEL MD........................................................................ EVP PHYS. PLAN & OPS.	50.00 .......................1.00		X		726,744	185,758
(24) HUGHES EDITH........................................................................ SITE PRESIDENT	50.00 .......................0.00		X		333,337	52,306
(25) ISENSTEIN BILL........................................................................ SVP MANAGED CARE	50.00 .......................0.00		X		476,228	45,444
(26) MEDVEC BARBARA........................................................................ SVP, CHIEF NURSING OFFICER	45.00 .......................5.00		X		395,039	104,999
(27) ODOM LEE ANN........................................................................ SITE PRESIDENT	50.00 .......................0.00		X		282,884	34,807
(28) O'MALLEY CARLA........................................................................ EXECUTIVE DIRECTOR FOUNDATION	1.00 .......................40.00		X		363,531	136,582
(29) SMITH KELLY........................................................................ SVP & SITE PRESIDENT	50.00 .......................0.00		X		431,320	156,643
(30) SMITH PAULA........................................................................ SVP & CHIEF INFORMATION OFFICER	50.00 .......................0.00		X		408,444	153,379
(31) WELDAY DOUGLAS........................................................................ EVP THRU 3/14	42.00 .......................10.00		X		799,054	391,378
(32) WIDNER ERIC........................................................................ SITE PRESIDENT	50.00 .......................0.00		X		296,999	46,907
(33) ZATINA MARY........................................................................ SVP GOVERNMENT RELATIONS	50.00 .......................0.00		X		355,579	106,901
(34) AZRAK MUHAMMAD........................................................................ STAFF PHYSICIAN	50.00 .......................0.00			X	697,168	30,944
(35) DABBOUS SAMIR........................................................................ STAFF PHYSICIAN	50.00 .......................0.00			X	1,344,984	15,028
(36) JUNN FREDRICK SONG CHUN........................................................................ STAFF PHYSICIAN	50.00 .......................0.00			X	1,322,520	44,487
(37) PANNU TEJPAUL SINGH........................................................................ STAFF PHYSICIAN	50.00 .......................0.00			X	775,645	46,887
(38) SPRAGUE KEVIN JOSEPH........................................................................ STAFF PHYSICIAN	50.00 .......................0.00			X	839,749	22,009

(A) Name and business address	(B) Description of services	(C) Compensation
DELL USA LP 500 FIRST AVENUE PITTSBURGH,PA15222	BILLING SOLUTIONS/OFFICE MANAGEMENT	26,881,361
CARETECH SOLUTIONS INC PO BOX 674271 DETROIT,MI482674271	INFORMATION TECHNOLOGY SERVICES	22,625,149
GEORGE MCINTOSH INC 3040 HILTON RD FERNDALE,MI482201019	CONSTRUCTION MANAGEMENT	9,351,961
MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA,GA303682289	FOOD/RETAIL SERVICES	8,235,350
CATAMARAN INC PO BOX 27275 NEW YORK,NY10087	PRESCRIPTION SERVICE	7,480,187
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 228

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	23,257,166	23,257,166
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	14,282,631	14,282,631
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............
4	Benefits paid to or for members ....
5	Compensation of current officers, directors, trustees, and key employees ....	13,315,485	263,641	12,551,731	500,113
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages ....	460,525,936	372,939,508	87,586,428
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	20,042,578	15,502,425	4,540,153
9	Other employee benefits .......	31,353,193	24,361,400	6,991,793
10	Payroll taxes ...........	32,924,131	25,465,979	7,458,152
11	Fees for services (non-employees):
a	Management ......	11,561,297	2,386,684	9,174,613
b	Legal .........	2,234,066		2,234,066
c	Accounting ...........	480,889		480,889
d	Lobbying ...........	104,908		104,908
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	1,519,795		1,519,795
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	117,992,218	80,715,552	37,276,666
12	Advertising and promotion ....	3,287,874	179,214	3,108,660
13	Office expenses .......	12,382,546	4,324,859	8,057,687
14	Information technology ......	17,802,450	9,446,715	8,355,735
15	Royalties ..
16	Occupancy ...........	40,931,961	34,372,352	6,559,609
17	Travel ............	1,348,130	479,034	869,096
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	1,060,026	638,893	421,133
20	Interest ...........	14,392,202	14,392,202
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	56,513,896	34,797,359	21,716,537
23	Insurance ..............	6,799,169	5,630,029	1,169,140
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	114,152,405	114,152,405
b	BAD DEBT	65,025,847	65,025,847
c	PHARMACEUTICALS	50,703,605	50,703,605
d	UBI TAXES	641,250	641,250
e	All other expenses	52,936,873	41,760,452	11,176,421
25	Total functional expenses. Add lines 1 through 24e	1,167,572,527	935,719,202	231,353,212	500,113
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	-618,432	1	7,028,479
2	Savings and temporary cash investments .........	24,301,525	2	22,149,769
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	101,681,168	4	99,090,981
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............	9,992,502	7	9,352,592
8	Inventories for sale or use ..............	12,867,578	8	12,282,001
9	Prepaid expenses and deferred charges ..........	8,153,009	9	10,692,065
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,125,291,241
b	Less: accumulated depreciation .....	10b	791,373,045	329,681,234	10c	333,918,196
11	Investments—publicly traded securities ..........	381,035,134	11	401,911,063
12	Investments—other securities. See Part IV, line 11 .....		12
13	Investments—program-related. See Part IV, line 11 .....	36,802,327	13	29,062,517
14	Intangible assets ...............	15,210,461	14	15,597,470
15	Other assets. See Part IV, line 11 ...........	200,624,160	15	213,245,136
16	Total assets. Add lines 1 through 15 (must equal line 34)......	1,119,730,666	16	1,154,330,269
	17	Accounts payable and accrued expenses .........	117,819,080	17	136,236,381
18	Grants payable .................		18
19	Deferred revenue ................	3,846,426	19	4,656,317
20	Tax-exempt bond liabilities .............	280,682,932	20	271,303,732
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	31,249,231	23	20,984,291
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	223,446,663	25	262,986,757
26	Total liabilities. Add lines 17 through 25.........	657,044,332	26	696,167,478
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	462,686,334	27	458,162,791
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	462,686,334	33	458,162,791
34	Total liabilities and net assets/fund balances ........	1,119,730,666	34	1,154,330,269

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

OAKWOOD HEALTHCARE INC

Employer identification number

38-1405141

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Name of the organization

OAKWOOD HEALTHCARE INC

Employer identification number

38-1405141

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization OAKWOOD HEALTHCARE INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization OAKWOOD HEALTHCARE INC

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
OAKWOOD HEALTHCARE INC

Employer identification number

38-1405141

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

OAKWOOD HEALTHCARE INC

Employer identification number

38-1405141

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2014

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

42,649

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

62,259

Total. Add lines 1c through 1i ...............................

104,908

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
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.

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

OAKWOOD HEALTHCARE INC

Employer identification number

38-1405141

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2014

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	23,959,382	19,695,737	16,445,484	15,028,139	13,622,220
b	Contributions ........	20,773,944	792,571	795,005	877,025	252,570
c	Net investment earnings, gains, and losses	939,920	3,310,579	1,723,128	150,293	1,467,421
d	Grants or scholarships .....	214,261	184,576	138,317	123,936	94,773
e	Other expenditures for facilities and programs ........	-96,690	-345,071	-870,437	-513,963	219,299
f	Administrative expenses ....
g	End of year balance ......	45,555,675	23,959,382	19,695,737	16,445,484	15,028,139

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

77.000 %

Permanent endowment SchDMd Bullet

23.000 %

Temporarily restricted endowment SchDMd Bullet

0 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	27,563,167		27,563,167
b	Buildings ................	322,043,559	226,313,917	95,729,642
c	Leasehold improvements ............	16,203,853	9,901,145	6,302,708
d	Equipment ................	565,273,572	428,149,436	137,124,136
e	Other .................	194,207,090	127,008,547	67,198,543
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				333,918,196

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DEFERRED BOND ISSUE COSTS				2,226,114
(2) DUE FROM (TO) AFFILIATES				145,390,947
(3) MISC. RECEIVABLES				7,807,581
(4) PROFESSIONAL LIABILITY EXCESS				12,742,438
(5) CAPITAL LEASE				45,078,056




Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				213,245,136

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
ACCRUED COMPENSATION		14,382,890
CLAIMS LIABILITY		59,543,069
WORKERS COMPENSATION		2,424,039
ASSET RETIREMENT OBLIGATION		19,312
ACCRUED PENSION		105,844,736
DUE TO THIRD PARTY PAYORS		15,322,451
OTHER		45,498,774
VENDOR ADVANCE		4,266,124
NOTES PAYABLE		15,685,362
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		262,986,757
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART V, LINE 4:	OAKWOOD HEALTHCARE FOUNDATION MAINTAINS ENDOWMENT FUNDS ON BEHALF OF OAKWOOD HEALTHCARE, INC. THE INTENDED USE OF OAKWOOD HEALTHCARE FOUNDATION'S ENDOWMENT FUNDS IS TO PROVIDE FUNDS TO SUPPORT THE MISSION AND VISION OF THE OAKWOOD HEALTHCARE SYSTEM. OAKWOOD HEALTHCARE FOUNDATION PROVIDES FUNDING FOR ONGOING CAPITAL AND OPERATIONAL NEEDS, COMMUNITY OUTREACH PROGRAMS, SCHOLARSHIPS AND EDUCATION.
PART X, LINE 2:	THE COMPANY ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES. ACCORDINGLY, OHI HAS REVIEWED ALL TAX POSITIONS, EVALUATED POTENTIAL EXPOSURE, AND FOUND IT NOT TO BE MATERIAL.

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization
OAKWOOD HEALTHCARE INC

Employer identification number

38-1405141

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants

and other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria

used to award the grants or assistance? ...........................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	CENTRAL AMERICA & THE CARIBBEAN			INVESTMENTS	120,000
















3a	Sub-total .....	0	0		120,000
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		120,000

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014

Schedule F (Form 990) 2014

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2014

Schedule F (Form 990) 2014Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2014

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2014

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation

Schedule F (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

OAKWOOD HEALTHCARE INC

Employer identification number

38-1405141

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	7,232	6,880	11,938,027	423,694	11,514,333	0.980 %
b	Medicaid (from Worksheet 3, column a) ....	339,519	173,158	243,875,515	198,684,246	45,191,269	3.850 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	0	0	0	0
d	Total Financial Assistance and Means-Tested Government Programs .	346,751	180,038	255,813,542	199,107,940	56,705,602	4.830 %
Other Benefits		1,154	79,708	6,463,204	3,053,569	3,409,635	0.290 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	1,154	79,708	6,463,204	3,053,569	3,409,635	0.290 %
f	Health professions education (from Worksheet 5) ..	52	2,249	72,923,386	37,788,091	35,135,295	2.990 %
g	Subsidized health services (from Worksheet 6) ..			3,584,777	2,362,462	1,222,315	0.100 %
h	Research (from Worksheet 7)			1,189,929	288,175	901,754	0.080 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)			120,985	0	120,985	0.010 %
j	Total. Other Benefits ..	1,206	81,957	84,282,281	43,492,297	40,789,984	3.470 %
k	Total. Add lines 7d and 7j .	347,957	261,995	340,095,823	242,600,237	97,495,586	8.300 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	4	0	281,231	180,141	101,090	0.010 %
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	4		281,231	180,141	101,090	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

36,709,411

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

138,270

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

416,976,366

Enter Medicare allowable costs of care relating to payments on line 5.....

466,632,683

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-49,656,317

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 OAKWOOD ACCOUNTABLE CARE ORGANIZATION LLC	REDUCE HEALTHCARE COSTS AND MANAGE POPULATION WELLNESS	49.000 %	0.150 %	51.000 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2014

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?4 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)							Facility reporting group
1	OAKWOOD HOSPITAL - DEARBORN 18101 OAKWOOD BLVD DEARBORN,MI481244089 WWW.OAKWOOD.ORG L2280773	X	X	X	X	X	A
2	OAKWOOD HOSPITAL - SOUTHSHORE 5450 FORT STREET TRENTON,MI481834625 WWW.OAKWOOD.ORG L2307184	X	X	X		X	A
3	OAKWOOD HOSPITAL - WAYNE 33155 ANNAPOLIS WAYNE,MI481842493 WWW.OAKWOOD.ORG L2554579	X	X	X		X	A
4	OAKWOOD HOSPITAL - TAYLOR 10000 TELEGRAPH TAYLOR,MI481803349 WWW.OAKWOOD.ORG L2558464	X	X	X		X	A

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take 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? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.OAKWOOD.ORG/CHNA

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): HTTP://WWW.OAKWOOD.ORG/CHNA

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: OAKWOOD HOSPITAL - DEARBORN, - FACILITY 2: OAKWOOD HOSPITAL - SOUTHSHORE, - FACILITY 3: OAKWOOD HOSPITAL - WAYNE, - FACILITY 4: OAKWOOD HOSPITAL - TAYLOR
GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 2:
GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 3J:	CHNA REGULATION REQUIRES EACH HOSPITAL TO DEFINE THEIR "COMMUNITY SERVED" FOR THE PURPOSES OF THE ASSESSMENT. THE OAKWOOD HEALTHCARE HOSPITAL COMMUNITIES ARE DEFINED AS ZIP CODES THAT COMPRISE 80% OF INPATIENT DISCHARGES AND ARE CONTIGUOUS. THE OVERALL OAKWOOD HEALTHCARE COMMUNITY IS THE AGGREGATE OF EACH HOSPITAL'S COMMUNITY. IT IS IMPORTANT TO NOTE THAT INDIVIDUAL HOSPITAL COMMUNITIES OVERLAP. OAKWOOD HEALTHCARE HOSPITALS ARE LOCATED IN WAYNE COUNTY, MICHIGAN, AND THE COMMUNITY THEY SERVE CONSISTS OF ZIP CODES IN WAYNE COUNTY WITH SOME OVERLAP INTO NORTHEASTERN MONROE COUNTY, MICHIGAN. OAKWOOD HEALTHCARE APPROACHED THE CHNA PROCESS AS A COLLABORATIVE EFFORT BETWEEN THEIR HOSPITALS BUT ALSO INCLUDED INFORMATION SPECIFIC TO EACH HOSPITAL COMMUNITY WHERE THE DATA COLLECTION WAS ABLE TO PROVIDE HOSPITAL COMMUNITY SPECIFIC INFORMATION. TO ASSESS HEALTH NEEDS OF THE OAKWOOD HEALTHCARE COMMUNITIES, A QUANTITATIVE AND QUALITATIVE APPROACH WAS USED. IN ADDITION TO COLLECTING DATA FROM A NUMBER OF PUBLIC SOURCES AND TRUVEN HEALTH PROPRIETARY SOURCES, INTERVIEWS (BOTH IN-PERSON AND TELEPHONE) AND FOCUS GROUPS WERE CONDUCTED WITH INDIVIDUALS REPRESENTING COMMUNITY LEADERS/GROUPS, PUBLIC ORGANIZATIONS, PATIENTS, PROVIDERS, AND OAKWOOD HEALTHCARE REPRESENTATIVES FROM THE HOSPITAL AND CORPORATE LEVELS. IN ADDITION TO THE QUALITATIVE FEEDBACK, QUANTITATIVE HEALTH INDICATORS WERE COLLECTED AND ANALYZED TO ASSESS COMMUNITY HEALTH NEEDS. ONE HUNDRED-SIX INDICATORS WERE EVALUATED FOR EACH OF THE COUNTIES OR TOWNS (DEPENDING ON LEVEL OF DATA AVAILABLE) IN THE OAKWOOD HEALTHCARE COMMUNITY SERVED. THE MAJORITY OF HEALTH INDICATORS ARE ONLY AVAILABLE AT THE COUNTY LEVEL. THIS PRESENTS A NUMBER OF CHALLENGES AS HEALTH INDICATORS WERE EVALUATED ACROSS MULTIPLE COUNTIES. IN EVALUATING DATA FOR ENTIRE COUNTIES VERSUS ZIP CODE LEVEL DATA, IT IS DIFFICULT TO UNDERSTAND THE HEALTH NEEDS FOR SPECIFIC POPULATION POCKETS WITHIN A COUNTY. SUPPLEMENTED HEALTH INDICATOR DATA WITH ZIP CODE ESTIMATES (COMMUNITY NEEDS INDEX) WERE USED TO IDENTIFY SPECIFIC POPULATIONS WITHIN A COMMUNITY WHERE HEALTH NEEDS MAY BE GREATER.
GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 5:	TO TAKE INTO ACCOUNT THE INPUT OF PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INTERVIEWS (BOTH ONE ON ONE AND IN SMALL GROUPS) AS WELL AS FOCUS GROUPS WERE CONDUCTED. THE INTERVIEW QUESTIONNAIRE WAS DESIGNED TO UNDERSTAND HOW PARTICIPANTS FEEL ABOUT THE GENERAL HEALTH STATUS OF THE COMMUNITY AND THE VARIOUS DRIVERS CONTRIBUTING TO HEALTH ISSUES. PARTICIPANTS INCLUDED REPRESENTATIVES FROM THE WAYNE DEPARTMENT OF PUBLIC HEALTH, WAYNE COUNTY DEPT. OF HEALTH AND HUMAN SERVICES, MICHIGAN DEPT. OF COMMUNITY HEALTH, WAYNE COUNTY HEALTH AUTHORITY, CITY OF DETROIT DEPARTMENT OF HEALTH AND WELLNESS PROMOTION, SEMCA, FAITH-BASED ORGANIZATIONS, MENTAL HEALTH ORGANIZATIONS, EARLY CHILDHOOD ORGANIZATIONS, FQHC'S, UNIVERSITY OF MICHIGAN DEARBORN, WORKFORCE DEVELOPMENT ORGANIZATIONS, LOCAL GOVERNMENT REPRESENTATIVES, CHRONIC DISEASE MANAGEMENT ORGANIZATIONS, NONPROFIT ORGANIZATIONS SERVING VULNERABLE POPULATIONS, PHYSICIAN PRACTICES, AND OAKWOOD HEALTHCARE REPRESENTATIVES.
GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 6A:	OAKWOOD HOSPITAL - DEARBORN'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:OAKWOOD HOSPITAL - WAYNEOAKWOOD HOSPITAL - TAYLOROAKWOOD HOSPITAL - SOUTHSHORE
GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 6B:
GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 7D:	THE CHNA WAS DISTRIBUTED TO THOSE WHO PARTICIPATED IN THE INTERVIEWS AND FOCUS GROUPS AND TO COMMUNITY ORGANIZATIONS IN THE OAKWOOD SERVICE AREA.
GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 11:	FOUR PRIORITY HEALTH NEEDS WERE IDENTIFIED IN THE CHNA: ACCESS TO CARE, DIABETES, OBESITY AND HEART/CARDIOVASCULAR DISEASE. FOR ACCESS TO CARE, THE FOLLOWING KEY INITIATIVES AND OUTCOMES ARE HIGHLIGHTED: TO ASSIST THE UNINSURED, UNDERINSURED AND UNDERSERVED, OAKWOOD PROVIDED CERTIFIED NAVIGATORS TO CONDUCT COMMUNITY-BASED INSURANCE ENROLLMENT AND EDUCATION FOR THE HEALTH INSURANCE MARKETPLACE, MEDICAID AND HEALTHY MICHIGAN. INFORMATION ON THE MEDICAID AND EXPANDED MEDICAID WAS PROVIDED TO 35,818 INDIVIDUALS. NAVIGATORS ENROLLED COMMUNITY MEMBERS IN MEDICAID, HEALTHY MICHIGAN AND THE MARKETPLACE AND ASSISTED THOSE WHO NEEDED A MEDICAL HOME. IN 2014, 2,565 INDIVIDUALS WERE ASSISTED IN APPLYING FOR HEALTH INSURANCE IN ADDITION TO 141 INDIVIDUALS ATTENDING HEALTH INSURANCE 101, AN EDUCATIONAL PROGRAM ON HOW TO USE INSURANCE FOR THE NEWLY INSURED. OAKASSIST SCREENED AND PROVIDED ASSISTANCE TO 26,728 INDIVIDUALS FOR HEALTH COVERAGE ELIGIBILITY. OAKWOOD SCHOOL & COMMUNITY-BASED CHILD AND ADOLESCENT HEALTH CENTERS PROVIDED ACCESS TO CARE FOR 1,226 YOUTH WITH MEDICAL SERVICES. THE CENTER FOR EXCEPTIONAL FAMILIES PROVIDED ACCESS TO CARE FOR 4,011 YOUTH WITH SPECIAL NEEDS MEDICAL SERVICES. THE WESTLAND INFECTIOUS DISEASE CLINIC PROVIDED ACCESS TO CARE WITH 1,310 UNITS OF SERVICE TO 221 INDIVIDUALS WITH HIV. KEY INITIATIVES AND OUTCOMES RELATED TO DIABETES INCLUDE: ADDITION OF SIX NEW COMMUNITY PARTNER ORGANIZATIONS TO PROVIDE DIABETES SCREENING IN THE COMMUNITY. IN 2014, 74 EVENTS WERE HELD IN THE OAKWOOD DEARBORN AREA IN WHICH 2,518 INDIVIDUALS RECEIVED BLOOD PRESSURE, CHOLESTEROL AND GLUCOSE SCREENINGS. FOLLOW-UP CARE WAS RECOMMENDED FOR 755 OF THESE INDIVIDUALS. A PARTNERSHIP WITH THE NATIONAL KIDNEY FOUNDATION PROVIDED COMMUNITY-BASED PROGRAMMING WITH PATH (2 SIX WEEK WORKSHOPS) AND THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP) - A 12-MONTH PROGRAM. POST-TEST FOR PATH SHOWED 63% TESTED THEIR BLOOD SUGAR VS. 41% PRE-TEST. ALSO, 92% WERE EXERCISING MORE THAN 150 MINUTES PER WEEK COMPARED TO 46% AT PRE-TEST. DIABETES SUPPORT GROUPS PROVIDED SCREENING AND EDUCATION SERVICES TO 117 INDIVIDUALS. INTERMEDIATE OUTCOMES FOR NDPP SHOW 98.9% INCREASED THEIR PHYSICAL ACTIVITY MINUTES IN THE CORE PHASE WITH AN AVERAGE WEIGHT LOSS OF 10.5 POUNDS PER PARTICIPANT. A PARTNERSHIP WITH GLEANERS COMMUNITY FOOD BANK RESULTED IN FOUR PILOT PROGRAMS OF COOKING MATTERS FOR DIABETES(TM) OFFERED IN THE COMMUNITY WITH 74 INDIVIDUALS PARTICIPATING. TWENTY OUTCOME MEASURES WERE TRACKED WITH POST-TESTS SHOWING POSITIVE CHANGES IN MOST AREAS.KEY INITIATIVES AND OUTCOMES RELATED TO CARDIOVASCULAR DISEASE INCLUDE: COMMUNITY-BASED SCREENING FOR ELEVATED BLOOD PRESSURE AND CHOLESTEROL LEVELS WERE PROVIDED AT 74 EVENTS IN THE DEARBORN AREA TO 2,518 INDIVIDUALS IN THE COMMUNITY. OF THOSE SCREENED, 755 WERE REFERRED FOR FOLLOW-UP CARE. TO REDUCE CARDIOVASCULAR DISEASE COMPLICATIONS AND SUDDEN DEATH FROM CARDIAC ARREST, OAKWOOD HEALTHCARE PARTNERED WITH THE SENIOR ALLIANCE (TSA) FOR THE CARE TRANSITIONS INTERVENTION PROGRAM. AS OF 2014, THE RATE REDUCTION IN HOSPITAL READMISSIONS FOR ALL PATIENTS IS 15.4%. TO INCREASE KNOWLEDGE AND SKILLS TO RESUSCITATE INFANTS/CHILDREN SUFFERING SUDDEN CARDIAC ARREST, CPR CLASSES WERE PROVIDED TO 95 INDIVIDUALS. KEY INITIATIVES AND OUTCOMES RELATED TO OBESITY INCLUDE: OAKWOOD PROVIDES EDUCATION ON HEALTHY EATING, PHYSICAL ACTIVITY AND WEIGHT MANAGEMENT WITH THE CATCH KIDS CLUB. THE AFTER-SCHOOL ACTIVITY AND NUTRITION PROGRAM IS CONDUCTED IN COLLABORATION WITH SCHOOLS AND THE YMCA OF METRO DETROIT. IN ADDITION TO THE PROGRAM BEING OFFERED IN 11 SCHOOLS, EIGHT ADDITIONAL SITES WERE ADDED IN 2014 IN THE DEARBORN SCHOOL DISTRICT. IN 2014, 1,027 CHILDREN TOOK PART IN THE PROGRAM. MYNUTRATEK, A HEALTH AND WELLNESS APPLICATION AND PROGRAM, WAS OFFERED TO STUDENTS IN ALL DEARBORN SCHOOLS BY OAKWOOD. TO IMPROVE NUTRITION PRACTICES, HEALTHY MEAL PREPARATION AND FOOD BUDGETING KNOWLEDGE, EIGHT PILOT PROGRAMS OF COOKING MATTERS(TM) WERE CONDUCTED IN COLLABORATION WITH GLEANERS COMMUNITY FOOD BANK WITH 134 INDIVIDUALS PARTICIPATING. IN ADDITION, COMMUNITY-BASED EDUCATION ON NUTRITION WAS PRESENTED AT 31 EVENTS REACHING 1,869 INDIVIDUALS.TO HAVE A COLLECTIVE IMPACT AND MOVE THE NEEDLE ON THESE PRIORITY HEALTH NEEDS, OAKWOOD HEALTHCARE ESTABLISHED HEALTHY DEARBORN, A COLLECTIVE IMPACT INITIATIVE IN PARTNERSHIP WITH THE CITY, SCHOOLS, RESIDENTS, NONPROFITS, AND OTHER SECTORS. A COMMUNITY COALITION WILL COORDINATE AND DRIVE INITIATIVES IN THE COMMUNITY TO IMPROVE HEALTH WHILE ADDRESSING PRIORITY HEALTH NEEDS. NEEDS THAT WERE NOT ADDRESSED INCLUDE MENTAL HEALTH, MATERNAL HEALTH, ENVIRONMENT AND SOCIOECONOMIC FACTORS. WHILE EACH OF THESE HEALTH NEEDS ARE IMPORTANT AND ARE BEING ADDRESSED BY PROGRAMS AND INITIATIVES OF OAKWOOD HEALTHCARE, ALLOCATING SIGNIFICANT RESOURCES TO THE FOUR PRIORITY NEEDS PREVENTED THE INCLUSION OF ALL HEALTH NEEDS IN THE OAKWOOD IMPLEMENTATION PLANS.
GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 13B:
GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 13H:	ALL SELF-PAY PATIENTS ARE BILLED FULL CHARGES AND THEN THE CHARGES ARE REDUCED PER OUR FINANCIAL ASSISTANCE POLICY. ALL SELF-PAY, UNINSURED PATIENTS RECEIVE, AT A MINIMUM, A 55% DISCOUNT OFF OF FULL CHARGES WITHOUT HAVING TO SUBMIT A FORMAL APPLICATION FOR OR INQUIRE ABOUT FINANCIAL ASSISTANCE. THE MAXIMUM DISCOUNT PERCENTAGE IS UPDATED ANNUALLY BASED ON AVERAGE PAYMENT RATES FROM COMMERCIAL PAYORS. OAKWOOD ATTEMPTS TO SCREEN ALL SELF-PAY PATIENTS UPON SCHEDULING THROUGH CENTRAL SCHEDULING, WHILE ACCESSING CARE THROUGH OUR EMERGENCY DEPARTMENTS AND UPON INPATIENT ADMISSION INTO OUR HOSPITALS. OAKASSIST FINANCIAL COUNSELORS GATHER INFORMATION ON THE PATIENT'S OVERALL FINANCIAL SITUATION. PATIENTS APPLYING FOR AN ADDITIONAL LEVEL OF DISCOUNT OR APPLYING FOR A CATASTROPHIC MEDICAL DEBT DISCOUNT NEED TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION FORM OR REQUEST A DETERMINATION AS TO WHETHER OR NOT THEY QUALIFY FOR FREE OR DISCOUNTED CARE; SELF-PAY DISCOUNTS ARE BASED UPON THE FOLLOWING:1) FEDERAL POVERTY GUIDELINES/INCOME LEVEL2) EARNING CAPACITY3) EMPLOYMENT STATUS 4) ASSETS5) INSURANCE STATUS AND THE POSSIBILITY OF QUALIFYING FOR SOME FORM OF GOVERNMENT ASSISTANCE OR SOURCE OF COVERAGE FOR UNINSURED PATIENT6) THE LEVEL OF SELF-PAY DISCOUNTING CURRENTLY BEING OFFERED THROUGH THE FINANCIAL ASSISTANCE POLICY.
GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 15E:
GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 16I:	THE ORGANIZATION'S WEBSITE DIRECTS PATIENTS TO CONTACT OUR OAKASSIST FINANCIAL COUNSELORS FOR ASSISTANCE AND PROVIDES SUMMARY LEVEL INFORMATION ON THE TYPES AND ELIGIBILITY REQUIREMENTS OF FINANCIAL ASSISTANCE AVAILABLE. FINANCIAL ASSISTANCE INFORMATION IS INCLUDED IN OUR ADMISSION PACKETS AND IS MADE AVAILABLE TO ALL HOSPITAL INPATIENTS THAT CONTAIN THE TELEPHONE NUMBER DIRECTLY TO OAKWOOD'S FINANCIAL COUNSELORS. OUR PATIENT STATEMENTS INCLUDE A BOLD STATEMENT INDICATING "FINANCIAL ASSISTANCE AVAILABLE" AND THERE IS A NOTICE TO PATIENTS, ON THE STATEMENT, AS FOLLOWS: "IF YOU CANNOT PAY THIS BALANCE IN FULL, PLEASE CALL A CUSTOMER SERVICE REPRESENTATIVE AS SOON AS POSSIBLE AT THE NUMBERS LISTED BELOW TO DISCUSS OTHER OPTIONS. MONTHLY PAYMENT OPTIONS AND FINANCIAL ASSISTANCE PROGRAMS ARE AVAILABLE TO THOSE WHO QUALIFY." THE TELEPHONE NUMBER FOR CUSTOMER SERVICE IS LISTED AND OAKWOOD'S WEBSITE ADDRESS. THERE ARE POSTINGS NOTIFYING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE AND THE CONTACT INFORMATION TO OBTAIN FINANCIAL ASSISTANCE IS POSTED IN OUR EMERGENCY DEPARTMENTS AND HOSPITAL REGISTRATION/PATIENT ACCESS AREAS. THE POLICY WAS MADE AVAILABLE TO PATIENTS UPON REQUEST.
GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 18D:
GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 19D:
GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 20E:	THE HOSPITAL ROUTES ALL SELF PAY INPATIENTS AND EMERGENCY PATIENTS TO OUR OAKASSIST FINANCIAL COUNSELORS WHO ASSESS THE PATIENTS FOR ELIGIBILITY UNDER OUR FINANCIAL ASSISTANCE POLICY. IN ADDITION, SELF PAY PATIENTS, SCHEDULED THROUGH OUR CENTRAL SCHEDULING DEPARTMENT, ARE ALSO ROUTED THROUGH OUR FINANCIAL CLEARANCE CENTER AND, IF DEEMED ELIGIBLE OR A DETERMINATION CANNOT BE MADE, THE PATIENT IS ROUTED TO OUR OAKASSIST FINANCIAL COUNSELORS FOR FURTHER SCREENING. PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THEIR INPATIENT STAY THROUGH A SECTION OF THE ADMISSION PACKET WHERE PATIENTS WHO ARE CONCERNED ABOUT THEIR FINANCIAL RESPONSIBILITY CAN SPEAK TO FINANCIAL COUNSELORS FOR OPTIONS TO ASSIST THEM WITH PAYMENTS. THERE ARE POSTINGS IN THE EMERGENCY DEPARTMENTS AND MAIN REGISTRATION/PATIENT ACCESS AREAS INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE. PATIENTS ARE ALSO PROVIDED INFORMATION ABOUT HOW TO ACCESS INFORMATION ON OAKWOOD'S PROGRAMS AND HOW TO CONTACT OUR FINANCIAL COUNSELORS FOR MORE INFORMATION AND ASSISTANCE. PATIENTS ARE ALSO NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ON THE MONTHLY PATIENT STATEMENTS WHICH INCLUDES WEBSITE AND TELEPHONE CONTACT INFORMATION. IN ADDITION, THE UNINSURED ARE PROVIDED A SELF-PAY DISCOUNT BASED ON COMMERCIAL PAYMENT RATES WITHOUT A FORMAL REQUEST FOR FINANCIAL ASSISTANCE. INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS AVAILABLE ON OUR WEBSITE AND TELEPHONE CONTACT DATA REGARDING FINANCIAL ASSISTANCE OPTIONS IS LISTED ON OUR WEBSITE. PRIOR TO SENDING PATIENT PAY ACCOUNTS TO OUR EXTERNAL COLLECTION AGENCY, OUR EXTERNAL CUSTOMER SERVICE VENDOR PROCESSES THE ACCOUNTS THROUGH THEIR PROPRIETARY "PROPENSITY TO PAY" MODEL AND ASSIGNS A "PROPENSITY TO PAY SCORE" ON EACH ACCOUNT. PER OAKWOOD POLICY, THOSE PATIENT ACCOUNTS SCORED AT 650 OR LESS, WITH NO INSURANCE INFORMATION ATTACHED, AN OUTSTANDING BALANCE OF $100.00 OR MORE, AND CONTAINING DEMOGRAPHIC INFORMATION INDICATING MICHIGAN RESIDENCY ARE AUTOMATICALLY ADJUSTED OFF TO CHARITY CARE WITHOUT A FORMAL APPLICATION PROCESS. ALL OF THESE EFFORTS ARE MADE PRIOR TO INITIATING ANY COLLECTION ACTIONS.
GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 21C:
GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 21D:
GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 22D:	A DISCOUNT OF 55 PERCENT WAS DERIVED BY CALCULATING AN AVERAGE OF OUR COMMERCIAL DISCOUNTS.
GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 23:
GROUP A-FACILITY 1 -- OAKWOOD HOSPITAL - DEARBORN PART V, SECTION B, LINE 24:
GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 2:
GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 3J:	CHNA REGULATION REQUIRES EACH HOSPITAL TO DEFINE THEIR "COMMUNITY SERVED" FOR THE PURPOSES OF THE ASSESSMENT. THE OAKWOOD HEALTHCARE HOSPITAL COMMUNITIES ARE DEFINED AS ZIP CODES THAT COMPRISE 80% OF INPATIENT DISCHARGES AND ARE CONTIGUOUS. THE OVERALL OAKWOOD HEALTHCARE COMMUNITY IS THE AGGREGATE OF EACH HOSPITAL'S COMMUNITY. IT IS IMPORTANT TO NOTE THAT INDIVIDUAL HOSPITAL COMMUNITIES OVERLAP. OAKWOOD HEALTHCARE HOSPITALS ARE LOCATED IN WAYNE COUNTY, MICHIGAN, AND THE COMMUNITY THEY SERVE CONSISTS OF ZIP CODES IN WAYNE COUNTY WITH SOME OVERLAP INTO NORTHEASTERN MONROE COUNTY, MICHIGAN. OAKWOOD HEALTHCARE APPROACHED THE CHNA PROCESS AS A COLLABORATIVE EFFORT BETWEEN THEIR HOSPITALS BUT ALSO INCLUDED INFORMATION SPECIFIC TO EACH HOSPITAL COMMUNITY WHERE THE DATA COLLECTION WAS ABLE TO PROVIDE HOSPITAL COMMUNITY SPECIFIC INFORMATION. TO ASSESS HEALTH NEEDS OF THE OAKWOOD HEALTHCARE COMMUNITIES, A QUANTITATIVE AND QUALITATIVE APPROACH WAS USED. IN ADDITION TO COLLECTING DATA FROM A NUMBER OF PUBLIC SOURCES AND TRUVEN HEALTH PROPRIETARY SOURCES, INTERVIEWS (BOTH IN-PERSON AND TELEPHONE) AND FOCUS GROUPS WERE CONDUCTED WITH INDIVIDUALS REPRESENTING COMMUNITY LEADERS/GROUPS, PUBLIC ORGANIZATIONS, PATIENTS, PROVIDERS, AND OAKWOOD HEALTHCARE REPRESENTATIVES FROM THE HOSPITAL AND CORPORATE LEVELS. IN ADDITION TO THE QUALITATIVE FEEDBACK, QUANTITATIVE HEALTH INDICATORS WERE COLLECTED AND ANALYZED TO ASSESS COMMUNITY HEALTH NEEDS. ONE HUNDRED-SIX INDICATORS WERE EVALUATED FOR EACH OF THE COUNTIES OR TOWNS (DEPENDING ON LEVEL OF DATA AVAILABLE) IN THE OAKWOOD HEALTHCARE COMMUNITY SERVED. THE MAJORITY OF HEALTH INDICATORS ARE ONLY AVAILABLE AT THE COUNTY LEVEL. THIS PRESENTS A NUMBER OF CHALLENGES AS HEALTH INDICATORS WERE EVALUATED ACROSS MULTIPLE COUNTIES. IN EVALUATING DATA FOR ENTIRE COUNTIES VERSUS ZIP CODE LEVEL DATA, IT IS DIFFICULT TO UNDERSTAND THE HEALTH NEEDS FOR SPECIFIC POPULATION POCKETS WITHIN A COUNTY. SUPPLEMENTED HEALTH INDICATOR DATA WITH ZIP CODE ESTIMATES (COMMUNITY NEEDS INDEX) WERE USED TO IDENTIFY SPECIFIC POPULATIONS WITHIN A COMMUNITY WHERE HEALTH NEEDS MAY BE GREATER.
GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 5:	TO TAKE INTO ACCOUNT THE INPUT OF PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INTERVIEWS (BOTH ONE ON ONE AND IN SMALL GROUPS) AS WELL AS FOCUS GROUPS WERE CONDUCTED. THE INTERVIEW QUESTIONNAIRE WAS DESIGNED TO UNDERSTAND HOW PARTICIPANTS FEEL ABOUT THE GENERAL HEALTH STATUS OF THE COMMUNITY AND THE VARIOUS DRIVERS CONTRIBUTING TO HEALTH ISSUES. PARTICIPANTS INCLUDED REPRESENTATIVES FROM THE WAYNE DEPARTMENT OF PUBLIC HEALTH, WAYNE COUNTY DEPT. OF HEALTH AND HUMAN SERVICES, MICHIGAN DEPT. OF COMMUNITY HEALTH, WAYNE COUNTY HEALTH AUTHORITY, CITY OF DETROIT DEPARTMENT OF HEALTH AND WELLNESS PROMOTION, SEMCA, FAITH-BASED ORGANIZATIONS, MENTAL HEALTH ORGANIZATIONS, EARLY CHILDHOOD ORGANIZATIONS, FQHC'S, UNIVERSITY OF MICHIGAN DEARBORN, WORKFORCE DEVELOPMENT ORGANIZATIONS, LOCAL GOVERNMENT REPRESENTATIVES, CHRONIC DISEASE MANAGEMENT ORGANIZATIONS, NONPROFIT ORGANIZATIONS SERVING VULNERABLE POPULATIONS, PHYSICIAN PRACTICES, AND OAKWOOD HEALTHCARE REPRESENTATIVES.
GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 6A:	OAKWOOD HOSPITAL - SOUTHSHORE'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:OAKWOOD HOSPITAL - DEARBORNOAKWOOD HOSPITAL - TAYLOROAKWOOD HOSPITAL - WAYNE
GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 6B:
GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 7D:	THE CHNA WAS DISTRIBUTED TO THOSE WHO PARTICIPATED IN THE INTERVIEWS AND FOCUS GROUPS AND TO COMMUNITY ORGANIZATIONS IN THE OAKWOOD SERVICE AREA.
GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 11:	FOUR PRIORITY HEALTH NEEDS WERE IDENTIFIED IN THE CHNA: ACCESS TO CARE, DIABETES, OBESITY AND HEART/CARDIOVASCULAR DISEASE. FOR ACCESS TO CARE, THE FOLLOWING KEY INITIATIVES AND OUTCOMES ARE HIGHLIGHTED: TO ASSIST THE UNINSURED, UNDERINSURED AND UNDERSERVED, OAKWOOD PROVIDED CERTIFIED NAVIGATORS TO CONDUCT COMMUNITY-BASED INSURANCE ENROLLMENT AND EDUCATION FOR THE HEALTH INSURANCE MARKETPLACE, MEDICAID AND HEALTHY MICHIGAN. INFORMATION ON THE MEDICAID AND EXPANDED MEDICAID WAS PROVIDED TO 35,818 INDIVIDUALS. NAVIGATORS ENROLLED COMMUNITY MEMBERS IN MEDICAID, HEALTHY MICHIGAN AND THE MARKETPLACE AND ASSISTED THOSE WHO NEEDED A MEDICAL HOME. IN 2014, 2,565 INDIVIDUALS WERE ASSISTED IN APPLYING FOR HEALTH INSURANCE IN ADDITION TO 141 INDIVIDUALS ATTENDING HEALTH INSURANCE 101, AN EDUCATIONAL PROGRAM ON HOW TO USE INSURANCE FOR THE NEWLY INSURED. OAKASSIST SCREENED AND PROVIDED ASSISTANCE TO 26,728 INDIVIDUALS FOR HEALTH COVERAGE ELIGIBILITY. OAKWOOD SCHOOL & COMMUNITY-BASED CHILD AND ADOLESCENT HEALTH CENTERS PROVIDED ACCESS TO CARE FOR 1,226 YOUTH WITH MEDICAL SERVICES. THE CENTER FOR EXCEPTIONAL FAMILIES PROVIDED ACCESS TO CARE FOR 4,011 YOUTH WITH SPECIAL NEEDS MEDICAL SERVICES. THE WESTLAND INFECTIOUS DISEASE CLINIC PROVIDED ACCESS TO CARE WITH 1,310 UNITS OF SERVICE TO 221 INDIVIDUALS WITH HIV. KEY INITIATIVES AND OUTCOMES RELATED TO DIABETES INCLUDE: CREATION OF NEW PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS TO PROVIDE DIABETES SCREENING IN THE COMMUNITY. IN 2014, 6 EVENTS WERE HELD IN THE OAKWOOD HOSPITAL SOUTHSHORE AREA IN WHICH 487 INDIVIDUALS RECEIVED BLOOD PRESSURE, CHOLESTEROL AND GLUCOSE SCREENINGS. FOLLOW-UP CARE WAS RECOMMENDED FOR 146 OF THESE INDIVIDUALS. DIABETES EDUCATION WAS PROVIDED AT SIX EVENTS REACHING 324 INDIVIDUALS. A PARTNERSHIP WITH THE NATIONAL KIDNEY FOUNDATION PROVIDED COMMUNITY-BASED PROGRAMMING WITH PATH (2 SIX WEEK WORKSHOPS) AND THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP) - A 12-MONTH PROGRAM. POST-TEST FOR PATH SHOWED 63% TESTED THEIR BLOOD SUGAR VS. 41% PRE-TEST. ALSO, 92% WERE EXERCISING MORE THAN 150 MINUTES PER WEEK COMPARED TO 46% AT PRE-TEST. DIABETES SUPPORT GROUPS PROVIDED SCREENING AND EDUCATION SERVICES TO 117 INDIVIDUALS. INTERMEDIATE OUTCOMES FOR NDPP SHOW 98.9% INCREASED THEIR PHYSICAL ACTIVITY MINUTES IN THE CORE PHASE WITH AN AVERAGE WEIGHT LOSS OF 10.5 POUNDS PER PARTICIPANT. A PARTNERSHIP WITH GLEANERS COMMUNITY FOOD BANK RESULTED IN FOUR PILOT PROGRAMS OF COOKING MATTERS FOR DIABETES(TM) OFFERED IN THE COMMUNITY WITH 74 INDIVIDUALS PARTICIPATING. TWENTY OUTCOME MEASURES WERE TRACKED WITH POST-TESTS SHOWING POSITIVE CHANGES IN MOST AREAS. KEY INITIATIVES AND OUTCOMES RELATED TO CARDIOVASCULAR DISEASE INCLUDE: SCREENING FOR ELEVATED BLOOD PRESSURE AND CHOLESTEROL LEVELS AND EDUCATION SERVICES PROVIDED TO 487 INDIVIDUALS IN THE OAKWOOD SOUTHSHORE COMMUNITY - 146 WERE REFERRED FOR FOLLOW-UP CARE. TO INCREASE KNOWLEDGE AND SKILLS TO RESUSCITATE INFANTS/CHILDREN SUFFERING SUDDEN CARDIAC ARREST, CPR CLASSES WERE PROVIDED TO 95 INDIVIDUALS.KEY INITIATIVES AND OUTCOMES RELATED TO OBESITY INCLUDE: OAKWOOD PROVIDES EDUCATION ON HEALTHY EATING, PHYSICAL ACTIVITY AND WEIGHT MANAGEMENT WITH THE CATCH KIDS CLUB. THE AFTER-SCHOOL ACTIVITY AND NUTRITION PROGRAM IS CONDUCTED IN COLLABORATION WITH SCHOOLS AND THE YMCA OF METRO DETROIT. IN ADDITION TO THE PROGRAM BEING OFFERED IN 11 SCHOOLS, EIGHT ADDITIONAL SITES WERE ADDED IN 2014 IN THE DEARBORN SCHOOL DISTRICT. THE OAKWOOD SOUTHSHORE ELEMENTARY SCHOOLS INCLUDE MONROE ELEMENTARY, JEFFERSON ELEMENTARY AND WASHINGTON ELEMENTARY IN WYANDOTTE. IN 2014, 1,027 CHILDREN TOOK PART IN THE CATCH KIDS CLUB PROGRAM. TO IMPROVE NUTRITION PRACTICES, HEALTHY MEAL PREPARATION AND FOOD BUDGETING KNOWLEDGE, EIGHT PILOT PROGRAMS OF COOKING MATTERS(TM) WERE CONDUCTED IN COLLABORATION WITH GLEANERS COMMUNITY FOOD BANK WITH 134 INDIVIDUALS PARTICIPATING. OUTCOME MEASURES INDICATED POSITIVE CHANGE IN MOST HEALTH BEHAVIORS. IN ADDITION, COMMUNITY-BASED EDUCATION ON NUTRITION WAS PRESENTED AT 31 EVENTS REACHING 1,869 INDIVIDUALS. TO HAVE A COLLECTIVE IMPACT AND MOVE THE NEEDLE ON THESE PRIORITY HEALTH NEEDS, OAKWOOD HEALTHCARE ESTABLISHED HEALTHY TRENTON, A COLLECTIVE IMPACT INITIATIVE IN PARTNERSHIP WITH THE CITY, SCHOOLS, RESIDENTS, NONPROFITS, AND OTHER SECTORS. A COMMUNITY COALITION WILL COORDINATE AND DRIVE INITIATIVES IN THE COMMUNITY TO IMPROVE HEALTH WHILE ADDRESSING PRIORITY HEALTH NEEDS. NEEDS THAT WERE NOT ADDRESSED INCLUDE MENTAL HEALTH, MATERNAL HEALTH, ENVIRONMENT AND SOCIOECONOMIC FACTORS. WHILE EACH OF THESE HEALTH NEEDS ARE IMPORTANT AND ARE BEING ADDRESSED BY PROGRAMS AND INITIATIVES OF OAKWOOD HEALTHCARE, ALLOCATING SIGNIFICANT RESOURCES TO THE FOUR PRIORITY NEEDS PREVENTED THE INCLUSION OF ALL HEALTH NEEDS IN THE OAKWOOD IMPLEMENTATION PLANS.
GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 13B:
GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 13H:	ALL SELF-PAY PATIENTS ARE BILLED FULL CHARGES AND THEN THE CHARGES ARE REDUCED PER OUR FINANCIAL ASSISTANCE POLICY. ALL SELF-PAY, UNINSURED PATIENTS RECEIVE, AT A MINIMUM, A 55% DISCOUNT OFF OF FULL CHARGES WITHOUT HAVING TO SUBMIT A FORMAL APPLICATION FOR OR INQUIRE ABOUT FINANCIAL ASSISTANCE. THE MAXIMUM DISCOUNT PERCENTAGE IS UPDATED ANNUALLY BASED ON AVERAGE PAYMENT RATES FROM COMMERCIAL PAYORS. OAKWOOD ATTEMPTS TO SCREEN ALL SELF-PAY PATIENTS UPON SCHEDULING THROUGH CENTRAL SCHEDULING, WHILE ACCESSING CARE THROUGH OUR EMERGENCY DEPARTMENTS AND UPON INPATIENT ADMISSION INTO OUR HOSPITALS. OAKASSIST FINANCIAL COUNSELORS GATHER INFORMATION ON THE PATIENT'S OVERALL FINANCIAL SITUATION. PATIENTS APPLYING FOR AN ADDITIONAL LEVEL OF DISCOUNT OR APPLYING FOR A CATASTROPHIC MEDICAL DEBT DISCOUNT NEED TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION FORM OR REQUEST A DETERMINATION AS TO WHETHER OR NOT THEY QUALIFY FOR FREE OR DISCOUNTED CARE; SELF-PAY DISCOUNTS ARE BASED UPON THE FOLLOWING:1) FEDERAL POVERTY GUIDELINES/INCOME LEVEL2) EARNING CAPACITY3) EMPLOYMENT STATUS 4) ASSETS5) INSURANCE STATUS AND THE POSSIBILITY OF QUALIFYING FOR SOME FORM OF GOVERNMENT ASSISTANCE OR SOURCE OF COVERAGE FOR UNINSURED PATIENT6) THE LEVEL OF SELF PAY DISCOUNTING CURRENTLY BEING OFFERED THROUGH THE FINANCIAL ASSISTANCE POLICY.
GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 15E:
GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 16I:	THE ORGANIZATION'S WEBSITE DIRECTS PATIENTS TO CONTACT OUR OAKASSIST FINANCIAL COUNSELORS FOR ASSISTANCE AND PROVIDES SUMMARY LEVEL INFORMATION ON THE TYPES AND ELIGIBILITY REQUIREMENTS OF FINANCIAL ASSISTANCE AVAILABLE. FINANCIAL ASSISTANCE INFORMATION IS INCLUDED IN OUR ADMISSION PACKETS AND IS MADE AVAILABLE TO ALL HOSPITAL INPATIENTS THAT CONTAIN THE TELEPHONE NUMBER DIRECTLY TO OAKWOOD'S FINANCIAL COUNSELORS. OUR PATIENT STATEMENTS INCLUDE A BOLD STATEMENT INDICATING "FINANCIAL ASSISTANCE AVAILABLE" AND THERE IS A NOTICE TO PATIENTS, ON THE STATEMENT, AS FOLLOWS: "IF YOU CANNOT PAY THIS BALANCE IN FULL, PLEASE CALL A CUSTOMER SERVICE REPRESENTATIVE AS SOON AS POSSIBLE AT THE NUMBERS LISTED BELOW TO DISCUSS OTHER OPTIONS. MONTHLY PAYMENT OPTIONS AND FINANCIAL ASSISTANCE PROGRAMS ARE AVAILABLE TO THOSE WHO QUALIFY." THE TELEPHONE NUMBER FOR CUSTOMER SERVICE IS LISTED AND OAKWOOD'S WEBSITE ADDRESS. THERE ARE POSTINGS NOTIFYING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE AND THE CONTACT INFORMATION TO OBTAIN FINANCIAL ASSISTANCE IS POSTED IN OUR EMERGENCY DEPARTMENTS AND HOSPITAL REGISTRATION/PATIENT ACCESS AREAS. THE POLICY WAS MADE AVAILABLE TO PATIENTS UPON REQUEST.
GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 18D:
GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 19D:
GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 20E:	THE HOSPITAL ROUTES ALL SELF-PAY INPATIENTS AND EMERGENCY PATIENTS TO OUR OAKASSIST FINANCIAL COUNSELORS WHO ASSESS THE PATIENTS FOR ELIGIBILITY UNDER OUR FINANCIAL ASSISTANCE POLICY. IN ADDITION, SELF-PAY PATIENTS, SCHEDULED THROUGH OUR CENTRAL SCHEDULING DEPARTMENT, ARE ALSO ROUTED THROUGH OUR FINANCIAL CLEARANCE CENTER AND, IF DEEMED ELIGIBLE OR A DETERMINATION CANNOT BE MADE, THE PATIENT IS ROUTED TO OUR OAKASSIST FINANCIAL COUNSELORS FOR FURTHER SCREENING. PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THEIR INPATIENT STAY THROUGH A SECTION OF THE ADMISSION PACKET WHERE PATIENTS WHO ARE CONCERNED ABOUT THEIR FINANCIAL RESPONSIBILITY CAN SPEAK TO FINANCIAL COUNSELORS FOR OPTIONS TO ASSIST THEM WITH PAYMENTS. THERE ARE POSTINGS IN THE EMERGENCY DEPARTMENT AND MAIN REGISTRATION/PATIENT ACCESS AREAS INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE. PATIENTS ARE ALSO PROVIDED INFORMATION ABOUT HOW TO ACCESS INFORMATION ON OAKWOOD'S PROGRAMS AND HOW TO CONTACT OUR FINANCIAL COUNSELORS FOR MORE INFORMATION AND ASSISTANCE. PATIENTS ARE ALSO NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ON THE MONTHLY PATIENT STATEMENTS WHICH INCLUDES WEBSITE AND TELEPHONE CONTACT INFORMATION. IN ADDITION, THE UNINSURED ARE PROVIDED A SELF-PAY DISCOUNT BASED ON COMMERCIAL PAYMENT RATES WITHOUT A FORMAL REQUEST FOR FINANCIAL ASSISTANCE. INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS AVAILABLE ON OUR WEBSITE AND TELEPHONE CONTACT DATA REGARDING FINANCIAL ASSISTANCE OPTIONS IS LISTED ON OUR WEBSITE. PRIOR TO SENDING PATIENT PAY ACCOUNTS TO OUR EXTERNAL COLLECTION AGENCY, OUR EXTERNAL CUSTOMER SERVICE VENDOR PROCESSES THE ACCOUNTS THROUGH THEIR PROPRIETY "PROPENSITY TO PAY" MODEL AND ASSIGNS A "PROPENSITY TO PAY SCORE" ON EACH ACCOUNT. PER OAKWOOD POLICY, THOSE PATIENT ACCOUNTS SCORED A 650 OR LESS, WITH NO INSURANCE INFORMATION ATTACHED, AN OUTSTANDING BALANCE FOR $100.00 OR MORE, AND CONTAINING DEMOGRAPHIC INFORMATION INDICATING MICHIGAN RESIDENCY ARE AUTOMATICALLY ADJUSTED OFF TO CHARITY CARE WITHOUT A FORMAL APPLICATION PROCESS. ALL OF THESE EFFORTS ARE MADE PRIOR TO INITIATING ANY COLLECTION ACTIONS.
GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 21C:
GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 21D:
GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 22D:	A DISCOUNT OF 55 PERCENT WAS DERIVED BY CALCULATING AN AVERAGE OF OUR COMMERCIAL DISCOUNTS.
GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 23:
GROUP A-FACILITY 2 -- OAKWOOD HOSPITAL - SOUTHSHORE PART V, SECTION B, LINE 24:
GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 2:
GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 3J:	CHNA REGULATION REQUIRES EACH HOSPITAL TO DEFINE THEIR "COMMUNITY SERVED" FOR THE PURPOSES OF THE ASSESSMENT. THE OAKWOOD HEALTHCARE HOSPITAL COMMUNITIES ARE DEFINED AS ZIP CODES THAT COMPRISE 80% OF INPATIENT DISCHARGES AND ARE CONTIGUOUS. THE OVERALL OAKWOOD HEALTHCARE COMMUNITY IS THE AGGREGATE OF EACH HOSPITAL'S COMMUNITY. IT IS IMPORTANT TO NOTE THAT INDIVIDUAL HOSPITAL COMMUNITIES OVERLAP. OAKWOOD HEALTHCARE HOSPITALS ARE LOCATED IN WAYNE COUNTY, MICHIGAN, AND THE COMMUNITY THEY SERVE CONSISTS OF ZIP CODES IN WAYNE COUNTY WITH SOME OVERLAP INTO NORTHEASTERN MONROE COUNTY, MICHIGAN. OAKWOOD HEALTHCARE APPROACHED THE CHNA PROCESS AS A COLLABORATIVE EFFORT BETWEEN THEIR HOSPITALS BUT ALSO INCLUDED INFORMATION SPECIFIC TO EACH HOSPITAL COMMUNITY WHERE THE DATA COLLECTION WAS ABLE TO PROVIDE HOSPITAL COMMUNITY SPECIFIC INFORMATION. TO ASSESS HEALTH NEEDS OF THE OAKWOOD HEALTHCARE COMMUNITIES, A QUANTITATIVE AND QUALITATIVE APPROACH WAS USED. IN ADDITION TO COLLECTING DATA FROM A NUMBER OF PUBLIC SOURCES AND TRUVEN HEALTH PROPRIETARY SOURCES, INTERVIEWS (BOTH IN-PERSON AND TELEPHONE) AND FOCUS GROUPS WERE CONDUCTED WITH INDIVIDUALS REPRESENTING COMMUNITY LEADERS/GROUPS, PUBLIC ORGANIZATIONS, PATIENTS, PROVIDERS, AND OAKWOOD HEALTHCARE REPRESENTATIVES FROM THE HOSPITAL AND CORPORATE LEVELS. IN ADDITION TO THE QUALITATIVE FEEDBACK, QUANTITATIVE HEALTH INDICATORS WERE COLLECTED AND ANALYZED TO ASSESS COMMUNITY HEALTH NEEDS. ONE HUNDRED-SIX INDICATORS WERE EVALUATED FOR EACH OF THE COUNTIES OR TOWNS (DEPENDING ON LEVEL OF DATA AVAILABLE) IN THE OAKWOOD HEALTHCARE COMMUNITY SERVED. THE MAJORITY OF HEALTH INDICATORS ARE ONLY AVAILABLE AT THE COUNTY LEVEL. THIS PRESENTS A NUMBER OF CHALLENGES AS HEALTH INDICATORS WERE EVALUATED ACROSS MULTIPLE COUNTIES. IN EVALUATING DATA FOR ENTIRE COUNTIES VERSUS ZIP CODE LEVEL DATA, IT IS DIFFICULT TO UNDERSTAND THE HEALTH NEEDS FOR SPECIFIC POPULATION POCKETS WITHIN A COUNTY. SUPPLEMENTED HEALTH INDICATOR DATA WITH ZIP CODE ESTIMATES (COMMUNITY NEEDS INDEX) WERE USED TO IDENTIFY SPECIFIC POPULATIONS WITHIN A COMMUNITY WHERE HEALTH NEEDS MAY BE GREATER.
GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 5:	TO TAKE INTO ACCOUNT THE INPUT OF PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INTERVIEWS (BOTH ONE ON ONE AND IN SMALL GROUPS) AS WELL AS FOCUS GROUPS WERE CONDUCTED. THE INTERVIEW QUESTIONNAIRE WAS DESIGNED TO UNDERSTAND HOW PARTICIPANTS FEEL ABOUT THE GENERAL HEALTH STATUS OF THE COMMUNITY AND THE VARIOUS DRIVERS CONTRIBUTING TO HEALTH ISSUES. PARTICIPANTS INCLUDED REPRESENTATIVES FROM THE WAYNE DEPARTMENT OF PUBLIC HEALTH, WAYNE COUNTY DEPT. OF HEALTH AND HUMAN SERVICES, MICHIGAN DEPT. OF COMMUNITY HEALTH, WAYNE COUNTY HEALTH AUTHORITY, CITY OF DETROIT DEPARTMENT OF HEALTH AND WELLNESS PROMOTION, SEMCA, FAITH-BASED ORGANIZATIONS, MENTAL HEALTH ORGANIZATIONS, EARLY CHILDHOOD ORGANIZATIONS, FQHC'S, UNIVERSITY OF MICHIGAN DEARBORN, WORKFORCE DEVELOPMENT ORGANIZATIONS, LOCAL GOVERNMENT REPRESENTATIVES, CHRONIC DISEASE MANAGEMENT ORGANIZATIONS, NONPROFIT ORGANIZATIONS SERVING VULNERABLE POPULATIONS, PHYSICIAN PRACTICES, AND OAKWOOD HEALTHCARE REPRESENTATIVES.
GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 6A:	OAKWOOD HOSPITAL - WAYNE'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:OAKWOOD HOSPITAL - DEARBORNOAKWOOD HOSPITAL - TAYLOROAKWOOD HOSPITAL - SOUTHSHORE
GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 6B:
GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 7D:	THE CHNA WAS DISTRIBUTED TO THOSE WHO PARTICIPATED IN THE INTERVIEWS AND FOCUS GROUPS AND TO COMMUNITY ORGANIZATIONS IN THE OAKWOOD SERVICE AREA.
GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 11:	FOUR PRIORITY HEALTH NEEDS WERE IDENTIFIED IN THE CHNA: ACCESS TO CARE, DIABETES, OBESITY AND HEART/CARDIOVASCULAR DISEASE. FOR ACCESS TO CARE, THE FOLLOWING KEY INITIATIVES AND OUTCOMES ARE HIGHLIGHTED: OAKWOOD UTILIZED CERTIFIED NAVIGATORS FOR THE HEALTH INSURANCE MARKETPLACE TO CONDUCT COMMUNITY-BASED ENROLLMENT AND EDUCATION FOR THE UNINSURED, UNDERINSURED AND UNDERSERVED. INFORMATION ON THE MEDICAID AND EXPANDED MEDICAID WAS PROVIDED TO 35,818 INDIVIDUALS. NAVIGATORS ENROLLED COMMUNITY MEMBERS IN MEDICAID, HEALTHY MICHIGAN AND THE MARKETPLACE AND ASSISTED THOSE WHO NEEDED A MEDICAL HOME. IN 2014, 2,565 INDIVIDUALS WERE ASSISTED IN APPLYING FOR HEALTH INSURANCE COVERAGE. OAKASSIST SCREENED AND PROVIDED ASSISTANCE TO 26,728 INDIVIDUALS FOR HEALTH COVERAGE ELIGIBILITY. OAKWOOD SCHOOL & COMMUNITY-BASED CHILD AND ADOLESCENT CENTERS PROVIDED 1,226 YOUTH WITH MEDICAL SERVICES. THE CENTER FOR EXCEPTIONAL FAMILIES PROVIDED 4,011 YOUTH WITH SPECIAL NEEDS MEDICAL SERVICES. THE WESTLAND INFECTIOUS DISEASE CLINIC PROVIDED 1,310 UNITS OF SERVICE TO 221 INDIVIDUALS WITH HIV.KEY INITIATIVES AND OUTCOMES RELATED TO DIABETES INCLUDE: BUSINESS DEVELOPMENT FOR THE CREATION OF A METABOLIC AND NUTRITION DISORDERS PROGRAM AT OAKWOOD HOSPITAL WAYNE. IN 2014, SIX NEW COMMUNITY PARTNERS WERE ADDED TO CONDUCT DIABETES SCREENINGS. 59 EVENTS WERE HELD IN OAKWOOD ANNAPOLIS AREA IN WHICH 1,333 INDIVIDUALS RECEIVED BLOOD PRESSURE, CHOLESTEROL AND GLUCOSE SCREENINGS. FOLLOW-UP CARE WAS RECOMMENDED FOR 400 OF THESE INDIVIDUALS. DIABETES EDUCATION WAS PROVIDED AT SIX COMMUNITY EVENTS SERVING A TOTAL OF 324 INDIVIDUALS. A PARTNERSHIP WITH THE NATIONAL KIDNEY FOUNDATION PROVIDED COMMUNITY-BASED PROGRAMMING WITH PATH (2 SIX WEEK WORKSHOPS) AND THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP) - A 12-MONTH PROGRAM. POST-TEST FOR PATH SHOWED 63% TESTED THEIR BLOOD SUGAR VS. 41% PRE-TEST. ALSO, 92% WERE EXERCISING MORE THAN 150 MINUTES PER WEEK COMPARED TO 46% AT PRE-TEST. DIABETES SUPPORT GROUPS PROVIDED SCREENING AND EDUCATION SERVICES TO 117 INDIVIDUALS. INTERMEDIATE OUTCOMES FOR NDPP SHOW 98.9% INCREASED THEIR PHYSICAL ACTIVITY MINUTES IN THE CORE PHASE WITH AN AVERAGE WEIGHT LOSS OF 10.5 POUNDS PER PARTICIPANT. A PARTNERSHIP WITH GLEANERS COMMUNITY FOOD BANK RESULTED IN FOUR PILOT PROGRAMS OF COOKING MATTERS FOR DIABETES(TM) OFFERED IN THE COMMUNITY WITH 74 INDIVIDUALS PARTICIPATING. TWENTY OUTCOME MEASURES WERE TRACKED WITH POST-TESTS SHOWING POSITIVE CHANGES IN MOST AREAS.KEY INITIATIVES AND OUTCOMES RELATED TO CARDIOVASCULAR DISEASE INCLUDE: COMMUNITY-BASED SCREENING FOR ELEVATED BLOOD PRESSURE AND CHOLESTEROL LEVELS AND EDUCATION SERVICES WERE HELD AT 59 EVENTS IN THE OAKWOOD HOSPITAL WAYNE AREA. OF THE 1,333 PARTICIPANTS WHO WERE SCREENED, 400 WERE REFERRED FOR FOLLOW-UP SERVICES. TO REDUCE CARDIOVASCULAR DISEASE COMPLICATIONS AND SUDDEN DEATH FROM CARDIAC ARREST, OAKWOOD HEALTHCARE PARTNERED WITH THE SENIOR ALLIANCE (TSA) FOR THE CARE TRANSITIONS INTERVENTION PROGRAM. AS OF 2014, THE RATE REDUCTION IN HOSPITAL READMISSIONS FOR ALL PATIENTS IS 15.4%. TO INCREASE KNOWLEDGE AND SKILLS TO RESUSCITATE INFANTS/CHILDREN SUFFERING SUDDEN CARDIAC ARREST, CPR CLASSES WERE PROVIDED TO 95 INDIVIDUALS. KEY INITIATIVES AND OUTCOMES RELATED TO OBESITY INCLUDE: INCORPORATING EDUCATION ON HEALTHY EATING, ACTIVE LIVING AND WEIGHT MANAGEMENT AT THE OAKWOOD TEEN HEALTH CENTERS - YOUTH WITH A BMI OVER 85% ARE REFERRED TO THE NUTRITIONIST. OAKWOOD PROVIDES EDUCATION ON HEALTHY EATING, PHYSICAL ACTIVITY AND WEIGHT MANAGEMENT WITH THE CATCH KIDS CLUB. THE AFTER-SCHOOL ACTIVITY AND NUTRITION PROGRAM IS CONDUCTED IN COLLABORATION WITH SCHOOLS AND THE YMCA OF METRO DETROIT. IN ADDITION TO THE PROGRAM BEING OFFERED IN 11 SCHOOLS, EIGHT ADDITIONAL SITES WERE ADDED IN 2014 IN THE DEARBORN SCHOOL DISTRICT. IN 2014, 1,027 CHILDREN TOOK PART IN THE PROGRAM. TO IMPROVE NUTRITION PRACTICES, HEALTHY MEAL PREPARATION AND FOOD BUDGETING KNOWLEDGE, EIGHT PILOT PROGRAMS OF COOKING MATTERS(TM) WERE CONDUCTED IN COLLABORATION WITH GLEANERS COMMUNITY FOOD BANK WITH 134 INDIVIDUALS PARTICIPATING. IN ADDITION, COMMUNITY-BASED EDUCATION ON NUTRITION WAS PRESENTED AT 31 EVENTS REACHING 1,869 INDIVIDUALS.TO HAVE A COLLECTIVE IMPACT AND MOVE THE NEEDLE ON THESE PRIORITY HEALTH NEEDS, OAKWOOD HEALTHCARE ESTABLISHED HEALTHY WAYNE, A COLLECTIVE IMPACT INITIATIVE IN PARTNERSHIP WITH THE CITY, SCHOOLS, RESIDENTS, NONPROFITS, AND OTHER SECTORS. A COMMUNITY COALITION WILL COORDINATE AND DRIVE INITIATIVES IN THE COMMUNITY TO IMPROVE HEALTH WHILE ADDRESSING PRIORITY HEALTH NEEDS. NEEDS THAT WERE NOT ADDRESSED INCLUDE MENTAL HEALTH, MATERNAL HEALTH, ENVIRONMENT AND SOCIOECONOMIC FACTORS. WHILE EACH OF THESE HEALTH NEEDS ARE IMPORTANT AND ARE BEING ADDRESSED BY PROGRAMS AND INITIATIVES OF OAKWOOD HEALTHCARE, ALLOCATING SIGNIFICANT RESOURCES TO THE FOUR PRIORITY NEEDS PREVENTED THE INCLUSION OF ALL HEALTH NEEDS IN THE OAKWOOD IMPLEMENTATION PLANS.
GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 13B:
GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 13H:	ALL SELF-PAY PATIENTS ARE BILLED FULL CHARGES AND THEN THE CHARGES ARE REDUCED PER OUR FINANCIAL ASSISTANCE POLICY. ALL SELF-PAY, UNINSURED PATIENTS RECEIVE, AT A MINIMUM, A 55% DISCOUNT OFF OF FULL CHARGES WITHOUT HAVING TO SUBMIT A FORMAL APPLICATION FOR OR INQUIRE ABOUT FINANCIAL ASSISTANCE. THE MAXIMUM DISCOUNT PERCENTAGE IS UPDATED ANNUALLY BASED ON AVERAGE PAYMENT RATES FROM COMMERCIAL PAYORS. OAKWOOD ATTEMPTS TO SCREEN ALL SELF-PAY PATIENTS UPON SCHEDULING THROUGH CENTRAL SCHEDULING, WHILE ACCESSING CARE THROUGH OUR EMERGENCY DEPARTMENTS AND UPON INPATIENT ADMISSION INTO OUR HOSPITALS. OAKASSIST FINANCIAL COUNSELORS GATHER INFORMATION ON THE PATIENT'S OVERALL FINANCIAL SITUATION. PATIENTS APPLYING FOR AN ADDITIONAL LEVEL OF DISCOUNT OR APPLYING FOR A CATASTROPHIC MEDICAL DEBT DISCOUNT NEED TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION FORM OR REQUEST A DETERMINATION AS TO WHETHER OR NOT THEY QUALIFY FOR FREE OR DISCOUNTED CARE; SELF-PAY DISCOUNTS ARE BASED UPON THE FOLLOWING:1) FEDERAL POVERTY GUIDELINES/INCOME LEVEL2) EARNING CAPACITY3) EMPLOYMENT STATUS 4) ASSETS5) INSURANCE STATUS AND THE POSSIBILITY OF QUALIFYING FOR SOME FORM OF GOVERNMENT ASSISTANCE OR SOURCE OF COVERAGE FOR UNINSURED PATIENT6) THE LEVEL OF SELF PAY DISCOUNTING CURRENTLY BEING OFFERED THROUGH THE FINANCIAL ASSISTANCE POLICY.
GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 15E:
GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 16I:	THE ORGANIZATION'S WEBSITE DIRECTS PATIENTS TO CONTACT OUR OAKASSIST FINANCIAL COUNSELORS FOR ASSISTANCE AND PROVIDES SUMMARY LEVEL INFORMATION ON THE TYPES AND ELIGIBILITY REQUIREMENTS OF FINANCIAL ASSISTANCE AVAILABLE. FINANCIAL ASSISTANCE INFORMATION IS INCLUDED IN OUR ADMISSION PACKETS AND IS MADE AVAILABLE TO ALL HOSPITAL INPATIENTS THAT CONTAIN THE TELEPHONE NUMBER DIRECTLY TO OAKWOOD'S FINANCIAL COUNSELORS. OUR PATIENT STATEMENTS INCLUDE A BOLD STATEMENT INDICATING "FINANCIAL ASSISTANCE AVAILABLE" AND THERE IS A NOTICE TO PATIENTS, ON THE STATEMENT, AS FOLLOWS: "IF YOU CANNOT PAY THIS BALANCE IN FULL, PLEASE CALL A CUSTOMER SERVICE REPRESENTATIVE AS SOON AS POSSIBLE AT THE NUMBERS LISTED BELOW TO DISCUSS OTHER OPTIONS. MONTHLY PAYMENT OPTIONS AND FINANCIAL ASSISTANCE PROGRAMS ARE AVAILABLE TO THOSE WHO QUALIFY." THE TELEPHONE NUMBER FOR CUSTOMER SERVICE IS LISTED AND OAKWOOD'S WEBSITE ADDRESS. THERE ARE POSTINGS NOTIFYING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE AND THE CONTACT INFORMATION TO OBTAIN FINANCIAL ASSISTANCE IS POSTED IN OUR EMERGENCY DEPARTMENTS AND HOSPITAL REGISTRATION/PATIENT ACCESS AREAS. THE POLICY WAS MADE AVAILABLE TO PATIENTS UPON REQUEST.
GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 18D:
GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 19D:
GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 20E:	THE HOSPITAL ROUTES ALL SELF-PAY INPATIENTS AND EMERGENCY PATIENTS TO OUR OAKASSIST FINANCIAL COUNSELORS WHO ASSESS THE PATIENTS FOR ELIGIBILITY UNDER OUR FINANCIAL ASSISTANCE POLICY. IN ADDITION, SELF-PAY PATIENTS, SCHEDULED THROUGH OUR CENTRAL SCHEDULING DEPARTMENT, ARE ALSO ROUTED THROUGH OUR FINANCIAL CLEARANCE CENTER AND, IF DEEMED ELIGIBLE OR A DETERMINATION CANNOT BE MADE, THE PATIENT IS ROUTED TO OUR OAKASSIST FINANCIAL COUNSELORS FOR FURTHER SCREENING. PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THEIR INPATIENT STAY THROUGH A SECTION OF THE ADMISSION PACKET WHERE PATIENTS WHO ARE CONCERNED ABOUT THEIR FINANCIAL RESPONSIBILITY CAN SPEAK TO FINANCIAL COUNSELORS FOR OPTIONS TO ASSIST THEM WITH PAYMENTS. THERE ARE POSTINGS IN THE EMERGENCY DEPARTMENT AND MAIN REGISTRATION/PATIENT ACCESS AREAS INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE. PATIENTS ARE ALSO PROVIDED INFORMATION ABOUT HOW TO ACCESS INFORMATION ON OAKWOOD'S PROGRAMS AND HOW TO CONTACT OUR FINANCIAL COUNSELORS FOR MORE INFORMATION AND ASSISTANCE. PATIENTS ARE ALSO NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ON THE MONTHLY PATIENT STATEMENTS WHICH INCLUDES WEBSITE AND TELEPHONE CONTACT INFORMATION. IN ADDITION, THE UNINSURED ARE PROVIDED A SELF-PAY DISCOUNT BASED ON COMMERCIAL PAYMENT RATES WITHOUT A FORMAL REQUEST FOR FINANCIAL ASSISTANCE. INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS AVAILABLE ON OUR WEBSITE AND TELEPHONE CONTACT DATA REGARDING FINANCIAL ASSISTANCE OPTIONS IS LISTED ON OUR WEBSITE. PRIOR TO SENDING PATIENT PAY ACCOUNTS TO OUR EXTERNAL COLLECTION AGENCY, OUR EXTERNAL CUSTOMER SERVICE VENDOR PROCESSES THE ACCOUNTS THROUGH THEIR PROPRIETY "PROPENSITY TO PAY" MODEL AND ASSIGNS A "PROPENSITY TO PAY SCORE" ON EACH ACCOUNT. PER OAKWOOD POLICY, THOSE PATIENT ACCOUNTS SCORED A 650 OR LESS, WITH NO INSURANCE INFORMATION ATTACHED, AN OUTSTANDING BALANCE FOR $100.00 OR MORE, AND CONTAINING DEMOGRAPHIC INFORMATION INDICATING MICHIGAN RESIDENCY ARE AUTOMATICALLY ADJUSTED OFF TO CHARITY CARE WITHOUT A FORMAL APPLICATION PROCESS. ALL OF THESE EFFORTS ARE MADE PRIOR TO INITIATING ANY COLLECTION ACTIONS.
GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 21C:
GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 21D:
GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 22D:	A DISCOUNT OF 55 PERCENT WAS DERIVED BY CALCULATING AN AVERAGE OF OUR COMMERCIAL DISCOUNTS.
GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 23:
GROUP A-FACILITY 3 -- OAKWOOD HOSPITAL - WAYNE PART V, SECTION B, LINE 24:
GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 2:
GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 3J:	CHNA REGULATION REQUIRES EACH HOSPITAL TO DEFINE THEIR "COMMUNITY SERVED" FOR THE PURPOSES OF THE ASSESSMENT. THE OAKWOOD HEALTHCARE HOSPITAL COMMUNITIES ARE DEFINED AS ZIP CODES THAT COMPRISE 80% OF INPATIENT DISCHARGES AND ARE CONTIGUOUS. THE OVERALL OAKWOOD HEALTHCARE COMMUNITY IS THE AGGREGATE OF EACH HOSPITAL'S COMMUNITY. IT IS IMPORTANT TO NOTE THAT INDIVIDUAL HOSPITAL COMMUNITIES OVERLAP. OAKWOOD HEALTHCARE HOSPITALS ARE LOCATED IN WAYNE COUNTY, MICHIGAN, AND THE COMMUNITY THEY SERVE CONSISTS OF ZIP CODES IN WAYNE COUNTY WITH SOME OVERLAP INTO NORTHEASTERN MONROE COUNTY, MICHIGAN. OAKWOOD HEALTHCARE APPROACHED THE CHNA PROCESS AS A COLLABORATIVE EFFORT BETWEEN THEIR HOSPITALS BUT ALSO INCLUDED INFORMATION SPECIFIC TO EACH HOSPITAL COMMUNITY WHERE THE DATA COLLECTION WAS ABLE TO PROVIDE HOSPITAL COMMUNITY SPECIFIC INFORMATION. TO ASSESS HEALTH NEEDS OF THE OAKWOOD HEALTHCARE COMMUNITIES, A QUANTITATIVE AND QUALITATIVE APPROACH WAS USED. IN ADDITION TO COLLECTING DATA FROM A NUMBER OF PUBLIC SOURCES AND TRUVEN HEALTH PROPRIETARY SOURCES, INTERVIEWS (BOTH IN-PERSON AND TELEPHONE) AND FOCUS GROUPS WERE CONDUCTED WITH INDIVIDUALS REPRESENTING COMMUNITY LEADERS/GROUPS, PUBLIC ORGANIZATIONS, PATIENTS, PROVIDERS, AND OAKWOOD HEALTHCARE REPRESENTATIVES FROM THE HOSPITAL AND CORPORATE LEVELS. IN ADDITION TO THE QUALITATIVE FEEDBACK, QUANTITATIVE HEALTH INDICATORS WERE COLLECTED AND ANALYZED TO ASSESS COMMUNITY HEALTH NEEDS. ONE HUNDRED-SIX INDICATORS WERE EVALUATED FOR EACH OF THE COUNTIES OR TOWNS (DEPENDING ON LEVEL OF DATA AVAILABLE) IN THE OAKWOOD HEALTHCARE COMMUNITY SERVED. THE MAJORITY OF HEALTH INDICATORS ARE ONLY AVAILABLE AT THE COUNTY LEVEL. THIS PRESENTS A NUMBER OF CHALLENGES AS HEALTH INDICATORS WERE EVALUATED ACROSS MULTIPLE COUNTIES. IN EVALUATING DATA FOR ENTIRE COUNTIES VERSUS ZIP CODE LEVEL DATA, IT IS DIFFICULT TO UNDERSTAND THE HEALTH NEEDS FOR SPECIFIC POPULATION POCKETS WITHIN A COUNTY. SUPPLEMENTED HEALTH INDICATOR DATA WITH ZIP CODE ESTIMATES (COMMUNITY NEEDS INDEX) WERE USED TO IDENTIFY SPECIFIC POPULATIONS WITHIN A COMMUNITY WHERE HEALTH NEEDS MAY BE GREATER.
GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 5:	TO TAKE INTO ACCOUNT THE INPUT OF PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INTERVIEWS (BOTH ONE ON ONE AND IN SMALL GROUPS) AS WELL AS FOCUS GROUPS WERE CONDUCTED. THE INTERVIEW QUESTIONNAIRE WAS DESIGNED TO UNDERSTAND HOW PARTICIPANTS FEEL ABOUT THE GENERAL HEALTH STATUS OF THE COMMUNITY AND THE VARIOUS DRIVERS CONTRIBUTING TO HEALTH ISSUES. PARTICIPANTS INCLUDED REPRESENTATIVES FROM THE WAYNE DEPARTMENT OF PUBLIC HEALTH, WAYNE COUNTY DEPT. OF HEALTH AND HUMAN SERVICES, MICHIGAN DEPT. OF COMMUNITY HEALTH, WAYNE COUNTY HEALTH AUTHORITY, CITY OF DETROIT DEPARTMENT OF HEALTH AND WELLNESS PROMOTION, SEMCA, FAITH-BASED ORGANIZATIONS, MENTAL HEALTH ORGANIZATIONS, EARLY CHILDHOOD ORGANIZATIONS, FQHC'S, UNIVERSITY OF MICHIGAN DEARBORN, WORKFORCE DEVELOPMENT ORGANIZATIONS, LOCAL GOVERNMENT REPRESENTATIVES, CHRONIC DISEASE MANAGEMENT ORGANIZATIONS, NONPROFIT ORGANIZATIONS SERVING VULNERABLE POPULATIONS, PHYSICIAN PRACTICES, AND OAKWOOD HEALTHCARE REPRESENTATIVES.
GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 6A:	OAKWOOD HOSPITAL - TAYLOR'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:OAKWOOD HOSPITAL - DEARBORNOAKWOOD HOSPITAL - WAYNEOAKWOOD HOSPITAL - SOUTHSHORE
GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 6B:
GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 7D:	THE CHNA WAS DISTRIBUTED TO THOSE WHO PARTICIPATED IN THE INTERVIEWS AND FOCUS GROUPS AND TO COMMUNITY ORGANIZATIONS IN THE OAKWOOD SERVICE AREA.
GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 11:	FOUR PRIORITY HEALTH NEEDS WERE IDENTIFIED IN THE CHNA: ACCESS TO CARE, DIABETES, OBESITY AND HEART/CARDIOVASCULAR DISEASE. FOR ACCESS TO CARE, THE FOLLOWING KEY INITIATIVES AND OUTCOMES ARE HIGHLIGHTED: TO ASSIST THE UNINSURED, UNDERINSURED AND UNDERSERVED, OAKWOOD PROVIDED CERTIFIED NAVIGATORS TO CONDUCT COMMUNITY-BASED INSURANCE ENROLLMENT AND EDUCATION FOR THE HEALTH INSURANCE MARKETPLACE, MEDICAID AND HEALTHY MICHIGAN. INFORMATION ON THE MEDICAID AND EXPANDED MEDICAID WAS PROVIDED TO 35,818 INDIVIDUALS. NAVIGATORS ENROLLED COMMUNITY MEMBERS IN MEDICAID, HEALTHY MICHIGAN AND THE MARKETPLACE AND ASSISTED THOSE WHO NEEDED A MEDICAL HOME. IN 2014, 2,565 INDIVIDUALS WERE ASSISTED IN APPLYING FOR HEALTH INSURANCE IN ADDITION TO 141 INDIVIDUALS ATTENDING HEALTH INSURANCE 101, AN EDUCATIONAL PROGRAM ON HOW TO USE INSURANCE FOR THE NEWLY INSURED. OAKASSIST SCREENED AND PROVIDED ASSISTANCE TO 26,728 INDIVIDUALS FOR HEALTH COVERAGE ELIGIBILITY. IN THE CITY OF TAYLOR, OAKWOOD PROVIDES ACCESS TO INTEGRATED HEALTH CARE FOR CHILDREN AGES 10-21 AT THE TAYLOR TEEN HEALTH CENTER AND WELLNESS SERVICES FOR YOUTH AT TRUMAN HIGH SCHOOL. OAKWOOD SCHOOL & COMMUNITY-BASED CHILD AND ADOLESCENT HEALTH CENTERS PROVIDED ACCESS TO CARE FOR 1,226 YOUTH IN 2014 WITH INTEGRATED MEDICAL SERVICES. THE CENTER FOR EXCEPTIONAL FAMILIES PROVIDED ACCESS TO CARE FOR 4,011 YOUTH WITH SPECIAL NEEDS MEDICAL SERVICES. THE WESTLAND INFECTIOUS DISEASE CLINIC PROVIDED ACCESS TO CARE WITH 1,310 UNITS OF SERVICE TO 221 INDIVIDUALS WITH HIV. KEY INITIATIVES AND OUTCOMES RELATED TO DIABETES INCLUDE: ADDITION OF SIX NEW COMMUNITY PARTNER ORGANIZATIONS TO PROVIDE DIABETES SCREENING IN THE COMMUNITY. IN 2014, 9 EVENTS WERE HELD IN THE OAKWOOD TAYLOR AREA IN WHICH 259 INDIVIDUALS RECEIVED BLOOD PRESSURE, CHOLESTEROL AND GLUCOSE SCREENINGS. FOLLOW-UP CARE WAS RECOMMENDED FOR 78 OF THESE INDIVIDUALS. A PARTNERSHIP WITH THE NATIONAL KIDNEY FOUNDATION PROVIDED COMMUNITY-BASED PROGRAMMING WITH PATH (2 SIX WEEK WORKSHOPS) AND THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP) - A 12-MONTH PROGRAM. POST-TEST FOR PATH SHOWED 63% TESTED THEIR BLOOD SUGAR VS. 41% PRE-TEST. ALSO, 92% WERE EXERCISING MORE THAN 150 MINUTES PER WEEK COMPARED TO 46% AT PRE-TEST. DIABETES SUPPORT GROUPS PROVIDED SCREENING AND EDUCATION SERVICES TO 117 INDIVIDUALS. INTERMEDIATE OUTCOMES FOR NDPP SHOW 98.9% INCREASED THEIR PHYSICAL ACTIVITY MINUTES IN THE CORE PHASE WITH AN AVERAGE WEIGHT LOSS OF 10.5 POUNDS PER PARTICIPANT. A PARTNERSHIP WITH GLEANERS COMMUNITY FOOD BANK RESULTED IN FOUR PILOT PROGRAMS OF COOKING MATTERS FOR DIABETES(TM) OFFERED IN THE COMMUNITY WITH 74 INDIVIDUALS PARTICIPATING. TWENTY OUTCOME MEASURES WERE TRACKED WITH POST-TESTS SHOWING POSITIVE CHANGES IN MOST AREAS.KEY INITIATIVES AND OUTCOMES RELATED TO CARDIOVASCULAR DISEASE INCLUDE: COMMUNITY-BASED SCREENING FOR ELEVATED BLOOD PRESSURE AND CHOLESTEROL LEVELS WERE PROVIDED AT 9 EVENTS IN THE DEARBORN AREA TO 259 INDIVIDUALS IN THE COMMUNITY. OF THOSE SCREENED, 78 WERE REFERRED FOR FOLLOW-UP CARE. TO REDUCE CARDIOVASCULAR DISEASE COMPLICATIONS AND SUDDEN DEATH FROM CARDIAC ARREST, OAKWOOD HEALTHCARE PARTNERED WITH THE SENIOR ALLIANCE (TSA) FOR THE CARE TRANSITIONS INTERVENTION PROGRAM. AS OF 2014, THE RATE REDUCTION IN HOSPITAL READMISSIONS FOR ALL PATIENTS IS 15.4%. TO INCREASE KNOWLEDGE AND SKILLS TO RESUSCITATE INFANTS/CHILDREN SUFFERING SUDDEN CARDIAC ARREST, CPR CLASSES WERE PROVIDED TO 95 INDIVIDUALS. KEY INITIATIVES AND OUTCOMES RELATED TO OBESITY INCLUDE: OAKWOOD PROVIDES EDUCATION ON HEALTHY EATING, PHYSICAL ACTIVITY AND WEIGHT MANAGEMENT WITH THE CATCH KIDS CLUB. THE AFTER-SCHOOL ACTIVITY AND NUTRITION PROGRAM IS CONDUCTED IN COLLABORATION WITH SCHOOLS AND THE YMCA OF METRO DETROIT. IN ADDITION TO THE PROGRAM BEING OFFERED IN 11 SCHOOLS, EIGHT ADDITIONAL SITES WERE ADDED IN 2014 IN THE DEARBORN SCHOOL DISTRICT. IN 2014, 1,027 CHILDREN TOOK PART IN THE PROGRAM. MYNUTRATEK, A HEALTH AND WELLNESS APPLICATION AND PROGRAM, WAS OFFERED TO STUDENTS IN ALL TAYLOR SCHOOLS BY OAKWOOD. TO IMPROVE NUTRITION PRACTICES, HEALTHY MEAL PREPARATION AND FOOD BUDGETING KNOWLEDGE, EIGHT PILOT PROGRAMS OF COOKING MATTERS(TM) WERE CONDUCTED IN COLLABORATION WITH GLEANERS COMMUNITY FOOD BANK WITH 134 INDIVIDUALS PARTICIPATING. IN ADDITION, COMMUNITY-BASED EDUCATION ON NUTRITION WAS PRESENTED AT 31 EVENTS REACHING 1,869 INDIVIDUALS.TO HAVE A COLLECTIVE IMPACT AND MOVE THE NEEDLE ON THESE PRIORITY HEALTH NEEDS, OAKWOOD HEALTHCARE ESTABLISHED HEALTHY TAYLOR, A COLLECTIVE IMPACT INITIATIVE IN PARTNERSHIP WITH THE CITY, SCHOOLS, RESIDENTS, NONPROFITS, AND OTHER SECTORS. A COMMUNITY COALITION WILL COORDINATE AND DRIVE INITIATIVES IN THE COMMUNITY TO IMPROVE HEALTH WHILE ADDRESSING PRIORITY HEALTH NEEDS. NEEDS THAT WERE NOT ADDRESSED INCLUDE MENTAL HEALTH, MATERNAL HEALTH, ENVIRONMENT AND SOCIOECONOMIC FACTORS. WHILE EACH OF THESE HEALTH NEEDS ARE IMPORTANT AND ARE BEING ADDRESSED BY PROGRAMS AND INITIATIVES OF OAKWOOD HEALTHCARE, ALLOCATING SIGNIFICANT RESOURCES TO THE FOUR PRIORITY NEEDS PREVENTED THE INCLUSION OF ALL HEALTH NEEDS IN THE OAKWOOD IMPLEMENTATION PLANS.
GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 13B:
GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 13H:	ALL SELF-PAY PATIENTS ARE BILLED FULL CHARGES AND THEN THE CHARGES ARE REDUCED PER OUR FINANCIAL ASSISTANCE POLICY. ALL SELF-PAY, UNINSURED PATIENTS RECEIVE, AT A MINIMUM, A 55% DISCOUNT OFF OF FULL CHARGES WITHOUT HAVING TO SUBMIT A FORMAL APPLICATION FOR OR INQUIRE ABOUT FINANCIAL ASSISTANCE. THE MAXIMUM DISCOUNT PERCENTAGE IS UPDATED ANNUALLY BASED ON AVERAGE PAYMENT RATES FROM COMMERCIAL PAYORS. OAKWOOD ATTEMPTS TO SCREEN ALL SELF-PAY PATIENTS UPON SCHEDULING THROUGH CENTRAL SCHEDULING, WHILE ACCESSING CARE THROUGH OUR EMERGENCY DEPARTMENTS AND UPON INPATIENT ADMISSION INTO OUR HOSPITALS. OAKASSIST FINANCIAL COUNSELORS GATHER INFORMATION ON THE PATIENT'S OVERALL FINANCIAL SITUATION. PATIENTS APPLYING FOR AN ADDITIONAL LEVEL OF DISCOUNT OR APPLYING FOR A CATASTROPHIC MEDICAL DEBT DISCOUNT NEED TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION FORM OR REQUEST A DETERMINATION AS TO WHETHER OR NOT THEY QUALIFY FOR FREE OR DISCOUNTED CARE; SELF-PAY DISCOUNTS ARE BASED UPON THE FOLLOWING:1) FEDERAL POVERTY GUIDELINES/INCOME LEVEL2) EARNING CAPACITY3) EMPLOYMENT STATUS 4) ASSETS5) INSURANCE STATUS AND THE POSSIBILITY OF QUALIFYING FOR SOME FORM OF GOVERNMENT ASSISTANCE OR SOURCE OF COVERAGE FOR UNINSURED PATIENT6) THE LEVEL OF SELF PAY DISCOUNTING CURRENTLY BEING OFFERED THROUGH THE FINANCIAL ASSISTANCE POLICY.
GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 15E:
GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 16I:	THE ORGANIZATION'S WEBSITE DIRECTS PATIENTS TO CONTACT OUR OAKASSIST FINANCIAL COUNSELORS FOR ASSISTANCE AND PROVIDES SUMMARY LEVEL INFORMATION ON THE TYPES AND ELIGIBILITY REQUIREMENTS OF FINANCIAL ASSISTANCE AVAILABLE. FINANCIAL ASSISTANCE INFORMATION IS INCLUDED IN OUR ADMISSION PACKETS AND IS MADE AVAILABLE TO ALL HOSPITAL INPATIENTS THAT CONTAIN THE TELEPHONE NUMBER DIRECTLY TO OAKWOOD'S FINANCIAL COUNSELORS. OUR PATIENT STATEMENTS INCLUDE A BOLD STATEMENT INDICATING "FINANCIAL ASSISTANCE AVAILABLE" AND THERE IS A NOTICE TO PATIENTS, ON THE STATEMENT, AS FOLLOWS: "IF YOU CANNOT PAY THIS BALANCE IN FULL, PLEASE CALL A CUSTOMER SERVICE REPRESENTATIVE AS SOON AS POSSIBLE AT THE NUMBERS LISTED BELOW TO DISCUSS OTHER OPTIONS. MONTHLY PAYMENT OPTIONS AND FINANCIAL ASSISTANCE PROGRAMS ARE AVAILABLE TO THOSE WHO QUALIFY." THE TELEPHONE NUMBER FOR CUSTOMER SERVICE IS LISTED AND OAKWOOD'S WEBSITE ADDRESS. THERE ARE POSTINGS NOTIFYING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE AND THE CONTACT INFORMATION TO OBTAIN FINANCIAL ASSISTANCE IS POSTED IN OUR EMERGENCY DEPARTMENTS AND HOSPITAL REGISTRATION/PATIENT ACCESS AREAS. THE POLICY WAS MADE AVAILABLE TO PATIENTS UPON REQUEST.
GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 18D:
GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 19D:
GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 20E:	THE HOSPITAL ROUTES ALL SELF-PAY INPATIENTS AND EMERGENCY PATIENTS TO OUR OAKASSIST FINANCIAL COUNSELORS WHO ASSESS THE PATIENTS FOR ELIGIBILITY UNDER OUR FINANCIAL ASSISTANCE POLICY. IN ADDITION, SELF-PAY PATIENTS, SCHEDULED THROUGH OUR CENTRAL SCHEDULING DEPARTMENT, ARE ALSO ROUTED THROUGH OUR FINANCIAL CLEARANCE CENTER AND, IF DEEMED ELIGIBLE OR A DETERMINATION CANNOT BE MADE, THE PATIENT IS ROUTED TO OUR OAKASSIST FINANCIAL COUNSELORS FOR FURTHER SCREENING. PATIENTS ARE NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THEIR INPATIENT STAY THROUGH A SECTION OF THE ADMISSION PACKET WHERE PATIENTS WHO ARE CONCERNED ABOUT THEIR FINANCIAL RESPONSIBILITY CAN SPEAK TO FINANCIAL COUNSELORS FOR OPTIONS TO ASSIST THEM WITH PAYMENTS. THERE ARE POSTINGS IN THE EMERGENCY DEPARTMENT AND MAIN REGISTRATION/PATIENT ACCESS AREAS INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE. PATIENTS ARE ALSO PROVIDED INFORMATION ABOUT HOW TO ACCESS INFORMATION ON OAKWOOD'S PROGRAMS AND HOW TO CONTACT OUR FINANCIAL COUNSELORS FOR MORE INFORMATION AND ASSISTANCE. PATIENTS ARE ALSO NOTIFIED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ON THE MONTHLY PATIENT STATEMENTS WHICH INCLUDES WEBSITE AND TELEPHONE CONTACT INFORMATION. IN ADDITION, THE UNINSURED ARE PROVIDED A SELF-PAY DISCOUNT BASED ON COMMERCIAL PAYMENT RATES WITHOUT A FORMAL REQUEST FOR FINANCIAL ASSISTANCE. INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS AVAILABLE ON OUR WEBSITE AND TELEPHONE CONTACT DATA REGARDING FINANCIAL ASSISTANCE OPTIONS IS LISTED ON OUR WEBSITE. PRIOR TO SENDING PATIENT PAY ACCOUNTS TO OUR EXTERNAL COLLECTION AGENCY, OUR EXTERNAL CUSTOMER SERVICE VENDOR PROCESSES THE ACCOUNTS THROUGH THEIR PROPRIETY "PROPENSITY TO PAY" MODEL AND ASSIGNS A "PROPENSITY TO PAY SCORE" ON EACH ACCOUNT. PER OAKWOOD POLICY, THOSE PATIENT ACCOUNTS SCORED A 650 OR LESS, WITH NO INSURANCE INFORMATION ATTACHED, AN OUTSTANDING BALANCE FOR $100.00 OR MORE, AND CONTAINING DEMOGRAPHIC INFORMATION INDICATING MICHIGAN RESIDENCY ARE AUTOMATICALLY ADJUSTED OFF TO CHARITY CARE WITHOUT A FORMAL APPLICATION PROCESS. ALL OF THESE EFFORTS ARE MADE PRIOR TO INITIATING ANY COLLECTION ACTIONS.
GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 21C:
GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 21D:
GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 22D:	A DISCOUNT OF 55 PERCENT WAS DERIVED BY CALCULATING AN AVERAGE OF OUR COMMERCIAL DISCOUNTS.
GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 23:
GROUP A-FACILITY 4 -- OAKWOOD HOSPITAL - TAYLOR PART V, SECTION B, LINE 24:

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?69
Name and address		Type of Facility (describe)
1	OAKWOOD DEARBORN MEDICAL PARK 18100 OAKWOOD BLVD DEARBORN,MI48124	O/P PHYS/CARDIAC CLINICS, BREAST CARE/DIALYSIS CTR,O/P IMAGING,LAB DRAW SITE
2	OAKWOOD SOUTHSHORE SURGERY CENTER 5452 FORT STREET TRENTON,MI48183	O/P SURGICAL SERVICES, REHAB. CLINIC (PT & OT), ORTHOPEDIC CTR OF EXCELLENCE
3	OAKWOOD HEALTH CARE CTR - CANTON 7300 CANTON CENTER ROAD CANTON,MI48187	EMERGENCY ROOM, RADIOLOGY, OUTPATIENT IMAGING, LAB DRAW SITE
4	OAKWOOD MEDICAL OFFICES - DEARBORN 18181 OAKWOOD BLVD DEARBORN,MI48124	OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE
5	OAKWOOD HEALTH CARE CTR - SOUTHGATE 15777 NORTHLINE ROAD SOUTHGATE,MI48195	O/P CLINIC, CANCER CTR, URGENT CARE, RADIOLOGY, REHAB - PT, LAB DRAW SITE
6	OAKWOOD MIDWEST MEDICAL CENTER 4700 SCHAEFFER ROAD DEARBORN,MI48126	O/P PHYS CLINIC, O/P SURG SERVICES, O/P IMAGING
7	OAKWOOD HERITAGE HOSPITAL REHAB SCVS 9870 TELEGRAPH TAYLOR,MI48180	REHAB. CLINIC - PT
8	OAKDALE MEDICAL VILLAGE 25045 FORD ROAD DEARBORN,MI48128	OUTPATIENT IMAGING, LAB DRAW SITE
9	HAGGERTY MEDICAL BLDG - CANTON 2050 NORTH HAGGERTY RD CANTON,MI48188	OUTPATIENT PHYSICIAN CLINIC, OUTPATIENT IMAGING
10	OAKWOOD BREAST CARE CTR 4491 VENOY RD WAYNE,MI48184	BREAST CARE CENTER
11	OAKWOOD SOUTHSHORE PHYS MED REHAB 2707 W JEFFERSON TRENTON,MI48183	REHAB. CLINIC-PT, OT AND ST
12	OAKWOOD MEDICAL OFFICES - WAYNE 33000 ANNAPOLIS AVENUE WAYNE,MI48184	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC-PT, OT AND ST
13	OAKWOOD TRAINING & DEVELOPMENT CTR 18501 ROTUNDA DRIVE DEARBORN,MI48124	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC
14	OAKWOOD HEALTH CARE CTR - MERCURY DR 4900 MERCURY DRIVE DEARBORN,MI48126	OUTPATIENT PHYSICIAN CLINIC
15	OAKWOOD MEDICAL OFFICE BLDG - CANTON 7330 CANTON CENTER ROAD CANTON,MI48187	OUTPATIENT PHYSICIAN CLINIC
16	OAKWOOD SPORTS MEDICINE-DEARBORN 2552 MONROE DEARBORN,MI48124	REHAB. CLINIC-PT
17	OAKWOOD REHAB THERAPY SVCS - W DEARBORN 22731 NEWMAN ROAD DEARBORN,MI48124	REHAB. CLINIC - PT
18	OAKWOOD OUTPATIENT IMAGING 1676 FORT STREET TRENTON,MI48183	OUTPATIENT IMAGING
19	OAKWOOD HEALTH CARE CTR - WESTLAND 2001 SOUTH MERRIMAN WESTLAND,MI48186	OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE
20	INTERNAL MEDICINE WYANDOTTE 1700 BIDDLE AVE WYANDOTTE,MI48192	OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE
21	OAKWOOD HEALTH CARE CTR - BELLEVILLE 201 THIRD STREET BELLEVILLE,MI48111	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
22	OAKWOOD HEALTH CARE CTR - ALLEN PARK 15915 SOUTHFIELD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
23	OAKWOOD PHYSICAL THERAPY CENTER 4111 S CANTON CENTER ROAD CANTON,MI48188	REHAB. CLINIC - PT
24	OAKLANE MEDICAL SUITES 17000 HUBBARD DEARBORN,MI48126	OUTPATIENT PHYSICIAN CLINIC, REHAB. CLINIC - PT
25	OAKWOOD MEDICAL OFFICES - TRENTON 5400 FORT STREET TRENTON,MI48183	OUTPATIENT PHYSICIAN CLINIC, CARDIAC REHAB. CLINIC, LAB DRAW SITE
26	OAKWOOD CARDIAC CENTER 22060 BEECH ROAD DEARBORN,MI48124	CARDIAC CENTER
27	OAKWOOD VENOY PATIENT SERVICE CENTER 4020 VENOY SUITE 200A WAYNE,MI48184	OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE
28	OAKWOOD MEDICAL OFF BLDG-GARDEN CITY 29150 FORD ROAD GARDEN CITY,MI48135	OUTPATIENT PHYSICIAN CLINIC, URGENT CARE
29	OAKWOOD IMAGING CENTER TAYLOR 8850 S TELEGRAPH RD TAYLOR,MI48180	OUTPATIENT IMAGING
30	OAKWOOD HEALTH CARE CTR - TB CLINIC 2001 SOUTH MERRIMAN WESTLAND,MI48186	OUTPATIENT PHYSICIAN CLINIC (TB CLINIC)
31	OAKWOOD TAYLOR TEEN CENTER 26650 EUREKA ROAD SUITE B TAYLOR,MI48180	OUTPATIENT PHYSICIAN CLINIC
32	OAKWOOD BLANZY CLINIC 14319 DIX TOLEDO ROAD SOUTHGATE,MI48195	OUTPATIENT PHYSICIAN CLINIC
33	ONCOLOGY DOWNRIVER 19725 ALLEN ROAD SUITE 101 BROWNSTOWN,MI48183	OUTPATIENT PHYSICIAN CLINIC, ONCOLOGY, O/P IMAGING, LAB DRAW SITE
34	ATHENS CLINIC 15100 S PLAZA DRIVE TAYLOR,MI48180	OUTPATIENT PHYSICIAN CLINIC
35	EVERINGHAM FAMILY MEDICINE 12100 HURON RIVER DRIVE ROMULUS,MI48174	OUTPATIENT PHYSICIAN CLINIC
36	TAYLOR CLINIC 9340 S TELEGRAPH TAYLOR,MI48180	OUTPATIENT PHYSICIAN CLINIC
37	NAJAR OBGYN 2142 MONROE STREET SUITE A DEARBORN,MI48124	OUTPATIENT PHYSICIAN CLINIC
38	OAKWOOD INTERNAL MEDICINE-ALLEN PARK 7804 ALLEN ROAD ALLEN PARK,MI48101	OUTPATIENT PHYSICIAN CLINIC
39	OAKWOOD HEALTHCARE CTR - NEWPORT 3132 NEWPORT RD NEWPORT,MI48166	OUTPATIENT PHYSICIAN CLINIC
40	HENRY FORD VILLAGE GERIATRICS 15101 FORD ROAD 1ST FLOOR DEARBORN,MI48126	OUTPATIENT PHYSICIAN CLINIC
41	OAKMAN MEDICAL GROUP 15120 MICHIGAN AVE DEARBORN,MI48126	OUTPATIENT PHYSICIAN CLINIC, LAB DRAW SITE
42	ADULT MEDICAL CARE PLCC 35330 NANKIN BLVD SUITE 701 WESTLAND,MI48185	OUTPATIENT PHYSICIAN CLINIC
43	ALLEN PARK CARDIOLOGY 6742 PARK AVE ALLEN PARK,MI48101	CARDIAC REHAB.
44	OAKWOOD PT & WELLNESS CENTER 17101 ROTUNDA BLVD DEARBORN,MI48124	REHAB. CLINIC - PT
45	OAKWOOD INFUSION SERVICES 1633 FAIRLANE CIRCLE SUITE 165 ALLEN PARK,MI48101	OUTPATIENT INFUSION SERVICES
46	PRECISION ORTHOPEDICS 25755 TELEGRAPH RD BROWNSTOWN,MI48134	OUTPATIENT PHYSICIAN CLINIC
47	OAKWOOD URGENT CARE WYANDOTTE 211 EUREKA ROAD WYANDOTTE,MI48192	URGENT CARE
48	LINCOLN-ADAMS CHILDADOLESCENT HC CTR 33475 PALMER WESTLAND,MI48186	OUTPATIENT PHYSICIAN CLINIC
49	ALLIED MEDICAL GROUP 35180 NANKIN BLVD WESTLAND,MI48185	OUTPATIENT PHYSICIAN CLINIC
50	SOUTH CANTON INTERNAL MEDICINE 42287 CHEERY HILL RD SUITE D CANTON,MI48188	OUTPATIENT PHYSICIAN CLINIC
51	TRENTON OBGYN 3290 WEST ROAD TRENTON,MI48183	OUTPATIENT PHYSICIAN CLINIC
52	LAB AT WOODHAVEN 25000 HALL ROAD WOODHAVEN,MI48183	LAB DRAW SITE
53	CHASE MEDICAL CLINIC 6211 CHASE ROAD DEARBORN,MI48126	OUTPATIENT PHYSICIAN CLINIC
54	INKSTER TEEN HEALTH CENTER 3250 MIDDLEBELT INKSTER,MI48141	OUTPATIENT PHYSICIAN CLINIC
55	OAKWOOD HEALTHCARE FLAT ROCK 29100 GATEWAY BLVD FLAT ROCK,MI48134	OUTPATIENT PHYSICIAN CLINIC
56	GENERAL SURGICAL SERVICES 3851 WEST ROAD SUITE 3 TRENTON,MI48183	OUTPATIENT PHYSICIAN CLINIC
57	TRUMAN HIGH SCHOOL 11211 BEECH DALY RD TAYLOR,MI48180	OUTPATIENT PHYSICIAN CLINIC
58	OAKWOOD WYANDOTTE SPECIALTY 1848 BIDDLE WYANDOTTE,MI48192	OUTPATIENT PHYSICIAN CLINIC
59	INKSTER TEEN HEALTH CTR 25912 ANNAPOLIS STREET INKSTER,MI48141	OUTPATIENT PHYSICIAN CLINIC
60	DEARBORN FAMILY CLINIC 3133 SOUTH TELEGRAPH DEARBORN,MI48124	OUTPATIENT PHYSICIAN CLINIC
61	LAB AT FAMILY HEALTH RIVERVIEW CENTER 19020 FORT STREET RIVERVIEW,MI48192	LAB DRAW SITE
62	OAKWOOD HEALTH CARE CTR - BROWNSTOWN 17000 KING ROAD BROWNSTOWN,MI48183	OUTPATIENT PHYSICIAN CLINIC
63	OAKWOOD LABORATORY - HAMLET BLDG 1331 MONROE STREET DEARBORN,MI48124	LAB DRAW SITE, RESPIRATORY CARE
64	OAKWOOD HOME MEDICAL EQUIP 1633 FAIRLANE CIRCLE DEARBORN,MI48124	DURABLE MEDICAL EQUIPMENT
65	LAB AT DEARBORN FAMILY PRACTICE 23870 MICHIGAN AVE DEARBORN,MI48124	LAB DRAW SITE
66	INTERNAL MEDICINE MONROE STREET 1611 MONROE STREET DEARBORN,MI48124	OUTPATIENT PHYSICIAN CLINIC
67	INTERNAL MEDICINE DETROIT 18300 W MCNICHOLS RD DETROIT,MI48219	OUTPATIENT PHYSICIAN CLINIC
68	OAKWOOD YMCA SOUTHGATE PT 16777 NORTHLINE ROAD SOUTHGATE,MI48195	OUTPATIENT PHYSICIAN CLINIC
69	ROMULUS TEEN HEALTH CTR 9650 SOUTH WAYNE RD ROMULUS,MI48074	OUTPATIENT PHYSICIAN CLINIC

Schedule H (Form 990) 2014

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	OAKASSIST FINANCIAL COUNSELORS GATHER INFORMATION ON THE PATIENT'S OVERALL FINANCIAL SITUATION. DETERMINATION AS TO WHETHER OR NOT A PATIENT QUALIFIES FOR FREE OR DISCOUNTED CARE, ABOVE THE 55% SELF PAY DISCOUNT FOR THE UNINSURED, AND THE AMOUNT OF THE DISCOUNT TO BE PROVIDED ARE BASED UPON:1) FEDERAL POVERTY GUIDELINES/INCOME LEVEL2) EARNING CAPACITY3) EMPLOYMENT STATUS 4) ASSETS5) INSURANCE STATUS AND THE POSSIBILITY OF QUALIFYING FOR SOME FORM OF GOVERNMENT ASSISTANCE OR SOURCE OF COVERAGE FOR UNINSURED PATIENT6) THE LEVEL OF SELF PAY DISCOUNTING CURRENTLY BEING OFFERED THROUGH THE FINANCIAL ASSISTANCE POLICYTHE DISCOUNT OF 55 PERCENT WAS DERIVED BY CALCULATING AN AVERAGE OF OUR COMMERCIAL DISCOUNTS.
PART I, LINE 7:	CHARITY CARE (LINE A) USED A COST TO CHARGE RATIO SPECIFIC TO EACH ACUTE CARE BUSINESS UNIT. MEDICAID (LINE B) ALSO USED A BUSINESS UNIT-SPECIFIC COST TO CHARGE RATIO. HEALTH PROFESSIONS EDUCATION (LINE F) USED A COMBINATION OF EXPENSES REPORTED IN THE GENERAL LEDGER AND ALLOCATIONS FOR SPECIFIC EXPENSES FROM OTHER COST CENTERS TO THE MEDICAL EDUCATION PROGRAM. SUBSIDIZED HEALTH SERVICES (LINE G) USED A COST ACCOUNTING SYSTEM THAT INCLUDES ALL ACUTE CARE FACILITY ACTIVITY.
PART I, LN 7 COL(F):	BAD DEBT IN THE AMOUNT OF $450,967 WAS NOT COUNTED AS EXPENSES IN THE MEDICAL RESIDENT EDUCATION PORTION OF HEALTH PROFESSIONS EDUCATION. GROSS BAD DEBT CHARGES OF $137,286,937 WAS EXCLUDED FROM TOTAL EXPENSES (ADJUSTED FOR PATIENT DISCOUNT) WHEN COMPUTING THE COMMUNITY BENEFIT PERCENTAGES. A FULL COPY OF THE COMMUNITY BENEFIT REPORT CAN BE FOUND AT: HTTP://WWW.OAKWOOD.ORG/REPORT-TO-OUR-COMMUNITY
PART II, COMMUNITY BUILDING ACTIVITIES:	OAKWOOD HEALTHCARE SYSTEM HAS A STRONG CONNECTION TO THE COMMUNITIES IT SERVES. WE EXEMPLIFY THAT WITH WIDE AND EXTENSIVE PARTICIPATION FROM OUR EMPLOYEES AS BOARD MEMBERS AND VOLUNTEERS OF VARIOUS NON-PROFIT, COMMUNITY SERVICE AND PROFESSIONAL ORGANIZATIONS. REPORTED IN THE SECTION REGARDING COMMUNITY BUILDING ACTIVITIES ARE COSTS INCURRED DUE TO A DIRECT OUTLAY OF CASH OR THE USE OF STAFF AND FACILITY RESOURCES. ACTIVITIES THAT ARE COVERED IN THIS SECTION INCLUDE DUES TO VARIOUS CHAMBERS OF COMMERCE INCLUDING: DETROIT REGIONAL CHAMBER OF COMMERCE; SOUTHERN WAYNE COUNTY CHAMBER OF COMMERCE; CANTON, WAYNE, DEARBORN CHAMBERS OF COMMERCE; AND THE AMERICAN ARAB CHAMBER OF COMMERCE. ADDITIONAL ACTIVITIES INCLUDE EFFORTS IN SUPPORT OF THE MICHIGAN FITNESS FOUNDATION, AND THE GOVERNOR'S COUNCIL ON PHYSICAL FITNESS, HEALTH AND SPORTS TO FOSTER HEALTH AND HEALTHY LIFESTYLES OF MICHIGAN CITIZENS. ALSO INCLUDED ARE COSTS RELATED TO THE COORDINATION AND OFFERING OF COMMUNITY BLOOD DONOR DRIVES (DONE IN PARTNERSHIP WITH THE AMERICAN RED CROSS) AND ORGAN AND TISSUE DONOR RECRUITMENT (DONE IN PARTNERSHIP WITH GIFT OF LIFE OF MICHIGAN) AT OUR LOCATIONS AND COMMUNITY EVENTS THAT TARGET OUR EMPLOYEES AND MEMBERS OF THE PUBLIC. OAKWOOD IS ACTIVELY ENGAGED IN BUILDING "HEALTHY COMMUNITIES" WITH THE COMMUNITIES IT SERVES. THIS ENTAILS WORKING WITH THE CITIES, SCHOOLS, NONPROFIT PARTNERS AND COMMUNITY MEMBERS TO IMPROVE HEALTH IN EACH COMMUNITY WITH THE SUPPORT OF COALITIONS IN EACH COMMUNITY.
PART III, LINE 2:	THE ESTIMATED BAD DEBT FOR THE ORGANIZATION IS CALCULATED BY USING GROSS CHARGES MULTIPLIED BY THE COST TO CHARGE RATIO.
PART III, LINE 3:	THE PORTION OF BAD DEBT THAT IS CONSIDERED TO BE A COMMUNITY BENEFIT IS DETERMINED BY THE BAD DEBTS UNDER $100 FOR PATIENTS WITHOUT INSURANCE THAT WOULD HAVE BEEN ELIGIBLE FOR CHARITY CARE. THE ORGANIZATION CONSIDERS BAD DEBT EXPENSE TO BE A COMMUNITY BENEFIT SINCE THE COSTS OF PROVIDING UNCOMPENSATED SERVICES TO PATIENTS IMPEDES THE ORGANIZATION'S ABILITY TO PROVIDE OTHER CHARITY CARE AND COMMUNITY BENEFIT SERVICES. ALSO, THE PROVISION OF UNCOMPENSATED CARE TO PATIENTS WITHOUT INSURANCE POSITIVELY IMPACTS THE HEALTH OF THE SOUTHEASTERN MICHIGAN COMMUNITIES IN WHICH WE SERVE.
PART III, LINE 4:	ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE COMPANY ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF THE MAJOR PAYOR SOURCES TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THE PROVISION FOR DOUBTFUL ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES IN EVALUATING THE ADEQACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY HEALTH CARE COVERAGE, THE COMPANY ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. EFFECTIVE JANUARY 1, 2012, ALL CHARGES FOR PATIENTS WITHOUT INSURANCE ARE DISCOUNTED TO AN AMOUNT THAT APPROXIMATES THE COMPANY'S LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES. FOR ACCOUNTS RECEIVABLES ASSOCIATED WITH SELF-PAY ACCOUNTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE COMPANY RECORDS A SIGNIFICANT PROVISION FOR DOUBTFUL ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST COLLECTION EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE PROVISION FOR DOUBTFUL ACCOUNTS HAS BEEN REPORTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS.
PART III, LINE 8:	THE COST OF MEDICARE SERVICES WAS DETERMINED USING A COST ACCOUNTING SYSTEM THAT INCLUDED ALL ACUTE CARE FACILITY ACTIVITY. THE COST ACCOUNTING SYSTEM ASSIGNS DIRECT AND INDIRECT COST AT A CHARGE CODE LEVEL BASED ON RELATIVE VALUE UNITS AND OTHER ALLOCATION METHODOLOGIES. NET REVENUE AT A PATIENT ACCOUNT LEVEL IS BASED ON ACTUAL PAYMENTS WHERE AVAILABLE, AND MODELED REVENUE WHERE PAYMENT HAS YET TO BE RECEIVED. PATIENTS ARE THEN GROUPED BY PAYOR TO ARRIVE AT SUMMARIZED REVENUE AND COSTS. THE ORGANIZATION CONSIDERS THE MEDICARE SHORTFALL TO BE A COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: 1) SINCE THERE IS AN EXCESS OF EXPENSES OVER MEDICARE REIMBURSEMENT, OHI MUST COVER THE SHORTFALL. AS A RESULT, THE AMOUNT NEEDED TO COVER THE SHORTFALL IS NOT AVAILABLE FOR OTHER CHARITY CARE AND COMMUNITY BENEFIT SERVICES, 2) A SIGNIFICANT PORTION OF SERVICES PROVIDED TO MEDICARE BENEFICIARIES WOULD LIKELY QUALIFY FOR CHARITY CARE ABSENT INSURANCE COVERAGE UNDER THE MEDICARE PROGRAM, AND 3) THE PROVISION OF UNDER-COMPENSATED PATIENT CARE TO MEDICARE BENEFICIARIES POSITIVELY IMPACTS THE HEALTH OF THE SOUTHEASTERN MICHIGAN COMMUNITIES IN WHICH WE SERVE.
PART III, LINE 9B:	HOSPITAL PATIENTS PRESENTING OR SCHEDULING FOR SERVICES WITHOUT INSURANCE ARE IDENTIFIED AS "SELF-PAY" PATIENTS. THESE PATIENTS ARE ASSESSED BY FINANCIAL COUNSELING STAFF, WITHIN THE ORGANIZATION'S "OAKASSIST PROGRAM" TO: A) DETERMINE IF SOME TYPE OF INSURANCE COVERAGE MAY EXIST, B) ASSESS ELIGIBILITY FOR A GOVERNMENT SPONSORED INSURANCE PROGRAM, OR C) ASSESS ELIGIBILITY FOR A FULL OR PARTIAL CHARITY CARE, CATASTROPHIC MEDICAL EXPENSE OR SELF-PAY DISCOUNT. THIS PROCESS IS INITIATED AT THE TIME OF SCHEDULING OR AS CLOSE TO THE DATE OF SERVICE AS POSSIBLE. IF THE DETERMINATION OF DISCOUNTING OR OTHER COVERAGE IS NOT FOUND, THE PATIENT WILL RECEIVE A BILLING STATEMENT WITH DIRECTION TO CONTACT AN OAKWOOD CUSTOMER SERVICE REPRESENTATIVE OR OAKASSIST FINANCIAL COUNSELOR FOR FINANCIAL ASSISTANCE OR IF EXTENDED PAYMENT ARRANGEMENTS ARE NEEDED TO HELP SATISFY THE DEBT. THE PATIENT RECEIVES A MINIMUM OF FOUR (4) STATEMENTS NOTIFYING THEM OF THE AVAILABILITY OF FINANCIAL ASSISTANCE PRIOR TO FORWARDING ACCOUNTS TO A THIRD-PARTY COLLECTION AGENCY. IN ADDITION, PRIOR TO FORWARDING ACCOUNTS TO A COLLECTION AGENCY, THE ACCOUNTS ARE SCORED TO DETERMINE THE PATIENT'S ABILITY TO PAY AND DEEMED EITHER CHARITY OR BAD DEBT. ACCOUNTS ELIGIBLE FOR CHARITY CARE, PURSUANT TO THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, ARE WRITTEN-OFF TO A CHARITY CARE CODE AND NO FURTHER COLLECTION ACTIVITY IS PURSUED. IN CASES WHERE THE ORGANIZATION EXPECTS PAYMENT BUT IS UNABLE TO COLLECT, THE ACCOUNTS ARE CLASSIFIED AS BAD DEBT AND FORWARDED FOR FURTHER COLLECTION ACTIVITY.
PART VI, LINE 2:	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, OAKWOOD CONDUCTS AN ANNUAL ENVIRONMENTAL SCAN OF THE COMMUNITIES SERVED EACH YEAR AS PART OF THE STRATEGIC PLANNING PROCESS WHICH INCLUDES KEY INFORMATION FROM THE COMMUNITIES SERVED INCLUDING ACCESS TO CARE, DEMOGRAPHICS, HEALTH NEEDS, INTERNAL HOSPITAL DATA, AND IDENTIFYING GAPS IN SERVICES. THE COMMUNITY OUTREACH DEPARTMENT DIRECTS SERVICES AND PROGRAMS TARGETING VULNERABLE POPULATIONS AND SERVICES TO IMPROVE THE GENERAL HEALTH OF THE COMMUNITIES SERVED. NUMEROUS PHYSICIANS AND EMPLOYEES OF OAKWOOD SERVE ON LOCAL COMMITTEES, TASK FORCES, COALITIONS, AND BOARDS THAT ARE RELATED TO HEALTH AND HEALTH NEEDS. THIS INFORMATION IS USED TO ASSIST IN THE DEVELOPMENT OF PROGRAMS AND SERVICES IN THE COMMUNITIES, COLLABORATE ON HEALTH NEEDS AND REDUCE ANY DUPLICATION OF SERVICES TO MAXIMIZE RESOURCES. NUMEROUS DATA SOURCES ARE UTILIZED TO ASSESS HEALTH NEEDS OF THE COMMUNITIES INCLUDING MDCH, TRUVEN HEALTH DATA, CDC DATA SETS, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, CENSUS DATA, PUBLIC HEALTH DATA FOR WAYNE COUNTY, ETC.
PART VI, LINE 3:	OUR FINANCIAL ADVISORY TEAM, OAKASSIST, PROVIDES PRE-SERVICE AND POST-SERVICE SUPPORT TO OUR PATIENTS AND THEIR FAMILIES IN DETERMINING ELIGIBILITY OPTIONS FOR HEALTH CARE COVERAGE. PATIENTS IDENTIFIED WITHOUT INSURANCE COVERAGE ARE ASSESSED AT MOST ACCESS POINTS, INCLUDING THE EMERGENCY DEPARTMENT AND OUTPATIENT DIAGNOSTIC SCHEDULING, PRIOR TO ELECTIVE PROCEDURES, AND PHYSICIAN OFFICE REFERRALS. PATIENTS ARE PROVIDED INFORMATION OR ASSISTANCE IN REGARD TO ELIGIBILITY WITH THE ORGANIZATION'S CHARITY CARE POLICY OR OTHER FORMS OF FINANCIAL ASSISTANCE AVAILABLE (MEDICAID, ADULT BENEFIT WAIVER, COBRA COVERAGE, VICTIMS OF CRIME, ETC.). POSTERS IDENTIFYING THE FINANCIAL ADVISORY TEAM, OAKASSIST, AND THE AVAILABILITY OF CHARITY CARE ARE VISIBLE IN HIGH TRAFFIC AREAS, SUCH AS THE EMERGENCY DEPARTMENT, OUTPATIENT REGISTRATION AREAS, AND ON THE OAKWOOD.ORG WEBSITE. DOCUMENTATION IS ALSO PRINTED ON THE PATIENT BILLING STATEMENT INCLUDING CONTACT INFORMATION SHOULD A PATIENT REQUIRE ASSISTANCE POST SERVICE.
PART VI, LINE 4:	LOCATED IN SOUTHEAST MICHIGAN, OAKWOOD HEALTHCARE SYSTEM (OHS) SERVES MORE THAN 940,000 RESIDENTS IN 36 COMMUNITIES STRETCHING ACROSS A 500 SQUARE MILE AREA OF WESTERN WAYNE COUNTY. THIS AREA IS RICHLY VARIED BY RACE AND ETHNICITY (AFRICAN AMERICAN 16.6%, HISPANIC 9.5%, ASIAN 2.9%, MULTI-RACIAL 2.4%, WHITE 68.1%, AND OTHER .4%). IN THE CITY OF DEARBORN, 41.7% OF THE POPULATION IS ARABIC. ONE OF THE MOST CULTURALLY DIVERSE AREAS IN MICHIGAN, OVER 12.4% OF RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH WITH SOME COMMUNITIES FAR EXCEEDING THE NATIONAL AVERAGE: DEARBORN (43.9%), SOUTHWEST DETROIT (59%), AND MELVINDALE (21.2%). IN THE OHS SERVICE AREA, 87% ARE UNDER THE AGE OF 65, WITH 62% BETWEEN THE AGES OF 18 AND 64 AND 25% UNDER THE AGE OF 18. ONE OF THE REGIONS HARDEST HIT BY THE RECESSION, SOUTHEASTERN MICHIGAN RESIDENTS CONTINUE TO STRUGGLE WITH HIGH RATES OF POVERTY (APPROX. 17%) AND UNEMPLOYMENT (8.1%). FOR MANY IN MICHIGAN, RACIAL AND ETHNIC DISPARITIES, POVERTY AND LACK OF INSURANCE HAVE LED TO LIMITED ACCESS TO PROVIDERS AND PREVENTIVE CARE. WAYNE COUNTY WAS RANKED HIGHEST IN MICHIGAN FOR MORTALITY AND MORBIDITY BY THE ROBERT WOOD JOHNSON FOUNDATION COUNTY HEALTH RANKINGS.
PART VI, LINE 5:	OAKWOOD HEALTHCARE SYSTEM AND ITS EMPLOYEES, BOARD MEMBERS, PHYSICIANS AND VOLUNTEERS ARE PROUD TO BE INVOLVED IN MAKING OUR COMMUNITY A HEALTHIER PLACE TO LIVE, WORK, AND PLAY. OUR GOVERNING BOARDS ARE COMPRISED OF BUSINESS, CIVIC AND COMMUNITY LEADERS WHO WORK AND/OR LIVE IN THE AREA, AND HAVE A STAKE IN COMMUNITY HEALTH IMPROVEMENT. BOARD MEMBERS ARE ACTIVELY ENGAGED IN OAKWOOD'S MISSION TO PROVIDE EXCELLENCE IN CARE, HEALING AND HEALTH TO THE INDIVIDUALS AND COMMUNITIES WE SERVE. A GOVERNING BOARD STRATEGIC PLANNING COMMITTEE AND MEDICAL STAFF STRATEGIC PLANNING COMMITTEE INTEGRATE THEIR PERSPECTIVES INTO BOTH SHORT AND LONG TERM VISIONING AND PLANNING GEARED TOWARD FULFILLING OUR MISSION.EACH OF OUR FOUR ACUTE CARE SITES FEATURES AN OPEN MEDICAL STAFF, WITH ELECTED LEADERSHIP AND ACTIVE COMMITTEE STRUCTURE. TO PROMOTE HEALTH IN THE COMMUNITIES, OAKWOOD PROVIDES AFTERSCHOOL NUTRITION AND PHYSICAL EDUCATION IN 17 AREA SCHOOLS, OPERATES A WELLNESS PROGRAM IN TAYLOR, MI., OPERATES A SCHOOL-BASED HEALTH CLINIC IN WESTLAND, AND OPERATES ADOLESCENT HEALTH CENTERS IN THE CITIES OF TAYLOR AND INKSTER. COMMUNITY BENEFIT PROGRAMS OFFERED INCLUDE COMMUNITY SCREENINGS INCLUDING BLOOD PRESSURE, CHOLESTEROL (TOTAL AND HDL) AND GLUCOSE TESTING AND HEALTH EDUCATION. NUTRITIONAL SEMINARS ARE OFFERED FOR ALL AGE GROUPS IN THE COMMUNITY. COMMUNITY-BASED HEALTH INSURANCE NAVIGATORS ASSIST WITH ENROLLMENT IN TO THE HEALTH INSURANCE MARKETPLACE AND MEDICAID. DIABETES PREVENTION PROGRAMS, CHRONIC DISEASE MANAGEMENT, NUTRITION AND HEALTHY COOKING CLASSES ARE ALSO CONDUCTED. SMOKING CESSATION HOTLINE AND INFORMATION ARE PROVIDED TO ASSIST COMMUNITY MEMBERS IN THEIR EFFORTS TO STOP SMOKING. OAKWOOD ALSO OPERATES A HIV/AIDS PROGRAM AND TB CLINIC FOR THOSE IN NEED OF THESE SPECIALIZED SERVICES.A SIGNIFICANT PORTION OF THE OAKWOOD HEALTHCARE SYSTEM SERVICE AREA CONSISTS OF FEDERAL MEDICALLY UNDERSERVED AREAS AS DESIGNATED BY HRSA (HEALTH RESOURCES AND SERVICES ADMINISTRATION). MULTI-LEVEL PARTNERSHIPS AND COLLABORATIONS WITH FEDERALLY QUALIFIED HEALTH CENTERS AND OTHER COMMUNITY BASED CLINICS ARE IN PLACE. OAKWOOD MAINTAINS STRONG COLLABORATIVE RELATIONSHIP WITH LOCAL FQHC'S AND OTHER LOW COST AND FREE HEALTH CLINICS THAT SERVE OUR UNINSURED AND UNDERINSURED COMMUNITY MEMBERS. WE ALSO ACTIVELY PARTICIPATE IN WORKGROUPS, COMMITTEES AND BOARDS ASSOCIATED WITH COMMUNITY PROGRAMS. IN ADDITION TO THE MANY COMMUNITY HEALTH IMPROVEMENT ACTIVITIES PRESENTED BY ITS COMMUNITY HEALTH, MEDICAL EDUCATION, SCHOOL BASED/SCHOOL LINKED HEALTH CENTERS AND OTHER DEPARTMENTS, OAKWOOD PRESENTS A RADIO PROGRAM FEATURING INFORMATION ABOUT PERSONAL AND FAMILY HEALTH PROMOTION. "CHAMPIONS OF CARE" IS BROADCAST EACH WEEK TO ALL COMMUNITIES WE SERVE ON WJR, AN AM RADIO STATION WITH A STRONG GEOGRAPHIC SIGNAL THAT COVERS NOT ONLY OUR IMMEDIATE AREA, BUT ALSO A LARGE PORTION OF THE STATE AND EVEN PARTS OF THE MIDWESTERN REGION.MANY OF OUR EXECUTIVES, MANAGERS AND OTHER EMPLOYEES SERVE AS LEAD VOLUNTEERS OR BOARD DIRECTORS AND OFFICERS FOR KEY NON-PROFIT AGENCIES AND GOVERNMENT COMMISSIONS IN THE REGION. THESE INCLUDE ORGANIZATIONS AND AUTHORITIES ASSOCIATED WITH HEALTH CARE, SOCIAL SERVICES, EDUCATION, MUNICIPAL GOVERNANCE, INDUSTRY AND TRADE GROUPS AS WELL AS SERVICE ORGANIZATIONS AND CHAMBERS OF COMMERCE. MANY OAKWOOD EMPLOYEES ALSO OFFER AD-HOC CONSULTING ADVICE.OAKWOOD HAS ALSO MAINTAINED LONG STANDING, DEMONSTRATED PARTNERSHIPS WITH VITAL COMMUNITY AGENCIES SUCH AS ACCESS (SERVING THE ARAB AMERICAN COMMUNITY AND OTHERS WITH HEALTH AND SOCIAL SERVICES AS WELL AS EMPLOYMENT PROGRAMS); SOUTHWEST SOLUTIONS (SOCIAL SERVICES AND HOUSING AGENCY); STARFISH FAMILY SERVICES (SOCIAL SERVICES); CABRINI, MAPI AND HOPE CLINICS (FREE MEDICAL CLINICS); FIRST STEP (DOMESTIC VIOLENCE AND SEXUAL ASSAULT RESPONSE AGENCY); AND WESTERN WAYNE FAMILY HEALTH CENTERS (FQHC'S). WE OFFER THESE AGENCIES PROGRAMS AND SERVICES, IN KIND OR DISCOUNTED FEES FOR LAB SERVICES, AND COLLABORATE IN VARIOUS GRANT APPLICATIONS AND COLLABORATIVE PROGRAMS. PARTNERSHIPS ARE ALSO IN PLACE FOR REGIONAL WORKFORCE DEVELOPMENT AND HEALTH INFORMATION TECHNOLOGY. OAKWOOD STAFF ASSISTS IN COMMUNITY JOB FAIRS, GIVING JOB ADVICE, REVIEWING RESUMES, AND CONDUCTING MOCK INTERVIEWS, ALONG WITH PROVIDING INTERNSHIPS FOR STUDENTS ATTENDING COLLEGES AND UNIVERSITIES.OTHER EXAMPLES INCLUDE OUR FOCUSED WORK AND COOPERATION WITH GIFT OF LIFE-MICHIGAN TO RAISE AWARENESS AND SUPPORT RECRUITMENT OF ORGAN AND TISSUE DONORS AND A WELL-DEVELOPED SPEAKER'S BUREAU THAT OFFERS VOLUNTEER OAKWOOD SPEAKERS TO TALK TO COMMUNITY AND OTHER GROUPS ABOUT A BROAD RANGE OF TOPICS. OUR ARTS FOR THE SPIRIT PROGRAM PRESENTS HEALING ART AND MUSIC PROGRAMS IN OUR HOSPITALS THAT ARE FREE AND OPEN TO THE PUBLIC. WE HAVE A STRONG TRADITION OF BEING A PART OF OUR COMMUNITY, WITH SHARED VISION OF CREATING HEALTH AND WELLNESS FOR ALL AND CONTINUE TO EXPAND THAT OUTREACH WITH EVERY PASSING YEAR.
PART VI, LINE 6:	OAKWOOD HEALTHCARE SYSTEM ACTIVELY SUPPORTS THE HEALTH OF THE COMMUNITIES THROUGH SPECIFIC INITIATIVES OF EACH HOSPITAL SITE FOR THE COMMUNITIES SERVED IN ADDITION TO THE COMMUNITY OUTREACH DEPARTMENT THAT PROVIDES SERVICES AND PROGRAMS FOR THE ENTIRE SYSTEM. PROGRAMS INCLUDE CHILD AND ADOLESCENT HEALTH CENTERS IN TAYLOR, INKSTER AND WESTLAND; AN INFECTIOUS DISEASE CLINIC OFFERING CARE FOR BOTH HIV AND TB; THE CENTER FOR EXCEPTIONAL FAMILIES (SERVING CHILDREN WITH SPECIAL NEEDS); FREE COMMUNITY HEALTH SCREENINGS, A SPEAKERS BUREAU THAT PROVIDES EDUCATION AND HEALTH INFORMATION, FREE CHRONIC ILLNESS SUPPORT AND PREVENTION CLASSES AND PROGRAMS, HEALTHY COOKING AND EATING CLASSES, AND AFTERSCHOOL NUTRITION AND ACTIVITY PROGRAMS IN 17 SCHOOLS. HEALTHCARE NAVIGATORS ASSISTS COMMUNITY MEMBERS IN ENROLLING IN THE HEALTH INSURANCE MARKETPLACE AND MEDICAID.OAKWOOD HEALTHCARE SYSTEM HAS A PROACTIVE APPROACH AND PLAN TO ASSIST WITH COMMUNITY CONCERNS RELATED TO COMPREHENSIVE DISASTER PLANNING AND PROTOCOLS FOR SUPPORTING THE COMMUNITY IN A TIME OF NEED. IN ADDITION, TRAUMA PROGRAMS AT EACH HOSPITAL REACH OUT TO THEIR SURROUNDING COMMUNITIES TO REDUCE INJURIES AND POSITIVELY IMPACT THE HEALTH OF THE COMMUNITY.OAKWOOD HEALTHCARE SYSTEM PARTICIPATES IN NUMEROUS CIVIC ORGANIZATIONS. SENIOR LEADERS PROMOTE EMPLOYEE PARTICIPATION IN COMMUNITY-BASED ORGANIZATIONS THROUGH STRATEGIES SUCH AS THE CLINICAL ADVANCEMENT PROGRAM AND PARISH NURSING. CURRENT COMMUNITY SUPPORT ACTIVITIES INCLUDE: A FINANCIAL COMMITMENT TO CHARITY CARE, COMMUNITY HEALTH, THE OAKWOOD HEALTHCARE FOUNDATION, PROGRAMS CONDUCTED BY OAKWOOD HEALTHCARE SYSTEM, AND LEADERSHIP AND STAFF PARTICIPATION ON OVER 100 LOCAL, REGIONAL, AND NATIONAL BOARDS AND COMMITTEES.TO TRACK COMMUNITY SUPPORT ACTIVITIES, OAKWOOD HEALTHCARE SYSTEM MAINTAINS A COMMUNITY BENEFITS REPORTING SYSTEM THAT DELINEATES THE PROJECTS IT SUPPORTS, BOTH FROM A VOLUNTEER AND FINANCIAL STANDPOINT. CONTRIBUTIONS TO COMMUNITY HEALTH PROVIDED BY OAKWOOD HEALTHCARE SYSTEM'S COMMUNITY HEALTH DEPARTMENT ARE TRACKED THROUGH A COMPREHENSIVE DATABASE THAT RECORDS HOW MANY UNITS OF SERVICE ARE DELIVERED TO THE COMMUNITY THROUGH VARIOUS OAKWOOD HEALTHCARE SYSTEM PROGRAMS. OAKWOOD HEALTHCARE INC. IS PRIMARILY COMPRISED OF OAKWOOD HEALTHCARE SYSTEM. THE AFFILIATED HEALTHCARE SYSTEM ALSO INCLUDES THE FOLLOWING COMPANIES:OAKWOOD HEALTH PROMOTIONS, INC. - PROVIDES FOUR DIFFERENT LEVELS OF ELDER CARE: INDEPENDENT LIVING, ASSISTED LIVING, ALZHEIMER CARE, AND SKILLED NURSING CARE.OAKWOOD HOME CARE SERVICES - DELIVERS HIGH QUALITY HOME HEALTH CARE SERVICES TO THOUSANDS OF RESIDENTS THROUGHOUT SOUTHEAST MICHIGAN. IN 2014, OAKWOOD HOME CARE SERVICES PROVIDED MEDICAL CARE TO 7,069 HOME-BOUND PATIENTS, WHICH INCLUDED PROFESSIONAL PATIENT CARE VISITS IN EXCESS OF 83,000. ITS DEDICATED STAFF INCLUDES REGISTERED NURSES, PHYSICAL AND OCCUPATIONAL THERAPISTS, SPEECH PATHOLOGISTS, MEDICAL SOCIAL WORKERS, NUTRITIONISTS, AND HOME HEALTH AIDES. OAKWOOD UNITED HOSPITALS, INC. - PROVIDES HEALTH CARE FACILITIES FOR OAKWOOD HEALTHCARE, INC.OAKWOOD HEALTHCARE FOUNDATION - PROVIDES SUPPORT TO ENTITIES THAT COMPRISE OAKWOOD HEALTHCARE INC.'S HEALTH CARE SYSTEM. THE OAKWOOD HEALTHCARE FOUNDATION OPERATES EXCLUSIVELY FOR EDUCATIONAL, SCIENTIFIC, AND CHARITABLE PURPOSES IN SUPPORT OF THE MISSION OF OAKWOOD HEALTHCARE SYSTEM, THE HEALTHCARE DELIVERY SYSTEM OF OAKWOOD HEALTHCARE, INC. OAKWOOD HEALTHCARE FOUNDATION'S PURPOSE IS TO PROMOTE PHILANTHROPIC INVESTMENT OF TIME, TALENT AND TREASURE IN SUPPORT OF OAKWOOD'S NOT-FOR-PROFIT MISSION TO PROVIDE EXCELLENCE IN CARE, HEALING AND HEALTH TO THE INDIVIDUALS AND COMMUNITIES WE SERVE. DURING 2014, OAKWOOD HEALTHCARE FOUNDATION HAD A TOTAL OF 6,488 DONORS AND RAISED TOTAL FUNDS OF $6,981,135. OAKWOOD HEALTHCARE FOUNDATION MADE MORE THAN $4.1 MILLION IN DISBURSEMENTS IN 2014 TO SUPPORT MULTIPLE PROGRAMS AND INITIATIVES.OAKWOOD ENTERPRISES, INC. - OWNS AND MANAGES REAL ESTATE IN SOUTHEAST MICHIGAN, PRIMARILY MEDICAL OFFICE BUILDINGS. ALSO, OPERATES OAKWOOD CARE CONNECTIONS WHICH PROVIDES PRIVATE DUTY NURSING SERVICES, AND INVESTS IN VARIOUS HEALTHCARE RELATED JOINT VENTURES.MIDWEST MEDICAL CENTER - OWNS AND OPERATES SIX PHYSICIAN PRACTICE FACILITIES CONVENIENTLY LOCATED IN SOUTHEASTERN MICHIGAN. MIDWEST HAS OVER 65 PHYSICIANS SPECIALIZING IN 19 DIFFERENT SPECIALTIES. IT ALSO OWNS AND OPERATES A CAP CERTIFIED LABORATORY. IN ADDITION TO CORE PHYSICIAN SERVICES, CENTERS ALSO INCLUDE RADIOLOGY AND REHABILITATION SERVICES.OAKWOOD INFUSION SERVICES - PROVIDES HOME INFUSION SERVICES. OAKWOOD INFUSION CENTERS OFFER ROUTINE OUTPATIENT SERVICES FOR PATIENTS SEEKING TREATMENT FOR CANCER, RHEUMATOID ARTHRITIS, CROHN'S DISEASE, MULTIPLE SCLEROSIS AND OTHER DIAGNOSES PROVIDING SERVICES SUCH AS, IV MEDICATION THERAPY, CHEMOTHERAPY INFUSIONS, REFILL AND MAINTENANCE OF PORT PUMPS, ANTIBIOTIC THERAPY, INTRAMUSCULARLY AND SUBCUTANEOUS INJECTIONS, IV FLUID HYDRATION, VENOUS ACCESS DEVICE IRRIGATION, IMPLANTED VENOUS ACCESS DEVICE DECLOTTING, THERAPEUTIC PHLEBOTOMY AND BLOOD TRANSFUSION.OAKWOOD HEALTHCARE SYSTEM IS A REGIONAL HEALTH CARE NETWORK AND IS ONE OF THE MOST COMPREHENSIVE HEALTH CARE DELIVERY SYSTEMS IN SOUTHEASTERN MICHIGAN, SERVING SOUTHEAST MICHIGAN FOR MORE THAN 60 YEARS. OAKWOOD HEALTHCARE SYSTEM IS A RECOGNIZED LEADER IN CLINICAL QUALITY, SERVICE AND VALUE. OUR EMPLOYEES, PHYSICIANS AND VOLUNTEERS ARE COMMITTED TO PROVIDING EXCELLENT CLINICAL QUALITY AND WORLD-CLASS CUSTOMER SERVICE TO OUR PATIENTS AND THEIR FAMILIES.
PART VI, LINE 7, REPORTS FILED WITH STATES	MI
SCHEDULE H, PART VI, OTHER COMMUNITY BENEFIT INFORMATION:	THE OAKWOOD HEALTHCARE FOUNDATION PROVIDES SIGNIFICANT ASSISTANCE TO STRENGTHEN OAKWOOD'S COMMUNITY BENEFIT PROGRAMS AND SERVICES. IN ADDITION TO PROVIDING THE FUNDS FOR MANY COMMUNITY BENEFIT PROGRAMS, SUCH AS ADOLESCENT HEALTH CENTERS, THE CENTER FOR EXCEPTIONAL FAMILIES, NEEDY PATIENT PROGRAMS, ETC., IT EXPENDED OVER $800,000 IN 2014 TO COVER THE COSTS OF FUNDRAISING AND GRANT WRITING THAT IS DIRECTLY ASSOCIATED WITH COMMUNITY BENEFIT PROGRAMMING. TWO LARGE EVENTS WERE HELD IN 2014 THAT WERE SPECIFICALLY PRESENTED TO RAISE FUNDS TO OPERATE THE CENTER FOR EXCEPTIONAL FAMILIES, A MULTIDISCIPLINARY CLINIC FOR CHILDREN WITH PHYSICAL AND COGNITIVE IMPAIRMENTS. MANY OF THE SERVICES PROVIDED BY THE CENTER ARE NOT COVERED BY INSURANCE BUT ARE INTEGRAL TO CARE, WITH OTHER FINANCIAL SUPPORT RAISED FOR OPERATION OF THEIR PHYSICAL LOCATION. NUMEROUS GRANTS TO FEDERAL AND STATE FUNDING SOURCES SUCH AS HRSA AND MICHIGAN DEPARTMENT OF COMMUNITY HEALTH AND OTHER PRIVATE FUNDING SOURCES WERE PREPARED, COMPLETED AND SUBMITTED BY THE FOUNDATION ON BEHALF OF PROGRAMS SUCH AS OAKWOOD'S SCHOOL BASED/SCHOOL LINKED HEALTH CENTERS, PREVENTION PROGRAMS, RYAN WHITE CLINIC FOR HIV CARE, THE CENTER FOR EXCEPTIONAL FAMILIES, NUTRITION EDUCATION AND OTHER PROGRAMS THAT BENEFIT OUR COMMUNITY.

Schedule H (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
OAKWOOD HEALTHCARE INC

Employer identification number
38-1405141

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(h) Purpose of grant or assistance
(1) ACCESS 2651 SAULINO CT DEARBORN,MI48120	23-7444497	501(C)(3)	8,050	0	COMMUNITY SUPPORT
(2) DEARBORN COMMUNITY FUND 15801 MICHIGAN AVE DEARBORN,MI48126	38-3507205	501(C)(3)	22,500	0	COMMUNITY SUPPORT
(3) EDSEL & ELEANOR FORD HOUSE 1100 LAKE SHORE RD GROSSE POINTE SHORES,MI48236	38-2218274	501(C)(3)	15,395	0	COMMUNITY SUPPORT
(4) WAYNE STATE UNIVERSITY 1369 SCOTT HALL 540 E CANFIELD DETROIT,MI48201	38-6028429	501(C)(3)	11,400	0	COMMUNITY SUPPORT
(5) MICHIGAN STATE UNIVERSITY A308 EAST FEE HALL MSU COLLEGE OF OSTEOPATHIC MED E LANSING,MI48824	38-6005984	501(C)(3)	5,800	0	COMMUNITY SUPPORT
(6) NEW DETROIT 3011 W GRAND BLVD STE 1200 DETROIT,MI48202	38-6159215	501(C)(3)	5,000	0	COMMUNITY SUPPORT
(7) OAKLAND UNIVERSITY 3053 HUMAN HEALTH BUILDING OAKLAND UNIVERSITY SCHOOL OF NURSING ROCHESTER,MI48309	38-1714400	501(C)(3)	8,500	0	COMMUNITY SUPPORT
(8) OAKWOOD HEALTHCARE FOUNDATION 15500 LUNDY PKWY DEARBORN,MI48126	38-3432073	501(C)(3)	23,138,454	0	SUPPORT THE MISSION AND OPERATION OF OAKWOOD HEALTH SYSTEM
(9) TOMORROWS CHILD 612 W LAKE LANSING RD STE 800 E LANSING,MI48823	38-3193629	501(C)(3)	10,000	0	COMMUNITY SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2014

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant
(1) HELPING HANDS - NEEDY EMPLOYEE ASSISTANCE	45	71,397
(2) EMPLOYEE SCHOLARSHIPS	108	142,864
(3) MEDICAL RESIDENTS STIPENDS	266	14,068,370

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

THE OAKWOOD HEALTHCARE SYSTEM MAKES CONTRIBUTIONS PRIMARILY TO ORGANIZATIONS THAT HAVE BEEN RECOGNIZED BY THE IRS AS TAX-EXEMPT CHARITABLE ORGANIZATIONS UNDER IRC SECTION 501(C)(3). GOVERNMENT GRANTS RECEIVED BY THE OAKWOOD HEALTHCARE SYSTEM ARE MONITORED BY THE RESPECTIVE DEPARTMENTS. OAKWOOD HEALTHCARE, INC. FOLLOWS THE GUIDELINES AND IS SUBJECT TO AN A133 AUDIT ANNUALLY UPON MEETING THE EXPENDITURE THRESHOLD. THE OAKWOOD HEALTHCARE SYSTEM AWARDS SCHOLARSHIPS ANNUALLY TO EMPLOYEES, FAMILY MEMBERS AND STUDENT VOLUNTEERS. THE EMPLOYEES APPLY AND APPLICATIONS ARE REVIEWED BY AN IMPARTIAL SELECTION COMMITTEE. THE COMMITTEE IS COMPRISED OF REPRESENTATIVES FROM HUMAN RESOURCES, NURSING/ALLIED HEALTH, VOLUNTEER SERVICES, FINANCE AND THE FOUNDATION. APPLICANTS ARE SCORED USING SEVERAL KEY CRITERIA, THEN RANKED ACCORDINGLY. THE OAKWOOD HEALTHCARE SYSTEM ALSO PROVIDES GRANTS TO EMPLOYEES IN THEIR GREATEST TIME OF NEED AS A RESULT OF PERSONAL CRISIS OR CATASTROPHIC EVENT THROUGH THE HELPING HANDS FUND. THE HELPING HANDS FUND IS ADMINISTERED THROUGH HUMAN RESOURCES AND A COMMITTEE HAS BEEN ESTABLISHED TO REVIEW REQUESTS AND MAKE RECOMMENDATIONS. ELIGIBILITY CRITERIA HAS BEEN ESTABLISHED WITH A MAXIMUM PAYMENT. IN CONJUNCTION WITH THE ORGANIZATION'S GRADUATE MEDICAL EDUCATION PROGRAM SUMMARIZED IN PROGRAM SERVICE ACCOMPLISHMENTS, OAKWOOD HEALTHCARE, INC. PAID MEDICAL RESIDENT STIPENDS IN THE AMOUNT OF $14,068,370 DURING 2014. OAKWOOD HEALTHCARE SYSTEM MONITORS USE OF GRANT FUNDS THROUGH ITS PAYROLL AND HUMAN RESOURCES DEPARTMENTS AS THESE GRANTS ARE GENERALLY MADE IN CONNECTION WITH THE EMPLOYEE'S COMPENSATION.

Schedule I (Form 990) 2014

Additional Data

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Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

OAKWOOD HEALTHCARE INC

Employer identification number

38-1405141

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Yes

Any related organization? .........................

Yes

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2014

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1CONNOLLY BRIANPRESIDENT & CEO	(i) (ii)	814,963 ............................... 0	1,088,878 ............................... 0	606,918 ............................... 0	567,248 ............................... 0	54,733 ............................... 0	3,132,740 ............................... 0	349,051 ............................... 0
2HENOCH MALCOLM MDSVP & CMO	(i) (ii)	397,352 ............................... 0	226,528 ............................... 0	29,089 ............................... 0	146,491 ............................... 0	18,708 ............................... 0	818,168 ............................... 0	100,654 ............................... 0
3LLOYD SETHSECRETARY, SVP & GENERAL COUNSEL	(i) (ii)	277,359 ............................... 0	83,672 ............................... 0	39,321 ............................... 0	3,799 ............................... 0	11,060 ............................... 0	415,211 ............................... 0	0 ............................... 0
4KEUTEN JOHNEVP & CFO	(i) (ii)	405,812 ............................... 0	230,190 ............................... 0	74,580 ............................... 0	138,303 ............................... 0	20,812 ............................... 0	869,697 ............................... 0	97,444 ............................... 0
5CAMPBELL DAVIDEVP OPS. SYS. STRAT. & GROWTH	(i) (ii)	444,851 ............................... 0	177,528 ............................... 0	57,212 ............................... 0	172,821 ............................... 0	21,698 ............................... 0	874,110 ............................... 0	0 ............................... 0
6CONWAY PAULSVP HUMAN RESOURCES	(i) (ii)	229,435 ............................... 0	133,659 ............................... 0	53,101 ............................... 0	91,674 ............................... 0	24,410 ............................... 0	532,279 ............................... 0	66,334 ............................... 0
7D'AGOSTINO MAUREENSVP ORGANIZ. EXCELLENCE	(i) (ii)	201,078 ............................... 0	93,743 ............................... 0	19,116 ............................... 0	74,932 ............................... 0	30,872 ............................... 0	419,741 ............................... 0	43,018 ............................... 0
8GEHEB MICHAEL MDEVP PHYS. PLAN & OPS.	(i) (ii)	400,351 ............................... 0	253,553 ............................... 0	72,840 ............................... 0	163,208 ............................... 0	22,550 ............................... 0	912,502 ............................... 0	123,513 ............................... 0
9HUGHES EDITHSITE PRESIDENT	(i) (ii)	243,891 ............................... 0	43,719 ............................... 0	45,727 ............................... 0	31,058 ............................... 0	21,248 ............................... 0	385,643 ............................... 0	0 ............................... 0
10ISENSTEIN BILLSVP MANAGED CARE	(i) (ii)	286,074 ............................... 0	144,942 ............................... 0	45,212 ............................... 0	21,289 ............................... 0	24,155 ............................... 0	521,672 ............................... 0	0 ............................... 0
11MEDVEC BARBARASVP, CHIEF NURSING OFFICER	(i) (ii)	206,580 ............................... 0	128,490 ............................... 0	59,969 ............................... 0	100,282 ............................... 0	4,717 ............................... 0	500,038 ............................... 0	67,422 ............................... 0
12ODOM LEE ANNSITE PRESIDENT	(i) (ii)	213,728 ............................... 0	39,416 ............................... 0	29,740 ............................... 0	28,686 ............................... 0	6,121 ............................... 0	317,691 ............................... 0	0 ............................... 0
13O'MALLEY CARLAEXECUTIVE DIRECTOR FOUNDATION	(i) (ii)	191,066 ............................... 0	109,322 ............................... 0	63,143 ............................... 0	114,772 ............................... 0	21,810 ............................... 0	500,113 ............................... 0	51,513 ............................... 0
14SMITH KELLYSVP & SITE PRESIDENT	(i) (ii)	337,935 ............................... 0	42,759 ............................... 0	50,626 ............................... 0	152,096 ............................... 0	4,547 ............................... 0	587,963 ............................... 0	0 ............................... 0
15SMITH PAULASVP & CHIEF INFORMATION OFFICER	(i) (ii)	215,856 ............................... 0	137,826 ............................... 0	54,762 ............................... 0	129,461 ............................... 0	23,918 ............................... 0	561,823 ............................... 0	72,501 ............................... 0
16WELDAY DOUGLASEVP THRU 3/14	(i) (ii)	68,107 ............................... 0	276,092 ............................... 0	454,855 ............................... 0	388,123 ............................... 0	3,255 ............................... 0	1,190,432 ............................... 0	141,389 ............................... 0
17WIDNER ERICSITE PRESIDENT	(i) (ii)	231,258 ............................... 0	34,233 ............................... 0	31,508 ............................... 0	23,537 ............................... 0	23,370 ............................... 0	343,906 ............................... 0	0 ............................... 0
18ZATINA MARYSVP GOVERNMENT RELATIONS	(i) (ii)	178,346 ............................... 0	116,241 ............................... 0	60,992 ............................... 0	83,776 ............................... 0	23,125 ............................... 0	462,480 ............................... 0	61,440 ............................... 0
19AZRAK MUHAMMADSTAFF PHYSICIAN	(i) (ii)	664,528 ............................... 0	0 ............................... 0	32,640 ............................... 0	5,690 ............................... 0	25,254 ............................... 0	728,112 ............................... 0	0 ............................... 0
20DABBOUS SAMIRSTAFF PHYSICIAN	(i) (ii)	1,323,057 ............................... 0	0 ............................... 0	21,927 ............................... 0	0 ............................... 0	15,028 ............................... 0	1,360,012 ............................... 0	0 ............................... 0
21JUNN FREDRICK SONG CHUNSTAFF PHYSICIAN	(i) (ii)	966,049 ............................... 0	287,811 ............................... 0	68,660 ............................... 0	22,747 ............................... 0	21,740 ............................... 0	1,367,007 ............................... 0	0 ............................... 0
22PANNU TEJPAUL SINGHSTAFF PHYSICIAN	(i) (ii)	747,390 ............................... 0	0 ............................... 0	28,255 ............................... 0	22,637 ............................... 0	24,250 ............................... 0	822,532 ............................... 0	0 ............................... 0
23SPRAGUE KEVIN JOSEPHSTAFF PHYSICIAN	(i) (ii)	193,999 ............................... 0	601,924 ............................... 0	43,826 ............................... 0	20,423 ............................... 0	1,586 ............................... 0	861,758 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	OAKWOOD HEALTHCARE, INC. HAS A FORMAL EXPENSE REIMBURSEMENT POLICY, WHICH APPLIES TO ALL TYPES OF REIMBURSEMENT. OAKWOOD HEALTHCARE, INC. DOES NOT HAVE A SPECIFIC POLICY REGARDING THE PROVISION OF TAX GROSS-UP PAYMENTS. HOWEVER, CERTAIN CORPORATE POLICIES (E.G. "EMPLOYEE RECOGNITION AWARDS") PROVIDE FOR TAX GROSS-UP PAYMENTS. ALSO, EXECUTIVE EMPLOYMENT AGREEMENTS PROVIDE FOR TAX GROSS-UP PAYMENTS AND DISCRETIONARY CHARITABLE SPENDING ACCOUNTS IN LIMITED INSTANCES. THE ORGANIZATION'S PAYROLL DEPARTMENT DETERMINED TAX GROSS-UP PAYMENTS WERE APPROPRIATE IN LIMITED INSTANCES WHERE AN INDIVIDUAL DID NOT HAVE A NET PAYMENT DUE TO THEM (E.G. TAXABLE VALUE OF GUEST TRAVEL) IN THE TAX YEAR AND THE FINANCIAL IMPACT WAS MINOR. THE FOLLOWING BENEFITS WERE PROVIDED TO CERTAIN OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES LISTED IN FORM 990, PART VII: TRAVEL FOR COMPANIONS, TAX INDEMNIFICATION AND GROSS-UP PAYMENTS, DISCRETIONARY SPENDING, AND HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES. TRAVEL FOR COMPANIONS - DURING 2014, 3 OFFICERS, 2 TRUSTEES, AND 10 KEY EMPLOYEES RECEIVED PAYMENTS FOR COMPANION TRAVEL. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE ONLY PAID TO INDIVIDUALS IN LIMITED CIRCUMSTANCES, AND MUST BE APPROVED IN ACCORDANCE WITH OAKWOOD HEALTHCARE, INC. POLICIES GOVERNING THESE TYPES OF PAYMENTS. AT LEAST ANNUALLY, THE EXPENSES INCURRED BY ALL EMPLOYEES ARE REVIEWED TO ENSURE APPROPRIATE TAXATION AND REPORTING. DURING 2014, 5 KEY EMPLOYEES RECEIVED TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. DISCRETIONARY SPENDING ACCOUNT - DURING 2014, 1 OFFICER AND 2 KEY EMPLOYEES RECEIVED PAYMENTS FOR DISCRETIONARY SPENDING. HEALTH AND SOCIAL CLUB DUES OR INITIATION FEES - DURING 2014, 2 OFFICERS, 1 TRUSTEE, AND 5 KEY EMPLOYEES RECEIVED PAYMENTS FOR HEALTH AND SOCIAL CLUB DUES OR INITIATION FEES. ALL PAYMENTS FOR THE ABOVE BENEFITS WERE TREATED AS TAXABLE TO ALL PERSONS RECEIVING SUCH BENEFITS.
PART I, LINE 4A:	FOR SOME INDIVIDUALS, THE EMPLOYMENT AGREEMENT MAY PROVIDE THAT IF THE EMPLOYER TERMINATES THE AGREEMENT AND THE PARTIES SEPARATE OTHER THAN FOR CAUSE, THE EMPLOYEE MAY BE ENTITLED TO SEVERANCE PAY. THE TERMS AND CONDITIONS TO RECEIVE SEVERANCE PAYMENTS REQUIRE THE EMPLOYEE TO SIGN A RELEASE OF CLAIMS FORM THAT COVERS ALL SITUATIONS SURROUNDING THE EMPLOYEE'S EMPLOYMENT AND SEPARATION FROM THE COMPANY. SEVERANCE PAYMENTS MADE BY OAKWOOD HEALTHCARE, INC. DURING 2014 INCLUDE PAYMENTS TO THE FOLLOWING: DOUGLAS WELDAY, EVP - $383,981.
PART I, LINE 4B:	OAKWOOD HEALTHCARE, INC. HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) THAT IS LIMITED TO THE FOLLOWING PARTICIPANT: BRIAN CONNOLLY, PRESIDENT AND CEO. DURING 2014, MR. CONNOLLY RECEIVED A PAYMENT OF $521,387 PURSUANT TO THE PLAN PROVISIONS.
PART I, LINE 5A:	OAKWOOD HEALTHCARE, INC. HAS SHORT-TERM AND LONG-TERM INCENTIVE PLANS FOR EXECUTIVES. INCENTIVE AWARDS ARE CALCULATED BASED ON THE ACHIEVEMENT OF MULTIPLE TARGETS, INCLUDING THE ATTAINMENT OF OPERATING REVENUE TARGETS.
PART I, LINE 5B:	OAKWOOD HEALTHCARE, INC.'S OPERATING REVENUE TARGETS, USED FOR PURPOSES OF DETERMINING SHORT-TERM AND LONG-TERM INCENTIVE AWARDS FOR EXECUTIVES, INCLUDE THE REVENUES OF OAKWOOD HEALTHCARE, INC. AND ITS AFFILIATE ORGANIZATIONS.

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
OAKWOOD HEALTHCARE INC

Employer identification number
38-1405141

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MICHIGAN STATE HOSPITAL FINANCE AUTHORITY	38-2889417	59465HGA8	04-24-2007	110,209,925	FIN. HOSPITAL/PARTIAL REF OF BONDS ISSUED 1/27/1994 AND 6/6/1995		X		X		X
B	MICHIGAN FINANCE AUTHORITY	80-0596186	59447PLJ8	05-01-2012	161,691,656	FIN. HOSP/PARTIAL REF OF BONDS ISSUED 4/7/1998, 12/10/2002, & 11/13/2003		X		X		X
C	MICHIGAN FINANCE AUTHORITY	80-0596186	59447PUT6	04-25-2013	53,999,789	REFUNDING OF BONDS ISSUED 4/7/1998		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	25,725,000		7,635,000
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	110,640,578		161,691,855		53,999,789
4 Gross proceeds in reserve funds . . . . . . . . . . . .	8,262,943		49		3
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	901,276		1,687,398		667,921
8 Credit enhancement from proceeds . . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	25,436,310		25,289,969
11 Other spent proceeds . . . . . . . . . . . . . .	76,601,313		134,714,488		53,331,869
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2008		2013
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X	X			X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2014

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0 %		0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0 %		0 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X	X		X
b Exception to rebate? . . . . . . . .		X		X		X
c No rebate due? . . . . . . . .	X			X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: MICHIGAN STATE HOSPITAL FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/19/2012
PART II, LINE 4:	THE AMOUNTS SHOWN HERE CONSIST OF AMOUNTS IN BOTH DEBT SERVICE RESERVE FUNDS AND DEBT SERVICE FUND DEPOSITS. FOR COLUMNS A, B, AND C RESPECTIVELY, THE AMOUNTS IN DEBT SERVICE RESERVE FUNDS ARE $8,076,519; ZERO; AND ZERO. THE AMOUNTS OF DEBT SERVICE FUND DEPOSITS ARE $186,424; $49; AND $3 RESPECTIVELY.
FORM 990, SCHEDULE K, PART III:	DIFFERENCES BETWEEN THE ISSUE PRICE (PART I, COLUMN (E)) AND TOTAL PROCEEDS OF ISSUE (PART II, LINE 3 (B)) ARE DUE TO INVESTMENT EARNINGS.
PART IV, LINE 6, COLUMN B:	THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS.

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

OAKWOOD HEALTHCARE INC

Employer identification number

38-1405141

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2014

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) SEE PART V	SEE PART V	85,595	SEE PART V		No
(2) SEE PART V	SEE PART V	24,525	SEE PART V		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: MICHELE RUPPAL(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: MICHELE RUPPAL IS A FAMILY MEMBER OF BARBARA MEDVEC (KEY EMPLOYEE).(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: SURENDRA KUMAR, M.D.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SURENDRA KUMAR, M.D. IS A FAMILY MEMBER OF NEELAM KUMAR, M.D.(TRUSTEE).(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT

Schedule L (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

OAKWOOD HEALTHCARE INC

Employer identification number

38-1405141

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 3	OAKWOOD HEALTHCARE, INC. HAS OUTSOURCED THE MANAGEMENT DUTIES OF DIETARY SERVICES, CLINICAL ENGINEERING, FACILITY SERVICES, ENVIRONMENTAL SERVICES, LAUNDRY SERVICES AND NON-CLINICAL SERVICES WITHIN THE COMPANY'S PHYSICIAN PRACTICE DIVISION. ALL COMPANIES ENGAGED TO PROVIDE MANAGERIAL SERVICES FOR THE ORGANIZATION REPORT DIRECTLY TO SITE ADMINISTRATORS AND/OR CORPORATE DIRECTORS EMPLOYED BY OAKWOOD HEALTHCARE, INC.
FORM 990, PART VI, SECTION A, LINE 4	EFFECTIVE SEPTEMBER 1, 2014, WILLIAM BEAUMONT HOSPITAL ("WBH"), OAKWOOD HEALTHCARE, INC. ("OAKWOOD"), AND ZIEGER HEALTHCARE CORPORATION, THE SOLE MEMBER OF BOTSFORD GENERAL HOSPITAL ("BOTSFORD"), CONSUMMATED THEIR AFFILIATION PURSUANT TO WHICH BEAUMONT HEALTH, A MICHIGAN NONPROFIT CORPORATION, WAS CREATED. AS PART OF THE AFFILIATION AGREEMENT, BEAUMONT HEALTH BECAME THE SOLE CORPORATE MEMBER OF WBH, OAKWOOD, AND BOTSFORD AND COMBINED THE OPERATIONS OF WBH, OAKWOOD, AND BOTSFORD, AND THEIR SUBSIDIARIES AND AFFILIATES, UNDER A NEW SYSTEM REFERRED TO AS BEAUMONT HEALTH. THE ARTICLES AND BYLAWS OF OAKWOOD HEALTHCARE, INC. PROVIDE BEAUMONT HEALTH, THE SOLE CORPORATE MEMBER, WITH RESERVED POWERS TO TAKE SPECIFIC ACTIONS WITH RESPECT TO OAKWOOD HEALTHCARE, INC.
FORM 990, PART VI, SECTION A, LINE 6	BEAUMONT HEALTH IS THE CORPORATE MEMBER OF OAKWOOD HEALTHCARE, INC.
FORM 990, PART VI, SECTION A, LINE 7A	BEAUMONT HEALTH IS THE CORPORATE MEMBER OF OAKWOOD HEALTHCARE, INC., WITH RIGHT TO ELECT ONE OR MORE MEMBERS OF OAKWOOD HEALTHCARE, INC.'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B	BEAUMONT HEALTH, AS THE CORPORATE MEMBER OF OAKWOOD HEALTHCARE, INC., HAS RESERVED POWERS OVER OAKWOOD HEALTHCARE INC.'S OPERATIONS, INCLUDING BUT NOT LIMITED TO BUDGET, ACQUISITIONS, CAPITAL PROJECTS AND PARTICIPATION IN JOINT VENTURES.
FORM 990, PART VI, SECTION B, LINE 11	THE ORGANIZATION'S PROCESS FOR PREPARATION AND REVIEW OF FORM 990 INCLUDES PREPARATION BY AN OUTSIDE ACCOUNTING FIRM AND REVIEW BY LEADERSHIP WITHIN THE FINANCE DEPARTMENT. ADDITIONALLY, THE FORM 990 WAS REVIEWED AT A REGULARLY SCHEDULED MEETING OF THE ORGANIZATION'S BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	OAKWOOD HEALTHCARE, INC. ANNUALLY REQUIRES ITS BOARD MEMBERS, EXECUTIVE LEADERSHIP (INCLUDING OFFICERS AND KEY EMPLOYEES) AND CERTAIN INDEPENDENT CONTRACTORS TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. CONFLICTS EDUCATION IS PROVIDED ANNUALLY TO BOARD MEMBERS AND OTHER PERSONS WHO ATTEND THE BOARD MEETING WHERE SUCH EDUCATION IS PROVIDED. BOARD MEMBERS, EXECUTIVE LEADERS AND KEY INDEPENDENT CONTRACTORS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST ON AN ANNUAL BASIS BY COMPLETING A WRITTEN QUESTIONNAIRE. OAKWOOD HEALTHCARE, INC.'S DIRECTOR OF BOARD RELATIONS IS RESPONSIBLE FOR ENSURING COMPLIANCE WITH THE DISCLOSURE PROCESS AND ANY POTENTIAL CONFLICT IS CLEARED BY THE DIRECTOR OF BOARD RELATIONS PURSUANT TO THE CONFLICT OF INTEREST POLICY. FAILURE TO COMPLY WITH THE REQUEST FOR DISCLOSURE COULD RESULT IN REMOVAL FROM THE BOARD. ANNUAL CONFLICT DISCLOSURE STATEMENTS, INCLUDING RESPONSES REQUIRED FOR FORM 990 DISCLOSURE PURPOSES, ARE REVIEWED BY THE OAKWOOD HEALTHCARE, INC. BUSINESS PRACTICES OFFICER (COMPLIANCE OFFICER), THE DIRECTOR OF BOARD RELATIONS, THE SR VP OF ORGANIZATIONAL EXCELLENCE, ACCREDITATION & COMPLIANCE, THE PRESIDENT & CEO, THE BOARD CHAIRPERSONS AND GENERAL COUNSEL. PERSONS REVIEWING THE DISCLOSURES ADDRESS ANY QUESTIONS TO THE RESPONDENT TO ENSURE COMPLETENESS OF RESPONSE. BOARD MEMBERS, EXECUTIVES, OTHER EMPLOYEES AND PARTIES INVOLVED IN TRANSACTIONS WITH THE REPORTING ORGANIZATION ARE REQUIRED TO DECLARE POTENTIAL CONFLICTS VIA THE WRITTEN RESPONSE. IF A POTENTIAL CONFLICT ARISES AFTER SUBMISSION OF THE WRITTEN RESPONSE, THE PARTY MUST AFFIRMATIVELY DISCLOSE SUCH POTENTIAL AS OUTLINED IN THE CONFLICTS STATEMENT. THIS POLICY IS OUTLINED IN THE COVER LETTER THAT IS SENT WITH THE REQUEST FOR WRITTEN RESPONSE TO THE CONFLICT OF INTEREST POLICY. THE RECIPIENT IS DIRECTED TO REPORT A CONFLICT THAT ARISES AT ANY TIME IMMEDIATELY TO THE PRESIDENT AND CEO OR DIRECTOR OF BOARD RELATIONS. IN THE EVENT A POTENTIAL CONFLICT IS RAISED IN THE WRITTEN RESPONSE AND THE INDIVIDUAL HAS NOT PREVIOUSLY RAISED THE POTENTIAL CONFLICT WITH APPROPRIATE PERSONS, THE POTENTIAL CONFLICT WILL BE RAISED EITHER BY THE BOARD CHAIR, GENERAL COUNSEL, THE DIRECTOR OF BOARD RELATIONS OR ANY OTHER MEMBER OR MEETING PARTICIPANT. IN THE EVENT IT IS DETERMINED THAT A CONFLICT IN FACT EXISTS, THE CONFLICTED PARTY IS RESTRICTED TO COMMUNICATING FACTUAL INFORMATION REGARDING THE TRANSACTION OR DECISION AND IS NOT PERMITTED TO PARTICIPATE IN BOARD DELIBERATIONS OR VOTING ON THAT MATTER. POTENTIAL AND ACTUAL CONFLICTS THAT ARE REPORTED AS PART OF THE ANNUAL WRITTEN STATEMENT OR OTHERWISE BROUGHT TO THE BOARD'S ATTENTION ARE RECORDED IN THE BOARD MINUTES, ALONG WITH THE BOARD'S ACTION TAKEN IN RESPONSE TO THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15	OAKWOOD HEALTHCARE, INC., AS THE EMPLOYER, DETERMINES OR APPROVES THE COMPENSATION OF ALL OFFICERS, TRUSTEES, KEY EMPLOYEES AND HIGHEST PAID EMPLOYEES. ON AN ANNUAL BASIS, AN INDEPENDENT CONSULTANT IS ENGAGED BY THE EXECUTIVE COMMITTEE OF THE BOARD AND EVALUATES THE COMPENSATION PACKAGES OF THE PRESIDENT, CEO AND OTHER SENIOR EXECUTIVES. THE CONSULTANT REVIEWS THE COMPETITIVENESS OF THESE EXECUTIVES' COMPENSATION RELATIVE TO MARKET COMPENSATION LEVELS AND ENSURES THAT SHORT- AND LONG-TERM INCENTIVE PLAN PAYMENTS ARE COMMENSURATE WITH ACTUAL BUSINESS PERFORMANCE. IN ITS ANNUAL REVIEWS, THE CONSULTANT UTILIZES MULTIPLE PUBLISHED COMPENSATION SURVEYS TO COMPARE THE BASE SALARY LEVELS AND SHORT- AND LONG-TERM INCENTIVE AWARD OPPORTUNITIES OF THE PRESIDENT AND CEO AND OTHER SENIOR EXECUTIVES RELATIVE TO COMPARABLE EXECUTIVE POSITIONS AT OTHER HEALTHCARE ORGANIZATIONS ACROSS THE COUNTRY WITH APPROXIMATELY $1.0B IN ANNUAL NET REVENUE. THE ANNUAL REVIEW MEETS THE REQUIREMENTS FOR OBTAINING AN INDEPENDENT COMPENSATION STUDY FOR PURPOSES OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR EXECUTIVE COMPENSATION. IN GATHERING RELEVANT MARKET COMPENSATION DATA FOR ITS EVALUATION, THE CONSULTANT FOLLOWS ITS STANDARD AND GENERALLY ACCEPTED METHODOLOGY FOR STUDIES OF EXECUTIVE COMPENSATION IN TAX EXEMPT ORGANIZATIONS, INCLUDING THE FOLLOWING STEPS: A) RESEARCHING THE FACTS AND CIRCUMSTANCES SPECIFIC TO OAKWOOD HEALTHCARE, INC. AND SUBSIDIARIES (I.E., ORGANIZATIONAL STRUCTURE, BUSINESS GOALS, FINANCIAL PERFORMANCE, AND OTHER RELEVANT FACTORS ABOUT THE ORGANIZATION); B) UNDERSTANDING THE DUTIES AND SCOPE OF RESPONSIBILITIES OF THE EXECUTIVE POSITIONS IN ORDER TO MATCH THE POSITIONS TO SIMILAR POSITIONS USING RELEVANT SURVEY SOURCES; AND C) ANALYZING MARKET DATA TO DERIVE AN ASSESSMENT OF THE COMPETITIVE RANGE OF MARKET PRACTICE FOR TOTAL COMPENSATION FOR EACH EXECUTIVE POSITION. FOLLOWING THE COMPLETION OF ITS ANNUAL COMPENSATION EVALUATIONS, THE CONSULTANT CONSULTS WITH THE PRESIDENT AND CEO REGARDING THE COMPENSATION OF OTHER SENIOR EXECUTIVES. SIMILARLY, THE CONSULTANT CONSULTS DIRECTLY WITH OAKWOOD HEALTHCARE, INC.'S EXECUTIVE COMMITTEE OF THE BOARD TO DEVELOP RECOMMENDATIONS REGARDING THE COMPENSATION OF THE PRESIDENT AND CEO, ABSENT THE PRESENCE OF THE PRESIDENT AND CEO FOR THESE DISCUSSIONS. IN SUMMARY, OAKWOOD HEALTHCARE, INC. AND THE CONSULTANT FOLLOWS THESE GUIDELINES IN REVIEWING AND FINALIZING THE PAY OF SENIOR EXECUTIVES: A) THE COMPENSATION ARRANGEMENTS ARE APPROVED BY THE INDEPENDENT MEMBERS OF THE BOARD EXECUTIVE COMMITTEE; B) THE EXECUTIVE COMMITTEE OBTAINS AND RELIES UPON APPROPRIATE DATA AS TO COMPARABILITY (I.E., COMPENSATION PAID BY SIMILARLY-SITUATED ORGANIZATIONS FOR POSITIONS WITH SIMILAR SCOPES OF RESPONSIBILITY); AND C) THE COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATIONS (I.E., THE RECORDS INCLUDE THE ELEMENTS OF COMPENSATION CONSIDERED, THE DECISIONS MADE, AND THE RATIONALE FOR THE DECISIONS).
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	CONTRACT LABOR: PROGRAM SERVICE EXPENSES 6,622,582. MANAGEMENT AND GENERAL EXPENSES 317,930. TOTAL EXPENSES 6,940,512. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 21,013,777. TOTAL EXPENSES 21,013,777. OTHER PURCHASED SVCS & REAL ESTATE COMM: PROGRAM SERVICE EXPENSES 52,085,240. MANAGEMENT AND GENERAL EXPENSES 32,900,285. TOTAL EXPENSES 84,985,525. INTRAOPERATIVE MONITORING SVCS: PROGRAM SERVICE EXPENSES 313,483. TOTAL EXPENSES 313,483. CONTRACTED MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 451,256. MANAGEMENT AND GENERAL EXPENSES 4,042,008. TOTAL EXPENSES 4,493,264. LANGUAGE SERVICES: PROGRAM SERVICE EXPENSES 229,214. MANAGEMENT AND GENERAL EXPENSES 16,443. TOTAL EXPENSES 245,657.
FORM 990, PART XI, LINE 9:	PENSION & POST RETIREMENT LIAB ADJ. -46,686,864. WRITE-OFF OF INTERCOMPANY TRANSFERS 12,444.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

OAKWOOD HEALTHCARE INC

Employer identification number

38-1405141

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) MICHIGAN BONE & JOINT-OAKWOOD SOUTHSHORE MEDICAL CENTER PLLC 15500 LUNDY PARKWAY DEARBORN,MI48126 38-3582590	AMBULATORY MEDICAL SERVICES	MI	0	0	OAKWOOD HEALTHCARE INC
(2) MIDWEST SURGERY CENTER 1 PARKLANE BLVD SUITE 1000E DEARBORN,MI48126 45-3771730	AMBULATORY MEDICAL SERVICES	MI	-2,099,759	982,512	OAKWOOD HEALTHCARE INC
(3) NEUROSOURCE LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 38-3532220	AMBULATORY MEDICAL SERVICES	MI	0	0	OAKWOOD HEALTHCARE INC
(4) OAKLANE MEDICAL SUITES INC 17000 HUBBARD DRIVE SUITE 800 DEARBORN,MI48126 38-2995065	REAL ESTATE-MEDICAL FACILITY	MI	14,180	0	OAKWOOD HEALTHCARE INC
(5) OAKWOOD MEDICAL PRACTICES PLLC 15500 LUNDY PARKWAY DEARBORN,MI48126 32-0072212	AMBULATORY MEDICAL SERVICES	MI	0	0	OAKWOOD HEALTHCARE INC
(6) OAKWOOD GROUP VIII LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 30-0326803	AMBULATORY MEDICAL SERVICES	MI	0	0	OAKWOOD HEALTHCARE INC
(7) OAKWOOD GROUP VII LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 30-0326800	AMBULATORY MEDICAL SERVICES	MI	0	0	OAKWOOD HEALTHCARE INC
(8) OAKWOOD HEALTHCARE GROUP III LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 38-3513234	AMBULATORY MEDICAL SERVICES	MI	0	0	OAKWOOD HEALTHCARE INC
(9) OAKWOOD YOUTH PROGRAMS LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 38-3532225	AMBULATORY MEDICAL SERVICES	MI	0	0	OAKWOOD HEALTHCARE INC
(10) OAKWOOD GROUP IX LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 38-3593302	AMBULATORY MEDICAL SERVICES	MI	0	0	OAKWOOD HEALTHCARE INC
(11) OAKWOOD AMBULATORY LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 38-3593303	AMBULATORY MEDICAL SERVICES	MI	0	0	OAKWOOD HEALTHCARE INC
(12) OAKWOOD TEEN CENTERS LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 38-3513233	AMBULATORY MEDICAL SERVICES	MI	0	0	OAKWOOD HEALTHCARE INC
(13) OAKWOOD PROFESSIONAL BILLING LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 38-3532227	AMBULATORY MEDICAL SERVICES	MI	0	0	OAKWOOD HEALTHCARE INC
(14) OAKWOOD HEALTHCARE GROUP I LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 38-3513232	AMBULATORY MEDICAL SERVICES	MI	0	0	OAKWOOD HEALTHCARE INC
(15) OAKWOOD INFUSION SERVICES LLC 15500 LUNDY PARKWAY DEARBORN,MI48126 31-1552387	HOME INFUSION SERVICES	MI	146,100	2,548,594	OAKWOOD HEALTHCARE INC
(16) OAKWOOD SOUTHSHORE SURGERY CENTER 15500 LUNDY PARKWAY DEARBORN,MI48126 14-1839341	OUTPATIENT SURGERY CENTER	MI	0	0	OAKWOOD HEALTHCARE INC

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) BEAUMONT HEALTH 16500 WEST TWELVE MILE ROAD SOUTHFIELD,MI48076 46-5718220	PARENT COMPANY OF THE HEALTH SYTEM	MI	501(C)(3)	11C, III-FI	N/A		No
(2) BEAUMONT MEDICAL TRANSPORTATION SERVICE 950 W MAPLE SUITE C TROY,MI48084 26-0203703	MEDICAL TRANSPORTATION SERVICES	MI	501(C)(3)	9	WILLIAM BEAUMONT HOSPITAL	Yes
(3) BOTSFORD CONTINUING CARE CORPORATION 28050 GRAND RIVER AVENUE FARMINGTON HILLS,MI48336 38-2549505	LONG TERM NURSING CARE	MI	501(C)(3)	9	BOTSFORD GENERAL HOSPITAL	Yes
(4) BOTSFORD GENERAL HOSPITAL 28050 GRAND RIVER AVENUE FARMINGTON HILLS,MI48336 38-1426919	HOSPITAL	MI	501(C)(3)	3	BEAUMONT HEALTH	Yes
(5) COMMUNITY EMERGENCY MEDICAL SERVICE INC 25400 W EIGHT MILE ROAD SOUTHFIELD,MI48033 38-2410823	EMERGENCY MEDICAL SERVICES	MI	501(C)(3)	9	BOTSFORD GENERAL HOSPITAL	Yes
(6) HEALTHLINK MEDICAL TRANSPORTATION SERVICES INC 26150 NORTHLINE ROAD TAYLOR,MI48180 38-3338298	MEDICAL TRANSPORTATION SERVICES	MI	501(C)(3)	9	COMMUNITY EMERGENCY MEDICAL SERVICE INC	Yes
(7) MICHIGAN MOBILE PET IMAGING 15500 LUNDY PARKWAY DEARBORN,MI48126 33-1086165	MOBILE PET SCANNING	MI	501(C)(3)	11A, I	OAKWOOD HEALTHCARE INC	Yes
(8) OAKWOOD UNITED HOSPITALS INC 15500 LUNDY PARKWAY DEARBORN,MI48126 38-2837961	FACILITY LEASING	MI	501(C)(3)	11A, I	OAKWOOD HEALTHCARE INC	Yes
(9) OAKWOOD HOME CARE SERVICES 1633 FAIRLANE CIRCLE NO 100 ALLEN PARK,MI48101 38-2877338	HOME HEALTH SERVICES	MI	501(C)(3)	9	OAKWOOD HEALTHCARE INC	Yes
(10) OAKWOOD HEALTH PROMOTIONS INC 16351 ROTUNDA DRIVE DEARBORN,MI48120 38-2601965	ASSISTED AND RESIDENT CARE FACILITIES	MI	501(C)(3)	9	OAKWOOD HEALTHCARE INC	Yes
(11) OAKWOOD HEALTHCARE FOUNDATION 15500 LUNDY PARKWAY DEARBORN,MI48126 38-3432073	FOUNDATION	MI	501(C)(3)	11A, I	OAKWOOD HEALTHCARE INC	Yes
(12) WILLIAM BEAUMONT HOSPITAL 16500 WEST TWELVE MILE ROAD SOUTHFIELD,MI48076 38-1459362	HOSPITAL	MI	501(C)(3)	3	BEAUMONT HEALTH	Yes
(13) ZIEGER HEALTH CARE CORPORATION 28050 GRAND RIVER AVENUE FARMINGTON HILLS,MI48336 38-2500428	CENTRALIZED GOVERNANCE AND MANAGEMENT	MI	501(C)(3)	9	N/A		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2014

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) BEAUMONT KIDNEY SPECIALTY SERVICES LLC 26400 WEST TWELVE MILE ROAD SOUTHFIELD,MI48034 26-2200439	DIALYSIS SERVICES	MI	WILLIAM BEAUMONT HOSPITAL	RELATED	150,402	-865,595		No			No	55.900 %
(2) BOTSFORD CARE PARTNERS LLC 28050 GRAND RIVER AVENUE FARMINGTON HILLS,MI48336 45-4854213	HEALTHCARE SERVICES	MI	BOTSFORD GENERAL HOSPITAL	RELATED	-6,964	16,734	Yes				No	50.000 %
(3) DEARBORN SCHAEFFER OFFICE COMPANY LLC ONE TOWNE SQUARE SUITE 1600 SOUTHFIELD,MI48076 26-2448025	REAL ESTATE	MI	OAKWOOD HEALTHCARE INC	RELATED	745,789	38,452,952		No	-229,920		No	99.000 %
(4) OAKMED LLC 1938 WOODSLEE DRIVE TROY,MI48083 46-1459737	PRIVATE DUTY NURSING	MI	OAKWOOD HEALTHCARE INC	RELATED	72,162	425,926		No			No	60.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) BEAUMONT INDEMNITY COMPANY LTD 23 LIME TREE BAY AVENUE GRAND CAYMAN,GRAND CAYMAN CJ 98-0512415	PREMIUM DEPOSITS	CJ	WILLIAM BEAUMONT HOSPITAL	C		59,512,532	100.000 %	Yes
(2) BEAUMONT NURSING HOME SERVICES INC 16500 WEST TWELVE MILE ROAD SOUTHFIELD,MI48076 38-2799842	ASSISTED CARE LIVING	MI	WILLIAM BEAUMONT HOSPITAL	C	5,185,242	7,090,558	100.000 %	Yes
(3) BEAUMONT PHYSICIANS INSURANCE COMPANY INC 16500 WEST TWELVE MILE ROAD SOUTHFIELD,MI48076 27-4261262	PROFESSIONAL INSURANCE	MI	WILLIAM BEAUMONT HOSPITAL	C	52,236	3,380,921	100.000 %	Yes
(4) BOTSFORD COMMONS PROPERTY ASSOCIATION 28050 GRAND RIVER AVENUE FARMINGTON HILLS,MI48336 38-3203663	PROPERTY MANAGEMENT	MI	BOTSFORD CONTINUING CARE CORPORATION	C		81,428	100.000 %	Yes
(5) CAPITAL RISK SOLUTIONS PO BOX 1109GT STRATHVALE HOUSE GEORGETOWN,GRAND CAYMAN CJ 38-1426919	CAPTIVE INSURANCE (CELL)	CJ	BOTSFORD GENERAL HOSPITAL	C	144,138	5,816,495	100.000 %	Yes
(6) OAKWOOD AFFILIATED VENTURES INC AND SUBSIDIARIES 15500 LUNDY PARKWAY DEARBORN,MI48126 37-1753159	OFFICE OF PHYSICIANS/NON-RESIDENTIAL RENTAL	MI	OAKWOOD HEALTHCARE INC	C	-4,090,639	37,613,630	100.000 %	Yes
(7) OAKWOOD ASSURANCE COMPANY LTD BARCLAYS HOUSE 3RD FLOOR SHEDDEN GEORGETOWN,GRAND CAYMAN CJ 98-0128325	REINSURANCE	CJ	OAKWOOD HEALTHCARE INC	C		48,695,841	100.000 %	Yes
(8) PARASTAR EMERGENCY SYSTEMS INC 25250 W EIGHT MILE ROAD SOUTHFIELD,MI48034 38-2755982	MANAGEMENT AND DISPATCH SERVICES	MI	COMMUNITY EMERGENCY MEDICAL SERVICE INC	C	-2,032,627	4,791,931	100.000 %	Yes

Schedule R (Form 990) 2014

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) OAKWOOD HEALTHCARE FOUNDATION	C	3,987,703	FMV
(2) OAKWOOD HEALTHCARE FOUNDATION	B	23,138,454	FMV
(3) OAKWOOD HEALTH PROMOTIONS INC	Q	7,118,828	FMV
(4) OAKWOOD HEALTH PROMOTIONS INC	K	155,764	FMV
(5) OAKWOOD HOME CARE SERVICES	Q	3,364,242	FMV
(6) OAKWOOD HOME CARE SERVICES	K	66,716	FMV
(7) OAKWOOD ENTERPRISES INC	Q	4,131,353	FMV
(8) OAKWOOD ENTERPRISES INC	K	3,445,904	FMV
(9) OAKWOOD ASSURANCE COMPANY LTD	R	3,842,267	FMV
(10) OAKWOOD ENTERPRISES INC	S	3,818,076	FMV
(11) OAKWOOD UNITED HOSPITALS INC	R	2,225,118	FMV
(12) HEALTHLINK MEDICAL TRANSPORTATION SERVICES INC	M	1,564,589	FMV
(13) HEALTHLINK MEDICAL TRANSPORTATION SERVICES INC	F	1,333,000	FMV
(14) BEAUMONT HEALTH	P	1,045,647	FMV

Schedule R (Form 990) 2014

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROVIDE EXCELLENCE IN CARE, HEALING AND HEALTH TO THE INDIVIDUALS AND COMMUNITIES WE SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	10,215
6	Total number of volunteers (estimate if necessary) .............	6	2,134
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	13,247,074
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	1,609,452

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	5,926,298	5,820,090
9	Program service revenue (Part VIII, line 2g) .........	1,155,861,675	1,172,419,901
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	22,583,183	39,072,074
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,410,539	3,740,192
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	1,187,781,695	1,221,052,257
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	16,286,449	37,539,797
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	537,407,377	558,161,323
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 500,113
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	593,108,461	571,871,407
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,146,802,287	1,167,572,527
19	Revenue less expenses. Subtract line 18 from line 12.......	40,979,408	53,479,730
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,119,730,666	1,154,330,269
21	Total liabilities (Part X, line 26).............	657,044,332	696,167,478
22	Net assets or fund balances. Subtract line 21 from line 20.....	462,686,334	458,162,791

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 574,446,932 including grants of $ 23,471,427 ) (Revenue $ 881,697,524 )
	PATIENT CARE SERVICES OAKWOOD HEALTHCARE SYSTEM (OHS) OPERATES 4 ACUTE CARE HOSPITALS AND 65 OUTPATIENT CARE SITES SERVING 30 COMMUNITIES. WITH 1,229 LICENSED ACUTE CARE BEDS, OAKWOOD CARED FOR APPROXIMATELY 56,411 ADMISSIONS AND AVERAGED A DAILY INPATIENT CENSUS OF 747 PATIENTS IN 2014. OHS PERFORMED ABOUT 14,800 INPATIENT SURGERIES AND 44,575 OUTPATIENT SURGERIES OF WHICH 397 WERE OPEN HEART. WITH ALMOST 194,150 EMERGENCY ROOM VISITS ACROSS FIVE LOCATIONS AND 241,170 ACUTE CARE OUTPATIENT REGISTRATIONS, OAKWOOD OFFERS A COMPREHENSIVE MENU OF SERVICES ACROSS THE CONTINUUM, INCLUDING TRAUMA, ACUTE CARE, REHABILITATION AND MENTAL HEALTH SERVICES. OAKWOOD CURRENTLY HOLDS APPROXIMATELY 38.5% OF THE INPATIENT MARKET SHARE IN A PRIMARY SERVICE AREA COVERING 500 SQUARE MILES SERVING A POPULATION OF ALMOST 950 THOUSAND PEOPLE. OAKWOOD CLINICIANS DELIVER EVIDENCE BASED CARE USING PROTOCOLS AND STANDARD ORDER SETS AND WAS THE FIRST SYSTEM IN SOUTHEASTERN MICHIGAN TO VOLUNTARILY PROVIDE QUALITY AND PRICING INFORMATION ON ITS WEBSITE. OAKWOOD HAS DEVELOPED A SET OF KEY SERVICE LINES THAT REPRESENT NEARLY 44.1% OF THE INPATIENT ADMISSIONS. THE SERVICE LINES FOCUS ON HEART AND VASCULAR SERVICES, WOMEN'S HEALTH, ORTHOPEDICS, NEUROSCIENCES AND CANCER CARE.

4b	(Code: ) (Expenses $ 71,592,998 including grants of $ 14,068,370 ) (Revenue $ 37,788,091 )
	GRADUATE MEDICAL EDUCATIONOAKWOOD OFFERS ALLOPATHIC, OSTEOPATHIC AND PODIATRIC MEDICAL RESIDENCY PROGRAMS TO ENHANCE THE DELIVERY OF PATIENT CARE. THERE ARE APPROXIMATELY 65 FACULTY AND OVER 300 MEDICAL RESIDENTS COVERING 19 PROGRAMS. PROGRAMS INCLUDE PRIMARY CARE SPECIALTIES, OB/GYN, GERIATRICS, RADIOLOGY, PODIATRY, TRANSITIONAL EDUCATION, OPHTHALMOLOGY AND OTHERS. OAKWOOD PARTICIPATES IN WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE (WSU SOM) SPONSORED PROGRAMS INCLUDING OTOLARYNGOLOGY, UROLOGY, DERMATOLOGY, PHYSICAL MEDICINE AND REHABILITATION AND ORTHOPEDICS RESIDENCY PROGRAMS. ALL OF THE ALLOPATHIC RESIDENCY PROGRAMS ARE AFFILIATED WITH THE NATIONALLY RANKED WSU SOM. THE OSTEOPATHIC PROGRAMS ARE AFFILIATED WITH MICHIGAN STATE UNIVERSITY'S COLLEGE OF OSTEOPATHIC MEDICINE. THE RESIDENCY PROGRAMS HAVE FILLED NEARLY 100% OF THEIR SLOTS OFFERED IN THE MATCH OVER THE LAST 3 YEARS AND HAVE GRADUATING CLASSES WITH NEAR 100% BOARD PASS RATES. THE SYSTEM PARTICIPATED IN APPROXIMATELY 100 CLINICAL TRIALS AND WAS ACTIVE IN ORIGINAL RESEARCH. OAKWOOD'S MEDICAL EDUCATION PROGRAMS ARE ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION AND THE AMERICAN OSTEOPATHIC ASSOCIATION.

4c	(Code: ) (Expenses $ 289,679,272 including grants of $ ) (Revenue $ 198,684,246 )
	UNCOMPENSATED AND UNDER-COMPENSATED CARE SERVICESOAKWOOD'S UNCOMPENSATED CARE FOR OUR COMMUNITIES IS EXEMPLIFIED BY CARE PROVIDED TO PERSONS NEEDING EMERGENCY AND INPATIENT CARE AS WELL AS OTHER SERVICES. OAKWOOD DELIVERED PATIENT CARE SERVICES TO OUR COMMUNITY'S UN-INSURED AND UNDER-INSURED THROUGH OUR CHARITY CARE (OAK ASSIST) PROGRAM. OAKWOOD WROTE OFF APPROXIMATELY 7,200 CASES AT AN ESTIMATED $35 MILLION IN CHARGES AT A COST OF $8.7 MILLION TO CHARITY CARE IN 2014. FEDERAL POVERTY GUIDELINES, ABSENCE OF ASSETS, CREDIT SCORES AND A NUMBER OF OTHER CRITERIA ARE USED TO ENSURE THAT OAKWOOD PROVIDES THE CARE TO THE MOST DESERVING OF OUR POPULATION. ANOTHER COMPONENT TO OAKWOOD'S TOTAL UNCOMPENSATED CARE IS COMPRISED OF BAD DEBT AND LOSSES INCURRED ON OUR MEDICAID BOOK OF BUSINESS. IN 2014, OAKWOOD WROTE OFF APPROXIMATELY $137.3 MILLION IN BAD DEBT (ADJUSTED FOR PATIENT DISCOUNT) AT A COST OF APPROXIMATELY $36.7 MILLION. IN ADDITION, 20.8% OF OAKWOOD'S PATIENT REVENUE IS FROM THE MEDICAID PROGRAMS. UNFORTUNATELY, MEDICAID REIMBURSEMENT IS INSUFFICIENT TO COVER COSTS OF THE CARE AND FALL ABOUT $45.2 MILLION SHORT. IN TOTAL, OAKWOOD PROVIDED ALMOST $289.7 MILLION (GROSS CHARGES) IN UNCOMPENSATED CARE IN 2014.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses935,719,202

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	15,543,463	0	2,952,020

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		3,987,703
e	Government grants (contributions)1e		843,637

f	All other contributions, gifts, grants, and similar amounts not included above1f		988,750

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			5,820,090
			Business Code
2a	PATIENT CARE SERVICES		622110	1,134,631,810	1,078,705,651	13,023,909	42,902,250
b	GRADUATE MEDICAL EDU.		900099	37,788,091	37,788,091
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			1,172,419,901
3	Investment income (including dividends, interest, and other similar amounts).......			14,854,695		148,775	14,705,920
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	1,079,906
b	Less: rental expenses	1,097,053
c	Rental income or (loss)	-17,147
d	Net rental income or (loss).......			-17,147	-91,537	74,390
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	415,121,835	21,505,458
b	Less: cost or other basis and sales expenses	400,410,363	11,999,551
c	Gain or (loss)	14,711,472	9,505,907
d	Net gain or (loss)..........			24,217,379			24,217,379
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	CAFETERIA REVENUE		722514	1,040,656			1,040,656
b	INSURANCE REIMBURSMENT		900099	857,846	857,846
c	GIFT SHOP		900099	841,159			841,159
d	All other revenue ....			1,017,678	909,810		107,868
e	Total. Add lines 11a–11d ......			3,757,339
12	Total revenue. See Instructions......			1,221,052,257	1,118,169,861	13,247,074	83,815,232


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			-618,432	1	7,028,479
2	Savings and temporary cash investments .........			24,301,525	2	22,149,769
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			101,681,168	4	99,090,981
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............			9,992,502	7	9,352,592
8	Inventories for sale or use ..............			12,867,578	8	12,282,001
9	Prepaid expenses and deferred charges ..........			8,153,009	9	10,692,065
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,125,291,241
b	Less: accumulated depreciation .....	10b	791,373,045	329,681,234	10c	333,918,196
11	Investments—publicly traded securities ..........			381,035,134	11	401,911,063
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 .....			36,802,327	13	29,062,517
14	Intangible assets ...............			15,210,461	14	15,597,470
15	Other assets. See Part IV, line 11 ...........			200,624,160	15	213,245,136
16	Total assets. Add lines 1 through 15 (must equal line 34)......			1,119,730,666	16	1,154,330,269
17	Accounts payable and accrued expenses .........			117,819,080	17	136,236,381
18	Grants payable .................				18
19	Deferred revenue ................			3,846,426	19	4,656,317
20	Tax-exempt bond liabilities .............			280,682,932	20	271,303,732
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			31,249,231	23	20,984,291
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			223,446,663	25	262,986,757
26	Total liabilities. Add lines 17 through 25.........			657,044,332	26	696,167,478
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			462,686,334	27	458,162,791
28	Temporarily restricted net assets ...........				28
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			462,686,334	33	458,162,791
34	Total liabilities and net assets/fund balances ........			1,119,730,666	34	1,154,330,269

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; do not file with Form 990)............................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713; do not file with Form 990).....................................	Yes	No