2025-02-07T11:59:00-05:00 2024-09-30 382088116 BRICKLEY DELONG PC PO BOX 999 MUSKEGON MI 494430999 990 2023-10-01 383481152 ACCESS HEALTH ACCE 2317285180 1200 RANSOM SUITE 102 MUSKEGON MI 49442 JEFF S FORTENBACHER EXECUTIVE DIRECTOR 2317285180 2025-01-23 true false JENNIFER L WHEELER CPA P01268264 2317265800 2025-01-28 2023 2025-03-06 01:10:19Z JEFF S FORTENBACHER 1200 RANSOM SUITE 102 MUSKEGON MI 49442 4497864 false X WWW.ACCESS-HEALTH.ORG X 1999 MI THE MISSION OF ACCESS HEALTH IS TO OFFER AN INTEGRATED COMMUNITY-BASED HEALTH IMPROVEMENT PROGRAM FOR THOSE RESIDENTS WHO OTHERWISE WOULD NOT RECEIVE SERVICES. THE VISION FOR ACCESS HEALTH IS TO PROVIDE ACCESS TO APPROPRIATE HEALTH CARE THROUGH THE EFFECTIVE USE OF COMMUNITY RESOURCES. 8 8 19 0 2180521 3516812 196495 191568 40036 136375 4019 6275 2421071 3851030 160587 0 1043699 1357467 0 0 1738378 2026684 2782077 3544738 -361006 306292 7600022 8656087 306700 419031 7293322 8237056 X THE MISSION OF ACCESS HEALTH IS TO OFFER AN INTEGRATED COMMUNITY-BASED HEALTH IMPROVEMENT PROGRAM FOR THOSE RESIDENTS WHO OTHERWISE WOULD NOT RECEIVE SERVICES. THE VISION FOR ACCESS HEALTH IS TO PROVIDE ACCESS TO APPROPRIATE HEALTH CARE THROUGH THE EFFECTIVE USE OF COMMUNITY RESOURCES. false false 1308896 160587 191568 C3 HEALTH IS A COMMUNITY PLAN DESIGNED TO PROVIDE HEALTH BENEFITS TO THE LOW-INCOME WORKING RESIDENTS OF MUSKEGON COUNTY. C3 HEALTH PLAN ELIGIBILITY IS BASED ON THE INDIVIDUAL'S LEVEL OF PERCENTAGE OF POVERTY. C3 HEALTH IS A MINIMAL ESSENTIAL COVERAGE CERTIFIED PLAN. MEMBERS OF C3 HEALTH ARE ABLE TO TAKE ADVANTAGE OF SPECIALIZED SERVICES SUCH AS HEALTH COACHING, BIOMETRICS TESTING, AND HEALTH COURSES TAILORED TO INDIVIDUAL NEED. SERVED APPROXIMATELY 306 MEMBERS IN THE C3 HELATH PROGRAM. 829996 NATIONAL INSTITUTE OF HEALTH (NIH) COMPASS THE MUSKEGON SUSTAINABLE HEALTH INVESTMENT PARTNERSHIP (SHIP) IS A MULTI- YEAR PROGRAM FUNDED BY THE NIH, WHICH SEEKS TO IMPROVE HEALTH, PROVIDE ECONOMIC MOBILITY FOR WORKERS AND THEIR FAMILIES, AND SUPPORT EMPLOYERS BY REDUCING ABSENTEEISM AND TURNOVER WITHIN MUSKEGON COUNTY THROUGH A COUNTYWIDE WELLNESS PLAN THAT WILL STRENGTHEN AND ALIGN COMMUNITY SAFETY- NET RESOURCES. APPROXIMATELY 130 INDIVIDUALS SERVED THROUGH THE COMPASS PROGRAM. 600001 PROMOTION FOR HEALTH EQUITY THE PROGRAM HAS THREE OBJECTIVES: (1) FOSTERING COMMUNITY ENGAGEMENT, BUILDING PARTNERSHIPS, AND COLLABORATING WITH STAKEHOLDERS TO UNDERSTAND THE NEEDS OF MEDICAID BENEFICIARIES AND HISTORICALLY DISADVANTAGED POPULATIONS, (2) PLANNING, DEVELOPING, AND GOVERNING COMMUNITY INFORMATION EXCHANGE, AS WELL AS DESIGNING PILOTS THAT INTEGRATE HEALTH AND SOCIAL CARE SECTIORS TO BETTER SERVE THESE POPULATIONS, AND (3) INTEGRATION OF AN ANCILLARY PROVIDER WORKFORCE, SHARING MODELS AND BEST PRACTICES FOR DEVELOPING A COMMUNITY-BASED WORKFORCE TO PARTNER WITH CLINICAL AND SOCIAL CARE PROVIDERS, THEREBY IMPROVING CARE ACCESSIBILITY AND HEALTH OUTCOMES FOR MEDICAID BENEFICIARIES AND UNDERSERVED POPULATIONS. SERVED APPROXIMATELY 1,350 MEMBERS IN THE PROMOTION FOR HEALTH EQUITY PROGRAM. 653033 CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) THE ORGANIZATION WAS THE SUBRECIPIENT OF A CDC FOUNDATION GRANT TO SUPPORT PARTNERING WITH NATIONAL ORGANIZATIONS AND COMMUNITY-BASED ORGANIZATIONS TO INCREASE VACCINATION COVERAGE ACROSS DIFFERENT RACIAL AND ETHNIC ADULT POPULATIONS CURRENTLY EXPERIENCING DISPARITIES. THE ACTIVITIES PERFORMED BY THE ORGANIZATION SUPPORTED EFFORTS TO INCREASE INFLUENZA AND COVID-19 VACCINE CONFIDENCE AND UPTAKE FOR ADULTS IN RACIAL AND/OR ETHNIC POPULATIONS EXPERIENCING DISPARITIES IN THE UNITED STATES. SERVED APPROXIMATELY 6,189 MEMBERS IN THE CDC PROGRAM. MUSKEGON COMMUNITY HEALTH INNOVATION REGION (CHIR) THE COMMUNITY HEALTH INNOVATION REGION (CHIR) IS A UNIQUE MODEL FOR IMPROVING THE WELLBEING OF A REGION AND REDUCING UNNEECESSARY MEDICAL COSTS THROUGH COLLABORATION AND SYSTEMS CHANGE. THE CHIR ENGAGES A BROAD GROUP OF STAKEHOLDERS TO IDENTIFY AND ADDRESS FACTORS THT AFFECT RESIDENTS' HEALTH, SUCH AS HOUSING, TRANSPORTATION, AND FOOD INSECURITY, AS WELL AS ACCESS TO HIGH-QUALITY MEDICAL CARE. THE CHIR MODEL CREATES A NEUTRAL SPACE FOR PARTERS TO UNITE AROUND A COMMON VISION, ALIGNING THEIR OBJECTIVES AND SERVICES TO MEET THE NEEDS OF THE COMMUNITY. THE RESULT IS A COMMUNITY THAT IS PURPOSEFUL IN ITS RESPONSE TO RESIDENTS' NEEDS, CREATING CONDITIONS THAT MEANINGFULLY SUPPORT AN INDIVIDUAL'S ABILITY TO HAVE A HIGHER, MORE PRODUCTIVE QUALITY OF LIFE. THE PROGRAM ENDED IN MAY 2023. UNDUE MEDICAL DEBT THIS PROGRAM IS A 2-YEAR RESEARCH PARTNERSHIP AIMED AT ELIMINATING PERSONAL MEDICAL DEBT, PROMOTING/ADVOCATING FOR REFORMS TO ADDRESS UPSTREAM CAUSES OF MEDICAL DEBT. THE PROGRAM EXPANDS LOCAL DATA COLLECTION USING PATIENT ASSESSMENT TOOLS TO INCORPORATE MEDICAL DEBT QUESTIONS, AND IT EXPLORES THE IMPACT OF MEDICAL DEBT ON LOCAL FAMILIES THROUGH COMMUNITY-ENGAGED APPROACHES. BUILD HEALTH AS A BUILD HEALTH 4.0 AWARD RECIPIENT, THE ORGANIZATION IS PARTNERING WITH THE MUSKEGON HEIGHTS COMMUNITY, PUBLIC HEALTH MUSKEGON, TRINITY HEALTH MUSKEGON, AND PRIORITY HEALTH TO IMPLEMENT THE MUSKEGON HEIGHTS ECONOMIC OPPORTUNITY HUB CENTERED ON THE ECONOMIC ADVANCEMENT OF MUSKEGON HEIGHTS RESIDENTS AND FOCUSED ON CREATING NEW JOBS, JOB PLACEMENT AND TRAINING, TRANSPORTATION, AND FOOD ACCESS. AS THIS INITIATIVE ADVANCES, THE HUB WILL CONTINUE TO ADAPT TO ADDRESS OTHER ECONOMIC AND COMMUNITY DEVELOPMENT INITIATIVES IN MUSKEGON HEIGHTS. THIS PROJECT PROVIDES AN EXAMPLE OF A LARGE SCALE, COMMUNITY-LED PROJECT THAT IMPACTS UPSTREAM BARRIERS THROUGH DEEP ENGAGEMENT OF THE COMMUNITY TO DESIGN AND IMPLEMENT SOLUTIONS TO PROBLEMS THEY DEFINE. THIS EFFORT REFLECTS ONGOING SUPPORT FOR COMMUNITY- LED EFFORTS TO IMPACT BARRIERS TO HEALTH AND ECONOMIC MOBILITY AND IS ROOTED IN COMMUNITY ENGAGEMENT AND PRIORITIZATION WITHIN THE PHOTOVOICEE PROJECT, LIVABILITY LAB ACTION TEAMS, AND THE MUSKEGON HEIGHTS NEIGHBORHOOD ASSOCIATIONS. SERVED APPROXIMATELY 505 MEMBERS FOR THE BUILD HEALTH PROGRAM. MICHIGAN HEALTH ENDOWMENT FUND (MHEF) LIVABILITY LAB MUSKEGON'S LIVABILITY LAB IS A VERSION OF THE 100-DAY CHALLENGE, WHICH IS A MODEL FOR COMMUNITY CHANGE THAT SEEKS TO INSPIRE COLLECTIVE ACTION TOWARD A COMMON VISION. THE APPROACH PLACES THE FOCUS ON SMALLER 'WINS' THAT CONTRIBUTE TO A LARGER IMPACT. THROUGH THIS PROCESS, TEAMS FORM AROUND SPECIFIC ISSUES AND TAKE 100 DAYS OF WORK TOWARD ACHIEVING AMBITIOUS AND CONCRETE RESULTS. COMMUNITY-DRIVEN AND DATA INFORMED, THE 100-DAY CHALLENGE PROCESS IS A COMMUNITY-LED MODEL, WHICH MEANS IT IS BASED ON THE IDEA THAT PEOPLE ARE THE EXPERTS ON THEIR OWN LIVES. THROUGH ONE-ON-ONE INTERVIEWS, FOCUS GROUPS, RESIDENT SURVEYS, AND DATA FROM LOCAL GROUPS, WE LEARN WHAT MUSKEGON COUNTY RESIDENTS CONSIDER TO BE THE MOST SIGNIFICANT CHALLENGES IN THEIR LIVES, AND WHAT CHANGES COULD MAKE THE BIGGEST IMPACT IN THE COMMUNITY. A CROSS-SECTOR AND COLLABORATIVE MODEL HAS BEEN USED IN OTHER AREAS TO TACKLE ONE SPECIFIC SECTOR OR ISSUE BUT BASED ON RESIDENT DATA AND FEEDBACK, A BROADER VISION IN MUSKEGON COUNTY IS FOR PEOPLE FROM A VARIETY OF SECTORS, INCLUDING BUSINESS, NEIGHBORHOODS, HEALTHCARE, AND EDUCATION, TO COME TOGETHER TO IMPROVE "LIVABILITY" FOR RESIDENTS WITH RESIDENTS. SERVED APPROXIMATELY 1,130 MEMBERS FOR THE MHEF LIVABILITY LAB PROGRAM. FOOD ASSET MAPPING IN 2023 WE ENGAGED OVER 100 MUSKEGON HEIGHTS RESIDENTS AND ENTREPRENEURS IN PARTICIPATORY FOOD ASSET MAPPING SESSIONS TO IDENTIFY THE VARIOUS COMPONENTS OF OUR LOCAL FARM-TO-TABLE FOOD SYSTEM AS WELL AS THE NEEDS AND PRIORITIES OF COMMUNITY MEMBERS. PRIMARILY FUNDED THROUGH A CAPACITY BUILDING GRANT FROM THE MICHIGAN HEALTH ENDOWMENT FUND, THIS PROJECT BUILT ON PREVIOUS WORK IN THE RESILIENCE ZONE AND WITH THE ECONOMIC OPPORTUNITY INITIATIVE, AS WELL AS OTHER WORK AROUND FOOD INSECURITY AS A HEALTH BARRIER TO COUNTY RESIDENTS. THE PROGRAM ENDED IN SEPTEMBER 2023. MUSKEGON COUNTY FOOD CLUB THE ORGANIZATION HAS CONVENED A DEDICATED, CROSS-SECTOR GROUP OF STAKEHOLDERS WHO ARE WORKING TO BRING A FOOD CLUB TO MUSKEGON COUNTY. A FOOD CLUB IS A NON-PROFIT, MEMBERSHIP-BASED GROCERY STORE THAT PROVIDES DIGNIFIED FOOD ACCESS AND HEALTHY OPTIONS FOR FOOD INSECURE HOUSEHOLDS, WHILE ALSO PROVIDING CHOICE AND PROMOTING ECONOMIC STABILITY. APPROXIMATELY 150 MEMBERS SERVED THROUGH THIS PROGRAM. DOULA THE HOW YOU BIRTH DOULA PROGRAM IS AN INITIATIVE TO INCREASE ACCESS TO COMMUNITY DOULAS SPECIFICALLY FOR MEDICAID BIRTHS AND FAMILIES OF COLOR. THE DOULAS PROVIDE COMPASSIONATE SUPPORT TO LATE PREGNANCY, LABOR, BIRTH, AND THE EARLY POSTPARTUM PERIOD, TO BIRTHING PERSONS OF COLOR; ACTIVELY WORKING TO MAKE DOULA SERVICES AVAILABLE TO ANYONE WHO NEEDS THEM REGARDLESS OF FINANCIAL BARRIERS. THE VISION OF THE PROGRAM IS TO REDUCE HEALTH DISPARITIES IN CHILDREN OF COLOR BY PROVIDING ACCESS TO CULTURALLY COMPETENT COORDINATED CARE. SERVED APPROXIMATELY 325 MEMBERS FOR THE DOULA PROGRAM. HEALTH EQUITY THE ORGANIZATION IS A SUBRECIPIENT OF A HEALTH EQUITY GRANT FROM MICHIGAN PUBLIC HEALTH INSTITUTE TO REDUCE AND ELIMINATE COVID-19 INEQUITIES AND AT-RISK POPULATIONS. THE ORGANIZATION'S ROLE AS THE BACKBONE ORGANIZATION (BBO) IS TO CREATE A REGIONAL HEALTH EQUITY COUNCIL COMPRISED OF RESIDENT AND COMMUNITY PRIORITY RISK FACTORS AND NEEDS RELATED TO COVID-19 AND OTHER ROOT CAUSES OF HEALTH INEQUITY IN THE REGION. SERVED APPROXIMATELY 1,200 MEMBERS IN THE HEALTH EQUITY PROGRAM. MUSKEGON COMMUNITY INFORMATION EXCHANGE (CIE) A CIE IS A COMMUNITY-LED ECOSYSTEM OF MULTIDISCIPLINARY NETWORK PARTNERS THAT USE A SHARED LANGUAGE, RESOURCE DATABASE, AND INTEGRATED TECHNOLOGY PLATFORMS TO DELIVER ENHANCED COMMUNITY CARE PLANNING, UTILIZING TECHNOLOGY SOLUTIONS TO SUPPORT COMMUNITY PARTNERSHIPS AND BREAK DOWN BARRIERS TO ACCESSING COMMUNITY RESOURCES. THE MUSKEGON CIE IS A COMMUNITY-BUILT PARTNERSHIP, BRINGING TOGETHER PARTNERS SUCH AS COMMUNITY ACCESS LINE OF THE LAKESHORE 211 AND UNITED WAY OF THE LAKESHORE TO BUILD AND SUPPORT A COMMUNITY REFERRAL NETWORK. APPROXIMATELY 140 MEMBERS SERVED THROUGH THIS PROGRAM. 653033 3391926 true true false true false false false false false false true false false true true true false true false false false false false false false false false true false true false false false false false true false false false false false false false true true false false false true 93 0 19 true false false false false false false false false false false false false X 8 8 false true false false false false false true true false false true true true true true true true true false MI X X BRIANA BISHOP 2317285180 1200 RANSOM ST STE 102 MUSKEGON MI 49442 X DONALD SHAMPINE PRESIDENT 1.00 X X 0 0 0 DR F REMINGTON SPRAGUE VICE PRESIDE 1.00 X X 0 0 0 KATHY MOORE TREASURER/FI 1.00 X X 0 0 0 CHRISTINE ROBERE SECRETARY 1.00 X X 0 0 0 RICK SNELLENBERGER BOARD MEMBER 1.00 X 0 0 0 KATHRYN NORTON BOARD MEMBER 1.00 X 0 0 0 KRISTEN BURLESON BOARD MEMBER 1.00 X 0 0 0 TOM REYNOLDS BOARD MEMBER 1.00 X 0 0 0 JEFF S FORTENBACHER EXECUTIVE DI 40.00 X 221845 0 0 SAMANTHA CORNELL COMMUNITY SE 40.00 X 103063 0 0 324908 2 false true false CARE CONVENE 120 NORTH WASHINGTON SQUARE SUITE 316 LANSING MI 48933 TELEHEALTH 249000 ADVANCED MEDICAL & BEHAVIORAL HEALTH 2964 LAKESHORE DR MUSKEGON MI 49441 CONTRACT EX DIR 221845 TRINITY HEALTH MUSKEGON 1500 E SHERMAN BLVD MUSKEGON MI 49444 PLAN PROVIDER 122413 3 3183353 333459 3516812 CONTRACT REVENUES 191568 191568 191568 163209 163209 620000 646834 -26834 -26834 -26834 CONSULTING AND OTHER SERVICES 4292 4292 OTHER 1983 1983 6275 3851030 171009 163209 X 160587 160587 221845 159935 61910 969838 967911 1927 90150 89971 179 75634 75484 150 26930 19415 7515 17207 17207 829780 823982 5798 72333 70871 1462 31008 29941 1067 77903 74025 3878 63698 61763 1935 39122 38064 1058 68339 59552 8787 28930 25127 3803 46429 44429 2000 HEALTH CARE CLAIMS 360156 360156 COMMUNITY CAPACITY BUILD 276772 276772 SUPPLIES 59077 53941 5136 CREDIT LOSS 29000 29000 3544738 3391926 152812 0 75515 422600 336593 584221 5740 1910 14326 17766 888734 709448 171359 179286 4870152 5323967 2126337 2126337 7600022 8656087 196828 293218 12600 8600 97272 117213 306700 419031 X 6991605 7968290 301717 268766 7293322 8237056 7600022 8656087 306292 637442 X false true X true false X 115793 1636717 2180521 3516812 7449843 999172 976839 550804 200514 197843 2925172 999172 1092632 2187521 2381035 3714655 10375015 10375015 125680 86851 186090 138508 163209 700338 125680 86851 186090 138508 163209 700338 145159 4103 4019 6275 159556 1124852 1324642 2377714 2523562 3884139 11234909 0.92350 0.89870 0.06000 0.08000 X PART III, LINE 12 PPP LOAN FORGIVENESS AND OTHER 159,556 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 85500 false false 85500 false SCHEDULE C, PART II-B, LINE 1 ACCESS HEALTH CONTACTED POTOMAC STRATEGIC DEVELOPMENT TO SUPPORT ACCESS HEALTH INITIATIVES, FORMULATE A COMPREHENSIVE PLAN AND TIMETABLE FOR THE INITIATIVES, ASSIST IN THE PREPARATION OF SUPPORTING DOCUMENTATION FOR THE INITIATIVES, DEVELOP RELATIONSHIPS WITH MEMBERS OF CONGRESS, CONGRESSIONAL STAFF, FEDERAL AGENCY PERSONNEL AND KEY OUTSIDE ORGANIZATIONS, PREPARE TESTIMONY FOR PRESENTATION FOR ALL RELEVANT COMMITTEES OF THE CONGRESS, SERVE AS A LIASON TO GOVERNMENT AGENCIES AND OUTSIDE ORGANIZATIONS AS NECESSARY, AND MONITOR GOVERNMENT PROGRAMS AND OTHER DEVELOPMENTS RELEVANT TO THE INITIATIVES. 60000 60000 604829 580903 23926 34976 655 34321 11201 2770 8431 177728 125120 52608 179286 INVESTMENT IN SUBSIDIARY 1325000 RECEIVABLES FROM SUBSIDIARY 801337 2126337 HEALTH CLAIMS PAYABLE 99694 CHECKS DRAWN AGAINST FUTURE DEPOSIT 17519 117213 X SCHEDULE D, PAGE 3, PART X THE ORGANIZATION AND ITS SUBSIDIARY ADOPTED ACCOUNTING STANDARDS CODIFICATION ("ASC") 740-10 AS IT RELATES TO UNCERTAIN TAX POSITIONS. ANY INTEREST AND PENALTIES RECOGNIZED ASSOCIATED WITH A TAX PROVISION ARE CLASSSIFIED AS CURRENT IN THE ORGANIZATION AND ITS SUBSIDIARY'S FINANCIAL STATEMENTS. THE ORGANIZATION AND ITS SUBSIDIARY HAVE EVALUATED THEIR TAX POSITIONS TAKEN FOR ALL OPEN TAX YEARS. FEDERAL, STATE AND LOCAL TAX RETURNS GENERALLY REMAIN OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES FOR A PERIOD OF THREE TO FOUR YEARS. THE ORGANIZATION AND ITS SUBSIDIARY ARE NOT CURRENTLY UNDER AUDIT NOR HAVE THEY BEEN CONTACTED BY ANY OF THESE JURISDICTIONS. BASED ON THE EVALUATION OF THE ORGANIZATION AND ITS SUBSIDIARY'S TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED FOR THE YEARS ENDED SEPTEMBER 30, 2024 AND 2023. true MICHIGAN PUBLIC HEALTH INSTITUTE 2436 WOODLAKE CIRCLE OKEMOS MI 48864 382963835 160587 EMPLOYEE WELLNESS X false false false false false false false false false JEFF S FORTENBACHER EXECUTIVE DIRECTOR 221845 221845 SCHEDULE J, PAGE 1, PART I, LINE 3 FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2023, ADVANCED MEDICAL & BEHAVIORAL HEALTH SERVICES, INC. PAID 221,845 IN SALARY AND FRINGES FOR THE EXECUTIVE DIRECTOR AS AN EMPLOYEE. STRATEGICMICHIGAN INSURANCE GROUP PRESIDENT 40861 INSURANCE false PUBLIC HEALTH MUSKEGON COUNTY TREASURER 191959 ADMINISTERED FUND false SCHEDULE L, PART V SCH. L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: DONALD SHAMPINE - DESCRIPTION OF TRANSACTION: PURCHASE OF D&O AND E&O INSURANCE KATHY MOORE - DESCRIPTION OF TRANSACTION: PUBLIC HEALTH MUSKEGON COUNTY ADMINISTERED COMMUNITY HEALTH IMPROVEMENT FUND WHICH COLLECTED VOLUNTARY DONATIONS FROM COMMUNITY TO SUPPORT THE C3 HEALTH PROGRAM FORM 990 - ORGANIZATION'S MISSION THE MISSION OF ACCESS HEALTH IS TO OFFER AN INTEGRATED COMMUNITY-BASED HEALTH IMPROVEMENT PROGRAM FOR THOSE RESIDENTS WHO OTHERWISE WOULD NOT RECEIVE SERVICES. THE VISION FOR ACCESS HEALTH IS TO PROVIDE ACCESS TO APPROPRIATE HEALTH CARE THROUGH THE EFFECTIVE USE OF COMMUNITY RESOURCES. FORM 990, PAGE 2, PART III, LINE 4C PROMOTION FOR HEALTH EQUITY THE PROGRAM HAS THREE OBJECTIVES: (1) FOSTERING COMMUNITY ENGAGEMENT, BUILDING PARTNERSHIPS, AND COLLABORATING WITH STAKEHOLDERS TO UNDERSTAND THE NEEDS OF MEDICAID BENEFICIARIES AND HISTORICALLY DISADVANTAGED POPULATIONS, (2) PLANNING, DEVELOPING, AND GOVERNING COMMUNITY INFORMATION EXCHANGE, AS WELL AS DESIGNING PILOTS THAT INTEGRATE HEALTH AND SOCIAL CARE SECTIORS TO BETTER SERVE THESE POPULATIONS, AND (3) INTEGRATION OF AN ANCILLARY PROVIDER WORKFORCE, SHARING MODELS AND BEST PRACTICES FOR DEVELOPING A COMMUNITY-BASED WORKFORCE TO PARTNER WITH CLINICAL AND SOCIAL CARE PROVIDERS, THEREBY IMPROVING CARE ACCESSIBILITY AND HEALTH OUTCOMES FOR MEDICAID BENEFICIARIES AND UNDERSERVED POPULATIONS. SERVED APPROXIMATELY 1,350 MEMBERS IN THE PROMOTION FOR HEALTH EQUITY PROGRAM. FORM 990, PAGE 2, PART III, LINE 4D CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) THE ORGANIZATION WAS THE SUBRECIPIENT OF A CDC FOUNDATION GRANT TO SUPPORT PARTNERING WITH NATIONAL ORGANIZATIONS AND COMMUNITY-BASED ORGANIZATIONS TO INCREASE VACCINATION COVERAGE ACROSS DIFFERENT RACIAL AND ETHNIC ADULT POPULATIONS CURRENTLY EXPERIENCING DISPARITIES. THE ACTIVITIES PERFORMED BY THE ORGANIZATION SUPPORTED EFFORTS TO INCREASE INFLUENZA AND COVID-19 VACCINE CONFIDENCE AND UPTAKE FOR ADULTS IN RACIAL AND/OR ETHNIC POPULATIONS EXPERIENCING DISPARITIES IN THE UNITED STATES. SERVED APPROXIMATELY 6,189 MEMBERS IN THE CDC PROGRAM. MUSKEGON COMMUNITY HEALTH INNOVATION REGION (CHIR) THE COMMUNITY HEALTH INNOVATION REGION (CHIR) IS A UNIQUE MODEL FOR IMPROVING THE WELLBEING OF A REGION AND REDUCING UNNEECESSARY MEDICAL COSTS THROUGH COLLABORATION AND SYSTEMS CHANGE. THE CHIR ENGAGES A BROAD GROUP OF STAKEHOLDERS TO IDENTIFY AND ADDRESS FACTORS THT AFFECT RESIDENTS' HEALTH, SUCH AS HOUSING, TRANSPORTATION, AND FOOD INSECURITY, AS WELL AS ACCESS TO HIGH-QUALITY MEDICAL CARE. THE CHIR MODEL CREATES A NEUTRAL SPACE FOR PARTERS TO UNITE AROUND A COMMON VISION, ALIGNING THEIR OBJECTIVES AND SERVICES TO MEET THE NEEDS OF THE COMMUNITY. THE RESULT IS A COMMUNITY THAT IS PURPOSEFUL IN ITS RESPONSE TO RESIDENTS' NEEDS, CREATING CONDITIONS THAT MEANINGFULLY SUPPORT AN INDIVIDUAL'S ABILITY TO HAVE A HIGHER, MORE PRODUCTIVE QUALITY OF LIFE. THE PROGRAM ENDED IN MAY 2023. UNDUE MEDICAL DEBT THIS PROGRAM IS A 2-YEAR RESEARCH PARTNERSHIP AIMED AT ELIMINATING PERSONAL MEDICAL DEBT, PROMOTING/ADVOCATING FOR REFORMS TO ADDRESS UPSTREAM CAUSES OF MEDICAL DEBT. THE PROGRAM EXPANDS LOCAL DATA COLLECTION USING PATIENT ASSESSMENT TOOLS TO INCORPORATE MEDICAL DEBT QUESTIONS, AND IT EXPLORES THE IMPACT OF MEDICAL DEBT ON LOCAL FAMILIES THROUGH COMMUNITY-ENGAGED APPROACHES. BUILD HEALTH AS A BUILD HEALTH 4.0 AWARD RECIPIENT, THE ORGANIZATION IS PARTNERING WITH THE MUSKEGON HEIGHTS COMMUNITY, PUBLIC HEALTH MUSKEGON, TRINITY HEALTH MUSKEGON, AND PRIORITY HEALTH TO IMPLEMENT THE MUSKEGON HEIGHTS ECONOMIC OPPORTUNITY HUB CENTERED ON THE ECONOMIC ADVANCEMENT OF MUSKEGON HEIGHTS RESIDENTS AND FOCUSED ON CREATING NEW JOBS, JOB PLACEMENT AND TRAINING, TRANSPORTATION, AND FOOD ACCESS. AS THIS INITIATIVE ADVANCES, THE HUB WILL CONTINUE TO ADAPT TO ADDRESS OTHER ECONOMIC AND COMMUNITY DEVELOPMENT INITIATIVES IN MUSKEGON HEIGHTS. THIS PROJECT PROVIDES AN EXAMPLE OF A LARGE SCALE, COMMUNITY-LED PROJECT THAT IMPACTS UPSTREAM BARRIERS THROUGH DEEP ENGAGEMENT OF THE COMMUNITY TO DESIGN AND IMPLEMENT SOLUTIONS TO PROBLEMS THEY DEFINE. THIS EFFORT REFLECTS ONGOING SUPPORT FOR COMMUNITY- LED EFFORTS TO IMPACT BARRIERS TO HEALTH AND ECONOMIC MOBILITY AND IS ROOTED IN COMMUNITY ENGAGEMENT AND PRIORITIZATION WITHIN THE PHOTOVOICEE PROJECT, LIVABILITY LAB ACTION TEAMS, AND THE MUSKEGON HEIGHTS NEIGHBORHOOD ASSOCIATIONS. SERVED APPROXIMATELY 505 MEMBERS FOR THE BUILD HEALTH PROGRAM. MICHIGAN HEALTH ENDOWMENT FUND (MHEF) LIVABILITY LAB MUSKEGON'S LIVABILITY LAB IS A VERSION OF THE 100-DAY CHALLENGE, WHICH IS A MODEL FOR COMMUNITY CHANGE THAT SEEKS TO INSPIRE COLLECTIVE ACTION TOWARD A COMMON VISION. THE APPROACH PLACES THE FOCUS ON SMALLER 'WINS' THAT CONTRIBUTE TO A LARGER IMPACT. THROUGH THIS PROCESS, TEAMS FORM AROUND SPECIFIC ISSUES AND TAKE 100 DAYS OF WORK TOWARD ACHIEVING AMBITIOUS AND CONCRETE RESULTS. COMMUNITY-DRIVEN AND DATA INFORMED, THE 100-DAY CHALLENGE PROCESS IS A COMMUNITY-LED MODEL, WHICH MEANS IT IS BASED ON THE IDEA THAT PEOPLE ARE THE EXPERTS ON THEIR OWN LIVES. THROUGH ONE-ON-ONE INTERVIEWS, FOCUS GROUPS, RESIDENT SURVEYS, AND DATA FROM LOCAL GROUPS, WE LEARN WHAT MUSKEGON COUNTY RESIDENTS CONSIDER TO BE THE MOST SIGNIFICANT CHALLENGES IN THEIR LIVES, AND WHAT CHANGES COULD MAKE THE BIGGEST IMPACT IN THE COMMUNITY. A CROSS-SECTOR AND COLLABORATIVE MODEL HAS BEEN USED IN OTHER AREAS TO TACKLE ONE SPECIFIC SECTOR OR ISSUE BUT BASED ON RESIDENT DATA AND FEEDBACK, A BROADER VISION IN MUSKEGON COUNTY IS FOR PEOPLE FROM A VARIETY OF SECTORS, INCLUDING BUSINESS, NEIGHBORHOODS, HEALTHCARE, AND EDUCATION, TO COME TOGETHER TO IMPROVE "LIVABILITY" FOR RESIDENTS WITH RESIDENTS. SERVED APPROXIMATELY 1,130 MEMBERS FOR THE MHEF LIVABILITY LAB PROGRAM. FOOD ASSET MAPPING IN 2023 WE ENGAGED OVER 100 MUSKEGON HEIGHTS RESIDENTS AND ENTREPRENEURS IN PARTICIPATORY FOOD ASSET MAPPING SESSIONS TO IDENTIFY THE VARIOUS COMPONENTS OF OUR LOCAL FARM-TO-TABLE FOOD SYSTEM AS WELL AS THE NEEDS AND PRIORITIES OF COMMUNITY MEMBERS. PRIMARILY FUNDED THROUGH A CAPACITY BUILDING GRANT FROM THE MICHIGAN HEALTH ENDOWMENT FUND, THIS PROJECT BUILT ON PREVIOUS WORK IN THE RESILIENCE ZONE AND WITH THE ECONOMIC OPPORTUNITY INITIATIVE, AS WELL AS OTHER WORK AROUND FOOD INSECURITY AS A HEALTH BARRIER TO COUNTY RESIDENTS. THE PROGRAM ENDED IN SEPTEMBER 2023. MUSKEGON COUNTY FOOD CLUB THE ORGANIZATION HAS CONVENED A DEDICATED, CROSS-SECTOR GROUP OF STAKEHOLDERS WHO ARE WORKING TO BRING A FOOD CLUB TO MUSKEGON COUNTY. A FOOD CLUB IS A NON-PROFIT, MEMBERSHIP-BASED GROCERY STORE THAT PROVIDES DIGNIFIED FOOD ACCESS AND HEALTHY OPTIONS FOR FOOD INSECURE HOUSEHOLDS, WHILE ALSO PROVIDING CHOICE AND PROMOTING ECONOMIC STABILITY. APPROXIMATELY 150 MEMBERS SERVED THROUGH THIS PROGRAM. DOULA THE HOW YOU BIRTH DOULA PROGRAM IS AN INITIATIVE TO INCREASE ACCESS TO COMMUNITY DOULAS SPECIFICALLY FOR MEDICAID BIRTHS AND FAMILIES OF COLOR. THE DOULAS PROVIDE COMPASSIONATE SUPPORT TO LATE PREGNANCY, LABOR, BIRTH, AND THE EARLY POSTPARTUM PERIOD, TO BIRTHING PERSONS OF COLOR; ACTIVELY WORKING TO MAKE DOULA SERVICES AVAILABLE TO ANYONE WHO NEEDS THEM REGARDLESS OF FINANCIAL BARRIERS. THE VISION OF THE PROGRAM IS TO REDUCE HEALTH DISPARITIES IN CHILDREN OF COLOR BY PROVIDING ACCESS TO CULTURALLY COMPETENT COORDINATED CARE. SERVED APPROXIMATELY 325 MEMBERS FOR THE DOULA PROGRAM. HEALTH EQUITY THE ORGANIZATION IS A SUBRECIPIENT OF A HEALTH EQUITY GRANT FROM MICHIGAN PUBLIC HEALTH INSTITUTE TO REDUCE AND ELIMINATE COVID-19 INEQUITIES AND AT-RISK POPULATIONS. THE ORGANIZATION'S ROLE AS THE BACKBONE ORGANIZATION (BBO) IS TO CREATE A REGIONAL HEALTH EQUITY COUNCIL COMPRISED OF RESIDENT AND COMMUNITY PRIORITY RISK FACTORS AND NEEDS RELATED TO COVID-19 AND OTHER ROOT CAUSES OF HEALTH INEQUITY IN THE REGION. SERVED APPROXIMATELY 1,200 MEMBERS IN THE HEALTH EQUITY PROGRAM. MUSKEGON COMMUNITY INFORMATION EXCHANGE (CIE) A CIE IS A COMMUNITY-LED ECOSYSTEM OF MULTIDISCIPLINARY NETWORK PARTNERS THAT USE A SHARED LANGUAGE, RESOURCE DATABASE, AND INTEGRATED TECHNOLOGY PLATFORMS TO DELIVER ENHANCED COMMUNITY CARE PLANNING, UTILIZING TECHNOLOGY SOLUTIONS TO SUPPORT COMMUNITY PARTNERSHIPS AND BREAK DOWN BARRIERS TO ACCESSING COMMUNITY RESOURCES. THE MUSKEGON CIE IS A COMMUNITY-BUILT PARTNERSHIP, BRINGING TOGETHER PARTNERS SUCH AS COMMUNITY ACCESS LINE OF THE LAKESHORE 211 AND UNITED WAY OF THE LAKESHORE TO BUILD AND SUPPORT A COMMUNITY REFERRAL NETWORK. APPROXIMATELY 140 MEMBERS SERVED THROUGH THIS PROGRAM. FORM 990, PAGE 6, PART VI, LINE 3 THE ORGANIZATION PAYS ADVANCED MEDICAL & BEHAVIORAL HEALTH SERVICES, INC. FOR CONTRACT SERVICES IN WHICH THE CORPORATION PROVIDES THE SERVICES OF JEFF FORTENBACHER AS EXECUTIVE DIRECTOR TO ACCESS HEALTH INC. AS SUCH, THE ORGANIZATION DELEGATES CONTROL OVER MANAGEMENT DUTIES TO ADVANCED MEDICAL & BEHAVIOR HEALTH SERVICES, INC. THE AMOUNT PAID FOR THOSE SERVICES IS DISCLOSED ON SCHEDULE J AND IN PART VII. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AND IS MADE AVAILABLE TO ALL BOARD MEMBERS. FORM 990, PAGE 6, PART VI, LINE 12C CONFLICT OF INTEREST IS MONITORED BY A REVIEW OF ALL FINANCIAL TRANSACTIONS BY TOP MANAGEMENT; BOARD MEMBERS ARE REQUIRED TO RECLUSE THEMSELVES FROM VOTING ON MATTERS THAT RELATE TO CONTRACTS BETWEEN ACCESS HEALTH AND THEIR EMPLOYER. ANNUAL CONFLICT OF INTEREST DISCLOSURES ARE REQUIRED BY ALL BOARD MEMBERS AND SENIOR MANAGEMENT AND EACH EMPLOYEE AND CONTRACTOR IS REQUIRED TO DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST OR TO NOT ENGAGE IN ANY. FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD OF DIRECTORS DETERMINED THE COMPENSATION TO PAY FOR THE SERVICES OF THE EXECUTIVE DIRECTOR AS A LEASED EMPLOYEE. THE EXECUTIVE DIRECTOR PROPOSES COMPENSATION FOR ALL OTHER LEASED EMPLOYEES, AND THE BOARD OF DIRECTORS APPROVES. FORM 990, PAGE 6, PART VI, LINE 15B THE BOARD OF DIRECTORS DETERMINED THE COMPENSATION TO PAY FOR THE SERVICES OF THE EXECUTIVE DIRECTOR AS A LEASED EMPLOYEE. THE EXECUTIVE DIRECTOR PROPOSES COMPENSATION FOR ALL OTHER LEASED EMPLOYEES, AND THE BOARD OF DIRECTORS APPROVES. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII THE ORGANIZATION PAYS ADVANCED MEDICAL & BEHAVIORAL HEALTH SERVICES, INC. FOR CONTRACT PERSONNEL SERVICES FOR JEFF FORTENBACHER AS EXECUTIVE DIRECTOR. THE AMOUNT PAID FOR THOSE SERVICES IS DISCLOSED IN PART VII AND PART IX, LINE 5. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES 811,438 942 0 OTHER PROFESSIONAL FEES 12,544 4,856 0 TOTAL 823,982 5,798 0 AH SERVICES INC 1200 RANSOM MUSKEGON MI 49442 261581079 CONSULTING MI ACCESS HEA C CORP true false false false false false false false false false false false false false false false false false false false