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Ella E M Brown Charitable Circle

Oaklawn Hospital
200 North Madison Street
Marshall, MI 49068
Bed count94Medicare provider number230217Member of the Council of Teaching HospitalsNOChildren's hospitalNO
EIN: 381368347
Display data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
7.86%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 187,438,767
      Total amount spent on community benefits
      as % of operating expenses
      $ 14,737,109
      7.86 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 424,484
        0.23 %
        Medicaid
        as % of operating expenses
        $ 14,312,625
        7.64 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 0
        0 %
        Subsidized health services
        as % of operating expenses
        $ 0
        0 %
        Research
        as % of operating expenses
        $ 0
        0 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 0
        0 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 0
        0 %
        Community building*
        as % of operating expenses
        $ 0
        0 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?Not available
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 0
          0 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          Economic development
          as % of community building expenses
          $ 0
          Community support
          as % of community building expenses
          $ 0
          Environmental improvements
          as % of community building expenses
          $ 0
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          Coalition building
          as % of community building expenses
          $ 0
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          Workforce development
          as % of community building expenses
          $ 0
          Other
          as % of community building expenses
          $ 0
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 8,232,588
        4.39 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 1,234,888
        15.00 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?YES
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?Not available
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?NO

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
    • 4A (Expenses $ 60253841 including grants of $ 0) (Revenue $ 82582269)
      NURSING - PATIENT CARE ON AN ACUTE LEVEL TO IN/OUT PATIENTS INCLUDING INTENSIVE CARE, OBSTETRICAL, EMERGENCY, SURGICAL AND PSYCHIATRIC. IN FISCAL YEAR 2021, THERE WERE 113,213 DAYS OF CARE, 2,923 ADMISSIONS, 564 BIRTHS, AND 4,412 SURGICAL PROCEDURES.
      4B (Expenses $ 46558382 including grants of $ 0) (Revenue $ 33135812)
      PHYSICIANS - PROVIDING CARE FOR INPATIENTS AND OUTPATIENTS.
      4C (Expenses $ 11461369 including grants of $ 0) (Revenue $ 9998585)
      PHARMACY - PROVIDING FULL PHARMACEUTICAL SERVICES TO INPATIENT AND OUTPATIENTS.
      4D (Expenses $ 26619416 including grants of $ 0) (Revenue $ 39218242)
      ANCILLARY DEPARTMENTS
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      OAKLAWN HOSPITAL
      PART V, SECTION B, LINE 5: OAKLAWN HOSPITAL CONDUCTED THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO FURTHER ITS COMMITMENT TO THE COMMUNITY AND TO FULFILL THE REQUIREMENTS OF THE AFFORDABLE CARE ACT. FOR THE PURPOSES OF THIS CHNA, THE DEFINITION OF COMMUNITY IS ALL RESIDENTS OF CALHOUN COUNTY, MICHIGAN. THIS CHNA BEGAN IN 2021 AND WAS COMPLETED AND APPROVED BY OAKLAWN'S BOARD OF DIRECTORS IN JANUARY 2022. AS THE ASSESSMENT WAS CONDUCTED DURING THE COVID-19 PANDEMIC, PRIMARY DATA COLLECTION METHODS WERE CONDUCTED IN A WAY TO MAINTAIN SOCIAL DISTANCING AND PROTECT THE SAFETY OF THE PARTICIPANTS BY MINIMIZING IN-PERSON DATA COLLECTION DATA USING THE FOLLOWING METHODS:1. DATA GATHERED AND ANALYZED FROM SECONDARY SOURCES SUCH AS US CENSUS, MICHIGAN DEPARTMENT OF COMMUNITY HEALTH, AND THE CENTER FOR DISEASE CONTROL (CDC)2. AN ONLINE-COMMUNITY WIDE SURVEY3. GEOGRAPHIC AND DEMOGRAPHIC BASED FOCUS GROUPS (ALBION COMMUNITY, MARSHALL COMMUNITY, SENIORS, AND INDIVIDUALS CURRENTLY STRUGGLING WITH HOMELESSNESS AND SUBSTANCE ABUSE RECOVERY)4. KEY INFORMANT INTERVIEWS WITH REPRESENTATIVES KNOWLEDGEABLE IN THE COMMUNITY, SERVICE PROVIDERS, HEALTH CARE PROVIDERS, MEDICALLY UNDERSERVED POPULATIONS, MINORITY POPULATIONS, RURAL POPULATIONS, AND BUSINESSESTHIS DATA WAS ANALYZED TO IDENTIFY THE TOP HEALTH NEEDS OF RESIDENTS OF CALHOUN COUNTY:1. BEHAVIORAL HEALTH (MENTAL HEALTH AND ALCOHOL & DRUG USE)2. ACCESS TO HEALTH SERVICES3. HEALTH EQUITY 4. DIABETES, WEIGHT STATUS, NUTRITION & HEALTHY EATING5. CHILDREN'S HEALTH6. OLDER ADULTS7. MATERNAL, FETAL AND INFANT HEALTH8. CRIME AND CRIME PREVENTION
      OAKLAWN HOSPITAL
      PART V, SECTION B, LINE 6A: OAKLAWN ELECTED TO JOIN WITH SEVERAL COMMUNITY PARTNERS COMING TOGETHER TO CARRY OUT A COUNTYWIDE CHNA, INCLUDING THE IDENTIFICATION OF PRIORITY HEALTH ISSUES AND STRATEGIES TO ADDRESS THOSE ISSUES. THE HOSPITAL FACILITY PARTNER INVOLVED IN THIS EFFORT INCLUDED BRONSON HEALTH.
      OAKLAWN HOSPITAL
      PART V, SECTION B, LINE 6B: OAKLAWN ELECTED TO JOIN WITH SEVERAL COMMUNITY PARTNERS COMING TOGETHER TO CARRY OUT A COUNTYWIDE CHNA, INCLUDING THE IDENTIFICATION OF PRIORITY HEALTH ISSUES AND STRATEGIES TO ADDRESS THOSE ISSUES. THE PARTNERS INVOLVED IN THIS EFFORT BRONSON HEALTH, CALHOUN COUNTY PUBLIC HEALTH DEPARTMENT, THE COORDINATING COUNCIL, CAREWELL SERVICES AREA AGENCY ON AGING, AND POPULATION HEALTH ALLIANCE
      OAKLAWN HOSPITAL
      PART V, SECTION B, LINE 11: OAKLAWN'S LEADERSHIP TEAM DISCUSSED THE EIGHT TOP PRIORITY HEALTH NEEDS INDENTIFIED BY THE COLLABORATIVE THROUGH THE COMMUNITY SURVEY AND PRIORITIZED EACH HEALTH NEEDS BY CONSIDERING THE FOLLOWING: ALIGNMENT WITH STRENGTHS, PRIORITY AND MISSION EXISTING RESOURCES MAGNITUDE AND SEVERITYTHE REVIEW AND DISCUSSION LED TO THE OAKLAWN LEADERSHIP TEAM SELECTION TWO OF THE EIGHT TOPICS:PRIORITY AREA 1: ACCESS TO HEALTHCARE SERVICESGOAL: EXPAND HEALTHCARE SERVICE OFFERINGS WITHIN PRIMARY CARE OFFICES AND IN BATTLE CREEKOBJECTIVE STRATEGIES AND ACTIVITIES:IMPROVE ACCESS TO PRIMARY CARE SERVICES BY INCREASING CAPACITY THROUGH NURSE LED MEDICARE ANNUAL WELL VISITSIMPROVE ACCESS TO PRIMARY CARE SERVICES BY DECREASING DAYS FOR NEXT APPOINTMENT PRIORITY AREA 2: WEIGHT STATUS, NUTRITION & HEALTHY EATING, AND DIABETESGOAL: COMBINE THESE NEEDS INTO ONE FOCUS AND THROUGH MULTIDISCIPINARY EFFORTS PROVIDE EDUCATION RESOURCES.OBJECTIVE STRATEGIES AND ACTIVITIES: IMPROVE TIMELY DISEASE SPECIFIC CARE ACROSS THE CONTINUM BY COMBINING DIABETES SPECIALITY WITH ENDOCRINOLOGY TO ALLOW AN INTERDISCIPLINARY TEAM TO WORK TOGETHER WITH SPECIFIC DIET AND DISEASE FOCUS FOR IMPROVED HEALTH.OAKLAWN HOSPITAL INTENDS TO ADDRESS ALL ISSUES IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA TO SOME LEVEL AND HEALTH EQUITY WILL NOT BE SPECIFICALLY FOCUSED ON AS A UNIQUE HEALTH TOPIC BUT WILL BE INCLUDED WITHIN EACH OF THE DECISIONS AND INTERVENTIONS.
      OAKLAWN HOSPITAL
      PART V, SECTION B, LINE 16J: (I) FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY OF THE FAP ARE NOT PRE-TRANSLATED INTO THE PRIMARY LANGUAGES SPOKEN BY LIMITED PROFICIENCY (LEP) POPULATIONS, BUT ASSISTANCE IS AVAILABLE AND PROVIDED WHEN NEEDED.
      OAKLAWN HOSPITAL:
      PART V, SECTION B, LINE 16A:HTTPS://OAKLAWNHOSPITAL.ORG/PATIENT-TOOLS/FINANCIAL-ASSISTANCE-PROGRAM-FAP/ PART V, SECTION B, LINE 16B:HTTPS://OAKLAWNHOSPITAL.ORG/WP-CONTENT/UPLOADS/2021/03/FINANCIAL-ASSISTANCE-PROGRAM-EDITABLE-2021.PDF PART V, SECTION B, LINE 16C:HTTPS://OAKLAWNHOSPITAL.ORG/WP-CONTENT/UPLOADS/2021/08/ABOUT-MY-BILL-TRIFOLD-1-8-20-FINAL.PDF
      Supplemental Information
      Schedule H (Form 990) Part VI
      PART I, LINE 3C:
      THE ORGANIZATION USES THE FOLLOWING FPG TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS:175% OR BELOW OF FPL IS ENTITLED TO A 100% REDUCTION176% TO 250% OF FPL IS ENTITLED TO A 75% REDUCTION
      PART I, LINE 7:
      A COST-TO-CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THIS SCHEDULE.
      PART I, LINE 7, COLUMN (F):
      THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 8,232,588.
      PART II, COMMUNITY BUILDING ACTIVITIES:
      THE COMMUNITY BUILDING ACTIVITIES THAT OAKLAWN PARTICIPATES IN INCLUDE SERVING ON COMMITTEES AND BOARDS WITHIN THE COMMUNITY AND SURROUNDING AREAS. THESE INCLUDE BUT ARE NOT LIMITED TO, REGIONAL HEALTH ALLIANCE, FOUNTAIN CLINIC BOARD, MARSHALL SCHOOL BOARD, CISD SCHOOL WELLNESS PROGRAM AND HABITAT FOR HUMANITY. THESE AND OTHER ORGANIZATIONS WORK TO PROMOTE AWARENESS OF HEALTHY LIVING ALONG WITH ECONOMIC DEVELOPMENT. WHEN AN ECONOMY IS HEALTHY THE RESIDENTS ARE HEALTHIER.
      PART III, LINE 2:
      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 AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST 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 (OR DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD IT IS DETERMINED TO BE UNCOLLECTIBLE.
      PART III, LINE 3:
      FOR UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE DUE TO INCOMPLETE APPLICATIONS, A PROVISION FOR BAD DEBT IS RECORDED BASED UPON HISTORICAL EXPERIENCE.
      PART III, LINE 4:
      ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF OUR FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.THIS INFORMATION CAN BE FOUND IN THE ATTACHED AUDITED FINANCIAL STATEMENTS UNDER NOTE 2, SIGNIFICANT ACCOUNTING POLICIES FOR ACCOUNTS RECEIVABLE.
      PART III, LINE 8:
      THE MEDICARE SURPLUS (SHORTFALL), TAKEN FROM THE MEDICARE COST REPORT, WAS CALCULATED USING A COST-TO-CHARGE RATIO METHODOLOGY. THE MARCH 31, 2022 MEDICARE COST REPORT WAS UTILIZED FOR THIS TAX RETURN. ALL OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE SERVICES WERE PROVIDED AT LESS THAN OUR COSTS.
      PART III, LINE 9B:
      IF THE PATIENT QUALIFIES FOR CHARITY, THE CHARITY WRITE-OFF IS TAKEN REGARDLESS OF THE PAYMENT OF THE BALANCE, WHICH WILL FOLLOW THE NORMAL BILLING CYCLE. EVERY ATTEMPT SHOULD BE MADE TO SECURE PAYMENT ARRANGEMENTS FOR THE BALANCE OWING AT THE TIME THE CHARITY CARE IS APPROVED. PROMPT PAY DISCOUNTS DO NOT APPLY SINCE THE ACCOUNT HAS ALREADY BEEN DISCOUNTED.
      PART VI, LINE 2:
      OAKLAWN ASSESSES THE HEALTHCARE NEEDS OF THE PEOPLE IN COMMUNITIES IT SERVES THROUGH PUBLIC HEALTH DATA PROVIDED AT THE COUNTY LEVEL BY CALHOUN DEPARTMENT OF PUBLIC HEALTH AND THE COORDINATING COUNCIL. THESE RESOURCES ARE COMPLEMENTED BY THE HOSPITAL'S PROPRIETARY SERVICE UTILIZATION DATA. OAKLAWN FURTHER REQUIRES THAT COMMUNITY/PATIENT HEALTH NEED BE ESTABLISHED AS PART OF JUSTIFYING NEW OR EXPANDED SERVICES, AND CAPITAL EXPENDITURES.THE PURPOSE OF THE COMMUNITY NEEDS ASSESSMENT IS TO OFFER A DEEPER UNDERSTANDING OF THE HEALTH NEEDS ACROSS CALHOUN COUNTY AND GUIDE COLLABORATIVE ORGANIZATIONS PLANNING EFFORTS TO ADDRESS NEEDS IN ACTIONABLE WAYS AND WITH COMMUNITY ENGAGEMENT. DURING FISCAL YEAR ENDED 2020, OAKLAWN CONDUCTED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT IN CALHOUN COUNTY. CONSISTENT WITH THE MARCH 2010 PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010, OAKLAWN'S INITIATIVE HAS FOUR KEY FEATURES:A. INFORMATION AND FEEDBACK OBTAINED FROM A VARIETY OF SOURCES.B. COMMUNITY LEADERS, HEALTH CARE PROVIDERS, RESIDENTS AND OTHER KEY AUDIENCES FULLY PARTICIPATE IN THE PROCESS.C. PROCESS SERVES TO IDENTIFY, THEN PRIORITIZE, UNMET OR UNDER-MET HEALTH NEEDS.D. RESULTS UTILIZED TO DEVELOP AND IMPLEMENT PROGRAMS AND INITIATIVES THAT CONTRIBUTE TO IMPROVED HEALTH STATUS IN OAKLAWN'S SERVICE AREA.
      PART VI, LINE 7, REPORTS FILED WITH STATES
      MI
      PART VI, LINE 3:
      "OAKLAWN HOSPITAL MAKES BROCHURES CALLED ""ABOUT YOUR HOSPITAL BILL"" WHICH ARE AVAILABLE TO OUR PATIENTS BY HANDING THEM OUT AND HAVING THEM IN WAITING ROOMS ETC. OAKLAWN HOSPITAL CALLS PATIENTS THAT HAVE LARGE BALANCES ($5,000 AND OVER) AND MAKES THEM AWARE OF THE ASSISTANCE THAT IS AVAILABLE. OAKLAWN HOSPITAL INCLUDES A STANDARD MESSAGE ON OUR STATEMENTS MAKING PATIENTS AWARE THAT ASSISTANCE MAY BE AVAILABLE. PATIENTS ARE ALSO EDUCATED ABOUT ASSISTANCE AVAILABLE WHEN HARDSHIP IS MENTIONED (INCLUDING INABILITY TO PAY TIMELY AND/OR NEEDING LONG TERM PAYOFFS) DURING PHONE CALLS WITH PATIENT FINANCIAL SERVICES. REGISTRARS ARE ALSO TRAINED TO DIRECT PATIENT TO PFS IF THEY EXPRESS ANY CONCERN WITH PAYING THEIR BILL.OAKLAWN HOSPITAL'S PATIENT CARE RESPONSIBILITY COVERS HEALTH CARE NEEDS FOR UNDERINSURED AND UNINSURED AREA RESIDENTS SEEKING TREATMENT THROUGH OUR EMERGENCY AND URGENT CARE FACILITIES, AND AT THE HOSPITAL. OAKLAWN WORKS PROACTIVELY TO ENROLL QUALIFIED AREA RESIDENTS IN OUR CHARITY CARE PROGRAM, AND TO ASSIST THEM WITH MEDICAID APPLICATIONS IF APPROPRIATE. THIS SUPPORTS THE ACTUAL CARE PROCESS NOT ONLY FOR PATIENTS BUT FOR PROVIDERS AS WELL. IT SAVES THE HOSPITAL TIME AND EFFORT, AND KEEPS PEOPLE FROM HAVING MORE SUBSTANTIAL PROBLEMS WITH CREDIT AGENCIES. OAKLAWN'S PATIENT CARE SUBSIDIES TO ASSIST THE AREA'S UNINSURED AND UNDERINSURED RESIDENTS HAVE INCREASED STEADILY SINCE 2000, DUE TO THE ECONOMIC FACTORS AND MORE RECENTLY THE COVID-19 PANDEMIC. OAKLAWN IS SIMILAR TO ALL NONPROFIT HOSPITALS AND WILL WRITE OFF LARGE AMOUNTS OF MONEY EACH YEAR AS THE NUMBER OF PEOPLE WHO SIMPLY CANNOT PAY FOR THEIR HEALTHCARE SERVICES PERSISTS AT A HIGH LEVEL. THESE PEOPLE INCLUDE THOSE WHO:- HAVE ABSOLUTELY NO INSURANCE;- ARE ""UNDERINSURED AND CANNOT AFFORD TO MAKE UP THE DIFFERENCE OF WHAT THEIR INSURANCE PAYS FOR THE ACTUAL COSTS INCURRED FOR THEIR CARE;- ARE PART OF THE UNDER-REIMBURSED MEDICARE OR MEDICAID PROGRAMS.OAKLAWN HOSPITAL PROVIDES PATIENT CARE WITHOUT DISCRIMINATION ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, AGE, DISABILITY, SEX, OR RELIGIOUS AFFILIATION. CHARITY CARE NEEDS ARE DETERMINED IN ACCORDANCE WITH ESTABLISHED GUIDELINES THAT ARE UPDATED ANNUALLY BY THE FEDERAL CENTER FOR MEDICARE AND MEDICAID SERVICES (FORMERLY THE DEPARTMENT OF HEALTH & HUMAN SERVICES). THOSE RECEIVING COMPENSATED PATIENT CARE INCLUDE ALL AGES AND ALL GENDER IDENTITIES, AND MAY BE ASSISTED FOR MENTAL HEALTH AS WELL AS MEDICINE AND MEDICAL CARE. OAKLAWN DOES NOT RECORD AND TRACK RACIAL/ETHNIC GROUPS OF OUR PATIENTS IN PROVISION OF CHARITY CARE."
      PART VI, LINE 4:
      OAKLAWN HOSPITAL'S SERVICE AREA INCLUDES CALHOUN COUNTY, MICHIGAN, AND PARTS OF BRANCH AND EATON COUNTIES. OVERALL, THE HOSPITAL SERVES AN ESTIMATED MARKET POPULATION OF 178,840 FROM THE 22 ZIP CODES COMPRISING ITS SERVICE AREA. ACCORDING TO THE US CENSUS FINDINGS, CALHOUN COUNTY'S POPULATION (CLOSEST PROXY TO THE SERVICE AREA) SKEWS OLDER THAN NATIONAL AND STATE AVERAGES, AT A MEDIAN AGE OF 38.8 YEARS COMPARED TO 40.2 AND 40.3 YEARS RESPECTIVELY. BY RACE AND ETHNICITY, 96.1% OF THE COUNTY'S POPULATION SELF-REPORTS AS ONE RACE, VERSUS 97% (MICHIGAN) AND 96.7% (US). IT IS 79.2% WHITE; 10.9% BLACK/AFRICAN AMERICAN; 0.7% AMERICAN INDIAN/ALASKA NATIVE; AND 3.3% ASIAN. THE COUNTY'S CENSUS SHOWED 5.8% CLAIM HISPANIC/LATINO OF ANY RACE. OAKLAWN WAS FOUNDED IN 1925 AS A 12-BED HOSPITAL IN A RESIDENTIAL HOME IN MARSHALL, MICHIGAN, AND HAS SINCE EVOLVED INTO A HIGHLY-REGARDED REGIONAL HEALTH CARE ORGANIZATION, LICENSED FOR 77 ACUTE CARE BEDS AND A 17-BED INPATIENT PSYCHIATRIC UNIT. ITS ACTIVE, COURTESY, AND CONSULTING MEDICAL STAFF CONSISTS OF MORE THAN 150 PHYSICIANS REPRESENTING 34 SPECIALTIES. THE HOSPITAL HAS CONTINUED TO BE AN INDEPENDENTLY OWNED NON-PROFIT HOSPITAL, WITH ITS MAIN CAMPUS RESIDING ON THE SAME SITE AS THE ORIGINAL HOSPITAL.
      PART VI, LINE 5:
      "HOSPITALS ARE ALREADY KNOWN AS LOCAL CAREGIVERS AND MAJOR EMPLOYERS, BUT THEY MUST ALSO BECOME MORE RECOGNIZED AS COMMUNITY STEWARDS, AFFIRMING THEIR PURPOSE AS TAX-EXEMPT ENTITIES. THE MICHIGAN HOSPITAL & HEALTH ASSOCIATION'S ANNUAL COMMUNITY BENEFITS SURVEY IS OAKLAWN HOSPITAL'S PRIMARY OPPORTUNITY TO PRESENT THE ENTIRETY OF ITS COMMUNITY BENEFIT PROGRAMS AND SERVICES AND TO PROMOTE THE SUCCESS AND IMPACT OF THESE PROGRAMS AND SERVICES.OAKLAWN'S ""COMMUNITY BENEFITS"" REACHED $14,737,109 IN 2021, THE MOST RECENT REPORTING YEAR AVAILABLE. THE HOSPITAL CONTRIBUTED FINANCIAL OR IN-KIND BENEFITS OF $424,484 TOWARD IMPROVED HEALTH SERVICES. OAKLAWN PROVIDED $16.92 MILLION IN UNCOMPENSATED MEDICAL CARE IN 2021, INCLUDING $1,368,906 IN CHARITY CARE, $1,234,888 IN BAD DEBTS, AND $14,312,625 IN ""BELOW COST"" REIMBURSEMENTS FROM MEDICAID, MEDICARE, AND OTHER GOVERNMENT-AUTHORIZED PROGRAMS.OAKLAWN EVENTS AND PROGRAM OFFERINGS ARE PROMOTED ONLINE AT OAKLAWN'S WEBSITE AND ON OAKLAWN'S SOCIAL MEDIA PLATFORMS. FURTHER, OAKLAWN ALIGNS WITH AREA SCHOOLS, COMMUNITY AGENCIES, HEALTH CLINICS, AND HEALTHCARE COLLABORATIONS TO PROVIDE EXPERTISE, SERVICES AND ONGOING PUBLIC HEALTH EVENT SUPPORT"