4A (Expenses $ 151598708 including grants of $ 4206169) (Revenue $ 162802965)
"BOTSFORD GENERAL HOSPITAL, NOW AFFILIATED WITH BEAUMONT HEALTH AND NOW KNOWN AS BEAUMONT HOSPITAL, FARMINGTON HILLS, (""HOSPITAL"") IS A 330-BED TEACHING HOSPITAL THAT HAS SERVED FARMINGTON HILLS AND ITS SURROUNDING COMMUNITIES IN SOUTHERN OAKLAND AND WESTERN WAYNE COUNTIES FOR MORE THAN 50 YEARS. THE HOSPITAL DELIVERS PERSONAL AND COMPASSIONATE QUALITY HEALTH CARE TO ITS PATIENTS IN THE AREAS OF GENERAL MEDICINE, EMERGENCY MEDICINE, AND SURGERY.THE HOSPITAL HAS MEDICAL RESIDENCY PROGRAMS IN PARTNERSHIP WITH THE MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE THAT OFFERS RESIDENTS ADVANCED MEDICAL CARE TRAINING IN A COMMUNITY HOSPITAL SETTING. THE FACILITY IS FULLY ACCREDITED BY THE AMERICAN OSTEOPATHIC ASSOCIATION'S HEALTHCARE FACILITIES ACCREDITATION PROGRAM.PATIENTS WITH A WIDE SPECTRUM OF TRAUMATIC INJURIES ARE TREATED AT THE HOSPITAL WHERE SPECIALISTS IN EMERGENCY MEDICINE, SURGERY, AND CRITICAL CARE, AND OTHER DISCIPLINES ARE AVAILABLE 24 HOURS A DAY. THE HOSPITAL OFFERS A WIDE ARRAY OF HEALTH CARE SERVICES INCLUDING CARDIOLOGY, SURGICAL SERVICES, ONCOLOGY, REHABILITATION, PHYSICAL AND OCCUPATIONAL THERAPY, ORTHOPEDICS, ONCOLOGY, PODIATRY, FAMILY MEDICINE, WOMEN'S HEALTH, OLDER ADULT SERVICES, PEDIATRIC SERVICES, LABORATORY, IMAGING, RADIOLOGY, AND PHARMACY.FOR THE YEAR 2021, THE HOSPITAL ADMITTED 13,804, PERFORMED 8,608 SURGERIES AND ATTENDED 693 BIRTHS.BEGINNING IN MARCH OF 2020 AND CONTINUING INTO 2021, COVID-19 BEGAN TO TAKE FULL-EFFECT IN THE UNITED STATES AND MICHIGAN. THIS NOW GLOBAL PANDEMIC HAS LED TO MANY CHALLENGES AND CHANGES IN THE HEALTHCARE INDUSTRY AS A WHOLE. SOME SPECIFIC ACTIONS AND PROGRAMS THAT BEAUMONT HEALTH PUT INTO PLACE INCLUDE: STRATEGIC CRITICAL INVENTORY MANAGEMENT, INCLUDING TRACKING OF GLOBAL PRODUCTION TRENDS OF VITAL EQUIPMENT, PURCHASING, AND STOCKPILING, STANDARDIZATION OF EQUIPMENT, SUCH AS VENTILATORS AND MANAGEMENT OF CARDIAC MONITORS, HEPA UNITS, IT AND FACILITY INFRASTRUCTURE, ETC. ACTIVATION OF VARIOUS PANDEMIC PROTOCOLS INCLUDING THE 24/7 CORPORATE AND SITE EMERGENCY OPERATIONS CENTERS (EOCS). CONTINUED EOC COMMUNICATION WITH INTERDISCIPLINARY SITE LEADERS THROUGHOUT THE SYSTEM. DEVELOPED EOC DATA DASHBOARDS FOR ACCESS TO ALL LEADERS. EVALUATION AND RE-DEPLOYMENT OF LABOR POOL ACTIVITIES INCLUDING BEAUMONT MEDICAL GROUP AND AMBULATORY STAFFING RESOURCES TO SUPPORT HOSPITALS DURING SURGE EVENTS. COORDINATED WITH LOCAL, STATE, AND FEDERAL GOVERNMENTAL DEPARTMENTS TO ASSIST WITH ALL PUBLIC HEALTH INITIATIVES, COORDINATION OF PATIENT CARE, AND TRACKING AND TRANSMISSION OF COVID-19 DATA.BEAUMONT HEALTH ALSO IMPLEMENTED VARIOUS COMMUNITY PROGRAMS AND INITIATIVES TO HELP LEAD THE WAY DURING THE COVID-19 PANDEMIC RESPONSE FOR THE COMMUNITIES IT SERVES. THESE PROGRAMS INCLUDED: COVID-19 HOTLINE TO PROVIDE INFORMATION AND SUPPORT CURBSIDE SCREENING AND TESTING SITES DEVELOPING IMPROVED AND ALTERED STANDARDS OF CARE IN RESPONSE TO THE LATEST COVID-19 GUIDANCE. IMPLEMENTING INFECTION PREVENTION ACTIVITIES SUCH AS VISITOR GUIDANCE/RESTRICTIONS, ENHANCED SECURITY AND CROWD CONTROL MANAGEMENT, AND DISSEMINATING URGENT INFORMATION TO PROVIDERS, STAFF, AND VISITORS.IMPLEMENTATION OF THE ABOVE PROGRAMS AND PROTOCOLS, ALONG WITH NEAR-UNPRECEDENTED CHANGES IN PATIENT VOLUMES AND THE TYPES OF CARE AND PROCEDURES THAT WERE AVAILABLE, HAS LED TO VARIOUS CHANGES IN BEAUMONT HEALTH'S FINANCIAL METRICS. AS THE PANDEMIC CONTINUES, BEAUMONT HEALTH WILL MOVE FORWARD IN PROVIDING COMPASSIONATE, EXTRAORDINARY CARE EVERY DAY."

4B (Expenses $ 199608866 including grants of $ 5538232) (Revenue $ 221336169)
THE HOSPITAL'S MISSION EXTENDS BEYOND ITS CAMPUS WHERE IT IS A LEADER IN PROVIDING OUTPATIENT HEALTH CARE SERVICES TO ALL MEMBERS OF THE COMMUNITY, INCLUDING MEDICAID PATIENTS, UNDER-INSURED PATIENTS AND PATIENTS WITHOUT INSURANCE.IN 2021, THE HOSPITAL RECORDED 208,377 OUTPATIENT ANCILLARY VISITS.BEGINNING IN MARCH OF 2020 AND CONTINUING INTO 2021, COVID-19 BEGAN TO TAKE FULL-EFFECT IN THE UNITED STATES AND MICHIGAN. THIS NOW GLOBAL PANDEMIC HAS LED TO MANY CHALLENGES AND CHANGES IN THE HEALTHCARE INDUSTRY AS A WHOLE. SOME SPECIFIC ACTIONS AND PROGRAMS THAT BEAUMONT HEALTH PUT INTO PLACE INCLUDE: STRATEGIC CRITICAL INVENTORY MANAGEMENT, INCLUDING TRACKING OF GLOBAL PRODUCTION TRENDS OF VITAL EQUIPMENT, PURCHASING, AND STOCKPILING, STANDARDIZATION OF EQUIPMENT, SUCH AS VENTILATORS AND MANAGEMENT OF CARDIAC MONITORS, HEPA UNITS, IT AND FACILITY INFRASTRUCTURE, ETC. ACTIVATION OF VARIOUS PANDEMIC PROTOCOLS INCLUDING THE 24/7 CORPORATE AND SITE EMERGENCY OPERATIONS CENTERS (EOCS). CONTINUED EOC COMMUNICATION WITH INTERDISCIPLINARY SITE LEADERS THROUGHOUT THE SYSTEM. DEVELOPED EOC DATA DASHBOARDS FOR ACCESS TO ALL LEADERS. EVALUATION AND RE-DEPLOYMENT OF LABOR POOL ACTIVITIES INCLUDING BEAUMONT MEDICAL GROUP AND AMBULATORY STAFFING RESOURCES TO SUPPORT HOSPITALS DURING SURGE EVENTS. COORDINATED WITH LOCAL, STATE, AND FEDERAL GOVERNMENTAL DEPARTMENTS TO ASSIST WITH ALL PUBLIC HEALTH INITIATIVES, COORDINATION OF PATIENT CARE, AND TRACKING AND TRANSMISSION OF COVID-19 DATA.BEAUMONT HEALTH ALSO IMPLEMENTED VARIOUS COMMUNITY PROGRAMS AND INITIATIVES TO HELP LEAD THE WAY DURING THE COVID-19 PANDEMIC RESPONSE FOR THE COMMUNITIES IT SERVES. THESE PROGRAMS INCLUDED: COVID-19 HOTLINE TO PROVIDE INFORMATION AND SUPPORT CURBSIDE SCREENING AND TESTING SITES DEVELOPING IMPROVED AND ALTERED STANDARDS OF CARE IN RESPONSE TO THE LATEST COVID-19 GUIDANCE. IMPLEMENTING INFECTION PREVENTION ACTIVITIES SUCH AS VISITOR GUIDANCE/RESTRICTIONS, ENHANCED SECURITY AND CROWD CONTROL MANAGEMENT, AND DISSEMINATING URGENT INFORMATION TO PROVIDERS, STAFF, AND VISITORS.IMPLEMENTATION OF THE ABOVE PROGRAMS AND PROTOCOLS, ALONG WITH NEAR-UNPRECEDENTED CHANGES IN PATIENT VOLUMES AND THE TYPES OF CARE AND PROCEDURES THAT WERE AVAILABLE, HAS LED TO VARIOUS CHANGES IN BEAUMONT HEALTH'S FINANCIAL METRICS. AS THE PANDEMIC CONTINUES, BEAUMONT HEALTH WILL MOVE FORWARD IN PROVIDING COMPASSIONATE, EXTRAORDINARY CARE EVERY DAY.

4C (Expenses $ 34061719 including grants of $ 945057) (Revenue $ 36579130)
THE EMERGENCY CARE CENTER AT THE HOSPITAL IS STAFFED AND EQUIPPED TO HANDLE THE MOST SEVERE ILLNESSES AND INJURIES AS WELL AS MINOR TRAUMAS THAT REQUIRE MEDICAL ATTENTION.THE HOSPITAL'S ABILITY TO CARE FOR CRITICALLY INJURED PATIENTS SETS IT APART FROM OTHER AREA HOSPITALS. THE HOSPITAL IS VERIFIED AS A LEVEL II TRAUMA CENTER BY THE AMERICAN COLLEGE OF SURGEONS AND MEETS RIGID STANDARDS FOR PATIENT CARE.THE HOSPITAL TREATED 59,123 INDIVIDUALS IN ITS EMERGENCY CENTER IN 2021. THE HOSPITAL PROVIDES THESE MEDICAL SERVICES REGARDLESS OF A PATIENT'S FINANCIAL CIRCUMSTANCES.BEGINNING IN MARCH OF 2020 AND CONTINUING INTO 2021, COVID-19 BEGAN TO TAKE FULL-EFFECT IN THE UNITED STATES AND MICHIGAN. THIS NOW GLOBAL PANDEMIC HAS LED TO MANY CHALLENGES AND CHANGES IN THE HEALTHCARE INDUSTRY AS A WHOLE. SOME SPECIFIC ACTIONS AND PROGRAMS THAT BEAUMONT HEALTH PUT INTO PLACE INCLUDE: STRATEGIC CRITICAL INVENTORY MANAGEMENT, INCLUDING TRACKING OF GLOBAL PRODUCTION TRENDS OF VITAL EQUIPMENT, PURCHASING, AND STOCKPILING, STANDARDIZATION OF EQUIPMENT, SUCH AS VENTILATORS AND MANAGEMENT OF CARDIAC MONITORS, HEPA UNITS, IT AND FACILITY INFRASTRUCTURE, ETC. ACTIVATION OF VARIOUS PANDEMIC PROTOCOLS INCLUDING THE 24/7 CORPORATE AND SITE EMERGENCY OPERATIONS CENTERS (EOCS). CONTINUED EOC COMMUNICATION WITH INTERDISCIPLINARY SITE LEADERS THROUGHOUT THE SYSTEM. DEVELOPED EOC DATA DASHBOARDS FOR ACCESS TO ALL LEADERS. EVALUATION AND RE-DEPLOYMENT OF LABOR POOL ACTIVITIES INCLUDING BEAUMONT MEDICAL GROUP AND AMBULATORY STAFFING RESOURCES TO SUPPORT HOSPITALS DURING SURGE EVENTS. COORDINATED WITH LOCAL, STATE, AND FEDERAL GOVERNMENTAL DEPARTMENTS TO ASSIST WITH ALL PUBLIC HEALTH INITIATIVES, COORDINATION OF PATIENT CARE, AND TRACKING AND TRANSMISSION OF COVID-19 DATA.BEAUMONT HEALTH ALSO IMPLEMENTED VARIOUS COMMUNITY PROGRAMS AND INITIATIVES TO HELP LEAD THE WAY DURING THE COVID-19 PANDEMIC RESPONSE FOR THE COMMUNITIES IT SERVES. THESE PROGRAMS INCLUDED: COVID-19 HOTLINE TO PROVIDE INFORMATION AND SUPPORT CURBSIDE SCREENING AND TESTING SITES DEVELOPING IMPROVED AND ALTERED STANDARDS OF CARE IN RESPONSE TO THE LATEST COVID-19 GUIDANCE. IMPLEMENTING INFECTION PREVENTION ACTIVITIES SUCH AS VISITOR GUIDANCE/RESTRICTIONS, ENHANCED SECURITY AND CROWD CONTROL MANAGEMENT, AND DISSEMINATING URGENT INFORMATION TO PROVIDERS, STAFF, AND VISITORS.IMPLEMENTATION OF THE ABOVE PROGRAMS AND PROTOCOLS, ALONG WITH NEAR-UNPRECEDENTED CHANGES IN PATIENT VOLUMES AND THE TYPES OF CARE AND PROCEDURES THAT WERE AVAILABLE, HAS LED TO VARIOUS CHANGES IN BEAUMONT HEALTH'S FINANCIAL METRICS. AS THE PANDEMIC CONTINUES, BEAUMONT HEALTH WILL MOVE FORWARD IN PROVIDING COMPASSIONATE, EXTRAORDINARY CARE EVERY DAY.

BEAUMONT HOSPITAL, FARMINGTON HILLS
PART V, SECTION B, LINE 5: THE 2019 CHNA CONSIDERED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. INTERVIEWS AND FOCUS GROUPS WERE CONDUCTED FOR EACH OF THE BEAUMONT HEALTH HOSPITAL COMMUNITIES TO PROVIDE QUALITATIVE INFORMATION FOR THE CHNA. PARTICIPANTS INCLUDED COMMUNITY LEADERS, PUBLIC HEALTH EXPERTS AND THOSE REPRESENTING THE NEEDS OF INDIVIDUALS WITH CHRONIC DISEASES, MINORITY, UNDERSERVED AND INDIGENT POPULATIONS. IN ADDITION, BEAUMONT PHYSICIANS, NURSES, HOSPITAL LEADERSHIP AND CHRONIC DISEASE EXPERTS PARTICIPATED IN THE INTERVIEW AND FOCUS GROUP PROCESS. FOR A COMPLETE LISTING OF PARTICIPANTS PLEASE VISIT BEAUMONT.ORG/CHNA.

BEAUMONT HOSPITAL, FARMINGTON HILLS
PART V, SECTION B, LINE 6A: BEAUMONT HEALTH CONDUCTED THE CHNA FOR THE COMMUNITIES SERVED BY BEAUMONT HOSPITAL DEARBORN (FORMERLY OAKWOOD HOSPITAL DEARBORN), BEAUMONT HOSPITAL FARMINGTON HILLS (FORMERLY BOTSFORD GENERAL HOSPITAL), BEAUMONT HOSPITAL GROSSE POINTE (FORMERLY BEAUMONT GROSSE POINTE), BEAUMONT HOSPITAL ROYAL OAK (FORMERLY BEAUMONT ROYAL OAK), BEAUMONT HOSPITAL TAYLOR (FORMERLY OAKWOOD HOSPITAL TAYLOR), BEAUMONT HOSPITAL TRENTON (FORMERLY OAKWOOD HOSPITAL TRENTON), BEAUMONT HOSPITAL TROY (FORMERLY BEAUMONT TROY), AND BEAUMONT HOSPITAL WAYNE (FORMERLY OAKWOOD HOSPITAL WAYNE).

BEAUMONT HOSPITAL, FARMINGTON HILLS
PART V, SECTION B, LINE 7D: IN ADDITION TO THE HOSPITAL WEBSITE, THE CHNA WAS SENT TO ALL THE PARTICIPANTS OF THE FOCUS GROUPS AND THOSE INTERVIEWED, DISTRIBUTED INTERNALLY TO BEAUMONT LEADERS AND VARIOUS STAFF, GIVEN TO THE BEAUMONT BOARD OF DIRECTORS, BEAUMONT COMMUNITY ADVISORY BOARDS, AND TO THE COMMUNITY MEMBERS WHO ARE ENGAGED IN THE COMMUNITY COALITIONS OF BEAUMONT.

BEAUMONT HOSPITAL, FARMINGTON HILLS
PART V, SECTION B, LINE 11: THE BEAUMONT HOSPITAL FARMINGTON HILLS 2019 CHNA IDENTIFIED TWO PRIORITY HEALTH NEEDS TO BE ADDRESSED. THE IMPLEMENTATION STRATEGY FOR THE HOSPITAL FOCUSES ON TWO PRIORITY HEALTH NEEDS - CHRONIC DISEASE MANAGEMENT AND MENTAL HEALTH. ACCESS TO CARE, PREVENTIVE CARE SCREENINGS AND VACCINATIONS WERE NOT ADDRESSED AS THEY DID NOT FALL WITHIN THE PRIORITIZATION PROCESS CRITERIA (RELATED TO RESOURCES, PARTNERSHIPS, INFRASTRUCTURE, AND AVAILABLE FUNDING). A SUMMARY OF IMPLEMENTATION PLAN ACTIONS AND PROGRESS TOWARD ADDRESSING SELECTED HEALTH PRIORITIES IS AS FOLLOWS: PRIORITY 1: CHRONIC DISEASE MANAGEMENT BEAUMONT HEALTH STAFF IMPLEMENTS SEVERAL PROGRAMS TO SUPPORT CHRONIC DISEASE PREVENTION AND MANAGEMENT OF LIFESTYLE RISK FACTORS. BEAUMONT PROVIDED THE FARMINGTON FARMERS MARKET WALKABOUTS (WALKING GROUP) WITH PEDOMETERS, SHOE LIGHTS, DRAWSTRING BAGS, AND WATER BOTTLES. 358 PERSONS PARTICIPATED IN THE WALKABOUTS, WALKING A TOTAL OF 658 MILES DURING THE MARKET SEASON. BEAUMONT FARMINGTON HILLS HOSPITAL STAFF PROVIDE OUTREACH AND EDUCATION AT 24 MARKET DAYS FOR A TOTAL OF 72 HOURS. TOPICS INCLUDED TRAUMA SERVICES, MENTAL HEALTH, HYPERTENSION, DIABETES, AND HEART HEALTH. SUPPORTED THE WELLNESS WALK AND TALKS AT HERITAGE PARK WITH FIVE BEAUMONT SPEAKERS, REACHING 97 COMMUNITY MEMBERS.DIABETES PREVENTION AND EDUCATIONAL PROGRAMS ARE KEY INITIATIVES OFFERED TO SUPPORT PREVENTION AND MANAGEMENT IN THE COMMUNITY. THE NATIONAL DIABETES PREVENTION PROGRAM (DPP) WAS PROVIDED THROUGH PARTNERSHIPS WITH COMMUNITY CENTERS, SENIOR CENTERS, AND OTHER COMMUNITY ORGANIZATIONS. THE 12-MONTH LIFESTYLE CHANGE PROGRAM FOCUSES ON WEIGHT LOSS STRATEGIES AND INCREASED PHYSICAL ACTIVITY TO PREVENT THE ONSET OF TYPE 2 DIABETES IN THOSE AT RISK. PARTICIPANTS ATTEND CLASS ONCE A WEEK FOR THE FIRST 16 WEEKS OF THE PROGRAM, TRANSITIONING TO MONTHLY SESSIONS FOR THE FINAL SIX MONTHS. DURING 2021, SYSTEM WIDE THERE WERE 378 PARTICIPANTS IN THE DPP PROGRAM AND 19 NEW DPP COURSES STARTED WITH AN AVERAGE WEIGHT LOSS OF OVER 5%. ANOTHER PROGRAM IMPLEMENTED IS THE DIABETES PATH PROGRAM, A NATIONAL EVIDENCE-BASED PROGRAM FOR THOSE WITH TYPE 2 DIABETES AND THEIR CAREGIVERS. THE PROGRAM IS DESIGNED TO ENHANCE PATIENT CONFIDENCE IN THEIR ABILITY TO MANAGE THEIR DISEASE AND TO WORK MORE EFFECTIVELY WITH HEALTH CARE PROVIDERS. IN PARTNERSHIP WITH LIBRARIES, SENIOR CENTERS, AND COMMUNITY ORGANIZATIONS THE DIABETES PERSONAL ACTION TOWARD HEALTH PROGRAM HELPS PEOPLE LIVING WITH (OR AT HIGH-RISK) OF TYPE II DIABETES. THE PROGRAM INCLUDES SIX-WEEK WORKSHOPS IN WHICH PARTICIPANTS LEARN SELF-MANAGEMENT INCLUDING ACTION PLAN DEVELOPMENT, THE IMPORTANCE OF BALANCING AND MONITORING THEIR BLOOD SUGAR, COMMUNICATION WITH FAMILY/CAREGIVERS AND HEALTH PROVIDER AND MANAGING STRESS TO INCREASE THEIR OVERALL HEALTH. OUTCOME DATA INDICATED A HIGH LEVEL OF PARTICIPANTS WERE MORE CONFIDENT ABOUT HANDLING THEIR HEALTH CONDITION AFTER TAKING THE WORKSHOP AND SHOWED SIGNIFICANT IMPROVEMENTS IN TESTING BLOOD SUGAR SEVEN DAYS A WEEK AND REPORTED EXERCISING MORE THAN 150 MINUTES PER WEEK. IN 2021, 20 INDIVIDUALS PARTICIPATED IN THE PROGRAM.CHRONIC PAIN PERSONAL ACTION TOWARD HEALTH (C-PATH) WAS ALSO IMPLEMENTED DURING 2021. THIS PROGRAM IS A SIX-WEEK WORKSHOP WHICH MEETS WEEKLY. THE C-PATH PROGRAM IS FOR PEOPLE LIVING WITH CHRONIC PAIN TO HELP THEM LEARN TECHNIQUES AND STRATEGIES FOR DAY-TO-DAY PAIN MANAGEMENT. IN 2021 THE C-PATH PROGRAM HAD 6 PARTICIPANTS IN FARMINGTON HILLS. THE HYPERTENSION SELF-MANAGEMENT PROGRAM IS AN EIGHT-WEEK EVIDENCE-BASED WORKSHOP DESIGNED TO PROVIDE THE INDIVIDUAL WITH INFORMATION, TIPS, AND TOOLS TO HELP THEM TAKE CONTROL OF THEIR BLOOD PRESSURE. PARTICIPANTS LEARN ABOUT THE BASICS OF HYPERTENSION, STRESS MANAGEMENT, AND THE IMPORTANCE OF NUTRITION, AND INCORPORATING PHYSICAL ACTIVITY. IN 2021, 8 INDIVIDUALS PARTICIPATED IN THE PROGRAM. IN 2021, THE WALK WITH EASE (WWE) PROGRAM, AN EVIDENCE-BASED PROGRAM, REACHED 12 PARTICIPANTS IN FARMINGTON HILLS. THE WWE PROGRAM WAS DESIGNED FOR ADULTS WITH ARTHRITIS AND OLDER ADULTS. THE PROGRAM TEACHES PARTICIPANTS HOW TO SAFELY MAKE PHYSICAL ACTIVITY PART OF THEIR EVERYDAY LIFE. PARTICIPANTS WALK ON THEIR OWN SCHEDULE AT THEIR OWN PACE WITH A GOAL OF BUILDING TO 30 MINUTES OF WALKING AT LEAST THREE TIMES WEEKLY.BEAUMONT HEALTH PARTNERED WITH THE MICHIGAN FITNESS FOUNDATION TO IMPLEMENT THE SAFE ROUTES TO HEALTH AMERICORPS PROGRAM. THE FOCUS OF THE PROGRAM WAS TO CONNECT COMMUNITY RESIDENTS TO HEALTH, WELLNESS, AND PHYSICAL ACTIVITY. ONE MEMBER WAS HIRED TO PROVIDE SUPPORT FOR BEAUMONT FARMINGTON HILLS COMMUNITY ACTIVITIES AND EVENTS RELATED TO CHNA STRATEGIES. SUPPORTING THE SOCIAL NEEDS OF OUR COMMUNITIES WAS A BIG FOCUS DURING THE YEAR. THE BEAUMONT COMMUNITY RESOURCE NETWORK (BCRN), A BRANDED SEARCH AND REFERRAL SOCIAL SERVICE ORGANIZATION PLATFORM FROM AUNT BERTHA, IS USED TO SUPPORT COMMUNITIES' IDENTIFICATION OF NEED. THE FREE ONLINE PLATFORM HELPS INDIVIDUALS FIND RESOURCES FOR BASIC NEEDS SUCH AS FOOD, UTILITIES, TRANSPORTATION, JOB TRAINING, LEGAL AID, AND CHILDCARE. THE BCRN HAD 47,908 DISTINCT USERS, 26,315 DISTINCT SEARCHES AND 1,874 CONNECTIONS. THE TOP 5 COMMON RESOURCE SEARCHES WERE FOR FOOD, TRANSPORTATION, FINANCIAL ASSISTANCE, HOUSING, AND UTILITIES. PRIORITY 2: MENTAL HEALTHBEAUMONT HOSPITAL FARMINGTON HILLS SUPPORTED AN ANNUAL DRUG TAKE BACK DAY WITH THE CITY OF FARMINGTON, THE CITY OF FARMINGTON HILLS, AND CITY OF FARMINGTON HILLS POLICE AND FIRE. IN 2021, THE DRUG TAKE BACK DAY REACHED 500 PARTICIPANTS IN THE GREATER FARMINGTON COMMUNITY AND COLLECTED 20 POUNDS OF MEDICATION.BEAUMONT HEALTH CONTINUED ITS EXTENSIVE EXPANSION OF BEHAVIORAL HEALTH SERVICES IN 2021 BY OPENING A NEW BEHAVIORAL HEALTH HOSPITAL AND WELCOMING THE INAUGURAL CLASS FOR BEAUMONT'S FIRST PSYCHIATRY RESIDENCY PROGRAM. IN ADDITION, PARTNERSHIPS WITH LOCAL HUMAN SERVICE ORGANIZATIONS WERE VETTED AND PURSUED TO EXPAND THE SERVICES AVAILABLE TO THE COMMUNITY. THE CONTINUUM OF CARE STRATEGIC PLAN CONTINUED TO EVOLVE IN 2021 AND INCLUDES PROPOSED EXPANSION OF INPATIENT AND OUTPATIENT SERVICES TO BETTER MEET THE NEEDS OF COMMUNITY MEMBERS ACROSS THE LIFESPAN.THE SYSTEM WIDE BWELL MINDFULNESS EATING PROGRAM IS FOCUSED ON NOURISHING THE MIND, BODY, AND SOUL. OFFERINGS COMBINE THE LATEST SCIENCE ON NUTRITION WITH SIMPLE STRATEGIES TO FIND BALANCE IN EATING HABITS AND EQUIP WITH NUTRITIONAL INSPIRATION AND GUIDANCE THAT SUPPORTS ALL FACETS OF HEALTH AND WELL-BEING. A MINDFULNESS PROGRAM WITH WEEKLY DROP-IN GROUP SESSIONS FOR STRESS REDUCTION WAS OFFERED TO 2,017 PARTICIPANTS. A WELLNESS COACHING PROGRAM SUPPORTING PEOPLE'S EMOTIONAL AND PHYSICAL WELLBEING WAS ALSO OFFERED TO 492 PARTICIPANTS SYSTEM WIDE.THE HEALTHY FARMINGTON-FARMINGTON HILLS COALITION RECEIVED AN ADDITIONAL $35,000 FROM THE ALLIANCE OF COALITIONS FOR HEALTHY COMMUNITIES TO FUND THE GREATER FARMINGTON YOUTH SUBSTANCE ABUSE COALITION (GFYSAC). THE COALITION IS AIMED AT PROVIDING EVIDENCE-BASED SUBSTANCE ABUSE (TOBACCO, VAPING, ALCOHOL, AND OTHER DRUGS) AND MENTAL HEALTH EDUCATION AND OUTREACH FOR YOUTH IN GREATER FARMINGTON. THE GFYSAC PARTNERED WITH FARMINGTON PUBLIC SCHOOLS, THE CITY OF FARMINGTON, THE CITY OF FARMINGTON HILLS, AND CARES OF GREATER FARMINGTON TO RECRUIT AND IMPLEMENT PROGRAMMING. IN 2021, THE GFYSAC REACHED 580 YOUTH IN THE GREATER FARMINGTON COMMUNITY THROUGH PROGRAMMING AND SERVICES.THE GFYSAC PARTICIPATED IN SYNAR VISITS WITH 26 ALCOHOL AND TOBACCO RETAILERS IN THE COMMUNITY.BEAUMONT FARMINGTON FACILITATED A FREE DRIVE-UP NARCAN TRAINING WITH CARES, THE CITY OF FARMINGTON, AND THE CITY OF FARMINGTON HILLS. 115 COMMUNITY MEMBERS WERE EDUCATED ON SAFELY USING NARCAN. BEAUMONT HOSPITAL FARMINGTON HILLS PROVIDES PHYSICAL AND MENTAL HEALTH SERVICES TO YOUTH IN THE COMMUNITY AT THE REDFORD TEEN HEALTH CENTERS AND THROUGH A WELLNESS PROGRAM AT TRUMAN HIGH SCHOOL. AT REDFORD TEEN HEALTH CENTER, 3,441 STUDENTS RECEIVED SERVICES (PRIMARY CARE AND/OR BEHAVIORAL HEALTH SERVICES).

PART V, LINES 7 AND 10:
BEAUMONT HOSPITAL, FARMINGTON HILLS CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL ON THE HOSPITAL SYSTEM'S WEBSITE:HTTPS://WWW.BEAUMONT.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

PART I, LINE 3C:
BOTSFORD GENERAL HOSPITAL USES FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR FREE OR REDUCED CARE FOR LOW INCOME AND MEDICALLY INDIGENT INDIVIDUALS. IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, BOTSFORD GENERAL HOSPITAL USES ASSET LEVEL AND RESIDENCY TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE.

PART I, LINE 6A:
BEAUMONT HEALTH - 46-5718220

PART I, LINE 7:
"BOTSFORD GENERAL HOSPITAL CALCULATED THE COST OF CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2 ""RATIO OF PATIENT CARE COST-TO-CHARGES"". OTHER BENEFIT AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS."

PART III, LINE 2:
PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE. THE HOSPITAL'S ESTIMATE FOR ITS ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTION BY PAYOR. THE HOSPITAL UPDATES, ON A QUARTERLY BASIS, THE HISTORICAL COLLECTION RATES FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE USED TO ESTIMATE THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CONTRACTUAL ALLOWANCES. MANAGEMENT PERFORMS AN ANALYSIS ON A MONTHLY BASIS TO EVALUATE THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS (WHICH INCLUDES UNCOLLECTIBLE DEDUCTIBLES AND CO-PAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET BEEN PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE BASED ON EXPERIENCE.

PART III, LINE 3:
THE HOSPITAL IS NOT REPORTING AN AMOUNT ON PART III, LINE 3 BECAUSE THE ORGANIZATION BELIEVES THAT NONE OR VERY LITTLE OF THEIR BAD DEBT EXPENSE RELATES TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S POLICIES.

PART III, LINE 4:
SEE PAGES 11, 12, 13, AND 14 OF THE AUDITED FINANCIAL STATEMENTS FOR YEAR-END 2021.

PART III, LINE 8:
"THE SOURCE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS THE HOSPITAL'S MEDICARE COST REPORT.THE MEDICARE COST REPORT IS THE COSTING METHODOLOGY SYSTEM USED TO DETERMINE THE AMOUNT REPORTED ON PART III, LINES 5 AND 6. THE HOSPITAL UTILIZES WORKSHEET 6 FOUND IN THE FORM 990 INSTRUCTIONS FOR SCHEDULE H TO CALCULATE ITS SUBSIDIZED SERVICES. THE INSTRUCTIONS STATE THAT ""THE FINANCIAL LOSS IS MEASURED AFTER REMOVING LOSSES, MEASURED BY COST, ASSOCIATED WITH BAD DEBT, CHARITY CARE, MEDICAID, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS."" GIVEN THAT WORKSHEET 6 DOESN'T SUGGEST REMOVING LOSSES ASSOCIATED WITH MEDICARE, A PORTION OF MEDICARE IS INCLUDED IN THE HOSPITAL'S SUBSIDIZED SERVICE CALCULATIONS. SO AS NOT TO DOUBLE COUNT MEDICARE VALUES IN PART III, SECTION B, LINES 5 AND 6, THE PORTION OF MEDICARE SHORTFALL INCLUDED IN OUR SUBSIDIZED SERVICES CALCULATIONS HAS BEEN SUBTRACTED FROM THE MEDICARE REVENUE AND COSTS DERIVED FROM THE MEDICARE COST REPORT. THE VALUES INDICATED IN PART III, LINES 5 AND 6 ARE THEREFORE WHAT REMAINS AFTER THE MEDICARE REVENUE AND COSTS INCLUDED IN THE SUBSIDIZED SERVICES CALCULATIONS HAVE BEEN SUBTRACTED OUT. GIVEN THIS, THE RESULTING VALUES (PART III, LINES 5, 6 AND 7) WOULD NEED TO BE COMBINED WITH THE MEDICARE REVENUE/COSTS INCLUDED IN OUR SUBSIDIZED SERVICES TO GET THE FULL OVERVIEW OF MEDICARE REVENUE, COSTS AND ANY REMAINING SHORTFALL OR SURPLUS. WE AGREE WITH THE CURRENT SUBSIDIZED SERVICES CALCULATION METHODOLOGY THAT ALLOWS THE INCLUSION OF MEDICARE DOLLARS AS THE MEDICARE POPULATION COMPRISES AN IMPORTANT SEGMENT OF THOSE RECEIVING SUBSIDIZED SERVICES CARE. THE HOSPITAL TREATS ALL MEDICARE PATIENTS EQUALLY AND DOES NOT DISCRIMINATE AGAINST LOWER MARGIN YIELDING SERVICES.WHEN THE ORGANIZATION HAS A MEDICARE SHORTFALL, IT IS TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: 1) SINCE THERE IS AN EXCESS OF EXPENSES OVER MEDICARE REIMBURSEMENT THE HOSPITAL MUST COVER THE SHORTFALL, AS A RESULT THE AMOUNT NEEDED TO COVER THE SHORTFALL IS NOT AVAILABLE FOR OTHER CHARITY CARE AND COMMUNITY BENEFIT SERVICES; 2) A SIGNIFICANT PORTION OF SERVICES PROVIDED TO MEDICARE BENEFICIARIES WOULD LIKELY QUALIFY FOR CHARITY CARE ABSENT INSURANCE COVERAGE UNDER THE MEDICARE PROGRAM; AND 3) THE PROVISION UNDER COMPENSATED PATIENT CARE TO MEDICARE BENEFICIARIES POSITIVELY IMPACTS THE HEALTH OF THE MICHIGAN COMMUNITY IN WHICH WE SERVE."

PART III, LINE 9B:
FINANCIAL ASSISTANCE IS GRANTED TO THOSE PATIENTS UNABLE TO PAY ALL OR A PORTION OF THEIR BILL AND WHO ARE UNABLE TO QUALIFY FOR ASSISTANCE THROUGH FEDERAL AND STATE GOVERNMENT ASSISTANCE PROGRAMS. IF AFTER INSURANCE REIMBURSEMENT ADDITIONAL ASSISTANCE IS NEEDED, ALL PATIENTS MAY OBTAIN FINANCIAL ASSISTANCE IF THE INCOME CRITERIA ARE MET.ALL FINANCIAL ASSISTANCE APPLICATIONS ARE BASED ON POLICY GUIDELINES. UNINSURED PATIENTS ARE REQUIRED TO PROVIDE DOCUMENTATION AND A COMPLETED APPLICATION. IF APPROVED, THE ADJUSTMENT IS APPLIED TO THE PATIENT'S ACCOUNT. FOR PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, PAYMENT PLANS ARE AVAILABLE.

PART VI, LINE 7, REPORTS FILED WITH STATES
MI

PART VI, LINE 2:
IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, BEAUMONT HEALTH, THE SOLE MEMBER OF BOTSFORD GENERAL HOSPITAL, CONDUCTS AN ANNUAL ENVIRONMENTAL SCAN OF THE COMMUNITIES SERVED EACH YEAR AS PART OF THE STRATEGIC PLANNING PROCESS WHICH INCLUDES KEY INFORMATION INCLUDING ACCESS TO CARE, DEMOGRAPHICS, HEALTH NEEDS, INTERNAL HOSPITAL DATA, AND IDENTIFYING GAPS IN SERVICES. BEAUMONT HEALTH PARTNERS WITH THE WAYNE, OAKLAND AND MACOMB COUNTY HEALTH DEPARTMENTS ALONG WITH THE CITY OF DETROIT HEALTH DEPARTMENT TO WORK COLLABORATIVELY ON HEALTH NEEDS AND THE SOCIAL DETERMINANTS OF HEALTH. THE COMMUNITY OUTREACH DEPARTMENT WITHIN BEAUMONT DIRECTS SERVICES AND PROGRAMS TARGETING VULNERABLE POPULATIONS AND SERVICES TO IMPROVE THE GENERAL HEALTH OF THE COMMUNITIES SERVED. USING THE PATIENT AND FAMILY CENTERED CARE MODEL, COMMUNITY MEMBERS ENGAGE IN INCLUSIVE COMMUNITY COALITIONS THAT GUIDE THE HEALTH PROGRAMS AND SERVICES NEEDED IN THE COMMUNITY. NUMEROUS DATA SOURCES ARE UTILIZED TO ASSESS HEALTH NEEDS OF THE COMMUNITIES INCLUDING MDCH, TRUVEN HEALTH DATA, CDC DATA SETS, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, CENSUS DATA, AND PUBLIC HEALTH DATA FOR WAYNE, OAKLAND AND MACOMB COUNTIES.

PART VI, LINE 3:
BEAUMONT HEALTH'S (BEAUMONT'S), THE SOLE MEMBER OF BOTSFORD GENERAL HOSPITAL, MISSION IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL OF OUR PATIENTS EFFICIENTLY, EFFECTIVELY, AND COMPASSIONATELY, REGARDLESS OF WHERE THEY LIVE OR THEIR FINANCIAL CIRCUMSTANCES. BEAUMONT ALSO STRIVES TO EDUCATE AND INFORM ALL UNINSURED AND UNDERINSURED PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE FOR HEALTH CARE SERVICES THROUGHOUT THE COURSE OF THEIR TREATMENT AND BEYOND. THEREFORE, WHEN A PATIENT SCHEDULES OR REGISTERS FOR AN APPOINTMENT OR PRESENTS THEMSELVES FOR CARE AT A BEAUMONT FACILITY, ALL UNINSURED INDIVIDUALS ARE INFORMED OF OPTIONS AVAILABLE FOR GOVERNMENT MEDICAL COVERAGE, THE AVAILABILITY OF FINANCIAL ASSISTANCE, NO-INTEREST PAYMENT PLANS AND THE EXISTENCE OF CHARITY CARE IN A NUMBER OF WAYS. INTERPRETATIVE SERVICES ARE ALSO MADE AVAILABLE FOR ANY PATIENT FOR WHOM ENGLISH IS A SECOND LANGUAGE. INFORMATION MADE AVAILABLE TO PATIENTS INCLUDES:- INFORMATION AND AN APPLICATION FROM THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES (DHS) RELATED TO MEDICAID.- ACCESS TO AN ONLINE APPLICATION SERVICE WITH THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH.- PAMPHLETS IN PATIENT WAITING AREAS IN VARIOUS LOCATIONS DESCRIBING THE AVAILABILITY OF FREE OR DISCOUNTED CARE FOR THE UNINSURED AND UNDERINSURED.- CONTRACTS WITH ADVOMAS, AN OUTSIDE COMPANY, TO ASSIST UNINSURED INDIVIDUALS IN THE APPLICATION PROCESS AND TO SEARCH FOR ANY FORM OF FINANCIAL ASSISTANCE THROUGH OTHER PROGRAMS.- ASSISTANCE FOR THE UNINSURED AND UNDERINSURED RELATING TO THE APPLICATION PROCESS BY BEAUMONT PATIENT FINANCIAL SERVICES REPRESENTATIVES. THEY ARE AVAILABLE PRIOR TO RECEIVING CARE, BEFORE OR AFTER A PATIENT STATEMENT IS RECEIVED OR TO HELP ANY INDIVIDUAL REQUEST A PAYMENT. CONTACT INFORMATION IS PROVIDED TO ALL PATIENTS.- NOTICE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE, DISCOUNTED CARE, OR FREE CARE (IF THE PERSON IS UNABLE TO AFFORD CARE) PROVIDED ON ALL PATIENT STATEMENTS.

PART VI, LINE 4:
THE BOTSFORD GENERAL HOSPITAL COMMUNITY IS DEFINED AS THE CONTIGUOUS ZIP CODES THAT COMPRISE 80 PERCENT OF INPATIENT DISCHARGES. BOTSFORD GENERAL HOSPITAL'S POPULATION IS EXPECTED TO DECREASE BY 0.6 PERCENT (5,765 LIVES) BY 2023. THE PORTION OF THE COMMUNITY THAT INCLUDES THE CITY OF DETROIT WILL EXPERIENCE THE GREATEST CONTRACTION, WHILE NOVI AND WALLED LAKE WILL GROW 3 TO 5 PERCENT. OTHER COMMUNITIES INCLUDING SOUTHFIELD, ZIP CODE 48075, AND FARMINGTON, ZIP CODE 48335 WILL GROW SLIGHTLY. THE AGE COMPOSITION OF THE COMMUNITY IS SIMILAR TO THE STATE OF MICHIGAN AND THE COUNTRY. THE COHORT AGED 65+ MAKES UP THE SMALLEST SEGMENT OF THE POPULATION (19.7 PERCENT) BUT IS EXPECTED TO EXPERIENCE THE MOST GROWTH OVER THE NEXT FIVE YEARS. THIS AGE GROUP IS EXPECTED TO INCREASE APPROXIMATELY 13 PERCENT WHILE THE OTHER AGE GROUPS ARE EXPECTED TO DECREASE 1 TO 6 PERCENT. BOTSFORD GENERAL HOSPITAL'S POPULATION IS MUCH MORE DIVERSE RELATIVE TO BOTH THE MICHIGAN AND U.S. POPULATION. THE TWO LARGEST GROUPS BY RACE ARE WHITE (51.1 PERCENT) AND BLACK (40.1 PERCENT) AND BOTH ARE EXPECTED TO DECREASE APPROXIMATELY 2 PERCENT IN THE NEXT FIVE YEARS. ALL OTHER MINORITY GROUPS ARE PROJECTED TO INCREASE; ASIAN PACIFIC ISLANDERS WILL EXPERIENCE THE MOST GROWTH CLOSELY FOLLOWED BY THE MULTIRACIAL GROUP. HISPANICS CURRENTLY COMPRISE 3 PERCENT OF THE COMMUNITY'S POPULATION BUT IS EXPECTED TO GROW BY 12.1 PERCENT OVER THE NEXT FIVE YEARS. FORTY-NINE PERCENT OF THE BOTSFORD GENERAL HOSPITAL COMMUNITY IS PRIVATELY INSURED; THIS INCLUDES PEOPLE WHO ARE PURCHASING INSURANCE THROUGH THE EXCHANGE MARKETPLACE, THOSE BUYING DIRECTLY FROM AN INSURANCE PROVIDER AND THOSE WHO RECEIVE INSURANCE THROUGH AN EMPLOYER. COMPARED TO THE STATE AND NATIONAL LEVELS, THE COMMUNITY HAS A HIGHER PROPORTION OF PEOPLE WHO ARE INSURED BY EITHER MEDICARE OR MEDICAID. OVER ONE FOURTH OF THE COMMUNITY HAS MEDICAID (27 PERCENT) AND 19 PERCENT HAVE MEDICARE. HYPERTENSION IS THE MOST PREVALENT HEART DISEASE IN THE COMMUNITY AND ACCOUNTS FOR 66.4 PERCENT OF NEW HEART DISEASE CASES. COMPARED TO STATE AND NATIONAL ESTIMATES, BOTSFORD GENERAL HOSPITAL HAS A HIGHER PROPORTION OF BREAST AND PROSTATE CANCER. THESE TWO, FOLLOWED BY LUNG CANCER, MADE UP THE THREE MOST FREQUENTLY DIAGNOSED CANCERS IN THE COMMUNITY AT THE TIME OF THIS ASSESSMENT.

PART VI, LINE 5:
BOTSFORD GENERAL HOSPITAL (BEAUMONT FARMINGTON HILLS) FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITIES IN WHICH IT SERVES THROUGH NUMEROUS OUTREACH ACTIVITIES. THESE ACTIVITIES INCLUDE HEALTH SCREENINGS, CHRONIC DISEASE MANAGEMENT AND EDUCATION THAT ADDRESSES DIABETES, CARDIAC HEALTH, HYPERTENSION, PULMONARY DISEASE, OBESITY, COMPREHENSIVE LIFESTYLE BEHAVIOR EDUCATION AND INITIATIVES FOCUSED ON HEALTH RISK AND SUBSCRIBING TO THE HHS HEALTHY PEOPLE 2020 GOALS AND THE STATE OF MICHIGAN DEPARTMENT OF COMMUNITY HEALTH GOALS. THERE IS EXTENSIVE COLLABORATION EFFORTS WITH LOCAL SCHOOL DISTRICTS AND COMMUNITY-BASED ORGANIZATIONS ADDRESSING AT-RISK BEHAVIORS IN THE SCHOOL-AGE POPULATION. EDUCATION IS PROVIDED IN THE COMMUNITY ON TOPICS SUCH AS ADDICTIONS, ALZHEIMER'S, CARDIOLOGY, CLOSED HEAD INJURY, STROKE SURVIVORS, GRIEF SUPPORT AND CARE GIVING, NUTRITION AND FITNESS PROGRAMMING ARE ALSO OFFERED. BOTSFORD GENERAL HOSPITAL ALSO PARTICIPATES IN MANY CHARITABLE PROGRAMS IN THE COMMUNITY INCLUDING DIRECT FINANCIAL CONTRIBUTIONS AND IN-KIND SUPPORT. BOTSFORD GENERAL HOSPITAL ALSO OFFERS THE COMMUNITY STUDENT HEART CHECKS TO SCREEN FOR HEART ABNORMALITIES. BOTSFORD GENERAL HOSPITAL ALSO PROVIDES SUPPORT TO THE COMMUNITY BY OPERATING A TEEN HEALTH CENTER AT PIERCE MIDDLE SCHOOL IN REDFORD. COMPREHENSIVE PHYSICAL AND MENTAL HEALTH SERVICES ARE PROVIDED TO STUDENTS REGARDLESS OF ABILITY TO PAY.MANY OF THE EXECUTIVES, MANAGERS AND OTHER EMPLOYEES OF BOTSFORD GENERAL HOSPITAL 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 BOTSFORD GENERAL HOSPITAL EMPLOYEES ALSO OFFER AD-HOC CONSULTING ADVICE. BEAUMONT, FARMINGTON HILLS HAS AN OPEN MEDICAL STAFF MODEL AND HAS A NATIONALLY RENOWNED MEDICAL EDUCATION PROGRAM OFFERING 20 DIFFERENT SPECIALTIES.

PART VI, LINE 6:
"BEAUMONT HEALTH (""THE SYSTEM), THE SOLE MEMBER OF BOTSFORD GENERAL HOSPITAL, IS MICHIGAN'S LARGEST HEALTH CARE SYSTEM (BASED ON INPATIENT ADMISSIONS AND NET PATIENT REVENUE) FORMED IN 2014 BY WILLIAM BEAUMONT HOSPITAL, BOTSFORD GENERAL HOSPITAL AND OAKWOOD HEALTHCARE, INC. TO PROVIDE PATIENTS WITH COMPASSIONATE, EXTRAORDINARY CARE, NO MATTER WHERE THEY LIVE IN SOUTHEAST MICHIGAN. OUR CULTURE OF CARING PARTNERSHIPS AND CARE DELIVERY MODEL OF PATIENT AND FAMILY-CENTERED CARE DEMONSTRATES OUR COMMITMENT TO ENGAGING OUR PATIENTS, THEIR FAMILY, AND OUR COMMUNITY TO PROMOTE CONTINUOUS HEALTH CARE IMPROVEMENTS. WITH EIGHT HOSPITALS, 155 HEALTH CENTERS, NEARLY 5,000 PHYSICIANS AND 38,000 EMPLOYEES, BEAUMONT HEALTH CONTRIBUTES TO THE HEALTH AND WELL-BEING OF RESIDENTS THROUGHOUT SOUTHEAST MICHIGAN AND BEYOND. IN 2021, BEAUMONT HAD 161,400 INPATIENT DISCHARGES, 500,900 EMERGENCY VISITS AND 17,500 BIRTHS. THE OUTPATIENT SITES INCLUDE EMERGENCY AND URGENT CARE CENTERS, MEDICAL CENTERS, LABORATORY CENTERS, PHARMACIES, REHABILITATION CENTERS, IMAGING CENTERS, SENIOR LIVING AND NURSING HOMES, WELLNESS AND FITNESS CENTERS AND HOME CARE AND HOSPICE. BEAUMONT IS COMMITTED TO EDUCATION AND HAS MEDICAL AFFILIATIONS WITH OAKLAND UNIVERSITY WILLIAM BEAUMONT SCHOOL OF MEDICINE, MICHIGAN STATE UNIVERSITY SCHOOL OF MEDICINE, AND WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE. IN 2021, BEAUMONT PROVIDE GRADUATE MEDICAL EDUCATION TO 900 RESIDENTS AND FELLOWS AND HAD 78 RESIDENCY AND FELLOWSHIP PROGRAMS.BEAUMONT HAS EIGHT TRAUMA CENTERS CONSISTING OF BEAUMONT HOSPITAL FARMINGTON HILLS (BOTSFORD GENERAL HOSPITAL) (LEVEL 2), BEAUMONT HOSPITAL DEARBORN (LEVEL 2), BEAUMONT HOSPITAL GROSSE POINTE (LEVEL 3), BEAUMONT HOSPITAL ROYAL OAK (LEVEL 1), BEAUMONT HOSPITAL TRENTON (LEVEL 2), BEAUMONT HOSPITAL WAYNE (LEVEL 2), BEAUMONT TROY (LEVEL 2), AND BEAUMONT HOSPITAL TAYLOR (LEVEL 4). BEAUMONT OPERATES EMERGENCY CENTERS AT EACH OF ITS EIGHT HOSPITALS, INCLUDING THE NEWLY EXPANDED CENTER AT ROYAL OAK. BEAUMONT OPERATES THE ONLY 24/7 EMERGENCY ROOM IN CANTON TOWNSHIP, A COMMUNITY OF ABOUT 80,000 IN WESTERN WAYNE COUNTY. IN ADDITION, BEAUMONT LEADS AND PARTICIPATES IN EMERGENCY AND DISASTER PLANNING TO PROTECT THE HEALTH AND SAFETY OF THE SOUTHEAST MICHIGAN COMMUNITY. FURTHER, BEAUMONT HAS BEEN AN INNOVATOR IN GREEN PRACTICES TO IMPROVE ENVIRONMENTAL AND COMMUNITY HEALTH THROUGH ITS ""GREEN TEAMS AND ENERGY MANAGEMENT TEAMS THAT CONTINUALLY WORK ON REDUCING THE CARBON FOOTPRINT ACROSS THE SYSTEM. PATIENT AND FAMILY CENTERED CARE (PFCC) IS EMBEDDED IN ALL THAT WE DO AT BEAUMONT. THIS INVOLVES THE PLANNING, DELIVERY, AND EVALUATION OF HEALTH CARE BUILT ON MUTUALLY BENEFICIAL PARTNERSHIPS AMONG PATIENTS, FAMILIES, AND PROVIDERS SHAPED BY PATIENT PREFERENCE. PFCC IS ABOUT WORKING WITH PATIENTS AND FAMILIES AS PARTNERS IN CARE RATHER THAN DOING TO AND FOR THEM. THIS APPROACH IS ALSO USED BY BEAUMONT IN THE COMMUNITIES WE SERVE. TO MOST EFFECTIVELY DESIGN AND IMPLEMENT COMMUNITY HEALTH PROGRAMMING, COMMUNITY MEMBERS, CITY AND SCHOOL LEADERS, NONPROFIT ORGANIZATIONS, BUSINESS, FAITH-BASED ORGANIZATIONS AND OTHERS ALL COME TOGETHER IN COMMUNITY COALITIONS TO ASSIST WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND CREATE ACTION TEAMS THAT COORDINATE SERVICES, PROGRAMS AND EVENTS TO MAXIMIZE RESOURCES AND REDUCE DUPLICATION OF EFFORTS.BEAUMONT FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE PROMOTION OF COMMUNITY HEALTH IN THE COMMUNITIES SERVED. TO MOVE THE NEEDLE ON HEALTH PRIORITIES IDENTIFIED IN THE CHNA, BEAUMONT INITIATED ""HEALTHY COMMUNITIES"" MULTI-SECTOR COALITIONS INVOLVING COMMUNITY RESIDENTS, PUBLIC HEALTH, CITY AND SCHOOL LEADERS, BUSINESS, FAITH ORGANIZATIONS, NONPROFITS AND OTHERS TO WORK TOGETHER TO IMPROVE HEALTH. IN 2021, OVER 800 COMMUNITY MEMBERS SAT ON THESE COALITIONS WITH ACTION TEAMS TARGETING HEALTHY EATING, HEALTHY SCHOOLS, HEALTHY AT WORK, HEALTH ENVIRONMENTS AND DIVERSITY AND INCLUSION. THESE COALITIONS GUIDE OUR WORK IN THE COMMUNITY IN THE DELIVERY OF PROGRAMS, SERVICES AND EVENTS TARGETING HEALTH AND WELLNESS THAT ARE PROVIDED AT NO CHARGE TO COMMUNITY MEMBERS. OTHER SERVICES PROVIDED TO THE COMMUNITY ARE THE CERTIFIED APPLICATION COUNSELORS TO ASSIST IN ENROLLMENT IN THE HEALTH INSURANCE MARKETPLACE AND MEDICAID, NUMEROUS FREE HEALTH SCREENINGS, DIABETES PREVENTION PROGRAMS, NUTRITION PROGRAMS, SCHOOL NUTRITION AND ACTIVITY PROGRAMS IN OVER 30 SITES, COMMUNITY HEALTH EDUCATION, PARTICIPATION IN THE GIFT OF LIFE PROGRAM, HOSTING FAMILY/COMMUNITY SAFETY DAYS THAT ENHANCE THE HEALTH OF OUR COMMUNITIES, SPONSORSHIPS TO COMMUNITY ORGANIZATIONS, FINANCIAL AND IN-KIND SUPPORT TO COMMUNITY HEALTH CLINICS THAT PROVIDE FREE OR REDUCED HEALTHCARE TO VULNERABLE POPULATIONS, A FREE APP AND WALKING PROGRAMS IN THE COMMUNITY TO PROMOTE ACTIVE LIVING, 7 FOR $70 CARDIOVASCULAR SCREENING, SUPPORT TO COMMUNITY ORGANIZATIONS WITH BEAUMONT LEADERS SITTING ON MANY NONPROFIT BOARDS, CAREER DAYS, JOB SHADOWING AND INTERNSHIPS WITH LOCAL SCHOOLS, MEDICAL OUTREACH TO HOMELESS POPULATIONS, A MEDICAL LIBRARY OPEN TO THE PUBLIC, FREE HEART SCREENINGS FOR YOUTH, FREE MAMMOGRAMS FOR THOSE IN NEED, AND A STOP THE BLEED TRAINING PROGRAM FOR THE COMMUNITY. NUMEROUS PHYSICIANS, NURSES, RESIDENTS, AND EMPLOYEES OF BEAUMONT VOLUNTEER IN THE COMMUNITY IN ADDITION TO SERVING ON LOCAL COMMITTEES, TASK FORCES, COALITIONS, AND BOARDS THAT ARE RELATED TO HEALTH AND HEALTH NEEDS.THIS TAX RETURN REFLECTS THE ACTIVITIES OF BOTSFORD GENERAL HOSPITAL. IN ADDITION TO THE ACTIVITIES ABOVE, BEAUMONT HOSPITAL, FARMINGTON HILLS (FORMERLY BOTSFORD GENERAL HOSPITAL) PROVIDES A WEALTH OF PROGRAMS AND SERVICES THAT SUPPORT COMMUNITY HEALTH. COMMUNITY HEALTH STAFF CONDUCT THEIR HEALTH PROMOTION ACTIVITIES THROUGH COMMUNITY COALITIONS TO ENSURE COMMUNITY ENGAGEMENT AND INVOLVEMENT IN SERVICES, PROGRAMS AND EVENTS PROMOTE HEALTH AND WELLNESS IN THEIR COMMUNITIES. THE CENTER FOR EXCEPTIONAL FAMILIES PROVIDES A WIDE RANGE OF HEALTH SERVICES FOR CHILDREN WITH MULTIPLE DISABILITIES AND THEIR FAMILIES."